Trial Outcomes & Findings for Open-Label Influenza Vaccine Evaluation (NCT NCT02872311)

NCT ID: NCT02872311

Last Updated: 2019-12-19

Results Overview

Hemagglutination Inhibition (HI) titers to vaccine viruses for high dose and adjuvanted vaccine recipients at 28 days post vaccination 2016-17

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

179 participants

Primary outcome timeframe

Year 1, Day 28 post vaccination

Results posted on

2019-12-19

Participant Flow

Participant milestones

Participant milestones
Measure
High Dose Influenza Vaccine
This group will be administered High Dose (HD) influenza vaccination (0.5 mL intramuscular (IM) injection) in the first and second years of the study. High Dose Influenza vaccine: Licensed and FDA approved Fluzone HD vaccine to be administered to study participants
Adjuvanted Influenza Vaccine
This group will be administered adjuvanted influenza vaccination (0.5 mL intramuscular (IM) injection) in the first and second years of the study. Adjuvanted Influenza vaccine: Licensed and FDA approved FluAd vaccine to be administered to study participants
Standard+High Dose
This group will be administered standard influenza vaccination (0.5 mL intramuscular (IM) injection) in the first year and high dose influenza vaccination (0.5mL intramuscular (IM) injection) in the second year of the study. Standard Dose Influenza vaccine: Licensed and FDA approved Fluvirin vaccine to be administered to study participants. High Dose Influenza vaccine: Licensed and FDA approved Fluzone HD vaccine to be administered to study participants
Standard+Adjuvanted
This group will be administered standard influenza vaccination (0.5 mL intramuscular (IM) injection) in the first year and adjuvanted influenza vaccination (0.5 mL intramuscular (IM) injection) in the second year of the study. Standard Dose Influenza vaccine: Licensed and FDA approved Fluvirin vaccine to be administered to study participants. Adjuvanted Influenza vaccine: Licensed and FDA approved FluAd vaccine to be administered to study participants
Standard+Recombinant
This group will be administered standard influenza vaccination (0.5 mL intramuscular (IM) injection) in the first year and recombinant influenza vaccination (0.5 mL intramuscular (IM) injection) in the second year of the study. Standard Dose Influenza vaccine: Licensed and FDA approved Fluvirin vaccine to be administered to study participants. Recombinant Influenza vaccine: Licensed and FDA approved FluBlok vaccine to be administered to study participants
Overall Study
STARTED
59
60
20
20
20
Overall Study
COMPLETED
55
58
19
20
20
Overall Study
NOT COMPLETED
4
2
1
0
0

Reasons for withdrawal

Reasons for withdrawal
Measure
High Dose Influenza Vaccine
This group will be administered High Dose (HD) influenza vaccination (0.5 mL intramuscular (IM) injection) in the first and second years of the study. High Dose Influenza vaccine: Licensed and FDA approved Fluzone HD vaccine to be administered to study participants
Adjuvanted Influenza Vaccine
This group will be administered adjuvanted influenza vaccination (0.5 mL intramuscular (IM) injection) in the first and second years of the study. Adjuvanted Influenza vaccine: Licensed and FDA approved FluAd vaccine to be administered to study participants
Standard+High Dose
This group will be administered standard influenza vaccination (0.5 mL intramuscular (IM) injection) in the first year and high dose influenza vaccination (0.5mL intramuscular (IM) injection) in the second year of the study. Standard Dose Influenza vaccine: Licensed and FDA approved Fluvirin vaccine to be administered to study participants. High Dose Influenza vaccine: Licensed and FDA approved Fluzone HD vaccine to be administered to study participants
Standard+Adjuvanted
This group will be administered standard influenza vaccination (0.5 mL intramuscular (IM) injection) in the first year and adjuvanted influenza vaccination (0.5 mL intramuscular (IM) injection) in the second year of the study. Standard Dose Influenza vaccine: Licensed and FDA approved Fluvirin vaccine to be administered to study participants. Adjuvanted Influenza vaccine: Licensed and FDA approved FluAd vaccine to be administered to study participants
Standard+Recombinant
This group will be administered standard influenza vaccination (0.5 mL intramuscular (IM) injection) in the first year and recombinant influenza vaccination (0.5 mL intramuscular (IM) injection) in the second year of the study. Standard Dose Influenza vaccine: Licensed and FDA approved Fluvirin vaccine to be administered to study participants. Recombinant Influenza vaccine: Licensed and FDA approved FluBlok vaccine to be administered to study participants
Overall Study
Death
2
0
0
0
0
Overall Study
Lost to Follow-up
2
0
0
0
0
Overall Study
Protocol Violation
0
2
1
0
0

