A Study of Different Formulations of an A/H1N1 Pandemic Vaccine in Healthy Adults and the Elderly

Sponsor
Sanofi Pasteur, a Sanofi Company (Industry)
Overall Status
Completed
CT.gov ID
NCT00953524
Collaborator
(none)
849
15
4
16
56.6
3.5

Study Details

Study Description

Brief Summary

The purpose of the study is to evaluate different doses of the Influenza A/H1N1 pandemic vaccine.

Primary Objectives:
  • To describe the immunogenicity of the candidate vaccines after each injection.

  • To describe the safety of the candidate vaccines after each injection.

Condition or Disease Intervention/Treatment Phase
  • Biological: Monovalent Subvirion A/H1N1 Influenza vaccine (7.5 µg of HA)
  • Biological: Monovalent Subvirion A/H1N1 Influenza vaccine (15 µg of HA)
  • Biological: Monovalent Subvirion A/H1N1 Influenza vaccine (30 µg of HA)
  • Biological: Normal saline solution (placebo)
Phase 2

Detailed Description

Participants will receive two injections of their randomized vaccine on Day 0 and Day 21, respectively.

Study Design

Study Type:
Interventional
Actual Enrollment :
849 participants
Allocation:
Randomized
Intervention Model:
Parallel Assignment
Masking:
Quadruple (Participant, Care Provider, Investigator, Outcomes Assessor)
Primary Purpose:
Prevention
Official Title:
Immunogenicity and Safety of Multiple Formulations of an A/H1N1 Pandemic Vaccine in Healthy Adult and Elderly Subjects
Study Start Date :
Aug 1, 2009
Actual Primary Completion Date :
Mar 1, 2010
Actual Study Completion Date :
Dec 1, 2010

Arms and Interventions

Arm Intervention/Treatment
Experimental: A/H1N1 Vaccine Group 1

Participants will receive A/H1N1 vaccine formulation 1

Biological: Monovalent Subvirion A/H1N1 Influenza vaccine (7.5 µg of HA)
0.5 mL, Intramuscular on Day 0 and on Day 21

Experimental: A/H1N1 Vaccine Group 2

Participants will receive A/H1N1 vaccine formulation 2

Biological: Monovalent Subvirion A/H1N1 Influenza vaccine (15 µg of HA)
0.5 mL, Intramuscular on Day 0 and Day 21

Experimental: A/H1N1 Vaccine Group 3

Participants will receive A/H1N1 Vaccine formulation 3

Biological: Monovalent Subvirion A/H1N1 Influenza vaccine (30 µg of HA)
0.5 mL, Intramuscular on Day 0 and day 21

Placebo Comparator: Placebo Group

Participants will receive a placebo vaccine

Biological: Normal saline solution (placebo)
0.5 mL, Intramuscular on Day 0 and Day 21

Outcome Measures

Primary Outcome Measures

  1. Number of Participants With Antibody Titers ≥ 10 1/Dilution (1/Dil) Against A/California (H1N1 Vaccine) Strain - Age 18 to 64 Years [Pre-vaccination (Day 0) and day 21 post-vaccination]

    Pre-vaccination and post-vaccination antibody titers were determined by the hemagglutination inhibition (HAI) test.

  2. Number of Participants With Antibody Titers ≥ 40 1/Dilution (1/Dil) Against A/California (H1N1 Vaccine) Strain - Age 18 to 64 Years [Pre-vaccination (Day 0) and Day 21 post-vaccination]

    Seroprotection: Antibody titer ≥ 40 1/dil. Antibody titers were determined by the hemagglutination inhibition (HAI) test.

  3. Geometric Mean Titers (GMT) of Antibodies Against A/California (H1N1 Vaccine) Strain - Age 18 to 64 Years [Pre-vaccination (Day 0) and 21 days post-vaccination]

    Pre-vaccination and post-vaccination antibody titers were determined by the hemagglutination inhibition (HAI) test.

  4. Number of Participants With Antibody Titers ≥ 10 1/Dilution (1/Dil) Against A/California (H1N1) Strain - Age ≥ 65 Years [Pre-vaccination (Day 0) and 21 days post-vaccination]

    Pre-vaccination and post-vaccination antibody titers were determined by the hemagglutination inhibition (HAI) test.

  5. Number of Participants With Antibody Titers ≥ 40 1/Dilution (1/Dil) Against A/California (H1N1 Vaccine) Strain - Age ≥ 65 Years [Pre-vaccination (Day 0) and 21 days post-vaccination]

    Seroprotection: Antibody titer ≥ 40 1/dil. Antibody titers were determined by the hemagglutination inhibition (HAI) test.

  6. Geometric Mean Titers (GMT) of Antibodies Against A/California (H1N1 Vaccine) Strain - Age ≥ 65 Years [Pre-vaccination (Day 0) and 21 days post-vaccination]

    Pre-vaccination and post-vaccination antibody titers were determined by the hemagglutination inhibition (HAI) test.

  7. Number of Participants With At Least One Solicited Injection Site or Systemic Reaction - Age 18 to 64 Years [Days 0 to 7 post-vaccination]

    Solicited Injection Site Reactions: Pain, erythema (redness), swelling, induration (hardening), ecchymosis (bruising). Solicited systemic reactions: Fever (temperature), headache, malaise (feeling unwell), myalgia (muscle aches and pains), shivering (chills).

