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Study With Quadrivalent Recombinant Influenza Vaccine (RIV4) in Participants 9 Through 49 Years of Age.

Phase 3
Completed
Conditions
Influenza Immunization
Interventions
Biological: Quadrivalent Recombinant influenza vaccine (RIV4) season/2022-2023/NH
Registration Number
NCT05513053
Lead Sponsor
Sanofi Pasteur, a Sanofi Company
Brief Summary

The purpose of this study was to demonstrate the non-inferiority (NI) of the HAI immune response of RIV4 in participants aged 9 to 17 years vs participants aged 18 to 49 years and to describe the immunogenicity and safety profile of RIV4 in all participants.

Detailed Description

The participation duration was approximately 6 months for each participant.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
1308
Inclusion Criteria
  • Aged 9 to 49 years on the day of inclusion
  • A female participant was eligible to participate if she was not pregnant or breastfeeding and one of the following conditions applies: 1) was of non-childbearing potential. To be considered of non-childbearing potential, a female should have been pre-menarche, post-menopausal for at least 1 year, or surgically sterile OR 2) was of childbearing potential and agreed to use an effective contraceptive method or abstinence from at least 4 weeks prior to the first study intervention administration until at least 4 weeks after the last study intervention administration
  • Assent form or informed consent form had been signed and dated by the participant (based on local regulations), and if applicable informed consent form had been signed and dated by the parent(s) or another legally acceptable representative
Exclusion Criteria
  • Known or suspected congenital or acquired immunodeficiency, or receipt of immunosuppressive therapy, such as anti-cancer chemotherapy or radiation therapy, within the preceding 6 months; or long-term systemic corticosteroid therapy (prednisone or equivalent for more than 2 consecutive weeks within the past 3 months)
  • Known systemic hypersensitivity to any of the vaccine components, or history of a life-threatening reaction to the vaccines used in the trial or to a vaccine containing any of the same substances
  • Thrombocytopenia
  • Bleeding disorder, or receipt of anticoagulants in the 3 weeks preceding inclusion, contraindicating intramuscular vaccination based on the Investigator's judgment
  • Personal or family history of Guillain-Barre Syndrome (GBS)
  • Personal history of clinically significant development delay (at the discretion of the Investigator), neurologic disorder, or seizure disorder NOTE: The above information was not intended to contain all considerations relevant to a patient's potential participation in a clinical trial.

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Group 9 to 17 years oldQuadrivalent Recombinant influenza vaccine (RIV4) season/2022-2023/NHParticipants of 9 to 17 years old who received RIV4 single intramuscular (IM) injection at D01
Group 18 to 49 years oldQuadrivalent Recombinant influenza vaccine (RIV4) season/2022-2023/NHParticipants of 18 to 49 years old who received RIV4 single intramuscular (IM) injection at D01
Primary Outcome Measures
NameTimeMethod
Geometric Mean Titers (GMTs) Against Influenza Vaccine Antibodies at Day 29Day 29

GMTs of anti-influenza antibodies were measured using individual hemagglutination inhibition (HAI) assay for 4 influenza virus strains: A/H1N1, A/H3N2, B/Victoria, and B/Yamagata lineages.

Percentage of Participants With Seroconversion for Influenza Vaccine Antibodies at Day 29Day 29

Anti-influenza antibodies were measured using HAI assay for 4 influenza virus strains: A/H1N1, A/H3N2, B/Victoria, and B/Yamagata lineages. Seroconversion was defined as either a pre-vaccination titer less than (\<) 1:10 (1/dilution) at Day 1 and a post-vaccination titer greater than or equal to (\>=) 1: 40 (1/dilution) at Day 29 or a pre-vaccination titer \>= 1:10 at Day 1 and a \>= 4-fold increase in post-vaccination titer.

Secondary Outcome Measures
NameTimeMethod
Number of Participants With Immediate Unsolicited Adverse Events (AEs)Within 30 minutes post-vaccination on Day 1

An AE was any untoward medical occurrence in a clinical investigation participant temporally associated with the use of study intervention, whether or not considered related to the study intervention. An unsolicited AE was an observed AE that did not fulfill the conditions of solicited reactions, that is, prelisted in the CRF in terms of diagnosis and/or onset window post-vaccination. All participants were observed for 30 minutes after vaccination, and any unsolicited AEs occurred during that time were recorded as immediate unsolicited AEs.

