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Efficacy Study of Two Influenza Vaccines and Placebo in Healthy Adult Subjects

Primary Purpose

Influenza

Status
Completed
Phase
Phase 3
Locations
International
Study Type
Interventional
Intervention
Cell culture-derived influenza vaccine
Egg-derived influenza virus vaccine
Placebo
Sponsored by
Novartis Vaccines
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional prevention trial for Influenza focused on measuring Influenza, Flu, Cell Culture-Derived, Egg-Derived, Healthy Adults, Efficacy, Safety, Immunogenicity, Trivalent, Inactivated, Influenza-Like Illness, Vaccination

Eligibility Criteria

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

Inclusion Criteria:

  1. subjects 18 to 49 years of age;
  2. in good health as determined by medical history and physical examination;
  3. able and willing to provide written informed consent prior to any study procedure;
  4. able to comply with all study procedures, including availability and willingness to be actively followed throughout the ensuing influenza season with weekly telephone calls and to comply with the need for prompt collection of nasal and throat specimens in the event of influenza symptoms.

Exclusion Criteria:

  1. history of anaphylaxis or serious reaction after administration of any vaccine, or hypersensitivity to eggs, egg protein, chicken feathers, influenza viral protein, neomycin, kanamycin, or any other vaccine component, chemically related substance, or component of the potential packaging materials;
  2. any health condition for which the inactivated vaccine is recommended by the Advisory Committee on Immunization Practices (ACIP) including chronic diseases of the pulmonary or cardiovascular systems (including asthma), chronic metabolic diseases (including diabetes), renal dysfunction, hemoglobinopathies, immune deficiency disease (including HIV infection) or on-going immunosuppressive therapy;
  3. employment in professions prone to influenza transmission to or from high-risk populations (this exclusion specifically includes nurses, physicians, all other healthcare workers with direct patient contact; and police, fire, and rescue personnel); or living in the same household as an immunocompromised person;
  4. history of Guillain-Barré syndrome;
  5. bleeding diathesis;
  6. receipt of another investigational agent within 90 days prior to enrollment in the study or before completion of the safety follow-up period in another study, whichever is longer, and unwilling to refuse participation in another clinical study through the end of the study;
  7. receipt of another vaccine within 2 weeks (for inactivated vaccines) or 4 weeks (for live vaccines) prior to Visit 1;
  8. laboratory-confirmed influenza disease within 6 months prior to Visit 1;
  9. receipt of an influenza vaccine within 6 months prior to Visit 1 or plans to receive influenza vaccine outside of this study;
  10. experienced a temperature (≥100.0°F / ≥37.8°C) and/or any acute illness within 3 days prior to study vaccination;
  11. pregnant or breast-feeding female;
  12. if female of childbearing potential and sexually active, has not used any of the birth control methods detailed in the section entitled "Females of Childbearing Potential" for at least 2 months prior to study entry;
  13. if female of childbearing potential and sexually active, refusal to use a reliable contraceptive method as detailed in the section entitled "Females of Childbearing Potential" during the first 3 weeks after vaccination;
  14. research staff directly involved with the clinical study or family members or household members of research staff. Research staff are individuals with direct or indirect contact with study subjects, or study site personnel who have access to any study documents containing subject information. This would include receptionists, persons scheduling appointments or making screening calls, regulatory specialists, laboratory technicians, etc.;
  15. any condition which, in the opinion of the investigator, might interfere with the evaluation of the study objectives or with the safety of the study subject.

Sites / Locations

  • Site 14
  • Site 15
  • Site 17
  • Site 13
  • Site 2
  • Site 1
  • Site 4
  • Site 10
  • Site 5
  • Site 16
  • Site 11
  • Site 12
  • Site 9
  • Site 8
  • Site 7
  • Site 3
  • Site 6
  • Site 25
  • Site 26
  • Site 27
  • Site 33
  • Site 35
  • Site 34
  • Site 30
  • Site 22
  • Site 31
  • Site 23
  • Site 32
  • Site 21
  • Site 24
  • Site 28
  • Site 29
  • Site 49
  • Site 53
  • Site 59
  • Site 63
  • Site 62
  • Site 57
  • Site 41
  • Site 43
  • Site 42
  • Site 50
  • Site 44
  • Site 45
  • Site 65
  • Site 47
  • Site 48
  • Site 46
  • Site 58
  • Site 61
  • Site 60
  • Site 52
  • Site 55
  • Site 64
  • Site 54
  • Site 51

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm Type

Experimental

Experimental

Placebo Comparator

Arm Label

CCI

IVV

Placebo

Arm Description

Subjects received one dose of cell culture-derived influenza vaccine.

