Trial Outcomes & Findings for H1N1 Vaccine in Pregnant Women (NCT NCT00963430)

NCT ID: NCT00963430

Last Updated: 2012-12-03

Results Overview

Participants maintained a memory aid to record daily the occurrence of local reactions of pain, tenderness and swelling for 8 days after vaccination (Day 0-7) based on their interference with daily activities. Participants are counted if they were reported as experiencing the symptom at any severity on any of the 8 days.

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

120 participants

Primary outcome timeframe

Within 8 days (Day 0-7) post first vaccination

Results posted on

2012-12-03

Participant Flow

Participants were healthy pregnant women recruited from existing volunteer populations and from the communities at large around the clinical sites. Participants were enrolled between 09Sep2009 and 16Oct2009.

Participant milestones

Participant milestones
Measure
15 Mcg H1N1 Vaccine
Participants received 15 mcg of Inactivated H1N1 Vaccine by intramuscular injection on Day 0 and Day 21.
30 Mcg H1N1 Vaccine
Participants received 30 mcg of Inactivated H1N1 Vaccine by intramuscular injection on Day 0 and Day 21.
Overall Study
STARTED
60
60
Overall Study
COMPLETED
59
57
Overall Study
NOT COMPLETED
1
3

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

H1N1 Vaccine in Pregnant Women

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
15 Mcg H1N1 Vaccine
n=60 Participants
Participants received 15 mcg of Inactivated H1N1 Vaccine by intramuscular injection on Day 0 and Day 21.
30 Mcg H1N1 Vaccine
n=60 Participants
Participants received 30 mcg of Inactivated H1N1 Vaccine by intramuscular injection on Day 0 and Day 21.
Total
n=120 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
60 Participants
n=5 Participants
60 Participants
n=7 Participants
120 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
31.7 years
STANDARD_DEVIATION 4.3 • n=5 Participants
31.2 years
STANDARD_DEVIATION 4.3 • n=7 Participants
31.4 years
STANDARD_DEVIATION 4.3 • n=5 Participants
Sex: Female, Male
Female
60 Participants
n=5 Participants
60 Participants
n=7 Participants
120 Participants
n=5 Participants
Sex: Female, Male
Male
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Region of Enrollment
United States
60 participants
n=5 Participants
60 participants
n=7 Participants
120 participants
n=5 Participants

PRIMARY outcome

Timeframe: Within 8 days (Day 0-7) post first vaccination

Population: All participants receiving the first vaccination are included in the safety cohort. Analyses are as treated.

Participants maintained a memory aid to record daily the occurrence of local reactions of pain, tenderness and swelling for 8 days after vaccination (Day 0-7) based on their interference with daily activities. Participants are counted if they were reported as experiencing the symptom at any severity on any of the 8 days.

Outcome measures

Outcome measures
Measure
15 Mcg H1N1 Vaccine
n=60 Participants
Participants received 15 mcg of Inactivated H1N1 Vaccine by intramuscular injection on Day 0 and Day 21.
30 Mcg H1N1 Vaccine
n=60 Participants
Participants received 30 mcg of Inactivated H1N1 Vaccine by intramuscular injection on Day 0 and Day 21.
Number of Participants Reporting Solicited Subjective Local Reactions After First Vaccination
Pain
15 Participants
21 Participants
Number of Participants Reporting Solicited Subjective Local Reactions After First Vaccination
Tenderness
26 Participants
37 Participants
Number of Participants Reporting Solicited Subjective Local Reactions After First Vaccination
Swelling
1 Participants
1 Participants

PRIMARY outcome

Timeframe: Within 8 days (Day 0-7) post second vaccination

Population: All participants receiving the second vaccination are included in the safety cohort. Analyses are as treated.

Participants maintained a memory aid to record daily the occurrence of local reactions of pain, tenderness and swelling for 8 days after vaccination (Day 0-7) based on their interference with daily activities. Participants are counted if they were reported as experiencing the symptom at any severity on any of the 8 days.

Outcome measures

Outcome measures
Measure
15 Mcg H1N1 Vaccine
n=49 Participants
Participants received 15 mcg of Inactivated H1N1 Vaccine by intramuscular injection on Day 0 and Day 21.
30 Mcg H1N1 Vaccine
n=54 Participants
Participants received 30 mcg of Inactivated H1N1 Vaccine by intramuscular injection on Day 0 and Day 21.
Number of Participants Reporting Solicited Subjective Local Reactions After Second Vaccination
Pain
10 Participants
20 Participants
Number of Participants Reporting Solicited Subjective Local Reactions After Second Vaccination
Tenderness
26 Participants
37 Participants
Number of Participants Reporting Solicited Subjective Local Reactions After Second Vaccination
Swelling
1 Participants
0 Participants

PRIMARY outcome

Timeframe: Within 8 days (Day 0-7) post first vaccination

Population: All participants receiving the first vaccination are included in the safety cohort. Analyses are as treated.

Participants maintained a memory aid to record daily the occurrence of local reactions of redness and swelling for 8 days after vaccination (Day 0-7). If the reaction was present, the maximum diameter was measured in millimeters (mm). Participants are counted if they reported experiencing the reaction with any measurement greater than 0 mm on any of the 8 days.

Outcome measures

Outcome measures
Measure
15 Mcg H1N1 Vaccine
n=60 Participants
Participants received 15 mcg of Inactivated H1N1 Vaccine by intramuscular injection on Day 0 and Day 21.
30 Mcg H1N1 Vaccine
n=60 Participants
Participants received 30 mcg of Inactivated H1N1 Vaccine by intramuscular injection on Day 0 and Day 21.
Number of Participants Reporting Solicited Quantitative Local Reactions After First Vaccination
Redness
5 Participants
8 Participants
Number of Participants Reporting Solicited Quantitative Local Reactions After First Vaccination
Swelling
4 Participants
1 Participants

PRIMARY outcome

Timeframe: Within 8 days (Day 0-7) post second vaccination

Population: All participants receiving the second vaccination are included in the safety cohort. Analyses are as treated.

