Trial Outcomes & Findings for Immune Responses Induced by Different Licensed Influenza Vaccines (NCT NCT00902278)

NCT ID: NCT00902278

Last Updated: 2017-11-20

Results Overview

Comparison of mean peak fold increases in ELISPOT H1N1, H3N2, and B responses between different vaccine groups

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

193 participants

Primary outcome timeframe

Prevaccination and approximately 7 days,14 days ,1month and up to 3-5 months post vaccination

Results posted on

2017-11-20

Participant Flow

We recruited healthy adults subjects during the 2008-2009, 2009-2010, 2010-2011, and 2011-2012 influenza seasons in a clinical research setting.

Participant milestones

Participant milestones
Measure
Flulaval
Flulaval: one 0.5-mL dose via intramuscular injection
Fluvirin
Fluvirin: one 0.5-mL dose via intramuscular injection
Fluzone
Fluzone: one 0.5-mL dose via intramuscular injection
Fluarix
Fluarix: one 0.5-mL dose via intramuscular injection
Afluria
Afluria: one 0.5-mL dose via intramuscular injection
Overall Study
STARTED
54
36
54
12
37
Overall Study
COMPLETED
50
34
49
12
35
Overall Study
NOT COMPLETED
4
2
5
0
2

Reasons for withdrawal

Reasons for withdrawal
Measure
Flulaval
Flulaval: one 0.5-mL dose via intramuscular injection
Fluvirin
Fluvirin: one 0.5-mL dose via intramuscular injection
Fluzone
Fluzone: one 0.5-mL dose via intramuscular injection
Fluarix
Fluarix: one 0.5-mL dose via intramuscular injection
Afluria
Afluria: one 0.5-mL dose via intramuscular injection
Overall Study
Physician Decision
1
0
2
0
1
Overall Study
Lost to Follow-up
3
2
3
0
1

Baseline Characteristics

Immune Responses Induced by Different Licensed Influenza Vaccines

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Flulaval
n=54 Participants
Flulaval: one 0.5-mL dose via intramuscular injection
Fluvirin
n=36 Participants
Fluvirin: one 0.5-mL dose via intramuscular injection
Fluzone
n=54 Participants
Fluzone: one 0.5-mL dose via intramuscular injection
Fluarix
n=12 Participants
Fluarix: one 0.5-mL dose via intramuscular injection
Afluria
n=37 Participants
Afluria: one 0.5-mL dose via intramuscular injection
Total
n=193 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
0 Participants
n=4 Participants
0 Participants
n=21 Participants
0 Participants
n=10 Participants
Age, Categorical
Between 18 and 65 years
54 Participants
n=5 Participants
36 Participants
n=7 Participants
54 Participants
n=5 Participants
12 Participants
n=4 Participants
37 Participants
n=21 Participants
193 Participants
n=10 Participants
Age, Categorical
>=65 years
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
0 Participants
n=21 Participants
0 Participants
n=10 Participants
Sex: Female, Male
Female
41 Participants
n=5 Participants
32 Participants
n=7 Participants
37 Participants
n=5 Participants
6 Participants
n=4 Participants
25 Participants
n=21 Participants
141 Participants
n=10 Participants
Sex: Female, Male
Male
13 Participants
n=5 Participants
4 Participants
n=7 Participants
17 Participants
n=5 Participants
6 Participants
n=4 Participants
12 Participants
n=21 Participants
52 Participants
n=10 Participants
Region of Enrollment
United States
54 participants
n=5 Participants
36 participants
n=7 Participants
54 participants
n=5 Participants
12 participants
n=4 Participants
37 participants
n=21 Participants
193 participants
n=10 Participants

PRIMARY outcome

Timeframe: Prevaccination and approximately 7 days,14 days ,1month and up to 3-5 months post vaccination

Population: Data was collected only for participants from the 2008-2009 influenza season. Data was not collected for Flulaval group.Only participants with evaluable data were included in the analysis.

Comparison of mean peak fold increases in ELISPOT H1N1, H3N2, and B responses between different vaccine groups

Outcome measures

Outcome measures
Measure
Flulaval
Flulaval: one 0.5-mL dose via intramuscular injection
Fluvirin
n=10 Participants
Fluvirin: one 0.5-mL dose via intramuscular injection
Fluzone
n=12 Participants
Fluzone: one 0.5-mL dose via intramuscular injection
Fluarix
n=11 Participants
Fluarix: one 0.5-mL dose via intramuscular injection
Afluria
n=12 Participants
Afluria: one 0.5-mL dose via intramuscular injection
T Cell Responses Following Immunization
H1N1 virus
1.5 fold change
Standard Deviation .55
1.7 fold change
Standard Deviation .84
1.9 fold change
Standard Deviation .56
1.6 fold change
Standard Deviation .71
T Cell Responses Following Immunization
H3N2 virus
2.4 fold change
Standard Deviation 1.28
2.1 fold change
Standard Deviation 1.34
2.7 fold change
Standard Deviation 1.23
1.7 fold change
Standard Deviation .60
T Cell Responses Following Immunization
B virus
1.5 fold change
Standard Deviation .61
1.6 fold change
Standard Deviation .59
1.6 fold change
Standard Deviation .59
1.4 fold change
Standard Deviation .61

SECONDARY outcome

Timeframe: Prevaccination and approximately 1 month post vaccination

Population: Data was collected only for participants from the 2008-2009 influenza season. Data was not collected for the flulaval group. Only participants with evaluable data were included in this analysis.

