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| ID | Type | Description | Link |
|---|---|---|---|
| EUDRACT: 2005-002257-47 |
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The present study aims to evaluate safety, tolerability and immunogenicity of three lots of Chiron's cell-derived subunit influenza vaccine in healthy adult subjects as compared to a conventional egg-derived control vaccine licensed in Europe.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| cTIV_lot 1 | Experimental |
| |
| cTIV_lot 2 | Experimental |
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| cTIV_lot 3 | Experimental |
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| TIV group | Active Comparator |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Cell-Derived Trivalent Subunit Influenza Vaccine Lot 1 (cTIV) | Biological | One single 0.5ml intramuscular injection of Cell Derived Trivalent Subunit Influenza Vaccine (cTIV) from Lot 1 |
| Measure | Description | Time Frame |
|---|---|---|
| Geometric Mean Titers After One Dose of Cell Culture-derived or the Egg-derived Influenza Vaccine in Adult Subjects | The haemagglutinin Inhibition (HI) antibody titer response following
The HI GMTs were evaluated using egg-derived antigen assay. | Day 22 postvaccination |
| Geometric Mean Ratios After One Dose of Cell Culture-derived or the Egg-derived Influenza Vaccine in Adult Subjects | Immunogenicity was assessed in terms of Geometric Mean Ratio (GMR) following
The European licensure (CHMP) criterion is met if the mean geometric increase (GMR, day 22/day 1) in HI antibody titer is >2.5. | Day 22 postvaccination |
| Percentage of Subjects With HI Titers ≥40 | Immunogenicity was assessed in terms of percentage of adult subjects achieving HI titers ≥40, after
European Licensure (CHMP) criterion is met if the percentage of subjects achieving HI titers ≥40 is >70%. | Day 22 postvaccination |
| Percentage of Subjects With Seroconversion or Significant Increase in HI Antibody Titers After One Dose of Either Cell-derived or Egg-derived Subunit Trivalent Influenza Vaccine | Immunogenicity was assessed in terms of percentage of adult subjects showing seroconversion or significant increase in HI antibody titers after
European Licensure (CHMP) criterion is met if the percentage of subjects achieving seroconversion or significant increase is >40%. As per European Licensure (CHMP) criterion seroconversion is defined as percentage of subjects with a prevaccination HI titer <10 to a postvaccination titer ≥40; whereas, significant increase is defined as HI titer ≥10 prevaccination and ≥4-fold Hi titer increase post-vaccination. |
| Measure | Description | Time Frame |
|---|---|---|
| Number of Subjects Reporting Solicited Adverse Events After One Dose of Cell Culture-derived or the Egg-derived Influenza Vaccine. | To assess the safety and tolerability in terms of number of subjects reporting solicited adverse events following one injection of
| Day 1 to Day 7 postvaccination |
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Inclusion Criteria:
18 to <61 years of age
mentally competent to understand the nature, the scope and the consequences of the study
able and willing to give written informed consent prior to study entry
in good health as determined by:
Exclusion Criteria:
unwilling or unable to give written informed consent to participate in the study
participation in another clinical trial of an investigational agent within 90 days prior to Visit 1 and throughout the entire study
currently experiencing an acute infectious disease
any serious disease, such as, for example:
surgery planned during the study period
bleeding diathesis
history of hypersensitivity to any component of the study medication or chemically related substances
history of any anaphylaxis, serious vaccine reactions, or allergy to any of the vaccine component
known or suspected impairment/alteration of immune function, for example resulting from:
history of drug or alcohol abuse
laboratory-confirmed influenza disease within 6 months prior to Visit 1
receipt of influenza vaccine within 6 months prior to Visit 1
receipt of another vaccine within 60 days prior to Visit 1, or planned vaccination within 3 weeks following study vaccination
any acute respiratory disease or infections requiring systemic antibiotic or antiviral therapy (chronic antibiotic therapy for urinary tract prophylaxis is acceptable) or experienced fever (i.e., axillary temperature ≥ 38 degree C) within 5 days prior to Visit 1
if female, pregnant or breastfeeding
if female, refusal to use a reliable contraceptive method during the three weeks following vaccination
planned relocation abroad during the study period
any condition that, in the opinion of the Investigator, might interfere with the evaluation of the study objectives.
