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A Clinical Study to Evaluate the Efficacy, Safety and Immunogenicity of an Adjuvanted Influenza Vaccine Compared to a Non-adjuvanted Influenza Vaccine in Adults ≥65 Years of Age

Phase 3
Active, not recruiting
Conditions
Influenza, Human
Interventions
Biological: QIV or TIV
Biological: aQIV or aTIV
Registration Number
NCT06087640
Lead Sponsor
Seqirus
Brief Summary

This Phase 3 study is a randomized, observer-blind study of MF59-adjuvanted influenza vaccine (aQIV or aTIV) compared with a non-adjuvanted influenza vaccine (QIV or TIV) in adults ≥65 years of age. The aim of the study is to evaluate MF59-adjuvanted influenza vaccine compared with non-adjuvanted influenza vaccine in the prevention of reverse transcription-polymerase chain reaction (RT-PCR)-confirmed influenza A and/or B in subjects ≥65 years of age.

Detailed Description

Not available

Recruitment & Eligibility

Status
ACTIVE_NOT_RECRUITING
Sex
All
Target Recruitment
35800
Inclusion Criteria

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

  1. Adults of ≥65 years of age on the day of vaccination.
  2. Individuals who have voluntarily given written informed consent after the nature of the study has been explained according to local regulatory requirements, prior to study entry.
  3. Individuals who have the ability to comply with study procedures including follow-up.
Exclusion Criteria

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

  1. Bedridden subjects (i.e. confined to bed by sickness or old age).

  2. Subjects that are incapacitated and because of that in need of a Legally Authorized Representative.

  3. Receipt of any influenza vaccine within 6 months prior to enrollment or any plan to receive influenza vaccine while participating in the study.

  4. Hypersensitivity, including allergy, to any component of vaccines whose use is foreseen in this study, or severe allergic reaction (e.g. anaphylaxis) to previous influenza vaccination.

  5. Known history of Guillain-Barré syndrome or another demyelinating disease such as encephalomyelitis and transverse myelitis.

  6. Clinical conditions representing a contra-indication to intramuscular administration of vaccines or blood draw.

  7. Abnormal function of the immune system resulting from:

    1. Clinical conditions;
    2. Systemic administration of corticosteroids (PO/IV/IM) at a dose ≥20 mg/day of prednisone (or equivalent) 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 are also permitted;
    3. Administration of antineoplastic and immunomodulating agents or radiotherapy within 90 days prior to informed consent.
  8. Receipt of immunoglobulins or any blood products within 180 days prior to informed consent.

  9. Receipt of any investigational or non-registered product (drug or vaccine) other than the study vaccine within 30 days preceding the study vaccination, or planned use during the entire study period.

  10. Acute (severe) febrile illness.

  11. 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.

  12. Study personnel or immediate family members (brother, sister, child, parent) or the spouse of study personnel.

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Non-adjuvanted influenza vaccineQIV or TIVNon-adjuvanted QIV containing 2 influenza type A strains and 2 influenza type B strains or Non-adjuvanted TIV containing 2 influenza type A strains and 1 influenza type B strain
MF59-adjuvanted influenza vaccineaQIV or aTIVMF59-adjuvanted QIV containing 2 influenza type A strains and 2 influenza type B strains or MF59-adjuvanted TIV containing 2 influenza type A strains and 1 influenza type B strain
Primary Outcome Measures
NameTimeMethod
Efficacy Endpoint: First-occurrence of RT-PCR-confirmed influenza, due to any influenza Type A and/or B virus (regardless of antigenic match), using the protocol-defined ILI definitionFrom 14 days after vaccination (ie study day 15) and until the end of influenza season (typically end of May for Northern Hemisphere [NH] influenza season and end of November for Southern Hemisphere [SH] influenza season)

ILI = influenza-like illness; RT-PCR = reverse transcription-polymerase chain reaction

Secondary Outcome Measures
NameTimeMethod
Efficacy Endpoint: First-occurrence of influenza, due to influenza Type A and/or B virus antigenically matched to the vaccine strains selected for the seasonal vaccine, using the protocol-defined ILI definitionFrom 14 days after vaccination (ie study day 15) and until the end of influenza season (typically end of May for NH influenza season and end of November for SH influenza season)
Efficacy Endpoint: First-occurrence of culture-confirmed influenza, due to any influenza Type A and/or B virus (regardless of antigenic match), using the protocol-defined ILI definitionFrom 14 days after vaccination (ie study day 15) and until the end of influenza season (typically end of May for NH influenza season and end of November for SH influenza season)
Immunogenicity Endpoint: GMT ratios (adjuvanted/non-adjuvanted) at Day 1 and Day 22 for the A/H1N1, A/H3N2, B/Yamagata, and B/Victoria vaccine strainsDay 1 and Day 22
Immunogenicity Endpoint: Percentage of subjects achieving seroconversion for the A/H1N1, A/H3N2, B/Yamagata, and B/Victoria vaccine strainsDay 1 and Day 22

Seroconversion is defined as the percentage of subjects with either a pre-vaccination titer \<1:10 and a post-vaccination titer ≥1:40 or a pre-vaccination titer ≥1:10 and a ≥4-fold increase in post-vaccination titer.

