Trial Outcomes & Findings for A Study to Assess the Immunogenicity and Safety of CSL's 2012/2013 Formulation of Enzira® Vaccine in Healthy Volunteers (NCT NCT01591837)

NCT ID: NCT01591837

Last Updated: 2018-06-27

Results Overview

As per the criteria specified in the CPMP/BWP/214/96 Note for Guidance on Harmonisation of Requirements for Influenza Vaccines. For haemagglutination inhibition (HI), seroconversion (H1N1, H3N2, and B influenza virus strains) was defined as achieving a post-vaccination titre of ≥ 40 for those participants with a pre-vaccination HI titre of \< 10. A significant increase (H1N1, H3N2, and B influenza virus strains) was defined as a four-fold or greater increase in HI titre for those participants with a pre-vaccination HI titre of ≥ 10.

Recruitment status

COMPLETED

Study phase

PHASE4

Target enrollment

120 participants

Primary outcome timeframe

Approximately 21 days after vaccination

Results posted on

2018-06-27

Participant Flow

Participant milestones

Participant milestones
Measure
Adults
Healthy volunteers aged 18 to 59 years received a single 0.5 mL dose of CSL Influenza Vaccine by intramuscular or subcutaneous injection.
Older Adults
Healthy volunteers aged 60 years or older received a single 0.5 mL dose of CSL Influenza Vaccine by intramuscular or subcutaneous injection.
Overall Study
STARTED
60
60
Overall Study
COMPLETED
60
60
Overall Study
NOT COMPLETED
0
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

A Study to Assess the Immunogenicity and Safety of CSL's 2012/2013 Formulation of Enzira® Vaccine in Healthy Volunteers

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Adults
n=60 Participants
Healthy volunteers aged 18 to 59 years received a single 0.5 mL dose of CSL Influenza Vaccine by intramuscular or subcutaneous injection.
Older Adults
n=60 Participants
Healthy volunteers aged 60 years or older received a single 0.5 mL dose of CSL Influenza Vaccine by intramuscular or subcutaneous injection.
Total
n=120 Participants
Total of all reporting groups
Age, Continuous
35.2 years
STANDARD_DEVIATION 12.50 • n=5 Participants
69.2 years
STANDARD_DEVIATION 6.69 • n=7 Participants
52.2 years
STANDARD_DEVIATION 19.78 • n=5 Participants
Sex: Female, Male
Female
38 Participants
n=5 Participants
29 Participants
n=7 Participants
67 Participants
n=5 Participants
Sex: Female, Male
Male
22 Participants
n=5 Participants
31 Participants
n=7 Participants
53 Participants
n=5 Participants

PRIMARY outcome

Timeframe: Approximately 21 days after vaccination

Population: The Evaluable Population included all participants who were vaccinated with CSL Influenza Vaccine, provided both pre- and post-vaccination antibody titer results, did not use a prohibited medication as per the protocol, and were not excluded from the analysis according to the elimination criteria.

As per the criteria specified in the CPMP/BWP/214/96 Note for Guidance on Harmonisation of Requirements for Influenza Vaccines. For haemagglutination inhibition (HI), seroconversion (H1N1, H3N2, and B influenza virus strains) was defined as achieving a post-vaccination titre of ≥ 40 for those participants with a pre-vaccination HI titre of \< 10. A significant increase (H1N1, H3N2, and B influenza virus strains) was defined as a four-fold or greater increase in HI titre for those participants with a pre-vaccination HI titre of ≥ 10.

Outcome measures

Outcome measures
Measure
Adults
n=59 Participants
Healthy volunteers aged 18 to 59 years received a single 0.5 mL dose of CSL Influenza Vaccine by intramuscular or subcutaneous injection.
Older Adults
n=59 Participants
Healthy volunteers aged 60 years or older received a single 0.5 mL dose of CSL Influenza Vaccine by intramuscular or subcutaneous injection.
The Percentage of Evaluable Participants Achieving Seroconversion or Significant Increase in Antibody Titre.
H1N1 strain
79.7 percentage of participants
Interval 67.2 to 89.0
55.9 percentage of participants
Interval 42.4 to 68.8
The Percentage of Evaluable Participants Achieving Seroconversion or Significant Increase in Antibody Titre.
H3N2 strain
86.4 percentage of participants
Interval 75.0 to 94.0
64.4 percentage of participants
Interval 50.9 to 76.4
The Percentage of Evaluable Participants Achieving Seroconversion or Significant Increase in Antibody Titre.
B strain
59.3 percentage of participants
Interval 45.7 to 71.9
18.6 percentage of participants
Interval 9.7 to 30.9

PRIMARY outcome

Timeframe: Approximately 21 days after vaccination

Population: The Evaluable Population included all participants who were vaccinated with CSL Influenza Vaccine, provided both pre- and post-vaccination antibody titer results, did not use a prohibited medication as per the protocol, and were not excluded from the analysis according to the elimination criteria.

