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Safety and Immunogenicity of Three Influenza Vaccines in Children Aged 4 Years Old to Less Than 18 Years Old

2 ноября 2015 г. обновлено: Novartis Vaccines

A Phase III, Stratified, Randomized, Double-Blind, Multicenter, Non-Inferiority Study to Evaluate Safety and Immunogenicity of Cell-Based Quadrivalent Subunit Influenza Virus Vaccine and Cell-Based Trivalent Subunit Influenza Virus Vaccines in Subjects Ages ≥4 Years to < 18 Years

Evaluate safety and immunogenicity of three influenza vaccines in children ages greater than 4 years old to less than 18 years old.

Обзор исследования

Статус

Завершенный

Условия

Вмешательство/лечение

Тип исследования

Интервенционный

Регистрация (Действительный)

2333

Фаза

  • Фаза 3

Контакты и местонахождение

В этом разделе приведены контактные данные лиц, проводящих исследование, и информация о том, где проводится это исследование.

Места учебы

  • Соединенные Штаты
    • Alabama
      • Huntsville, Alabama, Соединенные Штаты, 35802
      • Mobile, Alabama, Соединенные Штаты, 36608
    • Arizona
      • Chandler, Arizona, Соединенные Штаты, 85224
      • Mesa, Arizona, Соединенные Штаты, 85206
      • Mesa, Arizona, Соединенные Штаты, 85213
    • Arkansas
      • Harrisburg, Arkansas, Соединенные Штаты, 72452
      • Jonesboro, Arkansas, Соединенные Штаты, 72401
    • California
      • Anaheim, California, Соединенные Штаты, 92804
      • Anaheim, California, Соединенные Штаты, 92801
      • Downey, California, Соединенные Штаты, 90241
      • Garden Grove, California, Соединенные Штаты, 92844
      • Modesto, California, Соединенные Штаты, 95350
      • Paramount, California, Соединенные Штаты, 90723
      • Sacramento, California, Соединенные Штаты, 95816
      • San Diego, California, Соединенные Штаты, 92103-6204
      • San Francisco, California, Соединенные Штаты, 94102
      • Santa Rosa, California, Соединенные Штаты, 95405
      • West Covina, California, Соединенные Штаты, 91790
    • Colorado
      • Colorado Springs, Colorado, Соединенные Штаты, 80907
      • Denver, Colorado, Соединенные Штаты, 80246
      • Denver, Colorado, Соединенные Штаты, 80249
      • Thornton, Colorado, Соединенные Штаты, 80233
    • Florida
      • Boca Raton, Florida, Соединенные Штаты, 33432
      • Lake Mary, Florida, Соединенные Штаты, 32746
      • Melbourne, Florida, Соединенные Штаты, 32935
      • Miami Beach, Florida, Соединенные Штаты, 33141
      • Opa Locka, Florida, Соединенные Штаты, 33055
      • Pinellas Park, Florida, Соединенные Штаты, 33781
    • Georgia
      • Atlanta, Georgia, Соединенные Штаты, 30338
      • Marietta, Georgia, Соединенные Штаты, 30062
      • Woodstock, Georgia, Соединенные Штаты, 30189
    • Idaho
      • Boise, Idaho, Соединенные Штаты, 83642
    • Illinois
      • Peoria, Illinois, Соединенные Штаты, 61602
    • Indiana
      • Mishawaka, Indiana, Соединенные Штаты, 46545
    • Iowa
      • Council Bluffs, Iowa, Соединенные Штаты, 51503
    • Kansas
      • Newton, Kansas, Соединенные Штаты, 67114
      • Wichita, Kansas, Соединенные Штаты, 67207
      • Wichita, Kansas, Соединенные Штаты, 67010
    • Kentucky
      • Lexington, Kentucky, Соединенные Штаты, 40509
      • Louisville, Kentucky, Соединенные Штаты, 40291
    • Louisiana
      • Metairie, Louisiana, Соединенные Штаты, 70006
    • Missouri
      • Kansas City, Missouri, Соединенные Штаты, 64114
      • St. Louis, Missouri, Соединенные Штаты, 63141
    • Nebraska
      • Bellevue, Nebraska, Соединенные Штаты, 68005
      • Fremont, Nebraska, Соединенные Штаты, 68025
