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Immunogenicity and Safety of FluBlok Trivalent Recombinant Hemagglutinin Influenza Vaccine in Healthy Pediatrics

Primary Purpose

Influenza

Status
Completed
Phase
Phase 1
Locations
United States
Study Type
Interventional
Intervention
Influenza Vaccination
Influenza Vaccination
Sponsored by
Protein Sciences Corporation
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional prevention trial for Influenza focused on measuring Influenza

Eligibility Criteria

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

Inclusion Criteria: The subject was: aged 6-59 months old (inclusive) at enrollment. in good health (and not on any chronic medications), as determined by medical history and a history directed targeted physical examination. naïve for previous influenza vaccination prior to study enrollment. Parents or guardians must: be able to understand and comply with planned study procedures and be available for all study visits. provide written consent prior to initiation of any study procedures, and subject may provide written assent as appropriate. Exclusion Criteria: a known allergy to eggs or other components of the vaccine or sensitivity or allergy to latex. a history of severe asthma or more than three previous wheezing episodes. be undergoing immunosuppression as a result of an underlying illness or treatment. an active neoplastic disease or a history of any hematologic malignancy. be using oral or parenteral steroids, inhaled steroids or other immunosuppressive or cytotoxic drugs. Note: Subjects on nasal or topical steroids will be allowed to enroll in this study. a history of receiving influenza vaccine or plans during the study to receive influenza vaccine outside the study. a history of receiving immunoglobulin or other blood product within the 3 months prior to enrollment in this study. received any other licensed vaccines within 2 weeks (for inactivated vaccines) or 4 weeks (for live vaccines) prior to enrollment in this study. have an acute or chronic medical condition that, in the opinion of the investigator, would render vaccination unsafe or would interfere with the evaluation of responses (these conditions include, but are not limited to: known chronic liver disease, significant renal disease, unstable or progressive neurological disorders, diabetes mellitus, and transplant recipients). a history of severe reactions following immunization. an acute illness, including an axillary temperature greater than 100.0*F, within 3 days prior to vaccination. received an experimental vaccine or medication within 1 month prior to enrollment in this study, or expect to receive an experimental vaccine, medication, or blood product during the 6-month study period. any condition that would, in the opinion of the investigator, place them at an unacceptable risk of injury or render the subject unable to meet the requirements of the protocol. a history of Guillain-Barré syndrome. be participating concurrently in another clinical trial (either in active phase or in follow-up phase).

Sites / Locations

  • Kentucky pediatric /Adult Research
  • Saint Louis University
  • Primary Physicians Research

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm 5

Arm Type

Experimental

Experimental

Active Comparator

Active Comparator

Experimental

Arm Label

FluBlok-22.5 μg, 6-35 months old

FluBlok-45 μg, 6-35 months old

TIV-7.5 μg, 6-35 months old

TIV-15 μg, 36-59 months old

FluBlok-45 μg, 36-59 months old

Arm Description

6-35 months old, FluBlok-22.5 μg of each recombinant hemagglutinin antigen: 2006-2007 formulation containing A/New Caledonia/20/99 (H1N1), A/Wisconsin/67/05 (H3N2), and B/Ohio/01/05 like viruses

6-35 months old, FluBlok-45 μg of each recombinant hemagglutinin antigen: 2006-2007 formulation containing A/New Caledonia/20/99 (H1N1), A/Wisconsin/67/05 (H3N2), and B/Ohio/01/05 like viruses

6-35 months old, 2006-2007 formulation of Fluzone, (sanofi-pasteur, Swiftwater, PA)-7.5 μg of each hemagglutinin antigen: A/New Caledonia/20/99 (H1N1), A/Wisconsin/67/05 (H3N2), and B/Malaysia/2506/2004 like viruses

36-59 months old, 2006-2007 formulation of Fluzone (sanofi-pasteur, Swiftwater, PA)-15 μg of each hemagglutinin antigen: A/New Caledonia/20/99 (H1N1), A/Wisconsin/67/05 (H3N2), and B/Malaysia/2506/2004 like viruses

36-59 months old, FluBlok-45 μg of each recombinant hemagglutinin antigen: 2006-2007 formulation containing A/New Caledonia/20/99 (H1N1), A/Wisconsin/67/05 (H3N2), and B/Ohio/01/05 like viruses

Outcomes

Primary Outcome Measures

Evaluation of safety and reactogenicity of FluBlok and TIV in healthy children aged 6-59 months

Secondary Outcome Measures

To compare the immunogenicity after each dose of two different formulations of FluBlok to TIV in healthy children aged 6-35 months and one formulation of FluBlok to TIV in healthy children aged 36-59 months.