Participants maintained a memory aid to record daily the occurrence of local reactions of redness and swelling for 8 days after vaccination (Day 0-7). If the reaction was present, the maximum diameter was measured in millimeters (mm). Participants are counted if they reported experiencing the reaction with any measurement greater than 0 mm on any of the 8 days.

Outcome measures

Outcome measures
Measure
15 Mcg H1N1 Vaccine
n=49 Participants
Participants received 15 mcg of Inactivated H1N1 Vaccine by intramuscular injection on Day 0 and Day 21.
30 Mcg H1N1 Vaccine
n=54 Participants
Participants received 30 mcg of Inactivated H1N1 Vaccine by intramuscular injection on Day 0 and Day 21.
Number of Participants Reporting Solicited Quantitative Local Reactions After Second Vaccination
Redness
2 Participants
3 Participants
Number of Participants Reporting Solicited Quantitative Local Reactions After Second Vaccination
Swelling
1 Participants
0 Participants

PRIMARY outcome

Timeframe: Within 8 days (Day 0-7) post first vaccination

Population: All participants receiving the first vaccination are included in the safety cohort. Analyses are as treated.

Participants maintained a memory aid to record daily the occurrence of systemic symptoms of feverishness, malaise, myalgia, headache, and nausea for 8 days after vaccination (Day 0-7) based on their interference with daily activities. Participants are counted if they reported experiencing the symptom at any severity on any of the 8 days.

Outcome measures

Outcome measures
Measure
15 Mcg H1N1 Vaccine
n=60 Participants
Participants received 15 mcg of Inactivated H1N1 Vaccine by intramuscular injection on Day 0 and Day 21.
30 Mcg H1N1 Vaccine
n=60 Participants
Participants received 30 mcg of Inactivated H1N1 Vaccine by intramuscular injection on Day 0 and Day 21.
Number of Participants Reporting Solicited Subjective Systemic Reactions After First Vaccination
Feverishness
5 Participants
4 Participants
Number of Participants Reporting Solicited Subjective Systemic Reactions After First Vaccination
Headache
17 Participants
18 Participants
Number of Participants Reporting Solicited Subjective Systemic Reactions After First Vaccination
Nausea
10 Participants
12 Participants
Number of Participants Reporting Solicited Subjective Systemic Reactions After First Vaccination
Malaise
19 Participants
24 Participants
Number of Participants Reporting Solicited Subjective Systemic Reactions After First Vaccination
Myalgia
12 Participants
8 Participants

PRIMARY outcome

Timeframe: Within 8 days (Day 0-7) post second vaccination

Population: All participants receiving the second vaccination are included in the safety cohort. Analyses are as treated.

Participants maintained a memory aid to record daily the occurrence of systemic symptoms of feverishness, malaise, myalgia, headache, and nausea for 8 days after vaccination (Day 0-7) based on their interference with daily activities. Participants are counted if they reported experiencing the symptom at any severity on any of the 8 days.

Outcome measures

Outcome measures
Measure
15 Mcg H1N1 Vaccine
n=49 Participants
Participants received 15 mcg of Inactivated H1N1 Vaccine by intramuscular injection on Day 0 and Day 21.
30 Mcg H1N1 Vaccine
n=54 Participants
Participants received 30 mcg of Inactivated H1N1 Vaccine by intramuscular injection on Day 0 and Day 21.
Number of Participants Reporting Solicited Subjective Systemic Reactions After Second Vaccination
Feverishness
2 Participants
4 Participants
Number of Participants Reporting Solicited Subjective Systemic Reactions After Second Vaccination
Myalgia
3 Participants
6 Participants
Number of Participants Reporting Solicited Subjective Systemic Reactions After Second Vaccination
Nausea
2 Participants
4 Participants
Number of Participants Reporting Solicited Subjective Systemic Reactions After Second Vaccination
Malaise
8 Participants
14 Participants
Number of Participants Reporting Solicited Subjective Systemic Reactions After Second Vaccination
Headache
11 Participants
11 Participants

PRIMARY outcome

Timeframe: Within 8 days (Day 0-7) post first vaccination

Population: All participants receiving the first vaccination are included in the safety cohort. Analyses are as treated.

Participants were provided with a thermometer and a memory aid on which to record daily oral temperatures for 8 days after vaccination (Day 0-7). The protocol defined fever as oral temperature of 37.8 degrees Celsius or higher. Participants are counted as experiencing fever if they reported oral temperatures of 37.8 degrees Celsius or higher on any of the 8 days.

Outcome measures

Outcome measures
Measure
15 Mcg H1N1 Vaccine
n=60 Participants
Participants received 15 mcg of Inactivated H1N1 Vaccine by intramuscular injection on Day 0 and Day 21.
30 Mcg H1N1 Vaccine
n=60 Participants
Participants received 30 mcg of Inactivated H1N1 Vaccine by intramuscular injection on Day 0 and Day 21.
Number of Participants Reporting Fever After First Vaccination
0 Participants
1 Participants

PRIMARY outcome

Timeframe: Within 8 days (Day 0-7) post second vaccination

Population: All participants receiving the second vaccination are included in the safety cohort. Analyses are as treated.

Participants were provided with a thermometer and a memory aid on which to record daily oral temperatures for 8 days after vaccination (Day 0-7). The protocol defined fever as oral temperature of 37.8 degrees Celsius or higher. Participants are counted as experiencing fever if they reported oral temperatures of 37.8 degrees Celsius or higher on any of the 8 days.

Outcome measures

Outcome measures
Measure
15 Mcg H1N1 Vaccine
n=49 Participants
Participants received 15 mcg of Inactivated H1N1 Vaccine by intramuscular injection on Day 0 and Day 21.
30 Mcg H1N1 Vaccine
n=54 Participants
Participants received 30 mcg of Inactivated H1N1 Vaccine by intramuscular injection on Day 0 and Day 21.
Number of Participants Reporting Fever After Second Vaccination
1 Participants
0 Participants

PRIMARY outcome

Timeframe: Day 0 prior to and Day 21 after the first vaccination

Population: Participants were included in the analyses if they received the first vaccination and had blood collected at both timepoints, with 5 participants excluded due to receipt of non-study vaccines. Participants were analyzed as treated.

