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InfluenzaPhase 3NCT01992107

Safety and Immunogenicity of Three Influenza Vaccines in Children Aged 4 Years Old to Less Than 18 Years Old

A Phase 3 study testing QIVc, TIV1c and TIV2c in people with Influenza, run by Novartis Vaccines at 88 sites in United States.

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

Evaluate safety and immunogenicity of three influenza vaccines in children ages greater than 4 years old to less than 18 years old. Read more about this study

Who is it for?
Ages 4 to 18 yearsHealthy volunteers can take part
Conditions the study is for
Influenza
What is being tested?
QIVc, TIV1c and TIV2c
Type of treatment
Vaccines
Could I receive a placebo?
No, everyone receives an active treatment
How many people
2,333 participants
Where
88 sitesUnited States
Study dates
Nov 2013to Aug 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 4 to 18 years
  • All sexes
  • Healthy volunteers accepted
  • Child, Adult

Who may be able to join

  • Male or female aged 4 years to less than 18 years of age.
  • Individual who had a parent or guardian who could give written informed consent after understanding the nature of the study and comply with study procedures and were available for follow-up.
  • If the individual was of an age where, according to local regulations, informed assent is required, that individual had provided assent to participate in the study.

Who cannot join

  • Individuals recently vaccinated against influenza
  • Subjects with contraindications to receive influenza vaccine

Trial locations and contacts

88 sites in 1 country.

