Pediatric Safety and Immunogenicity Study of Cell-Culture Derived and Egg-based Subunit Influenza Vaccines in Healthy Children and Adolescents

Sponsor
Novartis (Industry)
Overall Status
Completed
CT.gov ID
NCT00645411
Collaborator
Novartis Vaccines (Industry)
3,604
60
4
9
60.1
6.7

Study Details

Study Description

Brief Summary

The present study is the first study designed to evaluate safety, tolerability and immunogenicity of the cell culture-derived influenza vaccine in healthy children and adolescents aged 3 to 17 years. A step-down approach is utilized in which reactogenicity and safety will be assessed in children and adolescents 9 to 17 years of age (Cohort 1) prior to enrolling additional children and adolescents 9 to 17 years of age (Cohort 2) and children 3 to 8 years of age (Cohort 3).

Condition or Disease Intervention/Treatment Phase
  • Biological: Cell culture-derived influenza subunit vaccine (cTIV)
  • Biological: Egg derived influenza subunit vaccine (eTIV)
  • Biological: Cell culture-derived influenza subunit vaccine (cTIV)
  • Biological: Egg derived influenza subunit vaccine (eTIV)
Phase 2/Phase 3

Study Design

Study Type:
Interventional
Actual Enrollment :
3604 participants
Allocation:
Randomized
Intervention Model:
Parallel Assignment
Masking:
Single (Participant)
Primary Purpose:
Prevention
Official Title:
A Combined Phase II/III, Observer-Blind, Randomized, Multi-center Study to Evaluate Safety, Tolerability and Immunogenicity of Trivalent Subunit Influenza Vaccines, Produced Either in Mammalian Cell Culture or in Embryonated Hen Eggs, in Healthy Children and Adolescents
Study Start Date :
Oct 1, 2007
Actual Primary Completion Date :
Feb 1, 2008
Actual Study Completion Date :
Jul 1, 2008

Arms and Interventions

Arm Intervention/Treatment
Experimental: Cohorts 1 + Cohort 2 (9-17 Yrs) cTIV

All subjects received one 0.5 mL IM injection, of cell culture-derived trivalent influenza vaccine containing 15μg of HA for each strain (A/Solomon Islands/3/2006 [H1N1]-like, A/Wisconsin/67/2005 [H3N2]-like, and B/Malaysia/ 2506/2004-like), recommended for the 2007-2008 influenza season in the Northern Hemisphere

Biological: Cell culture-derived influenza subunit vaccine (cTIV)
One 0.5 ml injection of the cell culture-derived influenza vaccine in the deltoid muscle, preferably of the nondominant arm.

Active Comparator: Cohorts 1 + Cohort 2 (9-17 Yrs) eTIV

All subjects received one 0.5 mL injection, of egg -derived trivalent influenza vaccine containing 15μg of HA for each strain (A/Solomon Islands/3/2006 [H1N1]-like, A/Wisconsin/67/2005 [H3N2]-like and B/Malaysia/ 2506/2004-like), recommended for the 2007-2008 influenza season in the Northern Hemisphere.

Biological: Egg derived influenza subunit vaccine (eTIV)
One 0.5 ml injection of the conventional egg-derived influenza vaccine in the deltoid muscle, preferably of the nondominant arm.

Experimental: Cohort 3 (3-8 Yrs) cTIV

All subjects received two 0.5 mL injections, administered four weeks apart, of cell culture-derived trivalent influenza vaccine containing 15μg of HA for each strain (A/Solomon Islands/3/2006 [H1N1]-like, A/Wisconsin/67/2005 [H3N2]-like and B/Malaysia/ 2506/2004-like), recommended for the 2007-2008 influenza season in the Northern Hemisphere

Biological: Cell culture-derived influenza subunit vaccine (cTIV)
Two 0.5 mL injections,of the cell culture-derived influenza vaccine in the deltoid muscle, preferably of the nondominant arm, administered four weeks apart.

Active Comparator: Cohort 3 (3-8 Yrs) eTIV

All subjects received two 0.5 mL injections, administered four weeks apart of egg -derived trivalent influenza vaccine containing 15μg of HA for each strain (A/Solomon Islands/3/2006 [H1N1]-like, A/Wisconsin/67/2005 [H3N2]-like and B/Malaysia/ 2506/2004-like), recommended for the 2007-2008 influenza season in the Northern Hemisphere

Biological: Egg derived influenza subunit vaccine (eTIV)
Two 0.5 mL injections of the conventional egg-derived influenza vaccine in the deltoid muscle, preferably of the nondominant arm,administered four weeks apart.

Outcome Measures

Primary Outcome Measures

  1. Geometric Mean Titers of the Cell Culture-derived Vaccine Compared With the Egg-derived Vaccine in 3 to 8 Year-old Children [Day 50 post vaccination]

    To demonstrate non-inferiority of the post vaccination hemagglutination inhibition (HI) geometric mean titer (GMT) of the cell culture-derived influenza (cTIV) vaccine to the corresponding GMT of the egg-derived (eTIV) influenza vaccine, for all three strains, after two injections administered four weeks apart to a subset of children 3 to 8 years of age. GMTs were evaluated using two assays, HI egg derived antigen assay and HI cell derived antigen assay.

  2. Percentages of Subjects Who Attained Seroconversion or Significant Increase in Antibody Titers in the Cell Culture-derived Vaccine Compared With the Egg-derived Vaccine in 3 to 8 Year-old Children [Day 50 post vaccination]

    To demonstrate non-inferiority of the cell culture-derived influenza (cTIV) vaccine to the egg-derived (eTIV) influenza vaccine in the percentage of subjects achieving seroconversion or significant increase in antibody titer post vaccination, for all three strains, after two injections administered four weeks apart in children 3 to 8 years of age. Seroconversion rate was evaluated using two assays- HI egg derived antigen assay and HI cell derived antigen assay.

Secondary Outcome Measures

  1. Geometric Mean Titers After 1 Dose of the Cell Culture-derived or the Egg-derived Influenza Vaccine in 9 to 17 Year-old Children and Adolescents [Day 29 post vaccination]

    To evaluate immunogenicity in terms of Geometric Mean Titers (GMTs) in children 9 to 17 years of age after one injection of either cTIV vaccine or eTIV. GMTs were evaluated using two assays, HI egg derived antigen assay and HI cell derived antigen assay.

  2. Geometric Mean Ratio After 1 Dose of the Cell Culture-derived or the Egg-derived Influenza Vaccine in 9 to 17 Year-old Children and Adolescents. [Day 29 post vaccination]

    Immunogenicity was evaluated in terms of Geometric Mean Ratio (GMRs) in 9 to 17 year-old children and adolescents after one injection of either cTIV vaccine or eTIV. The criterion is met according to European (CHMP) guideline if the mean geometric increase GMR (day29/day1) in HI antibody titer is >2.5.

  3. Percentages of Subjects Who Achieved HI Titers ≥40 After 1 Dose of the Cell Culture-derived Vaccine or the Egg-derived Influenza Vaccine in 9 to 17 Year-old Children and Adolescents [Day 29 post vaccination]

    To evaluate immunogenicity in terms of percentage of 9 to 17 year-old children and adolescents achieving HI titers ≥40, after one injection of either the cTIV vaccine or the eTIV vaccine. This criterion is met according to European (CHMP) guideline if the percentage of subjects achieving HI titers ≥40 is >70% and according to the US (CBER) guideline is met if the lower bound of the two sided 95%CI for percentage of subjects achieving HI titers ≥40 is ≥70%.

  4. Percentages of Subjects Who Attained Seroconversion or Significant Increase After 1 Dose of the Cell Culture-derived Vaccine or the Egg-derived Influenza Vaccine in 9 to 17 Year-old Children and Adolescents [Day 29 post vaccination]

    Seroconversion or significant increase as per CHMP criteria is defined as percentage of subjects with a pre vaccination HI titer <10 to a post vaccination titer ≥40 or a pre vaccination HI titer ≥10 and a ≥4-fold increase in post vaccination HI antibody titer. According to the CHMP criteria, the percentage of subjects achieving seroconversion or significant increase should be >40%. According to the CBER criteria, the lower bound of the two-sided 95% CI for the percentage of subjects achieving seroconversion/significant increase should be ≥40%.

