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A Phase IV, Open Label, Multi-Centre Study to Evaluate the Safety and Tolerability Profile of CSL Limited's Influenza Virus Vaccine in a Paediatric Population Aged >= 6 Months to < 18 Years
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Cohort A | Experimental | Participants aged 6 months to less than 3 years |
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| Cohort B | Experimental | Participants aged 3 years to less than 9 years |
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| Cohort C | Experimental | Participants aged 9 years to less than 18 years |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| CSL Limited Influenza Virus Vaccine | Biological | Single or two-vaccination regimen (0.25mL) |
| |
| Measure | Description | Time Frame |
|---|---|---|
| Frequency and Intensity of Local and Systemic Solicited Adverse Events, Cohort A (6 Months to Less Than 3 Years) | Solicited Local Adverse Events: pain, redness, and swelling/induration. Solicited Systemic Adverse Events: fever, headache, myalgia, nausea/vomiting, diarrhea, loss of appetite, and irritability. | 7 days post-vaccination |
| Duration of Local and Systemic Solicited Adverse Events, Cohort A (6 Months to Less Than 3 Years) | Solicited Local Adverse Events: pain, redness, and swelling/induration. Solicited Systemic Adverse Events: fever, headache, myalgia, nausea/vomiting, diarrhea, loss of appetite, and irritability. | 7 days post-vaccination |
| Frequency and Intensity of Local and Systemic Solicited Adverse Events, Cohort B (3 Years to Less Than 9 Years) | Solicited Local Adverse Events: pain, redness, and swelling/induration. Solicited Systemic Adverse Events: fever, headache, myalgia, nausea/vomiting, diarrhea, and malaise. | 7 days post-vaccination |
| Duration of Local and Systemic Solicited Adverse Events, Cohort B (3 Years to Less Than 9 Years) | Solicited Local Adverse Events: pain, redness, and swelling/induration. Solicited Systemic Adverse Events: fever, headache, myalgia, nausea/vomiting, diarrhea, and malaise. | 7 days post-vaccination |
| Frequency and Intensity of Local and Systemic Solicited Adverse Events, Cohort C (9 Years to Less Than 18 Years) | Solicited Local Adverse Events: pain, redness, and swelling/induration. Solicited Systemic Adverse Events: fever, headache, myalgia, nausea/vomiting, diarrhea, and malaise. | 7 days post-vaccination |
| Duration of Local and Systemic Solicited Adverse Events, Cohort C (9 Years to Less Than 18 Years) |
| Measure | Description | Time Frame |
|---|---|---|
| Frequency and Intensity of Unsolicited Adverse Events (UAEs) | UAE stands for Unsolicited Adverse Event. | 30 days after each study vaccination |
| Frequency of Serious Adverse Events | 180 days after the last study vaccination |
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Inclusion Criteria:
Exclusion Criteria:
Known hypersensitivity to a previous dose of influenza vaccine or allergy to eggs, chicken protein, neomycin, polymyxin, or any components of the Study Vaccine;
Clinical signs of significant active infection and/or an elevated temperature (≥ 38.0°C oral or ≥ 37.5°C axillary) at study entry;
Vaccination against influenza virus in the previous 6 months with a seasonal IVV;
Vaccination with an experimental IVV (e.g. a candidate pandemic IVV or a novel IVV) in the previous 6 months;
Females of child bearing potential, planning to become pregnant or planning to discontinue contraceptive precautions within 2 months of vaccination;
Pregnant or lactating females;
Clinically significant medical or psychiatric conditions, as follows:
For acute conditions (active or recent), the condition required hospitalisation within the last month; or
For chronic conditions: the Investigator feels that the chronic condition is unstable, such as illness exacerbations within the previous month:
i. requiring hospitalisation; ii. with significant organ function deterioration; iii. with major changes to treatment dosages; iv. requiring major new treatments; or
The Investigator feels the participant has a clinical condition that may be adversely affected through study participation.
