Trial Outcomes & Findings for Immunogenicity and Safety of a Single 0.5 mL Dose of Inflexal V With a 0.25 mL 2-dose Regimen of Inflexal V (NCT NCT01229397)

NCT ID: NCT01229397

Last Updated: 2014-02-06

Results Overview

Seroprotection rate

Recruitment status

COMPLETED

Study phase

PHASE3

Target enrollment

205 participants

Primary outcome timeframe

This assesment was done for immunogenicity data collected at Day 29 after completion of designated vaccination regimen

Results posted on

2014-02-06

Participant Flow

Recruitment period: 05 October - 17 January 2011; Location: University of Milan

Participant milestones

Participant milestones
Measure
Inflexal V 0.25 mL x 2
2 doses of Inflexal V influenza vaccine (surface antigen, inactivated, virosome) 2010/2011, 4 weeks apart, containing per 0.25 mL dose: * 7.5 μg HA antigen of A/California/7/2009 (H1N1)-like virus * 7.5 μg HA antigen of A/Perth/16/2009 (H3N2)-like virus * 7.5 μg HA antigen of B/Brisbane/60/2008-like virus
Inflexal V 0.5 mL x 1
1 dose of Inflexal V influenza vaccine (surface antigen, inactivated, virosome) 2010/2011, containing per 0.5 mL dose: * 15 μg HA antigen of A/California/7/2009 (H1N1)-like virus * 15 μg HA antigen of A/Perth/16/2009 (H3N2)-like virus * 15 μg HA antigen of B/Brisbane/60/2008-like virus
Overall Study
STARTED
103
102
Overall Study
COMPLETED
92
93
Overall Study
NOT COMPLETED
11
9

Reasons for withdrawal

Reasons for withdrawal
Measure
Inflexal V 0.25 mL x 2
2 doses of Inflexal V influenza vaccine (surface antigen, inactivated, virosome) 2010/2011, 4 weeks apart, containing per 0.25 mL dose: * 7.5 μg HA antigen of A/California/7/2009 (H1N1)-like virus * 7.5 μg HA antigen of A/Perth/16/2009 (H3N2)-like virus * 7.5 μg HA antigen of B/Brisbane/60/2008-like virus
Inflexal V 0.5 mL x 1
1 dose of Inflexal V influenza vaccine (surface antigen, inactivated, virosome) 2010/2011, containing per 0.5 mL dose: * 15 μg HA antigen of A/California/7/2009 (H1N1)-like virus * 15 μg HA antigen of A/Perth/16/2009 (H3N2)-like virus * 15 μg HA antigen of B/Brisbane/60/2008-like virus
Overall Study
Withdrawal by Subject
3
3
Overall Study
Lost to Follow-up
7
6
Overall Study
Migrated/moved from study area
1
0

Baseline Characteristics

Immunogenicity and Safety of a Single 0.5 mL Dose of Inflexal V With a 0.25 mL 2-dose Regimen of Inflexal V

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Inflexal V 0.25 mL x 2
n=103 Participants
Two 0.25 mL doses (on Day 1 and 29)
Inflexal V 0.5 mL x 1
n=102 Participants
One 0.5 mL dose (on Day 1)
Total
n=205 Participants
Total of all reporting groups
Age, Categorical
<=18 years
103 Participants
n=5 Participants
102 Participants
n=7 Participants
205 Participants
n=5 Participants
Age, Categorical
Between 18 and 65 years
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 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
1.8 years
STANDARD_DEVIATION 0.52 • n=5 Participants
1.8 years
STANDARD_DEVIATION 0.61 • n=7 Participants
1.8 years
STANDARD_DEVIATION 0.57 • n=5 Participants
Sex: Female, Male
Female
37 Participants
n=5 Participants
37 Participants
n=7 Participants
74 Participants
n=5 Participants
Sex: Female, Male
Male
66 Participants
n=5 Participants
65 Participants
n=7 Participants
131 Participants
n=5 Participants
Region of Enrollment
Italy
103 participants
n=5 Participants
102 participants
n=7 Participants
205 participants
n=5 Participants

PRIMARY outcome

Timeframe: This assesment was done for immunogenicity data collected at Day 29 after completion of designated vaccination regimen

Population: Intention to treat population, vaccinated subjects with available pre- and post-vaccination titers

