Trial Outcomes & Findings for Immunologic Response to Influenza Vaccination in Children and Adolescents (NCT NCT03614975)

NCT ID: NCT03614975

Last Updated: 2020-01-18

Results Overview

Hemagglutination inhibition (HI) assay will be conducted to assess immunologic outcome. Seroconversion is defined as a 4-fold or higher rise in HI titer post-vaccination given a pre-vaccination HI titer of \>= 10.

Recruitment status

COMPLETED

Study phase

PHASE4

Target enrollment

166 participants

Primary outcome timeframe

Pre-vaccination (at Day 0 timepoint) and post-vaccination (at Day 21 timepoint)

Results posted on

2020-01-18

Participant Flow

Participant milestones

Participant milestones
Measure
Flucelvax Inactivated Influenza Vaccine
Participants receiving inactivated Flucelvax influenza vaccine will receive 0.5 mL given intramuscularly Flucelvax inactivated influenza vaccine: Participants randomized to this study influenza vaccine arm will receive Flucelvax inactivated influenza vaccine at baseline after the baseline blood draw is complete. (Provided that this vaccine is available clinically in time for the study.)
Fluzone Inactivated Influenza Vaccine
Participants receiving inactivated Fluzone influenza vaccine will receive 0.5 mL given intramuscularly Fluzone inactivated influenza vaccine: Participants randomized to this study influenza vaccine arm will receive Fluzone inactivated influenza vaccine at baseline after the baseline blood draw is complete. (Provided that this vaccine is available clinically in time for the study.)
Overall Study
STARTED
85
81
Overall Study
COMPLETED
75
73
Overall Study
NOT COMPLETED
10
8

Reasons for withdrawal

Reasons for withdrawal
Measure
Flucelvax Inactivated Influenza Vaccine
Participants receiving inactivated Flucelvax influenza vaccine will receive 0.5 mL given intramuscularly Flucelvax inactivated influenza vaccine: Participants randomized to this study influenza vaccine arm will receive Flucelvax inactivated influenza vaccine at baseline after the baseline blood draw is complete. (Provided that this vaccine is available clinically in time for the study.)
Fluzone Inactivated Influenza Vaccine
Participants receiving inactivated Fluzone influenza vaccine will receive 0.5 mL given intramuscularly Fluzone inactivated influenza vaccine: Participants randomized to this study influenza vaccine arm will receive Fluzone inactivated influenza vaccine at baseline after the baseline blood draw is complete. (Provided that this vaccine is available clinically in time for the study.)
Overall Study
Physician Decision
7
5
Overall Study
Withdrawal by Subject
2
2
Overall Study
Specimens not in lab batch shipment
1
1

Baseline Characteristics

Only subjects who completed the study to day 21 were included in this analysis

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Flucelvax Inactivated Influenza Vaccine
n=85 Participants
Participants receiving inactivated Flucelvax influenza vaccine will receive 0.5 mL given intramuscularly Flucelvax inactivated influenza vaccine: Participants randomized to this study influenza vaccine arm will receive Flucelvax inactivated influenza vaccine at baseline after the baseline blood draw is complete. (Provided that this vaccine is available clinically in time for the study.)
Fluzone Inactivated Influenza Vaccine
n=81 Participants
Participants receiving inactivated Fluzone influenza vaccine will receive 0.5 mL given intramuscularly Fluzone inactivated influenza vaccine: Participants randomized to this study influenza vaccine arm will receive Fluzone inactivated influenza vaccine at baseline after the baseline blood draw is complete. (Provided that this vaccine is available clinically in time for the study.)
Total
n=166 Participants
Total of all reporting groups
Age, Continuous
14.03 years
n=75 Participants • Only subjects who completed the study to day 21 were included in this analysis
14.21 years
n=73 Participants • Only subjects who completed the study to day 21 were included in this analysis
14.07 years
n=148 Participants • Only subjects who completed the study to day 21 were included in this analysis
Sex: Female, Male
Female
39 Participants
n=75 Participants • Only participants who completed the study through day 21 were included in this analysis
40 Participants
n=73 Participants • Only participants who completed the study through day 21 were included in this analysis
79 Participants
n=148 Participants • Only participants who completed the study through day 21 were included in this analysis
Sex: Female, Male
Male
36 Participants
n=75 Participants • Only participants who completed the study through day 21 were included in this analysis
33 Participants
n=73 Participants • Only participants who completed the study through day 21 were included in this analysis
69 Participants
n=148 Participants • Only participants who completed the study through day 21 were included in this analysis
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=75 Participants • Only data on participants who completed day 21 of the study are reported.
1 Participants
n=73 Participants • Only data on participants who completed day 21 of the study are reported.
1 Participants
n=148 Participants • Only data on participants who completed day 21 of the study are reported.
Race (NIH/OMB)
Asian
0 Participants
n=75 Participants • Only data on participants who completed day 21 of the study are reported.
0 Participants
n=73 Participants • Only data on participants who completed day 21 of the study are reported.
0 Participants
n=148 Participants • Only data on participants who completed day 21 of the study are reported.
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=75 Participants • Only data on participants who completed day 21 of the study are reported.
1 Participants
n=73 Participants • Only data on participants who completed day 21 of the study are reported.
1 Participants
n=148 Participants • Only data on participants who completed day 21 of the study are reported.
Race (NIH/OMB)
Black or African American
53 Participants
n=75 Participants • Only data on participants who completed day 21 of the study are reported.
50 Participants
n=73 Participants • Only data on participants who completed day 21 of the study are reported.
103 Participants
n=148 Participants • Only data on participants who completed day 21 of the study are reported.
Race (NIH/OMB)
White
14 Participants
n=75 Participants • Only data on participants who completed day 21 of the study are reported.
14 Participants
n=73 Participants • Only data on participants who completed day 21 of the study are reported.
28 Participants
n=148 Participants • Only data on participants who completed day 21 of the study are reported.
Race (NIH/OMB)
More than one race
7 Participants
n=75 Participants • Only data on participants who completed day 21 of the study are reported.
7 Participants
n=73 Participants • Only data on participants who completed day 21 of the study are reported.
14 Participants
n=148 Participants • Only data on participants who completed day 21 of the study are reported.
Race (NIH/OMB)
Unknown or Not Reported
1 Participants
n=75 Participants • Only data on participants who completed day 21 of the study are reported.
0 Participants
n=73 Participants • Only data on participants who completed day 21 of the study are reported.
1 Participants
n=148 Participants • Only data on participants who completed day 21 of the study are reported.
Region of Enrollment
United States
85 participants
n=85 Participants
81 participants
n=81 Participants
166 participants
n=166 Participants