Subjects received one dose of the trivalent egg-derived influenza vaccine.

Subjects received one dose of phosphate buffered solution (PBS).

Outcomes

Primary Outcome Measures

Number of Subjects With Culture-Confirmed Influenza Illness Caused by Vaccine-like Strains
The vaccine efficacy of CCI and IVV vaccines was estimated relative to Placebo group as the number of subjects prevented against virus-confirmed symptomatic influenza illness caused by each of three vaccine-like virus strains.

Secondary Outcome Measures

Number of Subjects With Culture-confirmed Influenza Illness Caused by Non-Vaccine Like Strains
The vaccine efficacy of CCI and IVV vaccines was estimated relative to placebo group as the number of subjects prevented against virus-confirmed symptomatic influenza A or B illness caused by non-vaccine-like strains.
Number of Subjects With Influenza Caused by Vaccine-like and Non-vaccine-like Strains
The vaccine efficacy of CCI and IVV vaccines was estimated relative to placebo as the number of subjected prevented against virus-confirmed symptomatic influenza A or B illness caused by vaccine-like and non-vaccine-like strains.
Influenza-Associated Days in Bed, All Subjects
The number of subjects in this analysis included all subjects in the per protocol efficacy population.
Influenza-Associated Days in Bed, Subset of Subjects With Virus-Confirmed- Influenza
The analysis was done among the subset of subjects in the per protocol efficacy population who had culture-confirmed influenza.
Number Of Medical Visits (Inpatient and Outpatient) Due to Influenza Illness or Symptoms of Influenza, All Subjects
The number of subjects in this analysis included all subjects in the per protocol efficacy population.
Number of Medical Visits (Inpatient and Outpatient), Subset of Subjects With Virus-Confirmed-Influenza
The analysis was done among the subset of subjects in the per protocol efficacy population who had culture-confirmed influenza.
Number of Days of Usual Activity (i.e. Job, School,Household/Family/Community Activities) Lost Due to Influenza Disease, All Subjects
The number of subjects in this analysis included all subjects in the per protocol efficacy population.
Number of Days of Usual Activity (i.e. Job, School,Household/Family/Community Activities) Lost, Subset of Subjects With Virus-Confirmed-Influenza
The analysis was done among the subset of subjects in the per protocol efficacy population who had culture-confirmed influenza.
Percentages of Subjects Who Achieved HI Titers ≥40 After One Vaccination of Either Cell-culture Derived or Egg-derived Influenza Vaccine or Placebo
Immunogenicity was measured as the percentage of subjects achieving HI titers ≥40 at baseline (day 1) and three weeks after (day 22) one vaccination of either cell-culture or egg-derived vaccine or placebo for each of the three influenza vaccine strains (A/H1N1, A/H3N2 and B), evaluated using hemagglutination inhibition (HI) egg-derived antigen assay. This criterion is met according to US (CBER) guideline if the lower limit of the two-sided 95% CI for the percentage of subjects achieving HI titers ≥40 is ≥70%.
Percentages of Subjects Achieving Seroconversion After One Vaccination of Either Cell-culture Derived or Egg-derived Influenza Vaccine or Placebo
As per the CBER guideline, seroconversion is defined as the percentage of subjects with a prevaccination HI titer <10, a postvaccination titer ≥40; or in subjects with prevaccination HI titer ≥10, a ≥4-fold increase in postvaccination HI antibody titer. According to CBER criteria, the lower limit of the two-sided 95% CI for the percentage of subjects achieving seroconversion for HI antibody titer at day 22 met exceeded 40%.
Number of Subjects Reported Solicited Local and Systemic Reactions up to 7 Days After Vaccination
The solicited local and systemic reactogenicity were collected up to 7 days after vaccination for all three vaccine groups.

