Trial Outcomes & Findings for Safety and Immunogenicity of Trivalent Subunit Influenza Vaccine Produced in Mammalian Cell Culture Using the Strain Composition 2007/2008 (NCT NCT00511914)

NCT ID: NCT00511914

Last Updated: 2013-01-24

Results Overview

Pre and postvaccination geometric mean titers against all 3 strains were assessed by hemagglutination inhibition (HI) assay using egg derived antigen in adults and elderly subjects.

Recruitment status

COMPLETED

Study phase

PHASE3

Target enrollment

135 participants

Primary outcome timeframe

3 weeks postvaccination (Day 22)

Results posted on

2013-01-24

Participant Flow

Participant milestones

Participant milestones
Measure
cTIV (Adults)
Adults 18-60 years of age received one dose of cell culture derived trivalent influenza vaccine (cTIV).
cTIV (Elderly)
Elderly subjects \>= 61 years of age received one dose of cell culture derived trivalent influenza vaccine (cTIV).
Overall Study
STARTED
68
67
Overall Study
COMPLETED
68
67
Overall Study
NOT COMPLETED
0
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Safety and Immunogenicity of Trivalent Subunit Influenza Vaccine Produced in Mammalian Cell Culture Using the Strain Composition 2007/2008

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
cTIV (Adults)
n=68 Participants
Adults 18-60 years of age received one dose of cell culture derived trivalent influenza vaccine (cTIV).
cTIV (Elderly)
n=67 Participants
Elderly subjects \>= 61 years of age received one dose of cell culture derived trivalent influenza vaccine (cTIV).
Total
n=135 Participants
Total of all reporting groups
Age Continuous
37.4 years
STANDARD_DEVIATION 12.3 • n=5 Participants
67.4 years
STANDARD_DEVIATION 4.7 • n=7 Participants
52.3 years
STANDARD_DEVIATION 17.7 • n=5 Participants
Sex: Female, Male
Female
39 Participants
n=5 Participants
25 Participants
n=7 Participants
64 Participants
n=5 Participants
Sex: Female, Male
Male
29 Participants
n=5 Participants
42 Participants
n=7 Participants
71 Participants
n=5 Participants

PRIMARY outcome

Timeframe: 3 weeks postvaccination (Day 22)

Population: Analysis was done on per protocol set

Pre and postvaccination geometric mean titers against all 3 strains were assessed by hemagglutination inhibition (HI) assay using egg derived antigen in adults and elderly subjects.

Outcome measures

Outcome measures
Measure
cTIV (Adults)
n=68 Participants
Adults 18-60 years of age received one dose of cell culture derived trivalent influenza vaccine (cTIV).
cTIV (Elderly)
n=67 Participants
Elderly subjects \>= 61 years of age received one dose of cell culture derived trivalent influenza vaccine (cTIV).
Geometric Mean Titers (GMT) After 1 Dose of Cell Culture Derived Vaccine (cTIV).
A/H1N1 Prevaccination (Day 1)
22 Titer
Interval 14.0 to 33.0
23 Titer
Interval 17.0 to 31.0
Geometric Mean Titers (GMT) After 1 Dose of Cell Culture Derived Vaccine (cTIV).
A/H1N1 Postvaccination (Day 22)
624 Titer
Interval 442.0 to 881.0
199 Titer
Interval 150.0 to 264.0
Geometric Mean Titers (GMT) After 1 Dose of Cell Culture Derived Vaccine (cTIV).
A/H3N2 Prevaccination (Day 1)
36 Titer
Interval 24.0 to 56.0
80 Titer
Interval 53.0 to 122.0
Geometric Mean Titers (GMT) After 1 Dose of Cell Culture Derived Vaccine (cTIV).
A/H3N2 Postvaccination (Day 22)
405 Titer
Interval 299.0 to 547.0
283 Titer
Interval 205.0 to 390.0
Geometric Mean Titers (GMT) After 1 Dose of Cell Culture Derived Vaccine (cTIV).
B Prevaccination (Day 1)
8.16 Titer
Interval 6.43 to 10.0
16 Titer
Interval 12.0 to 21.0
Geometric Mean Titers (GMT) After 1 Dose of Cell Culture Derived Vaccine (cTIV).
B Postvaccination (Day 22)
96 Titer
Interval 66.0 to 139.0
40 Titer
Interval 30.0 to 53.0

PRIMARY outcome

Timeframe: 3 weeks postvaccination (Day 22)

Population: Analysis was done on per protocol set

Geometric mean ratio (GMR) of Day 22 / Day 1 geometric mean antibody titers was assessed by hemagglutination inhibition (HI)assay using egg derived antigen in adults and elderly subjects. The criterion is met according to European (CHMP) guideline if the mean geometric increase GMR (Day22 / Day1) in HI antibody titer is \>2.5 for adults and \>2.0 for elderly subjects.

