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Influenza, HumanPhase 3NCT02214225

A Study to Evaluate the Immunogenicity and Safety of bioCSL Quadrivalent Influenza Vaccine (QIV) in Adults Aged 18 Years and Above.

A Phase 3 study testing Quadrivalent Influenza Vaccine (QIV), Trivalent Influenza Vaccine (TIV-1) and Trivalent Influenza Vaccine (TIV-2) in people with Influenza, Human, run by Seqirus at 33 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

This is a study to assess the immune (antibody) response and safety of a bioCSL split virion, inactivated quadrivalent influenza vaccine, in comparison with a US licensed 2014/2015 trivalent influenza vaccine (bioCSL TIV-1), and a trivalent influenza vaccine containing the alternate B strain (bioCSL TIV-2), in healthy… Read more about this study

Who is it for?
Ages 18 years and olderHealthy volunteers can take part
Conditions the study is for
Influenza, Human
What is being tested?
Quadrivalent Influenza Vaccine (QIV), Trivalent Influenza Vaccine (TIV-1) and Trivalent Influenza Vaccine (TIV-2)
Could I receive a placebo?
No, everyone receives an active treatment
How many people
3,484 participants
Where
33 sitesUnited States
Study dates
Aug 2014to Apr 2015
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 18 years and older
  • All sexes
  • Healthy volunteers accepted
  • Adult, Older adult

Who may be able to join

  • Males or non-pregnant females aged ≥ 18 years at the time of vaccination.
  • Females of child-bearing potential (i.e., ovulating, pre-menopausal, not surgically sterile) must be abstinent or be willing to use a medically accepted contraceptive regimen for the duration of the On-study period. Females of child-bearing potential must return a negative urine pregnancy test result prior to vaccination with the vaccine.

Who cannot join

  • Known hypersensitivity to a previous dose of influenza vaccine or allergy to eggs, chicken protein, neomycin, polymyxin, or any components of bioCSL influenza vaccines.
  • Vaccination against influenza in the previous 6 months.
  • Known history of Guillain-Barré Syndrome or other demyelinating disease.
  • Clinical signs of active infection and/or an oral temperature of ≥ 100.4°F (38.0°C).
  • A clinically significant medical condition.
  • Pregnant or lactating females.

Trial locations and contacts

33 sites in 1 country.

