InfluenzaPhase 3NCT01439360
An Efficacy Study of GlaxoSmithKline (GSK) Biologicals' Candidate Influenza Vaccine GSK2321138A in Children
A Phase 3 study testing Quadrivalent seasonal influenza vaccine(Flu D-QIV) GSK2321138A, Havrix Junior and Prevenar 13 in people with Influenza, run by GlaxoSmithKline at 103 sites in 13 countries.
Trial summary
The purpose of this study is to evaluate the efficacy, immunogenicity and safety of GSK Biologicals' influenza candidate vaccine GSK2321138A when compared to non-influenza vaccine comparators in children 6 to 35 months of age. Read more about this study
- Who is it for?
- Ages 6 to 35 monthsHealthy volunteers can take part
- Conditions the study is for
- Influenza
- What is being tested?
- Quadrivalent seasonal influenza vaccine(Flu D-QIV) GSK2321138A, Havrix Junior and Prevenar 13
- Type of treatment
- Vaccines, Injection or infusion
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 12,046 participants
- Where
- 103 sitesin 13 countries
- Study dates
- 1 Oct 2011to 31 Dec 2014
- 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 35 months
- All sexes
- Healthy volunteers accepted
- Child
Who may be able to join
- Subjects who the investigator believes that their parents/Legally Acceptable Representative (LARs) can and will comply with the requirements of the protocol.
- A male or female between, and including, 6 and 35 months of age at the time of first vaccination; children are eligible regardless of history of influenza vaccination.
- Written informed consent obtained from the parent(s) /LAR(s) of the subject.
- Subjects in stable health as determined by medical history and clinical examination before entering into the study.
Who cannot join
- Participation in a previous FLU-D-QIV-004 study (115345) cohort.
- Child in care.
- Use of any investigational or non-registered product other than the study vaccines within 30 days preceding the first dose of study vaccine, or planned use during the study period.
- Prior receipt of any influenza vaccine within 6 months preceding the first dose of study vaccine, or planned use of such vaccines during the study period.
- Children with underlying illness who are at risk of complications of influenza and for whom yearly (seasonal) influenza vaccination is recommended in their respective country.
- Any confirmed or suspected immunosuppressive or immunodeficient condition (including HIV), based on medical history and physical examination.
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- Chronic administration of immunosuppressants or other immune modifying drugs within six months prior to the first vaccine dose. Inhaled and topical steroids are allowed.
- Administration of immunoglobulins and/ or any blood products within 3 months preceding the first dose of study vaccine or planned administration during the study period.
- Any known or suspected allergy to any constituent of influenza vaccines, non-influenza vaccine comparators and latex; a history of anaphylactic-type reaction to consumption of eggs; or a history of severe adverse reaction to a previous vaccination.
- Any contraindication to intramuscular injection.
- Acute disease and/or fever at the time of enrolment.
- Any other condition which, in the opinion of the Investigator, prevents the subject from participating in the study.
- Additional criteria for children ≥ 12 months of age:
- Prior receipt of any licensed varicella vaccine* or any licensed hepatitis A vaccine or planned use of these vaccines during the study period. Other routine registered childhood vaccinations are permitted.
- For countries with varicella vaccine administered as 2-dose schedule, prior receipt of a single dose of a varicella vaccine is allowed if administered at least 2 weeks before the first study vaccination.
- Any history of hepatitis A or varicella diseases.
- Additional criteria for children 6 - 11 months of age in countries without universal mass vaccination recommendation for pneumococcal vaccine:
- Prior receipt of any pneumococcal conjugated vaccine or planned use of this vaccine during the study period. Other routine registered childhood vaccinations are permitted.
Trial locations and contacts
103 sites in 13 countries.