Geometric mean fold rise in antibody titer between day 0 ( baseline) and approximately 1 month post vaccination within each vaccine group

Outcome measures

Outcome measures
Measure
Flulaval
Flulaval: one 0.5-mL dose via intramuscular injection
Fluvirin
n=11 Participants
Fluvirin: one 0.5-mL dose via intramuscular injection
Fluzone
n=12 Participants
Fluzone: one 0.5-mL dose via intramuscular injection
Fluarix
n=12 Participants
Fluarix: one 0.5-mL dose via intramuscular injection
Afluria
n=12 Participants
Afluria: one 0.5-mL dose via intramuscular injection
Antibody Responses Following Immunization
B
3.4 fold change
Interval -41.6 to 48.4
9.3 fold change
Interval -34.0 to 52.6
9.6 fold change
Interval -52.99 to 72.21
4.0 fold change
Interval -6.9 to 14.9
Antibody Responses Following Immunization
H1N1
7.32 fold change
Interval -61.28 to 75.92
7.02 fold change
Interval -54.6 to 68.62
5.71 fold change
Interval -9.49 to 20.91
5.26 fold change
Interval -5.88 to 16.4
Antibody Responses Following Immunization
H3N2
7.6 fold change
Interval -30.1 to 45.3
7.2 fold change
Interval -74.8 to 89.2
4.9 fold change
Interval -6.2 to 16.0
5.6 fold change
Interval -14.9 to 26.1

