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Seasonal InfluenzaPhase 3NCT01209780

Safety and Immunogenicity of Trivalent Subunit Inactivated Flu Vaccine Administered to Healthy Children and Adolescents 3 to 17 Years of Age

A Phase 3 study testing TIV, TIVf and Comparator TIV in people with Seasonal Influenza, run by Novartis Vaccines at 13 sites in 4 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 will evaluate the safety and immunogenicity in healthy children and adolescents after one or two IM dose(s) of trivalent subunit inactivated flu vaccine. Read more about this study

Who is it for?
Ages 3 to 17 yearsHealthy volunteers can take part
Conditions the study is for
Seasonal Influenza
What is being tested?
TIV, TIVf and Comparator TIV
Type of treatment
Vaccines
Could I receive a placebo?
No, everyone receives an active treatment
How many people
3,116 participants
Where
13 sitesin 4 countries
Study dates
Sep 2010to Sep 2011
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 3 to 17 years
  • All sexes
  • Healthy volunteers accepted
  • Child

Who may be able to join

  • Males and females aged 3 to 17 years, in good health as determined by medical history, physical examination and clinical judgment of the investigator
  • Documented consent provided by parents or legal guardians
  • For individuals 8 years of age and older, informed assent to participate in the study after the nature of the study had been explained to them in terms they could understand
  • Individuals and parents/guardians who were able to comply with all study procedures and were available for all clinic visits scheduled in the study

Who cannot join

  • Parents or legal guardians and individuals who are not able to comprehend and to follow all required study procedures for the whole period of the study
  • Parents or legal guardians and individuals providing assent who do not consent to the retention of the subject's serum samples after study completion
  • Individuals with behavioral or cognitive impairment or psychiatric disease that, in the opinion of the investigator, may have interfered with the subject's ability to participate in the study
  • Individuals with history or any illness that, in the opinion of the investigator, might have interfered with the results of the study or posed additional risk to the subjects due to participation in the study
  • History of any anaphylaxis, serious vaccine reactions, or hypersensitivity to influenza viral proteins, latex, to any excipients, and to eggs (including ovalbumin), chicken protein, influenza viral protein, kanamycin, neomycin sulphate, cetyltrimethylammonium bromide (CTAB), polysorbate 80, neomycin, polymixin, formaldehyde, thimerosal, beta propiolactone, or nonoxynol-9
  • History of any serious disease, such as:
Show all 19Show fewer
  • cancer
  • history of serious chronic, rheumatologic, neurologic and hematologic diseases
  • history of underlying medical condition such as inborn errors of metabolism
  • Known or suspected impairment/alteration of immune function, including:
  • chronic use of oral steroids within 60 days prior to Visit 1 (use of inhaled, intranasal, or topical corticosteroids is allowed)
  • receipt of immunostimulants within 60 days prior to Visit 1
  • 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
  • HIV infection or HIV-related disease
  • Pregnant or breast-feeding female and any positive or indeterminate pregnancy test
  • Received an influenza vaccine within 6 months prior to Visit 1
  • Laboratory-confirmed or suspected influenza disease within 6 months prior to Visit 1
  • Receipt of another vaccine within 2 weeks (for inactivated vaccines) or 4 weeks (for live vaccines) prior to enrollment in this study
  • Experienced a fever and/or any acute illness within 3 days prior to each study vaccination

Trial locations and contacts

13 sites in 4 countries.

13 sites in 4 countries

Philippines7 sites
  • Research Institute for Tropical Medicine, Department of Health Compound, FILINVEST Corporate City

    Alabang, Muntinlupa City, 1781

  • University of the East Ramon Magsaysay Medical Center, 64 Aurora Boulevard

    Barangay Dona Imelda Quezon City, 1113

  • De La Salle Health Sciences Institute

    Dasmarinas Cavite, 4115

  • Research Institute for Tropical Medicine, Department of Health Compound

    Filinvest Corporate City, Alabang, Muntinlupa City, 1781

  • Mary Chiles General Hospital, 667 Gastambide St. Sampaloc

    Manila, 1008

  • Philippine Children's Medical Center, Quezon Avenue corner Agham Road

    Quezon City

  • Philippine General Hospital

    Taft Avenue, Manila, Manila, 1000

Other trials in Philippines

Panama4 sites
  • Centro de Salud Magally Ruiz, Street Bolivar

    Panama - La Chorrera

  • Clinica Hospital San Fernando, Floor 4 Office 419 via España las Sabanas

    Panama City

  • Consultorios America Floor 2 Office 201-1, Via España Vista Hermosa

    Panama City

  • Consultorios Medicos San Judas Tadeo Principal Street, Floor 5 Office 507, Villa Lucre

