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Phase 3 N=2,044 Randomized Quadruple-blind Prevention

A Clinical Study to Evaluate the Immunogenicity and Safety of an Adjuvanted Quadrivalent Influenza Vaccine Compared With a Licensed Quadrivalent Vaccine in Adults 50 to 64 Years of Age

Influenza, Human

Enrolled (actual)
2,044
Serious AEs
3.0%
Results posted
Sep 2023
Primary outcome: Primary: Immunogenicity Endpoint: Geometric Mean Titer (GMT) and GMT Ratio of Hemagglutination Inhibition (HI) Antibodies at Day 22 for the A/H1N1, A/H3N2, B/Yamagata, and B/Victoria Vaccine Strains — 731.90; 586.85; 347.89; 313.16 Titer

Study Design & Population

Study type
Interventional
Phase
Phase 3
Interventions
aQIV (Biological); Comparator QIV (Biological)
Age
Adult · 50+ yrs
Sex
All
Sponsor
Seqirus
Primary completion
Jan 2022

Outcome Measures

OutcomeResultp-value
PRIMARY
Immunogenicity Endpoint: Geometric Mean Titer (GMT) and GMT Ratio of Hemagglutination Inhibition (HI) Antibodies at Day 22 for the A/H1N1, A/H3N2, B/Yamagata, and B/Victoria Vaccine Strains
731.90; 586.85; 347.89; 313.16; 154.40; 145.74
PRIMARY
Immunogenicity Endpoint: Seroconversion Rate (SCR) and SCR Difference for the A/H1N1, A/H3N2, B/Yamagata, and B/Victoria Vaccine Strains
81.2; 76.8; 63.6; 61.8; 43.4; 41.0
PRIMARY
Immunogenicity Endpoint: GMT and GMT Ratio of HI Antibodies at Day 22 for the A/H1N1, A/H3N2, B/Yamagata, and B/Victoria Vaccine Strains
729.17; 589.07; 347.09; 315.69; 155.19; 146.89
SECONDARY
Immunogenicity Endpoint: GMT and GMT Ratio of HI Antibodies at Day 181 for the A/H1N1, A/H3N2, B/Yamagata, and B/Victoria Vaccine Strains
351.73; 306.11; 165.17; 157.34; 83.42; 84.53
SECONDARY
Immunogenicity Endpoint: GMT of HI Antibodies on Day 1, Day 22, and Day 181 for the A/H1N1, A/H3N2, B/Yamagata, and B/Victoria Vaccine Strains
54.37; 50.41; 708.36; 553.70; 330.76; 276.24
SECONDARY
Immunogenicity Endpoint: Geometric Mean Fold Increase (GMFI) for Day 22/Day 1 and Day 181/Day 1 for the A/H1N1, A/H3N2, B/Yamagata, and B/Victoria Vaccine Strains
13.07; 11.00; 6.22; 5.47; 7.09; 6.31
SECONDARY
Immunogenicity Endpoint: The Percentage of Subjects With a Titer ≥1:40 at Day 1, Day 22, and Day 181 for the A/H1N1, A/H3N2, B/Yamagata, and B/Victoria Vaccine Strains
65.2; 64.2; 99.7; 99.2; 98.2; 96.3
SECONDARY
Immunogenicity Endpoint: SCR at Day 22 and Day 181 for the A/H1N1, A/H3N2, B/Yamagata, and B/Victoria Vaccine Strains
80.8; 77.1; 64.5; 56.1; 63.4; 61.8
SECONDARY
Safety Endpoint: Solicited Local and Systemic AEs for 7 Days Following Vaccination
672; 541; 508; 306; 462; 403
SECONDARY
Safety Endpoint: All Unsolicited AEs for 21 Days Following Vaccination
169; 172; 116; 115; 51; 50
SECONDARY
Safety Endpoint: Serious Adverse Events (SAEs), Adverse Events (AEs) Leading to Withdrawal From the Study, and Adverse Events of Special Interest (AESIs)
31; 31; 0; 1; 0; 1

Summary

This Phase 3 study is a randomized, observer-blind immunogenicity and safety study of aQIV (an MF59-adjuvanted quadrivalent influenza vaccine) compared with a licensed quadrivalent influenza vaccine in adults 50 to 64 years of age.

Eligibility Criteria

Inclusion Criteria

In order to participate in this study, all subjects must meet ALL of the following inclusion criteria:

  • Individuals 50 to 64 years of age (i.e. 50 to ≤64 years) on the day of informed consent
  • Individuals who have voluntarily given written consent after the nature of the study has been explained according to local regulatory requirements, prior to study entry
  • Individuals who can comply with study procedures including follow-up
  • Males, females of non-childbearing potential or females of childbearing potential who are using an effective birth control method, at least 30 days prior to informed consent, which they intend to use for at least 2 months after the study vaccination

Exclusion Criteria

In order to participate in this study, all subjects must not meet ANY of the exclusion criteria described below:

  • Females of childbearing potential who are pregnant, lactating, or who have not adhered to a specified set of contraceptive methods from at least 30 days prior to study entry and who do not plan to do so until 2 months after the study vaccination
  • Progressive, unstable or uncontrolled clinical conditions
  • Hypersensitivity, including allergy, to any component of vaccines, medicinal products or medical equipment whose use is foreseen in this study
  • History of any medical condition considered an AESI
  • Known history of Guillain Barré syndrome or another demyelinating disease such as encephalomyelitis and transverse myelitis
  • Clinical conditions representing a contraindication to intramuscular vaccination and blood draws
  • Abnormal function of the immune system resulting from:
  • Clinical conditions
  • Systemic administration of corticosteroids (PO/IV/IM) at a dose equivalent to ≥20 mg/day of prednisone for more than 14 consecutive days within 90 days prior to informed consent. Topical, inhaled and intranasal corticosteroids are permitted. Intermittent use (one dose in 30 days) of intra-articular corticosteroids is also permitted
  • Administration of antineoplastic and immunomodulating agents or radiotherapy within 90 days prior to informed consent
  • Received immunoglobulins or any blood products within 180 days prior to informed consent
  • Received an investigational or non-registered medicinal product within 30 days prior to informed consent, or who are unwilling to refuse participation in another clinical study at any time during the conduct of this study (notes: i. concomitant participation in a study not involving or no longer involving administration of drugs, vaccines, or medical devices, is acceptable (e.g. studies in safety follow-up phase, observational studies); ii. concomitant participation in a COVID-19 vaccine study is acceptable provided that the vaccine dosing interval mentioned in Exclusion Criterion #11 is adhered to)
  • Receipt of any influenza vaccine within 6 months prior to enrollment in this study, or plan to receive influenza vaccine during the study period
  • Receipt of any (investigational or licensed) COVID-19 vaccine within 14 days (non-replicating vaccines) or 28 days (replicating vaccines) prior to enrollment or plan to receive any COVID-19 vaccine within 7 days from study vaccination
  • Receipt of any inactivated non-influenza vaccine within 14 days or live-attenuated vaccine within 28 days prior to enrollment in this study or plan to receive any other non-influenza vaccine within 28 days from study vaccination
  • Acute (severe) febrile illness
  • Any other clinical condition that, in the opinion of the investigator, might interfere with the results of the study or pose additional risk to the subject due to participation in the study
  • Study personnel or immediate family members or household member of study personnel
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT05044195). 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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