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A Study to Evaluate the Safety of H1N1 Monovalent Vaccine (MEDI3414) in Healthy Adults (MI-CP215)

6 de septiembre de 2011 actualizado por: MedImmune LLC

A Randomized, Double-blind, Placebo-controlled Study to Evaluate the Safety of MEDI3414 in Adults

The purpose of this study was to determine the safety and descriptive immunogenicity of the H1N1 influenza vaccine in healthy adults.

Descripción general del estudio

Descripción detallada

The primary objective of this study was to assess the safety and descriptive immunogenicity of a monovalent influenza virus vaccine containing a new 6:2 influenza virus reassortant in healthy adults.

Tipo de estudio

Intervencionista

Inscripción (Actual)

300

Fase

  • Fase 4

Contactos y Ubicaciones

Esta sección proporciona los datos de contacto de quienes realizan el estudio e información sobre dónde se lleva a cabo este estudio.

Ubicaciones de estudio

    • Florida
      • Daytona Beach, Florida, Estados Unidos, 30060
        • Covance Daytona Beach
      • Miami, Florida, Estados Unidos, 33126
        • Pharmax Research Clinic
      • South Miami, Florida, Estados Unidos, 33143
        • Miami Research Associates
    • Missouri
      • Kansas City, Missouri, Estados Unidos, 64114
        • Center For Pharmaceutical Research
    • Tennessee
      • Nashville, Tennessee, Estados Unidos, 37203
        • Clinical Research Associates, Inc.

Criterios de participación

Los investigadores buscan personas que se ajusten a una determinada descripción, denominada criterio de elegibilidad. Algunos ejemplos de estos criterios son el estado de salud general de una persona o tratamientos previos.

Criterio de elegibilidad

Edades elegibles para estudiar

18 años a 49 años (Adulto)

Acepta Voluntarios Saludables

No

Géneros elegibles para el estudio

Todos

Descripción

Inclusion Criteria:

  • Male or female, 18 to 49 years of age (not yet reached their 50th birthday) at the time of randomization
  • Healthy by medical history and physical examination
  • Written informed consent and any locally required authorization (eg, Health Insurance Portability and Accountability Act [HIPAA] in the United States of America [USA], European Union [EU] Data Privacy Directive in the EU) obtained from the subject/legal representative prior to performing any protocol-related procedures, including screening evaluations
  • Females of childbearing potential, (ie, unless surgically sterile [eg, bilateral tubal ligation, bilateral oophorectomy, or hysterectomy], has sterile male partner, is at least 1 year post menopause, or practices abstinence) must use an effective method of avoiding pregnancy (including oral, transdermal, or implanted contraceptives, intrauterine device, female condom with spermicide, diaphragm with spermicide, cervical cap, or use of a condom with spermicide by the sexual partner) for 30 days prior to the first dose of investigational product, and must agree to continue using such precautions for 60 days after the second dose of investigational product. In addition, the subject must also have a negative urine or blood pregnancy test at screening and, if screening and Day 1 do not occur on the same day, on the day of vaccination prior to randomization.
  • Males, unless not sexually active, must use an effective method of birth control with a female partner and must agree to continue using such contraceptive precautions for at least 30 days after the second dose of investigational product (from Day 1 through Day 59 of the study)
  • Subject is available by telephone
  • Subject is able to understand and comply with the requirements of the protocol, as judged by the investigator
  • Subject is able to complete follow-up period of 180 days after Dose 2 as required by the protocol

Exclusion Criteria:

  • History of hypersensitivity to any component of the investigational product including egg or egg protein, gelatin or arginine, or serious, life-threatening, or severe reactions to previous influenza vaccinations
  • History of hypersensitivity to gentamicin
  • Any condition for which the inactivated influenza vaccine is indicated, including chronic disorders of the pulmonary or cardiovascular systems (eg, asthma), chronic metabolic diseases (eg, diabetes mellitus), renal dysfunction, or hemoglobinopathies that required regular medical follow-up or hospitalization during the preceding year
  • Acute febrile (> 100.0°F oral or equivalent) and/or clinically significant respiratory illness (eg, cough or sore throat) within 14 days prior to randomization
  • History of asthma
  • Any known immunosuppressive condition or immune deficiency disease, including human immunodeficiency virus infection, or ongoing immunosuppressive therapy
  • History of Guillain-Barré syndrome
  • A household contact who is severely immunocompromised (eg, hematopoietic stem cell transplant recipient, during those periods in which the immunocompromised individual requires care in a protective environment); subject should additionally avoid close contact with severely immunocompromised individuals for at least 21 days after receipt of investigational product
  • Receipt of any investigational agent within 30 days prior to randomization, or expected receipt through 30 days after the second dose of investigational product (use of licensed agents for indications not listed in the package insert is permitted)
  • Expected receipt of antipyretic or analgesic medication on a daily or every other day basis from randomization through 14 days after receipt of each dose of investigational product
  • Administration of intranasal medications within 14 days prior to randomization, or expected receipt through 14 days after administration of each dose of investigational product
  • Receipt of any nonstudy vaccine within 30 days before or after Dose 1 or expected receipt of any nonstudy vaccine within 30 days before or after Dose 2
  • Known or suspected mitochondrial encephalomyopathy
  • Subject is pregnant or a nursing mother
  • Any condition (eg, chronic cough, allergic rhinitis) that, in the opinion of the investigator, would interfere with evaluation of the investigational product or interpretation of subject safety or study results
  • Subject or immediate family member of subject is an employee of the clinical study site or is otherwise in involved with the conduct of the study