Baseline Characteristics

Open-Label Influenza Vaccine Evaluation

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
High Dose Influenza Vaccine
n=55 Participants
This group will be administered High Dose (HD) influenza vaccination (0.5 mL intramuscular (IM) injection) in the first and second years of the study. High Dose Influenza vaccine: Licensed and FDA approved Fluzone HD vaccine to be administered to study participants
Adjuvanted Influenza Vaccine
n=58 Participants
This group will be administered adjuvanted influenza vaccination (0.5 mL intramuscular (IM) injection) in the first and second years of the study. Adjuvanted Influenza vaccine: Licensed and FDA approved FluAd vaccine to be administered to study participants
Standard Dose Influenza Vaccine+HD
n=19 Participants
This group will be administered standard dose flu vaccination (0.5 mL intramuscular (IM) injection) in the first year of the study and high dose influenza vaccine (0.5 mL intramuscular (IM) injection) in the second year of the study. High Dose Influenza vaccine: Licensed and FDA approved Fluzone HD vaccine to be administered to study participants Standard Dose Influenza vaccine: Licensed and FDA approved Fluvirin vaccine to be administered to study participants
Standard Dose Influenza Vaccine +Adj
n=20 Participants
This group will be administered standard dose flu vaccination (0.5 mL intramuscular (IM) injection) in the first year and adjuvanted influenza vaccination (0.5 mL intramuscular (IM) injection) in the second year of the study. Adjuvanted Influenza vaccine: Licensed and FDA approved FluAd vaccine to be administered to study participants Standard Dose Influenza vaccine: Licensed and FDA approved Fluvirin vaccine to be administered to study participants
Standard Dose Influenza Vaccine+Recomb
n=20 Participants
This group will be administered a standard dose flu vaccination (0.5 mL intramuscular (IM) injection) in the first year and recombinant influenza vaccination (0.5 mL intramuscular (IM) injection) in the second year of the study. Standard Dose Influenza vaccine: Licensed and FDA approved Fluvirin vaccine to be administered to study participants Recombinant Influenza vaccine: Licensed and FDA approved FluBlok vaccine to be administered to study participants
Total
n=172 Participants
Total of all reporting groups
Age, Continuous
70 years
STANDARD_DEVIATION 2.7 • n=5 Participants
69.6 years
STANDARD_DEVIATION 2.6 • n=7 Participants
69.4 years
STANDARD_DEVIATION 2.9 • n=5 Participants
69.2 years
STANDARD_DEVIATION 2.2 • n=4 Participants
70 years
STANDARD_DEVIATION 2.7 • n=21 Participants
70 years
STANDARD_DEVIATION 2.6 • n=8 Participants
Sex: Female, Male
Female
26 Participants
n=5 Participants
33 Participants
n=7 Participants
10 Participants
n=5 Participants
12 Participants
n=4 Participants
9 Participants
n=21 Participants
90 Participants
n=8 Participants
Sex: Female, Male
Male
29 Participants
n=5 Participants
25 Participants
n=7 Participants
9 Participants
n=5 Participants
8 Participants
n=4 Participants
11 Participants
n=21 Participants
82 Participants
n=8 Participants
Race/Ethnicity, Customized
Race : White
55 Participants
n=5 Participants
58 Participants
n=7 Participants
19 Participants
n=5 Participants
20 Participants
n=4 Participants
20 Participants
n=21 Participants
172 Participants
n=8 Participants
Region of Enrollment
United States
55 Participants
n=5 Participants
58 Participants
n=7 Participants
19 Participants
n=5 Participants
20 Participants
n=4 Participants
20 Participants
n=21 Participants
172 Participants
n=8 Participants

PRIMARY outcome

Timeframe: Year 1, Day 28 post vaccination

Population: This primary objective evaluated only recipients in the arms receiving high dose and adjuvanted vaccine in year 1.

Hemagglutination Inhibition (HI) titers to vaccine viruses for high dose and adjuvanted vaccine recipients at 28 days post vaccination 2016-17

Outcome measures

Outcome measures
Measure
High Dose Influenza Vaccine
n=55 Participants
This group will be administered High Dose (HD) influenza vaccination (0.5 mL intramuscular (IM) injection) in the first and second years of the study.
Adjuvanted Influenza Vaccine
n=58 Participants
This group will be administered adjuvanted influenza vaccination (0.5 mL intramuscular (IM) injection) in the first and second years of the study.
None-ADJ
2015-16 Unvaccinated individual who received adjuvanted vaccine in the study in 2016-17
None-HD
2015-16 Unvaccinated individual who received high dose vaccine in the study in 2016-17
Standard+Recombinant
This group will be administered standard influenza vaccination (0.5 mL intramuscular (IM) injection) in the first year and recombinant influenza vaccination (0.5 mL intramuscular (IM) injection) in the second year of the study. Standard Dose Influenza vaccine: Licensed and FDA approved Fluvirin vaccine to be administered to study participants. Recombinant Influenza vaccine: Licensed and FDA approved FluBlok vaccine to be administered to study participants
HI Titers, HD vs. AD, Yr 1 Day 28 Post Vaccination
A/H1/California
175 Titer
Interval 128.0 to 239.0
117 Titer
Interval 87.0 to 159.0
HI Titers, HD vs. AD, Yr 1 Day 28 Post Vaccination
A/H3/Hong Kong
144 Titer
Interval 102.0 to 201.0
118 Titer
Interval 87.0 to 159.0
HI Titers, HD vs. AD, Yr 1 Day 28 Post Vaccination
B/Brisbane(Victoria)
166 Titer
Interval 117.0 to 236.0
81 Titer
Interval 59.0 to 112.0

PRIMARY outcome

Timeframe: Year 1, Day 182 post vaccination

Population: This primary objective evaluated only recipients in the arms receiving high dose and adjuvanted vaccine in year 1.

Hemagglutination Inhibition (HI) titers to vaccine viruses for high dose and adjuvanted vaccine recipients at 182 days post vaccination 2016-17

Outcome measures

Outcome measures
Measure
High Dose Influenza Vaccine
n=55 Participants
This group will be administered High Dose (HD) influenza vaccination (0.5 mL intramuscular (IM) injection) in the first and second years of the study.
Adjuvanted Influenza Vaccine
n=58 Participants
This group will be administered adjuvanted influenza vaccination (0.5 mL intramuscular (IM) injection) in the first and second years of the study.
None-ADJ
2015-16 Unvaccinated individual who received adjuvanted vaccine in the study in 2016-17
None-HD
2015-16 Unvaccinated individual who received high dose vaccine in the study in 2016-17
Standard+Recombinant
This group will be administered standard influenza vaccination (0.5 mL intramuscular (IM) injection) in the first year and recombinant influenza vaccination (0.5 mL intramuscular (IM) injection) in the second year of the study. Standard Dose Influenza vaccine: Licensed and FDA approved Fluvirin vaccine to be administered to study participants. Recombinant Influenza vaccine: Licensed and FDA approved FluBlok vaccine to be administered to study participants
HI Titers, HD vs. AD, Yr 1 Day 182 Post Vaccination
A/H1/California
83 Titer
Interval 62.0 to 110.0
56 Titer
Interval 41.0 to 77.0
HI Titers, HD vs. AD, Yr 1 Day 182 Post Vaccination
A/H3/Hong Kong
83 Titer
Interval 60.0 to 113.0
68 Titer
Interval 51.0 to 91.0
HI Titers, HD vs. AD, Yr 1 Day 182 Post Vaccination
B/Brisbane(Victoria)
61 Titer
Interval 43.0 to 88.0
44 Titer
Interval 33.0 to 60.0

PRIMARY outcome

Timeframe: Year 1, Day 365 post vaccination

Population: This primary objective evaluated only recipients in the arms receiving high dose and adjuvanted vaccine in year 1.