Blood was collected from all participants prior to the initial vaccination as well as 21 days after the first vaccination for testing in the HAI assay with Influenza H1N1 2009 virus as the assay antigen. A participant met the threshold of a 4-fold rise in titer if the Day 0 titer was less than 1:10 (the assay's lowest level of detection) and the Day 21 post vaccination titer was 1:40 or greater, or the Day 0 titer was greater than or equal to 1:10 and the Day 21 post vaccination titer was an increase by 4-fold or more.

Outcome measures

Outcome measures
Measure
15 Mcg H1N1 Vaccine
n=55 Participants
Participants received 15 mcg of Inactivated H1N1 Vaccine by intramuscular injection on Day 0 and Day 21.
30 Mcg H1N1 Vaccine
n=58 Participants
Participants received 30 mcg of Inactivated H1N1 Vaccine by intramuscular injection on Day 0 and Day 21.
Number of Participants With 4-fold or Greater Serum Hemagglutination Inhibition (HAI) Antibody Titer Increases Against Influenza H1N1 2009 Virus Following a Single Dose of H1N1 Vaccine
49 Participants
56 Participants

PRIMARY outcome

Timeframe: Day 21 after the first vaccination

Population: Participants were included in the analyses if they received the first vaccination and had blood collected at the timepoint, with 5 participants excluded due to receipt of non-study vaccines. Participants were analyzed as treated.

Blood was collected from all participants at Day 21 post first vaccination for testing in the HAI assay with Influenza H1N1 2009 virus as the assay antigen. Each sample was tested at least twice according to standard operating procedures and the result of each replicate reported. A participant is counted if the geometric mean of the replicate values was 1:40 or greater.

Outcome measures

Outcome measures
Measure
15 Mcg H1N1 Vaccine
n=55 Participants
Participants received 15 mcg of Inactivated H1N1 Vaccine by intramuscular injection on Day 0 and Day 21.
30 Mcg H1N1 Vaccine
n=58 Participants
Participants received 30 mcg of Inactivated H1N1 Vaccine by intramuscular injection on Day 0 and Day 21.
Number of Participants With a Serum Hemagglutination Inhibition (HAI) Antibody Titer of 1:40 or Greater Against Influenza H1N1 2009 Virus Following a Single Dose of H1N1 Vaccine
51 Participants
56 Participants

PRIMARY outcome

Timeframe: At time of delivery

Population: All participants from whom outcome data were collected are included in the ITT safety population for this outcome measure.

Participants were contacted after delivery, and medical records reviewed, to collect complications experienced during pregnancy, labor and delivery. The data collection process followed a prospectively-defined list of complications reported for this outcome measure, some of which may have also been reported as serious adverse events if otherwise meeting those requirements.

Outcome measures

Outcome measures
Measure
15 Mcg H1N1 Vaccine
n=60 Participants
Participants received 15 mcg of Inactivated H1N1 Vaccine by intramuscular injection on Day 0 and Day 21.
30 Mcg H1N1 Vaccine
n=60 Participants
Participants received 30 mcg of Inactivated H1N1 Vaccine by intramuscular injection on Day 0 and Day 21.
Number of Participants Reporting Maternal Complications of Pregnancy, Labor and Delivery
Miscarriage
1 Participants
0 Participants
Number of Participants Reporting Maternal Complications of Pregnancy, Labor and Delivery
Gestational diabetes
1 Participants
4 Participants
Number of Participants Reporting Maternal Complications of Pregnancy, Labor and Delivery
Oligohydramnios
2 Participants
2 Participants
Number of Participants Reporting Maternal Complications of Pregnancy, Labor and Delivery
Pregnancy induced hypertension
0 Participants
3 Participants
Number of Participants Reporting Maternal Complications of Pregnancy, Labor and Delivery
Pre-eclampsia
1 Participants
2 Participants
Number of Participants Reporting Maternal Complications of Pregnancy, Labor and Delivery
Eclampsia
0 Participants
0 Participants
Number of Participants Reporting Maternal Complications of Pregnancy, Labor and Delivery
Fetal Distress
1 Participants
3 Participants
Number of Participants Reporting Maternal Complications of Pregnancy, Labor and Delivery
Abruptio Placenta
1 Participants
0 Participants
Number of Participants Reporting Maternal Complications of Pregnancy, Labor and Delivery
Chorioamnionitis
3 Participants
2 Participants
Number of Participants Reporting Maternal Complications of Pregnancy, Labor and Delivery
Fever
2 Participants
2 Participants
Number of Participants Reporting Maternal Complications of Pregnancy, Labor and Delivery
Anaphylaxis
0 Participants
0 Participants
Number of Participants Reporting Maternal Complications of Pregnancy, Labor and Delivery
Antibiotics prior to delivery
26 Participants
20 Participants
Number of Participants Reporting Maternal Complications of Pregnancy, Labor and Delivery
Fetal abnormalities detected during pregnancy
3 Participants
5 Participants
Number of Participants Reporting Maternal Complications of Pregnancy, Labor and Delivery
Assisted vaginal delivery
4 Participants
3 Participants
Number of Participants Reporting Maternal Complications of Pregnancy, Labor and Delivery
Postpartum endometritis
0 Participants
0 Participants
Number of Participants Reporting Maternal Complications of Pregnancy, Labor and Delivery
Postpartum bleeding
5 Participants
5 Participants
Number of Participants Reporting Maternal Complications of Pregnancy, Labor and Delivery
Postpartum bacteremia
0 Participants
0 Participants
Number of Participants Reporting Maternal Complications of Pregnancy, Labor and Delivery
Stillborn
1 Participants
0 Participants
Number of Participants Reporting Maternal Complications of Pregnancy, Labor and Delivery
Polyhydramnios
1 Participants
0 Participants
Number of Participants Reporting Maternal Complications of Pregnancy, Labor and Delivery
Non-elective Cesarean section
4 Participants
4 Participants
Number of Participants Reporting Maternal Complications of Pregnancy, Labor and Delivery
Abnormal amniotic fluid
11 Participants
12 Participants
Number of Participants Reporting Maternal Complications of Pregnancy, Labor and Delivery
Postpartum fever
1 Participants
0 Participants

PRIMARY outcome

Timeframe: At time of delivery

Population: All live births are included in this outcome measure, which excludes 2 participants whose pregnancies ended in miscarriage or stillbirth. Three participants gave birth to twins and one to triplets, each counted separately.

