Trial Outcomes & Findings for A Study to Evaluate the Safety and Immune Responses to Fluzone® Vaccination (NCT NCT00743275)

NCT ID: NCT00743275

Last Updated: 2016-05-16

Results Overview

Solicited Injection Site Reaction: Pain, Erythema, Swelling, Induration, and Ecchymosis. Solicited Systemic Reaction: Fever (temperature), Headache, Malaise, Myalgia, and Shivering

Recruitment status

COMPLETED

Study phase

PHASE4

Target enrollment

120 participants

Primary outcome timeframe

Days 0-3 post-vaccination

Results posted on

2016-05-16

Participant Flow

Participants were enrolled from 26 August to 03 September 2008 at one US clinical center.

A total of 122 participants who met the inclusion and exclusion criteria were enrolled. Of these, 120 participants were vaccinated.

Participant milestones

Participant milestones
Measure
Age 18-60 Years
Participants received one dose of Fluzone® vaccine on Day 0.
Age 61 Years and Older
Participants received one dose of Fluzone® vaccine on Day 0.
Overall Study
STARTED
59
61
Overall Study
COMPLETED
59
60
Overall Study
NOT COMPLETED
0
1

Reasons for withdrawal

Reasons for withdrawal
Measure
Age 18-60 Years
Participants received one dose of Fluzone® vaccine on Day 0.
Age 61 Years and Older
Participants received one dose of Fluzone® vaccine on Day 0.
Overall Study
Protocol Violation
0
1

Baseline Characteristics

A Study to Evaluate the Safety and Immune Responses to Fluzone® Vaccination

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Age 18-60 Years
n=59 Participants
Participants received one dose of Fluzone® vaccine on Day 0.
Age 61 Years and Older
n=61 Participants
Participants received one dose of Fluzone® vaccine on Day 0.
Total
n=120 Participants
Total of all reporting groups
Age, Categorical
<=18 years
0 Participants
n=93 Participants
0 Participants
n=4 Participants
0 Participants
n=27 Participants
Age, Categorical
Between 18 and 65 years
59 Participants
n=93 Participants
8 Participants
n=4 Participants
67 Participants
n=27 Participants
Age, Categorical
>=65 years
0 Participants
n=93 Participants
53 Participants
n=4 Participants
53 Participants
n=27 Participants
Age, Continuous
43.2 Years
STANDARD_DEVIATION 12.14 • n=93 Participants
74.7 Years
STANDARD_DEVIATION 7.67 • n=4 Participants
59.2 Years
STANDARD_DEVIATION 18.74 • n=27 Participants
Sex: Female, Male
Female
45 Participants
n=93 Participants
38 Participants
n=4 Participants
83 Participants
n=27 Participants
Sex: Female, Male
Male
14 Participants
n=93 Participants
23 Participants
n=4 Participants
37 Participants
n=27 Participants
Region of Enrollment
United States
59 participants
n=93 Participants
61 participants
n=4 Participants
120 participants
n=27 Participants

PRIMARY outcome

Timeframe: Days 0-3 post-vaccination

Population: Safety profile was assessed in the intent-to-treat (ITT) population

Solicited Injection Site Reaction: Pain, Erythema, Swelling, Induration, and Ecchymosis. Solicited Systemic Reaction: Fever (temperature), Headache, Malaise, Myalgia, and Shivering

