Safety and Immunogenicity of a Subunit Trivalent Influenza Vaccine, Northern Hemisphere Formulation 2013/2014, in Healthy Adults Aged 18 Years and Above

A Phase II, Open-Label, Single-Arm, Multicenter Study to Evaluate the Safety and Immunogenicity of a Trivalent, Surface Antigen Inactivated Subunit Influenza Virus Vaccine (Agrippal®) in Healthy Adults

The present study is designed to confirm the safety and immunogenicity of trivalent, surface antigen, inactivated influenza vaccine in 2 age cohorts: 18 to ≤60 years and ≥61 years.

For the immunogenicity endpoint the antibody response to each influenza vaccine antigen will be evaluated by means of Single Radial Hemolysis (SRH) or Hemagglutination Inhibition (HI) at approximately 21 days post vaccination.

The vaccine composition will be based on the WHO-recommended influenza strains for the 2013/2014 Northern Hemisphere vaccine, and the results of this study are intended to support the use of this vaccine in future influenza seasons if the recommended vaccine composition remains the same, in compliance with the requirements of the current European Union (EU) recommendations for clinical trials related to yearly licensing of influenza vaccines.

Inclusion Criteria:

• Male or female volunteers aged 18 years or older, mentally competent, who were willing and able to give written informed consent prior to study entry;
• Were able to comply with all the study requirements; and
• Were in good health as determined by the outcome of medical history, physical examination, and clinical judgment of the investigator

Exclusion Criteria:

• Had behavioral or cognitive impairment or psychiatric disease that, in the opinion of the investigator, may have interfered with the subject's ability to participate in the study;

• Had a serious chronic or acute disease (in the judgment of the investigator) including, but not limited to:

  • medically significant cancer (except for benign or localized skin cancer, cancer in remission for ≥10 years, or localized prostate cancer that had been clinically stable for >2 years without treatment)
  • medically significant advanced congestive heart failure (ie, New York Heart Association [NYHA] class III and IV)
  • chronic obstructive pulmonary disease (ie, Global initiative for chronic Obstructive Lung Disease [GOLD] stage III and IV)
  • autoimmune disease (including rheumatoid arthritis and excepting Hashimoto's thyroiditis that has been clinically stable for ≥5 years)
  • diabetes mellitus type I
  • poorly controlled diabetes mellitus type II
  • advanced arteriosclerotic disease
  • history of underlying medical condition such as major congenital abnormalities requiring surgery, chronic treatment, or associated with developmental delay (eg, Down's syndrome)
  • acute or progressive hepatic disease
  • acute or progressive renal disease
  • severe neurological (especially Guillain-Barré syndrome) or psychiatric disorder
  • severe asthma

• Had a history of any anaphylactic reaction and/or serious allergic reaction to any component of the study vaccine;

• Had a known or suspected (or have a high risk of developing) impairment/alteration of immune function (excluding that normally associated with advanced age) resulting, for example, from:

  • receipt of immunosuppressive therapy (any parenteral or oral corticosteroid or cancer chemotherapy/radiotherapy) within the past 60 days and for the full length of the study,
  • receipt of immunostimulants within the past 6 months,
  • receipt of parenteral immunoglobulin preparation, blood products, and/or plasma derivates within the past 3 months and for the full length of the study, or
  • suspected or known human immunodeficiency virus (HIV) infection or HIV related disease

• Had known or suspected drug or alcohol abuse within the past 2 years;

• Had bleeding diathesis or conditions associated with prolonged bleeding time that, in the investigator's opinion, would interfere with the safety of the subject;

• Was not able to comprehend and to follow all required study procedures for the whole period of the study;

• Had a history or any illness that, in the opinion of the investigator, would pose additional risk to the subjects because of participation in the study;

• Had the following within the past 6 months:

  • any laboratory confirmed seasonal or pandemic influenza disease
  • received any seasonal or pandemic influenza vaccine

• Had received any other vaccine within 4 weeks prior to enrollment in this study or were planning to receive any vaccine during the study;

• Had acute or chronic infections requiring antiviral therapy within the last 7 days;

• Had experienced fever (ie, body temperature [preferably oral] ≥38.0°C) within the last 3 days of intended study vaccination;

• Had been participating in any clinical trial with another investigational product 4 weeks prior to first study visit or intends to participate in another clinical study at any time during the conduct of this study;

• Was part of study personnel or has close family members conducting this study;

• Had a body mass index (BMI) >35 kg/m2 (BMI is calculated by dividing the subject's weight in kilograms by the subject's height in meters multiplied by the subject's height in meters).

• Was pregnant (confirmed by positive urine pregnancy test) or nursing (breastfeeding) or was a female of childbearing potential who refused to use an acceptable method of birth control for the whole duration of the study.