  5. Geometric Mean Titers After Two Doses of the Cell Derived or the Egg Derived Vaccine in 3 to 8 Year-old Children [Day 29 and Day 50 post vaccination]

    To evaluate immunogenicity in terms of Geometric Mean Titers (GMTs) in children 3 to 8 years of age after two doses of either cTIV vaccine or eTIV,administered 4 weeks apart.

  6. Geometric Mean Ratio After Two Doses of the Cell-derived or the Egg-derived Vaccine in 3 to 8 Year-old Children [Day 29 and Day 50 post vaccination]

    To evaluate immunogenicity in terms of Geometric Mean Ratio (GMR) in children 3 to 8 years of age after two doses of either the cTIV vaccine or the eTIV vaccine, administered 4 weeks apart according to the CHMP criteria. The criterion is met according to the European (CHMP) guideline if the mean geometric increase (GMR day 29/day 1 and GMR day 50/day 1) in HI antibody titer is >2.5

  7. Percentages of Subjects Who Achieved HI Titers ≥40 After Two Doses of the Cell Culture Derived or the Egg Derived Influenza Vaccine in 3 to 8 Year-old Children [Day 29 and Day 50 post vaccination]

    To evaluate immunogenicity in terms of HI titers ≥40, in children 3-8 years of age after two doses of either cTIV vaccine or eTIV vaccine, administered 4 weeks apart. The criterion is met according to European (CHMP) guideline if the percentage of subjects achieving HI titers ≥40 is >70% and according to the US (CBER) guideline if the lower bound of the two sided 95%CI for percentage of subjects achieving HI titers ≥40 is ≥70%.

  8. Percentages of Subjects Who Achieved Seroconversion or Significant Increase in HI Titers After Two Doses of the Cell Culture-derived Vaccine or the Egg-derived Influenza Vaccine in 3 to 8 Year-old Children [Day 29 and Day 50 post vaccination]

    Seroconversion or significant increase as per CHMP criteria is defined as percentage of subjects with a pre vaccination HI titer <10 to a post vaccination titer ≥40 or a pre vaccination HI titer ≥10 and a ≥4-fold increase in post vaccination HI antibody titer. According to the CHMP criteria, the percentage of subjects achieving seroconversion or significant increase should be >40%. According to the CBER criteria, the lower bound of the two-sided 95% CI for the percentage of subjects achieving seroconversion/significant increase should be ≥40%.

  9. Number of Subjects Reporting Local and Systemic Reactions After 1 Dose of the Cell Culture-derived or the Egg-derived Influenza Vaccine in 9 to 17 Year-old Children and Adolescents. [up to 7 days after vaccination]

    To evaluate safety and tolerability in terms of number of 9 to 17 year-old children and adolescents (cohorts 1 and 2) reporting local and systemic reactions following of one injection of the cTIV or the eTIV vaccine .

  10. Number of Subjects Reporting Local and Systemic Reactions After One and Two Doses of the Cell Culture-derived Vaccine or Egg-derived Influenza Vaccine in 3 to 8 Year-old Children. [up to 7 days after each vaccination]

    To evaluate the safety and tolerability of the cTIV and the eTIV influenza vaccines in 3 to 8 year-old children terms of number of participants reporting local and systemic reactions after each vaccination.

Eligibility Criteria

Criteria

Ages Eligible for Study:
3 Years to 17 Years
Sexes Eligible for Study:
All
Accepts Healthy Volunteers:
Yes
Inclusion Criteria:
  1. Subjects aged 9 to 17 years (Cohorts 1 and 2) and 3 to 8 years (Cohort 3), whose parents/legal guardians have given written informed consent prior to study entry. Assent will be obtained from subjects according to age requirements of the ECs/IRBs;

  2. In good health as determined by:

  3. medical history,

  4. physical examination,

  5. clinical judgment of the Investigator;

  6. Able to comply with all study procedures and available for all clinic visits and telephone calls scheduled in the study.

Exclusion Criteria:
  1. Any serious disease, such as:

  2. cancer,

  3. autoimmune disease (including rheumatoid arthritis),

  4. diabetes mellitus,

  5. chronic pulmonary disease,

  6. acute or progressive hepatic disease,

  7. acute or progressive renal disease;

  8. History of any anaphylaxis or serious reaction following administration of vaccine, or hypersensitivity to eggs, egg protein, chicken feathers, influenza viral protein, neomycin, polymyxin, or any other vaccine component, chemically related substance, or component of the potential packaging materials;

  9. Known or suspected impairment/alteration of immune function, including:

  10. use of immunosuppressive therapy such as systemic corticosteroids known to be associated with the suppression of hypothalamic-pituitary-adrenal (HPA) axis or chronic use of inhaled high-potency corticosteroids within 60 days prior to Visit 1,

  11. cancer chemotherapy,

  12. receipt of immunostimulants within 60 days prior to Visit 1,

  13. receipt of parenteral immunoglobulin preparation, blood products, and/or plasma derivatives within 3 months prior to Visit 1 or planned during the full length of the study,

  14. known HIV infection or HIV-related disease;

  15. History of Guillain-Barré syndrome;

  16. Bleeding diathesis;

  17. Surgery planned during the study period;

  18. Receipt of another investigational agent within 90 days, or before completion of the safety follow-up period in another study, whichever is longer, prior to enrollment and unwilling to refuse participation in another clinical study through the end of the study;

  19. Receipt of another vaccine within 2 weeks (for inactivated vaccines) or 4 weeks (for live vaccines) prior to Visit 1;

  20. Laboratory-confirmed influenza disease within 6 months prior to Visit 1;

  21. For subjects aged 3 to 8 years old, ever received two doses of an influenza vaccine in one influenza season;

  22. Receipt of an influenza vaccine within 6 months prior to Visit 1;

  23. Experienced a temperature 38.0°C [100.4°F]) and/or any acute illness within 3 days prior to Visit 1;

  24. Pregnant or nursing mother;

  25. Female of childbearing potential who is sexually active and has not used acceptable birth control measures for at least 2 months prior to study entry and who does not plan to use acceptable birth control measures during the 3 weeks following vaccination or refuses to have a urine pregnancy test prior to enrollment. Oral, injected, inserted or implanted hormonal contraceptive, diaphragm or condom with spermicidal agent or intrauterine device are considered acceptable forms of birth control;

  26. Children of research staff or those living with research staff directly involved with the clinical study. Research staff are individuals with direct study subject contact, indirect contact with study subjects, or study site personnel who have access to any study documents containing subject information. This would include receptionists, persons scheduling appointments or making screening calls, regulatory specialists, laboratory technicians, etc.;

  27. Any condition, which in the opinion of the Investigator, might interfere with the evaluation of the study objectives.

