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Study of Recombinant Influenza Vaccine Containing Different H3 Antigens Without or With Adjuvant in Healthy Adult Subjects (FBP00004)

Primary Purpose

Influenza Immunisation, Healthy Volunteers

Status
Completed
Phase
Phase 1
Locations
United States
Study Type
Interventional
Intervention
Quadrivalent RIV with H3 strain 1
Quadrivalent RIV with H3 strain 1 and adjuvant
Quadrivalent RIV with H3 strain 2
Quadrivalent RIV with H3 strain 2 and adjuvant
Quadrivalent RIV with 2018-2019 NH H3 strain
Quadrivalent RIV with 2018-2019 NH H3 strain and adjuvant
Sponsored by
Sanofi Pasteur, a Sanofi Company
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional prevention trial for Influenza Immunisation

Eligibility Criteria

18 Years - undefined (Adult, Older Adult)All SexesAccepts Healthy Volunteers

Inclusion criteria :

  • Older adults: Aged 50 years and older on the day of inclusion Young adults: Aged 18 to 30 years on the day of inclusion
  • Informed consent form has been signed and dated
  • Able to attend all scheduled visits and to comply with all trial procedures

Exclusion criteria:

  • Participant is pregnant, or lactating, or of childbearing potential and not using an effective method of contraception or abstinence from at least 4 weeks prior to vaccination until at least 12 weeks postvaccination. To be considered of non-childbearing potential, a female must be premenarche, or postmenopausal for at least 1 year, or surgically sterile
  • Participation at the time of study enrollment (or in the 4 weeks preceding the study vaccination) or planned participation during the present study period in another clinical study investigating a vaccine, drug, medical device, or medical procedure
  • Receipt of any vaccine in the 4 weeks preceding the study vaccination or planned receipt of any vaccine in the 4 weeks following study vaccination
  • Previous vaccination against influenza during either of the previous 2 influenza seasons (2018-2019 and 2019-2020) with any licensed or investigational influenza vaccine
  • Receipt of immune globulins, blood, or blood-derived products in the past 3 months
  • Known or suspected congenital or acquired immunodeficiency; immunosuppressive therapy (such as anticancer chemotherapy or radiation therapy, within the preceding 6 months); or long-term systemic corticosteroid therapy (prednisone or equivalent for more than 2 consecutive weeks within the past 3 months) or receipt of hydroxychloroquine within the preceding 4 weeks
  • Dementia or any other cognitive condition at a stage that could interfere with following the trial procedures
  • Have known active or recently active (12 months) neoplastic disease or a history of any hematologic malignancy
  • History of influenza infection during either of the previous 2 influenza seasons (2018- 2019 or 2019-2020), confirmed by laboratory tests (including rapid tests) at that time
  • History of laboratory confirmed coronavirus disease 2019 (COVID-19), confirmed with a nucleic acid amplification test on a respiratory specimen, or known exposure to severe acute respiratory syndrome coronavirus (SARS-CoV-2) positive confirmed close contact (eg, family member, housemate, daycare provider, aged parent requiring care), in the 30 days preceding vaccination, at the discretion of the investigator
  • Self-reported or documented seropositivity for human immunodeficiency virus, hepatitis B, or hepatitis C
  • Known systemic hypersensitivity to any of the vaccine components, or history of a life-threatening reaction to the vaccines used in the study or to a vaccine containing any of the same substances
  • Have any diagnosis, current or past, of an autoimmune disease
  • Thrombocytopenia or bleeding disorder, contraindicating intramuscular vaccination based on investigator's judgment
  • Deprived of freedom by an administrative or court order, or in an emergency setting, or hospitalized involuntarily
  • Any change in chronic prescription medication or change in medication dose or dosage in the 60 days prior to enrollment
  • Alcohol abuse or substance abuse that, in the opinion of the investigator, might interfere with the study conduct or completion
  • Chronic illness that, in the opinion of the investigator, is at a stage where it might interfere with study conduct or completion
  • Any current or past diagnosis of chronic pulmonary disease including asthma (history of childhood asthma is allowed), cystic fibrosis and chronic pulmonary obstructive disease
  • Have taken a high-dose inhaled corticosteroid within 6 months prior to study vaccination
  • Body mass index of 40 or higher
  • Any current or past diagnosis of cardiac disease (eg, coronary artery disease, heart failure, or valvular heart disease [mild mitral valve prolapse allowed]). Participants with isolated primary (essential) hypertension are allowed
  • Moderate or severe acute illness/infection (according to investigator judgment) on the day of vaccination or febrile illness (oral temperature ≥100.4 F [≥38.0 C]). A prospective participant should not be included in the study until the condition has resolved or the febrile event has subsided
  • Identified as an investigator or employee of the investigator or study center with direct involvement in the proposed study, or identified as an immediate family member (ie, parent, spouse, natural or adopted child) of the investigator or employee with direct involvement in the proposed study
  • Personal or family history of Guillain-Barré syndrome
  • History of chronic kidney disease
  • Current or past diagnosis of thyroid disease (eg, thyroiditis [including Hashimoto's thyroiditis], hyperthyroidism, and hypothyroidism)