      • Omaha, Nebraska, Соединенные Штаты, 68114
      • Omaha, Nebraska, Соединенные Штаты, 68134
    • Nevada
      • Las Vegas, Nevada, Соединенные Штаты, 89104
    • New York
      • Binghamton, New York, Соединенные Штаты, 13901
    • North Carolina
      • Wilmington, North Carolina, Соединенные Штаты, 28401
    • Ohio
      • Akron, Ohio, Соединенные Штаты, 44311
      • Cincinnati, Ohio, Соединенные Штаты, 45249
      • Cleveland, Ohio, Соединенные Штаты, 44106
      • Cleveland, Ohio, Соединенные Штаты, 44122
      • Dayton, Ohio, Соединенные Штаты, 45414
      • Dayton, Ohio, Соединенные Штаты, 45406
      • Kettering, Ohio, Соединенные Штаты, 45429
    • Oklahoma
      • Oklahoma City, Oklahoma, Соединенные Штаты, 73112
      • Oklahoma City, Oklahoma, Соединенные Штаты, 73103
      • Tulsa, Oklahoma, Соединенные Штаты, 74127
    • Pennsylvania
      • Erie, Pennsylvania, Соединенные Штаты, 16505
      • Erie, Pennsylvania, Соединенные Штаты, 16508
      • Hermitage, Pennsylvania, Соединенные Штаты, 16148
      • Sellersville, Pennsylvania, Соединенные Штаты, 18960
      • Upper St. Clair, Pennsylvania, Соединенные Штаты, 15241
    • South Carolina
      • Anderson, South Carolina, Соединенные Штаты, 29621
      • Charleston, South Carolina, Соединенные Штаты, 29403
      • Mt. Pleasant, South Carolina, Соединенные Штаты, 29464
    • Tennessee
      • Bristol, Tennessee, Соединенные Штаты, 37620
      • Jefferson City, Tennessee, Соединенные Штаты, 37760
      • Lebanon, Tennessee, Соединенные Штаты, 37087
      • Nashville, Tennessee, Соединенные Штаты, 37203
    • Texas
      • Austin, Texas, Соединенные Штаты, 78705
      • Dallas, Texas, Соединенные Штаты, 75231
      • Fort Worth, Texas, Соединенные Штаты, 76107
      • Fort Worth, Texas, Соединенные Штаты, 76135
      • Round Rock, Texas, Соединенные Штаты, 78681
      • San Angelo, Texas, Соединенные Штаты, 76904
      • San Antonio, Texas, Соединенные Штаты, 78229
    • Utah
      • Draper, Utah, Соединенные Штаты, 84020
      • Layton, Utah, Соединенные Штаты, 84041
      • Salt Lake City, Utah, Соединенные Штаты, 84121
      • Salt Lake City, Utah, Соединенные Штаты, 84109
      • Salt Lake City, Utah, Соединенные Штаты, 84124
      • South Jordan, Utah, Соединенные Штаты, 84095
      • West Jordan, Utah, Соединенные Штаты, 84088
    • Virginia
      • Burke, Virginia, Соединенные Штаты, 22015
      • Charlottesville, Virginia, Соединенные Штаты, 22902

Критерии участия

Исследователи ищут людей, которые соответствуют определенному описанию, называемому критериям приемлемости. Некоторыми примерами этих критериев являются общее состояние здоровья человека или предшествующее лечение.

Критерии приемлемости

Возраст, подходящий для обучения

От 4 года до 18 лет (Ребенок, Взрослый)

Принимает здоровых добровольцев

Да

Полы, имеющие право на обучение

Все

Описание

Inclusion Criteria:

  1. Male or female aged 4 years to less than 18 years of age.
  2. Individual who had a parent or guardian who could give written informed consent after understanding the nature of the study and comply with study procedures and were available for follow-up.
  3. If the individual was of an age where, according to local regulations, informed assent is required, that individual had provided assent to participate in the study.

Exclusion Criteria:

  1. Individuals recently vaccinated against influenza
  2. Subjects with contraindications to receive influenza vaccine

Учебный план

В этом разделе представлена ​​подробная информация о плане исследования, в том числе о том, как планируется исследование и что оно измеряет.