88 sites in 1 country

United States88 sites
  • Study site

    Akron, Ohio, 44311

  • Study site

    Anaheim, California, 92801

  • Study site

    Anaheim, California, 92804

  • Study site

    Anderson, South Carolina, 29621

  • Study site

    Atlanta, Georgia, 30338

  • Study site

    Austin, Texas, 78705

  • Study site

    Bellevue, Nebraska, 68005

  • Study site

    Binghamton, New York, 13901

  • Study site

    Boca Raton, Florida, 33432

  • Study site

    Boise, Idaho, 83642

  • Study site

    Bristol, Tennessee, 37620

  • Study site

    Burke, Virginia, 22015

  • Study site

    Chandler, Arizona, 85224

  • Study site

    Charleston, South Carolina, 29403

  • Study site

    Charlottesville, Virginia, 22902

  • Study site

    Cincinnati, Ohio, 45249

  • Study site

    Cleveland, Ohio, 44106

  • Study site

    Cleveland, Ohio, 44122

  • Study site

    Colorado Springs, Colorado, 80907

  • Study site

    Council Bluffs, Iowa, 51503

  • Study site

    Dallas, Texas, 75231

  • Study site

    Dayton, Ohio, 45406

  • Study site

    Dayton, Ohio, 45414

  • Study site

    Denver, Colorado, 80246

  • Study site

    Denver, Colorado, 80249

  • Study site

    Downey, California, 90241

  • Study site

    Draper, Utah, 84020

  • Study site

    Erie, Pennsylvania, 16505

  • Study site

    Erie, Pennsylvania, 16508

  • Study site

    Fort Worth, Texas, 76107

  • Study site

    Fort Worth, Texas, 76135

  • Study site

    Fremont, Nebraska, 68025

  • Study site

    Garden Grove, California, 92844

  • Study site

    Harrisburg, Arkansas, 72452

  • Study site

    Hermitage, Pennsylvania, 16148

  • Study site

    Huntsville, Alabama, 35802

  • Study site

    Jefferson City, Tennessee, 37760

  • Study site

    Jonesboro, Arkansas, 72401

  • Study site

    Kansas City, Missouri, 64114

  • Study site

    Kettering, Ohio, 45429

  • Study site

    Lake Mary, Florida, 32746

  • Study site

    Las Vegas, Nevada, 89104

  • Study site

    Layton, Utah, 84041

  • Study site

    Lebanon, Tennessee, 37087

  • Study site

    Lexington, Kentucky, 40509

  • Study site

    Louisville, Kentucky, 40291

  • Study site

    Marietta, Georgia, 30062

  • Study site

    Melbourne, Florida, 32935

  • Study site

    Mesa, Arizona, 85206

  • Study site

    Mesa, Arizona, 85213

  • Study site

    Metairie, Louisiana, 70006

  • Study site

    Miami Beach, Florida, 33141

  • Study site

    Mishawaka, Indiana, 46545

  • Study site

    Mobile, Alabama, 36608

  • Study site

    Modesto, California, 95350

  • Study site

    Mt. Pleasant, South Carolina, 29464

  • Study site

    Nashville, Tennessee, 37203

  • Study site

    Newton, Kansas, 67114

  • Study site

    Oklahoma City, Oklahoma, 73103

  • Study site

    Oklahoma City, Oklahoma, 73112

  • Study site

    Omaha, Nebraska, 68114

  • Study site

    Omaha, Nebraska, 68134

  • Study site

    Opa-locka, Florida, 33055

  • Study site

    Paramount, California, 90723

  • Study site

    Peoria, Illinois, 61602

  • Study site

    Pinellas Park, Florida, 33781

  • Study site

    Round Rock, Texas, 78681

  • Study site

    Sacramento, California, 95816

  • Study site

    Salt Lake City, Utah, 84109

  • Study site

    Salt Lake City, Utah, 84121

  • Study site

    Salt Lake City, Utah, 84124

  • Study site

    San Angelo, Texas, 76904

  • Study site

    San Antonio, Texas, 78229

  • Study site

    San Diego, California, 92103-6204

  • Study site

    San Francisco, California, 94102

  • Study site

    Santa Rosa, California, 95405

  • Study site

    Sellersville, Pennsylvania, 18960

  • Study site

    South Jordan, Utah, 84095

  • Study site

    St Louis, Missouri, 63141

  • Study site

    Thornton, Colorado, 80233

  • Study site

    Tulsa, Oklahoma, 74127

  • Study site

    Upper Saint Clair, Pennsylvania, 15241

  • Study site

    West Covina, California, 91790

  • Study site

    West Jordan, Utah, 84088

  • Study site

    Wichita, Kansas, 67010

  • Study site

    Wichita, Kansas, 67207

  • Study site

    Wilmington, North Carolina, 28401

  • Study site

    Woodstock, Georgia, 30189

Other trials in United States

About this study

Official title: A Phase III, Stratified, Randomized, Double-Blind, Multicenter, Non-Inferiority Study to Evaluate Safety and Immunogenicity of Cell-Based Quadrivalent Subunit Influenza Virus Vaccine and Cell-Based Trivalent Subunit Influenza Virus Vaccines in Subjects Ages ≥4 Years to < 18 Years

Evaluate safety and immunogenicity of three influenza vaccines in children ages greater than 4 years old to less than 18 years old.

Conditions
Influenza
Being tested
QIVc, TIV1c, TIV2c
Keywords
Influenza, Influenza vaccine, Novartis, 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.

  • QIVcBiological

    Novartis Investigational Quadrivalent Vaccine

  • TIV1cBiological

    Licensed Influenza Vaccine

  • TIV2cBiological

    Novartis Investigational Vaccine

Study groups in NCT01992107
Study groupRoleWhat they receive
QIVc (≥4 to <18 years)ExperimentalSubjects received one or two doses of QIVc-Quadrivalent Cell-based Influenza Vaccine recommended for 2013-2014 season
Receives: Biological: QIVc
TIV1c (≥4 to <18 years)Active comparatorSubjects received one or two doses of TIV1c (Trivalent Inactivated Cell-based Influenza Vaccine containing one strain from B lineage ("B1" strain) recommended for 2013-2014 season
Receives: Biological: TIV1c
TIV2c (≥4 to <18 years)Active comparatorSubjects received one or two doses of TIV2c (Trivalent Inactivated Cell-based Influenza Vaccine containing B strain from the alternate lineage ("B2" strain) recommended for 2013-2014
Receives: Biological: TIV2c

What is being measured

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

  1. Geometric Mean Titre (GMT) in Subjects After Receiving One or Two Doses of Either QIVc, TIV1c or TIV2c

    Immunogenicity of QIVc to comparator TIV1c (For A/H1N1, A/H3N2 and B1 strain, the comparison was between QIVc and TIV1c and for B2 i.e. alternate B strain, the comparison was between QIVc and TIV2c) was assessed in terms of GMT in subjects (Previously vaccinated and Not previously vaccinated) measured by hemagglutination inhibition (HI) assay, three weeks after last vaccination with one or two doses of either QIVc, TIV1c or TIV2c.