Outcome measures

Outcome measures
Measure
Age 18-60 Years
n=59 Participants
Participants received one dose of Fluzone® vaccine on Day 0.
Age 61 Years and Older
n=61 Participants
Participants received one dose of Fluzone® vaccine on Day 0.
Number of Participants With at Least 1 Solicited Injection Site Solicited Systemic Reactions Post-vaccination With Fluzone® Vaccine.
Any Solicited Injection Site Reaction
35 Participants
18 Participants
Number of Participants With at Least 1 Solicited Injection Site Solicited Systemic Reactions Post-vaccination With Fluzone® Vaccine.
Any Pain
34 Participants
16 Participants
Number of Participants With at Least 1 Solicited Injection Site Solicited Systemic Reactions Post-vaccination With Fluzone® Vaccine.
Grade 3 Pain (Incapacitating)
0 Participants
1 Participants
Number of Participants With at Least 1 Solicited Injection Site Solicited Systemic Reactions Post-vaccination With Fluzone® Vaccine.
Any Erythema (Redness)
7 Participants
2 Participants
Number of Participants With at Least 1 Solicited Injection Site Solicited Systemic Reactions Post-vaccination With Fluzone® Vaccine.
Grade 3 Erythema (Redness)
0 Participants
0 Participants
Number of Participants With at Least 1 Solicited Injection Site Solicited Systemic Reactions Post-vaccination With Fluzone® Vaccine.
Any Swelling
4 Participants
1 Participants
Number of Participants With at Least 1 Solicited Injection Site Solicited Systemic Reactions Post-vaccination With Fluzone® Vaccine.
Grade 3 Swelling (≥ 5 cm)
0 Participants
1 Participants
Number of Participants With at Least 1 Solicited Injection Site Solicited Systemic Reactions Post-vaccination With Fluzone® Vaccine.
Any Induration
5 Participants
1 Participants
Number of Participants With at Least 1 Solicited Injection Site Solicited Systemic Reactions Post-vaccination With Fluzone® Vaccine.
Grade 3 Induration (≥ 5 cm)
0 Participants
0 Participants
Number of Participants With at Least 1 Solicited Injection Site Solicited Systemic Reactions Post-vaccination With Fluzone® Vaccine.
Any Ecchymosis
2 Participants
1 Participants
Number of Participants With at Least 1 Solicited Injection Site Solicited Systemic Reactions Post-vaccination With Fluzone® Vaccine.
Grade 3 Ecchymosis (≥ 5 cm)
0 Participants
0 Participants
Number of Participants With at Least 1 Solicited Injection Site Solicited Systemic Reactions Post-vaccination With Fluzone® Vaccine.
Any Solicited Systemic Reaction
25 Participants
14 Participants
Number of Participants With at Least 1 Solicited Injection Site Solicited Systemic Reactions Post-vaccination With Fluzone® Vaccine.
Any Fever
1 Participants
0 Participants
Number of Participants With at Least 1 Solicited Injection Site Solicited Systemic Reactions Post-vaccination With Fluzone® Vaccine.
Grade 3 Fever (> 102.2 ºF)
0 Participants
0 Participants
Number of Participants With at Least 1 Solicited Injection Site Solicited Systemic Reactions Post-vaccination With Fluzone® Vaccine.
Any Headache
17 Participants
6 Participants
Number of Participants With at Least 1 Solicited Injection Site Solicited Systemic Reactions Post-vaccination With Fluzone® Vaccine.
Grade 3 Headache
1 Participants
0 Participants
Number of Participants With at Least 1 Solicited Injection Site Solicited Systemic Reactions Post-vaccination With Fluzone® Vaccine.
Any Malaise
9 Participants
2 Participants
Number of Participants With at Least 1 Solicited Injection Site Solicited Systemic Reactions Post-vaccination With Fluzone® Vaccine.
Grade 3 Malaise (Prevents daily activities)
1 Participants
0 Participants
Number of Participants With at Least 1 Solicited Injection Site Solicited Systemic Reactions Post-vaccination With Fluzone® Vaccine.
Any Myalgia
19 Participants
10 Participants
Number of Participants With at Least 1 Solicited Injection Site Solicited Systemic Reactions Post-vaccination With Fluzone® Vaccine.
Grade 3 Myalgia (Prevents daily activities)
1 Participants
1 Participants
Number of Participants With at Least 1 Solicited Injection Site Solicited Systemic Reactions Post-vaccination With Fluzone® Vaccine.
Any Shivering
4 Participants
0 Participants
Number of Participants With at Least 1 Solicited Injection Site Solicited Systemic Reactions Post-vaccination With Fluzone® Vaccine.
Grade 3 Shivering (Prevents daily activities)
0 Participants
0 Participants

PRIMARY outcome

Timeframe: Day 0 and 21 days post-vaccination

Population: Analysis of Geometric Mean Titers was in the per-protocol population. (Participants that did not provide both pre- and post- vaccination serum samples within the specified time window were excluded from analysis)