The above information is not intended to contain all considerations relevant to a patient's potential participation in a clinical trial.

Sites / Locations

  • Investigational Site Number 8400003
  • Investigational Site Number 8400002
  • Investigational Site Number 8400004
  • Investigational Site Number 8400001
  • Investigational Site Number 8400005

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm 5

Arm 6

Arm 7

Arm Type

Experimental

Experimental

Experimental

Experimental

Active Comparator

Active Comparator

Active Comparator

Arm Label

Group 1: Quadrivalent RIV with H3 strain 1, without adjuvant

Group 2: Quadrivalent RIV with H3 strain 1, with adjuvant

Group 3: Quadrivalent RIV with H3 strain 2, without adjuvant

Group 4: Quadrivalent RIV with H3 strain 2, with adjuvant

Group 5: Quadrivalent RIV Control, without adjuvant

Group 6: Quadrivalent RIV Control, with adjuvant

Group 7: Quadrivalent RIV Control, without adjuvant

Arm Description

1 injection of quadrivalent RIV containing H3 strain 1, without adjuvant, in participants ≥ 50 years old

1 injection of quadrivalent RIV containing H3 strain 1, with adjuvant, in participants ≥ 50 years old

1 injection of quadrivalent RIV containing H3 strain 2, without adjuvant, in participants ≥ 50 years old

1 injection of quadrivalent RIV containing H3 strain 2, with adjuvant, in participants ≥ 50 years old

1 injection of quadrivalent RIV containing 2018-19 Northern Hemisphere (NH) recommended H3 strain, without adjuvant, in participants ≥ 50 years old

1 injection of quadrivalent RIV containing 2018-19 NH recommended H3 strain, with adjuvant, in participants ≥ 50 years old

1 injection of quadrivalent RIV containing 2018-19 NH recommended H3 strain, without adjuvant, in participants 18-30 years old

Outcomes

Primary Outcome Measures

Number of participants with immediate adverse events
Immediate adverse events are unsolicited systemic adverse events reported in the 30 minutes after vaccination
Number of participants with solicited injection site or systemic reactions
Solicited injection site reactions: injection site pain, erythema, swelling, induration and bruising; solicited systemic reactions: fever, headache, malaise, and myalgia
Number of participants with unsolicited adverse events
Unsolicited (spontaneously reported) adverse events not not fulfilling criteria for solicited reactions
Number of participants with serious adverse events
Serious adverse events are collected throughout the study
Number of participants with adverse events of special interest
Adverse events of special interest are collected throughout the study
Clinical safety laboratory test results
Laboratory tests include complete blood count (CBC), platelet count, alanine aminotransferase (ALT), aspartate aminotransferase (AST), total bilirubin, serum creatinine, serum lipase, and serum amylase)
HAI and SN antibody titers against influenza antigens in the quadrivalent RIV control vaccine
Influenza antibody titers are measured by HAI and SN assays
Individual HAI and SN titers ratio against influenza antigens in the quadrivalent RIV control vaccine
Titers ratio is calculated for the following time points: Day 7/Day 0, Day 28/Day 0, and Day 90/Day 0
Number of participants with seroconversion to influenza antigens in the quadrivalent RIV control vaccine
Seroconversion is defined as HAI antibody titer < 10 [1/dil] at Day 0 and post-injection titer ≥ 40 [1/dil] at Day 28, or titer ≥ 10 [1/dil] at Day 0 and a ≥ 4-fold increase in titer [1/dil] at Day 28)
HAI Ab titer ≥ 40 [1/dil]
Influenza vaccine antibody titers are measured by HAI assay
2-fold and 4-fold increase in SN titers
Influenza vaccine antibody titers are measured by SN assay

