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A Study to Evaluate the Safety of 3 New 6:2 Influenza Virus Reassortants in Adults

Primary Purpose

Influenza

Status
Completed
Phase
Phase 4
Locations
United States
Study Type
Interventional
Intervention
Trivalent Influenza Virus Vaccine
Placebo
Sponsored by
MedImmune LLC
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional prevention trial for Influenza focused on measuring Trivalent, Influenza, FluMist, Vaccine, Prevention

Eligibility Criteria

18 Years - 49 Years (Adult)All SexesAccepts Healthy Volunteers

Inclusion Criteria:

  1. Age 18 through 49 years at the time of investigational product administration
  2. Written informed consent and any locally required authorization (ie, HIPAA in the USA) obtained from the subject/legal representative prior to performing any protocol-related procedures, including screening evaluations
  3. Females of childbearing potential who are sexually active with a nonsterilized male partner must use effective contraception for 30 days prior to study vaccination, and must agree to continue using such precautions for 60 days after study vaccination
  4. Nonsterilized males who are sexually active with a female partner of child-bearing potential must use an effective method of contraception from prior to study vaccination amd must agree to continue using such precautions for at least 30 days after receipt study vaccination
  5. Healthy by medical history and physical examination
  6. Female subjects of child-bearing potential must also have a negative urine or blood pregnancy test at screening and, if screening and Day 1 do not occur on the same day, on the day of vaccination prior to randomization.
  7. Subject available by telephone
  8. Ability to understand and comply with the requirements of the protocol, as judged by the investigator
  9. Ability to complete follow-up period of 180 days after dosing as required by the protocol

Exclusion Criteria:

  1. Any condition that, in the opinion of the investigator, would interfere with evaluation of the investigational product or interpretation of subject safety or study results
  2. Concurrent enrollment in another clinical study up to 180 days after receipt of investigational product (Day 181)
  3. Employees of the clinical study site or any other individuals involved with the conduct of the study, or immediate family members of such individuals
  4. History of hypersensitivity to any component of the vaccine, including egg or egg protein or serious, life threatening, or severe reactions to previous influenza vaccinations
  5. History of hypersensitivity to gentamicin
  6. Any condition for which the inactivated influenza vaccine is indicated, including chronic disorders of the pulmonary or cardiovascular systems (eg, asthma), chronic metabolic diseases (eg, diabetes mellitus), renal dysfunction, or hemoglobinopathies that required regular medical follow-up or hospitalization during the preceding year
  7. Acute febrile (> 100.0°F oral or equivalent) and/or clinically significant respiratory illness (eg, cough or sore throat) within 14 days prior to randomization
  8. Any known immunosuppressive condition or immune deficiency disease, including human immunodeficiency virus infection, or ongoing immunosuppressive therapy
  9. History of Guillain-Barré syndrome
  10. A household contact who is severely immunocompromised (eg, hematopoietic stem cell transplant recipient, during those periods in which the immunocompromised individual requires care in a protective environment); additionally, subject should avoid close contact with severely immunocompromised individuals for at least 21 days after study vaccination
  11. Receipt of any investigational agent within 30 days prior to randomization, or expected receipt through 30 days after study vaccination (use of licensed agents for indications not listed in the package insert is permitted)
  12. Receipt of any non-study vaccine within 30 days prior to randomization, or expected receipt through 30 days after study vaccination
  13. Expected receipt of antipyretic or analgesic medication on a daily or every other day basis from randomization through 14 days after study vaccination
  14. Administration of intranasal medications within 14 days prior to randomization, or expected receipt through 14 days after study vaccination
  15. Receipt of influenza antiviral therapy or antiviral agents within 48 hours prior to study vaccination or expected receipt of influenza antiviral therapy or antiviral agents through 14 days after study vaccination
  16. Known or suspected mitochondrial encephalomyopathy
  17. Nursing mother

Sites / Locations

  • Research Site
  • Research Site
  • Research Site

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Placebo Comparator

Arm Label

Trivalent Influenza Virus Vaccine

Placebo

Arm Description

Trivalent vaccine is supplied in intranasal sprayers containing a total volume of 0.5 mL of sucrose phosphate buffer, egg allantoic fluid and approximately 10^7 FFU (fluorescent focus units) of each of 3 cold-adapted, attenuated 6:2 reassortant influenza strains: A/H1N1 (A/California/7/2009), A/H3N2 (A/Victoria/361/2011), B (B Wisconsin/1/2010). A single dose of investigational product was administered on Day 1.