Как устроено исследование?

Детали дизайна

  • Основная цель: Профилактика
  • Распределение: Рандомизированный
  • Интервенционная модель: Параллельное назначение
  • Маскировка: Тройной

Оружие и интервенции

Группа участников / Армия
Вмешательство/лечение
Экспериментальный: QIVc (≥4 to <18 years)
Subjects received one or two doses of QIVc-Quadrivalent Cell-based Influenza Vaccine recommended for 2013-2014 season
Биологический: QIVc
Novartis Investigational Quadrivalent Vaccine
Активный компаратор: TIV1c (≥4 to <18 years)
Subjects received one or two doses of TIV1c (Trivalent Inactivated Cell-based Influenza Vaccine containing one strain from B lineage ("B1" strain) recommended for 2013-2014 season
Биологический: TIV1c
Licensed Influenza Vaccine
Активный компаратор: TIV2c (≥4 to <18 years)
Subjects received one or two doses of TIV2c (Trivalent Inactivated Cell-based Influenza Vaccine containing B strain from the alternate lineage ("B2" strain) recommended for 2013-2014
Биологический: TIV2c
Novartis Investigational Vaccine

Что измеряет исследование?

Первичные показатели результатов

Мера результата
Мера Описание
Временное ограничение
Geometric Mean Titre (GMT) in Subjects After Receiving One or Two Doses of Either QIVc, TIV1c or TIV2c
Временное ограничение: Day 1,Three weeks post vaccination (Day 22 for previously vaccinated and Day 50 for Not previously vaccinated subjects)

Immunogenicity of QIVc to comparator TIV1c (For A/H1N1, A/H3N2 and B1 strain, the comparison was between QIVc and TIV1c and for B2 i.e. alternate B strain, the comparison was between QIVc and TIV2c) was assessed in terms of GMT in subjects (Previously vaccinated and Not previously vaccinated) measured by hemagglutination inhibition (HI) assay, three weeks after last vaccination with one or two doses of either QIVc, TIV1c or TIV2c.

Non-inferiority was established if the upper bound of the two-sided 95% confidence interval (CI) for the ratio of GMTs (GMT TIV1c or TIV2c /GMT QIVc) for HI antibody does not exceed the non-inferiority margin of 1.5.
Day 1,Three weeks post vaccination (Day 22 for previously vaccinated and Day 50 for Not previously vaccinated subjects)
Percentages of Subjects Achieving Seroconversion After One or Two Doses of Either QIVc, TIV1c or TIV2c
Временное ограничение: Three weeks post vaccination (Day 22 for previously vaccinated and Day 50 for Not previously vaccinated subjects)
Immunogenicity of QIVc to comparator TIVc (For A/H1N1, A/H3N2 and B1 strain, the comparison was between QIVc and TIV1c and for B2 i.e. alternate B strain, the comparison was between QIVc and TIV2c) was assessed in terms of number (%) of subjects (Previously vaccinated and Not previously vaccinated) showing seroconversion or significant increase (at least a 4-fold increase in HI titer in subjects seropositive at baseline [i.e., HI titer ≥1:10 at Day 1] ) in HI antibody titers, three weeks after last vaccination with one or two doses of either QIVc, TIV1c or TIV2c Seroconversion was defined in subjects seronegative at baseline (i.e., HI titer <1:10 at Day 1) as postvaccination HI titer ≥1:40, and defined in subjects seropositive at baseline (i.e., HI titer ≥1:10 at Day 1) as a minimum of a 4-fold increase in post-vaccination HI titer.
Three weeks post vaccination (Day 22 for previously vaccinated and Day 50 for Not previously vaccinated subjects)

Вторичные показатели результатов

Мера результата
Мера Описание
Временное ограничение
Percentages of Subjects Achieving Seroconversion After One or Two Doses of Either QIVc, TIV1c or TIV2c in ≥4 to <18 Years
Временное ограничение: Three weeks post vaccination (Day 22 for previously vaccinated and Day 50 for Not previously vaccinated subjects)

Immunogenicity was assessed in terms of number (%) of subjects (Previously vaccinated and Not previously vaccinated) showing seroconversion or significant increase in HI antibody titers, three weeks after last vaccination with one or two doses of either QIVc, TIV1c or TIV2c For A/H1N1, A/H3N2 and B1 strain, the comparison was between QIVc and TIV1c and for B2 i.e. alternate B strain, the comparison was between QIVc and TIV2c Seroconversion was defined in subjects seronegative at baseline (i.e., HI titer <1:10 at Day 1) as postvaccination HI titer ≥1:40, and defined in subjects seropositive at baseline (i.e., HI titer ≥1:10 at Day 1) as a minimum of a 4-fold increase in post-vaccination HI titer.

