Protective Efficacy of Flublok® Quadrivalent Versus Licensed Inactivated Influenza Vaccine in Adults ≥50 Years of Age

Sponsor
Protein Sciences Corporation (Industry)
Overall Status
Completed
CT.gov ID
NCT02285998
Collaborator
(none)
9,003
38
2
7
236.9
34

Study Details

Study Description

Brief Summary

The goal of this study is to establish that Flublok Quadrivalent is non-inferior to fully licensed (traditional approval status) quadrivalent inactivated influenza vaccine (IIV4) in protecting against laboratory-confirmed clinical influenza disease in the ≥50 year age population.

Condition or Disease Intervention/Treatment Phase
  • Biological: Flublok Quadrivalent Influenza Vaccine
  • Biological: Inactivated Influenza Vaccine
Phase 3

Detailed Description

The goal of this study is to establish that Flublok Quadrivalent is non-inferior to fully licensed (traditional approval status) quadrivalent inactivated influenza vaccine (IIV4) in protecting against laboratory-confirmed clinical influenza disease in the ≥50 year age population. Real-time Polymerase Chain Reaction (rtPCR) will be used to confirm influenza infection and to type the strains involved, as molecular methodologies have been demonstrated to be more sensitive than other more traditional methodologies, e.g. culture. For rtPCR-positive clinical samples, reserved aliquots will be processed for culture, so that antigenic similarity to the HA present in study vaccines can be tested.

In various clinical studies the investigators demonstrated that the immune response against the influenza A viruses is improved as a result of the higher hemagglutinin content. Furthermore, influenza virus disease and hospitalization associated with influenza-related illness in older adults (> 50 years) was considerably reduced (90%) following vaccination with TIV, even though the circulating influenza A strain was antigenically dissimilar to that in the vaccine. However, more recently Skowronski et al. reported that the low influenza vaccine effectiveness in 2012-2013 was not associated with antigenic drift but was instead related to mutations in the egg-adapted H3N2 vaccine strain. Flublok manufactured using recombinant technology does not contain the mutations responsible for the reported lower effectiveness and may thus offer improved protection when mutations such as those described are induced in the process of adapting the influenza virus to growth in eggs.

Study Design

Study Type:
Interventional
Actual Enrollment :
9003 participants
Allocation:
Randomized
Intervention Model:
Parallel Assignment
Masking:
Quadruple (Participant, Care Provider, Investigator, Outcomes Assessor)
Primary Purpose:
Prevention
Official Title:
Comparison of the Protective Efficacy of Flublok® Quadrivalent Versus Licensed Inactivated Influenza Vaccine (IIV4) in Healthy, Medically Stable Adults ≥50 Years of Age
Study Start Date :
Oct 1, 2014
Actual Primary Completion Date :
May 1, 2015
Actual Study Completion Date :
May 1, 2015

Arms and Interventions

Arm Intervention/Treatment
Experimental: Flublok Quadrivalent Influenza Vaccine

Intramuscular injection of vaccine containing 4 x 45µg (180µg total) of each recombinant hemagglutinin (rHA) derived from influenza A/H1N1 and A/H3N2 and two lineages of influenza B viruses identified for the season in which the trial is conducted in a total volume of 0.5 mL

Biological: Flublok Quadrivalent Influenza Vaccine
Intramuscular injection of vaccine

Active Comparator: Inactivated Influenza Vaccine

Intramuscular injection of vaccine contains 4 x 15µg (60µg total) of HA derived from the same influenza A/H1N1 and A/H3N2 and influenza B strains in a total volume of 0.5mL.

Biological: Inactivated Influenza Vaccine
Intramuscular injection of vaccine

Outcome Measures

Primary Outcome Measures

  1. Number of Participants With rtPCR-confirmed Influenza-Like Illness [14 days post vaccination through and up to 32 weeks post vaccination]

    rtPCR-confirmed, protocol-defined Influenza-Like Illness (ILI) caused by any influenza strain that begins at least 14 days post-vaccination

Secondary Outcome Measures

  1. Number of Participants With Culture-confirmed Influenza-Like Illness [14 days post vaccination through and up to 32 weeks post vaccination]

    Culture-confirmed protocol-defined Influenza-Like Illness (ILI) that begins at least 14 days post-vaccination caused by an influenza strain (identified from the same clinical sample) antigenically matched to those strains represented in the study vaccines. Protocol-defined ILI is defined as at least one of the following respiratory symptoms accompanied by at least one of the following systemic symptoms: Respiratory symptoms: sore throat, cough, sputm production, wheezing, difficulty breathing Systemic symptoms: fever, chills (shivering), tiredness (fatigue), headache, myalgia (muscle ache)

  2. Number of Participants With Culture-confirmed CDC-defined Influenza-Like Illness [14 days post vaccination through and up to 32 weeks post vaccination]

    Culture-confirmed CDC-defined Influenza-Like Illness (ILI) that begins at least 14 days post-vaccination caused by an influenza strain (identified from the same clinical sample) antigenically matched to those in the study vaccines. CDC-defined ILI is defined as body temperature ≥100°F accompanied by cough and/or sore throat.

  3. Number of Participants With rtPCR-confirmed CDC-defined Influenza-Like Illness [14 days post vaccination through and up to 32 weeks post vaccination]

    rtPCR-confirmed CDC-defined ILI that begins at least 14 days post-vaccination caused by any influenza strain.

  4. Percentage of Participants With Seroconversion [Days 0 through 28]

    Seroconversion rates (SCR) for all four antigens in a preselected subset of subjects.

  5. Number of Participants With Local Injection Site Reactogenicity [Days 0 through 7]

    Solicited events of injection site reactogenicity reported during Day 0-7.

  6. Number of Participants With Unsolicited Adverse Events [Days 0 through 28]

    Unsolicited adverse events reported in the 28 days following vaccine administration.