Hemagglutination Inhibition (HI) titers to vaccine viruses for high dose and adjuvanted vaccine recipients at 365 days post vaccination 2016-17

Outcome measures

Outcome measures
Measure
High Dose Influenza Vaccine
n=55 Participants
This group will be administered High Dose (HD) influenza vaccination (0.5 mL intramuscular (IM) injection) in the first and second years of the study.
Adjuvanted Influenza Vaccine
n=58 Participants
This group will be administered adjuvanted influenza vaccination (0.5 mL intramuscular (IM) injection) in the first and second years of the study.
None-ADJ
2015-16 Unvaccinated individual who received adjuvanted vaccine in the study in 2016-17
None-HD
2015-16 Unvaccinated individual who received high dose vaccine in the study in 2016-17
Standard+Recombinant
This group will be administered standard influenza vaccination (0.5 mL intramuscular (IM) injection) in the first year and recombinant influenza vaccination (0.5 mL intramuscular (IM) injection) in the second year of the study. Standard Dose Influenza vaccine: Licensed and FDA approved Fluvirin vaccine to be administered to study participants. Recombinant Influenza vaccine: Licensed and FDA approved FluBlok vaccine to be administered to study participants
HI Titers, HD vs. AD, Yr 1 Day 365 Post Vaccination
A/H1/California
54 Titer
Interval 40.0 to 72.0
44 Titer
Interval 32.0 to 60.0
HI Titers, HD vs. AD, Yr 1 Day 365 Post Vaccination
A/H3/Hong Kong
75 Titer
Interval 55.0 to 103.0
75 Titer
Interval 57.0 to 100.0
HI Titers, HD vs. AD, Yr 1 Day 365 Post Vaccination
B/Brisbane(Victoria)
36 Titer
Interval 25.0 to 52.0
24 Titer
Interval 17.0 to 32.0

PRIMARY outcome

Timeframe: Year 2, Day 28 post vaccination

Population: This primary objective evaluated only recipients in the arms receiving high dose and adjuvanted vaccine in year 1.

Hemagglutination Inhibition (HI) titers to vaccine viruses for high dose and adjuvanted vaccine recipients at 28 days post vaccination 2017-18

Outcome measures

Outcome measures
Measure
High Dose Influenza Vaccine
n=55 Participants
This group will be administered High Dose (HD) influenza vaccination (0.5 mL intramuscular (IM) injection) in the first and second years of the study.
Adjuvanted Influenza Vaccine
n=58 Participants
This group will be administered adjuvanted influenza vaccination (0.5 mL intramuscular (IM) injection) in the first and second years of the study.
None-ADJ
2015-16 Unvaccinated individual who received adjuvanted vaccine in the study in 2016-17
None-HD
2015-16 Unvaccinated individual who received high dose vaccine in the study in 2016-17
Standard+Recombinant
This group will be administered standard influenza vaccination (0.5 mL intramuscular (IM) injection) in the first year and recombinant influenza vaccination (0.5 mL intramuscular (IM) injection) in the second year of the study. Standard Dose Influenza vaccine: Licensed and FDA approved Fluvirin vaccine to be administered to study participants. Recombinant Influenza vaccine: Licensed and FDA approved FluBlok vaccine to be administered to study participants
HI Titers, HD vs. AD, Yr 2 Day 28 Post Vaccination
A/H1/Michigan
83 Titer
Interval 64.0 to 107.0
101 Titer
Interval 74.0 to 139.0
HI Titers, HD vs. AD, Yr 2 Day 28 Post Vaccination
A/H3/Hong Kong
158 Titer
Interval 114.0 to 220.0
158 Titer
Interval 123.0 to 203.0
HI Titers, HD vs. AD, Yr 2 Day 28 Post Vaccination
B/Brisbane(Victoria)
63 Titer
Interval 46.0 to 87.0
45 Titer
Interval 33.0 to 61.0

PRIMARY outcome

Timeframe: Year 2, Day 182 post vaccination

Population: This primary objective evaluated only recipients in the arms receiving high dose and adjuvanted vaccine in year 1.

Hemagglutination Inhibition (HI) titers to vaccine viruses for high dose and adjuvanted vaccine recipients at 182 days post vaccination 2017-18

Outcome measures

Outcome measures
Measure
High Dose Influenza Vaccine
n=55 Participants
This group will be administered High Dose (HD) influenza vaccination (0.5 mL intramuscular (IM) injection) in the first and second years of the study.
Adjuvanted Influenza Vaccine
n=58 Participants
This group will be administered adjuvanted influenza vaccination (0.5 mL intramuscular (IM) injection) in the first and second years of the study.
None-ADJ
2015-16 Unvaccinated individual who received adjuvanted vaccine in the study in 2016-17
None-HD
2015-16 Unvaccinated individual who received high dose vaccine in the study in 2016-17
Standard+Recombinant
This group will be administered standard influenza vaccination (0.5 mL intramuscular (IM) injection) in the first year and recombinant influenza vaccination (0.5 mL intramuscular (IM) injection) in the second year of the study. Standard Dose Influenza vaccine: Licensed and FDA approved Fluvirin vaccine to be administered to study participants. Recombinant Influenza vaccine: Licensed and FDA approved FluBlok vaccine to be administered to study participants
HI Titers, HD vs. AD, Yr 2 Day 182 Post Vaccination
A/H1/Michigan
46 Titer
Interval 35.0 to 61.0
44 Titer
Interval 32.0 to 61.0
HI Titers, HD vs. AD, Yr 2 Day 182 Post Vaccination
A/H3/Hong Kong
101 Titer
Interval 74.0 to 138.0
124 Titer
Interval 93.0 to 165.0
HI Titers, HD vs. AD, Yr 2 Day 182 Post Vaccination
B/Brisbane(Victoria)
44 Titer
Interval 31.0 to 61.0
30 Titer
Interval 22.0 to 42.0

SECONDARY outcome

Timeframe: Year 1, Day 28 post vaccination

Population: Secondary objective examines response in adjuvant and high dose recipients by prior season vaccination status.