Seroprotection rate

Outcome measures

Outcome measures
Measure
Inflexal V 0.25 mL x 2
n=98 Participants
Two 0.25 mL doses (on Day 1 and 29)
Inflexal V 0.5 mL x 1
n=99 Participants
One 0.5 mL dose (on Day 1)
Inflexal V 0.5 mL x 1
Immunogenicity of a Single Full (0.5 mL) Dose and a 0.25 mL 2-dose Regimen of Inflexal V, Using the EMA Guideline for the Re-registration of the Seasonal Influenza Vaccine in Adults (Aged ≥18 to ≤60 Years) as Reference
Percentage of subjects seroprotected: A/H1N1
99.0 percentage subjects
Interval 94.4 to 100.0
98.0 percentage subjects
Interval 92.9 to 99.8
Immunogenicity of a Single Full (0.5 mL) Dose and a 0.25 mL 2-dose Regimen of Inflexal V, Using the EMA Guideline for the Re-registration of the Seasonal Influenza Vaccine in Adults (Aged ≥18 to ≤60 Years) as Reference
Percentage of subjects seroprotected: A/H3N2
99.0 percentage subjects
Interval 94.4 to 100.0
97.0 percentage subjects
Interval 91.4 to 99.4
Immunogenicity of a Single Full (0.5 mL) Dose and a 0.25 mL 2-dose Regimen of Inflexal V, Using the EMA Guideline for the Re-registration of the Seasonal Influenza Vaccine in Adults (Aged ≥18 to ≤60 Years) as Reference
Percentage of subjects seroprotected: B-strain
92.2 percentage subjects
Interval 85.8 to 97.1
86.9 percentage subjects
Interval 78.6 to 92.8

PRIMARY outcome

Timeframe: This assesment was done for immunogenicity data collected at Day 29 after completion of designated vaccination regimen

Population: Intention to treat population, vaccinated subjects with available pre- and post-vaccination titers

Seroconversion rate

Outcome measures

Outcome measures
Measure
Inflexal V 0.25 mL x 2
n=98 Participants
Two 0.25 mL doses (on Day 1 and 29)
Inflexal V 0.5 mL x 1
n=99 Participants
One 0.5 mL dose (on Day 1)
Inflexal V 0.5 mL x 1
Immunogenicity of a Single Full (0.5 mL) Dose and a 0.25 mL 2-dose Regimen of Inflexal V, Using the EMA Guideline for the Re-registration of the Seasonal Influenza Vaccine in Adults (Aged ≥18 to ≤60 Years) as Reference
Percentage of subjects seroconverted: A/H1N1
92.9 percentage subjects
Interval 85.1 to 97.3
95.5 percentage subjects
Interval 88.8 to 98.7
Immunogenicity of a Single Full (0.5 mL) Dose and a 0.25 mL 2-dose Regimen of Inflexal V, Using the EMA Guideline for the Re-registration of the Seasonal Influenza Vaccine in Adults (Aged ≥18 to ≤60 Years) as Reference
Percentage of subjects seroconverted: A/H3N2
99.0 percentage subjects
Interval 94.4 to 100.0
97.0 percentage subjects
Interval 91.4 to 99.4
Immunogenicity of a Single Full (0.5 mL) Dose and a 0.25 mL 2-dose Regimen of Inflexal V, Using the EMA Guideline for the Re-registration of the Seasonal Influenza Vaccine in Adults (Aged ≥18 to ≤60 Years) as Reference
Percentage of subjects seroconverted: B-strain
92.9 percentage subjects
Interval 85.8 to 97.1
86.9 percentage subjects
Interval 78.6 to 92.8

PRIMARY outcome

Timeframe: This assesment was done for immunogenicity data collected at Day 29 after completion of designated vaccination regimen

Population: Intention to treat population, vaccinated subjects with available pre- and post-vaccination titers

GMT-fold increase - calculated as the GMT on Day 22 divided by the baseline GMT value