Secondary Outcome Measures

HAI antibody titers against influenza H3 antigens not present in the vaccine formulations and the SN antibody titers against each of the H3 antigens
Influenza vaccine antibody titers are measured by HAI and SN assays
Individual HAI titer ratios against influenza H3 antigens not present in the vaccine formulations and individual SN titer ratio against each of the H3 antigens
Titer ratio is calculated for the following time points: Day 7/Day 0, Day 28/Day 0, Day 90/Day 0
Number of participants with seroconversion to influenza H3 antigens not present in the vaccine formulations
Seroconversion is defined as HAI antibody titer < 10 [1/dil] at Day 0 and post-injection titer ≥ 40 [1/dil] at Day 28, or titer ≥ 10 [1/dil] at Day 0 and a ≥ 4-fold increase in titer [1/dil] at Day 28)
2-fold and 4-fold rise in SN antibody titers against each of the H3 antigens
Influenza vaccine antibody titers a are measured by SN assay

Full Information

First Posted
June 25, 2020
Last Updated
September 26, 2023
Sponsor
Sanofi Pasteur, a Sanofi Company
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1. Study Identification

Unique Protocol Identification Number
NCT04451954
Brief Title
Study of Recombinant Influenza Vaccine Containing Different H3 Antigens Without or With Adjuvant in Healthy Adult Subjects
Acronym
FBP00004
Official Title
Safety and Immunogenicity of Quadrivalent Recombinant Influenza Vaccine Formulations Containing Different H3 Hemagglutinin Antigens Without or With Adjuvant in Healthy Adult Subjects
Study Type
Interventional

2. Study Status

Record Verification Date
September 15, 2023
Overall Recruitment Status
Completed
Study Start Date
July 2, 2020 (Actual)
Primary Completion Date
September 20, 2021 (Actual)
Study Completion Date
September 20, 2021 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Sanofi Pasteur, a Sanofi Company

4. Oversight

Studies a U.S. FDA-regulated Drug Product
Yes
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
No

5. Study Description

Brief Summary
The primary objectives of the study are: To describe the safety profile of the different formulations in all participants To describe the hemagglutinin inhibition (HAI) and seroneutralization (SN) antibody responses against hemagglutinin (H1, H3, B/Victoria, and B/Yamagata) antigens present in the control vaccine in all groups at all timepoints. The secondary objectives are: To describe antigenic coverage in each group by assessing the HAI and SN antibody responses against a panel of H3 antigens (not present in any of the vaccine formulations). To describe SN antibody responses in each group against each of the H3 antigens. To compare H3 HAI and SN antibody responses for the groups with quadrivalent recombinant influenza vaccine (RIV) formulations with H3 antigens to those of the quadrivalent RIV control group. To compare the HAI and SN antibody responses for the groups with quadrivalent RIV formulation with adjuvant to the group without adjuvant.
Detailed Description
Study duration per participant is approximately 1 year

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Influenza Immunisation, Healthy Volunteers

