A Study to Determine the Immunogenicity and Safety Profile of CSL Limited's Influenza Virus Vaccine Compared to a US Licensed Comparator Influenza Virus Vaccine

Sponsor
Seqirus (Industry)
Overall Status
Completed
CT.gov ID
NCT00735475
Collaborator
(none)
1,268
13
2
8
97.5
12.2

Study Details

Study Description

Brief Summary

The purpose of this study is to determine the immunogenicity and safety profile of CSL Limited's Influenza Virus Vaccine compared to a US Licensed Comparator Influenza Virus Vaccine.

Condition or Disease Intervention/Treatment Phase
  • Biological: CSL Limited Influenza Virus Vaccine (Afluria®)
  • Biological: US Licensed Influenza Virus Vaccine (Fluzone®)
Phase 4

Study Design

Study Type:
Interventional
Actual Enrollment :
1268 participants
Allocation:
Randomized
Intervention Model:
Parallel Assignment
Masking:
Single (Investigator)
Primary Purpose:
Prevention
Official Title:
A Phase IV, Randomized, Observer-Blind, Multi-Center, Non Inferiority Comparison of the Immune Response of CSL Limited's Influenza Virus Vaccine Compared to a US Licensed Inactivated Split-Virion Influenza Vaccine in Adults Aged Greater Than or Equal to 65 Years
Study Start Date :
Oct 1, 2008
Actual Primary Completion Date :
Jan 1, 2009
Actual Study Completion Date :
Jun 1, 2009

Arms and Interventions

Arm Intervention/Treatment
Experimental: Afluria®

Biological: CSL Limited Influenza Virus Vaccine (Afluria®)
A single 0.5 mL, intramuscular injection in the deltoid region of the arm on day 0.

Active Comparator: Fluzone®

Biological: US Licensed Influenza Virus Vaccine (Fluzone®)
A single 0.5 mL, intramuscular injection in the deltoid region of the arm on day 0.

Outcome Measures

Primary Outcome Measures

  1. Geometric Mean Titer 21 Days After the Study Vaccination [21 days after vaccination]

  2. Percentage of Participants With Seroconversion 21 Days After the Study Vaccination [21 days after vaccination]

    Seroconversion rate was defined as the proportion of participants with a HI titer of less than 1:10 before vaccination achieving a HI antibody titer of 1:40 or more after vaccination, or with a HI titer of 1:10 or more before vaccination achieving a four-fold or greater increase in HI titer after vaccination.

Secondary Outcome Measures

  1. Frequency and Intensity of Local and Systemic Solicited Symptoms [5 days after vaccination]

  2. Duration of Local and Systemic Solicited Symptoms [5 days after vaccination]

  3. Frequency and Intensity of Unsolicited Adverse Events (UAEs) [21 days after vaccination]

    Abbreviation UAE stands for Unsolicited Adverse Event.

  4. Serious Adverse Events [180 days after vaccination]

  5. New Onsets of Chronic Illness [180 days after vaccination]

    A NOCI was defined as the diagnosis of a chronic medical condition where the symptoms commenced or worsened following exposure to the study vaccine and may have included those potentially controllable by medication (e.g., glaucoma, hypertension).

Eligibility Criteria

Criteria

Ages Eligible for Study:
65 Years and Older
Sexes Eligible for Study:
All
Accepts Healthy Volunteers:
Yes
Inclusion Criteria:
  1. Males aged ≥ 65 years or females of non-childbearing potential aged ≥ 65 years ;

  2. Written informed consent ;

  3. Willingness to provide a blood sample.

Exclusion Criteria:
  1. Known hypersensitivity to a previous dose of influenza vaccine or allergy to eggs, chicken protein, neomycin, polymyxin, or any components of the Study Vaccines;

  2. Previous vaccination against influenza in 2008 or 2009 with seasonal trivalent inactivated influenza vaccine;

  3. Known history of Guillain-Barré Syndrome;

  4. Clinical signs of active infection and/or an oral temperature of greater than or equal to 100 degrees F (37.8 degrees C).