  7. Number of Participants With Serious Adverse Events (SAEs) and Medically-attended Adverse Events (MAEs) [Day 0 through and up to 32 weeks post vaccination]

    Serious adverse events (SAEs) and medically-attended adverse events (MAEs) occurring during the period of follow-up through the influenza season (at least 6 months post-vaccination). A MAE is an event that prompts an unplanned visit to a medical professional for diagnosis and/or treatment.

  8. Measure of Post-vaccination HAI GMTs [Days 0 through 28]

    GMT titers for all four antigens in a preselected subset of subjects.

  9. Number of Participants With Systemic Reactogenicity [Days 0 through 7]

    Solicited events of systemic reactogenicity reported during Day 0-7.

Eligibility Criteria

Criteria

Ages Eligible for Study:
50 Years and Older
Sexes Eligible for Study:
All
Accepts Healthy Volunteers:
Yes
Inclusion Criteria:
  1. Ambulatory adults aged 50 and older.

  2. Medically stable, as determined by medical history and targeted physical examination. "Medically stable" is defined as no change in diagnoses or chronic medications (dose or class) for medical reasons in the 3 months prior to study.

  3. Absence of underlying conditions that make participation in the study contrary to the subject's best interest.

  4. Able to understand and comply with planned study procedures.

  5. Provides written informed consent prior to initiation of any study procedure.

Exclusion Criteria:
  1. Known contraindication to either study vaccine (see product package inserts)

  2. Receipt of any other influenza vaccine within 180 days prior to enrollment in this study.

  3. Underlying disease or ongoing therapy that might cause immunocompromise, e.g. cytotoxic agents or supraphysiologic doses of corticosteroids, such that response to vaccination might be sub-optimal.

Contacts and Locations

Locations

Site City State Country Postal Code
1 Coastal Clinical Research Mobile Alabama United States 36608
2 Clinical Research Consortium Arizona Tempe Arizona United States 85283
3 Baptist Health Center for Clinical Research Little Rock Arkansas United States 72205
4 Northern California Clinical Research Center Redding California United States 96001
5 Benchmark Research - Sacramento Sacramento California United States 95816
6 Benchmark Research - San Francisco San Francisco California United States 94102
7 Lynn Institute of the Rockies Colorado Springs Colorado United States 80907
8 Clinical Research Consulting Milford Connecticut United States 06460
9 Clinical Research of South Florida Coral Gables Florida United States 33134
10 Avail Clinical Research DeLand Florida United States 32720
11 Westside Center for Clinical Research Jacksonville Florida United States 32205
12 Jacksonville Center for Clinical Research Jacksonville Florida United States 32216
13 Progressive Medical Research Port Orange Florida United States 32127
14 Meridian Research Savannah Georgia United States 31406
15 ACR - Boise Meridian Idaho United States 83642
16 Heartland Research Associates, LLC Wichita Kansas United States 67207
17 Central Kentucky Research Associates Lexington Kentucky United States 40509
18 Benchmarch Research - New Orleans Metairie Louisiana United States 70006
19 ActivMed Practices & Research Methuen Massachusetts United States 01844
20 Center for Pharmaceutical Research Kansas City Missouri United States 64114
21 Meridian Research Bellevue Nebraska United States 68005
22 Meridian Research Norfolk Nebraska United States 68701
23 Meridian Clinical Research Omaha Nebraska United States 68164
24 Clinical Research Consortium-Nevada Las Vegas Nevada United States 89119
25 ActivMed Practices & Research Newington New Hampshire United States 03801
26 Regional Clinical Research, Inc. Endwell New York United States 13760
27 Rochester Clinical Research Rochester New York United States 14609
28 Wake Research Raleigh North Carolina United States 27612
29 Rapid Medical Research, Inc. Cleveland Ohio United States 44122
30 Lynn Institute of Norman Norman Oklahoma United States 73069
31 Lynn Health Science Institute Oklahoma City Oklahoma United States 73112
32 Meridian Research Dakota Dunes South Dakota United States 57049
33 Clinical Research Associates Nashville Tennessee United States 37203
34 Benchmark Reseach Austin Texas United States 78705
35 Benchmark Research - Fort Worth Fort Worth Texas United States 76135
36 Benchmark Research - San Angelo San Angelo Texas United States 76904
37 Jean Brown Research Salt Lake City Utah United States 84124
38 Clinical Research Associates of Tidewater Norfolk Virginia United States 23507

Sponsors and Collaborators

  • Protein Sciences Corporation

Investigators

None specified.

Study Documents (Full-Text)

None provided.

More Information

Additional Information:

Publications

None provided.
Responsible Party:
Protein Sciences Corporation
ClinicalTrials.gov Identifier:
NCT02285998
Other Study ID Numbers:
  • PSC12
First Posted:
Nov 7, 2014
Last Update Posted:
Oct 27, 2017
Last Verified:
Sep 1, 2017
Keywords provided by Protein Sciences Corporation
Additional relevant MeSH terms:

Study Results

Participant Flow

Recruitment Details
Pre-assignment Detail Excludes 40 subjects who received randomization numbers, but who either withdrew prior to vaccination (n=15) or for whom the vaccine received could not be verified (n=25; 12 assigned to Flublok quadrivalent and 13 assigned to IIV4).
Arm/Group Title Flublok Quadrivalent Influenza Vaccine Inactivated Influenza Vaccine
Arm/Group Description Intramuscular injection of vaccine containing 4 x 45µg (180µg total) of each recombinant hemagglutinin (rHA) derived from influenza A/H1N1 and A/H3N2 and two lineages of influenza B viruses identified for the season in which the trial is conducted in a total volume of 0.5 mL Flublok Quadrivalent Influenza Vaccine: Intramuscular injection of vaccine Intramuscular injection of vaccine contains 4 x 15µg (60µg total) of HA derived from the same influenza A/H1N1 and A/H3N2 and influenza B strains in a total volume of 0.5mL. Inactivated Influenza Vaccine: Intramuscular injection of vaccine
Period Title: Overall Study
STARTED 4474 4489
COMPLETED 4228 4236
NOT COMPLETED 246 253