103 sites in 13 countries
Spain24 sites
GSK Investigational Site
Antequera/Málaga, 29200
GSK Investigational Site
Barcelona, 08025
GSK Investigational Site
Barcelona, 08042
GSK Investigational Site
Blanes (Girona), 17300
GSK Investigational Site
Boadilla del Monte, 28660
GSK Investigational Site
Castellon, 12004
GSK Investigational Site
Castellon, 12530
GSK Investigational Site
Centelles (Barcelona), 08540
GSK Investigational Site
Madrid, 28034
GSK Investigational Site
Madrid, 28035
GSK Investigational Site
Madrid, 28046
GSK Investigational Site
Madrid, 28700
GSK Investigational Site
Pozuelo de Alarcón/Madrid, 28224
GSK Investigational Site
Quart de Poblet, Valencia, 46930
GSK Investigational Site
Santiago de Compostela, 15706
GSK Investigational Site
Seville, 41014
GSK Investigational Site
Seville, 41927
GSK Investigational Site
Torrelodones (Madrid), 28250
GSK Investigational Site
Valencia, 46011
GSK Investigational Site
Valencia, 46024
GSK Investigational Site
Valencia, 46200
GSK Investigational Site
Valencia, 46702
GSK Investigational Site
Vic/ Barcelona, 08500
GSK Investigational Site
Xativa/Valencia, 46800
Poland21 sites
GSK Investigational Site
Bydgoszcz, 85-079
GSK Investigational Site
Bydgoszcz, 85-168
GSK Investigational Site
Bydgoszcz, 85-316
GSK Investigational Site
Dębica, 39-200
GSK Investigational Site
Gdansk, 84-462
GSK Investigational Site
Grudziądz, 86-330
GSK Investigational Site
Katowice, 40-018
GSK Investigational Site
Katowice, 40-129
GSK Investigational Site
Krakow, 31-223
GSK Investigational Site
Łęczna, 21-010
GSK Investigational Site
Lodz, 90-242
GSK Investigational Site
Lublin, 20-044
GSK Investigational Site
Oborniki, 55-120
GSK Investigational Site
Poznan, 61-709
GSK Investigational Site
Poznan, 62-064
GSK Investigational Site
Siemianowice Śląskie, 41-103
GSK Investigational Site
Tarnów, 33-100
GSK Investigational Site
Torun
GSK Investigational Site
Warsaw, 00-315
GSK Investigational Site
Wola, 43-225
GSK Investigational Site
Wroclaw, 52-312
United Kingdom20 sites
GSK Investigational Site
Atherstone, Warwickshire, CV9 1EU
GSK Investigational Site
Axbridge, Somerset, BS26 2BJ
GSK Investigational Site
Bath, Somerset, BA1 3NG
GSK Investigational Site
Belfast, BT7 2EB
GSK Investigational Site
Bolton, Nr Manchester, BL3 6TL
GSK Investigational Site
Bristol, BS2 8AE
GSK Investigational Site
Co Antrim, BT41 3AE
GSK Investigational Site
Coventry, Warwickshire, CV6 4DD
GSK Investigational Site
Crumpsall, Manchester, M8 9JT
GSK Investigational Site
Exeter, EX2 5DW
GSK Investigational Site
Gloucester, GL1 3NN
GSK Investigational Site
London, SW17 0QT
GSK Investigational Site
Manchester, M13 9WL
GSK Investigational Site
Nottingham, NG7 2QW
GSK Investigational Site
Oxford, OX3 7LJ
GSK Investigational Site
Southampton, Hampshire, SO16 6YD
GSK Investigational Site
St Austell, Cornwall, PL26 7RL
GSK Investigational Site
Taunton, Somerset, TA1 5DA
GSK Investigational Site
Westminster Bridge Road, SE1 7EH
GSK Investigational Site
Yeovil, Somerset, BA21 4AT
Czechia11 sites
GSK Investigational Site
Děčín, 405 01
GSK Investigational Site
Humpolec, 396 01
GSK Investigational Site
Jindřichův Hradec, 37701
GSK Investigational Site
Liberec, 46015
GSK Investigational Site
Lipník nad Bečvou, 75131
GSK Investigational Site
Náchod, 547 01
GSK Investigational Site
Odolena Voda, 25070
GSK Investigational Site
Ostrava - Poruba, 70800
GSK Investigational Site
Pardubice, 532 03
GSK Investigational Site
Prague, 1600
GSK Investigational Site
Tábor, 390 02
Belgium7 sites
GSK Investigational Site
Antwerp, 2018
GSK Investigational Site
Antwerp, 2020
GSK Investigational Site
Brussels, 1200
GSK Investigational Site
Mechelen, 2800
GSK Investigational Site
Namur, 5000
GSK Investigational Site
Roeselaere, 8800
GSK Investigational Site
Turnhout, 2300
Philippines6 sites
GSK Investigational Site
City of Muntinlupa, 1781
GSK Investigational Site
Manila, 1000
GSK Investigational Site
Manila
GSK Investigational Site
Metro Manila, 1000
GSK Investigational Site
Quezon City, 1113
GSK Investigational Site
Sampaloc, Manila, 1008
India3 sites
GSK Investigational Site
Faridabad, 121004
GSK Investigational Site
Pune, 411 011
GSK Investigational Site
Pune
Turkey (Türkiye)3 sites
GSK Investigational Site
Bursa
GSK Investigational Site
Eskişehir
GSK Investigational Site
Istanbul, 34890
Dominican Republic2 sites
GSK Investigational Site
Santo Domingo
GSK Investigational Site
Santo Domingo, Distrito Nacional
Honduras2 sites
GSK Investigational Site
San Pedro Sula
GSK Investigational Site
Tegucigalpa
Thailand2 sites
GSK Investigational Site
Bangkok, 10330
GSK Investigational Site
Khon Kaen, 40002
About this study
Official title: An Efficacy Study of GSK Biologicals' Quadrivalent Influenza Vaccine GSK2321138A (FLU D-QIV) When Administered in Children
The purpose of this study is to evaluate the efficacy, immunogenicity and safety of GSK Biologicals' influenza candidate vaccine GSK2321138A when compared to non-influenza vaccine comparators in children 6 to 35 months of age. Recruitment will encompass at least 4 independent cohorts: a first cohort in the Northern Hemisphere (2011-2012), a second cohort in subtropical countries (2012), third cohort in the Northern Hemisphere (2012-2013) and a fourth cohort and additional independent cohorts possibly in NH countries (end 2013) and subtropical countries (beginning 2014).
