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Study of Inactivated, Split-Virion Influenza Vaccine and Standard Fluzone® Vaccine in Adult and Elderly Subjects

Primary Purpose

Influenza, Myxovirus Infection

Status
Completed
Phase
Phase 2
Locations
United States
Study Type
Interventional
Intervention
Split, Inactivated, Trivalent Influenza Vaccine (Intradermal Formulation 1)
Split, Inactivated, Trivalent Influenza Vaccine (Intradermal Formulation 2)
Split, Inactivated, Trivalent Influenza Vaccine (Standard dose)
Split, Inactivated, Trivalent Influenza Vaccine (High-dose)
Split, Inactivated, Trivalent Influenza Vaccine (Standard dose)
Sponsored by
Sanofi
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional prevention trial for Influenza focused on measuring Influenza, Orthomyxoviruses, Myxovirus Infection, Inactivated Split-virion influenza vaccine, Elderly

Eligibility Criteria

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

Inclusion Criteria:

  • Aged ≥ 65 years or aged 18 to 49 years on the day of vaccination.
  • Informed consent form signed.
  • Medically stable (Subjects may have underlying illnesses such as hypertension, diabetes, ischemic heart disease or hypothyroidism, as long as their symptoms/signs are controlled. If they are on medication for a condition, the medication dose must have been stable for at least 3 weeks preceding vaccination.
  • Able to attend all scheduled visits and to comply with all trial procedures.
  • For a woman of child-bearing potential, avoid becoming pregnant (use of an effective method of contraception or abstinence) for at least 4 weeks prior to vaccination, until at least 4 weeks after vaccination

Exclusion Criteria:

  • Known systemic hypersensitivity to any of the vaccine components or history of a life-threatening reaction to the standard-dose Fluzone® vaccine or to a vaccine containing any of the same substances.
  • Known or suspected congenital or acquired immunodeficiency, hepatitis B (HBsAg) or hepatitis C infection or seropositivity immunosuppressive therapy such as anti-cancer chemotherapy or radiation therapy within the preceding 6 months, or long-term systemic corticosteroids therapy
  • For a woman of child-bearing potential, known pregnancy or positive urine pregnancy test.
  • Breast feeding woman.
  • Neoplastic disease or any hematologic malignancy, (except localized skin or prostate cancer that is stable at the time of vaccination in the absence of therapy, as well as subjects who have a history of neoplastic disease and who have been disease free for ≥ 5 years).
  • Current use of alcohol or recreational drugs that in the opinion of the Investigator may interfere with the subject's ability to comply with trial procedures.
  • Receipt of blood or blood-derived products in the past 3 months that might interfere with the assessment of immune response.
  • Vaccination against influenza in the past 6 months.
  • Any vaccination in the 4 weeks preceding the trial vaccination.
  • Planned receipt of any other vaccine in the four weeks following the trial vaccination.
  • Participation in another clinical trial investigating a vaccine, drug, medical device, or a medical procedure in the 4 weeks preceding trial vaccination.
  • Planned participation in another clinical trial during the present trial period.

Note: Concomitant participation in an observational trial (not involving drugs, vaccines, or medical devices) is acceptable.

  • Known thrombocytopenia or bleeding disorder or anticoagulants in the 3 weeks preceding inclusion contraindicating intramuscular vaccination.
  • Chronic illness at a stage that could interfere with trial conduct or completion, in the opinion of the investigator
  • Personal or family history of Guillain-Barré Syndrome.
  • Known current human immunodeficiency virus (HIV), hepatitis B (HBsAg) or hepatitis C infection or seropositivity.
  • Subject deprived of freedom by an administrative or court order, or in an emergency setting, or hospitalized without his/her consent.
  • An acute febrile illness [oral temperature ≥ 99.5°F (≥ 37.5°C)] within 24 hours prior to vaccination. If this exists, vaccination will be deferred until the participant becomes afebrile.
  • Signs and symptoms of an acute infectious respiratory illness. If this exists, vaccination will be deferred until the symptoms resolve.
  • The use of an antibiotics therapy within 72 hours preceding the trial vaccination. If this exists, vaccination will be deferred until at least 72 hours after the last antibiotics therapy.
  • Receipt of any allergy shots in the 7-day period prior to enrollment (vaccination), or scheduled to receive any allergy shots in the 7-day period after enrollment (vaccination). Subjects should be enrolled in the trial only if their allergy shots are given on a stable schedule outside the 7-day periods pre- and post-vaccination.