7. Study Design

Primary Purpose
Prevention
Study Phase
Phase 1
Interventional Study Model
Parallel Assignment
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
210 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Group 1: Quadrivalent RIV with H3 strain 1, without adjuvant
Arm Type
Experimental
Arm Description
1 injection of quadrivalent RIV containing H3 strain 1, without adjuvant, in participants ≥ 50 years old
Arm Title
Group 2: Quadrivalent RIV with H3 strain 1, with adjuvant
Arm Type
Experimental
Arm Description
1 injection of quadrivalent RIV containing H3 strain 1, with adjuvant, in participants ≥ 50 years old
Arm Title
Group 3: Quadrivalent RIV with H3 strain 2, without adjuvant
Arm Type
Experimental
Arm Description
1 injection of quadrivalent RIV containing H3 strain 2, without adjuvant, in participants ≥ 50 years old
Arm Title
Group 4: Quadrivalent RIV with H3 strain 2, with adjuvant
Arm Type
Experimental
Arm Description
1 injection of quadrivalent RIV containing H3 strain 2, with adjuvant, in participants ≥ 50 years old
Arm Title
Group 5: Quadrivalent RIV Control, without adjuvant
Arm Type
Active Comparator
Arm Description
1 injection of quadrivalent RIV containing 2018-19 Northern Hemisphere (NH) recommended H3 strain, without adjuvant, in participants ≥ 50 years old
Arm Title
Group 6: Quadrivalent RIV Control, with adjuvant
Arm Type
Active Comparator
Arm Description
1 injection of quadrivalent RIV containing 2018-19 NH recommended H3 strain, with adjuvant, in participants ≥ 50 years old
Arm Title
Group 7: Quadrivalent RIV Control, without adjuvant
Arm Type
Active Comparator
Arm Description
1 injection of quadrivalent RIV containing 2018-19 NH recommended H3 strain, without adjuvant, in participants 18-30 years old
Intervention Type
Biological
Intervention Name(s)
Quadrivalent RIV with H3 strain 1
Intervention Description
Pharmaceutical form: Suspension for injection Route of administration: Intramuscular
Intervention Type
Biological
Intervention Name(s)
Quadrivalent RIV with H3 strain 1 and adjuvant
Intervention Description
Pharmaceutical form: Suspension for injection Route of administration: Intramuscular
Intervention Type
Biological
Intervention Name(s)
Quadrivalent RIV with H3 strain 2
Intervention Description
Pharmaceutical form: Suspension for injection Route of administration: Intramuscular
Intervention Type
Biological
Intervention Name(s)
Quadrivalent RIV with H3 strain 2 and adjuvant
Intervention Description
Pharmaceutical form: Suspension for injection Route of administration: Intramuscular
Intervention Type
Biological
Intervention Name(s)
Quadrivalent RIV with 2018-2019 NH H3 strain
Intervention Description
Pharmaceutical form: Suspension for injection Route of administration: Intramuscular
Intervention Type
Biological
Intervention Name(s)
Quadrivalent RIV with 2018-2019 NH H3 strain and adjuvant
Intervention Description
Pharmaceutical form: Suspension for injection Route of administration: Intramuscular
Primary Outcome Measure Information:
Title
Number of participants with immediate adverse events
Description
Immediate adverse events are unsolicited systemic adverse events reported in the 30 minutes after vaccination
Time Frame
Within 30 minutes after vaccination
Title
Number of participants with solicited injection site or systemic reactions
Description
