Protective Efficacy of Flublok® Quadrivalent Versus Licensed Inactivated Influenza Vaccine in Adults ≥50 Years of Age

NCT ID: NCT02285998

Last Updated: 2017-10-27

Study Results

Results available

Outcome measurements, participant flow, baseline characteristics, and adverse events have been published for this study.

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE3

Total Enrollment

9003 participants

Study Classification

INTERVENTIONAL

Study Start Date

2014-10-31

Study Completion Date

2015-05-31

Brief Summary

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The goal of this study is to establish that Flublok Quadrivalent is non-inferior to fully licensed (traditional approval status) quadrivalent inactivated influenza vaccine (IIV4) in protecting against laboratory-confirmed clinical influenza disease in the ≥50 year age population.

Detailed Description

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The goal of this study is to establish that Flublok Quadrivalent is non-inferior to fully licensed (traditional approval status) quadrivalent inactivated influenza vaccine (IIV4) in protecting against laboratory-confirmed clinical influenza disease in the ≥50 year age population. Real-time Polymerase Chain Reaction (rtPCR) will be used to confirm influenza infection and to type the strains involved, as molecular methodologies have been demonstrated to be more sensitive than other more traditional methodologies, e.g. culture. For rtPCR-positive clinical samples, reserved aliquots will be processed for culture, so that antigenic similarity to the HA present in study vaccines can be tested.

In various clinical studies the investigators demonstrated that the immune response against the influenza A viruses is improved as a result of the higher hemagglutinin content. Furthermore, influenza virus disease and hospitalization associated with influenza-related illness in older adults (\> 50 years) was considerably reduced (90%) following vaccination with TIV, even though the circulating influenza A strain was antigenically dissimilar to that in the vaccine. However, more recently Skowronski et al. reported that the low influenza vaccine effectiveness in 2012-2013 was not associated with antigenic drift but was instead related to mutations in the egg-adapted H3N2 vaccine strain. Flublok manufactured using recombinant technology does not contain the mutations responsible for the reported lower effectiveness and may thus offer improved protection when mutations such as those described are induced in the process of adapting the influenza virus to growth in eggs.

Conditions

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Influenza

Keywords

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Influenza

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

PREVENTION

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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Flublok Quadrivalent Influenza Vaccine

Intramuscular injection of vaccine containing 4 x 45µg (180µg total) of each recombinant hemagglutinin (rHA) derived from influenza A/H1N1 and A/H3N2 and two lineages of influenza B viruses identified for the season in which the trial is conducted in a total volume of 0.5 mL

Group Type EXPERIMENTAL

Flublok Quadrivalent Influenza Vaccine

Intervention Type BIOLOGICAL

Intramuscular injection of vaccine

Inactivated Influenza Vaccine

Intramuscular injection of vaccine contains 4 x 15µg (60µg total) of HA derived from the same influenza A/H1N1 and A/H3N2 and influenza B strains in a total volume of 0.5mL.

Group Type ACTIVE_COMPARATOR

Inactivated Influenza Vaccine

Intervention Type BIOLOGICAL

Intramuscular injection of vaccine

Interventions

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Flublok Quadrivalent Influenza Vaccine

Intramuscular injection of vaccine

Intervention Type BIOLOGICAL

Inactivated Influenza Vaccine

Intramuscular injection of vaccine

Intervention Type BIOLOGICAL

Eligibility Criteria

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Inclusion Criteria

1. Ambulatory adults aged 50 and older.
2. Medically stable, as determined by medical history and targeted physical examination. "Medically stable" is defined as no change in diagnoses or chronic medications (dose or class) for medical reasons in the 3 months prior to study.
3. Absence of underlying conditions that make participation in the study contrary to the subject's best interest.
4. Able to understand and comply with planned study procedures.
5. Provides written informed consent prior to initiation of any study procedure.