Hemagglutination inhibition (HI) Titers by prior season (2015-16) vaccination status among adjuvant and high dose vaccine recipients 28 days post vaccination, 2016-17

Outcome measures

Outcome measures
Measure
High Dose Influenza Vaccine
n=44 Participants
This group will be administered High Dose (HD) influenza vaccination (0.5 mL intramuscular (IM) injection) in the first and second years of the study.
Adjuvanted Influenza Vaccine
n=40 Participants
This group will be administered adjuvanted influenza vaccination (0.5 mL intramuscular (IM) injection) in the first and second years of the study.
None-ADJ
n=14 Participants
2015-16 Unvaccinated individual who received adjuvanted vaccine in the study in 2016-17
None-HD
n=15 Participants
2015-16 Unvaccinated individual who received high dose vaccine in the study in 2016-17
Standard+Recombinant
This group will be administered standard influenza vaccination (0.5 mL intramuscular (IM) injection) in the first year and recombinant influenza vaccination (0.5 mL intramuscular (IM) injection) in the second year of the study. Standard Dose Influenza vaccine: Licensed and FDA approved Fluvirin vaccine to be administered to study participants. Recombinant Influenza vaccine: Licensed and FDA approved FluBlok vaccine to be administered to study participants
HI Response by Prior Season Vaccination, Yr 1, Day 28 Post Vaccination
A/H1/California
116 Titer
Interval 82.0 to 165.0
136 Titer
Interval 95.0 to 193.0
122 Titer
Interval 62.0 to 241.0
343 Titer
Interval 194.0 to 608.0
HI Response by Prior Season Vaccination, Yr 1, Day 28 Post Vaccination
A/H3/Hong Kong
105 Titer
Interval 76.0 to 147.0
128 Titer
Interval 85.0 to 193.0
168 Titer
Interval 82.0 to 343.0
197 Titer
Interval 106.0 to 366.0
HI Response by Prior Season Vaccination, Yr 1, Day 28 Post Vaccination
B/Brisbane(Victoria)
62 Titer
Interval 45.0 to 84.0
142 Titer
Interval 93.0 to 217.0
195 Titer
Interval 87.0 to 435.0
254 Titer
Interval 136.0 to 475.0

SECONDARY outcome

Timeframe: Year 1, Day 182 post vaccination

Population: Secondary objective examines response in adjuvant and high dose recipients by prior season vaccination status.

Hemagglutination inhibition (HI) Titers by prior season (2015-16) vaccination status among adjuvant and high dose vaccine recipients 182 days post vaccination, 2016-17

Outcome measures

Outcome measures
Measure
High Dose Influenza Vaccine
n=44 Participants
This group will be administered High Dose (HD) influenza vaccination (0.5 mL intramuscular (IM) injection) in the first and second years of the study.
Adjuvanted Influenza Vaccine
n=40 Participants
This group will be administered adjuvanted influenza vaccination (0.5 mL intramuscular (IM) injection) in the first and second years of the study.
None-ADJ
n=14 Participants
2015-16 Unvaccinated individual who received adjuvanted vaccine in the study in 2016-17
None-HD
n=15 Participants
2015-16 Unvaccinated individual who received high dose vaccine in the study in 2016-17
Standard+Recombinant
This group will be administered standard influenza vaccination (0.5 mL intramuscular (IM) injection) in the first year and recombinant influenza vaccination (0.5 mL intramuscular (IM) injection) in the second year of the study. Standard Dose Influenza vaccine: Licensed and FDA approved Fluvirin vaccine to be administered to study participants. Recombinant Influenza vaccine: Licensed and FDA approved FluBlok vaccine to be administered to study participants
HI Response by Prior Season Vaccination, Yr 1, Day 182 Post Vaccination
A/H1/California
59 Titer
Interval 41.0 to 85.0
67 Titer
Interval 49.0 to 91.0
48 Titer
Interval 23.0 to 98.0
146 Titer
Interval 81.0 to 264.0
HI Response by Prior Season Vaccination, Yr 1, Day 182 Post Vaccination
A/H3/Hong Kong
68 Titer
Interval 49.0 to 96.0
84 Titer
Interval 56.0 to 126.0
67 Titer
Interval 35.0 to 128.0
78 Titer
Interval 47.0 to 129.0
HI Response by Prior Season Vaccination, Yr 1, Day 182 Post Vaccination
B/Brisbane(Victoria)
36 Titer
Interval 27.0 to 48.0
51 Titer
Interval 33.0 to 77.0
86 Titer
Interval 38.0 to 196.0
103 Titer
Interval 52.0 to 202.0

SECONDARY outcome

Timeframe: Year 1, Day 365 post vaccination

Population: Secondary objective examines response in adjuvant and high dose recipients by prior season vaccination status.

