Trial Outcomes & Findings for Safety and Reactogenicity of FluBlok and Comparison of Immunogenicity, Efficacy and Effectiveness Against TIV (NCT NCT00539864)

NCT ID: NCT00539864

Last Updated: 2011-07-27

Results Overview

Solicited reactogenicity events included injection site pain, bruising, erythema and swelling. Solicited systemic AEs included fatigue, chills, arthralgias, myalgias, headache and nausea.

Recruitment status

COMPLETED

Study phase

PHASE3

Target enrollment

602 participants

Primary outcome timeframe

Reactogenicity days 0-7 following immunization; other AEs days 0-28 following immunization

Results posted on

2011-07-27

Participant Flow

Subjects 50 - \<64 years of age were screened in participating outpatient clinics for eligibility within 30 days of randomization during the 2007 influenza season.

Subjects whose laboratory values were exclusionary were not randomized. Women of child-bearing potential were required to have a negative pregnancy test.

Participant milestones

Participant milestones
Measure
FluBlok
Recombinant Trivalent Hemagglutinin Influenza Vaccine: 2007-2008 formulation containing 45μg of each hemagglutinin derived from A/Solomon Islands/03/2006 (H1N1), A/Wisconsin/67/2005 (H3N2), and B/Malaysia/2506/2004 135μg total
TIV (Fluzone)
Licensed Trivalent Influenza Vaccine (TIV): 2007-2008 formulation containing 15μg of each hemagglutinin derived from A/Solomon Islands/03/2006 (H1N1), A/Wisconsin/67/2005 (H3N2), and B/Malaysia/2506/2004 45μg total (Fluzone, sanofi pasteur)
Overall Study
STARTED
300
302
Overall Study
COMPLETED
299
300
Overall Study
NOT COMPLETED
1
2

Reasons for withdrawal

Reasons for withdrawal
Measure
FluBlok
Recombinant Trivalent Hemagglutinin Influenza Vaccine: 2007-2008 formulation containing 45μg of each hemagglutinin derived from A/Solomon Islands/03/2006 (H1N1), A/Wisconsin/67/2005 (H3N2), and B/Malaysia/2506/2004 135μg total
TIV (Fluzone)
Licensed Trivalent Influenza Vaccine (TIV): 2007-2008 formulation containing 15μg of each hemagglutinin derived from A/Solomon Islands/03/2006 (H1N1), A/Wisconsin/67/2005 (H3N2), and B/Malaysia/2506/2004 45μg total (Fluzone, sanofi pasteur)
Overall Study
Lost to Follow-up
0
1
Overall Study
Withdrawal by Subject
1
1

Baseline Characteristics

Safety and Reactogenicity of FluBlok and Comparison of Immunogenicity, Efficacy and Effectiveness Against TIV

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
FluBlok
n=300 Participants
Recombinant Trivalent Hemagglutinin Influenza Vaccine: 2007-2008 formulation containing 45μg of each hemagglutinin derived from A/Solomon Islands/03/2006 (H1N1), A/Wisconsin/67/2005 (H3N2), and B/Malaysia/2506/2004 135μg total
TIV (Fluzone)
n=302 Participants
Licensed Trivalent Influenza Vaccine (TIV): 2007-2008 formulation containing 15μg of each hemagglutinin derived from A/Solomon Islands/03/2006 (H1N1), A/Wisconsin/67/2005 (H3N2), and B/Malaysia/2506/2004 45μg total (Fluzone, sanofi pasteur)
Total
n=602 Participants
Total of all reporting groups
Age, Categorical
<=18 years
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Age, Categorical
Between 18 and 65 years
300 Participants
n=5 Participants
302 Participants
n=7 Participants
602 Participants
n=5 Participants
Age, Categorical
>=65 years
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Age Continuous
55.9 years
STANDARD_DEVIATION 3.71 • n=5 Participants
55.7 years
STANDARD_DEVIATION 3.64 • n=7 Participants
55.8 years
STANDARD_DEVIATION 3.67 • n=5 Participants
Sex: Female, Male
Female
187 Participants
n=5 Participants
192 Participants
n=7 Participants
379 Participants
n=5 Participants
Sex: Female, Male
Male
113 Participants
n=5 Participants
110 Participants
n=7 Participants
223 Participants
n=5 Participants
Region of Enrollment
United States
300 participants
n=5 Participants
302 participants
n=7 Participants
602 participants
n=5 Participants

PRIMARY outcome

Timeframe: Reactogenicity days 0-7 following immunization; other AEs days 0-28 following immunization

Population: Safety population included all randomized subjects who received a dose of study vaccine.

Solicited reactogenicity events included injection site pain, bruising, erythema and swelling. Solicited systemic AEs included fatigue, chills, arthralgias, myalgias, headache and nausea.

