Safety and Immunogenicity of a Four Influenza Vaccines in Children Ages 6 Months Old to Less Than 48 Months Old

Sponsor
Seqirus (Industry)
Overall Status
Completed
CT.gov ID
NCT02035696
Collaborator
Novartis Vaccines (Industry)
671
27
4
12
24.9
2.1

Study Details

Study Description

Brief Summary

To evaluate the safety and immunogenicity of four influenza vaccines in children 6 months to < 48 months of age

Condition or Disease Intervention/Treatment Phase
  • Biological: Trivalent influenza vaccine (TIVc)
  • Biological: Trivalent influenza vaccine-licensed
Phase 1/Phase 2

Study Design

Study Type:
Interventional
Actual Enrollment :
671 participants
Allocation:
Randomized
Intervention Model:
Parallel Assignment
Masking:
Quadruple (Participant, Care Provider, Investigator, Outcomes Assessor)
Primary Purpose:
Prevention
Official Title:
A Phase I/II, Randomized, Observer-Blind, Multicenter Study to Evaluate Immunogenicity and Safety of Four Influenza Vaccines in Healthy Pediatric Subjects 6 to < 48 Months of Age.
Study Start Date :
Dec 1, 2013
Actual Primary Completion Date :
Jun 1, 2014
Actual Study Completion Date :
Dec 1, 2014

Arms and Interventions

Arm Intervention/Treatment
Experimental: TIVc-High Dose

Subjects (6 to <48 months old) received two doses of 0.75 mL of TIVc vaccine

Biological: Trivalent influenza vaccine (TIVc)

Experimental: TIVc-Full Dose

Subjects(6 to <48 months old) received two doses of 0.50 mL of TIVc vaccine

Biological: Trivalent influenza vaccine (TIVc)

Experimental: TIVc- Half Dose

Subjects (6 to <48 months old)received two doses of 0.25 mL of TIVc vaccine

Biological: Trivalent influenza vaccine (TIVc)

Active Comparator: TIVe

Subjects (6 to <48 months old) received two doses of TIVe vaccine(IM/0.25mL -for ages 6 to <36 months and IM/ 0.5 mL -for ages 36 to <48 months)

Biological: Trivalent influenza vaccine-licensed
Licensed influenza vaccine

Outcome Measures

Primary Outcome Measures

  1. Ratios of Geometric Mean Titer (GMT) in Subjects (6 to <48 Months Old) After Receiving Two Doses of Either TIVc or TIVe Vaccine [Day 50/Day 1]

    Immunogenicity was assessed in terms of ratios of GMTs in subjects (6 to <48 months old), measured by hemagglutination inhibition (HI) assay, day 1 to day 50 after vaccination with two doses of either TIVc or TIVe vaccine

  2. Percentages of Subjects (6 to <48 Months Old) Achieving Seroconversion or Significant Increase After Receiving Two Doses of Either TIVc or TIVe Vaccine [Day 50 post vaccination]

    Immunogenicity was assessed in terms number (%) of subjects (6 to <48 months old) achieving seroconversion as measured by HI antibody titer, day 50 after vaccination with two doses of either TIVc or TIVe vaccine Seroconversion was defined as subjects with either a pre-vaccination (baseline) HI titer < 1:10 and post-vaccination HI titer ≥ 1:40 or with a pre-vaccination HI titer ≥ 1:10 and a ≥ 4-fold increase in post-vaccination HI antibody titer

  3. Desirability Index Score of Subjects (6 to <48 Months Old) Reporting Severe Solicited Local and Systemic Reactions After Vaccination With Either TIVc or TIVe Vaccine [Day 1 to Day 3]

    Differences in percentages of subjects (6 to <48 months old) with severe local solicited AEs and severe solicited systemic AEs, 3 days after vaccination with either TIVc or TIVe vaccine was assessed in terms of an individual desirability index score (High dose, Full dose, Half dose TIVc vs. TIVe vaccine). An individual desirability index score was assigned to each (non-transformed) safety value based on predefined functions. Each desirability index score is assigned a value between 0 and 1, wherein 0 is an undesirable response and 1 is a highly desirable response.

Secondary Outcome Measures

  1. Percentages of Subjects (6 to <48 Months Old) Achieving Seroconversion or Significant Increase After Receiving Two Doses of Either TIVc or TIVe Vaccine [Day 50 post vaccination]

    Immunogenicity was assessed in terms of number (%) of subjects (6 to <48 months old) achieving seroconversion as measured by HI assay, day 50 after vaccination with two doses of either TIVc or TIVe vaccine Seroconversion was defined as subjects with either a pre-vaccination (baseline) HI titer < 1:10 and post-vaccination HI titer ≥ 1:40 or with a pre-vaccination HI titer ≥ 1:10 and a ≥ 4-fold increase in post-vaccination HI antibody titer The Center for Biologics Evaluation, Research, and Review (CBER) criterion for pediatric population is that the lower bound of the two-sided 95% confidence interval (CI) for the percentage of subjects achieving seroconversion for HI antibody should meet or exceed 40% The Committee for Medicinal Products for Human Use (CHMP) criterion for pediatric population is that the percentage of subjects achieving seroconversion or significant increase in HI antibody titers >40%

  2. Percentages of Subjects (6 to <48 Months Old) Achieving HI Titer ≥1:40 After Receiving Two Doses of Either TIVc or TIVe Vaccine [Day 1, Day 50 post vaccination]

    Immunogenicity was assessed in terms of number (%) of subjects (6 to <48 months old) achieving HI titer ≥1:40 as measured by HI assay, day 50 after vaccination with two doses of either TIVc or TIVe vaccine The CBER criterion for pediatric population is 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% The CHMP criterion for pediatric population is that the percentage of subjects achieving HI antibody titers ≥1:40 should be >70%

  3. Geometric Mean Ratios (GMR) in Subjects (6 to <48 Months Old) After Receiving Two Doses of Either TIVc or TIVe Vaccine [Day 50 post vaccination over day 1]

    Immunogenicity was assessed in terms of GMR in subjects (6 to <48 months old) as measured by HI assay, day 50 after vaccination with two doses of either TIVc or TIVe vaccine The CHMP criterion is mean geometric ratio (GMR) >2.5

  4. Geometric Mean Ratios (GMR) in Subjects (6 to <48 Months Old) After Receiving Two Doses of Either TIVc or TIVe Vaccine [Day 50 post vaccination over day 1]

    Immunogenicity was assessed in terms of GMR in subjects (6 to <48 months old) as measured by MN assay, day 50 after vaccination with two doses of either TIVc or TIVe vaccine

  5. Percentages of Subjects (6 to <48 Months Old) With High Post Vaccination HI Titers (i.e. HI Titers ≥1:110, ≥1:150, ≥1:330 and ≥1:629) After Receiving Two Doses of Either TIVc or TIVe Vaccine [Day 1 and Day 50 post vaccination]

    Immunogenicity was assessed in terms of number (%) of subjects (6 to <48 months old) achieving post vaccination HI titers (i.e. HI titers ≥1:110, ≥1:150, ≥1:330 and ≥1:629) as measured by HI assay, day 50 after vaccination with two doses of either TIVc or TIVe vaccine

  6. Percentages of Subjects (6 to <48 Months Old) Achieving MN Titer ≥1:20 After Receiving Two Doses of Either TIVc or TIVe Vaccine [Day 1 and Day 50 post vaccination]

    Immunogenicity was assessed in terms of number (%) of subjects (6 to <48 months old) achieving MN titer ≥1:20 as measured by MN assay, day 50 after vaccination with two doses of either TIVc or TIVe vaccine Post-vaccination MN titer ≥1:20 was defined as for subjects with baseline (day 1) MN titer <1:10, or a minimum 2-fold increase in titer on day 50 for subjects with baseline titer ≥1:10 and corresponding 95% CI

