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Study of Shenzhen Quadrivalent Inactivated Influenza Vaccine Versus the Shenzhen Trivalent Inactivated Influenza Vaccine in Chinese Subjects From 6 Months of Age

Primary Purpose

Influenza

Status
Completed
Phase
Phase 3
Locations
China
Study Type
Interventional
Intervention
Quadrivalent Influenza Vaccine
Trivalent Influenza Vaccine 1 SP Shz TIV1
Trivalent Influenza Vaccine 2 SP Shz TIV2
Sponsored by
Sanofi Pasteur, a Sanofi Company
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional prevention trial for Influenza

Eligibility Criteria

6 Months - undefined (Child, Adult, Older Adult)All SexesAccepts Healthy Volunteers

Inclusion criteria :

  • Aged ≥ 6 months on the day of the first study visit/inclusion
  • In good health or with underlying medical condition(s) that are judged to be stable by the investigator. Medically-stable is defined as:

    • No new diagnosis OR
    • No new class of prescription drug initiated during the 3 months prior to enrollment
  • For participants aged 6 months through 17 years: Informed consent form has been signed and dated by the parent(s) or another legally acceptable representative, if applicable. Additionally an assent form has been signed and dated by the subject if aged 8 through 17 years (based on local regulations). For subjects aged 18 years and above: Informed consent form has been signed and dated
  • Subject / subject and parent/legally acceptable representative are able to attend all scheduled visits and to comply with all trial procedures
  • For subjects aged 6 months to less than 12 months only: Born at full term of pregnancy (≥ 37 weeks) and with a birth weight ≥ 2.5 kg

Exclusion criteria:

  • Subject is pregnant, or lactating, or of childbearing potential and not using an effective method of contraception or abstinence from at least 4 weeks prior to vaccination until at least 4 weeks after vaccination. To be considered of non-childbearing potential, a female must be pre-menarche or post-menopausal for at least 1 year, or surgically sterile
  • Participation at the time of study enrollment (or in the 4 weeks preceding the trial vaccination) or planned participation during the present trial period in another clinical trial investigating a vaccine, drug, medical device, or medical procedure
  • Receipt of any vaccine or planned receipt of any vaccine within the period from 2 weeks before trial vaccination to 2 weeks following trial vaccination (or the last trial vaccination)
  • For previously influenza vaccinated subjects: Previous vaccination against influenza (in the 2019-2020 season) with either the trial vaccine or another vaccine
  • For previously influenza unvaccinated subjects: Any influenza vaccination (from birth to the day of inclusion) with either the trial vaccine or another vaccine
  • Receipt of immune globulins, blood or blood-derived products in the past 3 months
  • Known or suspected congenital or acquired immunodeficiency; or receipt of immunosuppressive therapy, such as anti-cancer chemotherapy or radiation therapy, within the preceding 6 months; or long-term systemic corticosteroid therapy (prednisone or equivalent for more than 2 consecutive weeks within the past 3 months)
  • Known systemic hypersensitivity to any of the vaccine components, or history of a life-threatening reaction to the vaccine used in the trial or to a vaccine containing any of the same substances
  • Self-reported thrombocytopenia or known thrombocytopenia as reported by the parent/legally acceptable representative, contraindicating intramuscular (IM) vaccination
  • Bleeding disorder, or receipt of anticoagulants in the 3 weeks preceding inclusion, contraindicating IM vaccination
  • Deprived of freedom by an administrative or court order, or in an emergency setting, or hospitalized involuntarily
  • Current alcohol abuse or drug addiction
  • Chronic illness that, in the opinion of the investigator, is at a stage where it might interfere with trial conduct or completion
  • Personal history of clinically significant developmental delay (at the discretion of the Investigator), neurologic disorder, or seizure disorder
  • Known seropositivity for human immunodeficiency virus, including known HIV carrier or patient
  • Moderate or severe acute illness/infection (according to investigator judgment) on the day of vaccination or febrile illness (axillary temperature ≥ 37.1°C). A prospective subject should not be included in the study until the condition has resolved or the febrile event has subsided
  • Personal history of Guillain-Barre syndrome
  • Identified as an Investigator or employee of the Investigator or study center with direct involvement in the proposed study, or identified as an immediate family member (ie, parent, spouse, natural or adopted child) of the Investigator or employee with direct involvement in the proposed study

