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Influenza DiseasePhase 3NCT01346592

Safety, Tolerability, and Immunogenicity of the Adjuvanted Trivalent Subunit Influenza Vaccine and the Non-Adjuvanted Trivalent Subunit Influenza Vaccine Compared to the Non-Adjuvanted Trivalent Split Influenza Vaccine in Children 6 to < 72 Months of Age

A Phase 3 study testing Trivalent split influenza vaccine (TIV), MF59-adjuvanted trivalent influenza vaccine (aTIV) and Licensed comparator trivalent split influenza vaccine (comparator TIV) in people with Influenza Disease, run by Novartis Vaccines at 34 sites in 5 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 Aims to Evaluate the Safety, Tolerability, and Immunogenicity of the Adjuvanted Trivalent Subunit Influenza Vaccine and the Non-Adjuvanted Trivalent Subunit Influenza Vaccine Compared to the Non-Adjuvanted Trivalent Split Influenza Vaccine in Children 6 to < 72 Months of Age. Read more about this study

Who is it for?
Ages 6 to 72 monthsHealthy volunteers can take part
Conditions the study is for
Influenza Disease
What is being tested?
Trivalent split influenza vaccine (TIV), MF59-adjuvanted trivalent influenza vaccine (aTIV) and Licensed comparator trivalent split influenza vaccine (comparator TIV)
Type of treatment
Vaccines
Could I receive a placebo?
No, everyone receives an active treatment
How many people
6,104 participants
Where
34 sitesin 5 countries
Study dates
Apr 2011to Jul 2012
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 6 to 72 months
  • All sexes
  • Healthy volunteers accepted
  • Child

Who may be able to join

  • 1.Children 6 months to 72 months of age.

Who cannot join

  • Who had been hospitalized at the time of enrollment
  • Who had any serious reaction or hypersensitivity to any vaccine component, eggs, or chicken protein
  • Who had known impairment of the immune function
  • Who had fever interfering with normal daily activities at the time of enrollment
  • Who had received licensed vaccines within 14 days (for inactivated vaccines) or 28 days (for live vaccines) prior to enrollment in the study
  • Concomitant participation in another clinical study
  • Who had surgery planned during the study period that in the investigator's opinion would have interfered with the study visits schedule.

Trial locations and contacts

34 sites in 5 countries.

34 sites in 5 countries

Philippines14 sites
  • 111 DLSHI deCastro De La Salle Health Sciences Institute DBB B Dasmarinas

    Cavite, 4114

  • 106 Research Institute for Tropical Medicine Alabang Muntinlupa

    City of Muntinlupa

  • 108 RITM Research Institute for Tropical Medicine Department of Health Compound FILINVEST Corporate City Alabang

    City of Muntinlupa

  • 109 De La Salle Health Sciences Institute

    Dbbb Dasmarinas Cavite, 4114

  • 110 De La Salle Health Sciences Institute

    Dbbb Dasmarinas Cavite, 4114

  • 103 Philippine General Hospital Taft Avenue

    Manila, 1000

  • 107 Philippine General Hospital Taft Avenue

    Manila, 1000

  • 112 PGH Lim Philippine General Hospital Taft Avenue

    Manila, 1000

  • 114 Philippine General Hospital Taft Avenue

    Manila, 1000

  • 105 Mary Chiles General Hospital 667 Gastambide St Sampaloc Manila

    Manila, 1008

  • 102 University of the East Ramon Magsaysay Memorial 64 Aurora Boulevard Barangay Dona Imelda

    Quezon

  • 101 Philippine Childrens Medical Center Quezon Avenue cor Agham Road Quezon City

    Quezon City

  • 104 Philippine Childrens Medical Center Quezon Avenue cor Agham Road Quezon City

    Quezon City

  • 113 Philippine Childrens Medical Center Quezon Avenue cor Agham Road Quezon City

