Safety and Immunogenicity of BNT162b2 Coadministered With SIIV in Adults 18 Through 64 Years of Age
A PHASE 3, RANDOMIZED, OBSERVER-BLIND TRIAL TO EVALUATE THE SAFETY AND IMMUNOGENICITY OF BNT162b2 WHEN COADMINISTERED WITH SEASONAL INACTIVATED INFLUENZA VACCINE (SIIV) IN ADULTS 18 THROUGH 64 YEARS OF AGE
This study will assess the safety and immunogenicity of a fourth dose (booster) of BNT162b2 when coadministered with SIIV compared to separate administration of the vaccines when given 1 month apart (SIIV followed by BNT162b2), in participants who have received 3 prior doses of 30 µg BNT162b2, with the third dose being at least 90 days before Visit 1 (Day 1).
- Healthy adults 18 through 64 years of age will be randomized 1:1 to either the co-administration group, or the separate administration group
- The duration of the study for each participant will be approximately 2 months
- There are 3 scheduled study visits each about 1 month apart
- The study will be conducted in New Zealand and Australia.
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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New South Wales
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Brookvale, New South Wales, Australia, 2100
- Northern Beaches Clinical Research
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Sydney, New South Wales, Australia, NSW 2035
- Australian Clinical Research Network
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Westmead, New South Wales, Australia, 2145
- Westmead Hospital
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Queensland
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Albion, Queensland, Australia, 4010
- Paratus Clinical Research Brisbane
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Wellers Hill, Queensland, Australia, 4121
- AusTrials - Wellers Hill
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Victoria
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Camberwell, Victoria, Australia, 3124
- Emeritus Research
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Geelong, Victoria, Australia, 3220
- Barwon Health
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Auckland, New Zealand, 2025
- Middlemore Clinical Trials
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Auckland, New Zealand, 0626
- Southern Clinical Trials Waitemata Ltd
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Auckland, New Zealand, 2025
- Aotearoa Clinical Trials
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Nelson, New Zealand, 7011
- Southern Clinical Trials Tasman
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Wellington, New Zealand, 6021
- P3 Research - Wellington
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Wellington, New Zealand, 6021
- Capital, Coast and Hutt Valley District - Wellington Regional Hospital
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Auckland
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Grafton, Auckland, New Zealand, 1010
- Optimal Clinical Trials
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Grafton, Auckland, New Zealand, 1010
- New Zealand Clinical Research (Auckland)
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New Lynn, Auckland, New Zealand, 0600
- Southern Clinical Trials Totara
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BAY OF Plenty
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Papamoa Beach, BAY OF Plenty, New Zealand, 3118
- Lakeland Clinical Trials Culloden
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Rotorua, BAY OF Plenty, New Zealand, 3010
- Pacific Clinical Research Network - Rotorua
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Tauranga, BAY OF Plenty, New Zealand, 3110
- P3 Research - Tauranga
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Canterbury
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Christchurch, Canterbury, New Zealand, 8011
- New Zealand Clinical Research (ChristChurch)
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Christchurch, Canterbury, New Zealand, 8013
- Pacific Clinical Research Network - Forte
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Hawke's BAY
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Havelock North, Hawke's BAY, New Zealand, 4130
- P3 Research - Hawke's Bay
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Manawatu-wanganui
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Palmerston North, Manawatu-wanganui, New Zealand, 4414
- P3 Research - Palmerston North
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Waikato
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Hamilton, Waikato, New Zealand, 3200
- Lakeland Clinical Trials Waikato
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Wellington
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Ebdentown. Upper Hutt, Wellington, New Zealand, 5018
- Lakeland Clinical Trials Wellington
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Paraparaumu, Wellington, New Zealand, 5032
- P3 Research - Kapiti
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Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Participants 18 through 64 years of age, inclusive, at the time of consent.
- Are willing and able to comply with all scheduled visits, treatment plan, laboratory tests, lifestyle considerations, and other study procedures.