Full Information

First Posted
February 28, 2008
Last Updated
August 2, 2019
Sponsor
Novartis Vaccines
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1. Study Identification

Unique Protocol Identification Number
NCT00630331
Brief Title
Efficacy Study of Two Influenza Vaccines and Placebo in Healthy Adult Subjects
Official Title
A Phase III, Randomized, Observer-Blind, Placebo-Controlled, Multicenter Study to Assess Clinical Efficacy of a Cell-Derived Subunit Influenza Vaccine and an Egg-Derived Subunit Influenza Vaccine in the 2007-2008 Influenza Season in Healthy Adult Subjects
Study Type
Interventional

2. Study Status

Record Verification Date
August 2019
Overall Recruitment Status
Completed
Study Start Date
October 2007 (undefined)
Primary Completion Date
July 2008 (Actual)
Study Completion Date
July 2008 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Novartis Vaccines

4. Oversight

5. Study Description

Brief Summary
The present study will evaluate clinical efficacy, safety, tolerability and immunogenicity of both Novartis Vaccines' cell-derived influenza vaccine and egg-derived influenza vaccine in healthy adults 18 to 49 years of age.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Influenza
Keywords
Influenza, Flu, Cell Culture-Derived, Egg-Derived, Healthy Adults, Efficacy, Safety, Immunogenicity, Trivalent, Inactivated, Influenza-Like Illness, Vaccination

7. Study Design

Primary Purpose
Prevention
Study Phase
Phase 3
Interventional Study Model
Parallel Assignment
Masking
Participant
Allocation
Randomized
Enrollment
11404 (Actual)