Participants were contacted after delivery, and medical records reviewed, to collect neonatal complications. The data collection process followed a prospectively-defined list of complications reported for this outcome measure, some of which may have also been reported as serious adverse events if otherwise meeting those requirements.

Outcome measures

Outcome measures
Measure
15 Mcg H1N1 Vaccine
n=61 Participants
Participants received 15 mcg of Inactivated H1N1 Vaccine by intramuscular injection on Day 0 and Day 21.
30 Mcg H1N1 Vaccine
n=62 Participants
Participants received 30 mcg of Inactivated H1N1 Vaccine by intramuscular injection on Day 0 and Day 21.
Number of Participants Reporting Neonatal Complications
Pre-term (less than 37 weeks)
10 Participants
7 Participants
Number of Participants Reporting Neonatal Complications
Large for gestational age
12 Participants
3 Participants
Number of Participants Reporting Neonatal Complications
Small for gestational age
3 Participants
1 Participants
Number of Participants Reporting Neonatal Complications
Abnormal infant exam
15 Participants
13 Participants
Number of Participants Reporting Neonatal Complications
Congenital abnormalities
1 Participants
3 Participants
Number of Participants Reporting Neonatal Complications
Hematological complications
3 Participants
1 Participants
Number of Participants Reporting Neonatal Complications
Infection
0 Participants
0 Participants
Number of Participants Reporting Neonatal Complications
Sepsis
0 Participants
0 Participants
Number of Participants Reporting Neonatal Complications
Meningitis
0 Participants
0 Participants
Number of Participants Reporting Neonatal Complications
Metabolic complications
4 Participants
0 Participants
Number of Participants Reporting Neonatal Complications
Fever 100.4 degrees Fahrenheit or greater
0 Participants
0 Participants
Number of Participants Reporting Neonatal Complications
Admission to special nursery/infant intensive care
6 Participants
6 Participants
Number of Participants Reporting Neonatal Complications
Respiratory complications
6 Participants
3 Participants
Number of Participants Reporting Neonatal Complications
Respiratory support used
5 Participants
3 Participants

PRIMARY outcome

Timeframe: Day 0 through Day 180 after last vaccination

Population: All participants receiving the first vaccination are included in the ITT safety cohort.

Serious adverse events included any untoward medical occurrence that resulted in death of the mother, fetus or infant; was life threatening to mother, fetus or infant; was a persistent/significant disability/incapacity; required in-patient hospitalization or prolongation thereof; was a congenital anomaly/birth defect in fetus or infant; or may have jeopardized the mother, fetus or infant, or required intervention to prevent one of the outcomes, or was described as Guillain-Barré Syndrome. Association was determined by a clinician licensed to diagnose and listed on the site's FDA Form 1572.

Outcome measures

Outcome measures
Measure
15 Mcg H1N1 Vaccine
n=60 Participants
Participants received 15 mcg of Inactivated H1N1 Vaccine by intramuscular injection on Day 0 and Day 21.
30 Mcg H1N1 Vaccine
n=60 Participants
Participants received 30 mcg of Inactivated H1N1 Vaccine by intramuscular injection on Day 0 and Day 21.
Number of Participants Reporting Vaccine-associated Serious Adverse Events (SAEs)
0 Participants
0 Participants

SECONDARY outcome

Timeframe: At time of delivery

Population: Participants were included in the analyses if they had blood collected at delivery, with 22 participants excluded due to receipt of non-study vaccines and 3 due to specimen processing errors at the time of sample collection. Participants were analyzed as treated.

Blood was collected from participants at the time of delivery for testing in the HAI assay with Influenza H1N1 2009 virus as the assay antigen. Each sample was tested at least twice according to standard operating procedures and the result of each replicate reported. A participant is counted if the geometric mean of the replicate values was 1:40 or greater.

Outcome measures

Outcome measures
Measure
15 Mcg H1N1 Vaccine
n=41 Participants
Participants received 15 mcg of Inactivated H1N1 Vaccine by intramuscular injection on Day 0 and Day 21.
30 Mcg H1N1 Vaccine
n=47 Participants
Participants received 30 mcg of Inactivated H1N1 Vaccine by intramuscular injection on Day 0 and Day 21.
Number of Participants With a Serum Hemagglutination Inhibition Assay (HAI) Antibody Titer Greater Than or Equal to 40 Against the Novel Influenza H1N1 2009 Virus in the Maternal Blood at the Time of Delivery
35 Participants
29 Participants

SECONDARY outcome

Timeframe: At time of delivery

Population: Participants were included in the analyses if a cord blood sample was collected at delivery, with 22 participants excluded due to receipt of non-study vaccines and 5 due to specimen processing errors at the time of sample collection.

Cord blood was collected at the time of delivery for testing in the HAI assay with Influenza H1N1 2009 virus as the assay antigen. Each sample was tested at least twice according to standard operating procedures and the result of each replicate reported. A participant is counted if the geometric mean of the replicate values was 1:40 or greater.

Outcome measures

Outcome measures
Measure
15 Mcg H1N1 Vaccine
n=39 Participants
Participants received 15 mcg of Inactivated H1N1 Vaccine by intramuscular injection on Day 0 and Day 21.
30 Mcg H1N1 Vaccine
n=46 Participants
Participants received 30 mcg of Inactivated H1N1 Vaccine by intramuscular injection on Day 0 and Day 21.
Number of Participants With a Serum Hemagglutination Inhibition Assay (HAI) Antibody Titer Greater Than or Equal to 40 Against the Novel Influenza H1N1 2009 Virus in Cord Blood
34 Participants
41 Participants

SECONDARY outcome

Timeframe: Day 0 prior to first vaccination and Day 21 after the second vaccination

Population: Participants were included in the analyses if they received both vaccinations within 4 days of the window and had blood collected at both timepoints, with 13 participants excluded due to receipt of non-study vaccines. Participants were analyzed as treated.