- Conditions
- Influenza
- Being tested
- Quadrivalent seasonal influenza vaccine(Flu D-QIV) GSK2321138A, Havrix Junior, Prevenar 13, Varivax/ProVarivax, Varilrix
- Keywords
- Vaccine, Seasonal Flu, Efficacy, Children
- Medical subject headings
- Influenza, Human
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Quadrivalent seasonal influenza vaccine(Flu D-QIV) GSK2321138ABiological
Intramuscular injection
Havrix JuniorBiological
Intramuscular injection administered to subjects aged 12 months or older
Prevenar 13Biological
Intramuscular injection administered to subjects less than 12 months of age
Varivax/ProVarivaxBiological
Intramuscular injection administered to subjects more than 12 months of age
VarilrixBiological
Subcutaneous injection administered to subjects more than 12 months of age
| Study group | Role | What they receive |
|---|---|---|
| D-QIV | Experimental | Subjects received 1 or 2 doses of candidate influenza Influsplit™ Tetra vaccine (GSK2321138A). Receives: Biological: Quadrivalent seasonal influenza vaccine(Flu D-QIV) GSK2321138A |
| Control | Active comparator | In function of their age and D-QIV-vaccine status, subjects received Prevenar 13® or Havrix® Junior and possibly a varicella vaccine (Varilrix® or Varivax/ProVarivax ®). Receives: Biological: Havrix Junior; Biological: Prevenar 13; Biological: Varivax/ProVarivax; Biological: Varilrix |
What is being measured
The primary outcome is the main question the study is designed to answer.
Number of Subjects With Moderate to Severe RT-PCR Confirmed Influenza.
Attack rate (AR) was defined as the number/percentage of subjects with at least 1 RT-PCR confirmed influenza event.
Measured: During the surveillance period (approximately 6 to 8 months)
Number of Subjects With RT-PCR Confirmed Influenza of Any Severity.
Attack rate (AR) was defined as the number/percentage of subjects with at least 1 RT-PCR confirmed influenza event.
Measured: During the surveillance period (approximately 6 to 8 months)
Secondary outcomes (20)
Number of Subjects With First Occurrence of Lower Respiratory Illness (LRI) With RT-PCR Confirmed Influenza.
Attack rate (AR) was defined as the number/percentage of subjects with at least 1 RT-PCR confirmed influenza event.
Measured: At any time starting 7 days before the onset of LRI and ending 7 days after end of LRI during the surveillance period (approximately 6 to 8 months)
Number of Subjects With First Occurrence of Culture-confirmed Moderate to Severe Influenza A and/or B Disease Due to Antigenically-matching Influenza Strains.
Attack rate (AR) was defined as the number/percentage of subjects with at least 1 RT-PCR confirmed influenza event.
Measured: During the surveillance period (approximately 6 to 8 months)
Number of Subjects With First Occurrence of Culture-confirmed Influenza A and/or B Disease of Any Severity Due to Antigenically-matching Influenza Strains
Attack rate (AR) was defined as the number/percentage of subjects with at least 1 RT-PCR confirmed influenza event.
Measured: During the surveillance period (approximately 6 to 8 months)
Number of Subjects With First Occurrence of Culture-confirmed Moderate to Severe Influenza A and/or B Disease Due to Any Seasonal Influenza Strain.
Attack rate (AR) was defined as the number/percentage of subjects with at least 1 RT-PCR confirmed influenza event.
Measured: During the surveillance period (approximately 6 to 8 months)
Number of Subjects With First Occurrence of Culture-confirmed Influenza A and/or B Disease of Any Severity Due to Any Seasonal Influenza Strain.
Attack rate (AR) was defined as the number/percentage of subjects with at least 1 RT-PCR confirmed influenza event.
Measured: During the surveillance period (approximately 6 to 8 months)
Number of Subjects With First Occurrence of Acute Otitis Media (AOM) With RT-PCR Confirmed Influenza A and/or B Infection Due to Any Seasonal Influenza Strain.
Attack rate (AR) was defined as the number/percentage of subjects with at least 1 RT-PCR confirmed influenza event.
Measured: At any time starting 7 days before the onset of LRI and ending 7 days after end of LRI during the surveillance period (approximately 6 to 8 months)
Number of Subjects With First Occurrence of RT-PCR Confirmed Severe Influenza A and/or B Due to Any Seasonal Influenza Strain.
Attack rate (AR) was defined as the number/percentage of subjects with at least 1 RT-PCR confirmed influenza event.
