Trial Outcomes & Findings for Systems Analyses of the Immune Response to the Seasonal Influenza Vaccine (NCT NCT04025580)

NCT ID: NCT04025580

Last Updated: 2024-01-02

Results Overview

Change in antibody titer response to vaccination, as measured by microneutralization titers at day 0 and day 70 and its relationship with novel baseline biomarkers

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

98 participants

Primary outcome timeframe

Day 0 and Day 28 Reported in Manuscript

Results posted on

2024-01-02

Participant Flow

Participant milestones

Participant milestones
Measure
Year 1 Healthy Volunteers (Pre-COVID-19)
Healthy Volunteer between ages 18-65 Flucelvax: Seasonal influenza vaccine Fluzone High Dose: Seasonal influenza vaccine for adults ages 65 and older
Year 2 COVID-19-recovered Individuals
Healthy Volunteer between ages 18-65 Flucelvax: Seasonal influenza vaccine Fluzone High Dose: Seasonal influenza vaccine for adults ages 65 and older
Year 2 Individuals With no History of COVID-19
Healthy Volunteer between ages 18-65 Flucelvax: Seasonal influenza vaccine Fluzone High Dose: Seasonal influenza vaccine for adults ages 65 and older
Overall Study
STARTED
24
34
40
Overall Study
COMPLETED
13
34
40
Overall Study
NOT COMPLETED
11
0
0

Reasons for withdrawal

Reasons for withdrawal
Measure
Year 1 Healthy Volunteers (Pre-COVID-19)
Healthy Volunteer between ages 18-65 Flucelvax: Seasonal influenza vaccine Fluzone High Dose: Seasonal influenza vaccine for adults ages 65 and older
Year 2 COVID-19-recovered Individuals
Healthy Volunteer between ages 18-65 Flucelvax: Seasonal influenza vaccine Fluzone High Dose: Seasonal influenza vaccine for adults ages 65 and older
Year 2 Individuals With no History of COVID-19
Healthy Volunteer between ages 18-65 Flucelvax: Seasonal influenza vaccine Fluzone High Dose: Seasonal influenza vaccine for adults ages 65 and older
Overall Study
COVID 19 restrictions at Clinical Center
11
0
0

Baseline Characteristics

Systems Analyses of the Immune Response to the Seasonal Influenza Vaccine

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Year 1 Healthy Volunteers (Pre-COVID-19)
n=24 Participants
Healthy Volunteer between ages 18-65 Flucelvax: Seasonal influenza vaccine Fluzone High Dose: Seasonal influenza vaccine for adults ages 65 and older
Year 2 COVID-19-recovered Individuals
n=34 Participants
Healthy Volunteer between ages 18-65 Flucelvax: Seasonal influenza vaccine Fluzone High Dose: Seasonal influenza vaccine for adults ages 65 and older
Year 2 Individuals With no History of COVID-19
n=40 Participants
Healthy Volunteer between ages 18-65 Flucelvax: Seasonal influenza vaccine Fluzone High Dose: Seasonal influenza vaccine for adults ages 65 and older
Total
n=98 Participants
Total of all reporting groups
Age, Categorical
<=18 years
0 Participants
n=93 Participants
0 Participants
n=4 Participants
0 Participants
n=27 Participants
0 Participants
n=483 Participants
Age, Categorical
Between 18 and 65 years
22 Participants
n=93 Participants
29 Participants
n=4 Participants
30 Participants
n=27 Participants
81 Participants
n=483 Participants
Age, Categorical
>=65 years
2 Participants
n=93 Participants
5 Participants
n=4 Participants
10 Participants
n=27 Participants
17 Participants
n=483 Participants
Sex: Female, Male
Female
15 Participants
n=93 Participants
17 Participants
n=4 Participants
21 Participants
n=27 Participants
53 Participants
n=483 Participants
Sex: Female, Male
Male
9 Participants
n=93 Participants
17 Participants
n=4 Participants
19 Participants
n=27 Participants
45 Participants
n=483 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
2 Participants
n=93 Participants
3 Participants
n=4 Participants
4 Participants
n=27 Participants
9 Participants
n=483 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
22 Participants
n=93 Participants
31 Participants
n=4 Participants
36 Participants
n=27 Participants
89 Participants
n=483 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=93 Participants
0 Participants
n=4 Participants
0 Participants
n=27 Participants
0 Participants
n=483 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=93 Participants
0 Participants
n=4 Participants
0 Participants
n=27 Participants
0 Participants
n=483 Participants
Race (NIH/OMB)
Asian
5 Participants
n=93 Participants
1 Participants
n=4 Participants
4 Participants
n=27 Participants
10 Participants
n=483 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=93 Participants
0 Participants
n=4 Participants
0 Participants
n=27 Participants
0 Participants
n=483 Participants
Race (NIH/OMB)
Black or African American
4 Participants
n=93 Participants
1 Participants
n=4 Participants
4 Participants
n=27 Participants
9 Participants
n=483 Participants
Race (NIH/OMB)
White
12 Participants
n=93 Participants
30 Participants
n=4 Participants
28 Participants
n=27 Participants
70 Participants
n=483 Participants
Race (NIH/OMB)
More than one race
3 Participants
n=93 Participants
2 Participants
n=4 Participants
4 Participants
n=27 Participants
9 Participants
n=483 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=93 Participants
0 Participants
n=4 Participants
0 Participants
n=27 Participants
0 Participants
n=483 Participants
Region of Enrollment
United States
24 participants
n=93 Participants
34 participants
n=4 Participants
40 participants
n=27 Participants
98 participants
n=483 Participants