8. Arms, Groups, and Interventions

Arm Title
CCI
Arm Type
Experimental
Arm Description
Subjects received one dose of cell culture-derived influenza vaccine.
Arm Title
IVV
Arm Type
Experimental
Arm Description
Subjects received one dose of the trivalent egg-derived influenza vaccine.
Arm Title
Placebo
Arm Type
Placebo Comparator
Arm Description
Subjects received one dose of phosphate buffered solution (PBS).
Intervention Type
Biological
Intervention Name(s)
Cell culture-derived influenza vaccine
Intervention Description
One dose (0.5 mL) of cell culture-derived influenza vaccine, administered in the deltoid muscle.
Intervention Type
Biological
Intervention Name(s)
Egg-derived influenza virus vaccine
Intervention Description
One dose (0.5 mL) of the trivalent egg-derived influenza virus vaccine, administered in the deltoid muscle.
Intervention Type
Biological
Intervention Name(s)
Placebo
Intervention Description
One dose (0.5 mL) of phosphate buffered solution.
Primary Outcome Measure Information:
Title
Number of Subjects With Culture-Confirmed Influenza Illness Caused by Vaccine-like Strains
Description
The vaccine efficacy of CCI and IVV vaccines was estimated relative to Placebo group as the number of subjects prevented against virus-confirmed symptomatic influenza illness caused by each of three vaccine-like virus strains.
Time Frame
6 Months
Secondary Outcome Measure Information:
Title
Number of Subjects With Culture-confirmed Influenza Illness Caused by Non-Vaccine Like Strains
Description
The vaccine efficacy of CCI and IVV vaccines was estimated relative to placebo group as the number of subjects prevented against virus-confirmed symptomatic influenza A or B illness caused by non-vaccine-like strains.
Time Frame
6 Months
Title
Number of Subjects With Influenza Caused by Vaccine-like and Non-vaccine-like Strains
Description
The vaccine efficacy of CCI and IVV vaccines was estimated relative to placebo as the number of subjected prevented against virus-confirmed symptomatic influenza A or B illness caused by vaccine-like and non-vaccine-like strains.
Time Frame
6 Months
Title
Influenza-Associated Days in Bed, All Subjects
Description
The number of subjects in this analysis included all subjects in the per protocol efficacy population.
Time Frame
6 Months
Title
Influenza-Associated Days in Bed, Subset of Subjects With Virus-Confirmed- Influenza
Description
The analysis was done among the subset of subjects in the per protocol efficacy population who had culture-confirmed influenza.
Time Frame
6 Months
Title
Number Of Medical Visits (Inpatient and Outpatient) Due to Influenza Illness or Symptoms of Influenza, All Subjects
Description
The number of subjects in this analysis included all subjects in the per protocol efficacy population.
Time Frame
6 Months
Title
Number of Medical Visits (Inpatient and Outpatient), Subset of Subjects With Virus-Confirmed-Influenza
Description
The analysis was done among the subset of subjects in the per protocol efficacy population who had culture-confirmed influenza.
Time Frame
6 Months
Title
Number of Days of Usual Activity (i.e. Job, School,Household/Family/Community Activities) Lost Due to Influenza Disease, All Subjects
Description
The number of subjects in this analysis included all subjects in the per protocol efficacy population.
Time Frame
6 Months
Title
Number of Days of Usual Activity (i.e. Job, School,Household/Family/Community Activities) Lost, Subset of Subjects With Virus-Confirmed-Influenza
Description
The analysis was done among the subset of subjects in the per protocol efficacy population who had culture-confirmed influenza.
Time Frame
6 Months
Title
Percentages of Subjects Who Achieved HI Titers ≥40 After One Vaccination of Either Cell-culture Derived or Egg-derived Influenza Vaccine or Placebo
Description
Immunogenicity was measured as the percentage of subjects achieving HI titers ≥40 at baseline (day 1) and three weeks after (day 22) one vaccination of either cell-culture or egg-derived vaccine or placebo for each of the three influenza vaccine strains (A/H1N1, A/H3N2 and B), evaluated using hemagglutination inhibition (HI) egg-derived antigen assay. This criterion is met according to US (CBER) guideline if the lower limit of the two-sided 95% CI for the percentage of subjects achieving HI titers ≥40 is ≥70%.
Time Frame
Before vaccination (day 1) and three weeks after vaccination (day 22)
Title
Percentages of Subjects Achieving Seroconversion After One Vaccination of Either Cell-culture Derived or Egg-derived Influenza Vaccine or Placebo
Description
As per the CBER guideline, seroconversion is defined as the percentage of subjects with a prevaccination HI titer <10, a postvaccination titer ≥40; or in subjects with prevaccination HI titer ≥10, a ≥4-fold increase in postvaccination HI antibody titer. According to CBER criteria, the lower limit of the two-sided 95% CI for the percentage of subjects achieving seroconversion for HI antibody titer at day 22 met exceeded 40%.
Time Frame
Three weeks after vaccination (day 22)
Title
Number of Subjects Reported Solicited Local and Systemic Reactions up to 7 Days After Vaccination
Description
The solicited local and systemic reactogenicity were collected up to 7 days after vaccination for all three vaccine groups.
Time Frame
Up to 7 days post vaccination