- Adults determined by clinical assessment, including medical history and clinical judgment, to be eligible for the study, including adults with preexisting stable disease, defined as disease not requiring significant change in therapy in the previous 6 weeks or hospitalization for worsening disease within 12 weeks before receipt of study intervention.
- Have received 3 prior doses of 30 µg BNT162b2, with the third dose being at least 90 days before Visit 1 (Day 1). Documented confirmation of prior BNT162b2 receipt must be obtained prior to randomization.
- Capable of giving personal signed informed consent, which includes compliance with the requirements and restrictions listed in the ICD and in this protocol.
Exclusion Criteria:
- Other medical or psychiatric condition, including recent (within the past year) or active suicidal ideation/behavior, or laboratory abnormality that may increase the risk of study participation or, in the investigator's judgment, make the participant inappropriate for the study.
- Allergy to egg proteins (egg or egg products) or chicken proteins.
- History of Guillain-Barré syndrome.
- History of severe adverse reaction associated with a vaccine and/or severe allergic reaction (eg, anaphylaxis) to any component of the study intervention(s).
- A positive SARS-CoV-2 test result (either by NAAT or rapid antigen test) within 28 days of Visit 1 (Day 1).
- Immunocompromised individuals with known or suspected immunodeficiency, as determined by history and/or laboratory/physical examination.
- Bleeding diathesis or condition associated with prolonged bleeding that would, in the opinion of the investigator, contraindicate intramuscular injection.
- Women who are pregnant or breastfeeding.
- Vaccination with any influenza vaccine <6 months before study intervention administration, or planned receipt of any licensed or investigational nonstudy influenza vaccine during study participation.
- Individuals who receive treatment with radiotherapy or immunosuppressive therapy, including cytotoxic agents or systemic corticosteroids (if systemic corticosteroids are administered for ≥14 days at a dose of ≥20 mg/day of prednisone or equivalent), eg, for COPD, or planned receipt throughout the study. Inhaled/nebulized, intra-articular, intrabursal, or topical (skin or eyes) corticosteroids are permitted.
- Receipt of blood/plasma products or immunoglobulin, from 60 days before study intervention administration or planned receipt throughout the study.
- Receipt of any passive antibody therapy specific to COVID-19 from 90 days before study intervention administration or planned receipt throughout the study.
- Prior receipt of any COVID-19 vaccine other than BNT162b2 or receipt of more than 3 prior doses of BNT162b2.
- Participation in other studies involving study intervention within 28 days prior to study entry and/or during study participation.
- Investigator site staff or Pfizer/BioNTech employees directly involved in the conduct of the study, site staff otherwise supervised by the investigator, and their respective family members.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Prevention
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Quadruple
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
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Experimental: Coadministration Group
BNT162b2 and SIIV followed by placebo a month later
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Intramuscular injection
Saline intramuscular injection
SIIV intramuscular injection
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Experimental: Separate Administration Group
Placebo and SIIV followed by BNT162b2 a month later
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Intramuscular injection
Saline intramuscular injection
SIIV intramuscular injection
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What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
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Percentage of Participants With Local Reactions Within 7 Days After Vaccination 1
Time Frame: Within 7 Days After Vaccination 1
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Local reactions included redness, swelling, and pain at the injection site occurring at the BNT162b2 or placebo injection site.
Local reactions were recorded by participants in an electronic diary (e-diary).
Redness and swelling were measured and recorded in measuring device units. 1 measuring device unit =0.5 centimeter (cm) and graded as mild: greater than (>) 2.0 to 5.0 cm, moderate: >5.0 to 10.0 cm, severe: >10.0 cm, and potentially life threatening (Grade 4): necrosis or exfoliative dermatitis.
Pain at injection site was graded as mild: did not interfere with daily activity, moderate: interfered with daily activity, severe: prevented daily activity, and potentially life threatening (Grade 4): emergency room visit or hospitalization for severe pain.
Exact 2-sided confidence interval (CI), based on the Clopper and Pearson method was used.
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Within 7 Days After Vaccination 1
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Percentage of Participants With Local Reactions Within 7 Days After Vaccination 2
Time Frame: Within 7 Days After Vaccination 2
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Local reactions included redness, swelling, and pain at the injection site occurring at the BNT162b2 or placebo injection site.