Baseline Characteristics

Arm/Group Title Flublok Quadrivalent Influenza Vaccine Inactivated Influenza Vaccine Total
Arm/Group Description Intramuscular injection of vaccine containing 4 x 45µg (180µg total) of each recombinant hemagglutinin (rHA) derived from influenza A/H1N1 and A/H3N2 and two lineages of influenza B viruses identified for the season in which the trial is conducted in a total volume of 0.5 mL Flublok Quadrivalent Influenza Vaccine: Intramuscular injection of vaccine Intramuscular injection of vaccine contains 4 x 15µg (60µg total) of HA derived from the same influenza A/H1N1 and A/H3N2 and influenza B strains in a total volume of 0.5mL. Inactivated Influenza Vaccine: Intramuscular injection of vaccine Total of all reporting groups
Overall Participants 4328 4344 8672
Age, Customized (participants) [Number]
50-64 years
2569
59.4%
2617
60.2%
5186
59.8%
65-74 years
1234
28.5%
1254
28.9%
2488
28.7%
75 years and older
525
12.1%
473
10.9%
998
11.5%
Sex: Female, Male (Count of Participants)
Female
2532
58.5%
2537
58.4%
5069
58.5%
Male
1796
41.5%
1807
41.6%
3603
41.5%

Outcome Measures

1. Primary Outcome
Title Number of Participants With rtPCR-confirmed Influenza-Like Illness
Description rtPCR-confirmed, protocol-defined Influenza-Like Illness (ILI) caused by any influenza strain that begins at least 14 days post-vaccination
Time Frame 14 days post vaccination through and up to 32 weeks post vaccination

Outcome Measure Data

Analysis Population Description
The efficacy population includes all randomized subjects who received study vaccine and provided any follow-up for ILI beginning at least 14 days following vaccine administration.
Arm/Group Title Flublok Quadrivalent Influenza Vaccine Inactivated Influenza Vaccine
Arm/Group Description Intramuscular injection of vaccine containing 4 x 45µg (180µg total) of each recombinant hemagglutinin (rHA) derived from influenza A/H1N1 and A/H3N2 and two lineages of influenza B viruses identified for the season in which the trial is conducted in a total volume of 0.5 mL Flublok Quadrivalent Influenza Vaccine: Intramuscular injection of vaccine Intramuscular injection of vaccine contains 4 x 15µg (60µg total) of HA derived from the same influenza A/H1N1 and A/H3N2 and influenza B strains in a total volume of 0.5mL. Inactivated Influenza Vaccine: Intramuscular injection of vaccine
Measure Participants 4303 4301
Number [participants]
96
2.2%
138
3.2%
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Flublok Quadrivalent Influenza Vaccine, Inactivated Influenza Vaccine
Comments The primary efficacy analysis was based on the numbers of protocol-defined influenza-like illnesses with rtPCR-positive nasopharyngeal swabs detecting influenza virus of any strain. The Relative Vaccine Efficacy was 30% (10, 47). Non-inferiority would be concluded if the lower bound of the 95% CI for rVE was > -20%. Superiority of RIV4 in a pre-specified exploratory analysis required that the lower bound of the two-sided 95% CI of rVE be > +9%.
Type of Statistical Test Non-Inferiority or Equivalence
Comments The sample size required to achieve 80% power was calculated based on a one-sided alpha level of 0.025 and an attack rate of 2% in the IIV4 and 1.53% for the Flublok groups respectively.
Statistical Test of Hypothesis p-Value
Comments
Method
Comments
Method of Estimation Estimation Parameter Relative Vaccine Efficacy (rVE)
Estimated Value 30
Confidence Interval (2-Sided) 95%
10 to 47
Parameter Dispersion Type:
Value:
Estimation Comments
2. Secondary Outcome
Title Number of Participants With Culture-confirmed Influenza-Like Illness
Description Culture-confirmed protocol-defined Influenza-Like Illness (ILI) that begins at least 14 days post-vaccination caused by an influenza strain (identified from the same clinical sample) antigenically matched to those strains represented in the study vaccines. Protocol-defined ILI is defined as at least one of the following respiratory symptoms accompanied by at least one of the following systemic symptoms: Respiratory symptoms: sore throat, cough, sputm production, wheezing, difficulty breathing Systemic symptoms: fever, chills (shivering), tiredness (fatigue), headache, myalgia (muscle ache)
Time Frame 14 days post vaccination through and up to 32 weeks post vaccination

Outcome Measure Data

Analysis Population Description
The efficacy population includes all randomized subjects who received study vaccine and provided any follow-up for ILI beginning at least 14 days following vaccine administration.
Arm/Group Title Flublok Quadrivalent Influenza Vaccine Inactivated Influenza Vaccine
Arm/Group Description Intramuscular injection of vaccine containing 4 x 45µg (180µg total) of each recombinant hemagglutinin (rHA) derived from influenza A/H1N1 and A/H3N2 and two lineages of influenza B viruses identified for the season in which the trial is conducted in a total volume of 0.5 mL Flublok Quadrivalent Influenza Vaccine: Intramuscular injection of vaccine Intramuscular injection of vaccine contains 4 x 15µg (60µg total) of HA derived from the same influenza A/H1N1 and A/H3N2 and influenza B strains in a total volume of 0.5mL. Inactivated Influenza Vaccine: Intramuscular injection of vaccine
Measure Participants 4303 4301
Number [participants]
58
1.3%
101
2.3%
3. Secondary Outcome
Title Number of Participants With Culture-confirmed CDC-defined Influenza-Like Illness
Description Culture-confirmed CDC-defined Influenza-Like Illness (ILI) that begins at least 14 days post-vaccination caused by an influenza strain (identified from the same clinical sample) antigenically matched to those in the study vaccines. CDC-defined ILI is defined as body temperature ≥100°F accompanied by cough and/or sore throat.
Time Frame 14 days post vaccination through and up to 32 weeks post vaccination