  8. Number of Participants With At Least One Solicited Injection Site or Systemic Reaction - Age ≥ 65 Years [Days 0 to 7 post-vaccination]

    Solicited Injection Site Reactions: Pain, erythema (redness), swelling, induration (hardening), ecchymosis (bruising). Solicited systemic reactions: Fever (temperature), headache, malaise (feeling unwell), myalgia (muscle aches and pains), shivering (chills).

Eligibility Criteria

Criteria

Ages Eligible for Study:
18 Years and Older
Sexes Eligible for Study:
All
Accepts Healthy Volunteers:
Yes
Inclusion Criteria :
  • Healthy adults aged 18 years or older on the day of inclusion

  • Informed consent has been signed and dated

  • Able to attend all scheduled visits and comply with all trial procedures

  • For a woman of child-bearing potential, use of an effective method of contraception or abstinence from at least 4 weeks prior to the first vaccination, until at least 4 weeks after last vaccination.

Exclusion Criteria :
  • Known pregnancy or positive urine pregnancy test

  • Currently breastfeeding a child

  • Participation in another clinical trial investigating a vaccine, drug, medical device, or a medical procedure in the 4 weeks preceding the first trial vaccination

  • Planned participation in another clinical trial during the present trial period

  • Receipt of any vaccine in the 4 weeks preceding the trial vaccination

  • Planned receipt of any vaccine prior to the Day 42 blood sample

  • Receipt of blood or blood-derived products in the past 3 months which might interfere with the assessment of immune response

  • Known or suspected congenital or acquired immunodeficiency, immunosuppressive therapy such as anti-cancer chemotherapy or radiation therapy within the preceding 6 months, or long-term systemic corticosteroid therapy (prednisone or equivalent for more than 2 consecutive weeks within the past 3 months)

  • Self-reported seropositivity for Human Immunodeficiency Virus (HIV), Hepatitis B antigen, or Hepatitis C

  • Known systemic hypersensitivity to any of the vaccine components, or history of a life-threatening reaction to the vaccine(s) used in the trial or to a vaccine containing any of the same substances

  • Self reported thrombocytopenia contraindicating intramuscular (IM) vaccination

  • Bleeding disorder or receipt of anticoagulants in the 3 weeks preceding inclusion contraindicating IM vaccination

  • Deprived of freedom by an administrative or court order, or in an emergency setting, or hospitalized involuntarily

  • Current alcohol abuse or drug addiction that may interfere with the subject's ability to comply with trial procedures

  • Chronic illness that in the opinion of the Investigator, is at a stage where it might interfere with trial conduct or completion

  • Employees of the Investigator or study center, with direct involvement in the proposed study or other studies under the direction of that Investigator or study center, as well as family members of the employees or the Investigator.

  • Previous participation in a swine-origin H1N1 pandemic flu trial except if performed in 1976

  • Any confirmed case of influenza (including swine-origin A/H1N1 Influenza) since March 2009

  • Febrile illness (temperature ≥ 100.4°F [≥ 38.0°C]) or moderate or severe acute illness/infection (according to Investigator judgment) on the day of vaccination

  • Personal or family history of Guillain-Barré syndrome

  • Active neoplastic disease or a history of any hematologic malignancy

  • Known seizure/epilepsy history and/or taking anti-seizure medication

  • Receipt of psychiatric drugs. Subjects receiving a single antidepressant drug and stable for at least 3 months prior to enrollment, without decompensating symptoms will be allowed to enroll in the study

Contacts and Locations

Locations

Site City State Country Postal Code
1 Hoover Alabama United States 35216
2 Chandler Arizona United States 85224
3 Phoenix Arizona United States 85020
4 Anaheim California United States
5 South Miami Florida United States 33143
6 Maddisonville Kentucky United States 42431
7 Springfield Missouri United States 65802
8 Raleigh North Carolina United States 27612
9 Cincinnati Ohio United States 45227
10 Cleveland Ohio United States 44122
11 Mt. Pleasant South Carolina United States 29464
12 Knoxville Tennessee United States 37920
13 Austin Texas United States 78705
14 Salt Lake City Utah United States 84124
15 Norfolk Virginia United States 23507

Sponsors and Collaborators

  • Sanofi Pasteur, a Sanofi Company

Investigators

  • Study Director: Medical Monitor, Sanofi Pasteur Inc.

Study Documents (Full-Text)

None provided.

More Information

Additional Information:

Publications

None provided.
Responsible Party:
Sanofi Pasteur, a Sanofi Company
ClinicalTrials.gov Identifier:
NCT00953524
Other Study ID Numbers:
  • FUF14
  • UTN: U1111-1111-4798
First Posted:
Aug 6, 2009
Last Update Posted:
Mar 10, 2014
Last Verified:
Feb 1, 2014
Keywords provided by Sanofi Pasteur, a Sanofi Company
Additional relevant MeSH terms:

Study Results

Participant Flow

Recruitment Details Participants were enrolled from 06 August 2009 to 07 August 2009 at 15 US clinical centers.
Pre-assignment Detail A total of 849 participants who met the inclusion and exclusion criteria were enrolled, vaccinated, and included in data analysis.
Arm/Group Title A/H1N1 Vaccine Group 1 A/H1N1 Vaccine Group 2 A/H1N1 Vaccine Group 3 Placebo Group
Arm/Group Description Participants who received a dose of A/H1N1 vaccine (7.5 µg hemagglutinin) intramuscularly on Day 1 and Day 21, respectively. Participants who received a dose of A/H1N1 Vaccine (15 µg hemagglutinin) intramuscularly, on Day 1 and Day 21, respectively. Participants who received a dose of A/H1N1 Vaccine (30 µg hemagglutinin) intramuscularly on Day 1 and Day 21, respectively. Participants who received a dose of placebo (saline) intramuscularly on Day 1 and Day 21, respectively.
Period Title: Overall Study
STARTED 249 254 247 99
COMPLETED 227 239 233 91
NOT COMPLETED 22 15 14 8

Baseline Characteristics

Arm/Group Title A/H1N1 Vaccine Group 1 A/H1N1 Vaccine Group 2 A/H1N1 Vaccine Group 3 Placebo Group Total
Arm/Group Description Participants who received a dose of A/H1N1 vaccine (7.5 µg hemagglutinin) intramuscularly on Day 1 and Day 21, respectively. Participants who received a dose of A/H1N1 Vaccine (15 µg hemagglutinin) intramuscularly, on Day 1 and Day 21, respectively. Participants who received a dose of A/H1N1 Vaccine (30 µg hemagglutinin) intramuscularly on Day 1 and Day 21, respectively. Participants who received a dose of placebo (saline) intramuscularly on Day 1 and Day 21, respectively. Total of all reporting groups
Overall Participants 249 254 247 99 849
Age (Count of Participants)
<=18 years
0
0%
0
0%
0
0%
0
0%
0
0%
Between 18 and 65 years
150
60.2%
152
59.8%
148
59.9%
49
49.5%
499
58.8%
>=65 years
99
39.8%
102
40.2%
99
40.1%
50
50.5%
350
41.2%
Age (Years) [Mean (Standard Deviation) ]
Mean (Standard Deviation) [Years]
52.8
(19.2)
53.4
(18.9)
54.4
(18.4)
56.4
(18.1)
53.4
(18.9)
Sex: Female, Male (Count of Participants)
Female
140
56.2%
143
56.3%
145
58.7%
57
57.6%
485
57.1%
Male
109
43.8%
111
43.7%
102
41.3%
42
42.4%
364
42.9%
Region of Enrollment (participants) [Number]
United States
249
100%
254
100%
247
100%
99
100%
849
100%

Outcome Measures

1. Primary Outcome
Title Number of Participants With Antibody Titers ≥ 10 1/Dilution (1/Dil) Against A/California (H1N1 Vaccine) Strain - Age 18 to 64 Years
Description Pre-vaccination and post-vaccination antibody titers were determined by the hemagglutination inhibition (HAI) test.
Time Frame Pre-vaccination (Day 0) and day 21 post-vaccination

Outcome Measure Data

Analysis Population Description
Pre- and post-vaccination antibody titers were assessed in the per-protocol population.
Arm/Group Title A/H1N1 Vaccine Group 1 A/H1N1 Vaccine Group 2 A/H1N1 Vaccine Group 3 Placebo Group
Arm/Group Description Participants who received a dose of A/H1N1 vaccine (7.5 µg hemagglutinin) intramuscularly on Day 1 and Day 21, respectively. Participants who received a dose of A/H1N1 Vaccine (15 µg hemagglutinin) intramuscularly, on Day 1 and Day 21, respectively. Participants who received a dose of A/H1N1 Vaccine (30 µg hemagglutinin) intramuscularly on Day 1 and Day 21, respectively. Participants who received a dose of placebo (saline) intramuscularly on Day 1 and Day 21, respectively.
Measure Participants 124 128 132 45
Pre-Vaccination 1 (Day 0) Titers at ≥ 10
69
27.7%
70
27.6%
61
24.7%
23
23.2%
Post-Vaccination 1 (Day 21) Titers at ≥ 10
124
49.8%
127
50%
132
53.4%
21
21.2%
Post-Vaccination 2 (Day 42) Titers at ≥ 10
124
49.8%
128
50.4%
132
53.4%
22
22.2%
2. Primary Outcome
Title Number of Participants With Antibody Titers ≥ 40 1/Dilution (1/Dil) Against A/California (H1N1 Vaccine) Strain - Age 18 to 64 Years
Description Seroprotection: Antibody titer ≥ 40 1/dil. Antibody titers were determined by the hemagglutination inhibition (HAI) test.
Time Frame Pre-vaccination (Day 0) and Day 21 post-vaccination