Sites / Locations

  • Investigational Site Number 1561000
  • Investigational Site Number 1561001
  • Investigational Site Number 1561002
  • Investigational Site Number 1561003
  • Investigational Site Number 1562001
  • Investigational Site Number 1562002
  • Investigational Site Number 1562000

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm 5

Arm 6

Arm Type

Experimental

Experimental

Experimental

Experimental

Experimental

Experimental

Arm Label

Group A: 6 to 35 months, previously unvaccinated, step 1

Group 1: 6 to 35 months, step 2

Group 2: 3 to 8 years, step 2

Group 3: 9 to 17 years, step 2

Group 4: 18 to 60 years, step 2

Group 5: >=61 years

Arm Description

Participants will receive two injections of SP Shz QIV 0.5 mL at Day 0 and Day 28

Participants will receive one injection of SP Shz QIV 0.25 mL or SP Shz QIV 0.5 mL at Day 0 or SP Shz TIV1 0.25 mL or SP Shz TIV2 0.25 mL at Day 0. Participants for whom 2 doses of influenza vaccine were recommended, a second dose was administered at Day 28.

Participants will receive one injection of SP Shz QIV 0.5 mL or SP Shz QIV 0.5 mL or SP Shz TIV1 0.5 mL or SP Shz TIV2 0.5 mL at Day 0. Participants for whom 2 doses of influenza vaccine were recommended, a second dose was administered at Day 28.

Participants will receive one injection of SP Shz QIV 0.5 mL or SP Shz TIV1 0.5 mL or SP Shz TIV2 0.5 mL at Day 0.

Participants will receive one injection of SP Shz QIV 0.5 mL or SP Shz TIV1 0.5 mL or SP Shz TIV2 0.5 mL at Day 0.

Participants will receive one injection of SP Shz QIV 0.5 mL or SP Shz TIV1 0.5 mL or SP Shz TIV2 0.5 mL at Day 0.

Outcomes

Primary Outcome Measures

Geometric Mean Titers of Influenza Antibodies for Subjects 6-35 months
Geometric mean titers will be assessed by a hemagglutination (HAI) method
Participants Achieving Seroconversion Against Antigens for Subjects 6-35 months
Influenza antibodies will be assessed using the HAI method.
Geometric Mean Titers of Antibodies for Subjects ≥ 3 years
Geometric mean titers will be assessed by a HAI method
Number of Participants Achieving Seroconversion Against Antigens for Subjects ≥ 3 years
Influenza antibodies will be assessed using the HAI method.
Number of Participants with Immediate Adverse Events
Immediate adverse events includes unsolicited systemic adverse events occuring within 30 minutes after vaccination
Number of Participants With Solicited Injection Site or Systemic Reactions
Injection site reactions: injection site tenderness/pain, erythema, swelling, induration, and ecchymosis. Systemic reactions: fever, vomiting, crying abnormal, drowsiness, appetite lost, and irritability for toddlers aged <= 23 months and fever, headache, malaise, myalgia and shivering for participants aged > 2 years.
Number of Participants with Unsolicited Adverse Events
Adverse events other than solicited reactions
Number of Participants with Serious Adverse Events
Serious adverse events (including adverse event of special interest) are assessed throughout the study.