Full Information

First Posted
June 12, 2006
Last Updated
December 16, 2009
Sponsor
Protein Sciences Corporation
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1. Study Identification

Unique Protocol Identification Number
NCT00336453
Brief Title
Immunogenicity and Safety of FluBlok Trivalent Recombinant Hemagglutinin Influenza Vaccine in Healthy Pediatrics
Official Title
Evaluation of the Safety, Reactogenicity and Immunogenicity of FluBlok Trivalent Recombinant Baculovirus-Expressed Hemagglutinin Influenza Vaccine Administered Intramuscularly to Healthy Children Aged 6 To 59 Months
Study Type
Interventional

2. Study Status

Record Verification Date
December 2009
Overall Recruitment Status
Completed
Study Start Date
October 2006 (undefined)
Primary Completion Date
July 2007 (Actual)
Study Completion Date
July 2007 (Actual)

3. Sponsor/Collaborators

Name of the Sponsor
Protein Sciences Corporation

4. Oversight

Data Monitoring Committee
Yes

5. Study Description

Brief Summary
The purpose of this study was to evaluate dose-related safety, reactogenicity and immunogenicity of FluBlok trivalent recombinant baculovirus-expressed hemagglutinin influenza vaccine, administered to healthy children aged 6 to 59 months.
Detailed Description
Influenza has been identified as a major health problem in young children. Influenza related hospitalizations are very high in children less than 24 months of age and children age 24-59 months have a high rate of medical care utilization due to influenza. Recently, it has been noted that there are deaths attributable to influenza even in previously healthy children. Recent CDC recommendations reflect this growing awareness of the impact of influenza in children and state that virtually all children less than 18 years of age should receive annual influenza vaccination. Currently available licensed trivalent influenza vaccines (TIVs) are prepared from viruses that are grown in embryonated hens' eggs. Alternative substrates for vaccine production are desirable in order to reduce the vulnerability of and to expand influenza vaccine supply. Recombinant DNA techniques allow for expression of the influenza hemagglutinin (rHA) by baculovirus vectors in insect cell cultures. Advantages of this technique include speed of production, absence of egg protein, and a highly purified product.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Influenza
Keywords
Influenza

7. Study Design

Primary Purpose
Prevention
Study Phase
Phase 1, Phase 2
Interventional Study Model
Single Group Assignment
Masking
ParticipantInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
156 (Actual)

8. Arms, Groups, and Interventions

Arm Title
FluBlok-22.5 μg, 6-35 months old
Arm Type
Experimental
Arm Description
6-35 months old, FluBlok-22.5 μg of each recombinant hemagglutinin antigen: 2006-2007 formulation containing A/New Caledonia/20/99 (H1N1), A/Wisconsin/67/05 (H3N2), and B/Ohio/01/05 like viruses
Arm Title
FluBlok-45 μg, 6-35 months old
Arm Type
Experimental
Arm Description
6-35 months old, FluBlok-45 μg of each recombinant hemagglutinin antigen: 2006-2007 formulation containing A/New Caledonia/20/99 (H1N1), A/Wisconsin/67/05 (H3N2), and B/Ohio/01/05 like viruses
Arm Title
TIV-7.5 μg, 6-35 months old
Arm Type
Active Comparator
Arm Description
6-35 months old, 2006-2007 formulation of Fluzone, (sanofi-pasteur, Swiftwater, PA)-7.5 μg of each hemagglutinin antigen: A/New Caledonia/20/99 (H1N1), A/Wisconsin/67/05 (H3N2), and B/Malaysia/2506/2004 like viruses
Arm Title
TIV-15 μg, 36-59 months old
Arm Type
Active Comparator
Arm Description
36-59 months old, 2006-2007 formulation of Fluzone (sanofi-pasteur, Swiftwater, PA)-15 μg of each hemagglutinin antigen: A/New Caledonia/20/99 (H1N1), A/Wisconsin/67/05 (H3N2), and B/Malaysia/2506/2004 like viruses
Arm Title
FluBlok-45 μg, 36-59 months old
Arm Type
Experimental
Arm Description
36-59 months old, FluBlok-45 μg of each recombinant hemagglutinin antigen: 2006-2007 formulation containing A/New Caledonia/20/99 (H1N1), A/Wisconsin/67/05 (H3N2), and B/Ohio/01/05 like viruses
Intervention Type
Biological
Intervention Name(s)
Influenza Vaccination
Other Intervention Name(s)
FluBlok, Fluzone, rHA, rHA0, recombinant hemagglutinin, TIV
Intervention Description
0.5mL dose for intramuscular injection
Intervention Type
Biological
Intervention Name(s)
Influenza Vaccination
Other Intervention Name(s)
FluBlok, Fluzone, rHA, rHA0, recombinant hemagglutinin, TIV
Intervention Description
0.25mL dose for intramuscular injection
Primary Outcome Measure Information:
Title
Evaluation of safety and reactogenicity of FluBlok and TIV in healthy children aged 6-59 months
Time Frame
influenza season
Secondary Outcome Measure Information:
Title
To compare the immunogenicity after each dose of two different formulations of FluBlok to TIV in healthy children aged 6-35 months and one formulation of FluBlok to TIV in healthy children aged 36-59 months.
Time Frame
Day 0, 28, 56

