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InfluenzaPhase 4NCT01196026

Immunogenicity and Safety Study of Fluarix™ Vaccine in Children Who Have Previously Been Vaccinated With Pandemrix™

A Phase 4 study testing Fluarix™ and Havrix™ Junior in people with Influenza, run by GlaxoSmithKline at 7 sites in 2 countries.

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

This study is designed to assess the immunogenicity, reactogenicity and safety following vaccination with GSK Biologicals' Fluarix vaccine in children who have previously been vaccinated with two doses of Pandemrix at the age of 6 months-9 years. Read more about this study

Who is it for?
Ages 1 year to 10 yearsHealthy volunteers can take part
Conditions the study is for
Influenza
What is being tested?
Fluarix™ and Havrix™ Junior
Could I receive a placebo?
No, everyone receives an active treatment
How many people
162 participants
Where
7 sitesin 2 countries
Study dates
15 Sep 2010to 26 May 2011
Phase
Phase 4
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 1 year to 10 years
  • All sexes
  • Healthy volunteers accepted
  • Child

Who may be able to join

  • Subjects having previously been immunized with two 0.25 mL doses of Pandemrix, given at least 21 days apart, at the age of 6 months to 9 years inclusive at the time of first vaccination.
  • Subjects having received the last dose of Pandemrix at least six months prior to study enrolment.
  • Subjects who the investigator believes that parent(s)/Legally Acceptable Representative(s) [LAR(s)] can and will comply with the requirements of the protocol.
  • Written informed consent obtained from the parent(s)/LAR(s) of the subjects.
  • Healthy subjects as established by medical history and clinical examination before entering into the study.
  • Parent/LAR with access to a consistent means of telephone contact, land line or mobile, but NOT a pay phone or other multiple-user device.

Who cannot join

  • Active participation in other clinical trials.
  • Use of any investigational or non-registered product other than the study vaccine within 30 days preceding the first dose of the study vaccine or planned use during the study period.
  • Planned administration of any vaccine 30 days prior and 30 days after any study vaccine administration.
  • Chronic administration of immunosuppressants or other immune-modifying drugs within three months prior to enrolment in this study or planned administration during the study period.
  • Acute disease and/or fever at the time of enrolment.
  • Any confirmed or suspected immunosuppressive or immunodeficient condition based on medical history and physical examination.
Show all 12Show fewer
  • Acute or chronic, clinically-significant pulmonary, cardiovascular, hepatic or renal functional abnormality, as determined by medical history and physical examination.
  • Administration of immunoglobulins and/or any blood products within the three months prior to the enrolment in this study, or planned use during the study.
  • Any known or suspected allergy to any constituent of influenza vaccines; a history of anaphylactic-type reaction to any constituent of influenza vaccines; or a history of severe adverse reaction to a previous influenza vaccine.
  • History of seizures or progressive neurological disease.
  • Subjects having received an H1N1v pandemic vaccine other than Pandemrix or having received the 2010/2011 seasonal influenza vaccine.
  • Child in care.

Trial locations and contacts

7 sites in 2 countries.

7 sites in 2 countries

Sweden6 sites
  • GSK Investigational Site

    Karlskrona, SE-371 41

  • GSK Investigational Site

    Malmö, SE-205 02

  • GSK Investigational Site

    Örebro, SE-702 11

  • GSK Investigational Site

    Skellefteå, SE-931 86

  • GSK Investigational Site

    Stockholm, SE-118 83

  • GSK Investigational Site

    Umeå, SE-901 85

Other trials in Sweden

Netherlands1 site
  • GSK Investigational Site

    Rotterdam, 3011 EN

Other trials in Netherlands

About this study

Official title: Immunogenicity and Safety Study of GSK Biologicals' Seasonal (2010-2011) Influenza Vaccine Fluarix™ in Children Previously Vaccinated With GSK Biologicals' H1N1 Vaccine Pandemrix™

This study is designed to assess the immunogenicity, reactogenicity and safety following vaccination with GSK Biologicals' Fluarix vaccine in children who have previously been vaccinated with two doses of Pandemrix at the age of 6 months-9 years.

