Phase 3 Pivotal Trial of NanoFlu™ in Older Adults
Primary Purpose
Influenza, Human
Status
Completed
Phase
Phase 3
Locations
United States
Study Type
Interventional
Intervention
NanoFlu
Fluzone Quadrivalent
Sponsored by
About this trial
This is an interventional prevention trial for Influenza, Human
Eligibility Criteria
Inclusion Criteria:
Clinically-stable adult male or female, ≥ 65 years of age. Subjects may have 1 or more chronic medical diagnoses, but should be clinically stable as assessed by:
- Ambulatory status, living independently in the community or in a residential facility providing minimal assistance (eg, meal preparation and transport),
- Absence of changes in medical therapy within 1 month due to treatment failure or toxicity,
- Absence of medical events qualifying as serious adverse events within the prior 2 months, and
- Absence of known, current, and life-limiting diagnoses which render survival to completion of the protocol unlikely in the opinion of the investigator.
- Willing and able to give informed consent prior to trial enrollment, and
- Living in the community and able to attend trial visits, comply with trial requirements, and provide timely, reliable, and complete reports of adverse events.
Exclusion Criteria:
- Participation in research involving investigational product (drug / biologic / device) within 45 days before planned date of study vaccination.
- Participation in any previous Novavax influenza vaccine clinical trial(s).
- History of a serious reaction to prior influenza vaccination, known allergy to constituents of Fluzone Quadrivalent or polysorbate 80.
- History of Guillain-Barré Syndrome (GBS) within 6 weeks following a previous influenza vaccine.
- Received any vaccine in the 4 weeks preceding the trial vaccination and any influenza vaccine within 6 months preceding the trial vaccination.
- Any known or suspected immunosuppressive illness, congenital or acquired, based on medical history and/or physical examination.
- Chronic administration (defined as more than 14 continuous days) of immunosuppressants or other immune-modifying drugs within 6 months prior to the administration of the trial vaccine. An immunosuppressant dose of glucocorticoid will be defined as a systemic dose ≥ 10 mg of prednisone per day or equivalent. The use of topical, inhaled, and nasal glucocorticoids will be permitted.
- Administration of immunoglobulins and/or any blood products within the 3 months preceding the administration of the trial vaccine.
- Acute disease at the time of enrollment (defined as the presence of a moderate or severe illness with or without fever, or an oral temperature ≥ 38.0°C, on the planned day of vaccine administration).
- Any condition that in the opinion of the investigator would pose a health risk to the subject if enrolled or could interfere with evaluation of the vaccine or interpretation of trial results (including neurologic or psychiatric conditions deemed likely to impair the quality of safety reporting).
- Known disturbance of coagulation.
- Suspicion or recent history (within 1 year of planned vaccination) of alcohol or other substance abuse.
Sites / Locations
- US135
- US045
- US013
- US012
- US032
- US003
- US138
- US025
- US018
- US056
- US017
- US030
- US053
- US044
- US079
- US050
- US029
- US004
- US073
Arms of the Study
Arm 1
Arm 2
Arm Type
Experimental
Active Comparator
Arm Label
NanoFlu
Fluzone Quadrivalent
Arm Description
NanoFlu will be administered as a single dose (0.5 mL) in the arm muscle on Day 0.
Fluzone Quadrivalent will be administered as a single dose (0.5 mL) in the arm muscle on Day 0.
Outcomes
Primary Outcome Measures
HAI Antibody Responses for Vaccine Homologous Influenza Strains Expressed as Ratio of Geometric Mean Fold Ratio (GMFR)
Egg-Based HAI Assay responses for all 4 vaccine homologous influenza strains (ie, 2 influenza A and 2 influenza B strains) expressed as GMFR on Day 28
Mean Difference in the Seroconversion Rate (SCR) HAI Antibody Responses for Vaccine Homologous Influenza Strains Expressed as a Percentage of Participants
Egg-Based HAI Assay responses for all 4 vaccine homologous influenza strains (ie, 2 influenza A and 2 influenza B strains) summarized in terms of SCR on Day 28
Number of Subjects With Solicited Local and Systemic Adverse Events (AEs)
Number of subjects with solicited local and systemic AEs over 7 days post-injection (ie, Day 0 through Day 6, inclusive).