Outcome Measure Data

Analysis Population Description
Antibody titers were assessed in the per-protocol population.
Arm/Group Title A/H1N1 Vaccine Group 1 A/H1N1 Vaccine Group 2 A/H1N1 Vaccine Group 3 Placebo Group
Arm/Group Description Participants who received a dose of A/H1N1 vaccine (7.5 µg hemagglutinin) intramuscularly on Day 1 and Day 21, respectively. Participants who received a dose of A/H1N1 Vaccine (15 µg hemagglutinin) intramuscularly, on Day 1 and Day 21, respectively. Participants who received a dose of A/H1N1 Vaccine (30 µg hemagglutinin) intramuscularly on Day 1 and Day 21, respectively. Participants who received a dose of placebo (saline) intramuscularly on Day 1 and Day 21, respectively.
Measure Participants 124 128 132 45
Pre-Vaccination 1 (Day 0) Titers at ≥ 40
27
10.8%
37
14.6%
32
13%
11
11.1%
Post-Vaccination 1 (Day 21) Titers at ≥ 40
118
47.4%
126
49.6%
132
53.4%
10
10.1%
Post-Vaccination 2 (Day 42) Titers at ≥ 40
124
49.8%
127
50%
131
53%
11
11.1%
3. Primary Outcome
Title Geometric Mean Titers (GMT) of Antibodies Against A/California (H1N1 Vaccine) Strain - Age 18 to 64 Years
Description Pre-vaccination and post-vaccination antibody titers were determined by the hemagglutination inhibition (HAI) test.
Time Frame Pre-vaccination (Day 0) and 21 days post-vaccination

Outcome Measure Data

Analysis Population Description
Antibody titers were assessed in the per-protocol population.
Arm/Group Title A/H1N1 Vaccine Group 1 A/H1N1 Vaccine Group 2 A/H1N1 Vaccine Group 3 Placebo Group
Arm/Group Description Participants who received a dose of A/H1N1 vaccine (7.5 µg hemagglutinin) intramuscularly on Day 1 and Day 21, respectively. Participants who received a dose of A/H1N1 Vaccine (15 µg hemagglutinin) intramuscularly, on Day 1 and Day 21, respectively. Participants who received a dose of A/H1N1 Vaccine (30 µg hemagglutinin) intramuscularly on Day 1 and Day 21, respectively. Participants who received a dose of placebo (saline) intramuscularly on Day 1 and Day 21, respectively.
Measure Participants 124 128 132 45
Pre-Vaccination 1 (Day 0) GMT
14.5
17.3
14.1
14.0
Post-Vaccination 1 (Day 21) GMT
708
1362
1526
13.1
Post-Vaccination 2 (Day 42) GMT
800
1329
1331
13.5
4. Primary Outcome
Title Number of Participants With Antibody Titers ≥ 10 1/Dilution (1/Dil) Against A/California (H1N1) Strain - Age ≥ 65 Years
Description Pre-vaccination and post-vaccination antibody titers were determined by the hemagglutination inhibition (HAI) test.
Time Frame Pre-vaccination (Day 0) and 21 days post-vaccination

Outcome Measure Data

Analysis Population Description
Pre- and post-vaccination antibody titers were assessed in the per-protocol population.
Arm/Group Title A/H1N1 Vaccine Group 1 A/H1N1 Vaccine Group 2 A/H1N1 Vaccine Group 3 Placebo Group
Arm/Group Description Participants who received a dose of A/H1N1 vaccine (7.5 µg hemagglutinin) intramuscularly on Day 1 and Day 21, respectively. Participants who received a dose of A/H1N1 Vaccine (15 µg hemagglutinin) intramuscularly, on Day 1 and Day 21, respectively. Participants who received a dose of A/H1N1 Vaccine (30 µg hemagglutinin) intramuscularly on Day 1 and Day 21, respectively. Participants who received a dose of placebo (saline) intramuscularly on Day 1 and Day 21, respectively.
Measure Participants 87 87 85 39
Pre-Vaccination 1 (Day 0) Titers at ≥ 10
64
25.7%
54
21.3%
60
24.3%
24
24.2%
Post-Vaccination 1 (Day 21) Titers at ≥ 10
87
34.9%
87
34.3%
85
34.4%
23
23.2%
Post-Vaccination 2 (Day 42) Titers at ≥ 10
87
34.9%
87
34.3%
85
34.4%
26
26.3%
5. Primary Outcome
Title Number of Participants With Antibody Titers ≥ 40 1/Dilution (1/Dil) Against A/California (H1N1 Vaccine) Strain - Age ≥ 65 Years
Description Seroprotection: Antibody titer ≥ 40 1/dil. Antibody titers were determined by the hemagglutination inhibition (HAI) test.
Time Frame Pre-vaccination (Day 0) and 21 days post-vaccination

Outcome Measure Data

Analysis Population Description
Pre- and post-vaccination antibody titers were assessed in the per-protocol population.
Arm/Group Title A/H1N1 Vaccine Group 1 A/H1N1 Vaccine Group 2 A/H1N1 Vaccine Group 3 Placebo Group
Arm/Group Description Participants who received a dose of A/H1N1 vaccine (7.5 µg hemagglutinin) intramuscularly on Day 1 and Day 21, respectively. Participants who received a dose of A/H1N1 Vaccine (15 µg hemagglutinin) intramuscularly, on Day 1 and Day 21, respectively. Participants who received a dose of A/H1N1 Vaccine (30 µg hemagglutinin) intramuscularly on Day 1 and Day 21, respectively. Participants who received a dose of placebo (saline) intramuscularly on Day 1 and Day 21, respectively.
Measure Participants 87 87 85 39
Pre-Vaccination 1 (Day 0) Titers at ≥ 40
21
8.4%
21
8.3%
24
9.7%
10
10.1%
Post-Vaccination 1 (Day 21) Titers at ≥ 40
82
32.9%
80
31.5%
80
32.4%
9
9.1%
Post-Vaccination 2 (Day 42) Titers at ≥ 40
85
34.1%
83
32.7%
85
34.4%
10
10.1%
6. Primary Outcome
Title Geometric Mean Titers (GMT) of Antibodies Against A/California (H1N1 Vaccine) Strain - Age ≥ 65 Years
Description Pre-vaccination and post-vaccination antibody titers were determined by the hemagglutination inhibition (HAI) test.
Time Frame Pre-vaccination (Day 0) and 21 days post-vaccination