Measured: During the surveillance period (approximately 6 to 8 months)
Humoral Immune Response in Terms of Haemagglutination-inhibition (HI) Antibody Titres Against Each of Four Vaccine Strains Contained in the D-QIV (in Immuno Subcohort of Subjects Only)
Titers were expressed as geometric mean antibody titers (GMTs). The vaccine strains assessed were A/California/7/2009 (H1N1), A/Victoria/210/2009 (H3N2), B/Brisbane/60/2008 (Victoria) and B/Brisbane/3/2007 (Yamagata).
PRE= Pre-vaccination at Day 0; POST = Post-vaccination 1 at Day 28 for primed subjects or post-vaccination 2 at Day 56 for unprimed subjects
Measured: At Days 0 and 28/56
Number of Seropositive Subjects for HI Antibodies Against Each of the 4 Influenza Strains Contained in the D-QIV Vaccine (in Immuno Subcohort of Subjects Only)
A seropositive subject was a subject whose HI antibody titer was greater than or equal to the assay cut-off value of 1:10. The vaccine strains assessed were A/California/7/2009 (H1N1), A/Victoria/210/2009 (H3N2), B/Brisbane/60/2008 (Victoria) and B/Brisbane/3/2007 (Yamagata).
PRE= Pre-vaccination at Day 0; POST = Post-vaccination 1 at Day 28 for primed subjects or post-vaccination 2 at Day 56 for unprimed subjects.
Measured: At Day 0 and Day 28/56
Number of Seroconverted Subjects for HI Antibodies Against Each of the 4 Influenza Strains Contained in the D-QIV Vaccine (in Immuno Subcohort of Subjects Only)
Seroconversion rate (SCR) was defined as the number of subjects who have either a pre-vaccination reciprocal HI titer < 1:10 and a post-vaccination reciprocal titer ≥ 1:40, or a pre-vaccination reciprocal HI titer ≥ 10 and at least a 4 fold increase in post vaccination reciprocal titer against the vaccine virus.
PRE= Pre-vaccination at Day 0; POST = Post-vaccination 1 at Day 28 for primed subjects or post-vaccination 2 at Day 56 for unprimed subjects
Measured: At Day 28/56 (POST)
Mean Geometric Increase (MGI) for HI Antibody Titer Against Each of the 4 Vaccine Influenza Strains Contained in the D-QIV Vaccine (in Immuno Subcohort of Subjects Only).
MGI also known as the seroconversion factor [SCF] was defined as the fold increase in serum HI GMTs post vaccination compared to pre-vaccination (Day 0). The vaccine strains assessed were A/California/7/2009 (H1N1), A/Victoria/210/2009 (H3N2), B/Brisbane/60/2008 (Victoria) and B/Brisbane/3/2007 (Yamagata).
POST = Post-vaccination 1 at Day 28 for primed subjects or post-vaccination 2 at Day 56 for unprimed subjects.
Measured: At Day 28/56 (POST)
Number of Seroprotected Subjects for HI Antibodies Against Each of the 4 Influenza Strains Contained in the D-QIV Vaccine (in Immuno Subcohort of Subjects Only)
Seroprotection rate (SPR) was defined as the number of subjects with H1N1 reciprocal HI titers ≥ 1:40 against the tested vaccine virus.The vaccine strains assessed were A/California/7/2009 (H1N1), A/Victoria/210/2009 (H3N2), B/Brisbane/60/2008 (Victoria) and B/Brisbane/3/2007 (Yamagata).
PRE= Pre-vaccination at Day 0; POST = Post-vaccination 1 at Day 28 for primed subjects or post-vaccination 2 at Day 56 for unprimed subjects
Measured: At Day 0 and Day 28/56
Number of Subjects Reporting Any and Grade 3 Solicited Local Symptoms.
Solicited local symptoms assessed were pain, redness and swelling. Any was defined as any solicited local symptom reported irrespective of intensity. Grade 3 pain was defined as pain that resulted crying when limb was moved/ spontaneously painful. Grade 3 redness and swelling was greater than 50 millimeters (mm) i.e. >50mm.
Measured: During the 7-day post-vaccination period (Days 0-6 for Dose 1, Days 28-34 for Dose 2)
Number of Subjects Reporting Any, Grade 3 and Related Solicited General Symptoms.
Solicited general symptoms assessed were Drowsiness, Irritability/fussiness, Loss of appetite and Temperature (Axillary). Any was defined as any general symptom reported irrespective of intensity or relationship to vaccination. Grade 3 was defined as symptoms that prevented normal activity. Related was defined as general symptom assessed by the investigator to have a causal relationship to vaccination.
Measured: During the 7-day post-vaccination period (Days 0-6 for Dose 1, Days 28-34 for Dose 2)
Duration of Solicited Local Symptoms
Duration was defined as number of days with any grade of local symptoms.
Measured: During the 7-day post-vaccination period (Days 0-6 for Dose 1, Days 28-34 for Dose 2)
Duration of Solicited General Symptoms
Duration was defined as number of days with any grade of general symptoms.