Contacts and Locations

Locations

Site City State Country Postal Code
1 Site 09 Fayetteville Arkansas United States 72703
2 Site 10 Downey California United States 90241
3 Site 02 Bardstown Kentucky United States 40004
4 Site 14 Metairie Louisiana United States 70006
5 Site 01 St. Louis Missouri United States 63104
6 Site 11 Omaha Nebraska United States 68134
7 Site 04 Edison New Jersey United States 08817
8 Site 05 Endwell New York United States 13760
9 Site 16 Fort Worth Texas United States 76135
10 Site 13 San Angelo Texas United States 76904
11 Site 12 San Antonio Texas United States 78205
12 Site 08 Bountiful Utah United States 84010
13 Site 07 Salt Lake City Utah United States 84109
14 Site 03 Salt Lake City Utah United States 84121
15 Site 06 Burke Virginia United States 22105
16 Site 15 Spokane Washington United States 99202
17 Site 44:Spec. Pediatric Dispensary Dakovo Croatia
18 Site 83 Ljudevita Gaja 2, Djakovo Croatia
19 Site 43: Spec. Pediatric Dispensary Sisak Croatia
20 Site 27:Institute of Public Health Zagreb Croatia
21 Site 29: Institute of Public Health Zagreb Croatia
22 Site 40:Spec. Pediatric Dispensary Zagreb Croatia
23 Site 49: Spec. Pediatric Dispensary Zagreb Croatia
24 Site 50: Spec. Pediatric Dispensary Zagreb Croatia
25 Site 86: Spec. Pediatric Dispensary Zagreb Croatia
26 Site 70: Espoon rokotetutkimusklinikka Heikintori Espoo Finland 02100
27 Site 79: Kokkola Vaccine Research Clinic Rantakatu 7 Kokkola Finland 67100
28 Site 78: Kuopio Vaccine Research Clinic Microkatu 1,Osa/Section A, 3rd floor PL1188 Kuopio Finland 70211
29 Site 71: Etelä-Helsingin rokotetutkimusklinikka Helsinki Finland 00100
30 Site 72: Itä-Helsingin rokotetutkimusklinikka Helsinki Finland 00930
31 Site 76: Järvenpään rokotetutkimusklinikka Järvenpää Finland 04400
32 Site 77: Kotkan rokotetutkimusklinikka Kotka Finland 48600
33 Site 67: Lahden rokotetutkimusklinikka Lahti Finland 15140
34 Site 75: Oulun rokotetutkimusklinikka Oulu Finland 90100
35 Site 68: Porin rokotetutkimusklinikka Pori Finland 28120
36 Site 66: Tampereen rokotetutkimusklinikka Tampere Finland 33100
37 Site 69: Turun rokotetutkimusklinikka Turku Finland 20520
38 Site 73: Itä-Vantaan rokotetutkimusklinikka Vantaa Finland 01300
39 Site 74: Länsi-Vantaan rokotetutkimusklinikka Vantaa Finland 01600
40 Site 57: Házi Gyermekorvosi Rendelő Budapest Hungary 1042
41 Site 53: Heim Pál Gyermekkórház Budapest Hungary 1089
42 Site 52: Ferencvárosi Gyermekorvos Kft. Budapest Hungary 1097
43 Site 56: Házi Gyermekorvosi Rendelő Budapest Hungary 1136
44 Site 54: Házi Gyermekorvosi Rendelő Budapest Hungary 1173
45 Site 51: 5053. számú Gyermekorvosi Rendelő Miskolc Hungary 3534
46 Site 55: Revamed kft. Nyíregyháza Hungary 4481
47 Site 59: Vas Megyei Markusovszky Lajos, Általános, Rehabilitációs és Gyógyfürdő Kórház, Egyetemi Oktató Kórház Szombathely Hungary 9700
48 Site 42: Dipartimento di Medicina Clinica e Sperimentale - Sezione di Igiene e Medicina Preventiva Ferrara Italy 44100
49 Site 47: Dipartimento Scienze della Salute, Sezione di Igiene e Medicina Preventiva, Univesità di Genova Genova Italy 16132
50 Site 41: Ospedale Maggiore della Carità-Clinica Pediatrica Novara Italy 28100
51 Site 46: USL 2 Perugia, Distretto del perugino, Centro di Salute n. 4 (Madonna Alta) e n. 6 (Ellera di Corciano del distretto del perugino) Perugia Italy 06070
52 Site 45: AUSL 7 Ragusa Italy 97100
53 Site 35 Kaunas Lithuania 48259
54 Site 36 Vilnius Lithuania 01117
55 Site 32 Vilnius Lithuania 02169
56 Site 34 Vilnius Lithuania 04318
57 Site 31 Vilnius Lithuania 10207
58 Site 33 Vilnius Lithuania 11200
59 Site 25 Campulung Muscel Arges Romania 115100
60 Site 21 Craiova Dolj Romania 200642

Sponsors and Collaborators

  • Novartis
  • Novartis Vaccines

Investigators

  • Study Chair: Novartis Vaccines, Novartis Vaccines

Study Documents (Full-Text)

None provided.

More Information

Publications

None provided.
Responsible Party:
Novartis
ClinicalTrials.gov Identifier:
NCT00645411
Other Study ID Numbers:
  • V58P12
  • Eudract Number: 2007-001534-13
First Posted:
Mar 27, 2008
Last Update Posted:
Nov 23, 2015
Last Verified:
Oct 1, 2015

Study Results

Participant Flow

Recruitment Details Participants were enrolled from 14 sites in Finland, 16 in the US, 9 in Croatia, 5 in Italy, 6 in Lithuania, 2 in Romania, 8 in Hungary.
Pre-assignment Detail All subjects enrolled were included in the trial.
Arm/Group Title Cohort 1+2 cTIV (9-17 Years) Cohort 1+2 eTIV (9-17 Years) Cohort 3 cTIV (3-8 Years) Cohort 3 eTIV (3-8 Years)
Arm/Group Description All subjects aged 9-17 years received one 0.5 mL injection, of Cell Culture-derived trivalent influenza vaccine. All subjects aged 9-17 years received one 0.5 mL injection, of egg -derived trivalent influenza vaccine. All subjects aged 3-8 years received two 0.5 mL injections, administered four weeks apart, of Cell Culture-derived trivalent influenza vaccine. All subjects aged 3-8 years received two 0.5 mL injections, administered four weeks apart of egg-derived trivalent influenza vaccine.
Period Title: Overall Study
STARTED 656 318 1608 1022
COMPLETED 643 312 1457 919
NOT COMPLETED 13 6 151 103

Baseline Characteristics

Arm/Group Title Cohort 1+2 cTIV (9-17 Years) Cohort 1+2 eTIV (9-17 Years) Cohort 3 cTIV (3-8 Years) Cohort 3 eTIV (3-8 Years) Total
Arm/Group Description All subjects aged 9-17 years received one 0.5 mL injection, of Cell Culture-derived trivalent influenza vaccine. All subjects aged 9-17 years received one 0.5 mL injection, of egg-derived trivalent influenza vaccine. All subjects aged 3-8 years received two 0.5 mL injections, administered four weeks apart, of Cell Culture-derived trivalent influenza vaccine. All subjects aged 3-8 years received two 0.5 mL injections, administered four weeks apart of egg-derived trivalent influenza vaccine. Total of all reporting groups
Overall Participants 656 318 1608 1022 3604
Age (years) [Mean (Standard Deviation) ]
Mean (Standard Deviation) [years]
12.6
(2.6)
12.6
(2.5)
5.5
(1.7)
5.4
(1.7)
7.4
(3.7)
Sex: Female, Male (Count of Participants)
Female
304
46.3%
154
48.4%
795
49.4%
494
48.3%
1747
48.5%
Male
352
53.7%
164
51.6%
813
50.6%
528
51.7%
1857
51.5%

Outcome Measures

1. Primary Outcome
Title Geometric Mean Titers of the Cell Culture-derived Vaccine Compared With the Egg-derived Vaccine in 3 to 8 Year-old Children
Description To demonstrate non-inferiority of the post vaccination hemagglutination inhibition (HI) geometric mean titer (GMT) of the cell culture-derived influenza (cTIV) vaccine to the corresponding GMT of the egg-derived (eTIV) influenza vaccine, for all three strains, after two injections administered four weeks apart to a subset of children 3 to 8 years of age. GMTs were evaluated using two assays, HI egg derived antigen assay and HI cell derived antigen assay.
Time Frame Day 50 post vaccination