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| Name | Affiliation | Role |
|---|---|---|
| Novartis Vaccines | Novartis Vaccines & Diagnostics | Study Chair |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| 2nd Department of Internal Diseases, Panevezys Hospital, | Panevezys | Lithuania | ||||
| Dept. Infectious Diseases and Microbiology of Vilnius University |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 19666152 | Result | Ambrozaitis A, Groth N, Bugarini R, Sparacio V, Podda A, Lattanzi M. A novel mammalian cell-culture technique for consistent production of a well-tolerated and immunogenic trivalent subunit influenza vaccine. Vaccine. 2009 Oct 9;27(43):6022-9. doi: 10.1016/j.vaccine.2009.07.083. Epub 2009 Aug 8. |
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All participants enrolled were included in the trial.
1200 subjects were enrolled from 2 sites in Lithuania. Of the 1200 subjects enrolled, 700 (58%) were randomized in site 1 and 500 (42%) in site 2. Baseline characteristics, outcome measures, and adverse event summary are based on retrospective analysis which excluded data from site 2.
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| ID | Title | Description |
|---|---|---|
| FG000 | cTIV (Combined) | Subjects in this group received one dose of Cell Derived Trivalent Subunit Influenza Vaccine from one of three vaccine Lots (Lot1, Lot2 or Lot3). |
| FG001 | TIV Group |
| Title | Milestones | Reasons Not Completed | |||||
|---|---|---|---|---|---|---|---|
| Overall Study |
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| Cell-Derived Trivalent Subunit Influenza Vaccine Lot 2 (cTIV) | Biological | One single 0.5ml intramuscular injection of Cell Derived Trivalent Subunit Influenza Vaccine (cTIV) from Lot 2 |
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| Cell-Derived Trivalent Subunit Influenza Vaccine Lot 3 (cTIV) | Biological | One single 0.5ml intramuscular injection of Cell Derived Trivalent Subunit Influenza Vaccine (cTIV) from Lot 3 |
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| Egg-Derived Trivalent Subunit Influenza Vaccine (TIV) | Biological | One single 0.5ml intramuscular injection of Egg Derived Trivalent Subunit Influenza Vaccine (TIV). |
|
| Day 22 postvaccination |
| Safety Data of Subjects Upto Six Months After One Dose of Cell Culture Derived or Egg-derived Influenza Vaccine | Additional safety data from day 1 through day 181 after one dose of cTIV (combined) or TIV in terms of serious adverse events (SAEs), adverse events (AEs) necessitating a physician's visit and/or resulting in premature subject's withdrawal from study is reported. | Day 1 - Day 181 postvaccination |
| Vilnius |
| Lithuania |
Subjects in this group received one dose of Egg derived Trivalent Subunit Influenza Vaccine (TIV).
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| NOT COMPLETED |
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1200 subjects were enrolled from 2 sites in Lithuania. Of the 1200 subjects enrolled, 700 (58%) were randomized in site 1 and 500 (42%) in site 2. Baseline characteristics, outcome measures, and adverse event summary are based on retrospective analysis which excluded data from site 2, and include 700 subjects: 600 cTIV, 100 TIV
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| ID | Title | Description |
|---|---|---|
| BG000 | cTIV (Combined) | Subjects in this group received one dose of Cell Derived Trivalent Subunit Influenza Vaccine from one of three vaccine Lots (Lot1, Lot2 or Lot3). |
| BG001 | TIV Group | Subjects in this group received one dose of Egg Derived Trivalent Subunit Influenza Vaccine (TIV). |
| BG002 | Total | Total of all reporting groups |
| Units | Counts |
|---|---|
| Participants |
|
| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes | ||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Age, Continuous | Mean | Standard Deviation | years |
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| Sex: Female, Male | Count of Participants | Participants |
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| Region of Enrollment | Number | participants |