Measured: During the 7-day post-vaccination period (Days 0-6 for Dose 1, Days 28-34 for Dose 2)
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 occurrence of any unsolicited symptom regardless of intensity grade or relation to vaccination. Grade 3 was an event that prevented normal activities and related was defined as an unsolicited AE assessed by the investigator to be causally related to the study vaccination.
Measured: During the 28-day (Days 0-27) post-vaccination period
Number of Subjects Reporting Any, Grade 3 and Related AEs With Medically Attended Visits (MAVs)
MAVs were defined as AEs with a medically-attended visit i.e. prompting emergency room (ER) visits, hospitalizations or physician visits and that were not routine visits for physical examination or vaccination. Any MAV was defined as at least one MAV experienced. Grade 3 was defined as MAVs that prevented normal activities and related was defined as MAVs assessed by the investigator to be causally related to the study vaccination.
Measured: During the entire study period (approximately 6- 8 months per subject)
Number of Subjects Reporting Any, Grade 3 and Related Potential Immune-mediated Diseases (pIMDs).
pIMDs are a subset of adverse events (AEs) that include both clearly autoimmune diseases and also other inflammatory and/or neurologic disorders which may or may not have an autoimmune etiology. Grade 3 = pIMDs that prevented normal activities. Related = symptom assed by the investigator as causally related to the study vaccination.
Measured: During the entire study period (approximately 6- 8 months per subject)
Number of Subjects Reporting Any and Related Serious Adverse Events (SAEs).
SAEs assessed include medical occurrences that results in death, are life threatening, require hospitalization or prolongation of hospitalization, results in disability/incapacity or are a congenital anomaly/birth defect in the offspring of a study subjects. Related = symptom assessed by the investigator as causally related to the study vaccination.
Measured: During the entire study period (approximately 6- 8 months per subject)
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted23 Sep 2011 (estimated)
- Study start1 Oct 2011
- Primary completion31 Oct 2014
- Study completion31 Dec 2014
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.
- Publications (4)Papers the sponsor has linked to this study.
- Other trials for InfluenzaStudies of the same condition, open and under way.
- More trials run by GlaxoSmithKlineThe sponsor's other registered studies.
- 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
- Triple blind
- Who is masked
- Participant, Care provider, Outcomes assessor
- Enrolment
- 12,046 participants (actual)
Sponsor and investigators
- Lead sponsor
- GlaxoSmithKline
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- GSK Clinical Trials, Study director, GlaxoSmithKline
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT01439360
- Sponsor's protocol ID
- 115345
- Other IDs
- 2011-000758-41
- Status last verified
- Aug 2018
- First submitted
- 21 Sep 2011
- Last updated
- 26 Sep 2018
- Results posted
- Yes, on ClinicalTrials.gov
- Individual data sharing
- Yes: IPD for this study will be made available via the Clinical Study Data Request site.
Publications
Danier J, Callegaro A, Soni J, Carmona A, Kosalaraska P, Rivera L, Friel D, Pu W, Vantomme V, Dbaibo G, Innis BL, Schuind A, Zaman K, Wilson J. Association Between Hemagglutination Inhibition Antibody Titers and Protection Against Reverse-Transcription Polymerase Chain Reaction-Confirmed Influenza Illness in Children 6-35 Months of Age: Statistical Evaluation of a Correlate of Protection. Open Forum Infect Dis. 2021 Sep 25;9(2):ofab477. doi: 10.1093/ofid/ofab477. eCollection 2022 Feb.
PubMed 35083365Dbaibo G, Amanullah A, Claeys C, Izu A, Jain VK, Kosalaraksa P, Rivera L, Soni J, Yanni E, Zaman K, Acosta B, Ariza M, Arroba Basanta ML, Bavdekar A, Carmona A, Cousin L, Danier J, Diaz A, Diez-Domingo J, Dinleyici EC, Faust SN, Garcia-Sicilia J, Gomez-Go GD, Gonzales MLA, Hacimustafaoglu M, Hughes SM, Jackowska T, Kant S, Lucero M, Mares Bermudez J, Martinon-Torres F, Montellano M, Prymula R, Puthanakit T, Ruzkova R, Sadowska-Krawczenko I, Szymanski H, Ulied A, Woo W, Schuind A, Innis BL; Flu4VEC Study Group. Quadrivalent Influenza Vaccine Prevents Illness and Reduces Healthcare Utilization Across Diverse Geographic Regions During Five Influenza Seasons: A Randomized Clinical Trial. Pediatr Infect Dis J. 2020 Jan;39(1):e1-e10. doi: 10.1097/INF.0000000000002504.
