Clinical Study to Evaluate the Efficacy, Safety and Immunogenicity of an MF59-Adjuvanted Quadrivalent Influenza Vaccine Compared to Non-influenza Vaccine Comparator in Adults ≥ 65 Years of Age
A Phase III, Randomized, Observer-Blind, Controlled, Multicenter Clinical Study to Evaluate the Efficacy, Safety and Immunogenicity of an MF59-Adjuvanted Quadrivalent Influenza Vaccine Compared to Non-influenza Vaccine Comparator in Adults ≥ 65 Years of Age
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Phase 3
Contacts and Locations
Study Locations
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Dimitrovgrad, Bulgaria
- MHAT St. Ekaterina
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Lom, Bulgaria
- MHAT Sv Nikolay Chudotvoretz Lom
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Plovdiv, Bulgaria
- MBAL TRIMONCIUM (Synexus)
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Ruse, Bulgaria, 7000
- SHATPPD-Ruse
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Silistra, Bulgaria
- Mhat Silistra
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Smolyan, Bulgaria
- Mc Smolyan
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Sofia, Bulgaria
- Mc Avicena Sofia
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Sofia, Bulgaria
- Medical Center Excelsior
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Sofia, Bulgaria
- Medical Center Synexus Sofia EOOD
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Sofia, Bulgaria
- SHATPPD-Sofia, City
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Stara Zagora, Bulgaria
- Medical Centre Orpheus OOD (Synexus)
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Armenia, Colombia, NAP
- Fundacion Cardiomet CEQUIN - Internal Medicine
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Barranquilla, Colombia, NAP
- Clinica de la Costa
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Bogotá, Colombia, NAP
- Centro de Atención e Investigación Médica S.A.S. - CAIMED S.A.S.
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Bogotá, Colombia, NAP
- Medplus Medicina Prepagada
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Manizales, Colombia, 170004
- Asociacion IPS Medicos Internistas de Caldas
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Antioquia
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Medellín, Antioquia, Colombia, 0500515
- Hospital General de Medellín-Luz Castro de Gutiérrez - E.S.E
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Cundinamarca
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Bogotá, Cundinamarca, Colombia, 74136-3367
- Caja de Compesanción Familiar CAFAM
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Brno, Czechia
- CCBR Czech Brno, s.r.o.
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Hradec Kralove, Czechia
- FN Hradec Králové
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Hradec Králové, Czechia
- Centrum ockovani a cestovni mediciny
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Ostrava, Czechia
- CCBR Ostrava, s.r.o.
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Pardubice, Czechia
- CCBR Czech, a.s.
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Harjumaa
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Tallinn, Harjumaa, Estonia
- Center for Clinical and Basic Research
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Tallinn, Harjumaa, Estonia
- Medicum AS
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Tallinn, Harjumaa, Estonia
- Merelahe Family Doctors Centre
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Järvamaa
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Paide, Järvamaa, Estonia
- Vee Family Doctors Centre
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Tartumaa
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Tartu, Tartumaa, Estonia
- Clinical Research Center
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Tartu, Tartumaa, Estonia
- Family Doctors Pullerits & Gavronski
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Balvi, Latvia
- Practice Dr Liga Kozlovska
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Kuldiga, Latvia
- Practice Dr Ruta Eglite
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Riga, Latvia
- Family Doctor Andra Lasmane clinic "ALMA"
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Tukums, Latvia
- Practice Dr Inese Petrova
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Kaunas, Lithuania
- JSC Saules seimos medicinos centras
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Kaunas, Lithuania
- Kauno klinikine ligonine
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Kaunas, Lithuania
- Lietuvos sveikatos mokslų universitetas
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Kaunas, Lithuania
- UAB InMedica
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Klaipeda, Lithuania
- Klaipeda university hospital
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Siauliai, Lithuania
- Republican Siauliai Hospital
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Vilnius, Lithuania
- CCBR
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Alor Setar, Malaysia
- Hospital Sultanah Bahiyah
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Batu Caves, Malaysia
- Hospital Selayang
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Ipoh, Malaysia
- Klinik Kesihatan Greentown
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Kota Bharu, Malaysia
- Hospital Raja Perempuan Zainab II
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Kuala Lumpur, Malaysia
- University Malaya Medical Centre (UMMC)
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Seremban, Malaysia
- Klinik Kesihatan Seremban 2
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Seri Manjung, Malaysia