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| Type | Title | Description | Population Description | Reporting Status | Anticipated Posting Date | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Time Frame | Units Analyzed | Denominator Units Selected | Arm/Group Information | Denominators | Classes | Analyses | ||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Primary | Geometric Mean Titers After One Dose of Cell Culture-derived or the Egg-derived Influenza Vaccine in Adult Subjects | The haemagglutinin Inhibition (HI) antibody titer response following
The HI GMTs were evaluated using egg-derived antigen assay. | This analysis was done on per protocol (PP) population defined as all subjects who received all the relevant doses of vaccine correctly, and provided evaluable serum samples at the relevant time points, and had no major protocol deviation. | Posted | Geometric Mean | 95% Confidence Interval | Titers | Day 22 postvaccination |
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| Primary | Geometric Mean Ratios After One Dose of Cell Culture-derived or the Egg-derived Influenza Vaccine in Adult Subjects | Immunogenicity was assessed in terms of Geometric Mean Ratio (GMR) following
The European licensure (CHMP) criterion is met if the mean geometric increase (GMR, day 22/day 1) in HI antibody titer is >2.5. | The analysis was performed as PP dataset. | Posted | Geometric Mean | 95% Confidence Interval | Ratio | Day 22 postvaccination |
| |||||||||||||||||||||||||||||||||||||||
| Primary | Percentage of Subjects With HI Titers ≥40 | Immunogenicity was assessed in terms of percentage of adult subjects achieving HI titers ≥40, after
European Licensure (CHMP) criterion is met if the percentage of subjects achieving HI titers ≥40 is >70%. | This analysis was done on PP population. | Posted | Number | 95% Confidence Interval | Percentages | Day 22 postvaccination |
| |||||||||||||||||||||||||||||||||||||||
| Primary | Percentage of Subjects With Seroconversion or Significant Increase in HI Antibody Titers After One Dose of Either Cell-derived or Egg-derived Subunit Trivalent Influenza Vaccine | Immunogenicity was assessed in terms of percentage of adult subjects showing seroconversion or significant increase in HI antibody titers after
European Licensure (CHMP) criterion is met if the percentage of subjects achieving seroconversion or significant increase is >40%. As per European Licensure (CHMP) criterion seroconversion is defined as percentage of subjects with a prevaccination HI titer <10 to a postvaccination titer ≥40; whereas, significant increase is defined as HI titer ≥10 prevaccination and ≥4-fold Hi titer increase post-vaccination. | This analysis was done on PP population. | Posted | Number | 95% Confidence Interval | Percentages | Day 22 postvaccination |
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| Secondary | Number of Subjects Reporting Solicited Adverse Events After One Dose of Cell Culture-derived or the Egg-derived Influenza Vaccine. | To assess the safety and tolerability in terms of number of subjects reporting solicited adverse events following one injection of
| Analysis was done on safety dataset. | Posted | Number | subjects | Day 1 to Day 7 postvaccination |
| ||||||||||||||||||||||||||||||||||||||||
| Secondary | Safety Data of Subjects Upto Six Months After One Dose of Cell Culture Derived or Egg-derived Influenza Vaccine | Additional safety data from day 1 through day 181 after one dose of cTIV (combined) or TIV in terms of serious adverse events (SAEs), adverse events (AEs) necessitating a physician's visit and/or resulting in premature subject's withdrawal from study is reported. | This analysis was done on safety dataset. | Posted | Number | subjects | Day 1 - Day 181 postvaccination |
|
Through out the study period
Postinjection solicited AE were collected from Day1-7. Other AE's and SAEs were collected through out the study period (Day 1 to 6 months).
Overall, 1200 subjects were enrolled from 2 sites. AE event summary are based on retrospective analysis which excluded data from site 2, and include 700 subjects: 600 cTIV, 100 TIV.
In cTIV group, 599/600 subjects were included in safety dataset as one subject did not receive the vaccination and withdrew on Day 1.