Outcome Measure Data

Analysis Population Description
Antibody titers were assessed in the per-protocol population.
Arm/Group Title A/H1N1 Vaccine Group 1 A/H1N1 Vaccine Group 2 A/H1N1 Vaccine Group 3 Placebo Group
Arm/Group Description Participants who received a dose of A/H1N1 vaccine (7.5 µg hemagglutinin) intramuscularly on Day 1 and Day 21, respectively. Participants who received a dose of A/H1N1 Vaccine (15 µg hemagglutinin) intramuscularly, on Day 1 and Day 21, respectively. Participants who received a dose of A/H1N1 Vaccine (30 µg hemagglutinin) intramuscularly on Day 1 and Day 21, respectively. Participants who received a dose of placebo (saline) intramuscularly on Day 1 and Day 21, respectively.
Measure Participants 87 87 85 39
Pre-Vaccination 1 (Day 0) GMT
19.1
14.7
18.3
17.5
Post-Vaccination 1 (Day 21) GMT
319
423
578
17.5
Post-Vaccination 2 (Day 42) GMT
359
416
604
19.0
7. Primary Outcome
Title Number of Participants With At Least One Solicited Injection Site or Systemic Reaction - Age 18 to 64 Years
Description Solicited Injection Site Reactions: Pain, erythema (redness), swelling, induration (hardening), ecchymosis (bruising). Solicited systemic reactions: Fever (temperature), headache, malaise (feeling unwell), myalgia (muscle aches and pains), shivering (chills).
Time Frame Days 0 to 7 post-vaccination

Outcome Measure Data

Analysis Population Description
Safety analysis was on all enrolled and vaccinated participants with available reaction data, intent-to-treat population.
Arm/Group Title A/H1N1 Vaccine Group 1 A/H1N1 Vaccine Group 2 A/H1N1 Vaccine Group 3 Placebo Group
Arm/Group Description Participants who received a dose of A/H1N1 vaccine (7.5 µg hemagglutinin) intramuscularly on Day 1 and Day 21, respectively. Participants who received a dose of A/H1N1 Vaccine (15 µg hemagglutinin) intramuscularly, on Day 1 and Day 21, respectively. Participants who received a dose of A/H1N1 Vaccine (30 µg hemagglutinin) intramuscularly on Day 1 and Day 21, respectively. Participants who received a dose of placebo (saline) intramuscularly on Day 1 and Day 21, respectively.
Measure Participants 149 152 149 49
Any Solicited Injection Site Reaction - Any Dose
65
26.1%
60
23.6%
73
29.6%
9
9.1%
Grade 3 Injection Site Reaction - Any Dose
4
1.6%
1
0.4%
2
0.8%
0
0%
Any Pain - Post Dose 1
53
21.3%
43
16.9%
48
19.4%
8
8.1%
Any Pain - Post Dose 2
39
15.7%
42
16.5%
56
22.7%
4
4%
Any Pain - Any Dose
64
25.7%
59
23.2%
72
29.1%
9
9.1%
Grade 3 Pain (Prevents daily activity) - Any Dose
4
1.6%
1
0.4%
2
0.8%
0
0%
Any Erythema - Post Dose 1
0
0%
0
0%
0
0%
0
0%
