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Immunogenicity, Safety and Tolerability of a Trivalent Subunit Inactivated Vaccine in Healthy Subjects 50 Years and Above

Primary Purpose

Influenza

Status
Completed
Phase
Phase 4
Locations
International
Study Type
Interventional
Intervention
Fluvirin(TIVf)
Agriflu (TIV)
Sponsored by
Novartis
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional prevention trial for Influenza focused on measuring Trivalent inactivated subunit influenza vaccines, 50 years and above, healthy subjects

Eligibility Criteria

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

Inclusion Criteria:

  • Males and females aged 50 years and above, mentally competent, willing and able to give written informed consent prior to study entry and after the nature of the study has been explained according to local regulatory requirements.
  • Individuals able to comply with all the study requirements.
  • Individuals in good health as determined by the outcome of medical history, physical examination and clinical judgment of the investigator.

Exclusion Criteria:

  • Individuals with behavioral or cognitive impairment or psychiatric disease that, in the opinion of the investigator, may interfere with the subject's ability to participate in the study.
  • Individuals with any progressive or severe neurologic disorder, seizure disorder or Guillain-Barré syndrome.
  • Individuals who are not able to comprehend and to follow all required study procedures for the whole period of the study.
  • Individuals who have received any seasonal or pandemic influenza vaccine or have had a laboratory confirmed seasonal or pandemic influenza disease within the past 6 months.
  • Individuals with history or any illness that, in the opinion of the investigator, might interfere with the results of the study or pose additional risk to the subjects due to participation in the study.
  • Individuals with positive HIV test result, with history of an autoimmune disorder or any other known or suspected impairment /alteration of the immune system, or under immunosuppressive therapy within 6 months or use of any parenteral or oral corticosteroids within the previous 30 days.
  • Individuals with a known bleeding diathesis, or any condition that may be associated with a prolonged bleeding time.
  • Individuals with any serious chronic or progressive disease according to judgment of the investigator (neoplasm, insulin dependent diabetes, cardiac, renal or hepatic disease).
  • Individuals who have any malignancy (excluding nonmelanotic skin cancer) or lymphoproliferative disorder.
  • Individuals with history of any anaphylactic adverse event and/or serious allergic adverse event following a vaccination, a proven hypersensitivity to any component of the study vaccine (eg, to eggs or eggs product as well as ovalbumin, chicken protein, chicken feathers, influenza viral protein, kanamycin and neomycin sulphate) or latex allergy.
  • Individuals participating in any clinical trial with another investigational product 30 days prior to first study visit or intent to participate in another clinical study at any time during the conduct of this study.
  • Receipt of nonstudy vaccines (with the exception of post-exposure vaccination in a medical emergency, eg, hepatitis, rabies, tetanus) within 3 weeks prior to Visit 1.
  • Individuals who have ever received blood, blood products and/or plasma derivatives or any parenteral immunoglobulin preparation in the past 12 weeks.
  • Individuals who have received antibiotics within 6 days before vaccination.
  • Individuals with body temperature (axillary temperature) ≥38 degrees Celsius (≥ 100.4° F) within the last 3 days of intended study vaccination.
  • BMI > 35 kg/m2.
  • Female who are pregnant or nursing (breastfeeding) mothers or females of childbearing potential do not plan to use acceptable birth control measures, for the whole duration of the study. Adequate contraception is defined as hormonal (eg, oral, injection, transdermal patch, implant, cervical ring), barrier (eg, condom with spermicide or diaphragm with spermicide), intrauterine device (IUD), or monogamous relationship with vasectomized partner who has been vasectomized for 6 months or more prior to the subject's study entry; Abstinence.
  • Individuals who are part of study personnel or close family members conducting this study.
  • Individuals with history of substance or alcohol abuse within the past 2 years.