    Quezon City

Other trials in Philippines

Argentina8 sites
  • 401 Paideia Jeronimo Salguero 2835 Piso 1

    Buenos Aires

  • 402 Hospital de Ninos Gallo 130

    Buenos Aires

  • 403 Instituto Medico Rio Cuarto Hipolito Yrigoyen 1020

    Córdoba

  • 405 Hospital Pediatrico Nino Jesus Castro Barros 650

    Córdoba

  • 406 Hospital Nostra Senora de la Misericordia Belgrano 1500

    Córdoba

  • 407 Centro Pediatrico Caballito Directorio 1658

    Cuidad Automa de Beunos Aires, 1406

  • 408 Centro de Salud 31 Serpa y Republica del Libano

    Mendoza

  • 409 Centro de Salud 16 Alpatacal y Chile

    Villa Nueva

Other trials in Argentina

Australia5 sites
  • 206 Vaccine and Immunology Research Trials Unit University Department of Paediatrics 2nd floor Clarence Reiger Bldg Womens and Childrens Hospital

    Adelaide, 5006

  • 201 Royal Children Hospital Department of Respiratory Medicine

    Herston, 4029

  • 205 Vaccine and Immunisation Research Group Murdoch Childrens Research Institute School Of Population Health

    Level 5 207 Bouverie Saint

  • 202 Sydney Children Hospital Department of Immunology and Infectious Diseases

    Randwick, 2031

  • 204 National Centre for Immunisation Research and Surveillance Kids Research Institute The Childrens Hospital at Westmead

    Westmead, 2145

Other trials in Australia

South Africa5 sites
  • 305 Worthwhile Clinical Trials Lakeview Hospital 1 Mowbray Avenue

    Benoni, 1500

  • 304 Newgate Centre Suite 3

    Johannesburg, 2113

  • 303 Emmed Research

    Pretoria, 0084

  • 301 Perinatal HIV Research Unit, Baragwanath Hospital

    Soweto

  • 302 Soweto Clinical Research

    Soweto

Other trials in South Africa

Chile2 sites
  • 502 Hospital Clinico Pontificia Universidad Catolica de Chile Marcoleta 357

    Santiago

  • 503 Clinica Tabancura Av Tabancura 1185

    Santiago

Other trials in Chile

About this study

Official title: A Phase III, Observer-Blind, Randomized, Multi-center Study to Evaluate the Safety, Tolerability, and Immunogenicity of Fluad and Agriflu Compared to the Non-adjuvanted Trivalent Influenza Vaccine Fluzone in Children 6 to < 72 Months of Age

This Study Aims to Evaluate the Safety, Tolerability, and Immunogenicity of the Adjuvanted Trivalent Subunit Influenza Vaccine and the Non-Adjuvanted Trivalent Subunit Influenza Vaccine Compared to the Non-Adjuvanted Trivalent Split Influenza Vaccine in Children 6 to < 72 Months of Age.

Being tested
Trivalent split influenza vaccine (TIV), MF59-adjuvanted trivalent influenza vaccine (aTIV), Licensed comparator trivalent split influenza vaccine (comparator TIV)
Keywords
Adjuvanted Trivalent Subunit Influenza Vaccine, vaccine, influenza, adjuvant, MF-59, pediatric
Medical subject headings
Influenza, Human

What participants receive

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

  • Trivalent split influenza vaccine (TIV)Biological

    Also called Agriflu

  • MF59-adjuvanted trivalent influenza vaccine (aTIV)Biological

    Also called Fluad

  • Licensed comparator trivalent split influenza vaccine (comparator TIV)Biological