Number of Subjects With Medically Attended Adverse Events (MAAEs), Serious Adverse Events (SAEs), Significant New Medical Conditions (SNMCs)
Number of subjects with Medically Attended Adverse Events (MAAEs), Serious Adverse Events (SAEs), Significant New Medical Conditions (SNMCs) - including AESIs - through 1-year post-injection.
Number of Subjects With MAAEs, SAEs, SNMCs
Number of subjects with MAEs, SAEs, and SNMCs - including AESIs.
Secondary Outcome Measures
HAI Titers to All Vaccine Homologous Influenza Strains and at Least 1 Antigenically Drifted Strain Expressed as Geometric Mean Titers (GMT)
Homologous influenza strains and 1 antigenically drifted strain expressed as GMT
HAI Titers to All Vaccine Homologous Influenza Strains and at Least 1 Antigenically Drifted Strain Expressed as Geometric Mean Fold Ratio (GMFR)
Wild-Type HAI Assay Homologous influenza strains and 1 antigenically drifted strain expressed as GMFR.
Subjects Who Seroconverted as Determined by HAI Titers to All Vaccine Homologous Influenza Strains and at Least 1 Antigenically Drifted Strain
Wild-Type HAI Assay Homologous Influenza Strains and at least 1 Antigenically Drifted Strain Expressed as Seroconversion Rate (SCR).
Subjects Who Seroprotected as Determined by HAI Titers to All Vaccine Homologous Influenza Strains and at Least 1 Antigenically Drifted Strain Expressed as SPR
Homologous Influenza Strains and at least 1 Antigenically Drifted Strain Expressed as Seroprotection Rate (SPR).
Full Information
1. Study Identification
Unique Protocol Identification Number
NCT04120194
Brief Title
Phase 3 Pivotal Trial of NanoFlu™ in Older Adults
Official Title
A Phase 3, Randomized, Observer-blinded, Active-controlled Trial to Evaluate Immunogenicity & Safety of a Recombinant Quadrivalent Nanoparticle Influenza Vaccine (Quad-NIV) With Matrix-M1™ Adjuvant Against Fluzone® Quadrivalent in Clinically Stable Adults ≥ 65 Years of Age
Study Type
Interventional
2. Study Status
Record Verification Date
April 2023
Overall Recruitment Status
Completed
Study Start Date
October 14, 2019 (Actual)
Primary Completion Date
October 29, 2020 (Actual)
Study Completion Date
December 13, 2020 (Actual)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Novavax
4. Oversight
Studies a U.S. FDA-regulated Drug Product
Yes
Studies a U.S. FDA-regulated Device Product
No
5. Study Description
Brief Summary
A Phase 3, randomized, observer-blinded, active-controlled trial to evaluate the immunogenicity and safety of a recombinant quadrivalent nanoparticle influenza vaccine with Matrix-M1 adjuvant (NanoFlu) compared with a licensed quadrivalent inactivated influenza vaccine in adults ≥ 65 years of age. Both vaccines were formulated with the 4 influenza strains recommended for the 2019-20 Northern hemisphere influenza season. 2654 subjects were enrolled and randomized into 1 of 2 treatment groups to receive either NanoFlu or active comparator. Subjects were followed for approximately 1 year following injection; with primary immunogenicity analyses based on Day 28 sera. This trial was conducted in the United States at approximately 19 clinical sites.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Influenza, Human
7. Study Design
Primary Purpose
Prevention
Study Phase
Phase 3
Interventional Study Model
Parallel Assignment
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
2654 (Actual)
8. Arms, Groups, and Interventions
Arm Title
NanoFlu
Arm Type
Experimental
Arm Description
NanoFlu will be administered as a single dose (0.5 mL) in the arm muscle on Day 0.
Arm Title
Fluzone Quadrivalent
Arm Type
Active Comparator
Arm Description
Fluzone Quadrivalent will be administered as a single dose (0.5 mL) in the arm muscle on Day 0.
Intervention Type
Biological
Intervention Name(s)
NanoFlu
Other Intervention Name(s)
Quad-NIV
Intervention Description
Investigational quadrivalent seasonal influenza vaccine for the 2019-20 Northern hemisphere influenza season.
Intervention Type
Biological
Intervention Name(s)
Fluzone Quadrivalent
Intervention Description
Licensed quadrivalent seasonal influenza vaccine for the 2019-20 Northern hemisphere influenza season.