Solicited injection site reactions: injection site pain, erythema, swelling, induration and bruising; solicited systemic reactions: fever, headache, malaise, and myalgia
Time Frame
From Day 0 to Day 7
Title
Number of participants with unsolicited adverse events
Description
Unsolicited (spontaneously reported) adverse events not not fulfilling criteria for solicited reactions
Time Frame
From Day 0 to Day 28
Title
Number of participants with serious adverse events
Description
Serious adverse events are collected throughout the study
Time Frame
From Day 0 to Day 365
Title
Number of participants with adverse events of special interest
Description
Adverse events of special interest are collected throughout the study
Time Frame
From Day 0 to Day 365
Title
Clinical safety laboratory test results
Description
Laboratory tests include complete blood count (CBC), platelet count, alanine aminotransferase (ALT), aspartate aminotransferase (AST), total bilirubin, serum creatinine, serum lipase, and serum amylase)
Time Frame
From Day 0 to Day 7
Title
HAI and SN antibody titers against influenza antigens in the quadrivalent RIV control vaccine
Description
Influenza antibody titers are measured by HAI and SN assays
Time Frame
From Day 0 to Day 365
Title
Individual HAI and SN titers ratio against influenza antigens in the quadrivalent RIV control vaccine
Description
Titers ratio is calculated for the following time points: Day 7/Day 0, Day 28/Day 0, and Day 90/Day 0
Time Frame
From Day 0 to Day 90
Title
Number of participants with seroconversion to influenza antigens in the quadrivalent RIV control vaccine
Description
Seroconversion is defined as HAI antibody titer < 10 [1/dil] at Day 0 and post-injection titer ≥ 40 [1/dil] at Day 28, or titer ≥ 10 [1/dil] at Day 0 and a ≥ 4-fold increase in titer [1/dil] at Day 28)
Time Frame
From Day 0 to Day 28
Title
HAI Ab titer ≥ 40 [1/dil]
Description
Influenza vaccine antibody titers are measured by HAI assay
Time Frame
From Day 0 to Day 365
Title
2-fold and 4-fold increase in SN titers
Description
Influenza vaccine antibody titers are measured by SN assay
Time Frame
From Day 0 to Day 28
Secondary Outcome Measure Information:
Title
HAI antibody titers against influenza H3 antigens not present in the vaccine formulations and the SN antibody titers against each of the H3 antigens
Description
Influenza vaccine antibody titers are measured by HAI and SN assays
Time Frame
Day 0, Day 7, Day 28, Day 90, Day 180, and Day 365
Title
Individual HAI titer ratios against influenza H3 antigens not present in the vaccine formulations and individual SN titer ratio against each of the H3 antigens
Description
Titer ratio is calculated for the following time points: Day 7/Day 0, Day 28/Day 0, Day 90/Day 0
Time Frame
From Day 0 to Day 90
Title
Number of participants with seroconversion to influenza H3 antigens not present in the vaccine formulations
Description
Seroconversion is defined as HAI antibody titer < 10 [1/dil] at Day 0 and post-injection titer ≥ 40 [1/dil] at Day 28, or titer ≥ 10 [1/dil] at Day 0 and a ≥ 4-fold increase in titer [1/dil] at Day 28)
Time Frame
Day 0 and Day 28
Title
2-fold and 4-fold rise in SN antibody titers against each of the H3 antigens
Description
Influenza vaccine antibody titers a are measured by SN assay
Time Frame
Day 0, Day 7, Day 28, Day 90, Day 180, and Day 365