  7. Percentages of Subjects (6 to <48 Months Old) Achieving MN Titer ≥1:40 After Receiving Two Doses of Either TIVc or TIVe Vaccine [Day 1 and Day 50 post vaccination]

    Immunogenicity was assessed in terms of number (%) of subjects (6 to <48 months old) achieving MN titer ≥1:40 as measured by MN assay, day 50 after vaccination with two doses of either TIVc or TIVe vaccine Post-vaccination MN titer ≥1:40 was defined as for subjects with baseline (day 1) MN titer <1:10, or a minimum 4-fold increase in titer on day 50 for subjects with baseline titer ≥1:10 and corresponding 95% CI

  8. Number of Subjects (6 to <48 Months Old) Reporting Solicited Local (Grading Type I) and Systemic Adverse Events (AEs) After Two Doses of Either TIVc or TIVe Vaccine [Day 1 to Day 7]

    Safety was assessed in terms of number of subjects (6 to <48 months old) reporting solicited local and systemic reactions, day 1 to day 7 after vaccination with two doses of either TIVc or TIVe vaccine (By Any Vaccination)

  9. Number of Subjects (6 to <48 Months Old) Reporting Unsolicited Adverse Events (AEs) After Two Doses of Either TIVc or TIVe Vaccine [Unsolicited AEs after Each/any Vaccination from Day 1 to Day 29 and Day 29 to Day 50 , Day 1 to Day 209]

    Safety was assessed in terms of number of subjects (6 to <48 months old) reporting unsolicited reactions after Each /any Vaccination from Day 1 [Post Vaccination] to Day 29 [Pre Clinic Visit] and Day 29 [Post Vaccination] to Day 50 [Pre Clinic Visit] , Serious Adverse Events (SAEs), AEs leading to New Onset of Chronic Diseases (NOCD), AEs leading to withdrawal from the study and concomitant medications (day 1 to day 209) after vaccination with two doses of either TIVc or TIVe vaccine (By Any Vaccination)

Eligibility Criteria

Criteria

Ages Eligible for Study:
6 Months to 48 Months
Sexes Eligible for Study:
All
Accepts Healthy Volunteers:
Yes
Inclusion Criteria:
  • Healthy subject, male or female, 6 through < 48 months of age at the time of enrollment, who has never previously received an influenza vaccine

  • Individual who has a parent or guardian that can give written informed consent after understanding the nature of the study and are available for follow-up

Exclusion Criteria:
  • Individuals recently vaccinated against influenza

  • Subjects with contraindications to receive influenza vaccine

Contacts and Locations

Locations

Site City State Country Postal Code
1 Site 116 Phoenix Arizona United States
2 Site 119 Tucson Arizona United States
3 Site 109 Little Rock Arkansas United States
4 Site 112 Long Beach California United States
5 Site 113 Ontario California United States
6 Site 117 San Diego California United States
7 Site 114 West Covina California United States
8 Site 107 Thornton Colorado United States
9 Site 108 Miami Beach Florida United States
10 Site 111 Miami Florida United States
11 Site 121 Gainesville Georgia United States
12 Site 101 Omaha Nebraska United States
13 Site 104 Omaha Nebraska United States
14 Site 105 Omaha Nebraska United States
15 Site 106 Omaha Nebraska United States
16 Site 103 Youngstown Ohio United States
17 Site 102 Charleston South Carolina United States
18 Site 115 Houston Texas United States
19 Site 118 Saint George Utah United States
20 Site 110 Salt Lake City Utah United States
21 Site 120 Spokane Washington United States
22 Site 502 Kuopio Finland
23 Site 506 Tampere Finland
24 Site 301 Manila Philippines
25 Site 302 Muntinlupa Philippines
26 Site 201 Bangkok Thailand
27 Site 202 Bangkok Thailand

Sponsors and Collaborators

  • Seqirus
  • Novartis Vaccines

Investigators

None specified.

Study Documents (Full-Text)

None provided.

More Information

Publications

None provided.
Responsible Party:
Seqirus
ClinicalTrials.gov Identifier:
NCT02035696
Other Study ID Numbers:
  • V58P16
  • 2013-002081-39
First Posted:
Jan 14, 2014
Last Update Posted:
Jul 10, 2018
Last Verified:
Jun 1, 2018
Keywords provided by Seqirus
Additional relevant MeSH terms:

Study Results

Participant Flow

Recruitment Details 6 centers in the United States, 1 center in Finland, 2 centers in Thailand, 2 centers in Philippines
Pre-assignment Detail All enrolled Subjects were included in the trial
Arm/Group Title TIVc-High Dose TIVc-Full Dose TIVc- Half Dose TIVe
Arm/Group Description Subjects (6 to <48 months old) received two doses of 0.75 mL of TIVc vaccine Subjects(6 to <48 months old) received two doses of 0.50 mL of TIVc vaccine Subjects (6 to <48 months old)received two doses of 0.25 mL of TIVc vaccine Subjects (6 to <48 months old) received two doses of TIVe vaccine
Period Title: Overall Study
STARTED 174 166 167 164
COMPLETED 171 163 164 161
NOT COMPLETED 3 3 3 3

Baseline Characteristics

Arm/Group Title TIVc-High Dose TIVc-Full Dose TIVc- Half Dose TIVe Total
Arm/Group Description Subjects (6 to <48 months old) received two doses of 0.75 mL of TIVc vaccine Subjects(6 to <48 months old) received two doses of 0.50 mL of TIVc vaccine Subjects (6 to <48 months old)received two doses of 0.25 mL of TIVc vaccine Subjects (6 to <48 months old) received two doses of TIVe vaccine Total of all reporting groups
Overall Participants 174 166 167 164 671
Age (Months) [Mean (Standard Deviation) ]
Mean (Standard Deviation) [Months]
25.3
(11.5)
25.0
(11.5)
25.6
(11.5)
25.3
(11.9)
25.3
(11.6)
Sex: Female, Male (Count of Participants)
FEMALE
84
48.3%
82
49.4%
77
46.1%
87
53%
330
49.2%
MALE
90
51.7%
84
50.6%
90
53.9%
77
47%
341
50.8%

Outcome Measures

1. Primary Outcome
Title Ratios of Geometric Mean Titer (GMT) in Subjects (6 to <48 Months Old) After Receiving Two Doses of Either TIVc or TIVe Vaccine
Description Immunogenicity was assessed in terms of ratios of GMTs in subjects (6 to <48 months old), measured by hemagglutination inhibition (HI) assay, day 1 to day 50 after vaccination with two doses of either TIVc or TIVe vaccine
Time Frame Day 50/Day 1