    Non-inferiority was established if the upper bound of the two-sided 95% confidence interval (CI) for the ratio of GMTs (GMT TIV1c or TIV2c /GMT QIVc) for HI antibody does not exceed the non-inferiority margin of 1.5.

    Measured: Day 1,Three weeks post vaccination (Day 22 for previously vaccinated and Day 50 for Not previously vaccinated subjects)

  2. Percentages of Subjects Achieving Seroconversion After One or Two Doses of Either QIVc, TIV1c or TIV2c

    Immunogenicity of QIVc to comparator TIVc (For A/H1N1, A/H3N2 and B1 strain, the comparison was between QIVc and TIV1c and for B2 i.e. alternate B strain, the comparison was between QIVc and TIV2c) was assessed in terms of number (%) of subjects (Previously vaccinated and Not previously vaccinated) showing seroconversion or significant increase (at least a 4-fold increase in HI titer in subjects seropositive at baseline [i.e., HI titer ≥1:10 at Day 1] ) in HI antibody titers, three weeks after last vaccination with one or two doses of either QIVc, TIV1c or TIV2c Seroconversion was defined in subjects seronegative at baseline (i.e., HI titer <1:10 at Day 1) as postvaccination HI titer ≥1:40, and defined in subjects seropositive at baseline (i.e., HI titer ≥1:10 at Day 1) as a minimum of a 4-fold increase in post-vaccination HI titer.

    Measured: Three weeks post vaccination (Day 22 for previously vaccinated and Day 50 for Not previously vaccinated subjects)

Secondary outcomes (11)
  1. Percentages of Subjects Achieving Seroconversion After One or Two Doses of Either QIVc, TIV1c or TIV2c in ≥4 to <18 Years

    Immunogenicity was assessed in terms of number (%) of subjects (Previously vaccinated and Not previously vaccinated) showing seroconversion or significant increase in HI antibody titers, three weeks after last vaccination with one or two doses of either QIVc, TIV1c or TIV2c For A/H1N1, A/H3N2 and B1 strain, the comparison was between QIVc and TIV1c and for B2 i.e. alternate B strain, the comparison was between QIVc and TIV2c Seroconversion was defined in subjects seronegative at baseline (i.e., HI titer <1:10 at Day 1) as postvaccination HI titer ≥1:40, and defined in subjects seropositive at baseline (i.e., HI titer ≥1:10 at Day 1) as a minimum of a 4-fold increase in post-vaccination HI titer.

    The Center for Biologics Evaluation, Research, and Review (CBER) criterion for an adult population is that the lower bound of the two-sided 95% CI for the percentage of subjects achieving seroconversion for HI antibody should meet or exceed 40%

    Measured: Three weeks post vaccination (Day 22 for previously vaccinated and Day 50 for Not previously vaccinated subjects)

  2. Percentages of Subjects Achieving HI Titer ≥1:40 After One or Two Doses of Either QIVc, TIV1c or TIV2c in ≥4 to <18 Years

    Immunogenicity was assessed in terms of number (%) of subjects (Previously vaccinated and Not previously vaccinated) showing HI titer ≥1:40, three weeks after last vaccination with one or two doses of either QIVc, TIV1c or TIV2c For A/H1N1, A/H3N2 and B1 strain, the comparison was between QIVc and TIV1c and for B2 i.e. alternate B strain, the comparison was between QIVc and TIV2c.

    The CBER criterion for adult population was that the lower bound of the two-sided 95% CI for the percentage of subjects achieving an HI antibody titer ≥1:40 should meet or exceed 70%

    Measured: Day 1, Three weeks post vaccination (Day 22 for previously vaccinated and Day 50 for Not previously vaccinated subjects)

  3. Percentages of Subjects Achieving Seroconversion After One or Two Doses of Either QIVc, TIV1c or TIV2c in ≥4 to <18 Years

    Immunogenicity was assessed in terms of number (%) of subjects (Previously vaccinated and Not previously vaccinated) showing seroconversion or significant increase in HI antibody titers, three weeks after last vaccination with one or two doses of either QIVc, TIV1c or TIV2c For A/H1N1, A/H3N2 and B1 strain, the comparison was between QIVc and TIV1c and for B2 i.e. alternate B strain, the comparison was between QIVc and TIV2c Seroconversion was defined in subjects seronegative at baseline (i.e., HI titer <1:10 at Day 1) as postvaccination HI titer ≥1:40, and defined in subjects seropositive at baseline (i.e., HI titer ≥1:10 at Day 1) as a minimum of a 4-fold increase in post-vaccination HI titer.

