Pivotal, Multicenter, Observer-Blind, Randomized Study of Influenza A (H1N1)2009 Monovalent Subunit Vaccine With and Without Adjuvant in Children Ages 6 to <36 Months

April 19, 2017 updated by: Novartis Vaccines

Pivotal, Multicenter, Observer-Blind, Randomized Study of Influenza A (H1N1) 2009 Monovalent Subunit Vaccine With and Without Adjuvant in Children Ages 6 to <36 Months

This study will evaluate the safety and immunogenicity of different combinations of A/H1N1 2009 (swine flu) vaccine in healthy young children

Study Overview

Study Type

Interventional

Enrollment (Actual)

654

Phase

  • Phase 2
  • Phase 3

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Locations

      • Delegacion Tlalpan, Mexico, 14000
    • Arkansas
      • Bentonville, Arkansas, United States, 72712
      • Fort Smith, Arkansas, United States, 72903
    • California
      • Canoga Park, California, United States, 91306
      • Dinuba, California, United States, 93618
      • Fresno, California, United States, 93703
      • Long Beach, California, United States, 90806
      • Los Angeles, California, United States, 90015
      • Madera, California, United States, 93637
      • Torrance, California, United States, 90503
    • Indiana
      • New Albany, Indiana, United States, 47150
    • Kansas
      • Newton, Kansas, United States, 67114
      • Wichita, Kansas, United States, 67207
    • Kentucky
      • Bardstown, Kentucky, United States, 40004
    • Massachusetts
      • Woburn, Massachusetts, United States, 01801
    • North Dakota
      • Fargo, North Dakota, United States, 58104
    • Ohio
      • Dayton, Ohio, United States, 45406
      • Huber Heights, Ohio, United States, 45424
    • Oklahoma
      • Oklahoma City, Oklahoma, United States, 73103
    • South Carolina
      • Charleston, South Carolina, United States, 29406
      • Spartanburg, South Carolina, United States, 29303
    • Tennessee
      • Lebanon, Tennessee, United States, 37087
    • Texas
      • Dallas, Texas, United States, 75230
      • Houston, Texas, United States, 77055
    • Utah
      • Provo, Utah, United States, 84604
      • Saint George, Utah, United States, 84790
      • South Jordan, Utah, United States, 84095
      • West Jordan, Utah, United States, 84088
    • Virginia
      • Charlottesville, Virginia, United States, 22902

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

6 months to 2 years (Child)

Accepts Healthy Volunteers

Yes

Genders Eligible for Study

All

Description

Inclusion Criteria:

  • Children 6 to 35 months of age in good health as determined by medical history, physical assessment and clinical judgement of the investigator and without influenza within the past 6 months

Exclusion Criteria:

  • History of serious disease.
  • History of serious reaction following administration of vaccine or hypersensitivity to vaccine components.
  • Known or suspected impairment/alteration of immune function.
  • Receipt or planned receipt of seasonal trivalent influenza vaccine within 1 week before or after each study vaccination

For additional entry criteria, please refer to protocol

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

  • Primary Purpose: Prevention
  • Allocation: Randomized
  • Interventional Model: Parallel Assignment
  • Masking: Double

Arms and Interventions

Participant Group / Arm
Intervention / Treatment
Experimental: 3.75_(50)MF59
3.75 µg A/H1N1 antigen with 50% MF59 adjuvant administered on study day 1 and day 22.
3.75 µg A/H1N1 antigen with 50% MF59 adjuvant administered on study day 1 and day 22.
7.5 µg A/H1N1 antigen without MF59 adjuvant administered on study day 1 and day 22.
15 µg A/H1N1 antigen without MF59 adjuvant administered on study day 1 and day 22.
7.5 µg A/H1N1 antigen with 50% MF59 adjuvant administered on study day 1 and day 22.
Experimental: 7.5_(0)MF59
7.5 µg A/H1N1 antigen without MF59 adjuvant administered on study day 1 and day 22.
3.75 µg A/H1N1 antigen with 50% MF59 adjuvant administered on study day 1 and day 22.
7.5 µg A/H1N1 antigen without MF59 adjuvant administered on study day 1 and day 22.
15 µg A/H1N1 antigen without MF59 adjuvant administered on study day 1 and day 22.
7.5 µg A/H1N1 antigen with 50% MF59 adjuvant administered on study day 1 and day 22.
Experimental: 7.5_(50)MF59
7.5 µg A/H1N1 antigen with 50% MF59 adjuvant administered on study day 1 and day 22.
3.75 µg A/H1N1 antigen with 50% MF59 adjuvant administered on study day 1 and day 22.
7.5 µg A/H1N1 antigen without MF59 adjuvant administered on study day 1 and day 22.
15 µg A/H1N1 antigen without MF59 adjuvant administered on study day 1 and day 22.
7.5 µg A/H1N1 antigen with 50% MF59 adjuvant administered on study day 1 and day 22.
Experimental: 15_(0)MF59
15 µg A/H1N1 antigen without MF59 adjuvant administered on study day 1 and day 22.
3.75 µg A/H1N1 antigen with 50% MF59 adjuvant administered on study day 1 and day 22.
7.5 µg A/H1N1 antigen without MF59 adjuvant administered on study day 1 and day 22.
15 µg A/H1N1 antigen without MF59 adjuvant administered on study day 1 and day 22.
7.5 µg A/H1N1 antigen with 50% MF59 adjuvant administered on study day 1 and day 22.

