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Study to Evaluate the Efficacy, Safety and Immunogenicity of Influenza Vaccine in Healthy Subjects (Aged 6 to <72 Months) Versus Control Vaccines

Primary Purpose

Influenza, Human

Status
Completed
Phase
Phase 3
Locations
International
Study Type
Interventional
Intervention
Adjuvanted trivalent inactivated subunit influenza vaccine
Non-adjuvanted trivalent inactivated subunit influenza vaccine or non-adjuvanted trivalent inactivated split influenza vaccine
Meningococcal C conjugate vaccine or tick-borne encephalitis vaccine
Sponsored by
Novartis
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional prevention trial for Influenza, Human focused on measuring Influenza, vaccine, children

Eligibility Criteria

6 Months - 71 Months (Child)All SexesAccepts Healthy Volunteers

Inclusion Criteria:

  • Children whose parents/legal guardians have given written informed consent prior to study entry: a) aged 6 to <72 months (Part I and II of the study; influenza seasons 2007/2008 and 2008/2009) b) aged 6 to <36 months (Part III of the study; influenza season 2009/2010)
  • In good health as determined by: a) medical history, b) physical examination, c) clinical judgment of the investigator

Exclusion criteria:

  • Administration of licensed vaccines (including H1N1sw vaccines) within 14 days (for inactivated vaccines) or 28 days (for live vaccines) prior to enrollment in this study. Routine vaccines, according to local recommendations, or any other vaccines not foreseen in the protocol could be given after the active trial phase (i.e., 21 days after last vaccination) has been concluded.
  • Receipt of another investigational vaccine or any investigational agent within 30 days prior to enrollment in the study or before completion of the safety follow-up period in another study, whichever is longer, and participation in another clinical trial during the present study.
  • Experience of a severe acute infectious disease in the month prior to study start or experience of a mild acute infection disease in the week prior the study start (untreated common cold is acceptable). The severity of the infectious disease occurred will be based on the investigator's judgment.
  • Any severe acute respiratory disease and infection requiring systemic antibiotic or antiviral therapy ongoing or resolved within 2 days prior to study start.
  • Experience an axillary temperature equal to or greater than 37.8°C (rectal temperature equal to or greater than 38.3°C) within the 2 days before enrollment.
  • Any serious disease in the opinion of the investigator including, for example: a) cancer, b) autoimmune disease (including rheumatoid arthritis under immunosuppressive therapy), c) insulin dependent diabetes mellitus, d) chronic pulmonary disease, asthma under inhalative therapy only is acceptable, e) acute or progressive hepatic disease, f) acute or progressive renal disease.
  • Known or suspected impairment/alteration of immune function, for example, resulting from: a) receipt of immunosuppressive therapy (corticosteroid -except topical or inhaled steroids- or cancer chemotherapy), b) receipt of immunostimulants, c) receipt of parenteral immunoglobulin preparation, blood products, and/or plasma derivatives within the past 90 days and for the full length of the study, d) high risk for developing an immunocompromising disease (suspected or known HIV infection or HIV-related disease).
  • Bleeding diathesis.
  • History of hypersensitivity to any component of the study medication or chemically related substances.
  • History of any anaphylaxis, serious vaccine reactions, or allergy to eggs, egg products or any other vaccine component.
  • Laboratory confirmed influenza disease.
  • History of neurological disorder or seizures (febrile seizures allowed).
  • Received any influenza vaccine.
  • Major surgery planned during the study period.
  • Any condition which, in the opinion of the investigator, might interfere with the evaluation of the study objectives, e.g., planned travel or relocation of residence that would interfere with completion of study.

Sites / Locations

  • East Vantaa Clinic
  • Espoo Vaccine Research Clinic
  • Helsinki South Vaccine Research Clinic
  • Helsinki East Vaccine Research Clinic
  • Jarvenpaa Vaccine Research Clinic
  • Kokkola Vaccine Research Clinic
  • Kotka Clinic
  • Kuopio Vaccine Clinic
  • Kuopio Vaccine Research Clinic
  • Lahti vaccine research Clinic
  • Oulu Vaccine Research Clini
  • Pori Vaccine Research Clinic
  • Seinajoki Clinic
  • Tampere Vaccine Research Clinic
  • Turku Clinic
  • Vantaa West Vaccine Research Clinic
  • West Vantaa Clinic
  • Praxis Dr med Thilo Heising
  • Praxis Dr med Ursula Hornlein
  • Praxis Dr med Thomas Richter
  • Praxis Dipl med Andreas Muhmer
  • Praxis Dr med Mechthild Vocks-Hauck
  • Praxis Dr med Klaus-Peter Falkowski
  • Praxis Dr med Eva Brand
  • Praxis Dr med Dorothea Budde
  • Praxis Dr. med. Cornelia Busse
  • Praxis Dipl. med. F. Temmler / Dipl. med. D. Wenzel
  • Praxis Dr med Petra van Stiphout
  • Praxis Dr Luise Schroeter
  • "Praxis Dr med Dietrich Lasius"
  • Praxis Dr. med. Petra Sandow
  • Praxis Dr Norbert Meister
  • Praxis Dr med Thomas Tuschen
  • Praxis Dr. Elmar Dietmair
  • Praxis Dr med Brigitta Becker
  • Praxis Karl-Heinz Blattel
  • Praxis Dr. med. Roland Knecht
  • Praxis Dr. med. Maria R. Holtorf
  • Praxis Dr Klaus Helm
  • Praxis Joseph Zakarian
  • Praxis Dr med Hans-Henning Peters
  • Praxis Dr. med. Dirk Straub
  • Praxis Dr med Rainer Haase
  • Praxis Dr. med. Per Gildberg
  • Peaxis Dr H Outzen jun
  • Praxis Dr Lothar MaurerJun
  • Praxis Dr med Walter Otto
  • Praxis Dr med Hans-Joachim Buttner
  • Praxis Dr med Christian Kayser
  • Praxis Ute Jessat
  • Praxis Dr. med. Dubravka Pock-Lutz
  • Praxis Dr. med. Malte Klarczyk
  • Praxid Dr. med. Karl-Heinrich Hansen
  • Praxis Dr Anna Halat
  • Praxis Dr med Bernard Nast
  • Praxis Dr med Jurgen Schwalbe
  • Praxis Dr med Hans-Heinrich Rohe
  • Praxis Dr Marlies Bolich
  • Praxis Peter Bosch
  • Praxis Dr Peter Andoko Soemantri
  • Praxis Dr. Michael Muehlschlegel
  • Praxis Dr Sibylle Hetzinger
  • Praxis Dipl med Dagmar Manegold-Randel
  • Praxis Dr. Renate Lang
  • Praxis Dr med Julika Kelber
  • Johannes Gutenberg-University
  • Praxis Uwe Jakob
  • Praxis Dr med Falko Panzer
  • Praxis Dr med Volker Tempel
  • Praxis Dr. med. Herbert Kollaschinski
  • Praxis Dr med Matthias Donner
  • Praxis Ralph Koellges
  • Praxis Dr. med. Janina Joiko
  • "Praxis Prof Dr med Stefan Walter Eber"
  • Praxis Dr med Peter Dietl
  • Praxis Dr med Philip Fellner von Feldegg
  • Praxis Dipl Med Ute Macholdt
  • Praxis Dr Rossius
  • Praxis Dr Sabine Maruschke
  • Praxis Drs J und K Kandzora
  • Praxis Dr. med. S. Mohns-Petersen
  • Praxis Dr med Hartmut Scheele
  • Praxis Dr med Stefan Noll
  • Praxis Zlatka Zochev Donkov
  • Praxis Dr med Michael Vomstein
  • "Praxis Dr med Gunther Knapp"
  • Praxis Thomas Morandini
  • Praxis Dr med Ulrich Soergel
  • Praxis Dr Ulrich Pfletschinger
  • Praxis Dr. med Manfred Heitz
  • Praxis Dr. med Heidi B. John-Wagenmann
  • Praxis Dr. med. Rolf Ebert
  • Praxis Dr med Karl-Eugen Mai
  • Praxis Dr med Klaus Kindler
  • Praxis Dr med Ralph Maier
  • Praxis Dr med Ulrich Umpfenbach
  • Praxis Dr med Volker Kemmerich
  • Praxis Dr Per Bergmann
  • Praxis Dr med Steffi Bulst
  • Fondazione IRCCS Policlinico Mangiagalli e Regina Elena
  • Ospedale Maggiore della Carita