Sites / Locations

  • Site 71 - Ordinace všeobecného lékaře
  • Site 70 - Vaccination and Travel Medicine Centre
  • Site 61 - Research Institute for Tropical Medicine DOH Compound
  • Site 60 - De La Salle Health Sciences Institute, Room 6210 and 6206 De La Salle Angelo King Medical Research Center
  • Site 63 - Our Lady of Lourdes Hospital, 46 P. Sanchez Street, Sta.
  • Site 62 - Research Institute for Tropical Medicine DOH Compound, Filinvest Corporate City
  • Site 33 - TREAD Research , Room 41, 8th Floor, Department of Cardiology, Tygerberg Hospital, Francie van Zijl Drive
  • Site 43 - Allergy Diagnostic & Clinical Research Unit, UCT Lung Institute, George Street
  • Site 34 - Synopsis Research, Room 8, First floor, Fountain Centre, Belmont Road
  • Site 41 - Tiervlei Trial Centre, Karl Bremer Hospital, c/o Mike Pienaar Boulevard & Frans Conradie Avenue, Bellville
  • Site 45 - 343 Randles Road
  • Site 44 - Dr B van der Berg and Associates, 162 Pretoria Road, Rynfield
  • Site 31 - MD Search, 1 Paul Smit Street
  • Site 32 - EMMED Research, Emmed Research, 641 5th Avenue
  • Site 35 - I Engelbrecht Research (Pty) Ltd, 174 Cradock Avenue
  • Site 36 - Midrand Medical Centre, Shop #1, Health Emporium, Cnr Church and Market Street
  • Site 39 - Medicross Sophiatown, Cnr Edward and Millar Streets
  • Site 38 - Perinatal HIV Research Unit, New Nurses Home, Chris Hani Baragwanath Academic Hospital, Chris Hani Road
  • Site 37 - Excellentis Clinical Trial Consultants, Suite 201, York Building, 72
  • Site 40 - Newtown Clinical Research Centre, Suite 3, Newgate Centre, 104 Jeppe Street
  • Site 46 - Helderberg Clinical Trials Centre, Suite 7G&H Arun Place
  • Site 53 - Clinical Trials Unit, Office for Research and Development, His Majesty the King's 80th Birthday December 2007 Building, 3rd floor, room 307, Faculty of Medicine Siriraj Hospital, Mahidol University, 2 Prannok Rd.
  • Site 52 - 1. Faculty of Medicine, Chulalongkorn University
  • Site 52 - 2. Queen Saovabha Memorial Institute
  • Site 51 - Faculty of Medicine, Srinakharinwirot University, HRH Princess, Sirindhorn Medical Center

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Active Comparator

Arm Label

Agriflu

Fluvirin

Arm Description

A single 0.5 mL dose of Investigational vaccine TIV (Agriflu) at visit 1, administered intramuscularly

A single 0.5 mL dose of control vaccine TIVf (Fluvirin) at visit 1, administered intramuscularly

Outcomes

Primary Outcome Measures

Hemagglutination Inhibition (HI) Geometric Mean Titers (GMTs) of TIV Group and TIVf Group for All Three Strains, in Healthy Adults Aged ≥50 Years
Non-inferiority of Postvaccination Hemagglutination Inhibition (HI) Geometric Mean Titers (GMTs) of TIV (Trivalent Subunit Inactivated Influenza Vaccine) Group Over the Corresponding TIVf Group for All Three Strains, three weeks after vaccination (day 22). The upper limit of the two-sided 95% confidence interval (CI) on the ratio of GMTs (GMT TIVf/GMT TIV) should not exceed the non-inferiority margin of 1.5.
Percentages of Subjects Achieving Seroconversion (SC) in Antibody Titers in the TIV Group Compared With the Corresponding Percentages of Subjects in the TIVf Group for All Three Strains At Day 22, in Healthy Adults Aged ≥50 Years
Non-Inferiority was measured as the percentages of subjects who achieved seroconversion in HI titers three weeks (day 22) after vaccination of TIV compared with TIVf, against each of three vaccine strains. Seroconversion is defined as a prevaccination titer <10 and postvaccination HI ≥40 or as a prevaccination titer ≥10 and at minimum four-fold rise in postvaccination antibody titer. The upper limit of the two-sided 95% CI on the difference between the seroconversion rates (Seroconversion TIVf - SeroconversionTIV) should not exceed 10%.

