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.
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
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
Colombia1 site
Centro de Atención e Investigación Medica - CAIMED
Carrera 42A # 17-50, Bogotá
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
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.
- Conditions
- Seasonal Influenza
- 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 group | Role | What they receive |
|---|---|---|
| TIV (3-8 years) | Experimental | Non-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 comparator | Non-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) | Experimental | All 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 comparator | All 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.
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
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)
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
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
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
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
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
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.
- First posted27 Sep 2010 (estimated)
- Study startSep 2010
- Primary completionMar 2011
- Study completionSep 2011
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Posted resultsParticipant flow, outcome measures and adverse events reported by the sponsor.
- Other trials for Seasonal InfluenzaStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
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)
Sponsor and investigators
- Lead sponsor
- Novartis Vaccines
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
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
- Results posted
- Yes, on ClinicalTrials.gov
Study at a glance
From the registry record, last updated by the sponsor on 11 Mar 2014. Recruitment status is as the sponsor reported it: confirm with the study team.
- 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
- ClinicalTrials.gov ID
- NCT01209780
- Acronym / sponsor ID
- V71_18
- Conditions
- Seasonal Influenza
- Keywords
- seasonal influenza, vaccine
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 3,116 participants (actual)
- Lead sponsor
- Novartis VaccinesIndustry (pharma, biotech, devices)
- Study start
- Sep 2010
- Primary completion
- Mar 2011 (actual)
- Study completion
- Sep 2011 (actual)
- First posted
- 27 Sep 2010 (estimated)
- Results
- Posted 11 Mar 2014
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
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.
Study design
- Primary purpose
- Prevention
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind (participant, care provider, investigator, outcomes assessor)
- Number of arms
- 4
| Arm | Type | Receives |
|---|---|---|
| TIV (3-8 years) | Experimental | Biological: TIVNon-Naive subjects received one dose and naive subjects received two doses, administered 4 weeks apart, of investigational trivalent influenza vaccine (TIV) |
| Control TIV (3-8 years) | Active comparator | Biological: TIVf, Biological: Comparator TIVNon-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. |
| TIV ( 9-17 years) | Experimental | Biological: TIVAll subjects received one dose of investigational TIV. The subjects in this cohort were included only for safety analysis. |
| Control TIV ( (9-17 years) | Active comparator | Biological: TIVfAll subjects received one dose of the control vaccine. The subjects from this cohort were included only for safety analysis. |
Who may qualify
- Ages
- 3 to 17 years
- Sex
- All
- Healthy volunteers
- Accepted
- Age groups
- Child
Key inclusion criteria (4 listed)
- 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
Key exclusion criteria (19 listed)
- 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
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| TIVInvestigational egg-derived trivalent subunit influenza vaccine. | Biological | TIV ( 9-17 years), TIV (3-8 years) |
| TIVfUS licensed trivalent inactivated subunit influenza vaccine -Fluvirin (Novartis Vaccines and Diagnostics) is approved for use in subjects ≥4 years. | Biological | Control TIV ( (9-17 years), Control TIV (3-8 years) |
| Comparator TIVUS licensed trivalent subunit inactivated influenza vaccine- Fluzone (Sanofi Pasteur) is approved for use in children <4 years. | Biological | Control TIV (3-8 years) |
Primary outcome
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 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
Comparison of Antibody Responses of Investigational TIV to Control Vaccine in Terms of Post Vaccination Geometric Mean Titers (GMTs)
Time frame: Day 22 for non-naive/Day 50 for naive subjects
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.
6 secondary outcomes
Percentages of Subjects Achieving HI Titers ≥40 Following Vaccination With Investigational TIV or Control Vaccine.
Time frame: Day 22 for non-naive/Day 50 for naive subjects
Percentages of Subjects With Seroconversion in Antibody Titers Following Vaccination With Investigational TIV or Control Vaccine
Time frame: Day 22 for non-naive/Day 50 for naive
Percentages of Vaccine-naive Children Achieving HI Titers ≥40 After Receiving Two Doses of Investigational TIV or Control Vaccine.
Time frame: Day 1, Day 29, and Day 50
Percentages of Vaccine-naive Children Achieving Seroconversion in Antibody Titers, After Receiving Two Doses of Investigational TIV or Control Vaccine
Time frame: Day 29 and Day 50
Number of Subjects Reporting Solicited Adverse Events After Vaccination With Investigational TIV and Control Vaccine
Time frame: Day 1 to 7 after vaccination
Number of Subjects Reporting Unsolicited Adverse Events After Vaccination With Investigational TIV and Control Vaccine
Time frame: Day 1 to 180 (non-naive )/Day 1 to 209 (naive)
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 11 Mar 2014.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
The record lists no contact. Use the official record to reach the sponsor.
13 sites in 4 countries: see every site and its status.
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.