    Also called Fluzone

Study groups in NCT01346592
Study groupRoleWhat they receive
aTIV (6 to <72 months)Active comparatorSubjects received an investigational MF59-adjuvanted trivalent influenza vaccine (aTIV), subjects aged between 6 to <36 months received two doses of 0.25 mL each, while subjects aged ≥36 months received two doses of 0.5 mL each, at Days 1 \& 29
Receives: Biological: MF59-adjuvanted trivalent influenza vaccine (aTIV)
Comparator TIV (6 to <72 months)Active comparatorSubjects received a licensed comparator trivalent split influenza vaccine (comparator TIV), subjects aged between 6 to <36 months received two doses of 0.25 mL each, while subjects aged ≥36 months received two doses of 0.5 mL each, at Days 1 \& 29
Receives: Biological: Licensed comparator trivalent split influenza vaccine (comparator TIV)
TIV (6 to <72 months)Active comparatorSubjects received an investigational trivalent split influenza vaccine (TIV), subjects aged between 6 to <36 months received two doses of 0.25 mL each, while subjects aged ≥36 months received two doses of 0.5 mL each, at Days 1 \& 29
Receives: Biological: Trivalent split influenza vaccine (TIV)

What is being measured

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

  1. Comparison of Antibody Responses of aTIV With TIV and Comparator TIV in Terms of Geometric Mean Titers (GMTs) Against Homologous Strains

    The non-inferiority of Hemagglutination Inhibition (HI) antibody responses of aTIV compared to TIV and comparator TIV assessed in terms of post vaccination GMTs at three weeks after last vaccination against the three homologous vaccine strains.

    Measured: Day 1, Day 50

  2. Comparison of Antibody Responses of aTIV With TIV and Comparator TIV in Terms of Percentage of Subjects Achieving Seroconversion or ≥4-fold Increase in HI Titers Against Homologous Strains

    The non-inferiority of HI antibody responses of aTIV compared to TIV and comparator TIV assessed in terms of percentage of subjects achieving seroconversion or ≥4-fold increase in HI titers at three weeks after last vaccination against the three homologous vaccine strains.

    Seroconversion defined as prevaccination HI titer <10 and postvaccination HI titer ≥40 or at least a 4-fold increase in HI titers from prevaccination HI titer ≥10.

    Measured: Day 50

  3. Comparison of Antibody Responses of TIV Versus Comparator TIV in Terms of Geometric Mean Titers (GMTs) Against Homologous Strains (6 to <36 Months)

    The non-inferiority of HI antibody responses of TIV to that of comparator TIV, in subjects aged 6 to <36 Months, assessed in terms of post vaccination GMTs at three weeks after last vaccination against the three homologous vaccine strains.

    Measured: Day 1, Day 50

  4. Comparison of Antibody Responses of TIV Versus Comparator TIV in Terms of Percentage of Subjects Achieving Seroconversion or ≥4-fold Increase in HI Titer Against Homologous Strains in Subjects 6 to <36 Months of Age

    The non-inferiority of HI antibody responses of TIV to that of the licensed comparator TIV assessed in terms of percentage of subjects achieving seroconversion or ≥4-fold increase in HI titers at three weeks after last vaccination against the three homologous vaccine strains.

    Measured: Day 50

Secondary outcomes (17)
  1. Comparison of Antibody Responses of aTIV With TIV and Comparator TIV in Terms of GMTs Against Homologous Strains (6 to <24 Months)

    The superiority of HI antibody responses, in subjects 6 to <24 months of age, of aTIV compared to TIV and comparator TIV assessed in terms of post vaccination GMTs at three weeks after last vaccination against the three homologous vaccine strains.

    Measured: Day 1, Day 50

  2. Comparison of Antibody Responses of aTIV With TIV and Comparator TIV in Terms Percentage of Subjects Achieving Seroconversion or ≥4-fold Increase in HI Titer Against Homologous Strains (6 to <24 Months)

    The superiority of HI antibody responses, in subjects 6 to <24 months of age, of aTIV compared to TIV and comparator TIV assessed in terms of number of subjects achieving seroconversion at three weeks after last vaccination against the three homologous vaccine strains.