Adverse Events

Flulaval

Serious events: 0 serious events
Other events: 30 other events
Deaths: 0 deaths

Fluvirin

Serious events: 0 serious events
Other events: 24 other events
Deaths: 0 deaths

Fluzone

Serious events: 0 serious events
Other events: 32 other events
Deaths: 0 deaths

Fluarix

Serious events: 0 serious events
Other events: 6 other events
Deaths: 0 deaths

Afluria

Serious events: 0 serious events
Other events: 25 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
Flulaval
n=52 participants at risk
Flulaval: one 0.5-mL dose via intramuscular injection
Fluvirin
n=34 participants at risk
Fluvirin: one 0.5-mL dose via intramuscular injection
Fluzone
n=53 participants at risk
Fluzone: one 0.5-mL dose via intramuscular injection
Fluarix
n=11 participants at risk
Fluarix: one 0.5-mL dose via intramuscular injection
Afluria
n=36 participants at risk
Afluria: one 0.5-mL dose via intramuscular injection
Nervous system disorders
Headache
15.4%
8/52 • Number of events 8
Only participants with available data were included in the analysis.
17.6%
6/34 • Number of events 6
Only participants with available data were included in the analysis.
15.1%
8/53 • Number of events 8
Only participants with available data were included in the analysis.
36.4%
4/11
Only participants with available data were included in the analysis.
11.1%
4/36 • Number of events 4
Only participants with available data were included in the analysis.
Skin and subcutaneous tissue disorders
Injection site soreness/tenderness
32.7%
17/52 • Number of events 17
Only participants with available data were included in the analysis.
29.4%
10/34 • Number of events 10
Only participants with available data were included in the analysis.
20.8%
11/53 • Number of events 11
Only participants with available data were included in the analysis.
9.1%
1/11 • Number of events 1
Only participants with available data were included in the analysis.
36.1%
13/36 • Number of events 13
Only participants with available data were included in the analysis.
Musculoskeletal and connective tissue disorders
Arm soreness
7.7%
4/52 • Number of events 4
Only participants with available data were included in the analysis.
0.00%
0/34
Only participants with available data were included in the analysis.
17.0%
9/53 • Number of events 9
Only participants with available data were included in the analysis.
9.1%
1/11 • Number of events 1
Only participants with available data were included in the analysis.
22.2%
8/36 • Number of events 8
Only participants with available data were included in the analysis.
Gastrointestinal disorders
Sore throat
7.7%
4/52 • Number of events 4
Only participants with available data were included in the analysis.
17.6%
6/34 • Number of events 6
Only participants with available data were included in the analysis.
7.5%
4/53 • Number of events 4
Only participants with available data were included in the analysis.
0.00%
0/11
Only participants with available data were included in the analysis.
11.1%
4/36 • Number of events 4
Only participants with available data were included in the analysis.
Respiratory, thoracic and mediastinal disorders
Cough
7.7%
4/52 • Number of events 4
Only participants with available data were included in the analysis.
2.9%
1/34 • Number of events 1
Only participants with available data were included in the analysis.
5.7%
3/53 • Number of events 3
Only participants with available data were included in the analysis.
0.00%
0/11
Only participants with available data were included in the analysis.
2.8%
1/36 • Number of events 1
Only participants with available data were included in the analysis.
Respiratory, thoracic and mediastinal disorders
Runny nose
5.8%
3/52 • Number of events 3
Only participants with available data were included in the analysis.
5.9%
2/34 • Number of events 2
Only participants with available data were included in the analysis.
3.8%
2/53 • Number of events 2
Only participants with available data were included in the analysis.
0.00%
0/11
Only participants with available data were included in the analysis.
8.3%
3/36 • Number of events 3
Only participants with available data were included in the analysis.
General disorders
Fatigue
5.8%
3/52 • Number of events 3
Only participants with available data were included in the analysis.
11.8%
4/34 • Number of events 4
Only participants with available data were included in the analysis.
7.5%
4/53 • Number of events 4
Only participants with available data were included in the analysis.
0.00%
0/11
Only participants with available data were included in the analysis.
5.6%
2/36 • Number of events 2
Only participants with available data were included in the analysis.
Musculoskeletal and connective tissue disorders
Joint pain
5.8%
3/52 • Number of events 3
Only participants with available data were included in the analysis.
0.00%
0/34
Only participants with available data were included in the analysis.
0.00%
0/53
Only participants with available data were included in the analysis.
9.1%
1/11
Only participants with available data were included in the analysis.
0.00%
0/36
Only participants with available data were included in the analysis.
Respiratory, thoracic and mediastinal disorders
Nasal congestion
1.9%
1/52 • Number of events 1
Only participants with available data were included in the analysis.
8.8%
3/34 • Number of events 3
Only participants with available data were included in the analysis.
3.8%
2/53 • Number of events 2
Only participants with available data were included in the analysis.
0.00%
0/11
Only participants with available data were included in the analysis.
0.00%
0/36
Only participants with available data were included in the analysis.
Respiratory, thoracic and mediastinal disorders
Sniffles
0.00%
0/52
Only participants with available data were included in the analysis.
5.9%
2/34 • Number of events 2
Only participants with available data were included in the analysis.
0.00%
0/53
Only participants with available data were included in the analysis.
0.00%
0/11
Only participants with available data were included in the analysis.
0.00%
0/36
Only participants with available data were included in the analysis.
Musculoskeletal and connective tissue disorders
Muscle stiffness/achiness/pain
3.8%
2/52 • Number of events 2
Only participants with available data were included in the analysis.
5.9%
2/34 • Number of events 2
Only participants with available data were included in the analysis.
7.5%
4/53 • Number of events 4
Only participants with available data were included in the analysis.
9.1%
1/11
Only participants with available data were included in the analysis.
0.00%
0/36
Only participants with available data were included in the analysis.
Gastrointestinal disorders
Abdominal pain
0.00%
0/52
Only participants with available data were included in the analysis.
5.9%
2/34 • Number of events 2
Only participants with available data were included in the analysis.
3.8%
2/53 • Number of events 2
Only participants with available data were included in the analysis.
0.00%
0/11
Only participants with available data were included in the analysis.
0.00%
0/36
Only participants with available data were included in the analysis.
Respiratory, thoracic and mediastinal disorders
" Cold symptoms"
0.00%
0/52
Only participants with available data were included in the analysis.
0.00%
0/34
Only participants with available data were included in the analysis.
5.7%
3/53 • Number of events 3
Only participants with available data were included in the analysis.
0.00%
0/11
Only participants with available data were included in the analysis.
2.8%
1/36 • Number of events 1
Only participants with available data were included in the analysis.
Infections and infestations
fevers
3.8%
2/52 • Number of events 2
Only participants with available data were included in the analysis.
0.00%
0/34
Only participants with available data were included in the analysis.
1.9%
1/53
Only participants with available data were included in the analysis.
9.1%
1/11
Only participants with available data were included in the analysis.
8.3%
3/36 • Number of events 3
Only participants with available data were included in the analysis.
Gastrointestinal disorders
nausea
1.9%
1/52 • Number of events 1
Only participants with available data were included in the analysis.
2.9%
1/34
Only participants with available data were included in the analysis.
3.8%
2/53 • Number of events 2
Only participants with available data were included in the analysis.
9.1%
1/11
Only participants with available data were included in the analysis.
5.6%
2/36 • Number of events 2
Only participants with available data were included in the analysis.
Skin and subcutaneous tissue disorders
injection site swelling
0.00%
0/52
Only participants with available data were included in the analysis.
0.00%
0/34
Only participants with available data were included in the analysis.
1.9%
1/53
Only participants with available data were included in the analysis.
9.1%
1/11
Only participants with available data were included in the analysis.
0.00%
0/36
Only participants with available data were included in the analysis.
Metabolism and nutrition disorders
sweats
0.00%
0/52
Only participants with available data were included in the analysis.
2.9%
1/34
Only participants with available data were included in the analysis.
0.00%
0/53
Only participants with available data were included in the analysis.
9.1%
1/11
Only participants with available data were included in the analysis.
0.00%
0/36
Only participants with available data were included in the analysis.

Additional Information

Mary Co

University of Massachusetts Medical School

Phone: 5088562927

Results disclosure agreements

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