Outcome measures

Outcome measures
Measure
cTIV (Adults)
n=68 Participants
Adults 18-60 years of age received one dose of cell culture derived trivalent influenza vaccine (cTIV).
cTIV (Elderly)
n=67 Participants
Elderly subjects \>= 61 years of age received one dose of cell culture derived trivalent influenza vaccine (cTIV).
Geometric Mean Ratio After 1 Dose of the Cell Culture Derived Vaccine (cTIV)
A/H1N1 (Day 22 / Day1)
29 Ratio
Interval 18.0 to 46.0
8.74 Ratio
Interval 6.13 to 12.0
Geometric Mean Ratio After 1 Dose of the Cell Culture Derived Vaccine (cTIV)
A/H3N2 (Day 22 / Day1)
11 Ratio
Interval 7.27 to 17.0
3.53 Ratio
Interval 2.47 to 5.06
Geometric Mean Ratio After 1 Dose of the Cell Culture Derived Vaccine (cTIV)
B (Day 22 / Day1)
12 Ratio
Interval 7.69 to 18.0
2.51 Ratio
Interval 1.93 to 3.27

PRIMARY outcome

Timeframe: 3 weeks postvaccination (Day 22)

Population: Analysis was done on per protocol set

HI titer as assessed by hemagglutination inhibition (HI) assay using egg derived antigen in adults and elderly subjects. This criterion is met according to European (CHMP) guideline if the percentages of subjects achieving HI titers ≥40 is \>70% for adults and \>60% for elderly subjects.

Outcome measures

Outcome measures
Measure
cTIV (Adults)
n=68 Participants
Adults 18-60 years of age received one dose of cell culture derived trivalent influenza vaccine (cTIV).
cTIV (Elderly)
n=67 Participants
Elderly subjects \>= 61 years of age received one dose of cell culture derived trivalent influenza vaccine (cTIV).
Percentages of Subjects With HI Titer ≥40 After 1 Dose of Cell Culture Derived Vaccine (cTIV).
A/H1N1 Prevaccination (Day 1)
35 Percentages of Subjects
Interval 24.0 to 48.0
37 Percentages of Subjects
Interval 26.0 to 50.0
Percentages of Subjects With HI Titer ≥40 After 1 Dose of Cell Culture Derived Vaccine (cTIV).
A/H1N1 Postvaccination (Day 22)
96 Percentages of Subjects
Interval 88.0 to 99.0
96 Percentages of Subjects
Interval 87.0 to 99.0
Percentages of Subjects With HI Titer ≥40 After 1 Dose of Cell Culture Derived Vaccine (cTIV).
A/H3N2 Prevaccination (Day 1)
51 Percentages of Subjects
Interval 39.0 to 64.0
72 Percentages of Subjects
Interval 59.0 to 82.0
Percentages of Subjects With HI Titer ≥40 After 1 Dose of Cell Culture Derived Vaccine (cTIV).
A/H3N2 Postvaccination (Day 22)
97 Percentages of Subjects
Interval 90.0 to 100.0
96 Percentages of Subjects
Interval 87.0 to 99.0
Percentages of Subjects With HI Titer ≥40 After 1 Dose of Cell Culture Derived Vaccine (cTIV).
B Prevaccination (Day 1)
13 Percentages of Subjects
Interval 6.0 to 24.0
28 Percentages of Subjects
Interval 18.0 to 41.0
Percentages of Subjects With HI Titer ≥40 After 1 Dose of Cell Culture Derived Vaccine (cTIV).
B Postvaccination (Day 22)
79 Percentages of Subjects
Interval 68.0 to 88.0
66 Percentages of Subjects
Interval 53.0 to 77.0

PRIMARY outcome

Timeframe: 3 weeks postvaccination (Day 22)

Population: Analysis was done on per protocol set

Proportion of subjects with either seroconversion (antibody increase from \< 10 pre vaccination to ≥40 post vaccination) or significant increase (antibody titer of ≥10 pre vaccination and 4-fold antibody increase post vaccination). According to the CHMP criteria, the percentages of subjects achieving seroconversion or significant increase should be \>40% for adults and \>30% for elderly subjects.

Outcome measures

Outcome measures
Measure
cTIV (Adults)
n=68 Participants
Adults 18-60 years of age received one dose of cell culture derived trivalent influenza vaccine (cTIV).
cTIV (Elderly)
n=67 Participants
Elderly subjects \>= 61 years of age received one dose of cell culture derived trivalent influenza vaccine (cTIV).
Percentages of Subjects With Seroconversion or Significant Increase After 1 Dose of Cell Culture Derived Vaccine (cTIV).
A/H1N1
79 Percentages of Subjects
Interval 68.0 to 88.0
67 Percentages of Subjects
Interval 55.0 to 78.0
Percentages of Subjects With Seroconversion or Significant Increase After 1 Dose of Cell Culture Derived Vaccine (cTIV).
A/H3N2
72 Percentages of Subjects
Interval 60.0 to 82.0
40 Percentages of Subjects
Interval 28.0 to 53.0
Percentages of Subjects With Seroconversion or Significant Increase After 1 Dose of Cell Culture Derived Vaccine (cTIV).
B
65 Percentages of Subjects
Interval 52.0 to 76.0
25 Percentages of Subjects
Interval 16.0 to 37.0

SECONDARY outcome

Timeframe: 3 days postvaccination

Population: Analysis was done on safety set.