Conditions
Influenza
Being tested
Fluarix™, Havrix™ Junior
Keywords
Influenza, H1N1, Fluarix, Pandemrix
Medical subject headings
Influenza, Human

What participants receive

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

  • Fluarix™Biological

    One or two intramuscular injections

  • Havrix™ JuniorBiological

    Two intramuscular injections

Study groups in NCT01196026
Study groupRoleWhat they receive
Fluarix 6-11 months GroupExperimentalSubjects previously vaccinated with Pandemrix vaccine, will receive one or two doses of Fluarix vaccine
Receives: Biological: Fluarix™
Fluarix 12-35 months GroupExperimentalSubjects previously vaccinated with Pandemrix vaccine, will receive one or two doses of Fluarix vaccine
Receives: Biological: Fluarix™
Fluarix 3-9 years GroupExperimentalSubjects previously vaccinated with Pandemrix vaccine, will receive one or two doses of Fluarix vaccine
Receives: Biological: Fluarix™
Havrix Junior 6-11 months GroupActive comparatorSubjects previously vaccinated with Pandemrix vaccine will receive two doses of Havrix Junior vaccine
Receives: Biological: Havrix™ Junior
Havrix Junior 12-35 months GroupActive comparatorSubjects previously vaccinated with Pandemrix vaccine will receive two doses of Havrix Junior vaccine
Receives: Biological: Havrix™ Junior
Havrix Junior 3-9 years GroupActive comparatorSubjects previously vaccinated with Pandemrix vaccine will receive two doses of Havrix Junior vaccine
Receives: Biological: Havrix™ Junior

What is being measured

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

  1. Haemagglutination Inhibition (HI) Antibody Titers Against H1N1 in All Subjects Receiving Fluarix Vaccine

    Antibody titers were expressed as Geometric mean titers (GMTs).

    Measured: Day 0 and 28

  2. Number of Subjects Seropositive for HI Antibodies Against H1N1 in All Subjects Receiving Fluarix Vaccine

    Seropositivity was defined as antibody titers greater than or equal to 1:10.

    Measured: Day 0-28

  3. Number of Subjects Seroprotected for HI Antibodies Against H1N1 in All Subjects Receiving Fluarix Vaccine

    A seroprotected subject was defined as a subject with a serum HI titer greater than or equal to 1:40 that usually is accepted as indicating protection.

    Measured: Day 0-28

  4. Number of Subjects Seroconverted for HI Antibodies Against H1N1 in All Subjects Receiving Fluarix Vaccine

    A seroconverted subject was defined as a subject that had either a prevaccination (Day 0) titer below 1:10 and a post-vaccination titer greater than or equal to 1:40 or a pre-vaccination titer greater than or equal to 1:10 and at least a 4-fold increase in post-vaccination titer.

    Measured: Day 28

  5. Mean Geometric Increase (MGI) in HI Antibody Titers Against H1N1 in All Subjects Receiving Fluarix Vaccine

    MGI is defined as the geometric mean of the within-subject ratios of the post-vaccination (Day 28) reciprocal HI titer to the pre-vaccination (Day 0) reciprocal HI titer.

    Measured: Day 28

Secondary outcomes (26)
  1. HI Antibody Titers Against All Fluarix Vaccine Strains

    Antibody titers were expressed as GMTs. Vaccine strains included in the analysis were Flu A/CAL/7/09 H1N1 , FluB/Bri/60/08 Victoria, and Flu A/Vic/210/09 H3N2, further in this summary denoted as H1N1, Victoria and H3N2 strains, respectively.

    Measured: Day 0 (for all groups) and Day 28 (for groups receiving Fluarix only)

  2. HI Antibody Titers Against H1N1 in Subjects Receiving Havrix Junior Vaccine

    Antibody titers were expressed as GMTs. Vaccine strains included in the analysis were H1N1, Victoria and H3N2 strains for subjects in groups receiving Fluarix vaccine and H1N1 strain for subjects in groups receiving Havrix Junior Vaccine.