PubMed 31725115Danier J, Rivera L, Claeys C, Dbaibo G, Jain VK, Kosalaraksa P, Woo W, Yanni E, Zaman K, Acosta B, Amanullah A, Ariza M, Luisa Arroba Basanta M, Bavdekar A, Carmona A, Cousin L, Diaz A, Diez-Domingo J, Cagri Dinleyici E, Faust SN, Garcia-Sicilia J, Gomez-Go GD, Antionette Gonzales L, Hacimustafaoglu M, Hughes SM, Izu A, Jackowska T, Kant S, Lucero M, Mares Bermudez J, Martinon-Torres F, Montellano M, Prymula R, Puthanakit T, Ruzkova R, Sadowska-Krawczenko I, Soni J, Szymanski H, Ulied A, Schuind A, Innis BL; Flu4VEC Study Group. Clinical Presentation of Influenza in Children 6 to 35 Months of Age: Findings From a Randomized Clinical Trial of Inactivated Quadrivalent Influenza Vaccine. Pediatr Infect Dis J. 2019 Aug;38(8):866-872. doi: 10.1097/INF.0000000000002387.
PubMed 31306399Claeys C, Chandrasekaran V, Garcia-Sicilia J, Prymula R, Diez-Domingo J, Brzostek J, Mares-Bermudez J, Martinon-Torres F, Pollard AJ, Ruzkova R, Carmona Martinez A, Ulied A, Miranda Valdivieso M, Faust SN, Snape MD, Friel D, Ollinger T, Soni J, Schuind A, Li P, Innis BL, Jain VK. Anamnestic Immune Response and Safety of an Inactivated Quadrivalent Influenza Vaccine in Primed Versus Vaccine-Naive Children. Pediatr Infect Dis J. 2019 Feb;38(2):203-210. doi: 10.1097/INF.0000000000002217.
PubMed 30325891
Study at a glance
From the registry record, last updated by the sponsor on 26 Sep 2018. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- An Efficacy Study of GSK Biologicals' Quadrivalent Influenza Vaccine GSK2321138A (FLU D-QIV) When Administered in Children
- ClinicalTrials.gov ID
- NCT01439360
- Acronym / sponsor ID
- 115345
- Conditions
- Influenza
- Keywords
- Vaccine, Seasonal Flu, Efficacy, Children
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 12,046 participants (actual)
- Lead sponsor
- GlaxoSmithKlineIndustry (pharma, biotech, devices)
- Study start
- 1 Oct 2011 (actual)
- Primary completion
- 31 Oct 2014 (actual)
- Study completion
- 31 Dec 2014 (actual)
- First posted
- 23 Sep 2011 (estimated)
- Results
- Posted 8 Mar 2017
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The purpose of this study is to evaluate the efficacy, immunogenicity and safety of GSK Biologicals' influenza candidate vaccine GSK2321138A when compared to non-influenza vaccine comparators in children 6 to 35 months of age. Recruitment will encompass at least 4 independent cohorts: a first cohort in the Northern Hemisphere (2011-2012), a second cohort in subtropical countries (2012), third cohort in the Northern Hemisphere (2012-2013) and a fourth cohort and additional independent cohorts possibly in NH countries (end 2013) and subtropical countries (beginning 2014).
Study design
- Primary purpose
- Prevention
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Triple blind (participant, care provider, outcomes assessor)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| D-QIV | Experimental | Biological: Quadrivalent seasonal influenza vaccine(Flu D-QIV) GSK2321138ASubjects received 1 or 2 doses of candidate influenza Influsplit™ Tetra vaccine (GSK2321138A). |
| Control | Active comparator | Biological: Havrix Junior, Biological: Prevenar 13, Biological: Varivax/ProVarivax, Biological: VarilrixIn function of their age and D-QIV-vaccine status, subjects received Prevenar 13® or Havrix® Junior and possibly a varicella vaccine (Varilrix® or Varivax/ProVarivax ®). |
Who may qualify
- Ages
- 6 to 35 months
- Sex
- All
- Healthy volunteers
- Accepted
- Age groups
- Child
Key inclusion criteria (4 listed)
- Subjects who the investigator believes that their parents/Legally Acceptable Representative (LARs) can and will comply with the requirements of the protocol.
- A male or female between, and including, 6 and 35 months of age at the time of first vaccination; children are eligible regardless of history of influenza vaccination.
- Written informed consent obtained from the parent(s) /LAR(s) of the subject.
- Subjects in stable health as determined by medical history and clinical examination before entering into the study.
Key exclusion criteria (18 listed)
- Participation in a previous FLU-D-QIV-004 study (115345) cohort.
- Child in care.
- Use of any investigational or non-registered product other than the study vaccines within 30 days preceding the first dose of study vaccine, or planned use during the study period.
- Prior receipt of any influenza vaccine within 6 months preceding the first dose of study vaccine, or planned use of such vaccines during the study period.
- Children with underlying illness who are at risk of complications of influenza and for whom yearly (seasonal) influenza vaccination is recommended in their respective country.
