MedPath

The Celljuvant Study: A Phase 3 Immunogenicity and Safety Study of aQIVc Vaccine in Adults Aged 50 Years and Older

Phase 3
Completed
Conditions
Influenza, Human
Interventions
Biological: Investigational aQIVc
Biological: licensed QIVr
Biological: licensed aQIV
Registration Number
NCT06015282
Lead Sponsor
Seqirus
Brief Summary

This is a Phase 3, randomized, parallel-group, comparator-controlled, observer-blind, multicenter study of immunogenicity and safety in approximately 7700 male and female adults aged 50 years and older (approximately equally split between two age groups: 50-64 years; 65 years and older), who are healthy or have stable comorbidities that increase their risk of complications from influenza infection. Three lots of aQIVc will be evaluated for consistency and pooled for the comparison with the 2 control vaccines.

Subjects will be randomly assigned to receive 1 of 3 lots of aQIVc, QIVr, or aQIV in a 1:1:1:2:2 ratio (for a 3:2:2 ratio for aQIVc, QIVr, and aQIV).

The study will have a treatment period (Day 1 to Day 29) and a follow-up period (Day 30 up to Day 181); a subset of 770 subjects will be followed up up to Day 365.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
7741
Inclusion Criteria
  • Individuals, aged 50 years and older, who are healthy or have stable comorbidities that increase their risk of complications from influenza infection
  • Individuals who can comply with all study procedures

Main

Exclusion Criteria
  • Progressive, unstable, or uncontrolled clinical conditions
  • Known hypersensitivity or allergy to any study vaccine component
  • Known history of Guillain-Barré syndrome or other demyelinating disease
  • Condition representing a contraindication to vaccination or blood draw
  • Abnormal function of immune system due to known disorder or medication.
  • Influenza vaccination within 180 days prior to informed consent.

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Investigational aQIVc groupInvestigational aQIVc-
licensed QIVr grouplicensed QIVr-
licensed aQIV grouplicensed aQIV-
Primary Outcome Measures
NameTimeMethod
Immunogenicity Endpoint: Humoral immune responses of 3 lots of aQIVc compared in pairs in terms of Day 29 GMT ratio between each pair among the 3 lots, from antibody titers measured via HI assay.Day 29

HI assay will be measured using cell-derived target viruses for the A/H1N1, A/H3N2, B/Yamagata, and B/Victoria vaccine strains.

Immunogenicity Endpoint: Humoral immune responses of aQIVc in comparison with QIVr and aQIV vaccines in terms of Day 29 GMT and GMT ratio of antibodies measured via HI assay.Day 29

HI assay will be measured using cell-derived target viruses for the A/H1N1, A/H3N2, B/Yamagata, and B/Victoria vaccine strains.

Noninferiority of aQIVc versus comparator (QIVr or aQIV) will be demonstrated if the lower limit (LL) of the 2-sided 97.5% CI for the Day 29 GMT ratio (aQIVc/comparator) is ≥0.67 for each of the 4 vaccine strains.

Immunogenicity Endpoint: Humoral immune responses of aQIVc in comparison with QIVr and aQIV vaccines in terms of Day 1 to Day 29 SCR and SCR difference, from antibody titers measured via HI assay.Day 1 and Day 29

HI assay will be measured using cell-derived target viruses for the A/H1N1, A/H3N2, B/Yamagata, and B/Victoria vaccine strains.

SCR is the percentage of subjects with seroconversion (defined as either a prevaccination \[Day 1\] titer \<1:10 and a postvaccination \[Day 29\] titer ≥1:40, or a prevaccination titer ≥1:10 and a ≥4-fold increase in postvaccination titer).

Noninferiority of aQIVc versus comparator (QIVr or aQIV) will be demonstrated if the lower limit (LL) of the 2-sided 97.5% CI for the difference in SCR (aQIVc minus comparator) is ≥-10% for each of the 4 vaccine strains.

Secondary Outcome Measures
NameTimeMethod
Immunogenicity Endpoint: Humoral immune responses of aQIVc in comparison with aQIV vaccine in terms of Day 29 SCR and SCR difference, GMT and GMT ratio of antibodies measured via HI assay in subjects 65 years and older.Day 1 and Day 29

HI assay will be measured using cell-derived target viruses for the A/H1N1, A/H3N2, B/Yamagata, and B/Victoria vaccine strains.