- Hospital Seri Manjung
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Sibu, Malaysia
- Hospital Sibu
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Bulacan, Philippines, 3019
- Marilao St. Michael Family Hospital
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Manila, Philippines, 1000
- Philippine General Hospital
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Pasay, Philippines, 1300
- San Juan De Dios Hospital
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Cavite
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Dasmariñas, Cavite, Philippines, 4114
- De La Salle Health Sciences Institute
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Iloilo
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Jaro, Iloilo, Philippines, 5000
- West Visayas State University - Medical Center
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National Capital Region
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Quezon, National Capital Region, Philippines, 1109
- Quirino Memorial Medical Center
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Bydgoszcz, Poland
- Centrum Medyczne Pratia Bydgoszcz
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Lodz, Poland
- Specjalistyczny Osrodek Medycyny Wieku Dojrzalego sp. z o.o.
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Nowy Duninow, Poland
- RCMed Oddział Nowy Duninow
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Sochaczew, Poland
- RCMed Oddzial Sochaczew
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Torun, Poland
- Medical Trials Institute
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Dolnoslaskie
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Wroclaw, Dolnoslaskie, Poland
- Synexus Polska Sp. z o.o.
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Kujawsko-pomorskie
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Bydgoszcz, Kujawsko-pomorskie, Poland
- Niepubliczny Zaklad Opieki Zdrowotnej VITAMED
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Mazowieckie
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Plock, Mazowieckie, Poland
- NZOZ Centrum Medyczne "OMEGA" sp. z o.o.
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Warszawa, Mazowieckie, Poland
- Centrum Medyczne Pratia Warszawa
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Warszawa, Mazowieckie, Poland
- Specjalistyczny Osrodek Medycyny Wieku Dojrzalego
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Pomorskie
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Gdansk, Pomorskie, Poland, 80-382
- Synexus Polska Sp. z o.o.
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Gdynia, Pomorskie, Poland
- Centrum Medyczne Pratia Gdynia
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Slaskie
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Katowice, Slaskie, Poland
- Centrum Medyczne Pratia Katowice
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Katowice, Slaskie, Poland
- Praktyka Lekarzy Rodzinnych SALUS
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Wielkopolskie
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Poznan, Wielkopolskie, Poland
- Synexus Polska sp. z o.o
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Arad, Romania
- Cabinet dr. Dana OLAR
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Brasov, Romania
- Centrul Medical de Diagnostic si Tratament Ambulator NEOMED
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Bucuresti, Romania
- Cabinet Medical Individual Craciun-Nicodin Maria Marcela
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Bucuresti, Romania
- Centrul Medical Sana
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Bucuresti, Romania
- Clinica Medicala Synexus
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Cluj, Romania
- Spitalul Clinic C.F. Cluj-Napoca
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Resca, Romania
- Clintrial Medical Center
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Timisoara, Romania
- Fundatia Cardioprevent
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Bangkok, Thailand, 10400
- Ramathibodi Hospital
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Bangkok, Thailand
- Mahidol University (MU) - Faculty of Tropical Medicine
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Khon Kaen, Thailand, 40002
- Khon Kaen University - Srinagarind Hospital - Medicine
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Mueang Nonthaburi, Thailand
- Bamrasnaradura Infectious Diseases Institute (BIDI)
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Ankara, Turkey
- Hacettepe University Medical Faculty
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Ankara, Turkey
- Ankara Training and Research Hospital
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Antalya, Turkey
- Akdeniz University Medical Faculty
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Cerrahpaşa, Turkey
- Istanbul University Cerrahpasa Medical Faculty
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Erzurum, Turkey
- Ataturk University Medical Faculty
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Izmir, Turkey
- Ege University Medical Faculty
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Kocaeli, Turkey
- Kocaeli University Research and Application Hospital
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Sakarya, Turkey
- Sakarya Training and Research Hospital
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Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Males and females ≥ 65 years old who are healthy or have co-morbidities
- Individuals who or whose legal guardian have voluntarily given written consent after the nature of the study has been explained according to local regulatory requirements, prior to study entry.