Safety Endpoint: All adverse events (AEs) reported within 30 minutes after vaccinationDay 1
Efficacy Endpoint: First-occurrence of RT-PCR-confirmed influenza, due to any influenza Type A and/or B virus (regardless of antigenic match), using the modified CDC ILI definitionFrom 14 days after vaccination (ie study day 15) and until the end of influenza season (typically end of May for NH influenza season and end of November for SH influenza season)

CDC = Centers for Disease Control and Prevention

Immunogenicity Endpoint: Pre- and post-vaccination hemagglutination inhibition (HI) geometric mean titers (GMTs) for the A/H1N1, A/H3N2, B/Yamagata, and B/Victoria vaccine strainsDay 1 and Day 22
Efficacy Endpoint: First-occurrence of RT-PCR-confirmed influenza, due to any influenza Type A and/or B virus (regardless of antigenic match), using the WHO ILI definitionFrom 14 days after vaccination (ie study day 15) and until the end of influenza season (typically end of May for NH influenza season and end of November for SH influenza season)

WHO = World Health Organization

Efficacy Endpoint: First-occurrence of influenza, due to influenza Type A and/or B virus antigenically unmatched to the vaccine strains selected for the seasonal vaccine, using the protocol-defined ILI definitionFrom 14 days after vaccination (ie study day 15) and until the end of influenza season (typically end of May for NH influenza season and end of November for SH influenza season)
Immunogenicity Endpoint: Geometric mean fold increase (GMFI, Day 22/Day1) for the A/H1N1, A/H3N2, B/Yamagata, and B/Victoria vaccine strainsDay 1 and Day 22
Immunogenicity Endpoint: Percentage of subjects with HI titer ≥1:40 for the A/H1N1, A/H3N2, B/Yamagata, and B/Victoria vaccine strainsDay 1 and Day 22
Safety Endpoint: Serious adverse events (SAEs) reported during the entire study periodDay 1 to Day 181 or the end of the influenza season, whichever is longer
Safety Endpoint: AEs leading to premature withdrawal from the study during the entire study periodDay 1 to Day 181 or the end of the influenza season, whichever is longer
Safety Endpoint: Adverse events of special interest (AESIs) reported during the entire study periodDay 1 to Day 181 or the end of the influenza season, whichever is longer

Trial Locations

Locations (114)

10007-Medical Center Hera EOOD

🇧🇬

Montana, Bulgaria

10016-Medical Center 1 - Sevlievo EOOD

🇧🇬

Sevlievo, Bulgaria

10023-DCC-1 Sliven

🇧🇬

Sliven, Bulgaria

10006-DCC 22 - Sofia

🇧🇬

Sofia, Bulgaria

10015-Medical Center Hera - Pulmonology Office

🇧🇬

Sofia, Bulgaria

10021-Medical Center Intermedica

🇧🇬

Sofia, Bulgaria

10028-Medical Center Excelsior OOD

🇧🇬

Sofia, Bulgaria

20307-CCR Brno s.r.o.

🇨🇿

Brno, Czechia

20310-MUDr. Jakub Strincl, s.r.o.

🇨🇿

Liberec, Czechia

20309-CCR Ostrava, s.r.o.

🇨🇿

Ostrava, Czechia

20308-MUDr. Jakub Strincl, s.r.o.

🇨🇿

Protivin, Czechia

20312-MEDISON s.r.o.