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm Type

Experimental

Active Comparator

Sham Comparator

Arm Label

TIV-adj

Flu-control

Non-flu Control

Arm Description

Adjuvanted trivalent inactivated subunit influenza vaccine

Non-adjuvanted trivalent inactivated subunit influenza vaccine or non-adjuvanted trivalent inactivated split influenza vaccine

Novartis meningococcal C conjugate vaccine or tick-borne encephalitis vaccine

Outcomes

Primary Outcome Measures

Number of Subjects (Unprimed) 6 to <36 Months Age With Local and Systemic Reactions After Any Vaccination for All Seasons, Comparison of Adjuvanted Trivalent Influenza Vaccine (aTIV) and Flu Vaccine Control.
Safety was assessed in terms of number of subjects experiencing each of the local and systemic reactions within 7-days after any vaccination for all seasons, comparison of adjuvanted Trivalent influenza vaccine (aTIV) and flu vaccine control.
Percentage of Subjects (Unprimed) Aged 6 to <36 Months With Virus-Confirmed Influenza, Comparison of aTIV and Non-flu Vaccine Control (Men C/TBE Vaccine)
Virus-confirmed influenza illnesses were assessed and compared between the adjuvanted influenza vaccine (TIV-adj) and non-influenza vaccines (Non-flu control) in 6 to <36 month unprimed subjects for Absolute Efficacy. This primary endpoint is only for homologous strains.