    Measured: Three weeks post vaccination (Day 22 for previously vaccinated and Day 50 for Not previously vaccinated subjects)

  4. Percentages of Subjects Achieving HI Titer ≥1:40 After One or Two Doses of Either QIVc, TIV1c or TIV2c in ≥4 to <18 Years

    Immunogenicity was assessed in terms of number (%) of subjects (Previously vaccinated and Not previously vaccinated) showing HI titer ≥1:40, three weeks after last vaccination with one or two doses of either QIVc, TIV1c or TIV2c For A/H1N1, A/H3N2 and B1 strain, the comparison was between QIVc and TIV1c and for B2 i.e. alternate B strain, the comparison was between QIVc and TIV2c The Committee for Medicinal Products for Human Use (CHMP) criterion for an adult population was that the percentage of subjects achieving an HI titer ≥1:40 is >70%

    Measured: Day 1, Three weeks post vaccination (Day 22 for previously vaccinated and Day 50 for Not previously vaccinated subjects)

  5. Geometric Mean Ratios (GMR) in Subjects After One or Two Doses of Either QIVc, TIV1c or TIV2c in ≥4 to <18 Years Age

    Immunogenicity was measured in subjects (Previously vaccinated and Not previously vaccinated) as the geometric mean ratio (GMR). The ratio of postvaccination to prevaccination HI GMTs, three weeks after last vaccination with one or two doses of either QIVc, TIV1c or TIV2c .For A/H1N1, A/H3N2 and B1 strain, the comparison was between QIVc and TIV1c and for B2 i.e. alternate B strain, the comparison was between QIVc and TIV2c The CHMP criterion for GMR in adult population is >2.5

    Measured: Three weeks post vaccination (Day 22 for previously vaccinated and Day 50 for Not previously vaccinated subjects)

  6. GMT in Subjects After Receiving One or Two Doses of Either QIVc, TIV1c Against B2 Strain

    Immunogenicity of QIVc to comparator TIV1c was assessed in terms of GMT in subjects (Previously vaccinated and Not previously vaccinated) measured by HI assay, three weeks after last vaccination with one or two doses of either QIVc or TIV1c.

    Superiority was established if the upper bound of the two-sided 95% CI for the ratio of GMTs (GMT TIV1c /GMT QIVc) for HI antibody did not exceed the superiority margin of 1

    Measured: Day 1, Three weeks post vaccination (Day 22 for previously vaccinated and Day 50 for Not previously vaccinated subjects)

  7. Percentages of Subjects Achieving Seroconversion Against B2 Strain After One or Two Doses of Either QIVc or TIV1c

    Immunogenicity of QIVc to comparator TIV1c in terms of number (%) of subjects (Previously vaccinated and Not previously vaccinated) showing seroconversion or significant increase in HI antibody titers, against influenza strain B2, three weeks after last vaccination with QIVc or TIV1c.

    Superiority criterion was established if the upper bound of the two-sided 95% CI for the difference between seroconversion rates (% seroconversion TIV1c - % seroconversion QIVc) for HI antibody does not exceed the margin of 0 points

    Measured: Three weeks post vaccination (Day 22 for previously vaccinated and Day 50 for Not previously vaccinated subjects)

  8. GMT in Subjects After Receiving One or Two Doses of Either QIVc,TIV2c Against B1 Strain

    Immunogenicity of QIVc to comparator TIV2c was assessed in terms of GMT in subjects (Previously vaccinated and Not previously vaccinated) measured by HI assay, three weeks after last vaccination with one or two doses of either QIVc or TIV2c.