  5. Have active or recent and clinically significant gastrointestinal/hepatic, renal, neurological, cardiovascular, respiratory, endocrine disorders or other medical disorders;

  6. History of seizures;

  7. Confirmed or suspected immunosuppressive condition, or a previously diagnosed immunodeficiency disorder;

  8. Clinically significant history of malignancy

  9. Current treatment, or treatment with radiotherapy or cytotoxic drugs at any time during the six months prior to administration of the Study Vaccine;

  10. Current immunosuppressive or immunomodulative therapy;

  11. Administration of immunoglobulins and/or any blood products within the 3 months preceding the administration of the Study Vaccine;

  12. Participation in a clinical trial or use of an investigational compound within 30 days prior to receiving the Study Vaccine ;

  13. Vaccination with a registered vaccine within 14 days (for inactivated vaccines) or 28 days (for live vaccines) prior to receiving the Study Vaccine.

  14. Current treatment with warfarin or other anticoagulants;

  15. Major congenital defects;

  16. Evidence, or history (within the previous 12 months) of drug or alcohol abuse;

  17. Unwillingness or inability to comply with the study protocol including completion of adverse event diary cards;

  18. History of psychiatric disorders;

  19. Resident of long term care facility.

Contacts and Locations

Locations

Site City State Country Postal Code
1 North Central Arkansas Medical Association Mountain Home Arkansas United States 72635
2 Covance CRU, Inc Boise Idaho United States 83704
3 The University of Iowa Iowa City Iowa United States 52242
4 Kentucky Pediatric/ Adult Research Bardstown Kentucky United States 40004
5 Saint Louis University Medical Center Saint Louis Missouri United States 63104
6 University of Rochester School of Medicine and Dentistry Rochester New York United States 14642
7 Duke University Medical Center Durham North Carolina United States 27704
8 Cincinnati Children's Hospital Medical Center Cincinnati Ohio United States 45229
9 Covance CRU, Inc. Portland Oregon United States 97239
10 Primary Physicians Research, Inc. Pittsburgh Pennsylvania United States 15241
11 Clinical Partners, LLC Johnston Rhode Island United States 02919
12 Vanderbilt Medical Center Nashville Tennessee United States 37232
13 Covance CRU Inc. Austin Texas United States 78752

Sponsors and Collaborators

  • Seqirus

Investigators

  • Study Director: Clinical Director Vaccines, Seqirus

Study Documents (Full-Text)

None provided.

More Information

Publications

None provided.
Responsible Party:
Seqirus
ClinicalTrials.gov Identifier:
NCT00735475
Other Study ID Numbers:
  • CSLCT-USF-07-41
First Posted:
Aug 15, 2008
Last Update Posted:
May 23, 2018
Last Verified:
Apr 1, 2018
Additional relevant MeSH terms:

Study Results

Participant Flow

Recruitment Details
Pre-assignment Detail
Arm/Group Title Afluria® Group Fluzone® Group
Arm/Group Description Participants received one dose of the 2008/2009 formulation of Afluria® by intramuscular injection. Participants received one dose of the 2008/2009 formulation of Fluzone® by intramuscular injection.
Period Title: Overall Study
STARTED 631 637
COMPLETED 623 626
NOT COMPLETED 8 11

Baseline Characteristics

Arm/Group Title Afluria® Group Fluzone® Group Total
Arm/Group Description Participants received one dose of the 2008/2009 formulation of Afluria® by intramuscular injection. Participants received one dose of the 2008/2009 formulation of Fluzone® by intramuscular injection. Total of all reporting groups
Overall Participants 630 636 1266
Age (Count of Participants)
<=18 years
0
0%
0
0%
0
0%
Between 18 and 65 years
0
0%
0
0%
0
0%
>=65 years
630
100%
636
100%
1266
100%
Age (years) [Mean (Standard Deviation) ]
Mean (Standard Deviation) [years]
71.7
(5.56)
71.7
(5.53)
71.7
(5.54)
Sex: Female, Male (Count of Participants)
Female
364
57.8%
362
56.9%
726
57.3%
Male
266
42.2%
274
43.1%
540
42.7%
Region of Enrollment (participants) [Number]
United States
630
100%
636
100%
1266
100%