Local reactions were recorded by participants in an e-diary.
Redness and swelling were measured and recorded in measuring device units. 1 measuring device unit =0.5 cm and graded as mild: greater than >2.0 to 5.0 cm, moderate: >5.0 to 10.0 cm, severe: >10.0 cm, and potentially life threatening (Grade 4): necrosis or exfoliative dermatitis.
Pain at injection site was graded as mild: did not interfere with daily activity, moderate: interfered with daily activity, severe: prevented daily activity, and potentially life threatening (Grade 4): emergency room visit or hospitalization for severe pain.
Exact 2-sided CI, based on the Clopper and Pearson method was used.
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Within 7 Days After Vaccination 2
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Percentage of Participants With Systemic Events Within 7 Days After Vaccination 1
Time Frame: Within 7 Days After Vaccination 1
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Systemic events included fever, fatigue, headache, chills, vomiting, diarrhea, new or worsened muscle pain, and new or worsened joint pain recorded by participants in an e-diary.
Fever was defined as temperature: >=38.0 degrees (deg) Celsius (C), and categorized as: >=38.0 to 38.4 deg C, >38.4 to 38.9 deg C, >38.9 to 40.0 deg C, and >40.0 deg C. Fatigue, headache, chills, new or worsened muscle pain, and new or worsened joint pain were graded as mild: did not interfere with activity, moderate: some interference with activity, and severe: prevented daily routine activity.
Vomiting graded as mild: 1 to 2 times in 24 hours(h), moderate: >2 times in 24h, severe: required intravenous hydration, and grade 4: emergency room (ER) visit or hospitalization for hypotensive shock.
Diarrhea graded as mild: 2 to 3 loose stools in 24h, moderate: 4 to 5 loose stools in 24h, severe: 6 or more loose stools in 24h, and grade 4: ER visit or hospitalization for severe diarrhea.
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Within 7 Days After Vaccination 1
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Percentage of Participants With Systemic Events Within 7 Days After Vaccination 2
Time Frame: Within 7 Days After Vaccination 2
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Systemic events included fever, fatigue, headache, chills, vomiting, diarrhea, new or worsened muscle pain, and new or worsened joint pain recorded by participants in an e-diary.
Fever was defined as temperature: >=38.0 deg C, and categorized as: >=38.0 to 38.4 deg C, >38.4 to 38.9 deg C, >38.9 to 40.0 deg C, and >40.0 deg C. Fatigue, headache, chills, new or worsened muscle pain, and new or worsened joint pain were graded as mild: did not interfere with activity, moderate: some interference with activity, and severe: prevented daily routine activity.
Vomiting graded as mild: 1 to 2 times in 24h, moderate: >2 times in 24h, severe: required intravenous hydration, and grade 4: ER visit or hospitalization for hypotensive shock.
Diarrhea graded as mild: 2 to 3 loose stools in 24h, moderate: 4 to 5 loose stools in 24h, severe: 6 or more loose stools in 24h, and grade 4: ER visit or hospitalization for severe diarrhea.
Exact 2-sided CI, based on Clopper and Pearson method used.
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Within 7 Days After Vaccination 2
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Percentage of Participants With Adverse Events Within 1 Month After Vaccination 1
Time Frame: Within 1 month after Vaccination 1
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An AE was defined as any untoward medical occurrence in a clinical study participant, temporally associated with the use of study intervention, whether or not considered related to the study intervention.
Exact 2-sided CI was calculated using the Clopper and Pearson method.
Only AEs collected by non-systematic assessment (i.e.
excluding local reactions and systemic events) were reported in this outcome measure.
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Within 1 month after Vaccination 1
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Percentage of Participants With Adverse Events Within 1 Month After Vaccination 2
Time Frame: Within 1 month after Vaccination 2
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An AE was defined as any untoward medical occurrence in a clinical study participant, temporally associated with the use of study intervention, whether or not considered related to the study intervention.
Exact 2-sided CI was calculated using the Clopper and Pearson method.
