- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT04451954
Study of Recombinant Influenza Vaccine Containing Different H3 Antigens Without or With Adjuvant in Healthy Adult Subjects (FBP00004)
September 26, 2023 updated by: Sanofi Pasteur, a Sanofi Company
Safety and Immunogenicity of Quadrivalent Recombinant Influenza Vaccine Formulations Containing Different H3 Hemagglutinin Antigens Without or With Adjuvant in Healthy Adult Subjects
The primary objectives of the study are:
- To describe the safety profile of the different formulations in all participants
- To describe the hemagglutinin inhibition (HAI) and seroneutralization (SN) antibody responses against hemagglutinin (H1, H3, B/Victoria, and B/Yamagata) antigens present in the control vaccine in all groups at all timepoints.
The secondary objectives are:
- To describe antigenic coverage in each group by assessing the HAI and SN antibody responses against a panel of H3 antigens (not present in any of the vaccine formulations).
- To describe SN antibody responses in each group against each of the H3 antigens.
- To compare H3 HAI and SN antibody responses for the groups with quadrivalent recombinant influenza vaccine (RIV) formulations with H3 antigens to those of the quadrivalent RIV control group.
- To compare the HAI and SN antibody responses for the groups with quadrivalent RIV formulation with adjuvant to the group without adjuvant.
Study Overview
Status
Completed
Conditions
Intervention / Treatment
- Biological: Quadrivalent RIV with H3 strain 1
- Biological: Quadrivalent RIV with H3 strain 1 and adjuvant
- Biological: Quadrivalent RIV with H3 strain 2
- Biological: Quadrivalent RIV with H3 strain 2 and adjuvant
- Biological: Quadrivalent RIV with 2018-2019 NH H3 strain
- Biological: Quadrivalent RIV with 2018-2019 NH H3 strain and adjuvant
Detailed Description
Study duration per participant is approximately 1 year
Study Type
Interventional
Enrollment (Actual)
210
Phase
- Phase 1
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
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California
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San Diego, California, United States, 92108
- Investigational Site Number 8400003
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Florida
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Melbourne, Florida, United States, 32934
- Investigational Site Number 8400002
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Orlando, Florida, United States, 32806
- Investigational Site Number 8400004
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Illinois
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Peoria, Illinois, United States, 61614
- Investigational Site Number 8400001
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Maryland
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Rockville, Maryland, United States, 20850
- Investigational Site Number 8400005
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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
18 years and older (Adult, Older Adult)
Accepts Healthy Volunteers
Yes
Description
Inclusion criteria :
- Older adults: Aged 50 years and older on the day of inclusion Young adults: Aged 18 to 30 years on the day of inclusion
- Informed consent form has been signed and dated
- Able to attend all scheduled visits and to comply with all trial procedures
Exclusion criteria:
- Participant is pregnant, or lactating, or of childbearing potential and not using an effective method of contraception or abstinence from at least 4 weeks prior to vaccination until at least 12 weeks postvaccination. To be considered of non-childbearing potential, a female must be premenarche, or postmenopausal for at least 1 year, or surgically sterile
- Participation at the time of study enrollment (or in the 4 weeks preceding the study vaccination) or planned participation during the present study period in another clinical study investigating a vaccine, drug, medical device, or medical procedure
- Receipt of any vaccine in the 4 weeks preceding the study vaccination or planned receipt of any vaccine in the 4 weeks following study vaccination
- Previous vaccination against influenza during either of the previous 2 influenza seasons (2018-2019 and 2019-2020) with any licensed or investigational influenza vaccine
- Receipt of immune globulins, blood, or blood-derived products in the past 3 months
- Known or suspected congenital or acquired immunodeficiency; immunosuppressive therapy (such as anticancer chemotherapy or radiation therapy, within the preceding 6 months); or long-term systemic corticosteroid therapy (prednisone or equivalent for more than 2 consecutive weeks within the past 3 months) or receipt of hydroxychloroquine within the preceding 4 weeks
- Dementia or any other cognitive condition at a stage that could interfere with following the trial procedures
- Have known active or recently active (12 months) neoplastic disease or a history of any hematologic malignancy
- History of influenza infection during either of the previous 2 influenza seasons (2018- 2019 or 2019-2020), confirmed by laboratory tests (including rapid tests) at that time
- History of laboratory confirmed coronavirus disease 2019 (COVID-19), confirmed with a nucleic acid amplification test on a respiratory specimen, or known exposure to severe acute respiratory syndrome coronavirus (SARS-CoV-2) positive confirmed close contact (eg, family member, housemate, daycare provider, aged parent requiring care), in the 30 days preceding vaccination, at the discretion of the investigator
- Self-reported or documented seropositivity for human immunodeficiency virus, hepatitis B, or hepatitis C
- Known systemic hypersensitivity to any of the vaccine components, or history of a life-threatening reaction to the vaccines used in the study or to a vaccine containing any of the same substances
- Have any diagnosis, current or past, of an autoimmune disease
- Thrombocytopenia or bleeding disorder, contraindicating intramuscular vaccination based on investigator's judgment