Outcome Measure Data

Analysis Population Description
Analysis was done on Per Protocol (PP) population i.e. all subjects in the FAS Efficacy/Immunogenicity Set who are not excluded due to reasons defined prior to unblinding or analysis
Arm/Group Title TIVc-High Dose TIVc-Full Dose TIVc- Half Dose TIVe
Arm/Group Description Subjects (6 to <48 months old) received two doses of 0.75 mL of TIVc vaccine Subjects(6 to <48 months old) received two doses of 0.50 mL of TIVc vaccine Subjects (6 to <48 months old)received two doses of 0.25 mL of TIVc vaccine Subjects (6 to <48 months old) received two doses of TIVe vaccine
Measure Participants 156 147 141 145
A/H1N1
7.82
5.5
5.93
3.69
A/H3N2
10.53
10.84
6.47
11.95
B
5.18
4.27
3.87
6.65
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection TIVc-High Dose, TIVe
Comments Non-inferiority of immune responses of a TIVc-High Dose to TIVe, assessed in terms of vaccine group GMT ratios against influenza strain A/H1N1 at Day 1
Type of Statistical Test Non-Inferiority or Equivalence
Comments Non-inferiority was established if the Lower limit of the 2-sided 95% CI of the vaccine group GMT ratio ≥ 0.67
Statistical Test of Hypothesis p-Value
Comments
Method
Comments
Method of Estimation Estimation Parameter Vaccine Group Ratios at Day 1
Estimated Value 0.99
Confidence Interval (2-Sided) 95%
0.65 to 1.52
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 2
Statistical Analysis Overview Comparison Group Selection TIVc-High Dose, TIVe
Comments Non-inferiority of immune responses of a TIVc-High Dose to TIVe, assessed in terms of vaccine group GMT ratios against influenza strain A/H1N1 at Day 50
Type of Statistical Test Non-Inferiority or Equivalence
Comments Non-inferiority was established if the Lower limit of the 2-sided 95% CI of the vaccine group GMT ratio ≥ 0.67
Statistical Test of Hypothesis p-Value
Comments
Method
Comments
Method of Estimation Estimation Parameter Vaccine Group ratios at Day 50
Estimated Value 2.11
Confidence Interval (2-Sided) 95%
1.5 to 2.98
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 3
Statistical Analysis Overview Comparison Group Selection TIVc-High Dose, TIVe
Comments Non-inferiority of immune responses of a TIVc-High Dose to TIVe, assessed in terms of vaccine group GMT ratios against influenza strain A/H3N2 at Day 1
Type of Statistical Test Non-Inferiority or Equivalence
Comments Non-inferiority was established if the Lower limit of the 2-sided 95% CI of the vaccine group GMT ratio ≥ 0.67
Statistical Test of Hypothesis p-Value
Comments
Method
Comments
Method of Estimation Estimation Parameter Vaccine Group ratios at Day 1
Estimated Value 0.68
Confidence Interval (2-Sided) 95%
0.43 to 1.06
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 4
Statistical Analysis Overview Comparison Group Selection TIVc-High Dose, TIVe
Comments Non-inferiority of immune responses of a TIVc-High Dose to TIVe, assessed in terms of vaccine group GMT ratios against influenza strain A/H3N2 at Day 50
Type of Statistical Test Non-Inferiority or Equivalence
Comments Non-inferiority was established if the Lower limit of the 2-sided 95% CI of the vaccine group GMT ratio ≥ 0.67
Statistical Test of Hypothesis p-Value
Comments
Method
Comments
Method of Estimation Estimation Parameter Vaccine Group Ratios at Day 50
Estimated Value 0.71
Confidence Interval (2-Sided) 95%
0.58 to 0.87
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 5
Statistical Analysis Overview Comparison Group Selection TIVc-High Dose, TIVe
Comments Non-inferiority of immune responses of a TIVc-High Dose to TIVe, assessed in terms of vaccine group GMT ratios against influenza strain B at Day 1
Type of Statistical Test Non-Inferiority or Equivalence
Comments Non-inferiority was established if the Lower limit of the 2-sided 95% CI of the vaccine group GMT ratio ≥ 0.67
Statistical Test of Hypothesis p-Value
Comments
Method
Comments
Method of Estimation Estimation Parameter Vaccine Group Ratios at Day 1
Estimated Value 1
Confidence Interval (2-Sided) 95%
0.92 to 1.08
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 6
Statistical Analysis Overview Comparison Group Selection TIVc-High Dose, TIVe
Comments Non-inferiority of immune responses of a TIVc-High Dose to TIVe, assessed in terms of vaccine group GMT ratios against influenza strain B at Day 50
Type of Statistical Test Non-Inferiority or Equivalence
Comments Non-inferiority was established if the Lower limit of the 2-sided 95% CI of the vaccine group GMT ratio ≥ 0.67
Statistical Test of Hypothesis p-Value
Comments
Method
Comments
Method of Estimation Estimation Parameter Vaccine Group ratios at Day 50
Estimated Value 0.78
Confidence Interval (2-Sided) 95%
0.6 to 1.01
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 7
Statistical Analysis Overview Comparison Group Selection TIVc-Full Dose, TIVe
Comments Non-inferiority of immune responses of a TIVc-Full Dose to TIVe, assessed in terms of vaccine group GMT ratios against influenza strain A/H1N1 at Day 1
Type of Statistical Test Non-Inferiority or Equivalence
Comments Non-inferiority was established if the Lower limit of the 2-sided 95% CI of the vaccine group GMT ratio ≥ 0.67
Statistical Test of Hypothesis p-Value
Comments
Method
Comments
Method of Estimation Estimation Parameter Vaccine Group Ratios at Day 1
Estimated Value 1.27
Confidence Interval (2-Sided) 95%
0.83 to 1.96
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 8
Statistical Analysis Overview Comparison Group Selection TIVc-Full Dose, TIVe
Comments Non-inferiority of immune responses of a TIVc-Full Dose to TIVe, assessed in terms of vaccine group GMT ratios against influenza strain A/H1N1 at Day 50
Type of Statistical Test Non-Inferiority or Equivalence
Comments Non-inferiority was established if the Lower limit of the 2-sided 95% CI of the vaccine group GMT ratio ≥ 0.67
Statistical Test of Hypothesis p-Value
Comments
Method
Comments
Method of Estimation Estimation Parameter Vaccine Group Ratios at Day 50
Estimated Value 1.6
Confidence Interval (2-Sided) 95%
1.13 to 2.28
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 9
Statistical Analysis Overview Comparison Group Selection TIVc-Full Dose, TIVe
Comments Non-inferiority of immune responses of a TIVc-Full Dose to TIVe, assessed in terms of vaccine group GMT ratios against influenza strain A/H3N2 at Day 1
Type of Statistical Test Non-Inferiority or Equivalence
Comments Non-inferiority was established if the Lower limit of the 2-sided 95% CI of the vaccine group GMT ratio ≥ 0.67
Statistical Test of Hypothesis p-Value
Comments
Method
Comments
Method of Estimation Estimation Parameter Vaccine Group Ratios at Day 1
Estimated Value 0.52
Confidence Interval (2-Sided) 95%
0.33 to 0.81
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 10