Only AEs collected by non-systematic assessment (i.e.
excluding local reactions and systemic events) were reported in this outcome measure.
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Within 1 month after Vaccination 2
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Percentage of Participants With Serious Adverse Events Within 1 Month After Vaccination 1
Time Frame: Within 1 Month After Vaccination 1
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An AE was defined as any untoward medical occurrence in a clinical study participant, temporally associated with the use of study intervention, whether or not considered related to the study intervention.
Exact 2-sided CI was calculated using the Clopper and Pearson method.
SAE was an AE resulting in any of the following outcomes or deemed significant for any other reason: death; initial/prolonged inpatient hospitalization; life-threatening experience (immediate risk of dying); persistent or significant disability/incapacity; congenital anomaly; or that was considered to be an important medical event.
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Within 1 Month After Vaccination 1
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Percentage of Participants With Serious Adverse Events Within 1 Month After Vaccination 2
Time Frame: Within 1 Month After Vaccination 2
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An AE was defined as any untoward medical occurrence in a clinical study participant, temporally associated with the use of study intervention, whether or not considered related to the study intervention.
Exact 2-sided CI was calculated using the Clopper and Pearson method.
SAE was an AE resulting in any of the following outcomes or deemed significant for any other reason: death; initial/prolonged inpatient hospitalization; life-threatening experience (immediate risk of dying); persistent or significant disability/incapacity; congenital anomaly; or that was considered to be an important medical event.
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Within 1 Month After Vaccination 2
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Geometric Mean Ratio (GMR) Based on Geometric Mean Concentration (GMC) of Full-Length S-binding Immunoglobulin G (IgG) at 1 Month After BNT162b2 Vaccination
Time Frame: 1 Month After BNT162b2 vaccination
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GMCs of full-length S-binding IgG level for the coadministration group and separate administration group were reported in this outcome measure in descriptive data section.
GMC and the 2-sided 95% CI were calculated by exponentiating the LSMeans of the concentrations and the corresponding CIs based on analysis of logarithmically transformed assay results using a linear regression model with terms of vaccine group, age group, and the corresponding baseline assay results (log scale).
Assay results below the LLOQ were set to 0.5*LLOQ.
Geometric mean ratio (GMR) was reported in the statistical analysis section and was calculated as ratio of GMCs in the coadministration group to the separate administration group.
Here, "Number of participants analyzed" signifies number of participants evaluable for this outcome measure.
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1 Month After BNT162b2 vaccination
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Geometric Mean Ratio (GMR) Based on Geometric Mean Titer (GMT) of Strain-Specific Hemagglutination Inhibition (HAI) at 1 Month After SIIV Vaccination
Time Frame: 1 Month After SIIV vaccination
|
GMTs of strain-specific HAI titers for the coadministration group and separate administration group were reported in this outcome measure in descriptive data section.
GMTs and the 2-sided 95% CIs were calculated by exponentiating the LSMeans of the titers and the corresponding CIs based on analysis of logarithmically transformed assay results using a linear regression model with terms of vaccine group, age group, and the corresponding baseline assay results (log scale).
Assay results below the LLOQ were set to 0.5*LLOQ, and results above the ULOQ were set to ULOQ+1.
Geometric mean ratio (GMR) was reported in the statistical analysis section and was calculated as ratio of GMT in the coadministration group to the separate administration group.
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1 Month After SIIV vaccination
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Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
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Geometric Mean Concentration (GMC) of Full-Length S-binding IgG Levels Before Vaccination and 1 Month After BNT162b2 Vaccination
Time Frame: Before BNT162b2 vaccination, and 1 month After BNT162b2 vaccination
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GMCs were calculated by exponentiating the mean logarithm of the concentrations and the corresponding CIs (based on the Student's t-distribution).
Assay results below the lower limit of quantitation (LLOQ) were set to 0.5*LLOQ.
Here, "Number of participants analyzed" signifies number of participants evaluable for this outcome measure''.