Secondary Outcome Measures

Evaluation of Percentages of Subjects Who Achieved HI Seroconversion and HI Titer ≥1:40 Against Each of Three Strains After One Vaccination of TIV and TIVf Vaccine
Percentage of subjects achieving HI seroconversion against each of three vaccine strains was measured three weeks after vaccination of TIV and TIVf vaccine (day 22). Percentage of subjects who achieved HI titer ≥1:40 against each of three vaccine strains was measured three weeks after one vaccination of TIV and TIVf vaccine. According to Center for Biologics Evaluation and Research recommendations (CBER 2007), the criterion for seroconversion is considered met if the lower limit of the two-sided 95% CI for the percentage of subjects with HI seroconversion is ≥40% (<65 years) or ≥30% (≥65 years). As per the CBER criteria, the lower limit of the two-sided 95% CI for the percentage of subjects who achieved HI titer ≥ 1:40 should be ≥70% (<65 years) or ≥60% (≥65 years).
Geometric Mean Ratio of Subjects Against Each of Three Strains After One Vaccination of TIV and TIVf Vaccine
Geometric mean ratio (GMR) of subjects was calculated as the ratio of postvaccination to prevaccination HI GMTs against each of three vaccine strains, three weeks after vaccination of TIV and TIVf vaccine (day 22).
Number of Subjects Who Reported Solicited Local and Systemic Adverse Events After One Vaccination of TIV and TIVf
Safety was assessed as the number of subjects who reported solicited local and systemic adverse events from day 1 up to and including day 7 after vaccination of TIV and control.

Full Information

First Posted
May 29, 2013
Last Updated
September 29, 2014
Sponsor
Novartis
Collaborators
Novartis Vaccines
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1. Study Identification

Unique Protocol Identification Number
NCT01867021
Brief Title
Immunogenicity, Safety and Tolerability of a Trivalent Subunit Inactivated Vaccine in Healthy Subjects 50 Years and Above
Official Title
A Multi-Center, Phase IV, Randomized, Controlled, Observer Blind Study to Evaluate the Immunogenicity, Safety, and Tolerability of a Trivalent Subunit Inactivated Influenza Vaccine in Healthy Subjects Aged 50 Years and Above
Study Type
Interventional

2. Study Status

Record Verification Date
September 2014
Overall Recruitment Status
Completed
Study Start Date
May 2013 (undefined)
Primary Completion Date
December 2013 (Actual)
Study Completion Date
December 2013 (Actual)

3. Sponsor/Collaborators

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

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
Demonstrate non-inferiority of the post-vaccination (Day 22) Hemagglutination inhibition (HI) Geometric Mean Titers (GMTs) of trivalent, inactivated, subunit influenza vaccine (TIV) over the corresponding GMTs of the comparator vaccine for all three strains, in healthy adults aged 50 years and above. Demonstrate non-inferiority of the percentages of subjects achieving seroconversion in antibody titers at Day 22 in the TIV group over the corresponding percentages of subjects in the comparator group for all three strains, in healthy adults aged 50 years and above.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Influenza
Keywords
Trivalent inactivated subunit influenza vaccines, 50 years and above, healthy subjects