Statistical Analysis Overview Comparison Group Selection TIVc-Full Dose, TIVe
Comments Non-inferiority of immune responses of a TIVc-Full Dose to TIVe, assessed in terms of vaccine group GMT ratios against influenza strain A/H3N2 at Day 50
Type of Statistical Test Non-Inferiority or Equivalence
Comments Non-inferiority was established if the Lower limit of the 2-sided 95% CI of the vaccine group GMT ratio ≥ 0.67
Statistical Test of Hypothesis p-Value
Comments
Method
Comments
Method of Estimation Estimation Parameter Vaccine Group Ratios at Day 50
Estimated Value 0.64
Confidence Interval (2-Sided) 95%
0.52 to 0.78
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 11
Statistical Analysis Overview Comparison Group Selection TIVc-Full Dose, TIVe
Comments Non-inferiority of immune responses of a TIVc-Full Dose to TIVe, assessed in terms of vaccine group GMT ratios against influenza strain B at Day 1
Type of Statistical Test Non-Inferiority or Equivalence
Comments Non-inferiority was established if the Lower limit of the 2-sided 95% CI of the vaccine group GMT ratio ≥ 0.67
Statistical Test of Hypothesis p-Value
Comments
Method
Comments
Method of Estimation Estimation Parameter Vaccine Group ratios at Day 1
Estimated Value 0.96
Confidence Interval (2-Sided) 95%
0.89 to 1.04
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 12
Statistical Analysis Overview Comparison Group Selection TIVc-Full Dose, TIVe
Comments Non-inferiority of immune responses of a TIVc-Full Dose to TIVe, assessed in terms of vaccine group GMT ratios against influenza strain B at Day 50
Type of Statistical Test Non-Inferiority or Equivalence
Comments Non-inferiority was established if the Lower limit of the 2-sided 95% CI of the vaccine group GMT ratio ≥ 0.67
Statistical Test of Hypothesis p-Value
Comments
Method
Comments
Method of Estimation Estimation Parameter Vaccine Group Ratios at Day 50
Estimated Value 0.64
Confidence Interval (2-Sided) 95%
0.49 to 0.84
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 13
Statistical Analysis Overview Comparison Group Selection TIVc- Half Dose, TIVe
Comments Non-inferiority of immune responses of a TIVc- Half Dose to TIVe, assessed in terms of vaccine group GMT ratios against influenza strain A/H1N1 at Day 1
Type of Statistical Test Non-Inferiority or Equivalence
Comments Non-inferiority was established if the Lower limit of the 2-sided 95% CI of the vaccine group GMT ratio ≥ 0.67
Statistical Test of Hypothesis p-Value
Comments
Method
Comments
Method of Estimation Estimation Parameter Vaccine Group Ratios at Day 1
Estimated Value 1.02
Confidence Interval (2-Sided) 95%
0.66 to 1.58
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 14
Statistical Analysis Overview Comparison Group Selection TIVc- Half Dose, TIVe
Comments Non-inferiority of immune responses of a TIVc- Half Dose to TIVe, assessed in terms of vaccine group GMT ratios against influenza strain A/H1N1 at Day 50
Type of Statistical Test Non-Inferiority or Equivalence
Comments Non-inferiority was established if the Lower limit of the 2-sided 95% CI of the vaccine group GMT ratio ≥ 0.67
Statistical Test of Hypothesis p-Value
Comments
Method
Comments
Method of Estimation Estimation Parameter Vaccine Group ratios at Day 50
Estimated Value 1.62
Confidence Interval (2-Sided) 95%
1.14 to 2.3
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 15
Statistical Analysis Overview Comparison Group Selection TIVc- Half Dose, TIVe
Comments Non-inferiority of immune responses of a TIVc- Half Dose to TIVe, assessed in terms of vaccine group GMT ratios against influenza strain A/H3N2 at Day 1
Type of Statistical Test Non-Inferiority or Equivalence
Comments Non-inferiority was established if the Lower limit of the 2-sided 95% CI of the vaccine group GMT ratio ≥ 0.67
Statistical Test of Hypothesis p-Value
Comments
Method
Comments
Method of Estimation Estimation Parameter Vaccine Group Ratios at Day 1
Estimated Value 0.74
Confidence Interval (2-Sided) 95%
0.47 to 1.17
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 16
Statistical Analysis Overview Comparison Group Selection TIVc- Half Dose, TIVe
Comments Non-inferiority of immune responses of a TIVc- Half Dose to TIVe, assessed in terms of vaccine group GMT ratios against influenza strain A/H3N2 at Day 50
Type of Statistical Test Non-Inferiority or Equivalence
Comments Non-inferiority was established if the Lower limit of the 2-sided 95% CI of the vaccine group GMT ratio ≥ 0.67
Statistical Test of Hypothesis p-Value
Comments
Method
Comments
Method of Estimation Estimation Parameter Vaccine Group ratios at Day 50
Estimated Value 0.46
Confidence Interval (2-Sided) 95%
0.38 to 0.57
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 17
Statistical Analysis Overview Comparison Group Selection TIVc- Half Dose, TIVe
Comments Non-inferiority of immune responses of a TIVc- Half Dose to TIVe, assessed in terms of vaccine group GMT ratios against influenza strain B at Day 1
Type of Statistical Test Non-Inferiority or Equivalence
Comments Non-inferiority was established if the Lower limit of the 2-sided 95% CI of the vaccine group GMT ratio ≥ 0.67
Statistical Test of Hypothesis p-Value
Comments
Method
Comments
Method of Estimation Estimation Parameter Vaccine Group Ratios at Day 1
Estimated Value 0.94
Confidence Interval (2-Sided) 95%
0.87 to 1.02
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 18
Statistical Analysis Overview Comparison Group Selection TIVc- Half Dose, TIVe
Comments Non-inferiority of immune responses of a TIVc- Half Dose to TIVe, assessed in terms of vaccine group GMT ratios against influenza strain B at Day 50
Type of Statistical Test Non-Inferiority or Equivalence
Comments Non-inferiority was established if the Lower limit of the 2-sided 95% CI of the vaccine group GMT ratio ≥ 0.67
Statistical Test of Hypothesis p-Value
Comments
Method
Comments
Method of Estimation Estimation Parameter Vaccine Group Ratios at Day 50
Estimated Value 0.57
Confidence Interval (2-Sided) 95%
0.44 to 0.75
Parameter Dispersion Type:
Value:
Estimation Comments
2. Primary Outcome
Title Percentages of Subjects (6 to <48 Months Old) Achieving Seroconversion or Significant Increase After Receiving Two Doses of Either TIVc or TIVe Vaccine
Description Immunogenicity was assessed in terms number (%) of subjects (6 to <48 months old) achieving seroconversion as measured by HI antibody titer, day 50 after vaccination with two doses of either TIVc or TIVe vaccine Seroconversion was defined as subjects with either a pre-vaccination (baseline) HI titer < 1:10 and post-vaccination HI titer ≥ 1:40 or with a pre-vaccination HI titer ≥ 1:10 and a ≥ 4-fold increase in post-vaccination HI antibody titer
Time Frame Day 50 post vaccination