33 sites in 1 country

United States33 sites
  • Site 283

    Austin, Texas, 78705

  • Site 316

    Bellevue, Nebraska, 68005

  • Site 285

    Binghamton, New York, 13901

  • Site 308

    Bristol, Tennessee, 37620

  • Site 302

    Charlotte, North Carolina, 28209

  • Site 303

    Charlottesville, Virginia, 22911

  • Site 282

    Forth Worth, Texas, 76135

  • Site 296

    Huntsville, Alabama, 35802

  • Site 297

    Jacksonville, Florida, 32207

  • Site 311

    Jefferson City, Tennessee, 37760

  • Site 312

    Knoxville, Tennessee, 37912

  • Site 304

    Knoxville, Tennessee, 37938

  • Site 298

    Las Vegas, Nevada, 89104

  • Site 286

    Los Angeles, California, 90036

  • Site 293

    Melbourne, Florida, 32935

  • Site 289

    Meridian, Idaho, 83642

  • Site 310

    Methuen, Massachusetts, 01844

  • Site 301

    Milford, Connecticut, 06460

  • Site 295

    Mishawaka, Indiana, 46545

  • Site 307

    Mt. Pleasant, South Carolina, 29464

  • Site 299

    Oklahoma City, Oklahoma, 73112

  • Site 294

    Peoria, Illinois, 61614

  • Site 306

    Raleigh, North Carolina, 27609

  • Site 313

    Rochester, New York, 14642

  • Site 291

    Rockville, Maryland, 20850

  • Site 300

    Salt Lake City, Utah, 84124

  • Site 288

    San Angelo, Texas, 76904

  • Site 315

    San Diego, California, 92108

  • Site 292

    Savannah, Georgia, 31406

  • Site 287

    St Louis, Missouri, 63141

  • Site 309

    Wilmington, North Carolina, 28401

  • Site 305

    Winston-Salem, North Carolina, 27103

  • Site 317

    Witchita, Kansas, 67207

Other trials in United States

About this study

Official title: A Phase 3, Randomized, Multicenter, Double-blinded Study to Evaluate the Immunogenicity and Safety of a Quadrivalent Influenza Vaccine (CSL QIV) in Comparison With a US Licensed 2014/2015 Trivalent Influenza Vaccine (CSL TIV-1), and a Trivalent Influenza Vaccine Containing the Alternate B Strain (CSL TIV-2), in Adults Aged 18 Years and Above.

This is a study to assess the immune (antibody) response and safety of a bioCSL split virion, inactivated quadrivalent influenza vaccine, in comparison with a US licensed 2014/2015 trivalent influenza vaccine (bioCSL TIV-1), and a trivalent influenza vaccine containing the alternate B strain (bioCSL TIV-2), in healthy adult volunteers aged 18 years and above.

Read the detailed description

This multicenter, randomized, double-blinded study was conducted during the 2014-2015 Northern Hemisphere influenza immunization season to evaluate the non-inferior immune response of bioCSL QIV to that of bioCSL TIV-1 and bioCSL TIV-2 along with safety in healthy male and female adults aged ≥ 18 years. Each vaccinated subject had a maximum 25 day on-study period with a six month safety follow-up.

Being tested
Quadrivalent Influenza Vaccine (QIV), Trivalent Influenza Vaccine (TIV-1), Trivalent Influenza Vaccine (TIV-2)
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 Influenza Vaccine (QIV)Biological

    One 0.5 mL intramuscular dose into the deltoid muscle

  • Trivalent Influenza Vaccine (TIV-1)Biological

    One 0.5 mL intramuscular dose into the deltoid muscle.

  • Trivalent Influenza Vaccine (TIV-2)Biological

    One 0.5 mL intramuscular dose into the deltoid muscle.

Study groups in NCT02214225
Study groupRoleWhat they receive
Quadrivalent Influenza Vaccine (QIV)ExperimentalThe bioCSL study vaccine is a sterile, thiomersal-free suspension containing 60 mcg total hemagglutinin antigen per 0.5 mL dose (15 mcg each of the four recommended influenza strains for the Northern Hemisphere 2014/2015 influenza season).
Receives: Biological: Quadrivalent Influenza Vaccine (QIV)
Trivalent Influenza Vaccine (TIV-1)Active comparatorThe bioCSL study vaccine is a sterile, thiomersal-free suspension containing 45 mcg total hemagglutinin antigen per 0.5 mL dose (15 mcg each of the three recommended influenza strains for the Northern Hemisphere 2014/2015 influenza season).
Receives: Biological: Trivalent Influenza Vaccine (TIV-1)
Trivalent Influenza Vaccine (TIV-2)Active comparatorThe bioCSL study vaccine is a sterile, thiomersal-free suspension containing 45 mcg total hemagglutinin antigen per 0.5 mL dose (15 mcg each of the recommended influenza A (H1N1-, H3N2-like) strains and the alternate B strain for the Northern Hemisphere 2014/2015 influenza season).
Receives: Biological: Trivalent Influenza Vaccine (TIV-2)

What is being measured

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

  1. Postvaccination Geometric Mean Titer (GMT) (Statistical Analysis: GMT Ratios) in Subjects Aged ≥18 Years (Per Protocol Population).

    Immunogenicity was assessed by measuring HI titers to the four virus strains. Postvaccination GMTs were determined. (GMT dispersion values are based on unadjusted GMT values.) The GMT ratio (defined as the geometric mean of postvaccination (day 21) HI titer for TIV divided by the geometric mean of the postvaccination HI titer for QIV) for each virus strain included in the vaccines was then determined: bioCSL TIV-1 and bioCSL TIV-2 GMTs were pooled for analysis of the A strains.

    Measured: 21 days after vaccination.

