search
Back to results

A Study to Evaluate the Immunogenicity and Safety of Seqirus Quadrivalent Influenza Vaccine (QIV) in a Pediatric Population 6 Months Through 59 Months of Age.

Primary Purpose

Influenza, Human

Status
Completed
Phase
Phase 3
Locations
United States
Study Type
Interventional
Intervention
Seqirus Quadrivalent Inactivated Influenza Vaccine
Comparator Quadrivalent Inactivated Influenza Vaccine
Sponsored by
Seqirus
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional prevention trial for Influenza, Human

Eligibility Criteria

6 Months - 59 Months (Child)All SexesAccepts Healthy Volunteers

Inclusion Criteria:

  • Male or female subject 6 months through to 59 months of age at the time of first vaccination and born between 36 and 42 weeks of gestation;
  • Parent or legally acceptable representative able to provide written informed consent and be willing and able to adhere to all protocol requirements including blood draws.
  • Subject is in generally good health as per the Investigator's medical judgment

Exclusion Criteria:

  • History of allergic reactions to egg proteins or any components of the Study Vaccines;
  • History of serious adverse reactions to any influenza vaccines;
  • History of Guillain-Barré syndrome or other demyelinating disease such as encephalomyelitis and transverse myelitis;
  • History of licensed or investigational influenza vaccination in the last 6 months;
  • Clinical signs of active infection and/or an axillary temperature of ≥ 99.5°F / (≥ 37.5 °C) on the day of vaccination or within 48 hours preceding vaccination.
  • Current or recent, acute or chronic medical conditions that in the opinion of the Investigator are clinically significant and/or unstable
  • History of any seizures, with the exception of a single febrile seizure;
  • Self-reported or known seropositivity suggestive of acute or chronic viral infection for human immunodeficiency virus, hepatitis B or hepatitis C;
  • Known or suspected congenital or acquired immunosuppressive conditions;
  • Current or recent immunosuppressive or immunomodulatory therapy
  • Current or medical history of malignant neoplasms;
  • Administration of immunoglobulin and/or any blood products within the previous 90 days preceding the administration of the Study Vaccine or planned administration during the study;
  • Participation in a clinical trial or use of an investigational compound within 28 days prior to or 28 days after receiving the Study Vaccine, or plans to enter a study during this period;
  • Vaccination with a licensed vaccine 21 days (for live or inactivated vaccines) prior to receiving the Study Vaccine, or plans to receive any licensed vaccine prior to the Study Exit Visit.
  • Medical conditions or treatment contraindicating intramuscular vaccination due to increased risk of bleeding.
  • Family members of the employees of the Investigator or study center with direct involvement in the study, or with other clinical studies under the direction of that Investigator or study center.

Sites / Locations

  • Site 434
  • Site 442
  • Site 430
  • Site 437
  • Site 423
  • Site 397
  • Site 445
  • Site 402
  • Site 425
  • Site 418
  • Site 426
  • Site 289
  • Site 390
  • Site 421
  • Site 422
  • Site 443
  • Site 420
  • Site 441
  • Site 393
  • Site 436
  • Site 285
  • Site 429
  • Site 446
  • Site 427
  • Site 419
  • Site 439
  • Site 308
  • Site 444
  • Site 283
  • Site 282
  • Site 288
  • Site 395
  • Site 431
  • Site 424
  • Site 428
  • Site 440
  • Site 433
  • Site 435
  • Site 438

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm Type

Experimental

Experimental

Active Comparator

Active Comparator

Arm Label

Seqirus QIV Cohort A

Seqirus QIV Cohort B

Comparator QIV Cohort A

Comparator QIV Cohort B

Arm Description

Seqirus Quadrivalent Inactivated Influenza Vaccine - Subjects 6 months through 35 months of age

Seqirus Quadrivalent Inactivated Influenza Vaccine - Subjects 36 months through 59 months of age

Comparator Quadrivalent Inactivated Influenza Vaccine - Subjects 6 months through 35 months of age

Comparator Quadrivalent Inactivated Influenza Vaccine - Subjects 36 months through 59 months of age