Plan de estudios

Esta sección proporciona detalles del plan de estudio, incluido cómo está diseñado el estudio y qué mide el estudio.

¿Cómo está diseñado el estudio?

Detalles de diseño

  • Propósito principal: Prevención
  • Asignación: Aleatorizado
  • Modelo Intervencionista: Asignación paralela
  • Enmascaramiento: Cuadruplicar

Armas e Intervenciones

Grupo de participantes/brazo
Intervención / Tratamiento
Experimental: MEDI3414 [Influenza A (H1N1) vaccine]
MEDI3414 - Monovalent vaccine was supplied in intranasal sprayers containing a total volume of 0.5mL of sucrose-phosphate buffer, egg allantoic fluid, and approximately 10^7 fluorescent focus units (FFU) of live, attenuated influenza virus reassortant A/California/7/2009 strain that was propagated in chicken eggs. H1N1 monovalent influenza vaccine (MEDI3414) contained no preservatives and no adjuvants.
0.5 mL; (intranasal sprayer)
Otros nombres:
  • MEDI3414
Comparador de placebos: Placebo
Placebo -Placebo was supplied in intranasal sprayers containing 0.5 mL of sucrose-phosphate buffer.
(intranasal sprayers containing 0.5 mL of sucrose-phosphate buffer)

¿Qué mide el estudio?

Medidas de resultado primarias

Medida de resultado
Medida Descripción
Periodo de tiempo
Number of Participants With Fever Post Dose 1 (Days 1-8), Defined as an Oral Temperature ≥ 101°F (38.3°C).
Periodo de tiempo: Days 1-8
The number of participants with fever between the two treatment groups was compared based on the upper limit of the two-sided 95% exact confidence intervals (CIs) for the rate difference (Vaccine minus Placebo). The upper limit of the two-sided 95% CI was evaluated against the prespecified equivalence criterion of 10% which corresponded to the following hypotheses • H0 (null): rate difference ≥ 10% • HA (alternative): rate difference < 10%
Days 1-8
Number of Participants Who Experienced a Post Dose 1 (Day 15) Seroresponse Against the H1N1 Strain in All Participants Regardless of Baseline Serostatus
Periodo de tiempo: Day 1, Day 15
Seroresponse was defined as a ≥ 4-fold rise in hemagglutination inhibition (HAI) titer from baseline. All immunogenicity analyses were based on the immunogenicity population.
Day 1, Day 15
Number of Participants Who Experienced a Post Dose 1 (Day 29) Seroresponse Against the H1N1 Strain in All Participants Regardless of Baseline Serostatus
Periodo de tiempo: Day 1, Day 29
Seroresponse was defined as a ≥ 4-fold rise in HAI titer from baseline. All immunogenicity analyses were based on the immunogenicity population.
Day 1, Day 29
Number of Participants Who Experienced a Post Dose 2 (Day 57) Seroresponse Against the H1N1 Strain in All Participants Regardless of Baseline Serostatus
Periodo de tiempo: Day 1, Day 57
Seroresponse was defined as a ≥ 4-fold rise in HAI titer from baseline. All immunogenicity analyses were based on the immunogenicity population.
Day 1, Day 57