Outcome Measures

1. Primary Outcome
Title Geometric Mean Titer 21 Days After the Study Vaccination
Description
Time Frame 21 days after vaccination

Outcome Measure Data

Analysis Population Description
Evaluable Population: comprised participants who were vaccinated, provided blood samples before and after vaccination, did not experience a laboratory-confirmed influenza infection, and did not receive a contraindicated medication.
Arm/Group Title Afluria® Group Fluzone® Group
Arm/Group Description Participants received one dose of the 2008/2009 formulation of Afluria® by intramuscular injection. Participants received one dose of the 2008/2009 formulation of Fluzone® by intramuscular injection.
Measure Participants 622 630
H1N1 (A/Brisbane/59/2007)
58.60
58.45
H3N2 (A/Uruguay/716/2007)
377.94
337.23
B (B/Florida/4/2006)
30.16
33.31
2. Primary Outcome
Title Percentage of Participants With Seroconversion 21 Days After the Study Vaccination
Description Seroconversion rate was defined as the proportion of participants with a HI titer of less than 1:10 before vaccination achieving a HI antibody titer of 1:40 or more after vaccination, or with a HI titer of 1:10 or more before vaccination achieving a four-fold or greater increase in HI titer after vaccination.
Time Frame 21 days after vaccination

Outcome Measure Data

Analysis Population Description
Evaluable Population: comprised participants who were vaccinated, provided blood samples before and after vaccination, did not experience a laboratory-confirmed influenza infection, and did not receive a contraindicated medication.
Arm/Group Title Afluria® Group Fluzone® Group
Arm/Group Description Participants received one dose of the 2008/2009 formulation of Afluria® by intramuscular injection. Participants received one dose of the 2008/2009 formulation of Fluzone® by intramuscular injection.
Measure Participants 622 630
H1N1 (A/Brisbane/59/2007)
38.6
6.1%
43.2
6.8%
H3N2 (A/Uruguay/716/2007)
69.0
11%
68.7
10.8%
B (B/Florida/4/2006)
28.9
4.6%
33.8
5.3%
3. Secondary Outcome
Title Frequency and Intensity of Local and Systemic Solicited Symptoms
Description
Time Frame 5 days after vaccination

Outcome Measure Data

Analysis Population Description
Safety Population: comprised all participants who received study vaccine and provided safety follow-up safety data.
Arm/Group Title Afluria® Group Fluzone® Group
Arm/Group Description Participants received one dose of the 2008/2009 formulation of Afluria® by intramuscular injection. Participants received one dose of the 2008/2009 formulation of Fluzone® by intramuscular injection.
Measure Participants 630 636
Any local solicited symptom
40.2
6.4%
35.7
5.6%
Any tenderness
36.2
5.7%
31.4
4.9%
Any pain
15.1
2.4%
13.8
2.2%
Any swelling / induration
7.1
1.1%
7.9
1.2%
Any redness
3.0
0.5%
0.9
0.1%
Any bruising
0.5
0.1%
0.6
0.1%
Any systemic solicited symptom
17.6
2.8%
17.5
2.8%
Any headache
8.6
1.4%
10.5
1.7%
Any myalgia
9.0
1.4%
7.7
1.2%
Any malaise
6.8
1.1%
6.1
1%
Any chills
2.2
0.3%
2.4
0.4%
Any nausea
1.7
0.3%
1.4
0.2%
Any fever
0.5
0.1%
0.6
0.1%
Any vomiting
0.3
0%
0.3
0%
4. Secondary Outcome
Title Duration of Local and Systemic Solicited Symptoms
Description
Time Frame 5 days after vaccination