Any Erythema - Post Dose 2
0
0%
0
0%
2
0.8%
0
0%
Any Erythema - Any Dose
0
0%
0
0%
2
0.8%
0
0%
Grade 3 Erythema (> 10 cm) - Any Dose
0
0%
0
0%
0
0%
0
0%
Any Swelling - Post Dose 1
1
0.4%
2
0.8%
2
0.8%
0
0%
Any Swelling - Post Dose 2
0
0%
2
0.8%
2
0.8%
0
0%
Any Swelling - Any Dose
1
0.4%
3
1.2%
3
1.2%
0
0%
Grade 3 Swelling (> 10 cm) - Any Dose
0
0%
0
0%
0
0%
0
0%
Any Induration - Post Dose 1
1
0.4%
1
0.4%
1
0.4%
0
0%
Any Induration - Post Dose 2
0
0%
2
0.8%
2
0.8%
0
0%
Any Induration - Any Dose
1
0.4%
2
0.8%
2
0.8%
0
0%
Grade 3 Induration (> 10 cm) - Any Dose
0
0%
0
0%
0
0%
0
0%
Any Ecchymosis - Post Dose 1
1
0.4%
1
0.4%
0
0%
0
0%
Any Ecchymosis - Post Dose 2
1
0.4%
1
0.4%
1
0.4%
0
0%
Any Ecchymosis - Any Dose
2
0.8%
1
0.4%
1
0.4%
0
0%
Grade 3 Ecchymosis (> 10 cm) - Any Dose
0
0%
0
0%
0
0%
0
0%
Any Solicited Systemic Reaction - Any Dose
81
32.5%
73
28.7%
78
31.6%
24
24.2%
Any Grade 3 Solicited Systemic Reaction - Any Dose
10
4%
6
2.4%
3
1.2%
4
4%
Any Fever - Post Dose 1
1
0.4%
1
0.4%
2
0.8%
1
1%
Any Fever - Post Dose 2
1
0.4%
0
0%
1
0.4%
0
0%
Any Fever - Any Dose
2
0.8%
1
0.4%
2
0.8%
1
1%
Grade 3 Fever (≥ 102.1 F or ≥ 39.0 C) - Any Dose
1
0.4%
0
0%
0
0%
1
1%
Any Headache - Post Dose 1
48
19.3%
48
18.9%
40
16.2%
16
16.2%
Any Headache - Post Dose 2
36
14.5%
21
8.3%
31
12.6%
11
11.1%
Any Headache - Any Dose
60
24.1%
55
21.7%
53
21.5%
19
19.2%
Grd 3 Headache (Prevents daily activity), Any Dose
5
2%
5
2%
2
0.8%
3
3%
Any Malaise - Post Dose 1
34
13.7%
23
9.1%
27
10.9%
9
9.1%
Any Malaise - Post Dose 2
22
8.8%
15
5.9%
25
10.1%
6
6.1%
Any Malaise - Any Dose
43
17.3%
31
12.2%
42
17%
13
13.1%
Grd 3 Malaise (Prevents daily activity) - Any Dose
6
2.4%
3
1.2%
2
0.8%
2
2%
Any Myalgia - Post Dose 1
43
17.3%
30
11.8%
33
13.4%
11
11.1%
Any Myalgia - Post Dose 2
22
8.8%
16
6.3%
26
10.5%
5
5.1%
Any Myalgia - Any Dose
49
19.7%
34
13.4%
49
19.8%
13
13.1%
Grd 3 Myalgia (Prevents daily activity) - Any Dose
6
2.4%
2
0.8%
0
0%
2
2%
Any Shivering - Post Dose 1
10
4%
2
0.8%
8
3.2%
2
2%
Any Shivering - Post Dose 2
2
0.8%
0
0%
3
1.2%
0
0%
Any Shivering - Any Dose
12
4.8%
2
0.8%
9
3.6%
2
2%
Grade 3 Shivering (Prevents activity) - Any Dose
1
0.4%
0
0%
0
0%
1
1%
8. Primary Outcome
Title Number of Participants With At Least One Solicited Injection Site or Systemic Reaction - Age ≥ 65 Years
Description Solicited Injection Site Reactions: Pain, erythema (redness), swelling, induration (hardening), ecchymosis (bruising). Solicited systemic reactions: Fever (temperature), headache, malaise (feeling unwell), myalgia (muscle aches and pains), shivering (chills).
Time Frame Days 0 to 7 post-vaccination