7. Study Design

Primary Purpose
Prevention
Study Phase
Phase 4
Interventional Study Model
Parallel Assignment
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
2902 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Agriflu
Arm Type
Experimental
Arm Description
A single 0.5 mL dose of Investigational vaccine TIV (Agriflu) at visit 1, administered intramuscularly
Arm Title
Fluvirin
Arm Type
Active Comparator
Arm Description
A single 0.5 mL dose of control vaccine TIVf (Fluvirin) at visit 1, administered intramuscularly
Intervention Type
Biological
Intervention Name(s)
Fluvirin(TIVf)
Other Intervention Name(s)
Trivalent Influenza Virus Vaccine (purified surface antigen, inactivated, egg-derived)
Intervention Type
Biological
Intervention Name(s)
Agriflu (TIV)
Other Intervention Name(s)
Trivalent Influenza Virus Vaccine (purified surface antigen, inactivated, egg-derived)
Primary Outcome Measure Information:
Title
Hemagglutination Inhibition (HI) Geometric Mean Titers (GMTs) of TIV Group and TIVf Group for All Three Strains, in Healthy Adults Aged ≥50 Years
Description
Non-inferiority of Postvaccination Hemagglutination Inhibition (HI) Geometric Mean Titers (GMTs) of TIV (Trivalent Subunit Inactivated Influenza Vaccine) Group Over the Corresponding TIVf Group for All Three Strains, three weeks after vaccination (day 22). The upper limit of the two-sided 95% confidence interval (CI) on the ratio of GMTs (GMT TIVf/GMT TIV) should not exceed the non-inferiority margin of 1.5.
Time Frame
Day 22
Title
Percentages of Subjects Achieving Seroconversion (SC) in Antibody Titers in the TIV Group Compared With the Corresponding Percentages of Subjects in the TIVf Group for All Three Strains At Day 22, in Healthy Adults Aged ≥50 Years
Description
Non-Inferiority was measured as the percentages of subjects who achieved seroconversion in HI titers three weeks (day 22) after vaccination of TIV compared with TIVf, against each of three vaccine strains. Seroconversion is defined as a prevaccination titer <10 and postvaccination HI ≥40 or as a prevaccination titer ≥10 and at minimum four-fold rise in postvaccination antibody titer. The upper limit of the two-sided 95% CI on the difference between the seroconversion rates (Seroconversion TIVf - SeroconversionTIV) should not exceed 10%.
Time Frame
Day 22
Secondary Outcome Measure Information:
Title
Evaluation of Percentages of Subjects Who Achieved HI Seroconversion and HI Titer ≥1:40 Against Each of Three Strains After One Vaccination of TIV and TIVf Vaccine
Description
Percentage of subjects achieving HI seroconversion against each of three vaccine strains was measured three weeks after vaccination of TIV and TIVf vaccine (day 22). Percentage of subjects who achieved HI titer ≥1:40 against each of three vaccine strains was measured three weeks after one vaccination of TIV and TIVf vaccine. According to Center for Biologics Evaluation and Research recommendations (CBER 2007), the criterion for seroconversion is considered met if the lower limit of the two-sided 95% CI for the percentage of subjects with HI seroconversion is ≥40% (<65 years) or ≥30% (≥65 years). As per the CBER criteria, the lower limit of the two-sided 95% CI for the percentage of subjects who achieved HI titer ≥ 1:40 should be ≥70% (<65 years) or ≥60% (≥65 years).
Time Frame
Day 22
Title
Geometric Mean Ratio of Subjects Against Each of Three Strains After One Vaccination of TIV and TIVf Vaccine
Description
Geometric mean ratio (GMR) of subjects was calculated as the ratio of postvaccination to prevaccination HI GMTs against each of three vaccine strains, three weeks after vaccination of TIV and TIVf vaccine (day 22).
Time Frame
Day 22
Title
Number of Subjects Who Reported Solicited Local and Systemic Adverse Events After One Vaccination of TIV and TIVf
Description
Safety was assessed as the number of subjects who reported solicited local and systemic adverse events from day 1 up to and including day 7 after vaccination of TIV and control.
Time Frame
Day 1 to 7 postvaccination