Outcome measures

Outcome measures
Measure
FluBlok
n=300 Participants
Recombinant Trivalent Hemagglutinin Influenza Vaccine: 2007-2008 formulation containing 45μg of each hemagglutinin derived from A/Solomon Islands/03/2006 (H1N1), A/Wisconsin/67/2005 (H3N2), and B/Malaysia/2506/2004 135μg total
TIV (Fluzone)
n=302 Participants
Licensed Trivalent Influenza Vaccine (TIV): 2007-2008 formulation containing 15μg of each hemagglutinin derived from A/Solomon Islands/03/2006 (H1N1), A/Wisconsin/67/2005 (H3N2), and B/Malaysia/2506/2004 45μg total (Fluzone, sanofi pasteur)
Number of Participants With Reactogenicity (Solicited) Adverse Events (AEs)
Fatigue
40 participants
62 participants
Number of Participants With Reactogenicity (Solicited) Adverse Events (AEs)
Chills
12 participants
15 participants
Number of Participants With Reactogenicity (Solicited) Adverse Events (AEs)
Arthralgias
15 participants
19 participants
Number of Participants With Reactogenicity (Solicited) Adverse Events (AEs)
Myalgia
40 participants
63 participants
Number of Participants With Reactogenicity (Solicited) Adverse Events (AEs)
Headache
59 participants
63 participants
Number of Participants With Reactogenicity (Solicited) Adverse Events (AEs)
Nausea
13 participants
15 participants
Number of Participants With Reactogenicity (Solicited) Adverse Events (AEs)
Injection Site Pain
154 participants
165 participants
Number of Participants With Reactogenicity (Solicited) Adverse Events (AEs)
Injection Site Bruising
16 participants
14 participants
Number of Participants With Reactogenicity (Solicited) Adverse Events (AEs)
Injection Site Erythema
24 participants
25 participants
Number of Participants With Reactogenicity (Solicited) Adverse Events (AEs)
Injection Site Swelling
25 participants
30 participants

SECONDARY outcome

Timeframe: Day 0 and Day 28

Population: All randomized subjects who received study vaccine and had Day 0 and Day 28 HAI titers

Immunogenicity was assessed by measuring the difference in values in Hemagglutination-Inhibition Assay (HAI) titers in participants from Day 0 to Day 28, using Geometric Mean Titers (GMTs). The GMTs from the FluBlok and TIV groups were then compared.

Outcome measures

Outcome measures
Measure
FluBlok
n=299 Participants
Recombinant Trivalent Hemagglutinin Influenza Vaccine: 2007-2008 formulation containing 45μg of each hemagglutinin derived from A/Solomon Islands/03/2006 (H1N1), A/Wisconsin/67/2005 (H3N2), and B/Malaysia/2506/2004 135μg total
TIV (Fluzone)
n=302 Participants
Licensed Trivalent Influenza Vaccine (TIV): 2007-2008 formulation containing 15μg of each hemagglutinin derived from A/Solomon Islands/03/2006 (H1N1), A/Wisconsin/67/2005 (H3N2), and B/Malaysia/2506/2004 45μg total (Fluzone, sanofi pasteur)
Evaluation and Comparison of Immunogenicity of FluBlok and TIV in Healthy Adults 50-64 Years of Age.
A/Solomon Islands (H1N1) - Day 0
28.71 HAI Titers
Interval 25.59 to 32.21
27.77 HAI Titers
Interval 25.07 to 30.76
Evaluation and Comparison of Immunogenicity of FluBlok and TIV in Healthy Adults 50-64 Years of Age.
A/Solomon Islands (H1N1) - Day 28
181.34 HAI Titers
Interval 159.61 to 206.02
139.74 HAI Titers
Interval 124.64 to 156.66
Evaluation and Comparison of Immunogenicity of FluBlok and TIV in Healthy Adults 50-64 Years of Age.
A/Wisconsin (H3N2) - Day 0
18.57 HAI Titers
Interval 16.37 to 21.06
18.20 HAI Titers
Interval 16.07 to 20.62
Evaluation and Comparison of Immunogenicity of FluBlok and TIV in Healthy Adults 50-64 Years of Age.
A/Wisconsin (H3N2) - Day 28
105.41 HAI Titers
Interval 91.01 to 122.09
60.88 HAI Titers
Interval 53.58 to 69.18
Evaluation and Comparison of Immunogenicity of FluBlok and TIV in Healthy Adults 50-64 Years of Age.
B/Malaysia - Day 0
48.49 HAI Titers
Interval 43.38 to 54.19
49.18 HAI Titers
Interval 43.77 to 55.25
Evaluation and Comparison of Immunogenicity of FluBlok and TIV in Healthy Adults 50-64 Years of Age.
B/Malaysia - Day 28
110.93 HAI Titers
Interval 100.07 to 122.97
116.03 HAI Titers
Interval 104.16 to 129.25

SECONDARY outcome

Timeframe: Day 28 following immunization at Day 0

Population: All randomized subjects who received study vaccine and who had day 0 and day 28 HAI titers

Percentage of participants with greater than or equal to a 4-fold rise in Hemagglutination-Inhibition Assay (HAI) titer over Day 0 at Day 28 following immunization