Sites / Locations

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm 5

Arm Type

Experimental

Experimental

Active Comparator

Active Comparator

Active Comparator

Arm Label

Influenza Virus Vaccine Formulation 1

Influenza Virus Vaccine Formulation 2

Fluzone® Elderly Group

Fluzone® High-dose Group

Fluzone® Adults Group

Arm Description

Influenza Virus Vaccine Formulation 1

Influenza Virus Vaccine Formulation 2

Participants enrolled at age ≥ 65 years

Participants enrolled at age 18-49 years.

Outcomes

Primary Outcome Measures

Geometric Mean Titers (GMTs) Before and After Vaccination With Fluzone Intradermal or Fluzone High Dose or Fluzone Intramuscular Vaccine.
Serum antibody titers for the Influenza vaccine serogroups A/H1N1, A/H3N2, and B were assessed by hemagglutinin inhibition (HAI) assay.
Percentage of Participants Who Achieved Seroconversion Post-Vaccination With Fluzone Intradermal or Fluzone High Dose or Fluzone Intramuscular Vaccine
Seroconversion defined as either a pre-vaccination hemagglutination inhibition (HAI) titer < 1:10 and a post vaccination titer ≥ 1:40, or a pre-vaccination titer ≥ 1:10 and a minimum four fold increase at one month post-vaccination.
Percentage of Participants Who Achieved Seroprotection Before and Post-vaccination With Fluzone Intradermal or Fluzone High Dose or Fluzone Intramuscular Vaccine.
Seroprotection was defined as a Hemagglutination inhibition (HAI) titer ≥ 1:40

Secondary Outcome Measures

Number of Participants Reporting Solicited Injection Site or Systemic Reactions Post-vaccination With Either Fluzone Intradermal or Fluzone High Dose or Fluzone Intramuscular Vaccine.
Solicited injection site reactions: Pain, Pruritus, Erythema, Swelling, Induration, and Ecchymosis. Solicited systemic reactions: Fever (Temperature), Headache, Malaise, Myalgia, and Chills

Full Information

First Posted
October 29, 2007
Last Updated
April 12, 2016
Sponsor
Sanofi
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1. Study Identification

Unique Protocol Identification Number
NCT00551031
Brief Title
Study of Inactivated, Split-Virion Influenza Vaccine and Standard Fluzone® Vaccine in Adult and Elderly Subjects
Official Title
Immunogenicity and Safety of Two Dosages of the Split, Inactivated, Trivalent Influenza Vaccine Administered by Intradermal Route in the Elderly Compared With Standard Fluzone® in Adults and Elderly Subjects.
Study Type
Interventional

2. Study Status

Record Verification Date
April 2016
Overall Recruitment Status
Completed
Study Start Date
October 2007 (undefined)
Primary Completion Date
June 2008 (Actual)
Study Completion Date
November 2008 (Actual)

3. Sponsor/Collaborators

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

4. Oversight

Data Monitoring Committee
Yes

5. Study Description

Brief Summary
The present formulations are being developed for further study in the elderly population in order to generate additional supporting data. Primary Objective: To demonstrate non-inferiority of post-vaccination immunogenicity of subjects who received either 1 of the 2 investigational formulations of a trivalent inactivated vaccine (TIV) compared to that of the standard Fluzone® in elderly subjects. Secondary Objectives: Immunogenicity To describe the immunogenicity in subjects receiving investigational Fluzone and standard Fluzone®. Safety: To evaluate and describe the safety profile of investigational Fluzone in terms of solicited- and unsolicited adverse events and serious adverse events post-vaccination.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Influenza, Myxovirus Infection
Keywords
Influenza, Orthomyxoviruses, Myxovirus Infection, Inactivated Split-virion influenza vaccine, Elderly

