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Phase 3 N=1,202 Randomized Quadruple-blind Other

Lot-to-lot Consistency of a Plant-Derived Quadrivalent Virus-Like Particles Influenza Vaccine in Healthy Adults

Virus Diseases · RNA Virus Infections · Respiratory Tract Infections · Respiratory Tract Disease · Influenza

Enrolled (actual)
1,202
Serious AEs
0.1%
Results posted
Aug 2023
Primary outcome: Primary: Geometric Mean Titers (GMTs) of Hemagglutination Inhibition (HI) Antibody Response for Each Homologous Influenza Strain — 603.7; 595.6; 630.6; 96.3 titers

Study Design & Population

Study type
Interventional
Phase
Phase 3
Interventions
Quadrivalent VLP Influenza Vaccine (Biological)
Age
Adult · 18+ yrs
Sex
All
Sponsor
Medicago
Primary completion
Dec 2017

Outcome Measures

OutcomeResultp-value
PRIMARY
Geometric Mean Titers (GMTs) of Hemagglutination Inhibition (HI) Antibody Response for Each Homologous Influenza Strain
603.7; 595.6; 630.6; 96.3; 103.0; 88.0
SECONDARY
Percentage of Participants With Seroconversion (SC) Measured by HI Antibody Response for Each Homologous Influenza Strain
73.3; 68.7; 73.1; 60.9; 63.2; 57.4
SECONDARY
Percentage of Participants With Seroprotection (SP) Measured by HI Antibody Response of for Each Homologous Influenza Strain
72.3; 76.5; 76.7; 96.1; 97.1; 98.7
SECONDARY
Geometric Mean of the Ratio of GMTs (Geometric Mean Fold Rise [GMFR]) of HI Antibody Response for Each Homologous Influenza Strain
8.55; 8.43; 8.93; 8.41; 8.99; 7.69
SECONDARY
Number of Participants With at Least One Immediate Complaint
96; 108; 106
SECONDARY
Number of Participants With at Least One Solicited Local and/or Systemic Reactions
314; 321; 321
SECONDARY
Number of Participants With ≥ Severe Solicited Local and Systemic Reaction
5; 11; 6
SECONDARY
Number of Participants With ≥ Severe Related Solicited Local and Systemic Reactions
3; 8; 3
SECONDARY
Number of Participants With Unsolicited Treatment-Emergent Adverse Events (TEAEs)
94; 92; 95
SECONDARY
Number of Participants With ≥ Severe Unsolicited TEAEs
4; 3; 2
SECONDARY
Number of Participants With ≥ Severe Related Unsolicited TEAEs
2; 0; 0
SECONDARY
Number of Participants With an Occurrence of Death
0; 0; 0
SECONDARY
Number of Participants With at Least One Serious TEAE
0; 1; 0
SECONDARY
Number of Participants With at Least One AE Leading to Withdrawal
0; 0; 0
SECONDARY
Number of Participants With at Least One New Onset Chronic Diseases (NOCDs)
0; 0; 0

Summary

This Phase 3 study is intended to assess the clinical lot-to-lot consistency in manufacturing by evaluating and comparing the immunogenicity of three consecutively manufactured lots of the Quadrivalent Virus-Like Particles (VLP) Influenza Vaccine, during the 2016-2017 influenza season, in healthy adults 18-49 years of age. A single dose of one of three consecutive lots of Quadrivalent VLP Influenza Vaccine (30 µg/strain) will be administered to 1,200 participants.

Eligibility Criteria

Inclusion Criteria

Participants must meet all of the following inclusion criteria to be eligible for participation in this study; no protocol waivers are allowed:

  • Participants must be considered by the Investigator to be reliable and likely to cooperate with the assessment procedures and be available for the duration of the study;
  • Participants have a body mass index (BMI) ≤ 40.0 kg/m^2 on Day 0 (pre-vaccination);
  • Participants must be in good general health prior to study participation with no clinically relevant abnormalities that could jeopardize participant safety or interfere with study assessments as assessed by the Principal Investigator or sub-Investigator (thereafter referred as Investigator) and determined by medical history, physical examination, and vital signs; Note: Participants with a pre-existing chronic disease will be allowed to participate if the disease is stable and, according to the Investigator's judgment, the condition is unlikely to confound the results of the study or pose additional risk to the participant by participating in the study. Stable disease is generally defined as no new onset or exacerbation of pre-existing chronic disease six months prior to vaccination. Based on the Investigator's judgment, a participant with a more recent stabilization of a disease could also be eligible.
  • Female participants must have a negative urine pregnancy test result at the Screening/Vaccination visit (Visit 1);
  • Female participants of childbearing potential must use an effective method of contraception for one month prior to vaccination and agree to continue employing adequate birth control measures for the duration of the study. Abstinent participants should be asked what method(s) they would use, should their circumstances change, and participants without a well-defined plan should be excluded. The following relationship or methods of contraception are considered to be effective:
  • Hormonal contraceptives (e.g. oral, injectable, topical [patch], or estrogenic vaginal ring);
  • Intra-uterine device with or without hormonal release;
  • Male partner using a condom plus spermicide or a sterilized partner (at least one year prior to vaccination);
  • Credible self-reported history of heterosexual vaginal intercourse abstinence until at least the Day 21 visit;
  • Female partner.
  • Non-childbearing females are defined as:
  • Surgically-sterile (defined as bilateral tubal ligation, hysterectomy, or bilateral oophorectomy performed more than one month prior to vaccination); or
  • Post-menopausal (absence of menses for 24 consecutive months and age consistent with natural cessation of ovulation).

Exclusion Criteria

Participants who meet any of the following criteria will be excluded from participating in this study; no protocol waivers are allowed:

  • According to the Investigator's opinion, history of significant acute or chronic, uncontrolled medical or neuropsychiatric illness. 'Uncontrolled' is defined as:
  • Requiring a new medical or surgical treatment during the six months prior to study vaccine administration unless the criteria outlined in inclusion criterion no. 3 can be met (i.e. the Investigator can justify inclusion based upon the innocuous nature of medical/surgical events and/or treatments);
  • Requiring any significant change in a chronic medication (i.e. drug, dose, frequency) during the three months prior to study vaccine administration due to uncontrolled symptoms or drug toxicity, unless the innocuous nature of the medication change meets the criteria outlined in inclusion criterion no. 5 and is appropriately justified by the Investigator.
  • Any medical or neuropsychiatric condition or any history of excessive alcohol use or drug abuse which, in the Investigator's opinion, would render the participant unable to provide informed consent or unable to provide valid safety observations and reporting;
  • Any autoimmune disease other than hypothyroidism with stable replacement therapy; or an
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT03321968). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.

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