    Measured: Day 50

  3. Comparison of Antibody Responses of aTIV With TIV and Comparator TIV in Terms of GMTs Against Homologous Strains (6 to <72 Months)-FAS

    The superiority of HI antibody responses, in subjects 6 to <72 months of age, of aTIV compared to TIV and comparator TIV assessed in terms of post vaccination GMTs at three weeks after last vaccination against the three homologous vaccine strains.

    Measured: Day 1, Day 50

  4. Comparison of Antibody Responses of aTIV With TIV and Comparator TIV in Terms of Percentage of Subjects Achieving Seroconversion or ≥4 Fold Increase in HI Titers Against Homologous Strains (6 to <72 Months)-FAS

    The superiority of HI antibody responses, in subjects 6 to <24 months of age, of aTIV compared to TIV and comparator TIV assessed in terms of number of subjects achieving seroconversion ≥4 fold increase in HI titers at three weeks after last vaccination against the three homologous vaccine strains.

    Measured: Day 50

  5. The HI GMTs Against Homologous Strains, by Vaccine Group

    The HI antibody titers against the three homologous strains following vaccination with either aTIV, licensed comparator or TIV, at three weeks and at six months after vaccination are reported as GMTs.

    Measured: Day 1, Day 29, Day 50, Day 209

  6. Geometric Mean Ratio (GMR) of Post- Versus Pre-vaccination HI Titers Against Homologous Strains

    The GMR of post-vaccination versus pre-vaccination HI titers against homologous strains, three weeks (day 29/day 1; day 50/day 1)and six months (day 209/day 1) after vaccination with either aTIV, licensed comparator or TIV.

    Measured: Day 29, Day 50, Day 209

  7. Percentage of Subjects With HI Titers ≥40 Against Homologous Strains, by Vaccine Group

    The percentage of subjects demonstrating HI titers ≥40,against homologous strains, at three weeks and six months after vaccination with aTIV or licensed comparator or TIV.

    Measured: Day 1, Day 29, Day 50, Day 209

  8. Percentage of Subjects Achieving Seroconversion or ≥4 Fold Increase in HI Titers, Against Homologous Strains

    The percentage of subjects achieving seroconversion ≥4 fold increase in HI titers from baseline, against homologous strains, at three weeks and six months after vaccination with ATIV or licensed comparator or TIV.

    Measured: Day 29, Day 50, Day 209

  9. Comparison of Antibody Responses of aTIV With TIV and Comparator TIV in Terms of GMTs Against Homologous Strains, Subjects at Risk/Not at Risk, by Age Subgroup

    The non-inferiority of Hemagglutination Inhibition (HI) antibody responses of aTIV compared to TIV and comparator TIV assessed in terms of post vaccination GMTs at three weeks after last vaccination against the three homologous vaccine strains, in subjects with a defined set of underlying medical conditions (at risk) and healthy subjects (not at risk), by age sub group.

    Measured: Day 50

  10. Comparison of Antibody Responses of aTIV Versus Comparator TIV and TIV in Terms of Percentage of Subjects Achieving Seroconversion or ≥4-fold Increase in HI Titer Against Homologous Strains in Subjects at Risk/Not at Risk, by Age Subgroup

    The non-inferiority of HI antibody responses of aTIV to that of the licensed comparator TIV and to investigational TIV was assessed in terms of percentage of subjects achieving seroconversion or ≥4-fold increase in HI titers at three weeks after last vaccination against the three homologous vaccine strains in subjects with a defined set of underlying medical conditions (at risk) and in healthy subjects (not at risk) , by age sub group.

    Measured: Day 50

  11. Comparison of Antibody Responses of TIV Versus Comparator TIV in Terms of Percentage of Subjects Achieving Seroconversion or ≥4-fold Increase in HI Titer Against Homologous Strains in Subjects at Risk/Not at Risk, by Age Sub Group-FAS

    The superiority of HI antibody responses of aTIV compared to TIV and comparator TIV assessed in terms of of percentage of subjects achieving seroconversion or ≥4-fold increase in HI Titer at three weeks after last vaccination against the three homologous vaccine strains in subjects with a defined set of underlying medical conditions (at risk) and healthy subjects (not at risk), by age sub group.