    Panama City

Other trials in Panama

Colombia1 site
  • Centro de Atención e Investigación Medica - CAIMED

    Carrera 42A # 17-50, Bogotá

Other trials in Colombia

Mexico1 site
  • Clinical research institute ,S.C(CRI), Blvd Manuel Avila Camacho 1994 Consultorio 1103 Col. San Lucas Tepetlacalco, C.P.54055 Tlalnepantla

    Estado de México

Other trials in Mexico

About this study

Official title: A Multi-center, Phase III, Randomized, Observer Blind Study to Evaluate the Safety, Tolerability and Immunogenicity of a Trivalent Subunit Inactivated Flu Vaccine in Healthy Children and Adolescents 3 to 17 Years of Age

This study will evaluate the safety and immunogenicity in healthy children and adolescents after one or two IM dose(s) of trivalent subunit inactivated flu vaccine.

Being tested
TIV, TIVf, Comparator TIV
Keywords
seasonal influenza, vaccine

What participants receive

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

  • TIVBiological

    Investigational egg-derived trivalent subunit influenza vaccine.

  • TIVfBiological

    US licensed trivalent inactivated subunit influenza vaccine -Fluvirin (Novartis Vaccines and Diagnostics) is approved for use in subjects ≥4 years.

  • Comparator TIVBiological

    US licensed trivalent subunit inactivated influenza vaccine- Fluzone (Sanofi Pasteur) is approved for use in children <4 years.

Study groups in NCT01209780
Study groupRoleWhat they receive
TIV (3-8 years)ExperimentalNon-Naive subjects received one dose and naive subjects received two doses, administered 4 weeks apart, of investigational trivalent influenza vaccine (TIV)
Receives: Biological: TIV
Control TIV (3-8 years)Active comparatorNon-Naive subjects received one dose and Naive subjects received two doses, administered 4 weeks apart, of control vaccine. Subjects aged 3 to <4 years and subjects aged 4 to 8 years received different control TIV.
Receives: Biological: TIVf; Biological: Comparator TIV
TIV ( 9-17 years)ExperimentalAll subjects received one dose of investigational TIV. The subjects in this cohort were included only for safety analysis.
Receives: Biological: TIV
Control TIV ( (9-17 years)Active comparatorAll subjects received one dose of the control vaccine. The subjects from this cohort were included only for safety analysis.
Receives: Biological: TIVf

What is being measured

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

  1. Comparison of Antibody Responses of Investigational TIV to Control Vaccine in Terms of the Percentage of Subjects Achieving Seroconversion

    The non-inferiority of the antibody responses of investigational TIV compared to control TIV assessed in terms of the percentage of subjects achieving seroconversion, against the three homologous vaccine strains,in children 3 to 8 years of age, at 21 days after last vaccination.

    Seroconversion was defined as a pre-vaccination haemagglutinin inhibition (HI) titer <1:10 and post-vaccination HI titer ≥1:40 or as a pre-vaccination HI titer ≥1:10 and at minimum four-fold rise in post-vaccination antibody titer

    Measured: Day 22 for non-naive/Day 50 for naive subjects

  2. Comparison of Antibody Responses of Investigational TIV to Control Vaccine in Terms of Post Vaccination Geometric Mean Titers (GMTs)

    The non-inferiority of the antibody responses of investigational TIV compared to control vaccine assessed in terms of post vaccination GMTs, at 21 days after last vaccination against the three homologous vaccine strains in 3 to 8 year old children.