Outcome Measure Data

Analysis Population Description
The efficacy population includes all randomized subjects who received study vaccine and provided any follow-up for ILI beginning at least 14 days following vaccine administration.
Arm/Group Title Flublok Quadrivalent Influenza Vaccine Inactivated Influenza Vaccine
Arm/Group Description Intramuscular injection of vaccine containing 4 x 45µg (180µg total) of each recombinant hemagglutinin (rHA) derived from influenza A/H1N1 and A/H3N2 and two lineages of influenza B viruses identified for the season in which the trial is conducted in a total volume of 0.5 mL Flublok Quadrivalent Influenza Vaccine: Intramuscular injection of vaccine Intramuscular injection of vaccine contains 4 x 15µg (60µg total) of HA derived from the same influenza A/H1N1 and A/H3N2 and influenza B strains in a total volume of 0.5mL. Inactivated Influenza Vaccine: Intramuscular injection of vaccine
Measure Participants 4303 4301
Number [participants]
38
0.9%
64
1.5%
4. Secondary Outcome
Title Number of Participants With rtPCR-confirmed CDC-defined Influenza-Like Illness
Description rtPCR-confirmed CDC-defined ILI that begins at least 14 days post-vaccination caused by any influenza strain.
Time Frame 14 days post vaccination through and up to 32 weeks post vaccination

Outcome Measure Data

Analysis Population Description
The efficacy population includes all randomized subjects who received study vaccine and provided any follow-up for ILI beginning at least 14 days following vaccine administration.
Arm/Group Title Flublok Quadrivalent Influenza Vaccine Inactivated Influenza Vaccine
Arm/Group Description Intramuscular injection of vaccine containing 4 x 45µg (180µg total) of each recombinant hemagglutinin (rHA) derived from influenza A/H1N1 and A/H3N2 and two lineages of influenza B viruses identified for the season in which the trial is conducted in a total volume of 0.5 mL Flublok Quadrivalent Influenza Vaccine: Intramuscular injection of vaccine Intramuscular injection of vaccine contains 4 x 15µg (60µg total) of HA derived from the same influenza A/H1N1 and A/H3N2 and influenza B strains in a total volume of 0.5mL. Inactivated Influenza Vaccine: Intramuscular injection of vaccine
Measure Participants 4303 4301
Number [participants]
54
1.2%
83
1.9%
5. Secondary Outcome
Title Percentage of Participants With Seroconversion
Description Seroconversion rates (SCR) for all four antigens in a preselected subset of subjects.
Time Frame Days 0 through 28

Outcome Measure Data

Analysis Population Description
The immunogenicity population includes all randomized subjects at the specific study sites pre-selected for serology who received study vaccine and provided serum samples on Days 0 and 28 for serologic testing.
Arm/Group Title Flublok Quadrivalent Influenza Vaccine Inactivated Influenza Vaccine
Arm/Group Description Intramuscular injection of vaccine containing 4 x 45µg (180µg total) of each recombinant hemagglutinin (rHA) derived from influenza A/H1N1 and A/H3N2 and two lineages of influenza B viruses identified for the season in which the trial is conducted in a total volume of 0.5 mL Flublok Quadrivalent Influenza Vaccine: Intramuscular injection of vaccine Intramuscular injection of vaccine contains 4 x 15µg (60µg total) of HA derived from the same influenza A/H1N1 and A/H3N2 and influenza B strains in a total volume of 0.5mL. Inactivated Influenza Vaccine: Intramuscular injection of vaccine
Measure Participants 314 300
A/California
44.9
1%
49.0
1.1%
A/Texas
54.5
1.3%
43.3
1%
B/Massachusetts
38.9
0.9%
38.3
0.9%
B/Brisbane
21.0
0.5%
34.3
0.8%
6. Secondary Outcome
Title Number of Participants With Local Injection Site Reactogenicity
Description Solicited events of injection site reactogenicity reported during Day 0-7.
Time Frame Days 0 through 7

Outcome Measure Data

Analysis Population Description
Solicited local reactogenicity events include subjects who recorded any injection site reaction data.
Arm/Group Title Flublok Quadrivalent Influenza Vaccine Inactivated Influenza Vaccine
Arm/Group Description Intramuscular injection of vaccine containing 4 x 45µg (180µg total) of each recombinant hemagglutinin (rHA) derived from influenza A/H1N1 and A/H3N2 and two lineages of influenza B viruses identified for the season in which the trial is conducted in a total volume of 0.5 mL Flublok Quadrivalent Influenza Vaccine: Intramuscular injection of vaccine Intramuscular injection of vaccine contains 4 x 15µg (60µg total) of HA derived from the same influenza A/H1N1 and A/H3N2 and influenza B strains in a total volume of 0.5mL. Inactivated Influenza Vaccine: Intramuscular injection of vaccine
Measure Participants 4307 4319
Number [participants]
1621
37.5%
1745
40.2%
7. Secondary Outcome
Title Number of Participants With Unsolicited Adverse Events
Description Unsolicited adverse events reported in the 28 days following vaccine administration.
Time Frame Days 0 through 28