Blood was collected from all participants prior to the initial vaccination as well as 21 days after the second vaccination for testing in the HAI assay with Influenza H1N1 2009 virus as the assay antigen. A participant met the threshold of a 4-fold rise in titer if the Day 0 titer was less than 1:10 (the assay's lowest level of detection) and the Day 21 post vaccination 2 titer was 1:40 or greater, or the Day 0 titer was greater than or equal to 1:10 and the Day 21 post vaccination 2 titer was an increase by 4-fold or more.

Outcome measures

Outcome measures
Measure
15 Mcg H1N1 Vaccine
n=38 Participants
Participants received 15 mcg of Inactivated H1N1 Vaccine by intramuscular injection on Day 0 and Day 21.
30 Mcg H1N1 Vaccine
n=51 Participants
Participants received 30 mcg of Inactivated H1N1 Vaccine by intramuscular injection on Day 0 and Day 21.
Number of Participants With 4-fold or Greater Serum Hemagglutination Inhibition (HAI) Antibody Titer Increases Against Influenza H1N1 2009 Virus Following 2 Doses of H1N1 Vaccine
36 Participants
47 Participants

SECONDARY outcome

Timeframe: Day 21 after the second vaccination

Population: Participants were included in the analyses if they received both vaccinations within 4 days of the window and had blood collected at both timepoints, with 13 participants excluded due to receipt of non-study vaccines. Participants were analyzed as treated.

Blood was collected from all participants at Day 21 post second vaccination for testing in the HAI assay with Influenza H1N1 2009 virus as the assay antigen. Each sample was tested at least twice according to standard operating procedures and the result of each replicate reported. A participant is counted if the geometric mean of the replicate values was 1:40 or greater.

Outcome measures

Outcome measures
Measure
15 Mcg H1N1 Vaccine
n=38 Participants
Participants received 15 mcg of Inactivated H1N1 Vaccine by intramuscular injection on Day 0 and Day 21.
30 Mcg H1N1 Vaccine
n=51 Participants
Participants received 30 mcg of Inactivated H1N1 Vaccine by intramuscular injection on Day 0 and Day 21.
Number of Participants With a Serum Hemagglutination Inhibition (HAI) Antibody Titer of 1:40 or Greater Against Influenza H1N1 2009 Virus Following 2 Doses of H1N1 Vaccine
36 Participants
47 Participants