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion criteria : Older adults: Aged 50 years and older on the day of inclusion Young adults: Aged 18 to 30 years on the day of inclusion Informed consent form has been signed and dated Able to attend all scheduled visits and to comply with all trial procedures Exclusion criteria: Participant is pregnant, or lactating, or of childbearing potential and not using an effective method of contraception or abstinence from at least 4 weeks prior to vaccination until at least 12 weeks postvaccination. To be considered of non-childbearing potential, a female must be premenarche, or postmenopausal for at least 1 year, or surgically sterile Participation at the time of study enrollment (or in the 4 weeks preceding the study vaccination) or planned participation during the present study period in another clinical study investigating a vaccine, drug, medical device, or medical procedure Receipt of any vaccine in the 4 weeks preceding the study vaccination or planned receipt of any vaccine in the 4 weeks following study vaccination Previous vaccination against influenza during either of the previous 2 influenza seasons (2018-2019 and 2019-2020) with any licensed or investigational influenza vaccine Receipt of immune globulins, blood, or blood-derived products in the past 3 months Known or suspected congenital or acquired immunodeficiency; immunosuppressive therapy (such as anticancer chemotherapy or radiation therapy, within the preceding 6 months); or long-term systemic corticosteroid therapy (prednisone or equivalent for more than 2 consecutive weeks within the past 3 months) or receipt of hydroxychloroquine within the preceding 4 weeks Dementia or any other cognitive condition at a stage that could interfere with following the trial procedures Have known active or recently active (12 months) neoplastic disease or a history of any hematologic malignancy History of influenza infection during either of the previous 2 influenza seasons (2018- 2019 or 2019-2020), confirmed by laboratory tests (including rapid tests) at that time History of laboratory confirmed coronavirus disease 2019 (COVID-19), confirmed with a nucleic acid amplification test on a respiratory specimen, or known exposure to severe acute respiratory syndrome coronavirus (SARS-CoV-2) positive confirmed close contact (eg, family member, housemate, daycare provider, aged parent requiring care), in the 30 days preceding vaccination, at the discretion of the investigator Self-reported or documented seropositivity for human immunodeficiency virus, hepatitis B, or hepatitis C Known systemic hypersensitivity to any of the vaccine components, or history of a life-threatening reaction to the vaccines used in the study or to a vaccine containing any of the same substances Have any diagnosis, current or past, of an autoimmune disease Thrombocytopenia or bleeding disorder, contraindicating intramuscular vaccination based on investigator's judgment Deprived of freedom by an administrative or court order, or in an emergency setting, or hospitalized involuntarily Any change in chronic prescription medication or change in medication dose or dosage in the 60 days prior to enrollment Alcohol abuse or substance abuse that, in the opinion of the investigator, might interfere with the study conduct or completion Chronic illness that, in the opinion of the investigator, is at a stage where it might interfere with study conduct or completion Any current or past diagnosis of chronic pulmonary disease including asthma (history of childhood asthma is allowed), cystic fibrosis and chronic pulmonary obstructive disease Have taken a high-dose inhaled corticosteroid within 6 months prior to study vaccination Body mass index of 40 or higher Any current or past diagnosis of cardiac disease (eg, coronary artery disease, heart failure, or valvular heart disease [mild mitral valve prolapse allowed]). Participants with isolated primary (essential) hypertension are allowed Moderate or severe acute illness/infection (according to investigator judgment) on the day of vaccination or febrile illness (oral temperature ≥100.4 F [≥38.0 C]). A prospective participant should not be included in the study until the condition has resolved or the febrile event has subsided Identified as an investigator or employee of the investigator or study center with direct involvement in the proposed study, or identified as an immediate family member (ie, parent, spouse, natural or adopted child) of the investigator or employee with direct involvement in the proposed study Personal or family history of Guillain-Barré syndrome History of chronic kidney disease Current or past diagnosis of thyroid disease (eg, thyroiditis [including Hashimoto's thyroiditis], hyperthyroidism, and hypothyroidism) The above information is not intended to contain all considerations relevant to a patient's potential participation in a clinical trial.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Clinical Sciences & Operations
Organizational Affiliation
Sanofi Pasteur, a Sanofi Company
Official's Role
Study Director
Facility Information:
Facility Name
Investigational Site Number 8400003
City
San Diego
State/Province
California
ZIP/Postal Code
92108
Country
United States
Facility Name
Investigational Site Number 8400002
City
Melbourne
State/Province
Florida
ZIP/Postal Code
32934
Country
United States
Facility Name
Investigational Site Number 8400004
City
Orlando
State/Province
Florida
ZIP/Postal Code
32806
Country
United States
Facility Name
Investigational Site Number 8400001
City
Peoria
State/Province
Illinois
ZIP/Postal Code
61614
Country
United States
Facility Name
Investigational Site Number 8400005
City
Rockville
State/Province
Maryland
ZIP/Postal Code
20850
Country
United States

12. IPD Sharing Statement

Plan to Share IPD
Yes
IPD Sharing Plan Description
Qualified researchers may request access to patient level data and related study documents including the clinical study report, study protocol with any amendments, blank case report form, statistical analysis plan, and dataset specifications. Patient level data will be anonymized and study documents will be redacted to protect the privacy of trial participants. Further details on Sanofi's data sharing criteria, eligible studies, and process for requesting access can be found at: https://vivli.org

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Study of Recombinant Influenza Vaccine Containing Different H3 Antigens Without or With Adjuvant in Healthy Adult Subjects

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