Outcome Measure Data

Analysis Population Description
The safety population includes all randomized and vaccinated subjects who provided any safety data (solicited or unsolicited) following administration of study vaccine.
Arm/Group Title Flublok Quadrivalent Influenza Vaccine Inactivated Influenza Vaccine
Arm/Group Description Intramuscular injection of vaccine containing 4 x 45µg (180µg total) of each recombinant hemagglutinin (rHA) derived from influenza A/H1N1 and A/H3N2 and two lineages of influenza B viruses identified for the season in which the trial is conducted in a total volume of 0.5 mL Flublok Quadrivalent Influenza Vaccine: Intramuscular injection of vaccine Intramuscular injection of vaccine contains 4 x 15µg (60µg total) of HA derived from the same influenza A/H1N1 and A/H3N2 and influenza B strains in a total volume of 0.5mL. Inactivated Influenza Vaccine: Intramuscular injection of vaccine
Measure Participants 4328 4344
Number [participants]
1345
31.1%
1355
31.2%
8. Secondary Outcome
Title Number of Participants With Serious Adverse Events (SAEs) and Medically-attended Adverse Events (MAEs)
Description Serious adverse events (SAEs) and medically-attended adverse events (MAEs) occurring during the period of follow-up through the influenza season (at least 6 months post-vaccination). A MAE is an event that prompts an unplanned visit to a medical professional for diagnosis and/or treatment.
Time Frame Day 0 through and up to 32 weeks post vaccination

Outcome Measure Data

Analysis Population Description
The safety population includes all randomized and vaccinated subjects who provided any safety data (solicited or unsolicited) following administration of study vaccine.
Arm/Group Title Flublok Quadrivalent Influenza Vaccine Inactivated Influenza Vaccine
Arm/Group Description Intramuscular injection of vaccine containing 4 x 45µg (180µg total) of each recombinant hemagglutinin (rHA) derived from influenza A/H1N1 and A/H3N2 and two lineages of influenza B viruses identified for the season in which the trial is conducted in a total volume of 0.5 mL Flublok Quadrivalent Influenza Vaccine: Intramuscular injection of vaccine Intramuscular injection of vaccine contains 4 x 15µg (60µg total) of HA derived from the same influenza A/H1N1 and A/H3N2 and influenza B strains in a total volume of 0.5mL. Inactivated Influenza Vaccine: Intramuscular injection of vaccine
Measure Participants 4328 4344
SAEs
145
3.4%
132
3%
MAEs
774
17.9%
785
18.1%
9. Secondary Outcome
Title Measure of Post-vaccination HAI GMTs
Description GMT titers for all four antigens in a preselected subset of subjects.
Time Frame Days 0 through 28

Outcome Measure Data

Analysis Population Description
The immunogenicity population includes all randomized subjects at the specific study sites pre-selected for serology who received study vaccine and provided serum samples on Days 0 and 28 for serologic testing.
Arm/Group Title Flublok Quadrivalent Influenza Vaccine Inactivated Influenza Vaccine
Arm/Group Description Intramuscular injection of vaccine containing 4 x 45µg (180µg total) of each recombinant hemagglutinin (rHA) derived from influenza A/H1N1 and A/H3N2 and two lineages of influenza B viruses identified for the season in which the trial is conducted in a total volume of 0.5 mL Flublok Quadrivalent Influenza Vaccine: Intramuscular injection of vaccine Intramuscular injection of vaccine contains 4 x 15µg (60µg total) of HA derived from the same influenza A/H1N1 and A/H3N2 and influenza B strains in a total volume of 0.5mL. Inactivated Influenza Vaccine: Intramuscular injection of vaccine
Measure Participants 314 300
Day 0 - A/California
45
49
Day 28 - A/California
194
224
Day 0 - A/Texas
88
100
Day 28 - A/Texas
530
366
Day 0 - B/Massachusetts
17
18
Day 28 - B/Massachusetts
56
58
Day 0 - B/Brisbane
14
15
Day 28 - B/Brisbane
30
44
10. Secondary Outcome
Title Number of Participants With Systemic Reactogenicity
Description Solicited events of systemic reactogenicity reported during Day 0-7.
Time Frame Days 0 through 7

Outcome Measure Data

Analysis Population Description
Solicited systemic reactogenicity events include subjects who recorded any systemic reaction data.
Arm/Group Title Flublok Quadrivalent Influenza Vaccine Inactivated Influenza Vaccine
Arm/Group Description Intramuscular injection of vaccine containing 4 x 45µg (180µg total) of each recombinant hemagglutinin (rHA) derived from influenza A/H1N1 and A/H3N2 and two lineages of influenza B viruses identified for the season in which the trial is conducted in a total volume of 0.5 mL Flublok Quadrivalent Influenza Vaccine: Intramuscular injection of vaccine Intramuscular injection of vaccine contains 4 x 15µg (60µg total) of HA derived from the same influenza A/H1N1 and A/H3N2 and influenza B strains in a total volume of 0.5mL. Inactivated Influenza Vaccine: Intramuscular injection of vaccine
Measure Participants 4306 4318
Number [participants]
1077
24.9%
1106
25.5%