Outcome Measure Data

Analysis Population Description
Analysis was done on PP population
Arm/Group Title TIVc-High Dose TIVc-Full Dose TIVc- Half Dose TIVe
Arm/Group Description Subjects (6 to <48 months old) received two doses of 0.75 mL of TIVc vaccine Subjects(6 to <48 months old) received two doses of 0.50 mL of TIVc vaccine Subjects (6 to <48 months old)received two doses of 0.25 mL of TIVc vaccine Subjects (6 to <48 months old) received two doses of TIVe vaccine
Measure Participants 156 147 141 145
A/H1N1_Day 50
83
81
79
74
A/H3N2_Day 50
94
90
87
92
B_Day 50
69
69
62
80
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection TIVc-High Dose, TIVe
Comments Non-inferiority of immune responses of TIVc-High Dose to TIVe, assessed in terms of Vaccine Group Differences with seroconversion against influenza strain A/H1N1
Type of Statistical Test Non-Inferiority or Equivalence
Comments Non-inferiority was established if the Lower limit of the 2-sided 95% CI on the difference between seroconversion rates ≥ -10%
Statistical Test of Hypothesis p-Value
Comments
Method
Comments
Method of Estimation Estimation Parameter Vaccine Group Differences
Estimated Value 10
Confidence Interval (2-Sided) 95%
0 to 18.9
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 2
Statistical Analysis Overview Comparison Group Selection TIVc-High Dose, TIVe
Comments Non-inferiority of immune responses of TIVc-High Dose to TIVe, assessed in terms of Vaccine Group Differences with seroconversion against influenza strain A/H3N2
Type of Statistical Test Non-Inferiority or Equivalence
Comments Non-inferiority was established if the Lower limit of the 2-sided 95% CI on the difference between seroconversion rates ≥ -10%
Statistical Test of Hypothesis p-Value
Comments
Method
Comments
Method of Estimation Estimation Parameter Vaccine Group Differences
Estimated Value 2
Confidence Interval (2-Sided) 95%
-4 to 8
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 3
Statistical Analysis Overview Comparison Group Selection TIVc-High Dose, TIVe
Comments Non-inferiority of immune responses of TIVc-High Dose to TIVe, assessed in terms of Vaccine Group Differences with seroconversion against influenza strain B
Type of Statistical Test Non-Inferiority or Equivalence
Comments Non-inferiority was established if the Lower limit of the 2-sided 95% CI on the difference between seroconversion rates ≥ -10%
Statistical Test of Hypothesis p-Value
Comments
Method
Comments
Method of Estimation Estimation Parameter Vaccine Group differences
Estimated Value -11
Confidence Interval (2-Sided) 95%
-21.1 to -1.5
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 4
Statistical Analysis Overview Comparison Group Selection TIVc-Full Dose, TIVe
Comments Non-inferiority of immune responses of TIVc-Full Dose to TIVe, assessed in terms of Vaccine Group Differences with seroconversion against influenza strain A/H1N1
Type of Statistical Test Non-Inferiority or Equivalence
Comments Non-inferiority was established if the Lower limit of the 2-sided 95% CI on the difference between seroconversion rates ≥ -10%
Statistical Test of Hypothesis p-Value
Comments
Method
Comments
Method of Estimation Estimation Parameter Vaccine Group Differences
Estimated Value 7
Confidence Interval (2-Sided) 95%
-2.5 to 16.8
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 5
Statistical Analysis Overview Comparison Group Selection TIVc-Full Dose, TIVe
Comments Non-inferiority of immune responses of TIVc-Full Dose to TIVe, assessed in terms of Vaccine Group Differences with seroconversion against influenza strain A/H3N2
Type of Statistical Test Non-Inferiority or Equivalence
Comments Non-inferiority was established if the Lower limit of the 2-sided 95% CI on the difference between seroconversion rates ≥ -10%
Statistical Test of Hypothesis p-Value
Comments
Method
Comments
Method of Estimation Estimation Parameter Vaccine Group differences
Estimated Value -3
Confidence Interval (2-Sided) 95%
-9.5 to 4.1
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 6
Statistical Analysis Overview Comparison Group Selection TIVc-Full Dose, TIVe
Comments Non-inferiority of immune responses of TIVc-Full Dose to TIVe, assessed in terms of Vaccine Group Differences with seroconversion against influenza strain B
Type of Statistical Test Non-Inferiority or Equivalence
Comments Non-inferiority was established if the Lower limit of the 2-sided 95% CI on the difference between seroconversion rates ≥ -10%
Statistical Test of Hypothesis p-Value
Comments
Method
Comments
Method of Estimation Estimation Parameter Vaccine Group Differences
Estimated Value -11
Confidence Interval (2-Sided) 95%
-20.5 to -1
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 7
Statistical Analysis Overview Comparison Group Selection TIVc- Half Dose, TIVe
Comments Non-inferiority of immune responses of TIVc- Half Dose to TIVe, assessed in terms of Vaccine Group Differences with seroconversion against influenza strain A/H1N1
Type of Statistical Test Non-Inferiority or Equivalence
Comments Non-inferiority was established if the Lower limit of the 2-sided 95% CI on the difference between seroconversion rates ≥ -10%
Statistical Test of Hypothesis p-Value
Comments
Method
Comments
Method of Estimation Estimation Parameter Vaccine Group Differences
Estimated Value 6
Confidence Interval (2-Sided) 95%
-4.2 to 15.4
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 8
Statistical Analysis Overview Comparison Group Selection TIVc- Half Dose, TIVe
Comments Non-inferiority of immune responses of TIVc- Half Dose to TIVe, assessed in terms of Vaccine Group Differences with seroconversion against influenza strain A/H3N2
Type of Statistical Test Non-Inferiority or Equivalence
Comments Non-inferiority was established if the Lower limit of the 2-sided 95% CI on the difference between seroconversion rates ≥ -10%
Statistical Test of Hypothesis p-Value
Comments
Method
Comments
Method of Estimation Estimation Parameter Vaccine Group Differences
Estimated Value -6
Confidence Interval (2-Sided) 95%
-13.4 to 1.3
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 9
Statistical Analysis Overview Comparison Group Selection TIVc- Half Dose, TIVe
Comments Non-inferiority of immune responses of TIVc- Half Dose to TIVe, assessed in terms of Vaccine Group Differences with seroconversion against influenza strain B
Type of Statistical Test Non-Inferiority or Equivalence
Comments Non-inferiority was established if the Lower limit of the 2-sided 95% CI on the difference between seroconversion rates ≥ -10%
Statistical Test of Hypothesis p-Value
Comments
Method
Comments
Method of Estimation Estimation Parameter Vaccine Group Differences
Estimated Value -18
Confidence Interval (2-Sided) 95%
-27.8 to -7.2
Parameter Dispersion Type:
Value:
Estimation Comments
3. Primary Outcome
Title Desirability Index Score of Subjects (6 to <48 Months Old) Reporting Severe Solicited Local and Systemic Reactions After Vaccination With Either TIVc or TIVe Vaccine
Description Differences in percentages of subjects (6 to <48 months old) with severe local solicited AEs and severe solicited systemic AEs, 3 days after vaccination with either TIVc or TIVe vaccine was assessed in terms of an individual desirability index score (High dose, Full dose, Half dose TIVc vs. TIVe vaccine). An individual desirability index score was assigned to each (non-transformed) safety value based on predefined functions. Each desirability index score is assigned a value between 0 and 1, wherein 0 is an undesirable response and 1 is a highly desirable response.
Time Frame Day 1 to Day 3

Outcome Measure Data

Analysis Population Description
Analysis was done on PPSd-All subjects in the FASd who:Correctly received the vaccine (i.e., received the vaccine to which the subjects is randomized and at the scheduled time points).
Arm/Group Title TIVc-High Dose-TIVe TIVc-Full Dose-TIVe TIVc- Half Dose-TIVe
Arm/Group Description Subjects (6 to <48 months old) received two doses of 0.75 mL of TIVc vaccine vs Subjects (6 to <48 months old) received two doses of TIVe vaccine Subjects(6 to <48 months old) received two doses of 0.50 mL of TIVc vaccine vs Subjects (6 to <48 months old) received two doses of TIVe vaccine Subjects (6 to <48 months old)received two doses of 0.25 mL of TIVc vaccine vs Subjects (6 to <48 months old) received two doses of TIVe vaccine
Measure Participants 305 294 291
Severe solicited local AEs
0.000
0%
0.000
0%
0.000
0%
Severe solicited systemic AEs
0.040
0%
0.000
0%
0.000
0%
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection TIVc-High Dose
Comments
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value
Comments
Method
Comments
Method of Estimation Estimation Parameter Desirability Index Score
Estimated Value 0.000
Confidence Interval (2-Sided) %
to
Parameter Dispersion Type:
Value:
Estimation Comments Desirability Score: If this difference is negative, then it is defined as non-desirable (D equal to 0), while if the difference is positive, then D will equal to the relative reduction calculated in the following way: D = (TIVe - TIVc Dose )/TIVe.
Statistical Analysis 2
Statistical Analysis Overview Comparison Group Selection TIVc-Full Dose
Comments
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value
Comments
Method
Comments
Method of Estimation Estimation Parameter Desirability Index Score
Estimated Value 0.000
Confidence Interval (2-Sided) %
to
Parameter Dispersion Type:
Value:
Estimation Comments Desirability Score: If this difference is negative, then it is defined as non-desirable (D equal to 0), while if the difference is positive, then D will equal to the relative reduction calculated in the following way: D = (TIVe - TIVc Dose )/TIVe.
Statistical Analysis 3
Statistical Analysis Overview Comparison Group Selection TIVc- Half Dose
Comments
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value
Comments
Method
Comments
Method of Estimation Estimation Parameter Desirability Index Score
Estimated Value 0.000
Confidence Interval (2-Sided) %
to
Parameter Dispersion Type:
Value:
Estimation Comments Desirability Score: If this difference is negative, then it is defined as non-desirable (D equal to 0), while if the difference is positive, then D will equal to the relative reduction calculated in the following way: D = (TIVe - TIVc Dose )/TIVe.
4. Secondary Outcome
Title Percentages of Subjects (6 to <48 Months Old) Achieving Seroconversion or Significant Increase After Receiving Two Doses of Either TIVc or TIVe Vaccine
Description Immunogenicity was assessed in terms of number (%) of subjects (6 to <48 months old) achieving seroconversion as measured by HI assay, day 50 after vaccination with two doses of either TIVc or TIVe vaccine Seroconversion was defined as subjects with either a pre-vaccination (baseline) HI titer < 1:10 and post-vaccination HI titer ≥ 1:40 or with a pre-vaccination HI titer ≥ 1:10 and a ≥ 4-fold increase in post-vaccination HI antibody titer The Center for Biologics Evaluation, Research, and Review (CBER) criterion for pediatric population is that the lower bound of the two-sided 95% confidence interval (CI) for the percentage of subjects achieving seroconversion for HI antibody should meet or exceed 40% The Committee for Medicinal Products for Human Use (CHMP) criterion for pediatric population is that the percentage of subjects achieving seroconversion or significant increase in HI antibody titers >40%
Time Frame Day 50 post vaccination