- Ability to attend all scheduled visits and to comply with study procedures
Exclusion Criteria:
- Hypersensitivity, including allergy to any component of vaccines foreseen in this study
- Abnormal function of the immune system.
- Receipt of any influenza vaccine within 6 months prior to enrolment in this study or who plan to receive influenza vaccine while participating in the study.
- Additional eligibility criteria may be discussed by contacting the site
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Prevention
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Triple
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Experimental: aQIV
MF59-adjuvanted Quadrivalent Influenza Vaccine (aQIV)
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1 dose approximately 0.5 mL of aQIV
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Placebo Comparator: Non-influenza Comparator Vaccine
Non-influenza comparator vaccine
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1 dose approximately 0.5 mL dose of Non-influenza comparator vaccine (Boostrix)
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What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Absolute Vaccine Efficacy (VE) of aQIV Versus Non-influenza Comparator Based on RT-PCR-confirmed Influenza Due to Any Strain Using Protocol Defined ILI Definition.
Time Frame: Day 21 to Day 180 after vaccination or end of influenza season, whichever is longer
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The primary efficacy endpoint was the time of first-occurrence of RT-PCR-confirmed influenza due to any strain of influenza regardless of antigenic match to the strains selected for the seasonal vaccine from Day 21 through 180 days after vaccination or end of the influenza season, whichever is longer, using protocol defined ILI definition.
Absolute vaccine efficacy is VE=1-HR, where HR is the hazard ratio of aQIV vs non-influenza comparator estimated by the Cox proportional hazards model for the primary endpoint.
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Day 21 to Day 180 after vaccination or end of influenza season, whichever is longer
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Safety Endpoint: The Percentage of Subjects in the Solicited Safety Subset With Solicited Local and Systemic Adverse Events (AE)
Time Frame: Day 1 through Day 7
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Safety of vaccination was assessed in terms of percentage of subjects reporting solicited local and systemic AEs up to 7 days after vaccination.
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Day 1 through Day 7
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Safety Endpoint: Percentage of Subjects With Medically-attended Adverse Events (MAAEs)
Time Frame: Within 30 days after of first occurrence RT-PCR confirmed Influenza
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Safety of vaccination was assessed in terms of percentage of subjects reporting medically attended AEs within 30 days after of first occurrence RT-PCR confirmed influenza.
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Within 30 days after of first occurrence RT-PCR confirmed Influenza
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Safety Endpoint: Percentages of Subjects With Any Unsolicited AE
Time Frame: Day 1 through Day 366
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Safety of vaccination was assessed in terms of percentage of subjects reporting unsolicited AEs up to 21 days after vaccination.
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Day 1 through Day 366
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Safety Endpoint: Percentages of Subjects With Serious Adverse Events (SAE), AEs Leading to Withdrawal, New Onset of Chronic Disease (NOCD), and Adverse Events of Special Interest (AESI)
Time Frame: Day 1 to Day 366
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Safety of vaccination was assessed in terms of percentage of subjects reporting SAEs, AEs leading to withdrawal, NOCDs, and AESIs up to 366 days after vaccination.
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Day 1 to Day 366
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Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Absolute Vaccine Efficacy (VE) of aQIV Versus Non-influenza Comparator Based on RT-PCR-confirmed Influenza Due to Any Strain Using Modified CDC ILI Definition.