To evaluate the safety and tolerability of cell culture derived vaccine (cTIV) in adults and elderly subjects in terms of number of subjects reporting local and systemic reactions after 1 vaccine dose.

Outcome measures

Outcome measures
Measure
cTIV (Adults)
n=68 Participants
Adults 18-60 years of age received one dose of cell culture derived trivalent influenza vaccine (cTIV).
cTIV (Elderly)
n=67 Participants
Elderly subjects \>= 61 years of age received one dose of cell culture derived trivalent influenza vaccine (cTIV).
Number of Subjects Reporting Local and Systemic Reactions
Redness/Erythema
0 Subjects
2 Subjects
Number of Subjects Reporting Local and Systemic Reactions
Swelling
2 Subjects
2 Subjects
Number of Subjects Reporting Local and Systemic Reactions
Pain
31 Subjects
16 Subjects
Number of Subjects Reporting Local and Systemic Reactions
Ecchymosis
1 Subjects
2 Subjects
Number of Subjects Reporting Local and Systemic Reactions
Induration
4 Subjects
4 Subjects
Number of Subjects Reporting Local and Systemic Reactions
Fever ( ≥ 38°C)
0 Subjects
0 Subjects
Number of Subjects Reporting Local and Systemic Reactions
Malaise
5 Subjects
3 Subjects
Number of Subjects Reporting Local and Systemic Reactions
Fatigue
10 Subjects
8 Subjects
Number of Subjects Reporting Local and Systemic Reactions
Headache
12 Subjects
9 Subjects
Number of Subjects Reporting Local and Systemic Reactions
Sweating
2 Subjects
3 Subjects
Number of Subjects Reporting Local and Systemic Reactions
Myalgia
3 Subjects
2 Subjects
Number of Subjects Reporting Local and Systemic Reactions
Arthralgia
4 Subjects
3 Subjects
Number of Subjects Reporting Local and Systemic Reactions
Chills
0 Subjects
0 Subjects

Adverse Events

cTIV (Adults)

Serious events: 0 serious events
Other events: 40 other events
Deaths: 0 deaths

cTIV (Elderly)

Serious events: 0 serious events
Other events: 21 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
cTIV (Adults)
n=68 participants at risk
Adults 18-60 years of age received one dose of cell culture derived trivalent influenza vaccine (cTIV).
cTIV (Elderly)
n=67 participants at risk
Elderly subjects \>= 61 years of age received one dose of cell culture derived trivalent influenza vaccine (cTIV).
General disorders
Fatigue
14.7%
10/68 • All solicited adverse reactions were collected from Day 0 - Day 3. All unsolicited adverse events and Serious adverse events were collected throughout study period (Day 0- Day 21).
11.9%
8/67 • All solicited adverse reactions were collected from Day 0 - Day 3. All unsolicited adverse events and Serious adverse events were collected throughout study period (Day 0- Day 21).
General disorders
Injection site induration
7.4%
5/68 • All solicited adverse reactions were collected from Day 0 - Day 3. All unsolicited adverse events and Serious adverse events were collected throughout study period (Day 0- Day 21).
7.5%
5/67 • All solicited adverse reactions were collected from Day 0 - Day 3. All unsolicited adverse events and Serious adverse events were collected throughout study period (Day 0- Day 21).
General disorders
Injection site pain
45.6%
31/68 • All solicited adverse reactions were collected from Day 0 - Day 3. All unsolicited adverse events and Serious adverse events were collected throughout study period (Day 0- Day 21).
23.9%
16/67 • All solicited adverse reactions were collected from Day 0 - Day 3. All unsolicited adverse events and Serious adverse events were collected throughout study period (Day 0- Day 21).
General disorders
Malaise
7.4%
5/68 • All solicited adverse reactions were collected from Day 0 - Day 3. All unsolicited adverse events and Serious adverse events were collected throughout study period (Day 0- Day 21).
4.5%
3/67 • All solicited adverse reactions were collected from Day 0 - Day 3. All unsolicited adverse events and Serious adverse events were collected throughout study period (Day 0- Day 21).
Musculoskeletal and connective tissue disorders
Arthralgia
5.9%
4/68 • All solicited adverse reactions were collected from Day 0 - Day 3. All unsolicited adverse events and Serious adverse events were collected throughout study period (Day 0- Day 21).
4.5%
3/67 • All solicited adverse reactions were collected from Day 0 - Day 3. All unsolicited adverse events and Serious adverse events were collected throughout study period (Day 0- Day 21).
Nervous system disorders
Headache
17.6%
12/68 • All solicited adverse reactions were collected from Day 0 - Day 3. All unsolicited adverse events and Serious adverse events were collected throughout study period (Day 0- Day 21).
13.4%
9/67 • All solicited adverse reactions were collected from Day 0 - Day 3. All unsolicited adverse events and Serious adverse events were collected throughout study period (Day 0- Day 21).

Additional Information

Posting Director

Novartis Vaccines and Diagnostics

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place

Restriction type: GT60