Adverse Events

Time Frame From time vaccination until the end of the influenza season (~6 months).
Adverse Event Reporting Description
Arm/Group Title Flublok Quadrivalent Influenza Vaccine Inactivated Influenza Vaccine
Arm/Group Description Intramuscular injection of vaccine containing 4 x 45µg (180µg total) of each recombinant hemagglutinin (rHA) derived from influenza A/H1N1 and A/H3N2 and two lineages of influenza B viruses identified for the season in which the trial is conducted in a total volume of 0.5 mL Flublok Quadrivalent Influenza Vaccine: Intramuscular injection of vaccine Intramuscular injection of vaccine contains 4 x 15µg (60µg total) of HA derived from the same influenza A/H1N1 and A/H3N2 and influenza B strains in a total volume of 0.5mL. Inactivated Influenza Vaccine: Intramuscular injection of vaccine
All Cause Mortality
Flublok Quadrivalent Influenza Vaccine Inactivated Influenza Vaccine
Affected / at Risk (%) # Events Affected / at Risk (%) # Events
Total / (NaN) / (NaN)
Serious Adverse Events
Flublok Quadrivalent Influenza Vaccine Inactivated Influenza Vaccine
Affected / at Risk (%) # Events Affected / at Risk (%) # Events
Total 145/4328 (3.4%) 132/4344 (3%)
Blood and lymphatic system disorders
Anaemia 1/4328 (0%) 0/4344 (0%)
Leukocytosis 1/4328 (0%) 0/4344 (0%)
Microcytic anaemia 1/4328 (0%) 0/4344 (0%)
Thrombocytosis 1/4328 (0%) 0/4344 (0%)
Cardiac disorders
Atrial fibrillation 6/4328 (0.1%) 3/4344 (0.1%)
Myocardial infarction 4/4328 (0.1%) 3/4344 (0.1%)
Angina pectoris 2/4328 (0%) 2/4344 (0%)
Cardiac failure congestive 2/4328 (0%) 2/4344 (0%)
Angina unstable 2/4328 (0%) 1/4344 (0%)
Coronary artery disease 2/4328 (0%) 1/4344 (0%)
Cardiac arrest 1/4328 (0%) 1/4344 (0%)
Cardiac failure 0/4328 (0%) 2/4344 (0%)
Acute myocardial infarction 1/4328 (0%) 0/4344 (0%)
Arrhythmia 1/4328 (0%) 0/4344 (0%)
Atrial flutter 1/4328 (0%) 0/4344 (0%)
Cardiac tamponade 0/4328 (0%) 1/4344 (0%)
Cardio-respiratory arrest 0/4328 (0%) 1/4344 (0%)
Cardiogenic shock 1/4328 (0%) 0/4344 (0%)
Cardiovascular disorder 0/4328 (0%) 1/4344 (0%)
Coronary artery insufficiency 1/4328 (0%) 0/4344 (0%)
Coronary artery stenosis 1/4328 (0%) 0/4344 (0%)
Coronary artery thrombosis 1/4328 (0%) 0/4344 (0%)
Ischaemic cardiomyopathy 1/4328 (0%) 0/4344 (0%)
Sick sinus syndrome 0/4328 (0%) 1/4344 (0%)
Supraventricular tachycardia 1/4328 (0%) 0/4344 (0%)
Ear and labyrinth disorders
Vertigo 0/4328 (0%) 1/4344 (0%)
Gastrointestinal disorders
Gastrointestinal haemorrhage 4/4328 (0.1%) 1/4344 (0%)
Small intestinal obstruction 2/4328 (0%) 1/4344 (0%)
Upper gastrointestinal haemorrhage 1/4328 (0%) 2/4344 (0%)
Diverticulum intestinal haemorrhagic 1/4328 (0%) 1/4344 (0%)
Dysphagia 2/4328 (0%) 0/4344 (0%)
Intestinal obstruction 1/4328 (0%) 1/4344 (0%)
Pancreatitis 2/4328 (0%) 0/4344 (0%)
Abdominal pain 1/4328 (0%) 0/4344 (0%)
Colitis ischaemic 0/4328 (0%) 1/4344 (0%)
Cyclic vomiting syndrome 1/4328 (0%) 0/4344 (0%)
Diverticulum 1/4328 (0%) 0/4344 (0%)
Food poisoning 1/4328 (0%) 0/4344 (0%)
Gastric ulcer 1/4328 (0%) 0/4344 (0%)
Haemorrhoids 1/4328 (0%) 0/4344 (0%)
Hiatus hernia 0/4328 (0%) 1/4344 (0%)
Ileus 1/4328 (0%) 0/4344 (0%)
Inguinal hernia 1/4328 (0%) 0/4344 (0%)
Intestinal perforation 1/4328 (0%) 0/4344 (0%)
Volvulus 0/4328 (0%) 1/4344 (0%)
General disorders
Chest pain 7/4328 (0.2%) 6/4344 (0.1%)
Death 2/4328 (0%) 1/4344 (0%)
Non-cardiac chest pain 3/4328 (0.1%) 0/4344 (0%)
Asthenia 0/4328 (0%) 1/4344 (0%)
Drug withdrawal syndrome 0/4328 (0%) 1/4344 (0%)
Hernia obstructive 0/4328 (0%) 1/4344 (0%)
Oedema peripheral 1/4328 (0%) 0/4344 (0%)
Pain 1/4328 (0%) 0/4344 (0%)
Hepatobiliary disorders
Cholelithiasis 1/4328 (0%) 1/4344 (0%)
Cholecystitis 0/4328 (0%) 1/4344 (0%)
Hepatic cirrhosis 1/4328 (0%) 0/4344 (0%)
Hepatic haemorrhage 0/4328 (0%) 1/4344 (0%)
Hepatitis alcoholic 0/4328 (0%) 1/4344 (0%)
Infections and infestations
Pneumonia 6/4328 (0.1%) 6/4344 (0.1%)
Bronchitis 2/4328 (0%) 3/4344 (0.1%)
Diverticulitis 2/4328 (0%) 2/4344 (0%)