Adverse Events

15 Mcg H1N1 Vaccine

Serious events: 9 serious events
Other events: 53 other events
Deaths: 0 deaths

30 Mcg H1N1 Vaccine

Serious events: 6 serious events
Other events: 54 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
15 Mcg H1N1 Vaccine
n=60 participants at risk
Participants received 15 mcg of Inactivated H1N1 Vaccine by intramuscular injection on Day 0 and Day 21.
30 Mcg H1N1 Vaccine
n=60 participants at risk
Participants received 30 mcg of Inactivated H1N1 Vaccine by intramuscular injection on Day 0 and Day 21.
Reproductive system and breast disorders
Vaginal haemorrhage
1.7%
1/60 • Number of events 1 • Solicited events were collected for 8 days after each vaccination, unsolicited events through 21 days after last vaccination, and serious adverse events and new onset chronic medical conditions through 180 days after last vaccination.
For events solicited on a Memory Aid in the 8 days after vaccination, a participant was considered to have one event if it was reported as experienced at any time in the 8 day period.
0.00%
0/60 • Solicited events were collected for 8 days after each vaccination, unsolicited events through 21 days after last vaccination, and serious adverse events and new onset chronic medical conditions through 180 days after last vaccination.
For events solicited on a Memory Aid in the 8 days after vaccination, a participant was considered to have one event if it was reported as experienced at any time in the 8 day period.
Respiratory, thoracic and mediastinal disorders
Asthma
1.7%
1/60 • Number of events 1 • Solicited events were collected for 8 days after each vaccination, unsolicited events through 21 days after last vaccination, and serious adverse events and new onset chronic medical conditions through 180 days after last vaccination.
For events solicited on a Memory Aid in the 8 days after vaccination, a participant was considered to have one event if it was reported as experienced at any time in the 8 day period.
0.00%
0/60 • Solicited events were collected for 8 days after each vaccination, unsolicited events through 21 days after last vaccination, and serious adverse events and new onset chronic medical conditions through 180 days after last vaccination.
For events solicited on a Memory Aid in the 8 days after vaccination, a participant was considered to have one event if it was reported as experienced at any time in the 8 day period.
Pregnancy, puerperium and perinatal conditions
Postpartum haemorrhage
6.7%
4/60 • Number of events 4 • Solicited events were collected for 8 days after each vaccination, unsolicited events through 21 days after last vaccination, and serious adverse events and new onset chronic medical conditions through 180 days after last vaccination.
For events solicited on a Memory Aid in the 8 days after vaccination, a participant was considered to have one event if it was reported as experienced at any time in the 8 day period.
3.3%
2/60 • Number of events 2 • Solicited events were collected for 8 days after each vaccination, unsolicited events through 21 days after last vaccination, and serious adverse events and new onset chronic medical conditions through 180 days after last vaccination.
For events solicited on a Memory Aid in the 8 days after vaccination, a participant was considered to have one event if it was reported as experienced at any time in the 8 day period.
Pregnancy, puerperium and perinatal conditions
Pre-eclampsia
1.7%
1/60 • Number of events 1 • Solicited events were collected for 8 days after each vaccination, unsolicited events through 21 days after last vaccination, and serious adverse events and new onset chronic medical conditions through 180 days after last vaccination.
For events solicited on a Memory Aid in the 8 days after vaccination, a participant was considered to have one event if it was reported as experienced at any time in the 8 day period.
0.00%
0/60 • Solicited events were collected for 8 days after each vaccination, unsolicited events through 21 days after last vaccination, and serious adverse events and new onset chronic medical conditions through 180 days after last vaccination.
For events solicited on a Memory Aid in the 8 days after vaccination, a participant was considered to have one event if it was reported as experienced at any time in the 8 day period.
Pregnancy, puerperium and perinatal conditions
Abortion spontaneous
1.7%
1/60 • Number of events 1 • Solicited events were collected for 8 days after each vaccination, unsolicited events through 21 days after last vaccination, and serious adverse events and new onset chronic medical conditions through 180 days after last vaccination.
For events solicited on a Memory Aid in the 8 days after vaccination, a participant was considered to have one event if it was reported as experienced at any time in the 8 day period.
0.00%
0/60 • Solicited events were collected for 8 days after each vaccination, unsolicited events through 21 days after last vaccination, and serious adverse events and new onset chronic medical conditions through 180 days after last vaccination.
For events solicited on a Memory Aid in the 8 days after vaccination, a participant was considered to have one event if it was reported as experienced at any time in the 8 day period.
Surgical and medical procedures
Myomectomy
1.7%
1/60 • Number of events 1 • Solicited events were collected for 8 days after each vaccination, unsolicited events through 21 days after last vaccination, and serious adverse events and new onset chronic medical conditions through 180 days after last vaccination.
For events solicited on a Memory Aid in the 8 days after vaccination, a participant was considered to have one event if it was reported as experienced at any time in the 8 day period.
0.00%
0/60 • Solicited events were collected for 8 days after each vaccination, unsolicited events through 21 days after last vaccination, and serious adverse events and new onset chronic medical conditions through 180 days after last vaccination.
For events solicited on a Memory Aid in the 8 days after vaccination, a participant was considered to have one event if it was reported as experienced at any time in the 8 day period.
Pregnancy, puerperium and perinatal conditions
Premature labour
1.7%
1/60 • Number of events 1 • Solicited events were collected for 8 days after each vaccination, unsolicited events through 21 days after last vaccination, and serious adverse events and new onset chronic medical conditions through 180 days after last vaccination.
For events solicited on a Memory Aid in the 8 days after vaccination, a participant was considered to have one event if it was reported as experienced at any time in the 8 day period.
0.00%
0/60 • Solicited events were collected for 8 days after each vaccination, unsolicited events through 21 days after last vaccination, and serious adverse events and new onset chronic medical conditions through 180 days after last vaccination.
For events solicited on a Memory Aid in the 8 days after vaccination, a participant was considered to have one event if it was reported as experienced at any time in the 8 day period.
Pregnancy, puerperium and perinatal conditions
Caesarean section
1.7%
1/60 • Number of events 1 • Solicited events were collected for 8 days after each vaccination, unsolicited events through 21 days after last vaccination, and serious adverse events and new onset chronic medical conditions through 180 days after last vaccination.
For events solicited on a Memory Aid in the 8 days after vaccination, a participant was considered to have one event if it was reported as experienced at any time in the 8 day period.
0.00%
0/60 • Solicited events were collected for 8 days after each vaccination, unsolicited events through 21 days after last vaccination, and serious adverse events and new onset chronic medical conditions through 180 days after last vaccination.
For events solicited on a Memory Aid in the 8 days after vaccination, a participant was considered to have one event if it was reported as experienced at any time in the 8 day period.
Pregnancy, puerperium and perinatal conditions
Threatened labour
0.00%
0/60 • Solicited events were collected for 8 days after each vaccination, unsolicited events through 21 days after last vaccination, and serious adverse events and new onset chronic medical conditions through 180 days after last vaccination.
For events solicited on a Memory Aid in the 8 days after vaccination, a participant was considered to have one event if it was reported as experienced at any time in the 8 day period.
3.3%
2/60 • Number of events 2 • Solicited events were collected for 8 days after each vaccination, unsolicited events through 21 days after last vaccination, and serious adverse events and new onset chronic medical conditions through 180 days after last vaccination.
For events solicited on a Memory Aid in the 8 days after vaccination, a participant was considered to have one event if it was reported as experienced at any time in the 8 day period.
Pregnancy, puerperium and perinatal conditions
HELLP syndrome
0.00%
0/60 • Solicited events were collected for 8 days after each vaccination, unsolicited events through 21 days after last vaccination, and serious adverse events and new onset chronic medical conditions through 180 days after last vaccination.
For events solicited on a Memory Aid in the 8 days after vaccination, a participant was considered to have one event if it was reported as experienced at any time in the 8 day period.
1.7%
1/60 • Number of events 1 • Solicited events were collected for 8 days after each vaccination, unsolicited events through 21 days after last vaccination, and serious adverse events and new onset chronic medical conditions through 180 days after last vaccination.
For events solicited on a Memory Aid in the 8 days after vaccination, a participant was considered to have one event if it was reported as experienced at any time in the 8 day period.
Pregnancy, puerperium and perinatal conditions
Retained placenta or membranes
0.00%
0/60 • Solicited events were collected for 8 days after each vaccination, unsolicited events through 21 days after last vaccination, and serious adverse events and new onset chronic medical conditions through 180 days after last vaccination.
For events solicited on a Memory Aid in the 8 days after vaccination, a participant was considered to have one event if it was reported as experienced at any time in the 8 day period.
1.7%
1/60 • Number of events 1 • Solicited events were collected for 8 days after each vaccination, unsolicited events through 21 days after last vaccination, and serious adverse events and new onset chronic medical conditions through 180 days after last vaccination.
For events solicited on a Memory Aid in the 8 days after vaccination, a participant was considered to have one event if it was reported as experienced at any time in the 8 day period.
Pregnancy, puerperium and perinatal conditions
Pregnancy induced hypertension
0.00%
0/60 • Solicited events were collected for 8 days after each vaccination, unsolicited events through 21 days after last vaccination, and serious adverse events and new onset chronic medical conditions through 180 days after last vaccination.
For events solicited on a Memory Aid in the 8 days after vaccination, a participant was considered to have one event if it was reported as experienced at any time in the 8 day period.
1.7%
1/60 • Number of events 1 • Solicited events were collected for 8 days after each vaccination, unsolicited events through 21 days after last vaccination, and serious adverse events and new onset chronic medical conditions through 180 days after last vaccination.
For events solicited on a Memory Aid in the 8 days after vaccination, a participant was considered to have one event if it was reported as experienced at any time in the 8 day period.