Outcome Measure Data

Analysis Population Description
The analysis was performed on the per-protocol dataset
Arm/Group Title Cohort 3 cTIV (3-8 Years) Cohort 3 eTIV (3-8 Years)
Arm/Group Description All subjects aged 3-8 years received two 0.5 mL injections, administered four weeks apart, of Cell Culture-derived trivalent influenza vaccine. All subjects aged 3-8 years received two 0.5 mL injections, administered four weeks apart of egg - derived trivalent influenza vaccine.
Measure Participants 524 513
A/H1N1 (egg derived antigen assay)
407
477
A/H3N2 (egg derived antigen assay)
768
1293
B (egg derived antigen assay)
25
44
A/H1N1 (cell derived antigen assay) (N=522,513)
563
610
A/H3N2 (cell derived antigen assay) (N=522,513)
858
1329
B (cell derived antigen assay) (N=522,513)
53
62
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Cohort 3 cTIV (3-8 Years), Cohort 3 eTIV (3-8 Years)
Comments Non-inferiority of cTIV to eTIV against A/H1N1 influenza strain as measured by HI egg-derived antigen assay
Type of Statistical Test Non-Inferiority or Equivalence
Comments Cell derived vaccine was considered non-inferior to egg-derived vaccine in post vaccination HI GMTs if, for all three influenza strains, the lower limit of the two-sided 95% confidence interval (CI) for day 50 ratio of GMTs (cTIV/eTIV) was >0.667.
Statistical Test of Hypothesis p-Value
Comments
Method
Comments
Method of Estimation Estimation Parameter Ratio of GMTs
Estimated Value 0.85
Confidence Interval (2-Sided) 95%
0.72 to 1.01
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 2
Statistical Analysis Overview Comparison Group Selection Cohort 3 cTIV (3-8 Years), Cohort 3 eTIV (3-8 Years)
Comments Non-inferiority of cTIV to eTIV against A/H3N2 influenza strain as measured by HI egg-derived antigen assay.
Type of Statistical Test Non-Inferiority or Equivalence
Comments Cell derived vaccine (cTIV ) was considered non-inferior to egg-derived vaccine (eTIV) in postvaccination HI GMTs if, for all three influenza strains, the lower limit of the two-sided 95% confidence interval (CI) for day 50 ratio of GMTs(cTIV/eTIV) was >0.667.
Statistical Test of Hypothesis p-Value
Comments
Method
Comments
Method of Estimation Estimation Parameter Ratio of GMTs
Estimated Value 0.59
Confidence Interval (2-Sided) 95%
0.49 to 0.72
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 3
Statistical Analysis Overview Comparison Group Selection Cohort 3 cTIV (3-8 Years), Cohort 3 eTIV (3-8 Years)
Comments Non-inferiority of cTIV to eTIV against influenza B strain as measured by HI egg-derived antigen assay.
Type of Statistical Test Non-Inferiority or Equivalence
Comments Cell derived vaccine (cTIV ) was considered non-inferior to egg-derived vaccine (eTIV)in post vaccination HI GMTs if, for all three influenza strains, the lower limit of the two-sided 95% confidence interval (CI) for day 50 ratio of GMTs (cTIV/eTIV) was >0.667.
Statistical Test of Hypothesis p-Value
Comments
Method
Comments
Method of Estimation Estimation Parameter Ratio of GMTs
Estimated Value 0.56
Confidence Interval (2-Sided) 95%
0.46 to 0.68
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 4
Statistical Analysis Overview Comparison Group Selection Cohort 3 cTIV (3-8 Years), Cohort 3 eTIV (3-8 Years)
Comments Non-inferiority of cTIV to eTIV against A/H1N1 influenza strain as measured by HI cell-derived antigen assay.
Type of Statistical Test Non-Inferiority or Equivalence
Comments Cell derived vaccine (cTIV) was considered non-inferior to egg-derived vaccine (eTIV) in post vaccination HI GMTs if, for all three influenza strains, the lower limit of the two-sided 95% confidence interval (CI) for day 50 ratio of GMTs (cTIV/eTIV) was >0.667.
Statistical Test of Hypothesis p-Value
Comments
Method
Comments
Method of Estimation Estimation Parameter Ratio of GMTs
Estimated Value 0.92
Confidence Interval (2-Sided) 95%
0.79 to 1.08
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 5
Statistical Analysis Overview Comparison Group Selection Cohort 3 cTIV (3-8 Years), Cohort 3 eTIV (3-8 Years)
Comments Non-inferiority of cTIV to eTIV against A/H3N2 influenza strain as measured by HI cell-derived antigen assay.
Type of Statistical Test Non-Inferiority or Equivalence
Comments Cell derived vaccine (cTIV) was considered non-inferior to egg-derived vaccine (eTIV)in post vaccination HI GMTs if, for all three influenza strains, the lower limit of the two-sided 95% confidence interval (CI) for day 50 ratio of GMTs (cTIV/eTIV) was >0.667.
Statistical Test of Hypothesis p-Value
Comments
Method
Comments
Method of Estimation Estimation Parameter Ratio of GMTs
Estimated Value 0.65
Confidence Interval (2-Sided) 95%
0.54 to 0.78
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 6
Statistical Analysis Overview Comparison Group Selection Cohort 3 cTIV (3-8 Years), Cohort 3 eTIV (3-8 Years)
Comments Non-inferiority of cTIV to eTIV against B influenza strain as measured by HI cell-derived antigen assay.
Type of Statistical Test Non-Inferiority or Equivalence
Comments Cell derived vaccine (cTIV) was considered non-inferior to egg-derived vaccine (eTIV)in post vaccination HI GMTs if, for all three influenza strains, the lower limit of the two-sided 95% confidence interval (CI) for day 50 ratio of GMTs (cTIV/eTIV)was >0.667.
Statistical Test of Hypothesis p-Value
Comments
Method
Comments
Method of Estimation Estimation Parameter Ratio of GMTs
Estimated Value 0.87
Confidence Interval (2-Sided) 95%
0.71 to 1.06
Parameter Dispersion Type:
Value:
Estimation Comments
2. Primary Outcome
Title Percentages of Subjects Who Attained Seroconversion or Significant Increase in Antibody Titers in the Cell Culture-derived Vaccine Compared With the Egg-derived Vaccine in 3 to 8 Year-old Children
Description To demonstrate non-inferiority of the cell culture-derived influenza (cTIV) vaccine to the egg-derived (eTIV) influenza vaccine in the percentage of subjects achieving seroconversion or significant increase in antibody titer post vaccination, for all three strains, after two injections administered four weeks apart in children 3 to 8 years of age. Seroconversion rate was evaluated using two assays- HI egg derived antigen assay and HI cell derived antigen assay.
Time Frame Day 50 post vaccination