Outcome measures

Outcome measures
Measure
Inflexal V 0.25 mL x 2
n=98 Participants
Two 0.25 mL doses (on Day 1 and 29)
Inflexal V 0.5 mL x 1
n=99 Participants
One 0.5 mL dose (on Day 1)
Inflexal V 0.5 mL x 1
Immunogenicity of a Single Full (0.5 mL) Dose and a 0.25 mL 2-dose Regimen of Inflexal V, Using the EMA Guideline for the Re-registration of the Seasonal Influenza Vaccine in Adults (Aged ≥18 to ≤60 Years) as Reference
GMT fold increase from baseline: A/H1N1
25.5 Fold (ratio)
Interval 21.3 to 30.5
19.6 Fold (ratio)
Interval 16.9 to 22.7
Immunogenicity of a Single Full (0.5 mL) Dose and a 0.25 mL 2-dose Regimen of Inflexal V, Using the EMA Guideline for the Re-registration of the Seasonal Influenza Vaccine in Adults (Aged ≥18 to ≤60 Years) as Reference
GMT fold increase from baseline: A/H3N2
31.6 Fold (ratio)
Interval 26.7 to 37.3
24.6 Fold (ratio)
Interval 20.7 to 29.3
Immunogenicity of a Single Full (0.5 mL) Dose and a 0.25 mL 2-dose Regimen of Inflexal V, Using the EMA Guideline for the Re-registration of the Seasonal Influenza Vaccine in Adults (Aged ≥18 to ≤60 Years) as Reference
GMT fold increase from baseline: B-strain
12.8 Fold (ratio)
Interval 11.2 to 14.6
14.7 Fold (ratio)
Interval 12.3 to 17.4

SECONDARY outcome

Timeframe: Solicited local and systemic AEs were collected from Day 1 (day of vaccination) to Day 4 inclusive using a subject diary

Population: Safety population, all vaccinated subjects

Outcome measures

Outcome measures
Measure
Inflexal V 0.25 mL x 2
n=102 Participants
Two 0.25 mL doses (on Day 1 and 29)
Inflexal V 0.5 mL x 1
n=101 Participants
One 0.5 mL dose (on Day 1)
Inflexal V 0.5 mL x 1
n=100 Participants
Number of Participants With Local and Systemic Adverse Events as a Measure of Safety and Tolerability
AEs (unsolicited and solicited)
51 participants
48 participants
49 participants
Number of Participants With Local and Systemic Adverse Events as a Measure of Safety and Tolerability
Unsolicited AEs
29 participants
32 participants
30 participants
Number of Participants With Local and Systemic Adverse Events as a Measure of Safety and Tolerability
Solicited local AEs
22 participants
16 participants
17 participants
Number of Participants With Local and Systemic Adverse Events as a Measure of Safety and Tolerability
Solicited systemic AEs
16 participants
16 participants
20 participants

Adverse Events

Inflexal V 0.25 mL x 2 - After 1st Vaccination

Serious events: 1 serious events
Other events: 51 other events
Deaths: 0 deaths

Inflexal V 0.25 mL x 2 - After 2nd Vaccination

Serious events: 0 serious events
Other events: 48 other events
Deaths: 0 deaths

Inflexal V 0.5 mL x 1

Serious events: 5 serious events
Other events: 49 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Inflexal V 0.25 mL x 2 - After 1st Vaccination
n=102 participants at risk
Inflexal V 0.25 mL x 2 - After 2nd Vaccination
n=101 participants at risk
Inflexal V 0.5 mL x 1
n=100 participants at risk
Respiratory, thoracic and mediastinal disorders
Asthma
0.98%
1/102 • Number of events 1 • Any AE occurring within 1 month (minimum 28 days) following vaccine administration was recorded. Any SAE occurring from study start up to 6 months (at least 180 days) following vaccine administration was recorded.
0.00%
0/101 • Any AE occurring within 1 month (minimum 28 days) following vaccine administration was recorded. Any SAE occurring from study start up to 6 months (at least 180 days) following vaccine administration was recorded.
1.0%
1/100 • Number of events 1 • Any AE occurring within 1 month (minimum 28 days) following vaccine administration was recorded. Any SAE occurring from study start up to 6 months (at least 180 days) following vaccine administration was recorded.
Infections and infestations
Pneumonia
0.00%
0/102 • Any AE occurring within 1 month (minimum 28 days) following vaccine administration was recorded. Any SAE occurring from study start up to 6 months (at least 180 days) following vaccine administration was recorded.
0.00%
0/101 • Any AE occurring within 1 month (minimum 28 days) following vaccine administration was recorded. Any SAE occurring from study start up to 6 months (at least 180 days) following vaccine administration was recorded.
1.0%
1/100 • Number of events 1 • Any AE occurring within 1 month (minimum 28 days) following vaccine administration was recorded. Any SAE occurring from study start up to 6 months (at least 180 days) following vaccine administration was recorded.
Infections and infestations
Bronchopneumonia
0.00%
0/102 • Any AE occurring within 1 month (minimum 28 days) following vaccine administration was recorded. Any SAE occurring from study start up to 6 months (at least 180 days) following vaccine administration was recorded.
0.00%
0/101 • Any AE occurring within 1 month (minimum 28 days) following vaccine administration was recorded. Any SAE occurring from study start up to 6 months (at least 180 days) following vaccine administration was recorded.
1.0%
1/100 • Number of events 1 • Any AE occurring within 1 month (minimum 28 days) following vaccine administration was recorded. Any SAE occurring from study start up to 6 months (at least 180 days) following vaccine administration was recorded.
Respiratory, thoracic and mediastinal disorders
Bronchopulmonary Disease
0.00%
0/102 • Any AE occurring within 1 month (minimum 28 days) following vaccine administration was recorded. Any SAE occurring from study start up to 6 months (at least 180 days) following vaccine administration was recorded.
0.00%
0/101 • Any AE occurring within 1 month (minimum 28 days) following vaccine administration was recorded. Any SAE occurring from study start up to 6 months (at least 180 days) following vaccine administration was recorded.
1.0%
1/100 • Number of events 1 • Any AE occurring within 1 month (minimum 28 days) following vaccine administration was recorded. Any SAE occurring from study start up to 6 months (at least 180 days) following vaccine administration was recorded.
Infections and infestations
Gastroenterisits rotavirus
0.00%
0/102 • Any AE occurring within 1 month (minimum 28 days) following vaccine administration was recorded. Any SAE occurring from study start up to 6 months (at least 180 days) following vaccine administration was recorded.
0.00%
0/101 • Any AE occurring within 1 month (minimum 28 days) following vaccine administration was recorded. Any SAE occurring from study start up to 6 months (at least 180 days) following vaccine administration was recorded.
1.0%
1/100 • Number of events 1 • Any AE occurring within 1 month (minimum 28 days) following vaccine administration was recorded. Any SAE occurring from study start up to 6 months (at least 180 days) following vaccine administration was recorded.