Outcomes

Primary Outcome Measures

The Geometric Mean Titer (GMT) Ratio of Each Virus Strain.
Noninferiority of Seqirus QIV compared to comparator QIV was assessed by hemagglutination inhibition (HI) antibody geometric mean titer (GMT) for each viral strain included in the vaccines. The GMT ratio is defined as the geometric mean of the postvaccination HI titer for the US-licensed comparator QIV over the geometric mean of the postvaccination HI titer for Seqirus QIV. B/VIC = B/Victoria B/YAM = B/Yamagata
The Difference in Seroconversion Rate (SCR) for Each Virus Strain.
Noninferiority of Seqirus QIV compared to comparator QIV will be assessed by seroconversion rate (SCR) for each viral strain. SCR is defined as the percentage of subjects with either a prevaccination HI titer < 1:10 and a postvaccination HI titer ≥ 1:40, or a prevaccination HI titer ≥ 1:10 and a ≥ 4-fold increase in postvaccination HI titer. For the SCR comparison, the difference between the SCR for each vaccine (for each strain) will be determined.

Secondary Outcome Measures

Number of Participants With Solicited Local Adverse Reactions and Solicited Systemic Adverse Events (AE)
Frequency and severity of solicited local adverse reactions and systemic AEs for 7 days after each vaccination dose
Number of Participants With Cellulitis-like Reactions
Frequency of cellulitis-like reactions for at least 28 days after each vaccination dose
Number of Participants With Unsolicited AEs
Frequency and severity of unsolicited AEs for at least 28 days after each vaccination dose
Number of Participants With Serious Adverse Events (SAE)
Frequency of SAEs for 180 days after the last vaccination dose. SAE = serious adverse events, AESI = adverse event of special interest
Geometric Mean of Hemagglutination Titers (HI GMTs) Prevaccination (Day 1) and Postvaccination (Study Exit Visit) of Each Virus Strain
The humoral immune response will be assessed for Seqirus QIV & comparator QIV. Serum HI titers against the 4 influenza vaccine strains will be used to calculate geometric mean of HI titers prevaccination & postvaccination.
Seroconversion Rates (SCRs) of Each Virus Strain
The humoral immune response will be assessed for Seqirus QIV & comparator QIV. Serum HI titers against the 4 influenza vaccine strains will be used to calculate SCRs defined as the % of subjects with either a prevaccination HI titer < 1:10 and a postvaccination HI titer ≥ 1:40 or a prevaccination titer ≥ 1:10 and a ≥ 4-fold increase in postvaccination titer.
Seroprotection Rates of Each Virus Strain
The humoral immune response will be assessed for Seqirus QIV & comparator QIV. Serum HI titers against the 4 influenza vaccine strains will be used to calculate the percentage of subjects with a titer ≥40 (seroprotection rates) at Day 1 and at Study Exit Visit.
Geometric Mean Fold Increase (GMFI) of Each Virus Strain
The humoral immune response will be assessed for Seqirus QIV & comparator QIV. Serum HI titers against the 4 influenza vaccine strains will be used to calculate GMFIs, defined as the geometric mean fold titer change (rise) from Day 1 to Study Exit Visit.

Full Information

First Posted
September 22, 2016
Last Updated
December 30, 2018
Sponsor
Seqirus
search

1. Study Identification

Unique Protocol Identification Number
NCT02914275
Brief Title
A Study to Evaluate the Immunogenicity and Safety of Seqirus Quadrivalent Influenza Vaccine (QIV) in a Pediatric Population 6 Months Through 59 Months of Age.
Official Title
A Phase 3, Randomized, Multicenter, Observer-blinded, Noninferiority Study to Evaluate the Immunogenicity and Safety of a Quadrivalent Inactivated Influenza Virus Vaccine (Seqirus QIV) With a US-licensed Quadrivalent Inactivated Comparator Influenza Virus Vaccine (Comparator QIV) in a Pediatric Population 6 Months Through 59 Months of Age
Study Type
Interventional

2. Study Status

Record Verification Date
November 2018
Overall Recruitment Status
Completed
Study Start Date
September 27, 2016 (Actual)
Primary Completion Date
March 9, 2017 (Actual)
Study Completion Date
August 11, 2017 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Seqirus

4. Oversight

Data Monitoring Committee
Yes

5. Study Description

Brief Summary
This is a study to assess the immune (antibody) response and safety of a Seqirus split virion, inactivated Quadrivalent Influenza Vaccine (Seqirus QIV), in comparison with a US licensed 2016/2017 Quadrivalent Influenza Vaccine (comparator QIV) in a healthy pediatric population 6 months through 59 months of age.