Outcome Measure Data

Analysis Population Description
[Not Specified]
Arm/Group Title Afluria® Group Fluzone® Group
Arm/Group Description Participants received one dose of the 2008/2009 formulation of Afluria® by intramuscular injection. Participants received one dose of the 2008/2009 formulation of Fluzone® by intramuscular injection.
Measure Participants 630 636
Any pain
1.62
(2.094)
1.70
(2.288)
Any tenderness
2.04
(2.147)
1.90
(1.450)
Any redness
1.42
(0.692)
2.67
(1.751)
Any swelling / induration
2.58
(3.031)
2.25
(2.028)
Any bruising
6.50
(8.021)
10.50
(9.883)
Any fever
1
(0)
1
(0)
Any headache
2.08
(3.004)
1.70
(1.782)
Any malaise
1.86
(1.850)
2.08
(1.607)
Any myalgia
2.10
(3.193)
2.65
(3.961)
Any chills
1.40
(0.737)
2.29
(4.341)
Any nausea
1.62
(1.193)
1.78
(0.972)
Any vomiting
1
(0)
1
(0)
5. Secondary Outcome
Title Frequency and Intensity of Unsolicited Adverse Events (UAEs)
Description Abbreviation UAE stands for Unsolicited Adverse Event.
Time Frame 21 days after vaccination

Outcome Measure Data

Analysis Population Description
[Not Specified]
Arm/Group Title Afluria® Group Fluzone® Group
Arm/Group Description Participants received one dose of the 2008/2009 formulation of Afluria® by intramuscular injection. Participants received one dose of the 2008/2009 formulation of Fluzone® by intramuscular injection.
Measure Participants 630 636
Number of participants with at least one UAE
169
26.8%
171
26.9%
Number of participants reported Grade 1 UAE
77
12.2%
68
10.7%
Number of participants reported Grade 2 UAE
57
9%
68
10.7%
Number of participants reported Grade 3 UAE
35
5.6%
35
5.5%
6. Secondary Outcome
Title Serious Adverse Events
Description
Time Frame 180 days after vaccination

Outcome Measure Data

Analysis Population Description
Safety Population: comprised all participants who received study vaccine and provided safety follow-up safety data.
Arm/Group Title Afluria® Group Fluzone® Group
Arm/Group Description Participants received one dose of the 2008/2009 formulation of Afluria® by intramuscular injection. Participants received one dose of the 2008/2009 formulation of Fluzone® by intramuscular injection.
Measure Participants 630 636
Number of participants with at least one SAE
22
3.5%
26
4.1%
Number of participants with related SAE
0
0%
0
0%
7. Secondary Outcome
Title New Onsets of Chronic Illness
Description A NOCI was defined as the diagnosis of a chronic medical condition where the symptoms commenced or worsened following exposure to the study vaccine and may have included those potentially controllable by medication (e.g., glaucoma, hypertension).
Time Frame 180 days after vaccination

Outcome Measure Data

Analysis Population Description
Safety Population: comprised all participants who received study vaccine and provided safety follow-up safety data.
Arm/Group Title Afluria® Group Fluzone® Group
Arm/Group Description Participants received one dose of the 2008/2009 formulation of Afluria® by intramuscular injection. Participants received one dose of the 2008/2009 formulation of Fluzone® by intramuscular injection.
Measure Participants 630 636
Number of participants with at least one NOCI
14
2.2%
11
1.7%
Number of participants with related NOCI
0
0%
0
0%
Neoplasms benign, maligant and unspecified
2
0.3%
3
0.5%
Psychiatric disorders
1
0.2%
3
0.5%
Nervous system disorders
0
0%
1
0.2%
Eye disorders
1
0.2%
0
0%
Cardiac disorders
2
0.3%
0
0%
Vascular disorders
3
0.5%
1
0.2%
Gastrointestinal disorders
1
0.2%
1
0.2%
Hepatobiliary disorders
1
0.2%
0
0%
Musculoskeletal and connective tissue disorders
2
0.3%
2
0.3%
Renal and urinary disorders
1
0.2%
0
0%
Reproductive system and breast disorders
2
0.3%
0
0%