Secondary Outcome Measures

Number of Subjects (Unprimed) of 6 to <72 Months Age With Local and Systemic Reactions After Any Vaccination
Safety was assessed as the number of subjects aged 6 to <72 months who reported solicited local or systemic adverse events after any vaccination with TIV-adj for all seasons.
Number of Subjects (Unprimed) With Unsolicited Adverse Events Reported After Any Vaccination
Number of subjects aged 6 to <36 months and in the overall age cohort (unprimed children aged 6 to <72 months) experiencing each of the unsolicited adverse events (AEs) throughout the study
Percentage of Subjects (Unprimed) Aged 6 to <72 Months With Virus-Confirmed Influenza, Comparison of aTIV to Non-flu Vaccine Control and Flu-vaccine Control (Matched Strains)
Virus-confirmed influenza illnesses were assessed and compared between the adjuvanted influenza vaccine (TIV-adj) and non-influenza vaccines (Non-flu control) in subjects aged 6 to <72 months (unprimed) for Absolute Efficacy. For Relative efficacy, the comparison was made between adjuvanted influenza vaccine (TIV-adj) and flu vaccine control.
Percentage of Subjects (Unprimed) Aged 6 to <72 Months With Virus-Confirmed Influenza, Comparison of aTIV to Non-flu Vaccine Control and Flu Vaccine Control (Any Strains).
Virus-confirmed influenza illnesses (regardless of antigenic match to those contained in the vaccine) were assessed and compared between the adjuvanted influenza vaccine (TIV-adj) and non-influenza vaccines (Non-flu control) in subjects aged 6 to <72 months (unprimed) for Absolute Efficacy. For Relative efficacy, the comparison was made between adjuvanted influenza vaccine (TIV-adj) and flu vaccine control.
Number of Subjects (Unprimed) With Influenza Like Illnesses (ILIs) in the 6 to <72 Months Age Cohort for Combined Seasons 2007/08 and 2008/09
Virus-confirmed influenza illnesses were assessed and trivalent adjuvanted influenza vaccine (TIV-adj) was compared with Non-flu control vaccine and Flu-control vaccine in 6 to <72 month old subjects for Influenza like illnesses for seasons 2007/08 and 2008/09.
Number of Subjects With Influenza Like Illnesses (ILIs) in the 6 to <36 Months and in Overall Age Cohort (Unprimed Subjects Aged 6 to <72 Months) for Combined Seasons 2007/08 and 2008/09
Virus-confirmed influenza illnesses were assessed and trivalent adjuvanted influenza vaccine (TIV-adj) was compared with Non-flu control vaccine and Flu-control vaccine for Influenza like illnesses for seasons 2007/08 and 2008/09.
Loss of Days of Usual Activity (Job, School, Day Care, Household/Family/Community Activities) Due to Influenza Like Illness (ILI) in Subjects in Aged 6 to <72 and 6 to <36 Months and in Direct Caregivers Living in the Household.
Virus-confirmed influenza illnesses were assessed and trivalent adjuvanted influenza vaccine (TIV-adj) was compared with Non-flu control vaccine and Flu-control vaccine for Influenza like illnesses for seasons 2007/08 and 2008/09.
Number of Events of Influenza Like Illness for Combined Seasons 2007/08 and 2008/09.
The number of events of Influenza like Illness reported by subjects aged 6 to <72 months was assessed for combined seasons 2007/08 and 2008/09
Immunogenicity of aTIV, Compared to Flu and Non-Flu-control, in Terms of GMRs, in Unprimed Subjects Aged 6 to <36 Months or Season 2008/09 (Homologous and Heterologous Strains)
The immunogenicity was assessed in terms of Geometric mean titer ratios (GMRs) of study day 29/study day 1, study day 50/study day 1, study day 181/study day 1 were evaluated. The criteria for evaluation is GMR >2.5
Immunogenicity of aTIV, Compared to Flu and Non-Flu-control, in Terms of Geometric Mean Titers (GMTs), in Unprimed Subjects Aged 6 to <36 Months for Season 2008/09 (Homologous and Heterologous Strains)
Immunogenicity was analyzed in terms of Geometric Mean Titers (GMTs) as measured by hemagglutination inhibition (HI) assay. For each strain and each vaccine group, least squares GMTs, associated 2-sided 95% confidence interval were determined for all time points. Superiority analysis: GMT-TIV-adj/GMT-Flu-control >1 should be elicited to show that GMT-TIV-adj is superior to GMT-Flu-control
Percentage (95% CI) of Unprimed Subjects Aged 6 to <36 Months With HI Titer ≥1:40 in Season 2008/09 HI Assay(Homologous and Heterologous Strains)
Percentage of subjects achieving seroprotection (i.e., with HI titer ≥1:40) at study day 1, study day 29, study day 50 and a study day 181 and associated 95% CI. The lower bound of the two-sided 95% CI for the percentage of subjects achieving an HI antibody titer ≥1:40 should meet or exceed 70%.
Percentage (95% CI) of Unprimed Subjects Aged 6 to <36 Months With Seroconversion From Baseline, for Season 2008/09 (Homologous and Heterologous Strains)
HI assay was used for the analysis. Seroconversion is defined as negative pre-vaccination serum (<10)/ post-vaccination HI titer ≥1:40. Seroconversion is defined as either pre-vaccination HI titer <10 and a post-vaccination HI titer ≥1:40 or a prevaccination HI titer ≥10 and a minimum four-fold rise in post-vaccination HI antibody titer. The lower bound of the two-sided 95% confidence interval (CI) for the percentage of subjects achieving seroconversion for HI antibody should meet or exceed 40%.
Immunogenicity of aTIV, Compared to Flu and Non-Flu-control, in Terms of GMTs, in Unprimed Subjects Aged 6 to <72 Months for Season 2008/09 (Homologous and Heterologous Strains)
Immunogenicity was analyzed in terms of Geometric Mean Titers (GMTs) as measured by hemagglutination inhibition (HI) assay. For each strain and each vaccine group, least squares GMTs, associated 2-sided 95% confidence interval were determined for all time points Superiority analysis: GMT-TIV-adj/GMT-Flu-control >1 and GMT-TIV-adj/GMT-Non Flu-control >1 should be elicited to show that GMT-TIV-adj is superior to GMT-Flu-control/Non Flu-control.
Immunogenicity of aTIV, Compared to Flu and Non-Flu-control, in Terms of GMRs, in Unprimed Subjects Aged 6 to <72 Months for Season 2008/09 (Homologous and Heterologous Strains)
Hemagglutination Inhibition (HI) assay was used for the analysis. Geometric mean titer ratios (GMRs) of study day 29/study day 1, study day 50/study day 1, study day 181/study day 1 were evaluated. The criteria for evaluation is GMR >2.5
Percentages of Subjects With HI Titers ≥ 1:40 in Unprimed Subjects 6 to <72 Months of Age for Season 2008/09 Homologous and Heterologous Strains
Hemagglutination Inhibition (HI) assay was used for the analysis. Percentage of subjects achieving seroprotection (i.e., with HI titer ≥1:40) at study day 1, study day 29, study day 50 and a study day 181 and associated 95% Confidence Intervals. The lower bound of the two-sided 95% CI for the percentage of subjects achieving an HI antibody titer ≥1:40 should meet or exceed 70%.
Percentages of Subjects With Seroconversion and Vaccine Group Differences in Unprimed Subjects 6 to <72 Months of Age for Season 2008/09 (Homologous and Heterologous Strains)
HI assay was used for the analysis. Seroconversion is defined as negative pre-vaccination serum (<10)/ post-vaccination HI titer ≥1:40. Seroconversion is defined as either pre-vaccination HI titer <10 and a post-vaccination HI titer ≥1:40 or a prevaccination HI titer ≥10 and a minimum 4-fold rise in post-vaccination HI antibody titer. The lower bound of the two-sided 95% confidence interval (CI) for the percentage of subjects achieving seroconversion for HI antibody should meet or exceed 40%.
Number of Subjects With Local and Systemic Reactions for Egg and Cell Derived Inactivated Novel Swine Origin A/H1N1 Subunit Influenza Vaccines After Each Vaccination for All Seasons
Indirect Protective Effect of Fluad (NH Composition 2007/2008), Compared to Non-flu Control and Flu Control, in Connection to Household-contact Persons Via a Questioning of the Parents About ILI of Persons Living in the Same Household as the Study Child
Incidence Rate of the 2009-2010 H1N1 Swine Pandemic Caused by a Novel Influenza A (H1N1) Virus of Swine Origin in Unprimed Children Aged 6 to <36 and 6 to <72 Months