Outcome Measure Data

Analysis Population Description
The analysis was performed on the per-protocol dataset
Arm/Group Title Cohort 3 cTIV (3-8 Years) Cohort 3 eTIV (3-8 Years)
Arm/Group Description All subjects aged 3-8 years received two 0.5 mL injections, administered four weeks apart, of Cell Culture-derived trivalent influenza vaccine. All subjects aged 3-8 years received two 0.5 mL injections, administered four weeks apart of egg-derived trivalent influenza vaccine.
Measure Participants 524 513
A/H1N1 (egg derived antigen assay)
94
96
A/H3N2 (egg derived antigen assay)
77
86
B (egg derived antigen assay)
38
53
A/H1N1 (cell derived antigen assay) (N=522,513)
96
96
A/H3N2 (cell derived antigen assay) (N=522,513)
80
85
B (cell derived antigen assay) (N=522,513)
58
58
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Cohort 3 cTIV (3-8 Years), Cohort 3 eTIV (3-8 Years)
Comments Non-inferiority of cTIV to eTIV against A/H1N1 influenza strain as measured by HI egg-derived antigen assay.
Type of Statistical Test Non-Inferiority or Equivalence
Comments cTIV was considered non-inferior to eTIV in terms of the percentages of subjects achieving seroconversion or significant increase in antibody titer at day 50 if for all three strains, the lower limit of the two-sided 95% CI around the differences in the percentages of subjects achieving seroconversion and significant increase (cTIV minus eTIV) was >-10%.
Statistical Test of Hypothesis p-Value
Comments
Method
Comments
Method of Estimation Estimation Parameter Difference in % (cTIV minus eTIV)
Estimated Value -1
Confidence Interval (2-Sided) 95%
-4 to 1
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 2
Statistical Analysis Overview Comparison Group Selection Cohort 3 cTIV (3-8 Years), Cohort 3 eTIV (3-8 Years)
Comments Non-inferiority of cTIV to eTIV against A/H3N2 influenza strain as measured by HI egg-derived antigen assay.
Type of Statistical Test Non-Inferiority or Equivalence
Comments cTIV was considered non-inferior to eTIV in terms of the percentages of subjects achieving seroconversion or significant increase in antibody titer at day 50 if for all three strains, the lower limit of the two-sided 95% CI around the differences in the percentages of subjects achieving seroconversion and significant increase (cTIV minus eTIV) was >-10%.
Statistical Test of Hypothesis p-Value
Comments
Method
Comments
Method of Estimation Estimation Parameter Difference % (cTIV - eTIV)
Estimated Value -9
Confidence Interval (2-Sided) 95%
-13 to -4
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 3
Statistical Analysis Overview Comparison Group Selection Cohort 3 cTIV (3-8 Years), Cohort 3 eTIV (3-8 Years)
Comments Non-inferiority of cTIV to eTIV against B influenza strain as measured by HI egg-derived antigen assay.
Type of Statistical Test Non-Inferiority or Equivalence
Comments cTIV was considered non-inferior to eTIV in terms of the percentages of subjects achieving seroconversion or significant increase in antibody titer at day 50 if for all three strains, the lower limit of the two-sided 95% CI around the differences in the percentages of subjects achieving seroconversion and significant increase (cTIV minus eTIV) was >-10%.
Statistical Test of Hypothesis p-Value
Comments
Method
Comments
Method of Estimation Estimation Parameter Difference % (cTIV minus eTIV)
Estimated Value -15
Confidence Interval (2-Sided) 95%
-21 to -9
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 4
Statistical Analysis Overview Comparison Group Selection Cohort 3 cTIV (3-8 Years), Cohort 3 eTIV (3-8 Years)
Comments Non-inferiority of cTIV to eTIV against A/H1N1 influenza strain as measured by HI cell-derived antigen assay.
Type of Statistical Test Non-Inferiority or Equivalence
Comments cTIV was considered non-inferior to eTIV in terms of the percentages of subjects achieving seroconversion or significant increase in antibody titer at day 50 if for all three strains, the lower limit of the two-sided 95% CI around the differences in the percentages of subjects achieving seroconversion and significant increase (cTIV minus eTIV) was >-10%
Statistical Test of Hypothesis p-Value
Comments
Method
Comments
Method of Estimation Estimation Parameter Difference % (cTIV minus eTIV)
Estimated Value -1
Confidence Interval (2-Sided) 95%
-3 to 2
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 5
Statistical Analysis Overview Comparison Group Selection Cohort 3 cTIV (3-8 Years), Cohort 3 eTIV (3-8 Years)
Comments Non-inferiority of cTIV to eTIV against A/H3N2 influenza strain as measured by HI cell-derived antigen assay.
Type of Statistical Test Non-Inferiority or Equivalence
Comments cTIV was considered non-inferior to eTIV in terms of the percentages of subjects achieving seroconversion or significant increase in antibody titer at day 50 if for all three strains, the lower limit of the two-sided 95% CI around the differences in the percentages of subjects achieving seroconversion and significant increase (cTIV minus eTIV) was >-10%.
Statistical Test of Hypothesis p-Value
Comments
Method
Comments
Method of Estimation Estimation Parameter Difference % (cTIV minus eTIV)
Estimated Value -5
Confidence Interval (2-Sided) 95%
-9.5 to 0
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 6
Statistical Analysis Overview Comparison Group Selection Cohort 3 cTIV (3-8 Years), Cohort 3 eTIV (3-8 Years)
Comments Non-inferiority of cTIV to eTIV against B influenza strain as measured by HI cell-derived antigen assay.
Type of Statistical Test Non-Inferiority or Equivalence
Comments cTIV was considered non-inferior to eTIV in terms of the percentages of subjects achieving seroconversion or significant increase in antibody titer at day 50 if for all three strains, the lower limit of the two-sided 95% CI around the differences in the percentages of subjects achieving seroconversion and significant increase (cTIV minus eTIV) was >-10%.
Statistical Test of Hypothesis p-Value
Comments
Method
Comments
Method of Estimation Estimation Parameter Difference % (cTIV minus eTIV)
Estimated Value 0
Confidence Interval (2-Sided) 95%
-6 to 6
Parameter Dispersion Type:
Value:
Estimation Comments
3. Secondary Outcome
Title Geometric Mean Titers After 1 Dose of the Cell Culture-derived or the Egg-derived Influenza Vaccine in 9 to 17 Year-old Children and Adolescents
Description To evaluate immunogenicity in terms of Geometric Mean Titers (GMTs) in children 9 to 17 years of age after one injection of either cTIV vaccine or eTIV. GMTs were evaluated using two assays, HI egg derived antigen assay and HI cell derived antigen assay.
Time Frame Day 29 post vaccination

Outcome Measure Data

Analysis Population Description
The analysis was performed on the per-protocol dataset.
Arm/Group Title Cohort 1 cTIV (9-17 Years) Cohort 1 eTIV (9-17 Years)
Arm/Group Description All subjects aged 9-17 years received one 0.5 mL injection, of Cell Culture-derived trivalent influenza vaccine All subjects aged 9-17 years received one 0.5 mL injection, of egg-derived trivalent influenza vaccine.
Measure Participants 142 144
Baseline (A/H1N1) egg derived antigen assay
55
78
Day 29 (A/H1N1) egg derived antigen assay
879
1107
Baseline (A/H3N2) egg derived antigen assay
121
151
Day 29 (A/H3N2) egg derived antigen assay
706
1857
Baseline (B) Egg derived antigen assay
9.65
9.92
Day 29 (B) egg derived antigen assay
58
105
Baseline(A/H1N1)Cell derived assay
70
90
Day 29 (A/H1N1) cell derived antigen assay
1076
1296
Baseline(A/H3N2)cell derived assay(N=141,144)
125
144
Day 29 (A/H3N2) cell derived antigen assay
676
1651
Baseline(B)cell derived assay(N=141,144)
22
25
Day 29 (B) cell derived antigen assay
136
186
4. Secondary Outcome
Title Geometric Mean Ratio After 1 Dose of the Cell Culture-derived or the Egg-derived Influenza Vaccine in 9 to 17 Year-old Children and Adolescents.
Description Immunogenicity was evaluated in terms of Geometric Mean Ratio (GMRs) in 9 to 17 year-old children and adolescents after one injection of either cTIV vaccine or eTIV. The criterion is met according to European (CHMP) guideline if the mean geometric increase GMR (day29/day1) in HI antibody titer is >2.5.
Time Frame Day 29 post vaccination

Outcome Measure Data

Analysis Population Description
The analysis was performed on the per-protocol dataset.
Arm/Group Title Cohort 1 cTIV (9-17 Years) Cohort 1 eTIV (9-17 Years)
Arm/Group Description All subjects aged 9-17 years received one 0.5 mL injection, of Cell Culture-derived trivalent influenza vaccine. All subjects aged 9-17 years received one 0.5 mL injection, of egg-derived trivalent influenza vaccine.
Measure Participants 142 144
Day 29 (A/H1N1)egg derived antigen assay
16
14
Day 29 (A/H3N2) egg derived antigen assay
5.84
12
Day 29 (B) egg derived antigen assay
6.03
11
Day29(A/H1N1)cell derived antigen assay(N=141,144)
15
14
Day29(A/H3N2)cell derived antigen assay(N=141,144)
5.45
11
Day29(B) cell derived antigen assay(N=141,144)
6.15
7.37
5. Secondary Outcome
Title Percentages of Subjects Who Achieved HI Titers ≥40 After 1 Dose of the Cell Culture-derived Vaccine or the Egg-derived Influenza Vaccine in 9 to 17 Year-old Children and Adolescents
Description To evaluate immunogenicity in terms of percentage of 9 to 17 year-old children and adolescents achieving HI titers ≥40, after one injection of either the cTIV vaccine or the eTIV vaccine. This criterion is met according to European (CHMP) guideline if the percentage of subjects achieving HI titers ≥40 is >70% and according to the US (CBER) guideline is met if the lower bound of the two sided 95%CI for percentage of subjects achieving HI titers ≥40 is ≥70%.
Time Frame Day 29 post vaccination

Outcome Measure Data

Analysis Population Description
The analysis was performed on the per-protocol dataset.
Arm/Group Title Cohort 1 cTIV (9-17 Years) Cohort 1 eTIV (9-17 Years)
Arm/Group Description All subjects aged 9-17 years received one 0.5 mL injection, of Cell Culture-derived trivalent influenza vaccine. All subjects aged 9-17 years received one 0.5 mL injection, of egg-derived trivalent influenza vaccine.
Measure Participants 142 144
Prevaccination (A/H1N1)egg derived antigen assay
65
75
Day 29 (A/H1N1) egg derived antigen assay
99
99
Prevaccination (A/H3N2) egg derived antigen assay
82
86
Day 29 (A/H3N2) egg derived antigen assay
100
100
Prevaccination(B)egg derived antigen assay
17
13
Day 29 (B) egg derived antigen assay
75
84
Prevaccination (H1N1)cell derived assay(N=141,144)
67
78
Day 29 (A/H1N1)cell derived antigen assay
99
98
Prevaccination (H3N2)cell derived assay(N=141,144)
83
86
Day 29 (A/H3N2) cell derived antigen assay
100
100
Prevaccination (B) cell derived assay(N=141,144)
40
47
Day 29 (B) cell derived antigen assay
95
94
6. Secondary Outcome
Title Percentages of Subjects Who Attained Seroconversion or Significant Increase After 1 Dose of the Cell Culture-derived Vaccine or the Egg-derived Influenza Vaccine in 9 to 17 Year-old Children and Adolescents
Description Seroconversion or significant increase as per CHMP criteria is defined as percentage of subjects with a pre vaccination HI titer <10 to a post vaccination titer ≥40 or a pre vaccination HI titer ≥10 and a ≥4-fold increase in post vaccination HI antibody titer. According to the CHMP criteria, the percentage of subjects achieving seroconversion or significant increase should be >40%. According to the CBER criteria, the lower bound of the two-sided 95% CI for the percentage of subjects achieving seroconversion/significant increase should be ≥40%.
Time Frame Day 29 post vaccination