PRIMARY outcome

Timeframe: Pre-vaccination (at Day 0 timepoint) and post-vaccination (at Day 21 timepoint)

Population: Participants who completed study through day 21

Hemagglutination inhibition (HI) assay will be conducted to assess immunologic outcome. Seroconversion is defined as a 4-fold or higher rise in HI titer post-vaccination given a pre-vaccination HI titer of \>= 10.

Outcome measures

Outcome measures
Measure
Flucelvax Inactivated Influenza Vaccine
n=75 Participants
Participants receiving inactivated Flucelvax influenza vaccine will receive 0.5 mL given intramuscularly Flucelvax inactivated influenza vaccine: Participants randomized to this study influenza vaccine arm will receive Flucelvax inactivated influenza vaccine at baseline after the baseline blood draw is complete. (Provided that this vaccine is available clinically in time for the study.)
Fluzone Inactivated Influenza Vaccine
n=73 Participants
Participants receiving inactivated Fluzone influenza vaccine will receive 0.5 mL given intramuscularly Fluzone inactivated influenza vaccine: Participants randomized to this study influenza vaccine arm will receive Fluzone inactivated influenza vaccine at baseline after the baseline blood draw is complete. (Provided that this vaccine is available clinically in time for the study.)
Determining Seroconversion Response - Change in HI Titers From Pre- to Post Vaccination
Vaccine Strain: A/H1N1
20 Participants
14 Participants
Determining Seroconversion Response - Change in HI Titers From Pre- to Post Vaccination
Vaccine Strain: A/H3N2
9 Participants
11 Participants
Determining Seroconversion Response - Change in HI Titers From Pre- to Post Vaccination
Vaccine Strain: B/Colorado
22 Participants
24 Participants
Determining Seroconversion Response - Change in HI Titers From Pre- to Post Vaccination
Vaccine Strain: B/Phuket
14 Participants
9 Participants

SECONDARY outcome

Timeframe: Pre-vaccination (at Day 0 timepoint) and post-vaccination (at Day 21 timepoint)

Population: Data was analyzed on participants who completed day 21 visit.

Hemagglutination inhibition assay will be conducted to assess immunologic outcome. Seroprotection is defined as a HI titer \>= 1:110 at either time point.