Full Information

First Posted
March 20, 2008
Last Updated
August 31, 2015
Sponsor
Novartis
Collaborators
Novartis Vaccines
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1. Study Identification

Unique Protocol Identification Number
NCT00644059
Brief Title
Study to Evaluate the Efficacy, Safety and Immunogenicity of Influenza Vaccine in Healthy Subjects (Aged 6 to <72 Months) Versus Control Vaccines
Official Title
A Phase III, Randomized, Observer-blind, Controlled, Multi-center Clinical Trial to Evaluate the Efficacy, Safety and Immunogenicity of One and Two Intramuscular Doses of Influenza Vaccine Versus Control Vaccines in Healthy Subject Aged 6 to <72 Months
Study Type
Interventional

2. Study Status

Record Verification Date
August 2015
Overall Recruitment Status
Completed
Study Start Date
November 2007 (undefined)
Primary Completion Date
April 2010 (Actual)
Study Completion Date
August 2010 (Actual)

3. Sponsor/Collaborators

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

4. Oversight

Data Monitoring Committee
Yes

5. Study Description

Brief Summary
This study will evaluate the efficacy, safety and immunogenicity of one or two 0.25 mL or 0.5 mL intramuscular injections of an adjuvanted influenza vaccine compared with non-influenza and non-adjuvanted influenza control vaccines in subjects 6 to <72 months of age.

6. Conditions and Keywords

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

7. Study Design

Primary Purpose
Prevention
Study Phase
Phase 3
Interventional Study Model
Parallel Assignment
Masking
Participant
Allocation
Randomized
Enrollment
4902 (Actual)