    Measured: Day 0 and Month 6

  3. Number of Subjects Seropositive for HI Antibodies Against All Fluarix Vaccine Strains

    Seropositivity was defined as antibody titers greater than or equal to 1:10. Vaccine strains included in the analysis were H1N1, Victoria and H3N2 strains.

    Measured: Day 0 (for all groups) and Day 28 (for groups receiving Fluarix only)

  4. Number of Subjects Seropositive for HI Antibodies Against H1N1 in Subjects Receiving Havrix Junior Vaccine

    Seropositivity was defined as antibody titers greater than or equal to 1:10. Vaccine strains included in the analysis were H1N1, Victoria and H3N2 strains for subjects in groups receiving Fluarix vaccine and H1N1 strain for subjects in groups receiving Havrix Junior Vaccine.

    Measured: Day 0 and Month 6

  5. Number of Subjects Seroconverted for HI Antibodies Against All Fluarix Vaccine Strains in All Subjects Receiving Fluarix Vaccine

    A seroconverted subject was defined as a subject that had either a pre-vaccination (Day 0) titer below 1:10 and a post-vaccination titer greater than or equal to 1:40 or a pre-vaccination titer greater than or equal to 1:10 and at least a 4-fold increase in post-vaccination titer.

    Vaccine strains included in the analysis were H1N1, Victoria and H3N2 strains.

    Measured: Day 28

  6. Number of Subjects Seroconverted for HI Antibodies Against H1N1 in Subjects Receiving Havrix Junior Vaccine

    A seroconverted subject was defined as a subject that had either a pre-vaccination (Day 0) titer below 1:10 and a post-vaccination titer greater than or equal to 1:40 or a pre-vaccination titer greater than or equal to 1:10 and at least a 4-fold increase in post-vaccination titer.

    Vaccine strains included in the analysis were H1N1, Victoria and H3N2 strains for subjects in groups receiving Fluarix vaccine and H1N1 strain for subjects in groups receiving Havrix Junior Vaccine.

    Measured: Month 6

  7. Number of Subjects Seroprotected for HI Antibodies Against All Fluarix Vaccine Strains

    A seroprotected subject was defined as a subject with a serum HI titer greater than or equal to 1:40 that usually is accepted as indicating protection. Vaccine strains included in the analysis were H1N1, Victoria and H3N2 strains.

    Measured: Day 0 (for all groups) and Day 28 (for groups receiving Fluarix only)

  8. Number of Subjects Seroprotected for HI Antibodies Against H1N1 in Subjects Receiving Havrix Junior Vaccine

    A seroprotected subject was defined as a subject with a serum HI titer greater than or equal to 1:40 that usually is accepted as indicating protection. Vaccine strains included in the analysis were H1N1, Victoria and H3N2 strains for subjects in groups receiving Fluarix vaccine and H1N1 strain for subjects in groups receiving Havrix Junior Vaccine.

    Measured: Day 0 and Month 6

  9. Mean Geometric Increase (MGI) in HI Antibody Titers Against All Fluarix Vaccine Strains in All Subjects Receiving Fluarix Vaccine

    MGI is defined as the geometric mean of the within-subject ratios of the post-vaccination (Day 28) reciprocal HI titer to the pre-vaccination (Day 0) reciprocal HI titer. Vaccine strains included in the analysis were H1N1, Victoria and H3N2 strains.

    Measured: Day 28

  10. Mean Geometric Increase (MGI) in HI Antibody Titers Against H1N1 in Subjects Receiving Havrix Junior Vaccine

    MGI is defined as the geometric mean of the within-subject ratios of the post-vaccination (Month 6) reciprocal HI titer to the pre-vaccination (Day 0) reciprocal HI titer.

    Vaccine strains included in the analysis were H1N1, Victoria and H3N2 strains for subjects in groups receiving Fluarix vaccine and H1N1 strain for subjects in groups receiving Havrix Junior Vaccine.

    Measured: Month 6

  11. Serum Neutralising Antibody Titers Against All Fluarix Vaccine Strains

    Antibody titers were expressed as Geometric Mean Titers (GMTs).