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
2250 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Seqirus QIV Cohort A
Arm Type
Experimental
Arm Description
Seqirus Quadrivalent Inactivated Influenza Vaccine - Subjects 6 months through 35 months of age
Arm Title
Seqirus QIV Cohort B
Arm Type
Experimental
Arm Description
Seqirus Quadrivalent Inactivated Influenza Vaccine - Subjects 36 months through 59 months of age
Arm Title
Comparator QIV Cohort A
Arm Type
Active Comparator
Arm Description
Comparator Quadrivalent Inactivated Influenza Vaccine - Subjects 6 months through 35 months of age
Arm Title
Comparator QIV Cohort B
Arm Type
Active Comparator
Arm Description
Comparator Quadrivalent Inactivated Influenza Vaccine - Subjects 36 months through 59 months of age
Intervention Type
Biological
Intervention Name(s)
Seqirus Quadrivalent Inactivated Influenza Vaccine
Other Intervention Name(s)
Seqirus QIV
Intervention Description
The Seqirus study vaccine is a sterile, thimerosal-free suspension containing 60 mcg total hemagglutinin antigen per 0.5 mL (15 mcg each of the four recommended influenza strains for the Northern Hemisphere 2016/2017 influenza season). Subjects will receive one or two doses according to the recommendations of the Advisory Committee on Immunization Practices for the United States 2016-17 Influenza Season. Preferred sites for intramuscular injection are the anterolateral aspect of the thigh in infants 6 months through 11 months of age, the anterolateral aspect of the thigh (or the deltoid muscle of the arm if muscle mass is adequate) in children 12 months through 35 months of age.
Intervention Type
Biological
Intervention Name(s)
Comparator Quadrivalent Inactivated Influenza Vaccine
Other Intervention Name(s)
Comparator QIV
Intervention Description
The comparator Quadrivalent Inactivated Influenza vaccine is a US-licensed product containing four recommended influenza strains for the Northern Hemisphere 2016/2017 influenza season. Subjects will receive one or two doses according to the recommendations of the Advisory Committee on Immunization Practices for the United States 2016-17 Influenza Season. Preferred sites for intramuscular injection of the non-dominant arm in children 36 months through 59 months of age.
Primary Outcome Measure Information:
Title
The Geometric Mean Titer (GMT) Ratio of Each Virus Strain.
Description
Noninferiority of Seqirus QIV compared to comparator QIV was assessed by hemagglutination inhibition (HI) antibody geometric mean titer (GMT) for each viral strain included in the vaccines. The GMT ratio is defined as the geometric mean of the postvaccination HI titer for the US-licensed comparator QIV over the geometric mean of the postvaccination HI titer for Seqirus QIV. B/VIC = B/Victoria B/YAM = B/Yamagata
Time Frame
Postvaccination (28 days after last vaccination)
Title
The Difference in Seroconversion Rate (SCR) for Each Virus Strain.
Description
Noninferiority of Seqirus QIV compared to comparator QIV will be assessed by seroconversion rate (SCR) for each viral strain. SCR is defined as the percentage of subjects with either a prevaccination HI titer < 1:10 and a postvaccination HI titer ≥ 1:40, or a prevaccination HI titer ≥ 1:10 and a ≥ 4-fold increase in postvaccination HI titer. For the SCR comparison, the difference between the SCR for each vaccine (for each strain) will be determined.
Time Frame
Postvaccination (28 days after last vaccination)
Secondary Outcome Measure Information:
Title
Number of Participants With Solicited Local Adverse Reactions and Solicited Systemic Adverse Events (AE)
Description
Frequency and severity of solicited local adverse reactions and systemic AEs for 7 days after each vaccination dose
Time Frame
Postvaccination (up to 7 days after vaccination)
Title
Number of Participants With Cellulitis-like Reactions
Description
Frequency of cellulitis-like reactions for at least 28 days after each vaccination dose
Time Frame
Postvaccination (up to 28 days after each vaccination)
Title
Number of Participants With Unsolicited AEs
Description
Frequency and severity of unsolicited AEs for at least 28 days after each vaccination dose
Time Frame
Postvaccination (up to 28 days after vaccination)
Title
Number of Participants With Serious Adverse Events (SAE)
Description
Frequency of SAEs for 180 days after the last vaccination dose. SAE = serious adverse events, AESI = adverse event of special interest
Time Frame
180 days after the last vaccination dose.
Title
Geometric Mean of Hemagglutination Titers (HI GMTs) Prevaccination (Day 1) and Postvaccination (Study Exit Visit) of Each Virus Strain
Description
The humoral immune response will be assessed for Seqirus QIV & comparator QIV. Serum HI titers against the 4 influenza vaccine strains will be used to calculate geometric mean of HI titers prevaccination & postvaccination.
Time Frame
28 days after last vaccination.
Title
Seroconversion Rates (SCRs) of Each Virus Strain
Description
The humoral immune response will be assessed for Seqirus QIV & comparator QIV. Serum HI titers against the 4 influenza vaccine strains will be used to calculate SCRs defined as the % of subjects with either a prevaccination HI titer < 1:10 and a postvaccination HI titer ≥ 1:40 or a prevaccination titer ≥ 1:10 and a ≥ 4-fold increase in postvaccination titer.
Time Frame
28 days after last vaccination
Title
Seroprotection Rates of Each Virus Strain
Description
The humoral immune response will be assessed for Seqirus QIV & comparator QIV. Serum HI titers against the 4 influenza vaccine strains will be used to calculate the percentage of subjects with a titer ≥40 (seroprotection rates) at Day 1 and at Study Exit Visit.
Time Frame
28 days after last vaccination.
Title
Geometric Mean Fold Increase (GMFI) of Each Virus Strain
Description
The humoral immune response will be assessed for Seqirus QIV & comparator QIV. Serum HI titers against the 4 influenza vaccine strains will be used to calculate GMFIs, defined as the geometric mean fold titer change (rise) from Day 1 to Study Exit Visit.
Time Frame
Prevaccination (Day 1) and Postvaccination (28 days after last vaccination)