GMFI (H1N1, H3N2, and B influenza virus strains) was defined as the geometric mean of the fold increases of post-vaccination antibody titre over the pre-vaccination antibody titre.

Outcome measures

Outcome measures
Measure
Adults
n=59 Participants
Healthy volunteers aged 18 to 59 years received a single 0.5 mL dose of CSL Influenza Vaccine by intramuscular or subcutaneous injection.
Older Adults
n=59 Participants
Healthy volunteers aged 60 years or older received a single 0.5 mL dose of CSL Influenza Vaccine by intramuscular or subcutaneous injection.
The Geometric Mean Fold Increase (GMFI) in Antibody Titre After Vaccination.
H1N1 strain
17.51 geometric mean fold increase
Interval 11.857 to 25.852
7.78 geometric mean fold increase
Interval 5.217 to 11.614
The Geometric Mean Fold Increase (GMFI) in Antibody Titre After Vaccination.
H3N2 strain
21.80 geometric mean fold increase
Interval 14.332 to 33.164
9.88 geometric mean fold increase
Interval 6.316 to 15.468
The Geometric Mean Fold Increase (GMFI) in Antibody Titre After Vaccination.
B strain
7.34 geometric mean fold increase
Interval 5.592 to 9.634
2.44 geometric mean fold increase
Interval 1.913 to 3.118

PRIMARY outcome

Timeframe: Approximately 21 days after vaccination

Population: The Evaluable Population included all participants who were vaccinated with CSL Influenza Vaccine, provided both pre- and post-vaccination antibody titer results, did not use a prohibited medication as per the protocol, and were not excluded from the analysis according to the elimination criteria.

For the H1N1, H3N2, and B influenza virus strains. Note: No SRH data were collected.

Outcome measures

Outcome measures
Measure
Adults
n=59 Participants
Healthy volunteers aged 18 to 59 years received a single 0.5 mL dose of CSL Influenza Vaccine by intramuscular or subcutaneous injection.
Older Adults
n=59 Participants
Healthy volunteers aged 60 years or older received a single 0.5 mL dose of CSL Influenza Vaccine by intramuscular or subcutaneous injection.
The Percentage of Evaluable Participants Achieving a HI Titre ≥ 40 or Single Radial Haemolysis (SRH) Area ≥ 25 mm2.
H1N1 strain
94.9 percentage of participants
Interval 85.9 to 98.9
84.7 percentage of participants
Interval 73.0 to 92.8
The Percentage of Evaluable Participants Achieving a HI Titre ≥ 40 or Single Radial Haemolysis (SRH) Area ≥ 25 mm2.
H3N2 strain
100.0 percentage of participants
Interval 93.9 to 100.0
100.0 percentage of participants
Interval 93.9 to 100.0
The Percentage of Evaluable Participants Achieving a HI Titre ≥ 40 or Single Radial Haemolysis (SRH) Area ≥ 25 mm2.
B strain
66.1 percentage of participants
Interval 52.6 to 77.9
18.6 percentage of participants
Interval 9.7 to 30.9

SECONDARY outcome

Timeframe: During the 4 days after vaccination (Day 0 plus 3 days)

Population: The Safety Population included all participants who received CSL Influenza Vaccine and provided follow-up safety data.

The percentage of participants reporting any solicited AEs and the percentage of participants reporting any solicited AEs with severe intensity. Note: Intensity of solicited AEs was collected for temperature only. Solicited local AEs collected included induration \>50 mm, erythema, ecchymosis, and pain at the vaccination site. Solicited systemic AEs collected included temperature above 38.0°C, chills, and malaise. Solicited AE intensity grading: Mild: symptoms were easily tolerated and there was no interference with daily activities; Moderate: enough discomfort to cause some interference with daily activities; Severe: symptoms that prevented normal, everyday activities.

