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InfluenzaPhase 3NCT00310804

Safety and Immunogenicity of 3 Lots of Cell-derived Subunit Influenza Vaccine as Compared to 1 Lot to Egg-derived Subunit Influenza Vaccine in Healthy Adults (>=18 to <=60)

A Phase 3 study testing Cell-Derived Trivalent Subunit Influenza Vaccine Lot 1 (cTIV), Cell-Derived Trivalent Subunit Influenza Vaccine Lot 2 (cTIV) and Cell-Derived Trivalent Subunit Influenza Vaccine Lot 3 (cTIV) in people with Influenza, run by Novartis Vaccines at 2 sites in Lithuania.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

The present study aims to evaluate safety, tolerability and immunogenicity of three lots of Chiron's cell-derived subunit influenza vaccine in healthy adult subjects as compared to a conventional egg-derived control vaccine licensed in Europe. Read more about this study

Who is it for?
Ages 18 to 60 yearsHealthy volunteers can take part
Conditions the study is for
Influenza
What is being tested?
Cell-Derived Trivalent Subunit Influenza Vaccine Lot 1 (cTIV), Cell-Derived Trivalent Subunit Influenza Vaccine Lot 2 (cTIV) and Cell-Derived Trivalent Subunit Influenza Vaccine Lot 3 (cTIV)
Could I receive a placebo?
No, everyone receives an active treatment
How many people
1,200 participants
Where
2 sitesLithuania
Study dates
Sep 2005to Apr 2006
Phase
Phase 3
Are there results?
Yes, posted in the registrySummary in the doctors' view

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 to 60 years
  • All sexes
  • Healthy volunteers accepted
  • Adult

Who may be able to join

  • 18 to <61 years of age
  • mentally competent to understand the nature, the scope and the consequences of the study
  • able and willing to give written informed consent prior to study entry
  • in good health as determined by:
  • medical history,
  • physical examination,
  • clinical judgment of the Investigator.

Who cannot join

  • unwilling or unable to give written informed consent to participate in the study
  • participation in another clinical trial of an investigational agent within 90 days prior to Visit 1 and throughout the entire study
  • currently experiencing an acute infectious disease
  • any serious disease, such as, for example:
  • cancer,
  • autoimmune disease (including rheumatoid arthritis),
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  • advanced arteriosclerotic disease or complicated diabetes mellitus,
  • chronic obstructive pulmonary disease (COPD) requiring oxygen therapy,
  • acute or progressive hepatic disease,
  • acute or progressive renal disease,
  • congestive heart failure
  • surgery planned during the study period
  • 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 any of the vaccine component
  • known or suspected impairment/alteration of immune function, for example resulting from:
  • receipt of immunosuppressive therapy (any corticosteroid therapy or cancer chemotherapy),
  • receipt of immunostimulants,
  • receipt of parenteral immunoglobulin preparation, blood products, and/or plasma derivates within 3 months prior to Visit 1 or planned during the full length of the study,
  • high risk for developing an immunocompromising disease
  • history of drug or alcohol abuse
  • laboratory-confirmed influenza disease within 6 months prior to Visit 1
  • receipt of influenza vaccine within 6 months prior to Visit 1
  • receipt of another vaccine within 60 days prior to Visit 1, or planned vaccination within 3 weeks following study vaccination
  • any acute respiratory disease or infections requiring systemic antibiotic or antiviral therapy (chronic antibiotic therapy for urinary tract prophylaxis is acceptable) or experienced fever (i.e., axillary temperature ≥ 38 degree C) within 5 days prior to Visit 1
  • if female, pregnant or breastfeeding
  • if female, refusal to use a reliable contraceptive method during the three weeks following vaccination
  • planned relocation abroad during the study period
  • any condition that, in the opinion of the Investigator, might interfere with the evaluation of the study objectives.

Trial locations and contacts

2 sites in 1 country.