Outcome Measure Data

Analysis Population Description
Safety analysis was on all enrolled and vaccinated participants with available reaction data, intent-to-treat population.
Arm/Group Title A/H1N1 Vaccine Group 1 A/H1N1 Vaccine Group 2 A/H1N1 Vaccine Group 3 Placebo Group
Arm/Group Description Participants who received a dose of A/H1N1 vaccine (7.5 µg hemagglutinin) intramuscularly on Day 1 and Day 21, respectively. Participants who received a dose of A/H1N1 Vaccine (15 µg hemagglutinin) intramuscularly, on Day 1 and Day 21, respectively. Participants who received a dose of A/H1N1 Vaccine (30 µg hemagglutinin) intramuscularly on Day 1 and Day 21, respectively. Participants who received a dose of placebo (saline) intramuscularly on Day 1 and Day 21, respectively.
Measure Participants 99 102 99 50
Any Solicited Injection Site Reaction - Any Dose
20
8%
19
7.5%
27
10.9%
2
2%
Grade 3 Injection Site Reaction - Any Dose
0
0%
0
0%
1
0.4%
0
0%
Any Pain - Post Dose 1
10
4%
12
4.7%
16
6.5%
0
0%
Any Pain - Post Dose 2
10
4%
14
5.5%
16
6.5%
2
2%
Any Pain - Any Dose
18
7.2%
19
7.5%
24
9.7%
2
2%
Grade 3 Pain (Prevents daily activity) - Any Dose
0
0%
0
0%
1
0.4%
0
0%
Any Erythema - Post Dose 1
1
0.4%
0
0%
1
0.4%
0
0%
Any Erythema - Post Dose 2
1
0.4%
0
0%
2
0.8%
0
0%
Any Erythema - Any Dose
2
0.8%
0
0%
3
1.2%
0
0%
Grade 3 Erythema (> 10 cm) - Any Dose
0
0%
0
0%
0
0%
0
0%
Any Swelling - Post Dose 1
0
0%
0
0%
2
0.8%
0
0%
Any Swelling - Post Dose 2
0
0%
0
0%
2
0.8%
1
1%
Any Swelling - Any Dose
0
0%
0
0%
3
1.2%
1
1%
Grade 3 Swelling (> 10 cm) - Any Dose
0
0%
0
0%
0
0%
0
0%
Any Induration - Post Dose 1
0
0%
0
0%
0
0%
0
0%
Any Induration - Post Dose 2
0
0%
1
0.4%
0
0%
0
0%
Any Induration - Any Dose
0
0%
1
0.4%
0
0%
0
0%
Grade 3 Induration (> 10 cm) - Any Dose
0
0%
0
0%
0
0%
0
0%
Any Ecchymosis - Post Dose 1
2
0.8%
0
0%
2
0.8%
0
0%
Any Ecchymosis - Post Dose 2
0
0%
1
0.4%
0
0%
1
1%
Any Ecchymosis - Any Dose
2
0.8%
1
0.4%
2
0.8%
1
1%
Grade 3 Ecchymosis (> 10 cm) - Any Dose
0
0%
0
0%
0
0%
0
0%
Any Solicited Systemic Reaction - Any Dose
28
11.2%
22
8.7%
32
13%
13
13.1%
Any Grade 3 Solicited Systemic Reaction - Any Dose
2
0.8%
1
0.4%
1
0.4%
0
0%
Any Fever - Post Dose 1
0
0%
0
0%
1
0.4%
1
1%
Any Fever - Post Dose 2
0
0%
0
0%
0
0%
1
1%
Any Fever - Any Dose
0
0%
0
0%
1
0.4%
2
2%
Grade 3 Fever (≥ 102.1 ºF or ≥ 39.0 ºC) - Any Dose
0
0%
0
0%
0
0%
0
0%
Any Headache - Post Dose 1
11
4.4%
10
3.9%
16
6.5%
6
6.1%
Any Headache - Post Dose 2
9
3.6%
7
2.8%
8
3.2%
9
9.1%
Any Headache - Any Dose
16
6.4%
13
5.1%
21
8.5%
11
11.1%
Grd 3 Headache (Prevents daily activity), Any Dose
1
0.4%
0
0%
0
0%
0
0%
Any Malaise - Post Dose 1
4
1.6%
7
2.8%
15
6.1%
4
4%
Any Malaise - Post Dose 2
11
4.4%
4
1.6%
7
2.8%
5
5.1%
Any Malaise - Any Dose
14
5.6%
9
3.5%
21
8.5%
8
8.1%
Grd 3 Malaise (Prevents daily activity) - Any Dose
1
0.4%
0
0%
1
0.4%
0
0%
Any Myalgia - Post Dose 1
7
2.8%
9
3.5%
11
4.5%
2
2%
Any Myalgia - Post Dose 2
5
2%
10
3.9%
8
3.2%
5
5.1%
Any Myalgia - Any Dose
11
4.4%
16
6.3%
17
6.9%
6
6.1%
Grd 3 Myalgia (Prevents daily activity) - Any Dose
1
0.4%
1
0.4%
1
0.4%
0
0%
Any Shivering - Post Dose 1
1
0.4%
0
0%
2
0.8%
1
1%
Any Shivering - Post Dose 2
2
0.8%
3
1.2%
0
0%
2
2%
Any Shivering - Any Dose
3
1.2%
3
1.2%
2
0.8%
3
3%
Grade 3 Shivering (Prevents activity) - Any Dose
1
0.4%
0
0%
0
0%
0
0%