Hemagglutination inhibition (HI) Titers by prior season (2015-16) vaccination status among adjuvant and high dose vaccine recipients 365 days post vaccination, 2016-17

Outcome measures

Outcome measures
Measure
High Dose Influenza Vaccine
n=44 Participants
This group will be administered High Dose (HD) influenza vaccination (0.5 mL intramuscular (IM) injection) in the first and second years of the study.
Adjuvanted Influenza Vaccine
n=40 Participants
This group will be administered adjuvanted influenza vaccination (0.5 mL intramuscular (IM) injection) in the first and second years of the study.
None-ADJ
n=14 Participants
2015-16 Unvaccinated individual who received adjuvanted vaccine in the study in 2016-17
None-HD
n=15 Participants
2015-16 Unvaccinated individual who received high dose vaccine in the study in 2016-17
Standard+Recombinant
This group will be administered standard influenza vaccination (0.5 mL intramuscular (IM) injection) in the first year and recombinant influenza vaccination (0.5 mL intramuscular (IM) injection) in the second year of the study. Standard Dose Influenza vaccine: Licensed and FDA approved Fluvirin vaccine to be administered to study participants. Recombinant Influenza vaccine: Licensed and FDA approved FluBlok vaccine to be administered to study participants
HI Response by Prior Season Vaccination, Yr 1, Day 365 Post Vaccination
A/H1/California
51 Titer
Interval 36.0 to 74.0
48 Titer
Interval 34.0 to 67.0
26 Titer
Interval 13.0 to 52.0
73 Titer
Interval 39.0 to 137.0
HI Response by Prior Season Vaccination, Yr 1, Day 365 Post Vaccination
A/H3/Hong Kong
82 Titer
Interval 59.0 to 114.0
79 Titer
Interval 53.0 to 117.0
58 Titer
Interval 31.0 to 107.0
66 Titer
Interval 38.0 to 117.0
HI Response by Prior Season Vaccination, Yr 1, Day 365 Post Vaccination
B/Brisbane(Victoria)
20 Titer
Interval 15.0 to 28.0
34 Titer
Interval 22.0 to 52.0
38 Titer
Interval 17.0 to 86.0
44 Titer
Interval 20.0 to 96.0

SECONDARY outcome

Timeframe: Year 1, Day 28 post vaccination

Population: Secondary objective examines response in adjuvant and high dose recipients to vaccine and drifted viruses.

Microneutralization antibody titers to vaccine and drifted viruses among high dose and adjuvanted vaccine recipients 28 days post vaccination, 2016-17

Outcome measures

Outcome measures
Measure
High Dose Influenza Vaccine
n=55 Participants
This group will be administered High Dose (HD) influenza vaccination (0.5 mL intramuscular (IM) injection) in the first and second years of the study.
Adjuvanted Influenza Vaccine
n=58 Participants
This group will be administered adjuvanted influenza vaccination (0.5 mL intramuscular (IM) injection) in the first and second years of the study.
None-ADJ
2015-16 Unvaccinated individual who received adjuvanted vaccine in the study in 2016-17
None-HD
2015-16 Unvaccinated individual who received high dose vaccine in the study in 2016-17
Standard+Recombinant
This group will be administered standard influenza vaccination (0.5 mL intramuscular (IM) injection) in the first year and recombinant influenza vaccination (0.5 mL intramuscular (IM) injection) in the second year of the study. Standard Dose Influenza vaccine: Licensed and FDA approved Fluvirin vaccine to be administered to study participants. Recombinant Influenza vaccine: Licensed and FDA approved FluBlok vaccine to be administered to study participants
MN Titers, HD vs. AD, Year 1, Day 28 Post Vaccination
A/H3/Hong Kong 4801 (egg)
256 Titer
Interval 175.0 to 373.0
246 Titer
Interval 160.0 to 380.0
MN Titers, HD vs. AD, Year 1, Day 28 Post Vaccination
A/H3/Hong Kong 4801 (siat cell)
57 Titer
Interval 42.0 to 79.0
69 Titer
Interval 49.0 to 96.0
MN Titers, HD vs. AD, Year 1, Day 28 Post Vaccination
A/H3/NZ0783 (siat cell)
47 Titer
Interval 33.0 to 66.0
52 Titer
Interval 37.0 to 71.0
MN Titers, HD vs. AD, Year 1, Day 28 Post Vaccination
A/H3/OR19 (siat cell)
32 Titer
Interval 22.0 to 46.0
39 Titer
Interval 27.0 to 56.0

SECONDARY outcome

Timeframe: Year 1, Day 182 post vaccination

Population: Secondary objective examines response in adjuvant and high dose recipients to vaccine and drifted viruses.

Microneutralization antibody titers to vaccine and drifted viruses among high dose and adjuvanted vaccine recipients 182 days post vaccination, 2016-17

Outcome measures

Outcome measures
Measure
High Dose Influenza Vaccine
n=55 Participants
This group will be administered High Dose (HD) influenza vaccination (0.5 mL intramuscular (IM) injection) in the first and second years of the study.
Adjuvanted Influenza Vaccine
n=58 Participants
This group will be administered adjuvanted influenza vaccination (0.5 mL intramuscular (IM) injection) in the first and second years of the study.
None-ADJ
2015-16 Unvaccinated individual who received adjuvanted vaccine in the study in 2016-17
None-HD
2015-16 Unvaccinated individual who received high dose vaccine in the study in 2016-17
Standard+Recombinant
This group will be administered standard influenza vaccination (0.5 mL intramuscular (IM) injection) in the first year and recombinant influenza vaccination (0.5 mL intramuscular (IM) injection) in the second year of the study. Standard Dose Influenza vaccine: Licensed and FDA approved Fluvirin vaccine to be administered to study participants. Recombinant Influenza vaccine: Licensed and FDA approved FluBlok vaccine to be administered to study participants
MN Titers, HD vs. AD, Year 1, Day 182 Post Vaccination
A/H3/Hong Kong 4801 (egg)
138 Titer
Interval 91.0 to 208.0
132 Titer
Interval 89.0 to 196.0
MN Titers, HD vs. AD, Year 1, Day 182 Post Vaccination
A/H3/Hong Kong 4801 (siat cell)
44 Titer
Interval 33.0 to 60.0
42 Titer
Interval 30.0 to 59.0
MN Titers, HD vs. AD, Year 1, Day 182 Post Vaccination
A/H3/NZ0783 (siat cell)
29 Titer
Interval 22.0 to 40.0
30 Titer
Interval 22.0 to 41.0
MN Titers, HD vs. AD, Year 1, Day 182 Post Vaccination
A/H3/OR19 (siat cell)
24 Titer
Interval 18.0 to 33.0
25 Titer
Interval 18.0 to 36.0

SECONDARY outcome

Timeframe: Year 1, Day 365 post vaccination

Population: Secondary objective examines response in adjuvant and high dose recipients to vaccine and drifted viruses.