Lithuania2 sites
  • 2nd Department of Internal Diseases, Panevezys Hospital,

    Panevezys

  • Dept. Infectious Diseases and Microbiology of Vilnius University

    Vilnius

Other trials in Lithuania

About this study

Official title: A Phase III, Randomized, Controlled, Observer-Blind, Multi-Center Study to Evaluate Safety, Tolerability and Immunogenicity of a Single Intramuscular Dose of Three Lots of a Trivalent Subunit Influenza Vaccine Produced in Mammalian Cell Culture Or of a Trivalent Subunit Influenza Vaccine Produced in Embryonated Hen Eggs, in Healthy Adult Subjects Aged >=18 to <=60

The present study aims to evaluate safety, tolerability and immunogenicity of three lots of Chiron's cell-derived subunit influenza vaccine in healthy adult subjects as compared to a conventional egg-derived control vaccine licensed in Europe.

Conditions
Influenza
Being tested
Cell-Derived Trivalent Subunit Influenza Vaccine Lot 1 (cTIV), Cell-Derived Trivalent Subunit Influenza Vaccine Lot 2 (cTIV), Cell-Derived Trivalent Subunit Influenza Vaccine Lot 3 (cTIV), Egg-Derived Trivalent Subunit Influenza Vaccine (TIV)
Keywords
Influenza, Flu, Cell-Derived, Egg-Derived, Healthy Adults, Safety, Immunogenicity, Vaccination
Medical subject headings
Influenza, Human

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Cell-Derived Trivalent Subunit Influenza Vaccine Lot 1 (cTIV)Biological

    One single 0.5ml intramuscular injection of Cell Derived Trivalent Subunit Influenza Vaccine (cTIV) from Lot 1

  • Cell-Derived Trivalent Subunit Influenza Vaccine Lot 2 (cTIV)Biological

    One single 0.5ml intramuscular injection of Cell Derived Trivalent Subunit Influenza Vaccine (cTIV) from Lot 2

  • Cell-Derived Trivalent Subunit Influenza Vaccine Lot 3 (cTIV)Biological

    One single 0.5ml intramuscular injection of Cell Derived Trivalent Subunit Influenza Vaccine (cTIV) from Lot 3

  • Egg-Derived Trivalent Subunit Influenza Vaccine (TIV)Biological

    One single 0.5ml intramuscular injection of Egg Derived Trivalent Subunit Influenza Vaccine (TIV).

Study groups in NCT00310804
Study groupRoleWhat they receive
cTIV_lot 1ExperimentalNot described
Receives: Biological: Cell-Derived Trivalent Subunit Influenza Vaccine Lot 1 (cTIV)
cTIV_lot 2ExperimentalNot described
Receives: Biological: Cell-Derived Trivalent Subunit Influenza Vaccine Lot 2 (cTIV)
cTIV_lot 3ExperimentalNot described
Receives: Biological: Cell-Derived Trivalent Subunit Influenza Vaccine Lot 3 (cTIV)
TIV groupActive comparatorNot described
Receives: Biological: Egg-Derived Trivalent Subunit Influenza Vaccine (TIV)

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Geometric Mean Titers After One Dose of Cell Culture-derived or the Egg-derived Influenza Vaccine in Adult Subjects

    The haemagglutinin Inhibition (HI) antibody titer response following

    1. one dose of cTIV for each of the three lots separately and
    2. one dose of cTIV (combined) compared to TIV is reported as Geometric mean titers (GMTs).

    The HI GMTs were evaluated using egg-derived antigen assay.

    Measured: Day 22 postvaccination

  2. Geometric Mean Ratios After One Dose of Cell Culture-derived or the Egg-derived Influenza Vaccine in Adult Subjects

    Immunogenicity was assessed in terms of Geometric Mean Ratio (GMR) following

    1. one dose of cTIV for each of the three vaccine lots separately and
    2. for one dose of cTIV (combined) compared to TIV, according to the CHMP criterion.

    The European licensure (CHMP) criterion is met if the mean geometric increase (GMR, day 22/day 1) in HI antibody titer is >2.5.