The Center for Biologics Evaluation, Research, and Review (CBER) criterion for an adult population is that the lower bound of the two-sided 95% CI for the percentage of subjects achieving seroconversion for HI antibody should meet or exceed 40%
Three weeks post vaccination (Day 22 for previously vaccinated and Day 50 for Not previously vaccinated subjects)
Percentages of Subjects Achieving HI Titer ≥1:40 After One or Two Doses of Either QIVc, TIV1c or TIV2c in ≥4 to <18 Years
Временное ограничение: Day 1, Three weeks post vaccination (Day 22 for previously vaccinated and Day 50 for Not previously vaccinated subjects)

Immunogenicity was assessed in terms of number (%) of subjects (Previously vaccinated and Not previously vaccinated) showing HI titer ≥1:40, three weeks after last vaccination with one or two doses of either QIVc, TIV1c or TIV2c For A/H1N1, A/H3N2 and B1 strain, the comparison was between QIVc and TIV1c and for B2 i.e. alternate B strain, the comparison was between QIVc and TIV2c.

The CBER criterion for adult population was that the lower bound of the two-sided 95% CI for the percentage of subjects achieving an HI antibody titer ≥1:40 should meet or exceed 70%
Day 1, Three weeks post vaccination (Day 22 for previously vaccinated and Day 50 for Not previously vaccinated subjects)
Percentages of Subjects Achieving Seroconversion After One or Two Doses of Either QIVc, TIV1c or TIV2c in ≥4 to <18 Years
Временное ограничение: Three weeks post vaccination (Day 22 for previously vaccinated and Day 50 for Not previously vaccinated subjects)
Immunogenicity was assessed in terms of number (%) of subjects (Previously vaccinated and Not previously vaccinated) showing seroconversion or significant increase in HI antibody titers, three weeks after last vaccination with one or two doses of either QIVc, TIV1c or TIV2c For A/H1N1, A/H3N2 and B1 strain, the comparison was between QIVc and TIV1c and for B2 i.e. alternate B strain, the comparison was between QIVc and TIV2c Seroconversion was defined in subjects seronegative at baseline (i.e., HI titer <1:10 at Day 1) as postvaccination HI titer ≥1:40, and defined in subjects seropositive at baseline (i.e., HI titer ≥1:10 at Day 1) as a minimum of a 4-fold increase in post-vaccination HI titer.
Three weeks post vaccination (Day 22 for previously vaccinated and Day 50 for Not previously vaccinated subjects)
Percentages of Subjects Achieving HI Titer ≥1:40 After One or Two Doses of Either QIVc, TIV1c or TIV2c in ≥4 to <18 Years
Временное ограничение: Day 1, Three weeks post vaccination (Day 22 for previously vaccinated and Day 50 for Not previously vaccinated subjects)
Immunogenicity was assessed in terms of number (%) of subjects (Previously vaccinated and Not previously vaccinated) showing HI titer ≥1:40, three weeks after last vaccination with one or two doses of either QIVc, TIV1c or TIV2c For A/H1N1, A/H3N2 and B1 strain, the comparison was between QIVc and TIV1c and for B2 i.e. alternate B strain, the comparison was between QIVc and TIV2c The Committee for Medicinal Products for Human Use (CHMP) criterion for an adult population was that the percentage of subjects achieving an HI titer ≥1:40 is >70%
Day 1, Three weeks post vaccination (Day 22 for previously vaccinated and Day 50 for Not previously vaccinated subjects)
Geometric Mean Ratios (GMR) in Subjects After One or Two Doses of Either QIVc, TIV1c or TIV2c in ≥4 to <18 Years Age
Временное ограничение: Three weeks post vaccination (Day 22 for previously vaccinated and Day 50 for Not previously vaccinated subjects)
Immunogenicity was measured in subjects (Previously vaccinated and Not previously vaccinated) as the geometric mean ratio (GMR). The ratio of postvaccination to prevaccination HI GMTs, three weeks after last vaccination with one or two doses of either QIVc, TIV1c or TIV2c .For A/H1N1, A/H3N2 and B1 strain, the comparison was between QIVc and TIV1c and for B2 i.e. alternate B strain, the comparison was between QIVc and TIV2c The CHMP criterion for GMR in adult population is >2.5
Three weeks post vaccination (Day 22 for previously vaccinated and Day 50 for Not previously vaccinated subjects)
GMT in Subjects After Receiving One or Two Doses of Either QIVc, TIV1c Against B2 Strain
Временное ограничение: Day 1, Three weeks post vaccination (Day 22 for previously vaccinated and Day 50 for Not previously vaccinated subjects)