Adverse Events

Time Frame SAEs were collected up to 180 days after the study vaccination. Other adverse events were unsolicited adverse events that were collected up to 21 days after the study vaccination.
Adverse Event Reporting Description Other Adverse Events reported were unsolicited adverse events that were collected up to 21 days after the study vaccination.
Arm/Group Title Afluria® Group Fluzone® Group
Arm/Group Description Participants received one dose of the 2008/2009 formulation of Afluria® by intramuscular injection. Participants received one dose of the 2008/2009 formulation of Fluzone® by intramuscular injection.
All Cause Mortality
Afluria® Group Fluzone® Group
Affected / at Risk (%) # Events Affected / at Risk (%) # Events
Total / (NaN) / (NaN)
Serious Adverse Events
Afluria® Group Fluzone® Group
Affected / at Risk (%) # Events Affected / at Risk (%) # Events
Total 22/630 (3.5%) 26/636 (4.1%)
Blood and lymphatic system disorders
Thrombocytopenia 0/630 (0%) 0 1/636 (0.2%) 1
Cardiac disorders
Coronary artery disease 4/630 (0.6%) 4 1/636 (0.2%) 1
Acute myocardial infarction 2/630 (0.3%) 2 2/636 (0.3%) 2
Myocardial infarction 0/630 (0%) 0 4/636 (0.6%) 4
Atrial fibrillation 3/630 (0.5%) 3 0/636 (0%) 0
Cardiac failure congestive 2/630 (0.3%) 3 0/636 (0%) 0
Angina pectoris 0/630 (0%) 0 2/636 (0.3%) 2
Angina unstable 2/630 (0.3%) 2 0/636 (0%) 0
Bradycardia 1/630 (0.2%) 1 0/636 (0%) 0
Cardiac arrest 1/630 (0.2%) 1 0/636 (0%) 0
Left ventricular dysfunction 0/630 (0%) 0 1/636 (0.2%) 1
Ear and labyrinth disorders
Vertigo 0/630 (0%) 0 1/636 (0.2%) 1
Gastrointestinal disorders
Abdominal pain 1/630 (0.2%) 1 0/636 (0%) 0
Colitis 0/630 (0%) 0 1/636 (0.2%) 1
Gastrointestinal haemorrhage 1/630 (0.2%) 1 0/636 (0%) 0
General disorders
Generalised oedema 1/630 (0.2%) 1 0/636 (0%) 0
Infections and infestations
Pneumonia 1/630 (0.2%) 1 2/636 (0.3%) 2
Postoperative wound infection 1/630 (0.2%) 1 1/636 (0.2%) 1
Diverticulitis 0/630 (0%) 0 1/636 (0.2%) 1
Gastroenteritis 1/630 (0.2%) 1 0/636 (0%) 0
Pneumonia bacterial 1/630 (0.2%) 1 0/636 (0%) 0
Tracheobronchitis 1/630 (0.2%) 1 0/636 (0%) 0
Injury, poisoning and procedural complications
Ankle fracture 0/630 (0%) 0 2/636 (0.3%) 2
Anaemia postoperative 1/630 (0.2%) 1 0/636 (0%) 0
Contusion 0/630 (0%) 0 1/636 (0.2%) 1
Facial bones fracture 0/630 (0%) 0 1/636 (0.2%) 1
Femoral neck fracture 1/630 (0.2%) 1 0/636 (0%) 0
Hip fracture 0/630 (0%) 0 1/636 (0.2%) 1
Joint dislocation 0/630 (0%) 0 1/636 (0.2%) 1
Postoperative ileus 1/630 (0.2%) 1 0/636 (0%) 0
Pubic rami fracture 0/630 (0%) 0 1/636 (0.2%) 1
Therapeutic agent toxicity 1/630 (0.2%) 1 0/636 (0%) 0
Metabolism and nutrition disorders