    Measured: Day 22 postvaccination

  3. Percentage of Subjects With HI Titers ≥40

    Immunogenicity was assessed in terms of percentage of adult subjects achieving HI titers ≥40, after

    1. one dose of cTIV for each of the three vaccine lots separately and
    2. for one dose of cTIV (combined) compared to TIV, according to the CHMP criterion.

    European Licensure (CHMP) criterion is met if the percentage of subjects achieving HI titers ≥40 is >70%.

    Measured: Day 22 postvaccination

  4. Percentage of Subjects With Seroconversion or Significant Increase in HI Antibody Titers After One Dose of Either Cell-derived or Egg-derived Subunit Trivalent Influenza Vaccine

    Immunogenicity was assessed in terms of percentage of adult subjects showing seroconversion or significant increase in HI antibody titers after

    1. one dose of cTIV for each of the three vaccine lots separately and
    2. one dose of cTIV (combined) compared to TIV, according to the CHMP criterion.

    European Licensure (CHMP) criterion is met if the percentage of subjects achieving seroconversion or significant increase is >40%.

    As per European Licensure (CHMP) criterion seroconversion is defined as percentage of subjects with a prevaccination HI titer <10 to a postvaccination titer ≥40; whereas, significant increase is defined as HI titer ≥10 prevaccination and ≥4-fold Hi titer increase post-vaccination.

    Measured: Day 22 postvaccination

Secondary outcomes (2)
  1. Number of Subjects Reporting Solicited Adverse Events After One Dose of Cell Culture-derived or the Egg-derived Influenza Vaccine.

    To assess the safety and tolerability in terms of number of subjects reporting solicited adverse events following one injection of

    1. one dose of cTIV for each of the three vaccine lots separately and
    2. for one dose of cTIV (combined) compared to TIV.

    Measured: Day 1 to Day 7 postvaccination

  2. Safety Data of Subjects Upto Six Months After One Dose of Cell Culture Derived or Egg-derived Influenza Vaccine

    Additional safety data from day 1 through day 181 after one dose of cTIV (combined) or TIV in terms of serious adverse events (SAEs), adverse events (AEs) necessitating a physician's visit and/or resulting in premature subject's withdrawal from study is reported.

    Measured: Day 1 - Day 181 postvaccination

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted5 Apr 2006 (estimated)
  2. Study startSep 2005
  3. Primary completionOct 2005
  4. Study completionApr 2006

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 3
Primary purpose
Prevention
Allocation
Randomised
Intervention model
Parallel groups
Masking
Single blind
Who is masked
Participant
Enrolment
1,200 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT00310804
Sponsor's protocol ID
V58P9
Other IDs
EUDRACT: 2005-002257-47
Status last verified
Aug 2019
First submitted
3 Apr 2006
Last updated
15 Aug 2019
Data monitoring committee
No

Publications

  • Ambrozaitis A, Groth N, Bugarini R, Sparacio V, Podda A, Lattanzi M. A novel mammalian cell-culture technique for consistent production of a well-tolerated and immunogenic trivalent subunit influenza vaccine. Vaccine. 2009 Oct 9;27(43):6022-9. doi: 10.1016/j.vaccine.2009.07.083. Epub 2009 Aug 8.

    PubMed 19666152

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing Cell-Derived Trivalent Subunit Influenza Vaccine Lot 1 (cTIV), Cell-Derived Trivalent Subunit Influenza Vaccine Lot 2 (cTIV) and Cell-Derived Trivalent Subunit Influenza Vaccine Lot 3 (cTIV) in people with Influenza, run by Novartis Vaccines at 2 sites in Lithuania.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 7 inclusion and 29 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 15 Aug 2019. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 2 sites in Lithuania. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

Yes. Results are posted in the registry (first posted 18 Jan 2013). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Geometric Mean Titers After One Dose of Cell Culture-derived or the Egg-derived Influenza Vaccine in Adult Subjects (time frame: Day 22 postvaccination). The study lists 4 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT00310804, which also lists 1 linked publication.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 15 Aug 2019.

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