8. Arms, Groups, and Interventions

Arm Title
TIV-adj
Arm Type
Experimental
Arm Description
Adjuvanted trivalent inactivated subunit influenza vaccine
Arm Title
Flu-control
Arm Type
Active Comparator
Arm Description
Non-adjuvanted trivalent inactivated subunit influenza vaccine or non-adjuvanted trivalent inactivated split influenza vaccine
Arm Title
Non-flu Control
Arm Type
Sham Comparator
Arm Description
Novartis meningococcal C conjugate vaccine or tick-borne encephalitis vaccine
Intervention Type
Biological
Intervention Name(s)
Adjuvanted trivalent inactivated subunit influenza vaccine
Other Intervention Name(s)
Fluad
Intervention Description
Either two intramuscular (IM) injections of half dose or one IM injection of full dose, depending on age of subject, were administered in the deltoid muscle preferably of the non-dominant arm.
Intervention Type
Biological
Intervention Name(s)
Non-adjuvanted trivalent inactivated subunit influenza vaccine or non-adjuvanted trivalent inactivated split influenza vaccine
Other Intervention Name(s)
1) Agrippal, 2) Influsplit SSW
Intervention Description
For both vaccines, either two intramuscular (IM) injections of half dose or one IM injection of full dose, depending on age of subject, were administered in the deltoid muscle preferably of the non-dominant arm.
Intervention Type
Biological
Intervention Name(s)
Meningococcal C conjugate vaccine or tick-borne encephalitis vaccine
Other Intervention Name(s)
1. Menjugate, 2. Encepur Children
Intervention Description
Meningococcal vaccine: two IM injections Tick-borne encephalitis vaccine: two IM injections
Primary Outcome Measure Information:
Title
Number of Subjects (Unprimed) 6 to <36 Months Age With Local and Systemic Reactions After Any Vaccination for All Seasons, Comparison of Adjuvanted Trivalent Influenza Vaccine (aTIV) and Flu Vaccine Control.
Description
Safety was assessed in terms of number of subjects experiencing each of the local and systemic reactions within 7-days after any vaccination for all seasons, comparison of adjuvanted Trivalent influenza vaccine (aTIV) and flu vaccine control.
Time Frame
7 days post-vaccination
Title
Percentage of Subjects (Unprimed) Aged 6 to <36 Months With Virus-Confirmed Influenza, Comparison of aTIV and Non-flu Vaccine Control (Men C/TBE Vaccine)
Description
Virus-confirmed influenza illnesses were assessed and compared between the adjuvanted influenza vaccine (TIV-adj) and non-influenza vaccines (Non-flu control) in 6 to <36 month unprimed subjects for Absolute Efficacy. This primary endpoint is only for homologous strains.
Time Frame
3 weeks after 2nd vaccination
Secondary Outcome Measure Information:
Title
Number of Subjects (Unprimed) of 6 to <72 Months Age With Local and Systemic Reactions After Any Vaccination
Description
Safety was assessed as the number of subjects aged 6 to <72 months who reported solicited local or systemic adverse events after any vaccination with TIV-adj for all seasons.
Time Frame
7 days post-vaccination
Title
Number of Subjects (Unprimed) With Unsolicited Adverse Events Reported After Any Vaccination
Description
Number of subjects aged 6 to <36 months and in the overall age cohort (unprimed children aged 6 to <72 months) experiencing each of the unsolicited adverse events (AEs) throughout the study
Time Frame
Study day 1 to Study day 181
Title
Percentage of Subjects (Unprimed) Aged 6 to <72 Months With Virus-Confirmed Influenza, Comparison of aTIV to Non-flu Vaccine Control and Flu-vaccine Control (Matched Strains)
Description
Virus-confirmed influenza illnesses were assessed and compared between the adjuvanted influenza vaccine (TIV-adj) and non-influenza vaccines (Non-flu control) in subjects aged 6 to <72 months (unprimed) for Absolute Efficacy. For Relative efficacy, the comparison was made between adjuvanted influenza vaccine (TIV-adj) and flu vaccine control.
Time Frame
3 weeks after 2nd vaccination
Title
Percentage of Subjects (Unprimed) Aged 6 to <72 Months With Virus-Confirmed Influenza, Comparison of aTIV to Non-flu Vaccine Control and Flu Vaccine Control (Any Strains).
Description
Virus-confirmed influenza illnesses (regardless of antigenic match to those contained in the vaccine) were assessed and compared between the adjuvanted influenza vaccine (TIV-adj) and non-influenza vaccines (Non-flu control) in subjects aged 6 to <72 months (unprimed) for Absolute Efficacy. For Relative efficacy, the comparison was made between adjuvanted influenza vaccine (TIV-adj) and flu vaccine control.
Time Frame
3 weeks after 2nd vaccination
Title
Number of Subjects (Unprimed) With Influenza Like Illnesses (ILIs) in the 6 to <72 Months Age Cohort for Combined Seasons 2007/08 and 2008/09
Description
Virus-confirmed influenza illnesses were assessed and trivalent adjuvanted influenza vaccine (TIV-adj) was compared with Non-flu control vaccine and Flu-control vaccine in 6 to <72 month old subjects for Influenza like illnesses for seasons 2007/08 and 2008/09.
Time Frame
3 weeks after 2nd vaccination
Title
Number of Subjects With Influenza Like Illnesses (ILIs) in the 6 to <36 Months and in Overall Age Cohort (Unprimed Subjects Aged 6 to <72 Months) for Combined Seasons 2007/08 and 2008/09
Description
Virus-confirmed influenza illnesses were assessed and trivalent adjuvanted influenza vaccine (TIV-adj) was compared with Non-flu control vaccine and Flu-control vaccine for Influenza like illnesses for seasons 2007/08 and 2008/09.
Time Frame
3 weeks after 2nd vaccination
Title
Loss of Days of Usual Activity (Job, School, Day Care, Household/Family/Community Activities) Due to Influenza Like Illness (ILI) in Subjects in Aged 6 to <72 and 6 to <36 Months and in Direct Caregivers Living in the Household.
Description
Virus-confirmed influenza illnesses were assessed and trivalent adjuvanted influenza vaccine (TIV-adj) was compared with Non-flu control vaccine and Flu-control vaccine for Influenza like illnesses for seasons 2007/08 and 2008/09.