10. Eligibility

Sex
All
Minimum Age & Unit of Time
6 Months
Maximum Age & Unit of Time
59 Months
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: Male or female subject 6 months through to 59 months of age at the time of first vaccination and born between 36 and 42 weeks of gestation; Parent or legally acceptable representative able to provide written informed consent and be willing and able to adhere to all protocol requirements including blood draws. Subject is in generally good health as per the Investigator's medical judgment Exclusion Criteria: History of allergic reactions to egg proteins or any components of the Study Vaccines; History of serious adverse reactions to any influenza vaccines; History of Guillain-Barré syndrome or other demyelinating disease such as encephalomyelitis and transverse myelitis; History of licensed or investigational influenza vaccination in the last 6 months; Clinical signs of active infection and/or an axillary temperature of ≥ 99.5°F / (≥ 37.5 °C) on the day of vaccination or within 48 hours preceding vaccination. Current or recent, acute or chronic medical conditions that in the opinion of the Investigator are clinically significant and/or unstable History of any seizures, with the exception of a single febrile seizure; Self-reported or known seropositivity suggestive of acute or chronic viral infection for human immunodeficiency virus, hepatitis B or hepatitis C; Known or suspected congenital or acquired immunosuppressive conditions; Current or recent immunosuppressive or immunomodulatory therapy Current or medical history of malignant neoplasms; Administration of immunoglobulin and/or any blood products within the previous 90 days preceding the administration of the Study Vaccine or planned administration during the study; Participation in a clinical trial or use of an investigational compound within 28 days prior to or 28 days after receiving the Study Vaccine, or plans to enter a study during this period; Vaccination with a licensed vaccine 21 days (for live or inactivated vaccines) prior to receiving the Study Vaccine, or plans to receive any licensed vaccine prior to the Study Exit Visit. Medical conditions or treatment contraindicating intramuscular vaccination due to increased risk of bleeding. Family members of the employees of the Investigator or study center with direct involvement in the study, or with other clinical studies under the direction of that Investigator or study center.
Facility Information:
Facility Name
Site 434
City
Birmingham
State/Province
Alabama
ZIP/Postal Code
35205
Country
United States
Facility Name
Site 442
City
Mobile
State/Province
Alabama
ZIP/Postal Code
36608
Country
United States
Facility Name
Site 430
City
Anaheim
State/Province
California
ZIP/Postal Code
92804
Country
United States
Facility Name
Site 437
City
Anaheim
State/Province
California
ZIP/Postal Code
92804
Country
United States
Facility Name
Site 423
City
Downey
State/Province
California
ZIP/Postal Code
90241
Country
United States
Facility Name
Site 397
City
Ontario
State/Province
California
ZIP/Postal Code
91762
Country
United States
Facility Name
Site 445
City
Paramount
State/Province
California
ZIP/Postal Code
90723
Country
United States
Facility Name
Site 402
City
Sacramento
State/Province
California
ZIP/Postal Code
95822
Country
United States
Facility Name
Site 425
City
San Diego
State/Province
California
ZIP/Postal Code
92103
Country
United States
Facility Name
Site 418
City
Miami
State/Province
Florida
ZIP/Postal Code
33175
Country
United States
Facility Name
Site 426
City
Miami
State/Province
Florida
ZIP/Postal Code
33176
Country
United States