Outcome Measure Data

Analysis Population Description
Analysis was done on Full analysis set
Arm/Group Title TIVc-High Dose TIVc-Full Dose TIVc- Half Dose TIVe
Arm/Group Description Subjects (6 to <48 months old) received two doses of 0.75 mL of TIVc vaccine Subjects(6 to <48 months old) received two doses of 0.50 mL of TIVc vaccine Subjects (6 to <48 months old)received two doses of 0.25 mL of TIVc vaccine Subjects (6 to <48 months old) received two doses of TIVe vaccine
Measure Participants 170 164 161 159
A/H1N1
84
80
82
73
A/H3N2
94
91
88
93
B
68
70
63
79
5. Secondary Outcome
Title Percentages of Subjects (6 to <48 Months Old) Achieving HI Titer ≥1:40 After Receiving Two Doses of Either TIVc or TIVe Vaccine
Description Immunogenicity was assessed in terms of number (%) of subjects (6 to <48 months old) achieving HI titer ≥1:40 as measured by HI assay, day 50 after vaccination with two doses of either TIVc or TIVe vaccine The CBER criterion for pediatric population is 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% The CHMP criterion for pediatric population is that the percentage of subjects achieving HI antibody titers ≥1:40 should be >70%
Time Frame Day 1, Day 50 post vaccination

Outcome Measure Data

Analysis Population Description
Analysis was done on FAS
Arm/Group Title TIVc-High Dose TIVc-Full Dose TIVc- Half Dose TIVe
Arm/Group Description Subjects (6 to <48 months old) received two doses of 0.75 mL of TIVc vaccine Subjects(6 to <48 months old) received two doses of 0.50 mL of TIVc vaccine Subjects (6 to <48 months old)received two doses of 0.25 mL of TIVc vaccine Subjects (6 to <48 months old) received two doses of TIVe vaccine
Measure Participants 170 164 161 159
A/H1N1: Day 1
26
32
29
26
A/H1N1: Day 50
86
85
86
77
A/H3N2: Day 1
45
40
48
52
A/H3N2: Day 50
98
98
97
99
B: Day 1
2
0
1
3
B: Day 50
69
70
63
80
6. Secondary Outcome
Title Geometric Mean Ratios (GMR) in Subjects (6 to <48 Months Old) After Receiving Two Doses of Either TIVc or TIVe Vaccine
Description Immunogenicity was assessed in terms of GMR in subjects (6 to <48 months old) as measured by HI assay, day 50 after vaccination with two doses of either TIVc or TIVe vaccine The CHMP criterion is mean geometric ratio (GMR) >2.5
Time Frame Day 50 post vaccination over day 1

Outcome Measure Data

Analysis Population Description
Analysis was done on FAS
Arm/Group Title TIVc-High Dose TIVc-Full Dose TIVc- Half Dose TIVe
Arm/Group Description Subjects (6 to <48 months old) received two doses of 0.75 mL of TIVc vaccine Subjects(6 to <48 months old) received two doses of 0.50 mL of TIVc vaccine Subjects (6 to <48 months old)received two doses of 0.25 mL of TIVc vaccine Subjects (6 to <48 months old) received two doses of TIVe vaccine
Measure Participants 170 164 161 159
A/H1N1
12
8.58
8.94
5.14
A/H3N2
12
13
7.68
14
B
6.14
5.29
4.72
7.57
7. Secondary Outcome
Title Geometric Mean Ratios (GMR) in Subjects (6 to <48 Months Old) After Receiving Two Doses of Either TIVc or TIVe Vaccine
Description Immunogenicity was assessed in terms of GMR in subjects (6 to <48 months old) as measured by MN assay, day 50 after vaccination with two doses of either TIVc or TIVe vaccine
Time Frame Day 50 post vaccination over day 1

Outcome Measure Data

Analysis Population Description
Analysis was done on PPS
Arm/Group Title TIVc-High Dose TIVc-Full Dose TIVc- Half Dose TIVe
Arm/Group Description Subjects (6 to <48 months old) received two doses of 0.75 mL of TIVc vaccine Subjects(6 to <48 months old) received two doses of 0.50 mL of TIVc vaccine Subjects (6 to <48 months old)received two doses of 0.25 mL of TIVc vaccine Subjects (6 to <48 months old) received two doses of TIVe vaccine
Measure Participants 156 148 141 147
A/H1N1
7.84
5.81
5.98
17.82
A/H3N2
8.4
8.97
5.58
8.9
B
12.78
10.43
9.99
17.55
8. Secondary Outcome
Title Percentages of Subjects (6 to <48 Months Old) With High Post Vaccination HI Titers (i.e. HI Titers ≥1:110, ≥1:150, ≥1:330 and ≥1:629) After Receiving Two Doses of Either TIVc or TIVe Vaccine
Description Immunogenicity was assessed in terms of number (%) of subjects (6 to <48 months old) achieving post vaccination HI titers (i.e. HI titers ≥1:110, ≥1:150, ≥1:330 and ≥1:629) as measured by HI assay, day 50 after vaccination with two doses of either TIVc or TIVe vaccine
Time Frame Day 1 and Day 50 post vaccination

Outcome Measure Data

Analysis Population Description
Analysis was done on PPS
Arm/Group Title TIVc-High Dose TIVc-Full Dose TIVc- Half Dose TIVe
Arm/Group Description Subjects (6 to <48 months old) received two doses of 0.75 mL of TIVc vaccine Subjects(6 to <48 months old) received two doses of 0.50 mL of TIVc vaccine Subjects (6 to <48 months old)received two doses of 0.25 mL of TIVc vaccine Subjects (6 to <48 months old) received two doses of TIVe vaccine
Measure Participants 156 147 141 145
A/H1N1: Day 1: HI titers ≥1:110
26
31
26
26
A/H1N1: Day 50: HI titers ≥1:110
78
80
71
59
A/H3N2: Day 1: HI titers ≥1:110
40
37
43
47
A/H3N2: Day 50: HI titers ≥1:110
88
86
82
97
B: Day 1: HI titers ≥1:110
1
0
0
0
B: Day 50: HI titers ≥1:110
40
30
24
39
A/H1N1: Day 1: HI titers ≥1:151
25
30
26
25
A/H1N1: Day 50: HI titers ≥1:151
76
76
70
58
A/H3N2: Day 1: HI titers ≥1:151
40
37
43
47
A/H3N2: Day 50: HI titers ≥1:150
88
86
81
97
B: Day 1: HI titers ≥1:151
0
0
0
0
B: Day 50: HI titers ≥1:151
40
30
23
39
A/H1N1: Day 1: HI titers ≥1:330
12
14
11
11
A/H1N1: Day 50: HI titers ≥1:330
51
50
43
34
A/H3N2: Day 1: HI titers ≥1:330
16
12
13
21
A/H3N2: Day 50: HI titers ≥1:330
62
56
52
68
B: Day 1: HI titers ≥1:330
0
0
0
0
B: Day 50: HI titers ≥1:330
4
4
3
8
A/H1N1: Day 1: HI titers ≥1:629
9
12
11
8
A/H1N1: Day 50: HI titers ≥1:629
48
47
43
33
A/H3N2: Day 1: HI titers ≥1:629
16
12
12
21
A/H3N2: Day 50: HI titers ≥1:629
62
56
52
68
B: Day 1: HI titers ≥1:629
0
0
0
0
B: Day 50: HI titers ≥1:629
4
3
3
7
9. Secondary Outcome
Title Percentages of Subjects (6 to <48 Months Old) Achieving MN Titer ≥1:20 After Receiving Two Doses of Either TIVc or TIVe Vaccine
Description Immunogenicity was assessed in terms of number (%) of subjects (6 to <48 months old) achieving MN titer ≥1:20 as measured by MN assay, day 50 after vaccination with two doses of either TIVc or TIVe vaccine Post-vaccination MN titer ≥1:20 was defined as for subjects with baseline (day 1) MN titer <1:10, or a minimum 2-fold increase in titer on day 50 for subjects with baseline titer ≥1:10 and corresponding 95% CI
Time Frame Day 1 and Day 50 post vaccination