Noninferiority will be demonstrated if the LL of the 2-sided adjusted CI for the Day 29 GMT ratio (aQIVc/comparator) is ≥0.67 for each of the 4 vaccine strains, and the LL of the 2-sided adjusted CI for the difference in SCR (aQIVc minus comparator) is ≥-10% for each of the 4 vaccine strains.

Immunogenicity Endpoint: Humoral immune responses of aQIVc in comparison with QIVr and aQIV vaccines in terms of Day 29 GMT and GMT ratio of antibodies measured via HI assay.Day 29

HI assay will be measured using cell-derived target viruses for the A/H1N1, A/H3N2, B/Yamagata, and B/Victoria vaccine strains.

Superiority of aQIVc versus comparator (QIVr and aQIV) will be demonstrated if the LL of the 2-sided 97.5% CI for the inter-group GMT ratio (aQIVc/comparator) is \>1.0 for each of the 4 vaccine strains.

Immunogenicity Endpoints: For aQIVc, QIVr, and aQIV vaccines, Day 29 GMT, Day 1 to Day 29 GMFI, Percentage of subjects with HI titer ≥1:40 at Day 29, Day 1 to Day 29 SCR, SCR differences and GMT ratio of antibodies measured via HI assay.Day 1 and Day 29

HI assay will be measured using cell-derived target viruses for the A/H1N1, A/H3N2, B/Yamagata, and B/Victoria vaccine strains, overall and by age subgroup.

Immunogenicity Endpoints: For aQIVc and aQIV vaccines, Day 29 GMT, Day 1 to Day 29 GMFI, Percentage of subjects with HI titer ≥1:40 at Day 29, Day 1 to Day 29 SCR, SCR differences, and GMT ratio of antibodies measured via HI assay.Day 1 and Day 29

HI assay will be measured using egg-derived target viruses for the A/H1N1, A/H3N2, B/Yamagata, and B/Victoria vaccine strains in the HI-egg subset of 2750 subjects, overall and by age subgroup.

Immunogenicity Endpoints: For aQIVc, QIVr and aQIV vaccines, GMT, GMFI, Percentage of subjects with HI titer ≥1:40, SCR, SCR differences, and GMT ratio of antibodies measured via HI assay.Day 1 up to Day 365

HI assay will be measured using cell-derived target viruses for the A/H1N1, A/H3N2, B/Yamagata, and B/Victoria vaccine strains in the long-term subset of 770 subjects, overall and by age subgroup.

Immunogenicity Endpoints: For aQIVc, QIVr and aQIV vaccines, GMT, GMFI, SCR, SCR difference, and GMT ratio of antibodies measured via MN assay.Day 1 up to Day 365

MN assay will be measured using cell-derived target viruses for the A/H1N1, A/H3N2, B/Yamagata, and B/Victoria vaccine strains in the long-term subset of 770 subjects, overall and by age subgroup.

Safety endpoints: For aQIVc, QIVr and aQIV vaccines, the percentages of Subjects with Solicited Local Adverse Events, Solicited Systemic Adverse Events, and Severe Solicited Local and/or Systemic AEs.Day 1 to Day 7
Safety endpoints: For aQIVc, QIVr and aQIV vaccines, the percentage of Subjects with Unsolicited Adverse Events.Day 1 to Day 29
Safety endpoints: For aQIVc, QIVr and aQIV vaccines, the percentages of subjects with Serious Adverse Events (SAEs), AEs Leading to Withdrawal, Adverse Events of Special Interest (AESI) and non-serious Medically Attended Adverse Events (MAAEs).Day 1 to Day 365

Long-term safety for the long-term subset of 770 subjects

Trial Locations

Locations (95)

Alliance for Multispecialty Research (AMR) Phoenix

🇺🇸

Tempe, Arizona, United States

Baptist Health Center for Clinical Research

🇺🇸

Little Rock, Arkansas, United States

Marvel Clinical Research

🇺🇸

Huntington Beach, California, United States

Paradigm Clinical Research Center, LLC

🇺🇸

Redding, California, United States

Clinical Research Consulting, Inc.