Adverse Events

Time Frame Adverse events data were collected from the day of vaccination to up to 6 months post-vaccination 2.
Adverse Event Reporting Description
Arm/Group Title A/H1N1 Vaccine Group 1 A/H1N1 Vaccine Group 2 A/H1N1 Vaccine Group 3 Placebo Group
Arm/Group Description Participants who received a dose of A/H1N1 vaccine (7.5 µg hemagglutinin) intramuscularly on Day 1 and Day 21, respectively. Participants who received a dose of A/H1N1 Vaccine (15 µg hemagglutinin) intramuscularly, on Day 1 and Day 21, respectively. Participants who received a dose of A/H1N1 Vaccine (30 µg hemagglutinin) intramuscularly on Day 1 and Day 21, respectively. Participants who received a dose of placebo (saline) intramuscularly on Day 1 and Day 21, respectively.
All Cause Mortality
A/H1N1 Vaccine Group 1 A/H1N1 Vaccine Group 2 A/H1N1 Vaccine Group 3 Placebo Group
Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events
Total / (NaN) / (NaN) / (NaN) / (NaN)
Serious Adverse Events
A/H1N1 Vaccine Group 1 A/H1N1 Vaccine Group 2 A/H1N1 Vaccine Group 3 Placebo Group
Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events
Total 8/248 (3.2%) 7/254 (2.8%) 7/248 (2.8%) 4/99 (4%)
Cardiac disorders
Angina Pectoris 0/248 (0%) 0 0/254 (0%) 0 1/248 (0.4%) 1 0/99 (0%) 0
Coronary artery disease 0/248 (0%) 0 1/254 (0.4%) 1 2/248 (0.8%) 3 0/99 (0%) 0
Myocardial infarction 0/248 (0%) 0 0/254 (0%) 0 1/248 (0.4%) 1 0/99 (0%) 0
Gastrointestinal disorders
Femoral hernia 0/248 (0%) 0 0/254 (0%) 0 0/248 (0%) 0 1/99 (1%) 1
Large intestine perforation 0/248 (0%) 0 1/254 (0.4%) 1 0/248 (0%) 0 0/99 (0%) 0
General disorders
Non-cardiac chest pain 0/248 (0%) 0 0/254 (0%) 0 1/248 (0.4%) 1 0/99 (0%) 0
Infections and infestations
Cellulitis 1/248 (0.4%) 1 0/254 (0%) 0 0/248 (0%) 0 0/99 (0%) 0
Diverticulitis 0/248 (0%) 0 1/254 (0.4%) 2 0/248 (0%) 0 0/99 (0%) 0
Gastroenteritis 0/248 (0%) 0 0/254 (0%) 0 1/248 (0.4%) 1 0/99 (0%) 0
Gastroenteritis viral 0/248 (0%) 0 1/254 (0.4%) 1 0/248 (0%) 0 0/99 (0%) 0
Pneumonia bacterial 0/248 (0%) 0 1/254 (0.4%) 1 0/248 (0%) 0 0/99 (0%) 0
Injury, poisoning and procedural complications
Ankle fracture 1/248 (0.4%) 1 0/254 (0%) 0 0/248 (0%) 0 0/99 (0%) 0
Multiple fractures 0/248 (0%) 0 1/254 (0.4%) 1 0/248 (0%) 0 0/99 (0%) 0
Skin laceration 0/248 (0%) 0 0/254 (0%) 0 1/248 (0.4%) 1 0/99 (0%) 0
Upper limb fracture 1/248 (0.4%) 1 0/254 (0%) 0 0/248 (0%) 0 0/99 (0%) 0
Metabolism and nutrition disorders
Diabetes mellitus 0/248 (0%) 0 0/254 (0%) 0 0/248 (0%) 0 1/99 (1%) 2
Musculoskeletal and connective tissue disorders
Intervertebral disc protrusion 1/248 (0.4%) 1 0/254 (0%) 0 0/248 (0%) 0 0/99 (0%) 0
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Lung neoplasm malignan 0/248 (0%) 0 1/254 (0.4%) 2 0/248 (0%) 0 0/99 (0%) 0
Non-Hodgkins lymphoma 0/248 (0%) 0 1/254 (0.4%) 2 0/248 (0%) 0 0/99 (0%) 0
Oesophageal carcinoma 1/248 (0.4%) 2 0/254 (0%) 0 0/248 (0%) 0 0/99 (0%) 0
Rectal cancer 1/248 (0.4%) 2 0/254 (0%) 0 0/248 (0%) 0 0/99 (0%) 0
Sarcoma 0/248 (0%) 0 0/254 (0%) 0 1/248 (0.4%) 1 0/99 (0%) 0
Nervous system disorders
Carotid artery stenosis 0/248 (0%) 0 0/254 (0%) 0 1/248 (0.4%) 1 0/99 (0%) 0
Cerebrovascular accident 0/248 (0%) 0 1/254 (0.4%) 1 0/248 (0%) 0 0/99 (0%) 0
Global amnesia 1/248 (0.4%) 1 0/254 (0%) 0 0/248 (0%) 0 0/99 (0%) 0
Myasthenia gravis 1/248 (0.4%) 1 0/254 (0%) 0 0/248 (0%) 0 0/99 (0%) 0
Respiratory, thoracic and mediastinal disorders
Pleural effusion 0/248 (0%) 0 0/254 (0%) 0 0/248 (0%) 0 1/99 (1%) 1
Vascular disorders
Aortic aneurysm 0/248 (0%) 0 0/254 (0%) 0 0/248 (0%) 0 1/99 (1%) 1
Other (Not Including Serious) Adverse Events
A/H1N1 Vaccine Group 1 A/H1N1 Vaccine Group 2 A/H1N1 Vaccine Group 3 Placebo Group
Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events
Total 82/248 (33.1%) 78/254 (30.7%) 96/248 (38.7%) 30/99 (30.3%)
General disorders
Injection site pain 82/242 (33.9%) 78/249 (31.3%) 96/246 (39%) 11/98 (11.2%)
Malaise 57/242 (23.6%) 40/249 (16.1%) 63/246 (25.6%) 21/99 (21.2%)
Shivering 15/242 (6.2%) 15/249 (6%) 11/246 (4.5%) 5/99 (5.1%)
Musculoskeletal and connective tissue disorders
Myalgia 60/242 (24.8%) 50/249 (20.1%) 66/246 (26.8%) 19/99 (19.2%)
Nervous system disorders
Headache 76/242 (31.4%) 68/249 (27.3%) 74/246 (30.1%) 30/99 (30.3%)

Limitations/Caveats

[Not Specified]

More Information

Certain Agreements

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

Sponsor must have the opportunity to review at least 60 days prior to submission for publication or presentation. If review indicates that potentially patentable subject matter would be disclosed, publication or public disclosure may be delayed for a maximum of an additional 60 days to allow for filing the necessary patent applications

Results Point of Contact

Name/Title Medical Director
Organization Sanofi Pasteur Inc.
Phone
Email RegistryContactUs@sanofipasteur.com
Responsible Party:
Sanofi Pasteur, a Sanofi Company
ClinicalTrials.gov Identifier:
NCT00953524
Other Study ID Numbers:
  • FUF14
  • UTN: U1111-1111-4798
First Posted:
Aug 6, 2009
Last Update Posted:
Mar 10, 2014
Last Verified:
Feb 1, 2014