    Measured: Day 22 for non-naive/Day 50 for naive subjects

Secondary outcomes (6)
  1. Percentages of Subjects Achieving HI Titers ≥40 Following Vaccination With Investigational TIV or Control Vaccine.

    The percentages of 3 to 8 year old subjects achieving HI titers ≥40 after receiving either one or two doses of investigational TIV or control vaccine, 21 days after last vaccination, are reported.

    This criterion according to the US (CBER)guideline is met if the lower bound of the two sided 95%CI for percentage of subjects achieving HI titers ≥40, is ≥70%.

    Measured: Day 22 for non-naive/Day 50 for naive subjects

  2. Percentages of Subjects With Seroconversion in Antibody Titers Following Vaccination With Investigational TIV or Control Vaccine

    The percentages of 3 to 8 years-old subjects achieving seroconversion in HI antibody titers after receiving either one or two doses of investigational TIV or control vaccine, at 21 days after last vaccination, are reported.

    This criterion, according to the US (CBER) guideline, is met if the lower limit of 95% CI of percentage of subjects achieving seroconversion or significant increase at day 22 and day 50 (21 days after last vaccination) is ≥40.

    Measured: Day 22 for non-naive/Day 50 for naive

  3. Percentages of Vaccine-naive Children Achieving HI Titers ≥40 After Receiving Two Doses of Investigational TIV or Control Vaccine.

    The percentage of 3 to 8 years-old vaccine-naive subjects achieving HI titers ≥40, after receiving two doses of investigational TIV or control vaccine. The time frame of evaluation was 28 days after first (Day 29) and 21 days after second vaccine dose (Day 50).

    This criterion according to the US (CBER) guideline is met if the lower bound of the two sided 95%CI for percentage of subjects achieving HI titers ≥40 is ≥70%, for each vaccine strain.

    Measured: Day 1, Day 29, and Day 50

  4. Percentages of Vaccine-naive Children Achieving Seroconversion in Antibody Titers, After Receiving Two Doses of Investigational TIV or Control Vaccine

    The percentages of 3 to 8 years-old vaccine naive children achieving seroconversion or significant increase in HI antibody titers after receiving two doses of investigational TIV or control vaccine, are reported. The time frame of evaluation was 28 days after first (Day 29) and 21 days after the second dose (Day 50).

    This criterion, according to the US (CBER) guideline, is met if the lower limit of 95% CI of percentage of subjects achieving seroconversion or significant increase at day 29 and day 50 is ≥40, for each vaccine strain.

    Measured: Day 29 and Day 50

  5. Number of Subjects Reporting Solicited Adverse Events After Vaccination With Investigational TIV and Control Vaccine

    The number of 3-17 year old children with solicited local and systemic adverse events and other adverse events, after receiving either one or two doses of investigational TIV as compared to control vaccine are reported.

    Measured: Day 1 to 7 after vaccination

  6. Number of Subjects Reporting Unsolicited Adverse Events After Vaccination With Investigational TIV and Control Vaccine

    The number of 3-17 year old children reporting any unsolicited adverse event and any serious adverse event (SAE) after receiving either one or two doses of investigational TIV and control vaccine are reported.

    Measured: Day 1 to 180 (non-naive )/Day 1 to 209 (naive)

Timeline

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

  1. First posted27 Sep 2010 (estimated)
  2. Study startSep 2010
  3. Primary completionMar 2011
  4. Study completionSep 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 3
Primary purpose
Prevention
Allocation
Randomised
Intervention model
Parallel groups
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
3,116 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT01209780
Sponsor's protocol ID
V71_18
Status last verified
Feb 2014
First submitted
24 Sep 2010
Last updated
11 Mar 2014

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing TIV, TIVf and Comparator TIV in people with Seasonal Influenza, run by Novartis Vaccines at 13 sites in 4 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 4 inclusion and 19 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 11 Mar 2014. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 13 sites in Philippines, Panama, Colombia, Mexico. 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 11 Mar 2014). 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?

Comparison of Antibody Responses of Investigational TIV to Control Vaccine in Terms of the Percentage of Subjects Achieving Seroconversion (time frame: Day 22 for non-naive/Day 50 for naive subjects). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
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 11 Mar 2014.

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