10. Eligibility

Sex
All
Minimum Age & Unit of Time
50 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: Males and females aged 50 years and above, mentally competent, willing and able to give written informed consent prior to study entry and after the nature of the study has been explained according to local regulatory requirements. Individuals able to comply with all the study requirements. Individuals in good health as determined by the outcome of medical history, physical examination and clinical judgment of the investigator. Exclusion Criteria: Individuals with behavioral or cognitive impairment or psychiatric disease that, in the opinion of the investigator, may interfere with the subject's ability to participate in the study. Individuals with any progressive or severe neurologic disorder, seizure disorder or Guillain-Barré syndrome. Individuals who are not able to comprehend and to follow all required study procedures for the whole period of the study. Individuals who have received any seasonal or pandemic influenza vaccine or have had a laboratory confirmed seasonal or pandemic influenza disease within the past 6 months. Individuals with history or any illness that, in the opinion of the investigator, might interfere with the results of the study or pose additional risk to the subjects due to participation in the study. Individuals with positive HIV test result, with history of an autoimmune disorder or any other known or suspected impairment /alteration of the immune system, or under immunosuppressive therapy within 6 months or use of any parenteral or oral corticosteroids within the previous 30 days. Individuals with a known bleeding diathesis, or any condition that may be associated with a prolonged bleeding time. Individuals with any serious chronic or progressive disease according to judgment of the investigator (neoplasm, insulin dependent diabetes, cardiac, renal or hepatic disease). Individuals who have any malignancy (excluding nonmelanotic skin cancer) or lymphoproliferative disorder. Individuals with history of any anaphylactic adverse event and/or serious allergic adverse event following a vaccination, a proven hypersensitivity to any component of the study vaccine (eg, to eggs or eggs product as well as ovalbumin, chicken protein, chicken feathers, influenza viral protein, kanamycin and neomycin sulphate) or latex allergy. Individuals participating in any clinical trial with another investigational product 30 days prior to first study visit or intent to participate in another clinical study at any time during the conduct of this study. Receipt of nonstudy vaccines (with the exception of post-exposure vaccination in a medical emergency, eg, hepatitis, rabies, tetanus) within 3 weeks prior to Visit 1. Individuals who have ever received blood, blood products and/or plasma derivatives or any parenteral immunoglobulin preparation in the past 12 weeks. Individuals who have received antibiotics within 6 days before vaccination. Individuals with body temperature (axillary temperature) ≥38 degrees Celsius (≥ 100.4° F) within the last 3 days of intended study vaccination. BMI > 35 kg/m2. Female who are pregnant or nursing (breastfeeding) mothers or females of childbearing potential do not plan to use acceptable birth control measures, for the whole duration of the study. Adequate contraception is defined as hormonal (eg, oral, injection, transdermal patch, implant, cervical ring), barrier (eg, condom with spermicide or diaphragm with spermicide), intrauterine device (IUD), or monogamous relationship with vasectomized partner who has been vasectomized for 6 months or more prior to the subject's study entry; Abstinence. Individuals who are part of study personnel or close family members conducting this study. Individuals with history of substance or alcohol abuse within the past 2 years.
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 71 - Ordinace všeobecného lékaře
City
Kbel 163
State/Province
Benátky nad Jizerou
ZIP/Postal Code
294 71
Country
Czech Republic
Facility Name
Site 70 - Vaccination and Travel Medicine Centre
City
Poliklinika II., Bratri Stefanu 895
State/Province
Hradec Kralove
ZIP/Postal Code
500 03
Country
Czech Republic
Facility Name
Site 61 - Research Institute for Tropical Medicine DOH Compound
City