Placebo is suppllied in intranasal sprayers containing 0.5 mL of sucrose-phosphate buffer. A single dose of investigational product was administered on Day 1.

Outcomes

Primary Outcome Measures

Percentage of Participants Reporting Fever Within 7 Days Post Vaccination
A comparison of the rate of fever, defined as oral temperature greater than or equal to 101 degrees Fahrenheit, reported during the 7 days post administration of investigational product between the trivalent influenza virus vaccine and placebo groups.

Secondary Outcome Measures

Percentage of Participants Reporting Other Solicited Symptoms Within 7 Days Post Vaccination
Solicited symptoms were events that were considered likely to occur post dosing. Solicited symptoms for this study are listed below.
Percentage of Participants Reporting Any Adverse Event (AE) Within 7 Days Post Vaccination
Percentage of participants reporting at least one AE between Days 1 and 8. Investigational product was administered on Day 1.
Percentage of Participants Reporting Other Solicited Symptoms Within 14 Days Post Vaccination
Solicited symptoms were events that were considered likely to occur post dosing. Solicited symptoms for this study are listed below.
Percentage of Participants Reporting Any Adverse Event (AE) Within 14 Days Post Vaccination
Percentage of participants reporting at least one AE between Days 1 and 15. Investigational product was administered on Day 1.
Percentage of Participants Reporting Any Serious Adverse Event (SAE) Within 28 Days Post Vaccination
Percentage of participants reporting at least one SAE between Days 1 and 29. Investigational product was administered on Day 1.
Percentage of Participants Reporting Any Serious Adverse Event (SAE) Within 180 Days Post Vaccination
Percentage of participants reporting at least one SAE between Days 1 and 181. Investigational product was administered on Day 1.
Percentage of Participants Reporting Any New Onset Chronic Diseases (NOCDs) Within 28 Days Post Vaccination
An NOCD was a newly diagnosed medical condition of a chronic, ongoing nature and assessed by the investigator as medically significant. Such events were assessed between Day 1 and Day 29. Investigational product was administered on Day 1.
Percentage of Participants Reporting Any New Onset Chronic Diseases (NOCDs) Within 180 Days Post Vaccination
An NOCD was a newly diagnosed medical condition of a chronic, ongoing nature and assessed by the investigator as medically significant. Such events were assessed between Day 1 and Day 181. Investigational product was administered on Day 1.
Percentage of Participants Who Used Antipyretic or Analgesic Agents Within 7 Days Post Vaccination
Percentage of participants who used an antipyretic or analgesic agent between Days 1 and 8. Investigational product administration occurred on Day 1.
Percentage of Participants Who Used Antipyretic or Analgesic Agents Within 14 Days Post Vaccination
Percentage of participants who used an antipyretic or analgesic agent between Days 1 and 15. Investigational product administration occurred on Day 1.

Full Information

First Posted
April 16, 2012
Last Updated
December 16, 2013
Sponsor
MedImmune LLC
Collaborators
AstraZeneca
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1. Study Identification

Unique Protocol Identification Number
NCT01579916
Brief Title
A Study to Evaluate the Safety of 3 New 6:2 Influenza Virus Reassortants in Adults
Official Title
A Randomized, Double-blind, Placebo-Controlled Study to Evaluate the Safety of 3 New 6:2 Influenza Virus Reassortants in Adults
Study Type
Interventional

2. Study Status

Record Verification Date
December 2013
Overall Recruitment Status
Completed
Study Start Date
May 2012 (undefined)
Primary Completion Date
November 2012 (Actual)
Study Completion Date
November 2012 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
MedImmune LLC
Collaborators
AstraZeneca

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
This prospective annual release study was designed to assess the safety of a trivalent influenza virus vaccine using two new strains recommended for the 2012-2013 influenza season not previously contained in the trivalent intranasal FluMist vaccine. Three hundred healthy adults will receive a single dose of vaccine or placebo and will be followed for 180 days after study vaccination.
Detailed Description
This prospective, randomized, double-blind, placebo-controlled release study will enroll approximately 300 healthy adults 18 to 49 years of age. Eligible subjects will be randomly assigned in a 4:1 fashion to receive a single dose of trivalent vaccine or placebo by intranasal spray. Randomization will be stratified by site. This study will be conducted at 3 sites in the United States of America. Each subject will receive one dose of investigational product on Study Day 1. The duration of study participation for each subject is the time from study vaccination through 180 days after study vaccination.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Influenza
Keywords
Trivalent, Influenza, FluMist, Vaccine, Prevention