Immunogenicity of QIVc to comparator TIV1c was assessed in terms of GMT in subjects (Previously vaccinated and Not previously vaccinated) measured by HI assay, three weeks after last vaccination with one or two doses of either QIVc or TIV1c.

Superiority was established if the upper bound of the two-sided 95% CI for the ratio of GMTs (GMT TIV1c /GMT QIVc) for HI antibody did not exceed the superiority margin of 1
Day 1, Three weeks post vaccination (Day 22 for previously vaccinated and Day 50 for Not previously vaccinated subjects)
Percentages of Subjects Achieving Seroconversion Against B2 Strain After One or Two Doses of Either QIVc or TIV1c
Временное ограничение: Three weeks post vaccination (Day 22 for previously vaccinated and Day 50 for Not previously vaccinated subjects)

Immunogenicity of QIVc to comparator TIV1c in terms of number (%) of subjects (Previously vaccinated and Not previously vaccinated) showing seroconversion or significant increase in HI antibody titers, against influenza strain B2, three weeks after last vaccination with QIVc or TIV1c.

Superiority criterion was established if the upper bound of the two-sided 95% CI for the difference between seroconversion rates (% seroconversion TIV1c - % seroconversion QIVc) for HI antibody does not exceed the margin of 0 points
Three weeks post vaccination (Day 22 for previously vaccinated and Day 50 for Not previously vaccinated subjects)
GMT in Subjects After Receiving One or Two Doses of Either QIVc,TIV2c Against B1 Strain
Временное ограничение: Day 1, Three weeks post vaccination (Day 22 for previously vaccinated and Day 50 for Not previously vaccinated subjects)

Immunogenicity of QIVc to comparator TIV2c was assessed in terms of GMT in subjects (Previously vaccinated and Not previously vaccinated) measured by HI assay, three weeks after last vaccination with one or two doses of either QIVc or TIV2c.

Superiority was established if the upper bound of the two-sided 95% CI for the ratio of GMTs (GMT TIV2c /GMT QIVc) for HI antibody does not exceed the superiority margin of 1
Day 1, Three weeks post vaccination (Day 22 for previously vaccinated and Day 50 for Not previously vaccinated subjects)
Percentages of Subjects Achieving Seroconversion After One or Two Doses of Either QIVc or TIV2c
Временное ограничение: Three weeks post vaccination (Day 22 for previously vaccinated and Day 50 for Not previously vaccinated subjects)

Immunogenicity of QIVc to comparator TIV2c in terms of number (%) of subjects (Previously vaccinated and Not previously vaccinated) showing seroconversion or significant increase in HI antibody titers, against influenza strain B1, three weeks after last vaccination with QIVc or TIV2c.