Outcome measures

Outcome measures
Measure
Adults
n=60 Participants
Healthy volunteers aged 18 to 59 years received a single 0.5 mL dose of CSL Influenza Vaccine by intramuscular or subcutaneous injection.
Older Adults
n=60 Participants
Healthy volunteers aged 60 years or older received a single 0.5 mL dose of CSL Influenza Vaccine by intramuscular or subcutaneous injection.
Frequency and Intensity of Any Solicited Adverse Events (AEs).
Any solicited local AE
46.7 percentage of participants
18.3 percentage of participants
Frequency and Intensity of Any Solicited Adverse Events (AEs).
Induration > 50 mm
0.0 percentage of participants
3.3 percentage of participants
Frequency and Intensity of Any Solicited Adverse Events (AEs).
Erythema
15.0 percentage of participants
6.7 percentage of participants
Frequency and Intensity of Any Solicited Adverse Events (AEs).
Ecchymosis
6.7 percentage of participants
3.3 percentage of participants
Frequency and Intensity of Any Solicited Adverse Events (AEs).
Pain
41.7 percentage of participants
10.0 percentage of participants
Frequency and Intensity of Any Solicited Adverse Events (AEs).
Any solicited systemic AE
15.0 percentage of participants
6.7 percentage of participants
Frequency and Intensity of Any Solicited Adverse Events (AEs).
Temperature > 38°C for ≥ 24 hours
0 percentage of participants
1.7 percentage of participants
Frequency and Intensity of Any Solicited Adverse Events (AEs).
Severe temperature (> 40°C)
0 percentage of participants
1.7 percentage of participants
Frequency and Intensity of Any Solicited Adverse Events (AEs).
Chills
10.0 percentage of participants
3.3 percentage of participants
Frequency and Intensity of Any Solicited Adverse Events (AEs).
Malaise
13.3 percentage of participants
6.7 percentage of participants

SECONDARY outcome

Timeframe: After vaccination until the end of the study; approximately 21 days

Population: The Safety Population included all participants who received CSL Influenza Vaccine and provided follow-up safety data.

The percentage of participants reporting any unsolicited AEs. Unsolicited AEs included AEs other than those specifically solicited.

Outcome measures

Outcome measures
Measure
Adults
n=60 Participants
Healthy volunteers aged 18 to 59 years received a single 0.5 mL dose of CSL Influenza Vaccine by intramuscular or subcutaneous injection.
Older Adults
n=60 Participants
Healthy volunteers aged 60 years or older received a single 0.5 mL dose of CSL Influenza Vaccine by intramuscular or subcutaneous injection.
Frequency of Any Unsolicited AEs.
53.3 percentage of participants
36.7 percentage of participants