Outcome Measure Data

Analysis Population Description
The analysis was performed on the per-protocol dataset.
Arm/Group Title Cohort 1 cTIV (9-17 Years) Cohort 1 eTIV (9-17 Years)
Arm/Group Description All subjects aged 9-17 years received one 0.5 mL injection, of Cell Culture-derived trivalent influenza vaccine. All subjects aged 9-17 years received one 0.5 mL injection, of egg-derived trivalent influenza vaccine.
Measure Participants 142 144
Day 29 (A/H1N1) egg derived antigen assay
77
77
Day 29 (A/H3N2) egg derived antigen assay
56
77
Day 29 (B) egg derived antigen assay
56
71
Day29(A/H1N1)cell derived antigen assay(N=141,144)
74
74
Day29(A/H3N2)cell derived antigen assay(N=141,144)
52
78
Day29(B)cell derived antigen assay (N=141,144)
63
69
7. Secondary Outcome
Title Geometric Mean Titers After Two Doses of the Cell Derived or the Egg Derived Vaccine in 3 to 8 Year-old Children
Description To evaluate immunogenicity in terms of Geometric Mean Titers (GMTs) in children 3 to 8 years of age after two doses of either cTIV vaccine or eTIV,administered 4 weeks apart.
Time Frame Day 29 and Day 50 post vaccination

Outcome Measure Data

Analysis Population Description
The analysis was performed on the per-protocol dataset.
Arm/Group Title Cohort 3 cTIV (3-8 Years) Cohort 3 eTIV (3-8 Years)
Arm/Group Description All subjects aged 3-8 years received two 0.5 mL injections, administered four weeks apart, of Cell Culture-derived trivalent influenza vaccine. All subjects aged 3-8 years received two 0.5 mL injections, administered four weeks apart of egg-derived trivalent influenza vaccine.
Measure Participants 524 513
Baseline (A/H1N1) egg derived antigen assay
16
15
Day29(A/H1N1)egg derived antigen assay(N=515,507)
152
157
Day50(A/H1N1)egg derived antigen assay
407
477
Baseline (A/H3N2) egg derived antigen assay
68
74
Day29(A/H3N2)egg derived antigen assay(N=515,507)
584
1075
Day50(A/H3N2)egg derived antigen assay
768
1293
Baseline (B) egg derived antigen assay
6.16
6.24
Day29(B) egg derived antigen assay (N=515,507)
19
27
Day 50 (B) egg derived antigen assay
25
44
Baseline (A/H1N1) cell derived antigen assay
19
17
Day 29 (A/H1N1) cell derived antigen assay
234
192
Day50(A/H1N1)cell derived antigen assay(N=522,513)
563
610
Baseline (A/H3N2) cell derived antigen assay
75
85
Day 29 (A/H3N2) cell derived antigen assay
653
1099
Day50(A/H3N2)cell derived antigen assay(N=522,513)
858
1329
Baseline (B) cell derived antigen assay
8.22
8.72
Day 29 (B) cell derived antigen assay
29
36
Day50 (B) cell derived antigen assay(N=522,513)
53
62
8. Secondary Outcome
Title Geometric Mean Ratio After Two Doses of the Cell-derived or the Egg-derived Vaccine in 3 to 8 Year-old Children
Description To evaluate immunogenicity in terms of Geometric Mean Ratio (GMR) in children 3 to 8 years of age after two doses of either the cTIV vaccine or the eTIV vaccine, administered 4 weeks apart according to the CHMP criteria. The criterion is met according to the European (CHMP) guideline if the mean geometric increase (GMR day 29/day 1 and GMR day 50/day 1) in HI antibody titer is >2.5
Time Frame Day 29 and Day 50 post vaccination

Outcome Measure Data

Analysis Population Description
The analysis was performed on the per-protocol dataset.
Arm/Group Title Cohort 3 cTIV (3-8 Years) Cohort 3 eTIV (3-8 Years)
Arm/Group Description All subjects aged 3-8 years received two 0.5 mL injections, administered four weeks apart, of Cell Culture-derived trivalent influenza vaccine. All subjects aged 3-8 years received two 0.5 mL injections, administered four weeks apart of egg-derived trivalent influenza vaccine.
Measure Participants 524 513
Day29 (A/H1N1)egg derived antigen assay(N=515,507)
9.58
11
Day 50 (A/H1N1) egg derived antigen assay
25
33
Day29 (A/H3N2)egg derived antigen assay(N=515,507)
8.65
15
Day 50 (A/H3N2) egg derived antigen assay
11
17
Day 29 (B) egg derived assay (N=515,507
3.04
4.36
Day 50 (B) egg derived antigen assay
3.99
7.04
Day 29 (A/H1N1) cell derived antigen assay
13
12
Day50(A/H1N1)cell derived antigen assay(N=522,513
30
37
Day 29 (A/H3N2) cell derived antigen assay
8.73
13
Day50(A/H3N2)cell derived antigen assay(N=522,513)
12
16
Day 29 (B) cell derived antigen assay
3.59
4.14
Day 50 (B) cell derived antigen assay(N=522,513)
6.5
7.06
9. Secondary Outcome
Title Percentages of Subjects Who Achieved HI Titers ≥40 After Two Doses of the Cell Culture Derived or the Egg Derived Influenza Vaccine in 3 to 8 Year-old Children
Description To evaluate immunogenicity in terms of HI titers ≥40, in children 3-8 years of age after two doses of either cTIV vaccine or eTIV vaccine, administered 4 weeks apart. The criterion is met according to European (CHMP) guideline if the percentage of subjects achieving HI titers ≥40 is >70% and according to the US (CBER) guideline if the lower bound of the two sided 95%CI for percentage of subjects achieving HI titers ≥40 is ≥70%.
Time Frame Day 29 and Day 50 post vaccination

Outcome Measure Data

Analysis Population Description
The analysis was performed on the per-protocol dataset.
Arm/Group Title Cohort 3 cTIV (3-8 Years) Cohort 3 eTIV (3-8 Years)
Arm/Group Description All subjects aged 3-8 years received two 0.5 mL injections, administered four weeks apart, of Cell Culture-derived trivalent influenza vaccine. All subjects aged 3-8 years received two 0.5 mL injections, administered four weeks apart of egg-derived trivalent influenza vaccine.
Measure Participants 524 513
Prevaccination (A/H1N1) egg derived antigen assay
35
31
Day29(A/H1N1)egg derived antigen assay (N=515,507)
72
68
Day 50 (A/H1N1) egg derived antigen assay
96
97
Prevaccination (A/H3N2) egg derived antigen assay
67
70
Day29(A/H3N2)egg derived antigen assay(N=515,507)
87
85
Day50 (A/H3N2) egg derived antigen assay
96
94
Prevaccination (B) egg derived antigen assay
4
4
Day 29 (B) egg derived antigen assay (N=515,507)
35
40
Day 50 (B) egg derived antigen assay
40
55
Prevaccination (A/H1N1) cell derived antigen assay
36
33
Day 29 (A/H1N1) cell derived antigen assay
82
76
Day50(A/H1N1)cell derived antigen assay(N=522,513)
98
98
Prevaccination (A/H3N2) cell derived antigen assay
71
75
Day 29 (A/H3N2) cell derived antigen assay
89
85
Day50(A/H3N2)cell derived antigen assay(N=522,513)
98
93
Prevaccination (B) cell derived antigen assay
11
12
Day 29 (B) cell derived antigen assay
43
45
Day 50 (B) cell derived antigen assay (N=522,513)
60
62
10. Secondary Outcome
Title Percentages of Subjects Who Achieved Seroconversion or Significant Increase in HI Titers After Two Doses of the Cell Culture-derived Vaccine or the Egg-derived Influenza Vaccine in 3 to 8 Year-old Children
Description Seroconversion or significant increase as per CHMP criteria is defined as percentage of subjects with a pre vaccination HI titer <10 to a post vaccination titer ≥40 or a pre vaccination HI titer ≥10 and a ≥4-fold increase in post vaccination HI antibody titer. According to the CHMP criteria, the percentage of subjects achieving seroconversion or significant increase should be >40%. According to the CBER criteria, the lower bound of the two-sided 95% CI for the percentage of subjects achieving seroconversion/significant increase should be ≥40%.
Time Frame Day 29 and Day 50 post vaccination