🇺🇸

Milford, Connecticut, United States

Chase Medical Research, LLC

🇺🇸

Waterbury, Connecticut, United States

Innovative Research of West Florida, Inc.

🇺🇸

Clearwater, Florida, United States

USA and International Research Inc.

🇺🇸

Doral, Florida, United States

Velocity Clinical Research, New Smyrna Beach

🇺🇸

Edgewater, Florida, United States

Health Awareness, Inc.

🇺🇸

Jupiter, Florida, United States

ARS - Lake Oconee

🇺🇸

Largo, Florida, United States

Global Health Research Center

🇺🇸

Miami Lakes, Florida, United States

Precision Clinical Research

🇺🇸

Sunrise, Florida, United States

Global Health Research center

🇺🇸

Tampa, Florida, United States

Velocity Clinical Research- Boise

🇺🇸

Meridian, Idaho, United States

Great Lakes Clinical Trials, LLC Ravenswood dba Flourish Research

🇺🇸

Chicago, Illinois, United States

Great Lakes Clinical Trials, LLC. Ravenswood dba Flourish Research

🇺🇸

Gurnee, Illinois, United States

Velocity Clinical Research Valparaoso

🇺🇸

Valparaiso, Indiana, United States

Velocity Clinical Research, Sioux City

🇺🇸

Sioux City, Iowa, United States

Velocity Clinical Research, Baton Rough

🇺🇸

Baton Rouge, Louisiana, United States

Benchmark Research

🇺🇸

Fort Worth, Texas, United States

IMA Evaluations LLC

🇺🇸

Monroe, Louisiana, United States

Centennial Medical Group, PC

🇺🇸

Columbia, Maryland, United States

Velocity Clinical Research Rockville

🇺🇸

Rockville, Maryland, United States

Velocity Clinical Research Gulfport

🇺🇸

Gulfport, Mississippi, United States

Alliance for Multispecialty Research, LLC

🇺🇸

Kansas City, Missouri, United States

Sundance Clinical Research

🇺🇸

Saint Louis, Missouri, United States

Velocity Clinical Research, Norfolk

🇺🇸

Norfolk, Nebraska, United States

Velocity Clinical Research, Omaha

🇺🇸

Omaha, Nebraska, United States

Alliance for Multispecialty Research (AMR) LLC, Las Vegas

🇺🇸

Las Vegas, Nevada, United States

Velocity Clinical Research, Binghamton

🇺🇸

Binghamton, New York, United States

Velocity Clinical Research, Syracuse

🇺🇸

East Syracuse, New York, United States

Velocity Clinical Research, Vestal

🇺🇸

New York, New York, United States

M3 Wake Research, Inc

🇺🇸

Raleigh, North Carolina, United States

CTI Clinical Research Center

🇺🇸

Cincinnati, Ohio, United States

Velocity Clinical Research Cincinnati

🇺🇸

Cincinnati, Ohio, United States

Velocity Clinical Research, Cleveland

🇺🇸

Cleveland, Ohio, United States

Velocity Clinical Research - Medford

🇺🇸

Medford, Oregon, United States

Velocity Clinical Research-Providence

🇺🇸

East Greenwich, Rhode Island, United States

Velocity Clinical Research, Gaffney

🇺🇸

Gaffney, South Carolina, United States

Velocity Clinical Research, Spartanburg

🇺🇸

Spartanburg, South Carolina, United States

AMR-Knoxville

🇺🇸

Knoxville, Tennessee, United States

Clinical Research Associates, Inc.