Microneutralization antibody titers to vaccine and drifted viruses among high dose and adjuvanted vaccine recipients 365 days post vaccination, 2016-17

Outcome measures

Outcome measures
Measure
High Dose Influenza Vaccine
n=55 Participants
This group will be administered High Dose (HD) influenza vaccination (0.5 mL intramuscular (IM) injection) in the first and second years of the study.
Adjuvanted Influenza Vaccine
n=58 Participants
This group will be administered adjuvanted influenza vaccination (0.5 mL intramuscular (IM) injection) in the first and second years of the study.
None-ADJ
2015-16 Unvaccinated individual who received adjuvanted vaccine in the study in 2016-17
None-HD
2015-16 Unvaccinated individual who received high dose vaccine in the study in 2016-17
Standard+Recombinant
This group will be administered standard influenza vaccination (0.5 mL intramuscular (IM) injection) in the first year and recombinant influenza vaccination (0.5 mL intramuscular (IM) injection) in the second year of the study. Standard Dose Influenza vaccine: Licensed and FDA approved Fluvirin vaccine to be administered to study participants. Recombinant Influenza vaccine: Licensed and FDA approved FluBlok vaccine to be administered to study participants
MN Titers, HD vs. AD, Year 1, Day 365 Post Vaccination
A/H3/Hong Kong 4801 (egg)
138 Titer
Interval 91.0 to 207.0
132 Titer
Interval 89.0 to 196.0
MN Titers, HD vs. AD, Year 1, Day 365 Post Vaccination
A/H3/Hong Kong 4801 (siat cell)
45 Titer
Interval 33.0 to 60.0
55 Titer
Interval 51.0 to 74.0
MN Titers, HD vs. AD, Year 1, Day 365 Post Vaccination
A/H3/NZ0783 (siat cell)
29 Titer
Interval 22.0 to 40.0
30 Titer
Interval 22.0 to 41.0
MN Titers, HD vs. AD, Year 1, Day 365 Post Vaccination
A/H3/OR19 (siat cell)
24 Titer
Interval 18.0 to 33.0
25 Titer
Interval 18.0 to 36.0

SECONDARY outcome

Timeframe: Year 2, Day 28 post vaccination

Population: Secondary objective examines response in adjuvant and high dose recipients to A/Hong Kong (siat cell) virus in year 2, post vaccination.

Microneutralization antibody titers to vaccine virus (A/Hong Kong (siat cell) among high dose and adjuvanted vaccine recipients 28 days post vaccination, 2017-18

Outcome measures

Outcome measures
Measure
High Dose Influenza Vaccine
n=55 Participants
This group will be administered High Dose (HD) influenza vaccination (0.5 mL intramuscular (IM) injection) in the first and second years of the study.
Adjuvanted Influenza Vaccine
n=58 Participants
This group will be administered adjuvanted influenza vaccination (0.5 mL intramuscular (IM) injection) in the first and second years of the study.
None-ADJ
2015-16 Unvaccinated individual who received adjuvanted vaccine in the study in 2016-17
None-HD
2015-16 Unvaccinated individual who received high dose vaccine in the study in 2016-17
Standard+Recombinant
This group will be administered standard influenza vaccination (0.5 mL intramuscular (IM) injection) in the first year and recombinant influenza vaccination (0.5 mL intramuscular (IM) injection) in the second year of the study. Standard Dose Influenza vaccine: Licensed and FDA approved Fluvirin vaccine to be administered to study participants. Recombinant Influenza vaccine: Licensed and FDA approved FluBlok vaccine to be administered to study participants
MN Titers (A/Hong Kong (Siat Cell)), HD vs. AD, Year 2, Day 28 Post Vaccination
73 Titer
Interval 55.0 to 96.0
95 Titer
Interval 71.0 to 125.0

SECONDARY outcome

Timeframe: Year 2, Day 28 post vaccination

Population: This secondary objective aimed to look at subjects receiving standard dose vaccine in the previous season and one of 3 licensed vaccines in the 2017-18 season.

Hemagglutination Inhibition (HI) titers to vaccine viruses among adjuvant, high dose and recombinant recipients with prior season standard dose vaccine at 28 days post vaccination 2017-18

Outcome measures

Outcome measures
Measure
High Dose Influenza Vaccine
n=20 Participants
This group will be administered High Dose (HD) influenza vaccination (0.5 mL intramuscular (IM) injection) in the first and second years of the study.
Adjuvanted Influenza Vaccine
n=19 Participants
This group will be administered adjuvanted influenza vaccination (0.5 mL intramuscular (IM) injection) in the first and second years of the study.
None-ADJ
n=20 Participants
2015-16 Unvaccinated individual who received adjuvanted vaccine in the study in 2016-17
None-HD
2015-16 Unvaccinated individual who received high dose vaccine in the study in 2016-17
Standard+Recombinant
This group will be administered standard influenza vaccination (0.5 mL intramuscular (IM) injection) in the first year and recombinant influenza vaccination (0.5 mL intramuscular (IM) injection) in the second year of the study. Standard Dose Influenza vaccine: Licensed and FDA approved Fluvirin vaccine to be administered to study participants. Recombinant Influenza vaccine: Licensed and FDA approved FluBlok vaccine to be administered to study participants
HI Titers, HD vs. AD vs. RIV With Prior Season Standard (IIV) Dose, Year 2, Day 28 Post Vaccination
A/H1/Michigan
44 Titer
Interval 24.0 to 81.0
86 Titer
Interval 48.0 to 154.0
126 Titer
Interval 68.0 to 232.0
HI Titers, HD vs. AD vs. RIV With Prior Season Standard (IIV) Dose, Year 2, Day 28 Post Vaccination
A/H3/Hong Kong
126 Titer
Interval 72.0 to 220.0
163 Titer
Interval 84.0 to 317.0
174 Titer
Interval 97.0 to 313.0
HI Titers, HD vs. AD vs. RIV With Prior Season Standard (IIV) Dose, Year 2, Day 28 Post Vaccination
B/Brisbane(Victoria)
35 Titer
Interval 21.0 to 57.0
83 Titer
Interval 42.0 to 164.0
53 Titer
Interval 30.0 to 94.0