7. Study Design

Primary Purpose
Prevention
Study Phase
Phase 2
Interventional Study Model
Parallel Assignment
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
2098 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Influenza Virus Vaccine Formulation 1
Arm Type
Experimental
Arm Description
Influenza Virus Vaccine Formulation 1
Arm Title
Influenza Virus Vaccine Formulation 2
Arm Type
Experimental
Arm Description
Influenza Virus Vaccine Formulation 2
Arm Title
Fluzone® Elderly Group
Arm Type
Active Comparator
Arm Title
Fluzone® High-dose Group
Arm Type
Active Comparator
Arm Description
Participants enrolled at age ≥ 65 years
Arm Title
Fluzone® Adults Group
Arm Type
Active Comparator
Arm Description
Participants enrolled at age 18-49 years.
Intervention Type
Biological
Intervention Name(s)
Split, Inactivated, Trivalent Influenza Vaccine (Intradermal Formulation 1)
Intervention Description
0.1 mL, Intradermal (ID)
Intervention Type
Biological
Intervention Name(s)
Split, Inactivated, Trivalent Influenza Vaccine (Intradermal Formulation 2)
Intervention Description
0.1 mL, Intradermal (ID)
Intervention Type
Biological
Intervention Name(s)
Split, Inactivated, Trivalent Influenza Vaccine (Standard dose)
Other Intervention Name(s)
Fluzone®
Intervention Description
0.5 mL, Intramuscular (IM)
Intervention Type
Biological
Intervention Name(s)
Split, Inactivated, Trivalent Influenza Vaccine (High-dose)
Other Intervention Name(s)
Fluzone® High-dose
Intervention Description
0.5 mL, Intramuscular (IM)
Intervention Type
Biological
Intervention Name(s)
Split, Inactivated, Trivalent Influenza Vaccine (Standard dose)
Other Intervention Name(s)
Fluzone®
Intervention Description
0.5 mL, Intramuscular (IM)
Primary Outcome Measure Information:
Title
Geometric Mean Titers (GMTs) Before and After Vaccination With Fluzone Intradermal or Fluzone High Dose or Fluzone Intramuscular Vaccine.
Description
Serum antibody titers for the Influenza vaccine serogroups A/H1N1, A/H3N2, and B were assessed by hemagglutinin inhibition (HAI) assay.
Time Frame
Day 0 and Day 28 post vaccination
Title
Percentage of Participants Who Achieved Seroconversion Post-Vaccination With Fluzone Intradermal or Fluzone High Dose or Fluzone Intramuscular Vaccine
Description
Seroconversion defined as either a pre-vaccination hemagglutination inhibition (HAI) titer < 1:10 and a post vaccination titer ≥ 1:40, or a pre-vaccination titer ≥ 1:10 and a minimum four fold increase at one month post-vaccination.
Time Frame
Day 28 post-vaccination
Title
Percentage of Participants Who Achieved Seroprotection Before and Post-vaccination With Fluzone Intradermal or Fluzone High Dose or Fluzone Intramuscular Vaccine.
Description
Seroprotection was defined as a Hemagglutination inhibition (HAI) titer ≥ 1:40
Time Frame
Day 0 and Day 28 post-vaccination
Secondary Outcome Measure Information:
Title
Number of Participants Reporting Solicited Injection Site or Systemic Reactions Post-vaccination With Either Fluzone Intradermal or Fluzone High Dose or Fluzone Intramuscular Vaccine.
Description
Solicited injection site reactions: Pain, Pruritus, Erythema, Swelling, Induration, and Ecchymosis. Solicited systemic reactions: Fever (Temperature), Headache, Malaise, Myalgia, and Chills
Time Frame
Days 0 through 7 post-vaccination