Medidas de resultado secundarias

Medida de resultado
Medida Descripción
Periodo de tiempo
Number of Participants With Any Solicited Symptom Within 7 Days Post Vaccination, Dose 1
Periodo de tiempo: Days 1-8
Solicited symptoms were events considered likely to occur post dosing. For this study, other solicited symptoms included: Fever (> 100°F [37.8°C] oral), Runny nose, Sore throat, Cough, Vomiting, Muscle aches, Chills, Decreased activity (tiredness), and Headache.
Days 1-8
Number of Participants Reporting Adverse Events (AEs) Within 7 Days Post Vaccination, Dose 1
Periodo de tiempo: Days 1-8
Days 1-8
Number of Participants Using Anti-pyretic and Analgesic Agents Within 7 Days Post Vaccination, Dose 1.
Periodo de tiempo: Days 1-8
Days 1-8
Number of Participants With Any Solicited Symptom Within 14 Days Post Vaccination, Dose 1
Periodo de tiempo: Days 1-15
Days 1-15
Number of Participants Reporting AEs Within 14 Days Post Vaccination, Dose 1
Periodo de tiempo: Days 1-15
Days 1-15
Number of Participant Using Anti-pyretic and Analgesic Agents Within 14 Days Post Vaccination, Dose 1
Periodo de tiempo: Days 1-15
Days 1-15
Number of Participants With Any Solicited Symptom Within 7 Days Post Vaccination, Dose 2
Periodo de tiempo: Days 29-36
Days 29-36
Number of Participants Reporting AEs Within 7 Days Post Vaccination, Dose 2
Periodo de tiempo: Days 29-36
Days 29-36
Number of Participants Using Anti-pyretic and Analgesic Agents Within 7 Days Post Vaccination, Dose 2
Periodo de tiempo: Days 29-36
Days 29-36
Number of Participants With Any Solicited Symptom Within 14 Days Post Vaccination, Dose 2
Periodo de tiempo: Days 29-43
Days 29-43
Number of Participants Reporting AEs Within 14 Days Post Vaccination, Dose 2
Periodo de tiempo: Days 29-43
Days 29-43
Number of Participants Using Anti-pyretic and Analgesic Agents Within 14 Days Post Vaccination, Dose 2
Periodo de tiempo: Days 29-43
Days 29-43
Number of Participants With Serious Adverse Events (SAEs) Through 28 Days Post Vaccination, Dose 1
Periodo de tiempo: Days 1-29
SAEs were those AEs that resulted in death; were immediately life threatening; resulted in inpatient hospitalization or prolongation of existing hospitalization; resulted in persistent or significant disability or incapacity; were a birth defect in the offspring of a participant; or were an important medical event that may not have resulted in death, threatened life, or required hospitalization and that, based on appropriate medical judgment, may have jeopardized the participant and may have required medical or surgical intervention to prevent one of the outcomes listed above.
Days 1-29
Number of Participants With New Onset Chronic Diseases (NOCDs) Within 28 Days Post Vaccination, Dose 1
Periodo de tiempo: Days 1-29
An NOCD was a newly diagnosed medical condition that was of a chronic, ongoing nature and was assessed by the investigator as medically significant. Examples of NOCDs included, but were not limited to, diabetes, asthma, autoimmune disease (eg, lupus, rheumatoid arthritis), and neurological disease (eg, epilepsy, autism). Examples of events not considered NOCDs were mild eczema, diagnosis of a congenital anomaly present at study entry, or acute illness (eg, otitis media, bronchitis).
Days 1-29
Number of Participants With SAEs Through 28 Days Post Vaccination, Dose 2
Periodo de tiempo: Days 29-57
SAEs were those AEs that resulted in death; were immediately life threatening; resulted in inpatient hospitalization or prolongation of existing hospitalization; resulted in persistent or significant disability or incapacity; were a birth defect in the offspring of a participant; or were an important medical event that may not have resulted in death, threatened life, or required hospitalization and that, based on appropriate medical judgment, may have jeopardized the participant and may have required medical or surgical intervention to prevent one of the outcomes listed above.
Days 29-57
Number of Participants With NOCDs Within 28 Days Post Vaccination, Dose 2
Periodo de tiempo: Days 29-57
An NOCD was a newly diagnosed medical condition that was of a chronic, ongoing nature and was assessed by the investigator as medically significant. Examples of NOCDs included, but were not limited to, diabetes, asthma, autoimmune disease (eg, lupus, rheumatoid arthritis), and neurological disease (eg, epilepsy, autism). Examples of events not considered NOCDs were mild eczema, diagnosis of a congenital anomaly present at study entry, or acute illness (eg, otitis media, bronchitis).
Days 29-57
Number of Participants With SAEs Through 180 Days Post Final Dose
Periodo de tiempo: Days 1-209
SAEs were those AEs that resulted in death; were immediately life threatening; resulted in inpatient hospitalization or prolongation of existing hospitalization; resulted in persistent or significant disability or incapacity; were a birth defect in the offspring of a participant; or were an important medical event that may not have resulted in death, threatened life, or required hospitalization and that, based on appropriate medical judgment, may have jeopardized the participant and may have required medical or surgical intervention to prevent one of the outcomes listed above.
Days 1-209
Number of Participants With NOCDs Through 180 Days Post Final Dose.
Periodo de tiempo: Days 1-209
An NOCD was a newly diagnosed medical condition that was of a chronic, ongoing nature and was assessed by the investigator as medically significant. Examples of NOCDs included, but were not limited to, diabetes, asthma, autoimmune disease (eg, lupus, rheumatoid arthritis), and neurological disease (eg, epilepsy, autism). Examples of events not considered NOCDs were mild eczema, diagnosis of a congenital anomaly present at study entry, or acute illness (eg, otitis media, bronchitis).
Days 1-209
Number of Participants Who Achieved a Post Dose 1 (Day 15) HAI Titer ≥ 32 Against the H1N1 Strain in All Participants Regardless of Baseline Serostatus
Periodo de tiempo: Day 1, Day 15
All immunogenicity analyses are based on the immunogenicity population.
Day 1, Day 15
Number of Participants Who Achieved a Post Dose 1 (Day 29) HAI Titer ≥ 32 Against the H1N1 Strain in All Subjects Regardless of Baseline Serostatus
Periodo de tiempo: Day 1, Day 29
All immunogenicity analyses are based on the immunogenicity population.
Day 1, Day 29
Number of Participants Who Achieved a Post Dose 2 (Day 57) HAI Titer ≥ 32 Against the H1N1 Strain in All Participants Regardless of Baseline Serostatus
Periodo de tiempo: Day 1, Day 57
All immunogenicity analyses are based on the immunogenicity population.
Day 1, Day 57
Serum HAI Geometric Mean Titers (GMTs) in All Participants Regardless of Baseline Serostatus, Dose 1 (Day 15)
Periodo de tiempo: Day 1, Day 15
All immunogenicity analyses are based on the immunogenicity population.
Day 1, Day 15
Serum HAI GMTs in All Participants Regardless of Baseline Serostatus, Dose 1 (Day 29)
Periodo de tiempo: Day 1, Day 29
All immunogenicity analyses are based on the immunogenicity population.
Day 1, Day 29
Serum HAI GMTs in All Participants Regardless of Baseline Serostatus, Dose 2 (Day 29)
Periodo de tiempo: Day 1, Day 57
All immunogenicity analyses are based on the immunogenicity population.
Day 1, Day 57