    Superiority was established if the upper bound of the two-sided 95% CI for the ratio of GMTs (GMT TIV2c /GMT QIVc) for HI antibody does not exceed the superiority margin of 1

    Measured: Day 1, Three weeks post vaccination (Day 22 for previously vaccinated and Day 50 for Not previously vaccinated subjects)

  9. Percentages of Subjects Achieving Seroconversion After One or Two Doses of Either QIVc or TIV2c

    Immunogenicity of QIVc to comparator TIV2c in terms of number (%) of subjects (Previously vaccinated and Not previously vaccinated) showing seroconversion or significant increase in HI antibody titers, against influenza strain B1, three weeks after last vaccination with QIVc or TIV2c.

    Superiority was established if the upper bound of the two-sided 95% CI for the difference between seroconversion rates (% seroconversion TIV2c - % seroconversion QIVc) for HI antibody does not exceed the margin of 0 points

    Measured: Three weeks post vaccination (Day 22 for previously vaccinated and Day 50 for Not previously vaccinated subjects)

  10. Number of Subjects Reporting Solicited Adverse Events (AEs) After One or Two Doses of Either QIVc, TIV1c or TIV2c by Age Sub-strata

    Safety was assessed in terms of number of subjects (Previously vaccinated and Not previously vaccinated) reporting solicited local and systemic reactions, day 1 to 7 after last vaccination with one or two doses of either QIVc, TIV1c or TIV2c.For A/H1N1, A/H3N2 and B1 strain, the comparison was between QIVc and TIV1c and for B2 i.e. alternate B strain, the comparison is between QIVc and TIV2c.

    Measured: Day 1 to 7 after last vaccination

  11. Number of Subjects Reporting Unsolicited AEs After One or Two Doses of Either QIVc, TIV1c or TIV2c by Overall Age Group

    Safety was assessed in terms of number of subjects (Previously vaccinated and Not previously vaccinated) reporting unsolicited AEs (day 1 to 22 for Previously vaccinated and day 1 to day 50 for Not previously vaccinated subjects), serious adverse events (SAEs), medically attended AEs, AEs leading to withdrawal from the study, new onset of chronic diseases (NOCDs), and concomitant medications (day 1 to day 181 for Previously vaccinated and day 1 to day 210 for Not previously vaccinated subjects) after receiving one or two doses of either QIVc, TIV1c or TIV2c. For A/H1N1, A/H3N2 and B1 strain, the comparison is between QIVc and TIV1c and for B2 i.e. alternate B strain, the comparison was between QIVc and TIV2c.

    Measured: Day 1 to 210 post vaccination

Timeline

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

  1. First posted25 Nov 2013 (estimated)
  2. Study startNov 2013
  3. Primary completionAug 2014
  4. Study completionAug 2014

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
Triple blind
Who is masked
Participant, Care provider, Investigator
Enrolment
2,333 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT01992107
Sponsor's protocol ID
V130_03
Status last verified
Nov 2015
First submitted
7 Nov 2013
Last updated
8 Dec 2015
Data monitoring committee
No

Publications

  • Hartvickson R, Cruz M, Ervin J, Brandon D, Forleo-Neto E, Dagnew AF, Chandra R, Lindert K, Mateen AA. Non-inferiority of mammalian cell-derived quadrivalent subunit influenza virus vaccines compared to trivalent subunit influenza virus vaccines in healthy children: a phase III randomized, multicenter, double-blind clinical trial. Int J Infect Dis. 2015 Dec;41:65-72. doi: 10.1016/j.ijid.2015.11.004. Epub 2015 Nov 14.

    PubMed 26585940

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing QIVc, TIV1c and TIV2c in people with Influenza, run by Novartis Vaccines at 88 sites in United States.

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 3 inclusion and 2 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 8 Dec 2015. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 88 sites in United States. 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 Dec 2015). 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?

Geometric Mean Titre (GMT) in Subjects After Receiving One or Two Doses of Either QIVc, TIV1c or TIV2c (time frame: Day 1,Three weeks post vaccination (Day 22 for previously vaccinated and Day 50 for Not previously vaccinated 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?

On the ClinicalTrials.gov record for NCT01992107, 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 8 Dec 2015.

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Clinical Trial NCT01992107 | AzTrials