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 |
|---|---|---|
| Quadrivalent seasonal influenza vaccine(Flu D-QIV) GSK2321138AIntramuscular injection | Biological | D-QIV |
| Havrix JuniorIntramuscular injection administered to subjects aged 12 months or older | Biological | Control |
| Prevenar 13Intramuscular injection administered to subjects less than 12 months of age | Biological | Control |
| Varivax/ProVarivaxIntramuscular injection administered to subjects more than 12 months of age | Biological | Control |
| VarilrixSubcutaneous injection administered to subjects more than 12 months of age | Biological | Control |
Primary outcome
Number of Subjects With Moderate to Severe RT-PCR Confirmed Influenza.
Time frame: During the surveillance period (approximately 6 to 8 months)
Attack rate (AR) was defined as the number/percentage of subjects with at least 1 RT-PCR confirmed influenza event.
Number of Subjects With RT-PCR Confirmed Influenza of Any Severity.
Time frame: During the surveillance period (approximately 6 to 8 months)
Attack rate (AR) was defined as the number/percentage of subjects with at least 1 RT-PCR confirmed influenza event.
20 secondary outcomes
Number of Subjects With First Occurrence of Lower Respiratory Illness (LRI) With RT-PCR Confirmed Influenza.
Time frame: At any time starting 7 days before the onset of LRI and ending 7 days after end of LRI during the surveillance period (approximately 6 to 8 months)
Number of Subjects With First Occurrence of Culture-confirmed Moderate to Severe Influenza A and/or B Disease Due to Antigenically-matching Influenza Strains.
Time frame: During the surveillance period (approximately 6 to 8 months)
Number of Subjects With First Occurrence of Culture-confirmed Influenza A and/or B Disease of Any Severity Due to Antigenically-matching Influenza Strains
Time frame: During the surveillance period (approximately 6 to 8 months)
Number of Subjects With First Occurrence of Culture-confirmed Moderate to Severe Influenza A and/or B Disease Due to Any Seasonal Influenza Strain.
Time frame: During the surveillance period (approximately 6 to 8 months)
Number of Subjects With First Occurrence of Culture-confirmed Influenza A and/or B Disease of Any Severity Due to Any Seasonal Influenza Strain.
Time frame: During the surveillance period (approximately 6 to 8 months)
Number of Subjects With First Occurrence of Acute Otitis Media (AOM) With RT-PCR Confirmed Influenza A and/or B Infection Due to Any Seasonal Influenza Strain.
Time frame: At any time starting 7 days before the onset of LRI and ending 7 days after end of LRI during the surveillance period (approximately 6 to 8 months)
Number of Subjects With First Occurrence of RT-PCR Confirmed Severe Influenza A and/or B Due to Any Seasonal Influenza Strain.
Time frame: During the surveillance period (approximately 6 to 8 months)
Humoral Immune Response in Terms of Haemagglutination-inhibition (HI) Antibody Titres Against Each of Four Vaccine Strains Contained in the D-QIV (in Immuno Subcohort of Subjects Only)
Time frame: At Days 0 and 28/56
Number of Seropositive Subjects for HI Antibodies Against Each of the 4 Influenza Strains Contained in the D-QIV Vaccine (in Immuno Subcohort of Subjects Only)
Time frame: At Day 0 and Day 28/56
Number of Seroconverted Subjects for HI Antibodies Against Each of the 4 Influenza Strains Contained in the D-QIV Vaccine (in Immuno Subcohort of Subjects Only)
Time frame: At Day 28/56 (POST)
Mean Geometric Increase (MGI) for HI Antibody Titer Against Each of the 4 Vaccine Influenza Strains Contained in the D-QIV Vaccine (in Immuno Subcohort of Subjects Only).
Time frame: At Day 28/56 (POST)
Number of Seroprotected Subjects for HI Antibodies Against Each of the 4 Influenza Strains Contained in the D-QIV Vaccine (in Immuno Subcohort of Subjects Only)
Time frame: At Day 0 and Day 28/56
Number of Subjects Reporting Any and Grade 3 Solicited Local Symptoms.
Time frame: During the 7-day post-vaccination period (Days 0-6 for Dose 1, Days 28-34 for Dose 2)
Number of Subjects Reporting Any, Grade 3 and Related Solicited General Symptoms.
Time frame: During the 7-day post-vaccination period (Days 0-6 for Dose 1, Days 28-34 for Dose 2)
Duration of Solicited Local Symptoms
Time frame: During the 7-day post-vaccination period (Days 0-6 for Dose 1, Days 28-34 for Dose 2)
Duration of Solicited General Symptoms
Time frame: During the 7-day post-vaccination period (Days 0-6 for Dose 1, Days 28-34 for Dose 2)
Number of Subjects Reporting Any, Grade 3 and Related Unsolicited Adverse Events (AEs)
Time frame: During the 28-day (Days 0-27) post-vaccination period
Number of Subjects Reporting Any, Grade 3 and Related AEs With Medically Attended Visits (MAVs)
Time frame: During the entire study period (approximately 6- 8 months per subject)
Number of Subjects Reporting Any, Grade 3 and Related Potential Immune-mediated Diseases (pIMDs).