Adverse Events

Adults

Serious events: 0 serious events
Other events: 36 other events
Deaths: 0 deaths

Older Adults

Serious events: 0 serious events
Other events: 18 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
Adults
n=60 participants at risk
Healthy volunteers aged 18 to 59 years received a single 0.5 mL dose of CSL Influenza Vaccine by intramuscular or subcutaneous injection.
Older Adults
n=60 participants at risk
Healthy volunteers aged 60 years or older received a single 0.5 mL dose of CSL Influenza Vaccine by intramuscular or subcutaneous injection.
General disorders
Pain
41.7%
25/60 • Number of events 26 • For solicited AEs: During the 4 days after vaccination (Day 0 plus 3 days); For unsolicited AEs and serious AEs (SAEs): After vaccination until the end of the study (approximately 21 days).
The other AEs presented include solicited and unsolicited AEs. The Safety Population included all participants who received CSL Influenza Vaccine and provided follow-up safety data.
10.0%
6/60 • Number of events 6 • For solicited AEs: During the 4 days after vaccination (Day 0 plus 3 days); For unsolicited AEs and serious AEs (SAEs): After vaccination until the end of the study (approximately 21 days).
The other AEs presented include solicited and unsolicited AEs. The Safety Population included all participants who received CSL Influenza Vaccine and provided follow-up safety data.
General disorders
Erythema
15.0%
9/60 • Number of events 9 • For solicited AEs: During the 4 days after vaccination (Day 0 plus 3 days); For unsolicited AEs and serious AEs (SAEs): After vaccination until the end of the study (approximately 21 days).
The other AEs presented include solicited and unsolicited AEs. The Safety Population included all participants who received CSL Influenza Vaccine and provided follow-up safety data.
6.7%
4/60 • Number of events 4 • For solicited AEs: During the 4 days after vaccination (Day 0 plus 3 days); For unsolicited AEs and serious AEs (SAEs): After vaccination until the end of the study (approximately 21 days).
The other AEs presented include solicited and unsolicited AEs. The Safety Population included all participants who received CSL Influenza Vaccine and provided follow-up safety data.
General disorders
Ecchymosis
6.7%
4/60 • Number of events 4 • For solicited AEs: During the 4 days after vaccination (Day 0 plus 3 days); For unsolicited AEs and serious AEs (SAEs): After vaccination until the end of the study (approximately 21 days).
The other AEs presented include solicited and unsolicited AEs. The Safety Population included all participants who received CSL Influenza Vaccine and provided follow-up safety data.
3.3%
2/60 • Number of events 2 • For solicited AEs: During the 4 days after vaccination (Day 0 plus 3 days); For unsolicited AEs and serious AEs (SAEs): After vaccination until the end of the study (approximately 21 days).
The other AEs presented include solicited and unsolicited AEs. The Safety Population included all participants who received CSL Influenza Vaccine and provided follow-up safety data.
General disorders
Malaise
13.3%
8/60 • Number of events 9 • For solicited AEs: During the 4 days after vaccination (Day 0 plus 3 days); For unsolicited AEs and serious AEs (SAEs): After vaccination until the end of the study (approximately 21 days).
The other AEs presented include solicited and unsolicited AEs. The Safety Population included all participants who received CSL Influenza Vaccine and provided follow-up safety data.
6.7%
4/60 • Number of events 5 • For solicited AEs: During the 4 days after vaccination (Day 0 plus 3 days); For unsolicited AEs and serious AEs (SAEs): After vaccination until the end of the study (approximately 21 days).
The other AEs presented include solicited and unsolicited AEs. The Safety Population included all participants who received CSL Influenza Vaccine and provided follow-up safety data.
General disorders
Chills
10.0%
6/60 • Number of events 6 • For solicited AEs: During the 4 days after vaccination (Day 0 plus 3 days); For unsolicited AEs and serious AEs (SAEs): After vaccination until the end of the study (approximately 21 days).
The other AEs presented include solicited and unsolicited AEs. The Safety Population included all participants who received CSL Influenza Vaccine and provided follow-up safety data.
3.3%
2/60 • Number of events 2 • For solicited AEs: During the 4 days after vaccination (Day 0 plus 3 days); For unsolicited AEs and serious AEs (SAEs): After vaccination until the end of the study (approximately 21 days).
The other AEs presented include solicited and unsolicited AEs. The Safety Population included all participants who received CSL Influenza Vaccine and provided follow-up safety data.
Nervous system disorders
Headache
25.0%
15/60 • Number of events 17 • For solicited AEs: During the 4 days after vaccination (Day 0 plus 3 days); For unsolicited AEs and serious AEs (SAEs): After vaccination until the end of the study (approximately 21 days).
The other AEs presented include solicited and unsolicited AEs. The Safety Population included all participants who received CSL Influenza Vaccine and provided follow-up safety data.
8.3%
5/60 • Number of events 6 • For solicited AEs: During the 4 days after vaccination (Day 0 plus 3 days); For unsolicited AEs and serious AEs (SAEs): After vaccination until the end of the study (approximately 21 days).
The other AEs presented include solicited and unsolicited AEs. The Safety Population included all participants who received CSL Influenza Vaccine and provided follow-up safety data.
Respiratory, thoracic and mediastinal disorders
Oropharyngeal pain
8.3%
5/60 • Number of events 6 • For solicited AEs: During the 4 days after vaccination (Day 0 plus 3 days); For unsolicited AEs and serious AEs (SAEs): After vaccination until the end of the study (approximately 21 days).
The other AEs presented include solicited and unsolicited AEs. The Safety Population included all participants who received CSL Influenza Vaccine and provided follow-up safety data.
8.3%
5/60 • Number of events 5 • For solicited AEs: During the 4 days after vaccination (Day 0 plus 3 days); For unsolicited AEs and serious AEs (SAEs): After vaccination until the end of the study (approximately 21 days).
The other AEs presented include solicited and unsolicited AEs. The Safety Population included all participants who received CSL Influenza Vaccine and provided follow-up safety data.
Respiratory, thoracic and mediastinal disorders
Rhinorrhoea
8.3%
5/60 • Number of events 5 • For solicited AEs: During the 4 days after vaccination (Day 0 plus 3 days); For unsolicited AEs and serious AEs (SAEs): After vaccination until the end of the study (approximately 21 days).
The other AEs presented include solicited and unsolicited AEs. The Safety Population included all participants who received CSL Influenza Vaccine and provided follow-up safety data.
6.7%
4/60 • Number of events 6 • For solicited AEs: During the 4 days after vaccination (Day 0 plus 3 days); For unsolicited AEs and serious AEs (SAEs): After vaccination until the end of the study (approximately 21 days).
The other AEs presented include solicited and unsolicited AEs. The Safety Population included all participants who received CSL Influenza Vaccine and provided follow-up safety data.

Additional Information

Clinical Study Disclosure Manager

Seqirus

Phone: 1-855-358-8966

Results disclosure agreements

  • Principal investigator is a sponsor employee CSL agreements and restrictions on publishing may vary with individual investigators; however, CSL will not prohibit any investigator from publishing. CSL supports the publication of results from all centers of a multi-center trial and generally requires that reports based on single-site data not precede the primary publication of the entire clinical trial.
  • Publication restrictions are in place

Restriction type: OTHER