Other adverse events

Other adverse events
Measure
Inflexal V 0.25 mL x 2 - After 1st Vaccination
n=102 participants at risk
Inflexal V 0.25 mL x 2 - After 2nd Vaccination
n=101 participants at risk
Inflexal V 0.5 mL x 1
n=100 participants at risk
General disorders
Pyrexia
10.8%
11/102 • Number of events 11 • Any AE occurring within 1 month (minimum 28 days) following vaccine administration was recorded. Any SAE occurring from study start up to 6 months (at least 180 days) following vaccine administration was recorded.
9.9%
10/101 • Number of events 13 • Any AE occurring within 1 month (minimum 28 days) following vaccine administration was recorded. Any SAE occurring from study start up to 6 months (at least 180 days) following vaccine administration was recorded.
9.0%
9/100 • Number of events 9 • Any AE occurring within 1 month (minimum 28 days) following vaccine administration was recorded. Any SAE occurring from study start up to 6 months (at least 180 days) following vaccine administration was recorded.
General disorders
Erythema (at the injection site)
14.7%
15/102 • Number of events 15 • Any AE occurring within 1 month (minimum 28 days) following vaccine administration was recorded. Any SAE occurring from study start up to 6 months (at least 180 days) following vaccine administration was recorded.
6.9%
7/101 • Number of events 7 • Any AE occurring within 1 month (minimum 28 days) following vaccine administration was recorded. Any SAE occurring from study start up to 6 months (at least 180 days) following vaccine administration was recorded.
10.0%
10/100 • Number of events 10 • Any AE occurring within 1 month (minimum 28 days) following vaccine administration was recorded. Any SAE occurring from study start up to 6 months (at least 180 days) following vaccine administration was recorded.
General disorders
Induration (at the injection site)
6.9%
7/102 • Number of events 7 • Any AE occurring within 1 month (minimum 28 days) following vaccine administration was recorded. Any SAE occurring from study start up to 6 months (at least 180 days) following vaccine administration was recorded.
2.0%
2/101 • Number of events 2 • Any AE occurring within 1 month (minimum 28 days) following vaccine administration was recorded. Any SAE occurring from study start up to 6 months (at least 180 days) following vaccine administration was recorded.
6.0%
6/100 • Number of events 6 • Any AE occurring within 1 month (minimum 28 days) following vaccine administration was recorded. Any SAE occurring from study start up to 6 months (at least 180 days) following vaccine administration was recorded.
General disorders
Pain (at the injection site)
10.8%
11/102 • Number of events 11 • Any AE occurring within 1 month (minimum 28 days) following vaccine administration was recorded. Any SAE occurring from study start up to 6 months (at least 180 days) following vaccine administration was recorded.
9.9%
10/101 • Number of events 10 • Any AE occurring within 1 month (minimum 28 days) following vaccine administration was recorded. Any SAE occurring from study start up to 6 months (at least 180 days) following vaccine administration was recorded.
9.0%
9/100 • Number of events 9 • Any AE occurring within 1 month (minimum 28 days) following vaccine administration was recorded. Any SAE occurring from study start up to 6 months (at least 180 days) following vaccine administration was recorded.
General disorders
Haemorrhage (at the injection site)
2.9%
3/102 • Number of events 3 • Any AE occurring within 1 month (minimum 28 days) following vaccine administration was recorded. Any SAE occurring from study start up to 6 months (at least 180 days) following vaccine administration was recorded.
4.0%
4/101 • Number of events 4 • Any AE occurring within 1 month (minimum 28 days) following vaccine administration was recorded. Any SAE occurring from study start up to 6 months (at least 180 days) following vaccine administration was recorded.
5.0%