7. Study Design

Primary Purpose
Prevention
Study Phase
Phase 4
Interventional Study Model
Single Group Assignment
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
303 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Trivalent Influenza Virus Vaccine
Arm Type
Experimental
Arm Description
Trivalent vaccine is supplied in intranasal sprayers containing a total volume of 0.5 mL of sucrose phosphate buffer, egg allantoic fluid and approximately 10^7 FFU (fluorescent focus units) of each of 3 cold-adapted, attenuated 6:2 reassortant influenza strains: A/H1N1 (A/California/7/2009), A/H3N2 (A/Victoria/361/2011), B (B Wisconsin/1/2010). A single dose of investigational product was administered on Day 1.
Arm Title
Placebo
Arm Type
Placebo Comparator
Arm Description
Placebo is suppllied in intranasal sprayers containing 0.5 mL of sucrose-phosphate buffer. A single dose of investigational product was administered on Day 1.
Intervention Type
Biological
Intervention Name(s)
Trivalent Influenza Virus Vaccine
Intervention Description
Trivalent vaccine is supplied in intranasal sprayers containing a total volume of 0.5 mL of sucrose phosphate buffer, egg allantoic fluid and approximately 10^7 FFU (fluorescent focus units) of each of 3 cold-adapted, attenuated 6:2 reassortant influenza strains: A/H1N1 (A/California/7/2009), A/H3N2 (A/Victoria/361/2011), B (B Wisconsin/1/2010). A single dose of investigational product was administered on Day 1.
Intervention Type
Other
Intervention Name(s)
Placebo
Intervention Description
Placebo is suppllied in intranasal sprayers containing 0.5 mL of sucrose-phosphate buffer. A single dose of investigational product was administered on Day 1.
Primary Outcome Measure Information:
Title
Percentage of Participants Reporting Fever Within 7 Days Post Vaccination
Description
A comparison of the rate of fever, defined as oral temperature greater than or equal to 101 degrees Fahrenheit, reported during the 7 days post administration of investigational product between the trivalent influenza virus vaccine and placebo groups.
Time Frame
Study Days 1 - 8
Secondary Outcome Measure Information:
Title
Percentage of Participants Reporting Other Solicited Symptoms Within 7 Days Post Vaccination
Description
Solicited symptoms were events that were considered likely to occur post dosing. Solicited symptoms for this study are listed below.
Time Frame
Study Days 1- 8
Title
Percentage of Participants Reporting Any Adverse Event (AE) Within 7 Days Post Vaccination
Description
Percentage of participants reporting at least one AE between Days 1 and 8. Investigational product was administered on Day 1.
Time Frame
Study Days 1 - 8
Title
Percentage of Participants Reporting Other Solicited Symptoms Within 14 Days Post Vaccination
Description
Solicited symptoms were events that were considered likely to occur post dosing. Solicited symptoms for this study are listed below.
Time Frame
Study Days 1 - 15
Title
Percentage of Participants Reporting Any Adverse Event (AE) Within 14 Days Post Vaccination
Description
Percentage of participants reporting at least one AE between Days 1 and 15. Investigational product was administered on Day 1.
Time Frame
Study Days 1 - 15
Title
Percentage of Participants Reporting Any Serious Adverse Event (SAE) Within 28 Days Post Vaccination
Description
Percentage of participants reporting at least one SAE between Days 1 and 29. Investigational product was administered on Day 1.
Time Frame
Study Days 1 - 29
Title
Percentage of Participants Reporting Any Serious Adverse Event (SAE) Within 180 Days Post Vaccination
Description
Percentage of participants reporting at least one SAE between Days 1 and 181. Investigational product was administered on Day 1.
Time Frame
Study Days 1 - 181
Title
Percentage of Participants Reporting Any New Onset Chronic Diseases (NOCDs) Within 28 Days Post Vaccination
Description
An NOCD was a newly diagnosed medical condition of a chronic, ongoing nature and assessed by the investigator as medically significant. Such events were assessed between Day 1 and Day 29. Investigational product was administered on Day 1.
Time Frame
Study Days 1 - 29
Title
Percentage of Participants Reporting Any New Onset Chronic Diseases (NOCDs) Within 180 Days Post Vaccination
Description
An NOCD was a newly diagnosed medical condition of a chronic, ongoing nature and assessed by the investigator as medically significant. Such events were assessed between Day 1 and Day 181. Investigational product was administered on Day 1.
Time Frame
Study Days 1 - 181
Title
Percentage of Participants Who Used Antipyretic or Analgesic Agents Within 7 Days Post Vaccination
Description
Percentage of participants who used an antipyretic or analgesic agent between Days 1 and 8. Investigational product administration occurred on Day 1.
Time Frame
Study Days 1 - 8
Title
Percentage of Participants Who Used Antipyretic or Analgesic Agents Within 14 Days Post Vaccination
Description
Percentage of participants who used an antipyretic or analgesic agent between Days 1 and 15. Investigational product administration occurred on Day 1.
Time Frame
Study Days 1 - 15