Time Frame
3 weeks after 2nd vaccination
Title
Number of Events of Influenza Like Illness for Combined Seasons 2007/08 and 2008/09.
Description
The number of events of Influenza like Illness reported by subjects aged 6 to <72 months was assessed for combined seasons 2007/08 and 2008/09
Time Frame
3 weeks after 2nd vaccination
Title
Immunogenicity of aTIV, Compared to Flu and Non-Flu-control, in Terms of GMRs, in Unprimed Subjects Aged 6 to <36 Months or Season 2008/09 (Homologous and Heterologous Strains)
Description
The immunogenicity was assessed in terms of Geometric mean titer ratios (GMRs) of study day 29/study day 1, study day 50/study day 1, study day 181/study day 1 were evaluated. The criteria for evaluation is GMR >2.5
Time Frame
On study days 1, 29, 50 and 181
Title
Immunogenicity of aTIV, Compared to Flu and Non-Flu-control, in Terms of Geometric Mean Titers (GMTs), in Unprimed Subjects Aged 6 to <36 Months for Season 2008/09 (Homologous and Heterologous Strains)
Description
Immunogenicity was analyzed in terms of Geometric Mean Titers (GMTs) as measured by hemagglutination inhibition (HI) assay. For each strain and each vaccine group, least squares GMTs, associated 2-sided 95% confidence interval were determined for all time points. Superiority analysis: GMT-TIV-adj/GMT-Flu-control >1 should be elicited to show that GMT-TIV-adj is superior to GMT-Flu-control
Time Frame
On study days 1, 29, 50 and 181
Title
Percentage (95% CI) of Unprimed Subjects Aged 6 to <36 Months With HI Titer ≥1:40 in Season 2008/09 HI Assay(Homologous and Heterologous Strains)
Description
Percentage of subjects achieving seroprotection (i.e., with HI titer ≥1:40) at study day 1, study day 29, study day 50 and a study day 181 and associated 95% CI. The lower bound of the two-sided 95% CI for the percentage of subjects achieving an HI antibody titer ≥1:40 should meet or exceed 70%.
Time Frame
On study days 1, 29, 50, 181
Title
Percentage (95% CI) of Unprimed Subjects Aged 6 to <36 Months With Seroconversion From Baseline, for Season 2008/09 (Homologous and Heterologous Strains)
Description
HI assay was used for the analysis. Seroconversion is defined as negative pre-vaccination serum (<10)/ post-vaccination HI titer ≥1:40. Seroconversion is defined as either pre-vaccination HI titer <10 and a post-vaccination HI titer ≥1:40 or a prevaccination HI titer ≥10 and a minimum four-fold rise in post-vaccination HI antibody titer. The lower bound of the two-sided 95% confidence interval (CI) for the percentage of subjects achieving seroconversion for HI antibody should meet or exceed 40%.
Time Frame
On study days 1, 29, 50, 181
Title
Immunogenicity of aTIV, Compared to Flu and Non-Flu-control, in Terms of GMTs, in Unprimed Subjects Aged 6 to <72 Months for Season 2008/09 (Homologous and Heterologous Strains)
Description
Immunogenicity was analyzed in terms of Geometric Mean Titers (GMTs) as measured by hemagglutination inhibition (HI) assay. For each strain and each vaccine group, least squares GMTs, associated 2-sided 95% confidence interval were determined for all time points Superiority analysis: GMT-TIV-adj/GMT-Flu-control >1 and GMT-TIV-adj/GMT-Non Flu-control >1 should be elicited to show that GMT-TIV-adj is superior to GMT-Flu-control/Non Flu-control.
Time Frame
On study days 1, 29, 50 , 181
Title
Immunogenicity of aTIV, Compared to Flu and Non-Flu-control, in Terms of GMRs, in Unprimed Subjects Aged 6 to <72 Months for Season 2008/09 (Homologous and Heterologous Strains)
Description
Hemagglutination Inhibition (HI) assay was used for the analysis. Geometric mean titer ratios (GMRs) of study day 29/study day 1, study day 50/study day 1, study day 181/study day 1 were evaluated. The criteria for evaluation is GMR >2.5
Time Frame
On study days 1, 29, 50, 181
Title
Percentages of Subjects With HI Titers ≥ 1:40 in Unprimed Subjects 6 to <72 Months of Age for Season 2008/09 Homologous and Heterologous Strains
Description
Hemagglutination Inhibition (HI) assay was used for the analysis. Percentage of subjects achieving seroprotection (i.e., with HI titer ≥1:40) at study day 1, study day 29, study day 50 and a study day 181 and associated 95% Confidence Intervals. The lower bound of the two-sided 95% CI for the percentage of subjects achieving an HI antibody titer ≥1:40 should meet or exceed 70%.
Time Frame
On study days 1, 29, 50, 181
Title
Percentages of Subjects With Seroconversion and Vaccine Group Differences in Unprimed Subjects 6 to <72 Months of Age for Season 2008/09 (Homologous and Heterologous Strains)
Description
HI assay was used for the analysis. Seroconversion is defined as negative pre-vaccination serum (<10)/ post-vaccination HI titer ≥1:40. Seroconversion is defined as either pre-vaccination HI titer <10 and a post-vaccination HI titer ≥1:40 or a prevaccination HI titer ≥10 and a minimum 4-fold rise in post-vaccination HI antibody titer. The lower bound of the two-sided 95% confidence interval (CI) for the percentage of subjects achieving seroconversion for HI antibody should meet or exceed 40%.
Time Frame
On study days 1, 29, 50, 181
Title
Number of Subjects With Local and Systemic Reactions for Egg and Cell Derived Inactivated Novel Swine Origin A/H1N1 Subunit Influenza Vaccines After Each Vaccination for All Seasons
Time Frame
7 days post-vaccination
Title
Indirect Protective Effect of Fluad (NH Composition 2007/2008), Compared to Non-flu Control and Flu Control, in Connection to Household-contact Persons Via a Questioning of the Parents About ILI of Persons Living in the Same Household as the Study Child
Time Frame
3 weeks after 2nd vaccination
Title
Incidence Rate of the 2009-2010 H1N1 Swine Pandemic Caused by a Novel Influenza A (H1N1) Virus of Swine Origin in Unprimed Children Aged 6 to <36 and 6 to <72 Months
Time Frame
3 weeks after 2nd vaccination