Outcome Measure Data

Analysis Population Description
Analysis was done on PPS
Arm/Group Title TIVc-High Dose TIVc-Full Dose TIVc- Half Dose TIVe
Arm/Group Description Subjects (6 to <48 months old) received two doses of 0.75 mL of TIVc vaccine Subjects(6 to <48 months old) received two doses of 0.50 mL of TIVc vaccine Subjects (6 to <48 months old)received two doses of 0.25 mL of TIVc vaccine Subjects (6 to <48 months old) received two doses of TIVe vaccine
Measure Participants 156 148 141 147
A/H1N1
94
93
91
97
A/H3N2
95
94
94
94
B
92
92
93
97
10. Secondary Outcome
Title Percentages of Subjects (6 to <48 Months Old) Achieving MN Titer ≥1:40 After Receiving Two Doses of Either TIVc or TIVe Vaccine
Description Immunogenicity was assessed in terms of number (%) of subjects (6 to <48 months old) achieving MN titer ≥1:40 as measured by MN assay, day 50 after vaccination with two doses of either TIVc or TIVe vaccine Post-vaccination MN titer ≥1:40 was defined as for subjects with baseline (day 1) MN titer <1:10, or a minimum 4-fold increase in titer on day 50 for subjects with baseline titer ≥1:10 and corresponding 95% CI
Time Frame Day 1 and Day 50 post vaccination

Outcome Measure Data

Analysis Population Description
Analysis was done on PPS
Arm/Group Title TIVc-High Dose TIVc-Full Dose TIVc- Half Dose TIVe
Arm/Group Description Subjects (6 to <48 months old) received two doses of 0.75 mL of TIVc vaccine Subjects(6 to <48 months old) received two doses of 0.50 mL of TIVc vaccine Subjects (6 to <48 months old)received two doses of 0.25 mL of TIVc vaccine Subjects (6 to <48 months old) received two doses of TIVe vaccine
Measure Participants 156 148 141 147
A/H1N1
87
89
84
95
A/H3N2
85
85
82
80
B
83
87
83
96
11. Secondary Outcome
Title Number of Subjects (6 to <48 Months Old) Reporting Solicited Local (Grading Type I) and Systemic Adverse Events (AEs) After Two Doses of Either TIVc or TIVe Vaccine
Description Safety was assessed in terms of number of subjects (6 to <48 months old) reporting solicited local and systemic reactions, day 1 to day 7 after vaccination with two doses of either TIVc or TIVe vaccine (By Any Vaccination)
Time Frame Day 1 to Day 7

Outcome Measure Data

Analysis Population Description
Analyses was done on solicited safety data set. 4 subjects (3 subjects from the TIVe group, and 1 subject from the full dose TIVc group, were excluded from the solicited safety set analyses (6h -day3, day4-day7 and 6h - day 7) as these subjects did not provide any post vaccination solicited safety data
Arm/Group Title TIVc-High Dose TIVc-Full Dose TIVc- Half Dose TIVe
Arm/Group Description Subjects (6 to <48 months old) received two doses of 0.75 mL of TIVc vaccine Subjects(6 to <48 months old) received two doses of 0.50 mL of TIVc vaccine Subjects (6 to <48 months old)received two doses of 0.25 mL of TIVc vaccine Subjects (6 to <48 months old) received two doses of TIVe vaccine
Measure Participants 174 165 167 161
Any local AEs
64
56
60
54
Injection site tenderness
50
43
42
45
Injection site erythema
19
24
24
17
Injection site induration
13
14
9
8
Injection site ecchymosis
9
9
7
7
Any Systemic
78
72
69
66
Chills
7
5
7
9
Change in eating habits
29
35
28
29
Sleepiness
30
28
21
24
Irritability
30
31
29
27
Vomiting
21
20
22
14
Diarrhea
31
31
29
34
Fever (≥ 38°C )
15
20
21
21
Prophylactic use of antipyretics/analgesics
9
21
25
13
Therapeutic use of antipyretics/analgesics
17
21
24
22
12. Secondary Outcome
Title Number of Subjects (6 to <48 Months Old) Reporting Unsolicited Adverse Events (AEs) After Two Doses of Either TIVc or TIVe Vaccine
Description Safety was assessed in terms of number of subjects (6 to <48 months old) reporting unsolicited reactions after Each /any Vaccination from Day 1 [Post Vaccination] to Day 29 [Pre Clinic Visit] and Day 29 [Post Vaccination] to Day 50 [Pre Clinic Visit] , Serious Adverse Events (SAEs), AEs leading to New Onset of Chronic Diseases (NOCD), AEs leading to withdrawal from the study and concomitant medications (day 1 to day 209) after vaccination with two doses of either TIVc or TIVe vaccine (By Any Vaccination)
Time Frame Unsolicited AEs after Each/any Vaccination from Day 1 to Day 29 and Day 29 to Day 50 , Day 1 to Day 209

Outcome Measure Data

Analysis Population Description
Analyses was done on unsolicited safety data set i.e. all subjects in the exposed set who have post-vaccination unsolicited AE data
Arm/Group Title TIVc-High Dose TIVc-Full Dose TIVc- Half Dose TIVe
Arm/Group Description Subjects (6 to <48 months old) received two doses of 0.75 mL of TIVc vaccine Subjects(6 to <48 months old) received two doses of 0.50 mL of TIVc vaccine Subjects (6 to <48 months old)received two doses of 0.25 mL of TIVc vaccine Subjects (6 to <48 months old) received two doses of TIVe vaccine
Measure Participants 174 166 167 164
Any AEs(after any vaccination)
102
107
91
94
Possibly/probably related AEs (after any vaccin.)
38
43
43
35
Any AEs(after vaccination 1)
79
84
69
76
Any AEs(after vaccination 2)
56
64
50
48
Possibly/probably related AEs (after vaccination 1
30
33
31
31
Possibly/probably related AEs (after vaccination 2
11
20
18
14
Any SAE
4
8
10
6
Any possibly/probably related SAE
0
0
0
0
Any AE leading to premature withdrawal from study
0
0
0
0
New onset of chronic disease
0
1
1
1
Death
0
0
0
0