    Measured: Day 0 (for all groups) and Day 28 (for groups receiving Fluarix only)

  12. Serum Neutralising Antibody Titers Against H1N1 in Subjects Receiving Havrix Junior Vaccine

    Antibody titers were expressed as GMTs.] Vaccine strains included in the analysis were H1N1, Victoria and H3N2 strains for subjects in groups receiving Fluarix vaccine and H1N1 strain for subjects in groups receiving Havrix Junior Vaccine.

    Measured: Day 0 and Month 6

  13. Number of Subjects Seropositive for Serum Neutralising Antibodies Against All Fluarix Vaccine Strains

    Seropositivity was defined as antibody titers greater than or equal to 1:28.

    Measured: Day 0 (for all groups) and Day 28 (for groups receiving Fluarix only)

  14. Number of Subjects Seropositive for Serum Neutralising Antibodies Against H1N1 in Subjects Receiving Havrix Junior Vaccine

    Seropositivity was defined as antibody titers greater than or equal to 1:28. Vaccine strains included in the analysis were H1N1, Victoria and H3N2 strains for subjects in groups receiving Fluarix vaccine and H1N1 strain for subjects in groups receiving Havrix Junior Vaccine.

    Measured: Day 0 and Month 6

  15. Number of Subjects Seroconverted for Serum Neutralising Antibodies Against All Fluarix Vaccine Strains in Subjects Receiving Fluarix

    Seroconverted subject was a subject with a minimum 4-fold increase in titer at post-vaccination for neutralizing antibody response.

    Measured: Day 28

  16. Number of Subjects Seroconverted for Serum Neutralising Antibodies Against H1N1 in Subjects Receiving Havrix Junior Vaccine

    Seroconverted subject was a subject with a minimum 4-fold increase in titer at post-vaccination for neutralizing antibody response.

    Vaccine strains included in the analysis were H1N1, Victoria and H3N2 strains for subjects in groups receiving Fluarix vaccine and H1N1 strain for subjects in groups receiving Havrix Junior Vaccine.

    Measured: Month 6

  17. Number of Subjects Reporting Any and Grade 3 Solicited Local Symptoms

    Solicited local symptoms assessed include: pain, redness and swelling. Any is any symptom regardless of intensity. Grade 3 was defined as a symptom that prevented normal activity.above 50 millimeter.

    Measured: During the 7 days (Day 0 - 6) after vaccination

  18. Duration of Any Solicited Local Symptom

    Duration was expressed as median number of days the symptom persisted. Solicited local symptoms assessed include: pain, redness and swelling.

    Measured: During the 7 days (Days 0 - 6) after vaccination

  19. Number of Subjects Less Than 6 Years Reporting Any, Grade 3 and Related Solicited General Symptoms

    Solicited general symptoms assessed include diarrhoea, drowsiness, irritability, loss of appetite and fever. Any was defined as any symptom regardless of intensity; any fever was axillary temperature greater than or equal to 37.5 degrees celsius. Grade 3 was a symptom preventing normal everyday activity; grade 3 loss of appetite was not eating at all; grade 3 fever was axillary temperature above 39 degrees celsius. Related was any symptom assessed by the investigator as causally related to the study vaccination.

    Measured: During the 7 days (Days 0-6) after vaccination

  20. Duration of Any Solicited General Symptom Experienced by Subjects Less Than 6 Years Old

    Duration was expressed as median number of days the symptom persisted. Solicited general symptoms assessed include diarrhoea, drowsiness, irritability, loss of appetite and fever.

    Measured: During a 7-day follow-up period (Day 0-6) after vaccination

  21. Number of Subjects Above 6 Years Reported Any, Grade 3 and Related Solicited General Symptoms

    Solicited general symptoms assessed include arthralgia, fatigue, gastrointestinal symptoms, headache, myalgia, shivering, sweating and fever. Any was defined as any symptom regardless of intensity; any fever was axillary temperature greater than or equal to 37.5 degrees celsius. Grade 3 was a symptom preventing normal everyday activity; grade 3 fever was axillary temperature above 39 degrees celsius. Related was any symptom assessed by the investigator as causally related to the study vaccination.