Secondary Outcome Measures

Geometric Mean Titers of Antibodies
Geometric mean titers will be assessed by a HAI method.
Geometric Mean Individual Titer Ratio
Geometric mean titers will be assessed by a HAI method.
Number of Participants with Detectable Titer ≥ 10 (1/dilution [1/dil])
Geometric mean titers will be assessed by an HAI method.
Percentage of Participants with Seroprotection to Antigens After Vaccination
Seroprotection was defined as antibody titer ≥ 40 (1/dil) on Day 0 and on 28 days post-final vaccination
Percentage of Participants with Seroconversion to Antigens After Vaccination
Seroconversion titer < 10 (1/dil) on Day 0 and post-injection(s) titer ≥ 40 (1/dil) on Day 28 or Day 56, or titer ≥ 10 (1/dil) on Day 0 and ≥ 4-fold increase of post-injection(s) titer on 28 days post-final vaccination.
Geometric Mean Individual Titer Ratio for Participants Aged 65 years or Older
Geometric mean titers will be assessed by an HAI method.
Percentage of Participants with Seroconversion to Antigens After Vaccination for Participants Aged 65 years or Older
Seroconversion titer < 10 (1/dil) on Day 0 and post-injection(s) titer ≥ 40 (1/dil) on Day 28, or titer ≥ 10 (1/dil) on Day 0 and ≥ 4-fold increase of post-injection(s) titer on 28 days post-final vaccination.

Full Information

First Posted
November 26, 2019
Last Updated
September 29, 2023
Sponsor
Sanofi Pasteur, a Sanofi Company
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1. Study Identification

Unique Protocol Identification Number
NCT04210349
Brief Title
Study of Shenzhen Quadrivalent Inactivated Influenza Vaccine Versus the Shenzhen Trivalent Inactivated Influenza Vaccine in Chinese Subjects From 6 Months of Age
Official Title
Immunogenicity and Safety of the Shenzhen Quadrivalent Inactivated Influenza Vaccine Versus the Shenzhen Trivalent Inactivated Influenza Vaccine in Chinese Subjects From 6 Months of Age
Study Type
Interventional

2. Study Status

Record Verification Date
November 2022
Overall Recruitment Status
Completed
Study Start Date
January 9, 2020 (Actual)
Primary Completion Date
December 1, 2020 (Actual)
Study Completion Date
December 1, 2020 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Sanofi Pasteur, a Sanofi Company

4. Oversight

Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No
Product Manufactured in and Exported from the U.S.
No
Data Monitoring Committee
No

5. Study Description

Brief Summary
The primary objectives of the study were: To demonstrate the non-inferiority of the immune response in terms of geometric mean titers (GMTs) and seroconversion rates of the SP Shz QIV compared with the SP Shz TIV containing the Victoria lineage strain (TIV1) and the SP Shz TIV containing the Yamagata lineage strain (TIV2) for each strain To describe the safety profile of each dosage of SP Shz QIV, TIV1 or TIV2 The secondary objectives of the study were: Group 1 (subjects 6-35 months): To demonstrate the superiority of the immune response of SP Shz QIV compared to TIV2 or TIV1 group after the last dose; demonstrate the superiority of the immune response of the 0.5 mL dose of SP Shz QIV compared to 0.25 mL dose of SP Shz QIV group after the last dose; describe the immune response after administration of the last dose of either SP Shz QIV or SP Shz TIV1 or SP Shz TIV2. Groups 2 through 5 (subjects ≥ 3 years): To demonstrate the superiority of the immune response of SP Shz QIV compared to TIV2 or TIV1 group after a single dose; describe the immune response after each and every dose for all subjects ≥ 3 years of either SP Shz QIV or SP Shz TIV1 or SP Shz TIV2 Group 2 (subjects 3 to 8 years), previously unvaccinated ,receiving SP Shz QIV: To describe the immune response after administration of each dose of SP Shz QIV, first dose and second dose of SP Shz QIV respectively Group 5 (subjects ≥ 65 years only): To assess the compliance, in terms of immunogenicity, of SP Shz QIV with the requirements of the CHMP NfG CPMP/BWP/214/96 in subjects aged 65 years or older. To describe the safety profile of SP Shz QIV 0.5 mL after each dose.
Detailed Description
Study duration per participants approximately is 180 days