Colaboradores e Investigadores

Aquí es donde encontrará personas y organizaciones involucradas en este estudio.

Patrocinador

Investigadores

  • Director de estudio: Raburn Mallory, M.D., MedImmune LLC

Publicaciones y enlaces útiles

La persona responsable de ingresar información sobre el estudio proporciona voluntariamente estas publicaciones. Estos pueden ser sobre cualquier cosa relacionada con el estudio.

Fechas de registro del estudio

Estas fechas rastrean el progreso del registro del estudio y los envíos de resultados resumidos a ClinicalTrials.gov. Los registros del estudio y los resultados informados son revisados ​​por la Biblioteca Nacional de Medicina (NLM) para asegurarse de que cumplan con los estándares de control de calidad específicos antes de publicarlos en el sitio web público.

Fechas importantes del estudio

Inicio del estudio

1 de agosto de 2009

Finalización primaria (Actual)

1 de septiembre de 2009

Finalización del estudio (Actual)

1 de marzo de 2010

Fechas de registro del estudio

Enviado por primera vez

23 de julio de 2009

Primero enviado que cumplió con los criterios de control de calidad

23 de julio de 2009

Publicado por primera vez (Estimar)

24 de julio de 2009

Actualizaciones de registros de estudio

Última actualización publicada (Estimar)

12 de septiembre de 2011

Última actualización enviada que cumplió con los criterios de control de calidad

6 de septiembre de 2011

Última verificación

1 de septiembre de 2011

Más información

Términos relacionados con este estudio

Otros números de identificación del estudio

  • MI-CP215
  • HHS/ASPR (Otro número de subvención/financiamiento: HHSO100200900002I)

Esta información se obtuvo directamente del sitio web clinicaltrials.gov sin cambios. Si tiene alguna solicitud para cambiar, eliminar o actualizar los detalles de su estudio, comuníquese con register@clinicaltrials.gov. Tan pronto como se implemente un cambio en clinicaltrials.gov, también se actualizará automáticamente en nuestro sitio web. .

Ensayos clínicos sobre MEDI3414 [Influenza A/H1N1 live attenuated, intranasal]

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