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: Aged ≥ 65 years or aged 18 to 49 years on the day of vaccination. Informed consent form signed. Medically stable (Subjects may have underlying illnesses such as hypertension, diabetes, ischemic heart disease or hypothyroidism, as long as their symptoms/signs are controlled. If they are on medication for a condition, the medication dose must have been stable for at least 3 weeks preceding vaccination. Able to attend all scheduled visits and to comply with all trial procedures. For a woman of child-bearing potential, avoid becoming pregnant (use of an effective method of contraception or abstinence) for at least 4 weeks prior to vaccination, until at least 4 weeks after vaccination Exclusion Criteria: Known systemic hypersensitivity to any of the vaccine components or history of a life-threatening reaction to the standard-dose Fluzone® vaccine or to a vaccine containing any of the same substances. Known or suspected congenital or acquired immunodeficiency, hepatitis B (HBsAg) or hepatitis C infection or seropositivity immunosuppressive therapy such as anti-cancer chemotherapy or radiation therapy within the preceding 6 months, or long-term systemic corticosteroids therapy For a woman of child-bearing potential, known pregnancy or positive urine pregnancy test. Breast feeding woman. Neoplastic disease or any hematologic malignancy, (except localized skin or prostate cancer that is stable at the time of vaccination in the absence of therapy, as well as subjects who have a history of neoplastic disease and who have been disease free for ≥ 5 years). Current use of alcohol or recreational drugs that in the opinion of the Investigator may interfere with the subject's ability to comply with trial procedures. Receipt of blood or blood-derived products in the past 3 months that might interfere with the assessment of immune response. Vaccination against influenza in the past 6 months. Any vaccination in the 4 weeks preceding the trial vaccination. Planned receipt of any other vaccine in the four weeks following the trial vaccination. Participation in another clinical trial investigating a vaccine, drug, medical device, or a medical procedure in the 4 weeks preceding trial vaccination. Planned participation in another clinical trial during the present trial period. Note: Concomitant participation in an observational trial (not involving drugs, vaccines, or medical devices) is acceptable. Known thrombocytopenia or bleeding disorder or anticoagulants in the 3 weeks preceding inclusion contraindicating intramuscular vaccination. Chronic illness at a stage that could interfere with trial conduct or completion, in the opinion of the investigator Personal or family history of Guillain-Barré Syndrome. Known current human immunodeficiency virus (HIV), hepatitis B (HBsAg) or hepatitis C infection or seropositivity. Subject deprived of freedom by an administrative or court order, or in an emergency setting, or hospitalized without his/her consent. An acute febrile illness [oral temperature ≥ 99.5°F (≥ 37.5°C)] within 24 hours prior to vaccination. If this exists, vaccination will be deferred until the participant becomes afebrile. Signs and symptoms of an acute infectious respiratory illness. If this exists, vaccination will be deferred until the symptoms resolve. The use of an antibiotics therapy within 72 hours preceding the trial vaccination. If this exists, vaccination will be deferred until at least 72 hours after the last antibiotics therapy. Receipt of any allergy shots in the 7-day period prior to enrollment (vaccination), or scheduled to receive any allergy shots in the 7-day period after enrollment (vaccination). Subjects should be enrolled in the trial only if their allergy shots are given on a stable schedule outside the 7-day periods pre- and post-vaccination.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Medical Director
Organizational Affiliation
Sanofi Pasteur Inc.
Official's Role
Study Director
Facility Information:
City
Alabaster
State/Province
Alabama
Country
United States
City
Mobile
State/Province
Alabama
Country
United States
City
Chandler
State/Province
Arizona
Country
United States
City
Mesa
State/Province
Arizona
Country
United States
City
Phoenix
State/Province
Arizona
Country
United States
City
Tucson
State/Province
Arizona
Country
United States
City
Fountain Valley
State/Province
California
Country
United States
City
San Diego
State/Province
California
Country
United States
City
Stanford
State/Province
Connecticut
Country
United States
City
Pembroke Pines
State/Province
Florida
Country
United States
City
Pinellas Park
State/Province
Florida
Country
United States
City
Boise
State/Province
Idaho
Country
United States
City
Chicago
State/Province
Illinois
Country
United States
City
Wichita
State/Province
Kansas
Country
United States
City
Kansas City
State/Province
Missouri
Country
United States
City
Springfield
State/Province
Missouri
Country
United States
City
St. Louis
State/Province
Missouri
Country
United States
City
Cary
State/Province
North Carolina
Country
United States
City
Raleigh
State/Province
North Carolina
Country
United States
City
Cincinnati
State/Province
Ohio
Country
United States
City
Allentown
State/Province
Pennsylvania
Country
United States
City
Bensalem
State/Province
Pennsylvania
Country
United States
City
Warwick
State/Province
Rhode Island
Country
United States
City
Goose Creek
State/Province
South Carolina
Country
United States
City
Fort Worth
State/Province
Texas
Country
United States
City
Galveston
State/Province
Texas
Country
United States
City
Salt Lake City
State/Province
Utah
Country
United States
City
West Jordan
State/Province
Utah
Country
United States
City
Marshfield
State/Province
Wisconsin
Country
United States

12. IPD Sharing Statement

Citations:
PubMed Identifier
24120672
Citation
Tsang P, Gorse GJ, Strout CB, Sperling M, Greenberg DP, Ozol-Godfrey A, DiazGranados C, Landolfi V. Immunogenicity and safety of Fluzone((R)) intradermal and high-dose influenza vaccines in older adults >/=65 years of age: a randomized, controlled, phase II trial. Vaccine. 2014 May 1;32(21):2507-17. doi: 10.1016/j.vaccine.2013.09.074. Epub 2013 Oct 11.
Results Reference
derived
Links:
URL
http://www.sanofipasteur.com
Description
Related Info

Learn more about this trial

Study of Inactivated, Split-Virion Influenza Vaccine and Standard Fluzone® Vaccine in Adult and Elderly Subjects

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