6. Conditions and Keywords

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

7. Study Design

Primary Purpose
Prevention
Study Phase
Phase 3
Interventional Study Model
Parallel Assignment
Masking
ParticipantInvestigatorOutcomes Assessor
Masking Description
Open-label (single arm for early safety review) in step 1. Modified double-blind in step 2 with an unblinded administrator used at each trial site. The administrator will not be involved in any of the blinded study assessments (e.g., safety).
Allocation
Randomized
Enrollment
7106 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Group A: 6 to 35 months, previously unvaccinated, step 1
Arm Type
Experimental
Arm Description
Participants will receive two injections of SP Shz QIV 0.5 mL at Day 0 and Day 28
Arm Title
Group 1: 6 to 35 months, step 2
Arm Type
Experimental
Arm Description
Participants will receive one injection of SP Shz QIV 0.25 mL or SP Shz QIV 0.5 mL at Day 0 or SP Shz TIV1 0.25 mL or SP Shz TIV2 0.25 mL at Day 0. Participants for whom 2 doses of influenza vaccine were recommended, a second dose was administered at Day 28.
Arm Title
Group 2: 3 to 8 years, step 2
Arm Type
Experimental
Arm Description
Participants will receive one injection of SP Shz QIV 0.5 mL or SP Shz QIV 0.5 mL or SP Shz TIV1 0.5 mL or SP Shz TIV2 0.5 mL at Day 0. Participants for whom 2 doses of influenza vaccine were recommended, a second dose was administered at Day 28.
Arm Title
Group 3: 9 to 17 years, step 2
Arm Type
Experimental
Arm Description
Participants will receive one injection of SP Shz QIV 0.5 mL or SP Shz TIV1 0.5 mL or SP Shz TIV2 0.5 mL at Day 0.
Arm Title
Group 4: 18 to 60 years, step 2
Arm Type
Experimental
Arm Description
Participants will receive one injection of SP Shz QIV 0.5 mL or SP Shz TIV1 0.5 mL or SP Shz TIV2 0.5 mL at Day 0.
Arm Title
Group 5: >=61 years
Arm Type
Experimental
Arm Description
Participants will receive one injection of SP Shz QIV 0.5 mL or SP Shz TIV1 0.5 mL or SP Shz TIV2 0.5 mL at Day 0.
Intervention Type
Biological
Intervention Name(s)
Quadrivalent Influenza Vaccine
Intervention Description
Pharmaceutical form: Suspension for injection Route of administration: intramuscular
Intervention Type
Biological
Intervention Name(s)
Trivalent Influenza Vaccine 1 SP Shz TIV1
Intervention Description
Pharmaceutical form: Suspension for injection Route of administration: intramuscular
Intervention Type
Biological
Intervention Name(s)
Trivalent Influenza Vaccine 2 SP Shz TIV2
Intervention Description
Pharmaceutical form: Suspension for injection Route of administration: intramuscular
Primary Outcome Measure Information:
Title
Geometric Mean Titers of Influenza Antibodies for Subjects 6-35 months
Description
Geometric mean titers will be assessed by a hemagglutination (HAI) method
Time Frame
28 days post-final vaccination
Title
Participants Achieving Seroconversion Against Antigens for Subjects 6-35 months
Description
Influenza antibodies will be assessed using the HAI method.
Time Frame
28 days post-final vaccination
Title
Geometric Mean Titers of Antibodies for Subjects ≥ 3 years
Description
Geometric mean titers will be assessed by a HAI method