Time Frame: Day 21 to Day 180 after vaccination or end of influenza season, whichever is longer
|
The secondary efficacy endpoint was the time of first-occurrence of RT-PCR-confirmed influenza due to any strain of influenza regardless of antigenic match to the strains selected for the seasonal vaccine from Day 21 through 180 days after vaccination or end of the influenza season, whichever is longer, using modified CDC ILI definition.
Absolute vaccine efficacy is VE=1-HR, where HR is the hazard ratio of aQIV vs non-influenza comparator estimated by the Cox proportional hazards model for the secondary efficacy endpoint.
|
Day 21 to Day 180 after vaccination or end of influenza season, whichever is longer
|
|
Absolute Vaccine Efficacy (VE) of aQIV Versus Non-influenza Comparator Based on Culture Confirmed Influenza Due to Any Strain of Influenza Antigenically Matched to the Strains Selected for the Seasonal Vaccine Using Protocol Defined ILI Definition.
Time Frame: Day 21 to Day 180 after vaccination or end of influenza season, whichever is longer
|
The secondary efficacy endpoint was the time of first-occurrence of culture confirmed influenza due to any strain of influenza antigenically matched to the strains selected for the seasonal vaccine from Day 21 through 180 days after vaccination or end of the influenza season, whichever is longer, using protocol defined ILI definition.
Absolute vaccine efficacy is VE=1-HR, where HR is the hazard ratio of aQIV vs non-influenza comparator estimated by the Cox proportional hazards model for the secondary endpoint.
|
Day 21 to Day 180 after vaccination or end of influenza season, whichever is longer
|
|
Absolute Vaccine Efficacy (VE) of aQIV Versus Non-influenza Comparator Based on Culture Confirmed Influenza Due to Any Strain of Influenza Antigenically Matched to the Strains Selected for the Seasonal Vaccine Using Modified CDC ILI Definition.
Time Frame: Day 21 to Day 180 after vaccination or end of influenza season, whichever is longer
|
The secondary efficacy endpoint was the time of first-occurrence of culture confirmed influenza due to any strain of influenza antigenically matched to the strains selected for the seasonal vaccine from Day 21 through 180 days after vaccination or end of the influenza season, whichever is longer, using modified CDC ILI definition.
Absolute vaccine efficacy is VE=1-HR, where HR is the hazard ratio of aQIV vs non-influenza comparator estimated by the Cox proportional hazards model for the secondary endpoint.
|
Day 21 to Day 180 after vaccination or end of influenza season, whichever is longer
|
|
Absolute Vaccine Efficacy (VE) of aQIV Versus Non-influenza Comparator Based on Culture Confirmed Influenza Due to Any Strain of Influenza Regardless of Antigenic Match Using Protocol Defined ILI Definition.
Time Frame: Day 21 to Day 180 after vaccination or end of influenza season, whichever is longer
|
The secondary efficacy endpoint was the time of first-occurrence of culture confirmed influenza due to any strain of influenza regardless of antigenic match from Day 21 through 180 days after vaccination or end of the influenza season, whichever is longer, using protocol defined ILI definition.
Absolute vaccine efficacy is VE=1-HR, where HR is the hazard ratio of aQIV vs non-influenza comparator estimated by the Cox proportional hazards model for the secondary endpoint.
|
Day 21 to Day 180 after vaccination or end of influenza season, whichever is longer
|
|
Absolute Vaccine Efficacy (VE) of aQIV Versus Non-influenza Comparator Based on Culture Confirmed Influenza Due to Any Strain of Influenza Regardless of Antigenic Match Using Modified CDC ILI Definition.
Time Frame: Day 7 to Day 180 after vaccination or end of influenza season, whichever is longer
|
The secondary efficacy endpoint was the time of first-occurrence of culture confirmed influenza due to any strain of influenza regardless of antigenic match from Day 21 through 180 days after vaccination or end of the influenza season, whichever is longer, using modified CDC ILI definition.