SECONDARY outcome

Timeframe: Year 2, Day 182 post vaccination

Population: This secondary objective aimed to look at subjects receiving standard dose vaccine in the previous season and one of 3 licensed vaccines in the 2017-18 season.

Hemagglutination Inhibition (HI) titers to vaccine viruses among adjuvant, high dose and recombinant recipients with prior season standard dose vaccine at 182 days post vaccination 2017-18

Outcome measures

Outcome measures
Measure
High Dose Influenza Vaccine
n=20 Participants
This group will be administered High Dose (HD) influenza vaccination (0.5 mL intramuscular (IM) injection) in the first and second years of the study.
Adjuvanted Influenza Vaccine
n=19 Participants
This group will be administered adjuvanted influenza vaccination (0.5 mL intramuscular (IM) injection) in the first and second years of the study.
None-ADJ
n=20 Participants
2015-16 Unvaccinated individual who received adjuvanted vaccine in the study in 2016-17
None-HD
2015-16 Unvaccinated individual who received high dose vaccine in the study in 2016-17
Standard+Recombinant
This group will be administered standard influenza vaccination (0.5 mL intramuscular (IM) injection) in the first year and recombinant influenza vaccination (0.5 mL intramuscular (IM) injection) in the second year of the study. Standard Dose Influenza vaccine: Licensed and FDA approved Fluvirin vaccine to be administered to study participants. Recombinant Influenza vaccine: Licensed and FDA approved FluBlok vaccine to be administered to study participants
HI Titers, HD vs. AD vs. RIV With Prior Season Standard (IIV) Dose, Year 2, Day 182 Post Vaccination
A/H1/Michigan
26 Titer
Interval 15.0 to 45.0
33 Titer
Interval 17.0 to 66.0
75 Titer
Interval 41.0 to 135.0
HI Titers, HD vs. AD vs. RIV With Prior Season Standard (IIV) Dose, Year 2, Day 182 Post Vaccination
A/H3/Hong Kong
95 Titer
Interval 55.0 to 164.0
122 Titer
Interval 67.0 to 222.0
135 Titer
Interval 75.0 to 242.0
HI Titers, HD vs. AD vs. RIV With Prior Season Standard (IIV) Dose, Year 2, Day 182 Post Vaccination
B/Brisbane(Victoria)
26 Titer
Interval 16.0 to 41.0
47 Titer
Interval 26.0 to 86.0
33 Titer
Interval 19.0 to 58.0

SECONDARY outcome

Timeframe: Year 2, Day 28 post vaccination

Population: This secondary objective selects individuals receiving high dose or adjuvanted vaccine in year 2 of the study and compares immune response by vaccine received in the prior season.

Hemagglutination inhibition (HI) titers among HD and AD based on prior season vaccination (standard or sequential same vaccination) at 28 days after vaccination, 2017-18

Outcome measures

Outcome measures
Measure
High Dose Influenza Vaccine
n=58 Participants
This group will be administered High Dose (HD) influenza vaccination (0.5 mL intramuscular (IM) injection) in the first and second years of the study.
Adjuvanted Influenza Vaccine
n=55 Participants
This group will be administered adjuvanted influenza vaccination (0.5 mL intramuscular (IM) injection) in the first and second years of the study.
None-ADJ
n=20 Participants
2015-16 Unvaccinated individual who received adjuvanted vaccine in the study in 2016-17
None-HD
n=19 Participants
2015-16 Unvaccinated individual who received high dose vaccine in the study in 2016-17
Standard+Recombinant
This group will be administered standard influenza vaccination (0.5 mL intramuscular (IM) injection) in the first year and recombinant influenza vaccination (0.5 mL intramuscular (IM) injection) in the second year of the study. Standard Dose Influenza vaccine: Licensed and FDA approved Fluvirin vaccine to be administered to study participants. Recombinant Influenza vaccine: Licensed and FDA approved FluBlok vaccine to be administered to study participants
HI Titers, IIV+AD or HD vs. Sequential AD or HD, Year 2, Day 28 Post Vaccination
A/H1/Michigan
101 Titer
Interval 74.0 to 139.0
83 Titer
Interval 64.0 to 107.0
44 Titer
Interval 24.0 to 81.0
86 Titer
Interval 48.0 to 154.0
HI Titers, IIV+AD or HD vs. Sequential AD or HD, Year 2, Day 28 Post Vaccination
A/H3/Hong Kong
158 Titer
Interval 123.0 to 203.0
158 Titer
Interval 114.0 to 220.0
126 Titer
Interval 72.0 to 220.0
163 Titer
Interval 84.0 to 317.0
HI Titers, IIV+AD or HD vs. Sequential AD or HD, Year 2, Day 28 Post Vaccination
B/Brisbane(Victoria)
45 Titer
Interval 33.0 to 61.0
63 Titer
Interval 46.0 to 87.0
35 Titer
Interval 21.0 to 57.0
83 Titer
Interval 42.0 to 164.0

SECONDARY outcome

Timeframe: Year 2, Day 182 post vaccination

Population: This secondary objective selects individuals receiving high dose or adjuvanted vaccine in year 2 of the study and compares immune response by vaccine received in the prior season.