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: subjects 18 to 49 years of age; in good health as determined by medical history and physical examination; able and willing to provide written informed consent prior to any study procedure; able to comply with all study procedures, including availability and willingness to be actively followed throughout the ensuing influenza season with weekly telephone calls and to comply with the need for prompt collection of nasal and throat specimens in the event of influenza symptoms. Exclusion Criteria: history of anaphylaxis or serious reaction after administration of any vaccine, or hypersensitivity to eggs, egg protein, chicken feathers, influenza viral protein, neomycin, kanamycin, or any other vaccine component, chemically related substance, or component of the potential packaging materials; any health condition for which the inactivated vaccine is recommended by the Advisory Committee on Immunization Practices (ACIP) including chronic diseases of the pulmonary or cardiovascular systems (including asthma), chronic metabolic diseases (including diabetes), renal dysfunction, hemoglobinopathies, immune deficiency disease (including HIV infection) or on-going immunosuppressive therapy; employment in professions prone to influenza transmission to or from high-risk populations (this exclusion specifically includes nurses, physicians, all other healthcare workers with direct patient contact; and police, fire, and rescue personnel); or living in the same household as an immunocompromised person; history of Guillain-Barré syndrome; bleeding diathesis; receipt of another investigational agent within 90 days prior to enrollment in the study or before completion of the safety follow-up period in another study, whichever is longer, and unwilling to refuse participation in another clinical study through the end of the study; receipt of another vaccine within 2 weeks (for inactivated vaccines) or 4 weeks (for live vaccines) prior to Visit 1; laboratory-confirmed influenza disease within 6 months prior to Visit 1; receipt of an influenza vaccine within 6 months prior to Visit 1 or plans to receive influenza vaccine outside of this study; experienced a temperature (≥100.0°F / ≥37.8°C) and/or any acute illness within 3 days prior to study vaccination; pregnant or breast-feeding female; if female of childbearing potential and sexually active, has not used any of the birth control methods detailed in the section entitled "Females of Childbearing Potential" for at least 2 months prior to study entry; if female of childbearing potential and sexually active, refusal to use a reliable contraceptive method as detailed in the section entitled "Females of Childbearing Potential" during the first 3 weeks after vaccination; research staff directly involved with the clinical study or family members or household members of research staff. Research staff are individuals with direct or indirect contact with study subjects, or study site personnel who have access to any study documents containing subject information. This would include receptionists, persons scheduling appointments or making screening calls, regulatory specialists, laboratory technicians, etc.; any condition which, in the opinion of the investigator, might interfere with the evaluation of the study objectives or with the safety of the study subject.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Novartis Vaccines
Organizational Affiliation
Novartis Vaccines
Official's Role
Study Chair
Facility Information:
Facility Name
Site 14
City
Denver
State/Province
Colorado
ZIP/Postal Code
80212
Country
United States
Facility Name
Site 15
City
Pembroke Pines
State/Province
Florida
ZIP/Postal Code
33024
Country
United States
Facility Name
Site 17
City
South Miami
State/Province
Florida
ZIP/Postal Code
33143
Country
United States
Facility Name
Site 13
City
Lenexa
State/Province
Kansas
ZIP/Postal Code
66219
Country
United States
Facility Name
Site 2
City
Bardstown
State/Province
Kentucky
ZIP/Postal Code
40004
Country
United States
Facility Name
Site 1
City
Saint Louis
State/Province
Missouri
ZIP/Postal Code
63140
Country
United States
Facility Name
Site 4
City
Edison
State/Province
New Jersey
ZIP/Postal Code
08817
Country
United States
Facility Name
Site 10
City
Binghamton
State/Province
New York
ZIP/Postal Code