PRIMARY outcome

Timeframe: Day 0 and Day 28 Reported in Manuscript

Population: Healthy Control and COVID-19 Recovered participants under 65 years of age for Year 2. Year 1 data not able to be generated/analyzed due to COVID-19 restrictions at the clinical center which prevented study from being completed. Year 1 samples were obtained but not analyzed and will never be analyzed.

Change in antibody titer response to vaccination, as measured by microneutralization titers at day 0 and day 70 and its relationship with novel baseline biomarkers

Outcome measures

Outcome measures
Measure
Year 2-Healthy Volunteers, Male, No History of COVID-19
n=14 Participants
Healthy Control Males under 65 years of age with no history of COVID-19
Year 2-Healthy Volunteers, Female, No History of COVID-19
n=16 Participants
Healthy Control Females under 65 years of age with no history of COVID-19
Year 2-COVID-19 Recovered Males
n=14 Participants
COVID-19 Recovered Males under 65 years of age
Year 2-COVID-19 Recovered Females
n=15 Participants
COVID-19 Recovered Females under 65 years of age
Microneutralization Titers
Fold Change for A/CNIC/1909 Strain
0.769 Log2 Fold Change
Interval 0.266 to 1.272
1.313 Log2 Fold Change
Interval 0.517 to 2.108
1.716 Log2 Fold Change
Interval 0.691 to 2.741
1.333 Log2 Fold Change
Interval 0.793 to 1.874
Microneutralization Titers
Fold Change for B/Washington/02/2019 Strain
0.308 Log2 Fold Change
Interval -0.073 to 0.689
0.625 Log2 Fold Change
Interval 0.242 to 1.008
0.857 Log2 Fold Change
Interval 0.045 to 1.669
0.800 Log2 Fold Change
Interval 0.132 to 1.468
Microneutralization Titers
Fold Change for A/HongKong/2671/2019 Strain
1.154 Log2 Fold Change
Interval 0.42 to 1.888
1.063 Log2 Fold Change
Interval 0.464 to 1.661
1.501 Log2 Fold Change
Interval 0.601 to 2.401
1.267 Log2 Fold Change
Interval 0.471 to 2.063
Microneutralization Titers
Fold Change for B/Phuket/3073/2013 Strain
0.462 Log2 Fold Change
Interval 0.148 to 0.775
0.313 Log2 Fold Change
Interval 0.057 to 0.568
0.929 Log2 Fold Change
Interval 0.067 to 1.79
0.800 Log2 Fold Change
Interval 0.371 to 1.229

Adverse Events

Flucelvax, Fluvirin, or Fluzone High Dose

Serious events: 0 serious events
Other events: 72 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
Flucelvax, Fluvirin, or Fluzone High Dose
n=98 participants at risk
Healthy Volunteer between ages 18-65 receiving Flucelvax Flucelvax: Seasonal influenza vaccine Fluvirin: Seasonal influenza vaccine Fluzone High Dose: Seasonal influenza vaccine for adults ages 65 and older
Musculoskeletal and connective tissue disorders
Myalgia
16.3%
16/98 • Number of events 16 • Through Day 7 post vaccination
Adverse event information was collected on Day 1 and Day 7 post vaccination
General disorders
Pain at Injection Site
63.3%
62/98 • Number of events 62 • Through Day 7 post vaccination
Adverse event information was collected on Day 1 and Day 7 post vaccination
Nervous system disorders
Headache
20.4%
20/98 • Number of events 20 • Through Day 7 post vaccination
Adverse event information was collected on Day 1 and Day 7 post vaccination
General disorders
Injection Site Swelling
4.1%
4/98 • Number of events 4 • Through Day 7 post vaccination
Adverse event information was collected on Day 1 and Day 7 post vaccination
General disorders
Injection Site Erythema
2.0%
2/98 • Number of events 2 • Through Day 7 post vaccination
Adverse event information was collected on Day 1 and Day 7 post vaccination
Gastrointestinal disorders
Diarrhea
1.0%
1/98 • Number of events 1 • Through Day 7 post vaccination
Adverse event information was collected on Day 1 and Day 7 post vaccination
Nervous system disorders
Dizziness
1.0%
1/98 • Number of events 1 • Through Day 7 post vaccination
Adverse event information was collected on Day 1 and Day 7 post vaccination
General disorders
Fatigue
8.2%
8/98 • Number of events 8 • Through Day 7 post vaccination
Adverse event information was collected on Day 1 and Day 7 post vaccination

Additional Information

Rachel Sparks

National Institutes of Health

Phone: 240-292-4642

Results disclosure agreements

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