Time Frame
Day 28
Title
Number of Participants Achieving Seroconversion Against Antigens for Subjects ≥ 3 years
Description
Influenza antibodies will be assessed using the HAI method.
Time Frame
Day 28
Title
Number of Participants with Immediate Adverse Events
Description
Immediate adverse events includes unsolicited systemic adverse events occuring within 30 minutes after vaccination
Time Frame
Within 30 minutes after vaccination
Title
Number of Participants With Solicited Injection Site or Systemic Reactions
Description
Injection site reactions: injection site tenderness/pain, erythema, swelling, induration, and ecchymosis. Systemic reactions: fever, vomiting, crying abnormal, drowsiness, appetite lost, and irritability for toddlers aged <= 23 months and fever, headache, malaise, myalgia and shivering for participants aged > 2 years.
Time Frame
Within 7 days after vaccination
Title
Number of Participants with Unsolicited Adverse Events
Description
Adverse events other than solicited reactions
Time Frame
Within 28 days after vaccination
Title
Number of Participants with Serious Adverse Events
Description
Serious adverse events (including adverse event of special interest) are assessed throughout the study.
Time Frame
From Day 0 to Day 56 for participants in Group A and from Day 0 to 6 months after last vaccination for participants in Group 1 through Group 5.
Secondary Outcome Measure Information:
Title
Geometric Mean Titers of Antibodies
Description
Geometric mean titers will be assessed by a HAI method.
Time Frame
Day 0 and 28 days post-final vaccination
Title
Geometric Mean Individual Titer Ratio
Description
Geometric mean titers will be assessed by a HAI method.
Time Frame
Day 0 and 28 days post-final vaccination
Title
Number of Participants with Detectable Titer ≥ 10 (1/dilution [1/dil])
Description
Geometric mean titers will be assessed by an HAI method.
Time Frame
Day 0 and 28 days post-final vaccination
Title
Percentage of Participants with Seroprotection to Antigens After Vaccination
Description
Seroprotection was defined as antibody titer ≥ 40 (1/dil) on Day 0 and on 28 days post-final vaccination
Time Frame
Day 0 and 28 days post-final vaccination
Title
Percentage of Participants with Seroconversion to Antigens After Vaccination
Description
Seroconversion titer < 10 (1/dil) on Day 0 and post-injection(s) titer ≥ 40 (1/dil) on Day 28 or Day 56, or titer ≥ 10 (1/dil) on Day 0 and ≥ 4-fold increase of post-injection(s) titer on 28 days post-final vaccination.
Time Frame
Day 0 and 28 days post-final vaccination
Title
Geometric Mean Individual Titer Ratio for Participants Aged 65 years or Older
Description
Geometric mean titers will be assessed by an HAI method.
Time Frame
Day 0 and 28 days post-final vaccination
Title
Percentage of Participants with Seroconversion to Antigens After Vaccination for Participants Aged 65 years or Older
Description
Seroconversion titer < 10 (1/dil) on Day 0 and post-injection(s) titer ≥ 40 (1/dil) on Day 28, or titer ≥ 10 (1/dil) on Day 0 and ≥ 4-fold increase of post-injection(s) titer on 28 days post-final vaccination.
Time Frame
Day 0 and 28 days post-final vaccination