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Antibody Responses After the First and Second Vaccinations
Time Frame: 21 days after each vaccination
CBER guidance (<65 years of age): The lower bound of the two-sided 95% CI for the percent of subjects achieving seroconversion for HI antibody should be ≥ 40% AND the lower bound of the two sided 95% CI for the percent of subjects achieving an HI antibody titer ≥ 1:40 should be ≥ 70%.
21 days after each vaccination
Number of Participants Reporting Solicited Local and Systemic Reactions After First Vaccination
Time Frame: Day 1 to 7
Safety was measured in terms of the number of participants reporting solicited local and systemic reactions after first vaccination.
Day 1 to 7
Number of Participants Reporting Solicited Local and Systemic Reactions After Second Vaccination
Time Frame: Day 22 to 28
Safety was measured in terms of the number of participants reporting solicited local and systemic reactions after second vaccination.
Day 22 to 28

Secondary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Immunogenicity Measurement by Geometric Mean Titers (GMT)
Time Frame: 21 days after each vaccination
Immunogenicity was measured in terms of the GMT at 21 days after each vaccination.
21 days after each vaccination
Antibody Responses With and Without Seasonal Influenza Vaccination for Year 2009 to 2010
Time Frame: Day 22 (three weeks after first vaccination); day 43 (three weeks after second vaccination)
Subgroup analysis based on receipt of recent seasonal vaccination. Comparison between subjects previously vaccinated versus not vaccinated with seasonal influenza vaccines.
Day 22 (three weeks after first vaccination); day 43 (three weeks after second vaccination)
Geometric Mean Titers (GMTs) With and Without Seasonal Influenza Vaccination for Year 2009 to 2010
Time Frame: Day 22 (three weeks after first vaccination); day 43 (three weeks after second vaccination)
Subgroup analysis based on receipt of recent seasonal vaccination. Comparison between subjects previously vaccinated versus not vaccinated with seasonal influenza vaccines.
Day 22 (three weeks after first vaccination); day 43 (three weeks after second vaccination)
Antibody Response Based on Baseline Seropositivity
Time Frame: Day 22 (three weeks after first vaccination); day 43 (three weeks after second vaccination)
Subgroup analysis based on Subjects with a pre-vaccination HI antibody titer < 1:10 and prevaccination HI antibody titer ≥ 1:10
Day 22 (three weeks after first vaccination); day 43 (three weeks after second vaccination)
Geometric Mean Titers (GMTs) Based on Baseline Seropositivity
Time Frame: Day 22 (three weeks after first vaccination); day 43 (three weeks after second vaccination)
Subgroup analysis based on Subjects with a pre-vaccination HI antibody titer < 1:10 and prevaccination HI antibody titer ≥ 1:10 Immunogenicity responses in subjects who are seropositive (A/H1N1 2009 HI titer ≥ 1:10) at Baseline (Day 1 (pre-vaccination)) as compared to those who are seronegative (HI titer < 1:10).
Day 22 (three weeks after first vaccination); day 43 (three weeks after second vaccination)
Antibody Persistence by Geometric Mean Titers (GMT)
Time Frame: 6 months (Day 202) and 12 months (Day 387) after second vaccination
Immunogenicity was assessed in terms of Geometric Mean Titers (GMT at 6 months (Day 202)and 12 months (Day 387) after second vaccination.
6 months (Day 202) and 12 months (Day 387) after second vaccination

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Collaborators

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start

October 1, 2009

Primary Completion (Actual)

December 1, 2009

Study Completion (Actual)

December 1, 2010

Study Registration Dates

First Submitted

October 15, 2009

First Submitted That Met QC Criteria

October 15, 2009

First Posted (Estimate)

October 16, 2009

Study Record Updates

Last Update Posted (Actual)

May 30, 2017

Last Update Submitted That Met QC Criteria

April 19, 2017

Last Verified

April 1, 2017

More Information

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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