Confirmed or suspected immune deficiency (congenital or acquired, including cancer and human immunodeficiency virus infection);
History of seizures, with the exception of a past history of a single seizure event at any age more than two years previously;
Known history of Guillain-Barré Syndrome;
Current treatment with radiotherapy or cytotoxic drugs, or treatment within the 6 months prior to administration of the Study Vaccine;
Current (or within the 90 days prior to receiving the Study Vaccine) immunosuppressive or immunomodulative therapy, including systemic corticosteroids, as follows:
• Chronic or long term corticosteroids: i. Age less than 9 years: ≥ 0.5 mg/kg/day of oral prednisolone or equivalent daily; ii. Age 9 years and above: ≥ 15 mg/day of oral prednisolone or equivalent daily;
• Sporadic corticosteroids: i. Age less than 9 years: ≥ 1 mg/kg/day of oral prednisolone or equivalent for 2 or more short courses of > 3 days in the 3 months preceding vaccination; ii. Age 9 years and above: ≥ 40 mg/day of oral prednisolone or equivalent for two or more short courses of > 3 days in the 3 months preceding vaccination; Note: Use of topical or inhalant corticosteroids prior to administration of the Study Vaccine or throughout the Study is acceptable
Administration of immunoglobulins and/or any blood products within the 3 months preceding the administration of the Study Vaccine or during the study;
Current treatment with warfarin or other anticoagulants;
Participation in a clinical trial or use of an investigational compound (i.e. a new chemical or biological entity not registered for clinical use) within 90 days prior to receiving the Study Vaccine or entry into such a study during the on study period;
Evidence, or history (within the previous 12 months) of drug or alcohol abuse;
If, in the Investigator's opinion, the participant should not take part in the clinical study.
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| Name | Affiliation | Role |
|---|---|---|
| Stephen Lambert, Dr | Royal Children's Hospital, Brisbane, Herston, QLD, Australia | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| The Canberra Hospital | Garran | Australian Capital Territory | 2606 | Australia | ||
| Sydney Children's Clinical Trials Centre |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 23551933 | Result | Lambert SB, Chuk LM, Nissen MD, Nolan TM, McVernon J, Booy R, Heron L, Richmond PC, Walls T, Marshall HS, Reynolds GJ, Hartel GF, Hu W, Lai MH. Safety and tolerability of a 2009 trivalent inactivated split-virion influenza vaccine in infants, children and adolescents. Influenza Other Respir Viruses. 2013 Sep;7(5):676-85. doi: 10.1111/irv.12107. Epub 2013 Apr 2. |
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| ID | Title | Description |
|---|---|---|
| FG000 | Cohort A | Participants aged 6 months to less than 3 years, who received one or two doses of the 2009 Southern Hemisphere formulation of CSL Limited Influenza Virus Vaccine. |
| FG001 | Cohort B |
| Title | Milestones | Reasons Not Completed | |||||
|---|---|---|---|---|---|---|---|
| Overall Study |
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| CSL Limited Influenza Virus Vaccine |
| Biological |
Single or two-vaccination regimen (0.5mL) |
|
| CSL Limited Influenza Virus Vaccine | Biological | Single vaccination regimen (0.5mL) |
|
Solicited Local Adverse Events: pain, redness, and swelling/induration. Solicited Systemic Adverse Events: fever, headache, myalgia, nausea/vomiting, diarrhea, and malaise. |
| 7 days post-vaccination |
| Frequency of New Onsets of Chronic Illness | 180 days after the last study vaccination |
| Randwick |
| New South Wales |
| 2031 |
| Australia |
| Children's Hospital at Westmead | Westmead | New South Wales | 2145 | Australia |
| Royal Children's Hospital | Herston | Queensland | 4006 | Australia |
| Women's & Children's Hospital Adelaide | North Adelaide | South Australia | 5006 | Australia |
| Murdoch Children's Research Institute | Melbourne | Victoria | 3053 | Australia |
| Princess Margaret Hospital | Subiaco | Western Australia | 6008 | Australia |
Participants aged 3 to less than 9 years, who received one or two doses of the 2009 Southern Hemisphere formulation of CSL Limited Influenza Virus Vaccine.
| FG002 | Cohort C | Participants aged 9 to less than 18 years, who received one or two doses of the 2009 Southern Hemisphere formulation of CSL Limited Influenza Virus Vaccine. |
| COMPLETED |
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| NOT COMPLETED |
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| ID | Title | Description |
|---|---|---|
| BG000 | Cohort A | Participants aged 6 months to less than 3 years, who received one or two doses of the 2009 Southern Hemisphere formulation of CSL Limited Influenza Virus Vaccine. |
| BG001 | Cohort B | Participants aged 3 to less than 9 years, who received one or two doses of the 2009 Southern Hemisphere formulation of CSL Limited Influenza Virus Vaccine. |
| BG002 | Cohort C | Participants aged 9 to less than 18 years, who received one or two doses of the 2009 Southern Hemisphere formulation of CSL Limited Influenza Virus Vaccine. |
| BG003 | Total | Total of all reporting groups |
| Units | Counts |
|---|---|
| Participants |
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| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes | ||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Age, Categorical | Count of Participants | Participants |