Absolute vaccine efficacy is VE=1-HR, where HR is the hazard ratio of aQIV vs non-influenza comparator estimated by the Cox proportional hazards model for the secondary endpoint.
|
Day 7 to Day 180 after vaccination or end of influenza season, whichever is longer
|
|
Absolute Vaccine Efficacy (VE) of aQIV Versus Non-influenza Comparator Based on Culture Confirmed Influenza Due to Any Strain of Influenza Antigenically Unmatched to the Strains Selected for the Seasonal Vaccine Using Protocol Defined ILI Definition.
Time Frame: Day 21 to Day 180 after vaccination or end of influenza season, whichever is longer
|
The secondary efficacy endpoint was the time of first-occurrence of culture confirmed influenza due to any strain of influenza antigenically unmatched to the strains selected for the seasonal vaccine from Day 21 through 180 days after vaccination or end of the influenza season, whichever is longer, using protocol defined ILI definition.
Absolute vaccine efficacy is VE=1-HR, where HR is the hazard ratio of aQIV vs non-influenza comparator estimated by the Cox proportional hazards model for the secondary endpoint.
|
Day 21 to Day 180 after vaccination or end of influenza season, whichever is longer
|
|
Absolute Vaccine Efficacy (VE) of aQIV Versus Non-influenza Comparator Based on Culture Confirmed Influenza Due to Any Strain of Influenza Antigenically Unmatched to the Strains Selected for the Seasonal Vaccine Using Modified CDC ILI Definition.
Time Frame: Day 21 to Day 180 after vaccination or end of influenza season, whichever is longer
|
The secondary efficacy endpoint was the time of first-occurrence of culture confirmed influenza due to any strain of influenza antigenically unmatched to the strains selected for the seasonal vaccine from Day 21 through 180 days after vaccination or end of the influenza season, whichever is longer, using modified CDC ILI definition.
Absolute vaccine efficacy is VE=1-HR, where HR is the hazard ratio of aQIV vs non-influenza comparator estimated by the Cox proportional hazards model for the secondary endpoint.
|
Day 21 to Day 180 after vaccination or end of influenza season, whichever is longer
|
|
Immunogenicity Endpoint: Geometric Mean Hemagglutination Inhibition (HI) Titers (GMT)
Time Frame: Days 1 and 22
|
The log-transformed antibody titers (GMT) at Day 1 and Day 22 were evaluated using an analysis of covariance (ANCOVA) model including factors for site/country, pre-vaccination titer, age, and comorbidity.
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Days 1 and 22
|
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Immunogenicity Endpoint: Geometric Mean Ratio (GMR) of Post-vaccination HI Titer Over the Pre-vaccination HI Titer
Time Frame: Day 22/Day 1
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The GMR was assessed as the postvaccination HI titer divided by the prevaccination HI titer (Day 22/Day 1).
|
Day 22/Day 1
|
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Immunogenicity Endpoint: Percentages of Subjects With an HI Titer ≥1:40
Time Frame: Day 22
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The percentage of subjects vaccinated with aQIV with a HI antibody titers ≥1:40 was assessed for each of the 4 strains Assessment criteria was considered fulfilled if the lower bound of the two-sided 95% CI for percent of subjects with HI antibody titer ≥1:40 met or exceeded 60% at Day 22.
|
Day 22
|
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Immunogenicity Endpoint: Percentages of Subjects Who Achieved Seroconversion (SCR)
Time Frame: Day 22
|
The percentage of subjects achieving SCR at Day 22 was assessed for each of the 4 strains.
SCR is defined as HI titer ≥1:40 for subjects seronegative at baseline (HI titer <1:10) or a minimum 4-fold increase in HI titer for subjects seropositive at baseline (HI titer ≥1:10) on Day 22. Assessment criteria was considered fulfilled if the lower bound of the two-sided 95% CI for the percentage of subjects achieving an HI antibody SCR met or exceeded 30% at Day 22.
|
Day 22
|
Collaborators and Investigators
Sponsor
Sponsor
Investigators
Investigators
- Study Director: Clinical Program Manager, Seqirus
Publications and helpful links
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Actual)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Estimate)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- V118_18
- 2015-000728-27 (EudraCT Number)
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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