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

6 septembre 2011 mis à jour par: 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.

Aperçu de l'étude

Description détaillée

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.

Type d'étude

Interventionnel

Inscription (Réel)

300

Phase

  • Phase 4

Contacts et emplacements

Cette section fournit les coordonnées de ceux qui mènent l'étude et des informations sur le lieu où cette étude est menée.

Lieux d'étude

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

Critères de participation

Les chercheurs recherchent des personnes qui correspondent à une certaine description, appelée critères d'éligibilité. Certains exemples de ces critères sont l'état de santé général d'une personne ou des traitements antérieurs.

Critère d'éligibilité

Âges éligibles pour étudier

18 ans à 49 ans (Adulte)

Accepte les volontaires sains

Non

Sexes éligibles pour l'étude

Tout

La description

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 d'étude

Cette section fournit des détails sur le plan d'étude, y compris la façon dont l'étude est conçue et ce que l'étude mesure.

Comment l'étude est-elle conçue ?

Détails de conception

  • Objectif principal: La prévention
  • Répartition: Randomisé
  • Modèle interventionnel: Affectation parallèle
  • Masquage: Quadruple

Armes et Interventions

Groupe de participants / Bras
Intervention / Traitement
Expérimental: 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)
Autres noms:
  • MEDI3414
Comparateur placebo: 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)

Que mesure l'étude ?

Principaux critères de jugement

Mesure des résultats
Description de la mesure
Délai
Number of Participants With Fever Post Dose 1 (Days 1-8), Defined as an Oral Temperature ≥ 101°F (38.3°C).
Délai: 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
Délai: 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
Délai: 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
Délai: 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

Mesures de résultats secondaires

Mesure des résultats
Description de la mesure
Délai
Number of Participants With Any Solicited Symptom Within 7 Days Post Vaccination, Dose 1
Délai: 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
Délai: Days 1-8
Days 1-8
Number of Participants Using Anti-pyretic and Analgesic Agents Within 7 Days Post Vaccination, Dose 1.
Délai: Days 1-8
Days 1-8
Number of Participants With Any Solicited Symptom Within 14 Days Post Vaccination, Dose 1
Délai: Days 1-15
Days 1-15
Number of Participants Reporting AEs Within 14 Days Post Vaccination, Dose 1
Délai: Days 1-15
Days 1-15
Number of Participant Using Anti-pyretic and Analgesic Agents Within 14 Days Post Vaccination, Dose 1
Délai: Days 1-15
Days 1-15
Number of Participants With Any Solicited Symptom Within 7 Days Post Vaccination, Dose 2
Délai: Days 29-36
Days 29-36
Number of Participants Reporting AEs Within 7 Days Post Vaccination, Dose 2
Délai: Days 29-36
Days 29-36
Number of Participants Using Anti-pyretic and Analgesic Agents Within 7 Days Post Vaccination, Dose 2
Délai: Days 29-36
Days 29-36
Number of Participants With Any Solicited Symptom Within 14 Days Post Vaccination, Dose 2
Délai: Days 29-43
Days 29-43
Number of Participants Reporting AEs Within 14 Days Post Vaccination, Dose 2
Délai: Days 29-43
Days 29-43
Number of Participants Using Anti-pyretic and Analgesic Agents Within 14 Days Post Vaccination, Dose 2
Délai: Days 29-43
Days 29-43
Number of Participants With Serious Adverse Events (SAEs) Through 28 Days Post Vaccination, Dose 1
Délai: 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
Délai: 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
Délai: 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
Délai: 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
Délai: 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.
Délai: 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
Délai: 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
Délai: 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
Délai: 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)
Délai: 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)
Délai: 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)
Délai: Day 1, Day 57
All immunogenicity analyses are based on the immunogenicity population.
Day 1, Day 57

Collaborateurs et enquêteurs

C'est ici que vous trouverez les personnes et les organisations impliquées dans cette étude.

Parrainer

Les enquêteurs

  • Directeur d'études: Raburn Mallory, M.D., MedImmune LLC

Publications et liens utiles

La personne responsable de la saisie des informations sur l'étude fournit volontairement ces publications. Il peut s'agir de tout ce qui concerne l'étude.

Dates d'enregistrement des études

Ces dates suivent la progression des dossiers d'étude et des soumissions de résultats sommaires à ClinicalTrials.gov. Les dossiers d'étude et les résultats rapportés sont examinés par la Bibliothèque nationale de médecine (NLM) pour s'assurer qu'ils répondent à des normes de contrôle de qualité spécifiques avant d'être publiés sur le site Web public.

Dates principales de l'étude

Début de l'étude

1 août 2009

Achèvement primaire (Réel)

1 septembre 2009

Achèvement de l'étude (Réel)

1 mars 2010

Dates d'inscription aux études

Première soumission

23 juillet 2009

Première soumission répondant aux critères de contrôle qualité

23 juillet 2009

Première publication (Estimation)

24 juillet 2009

Mises à jour des dossiers d'étude

Dernière mise à jour publiée (Estimation)

12 septembre 2011

Dernière mise à jour soumise répondant aux critères de contrôle qualité

6 septembre 2011

Dernière vérification

1 septembre 2011

Plus d'information

Termes liés à cette étude

Autres numéros d'identification d'étude

  • MI-CP215
  • HHS/ASPR (Autre subvention/numéro de financement: HHSO100200900002I)

Ces informations ont été extraites directement du site Web clinicaltrials.gov sans aucune modification. Si vous avez des demandes de modification, de suppression ou de mise à jour des détails de votre étude, veuillez contacter register@clinicaltrials.gov. Dès qu'un changement est mis en œuvre sur clinicaltrials.gov, il sera également mis à jour automatiquement sur notre site Web .

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