Filinvest Corporate City
State/Province
Alabang Muntinlupa City
Country
Philippines
Facility Name
Site 60 - De La Salle Health Sciences Institute, Room 6210 and 6206 De La Salle Angelo King Medical Research Center
City
Congressional Road, Dasmarinas City
State/Province
Cavite
ZIP/Postal Code
4114
Country
Philippines
Facility Name
Site 63 - Our Lady of Lourdes Hospital, 46 P. Sanchez Street, Sta.
City
Mesa
State/Province
Manila
Country
Philippines
Facility Name
Site 62 - Research Institute for Tropical Medicine DOH Compound, Filinvest Corporate City
City
Alabang
State/Province
Muntinlupa City
Country
Philippines
Facility Name
Site 33 - TREAD Research , Room 41, 8th Floor, Department of Cardiology, Tygerberg Hospital, Francie van Zijl Drive
City
Province of the Western Cape
State/Province
Cape Town
ZIP/Postal Code
7500
Country
South Africa
Facility Name
Site 43 - Allergy Diagnostic & Clinical Research Unit, UCT Lung Institute, George Street
City
Province of the Western Cape
State/Province
Cape Town
ZIP/Postal Code
7700
Country
South Africa
Facility Name
Site 34 - Synopsis Research, Room 8, First floor, Fountain Centre, Belmont Road
City
Rondebosch
State/Province
Cape Town
ZIP/Postal Code
7700
Country
South Africa
Facility Name
Site 41 - Tiervlei Trial Centre, Karl Bremer Hospital, c/o Mike Pienaar Boulevard & Frans Conradie Avenue, Bellville
City
Western Cape
State/Province
Cape Town
ZIP/Postal Code
7530
Country
South Africa
Facility Name
Site 45 - 343 Randles Road
City
Sydenham
State/Province
Durban
ZIP/Postal Code
4091
Country
South Africa
Facility Name
Site 44 - Dr B van der Berg and Associates, 162 Pretoria Road, Rynfield
City
Benoni
State/Province
Gauteng
ZIP/Postal Code
1511
Country
South Africa
Facility Name
Site 31 - MD Search, 1 Paul Smit Street
City
Boksburg North
State/Province
Gauteng
ZIP/Postal Code
1459
Country
South Africa
Facility Name
Site 32 - EMMED Research, Emmed Research, 641 5th Avenue
City
Eloffsdal
State/Province
Gauteng
ZIP/Postal Code
0084
Country
South Africa
Facility Name
Site 35 - I Engelbrecht Research (Pty) Ltd, 174 Cradock Avenue
City
Lyttleton
State/Province
Gauteng
ZIP/Postal Code
0157
Country
South Africa
Facility Name
Site 36 - Midrand Medical Centre, Shop #1, Health Emporium, Cnr Church and Market Street
City
Midrand
State/Province
Gauteng
ZIP/Postal Code
1685
Country
South Africa
Facility Name
Site 39 - Medicross Sophiatown, Cnr Edward and Millar Streets
City
Sophiatown
State/Province
Gauteng
ZIP/Postal Code
2092
Country
South Africa
Facility Name
Site 38 - Perinatal HIV Research Unit, New Nurses Home, Chris Hani Baragwanath Academic Hospital, Chris Hani Road
City
Soweto
State/Province
Gauteng
ZIP/Postal Code
1862
Country
South Africa
Facility Name
Site 37 - Excellentis Clinical Trial Consultants, Suite 201, York Building, 72
City
York Street
State/Province
George
ZIP/Postal Code
6529
Country
South Africa
Facility Name
Site 40 - Newtown Clinical Research Centre, Suite 3, Newgate Centre, 104 Jeppe Street
City
Newtown
State/Province
Johannesburg
ZIP/Postal Code
2113
Country
South Africa
Facility Name
Site 46 - Helderberg Clinical Trials Centre, Suite 7G&H Arun Place
City
Sir Lowry's Pass Road
State/Province
Somerset West
ZIP/Postal Code
7130
Country
South Africa
Facility Name
Site 53 - Clinical Trials Unit, Office for Research and Development, His Majesty the King's 80th Birthday December 2007 Building, 3rd floor, room 307, Faculty of Medicine Siriraj Hospital, Mahidol University, 2 Prannok Rd.
City
Bangkoknoi
State/Province
Bangkok
ZIP/Postal Code
10700
Country
Thailand
Facility Name
Site 52 - 1. Faculty of Medicine, Chulalongkorn University
City
Rama 4 Rd., Pathumwan
State/Province
Bangkok
ZIP/Postal Code
10300
Country
Thailand
Facility Name
Site 52 - 2. Queen Saovabha Memorial Institute
City
Thai Red Cross Society, Rama 4 Rd., Pathumwan
State/Province
Bangkok
ZIP/Postal Code
10300
Country
Thailand
Facility Name
Site 51 - Faculty of Medicine, Srinakharinwirot University, HRH Princess, Sirindhorn Medical Center
City
Ongkarak, Nakhorn
State/Province
Nayok
ZIP/Postal Code
26120
Country
Thailand

12. IPD Sharing Statement

Learn more about this trial

Immunogenicity, Safety and Tolerability of a Trivalent Subunit Inactivated Vaccine in Healthy Subjects 50 Years and Above

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