Hemagglutination inhibition (HI) titers among HD and AD based on prior season vaccination (standard or sequential same vaccination) at 182 days after vaccination, 2017-18

Outcome measures

Outcome measures
Measure
High Dose Influenza Vaccine
n=58 Participants
This group will be administered High Dose (HD) influenza vaccination (0.5 mL intramuscular (IM) injection) in the first and second years of the study.
Adjuvanted Influenza Vaccine
n=55 Participants
This group will be administered adjuvanted influenza vaccination (0.5 mL intramuscular (IM) injection) in the first and second years of the study.
None-ADJ
n=20 Participants
2015-16 Unvaccinated individual who received adjuvanted vaccine in the study in 2016-17
None-HD
n=19 Participants
2015-16 Unvaccinated individual who received high dose vaccine in the study in 2016-17
Standard+Recombinant
This group will be administered standard influenza vaccination (0.5 mL intramuscular (IM) injection) in the first year and recombinant influenza vaccination (0.5 mL intramuscular (IM) injection) in the second year of the study. Standard Dose Influenza vaccine: Licensed and FDA approved Fluvirin vaccine to be administered to study participants. Recombinant Influenza vaccine: Licensed and FDA approved FluBlok vaccine to be administered to study participants
HI Titers, IIV+AD or HD vs. Sequential AD or HD, Year 2, Day 182 Post Vaccination
A/H1/Michigan
44 Titer
Interval 32.0 to 61.0
46 Titer
Interval 35.0 to 51.0
26 Titer
Interval 15.0 to 45.0
33 Titer
Interval 17.0 to 66.0
HI Titers, IIV+AD or HD vs. Sequential AD or HD, Year 2, Day 182 Post Vaccination
A/H3/Hong Kong
124 Titer
Interval 93.0 to 165.0
101 Titer
Interval 74.0 to 138.0
95 Titer
Interval 55.0 to 164.0
122 Titer
Interval 67.0 to 222.0
HI Titers, IIV+AD or HD vs. Sequential AD or HD, Year 2, Day 182 Post Vaccination
B/Brisbane(Victoria)
30 Titer
Interval 22.0 to 42.0
44 Titer
Interval 31.0 to 61.0
26 Titer
Interval 16.0 to 41.0
47 Titer
Interval 26.0 to 86.0

SECONDARY outcome

Timeframe: Year 1, Post season

Population: Results of influenza surveillance after the first year examines individuals by the vaccine type received in Year 1.

Number of Participants with Vaccine Failure in Year 1 by vaccine type

Outcome measures

Outcome measures
Measure
High Dose Influenza Vaccine
n=55 Participants
This group will be administered High Dose (HD) influenza vaccination (0.5 mL intramuscular (IM) injection) in the first and second years of the study.
Adjuvanted Influenza Vaccine
n=58 Participants
This group will be administered adjuvanted influenza vaccination (0.5 mL intramuscular (IM) injection) in the first and second years of the study.
None-ADJ
n=59 Participants
2015-16 Unvaccinated individual who received adjuvanted vaccine in the study in 2016-17
None-HD
2015-16 Unvaccinated individual who received high dose vaccine in the study in 2016-17
Standard+Recombinant
This group will be administered standard influenza vaccination (0.5 mL intramuscular (IM) injection) in the first year and recombinant influenza vaccination (0.5 mL intramuscular (IM) injection) in the second year of the study. Standard Dose Influenza vaccine: Licensed and FDA approved Fluvirin vaccine to be administered to study participants. Recombinant Influenza vaccine: Licensed and FDA approved FluBlok vaccine to be administered to study participants
Number of Participants With Vaccine Failure, Year 1
H3 Positive
4 Participants
3 Participants
1 Participants
Number of Participants With Vaccine Failure, Year 1
B Positive
0 Participants
1 Participants
1 Participants

SECONDARY outcome

Timeframe: Year 2, Post season

Population: Results of influenza surveillance after the second year examines individuals by groups based on the vaccine types received in both seasons.

Number of Participants with Vaccine Failure in Year 2 by two-year vaccine history

Outcome measures

Outcome measures
Measure
High Dose Influenza Vaccine
n=55 Participants
This group will be administered High Dose (HD) influenza vaccination (0.5 mL intramuscular (IM) injection) in the first and second years of the study.
Adjuvanted Influenza Vaccine
n=58 Participants
This group will be administered adjuvanted influenza vaccination (0.5 mL intramuscular (IM) injection) in the first and second years of the study.
None-ADJ
n=19 Participants
2015-16 Unvaccinated individual who received adjuvanted vaccine in the study in 2016-17
None-HD
n=20 Participants
2015-16 Unvaccinated individual who received high dose vaccine in the study in 2016-17
Standard+Recombinant
n=20 Participants
This group will be administered standard influenza vaccination (0.5 mL intramuscular (IM) injection) in the first year and recombinant influenza vaccination (0.5 mL intramuscular (IM) injection) in the second year of the study. Standard Dose Influenza vaccine: Licensed and FDA approved Fluvirin vaccine to be administered to study participants. Recombinant Influenza vaccine: Licensed and FDA approved FluBlok vaccine to be administered to study participants
Number of Participants With Vaccine Failure, Year 2
B positive
4 Participants
1 Participants
0 Participants
1 Participants
1 Participants
Number of Participants With Vaccine Failure, Year 2
H3 positive
3 Participants
6 Participants
1 Participants
2 Participants
3 Participants

Adverse Events

High Dose Influenza Vaccine

Serious events: 0 serious events
Other events: 0 other events
Deaths: 2 deaths

Adjuvanted Influenza Vaccine

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

Standard Dose Influenza Vaccine+HD

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

Standard Dose Influenza Vaccine +Adj

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

Standard Dose Influenza Vaccine+Recomb

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

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Project Manager

Marshfield Clinic Research Institute

Phone: 715-389-5088

Results disclosure agreements

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