Outcome Measure Data

Analysis Population Description
The analysis was performed on the per-protocol dataset.
Arm/Group Title Cohort 3 cTIV (3-8 Years) Cohort 3 eTIV (3-8 Years)
Arm/Group Description All subjects aged 3-8 years received two 0.5 mL injections, administered four weeks apart, of Cell Culture-derived trivalent influenza vaccine. All subjects aged 3-8 years received two 0.5 mL injections, administered four weeks apart of egg-derived trivalent influenza vaccine.
Measure Participants 524 513
Day29(A/H1N1) egg derived antigen assay(N=515,507)
70
67
Day 50 (H1N1) egg derived antigen assay
94
96
Day29(A/H3N2) egg derived antigen assay(N=515,507)
65
78
Day 50 (A/H3N2) egg derived antigen assay
77
86
Day29(B) egg derived antigen assay(N=515,507)
33
38
Day 50 (B) egg derived antigen assay
38
53
Day 29 (A/H1N1) cell derived antigen assay
79
75
Day50(A/H1N1)cell derived antigen assay(N=522,513)
96
96
Day 29 (A/H3N2) cell derived antigen assay
70
76
Day50(A/H3N2)cell derived antigen assay(N=522,513)
80
85
Day 29 (B) cell derived antigen assay
40
41
Day 50(B)cell derived antigen assay(N=522,513)
58
58
11. Secondary Outcome
Title Number of Subjects Reporting Local and Systemic Reactions After 1 Dose of the Cell Culture-derived or the Egg-derived Influenza Vaccine in 9 to 17 Year-old Children and Adolescents.
Description To evaluate safety and tolerability in terms of number of 9 to 17 year-old children and adolescents (cohorts 1 and 2) reporting local and systemic reactions following of one injection of the cTIV or the eTIV vaccine .
Time Frame up to 7 days after vaccination

Outcome Measure Data

Analysis Population Description
The analysis was performed on the safety dataset
Arm/Group Title Cohort 1+2 cTIV (9-17 Years) Cohort 1+2 eTIV (9-17 Years)
Arm/Group Description All subjects aged 9-17 years received one 0.5 mL injection, of Cell Culture-derived trivalent influenza vaccine. All subjects aged 9-17 years received one 0.5 mL injection, of egg -derived trivalent influenza vaccine.
Measure Participants 652 316
Any Local
276
141
Injection site pain
220
120
Injection site erythema
91
45
Injection site induration
44
28
Injection site ecchymosis
34
10
Injection site swelling
32
17
Any Systemic
188
95
Chills
26
13
Malaise
60
34
Myalgia
99
59
Arthralgia
27
17
Headache
92
44
Sweating
14
3
Fatigue
57
41
Fever (≥38C) (N=651,316)
5
3
Any Other
44
37
Stayed at home (n=649,316)
9
10
Analgesic Medication Used
42
31
12. Secondary Outcome
Title Number of Subjects Reporting Local and Systemic Reactions After One and Two Doses of the Cell Culture-derived Vaccine or Egg-derived Influenza Vaccine in 3 to 8 Year-old Children.
Description To evaluate the safety and tolerability of the cTIV and the eTIV influenza vaccines in 3 to 8 year-old children terms of number of participants reporting local and systemic reactions after each vaccination.
Time Frame up to 7 days after each vaccination

Outcome Measure Data

Analysis Population Description
The analysis was performed on the safety dataset set.
Arm/Group Title Cohort 3 cTIV (3-8 Years) Cohort 3 eTIV (3-8 Years)
Arm/Group Description All subjects aged 3-8 years received two 0.5 mL injections, administered four weeks apart, of Cell Culture-derived trivalent influenza vaccine. All subjects aged 3-8 years received two 0.5 mL injections, administered four weeks apart of egg- derived trivalent influenza vaccine.
Measure Participants 1599 1013
Injection site pain
653
398
Injection site erythema
337
206
Injection site induration
141
84
Injection site ecchymosis
144
99
Injection site swelling
119
85
Chills
70
68
Malaise
156
117
Myalgia
202
119
Arthralgia
65
28
Headache
182
144
Sweating
47
28
Fatigue
210
170
Fever (≥ 38C)
75
60
Oral temp; 38 to <38.9 C (N=1598,1013)
48
43
Stayed at home (N=1582,1003,1519, 955)
77
63
Analgesic Medication Used
221
148
Oral temp; 39 to < 40 C (N=1598,1013)
16
15
Oral temp; ≥ 40 C (N=1598,1013)
6
1