🇨🇿

Přeštice, Czechia

61616-MTZ Clinical Research

🇵🇱

Warsaw, Poland

61605-RCMed Oddział Warszawa

🇵🇱

Warszawa, Poland

61621-Futuremed Warszawa Centrum

🇵🇱

Warszawa, Poland

61617-Przychodnia FutureMeds Wroclaw

🇵🇱

Wrocław, Poland

61623-KOMED Nova Zamosc

🇵🇱

Zamość, Poland

61618-Centrum Medyczne AMED Oddzial w Lodzi

🇵🇱

Łódź, Poland

64210-Sana Monitoring

🇷🇴

Bucuresti, Romania

64208-Spitalul Municipal Caracal

🇷🇴

Caracal, Romania

64204-Ames Research Center

🇷🇴

Călăraşi, Romania

64209-Clintrial Medical Center

🇷🇴

Reșca, Romania

64211-Nova-Clin Medical Research Center

🇷🇴

Timişoara, Romania

71007-Josha Research Center

🇿🇦

Bloemfontein, South Africa

71011-University of Cape Town Lung Institute

🇿🇦

Cape Town, South Africa

71014-TREAD Research

🇿🇦

Cape Town, South Africa

71015-Tiervlei Trial Centre

🇿🇦

Cape Town, South Africa

71001-Ubuntuclinical Research (Krugersdorp)

🇿🇦

Krugersdorp, South Africa

71005-Be Part Research

🇿🇦

Paarl, South Africa

71003-Limpopo Clinical Research Initiative

🇿🇦

Thabazimbi, South Africa

72402-EAP Vic - CAP El Remei

🇪🇸

Barcelona, Spain

72407-Futurmeds Spain Cadiz

🇪🇸

Cadiz, Spain

72405-Futuremeds Spain Madrid

🇪🇸

Madrid, Spain

05605-AZ Sint-Jan Brugge-Oostende - Campus Sint-Jan

🇧🇪

Brugge, Belgium

05602-Universitair Ziekenhuis Gent

🇧🇪

Gent, Belgium

05603-Medif BVBA

🇧🇪

Gozée, Belgium

05601-Jan Yperman Ziekenhuis

🇧🇪

Ypres, Belgium

10005-MHAT Dr. Tota Venkova

🇧🇬

Gabrovo, Bulgaria

10018-Medical Center - Zdrave-1

🇧🇬

Kozloduy, Bulgaria

10029-Medical Centre Leo Clinic EOOD

🇧🇬

Lovech, Bulgaria

61620-KOMED Nova Pulawy

🇵🇱

Puławy, Poland

61614-KO-MED Centra Kliniczne Staszow

🇵🇱

Staszów, Poland

60808-CT CARE Group

🇵🇭

Dasmariñas, Philippines

60801-Davao Doctors Hospital

🇵🇭

Davao City, Philippines

60802-West Visayas State University Medical Center

🇵🇭

Iloilo City, Philippines

41002-Korea University Ansan Hospital

🇰🇷

Ansan, Korea, Republic of

60815-St Paul's Hospital Iloilo

🇵🇭

Iloilo City, Philippines

41001-Inha University Hospital

🇰🇷

Incheon, Korea, Republic of

60816-St Paul's Hospital Iloilo

🇵🇭

Iloilo City, Philippines

60803-Philippine General Hospital

🇵🇭

Manila, Philippines

60811-Philippine General Hospital

🇵🇭

Manila, Philippines

41004-Hallym University Kangnam Sacred Heart Hospital

🇰🇷

Seoul, Korea, Republic of

60814-Manila Doctors Hospital

🇵🇭

Manila, Philippines

41005-Korea University Guro Hospital

🇰🇷

Seoul, Korea, Republic of

41003-Ajou University Hospital

🇰🇷

Suwon, Korea, Republic of

60805-San Juan de Dios Hospital

🇵🇭

Pasay, Philippines

44004-JSC InMedica

🇱🇹

Kaunas, Lithuania

60806-Quirino Memorial Medical Center

🇵🇭

Quezon City, Philippines

60817-Silang Specialist Medical Center

🇵🇭

Silang, Philippines

61615-ETG Warszawa

🇵🇱

Warsaw, Poland

26803-UNIMED Adjara LTD - Batumi Referral Hospital

🇬🇪

Batumi, Georgia

61619-Krakowskie Centrum Medyczne Sp. z o.o

🇵🇱

Kraków, Poland

61622-KOMED Nova Lublin II

🇵🇱

Lublin, Poland

26801-LTD Hospital Service

🇬🇪

Kutaisi, Georgia

26802-Acad. G. Chapidze Emergency Cardiology Center

🇬🇪

Tbilisi, Georgia

26804-K. Eristavi National Center of Clinical Surgery

🇬🇪

Tbilisi, Georgia

38003-Policlinico Bari

🇮🇹

Bari, Italy

38001-PO A. Manzoni di Lecco, ASST Lecco

🇮🇹

Lecco, Italy

38004-Ospedale Fatebenefratelli e Oftalmico, ASST Fatebenefratelli Sacco

🇮🇹

Milano, Italy

10014-Multi-Profile Hospital For Active Treatment Dr. Stamen Iliev AD

🇧🇬

Montana, Bulgaria

10032-MHAT Zdrave

🇧🇬

Pazardzhik, Bulgaria

10019-MC Med Consult Pleven

🇧🇬

Pleven, Bulgaria

10022-Ambulatory Outpatient Medical Practice for First Patient Care Zaprin Pepelov