10. Eligibility

Sex
All
Minimum Age & Unit of Time
6 Months
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion criteria : Aged ≥ 6 months on the day of the first study visit/inclusion In good health or with underlying medical condition(s) that are judged to be stable by the investigator. Medically-stable is defined as: No new diagnosis OR No new class of prescription drug initiated during the 3 months prior to enrollment For participants aged 6 months through 17 years: Informed consent form has been signed and dated by the parent(s) or another legally acceptable representative, if applicable. Additionally an assent form has been signed and dated by the subject if aged 8 through 17 years (based on local regulations). For subjects aged 18 years and above: Informed consent form has been signed and dated Subject / subject and parent/legally acceptable representative are able to attend all scheduled visits and to comply with all trial procedures For subjects aged 6 months to less than 12 months only: Born at full term of pregnancy (≥ 37 weeks) and with a birth weight ≥ 2.5 kg Exclusion criteria: Subject is pregnant, or lactating, or of childbearing potential and not using an effective method of contraception or abstinence from at least 4 weeks prior to vaccination until at least 4 weeks after vaccination. To be considered of non-childbearing potential, a female must be pre-menarche or post-menopausal for at least 1 year, or surgically sterile Participation at the time of study enrollment (or in the 4 weeks preceding the trial vaccination) or planned participation during the present trial period in another clinical trial investigating a vaccine, drug, medical device, or medical procedure Receipt of any vaccine or planned receipt of any vaccine within the period from 2 weeks before trial vaccination to 2 weeks following trial vaccination (or the last trial vaccination) For previously influenza vaccinated subjects: Previous vaccination against influenza (in the 2019-2020 season) with either the trial vaccine or another vaccine For previously influenza unvaccinated subjects: Any influenza vaccination (from birth to the day of inclusion) with either the trial vaccine or another vaccine Receipt of immune globulins, blood or blood-derived products in the past 3 months Known or suspected congenital or acquired immunodeficiency; or receipt of immunosuppressive therapy, such as anti-cancer chemotherapy or radiation therapy, within the preceding 6 months; or long-term systemic corticosteroid therapy (prednisone or equivalent for more than 2 consecutive weeks within the past 3 months) Known systemic hypersensitivity to any of the vaccine components, or history of a life-threatening reaction to the vaccine used in the trial or to a vaccine containing any of the same substances Self-reported thrombocytopenia or known thrombocytopenia as reported by the parent/legally acceptable representative, contraindicating intramuscular (IM) vaccination Bleeding disorder, or receipt of anticoagulants in the 3 weeks preceding inclusion, contraindicating IM vaccination Deprived of freedom by an administrative or court order, or in an emergency setting, or hospitalized involuntarily Current alcohol abuse or drug addiction Chronic illness that, in the opinion of the investigator, is at a stage where it might interfere with trial conduct or completion Personal history of clinically significant developmental delay (at the discretion of the Investigator), neurologic disorder, or seizure disorder Known seropositivity for human immunodeficiency virus, including known HIV carrier or patient Moderate or severe acute illness/infection (according to investigator judgment) on the day of vaccination or febrile illness (axillary temperature ≥ 37.1°C). A prospective subject should not be included in the study until the condition has resolved or the febrile event has subsided Personal history of Guillain-Barre syndrome Identified as an Investigator or employee of the Investigator or study center with direct involvement in the proposed study, or identified as an immediate family member (ie, parent, spouse, natural or adopted child) of the Investigator or employee with direct involvement in the proposed study
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Clinical Sciences & Operations
Organizational Affiliation
Sanofi Pasteur, a Sanofi Company
Official's Role
Study Director
Facility Information:
Facility Name
Investigational Site Number 1561000
City
Kunming
ZIP/Postal Code
650022
Country
China
Facility Name
Investigational Site Number 1561001
City
Lincang
ZIP/Postal Code
677001
Country
China
Facility Name
Investigational Site Number 1561002
City
Lincang
ZIP/Postal Code
677001
Country
China
Facility Name
Investigational Site Number 1561003
City
Lincang
ZIP/Postal Code
677001
Country
China
Facility Name
Investigational Site Number 1562001
City
Shangqiu
ZIP/Postal Code
476000
Country
China
Facility Name
Investigational Site Number 1562002
City
Xinxiang
ZIP/Postal Code
453200
Country
China
Facility Name
Investigational Site Number 1562000
City
Zhengzhou
ZIP/Postal Code
450002
Country
China

12. IPD Sharing Statement

Plan to Share IPD
Yes
IPD Sharing Plan Description
Qualified researchers may request access to patient level data and related study documents including the clinical study report, study protocol with any amendments, blank case report form, statistical analysis plan, and dataset specifications. Patient level data will be anonymized and study documents will be redacted to protect the privacy of trial participants. Further details on Sanofi's data sharing criteria, eligible studies, and process for requesting access can be found at: https://vivli.org
Citations:
PubMed Identifier
36328438
Citation
Liu X, Park J, Xia S, Liang B, Yang S, Wang Y, Syrkina O, Lavis N, Liu S, Zhao C, Ding J, Hu J, Samson SI, de Bruijn IA; FSQ01 and FSQ02 Study Groups. Immunological non-inferiority and safety of a quadrivalent inactivated influenza vaccine versus two trivalent inactivated influenza vaccines in China: Results from two studies. Hum Vaccin Immunother. 2022 Nov 30;18(6):2132798. doi: 10.1080/21645515.2022.2132798. Epub 2022 Nov 3.
Results Reference
derived

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Study of Shenzhen Quadrivalent Inactivated Influenza Vaccine Versus the Shenzhen Trivalent Inactivated Influenza Vaccine in Chinese Subjects From 6 Months of Age

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