Influenza 1/4328 (0%) 3/4344 (0.1%)
Urinary tract infection 2/4328 (0%) 2/4344 (0%)
Cellulitis 0/4328 (0%) 3/4344 (0.1%)
Appendicitis 1/4328 (0%) 1/4344 (0%)
Lung Infection 1/4328 (0%) 1/4344 (0%)
Osteomyelitis 1/4328 (0%) 1/4344 (0%)
Pyelonephritis 1/4328 (0%) 1/4344 (0%)
Abscess intestinal 1/4328 (0%) 0/4344 (0%)
Device related infection 1/4328 (0%) 0/4344 (0%)
Endocarditis staphylococcal 1/4328 (0%) 0/4344 (0%)
Erysipelas 0/4328 (0%) 1/4344 (0%)
Eye abscess 1/4328 (0%) 0/4344 (0%)
Gangrene 0/4328 (0%) 1/4344 (0%)
Osteomyelitis acute 0/4328 (0%) 1/4344 (0%)
Osteomyelitis chronic 0/4328 (0%) 1/4344 (0%)
Otitis media 0/4328 (0%) 1/4344 (0%)
Pneumonia bacterial 1/4328 (0%) 0/4344 (0%)
Salmonellosis 1/4328 (0%) 0/4344 (0%)
Urinary tract infection fungal 0/4328 (0%) 1/4344 (0%)
Urosepsis 0/4328 (0%) 1/4344 (0%)
Viral upper respiratory tract infection 0/4328 (0%) 1/4344 (0%)
Injury, poisoning and procedural complications
Craniocerebral injury 1/4328 (0%) 1/4344 (0%)
Toxicity to various agents 0/4328 (0%) 2/4344 (0%)
Upper limb fracture 1/4328 (0%) 1/4344 (0%)
Cervical vertebral fracture 1/4328 (0%) 0/4344 (0%)
Head injury 1/4328 (0%) 0/4344 (0%)
Hip fracture 1/4328 (0%) 0/4344 (0%)
Lower limb fracture 0/4328 (0%) 1/4344 (0%)
Overdose 1/4328 (0%) 0/4344 (0%)
Procedural pain 0/4328 (0%) 1/4344 (0%)
Road traffic accident 1/4328 (0%) 0/4344 (0%)
Spinal compression fracture 1/4328 (0%) 0/4344 (0%)
Stab wound 1/4328 (0%) 0/4344 (0%)
Tendon rupture 0/4328 (0%) 1/4344 (0%)
Tibia fracture 0/4328 (0%) 1/4344 (0%)
Wound complication 0/4328 (0%) 1/4344 (0%)
Investigations
Haematocrit decreased 0/4328 (0%) 1/4344 (0%)
International normalised ratio increased 1/4328 (0%) 0/4344 (0%)
Troponin increased 1/4328 (0%) 0/4344 (0%)
Metabolism and nutrition disorders
Hyponatraemia 2/4328 (0%) 1/4344 (0%)
Dehydration 2/4328 (0%) 0/4344 (0%)
Diabetes mellitus inadequate control 1/4328 (0%) 1/4344 (0%)
Diabetic ketoacidosis 1/4328 (0%) 0/4344 (0%)
Failure to thrive 0/4328 (0%) 1/4344 (0%)
Gout 0/4328 (0%) 1/4344 (0%)
Hyperglycaemia 1/4328 (0%) 0/4344 (0%)
Hypoglycaemia 0/4328 (0%) 1/4344 (0%)
Lactic acidosis 0/4328 (0%) 1/4344 (0%)
Obesity 0/4328 (0%) 1/4344 (0%)
Musculoskeletal and connective tissue disorders
Osteoarthritis 8/4328 (0.2%) 7/4344 (0.2%)
Intervertebral disc protrusion 1/4328 (0%) 4/4344 (0.1%)
Arthralgia 2/4328 (0%) 0/4344 (0%)
Back pain 2/4328 (0%) 0/4344 (0%)
Intervertebral disc degeneration 1/4328 (0%) 1/4344 (0%)
Musculoskeletal pain 1/4328 (0%) 1/4344 (0%)
Neck pain 2/4328 (0%) 0/4344 (0%)
Spinal column stenosis 1/4328 (0%) 1/4344 (0%)
Arthritis 0/4328 (0%) 1/4344 (0%)
Intervertebral disc compression 1/4328 (0%) 0/4344 (0%)
Lumbar spinal stenosis 0/4328 (0%) 1/4344 (0%)
Muscular weakness 0/4328 (0%) 1/4344 (0%)
Pain in extremity 1/4328 (0%) 0/4344 (0%)
Rhabdomyolysis 1/4328 (0%) 0/4344 (0%)
Rotator cuff syndrome 1/4328 (0%) 0/4344 (0%)
Tenosynovitis stenosans 0/4328 (0%) 1/4344 (0%)
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Breast cancer 1/4328 (0%) 4/4344 (0.1%)
Prostate cancer 2/4328 (0%) 2/4344 (0%)
Bladder cancer 1/4328 (0%) 1/4344 (0%)
Hepatic cancer 0/4328 (0%) 2/4344 (0%)
Squamous cell carcinoma of lung 0/4328 (0%) 2/4344 (0%)
Abdominal wall neoplasm 1/4328 (0%) 0/4344 (0%)
B-cell lymphoma 0/4328 (0%) 1/4344 (0%)
Bladder neoplasm 0/4328 (0%) 1/4344 (0%)
Colorectal cancer 0/4328 (0%) 1/4344 (0%)
Colorectal cancer recurrent 1/4328 (0%) 0/4344 (0%)
Invasive ductal breast carcinoma 1/4328 (0%) 0/4344 (0%)
Metastases to liver 0/4328 (0%) 1/4344 (0%)
Oesophageal carcinoma 1/4328 (0%) 0/4344 (0%)
Pancreatic carcinoma metastatic 1/4328 (0%) 0/4344 (0%)
Renal cancer 0/4328 (0%) 1/4344 (0%)
Rhabdomyoma 0/4328 (0%) 1/4344 (0%)
Testis cancer 1/4328 (0%) 0/4344 (0%)
Thyroid cancer 0/4328 (0%) 1/4344 (0%)
Thyroid neoplasm 0/4328 (0%) 1/4344 (0%)
Transitional cell carcinoma 0/4328 (0%) 1/4344 (0%)
Nervous system disorders
Cerebrovascular accident 5/4328 (0.1%) 6/4344 (0.1%)
Transient ischaemic attack 3/4328 (0.1%) 2/4344 (0%)