🇧🇬

Plovdiv, Bulgaria

10024-UMHAT Pulmed

🇧🇬

Plovdiv, Bulgaria

10026-Multiprofile Hospital for Active Treatment Sv. Panteleymon - Plovdiv

🇧🇬

Plovdiv, Bulgaria

10031-Medical Centre Pratia Clinic EOOD

🇧🇬

Plovdiv, Bulgaria

10004-Medical Center Prolet EOOD

🇧🇬

Ruse, Bulgaria

10012-Specialized Hospital For Active Treatment Of Pneumo-Phthisiatric Diseases Dr. Dimitar Gramatikov-Ruse EOOD

🇧🇬

Ruse, Bulgaria

10030-Diagnostic-Consultative Centre Ascendent EOOD

🇧🇬

Sofia, Bulgaria

10027-AIPPMP D-r Zhaneta Demireva

🇧🇬

Stamboliyski, Bulgaria

20305-Centrum ockovani a cestovni mediciny

🇨🇿

České Budějovice, Czechia

20306-ADMED, s.r.o.

🇨🇿

České Budějovice, Czechia

20311-Ordinace Hradebni s.r.o

🇨🇿

České Budějovice, Czechia

24603-Helsinki South Vaccine Research Clinic

🇫🇮

Helsinki, Finland

24602-Oulu Vaccine Research Clinic

🇫🇮

Oulu, Finland

24601-Tampere Vaccine Research Clinic

🇫🇮

Tampere, Finland

24604-Turku Vaccine Research Clinic

🇫🇮

Turku, Finland

44008-JSC Saulės Šeimos Medicinos Centras

🇱🇹

Kaunas, Lithuania

44009-Hospital of Lithuanian University of Health Sciences Kauno klinikos

🇱🇹

Kaunas, Lithuania

44010-InlitaJSC Santara CTC

🇱🇹

Vilnius, Lithuania

52802-Emotional Brain BV

🇳🇱

Almere, Netherlands

52804-Universitair Medisch Centrum (UMC) Utrecht - Julius Center for Health Sciences and Primary Care

🇳🇱

Utrecht, Netherlands

60812-Health Index Multispecialty and Lying-In Clinic

🇵🇭

Bacoor, Philippines

60804-St. Michael Family Hospital

🇵🇭

Bulacan, Philippines

60813-Norzel Medical and Diagnostic Clinic

🇵🇭

Cebu, Philippines

72404-Hospital Universitario Son Espases

🇪🇸

Palma de Mallorca, Spain

72403-Complexo Hospitalario Universitario De Santiago

🇪🇸

Santiago De Compostela, Spain

72406-Futuremeds Spain Sevilla

🇪🇸

Sevilla, Spain

72401-Hospital Povisa

🇪🇸

Vigo, Spain

15803-Taipei Medical University - Shuang Ho Hospital

🇨🇳

New Taipei City, Taiwan

15801-China Medical University Hospital

🇨🇳

Taichung, Taiwan

15802-National Cheng Kung University Hospital

🇨🇳

Tainan, Taiwan

15804-Taipei Medical University - Wanfang Hospital

🇨🇳

Taipei, Taiwan

15805-Taipei Medical University

🇨🇳

Taipei, Taiwan

79209-Hacettepe University Faculty of Medicine

🇹🇷

Ankara, Turkey

79207-Akdeniz University Faculty of Medicine

🇹🇷

Antalya, Turkey

79212-Dicle Universitesi Tip Fakultesi

🇹🇷

Diyarbakır, Turkey

79205-Goztepe Suleyman Yalcin City Hospital

🇹🇷

Istanbul, Turkey

791210-Dokuz Eylul University Faculty of Medicine

🇹🇷

İzmir, Turkey

79208-Izmir Dr. Suat Seren Pulmonary Hospital

🇹🇷

İzmir, Turkey

79213-Ege University Hospital

🇹🇷

İzmir, Turkey

79204 - Kocaeli University Faculty of Medicine

🇹🇷

Kocaeli, Turkey

79211-Karadeniz Technical University Faculty of Medicine

🇹🇷

Trabzon, Turkey

71601-Charles River Medical Group, Mutala Trust and Infectious Disease Research Laboratory

🇿🇼

Harare, Zimbabwe

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