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Safety and Immunogenicity of Flublok Quadrivalent vs IIV4 in Adults 18-49 Years of Age

Phase 3
Completed
Conditions
Influenza
Interventions
Biological: Flublok Quadrivalent
Biological: Inactivated Influenza Vaccine (IIV4)
Registration Number
NCT02290509
Lead Sponsor
Protein Sciences Corporation
Brief Summary

Randomized, double-blind trial of safety and immunogenicity of Flublok Quadrivalent versus Inactivated Influenza Vaccine (IIV4) in 1350 healthy, medically stable adults 18-49 years of age. Serum samples for Hemagglutinin Inhibition titers will be determined pre- and 28 days post-vaccination. Subjects will be followed for 6 months after vaccination for serious and/or medically-attended adverse events.

Detailed Description

As the spectrum of influenza vaccines rapidly evolves to quadrivalent formulations with the intention of offering broader protection to include both lineages of influenza B strains, it is appropriate to transition Flublok from a trivalent to a quadrivalent formulation. The demonstration of non-inferior post-vaccination Hemagglutination Inhibition Assay (HAI) Geometric Mean Titers (GMTs) to antigens in the Flublok Quadrivalent formulation compared to those of the matching antigens in a US - approved IIV4 is intended to support licensure of Flublok Quadrivalent for the adult population for which Flublok trivalent is currently approved. The comparison of safety and reactogenicity of Flublok Quadrivalent to that of IIV4 is expected to confirm a similar safety profile.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
1350
Inclusion Criteria
  • Ambulatory, in good health or medically stable
  • Able to understand and comply with planned study procedures
  • Provide written informed consent
  • Negative urine pregnancy test within 24 hours prior to vaccination (women of child-bearing potential)
Exclusion Criteria
  • Prior serious or severe reaction to influenza vaccine
  • Known contraindication to either study vaccine
  • Receipt of any other influenza vaccine within 180 days prior to enrollment
  • Plan to receive another licensed influenza or other vaccine during the duration of this study
  • Receipt of any significant new diagnosis, medication (licensed or investigational), or licensed vaccine within 30 days prior to enrollment in this study
  • Underlying disease or therapeutic intervention that might adversely affect the immune response
  • Plans to participate in any investigation involving an investigational product during this study.
  • Pregnant, lactating or planning to become pregnant within 30 days of study vaccine.
  • Any clinical or social circumstance that in the opinion of the investigator could interfere with compliance with study procedures or interfere with the interpretation

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Flublok Quadrivalent Influenza VaccineFlublok QuadrivalentIntramuscular injection of vaccine containing 4 x 45µg (180µg total) of each recombinant hemagglutinin (rHA) derived from influenza A/H1N1 and A/H3N2 and two lineages of influenza B viruses identified for the season in which the trial is conducted in a total volume of 0.5 mL
Inactivated Influenza Vaccine (IIV4)Inactivated Influenza Vaccine (IIV4)Intramuscular injection of vaccine contains 4 x 15µg (60µg total) of HA derived from the same influenza A/H1N1 and A/H3N2 and influenza B strains in a total volume of 0.5mL.
Primary Outcome Measures
NameTimeMethod
Seroconversion to Vaccine Antigens Following Vaccination With Quadrivalent VaccineDay 28 after final vaccination

Seroconversion is defined as: Either a pre vaccination titer \< 10 (1/dil) and a post vaccination titer ≥ 40 (1/dil), or a pre vaccination titer ≥ 10 (1/dil) and a ≥ 4 fold increase in post vaccination titer at Day 28 after the final vaccination.

Geometric Mean Titers of Antibodies to Vaccine Antigens Following Vaccination With Quadrivalent VaccineDay 0 and Day 28 after final vaccination

Immunogenicity will be evaluated prior to vaccination and at 28 days after vaccination using the hemagglutination inhibition (HAI) technique. For each influenza vaccine strain, pre and post vaccination geometric mean titers (GMTs) were calculated.

Secondary Outcome Measures
NameTimeMethod
Number of Participants With Systemic and Injection Site ReactogenicityDays 0-7
Number of Participants With Serious Adverse Events (SAEs) and Medically-attended Adverse Events (MAEs)Six months post-vaccination

Trial Locations

Locations (8)

Clinical Research of South Florida

🇺🇸

Coral Gables, Florida, United States

Benchmark Research - Sacramento

🇺🇸

Sacramento, California, United States

Meridian Clinical Research

🇺🇸

Omaha, Nebraska, United States

Heartland Research Associates, LLC

🇺🇸

Wichita, Kansas, United States

Benchmark Research

🇺🇸

Metairie, Louisiana, United States

Meridian Research

🇺🇸

Dakota Dunes, South Dakota, United States

Benchmark Reseach

🇺🇸

Austin, Texas, United States

Benchmark Research - Fort Worth

🇺🇸

Fort Worth, Texas, United States

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