Safety and Immunogenicity of High-Dose Quadrivalent Influenza Vaccine in Participants ≥65 Years in the US

NCT ID: NCT03282240

Last Updated: 2022-04-07

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE3

Total Enrollment

2670 participants

Study Classification

INTERVENTIONAL

Study Start Date

2017-09-08

Study Completion Date

2018-04-19

Brief Summary

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This randomized, modified double-blind, active-controlled, multi-center trial assessed the safety and immunogenicity of the high-dose quadrivalent influenza vaccine (QIV-HD) compared to either the licensed or investigational high-dose trivalent influenza vaccine (TIV-HD) in adults.

Detailed Description

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This randomized, modified double-blind, active-controlled, multi-center trial was conducted in healthy adults (greater than and equal to \[\>=\] 65 years) to assess the safety and immunogenicity (geometric mean titers and seroconversion for the 4 virus strains at 28 days post vaccination) of the QIV-HD compared to one of the TIV-HDs containing either the B strain from the primary lineage (TIV-HD1; licensed vaccine \[Fluzone® High-Dose\] for the 2017-2018 Northern Hemisphere \[NH\] influenza season) or the B strain from the alternate lineage (TIV-HD2, investigational TIV-HD containing an alternate B strain).

Conditions

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Influenza

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

QHD00013 was a phase III, randomized, modified double-blind, active-controlled, multi-center trial.
Primary Study Purpose

PREVENTION

Blinding Strategy

DOUBLE

Participants Outcome Assessors
QHD00013 was a modified double-blind trial with an unblinded administrator used at each trial site. The administrator was not involved in any of the blinded study assessments (e.g., safety).

Study Groups

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QIV-HD

Participants randomized to receive a single injection of 0.7 mL QIV-HD by intramuscular (IM) route at Day 0.

Group Type EXPERIMENTAL

QIV-HD

Intervention Type BIOLOGICAL

0.7 mL-dose was administered intramuscularly (IM) into the upper arm area.

TIV-HD1 (Licensed TIV-HD1)

Participants randomized to receive a single injection of 0.5 mL licensed TIV-HD1 by IM route at Day 0.

Group Type ACTIVE_COMPARATOR

Licensed TIV-HD1

Intervention Type BIOLOGICAL

0.5 mL-dose was administered IM into the upper arm area.

TIV-HD2 (Investigational TIV-HD2)

Participants randomized to receive a single injection of 0.5 mL investigational TIV-HD2 by IM route at Day 0.

Group Type ACTIVE_COMPARATOR

Investigational TIV-HD2

Intervention Type BIOLOGICAL

0.5 mL-dose was administered IM into the upper arm area.

Interventions

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QIV-HD

0.7 mL-dose was administered intramuscularly (IM) into the upper arm area.

Intervention Type BIOLOGICAL

Licensed TIV-HD1

0.5 mL-dose was administered IM into the upper arm area.

Intervention Type BIOLOGICAL

Investigational TIV-HD2

0.5 mL-dose was administered IM into the upper arm area.

Intervention Type BIOLOGICAL

Other Intervention Names

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High-dose quadrivalent influenza vaccine High-dose trivalent influenza vaccine High-dose trivalent influenza vaccine (alternate B strain)

Eligibility Criteria

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Inclusion Criteria

* Aged \>= 65 years on the day of inclusion.
* Informed consent form had been signed and dated.
* Able to attend all scheduled visits and to comply with all trial procedures.

Exclusion Criteria

* Participation at the time of trial enrollment (or in the 4 weeks preceding the trial vaccination) or planned participation during the present trial period in another clinical trial investigating a vaccine, drug, medical device, or medical procedure.
* Receipt of any vaccine in the 4 weeks (28 days) preceding the trial vaccination or planned receipt of any vaccine prior to Visit 2.
* Previous vaccination against influenza (in the preceding 6 months) with either the trial vaccine or another vaccine.
* Receipt of immune globulins, blood or blood-derived products in the past 3 months.
* Known or suspected congenital or acquired immunodeficiency; or receipt of immunosuppressive therapy, such as anti-cancer chemotherapy or radiation therapy, within the preceding 6 months; or long-term systemic corticosteroid therapy (prednisone or equivalent for more than 2 consecutive weeks within the past 3 months).
* Known systemic hypersensitivity to any of the vaccine components, or history of a life-threatening reaction to the vaccines used in the trial or to a vaccine containing any of the same substances.
* Thrombocytopenia or bleeding disorder, contraindicating IM vaccination based on investigator's judgment.
* Deprived of freedom by an administrative or court order, or in an emergency setting, or hospitalized involuntarily.
* Alcohol or substance abuse that, in the opinion of the investigator, might interfere with the trial conduct or completion.
* Chronic illness that, in the opinion of the investigator, is at a stage where it might interfere with trial conduct or completion.
* Identified as an Investigator or employee of the Investigator or trial center with direct involvement in the proposed trial, or identified as an immediate family member (i.e., parent, spouse, natural or adopted child) of the Investigator or employee with direct involvement in the proposed trial.
* Personal or family history of Guillain-Barré syndrome.
* Neoplastic disease or any hematologic malignancy (except localized skin or prostate cancer that is stable at the time of vaccination in the absence of therapy and participants who have a history of neoplastic disease and have been disease free for \>= 5 years).
* Moderate or severe acute illness/infection (according to Investigator judgment) on the day of vaccination or febrile illness (temperature \>= 38.0°C \[\>= 100.4°F\]). A prospective participant should not be included in the trial until the condition has resolved or the febrile event had subsided.
Minimum Eligible Age