- Deprived of freedom by an administrative or court order, or in an emergency setting, or hospitalized involuntarily
- Any change in chronic prescription medication or change in medication dose or dosage in the 60 days prior to enrollment
- Alcohol abuse or substance abuse that, in the opinion of the investigator, might interfere with the study conduct or completion
- Chronic illness that, in the opinion of the investigator, is at a stage where it might interfere with study conduct or completion
- Any current or past diagnosis of chronic pulmonary disease including asthma (history of childhood asthma is allowed), cystic fibrosis and chronic pulmonary obstructive disease
- Have taken a high-dose inhaled corticosteroid within 6 months prior to study vaccination
- Body mass index of 40 or higher
- Any current or past diagnosis of cardiac disease (eg, coronary artery disease, heart failure, or valvular heart disease [mild mitral valve prolapse allowed]). Participants with isolated primary (essential) hypertension are allowed
- Moderate or severe acute illness/infection (according to investigator judgment) on the day of vaccination or febrile illness (oral temperature ≥100.4 F [≥38.0 C]). A prospective participant should not be included in the study until the condition has resolved or the febrile event has subsided
- Identified as an investigator or employee of the investigator or study center with direct involvement in the proposed study, or identified as an immediate family member (ie, parent, spouse, natural or adopted child) of the investigator or employee with direct involvement in the proposed study
- Personal or family history of Guillain-Barré syndrome
- History of chronic kidney disease
- Current or past diagnosis of thyroid disease (eg, thyroiditis [including Hashimoto's thyroiditis], hyperthyroidism, and hypothyroidism)
The above information is not intended to contain all considerations relevant to a patient's potential participation in a clinical trial.
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: Quadruple
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: Group 1: Quadrivalent RIV with H3 strain 1, without adjuvant
1 injection of quadrivalent RIV containing H3 strain 1, without adjuvant, in participants ≥ 50 years old
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Pharmaceutical form: Suspension for injection Route of administration: Intramuscular
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Experimental: Group 2: Quadrivalent RIV with H3 strain 1, with adjuvant
1 injection of quadrivalent RIV containing H3 strain 1, with adjuvant, in participants ≥ 50 years old
|
Pharmaceutical form: Suspension for injection Route of administration: Intramuscular
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Experimental: Group 3: Quadrivalent RIV with H3 strain 2, without adjuvant
1 injection of quadrivalent RIV containing H3 strain 2, without adjuvant, in participants ≥ 50 years old
|
Pharmaceutical form: Suspension for injection Route of administration: Intramuscular
|
Experimental: Group 4: Quadrivalent RIV with H3 strain 2, with adjuvant
1 injection of quadrivalent RIV containing H3 strain 2, with adjuvant, in participants ≥ 50 years old
|
Pharmaceutical form: Suspension for injection Route of administration: Intramuscular
|
Active Comparator: Group 5: Quadrivalent RIV Control, without adjuvant
1 injection of quadrivalent RIV containing 2018-19 Northern Hemisphere (NH) recommended H3 strain, without adjuvant, in participants ≥ 50 years old
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Pharmaceutical form: Suspension for injection Route of administration: Intramuscular
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Active Comparator: Group 6: Quadrivalent RIV Control, with adjuvant
1 injection of quadrivalent RIV containing 2018-19 NH recommended H3 strain, with adjuvant, in participants ≥ 50 years old
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Pharmaceutical form: Suspension for injection Route of administration: Intramuscular
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Active Comparator: Group 7: Quadrivalent RIV Control, without adjuvant
1 injection of quadrivalent RIV containing 2018-19 NH recommended H3 strain, without adjuvant, in participants 18-30 years old
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Pharmaceutical form: Suspension for injection Route of administration: Intramuscular
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What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Number of participants with immediate adverse events
Time Frame: Within 30 minutes after vaccination
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Immediate adverse events are unsolicited systemic adverse events reported in the 30 minutes after vaccination
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Within 30 minutes after vaccination
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Number of participants with solicited injection site or systemic reactions
Time Frame: From Day 0 to Day 7
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Solicited injection site reactions: injection site pain, erythema, swelling, induration and bruising; solicited systemic reactions: fever, headache, malaise, and myalgia
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From Day 0 to Day 7
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Number of participants with unsolicited adverse events
Time Frame: From Day 0 to Day 28
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Unsolicited (spontaneously reported) adverse events not not fulfilling criteria for solicited reactions
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From Day 0 to Day 28
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Number of participants with serious adverse events
Time Frame: From Day 0 to Day 365
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Serious adverse events are collected throughout the study
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From Day 0 to Day 365
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Number of participants with adverse events of special interest