Outcome measures

Outcome measures
Measure
Age 18-60 Years
n=50 Participants
Participants received one dose of Fluzone® vaccine on Day 0.
Age 61 Years and Older
n=49 Participants
Participants received one dose of Fluzone® vaccine on Day 0.
Geometric Mean Titers (GMTs) for the 3 Influenza Strains Pre- and Post-vaccination With Fluzone® Vaccine 2008-2009 Formulation
A/Brisbane/59/2007 (H1N1) IVR-148 Pre-dose
26.9 Titers
Interval 18.8 to 38.6
16.9 Titers
Interval 13.3 to 21.4
Geometric Mean Titers (GMTs) for the 3 Influenza Strains Pre- and Post-vaccination With Fluzone® Vaccine 2008-2009 Formulation
A/Uruguay (H3N2) X-175-C Pre-dose
34.9 Titers
Interval 22.5 to 54.2
31.5 Titers
Interval 21.5 to 46.0
Geometric Mean Titers (GMTs) for the 3 Influenza Strains Pre- and Post-vaccination With Fluzone® Vaccine 2008-2009 Formulation
B/Florida/04/2006 Pre-dose
28.5 Titers
Interval 21.0 to 38.6
21.6 Titers
Interval 16.6 to 28.1
Geometric Mean Titers (GMTs) for the 3 Influenza Strains Pre- and Post-vaccination With Fluzone® Vaccine 2008-2009 Formulation
A/Brisbane/59/2007 (H1N1) IVR-148 Post-dose
130.9 Titers
Interval 91.1 to 188.1
46.1 Titers
Interval 35.0 to 60.7
Geometric Mean Titers (GMTs) for the 3 Influenza Strains Pre- and Post-vaccination With Fluzone® Vaccine 2008-2009 Formulation
A/Uruguay (H3N2) X-175-C Post-dose
528.7 Titers
Interval 351.1 to 796.3
300.3 Titers
Interval 217.9 to 413.7
Geometric Mean Titers (GMTs) for the 3 Influenza Strains Pre- and Post-vaccination With Fluzone® Vaccine 2008-2009 Formulation
B/Florida/04/2006 Post-dose
84.0 Titers
Interval 64.9 to 108.6
56.2 Titers
Interval 40.9 to 77.2

PRIMARY outcome

Timeframe: 21 days post-vaccination

Population: Analysis of seroprotection was in the per-protocol population. (Participants that did not provide both pre- and post- vaccination serum samples within the specified time window were excluded from analysis)

Seroprotection was defined as post-vaccination titer value of ≥ 1:40.

Outcome measures

Outcome measures
Measure
Age 18-60 Years
n=50 Participants
Participants received one dose of Fluzone® vaccine on Day 0.
Age 61 Years and Older
n=49 Participants
Participants received one dose of Fluzone® vaccine on Day 0.
Percentage of Participants With at Least 1:40 Hemagglutination Inhibition Antibody Titer Post-Vaccination With Fluzone® Vaccine (Seroprotection)
A/Brisbane/59/2007 (H1N1) IVR-148
88 Percentage of Participants
63 Percentage of Participants
Percentage of Participants With at Least 1:40 Hemagglutination Inhibition Antibody Titer Post-Vaccination With Fluzone® Vaccine (Seroprotection)
A/Uruguay (H3N2) X-175-C
98 Percentage of Participants
98 Percentage of Participants
Percentage of Participants With at Least 1:40 Hemagglutination Inhibition Antibody Titer Post-Vaccination With Fluzone® Vaccine (Seroprotection)
B/Florida/04/2006
82 Percentage of Participants
67 Percentage of Participants

PRIMARY outcome

Timeframe: 21 days post-vaccination

Population: Analysis of seroconversion was in the per-protocol population. (Participants that did not provide both pre- and post- vaccination serum samples within the specified time window were excluded from analysis)

Seroconversion was defined as a four-fold rise in titers or greater from baseline. If the baseline titer value is \< 10, then 10 is used as the baseline value for the purposes of this calculation

Outcome measures

Outcome measures
Measure
Age 18-60 Years
n=50 Participants
Participants received one dose of Fluzone® vaccine on Day 0.
Age 61 Years and Older
n=49 Participants
Participants received one dose of Fluzone® vaccine on Day 0.
Percentage of Participants With at Least a 4-Fold Rise in Hemagglutination Inhibition Antibody Titer Post-Vaccination With Fluzone Vaccine (Seroconversion)
B/Florida/04/2006
36 Percentage of Participants
31 Percentage of Participants
Percentage of Participants With at Least a 4-Fold Rise in Hemagglutination Inhibition Antibody Titer Post-Vaccination With Fluzone Vaccine (Seroconversion)
A/Brisbane/59/2007 (H1N1) IVR-148
42 Percentage of Participants
33 Percentage of Participants
Percentage of Participants With at Least a 4-Fold Rise in Hemagglutination Inhibition Antibody Titer Post-Vaccination With Fluzone Vaccine (Seroconversion)
A/Uruguay (H3N2) X 175-C
77 Percentage of Participants
84 Percentage of Participants