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Before BNT162b2 vaccination, and 1 month After BNT162b2 vaccination
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Geometric Mean Fold Rise (GMFR) of Full-Length S-binding IgG Levels From Before Vaccination to 1 Month After BNT162b2 Vaccination
Time Frame: From before BNT162b2 vaccination to 1 month After BNT162b2 vaccination
|
GMFR was defined as the geometric mean of the ratios of IgG concentrations at 1 month after BNT162b2 vaccination to that before BNT162b2 vaccination.
GMFRs were calculated by exponentiating the mean logarithm of fold rises and the corresponding CIs (based on the Student's t-distribution).
Assay results below the LLOQ were set to 0.5*LLOQ.
Here, "Number of participants analyzed" signifies number of participants evaluable for this outcome measure''.
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From before BNT162b2 vaccination to 1 month After BNT162b2 vaccination
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Geometric Mean Titer (GMT) of SARS-CoV-2 Neutralizing Titers Before Vaccination and 1 Month After BNT162b2 Vaccination
Time Frame: Before BNT162b2 vaccination, and 1 month after BNT162b2 vaccination
|
GMTs were calculated by exponentiating the mean logarithm of the titers and the corresponding CIs (based on the Student's t-distribution).
Assay results below LLOQ were set to 0.5*LLOQ.
Here, "Number of participants analyzed" signifies number of participants evaluable for this outcome measure''.
Analysis was performed in a subset of 100 participants from each group.
|
Before BNT162b2 vaccination, and 1 month after BNT162b2 vaccination
|
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Geometric Mean Fold Rise (GMFR) of SARS-CoV-2 Neutralizing Titers From Before Vaccination to 1 Month After BNT162b2 Vaccination
Time Frame: From before BNT162b2 vaccination to 1 month after BNT162b2 vaccination
|
GMFR was defined as the geometric mean of the ratios of SARS-CoV-2 neutralizing titers at 1 month after BNT162b2 vaccination to that before BNT162b2 vaccination.
GMFRs were calculated by exponentiating the mean logarithm of fold rises and the corresponding CIs (based on the Student's t-distribution).
Assay results below the LLOQ were set to 0.5*LLOQ.
Here, "Number of participants analyzed" signifies number of participants evaluable for this outcome measure''.
Analysis was performed in a subset of 100 participants from each group.
|
From before BNT162b2 vaccination to 1 month after BNT162b2 vaccination
|
|
Geometric Mean Titer (GMT) of Strain-Specific HAI Titers Before Vaccination and 1 Month After SIIV Vaccination
Time Frame: Before SIIV vaccination, and 1 month after SIIV vaccination
|
GMTs were calculated by exponentiating the mean logarithm of the titers and the corresponding CIs (based on the Student's t-distribution).
Assay results below the LLOQ were set to 0.5*LLOQ, and results above the ULOQ were set to ULOQ+1.
The analysis was performed on the influenza strains: H1N1 A/Victoria, H3N2 A/Darwin, B/Austria, and B/Phuket.
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Before SIIV vaccination, and 1 month after SIIV vaccination
|
|
Geometric Mean Fold Rise (GMFR) of Strain-Specific HAI Titers From Before Vaccination to 1 Month After SIIV Vaccination
Time Frame: From before vaccination to 1 month after SIIV vaccination
|
GMFR was defined as ratio of the geometric mean of strain-specific HAI titers at 1 month after SIIV vaccination to the geometric mean of strain-specific HAI titers before SIIV vaccination.
GMFRs were calculated by exponentiating the mean logarithm of fold rises and the corresponding CIs (based on the Student's t-distribution).
Assay results below the LLOQ were set to 0.5*LLOQ, and results above the ULOQ were set to ULOQ+1.
The analysis was performed on the influenza strains: H1N1 A/Victoria, H3N2 A/Darwin, B/Austria, and B/Phuket.
|
From before vaccination to 1 month after SIIV vaccination
|
Collaborators and Investigators
Sponsor
Sponsor
Collaborators
Collaborators
Investigators
Investigators
- Study Director: Pfizer CT.gov Call Center, Pfizer
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 (Actual)
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
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- C4591030
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
product manufactured in and exported from the U.S.
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