Outcome measures

Outcome measures
Measure
Flucelvax Inactivated Influenza Vaccine
n=75 Participants
Participants receiving inactivated Flucelvax influenza vaccine will receive 0.5 mL given intramuscularly Flucelvax inactivated influenza vaccine: Participants randomized to this study influenza vaccine arm will receive Flucelvax inactivated influenza vaccine at baseline after the baseline blood draw is complete. (Provided that this vaccine is available clinically in time for the study.)
Fluzone Inactivated Influenza Vaccine
n=73 Participants
Participants receiving inactivated Fluzone influenza vaccine will receive 0.5 mL given intramuscularly Fluzone inactivated influenza vaccine: Participants randomized to this study influenza vaccine arm will receive Fluzone inactivated influenza vaccine at baseline after the baseline blood draw is complete. (Provided that this vaccine is available clinically in time for the study.)
Determining Seroprotection Level at Each Time Point
Vaccine Strain: A/H1N1 : Day 0
45 Participants
39 Participants
Determining Seroprotection Level at Each Time Point
Vaccine Strain: A/H1N1 : Day 21
66 Participants
58 Participants
Determining Seroprotection Level at Each Time Point
Vaccine Strain: A/H3N2 : Day 0
51 Participants
45 Participants
Determining Seroprotection Level at Each Time Point
Vaccine Strain: A/H3N2 : Day 21
62 Participants
60 Participants
Determining Seroprotection Level at Each Time Point
Vaccine Strain: B/Colorado : Day 0
37 Participants
35 Participants
Determining Seroprotection Level at Each Time Point
Vaccine Strain: B/Colorado : Day 21
56 Participants
56 Participants
Determining Seroprotection Level at Each Time Point
Vaccine Strain: B/Phuket : Day 0
48 Participants
41 Participants
Determining Seroprotection Level at Each Time Point
Vaccine Strain: B/Phuket : Day 21
61 Participants
53 Participants

SECONDARY outcome

Timeframe: Pre-vaccination (at Day 0 timepoint) and post-vaccination (at Day 21 timepoint)

Hemagglutination inhibition assay will be conducted to assess immunologic outcome. GMTs is defined as the anti-log of the mean of the log2 HI titers

Outcome measures

Outcome measures
Measure
Flucelvax Inactivated Influenza Vaccine
n=75 Participants
Participants receiving inactivated Flucelvax influenza vaccine will receive 0.5 mL given intramuscularly Flucelvax inactivated influenza vaccine: Participants randomized to this study influenza vaccine arm will receive Flucelvax inactivated influenza vaccine at baseline after the baseline blood draw is complete. (Provided that this vaccine is available clinically in time for the study.)
Fluzone Inactivated Influenza Vaccine
n=73 Participants
Participants receiving inactivated Fluzone influenza vaccine will receive 0.5 mL given intramuscularly Fluzone inactivated influenza vaccine: Participants randomized to this study influenza vaccine arm will receive Fluzone inactivated influenza vaccine at baseline after the baseline blood draw is complete. (Provided that this vaccine is available clinically in time for the study.)
Determining Geometric Mean Titers (GMTs) at Each Time Point
Vaccine Strain: A/H1N1 : Day 0
6.63 Dilution
Interval 6.29 to 7.01
6.42 Dilution
Interval 6.05 to 6.82
Determining Geometric Mean Titers (GMTs) at Each Time Point
Vaccine Strain: A/H1N1 : Day 21
8.08 Dilution
Interval 7.82 to 8.36
7.76 Dilution
Interval 7.46 to 8.08
Determining Geometric Mean Titers (GMTs) at Each Time Point
Vaccine Strain: A/H3N2 : Day 0
7.42 Dilution
Interval 7.16 to 7.69
6.94 Dilution
Interval 6.58 to 7.32
Determining Geometric Mean Titers (GMTs) at Each Time Point
Vaccine Strain: A/H3N2 : Day 21
7.90 Dilution
Interval 7.63 to 8.18
7.96 Dilution
Interval 7.7 to 8.22
Determining Geometric Mean Titers (GMTs) at Each Time Point
Vaccine Strain: B/Colorado : Day 0
6.55 Dilution
Interval 6.19 to 6.93
6.42 Dilution
Interval 6.03 to 6.83
Determining Geometric Mean Titers (GMTs) at Each Time Point
Vaccine Strain: B/Colorado : Day 21
7.56 Dilution
Interval 7.21 to 7.92
7.71 Dilution
Interval 7.39 to 8.05
Determining Geometric Mean Titers (GMTs) at Each Time Point
Vaccine Strain: B/Phuket : Day 0
6.78 Dilution
Interval 6.43 to 7.15
6.52 Dilution
Interval 6.16 to 6.91
Determining Geometric Mean Titers (GMTs) at Each Time Point
Vaccine Strain: B/Phuket : Day 21
7.34 Dilution
Interval 7.01 to 7.69
7.46 Dilution
Interval 7.11 to 7.8

Adverse Events

Flucelvax Inactivated Influenza Vaccine

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

Fluzone Inactivated Influenza Vaccine

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

Richard Zimmerman, MD

University of Pittsburgh, Department of Family Medicine

Phone: 412-383-2354

Results disclosure agreements

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