10. Eligibility

Sex
All
Minimum Age & Unit of Time
6 Months
Maximum Age & Unit of Time
71 Months
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: Children whose parents/legal guardians have given written informed consent prior to study entry: a) aged 6 to <72 months (Part I and II of the study; influenza seasons 2007/2008 and 2008/2009) b) aged 6 to <36 months (Part III of the study; influenza season 2009/2010) In good health as determined by: a) medical history, b) physical examination, c) clinical judgment of the investigator Exclusion criteria: Administration of licensed vaccines (including H1N1sw vaccines) within 14 days (for inactivated vaccines) or 28 days (for live vaccines) prior to enrollment in this study. Routine vaccines, according to local recommendations, or any other vaccines not foreseen in the protocol could be given after the active trial phase (i.e., 21 days after last vaccination) has been concluded. Receipt of another investigational vaccine or any investigational agent within 30 days prior to enrollment in the study or before completion of the safety follow-up period in another study, whichever is longer, and participation in another clinical trial during the present study. Experience of a severe acute infectious disease in the month prior to study start or experience of a mild acute infection disease in the week prior the study start (untreated common cold is acceptable). The severity of the infectious disease occurred will be based on the investigator's judgment. Any severe acute respiratory disease and infection requiring systemic antibiotic or antiviral therapy ongoing or resolved within 2 days prior to study start. Experience an axillary temperature equal to or greater than 37.8°C (rectal temperature equal to or greater than 38.3°C) within the 2 days before enrollment. Any serious disease in the opinion of the investigator including, for example: a) cancer, b) autoimmune disease (including rheumatoid arthritis under immunosuppressive therapy), c) insulin dependent diabetes mellitus, d) chronic pulmonary disease, asthma under inhalative therapy only is acceptable, e) acute or progressive hepatic disease, f) acute or progressive renal disease. Known or suspected impairment/alteration of immune function, for example, resulting from: a) receipt of immunosuppressive therapy (corticosteroid -except topical or inhaled steroids- or cancer chemotherapy), b) receipt of immunostimulants, c) receipt of parenteral immunoglobulin preparation, blood products, and/or plasma derivatives within the past 90 days and for the full length of the study, d) high risk for developing an immunocompromising disease (suspected or known HIV infection or HIV-related disease). Bleeding diathesis. History of hypersensitivity to any component of the study medication or chemically related substances. History of any anaphylaxis, serious vaccine reactions, or allergy to eggs, egg products or any other vaccine component. Laboratory confirmed influenza disease. History of neurological disorder or seizures (febrile seizures allowed). Received any influenza vaccine. Major surgery planned during the study period. Any condition which, in the opinion of the investigator, might interfere with the evaluation of the study objectives, e.g., planned travel or relocation of residence that would interfere with completion of study.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Novartis Vacccines and Diagnostics
Organizational Affiliation
Novartis
Official's Role
Study Director
Facility Information:
Facility Name
East Vantaa Clinic
City
East Vaanta
ZIP/Postal Code
01300
Country
Finland
Facility Name
Espoo Vaccine Research Clinic
City
Espoo
ZIP/Postal Code
02100
Country
Finland
Facility Name
Helsinki South Vaccine Research Clinic
City
Helsinki
ZIP/Postal Code
00100
Country
Finland
Facility Name
Helsinki East Vaccine Research Clinic
City
Helsinki
ZIP/Postal Code
00930
Country
Finland
Facility Name
Jarvenpaa Vaccine Research Clinic
City
Jarvenpaa
ZIP/Postal Code
04400
Country
Finland
Facility Name
Kokkola Vaccine Research Clinic
City
Kokkola
ZIP/Postal Code
67100
Country
Finland
Facility Name
Kotka Clinic
City
Kotka
ZIP/Postal Code
48600
Country
Finland
Facility Name
Kuopio Vaccine Clinic
City
Kuopio
ZIP/Postal Code
70100
Country
Finland
Facility Name
Kuopio Vaccine Research Clinic
City
Kuopio
ZIP/Postal Code
70211
Country
Finland
Facility Name
Lahti vaccine research Clinic
City
Lahti
ZIP/Postal Code
15140
Country
Finland
Facility Name
Oulu Vaccine Research Clini
City
Oulu
ZIP/Postal Code
90200
Country
Finland
Facility Name
Pori Vaccine Research Clinic
City
Pori
ZIP/Postal Code
28100
Country
Finland
Facility Name
Seinajoki Clinic
City
Seinajoki
ZIP/Postal Code
60100
Country
Finland
Facility Name
Tampere Vaccine Research Clinic
City
Tampere
ZIP/Postal Code
33100
Country
Finland
Facility Name
Turku Clinic
City
Turku
ZIP/Postal Code
20520
Country
Finland
Facility Name
Vantaa West Vaccine Research Clinic
City
Vantaa
ZIP/Postal Code
01600
Country
Finland
Facility Name
West Vantaa Clinic
City
West Vantaa
ZIP/Postal Code
01600
Country
Finland
Facility Name
Praxis Dr med Thilo Heising
City
Aalen Wasseralfingen
ZIP/Postal Code
73433
Country
Germany
Facility Name
Praxis Dr med Ursula Hornlein
City
Berlin
ZIP/Postal Code
10315
Country
Germany
Facility Name
Praxis Dr med Thomas Richter
City
Berlin
ZIP/Postal Code
10551
Country
Germany
Facility Name
Praxis Dipl med Andreas Muhmer
City
Berlin
ZIP/Postal Code
10559
Country
Germany
Facility Name
Praxis Dr med Mechthild Vocks-Hauck
City
Berlin
ZIP/Postal Code
10627
Country
Germany
Facility Name
Praxis Dr med Klaus-Peter Falkowski
City
Berlin
ZIP/Postal Code
10999
Country
Germany
Facility Name
Praxis Dr med Eva Brand
City
Berlin
ZIP/Postal Code
12165
Country
Germany
Facility Name
Praxis Dr med Dorothea Budde
City
Berlin
ZIP/Postal Code
12209
Country
Germany
Facility Name
Praxis Dr. med. Cornelia Busse
City
Berlin
ZIP/Postal Code
12589
Country
Germany
Facility Name
Praxis Dipl. med. F. Temmler / Dipl. med. D. Wenzel
City
Berlin
ZIP/Postal Code
12619
Country
Germany
Facility Name
Praxis Dr med Petra van Stiphout
City
Berlin
ZIP/Postal Code
12679
Country
Germany
Facility Name
Praxis Dr Luise Schroeter
City
Berlin
ZIP/Postal Code
13347
Country
Germany
Facility Name
"Praxis Dr med Dietrich Lasius"
City
Berlin
ZIP/Postal Code
13439
Country
Germany
Facility Name
Praxis Dr. med. Petra Sandow
City
Berlin
ZIP/Postal Code
14052
Country
Germany
Facility Name
Praxis Dr Norbert Meister
City
Bindlach
ZIP/Postal Code
95463
Country
Germany
Facility Name
Praxis Dr med Thomas Tuschen
City
Binngen Rhein
ZIP/Postal Code
55411
Country
Germany
Facility Name
Praxis Dr. Elmar Dietmair
City
Bobingen
ZIP/Postal Code
86399
Country
Germany
Facility Name
Praxis Dr med Brigitta Becker
City
Bochum
ZIP/Postal Code
44866
Country
Germany
Facility Name
Praxis Karl-Heinz Blattel
City
Braunfels