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| 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 | Frequency and Intensity of Local and Systemic Solicited Adverse Events, Cohort A (6 Months to Less Than 3 Years) | Solicited Local Adverse Events: pain, redness, and swelling/induration. Solicited Systemic Adverse Events: fever, headache, myalgia, nausea/vomiting, diarrhea, loss of appetite, and irritability. | The Safety Population comprised all participants who received CSL's IVV and provided at least one safety assessment after vaccination. For the safety analysis of solicited AEs after the second vaccination, only those participants who received a second vaccination and provided safety follow-up after the second vaccination were included. | Posted | Number | Participants | 7 days post-vaccination |
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| Secondary | Frequency and Intensity of Unsolicited Adverse Events (UAEs) | UAE stands for Unsolicited Adverse Event. | The Safety Population comprised all participants who received CSL's IVV and provided at least one safety assessment after vaccination. | Posted | Number | Participants | 30 days after each study vaccination |
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| Primary | Duration of Local and Systemic Solicited Adverse Events, Cohort A (6 Months to Less Than 3 Years) | Solicited Local Adverse Events: pain, redness, and swelling/induration. Solicited Systemic Adverse Events: fever, headache, myalgia, nausea/vomiting, diarrhea, loss of appetite, and irritability. | The Safety Population comprised all participants who received CSL's IVV and provided at least one safety assessment after vaccination. For the safety analysis of solicited AEs after the second vaccination, only those participants who received a second vaccination and provided safety follow-up after the second vaccination were included. | Posted | Mean | Standard Deviation | Days | 7 days post-vaccination |
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| Primary | Frequency and Intensity of Local and Systemic Solicited Adverse Events, Cohort B (3 Years to Less Than 9 Years) | Solicited Local Adverse Events: pain, redness, and swelling/induration. Solicited Systemic Adverse Events: fever, headache, myalgia, nausea/vomiting, diarrhea, and malaise. | The Safety Population comprised all participants who received CSL's IVV and provided at least one safety assessment after vaccination. For the safety analysis of solicited AEs after the second vaccination, only those participants who received a second vaccination and provided safety follow-up after the second vaccination were included. | Posted | Number | Participants | 7 days post-vaccination |
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| Primary | Duration of Local and Systemic Solicited Adverse Events, Cohort B (3 Years to Less Than 9 Years) | Solicited Local Adverse Events: pain, redness, and swelling/induration. Solicited Systemic Adverse Events: fever, headache, myalgia, nausea/vomiting, diarrhea, and malaise. | The Safety Population comprised all participants who received CSL's IVV at Visit 1 and provided at least one safety assessment after vaccination. For the safety analysis of solicited AEs after the second vaccination, only those participants who received a second vaccination and provided safety follow-up after the second vaccination were included. | Posted | Mean | Standard Deviation | Days | 7 days post-vaccination |
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| Primary | Frequency and Intensity of Local and Systemic Solicited Adverse Events, Cohort C (9 Years to Less Than 18 Years) | Solicited Local Adverse Events: pain, redness, and swelling/induration. Solicited Systemic Adverse Events: fever, headache, myalgia, nausea/vomiting, diarrhea, and malaise. | The Safety Population comprised all participants who received CSL's IVV at Visit 1 and provided at least one safety assessment after vaccination. For the safety analysis of solicited AEs after the second vaccination, only those participants who received a second vaccination and provided safety follow-up after the second vaccination were included. | Posted | Number | Participants | 7 days post-vaccination |
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| Primary | Duration of Local and Systemic Solicited Adverse Events, Cohort C (9 Years to Less Than 18 Years) | Solicited Local Adverse Events: pain, redness, and swelling/induration. Solicited Systemic Adverse Events: fever, headache, myalgia, nausea/vomiting, diarrhea, and malaise. | The Safety Population comprised all participants who received CSL's IVV at Visit 1 and provided at least one safety assessment after vaccination. For the safety analysis of solicited AEs after the second vaccination, only those participants who received a second vaccination and provided safety follow-up after the second vaccination were included. | Posted | Mean | Standard Deviation | Days | 7 days post-vaccination |
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| Secondary | Frequency of Serious Adverse Events | The Safety Population comprised all participants who received CSL's IVV and provided at least one safety assessment after vaccination. | Posted | Number | Participants | 180 days after the last study vaccination |
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| Secondary | Frequency of New Onsets of Chronic Illness | The Safety Population comprised all participants who received CSL's IVV and provided at least one safety assessment after vaccination. | Posted | Number | Participants | 180 days after the last study vaccination |
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SAEs were collected up to 180 days after the last study vaccination. Other adverse events were unsolicited adverse events that were collected up to 30 days after the study vaccination.
Other adverse events were unsolicited adverse events that were collected up to 30 days after the study vaccination.