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: The subject was: aged 6-59 months old (inclusive) at enrollment. in good health (and not on any chronic medications), as determined by medical history and a history directed targeted physical examination. naïve for previous influenza vaccination prior to study enrollment. Parents or guardians must: be able to understand and comply with planned study procedures and be available for all study visits. provide written consent prior to initiation of any study procedures, and subject may provide written assent as appropriate. Exclusion Criteria: a known allergy to eggs or other components of the vaccine or sensitivity or allergy to latex. a history of severe asthma or more than three previous wheezing episodes. be undergoing immunosuppression as a result of an underlying illness or treatment. an active neoplastic disease or a history of any hematologic malignancy. be using oral or parenteral steroids, inhaled steroids or other immunosuppressive or cytotoxic drugs. Note: Subjects on nasal or topical steroids will be allowed to enroll in this study. a history of receiving influenza vaccine or plans during the study to receive influenza vaccine outside the study. a history of receiving immunoglobulin or other blood product within the 3 months prior to enrollment in this study. received any other licensed vaccines within 2 weeks (for inactivated vaccines) or 4 weeks (for live vaccines) prior to enrollment in this study. have an acute or chronic medical condition that, in the opinion of the investigator, would render vaccination unsafe or would interfere with the evaluation of responses (these conditions include, but are not limited to: known chronic liver disease, significant renal disease, unstable or progressive neurological disorders, diabetes mellitus, and transplant recipients). a history of severe reactions following immunization. an acute illness, including an axillary temperature greater than 100.0*F, within 3 days prior to vaccination. received an experimental vaccine or medication within 1 month prior to enrollment in this study, or expect to receive an experimental vaccine, medication, or blood product during the 6-month study period. any condition that would, in the opinion of the investigator, place them at an unacceptable risk of injury or render the subject unable to meet the requirements of the protocol. a history of Guillain-Barré syndrome. be participating concurrently in another clinical trial (either in active phase or in follow-up phase).
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
James C King, MD
Organizational Affiliation
University of Maryland
Official's Role
Principal Investigator
Facility Information:
Facility Name
Kentucky pediatric /Adult Research
City
Bardstown
State/Province
Kentucky
ZIP/Postal Code
40004
Country
United States
Facility Name
Saint Louis University
City
Saint Louis
State/Province
Missouri
ZIP/Postal Code
63110
Country
United States
Facility Name
Primary Physicians Research
City
Pittsburg
State/Province
Pennsylvania
ZIP/Postal Code
15241
Country
United States

12. IPD Sharing Statement

Citations:
PubMed Identifier
19716456
Citation
King JC Jr, Cox MM, Reisinger K, Hedrick J, Graham I, Patriarca P. Evaluation of the safety, reactogenicity and immunogenicity of FluBlok trivalent recombinant baculovirus-expressed hemagglutinin influenza vaccine administered intramuscularly to healthy children aged 6-59 months. Vaccine. 2009 Nov 5;27(47):6589-94. doi: 10.1016/j.vaccine.2009.08.032. Epub 2009 Aug 27.
Results Reference
result
PubMed Identifier
28325769
Citation
Rajendran M, Nachbagauer R, Ermler ME, Bunduc P, Amanat F, Izikson R, Cox M, Palese P, Eichelberger M, Krammer F. Analysis of Anti-Influenza Virus Neuraminidase Antibodies in Children, Adults, and the Elderly by ELISA and Enzyme Inhibition: Evidence for Original Antigenic Sin. mBio. 2017 Mar 21;8(2):e02281-16. doi: 10.1128/mBio.02281-16.
Results Reference
derived
PubMed Identifier
26787832
Citation
Nachbagauer R, Choi A, Izikson R, Cox MM, Palese P, Krammer F. Age Dependence and Isotype Specificity of Influenza Virus Hemagglutinin Stalk-Reactive Antibodies in Humans. mBio. 2016 Jan 19;7(1):e01996-15. doi: 10.1128/mBio.01996-15.
Results Reference
derived
Links:
URL
http://proteinsciences.com
Description
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Immunogenicity and Safety of FluBlok Trivalent Recombinant Hemagglutinin Influenza Vaccine in Healthy Pediatrics

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