Time frame: During the entire study period (approximately 6- 8 months per subject)
Number of Subjects Reporting Any and Related Serious Adverse Events (SAEs).
Time frame: During the entire study period (approximately 6- 8 months per subject)
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 26 Sep 2018.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Derived from this study: PubMed 35083365Danier J, Callegaro A, Soni J, Carmona A, Kosalaraska P, Rivera L, Friel D, Pu W, Vantomme V, Dbaibo G, Innis BL, Schuind A, Zaman K, Wilson J. Association Between Hemagglutination Inhibition Antibody Titers and Protection Against Reverse-Transcription Polymerase Chain Reaction-Confirmed Influenza Illness in Children 6-35 Months of Age: Statistical Evaluation of a Correlate of Protection. Open Forum Infect Dis. 2021 Sep 25;9(2):ofab477. doi: 10.1093/ofid/ofab477. eCollection 2022 Feb.
- Derived from this study: PubMed 31725115Dbaibo G, Amanullah A, Claeys C, Izu A, Jain VK, Kosalaraksa P, Rivera L, Soni J, Yanni E, Zaman K, Acosta B, Ariza M, Arroba Basanta ML, Bavdekar A, Carmona A, Cousin L, Danier J, Diaz A, Diez-Domingo J, Dinleyici EC, Faust SN, Garcia-Sicilia J, Gomez-Go GD, Gonzales MLA, Hacimustafaoglu M, Hughes SM, Jackowska T, Kant S, Lucero M, Mares Bermudez J, Martinon-Torres F, Montellano M, Prymula R, Puthanakit T, Ruzkova R, Sadowska-Krawczenko I, Szymanski H, Ulied A, Woo W, Schuind A, Innis BL; Flu4VEC Study Group. Quadrivalent Influenza Vaccine Prevents Illness and Reduces Healthcare Utilization Across Diverse Geographic Regions During Five Influenza Seasons: A Randomized Clinical Trial. Pediatr Infect Dis J. 2020 Jan;39(1):e1-e10. doi: 10.1097/INF.0000000000002504.
- Derived from this study: PubMed 31306399Danier J, Rivera L, Claeys C, Dbaibo G, Jain VK, Kosalaraksa P, Woo W, Yanni E, Zaman K, Acosta B, Amanullah A, Ariza M, Luisa Arroba Basanta M, Bavdekar A, Carmona A, Cousin L, Diaz A, Diez-Domingo J, Cagri Dinleyici E, Faust SN, Garcia-Sicilia J, Gomez-Go GD, Antionette Gonzales L, Hacimustafaoglu M, Hughes SM, Izu A, Jackowska T, Kant S, Lucero M, Mares Bermudez J, Martinon-Torres F, Montellano M, Prymula R, Puthanakit T, Ruzkova R, Sadowska-Krawczenko I, Soni J, Szymanski H, Ulied A, Schuind A, Innis BL; Flu4VEC Study Group. Clinical Presentation of Influenza in Children 6 to 35 Months of Age: Findings From a Randomized Clinical Trial of Inactivated Quadrivalent Influenza Vaccine. Pediatr Infect Dis J. 2019 Aug;38(8):866-872. doi: 10.1097/INF.0000000000002387.
- Derived from this study: PubMed 30325891Claeys C, Chandrasekaran V, Garcia-Sicilia J, Prymula R, Diez-Domingo J, Brzostek J, Mares-Bermudez J, Martinon-Torres F, Pollard AJ, Ruzkova R, Carmona Martinez A, Ulied A, Miranda Valdivieso M, Faust SN, Snape MD, Friel D, Ollinger T, Soni J, Schuind A, Li P, Innis BL, Jain VK. Anamnestic Immune Response and Safety of an Inactivated Quadrivalent Influenza Vaccine in Primed Versus Vaccine-Naive Children. Pediatr Infect Dis J. 2019 Feb;38(2):203-210. doi: 10.1097/INF.0000000000002217.
- IPD for this study will be made available via the Clinical Study Data Request site.Link provided by the sponsor.
- Individual participant dataSharing planned: Yes. IPD for this study will be made available via the Clinical Study Data Request site.
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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.
GSK Clinical Trials study director
GlaxoSmithKline
103 sites in 13 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing Quadrivalent seasonal influenza vaccine(Flu D-QIV) GSK2321138A, Havrix Junior and Prevenar 13 in people with Influenza, run by GlaxoSmithKline at 103 sites in 13 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 18 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 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 103 sites in Spain, Poland, United Kingdom, Czechia, Belgium and 8 more countries. 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 8 Mar 2017). 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?
Number of Subjects With Moderate to Severe RT-PCR Confirmed Influenza. (time frame: During the surveillance period (approximately 6 to 8 months)). 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?
On the ClinicalTrials.gov record for NCT01439360, which also lists 4 linked publications.
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 Sep 2018.