Exclusion Criteria

1. Known contraindication to either study vaccine (see product package inserts)
2. Receipt of any other influenza vaccine within 180 days prior to enrollment in this study.
3. Underlying disease or ongoing therapy that might cause immunocompromise, e.g. cytotoxic agents or supraphysiologic doses of corticosteroids, such that response to vaccination might be sub-optimal.
Minimum Eligible Age

50 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Protein Sciences Corporation

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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Coastal Clinical Research

Mobile, Alabama, United States

Site Status

Clinical Research Consortium Arizona

Tempe, Arizona, United States

Site Status

Baptist Health Center for Clinical Research

Little Rock, Arkansas, United States

Site Status

Northern California Clinical Research Center

Redding, California, United States

Site Status

Benchmark Research - Sacramento

Sacramento, California, United States

Site Status

Benchmark Research - San Francisco

San Francisco, California, United States

Site Status

Lynn Institute of the Rockies

Colorado Springs, Colorado, United States

Site Status

Clinical Research Consulting

Milford, Connecticut, United States

Site Status

Clinical Research of South Florida

Coral Gables, Florida, United States

Site Status

Avail Clinical Research

DeLand, Florida, United States

Site Status

Westside Center for Clinical Research

Jacksonville, Florida, United States

Site Status

Jacksonville Center for Clinical Research

Jacksonville, Florida, United States

Site Status

Progressive Medical Research

Port Orange, Florida, United States

Site Status

Meridian Research

Savannah, Georgia, United States

Site Status

ACR - Boise

Meridian, Idaho, United States

Site Status

Heartland Research Associates, LLC

Wichita, Kansas, United States

Site Status

Central Kentucky Research Associates

Lexington, Kentucky, United States

Site Status

Benchmarch Research - New Orleans

Metairie, Louisiana, United States

Site Status

ActivMed Practices & Research

Methuen, Massachusetts, United States

Site Status

Center for Pharmaceutical Research

Kansas City, Missouri, United States

Site Status

Meridian Research

Bellevue, Nebraska, United States

Site Status

Meridian Research

Norfolk, Nebraska, United States

Site Status

Meridian Clinical Research

Omaha, Nebraska, United States

Site Status

Clinical Research Consortium-Nevada

Las Vegas, Nevada, United States

Site Status

ActivMed Practices & Research

Newington, New Hampshire, United States

Site Status

Regional Clinical Research, Inc.

Endwell, New York, United States

Site Status

Rochester Clinical Research

Rochester, New York, United States

Site Status

Wake Research

Raleigh, North Carolina, United States

Site Status

Rapid Medical Research, Inc.

Cleveland, Ohio, United States

Site Status

Lynn Institute of Norman

Norman, Oklahoma, United States

Site Status

Lynn Health Science Institute

Oklahoma City, Oklahoma, United States

Site Status

Meridian Research

Dakota Dunes, South Dakota, United States

Site Status

Clinical Research Associates

Nashville, Tennessee, United States

Site Status

Benchmark Reseach

Austin, Texas, United States

Site Status

Benchmark Research - Fort Worth

Fort Worth, Texas, United States

Site Status

Benchmark Research - San Angelo

San Angelo, Texas, United States

Site Status

Jean Brown Research

Salt Lake City, Utah, United States

Site Status

Clinical Research Associates of Tidewater

Norfolk, Virginia, United States

Site Status

Countries

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United States

References

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Dunkle LM, Izikson R, Patriarca P, Goldenthal KL, Muse D, Callahan J, Cox MMJ; PSC12 Study Team. Efficacy of Recombinant Influenza Vaccine in Adults 50 Years of Age or Older. N Engl J Med. 2017 Jun 22;376(25):2427-2436. doi: 10.1056/NEJMoa1608862.

Reference Type DERIVED
PMID: 28636855 (View on PubMed)

Other Identifiers

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PSC12

Identifier Type: -

Identifier Source: org_study_id