Adverse Events

Age 18-60 Years

Serious events: 0 serious events
Other events: 34 other events
Deaths: 0 deaths

Age 61 Years and Older

Serious events: 0 serious events
Other events: 16 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
Age 18-60 Years
n=59 participants at risk
Participants received one dose of Fluzone® vaccine on Day 0.
Age 61 Years and Older
n=61 participants at risk
Participants received one dose of Fluzone® vaccine on Day 0.
Respiratory, thoracic and mediastinal disorders
Cough
8.5%
5/59 • Number of events 5 • Adverse events data were collected throughout the study from Day 0 to Day 21.
0.00%
0/61 • Adverse events data were collected throughout the study from Day 0 to Day 21.
Respiratory, thoracic and mediastinal disorders
Nasal congestion
6.8%
4/59 • Number of events 4 • Adverse events data were collected throughout the study from Day 0 to Day 21.
0.00%
0/61 • Adverse events data were collected throughout the study from Day 0 to Day 21.
Respiratory, thoracic and mediastinal disorders
Pharyngolaryngeal pain
10.2%
6/59 • Number of events 6 • Adverse events data were collected throughout the study from Day 0 to Day 21.
1.6%
1/61 • Number of events 1 • Adverse events data were collected throughout the study from Day 0 to Day 21.
Respiratory, thoracic and mediastinal disorders
Rhinorrhoea
5.1%
3/59 • Number of events 3 • Adverse events data were collected throughout the study from Day 0 to Day 21.
1.6%
1/61 • Number of events 1 • Adverse events data were collected throughout the study from Day 0 to Day 21.
General disorders
Injection site pain
57.6%
34/59 • Number of events 34 • Adverse events data were collected throughout the study from Day 0 to Day 21.
26.2%
16/61 • Number of events 16 • Adverse events data were collected throughout the study from Day 0 to Day 21.
General disorders
Injection site erythema
11.9%
7/59 • Number of events 7 • Adverse events data were collected throughout the study from Day 0 to Day 21.
3.3%
2/61 • Number of events 2 • Adverse events data were collected throughout the study from Day 0 to Day 21.
General disorders
Injection site swelling
6.8%
4/59 • Number of events 4 • Adverse events data were collected throughout the study from Day 0 to Day 21.
1.6%
1/61 • Number of events 1 • Adverse events data were collected throughout the study from Day 0 to Day 21.
General disorders
Injection site induration
8.5%
5/59 • Number of events 5 • Adverse events data were collected throughout the study from Day 0 to Day 21.
1.6%
1/61 • Number of events 1 • Adverse events data were collected throughout the study from Day 0 to Day 21.
Nervous system disorders
Headache
28.8%
17/59 • Number of events 17 • Adverse events data were collected throughout the study from Day 0 to Day 21.
9.8%
6/61 • Number of events 6 • Adverse events data were collected throughout the study from Day 0 to Day 21.
General disorders
Malaise
15.3%
9/59 • Number of events 9 • Adverse events data were collected throughout the study from Day 0 to Day 21.
3.3%
2/61 • Number of events 2 • Adverse events data were collected throughout the study from Day 0 to Day 21.
Musculoskeletal and connective tissue disorders
Myalgia
32.2%
19/59 • Number of events 19 • Adverse events data were collected throughout the study from Day 0 to Day 21.
16.4%
10/61 • Number of events 10 • Adverse events data were collected throughout the study from Day 0 to Day 21.
General disorders
Chills
6.8%
4/59 • Number of events 4 • Adverse events data were collected throughout the study from Day 0 to Day 21.
0.00%
0/61 • Adverse events data were collected throughout the study from Day 0 to Day 21.

Additional Information

Medical Director

Sanofi Pasteur Inc.

Results disclosure agreements

  • Principal investigator is a sponsor employee Sponsor must have the opportunity to review at least 60 days prior to submission for publication or presentation. If review indicates that potentially patentable subject matter would be disclosed, publication or public disclosure may be delayed for a maximum of an additional 60 days to allow for filing the necessary patent applications
  • Publication restrictions are in place

Restriction type: OTHER