Other adverse events

Other adverse events
Measure
15 Mcg H1N1 Vaccine
n=60 participants at risk
Participants received 15 mcg of Inactivated H1N1 Vaccine by intramuscular injection on Day 0 and Day 21.
30 Mcg H1N1 Vaccine
n=60 participants at risk
Participants received 30 mcg of Inactivated H1N1 Vaccine by intramuscular injection on Day 0 and Day 21.
Blood and lymphatic system disorders
Anaemia
0.00%
0/60 • Solicited events were collected for 8 days after each vaccination, unsolicited events through 21 days after last vaccination, and serious adverse events and new onset chronic medical conditions through 180 days after last vaccination.
For events solicited on a Memory Aid in the 8 days after vaccination, a participant was considered to have one event if it was reported as experienced at any time in the 8 day period.
6.7%
4/60 • Number of events 4 • Solicited events were collected for 8 days after each vaccination, unsolicited events through 21 days after last vaccination, and serious adverse events and new onset chronic medical conditions through 180 days after last vaccination.
For events solicited on a Memory Aid in the 8 days after vaccination, a participant was considered to have one event if it was reported as experienced at any time in the 8 day period.
Musculoskeletal and connective tissue disorders
Back pain
6.7%
4/60 • Number of events 4 • Solicited events were collected for 8 days after each vaccination, unsolicited events through 21 days after last vaccination, and serious adverse events and new onset chronic medical conditions through 180 days after last vaccination.
For events solicited on a Memory Aid in the 8 days after vaccination, a participant was considered to have one event if it was reported as experienced at any time in the 8 day period.
5.0%
3/60 • Number of events 3 • Solicited events were collected for 8 days after each vaccination, unsolicited events through 21 days after last vaccination, and serious adverse events and new onset chronic medical conditions through 180 days after last vaccination.
For events solicited on a Memory Aid in the 8 days after vaccination, a participant was considered to have one event if it was reported as experienced at any time in the 8 day period.
Gastrointestinal disorders
Dyspepsia
0.00%
0/60 • Solicited events were collected for 8 days after each vaccination, unsolicited events through 21 days after last vaccination, and serious adverse events and new onset chronic medical conditions through 180 days after last vaccination.
For events solicited on a Memory Aid in the 8 days after vaccination, a participant was considered to have one event if it was reported as experienced at any time in the 8 day period.
5.0%
3/60 • Number of events 4 • Solicited events were collected for 8 days after each vaccination, unsolicited events through 21 days after last vaccination, and serious adverse events and new onset chronic medical conditions through 180 days after last vaccination.
For events solicited on a Memory Aid in the 8 days after vaccination, a participant was considered to have one event if it was reported as experienced at any time in the 8 day period.
Respiratory, thoracic and mediastinal disorders
Oropharyngeal pain
3.3%
2/60 • Number of events 2 • Solicited events were collected for 8 days after each vaccination, unsolicited events through 21 days after last vaccination, and serious adverse events and new onset chronic medical conditions through 180 days after last vaccination.
For events solicited on a Memory Aid in the 8 days after vaccination, a participant was considered to have one event if it was reported as experienced at any time in the 8 day period.
5.0%
3/60 • Number of events 3 • Solicited events were collected for 8 days after each vaccination, unsolicited events through 21 days after last vaccination, and serious adverse events and new onset chronic medical conditions through 180 days after last vaccination.
For events solicited on a Memory Aid in the 8 days after vaccination, a participant was considered to have one event if it was reported as experienced at any time in the 8 day period.
Infections and infestations
Upper respiratory tract infection
13.3%
8/60 • Number of events 8 • Solicited events were collected for 8 days after each vaccination, unsolicited events through 21 days after last vaccination, and serious adverse events and new onset chronic medical conditions through 180 days after last vaccination.
For events solicited on a Memory Aid in the 8 days after vaccination, a participant was considered to have one event if it was reported as experienced at any time in the 8 day period.
16.7%
10/60 • Number of events 11 • Solicited events were collected for 8 days after each vaccination, unsolicited events through 21 days after last vaccination, and serious adverse events and new onset chronic medical conditions through 180 days after last vaccination.
For events solicited on a Memory Aid in the 8 days after vaccination, a participant was considered to have one event if it was reported as experienced at any time in the 8 day period.
Infections and infestations
Urinary tract infection
3.3%
2/60 • Number of events 2 • Solicited events were collected for 8 days after each vaccination, unsolicited events through 21 days after last vaccination, and serious adverse events and new onset chronic medical conditions through 180 days after last vaccination.
For events solicited on a Memory Aid in the 8 days after vaccination, a participant was considered to have one event if it was reported as experienced at any time in the 8 day period.
5.0%
3/60 • Number of events 3 • Solicited events were collected for 8 days after each vaccination, unsolicited events through 21 days after last vaccination, and serious adverse events and new onset chronic medical conditions through 180 days after last vaccination.
For events solicited on a Memory Aid in the 8 days after vaccination, a participant was considered to have one event if it was reported as experienced at any time in the 8 day period.
General disorders
Feeling hot
11.7%
7/60 • Number of events 7 • Solicited events were collected for 8 days after each vaccination, unsolicited events through 21 days after last vaccination, and serious adverse events and new onset chronic medical conditions through 180 days after last vaccination.
For events solicited on a Memory Aid in the 8 days after vaccination, a participant was considered to have one event if it was reported as experienced at any time in the 8 day period.
13.3%
8/60 • Number of events 8 • Solicited events were collected for 8 days after each vaccination, unsolicited events through 21 days after last vaccination, and serious adverse events and new onset chronic medical conditions through 180 days after last vaccination.
For events solicited on a Memory Aid in the 8 days after vaccination, a participant was considered to have one event if it was reported as experienced at any time in the 8 day period.
General disorders
Malaise
38.3%
23/60 • Number of events 27 • Solicited events were collected for 8 days after each vaccination, unsolicited events through 21 days after last vaccination, and serious adverse events and new onset chronic medical conditions through 180 days after last vaccination.
For events solicited on a Memory Aid in the 8 days after vaccination, a participant was considered to have one event if it was reported as experienced at any time in the 8 day period.