Primary Outcome Measure Information:
Title
HAI Antibody Responses for Vaccine Homologous Influenza Strains Expressed as Ratio of Geometric Mean Fold Ratio (GMFR)
Description
Egg-Based HAI Assay responses for all 4 vaccine homologous influenza strains (ie, 2 influenza A and 2 influenza B strains) expressed as GMFR on Day 28
Time Frame
Day 28
Title
Mean Difference in the Seroconversion Rate (SCR) HAI Antibody Responses for Vaccine Homologous Influenza Strains Expressed as a Percentage of Participants
Description
Egg-Based HAI Assay responses for all 4 vaccine homologous influenza strains (ie, 2 influenza A and 2 influenza B strains) summarized in terms of SCR on Day 28
Time Frame
Day 0 - Day 28
Title
Number of Subjects With Solicited Local and Systemic Adverse Events (AEs)
Description
Number of subjects with solicited local and systemic AEs over 7 days post-injection (ie, Day 0 through Day 6, inclusive).
Time Frame
Day 0 - Day 6
Title
Number of Subjects With Medically Attended Adverse Events (MAAEs), Serious Adverse Events (SAEs), Significant New Medical Conditions (SNMCs)
Description
Number of subjects with Medically Attended Adverse Events (MAAEs), Serious Adverse Events (SAEs), Significant New Medical Conditions (SNMCs) - including AESIs - through 1-year post-injection.
Time Frame
Day 0 - Day 364
Title
Number of Subjects With MAAEs, SAEs, SNMCs
Description
Number of subjects with MAEs, SAEs, and SNMCs - including AESIs.
Time Frame
Day 0 - Day 27
Secondary Outcome Measure Information:
Title
HAI Titers to All Vaccine Homologous Influenza Strains and at Least 1 Antigenically Drifted Strain Expressed as Geometric Mean Titers (GMT)
Description
Homologous influenza strains and 1 antigenically drifted strain expressed as GMT
Time Frame
Day 0 - Day 28
Title
HAI Titers to All Vaccine Homologous Influenza Strains and at Least 1 Antigenically Drifted Strain Expressed as Geometric Mean Fold Ratio (GMFR)
Description
Wild-Type HAI Assay Homologous influenza strains and 1 antigenically drifted strain expressed as GMFR.
Time Frame
Day 28 - 364
Title
Subjects Who Seroconverted as Determined by HAI Titers to All Vaccine Homologous Influenza Strains and at Least 1 Antigenically Drifted Strain
Description
Wild-Type HAI Assay Homologous Influenza Strains and at least 1 Antigenically Drifted Strain Expressed as Seroconversion Rate (SCR).
Time Frame
Day 28 - Day 364
Title
Subjects Who Seroprotected as Determined by HAI Titers to All Vaccine Homologous Influenza Strains and at Least 1 Antigenically Drifted Strain Expressed as SPR
Description
Homologous Influenza Strains and at least 1 Antigenically Drifted Strain Expressed as Seroprotection Rate (SPR).
Time Frame
Day 28
10. Eligibility
Sex
All
Minimum Age & Unit of Time
65 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria:
Clinically-stable adult male or female, ≥ 65 years of age. Subjects may have 1 or more chronic medical diagnoses, but should be clinically stable as assessed by:
Ambulatory status, living independently in the community or in a residential facility providing minimal assistance (eg, meal preparation and transport),
Absence of changes in medical therapy within 1 month due to treatment failure or toxicity,
Absence of medical events qualifying as serious adverse events within the prior 2 months, and
Absence of known, current, and life-limiting diagnoses which render survival to completion of the protocol unlikely in the opinion of the investigator.
Willing and able to give informed consent prior to trial enrollment, and
Living in the community and able to attend trial visits, comply with trial requirements, and provide timely, reliable, and complete reports of adverse events.
Exclusion Criteria:
Participation in research involving investigational product (drug / biologic / device) within 45 days before planned date of study vaccination.
Participation in any previous Novavax influenza vaccine clinical trial(s).
History of a serious reaction to prior influenza vaccination, known allergy to constituents of Fluzone Quadrivalent or polysorbate 80.
History of Guillain-Barré Syndrome (GBS) within 6 weeks following a previous influenza vaccine.
Received any vaccine in the 4 weeks preceding the trial vaccination and any influenza vaccine within 6 months preceding the trial vaccination.