13901
Country
United States
Facility Name
Site 5
City
Endwell
State/Province
New York
ZIP/Postal Code
13760
Country
United States
Facility Name
Site 16
City
Winston-Salem
State/Province
North Carolina
ZIP/Postal Code
27103
Country
United States
Facility Name
Site 11
City
Warwick
State/Province
Rhode Island
ZIP/Postal Code
02886
Country
United States
Facility Name
Site 12
City
Anderson
State/Province
South Carolina
ZIP/Postal Code
29621
Country
United States
Facility Name
Site 9
City
Austin
State/Province
Texas
ZIP/Postal Code
78705
Country
United States
Facility Name
Site 8
City
Dallas
State/Province
Texas
ZIP/Postal Code
75234
Country
United States
Facility Name
Site 7
City
Salt Lake City
State/Province
Utah
ZIP/Postal Code
84109
Country
United States
Facility Name
Site 3
City
Salt Lake City
State/Province
Utah
ZIP/Postal Code
84121
Country
United States
Facility Name
Site 6
City
Burke
State/Province
Virginia
ZIP/Postal Code
22105
Country
United States
Facility Name
Site 25
City
Espoo
ZIP/Postal Code
02100
Country
Finland
Facility Name
Site 26
City
Helsinki
ZIP/Postal Code
00100
Country
Finland
Facility Name
Site 27
City
Helsinki
ZIP/Postal Code
00930
Country
Finland
Facility Name
Site 33
City
Järvenpää
ZIP/Postal Code
04400
Country
Finland
Facility Name
Site 35
City
Kokkola
ZIP/Postal Code
67100
Country
Finland
Facility Name
Site 34
City
Kotka
ZIP/Postal Code
48600
Country
Finland
Facility Name
Site 30
City
Kuopio
ZIP/Postal Code
70100
Country
Finland
Facility Name
Site 22
City
Lahti
ZIP/Postal Code
15140
Country
Finland
Facility Name
Site 31
City
Oulu
ZIP/Postal Code
90100
Country
Finland
Facility Name
Site 23
City
Pori
ZIP/Postal Code
28120
Country
Finland
Facility Name
Site 32
City
Seinäjoki
ZIP/Postal Code
60100
Country
Finland
Facility Name
Site 21
City
Tampere
ZIP/Postal Code
33100
Country
Finland
Facility Name
Site 24
City
Turku
ZIP/Postal Code
20520
Country
Finland
Facility Name
Site 28
City
Vantaa
ZIP/Postal Code
01300
Country
Finland
Facility Name
Site 29
City
Vantaa
ZIP/Postal Code
01600
Country
Finland
Facility Name
Site 49
City
Bydgoszcz
ZIP/Postal Code
85-316
Country
Poland
Facility Name
Site 53
City
Gniewkowo
ZIP/Postal Code
88-140
Country
Poland
Facility Name
Site 59
City
Katowice
ZIP/Postal Code
40-084
Country
Poland
Facility Name
Site 63
City
Kielce
ZIP/Postal Code
25-711
Country
Poland
Facility Name
Site 62
City
Końskie
ZIP/Postal Code
26-200
Country
Poland
Facility Name
Site 57
City
Krakow
ZIP/Postal Code
30-510
Country
Poland
Facility Name
Site 41
City
Kraków
ZIP/Postal Code
30-969
Country
Poland
Facility Name
Site 43
City
Kraków
ZIP/Postal Code
31-115
Country
Poland
Facility Name
Site 42
City
Kraków
ZIP/Postal Code
31-503
Country
Poland
Facility Name
Site 50
City
Kraków
ZIP/Postal Code
31-832
Country
Poland
Facility Name
Site 44
City
Lubartów
ZIP/Postal Code
21 - 100
Country
Poland
Facility Name
Site 45
City
Lublin
ZIP/Postal Code
20-044
Country
Poland
Facility Name
Site 65
City
Oleśnica
ZIP/Postal Code
56-400
Country
Poland
Facility Name
Site 47
City
Olsztyn
ZIP/Postal Code
10-117
Country
Poland
Facility Name
Site 48
City
Olsztyn
ZIP/Postal Code
10-295
Country
Poland
Facility Name
Site 46
City
Olsztyn
ZIP/Postal Code
10-461
Country
Poland
Facility Name
Site 58
City
Radziszów
ZIP/Postal Code
32-052
Country
Poland
Facility Name
Site 61
City
Ruda Śląska
ZIP/Postal Code
41-703
Country
Poland
Facility Name
Site 60
City
Rzeszów
ZIP/Postal Code
35-324
Country
Poland
Facility Name
Site 52
City
Warszawa
ZIP/Postal Code
02-777
Country
Poland
Facility Name
Site 55
City
Wilkowice
ZIP/Postal Code
43-365
Country
Poland
Facility Name
Site 64
City
Wrocław
ZIP/Postal Code
51-312
Country
Poland
Facility Name
Site 54
City
Wąbrzeźno
ZIP/Postal Code
87-200
Country
Poland
Facility Name
Site 51
City
Łodź
ZIP/Postal Code
90-302
Country
Poland

12. IPD Sharing Statement

Citations:
PubMed Identifier
20868284
Citation
Frey S, Vesikari T, Szymczakiewicz-Multanowska A, Lattanzi M, Izu A, Groth N, Holmes S. Clinical efficacy of cell culture-derived and egg-derived inactivated subunit influenza vaccines in healthy adults. Clin Infect Dis. 2010 Nov 1;51(9):997-1004. doi: 10.1086/656578.
Results Reference
result

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Efficacy Study of Two Influenza Vaccines and Placebo in Healthy Adult Subjects

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