  2. The Seroconversion Rate (SCR) (Statistical Analysis: Difference in SCR) in Subjects Aged ≥18 Years.

    SCR (defined as the percentage of subjects with either a prevaccination HI titer < 1:10 and a postvaccination HI titer ≥ 1:40 or a prevaccination HI titer ≥ 1:10 and a 4-fold increase in postvaccination HI titer) was determined for each virus strain included in the vaccines: bioCSL TIV-1 and bioCSL TIV-2 SCRs were pooled for analysis of the A strains. The SCR difference was defined as the SCR percentage for bioCSL Pooled TIV or TIV-1 (B Yamagata) or TIV-2 (B Victoria) minus the SCR percentage for bioCSL QIV.

    Measured: 21 days after vaccination.

Secondary outcomes (12)
  1. Postvaccination GMT (Statistical Analyses: GMT Ratios) Assessed Separately Within Each Age Group (18 Through 64 Years and ≥ 65 Years of Age) (Per-Protocol Population).

    Immunogenicity was assessed by measuring HI titers to the four virus strains. Postvaccination GMTs were determined. (GMT dispersion values are based on unadjusted GMT values.) The GMT ratio (defined as the geometric mean of postvaccination (day 21) HI titer for TIV divided by the geometric mean of the postvaccination HI titer for QIV) for each virus strain included in the vaccines was then determined: bioCSL TIV-1 and bioCSL TIV-2 GMTs were pooled for analysis of the A strains.

    Non-inferiority of bioCSL QIV compared to bioCSL TIV-1, and to bioCSL TIV-2 was assessed separately within each age group (18 to < 65 years and ≥ 65 years of age) through assessment of GMT ratios as described for the primary endpoint.

    Measured: 21 days after vaccination.

  2. The Seroconversion Rate (SCR) (Statistical Analyses: Difference in SCR) for Each Virus Strain, Assessed Separately Within Each Age Group (18 to < 65 Years and ≥ 65 Years of Age) (Per Protocol Population).

    Non-inferiority of bioCSL QIV compared to bioCSL TIV-1, and to bioCSL TIV-2 was assessed separately within each age group (18 to < 65 years and ≥ 65 years of age) through assessment of SCR differences as described for the primary endpoint.

    Measured: 21 days after vaccination.

  3. Immunologic Superiority of the Alternate B Strain in bioCSL QIV, as Determined by the GMT (Statistical Analysis: GMT Ratio) for This Strain, Overall and by Age Cohort (Per Protocol Population).

    Immunologic superiority of the alternate B strain (ie, the influenza B strain included in the QIV but not in the TIV formulation) in bioCSL QIV was assessed separately within each age group (18 to < 65 years and ≥ 65 years of age), and overall. The GMT ratio was calculated as bioCSL QIV GMT/bioCSL TIV GMT for the superiority analyses, which is the reverse of how it was calculated for the non-inferiority analyses.

    (GMT dispersion values are based on unadjusted GMT values.)

    Measured: 21 days after vaccination.

  4. Immunologic Superiority of the Alternate B Strain in bioCSL QIV, as Determined by Seroconversion Rate (SCR) (Statistical Analysis: Difference in SCR) for This Strain, Overall and by Age Cohort (Per Protocol Population)

    Immunologic superiority of the alternate B strain (ie, the influenza B strain included in the QIV but not in the TIV formulation) in bioCSL QIV was assessed separately within each age group (18 to < 65 years and ≥ 65 years of age), and overall. The SCR difference was calculated as bioCSL QIV SCR minus bioCSL TIV SCR, which is the reverse of how it was calculated for the non-inferiority analyses. For the SCR comparison superiority was demonstrated if the lower limit of the two-sided 95% CI of the difference of the seroconversion rates was greater than 0 for each B strain in QIV compared with the corresponding B strain not contained in each TIV.

    Measured: 21 days after vaccination.

  5. Geometric Mean of HI Titers (GMTs) Prevaccination and Postvaccination.

    The immunogenicity of bioCSL QIV, bioCSL TIV-1 and bioCSL TIV-2 was assessed in terms of geometric mean HI titers (GMT) prevaccination (Day 1) and postvaccination (Day 21), in age cohorts (per protocol population).