Superiority was established if the upper bound of the two-sided 95% CI for the difference between seroconversion rates (% seroconversion TIV2c - % seroconversion QIVc) for HI antibody does not exceed the margin of 0 points
Three weeks post vaccination (Day 22 for previously vaccinated and Day 50 for Not previously vaccinated subjects)
Number of Subjects Reporting Solicited Adverse Events (AEs) After One or Two Doses of Either QIVc, TIV1c or TIV2c by Age Sub-strata
Временное ограничение: Day 1 to 7 after last vaccination
Safety was assessed in terms of number of subjects (Previously vaccinated and Not previously vaccinated) reporting solicited local and systemic reactions, day 1 to 7 after last vaccination with one or two doses of either QIVc, TIV1c or TIV2c.For A/H1N1, A/H3N2 and B1 strain, the comparison was between QIVc and TIV1c and for B2 i.e. alternate B strain, the comparison is between QIVc and TIV2c.
Day 1 to 7 after last vaccination
Number of Subjects Reporting Unsolicited AEs After One or Two Doses of Either QIVc, TIV1c or TIV2c by Overall Age Group
Временное ограничение: Day 1 to 210 post vaccination
Safety was assessed in terms of number of subjects (Previously vaccinated and Not previously vaccinated) reporting unsolicited AEs (day 1 to 22 for Previously vaccinated and day 1 to day 50 for Not previously vaccinated subjects), serious adverse events (SAEs), medically attended AEs, AEs leading to withdrawal from the study, new onset of chronic diseases (NOCDs), and concomitant medications (day 1 to day 181 for Previously vaccinated and day 1 to day 210 for Not previously vaccinated subjects) after receiving one or two doses of either QIVc, TIV1c or TIV2c. For A/H1N1, A/H3N2 and B1 strain, the comparison is between QIVc and TIV1c and for B2 i.e. alternate B strain, the comparison was between QIVc and TIV2c.
Day 1 to 210 post vaccination

Соавторы и исследователи

Здесь вы найдете людей и организации, участвующие в этом исследовании.

Спонсор

Novartis Vaccines

Публикации и полезные ссылки

Лицо, ответственное за внесение сведений об исследовании, добровольно предоставляет эти публикации. Это может быть что угодно, связанное с исследованием.

Общие публикации

Даты записи исследования

Эти даты отслеживают ход отправки отчетов об исследованиях и сводных результатов на сайт ClinicalTrials.gov. Записи исследований и сообщаемые результаты проверяются Национальной медицинской библиотекой (NLM), чтобы убедиться, что они соответствуют определенным стандартам контроля качества, прежде чем публиковать их на общедоступном веб-сайте.

Изучение основных дат

Начало исследования

1 ноября 2013 г.

Первичное завершение (Действительный)

1 августа 2014 г.

Завершение исследования (Действительный)

1 августа 2014 г.

Даты регистрации исследования

Первый отправленный

7 ноября 2013 г.

Впервые представлено, что соответствует критериям контроля качества

18 ноября 2013 г.

Первый опубликованный (Оценивать)

25 ноября 2013 г.

Обновления учебных записей

Последнее опубликованное обновление (Оценивать)

8 декабря 2015 г.

Последнее отправленное обновление, отвечающее критериям контроля качества

2 ноября 2015 г.

Последняя проверка

1 ноября 2015 г.

Дополнительная информация

Термины, связанные с этим исследованием

Ключевые слова

Дополнительные соответствующие термины MeSH

Другие идентификационные номера исследования

  • V130_03

Эта информация была получена непосредственно с веб-сайта clinicaltrials.gov без каких-либо изменений. Если у вас есть запросы на изменение, удаление или обновление сведений об исследовании, обращайтесь по адресу register@clinicaltrials.gov. Как только изменение будет реализовано на clinicaltrials.gov, оно будет автоматически обновлено и на нашем веб-сайте. .

Клинические исследования Грипп

  • QIAGEN Gaithersburg, Inc
    Завершенный
    Сбор и тестирование респираторных образцов
    Респираторно-синцитиальные вирусные инфекции | Грипп А | Риновирус | Грипп В | Расширенная панель QIAGEN ResPlex II | Инфекция, вызванная вирусом парагриппа человека 1 | Парагрипп Тип 2 | Парагрипп 3 типа | Парагрипп 4 типа | Метапневмовирус человека A/B | Вирус Коксаки/Эховирус | Аденовирусы типов B/C/E | Подтипы... и другие заболевания
    Соединенные Штаты

Клинические исследования QIVc

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CROs by country

CROs in Dominican Republic

Заболевания

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Медикаментозные вмешательства

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