Any known or suspected immunosuppressive illness, congenital or acquired, based on medical history and/or physical examination.
Chronic administration (defined as more than 14 continuous days) of immunosuppressants or other immune-modifying drugs within 6 months prior to the administration of the trial vaccine. An immunosuppressant dose of glucocorticoid will be defined as a systemic dose ≥ 10 mg of prednisone per day or equivalent. The use of topical, inhaled, and nasal glucocorticoids will be permitted.
Administration of immunoglobulins and/or any blood products within the 3 months preceding the administration of the trial vaccine.
Acute disease at the time of enrollment (defined as the presence of a moderate or severe illness with or without fever, or an oral temperature ≥ 38.0°C, on the planned day of vaccine administration).
Any condition that in the opinion of the investigator would pose a health risk to the subject if enrolled or could interfere with evaluation of the vaccine or interpretation of trial results (including neurologic or psychiatric conditions deemed likely to impair the quality of safety reporting).
Known disturbance of coagulation.
Suspicion or recent history (within 1 year of planned vaccination) of alcohol or other substance abuse.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Clinical Development
Organizational Affiliation
Novavax, Inc.
Official's Role
Study Director
Facility Information:
Facility Name
US135
City
Hollywood
State/Province
Florida
ZIP/Postal Code
33024
Country
United States
Facility Name
US045
City
Savannah
State/Province
Georgia
ZIP/Postal Code
31406
Country
United States
Facility Name
US013
City
Stockbridge
State/Province
Georgia
ZIP/Postal Code
30281
Country
United States
Facility Name
US012
City
Meridian
State/Province
Idaho
ZIP/Postal Code
83642
Country
United States
Facility Name
US032
City
Nampa
State/Province
Idaho
ZIP/Postal Code
83687
Country
United States
Facility Name
US003
City
Lenexa
State/Province
Kansas
ZIP/Postal Code
66219
Country
United States
Facility Name
US138
City
Rockville
State/Province
Maryland
ZIP/Postal Code
20854
Country
United States
Facility Name
US025
City
Norfolk
State/Province
Nebraska
ZIP/Postal Code
68701
Country
United States
Facility Name
US018
City
Omaha
State/Province
Nebraska
ZIP/Postal Code
68134
Country
United States
Facility Name
US056
City
Binghamton
State/Province
New York
ZIP/Postal Code
13901
Country
United States
Facility Name
US017
City
Endwell
State/Province
New York
ZIP/Postal Code
13760
Country
United States
Facility Name
US030
City
Cleveland
State/Province
Ohio
ZIP/Postal Code
44122
Country
United States
Facility Name
US053
City
Oklahoma City
State/Province
Oklahoma
ZIP/Postal Code
73112
Country
United States
Facility Name
US044
City
Warwick
State/Province
Rhode Island
ZIP/Postal Code
02886
Country
United States
Facility Name
US079
City
Mount Pleasant
State/Province
South Carolina
ZIP/Postal Code
29464
Country
United States
Facility Name
US050
City
Dakota Dunes
State/Province
South Dakota
ZIP/Postal Code
57049
Country
United States
Facility Name
US029
City
Nashville
State/Province
Tennessee
ZIP/Postal Code
37203
Country
United States
Facility Name
US004
City
San Antonio
State/Province
Texas
ZIP/Postal Code
78229
Country
United States
Facility Name
US073
City
Tomball
State/Province
Texas
ZIP/Postal Code
77375
Country
United States
12. IPD Sharing Statement
Plan to Share IPD
No
Citations:
PubMed Identifier
34563277
Citation
Shinde V, Cho I, Plested JS, Agrawal S, Fiske J, Cai R, Zhou H, Pham X, Zhu M, Cloney-Clark S, Wang N, Zhou B, Lewis M, Price-Abbott P, Patel N, Massare MJ, Smith G, Keech C, Fries L, Glenn GM. Comparison of the safety and immunogenicity of a novel Matrix-M-adjuvanted nanoparticle influenza vaccine with a quadrivalent seasonal influenza vaccine in older adults: a phase 3 randomised controlled trial. Lancet Infect Dis. 2022 Jan;22(1):73-84. doi: 10.1016/S1473-3099(21)00192-4. Epub 2021 Sep 23.
Results Reference
derived
Learn more about this trial
Phase 3 Pivotal Trial of NanoFlu™ in Older Adults
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