🇺🇸

Nashville, Tennessee, United States

Cedar Health Research, LLC

🇺🇸

Dallas, Texas, United States

DM Clinical Research - Martin Diagnostic Clinic

🇺🇸

Houston, Texas, United States

ACRC trials Parent HQ

🇺🇸

Plano, Texas, United States

DM Clinical Research

🇺🇸

Tomball, Texas, United States

BBCR Holdings LLC dba JBR Clinical Research - Midvale Campus

🇺🇸

Salt Lake City, Utah, United States

Velocity Clinical Research, Salt Lake City

🇺🇸

West Jordan, Utah, United States

Velocity Clinical Research, Suffolk

🇺🇸

Suffolk, Virginia, United States

CARe Clinic

🇨🇦

Red Deer, Alberta, Canada

Amager-Hvidovre Hospital

🇩🇰

Hvidovre, Denmark

Zealand University Hospital, Roskilde

🇩🇰

Roskilde, Denmark

Vee Family Doctor's Center OY

🇪🇪

Paide, Estonia

OÜ Innomedica

🇪🇪

Tallinn, Estonia

Center for Clinical and Basic Research

🇪🇪

Tallinn, Estonia

Al Mare Perearstikeskus OÜ

🇪🇪

Tallinn, Estonia

Merelahe Family Doctors Centre

🇪🇪

Tallin, Estonia

Clinical Research Centre

🇪🇪

Tartu, Estonia

Tartu University Hospital

🇪🇪

Tartu, Estonia

Klinische Forschung Berlin-Mitte GmbH

🇩🇪

Berlin, Germany

emovis GmbH

🇩🇪

Berlin, Germany

Velocity Clinical Research, Berlin

🇩🇪

Berlin, Germany

Klinische Forschung Dresden GmbH

🇩🇪

Dresden, Germany

Klinisches Forschungszentrum Dr. Hagemann am Hausarztzentrum am Germaniaplatz Dr.Hagemann/ Breider

🇩🇪

Essen, Germany

Studienzentrum Bocholderstrasse

🇩🇪

Essen, Germany

UHZ Klinische Forschung

🇩🇪

Essen, Germany

Klinische Forschung Hamburg GmbH

🇩🇪

Hamburg, Germany

Velocity Clinical Research, Hamburg

🇩🇪

Hamburg, Germany

Klinische Forschung Hannover-Mitte GmbH

🇩🇪

Hannover, Germany

Klinische Forschung Karlsruhe GmbH

🇩🇪

Karlsruhe, Germany

Velocity Clinical Research, Leipzig

🇩🇪

Leipzig, Germany

Studienzentrum FMZ Radowsky

🇩🇪

Leipzig, Germany

Research Quist

🇩🇪

Mainz, Germany

Klinische Forschung Schwerin GmbH

🇩🇪

Schwerin, Germany

Studienzentrum Leitz Triderm

🇩🇪

Stuttgart, Germany

The Aga Khan University

🇵🇰

Karachi, Pakistan

Central Park Teaching Hospital

🇵🇰

Lahore, Pakistan

Silang Specialists Medical Center

🇵🇭

Silang, Cavite, Philippines

Davao Medical School Foundation Inc. Hospital / NEMESIO F. ANLOCOTAN III

🇵🇭

Davao City, Davao Del Sur, Philippines

Las Pinas Doctors Hospital

🇵🇭

Las Piñas, Las Pinas City, Philippines

Marilao Saint Michael Family Hospital, Inc

🇵🇭

Bulacan, Philippines

CARE CT Group Inc. CARE Clinical Trials

🇵🇭

Cavite, Philippines

Health Index Multispecialty and Lying in Clinic

🇵🇭

Cavite, Philippines

Norzel Medical and Diagnostic Clinic

🇵🇭

Cebu City, Philippines

West Visayas State University Medical Center

🇵🇭

Iloilo City, Philippines

Manila Doctors Hospital

🇵🇭

Manila, Philippines

Mary Johnston Hospital

🇵🇭

Manila, Philippines

Quirino Memorial Medical Center

🇵🇭

Quezon City, Philippines

Ospital ng Makati

🇵🇭

Taguig, Philippines

Velocity High Wycombe

🇬🇧

High Wycombe, United Kingdom

Velocity North London

🇬🇧

London, United Kingdom

Panthera Biopartners Ltd (Preston)

🇬🇧

Preston, United Kingdom

Panthera Biopartners Ltd (Manchester)

🇬🇧

Rochdale, United Kingdom

Panthera Biopartners (Sheffield)

🇬🇧

Sheffield, United Kingdom

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