ZIP/Postal Code
35619
Country
Germany
Facility Name
Praxis Dr. med. Roland Knecht
City
Bretten
ZIP/Postal Code
75015
Country
Germany
Facility Name
Praxis Dr. med. Maria R. Holtorf
City
Brunsbuettel
ZIP/Postal Code
25541
Country
Germany
Facility Name
Praxis Dr Klaus Helm
City
Detmold
ZIP/Postal Code
32756
Country
Germany
Facility Name
Praxis Joseph Zakarian
City
Duesseldorf
ZIP/Postal Code
40223
Country
Germany
Facility Name
Praxis Dr med Hans-Henning Peters
City
Eschwege
ZIP/Postal Code
37269
Country
Germany
Facility Name
Praxis Dr. med. Dirk Straub
City
Essen
ZIP/Postal Code
45276
Country
Germany
Facility Name
Praxis Dr med Rainer Haase
City
Flensburg
ZIP/Postal Code
24937
Country
Germany
Facility Name
Praxis Dr. med. Per Gildberg
City
Flensburg
ZIP/Postal Code
24937
Country
Germany
Facility Name
Peaxis Dr H Outzen jun
City
Flensburg
ZIP/Postal Code
24943
Country
Germany
Facility Name
Praxis Dr Lothar MaurerJun
City
Frankenthal
ZIP/Postal Code
67227
Country
Germany
Facility Name
Praxis Dr med Walter Otto
City
Fulda
ZIP/Postal Code
36037
Country
Germany
Facility Name
Praxis Dr med Hans-Joachim Buttner
City
Gau-Odernheim
ZIP/Postal Code
55239
Country
Germany
Facility Name
Praxis Dr med Christian Kayser
City
Gehrden
ZIP/Postal Code
30989
Country
Germany
Facility Name
Praxis Ute Jessat
City
Gluecksburg
ZIP/Postal Code
24960
Country
Germany
Facility Name
Praxis Dr. med. Dubravka Pock-Lutz
City
Grevenbroich
ZIP/Postal Code
41515
Country
Germany
Facility Name
Praxis Dr. med. Malte Klarczyk
City
Hamburg
ZIP/Postal Code
22089
Country
Germany
Facility Name
Praxid Dr. med. Karl-Heinrich Hansen
City
Hamburg
ZIP/Postal Code
22147
Country
Germany
Facility Name
Praxis Dr Anna Halat
City
Hamburg
ZIP/Postal Code
22149
Country
Germany
Facility Name
Praxis Dr med Bernard Nast
City
Hamburg
ZIP/Postal Code
22307
Country
Germany
Facility Name
Praxis Dr med Jurgen Schwalbe
City
Hameln
ZIP/Postal Code
31785
Country
Germany
Facility Name
Praxis Dr med Hans-Heinrich Rohe
City
Hille
ZIP/Postal Code
32479
Country
Germany
Facility Name
Praxis Dr Marlies Bolich
City
Jena
ZIP/Postal Code
97745
Country
Germany
Facility Name
Praxis Peter Bosch
City
Karlsruhe-Oberreut
ZIP/Postal Code
76189
Country
Germany
Facility Name
Praxis Dr Peter Andoko Soemantri
City
Kleve-Materborn
ZIP/Postal Code
47533
Country
Germany
Facility Name
Praxis Dr. Michael Muehlschlegel
City
Lauffen
ZIP/Postal Code
74348
Country
Germany
Facility Name
Praxis Dr Sibylle Hetzinger
City
Lobenstein
ZIP/Postal Code
07356
Country
Germany
Facility Name
Praxis Dipl med Dagmar Manegold-Randel
City
Lohne
ZIP/Postal Code
32584
Country
Germany
Facility Name
Praxis Dr. Renate Lang
City
Ludwigsburg
ZIP/Postal Code
71634
Country
Germany
Facility Name
Praxis Dr med Julika Kelber
City
Luneburg
ZIP/Postal Code
21339
Country
Germany
Facility Name
Johannes Gutenberg-University
City
Mainz
ZIP/Postal Code
55101
Country
Germany
Facility Name
Praxis Uwe Jakob
City
Mainz
ZIP/Postal Code
55131
Country
Germany
Facility Name
Praxis Dr med Falko Panzer
City
Mannheim
ZIP/Postal Code
68167
Country
Germany
Facility Name
Praxis Dr med Volker Tempel
City
Marbach a. N.
ZIP/Postal Code
71672
Country
Germany
Facility Name
Praxis Dr. med. Herbert Kollaschinski
City
Marktredwitz
ZIP/Postal Code
95615
Country
Germany
Facility Name
Praxis Dr med Matthias Donner
City
Moenchengladbach
ZIP/Postal Code
41236
Country
Germany
Facility Name
Praxis Ralph Koellges
City
Moenchengladbach
ZIP/Postal Code
41236
Country
Germany
Facility Name
Praxis Dr. med. Janina Joiko
City
Muenchen
ZIP/Postal Code
81369
Country
Germany
Facility Name
"Praxis Prof Dr med Stefan Walter Eber"
City
Munchen
ZIP/Postal Code
81377
Country
Germany
Facility Name
Praxis Dr med Peter Dietl
City
Munchen
ZIP/Postal Code
81475
Country
Germany
Facility Name
Praxis Dr med Philip Fellner von Feldegg
City
Munster / NRW
ZIP/Postal Code
48163
Country
Germany
Facility Name
Praxis Dipl Med Ute Macholdt
City
Neuhaus am Rennweg
ZIP/Postal Code
98724
Country
Germany
Facility Name
Praxis Dr Rossius
City
Neumuenster
ZIP/Postal Code
24534
Country
Germany
Facility Name
Praxis Dr Sabine Maruschke
City
Neumuenster
ZIP/Postal Code
24534
Country
Germany
Facility Name
Praxis Drs J und K Kandzora
City
Neumuenster
ZIP/Postal Code
24534
Country
Germany
Facility Name
Praxis Dr. med. S. Mohns-Petersen
City
Niebuell
ZIP/Postal Code
25899
Country
Germany
Facility Name
Praxis Dr med Hartmut Scheele
City
Niedernhausen
ZIP/Postal Code
65527
Country
Germany
Facility Name
Praxis Dr med Stefan Noll
City
Porta Westfalica
ZIP/Postal Code
32457
Country
Germany
Facility Name
Praxis Zlatka Zochev Donkov
City
Rendsburg
ZIP/Postal Code
24768
Country
Germany
Facility Name
Praxis Dr med Michael Vomstein
City
Schwabisch Hall
ZIP/Postal Code
74523
Country
Germany
Facility Name
"Praxis Dr med Gunther Knapp"
City
Schwieberdingen
ZIP/Postal Code
71701
Country
Germany
Facility Name
Praxis Thomas Morandini
City
Schönenberg
ZIP/Postal Code
66901
Country
Germany
Facility Name
Praxis Dr med Ulrich Soergel
City
Stadthagen
ZIP/Postal Code
31655
Country
Germany
Facility Name
Praxis Dr Ulrich Pfletschinger
City
Stuttgart
ZIP/Postal Code
70469
Country
Germany
Facility Name
Praxis Dr. med Manfred Heitz
City
Stuttgart
ZIP/Postal Code
70499
Country
Germany
Facility Name
Praxis Dr. med Heidi B. John-Wagenmann
City
Stuttgart
ZIP/Postal Code
70619
Country
Germany
Facility Name
Praxis Dr. med. Rolf Ebert
City
Tauberbischofsheim
ZIP/Postal Code
97941
Country
Germany
Facility Name
Praxis Dr med Karl-Eugen Mai
City
Tettnang
ZIP/Postal Code
88069
Country
Germany
Facility Name
Praxis Dr med Klaus Kindler
City
Trier
ZIP/Postal Code
54290
Country
Germany
Facility Name
Praxis Dr med Ralph Maier
City
Tuttlingen
ZIP/Postal Code
78532
Country
Germany
Facility Name
Praxis Dr med Ulrich Umpfenbach
City
Viersen
ZIP/Postal Code
41751
Country
Germany
Facility Name
Praxis Dr med Volker Kemmerich
City
Weinstadt
ZIP/Postal Code
71384
Country
Germany
Facility Name
Praxis Dr Per Bergmann
City
Winsen
ZIP/Postal Code
29308
Country
Germany
Facility Name
Praxis Dr med Steffi Bulst
City
Wurzen
ZIP/Postal Code
04808
Country
Germany
Facility Name
Fondazione IRCCS Policlinico Mangiagalli e Regina Elena
City
Milano
ZIP/Postal Code
20122
Country
Italy
Facility Name
Ospedale Maggiore della Carita
City
Novara
ZIP/Postal Code
28100
Country
Italy

12. IPD Sharing Statement

Citations:
PubMed Identifier
21995388
Citation
Vesikari T, Knuf M, Wutzler P, Karvonen A, Kieninger-Baum D, Schmitt HJ, Baehner F, Borkowski A, Tsai TF, Clemens R. Oil-in-water emulsion adjuvant with influenza vaccine in young children. N Engl J Med. 2011 Oct 13;365(15):1406-16. doi: 10.1056/NEJMoa1010331.
Results Reference
result

Learn more about this trial

Study to Evaluate the Efficacy, Safety and Immunogenicity of Influenza Vaccine in Healthy Subjects (Aged 6 to <72 Months) Versus Control Vaccines

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