46.7%
28/60 • Number of events 38 • Solicited events were collected for 8 days after each vaccination, unsolicited events through 21 days after last vaccination, and serious adverse events and new onset chronic medical conditions through 180 days after last vaccination.
For events solicited on a Memory Aid in the 8 days after vaccination, a participant was considered to have one event if it was reported as experienced at any time in the 8 day period.
Musculoskeletal and connective tissue disorders
Myalgia
25.0%
15/60 • Number of events 15 • Solicited events were collected for 8 days after each vaccination, unsolicited events through 21 days after last vaccination, and serious adverse events and new onset chronic medical conditions through 180 days after last vaccination.
For events solicited on a Memory Aid in the 8 days after vaccination, a participant was considered to have one event if it was reported as experienced at any time in the 8 day period.
18.3%
11/60 • Number of events 14 • Solicited events were collected for 8 days after each vaccination, unsolicited events through 21 days after last vaccination, and serious adverse events and new onset chronic medical conditions through 180 days after last vaccination.
For events solicited on a Memory Aid in the 8 days after vaccination, a participant was considered to have one event if it was reported as experienced at any time in the 8 day period.
Nervous system disorders
Headache
38.3%
23/60 • Number of events 28 • Solicited events were collected for 8 days after each vaccination, unsolicited events through 21 days after last vaccination, and serious adverse events and new onset chronic medical conditions through 180 days after last vaccination.
For events solicited on a Memory Aid in the 8 days after vaccination, a participant was considered to have one event if it was reported as experienced at any time in the 8 day period.
40.0%
24/60 • Number of events 29 • Solicited events were collected for 8 days after each vaccination, unsolicited events through 21 days after last vaccination, and serious adverse events and new onset chronic medical conditions through 180 days after last vaccination.
For events solicited on a Memory Aid in the 8 days after vaccination, a participant was considered to have one event if it was reported as experienced at any time in the 8 day period.
Gastrointestinal disorders
Nausea
16.7%
10/60 • Number of events 12 • Solicited events were collected for 8 days after each vaccination, unsolicited events through 21 days after last vaccination, and serious adverse events and new onset chronic medical conditions through 180 days after last vaccination.
For events solicited on a Memory Aid in the 8 days after vaccination, a participant was considered to have one event if it was reported as experienced at any time in the 8 day period.
23.3%
14/60 • Number of events 16 • Solicited events were collected for 8 days after each vaccination, unsolicited events through 21 days after last vaccination, and serious adverse events and new onset chronic medical conditions through 180 days after last vaccination.
For events solicited on a Memory Aid in the 8 days after vaccination, a participant was considered to have one event if it was reported as experienced at any time in the 8 day period.
General disorders
Injection site pain
35.0%
21/60 • Number of events 25 • Solicited events were collected for 8 days after each vaccination, unsolicited events through 21 days after last vaccination, and serious adverse events and new onset chronic medical conditions through 180 days after last vaccination.
For events solicited on a Memory Aid in the 8 days after vaccination, a participant was considered to have one event if it was reported as experienced at any time in the 8 day period.
51.7%
31/60 • Number of events 41 • Solicited events were collected for 8 days after each vaccination, unsolicited events through 21 days after last vaccination, and serious adverse events and new onset chronic medical conditions through 180 days after last vaccination.
For events solicited on a Memory Aid in the 8 days after vaccination, a participant was considered to have one event if it was reported as experienced at any time in the 8 day period.
General disorders
Tenderness
61.7%
37/60 • Number of events 52 • Solicited events were collected for 8 days after each vaccination, unsolicited events through 21 days after last vaccination, and serious adverse events and new onset chronic medical conditions through 180 days after last vaccination.
For events solicited on a Memory Aid in the 8 days after vaccination, a participant was considered to have one event if it was reported as experienced at any time in the 8 day period.
73.3%
44/60 • Number of events 74 • Solicited events were collected for 8 days after each vaccination, unsolicited events through 21 days after last vaccination, and serious adverse events and new onset chronic medical conditions through 180 days after last vaccination.
For events solicited on a Memory Aid in the 8 days after vaccination, a participant was considered to have one event if it was reported as experienced at any time in the 8 day period.
General disorders
Injection site erythema
10.0%
6/60 • Number of events 7 • Solicited events were collected for 8 days after each vaccination, unsolicited events through 21 days after last vaccination, and serious adverse events and new onset chronic medical conditions through 180 days after last vaccination.
For events solicited on a Memory Aid in the 8 days after vaccination, a participant was considered to have one event if it was reported as experienced at any time in the 8 day period.
15.0%
9/60 • Number of events 11 • Solicited events were collected for 8 days after each vaccination, unsolicited events through 21 days after last vaccination, and serious adverse events and new onset chronic medical conditions through 180 days after last vaccination.
For events solicited on a Memory Aid in the 8 days after vaccination, a participant was considered to have one event if it was reported as experienced at any time in the 8 day period.
General disorders
Injection site swelling
8.3%
5/60 • Number of events 5 • Solicited events were collected for 8 days after each vaccination, unsolicited events through 21 days after last vaccination, and serious adverse events and new onset chronic medical conditions through 180 days after last vaccination.
For events solicited on a Memory Aid in the 8 days after vaccination, a participant was considered to have one event if it was reported as experienced at any time in the 8 day period.
1.7%
1/60 • Number of events 1 • Solicited events were collected for 8 days after each vaccination, unsolicited events through 21 days after last vaccination, and serious adverse events and new onset chronic medical conditions through 180 days after last vaccination.
For events solicited on a Memory Aid in the 8 days after vaccination, a participant was considered to have one event if it was reported as experienced at any time in the 8 day period.

Additional Information

Lisa Jackson, MD, MPH

Group Health Research Institute

Phone: 206-442-5216

Results disclosure agreements

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

Restriction type: LTE60