Outcome measures

Outcome measures
Measure
FluBlok
n=100 % of participants
Recombinant Trivalent Hemagglutinin Influenza Vaccine: 2007-2008 formulation containing 45μg of each hemagglutinin derived from A/Solomon Islands/03/2006 (H1N1), A/Wisconsin/67/2005 (H3N2), and B/Malaysia/2506/2004 135μg total
TIV (Fluzone)
n=100 % of participants
Licensed Trivalent Influenza Vaccine (TIV): 2007-2008 formulation containing 15μg of each hemagglutinin derived from A/Solomon Islands/03/2006 (H1N1), A/Wisconsin/67/2005 (H3N2), and B/Malaysia/2506/2004 45μg total (Fluzone, sanofi pasteur)
Percentage of Participants With Seroconversion
A/Solomon Islands (H1N1)
72 Percentage of participants
Interval 66.8 to 77.2
66 Percentage of participants
Interval 60.6 to 71.5
Percentage of Participants With Seroconversion
A/Wisconsin (H3N2)
61 Percentage of participants
Interval 55.4 to 66.8
44 Percentage of participants
Interval 38.0 to 69.2
Percentage of Participants With Seroconversion
B/Malaysia
41 Percentage of participants
Interval 35.2 to 46.6
41 Percentage of participants
Interval 35.5 to 46.8

SECONDARY outcome

Timeframe: Day 28 following immunization at Day 0

Percentage of participants with (HAI titer greater than or equal to 40) at Day 28

Outcome measures

Outcome measures
Measure
FluBlok
n=300 Participants
Recombinant Trivalent Hemagglutinin Influenza Vaccine: 2007-2008 formulation containing 45μg of each hemagglutinin derived from A/Solomon Islands/03/2006 (H1N1), A/Wisconsin/67/2005 (H3N2), and B/Malaysia/2506/2004 135μg total
TIV (Fluzone)
n=302 Participants
Licensed Trivalent Influenza Vaccine (TIV): 2007-2008 formulation containing 15μg of each hemagglutinin derived from A/Solomon Islands/03/2006 (H1N1), A/Wisconsin/67/2005 (H3N2), and B/Malaysia/2506/2004 45μg total (Fluzone, sanofi pasteur)
Percentage of Participants With Seroprotection
Influenza A/Solomon Islands (H1N1)
96 Percentage of participants
Interval 93.5 to 98.1
96 Percentage of participants
Interval 92.8 to 97.7
Percentage of Participants With Seroprotection
Influenza A/Wisconsin (H3N2)
85 Percentage of participants
Interval 80.8 to 89.1
75 Percentage of participants
Interval 69.9 to 79.9
Percentage of Participants With Seroprotection
Influenza B/Malaysia
93 Percentage of participants
Interval 89.5 to 95.6
94 Percentage of participants
Interval 91.1 to 96.7

Adverse Events

FluBlok

Serious events: 1 serious events
Other events: 4 other events
Deaths: 0 deaths

TIV (Fluzone)

Serious events: 0 serious events
Other events: 9 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
FluBlok
n=300 participants at risk
Recombinant Trivalent Hemagglutinin Influenza Vaccine: 2007-2008 formulation containing 45μg of each hemagglutinin derived from A/Solomon Islands/03/2006 (H1N1), A/Wisconsin/67/2005 (H3N2), and B/Malaysia/2506/2004 135μg total
TIV (Fluzone)
n=302 participants at risk
Licensed Trivalent Influenza Vaccine (TIV): 2007-2008 formulation containing 15μg of each hemagglutinin derived from A/Solomon Islands/03/2006 (H1N1), A/Wisconsin/67/2005 (H3N2), and B/Malaysia/2506/2004 45μg total (Fluzone, sanofi pasteur)
Cardiac disorders
Vasovagal Syncope
0.33%
1/300 • Number of events 1 • All AEs - 28 days following immunization; SAEs for duration of influenza season.
0.00%
0/302 • All AEs - 28 days following immunization; SAEs for duration of influenza season.

Other adverse events

Other adverse events
Measure
FluBlok
n=300 participants at risk
Recombinant Trivalent Hemagglutinin Influenza Vaccine: 2007-2008 formulation containing 45μg of each hemagglutinin derived from A/Solomon Islands/03/2006 (H1N1), A/Wisconsin/67/2005 (H3N2), and B/Malaysia/2506/2004 135μg total
TIV (Fluzone)
n=302 participants at risk
Licensed Trivalent Influenza Vaccine (TIV): 2007-2008 formulation containing 15μg of each hemagglutinin derived from A/Solomon Islands/03/2006 (H1N1), A/Wisconsin/67/2005 (H3N2), and B/Malaysia/2506/2004 45μg total (Fluzone, sanofi pasteur)
Respiratory, thoracic and mediastinal disorders
Pharyngolaryngeal pain
1.3%
4/300 • Number of events 4 • All AEs - 28 days following immunization; SAEs for duration of influenza season.
3.0%
9/302 • Number of events 9 • All AEs - 28 days following immunization; SAEs for duration of influenza season.

Additional Information

Lisa M. Dunkle, M.D., Chief Medical Officer

Protein Sciences Corporation

Phone: 203-599-6064

Results disclosure agreements

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