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
49 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: Age 18 through 49 years at the time of investigational product administration Written informed consent and any locally required authorization (ie, HIPAA in the USA) obtained from the subject/legal representative prior to performing any protocol-related procedures, including screening evaluations Females of childbearing potential who are sexually active with a nonsterilized male partner must use effective contraception for 30 days prior to study vaccination, and must agree to continue using such precautions for 60 days after study vaccination Nonsterilized males who are sexually active with a female partner of child-bearing potential must use an effective method of contraception from prior to study vaccination amd must agree to continue using such precautions for at least 30 days after receipt study vaccination Healthy by medical history and physical examination Female subjects of child-bearing potential must also have a negative urine or blood pregnancy test at screening and, if screening and Day 1 do not occur on the same day, on the day of vaccination prior to randomization. Subject available by telephone Ability to understand and comply with the requirements of the protocol, as judged by the investigator Ability to complete follow-up period of 180 days after dosing as required by the protocol Exclusion Criteria: Any condition that, in the opinion of the investigator, would interfere with evaluation of the investigational product or interpretation of subject safety or study results Concurrent enrollment in another clinical study up to 180 days after receipt of investigational product (Day 181) Employees of the clinical study site or any other individuals involved with the conduct of the study, or immediate family members of such individuals History of hypersensitivity to any component of the vaccine, including egg or egg protein or serious, life threatening, or severe reactions to previous influenza vaccinations History of hypersensitivity to gentamicin Any condition for which the inactivated influenza vaccine is indicated, including chronic disorders of the pulmonary or cardiovascular systems (eg, asthma), chronic metabolic diseases (eg, diabetes mellitus), renal dysfunction, or hemoglobinopathies that required regular medical follow-up or hospitalization during the preceding year Acute febrile (> 100.0°F oral or equivalent) and/or clinically significant respiratory illness (eg, cough or sore throat) within 14 days prior to randomization Any known immunosuppressive condition or immune deficiency disease, including human immunodeficiency virus infection, or ongoing immunosuppressive therapy History of Guillain-Barré syndrome A household contact who is severely immunocompromised (eg, hematopoietic stem cell transplant recipient, during those periods in which the immunocompromised individual requires care in a protective environment); additionally, subject should avoid close contact with severely immunocompromised individuals for at least 21 days after study vaccination Receipt of any investigational agent within 30 days prior to randomization, or expected receipt through 30 days after study vaccination (use of licensed agents for indications not listed in the package insert is permitted) Receipt of any non-study vaccine within 30 days prior to randomization, or expected receipt through 30 days after study vaccination Expected receipt of antipyretic or analgesic medication on a daily or every other day basis from randomization through 14 days after study vaccination Administration of intranasal medications within 14 days prior to randomization, or expected receipt through 14 days after study vaccination Receipt of influenza antiviral therapy or antiviral agents within 48 hours prior to study vaccination or expected receipt of influenza antiviral therapy or antiviral agents through 14 days after study vaccination Known or suspected mitochondrial encephalomyopathy Nursing mother
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Raburn Mallory, MD
Organizational Affiliation
MedImmune LLC
Official's Role
Study Director
Facility Information:
Facility Name
Research Site
City
Miami
State/Province
Florida
ZIP/Postal Code
33143
Country
United States
Facility Name
Research Site
City
Stockbridge
State/Province
Georgia
ZIP/Postal Code
30281
Country
United States
Facility Name
Research Site
City
Portland
State/Province
Oregon
ZIP/Postal Code
97239
Country
United States

12. IPD Sharing Statement

Learn more about this trial

A Study to Evaluate the Safety of 3 New 6:2 Influenza Virus Reassortants in Adults

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