    Measured: During a 7-day follow-up period (Day 0-6) after vaccination

  22. Duration of Any Solicited General Symptom Experienced by Subjects Above 6 Years Old

    Duration was expressed as median number of days the symptom persisted. Solicited general symptoms assessed include fatigue, gastrointestinal symptoms, headache, myalgia, shivering and fever.

    Measured: During a 7-day follow-up period (Day 0-6) after vaccination

  23. Number of Subjects Reporting Any, Grade 3 and Related Unsolicited Adverse Events (AEs)

    Unsolicited AE covers any AE reported in addition to those solicited during the clinical study and any solicited symptom with onset outside the specified period of follow-up for solicited symptoms.

    Any was defined as any symptom regardless of intensity or relationship to vaccination. Grade 3 was a symptom preventing normal everyday activity. Related was any symptom assessed by the investigator as causally related to the study vaccination.

    Measured: During a 28 day follow-up period (Day 0-27) after vaccination

  24. Number of Subjects Reporting Medically-Attended Events (MAEs), Adverse Events of Specific Interest (AESIs)/ Potential Immune Mediated Diseases (pIMDs) and Adverse Events (AEs) of Special Interest

    MAEs: subject received medical attention defined as hospitalisation, an emergency room visit or a visit to or from medical personnel (medical doctor) for any reason.

    AESIs/pIMD: includes both clearly autoimmune diseases and also other inflammatory and/or neurologic disorders which may or may not have an autoimmune etiology. Adverse events of special interest include both convulsion and anaphylaxis.

    Measured: During the entire study period (up to Month 6)

  25. Number of Subjects Reporting Serious Adverse Events (SAEs)

    SAEs: medical occurrences that result in death, are life threatening, require hospitalization or prolongation of hospitalization, result in disability/incapacity or are a congenital anomaly/birth defect in the offspring of a study subject.

    Measured: Up to Day 28

  26. Number of Subjects Reporting Serious Adverse Events (SAEs)

    SAEs: medical occurrences that result in death, are life threatening, require hospitalization or prolongation of hospitalization, result in disability/incapacity or are a congenital anomaly/birth defect in the offspring of a study subject.

    Measured: Up to Month 6

Timeline

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

  1. First posted8 Sep 2010 (estimated)
  2. Study start15 Sep 2010
  3. Primary completion26 May 2011
  4. Study completion26 May 2011

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 4
Primary purpose
Prevention
Allocation
Randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
162 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT01196026
Sponsor's protocol ID
114451
Status last verified
Sep 2016
First submitted
3 Sep 2010
Last updated
24 Sep 2018
Individual data sharing
Yes: Patient-level data for this study will be made available through www.clinicalstudydatarequest.com following the timelines and process described on this site.

Publications

  • Vesikari T, Richardus JH, Berglund J, Korhonen T, Flodmark CE, Lindstrand A, Silfverdal SA, Bambure V, Caplanusi A, Dieussaert I, Roy-Ghanta S, Vaughn DW. Immunogenicity and Safety of a Trivalent Inactivated Influenza Vaccine in Children 6 Months to 17 Years of Age, Previously Vaccinated with an AS03-Adjuvanted A(H1N1)Pdm09 Vaccine: Two Open-label, Randomized Trials. Pediatr Infect Dis J. 2015 Jul;34(7):774-82. doi: 10.1097/INF.0000000000000709.

    PubMed 26069949

Questions about this trial

What is this clinical trial studying?

A Phase 4 study testing Fluarix™ and Havrix™ Junior in people with Influenza, run by GlaxoSmithKline at 7 sites in 2 countries.

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 6 inclusion and 12 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 24 Sep 2018. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 7 sites in Sweden, Netherlands. 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 4 studies take place after a treatment is approved, to learn more about its long-term benefits and risks in everyday use.

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 28 Jun 2012). 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?

Haemagglutination Inhibition (HI) Antibody Titers Against H1N1 in All Subjects Receiving Fluarix Vaccine (time frame: Day 0 and 28). The study lists 5 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 NCT01196026, 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 24 Sep 2018.

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