Time Frame: From Day 0 to Day 365
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Adverse events of special interest are collected throughout the study
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From Day 0 to Day 365
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Clinical safety laboratory test results
Time Frame: From Day 0 to Day 7
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Laboratory tests include complete blood count (CBC), platelet count, alanine aminotransferase (ALT), aspartate aminotransferase (AST), total bilirubin, serum creatinine, serum lipase, and serum amylase)
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From Day 0 to Day 7
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HAI and SN antibody titers against influenza antigens in the quadrivalent RIV control vaccine
Time Frame: From Day 0 to Day 365
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Influenza antibody titers are measured by HAI and SN assays
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From Day 0 to Day 365
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Individual HAI and SN titers ratio against influenza antigens in the quadrivalent RIV control vaccine
Time Frame: From Day 0 to Day 90
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Titers ratio is calculated for the following time points: Day 7/Day 0, Day 28/Day 0, and Day 90/Day 0
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From Day 0 to Day 90
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Number of participants with seroconversion to influenza antigens in the quadrivalent RIV control vaccine
Time Frame: From Day 0 to Day 28
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Seroconversion is defined as HAI antibody titer < 10 [1/dil] at Day 0 and post-injection titer ≥ 40 [1/dil] at Day 28, or titer ≥ 10 [1/dil] at Day 0 and a ≥ 4-fold increase in titer [1/dil] at Day 28)
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From Day 0 to Day 28
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HAI Ab titer ≥ 40 [1/dil]
Time Frame: From Day 0 to Day 365
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Influenza vaccine antibody titers are measured by HAI assay
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From Day 0 to Day 365
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2-fold and 4-fold increase in SN titers
Time Frame: From Day 0 to Day 28
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Influenza vaccine antibody titers are measured by SN assay
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From Day 0 to Day 28
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Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
HAI antibody titers against influenza H3 antigens not present in the vaccine formulations and the SN antibody titers against each of the H3 antigens
Time Frame: Day 0, Day 7, Day 28, Day 90, Day 180, and Day 365
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Influenza vaccine antibody titers are measured by HAI and SN assays
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Day 0, Day 7, Day 28, Day 90, Day 180, and Day 365
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Individual HAI titer ratios against influenza H3 antigens not present in the vaccine formulations and individual SN titer ratio against each of the H3 antigens
Time Frame: From Day 0 to Day 90
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Titer ratio is calculated for the following time points: Day 7/Day 0, Day 28/Day 0, Day 90/Day 0
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From Day 0 to Day 90
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Number of participants with seroconversion to influenza H3 antigens not present in the vaccine formulations
Time Frame: Day 0 and Day 28
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Seroconversion is defined as HAI antibody titer < 10 [1/dil] at Day 0 and post-injection titer ≥ 40 [1/dil] at Day 28, or titer ≥ 10 [1/dil] at Day 0 and a ≥ 4-fold increase in titer [1/dil] at Day 28)
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Day 0 and Day 28
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2-fold and 4-fold rise in SN antibody titers against each of the H3 antigens
Time Frame: Day 0, Day 7, Day 28, Day 90, Day 180, and Day 365
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Influenza vaccine antibody titers a are measured by SN assay
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Day 0, Day 7, Day 28, Day 90, Day 180, and Day 365
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Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Sponsor
Investigators
- Study Director: Clinical Sciences & Operations, Sanofi Pasteur, a Sanofi Company
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 (Actual)
July 2, 2020
Primary Completion (Actual)
September 20, 2021
Study Completion (Actual)
September 20, 2021
Study Registration Dates
First Submitted
June 25, 2020
First Submitted That Met QC Criteria
June 25, 2020
First Posted (Actual)
June 30, 2020
Study Record Updates
Last Update Posted (Actual)
September 28, 2023
Last Update Submitted That Met QC Criteria
September 26, 2023
Last Verified
September 15, 2023
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- FBP00004
- U1111-1239-0391 (Other Identifier: UTN)
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
YES
IPD Plan Description
Qualified researchers may request access to patient level data and related study documents including the clinical study report, study protocol with any amendments, blank case report form, statistical analysis plan, and dataset specifications.
Patient level data will be anonymized and study documents will be redacted to protect the privacy of trial participants.
Further details on Sanofi's data sharing criteria, eligible studies, and process for requesting access can be found at: https://vivli.org
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Yes
Studies a U.S. FDA-regulated device product
No
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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