5/100 • Number of events 5 • Any AE occurring within 1 month (minimum 28 days) following vaccine administration was recorded. Any SAE occurring from study start up to 6 months (at least 180 days) following vaccine administration was recorded.
General disorders
Malaise
8.8%
9/102 • Number of events 9 • Any AE occurring within 1 month (minimum 28 days) following vaccine administration was recorded. Any SAE occurring from study start up to 6 months (at least 180 days) following vaccine administration was recorded.
7.9%
8/101 • Number of events 8 • Any AE occurring within 1 month (minimum 28 days) following vaccine administration was recorded. Any SAE occurring from study start up to 6 months (at least 180 days) following vaccine administration was recorded.
7.0%
7/100 • Number of events 7 • Any AE occurring within 1 month (minimum 28 days) following vaccine administration was recorded. Any SAE occurring from study start up to 6 months (at least 180 days) following vaccine administration was recorded.
Infections and infestations
Otitis media acute
3.9%
4/102 • Number of events 4 • Any AE occurring within 1 month (minimum 28 days) following vaccine administration was recorded. Any SAE occurring from study start up to 6 months (at least 180 days) following vaccine administration was recorded.
3.0%
3/101 • Number of events 3 • Any AE occurring within 1 month (minimum 28 days) following vaccine administration was recorded. Any SAE occurring from study start up to 6 months (at least 180 days) following vaccine administration was recorded.
5.0%
5/100 • Number of events 5 • Any AE occurring within 1 month (minimum 28 days) following vaccine administration was recorded. Any SAE occurring from study start up to 6 months (at least 180 days) following vaccine administration was recorded.
Infections and infestations
Rhinitis
0.98%
1/102 • Number of events 1 • Any AE occurring within 1 month (minimum 28 days) following vaccine administration was recorded. Any SAE occurring from study start up to 6 months (at least 180 days) following vaccine administration was recorded.
8.9%
9/101 • Number of events 10 • Any AE occurring within 1 month (minimum 28 days) following vaccine administration was recorded. Any SAE occurring from study start up to 6 months (at least 180 days) following vaccine administration was recorded.
2.0%
2/100 • Number of events 2 • Any AE occurring within 1 month (minimum 28 days) following vaccine administration was recorded. Any SAE occurring from study start up to 6 months (at least 180 days) following vaccine administration was recorded.
Respiratory, thoracic and mediastinal disorders
Cough
0.00%
0/102 • Any AE occurring within 1 month (minimum 28 days) following vaccine administration was recorded. Any SAE occurring from study start up to 6 months (at least 180 days) following vaccine administration was recorded.
7.9%
8/101 • Number of events 8 • Any AE occurring within 1 month (minimum 28 days) following vaccine administration was recorded. Any SAE occurring from study start up to 6 months (at least 180 days) following vaccine administration was recorded.
3.0%
3/100 • Number of events 3 • Any AE occurring within 1 month (minimum 28 days) following vaccine administration was recorded. Any SAE occurring from study start up to 6 months (at least 180 days) following vaccine administration was recorded.

Additional Information

Medical Affairs Director

Crucell Switzerland AG

Phone: +41(0)319806111

Results disclosure agreements

  • Principal investigator is a sponsor employee The disclosure restriction on the PI is that the sponsor can review results communications prior to public release and can embargo communications regarding trial results for a period that is at least 60 days from the time submitted to the sponsor for review. The sponsor reserves the right to remove any proprietary or confidential information and to require that publication be delayed for up to 60 additional days to enable the sponsor to prepare and file patent applications.
  • Publication restrictions are in place

Restriction type: OTHER