Adverse Events

Time Frame Throughout the study period (Day 1-181 for Cohorts 1 and 2, and Day 1-209 for cohort 3)
Adverse Event Reporting Description Solicited AEs - day 1 through day 7 after vaccination. All AEs- day 1 through day 29 ( cohort 1&2); day 1 through day 50 (cohort 3). SAEs, onset of chronic illness, and AEs that lead to withdrawal from the study and associated concomitant medications-day 29 to day 181 (cohort 1&2); day 50 through day 209 (cohort 3)
Arm/Group Title Cohort 1+2 cTIV (9-17 Years) Cohort 1+2 eTIV (9-17 Years) Cohort 3 cTIV (3-8 Yrs; 1st Vaccination) Cohort 3 eTIV (3-8 Yrs; 1st Vaccination) Cohort 3 cTIV (3-8 Yrs; 2nd Vaccination) Cohort 3 eTIV (3-8 Yrs; 2nd Vaccination)
Arm/Group Description All subjects aged 9-17 years received one 0.5 mL injection, of Cell Culture-derived trivalent influenza vaccine. All subjects aged 9-17 years received one 0.5 mL injection, of egg -derived trivalent influenza vaccine. All subjects aged 3-8 years received two 0.5 mL injections, administered four weeks apart, of Cell Culture-derived trivalent influenza vaccine. All subjects aged 3-8 years received two 0.5 mL injections, administered four weeks apart of egg-derived trivalent influenza vaccine. All subjects aged 3-8 years received two 0.5 mL injections, administered four weeks apart, of Cell Culture-derived trivalent influenza vaccine. All subjects aged 3-8 years received two 0.5 mL injections, administered four weeks apart of egg-derived trivalent influenza vaccine.
All Cause Mortality
Cohort 1+2 cTIV (9-17 Years) Cohort 1+2 eTIV (9-17 Years) Cohort 3 cTIV (3-8 Yrs; 1st Vaccination) Cohort 3 eTIV (3-8 Yrs; 1st Vaccination) Cohort 3 cTIV (3-8 Yrs; 2nd Vaccination) Cohort 3 eTIV (3-8 Yrs; 2nd Vaccination)
Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events
Total / (NaN) / (NaN) / (NaN) / (NaN) / (NaN) / (NaN)
Serious Adverse Events
Cohort 1+2 cTIV (9-17 Years) Cohort 1+2 eTIV (9-17 Years) Cohort 3 cTIV (3-8 Yrs; 1st Vaccination) Cohort 3 eTIV (3-8 Yrs; 1st Vaccination) Cohort 3 cTIV (3-8 Yrs; 2nd Vaccination) Cohort 3 eTIV (3-8 Yrs; 2nd Vaccination)
Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events
Total 5/652 (0.8%) 3/316 (0.9%) 2/1599 (0.1%) 0/1013 (0%) 7/1557 (0.4%) 5/977 (0.5%)
Congenital, familial and genetic disorders
Thalassemia beta 0/652 (0%) 0 0/316 (0%) 0 0/1599 (0%) 0 0/1013 (0%) 0 1/1557 (0.1%) 1 0/977 (0%) 0
Gastrointestinal disorders
Abdominal pain 1/652 (0.2%) 1 0/316 (0%) 0 0/1599 (0%) 0 0/1013 (0%) 0 0/1557 (0%) 0 0/977 (0%) 0
Appendix disorder 1/652 (0.2%) 1 0/316 (0%) 0 0/1599 (0%) 0 0/1013 (0%) 0 0/1557 (0%) 0 0/977 (0%) 0
Infections and infestations
Abscess limb 0/652 (0%) 0 0/316 (0%) 0 0/1599 (0%) 0 0/1013 (0%) 0 0/1557 (0%) 0 1/977 (0.1%) 1
Gastroentritis 0/652 (0%) 0 0/316 (0%) 0 0/1599 (0%) 0 0/1013 (0%) 0 1/1557 (0.1%) 1 1/977 (0.1%) 1
Infectious mononucleosis 0/652 (0%) 0 0/316 (0%) 0 1/1599 (0.1%) 1 0/1013 (0%) 0 0/1557 (0%) 0 0/977 (0%) 0
Influenza 0/652 (0%) 0 1/316 (0.3%) 1 0/1599 (0%) 0 0/1013 (0%) 0 0/1557 (0%) 0 0/977 (0%) 0
Otitis media chronic 0/652 (0%) 0 0/316 (0%) 0 0/1599 (0%) 0 0/1013 (0%) 0 0/1557 (0%) 0 1/977 (0.1%) 1
Pelvic abscess 1/652 (0.2%) 1 0/316 (0%) 0 0/1599 (0%) 0 0/1013 (0%) 0 0/1557 (0%) 0 0/977 (0%) 0
Pharyngotonsillitis 0/652 (0%) 0 0/316 (0%) 0 0/1599 (0%) 0 0/1013 (0%) 0 1/1557 (0.1%) 1 0/977 (0%) 0
Pneumonia bacterial 0/652 (0%) 0 1/316 (0.3%) 1 0/1599 (0%) 0 0/1013 (0%) 0 0/1557 (0%) 0 0/977 (0%) 0
Respiratory tract infection viral 0/652 (0%) 0 0/316 (0%) 0 0/1599 (0%) 0 0/1013 (0%) 0 1/1557 (0.1%) 1 0/977 (0%) 0
Streptococcal bacteraemia 0/652 (0%) 0 1/316 (0.3%) 1 0/1599 (0%) 0 0/1013 (0%) 0 0/1557 (0%) 0 0/977 (0%) 0
Viral infection 1/652 (0.2%) 1 0/316 (0%) 0 0/1599 (0%) 0 0/1013 (0%) 0 0/1557 (0%) 0 0/977 (0%) 0
Injury, poisoning and procedural complications
Concussion 0/652 (0%) 0 0/316 (0%) 0 0/1599 (0%) 0 0/1013 (0%) 0 2/1557 (0.1%) 2 0/977 (0%) 0
Contusion 0/652 (0%) 0 0/316 (0%) 0 1/1599 (0.1%) 1 0/1013 (0%) 0 1/1557 (0.1%) 1 0/977 (0%) 0
Eye injury 0/652 (0%) 0 0/316 (0%) 0 0/1599 (0%) 0 0/1013 (0%) 0 1/1557 (0.1%) 1 0/977 (0%) 0
Investigations
Body height below normal 1/652 (0.2%) 1 0/316 (0%) 0 0/1599 (0%) 0 0/1013 (0%) 0 0/1557 (0%) 0 0/977 (0%) 0
Metabolism and nutrition disorders
Dehydration 1/652 (0.2%) 1 0/316 (0%) 0 0/1599 (0%) 0 0/1013 (0%) 0 0/1557 (0%) 0 0/977 (0%) 0
Diabetes mellitus 0/652 (0%) 0 0/316 (0%) 0 0/1599 (0%) 0 0/1013 (0%) 0 1/1557 (0.1%) 1 0/977 (0%) 0
Nervous system disorders
Post procedural haemorrhage 0/652 (0%) 0 0/316 (0%) 0 0/1599 (0%) 0 0/1013 (0%) 0 0/1557 (0%) 0 1/977 (0.1%) 1
Psychiatric disorders
Major depression 1/652 (0.2%) 1 0/316 (0%) 0 0/1599 (0%) 0 0/1013 (0%) 0 0/1557 (0%) 0 0/977 (0%) 0
Reproductive system and breast disorders
Ovarian torsion 0/652 (0%) 0 1/316 (0.3%) 1 0/1599 (0%) 0 0/1013 (0%) 0 0/1557 (0%) 0 0/977 (0%) 0
Respiratory, thoracic and mediastinal disorders
Bronchitis chronic 0/652 (0%) 0 0/316 (0%) 0 0/1599 (0%) 0 0/1013 (0%) 0 0/1557 (0%) 0 1/977 (0.1%) 1
Surgical and medical procedures
Tonsillectomy 0/652 (0%) 0 0/316 (0%) 0 0/1599 (0%) 0 0/1013 (0%) 0 0/1557 (0%) 0 1/977 (0.1%) 1
Other (Not Including Serious) Adverse Events
Cohort 1+2 cTIV (9-17 Years) Cohort 1+2 eTIV (9-17 Years) Cohort 3 cTIV (3-8 Yrs; 1st Vaccination) Cohort 3 eTIV (3-8 Yrs; 1st Vaccination) Cohort 3 cTIV (3-8 Yrs; 2nd Vaccination) Cohort 3 eTIV (3-8 Yrs; 2nd Vaccination)
Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events
Total 328/652 (50.3%) 168/316 (53.2%) 799/1599 (50%) 507/1013 (50%) 670/1557 (43%) 413/977 (42.3%)
General disorders
Fatigue 57/652 (8.7%) 67 41/316 (13%) 47 155/1599 (9.7%) 171 119/1013 (11.7%) 143 99/1557 (6.4%) 110 82/977 (8.4%) 92
Injection site erythema 91/652 (14%) 94 45/316 (14.2%) 45 197/1599 (12.3%) 198 138/1013 (13.6%) 139 209/1557 (13.4%) 211 118/977 (12.1%) 121
Injection site induration 44/652 (6.7%) 44 28/316 (8.9%) 29 87/1599 (5.4%) 89 44/1013 (4.3%) 45 66/1557 (4.2%) 66 51/977 (5.2%) 51
Injection site pain 220/652 (33.7%) 227 120/316 (38%) 122 451/1599 (28.2%) 462 251/1013 (24.8%) 261 421/1557 (27%) 430 266/977 (27.2%) 278
Injection site haemorrhage 34/652 (5.2%) 37 10/316 (3.2%) 11 98/1599 (6.1%) 106 60/1013 (5.9%) 67 52/1557 (3.3%) 58 43/977 (4.4%) 51
Malaise 60/652 (9.2%) 68 34/316 (10.8%) 41 103/1599 (6.4%) 118 78/1013 (7.7%) 85 76/1557 (4.9%) 86 50/977 (5.1%) 56
Pyrexia 12/652 (1.8%) 13 5/316 (1.6%) 7 88/1599 (5.5%) 96 73/1013 (7.2%) 84 63/1557 (4%) 70 44/977 (4.5%) 49
Musculoskeletal and connective tissue disorders
Myalgia 99/652 (15.2%) 107 59/316 (18.7%) 67 141/1599 (8.8%) 150 76/1013 (7.5%) 88 100/1557 (6.4%) 103 67/977 (6.9%) 70
Nervous system disorders
Headache 99/652 (15.2%) 125 47/316 (14.9%) 56 143/1599 (8.9%) 167 111/1013 (11%) 135 94/1557 (6%) 110 73/977 (7.5%) 89
Respiratory, thoracic and mediastinal disorders
Cough 10/652 (1.5%) 10 4/316 (1.3%) 4 124/1599 (7.8%) 130 75/1013 (7.4%) 87 70/1557 (4.5%) 75 51/977 (5.2%) 52

Limitations/Caveats

[Not Specified]

More Information

Certain Agreements

Principal Investigators are NOT employed by the organization sponsoring the study.

The only disclosure restriction on the PI is that the sponsor can review results communications prior to public release and can embargo communications regarding trial results for a period that is more than 60 days but less than or equal to 180 days. The sponsor cannot require changes to the communication and cannot extend the embargo.

Results Point of Contact

Name/Title Posting Director
Organization Novartis Vaccines and Diagnostics
Phone
Email RegistryContactVaccinesUS@novartis.com
Responsible Party:
Novartis
ClinicalTrials.gov Identifier:
NCT00645411
Other Study ID Numbers:
  • V58P12
  • Eudract Number: 2007-001534-13
First Posted:
Mar 27, 2008
Last Update Posted:
Nov 23, 2015
Last Verified:
Oct 1, 2015