Facility Name
Site 289
City
Meridian
State/Province
Idaho
ZIP/Postal Code
83642
Country
United States
Facility Name
Site 390
City
Augusta
State/Province
Kansas
ZIP/Postal Code
67010
Country
United States
Facility Name
Site 421
City
Newton
State/Province
Kansas
ZIP/Postal Code
67114
Country
United States
Facility Name
Site 422
City
Wichita
State/Province
Kansas
ZIP/Postal Code
67205
Country
United States
Facility Name
Site 443
City
Louisville
State/Province
Kentucky
ZIP/Postal Code
40202
Country
United States
Facility Name
Site 420
City
Louisville
State/Province
Kentucky
ZIP/Postal Code
40291
Country
United States
Facility Name
Site 441
City
Louisville
State/Province
Kentucky
ZIP/Postal Code
40291
Country
United States
Facility Name
Site 393
City
Metairie
State/Province
Louisiana
ZIP/Postal Code
70002
Country
United States
Facility Name
Site 436
City
Metairie
State/Province
Louisiana
ZIP/Postal Code
70006
Country
United States
Facility Name
Site 285
City
Binghamton
State/Province
New York
ZIP/Postal Code
13901
Country
United States
Facility Name
Site 429
City
Asheboro
State/Province
North Carolina
ZIP/Postal Code
27203
Country
United States
Facility Name
Site 446
City
Cincinnati
State/Province
Ohio
ZIP/Postal Code
45229
Country
United States
Facility Name
Site 427
City
Dayton
State/Province
Ohio
ZIP/Postal Code
45419
Country
United States
Facility Name
Site 419
City
Charleston
State/Province
South Carolina
ZIP/Postal Code
29407
Country
United States
Facility Name
Site 439
City
Spartanburg
State/Province
South Carolina
ZIP/Postal Code
29303
Country
United States
Facility Name
Site 308
City
Bristol
State/Province
Tennessee
ZIP/Postal Code
37620
Country
United States
Facility Name
Site 444
City
Kingsport
State/Province
Tennessee
ZIP/Postal Code
37660
Country
United States
Facility Name
Site 283
City
Austin
State/Province
Texas
ZIP/Postal Code
78705
Country
United States
Facility Name
Site 282
City
Fort Worth
State/Province
Texas
ZIP/Postal Code
76135
Country
United States
Facility Name
Site 288
City
San Angelo
State/Province
Texas
ZIP/Postal Code
76904
Country
United States
Facility Name
Site 395
City
Layton
State/Province
Utah
ZIP/Postal Code
84041
Country
United States
Facility Name
Site 431
City
Salt Lake City
State/Province
Utah
ZIP/Postal Code
84109
Country
United States
Facility Name
Site 424
City
Salt Lake City
State/Province
Utah
ZIP/Postal Code
84121
Country
United States
Facility Name
Site 428
City
Salt Lake City
State/Province
Utah
ZIP/Postal Code
84124
Country
United States
Facility Name
Site 440
City
West Jordan
State/Province
Utah
ZIP/Postal Code
84084
Country
United States
Facility Name
Site 433
City
West Jordan
State/Province
Utah
ZIP/Postal Code
84088
Country
United States
Facility Name
Site 435
City
West Jordan
State/Province
Utah
ZIP/Postal Code
84088
Country
United States
Facility Name
Site 438
City
Charlottesville
State/Province
Virginia
ZIP/Postal Code
22902
Country
United States

12. IPD Sharing Statement

Plan to Share IPD
Undecided
Citations:
PubMed Identifier
30057283
Citation
Statler VA, Albano FR, Airey J, Sawlwin DC, Graves Jones A, Matassa V, Heijnen E, Edelman J, Marshall GS. Immunogenicity and safety of a quadrivalent inactivated influenza vaccine in children 6-59 months of age: A phase 3, randomized, noninferiority study. Vaccine. 2019 Jan 7;37(2):343-351. doi: 10.1016/j.vaccine.2018.07.036. Epub 2018 Jul 26.
Results Reference
derived

Learn more about this trial

A Study to Evaluate the Immunogenicity and Safety of Seqirus Quadrivalent Influenza Vaccine (QIV) in a Pediatric Population 6 Months Through 59 Months of Age.

We'll reach out to this number within 24 hrs