Dehydration 1/630 (0.2%) 1 1/636 (0.2%) 1
Musculoskeletal and connective tissue disorders
Intervertebral disc degeneration 1/630 (0.2%) 1 0/636 (0%) 0
Musculoskeletal chest pain 0/630 (0%) 0 1/636 (0.2%) 1
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Benign salivary gland neoplasm 0/630 (0%) 0 1/636 (0.2%) 1
Breast cancer 1/630 (0.2%) 1 0/636 (0%) 0
Colon cancer 0/630 (0%) 0 1/636 (0.2%) 1
Lung neoplasm malignant 0/630 (0%) 0 1/636 (0.2%) 1
Non-samall cell lung cancer 0/630 (0%) 0 1/636 (0.2%) 1
Non-small cell lung cancer stage IIIA 0/630 (0%) 0 1/636 (0.2%) 1
Nervous system disorders
Intraventricular haemorrhage 0/630 (0%) 0 1/636 (0.2%) 1
Presyncope 1/630 (0.2%) 1 0/636 (0%) 0
Syncope 1/630 (0.2%) 1 0/636 (0%) 0
Transient ischaemic attack 0/630 (0%) 0 1/636 (0.2%) 1
Renal and urinary disorders
Renal failure acute 3/630 (0.5%) 3 0/636 (0%) 0
Calculus baddder 1/630 (0.2%) 1 0/636 (0%) 0
Haematuria 1/630 (0.2%) 1 0/636 (0%) 0
Respiratory, thoracic and mediastinal disorders
Chronic obstructive pulmonary disease 0/630 (0%) 0 1/636 (0.2%) 1
Pulmonary oedema 0/630 (0%) 0 0/636 (0%) 0
Respiratory failure 0/630 (0%) 0 0/636 (0%) 0
Vascular disorders
Deep vein thrombosis 1/630 (0.2%) 1 0/636 (0%) 0
Hypertensive crisis 1/630 (0.2%) 1 0/636 (0%) 0
Hypovolaemic shock 1/630 (0.2%) 1 0/636 (0%) 0
Thrombophlebitis superficial 0/630 (0%) 0 1/636 (0.2%) 1
Other (Not Including Serious) Adverse Events
Afluria® Group Fluzone® Group
Affected / at Risk (%) # Events Affected / at Risk (%) # Events
Total 142/630 (22.5%) 119/636 (18.7%)
Gastrointestinal disorders
Diarrhea 9/630 (1.4%) 10 8/636 (1.3%) 9
General disorders
Chills 9/630 (1.4%) 10 3/636 (0.5%) 3
Infections and infestations
Nasopharyngitis 9/630 (1.4%) 9 17/636 (2.7%) 18
Sinusitis 5/630 (0.8%) 5 7/636 (1.1%) 7
Upper respiratory tract infection 9/630 (1.4%) 9 3/636 (0.5%) 3
Musculoskeletal and connective tissue disorders
Myalgia 9/630 (1.4%) 10 8/636 (1.3%) 12
Back pain 13/630 (2.1%) 16 3/636 (0.5%) 5
Pain in extremity 7/630 (1.1%) 10 9/636 (1.4%) 9
Arthralgia 6/630 (1%) 9 8/636 (1.3%) 14
Nervous system disorders
Headache 33/630 (5.2%) 43 22/636 (3.5%) 27
Respiratory, thoracic and mediastinal disorders
Cough 8/630 (1.3%) 8 16/636 (2.5%) 16
Oropharyngeal pain 14/630 (2.2%) 17 8/636 (1.3%) 8
Rhinorrhea 11/630 (1.7%) 13 7/636 (1.1%) 7

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 Study Disclosure Manager
Organization Seqirus
Phone 1-855-358-8966
Email Seqirus.ClinicalTrials@Seqirus.com
Responsible Party:
Seqirus
ClinicalTrials.gov Identifier:
NCT00735475
Other Study ID Numbers:
  • CSLCT-USF-07-41
First Posted:
Aug 15, 2008
Last Update Posted:
May 23, 2018
Last Verified:
Apr 1, 2018