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| ID | Title | Description | Deaths (Affected) | Deaths (At Risk) | Serious Events (Affected) | Serious Events (At Risk) | Other Events (Affected) | Other Events (At Risk) |
|---|---|---|---|---|---|---|---|---|
| EG000 | cTIV (Combined) | Subjects in this group received one dose of Cell Derived Trivalent Subunit Influenza Vaccine from one of three vaccine Lots (Lot1, Lot2 or Lot3). | 16 | 599 | 237 | 599 | ||
| EG001 | TIV Group | Subjects in this group received one dose of Egg Derived Trivalent Subunit Influenza Vaccine (TIV). | 2 | 100 | 35 | 100 |
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Vestibular disorder | Ear and labyrinth disorders | MedDRA (Unspecified) | Non-systematic Assessment |
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| Diarrhoea | Gastrointestinal disorders | MedDRA (Unspecified) | Non-systematic Assessment |
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| Cholelithiasis | Hepatobiliary disorders | MedDRA (Unspecified) | Non-systematic Assessment |
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| Influenza | Infections and infestations | MedDRA (Unspecified) | Non-systematic Assessment |
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| Rhinitis | Infections and infestations | MedDRA (Unspecified) | Non-systematic Assessment |
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| Injury Asphyxiation | Injury, poisoning and procedural complications | MedDRA (Unspecified) | Non-systematic Assessment |
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| Lower Limb Fracture | Injury, poisoning and procedural complications | MedDRA (Unspecified) | Non-systematic Assessment |
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| Spinal Compression Fracture | Injury, poisoning and procedural complications | MedDRA (Unspecified) | Non-systematic Assessment |
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| Breast Cancer | Neoplasms benign, malignant and unspecified (incl cysts and polyps) | MedDRA (Unspecified) | Non-systematic Assessment |
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| Vertebrobasilar Insufficiency | Nervous system disorders | MedDRA (Unspecified) | Non-systematic Assessment |
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| Schizoaffective disorder | Psychiatric disorders | MedDRA (Unspecified) | Non-systematic Assessment |
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| Schizoid Personality Disorder | Psychiatric disorders | MedDRA (Unspecified) | Non-systematic Assessment |
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| Uterine Polyp | Reproductive system and breast disorders | MedDRA (Unspecified) | Non-systematic Assessment |
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| Essential Hypertension | Vascular disorders | MedDRA (Unspecified) | Non-systematic Assessment |
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| Varicose Vein | Vascular disorders | MedDRA (Unspecified) | Non-systematic Assessment |
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| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Chills | General disorders | MedDRA (Unspecified) | Systematic Assessment |
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| Fatigue | General disorders | MedDRA (Unspecified) | Systematic Assessment |
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| Injection Site Erythema | General disorders | MedDRA (Unspecified) | Systematic Assessment |
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| Injection Site Induration | General disorders | MedDRA (Unspecified) | Systematic Assessment |
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| Injection Site Pain | General disorders | MedDRA (Unspecified) | Systematic Assessment |
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| Malaise | General disorders | MedDRA (Unspecified) | Systematic Assessment |
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| Myalgia | Musculoskeletal and connective tissue disorders | MedDRA (Unspecified) | Systematic Assessment |
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| Headache | Nervous system disorders | MedDRA (Unspecified) | Systematic Assessment |
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| Rhinitis | Infections and infestations | MedDRA (Unspecified) | Systematic Assessment |
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| Hyperhidrosis | Skin and subcutaneous tissue disorders | MedDRA (Unspecified) | Non-systematic Assessment |
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Because of potential issues related to Good Clinical Practice (GCP), data from one of the sites were not used in the analyses.
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| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Posting Director | Novartis Vaccines and Diagnostics | RegistryContactVaccinesUS@novartis.com |
| ID | Term |
|---|---|
| D007251 | Influenza, Human |
| ID | Term |
|---|---|
| D012141 | Respiratory Tract Infections |
| D007239 | Infections |
| D009976 | Orthomyxoviridae Infections |
| D012327 | RNA Virus Infections |
| D014777 | Virus Diseases |
| D012140 | Respiratory Tract Diseases |
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| Male |
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| A/H3N2 strain (day 22) |
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| A/H1N1 strain (day 1) |
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| A/H1N1 strain (day 22) |
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| B strain (day 1) |
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| B strain (day 22) |
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Subjects in this group received one dose of Cell Derived Trivalent Subunit Influenza Vaccine from one of three vaccine Lots (Lot1, Lot2 or Lot3). |
| OG004 | TIV Group | Subjects in this group received one dose of Egg-Derived Trivalent Subunit Influenza Vaccine(TIV). |
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Subjects in this group received one dose of Cell Derived Trivalent Subunit Influenza Vaccine from one of three vaccine Lots (Lot1, Lot2 or Lot3).
| OG004 | TIV Group | Subjects in this group received one dose of Egg Derived Trivalent Subunit Influenza Vaccine (TIV). |
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Subjects in this group received one dose of Cell Derived Trivalent Subunit Influenza Vaccine (cTIV) from lot 3. |
| OG003 | cTIV (Combined) | Subjects in this group received one dose of Cell Derived Trivalent Subunit Influenza Vaccine from one of three vaccine Lots (Lot1, Lot2 or Lot3). |
| OG004 | TIV Group | Subjects in this group received one dose of Egg Derived Trivalent Subunit Influenza Vaccine (TIV). |
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| OG004 | TIV Group | Subjects in this group received one dose of Egg Derived Trivalent Subunit Influenza Vaccine (TIV). |
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Subjects in this group received one dose of Egg Derived Trivalent Subunit Influenza Vaccine (TIV). |
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