    Measured: 21 days after vaccination.

  6. Geometric Mean Fold Titer Change From Prevaccination to Postvaccination.

    The immunogenicity of bioCSL QIV, bioCSL TIV-1 and bioCSL TIV-2 assessed in terms of Geometric Mean Fold Increase (GMFI, defined as the geometric mean of the fold increases of postvaccination antibody titer over the prevaccination antibody titer) by Age Cohort (Per Protocol Population).

    Measured: 21 days after vaccination.

  7. Seroprotection Rates Prevaccination and Postvaccination.

    The immunogenicity of bioCSL QIV, bioCSL TIV-1 and bioCSL TIV-2 was assessed in terms of percentage of subjects with a HI titer ≥40 (seroprotection rates) prevaccination (Day 1) and postvaccination (Day 21), in age cohorts (per protocol population).

    Measured: 21 days after vaccination.

  8. Seroconversion Rates

    The immunogenicity of bioCSL QIV, bioCSL TIV-1 and bio CSL TIV-2 was assessed in terms of the seroconversion rate, ie, percentage of subjects with either a prevaccination HI titer < 1:10 and a postvaccination HI titer ≥ 1:40, or a prevaccination titer ≥ 1:10 and a ≥ 4-fold increase in post-vaccination titer. Data presented in age cohorts (per protocol population).

    Measured: 21 days after vaccination.

  9. The Frequency and Severity of Solicited Local and Systemic Adverse Events (AEs).

    The overall number of subjects experiencing at least one event of a local and systemic solicited AE, and the overall number of subjects with at least one severe (grade 3) local and systemic solicited AE.

    Measured: For 7 days following vaccination.

  10. The Frequency of Cellulitis-like Reaction and Cellulitis.

    The number of subjects experiencing at least one episode of each event.

    Measured: For 28 days following vaccination.

  11. The Frequency and Severity of Unsolicited AEs.

    The overall number of subjects experiencing at least one event of an unsolicited AE, and the overall number of subjects with at least one severe (grade 3) unsolicited AE.

    Measured: For 28 days following vaccination.

  12. The Frequency of Serious Adverse Events (SAEs) for 6 Months Following Vaccination.

    The number of participants reporting Serious Adverse Events for 6 months following vaccination.

    Measured: For 6 months following vaccination.

Timeline

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

  1. First posted12 Aug 2014 (estimated)
  2. Study startAug 2014
  3. Primary completionNov 2014
  4. Study completionApr 2015

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 3
Primary purpose
Prevention
Allocation
Randomised
Intervention model
Parallel groups
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
3,484 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02214225
Sponsor's protocol ID
CSLCT-QIV-13-01
Status last verified
Jan 2017
First submitted
10 Aug 2014
Last updated
13 Mar 2017
Data monitoring committee
Yes

Publications

  • Treanor JT, Albano FR, Sawlwin DC, Graves Jones A, Airey J, Formica N, Matassa V, Leong J. Immunogenicity and safety of a quadrivalent inactivated influenza vaccine compared with two trivalent inactivated influenza vaccines containing alternate B strains in adults: A phase 3, randomized noninferiority study. Vaccine. 2017 Apr 4;35(15):1856-1864. doi: 10.1016/j.vaccine.2017.02.066. Epub 2017 Mar 13.

    PubMed 28302411

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing Quadrivalent Influenza Vaccine (QIV), Trivalent Influenza Vaccine (TIV-1) and Trivalent Influenza Vaccine (TIV-2) in people with Influenza, Human, run by Seqirus at 33 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 2 inclusion and 6 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 13 Mar 2017. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 33 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 23 Feb 2016). 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?

Postvaccination Geometric Mean Titer (GMT) (Statistical Analysis: GMT Ratios) in Subjects Aged ≥18 Years (Per Protocol Population). (time frame: 21 days after vaccination.). 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 NCT02214225, 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 13 Mar 2017.

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