    Measured: Day 50

  12. Comparison of Antibody Responses of aTIV With TIV and Comparator TIV in Terms of GMTs Against Homologous Strains, at Risk/Not at Risk, by Age Sub Group-FAS

    The superiority of HI antibody responses of aTIV compared to TIV and comparator TIV assessed in terms of post vaccination GMTs at three weeks after last vaccination against the three homologous vaccine strains, in subjects with a defined set of underlying medical conditions (at risk) and in healthy subjects (not at risk), by age sub group.

    Measured: Day 50

  13. The HI GMTs Against Heterologous Strains, by Vaccine Group (6 to <72 Months Age Group)

    The HI antibody titers against the heterologous strains following vaccination with either aTIV, licensed comparator or TIV, at three weeks and at six months after vaccination are reported as GMTs.

    Measured: Day 1, Day 50, Day 209

  14. Percentage of Subjects Achieving Seroconversion or ≥4 Fold Increase in HI Titers, Against Heterologous Strains

    The percentage of subjects achieving seroconversion or ≥4 fold increase in HI titers from baseline, against heterologous strains, at three weeks and six months after last vaccination with aTIV or licensed comparator or TIV.

    Measured: Day 50, Day 209

  15. Comparison of Antibody Responses of aTIV With TIV and Comparator TIV in Terms of GMTs Against Homologous Strains, After One Vaccination

    To demonstrate the GMTs at three weeks after one dose of aTIV are statistically significantly higher to the corresponding response's of comparator TIV and TIV.

    Measured: Day 1, Day 29

  16. Number of Subjects Reporting Solicited Adverse Events After Vaccination

    The number of subjects reporting any solicited local and systemic adverse events (AEs), following vaccination with aTIV or licensed comparator or TIV.

    Measured: Day 1 through Day 7 after any vaccination

  17. Number of Subjects Reporting Unsolicited Adverse Events After Vaccination

    The number of subjects reporting any unsolicited adverse events (AEs) between Day 1 to Day 50, serious adverse events (SAEs), AE leading to withdrawal (WD), new onset of chronic disease(NOCD), adverse events of special interest following vaccination with aTIV or licensed comparator or TIV throughout the study (Day 1 to Day 394).

    Measured: Day 1 to Day 394

Timeline

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

  1. First posted3 May 2011 (estimated)
  2. Study startApr 2011
  3. Primary completionJul 2012
  4. Study completionJul 2012

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
Investigator
Enrolment
6,104 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT01346592
Sponsor's protocol ID
V70_29
Status last verified
Mar 2015
First submitted
30 Apr 2011
Last updated
26 Mar 2015

Publications

  • Nolan T, Bravo L, Ceballos A, Mitha E, Gray G, Quiambao B, Patel SS, Bizjajeva S, Bock H, Nazaire-Bermal N, Forleo-Neto E, Cioppa GD, Narasimhan V. Enhanced and persistent antibody response against homologous and heterologous strains elicited by a MF59-adjuvanted influenza vaccine in infants and young children. Vaccine. 2014 Oct 21;32(46):6146-56. doi: 10.1016/j.vaccine.2014.08.068. Epub 2014 Sep 16.

    PubMed 25223266

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing Trivalent split influenza vaccine (TIV), MF59-adjuvanted trivalent influenza vaccine (aTIV) and Licensed comparator trivalent split influenza vaccine (comparator TIV) in people with Influenza Disease, run by Novartis Vaccines at 34 sites in 5 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 1 inclusion and 7 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 26 Mar 2015. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 34 sites in Philippines, Argentina, Australia, South Africa, Chile. 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 6 May 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 aTIV With TIV and Comparator TIV in Terms of Geometric Mean Titers (GMTs) Against Homologous Strains (time frame: Day 1, Day 50). 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 NCT01346592, 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 26 Mar 2015.

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