65 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Sanofi Pasteur, a Sanofi Company

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Medical Director

Role: STUDY_DIRECTOR

Sanofi Pasteur, a Sanofi Company

Locations

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Sanofi Pasteur Investigational Site 037

Anaheim, California, United States

Site Status

Sanofi Pasteur Investigational Site 029

Redding, California, United States

Site Status

Sanofi Pasteur Investigational Site 003

San Diego, California, United States

Site Status

Sanofi Pasteur Investigational Site 016

Colorado Springs, Colorado, United States

Site Status

Sanofi Pasteur Investigational Site 035

Milford, Connecticut, United States

Site Status

Sanofi Pasteur Investigational Site 031

Hollywood, Florida, United States

Site Status

Sanofi Pasteur Investigational Site 009

Jacksonville, Florida, United States

Site Status

Sanofi Pasteur Investigational Site 017

Jacksonville, Florida, United States

Site Status

Sanofi Pasteur Investigational Site 030

Stockbridge, Georgia, United States

Site Status

Sanofi Pasteur Investigational Site 010

Boise, Idaho, United States

Site Status

Sanofi Pasteur Investigational Site 034

Meridian, Idaho, United States

Site Status

Sanofi Pasteur Investigational Site 021

Council Bluffs, Iowa, United States

Site Status

Sanofi Pasteur Investigational Site 023

Wichita, Kansas, United States

Site Status

Sanofi Pasteur Investigational Site 028

Wichita, Kansas, United States

Site Status

Sanofi Pasteur Investigational Site 012

Bardstown, Kentucky, United States

Site Status

Sanofi Pasteur Investigational Site 018

Metairie, Louisiana, United States

Site Status

Sanofi Pasteur Investigational Site 026

Biloxi, Mississippi, United States

Site Status

Sanofi Pasteur Investigational Site 014

St Louis, Missouri, United States

Site Status

Sanofi Pasteur Investigational Site 011

Omaha, Nebraska, United States

Site Status

Sanofi Pasteur Investigational Site 024

Las Vegas, Nevada, United States

Site Status

Sanofi Pasteur Investigational Site 008

Rochester, New York, United States

Site Status

Sanofi Pasteur Investigational Site 005

Wilmington, North Carolina, United States

Site Status

Sanofi Pasteur Investigational Site 036

Winston-Salem, North Carolina, United States

Site Status

Sanofi Pasteur Investigational Site 004

Cleveland, Ohio, United States

Site Status

Sanofi Pasteur Investigational Site 015

Oklahoma City, Oklahoma, United States

Site Status

Sanofi Pasteur Investigational Site 013

Warwick, Rhode Island, United States

Site Status

Sanofi Pasteur Investigational Site 033

Mt. Pleasant, South Carolina, United States

Site Status

Sanofi Pasteur Investigational Site 001

Nashville, Tennessee, United States

Site Status

Sanofi Pasteur Investigational Site 002

Dallas, Texas, United States

Site Status

Sanofi Pasteur Investigational Site 025

Tomball, Texas, United States

Site Status

Sanofi Pasteur Investigational Site 027

Salt Lake City, Utah, United States

Site Status

Sanofi Pasteur Investigational Site 006

Salt Lake City, Utah, United States

Site Status

Sanofi Pasteur Investigational Site 019

Salt Lake City, Utah, United States

Site Status

Sanofi Pasteur Investigational Site 020

South Jordan, Utah, United States

Site Status

Sanofi Pasteur Investigational Site 022

West Jordan, Utah, United States

Site Status

Sanofi Pasteur Investigational Site 038

Norfolk, Virginia, United States

Site Status

Countries

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United States

References

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Chang LJ, Meng Y, Janosczyk H, Landolfi V, Talbot HK; QHD00013 Study Group. Safety and immunogenicity of high-dose quadrivalent influenza vaccine in adults >/=65 years of age: A phase 3 randomized clinical trial. Vaccine. 2019 Sep 16;37(39):5825-5834. doi: 10.1016/j.vaccine.2019.08.016. Epub 2019 Aug 17.

Reference Type DERIVED
PMID: 31431411 (View on PubMed)

Provided Documents

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Document Type: Study Protocol

View Document

Document Type: Statistical Analysis Plan

View Document

Related Links

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Other Identifiers

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U1111-1183-5556

Identifier Type: OTHER

Identifier Source: secondary_id

QHD00013

Identifier Type: -

Identifier Source: org_study_id

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