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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 | Cohort A | Participants aged 6 months to less than 3 years, who received one or two doses of the 2009 Southern Hemisphere formulation of CSL Limited Influenza Virus Vaccine. | 19 | 703 | 531 | 703 | ||
| EG001 | Cohort B | Participants aged 3 to less than 9 years, who received one or two doses of the 2009 Southern Hemisphere formulation of CSL Limited Influenza Virus Vaccine. | 5 | 875 | 467 | 875 | ||
| EG002 | Cohort C | Participants aged 9 to less than 18 years, who received one or two doses of the 2009 Southern Hemisphere formulation of CSL Limited Influenza Virus Vaccine. | 2 | 398 | 97 | 398 |
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Pneumonia | Infections and infestations | MedDRA (12.1) | Non-systematic Assessment |
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| Bronchiolitis | Infections and infestations | MedDRA (12.1) | Non-systematic Assessment |
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| Croup infectious | Infections and infestations | MedDRA (12.1) | Non-systematic Assessment |
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| Eczema infected | Infections and infestations | MedDRA (12.1) | Non-systematic Assessment |
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| Gastroenteritis viral | Infections and infestations | MedDRA (12.1) | Non-systematic Assessment |
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| Lower respiratory tract infection | Infections and infestations | MedDRA (12.1) | Non-systematic Assessment |
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| Osteomyelitis | Infections and infestations | MedDRA (12.1) | Non-systematic Assessment |
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| Pharyngitis | Infections and infestations | MedDRA (12.1) | Non-systematic Assessment |
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| Respiratory tract infection | Infections and infestations | MedDRA (12.1) | Non-systematic Assessment |
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| Respiratory tract infection viral | Infections and infestations | MedDRA (12.1) | Non-systematic Assessment |
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| Soft tissue infection | Infections and infestations | MedDRA (12.1) | Non-systematic Assessment |
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| Upper respiratory tract infection | Infections and infestations | MedDRA (12.1) | Non-systematic Assessment |
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| Viral infection | Infections and infestations | MedDRA (12.1) | Non-systematic Assessment |
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| Conversion disorder | Psychiatric disorders | MedDRA (12.1) | Non-systematic Assessment |
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| Convulsion | Nervous system disorders | MedDRA (12.1) | Non-systematic Assessment |
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| Febrile convulsion | Nervous system disorders | MedDRA (12.1) | Non-systematic Assessment |
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| Asthma | Respiratory, thoracic and mediastinal disorders | MedDRA (12.1) | Non-systematic Assessment |
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| Pneumonitis | Respiratory, thoracic and mediastinal disorders | MedDRA (12.1) | Non-systematic Assessment |
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| Pelvi-ureteric obstruction | Renal and urinary disorders | MedDRA (12.1) | Non-systematic Assessment |
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| Forearm fracture | Injury, poisoning and procedural complications | MedDRA (12.1) | Non-systematic Assessment |
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| Hand fracture | Injury, poisoning and procedural complications | MedDRA (12.1) | Non-systematic Assessment |
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| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Upper respiratory tract infection | Infections and infestations | MedDRA (12.1) | Systematic Assessment |
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| Nasopharyngitis | Infections and infestations | MedDRA (12.1) | Systematic Assessment |
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| Respiratory tract infection | Infections and infestations | MedDRA (12.1) | Systematic Assessment |
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| Headache | Nervous system disorders | MedDRA (12.1) | Systematic Assessment |
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| Cough | Respiratory, thoracic and mediastinal disorders | MedDRA (12.1) | Systematic Assessment |
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| Rhinorrhea | Respiratory, thoracic and mediastinal disorders | MedDRA (12.1) | Systematic Assessment |
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| Teething | Gastrointestinal disorders | MedDRA (12.1) | Systematic Assessment |
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| Vomiting | Gastrointestinal disorders | MedDRA (12.1) | Systematic Assessment |
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| Rash | Skin and subcutaneous tissue disorders | MedDRA (12.1) | Systematic Assessment |
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| Pyrexia | General disorders | MedDRA (12.1) | Systematic Assessment |
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| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Clinical Study Disclosure Manager | Seqirus | 1-855-358-8966 | Seqirus.ClinicalTrials@Seqirus.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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| Between 18 and 65 years |
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| >=65 years |
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| Male |
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| Grade 3 pain |
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| Any redness (> 0 mm) |
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| Grade 3 redness (> 30 mm) |
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| Any swelling / induration (> 0 mm) |
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| Grade 3 swelling / induration (> 30 mm) |
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| Any systemic solicited adverse event |
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| Any fever (≥99.5°F axillary or ≥100.4 °F oral) |
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| Grade 3 fever (≥103.1 F°axillary or ≥104 °F oral) |
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| Any headache |
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| Grade 3 headache (prevent activities) |
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| Any myalgia |
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| Grade 3 myalgia (prevent activities) |
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| Any nausea / vomiting |
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| Grade 3 nausea / vomiting (prevent activities) |
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| Any diarrhea |
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| Grade 3 diarrhea (prevent activities) |
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| Any loss of appetite |
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| Grade 3 loss of appetite (prevent activities) |
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| Any irritability |
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| Grade 3 irritability (prevent activities) |
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