Syncope 1/4328 (0%) 3/4344 (0.1%)
Convulsion 1/4328 (0%) 1/4344 (0%)
Embolic stroke 2/4328 (0%) 0/4344 (0%)
Cerebral haemorrhage 1/4328 (0%) 0/4344 (0%)
Encephalopathy 0/4328 (0%) 1/4344 (0%)
Haemorrhagic stroke 0/4328 (0%) 1/4344 (0%)
Lacunar infarction 1/4328 (0%) 0/4344 (0%)
Loss of consciousness 1/4328 (0%) 0/4344 (0%)
Lumbar radiculopathy 0/4328 (0%) 1/4344 (0%)
Myelomalacia 1/4328 (0%) 0/4344 (0%)
Sinus headache 1/4328 (0%) 0/4344 (0%)
Subarachnoid haemorrhage 1/4328 (0%) 0/4344 (0%)
Thalamic infarction 1/4328 (0%) 0/4344 (0%)
Psychiatric disorders
Suicidal ideation 0/4328 (0%) 2/4344 (0%)
Anxiety 0/4328 (0%) 1/4344 (0%)
Renal and urinary disorders
Renal failure acute 3/4328 (0.1%) 1/4344 (0%)
Urinary retention 2/4328 (0%) 0/4344 (0%)
Bladder outlet obstruction 1/4328 (0%) 0/4344 (0%)
Calculus ureteric 1/4328 (0%) 0/4344 (0%)
Renal necrosis 1/4328 (0%) 0/4344 (0%)
Reproductive system and breast disorders
Benign prostatic hyperplasia 1/4328 (0%) 0/4344 (0%)
Cystocele 0/4328 (0%) 1/4344 (0%)
Menorrhagia 0/4328 (0%) 1/4344 (0%)
Uterine disorder 0/4328 (0%) 1/4344 (0%)
Respiratory, thoracic and mediastinal disorders
Chronic obstructive pulmonary disease 5/4328 (0.1%) 5/4344 (0.1%)
Pulmonary embolism 3/4328 (0.1%) 1/4344 (0%)
Acute respiratory failure 2/4328 (0%) 0/4344 (0%)
Respiratory failure 1/4328 (0%) 1/4344 (0%)
Aspiration 0/4328 (0%) 1/4344 (0%)
Epistaxis 0/4328 (0%) 1/4344 (0%)
Pleural effusion 0/4328 (0%) 1/4344 (0%)
Skin and subcutaneous tissue disorders
Hyperhidrosis 0/4328 (0%) 1/4344 (0%)
Surgical and medical procedures
Knee arthroplasty 2/4328 (0%) 0/4344 (0%)
Abdominal hernia repair 1/4328 (0%) 0/4344 (0%)
Alcohol detoxification 0/4328 (0%) 1/4344 (0%)
Drug detoxification 0/4328 (0%) 1/4344 (0%)
Gastric bypass 1/4328 (0%) 0/4344 (0%)
Hernia repair 1/4328 (0%) 0/4344 (0%)
Hip arthroplasty 0/4328 (0%) 1/4344 (0%)
Inguinal hernia repair 0/4328 (0%) 1/4344 (0%)
Intestinal resection 1/4328 (0%) 0/4344 (0%)
Joint surgery 1/4328 (0%) 0/4344 (0%)
Rotator cuff repair 1/4328 (0%) 0/4344 (0%)
Vascular disorders
Hypertensive crisis 1/4328 (0%) 1/4344 (0%)
Aortic aneurysm 1/4328 (0%) 0/4344 (0%)
Aortic aneurysm rupture 0/4328 (0%) 1/4344 (0%)
Aortic dissection 0/4328 (0%) 1/4344 (0%)
Arteriosclerosis 1/4328 (0%) 0/4344 (0%)
Circulatory collapse 0/4328 (0%) 1/4344 (0%)
Haemorrhage 1/4328 (0%) 0/4344 (0%)
Hypotension 0/4328 (0%) 1/4344 (0%)
Peripheral arterial occlusive disease 0/4328 (0%) 1/4344 (0%)
Thrombosis 1/4328 (0%) 0/4344 (0%)
Other (Not Including Serious) Adverse Events
Flublok Quadrivalent Influenza Vaccine Inactivated Influenza Vaccine
Affected / at Risk (%) # Events Affected / at Risk (%) # Events
Total 1122/4328 (25.9%) 1206/4344 (27.8%)
General disorders
Influenza like illness 186/4328 (4.3%) 199/4344 (4.6%)
Fatigue 106/4328 (2.4%) 100/4344 (2.3%)
Infections and infestations
Upper respiratory tract infection 129/4328 (3%) 156/4344 (3.6%)
Musculoskeletal and connective tissue disorders
Myalgia 95/4328 (2.2%) 79/4344 (1.8%)
Nervous system disorders
Headache 143/4328 (3.3%) 145/4344 (3.3%)
Respiratory, thoracic and mediastinal disorders
Cough 226/4328 (5.2%) 253/4344 (5.8%)
Oropharyngeal pain 178/4328 (4.1%) 177/4344 (4.1%)
Productive cough 59/4328 (1.4%) 97/4344 (2.2%)

Limitations/Caveats

[Not Specified]

More Information

Certain Agreements

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

There is NOT an agreement between Principal Investigators and the Sponsor (or its agents) that restricts the PI's rights to discuss or publish trial results after the trial is completed.

Results Point of Contact

Name/Title Lisa M. Dunkle, M.D., Chief Medical Officer
Organization Protein Sciences Corporation
Phone 203-599-6064 ext 153
Email ldunkle@proteinsciences.com
Responsible Party:
Protein Sciences Corporation
ClinicalTrials.gov Identifier:
NCT02285998
Other Study ID Numbers:
  • PSC12
First Posted:
Nov 7, 2014
Last Update Posted:
Oct 27, 2017
Last Verified:
Sep 1, 2017