Adverse Events

Time Frame Throughout the study period, up to day 209 post vaccination.
Adverse Event Reporting Description Solicited AEs were collected from day 1 to day 7 post vaccination, unsolicited AEs were collected from day 1 to day 50 post vaccination and SAEs -collected from day 1 to day 209 post vaccination. A systematic adverse event is equivalent to an event that was solicited by the diary card, whereas a non-systematic event is an unsolicited adverse event
Arm/Group Title TIVc-High Dose TIVc-Full Dose TIVc- Half Dose TIVe Total
Arm/Group Description Subjects (6 to <48 months old) received two doses of 0.75 mL of TIVc vaccine Subjects(6 to <48 months old) received two doses of 0.50 mL of TIVc vaccine Subjects (6 to <48 months old)received two doses of 0.25 mL of TIVc vaccine Subjects (6 to <48 months old) received two doses of TIVe vaccine Total number of subjects
All Cause Mortality
TIVc-High Dose TIVc-Full Dose TIVc- Half Dose TIVe Total
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)
Serious Adverse Events
TIVc-High Dose TIVc-Full Dose TIVc- Half Dose TIVe Total
Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events
Total 4/174 (2.3%) 8/166 (4.8%) 10/167 (6%) 6/164 (3.7%) 28/671 (4.2%)
Gastrointestinal disorders
GASTRITIS 1/174 (0.6%) 0/166 (0%) 0/167 (0%) 0/164 (0%) 1/671 (0.1%)
INGUINAL HERNIA 0/174 (0%) 0/166 (0%) 1/167 (0.6%) 0/164 (0%) 1/671 (0.1%)
General disorders
PYREXIA 0/174 (0%) 0/166 (0%) 1/167 (0.6%) 0/164 (0%) 1/671 (0.1%)
Infections and infestations
BRONCHITIS 0/174 (0%) 2/166 (1.2%) 0/167 (0%) 1/164 (0.6%) 3/671 (0.4%)
PHARYNGITIS 0/174 (0%) 0/166 (0%) 1/167 (0.6%) 0/164 (0%) 1/671 (0.1%)
PNEUMONIA 0/174 (0%) 2/166 (1.2%) 2/167 (1.2%) 0/164 (0%) 4/671 (0.6%)
VARICELLA 0/174 (0%) 0/166 (0%) 0/167 (0%) 1/164 (0.6%) 1/671 (0.1%)
ABSCESS 0/174 (0%) 0/166 (0%) 1/167 (0.6%) 0/164 (0%) 1/671 (0.1%)
AMOEBIASIS 0/174 (0%) 0/166 (0%) 1/167 (0.6%) 1/164 (0.6%) 2/671 (0.3%)
GASTROENTERITIS 2/174 (1.1%) 0/166 (0%) 1/167 (0.6%) 1/164 (0.6%) 4/671 (0.6%)
HAND-FOOT-AND-MOUTH DISEASE 0/174 (0%) 0/166 (0%) 0/167 (0%) 1/164 (0.6%) 1/671 (0.1%)
PERIORBITAL CELLULITIS 0/174 (0%) 1/166 (0.6%) 0/167 (0%) 0/164 (0%) 1/671 (0.1%)
PHARYNGOTONSILLITIS 0/174 (0%) 0/166 (0%) 1/167 (0.6%) 0/164 (0%) 1/671 (0.1%)
PSEUDOMONAL SEPSIS 0/174 (0%) 0/166 (0%) 0/167 (0%) 1/164 (0.6%) 1/671 (0.1%)
SUBCUTANEOUS ABSCESS 0/174 (0%) 1/166 (0.6%) 0/167 (0%) 0/164 (0%) 1/671 (0.1%)
UPPER RESPIRATORY TRACT INFECTION 0/174 (0%) 0/166 (0%) 1/167 (0.6%) 0/164 (0%) 1/671 (0.1%)
VIRAL INFECTION 0/174 (0%) 0/166 (0%) 0/167 (0%) 1/164 (0.6%) 1/671 (0.1%)
Injury, poisoning and procedural complications
ANIMAL BITE 1/174 (0.6%) 2/166 (1.2%) 1/167 (0.6%) 1/164 (0.6%) 5/671 (0.7%)
Nervous system disorders
FEBRILE CONVULSION 1/174 (0.6%) 2/166 (1.2%) 1/167 (0.6%) 3/164 (1.8%) 7/671 (1%)
Respiratory, thoracic and mediastinal disorders
ASTHMA 0/174 (0%) 2/166 (1.2%) 1/167 (0.6%) 0/164 (0%) 3/671 (0.4%)
Skin and subcutaneous tissue disorders
URTICARIA 1/174 (0.6%) 0/166 (0%) 0/167 (0%) 0/164 (0%) 1/671 (0.1%)
Other (Not Including Serious) Adverse Events
TIVc-High Dose TIVc-Full Dose TIVc- Half Dose TIVe Total
Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events
Total 142/174 (81.6%) 133/166 (80.1%) 141/167 (84.4%) 127/164 (77.4%) 543/671 (80.9%)
Gastrointestinal disorders
DIARRHOEA 32/174 (18.4%) 32/166 (19.3%) 30/167 (18%) 36/164 (22%) 130/671 (19.4%)
VOMITING 21/174 (12.1%) 20/166 (12%) 22/167 (13.2%) 14/164 (8.5%) 77/671 (11.5%)
General disorders
INFLUENZA LIKE ILLNESS 20/174 (11.5%) 38/166 (22.9%) 35/167 (21%) 37/164 (22.6%) 130/671 (19.4%)
INJECTION SITE ERYTHEMA 30/174 (17.2%) 36/166 (21.7%) 32/167 (19.2%) 29/164 (17.7%) 127/671 (18.9%)
INJECTION SITE HAEMORRHAGE 9/174 (5.2%) 10/166 (6%) 8/167 (4.8%) 7/164 (4.3%) 34/671 (5.1%)
INJECTION SITE INDURATION 13/174 (7.5%) 16/166 (9.6%) 12/167 (7.2%) 10/164 (6.1%) 51/671 (7.6%)
INJECTION SITE PAIN 56/174 (32.2%) 48/166 (28.9%) 47/167 (28.1%) 47/164 (28.7%) 198/671 (29.5%)
PYREXIA 22/174 (12.6%) 28/166 (16.9%) 32/167 (19.2%) 22/164 (13.4%) 104/671 (15.5%)
CHILLS 7/174 (4%) 5/166 (3%) 7/167 (4.2%) 9/164 (5.5%) 28/671 (4.2%)
Infections and infestations
NASOPHARYNGITIS 19/174 (10.9%) 17/166 (10.2%) 22/167 (13.2%) 25/164 (15.2%) 83/671 (12.4%)
RHINITIS 22/174 (12.6%) 30/166 (18.1%) 19/167 (11.4%) 26/164 (15.9%) 97/671 (14.5%)
UPPER RESPIRATORY TRACT INFECTION 48/174 (27.6%) 44/166 (26.5%) 53/167 (31.7%) 41/164 (25%) 186/671 (27.7%)
BRONCHITIS 6/174 (3.4%) 11/166 (6.6%) 12/167 (7.2%) 12/164 (7.3%) 41/671 (6.1%)
Gastroenteritis 17/174 (9.8%) 17/166 (10.2%) 15/167 (9%) 15/164 (9.1%) 64/671 (9.5%)
Impetigo 6/174 (3.4%) 8/166 (4.8%) 10/167 (6%) 6/164 (3.7%) 30/671 (4.5%)
Nervous system disorders
SOMNOLENCE 30/174 (17.2%) 28/166 (16.9%) 21/167 (12.6%) 24/164 (14.6%) 103/671 (15.4%)
Psychiatric disorders
EATING DISORDER 29/174 (16.7%) 35/166 (21.1%) 28/167 (16.8%) 29/164 (17.7%) 121/671 (18%)
IRRITABILITY 34/174 (19.5%) 37/166 (22.3%) 34/167 (20.4%) 29/164 (17.7%) 134/671 (20%)

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 less than or equal to 60 days. The sponsor cannot require changes to the communication and cannot extend the embargo.

Results Point of Contact

Name/Title Clinical Trial Disclosure Manager
Organization Seqirus
Phone
Email Seqirus.ClinicalTrials@Seqirus.com
Responsible Party:
Seqirus
ClinicalTrials.gov Identifier:
NCT02035696
Other Study ID Numbers:
  • V58P16
  • 2013-002081-39
First Posted:
Jan 14, 2014
Last Update Posted:
Jul 10, 2018
Last Verified:
Jun 1, 2018