Number of Participants With Solicited Injection Site Reactions and Systemic ReactionsFrom Day 1 up to 7 days post-vaccination (up to Day 8)

A solicited reaction was an expected adverse reaction (sign or symptom) observed and reported under the conditions (nature and onset) prelisted in the protocol and CRF and considered as related to the study intervention administered. An injection site reaction was an AR at and around the injection site and were commonly inflammatory reactions. Solicited systemic reactions were systemic AEs and those occurring during the specified collection period were always considered related to the intervention even if there was evidence of alternative etiology.

Number of Participants With Medically Attended Adverse Events (MAAEs)From Day 1 up to 28 days post-vaccination (up to Day 29)

An MAAE was a new onset or a worsening of a condition that prompted the participant or participant's parent/guardian to seek unplanned medical advice at a physician's office or emergency department.

GMTs Against Influenza Vaccine Antibodies at Day 1Pre-vaccination on Day 1

GMTs of anti-influenza antibodies were measured using HAI assay for 4 influenza virus strains: A/H1N1, A/H3N2, B/Victoria, and B/Yamagata lineages.

Percentage of Participants With Detectable HAI Titers >=10 and >=40 for Influenza Vaccine Antibodies at Days 1 and 29On Days 1 and 29

Antibody titers were measured using HAI assay for 4 influenza virus strains: A/H1N1, A/H3N2, B/Victoria, and B/Yamagata lineages. Percentage of participants with antibody titers \>=10 and \>=40 against influenza vaccine antibodies at Day 1 and Day 29 were reported in this outcome measure.

Geometric Mean Titer Ratio (GMTR) of Influenza Vaccine AntibodiesOn Days 1 and 29

GMTR was the ratio of the individual titers post-vaccination over pre-vaccination. The GMTs were measured using HAI assay for 4 influenza virus strains: A/H1N1, A/H3N2, B/Victoria, and B/Yamagata lineages.

Number of Participants With Unsolicited AEsFrom Day 1 up to 28 days post-vaccination (up to Day 29)

An AE was any untoward medical occurrence in a clinical investigation participant temporally associated with the use of study intervention, whether or not considered related to the study intervention. An unsolicited AE was an observed AE that did not fulfill the conditions of solicited reactions, that is, prelisted in the CRF in terms of diagnosis and/or onset window post-vaccination.

Number of Participants With Serious Adverse Events (SAEs) And Adverse Events of Special Interest (AESI)From Day 1 up to 6 months post-vaccination, 181 days

An SAE was any untoward medical occurrence that at any dose resulted in death, was life-threatening, required inpatient hospitalization or prolongation of existing hospitalization, resulted in persistent or significant disability/incapacity, was a congenital anomaly/birth defect, or was an important medical event. An AESI was defined as one of scientific and medical concern specific to the Sponsor's study intervention, events for which ongoing monitoring and rapid communication by the investigator to the sponsor was done.

Trial Locations

Locations (35)

Rainbow Pediatrics Site Number : 8400014

🇺🇸

Barnwell, South Carolina, United States

Investigational Site Number : 6160007

🇵🇱

Bydgoszcz, Kujawsko-pomorskie, Poland

The Children's Clinic Of Jonesboro PA Site Number : 8400025

🇺🇸

Jonesboro, Arkansas, United States

Kentucky Pediatics / Adult Research Site Number : 8400010

🇺🇸

Bardstown, Kentucky, United States

Velocity Clinical Research Portsmouth Site Number : 8400015

🇺🇸

Portsmouth, Virginia, United States

California Research Foundation Site Number : 8400003

🇺🇸

San Diego, California, United States

Meridian Clinical Research- Sioux City Site Number : 8400007

🇺🇸

Sioux City, Iowa, United States

Velocity Clinical Research Vestal Site Number : 8400016

🇺🇸

Vestal, New York, United States

AMR - Newton Site Number : 8400021

🇺🇸

Newton, Kansas, United States

Birmingham Pediatric Associates Site Number : 8400023

🇺🇸

Birmingham, Alabama, United States

Alabama Clinical Therapeutics North Tower Site Number : 8400024

🇺🇸

Birmingham, Alabama, United States

JBR Clinical Research Site Number : 8400001

🇺🇸

Salt Lake City, Utah, United States

J. Lewis Research Site Number : 8400017

🇺🇸

Salt Lake City, Utah, United States

Velocity Clinical Research, Omaha Site Number : 8400009

🇺🇸

Omaha, Nebraska, United States

Velocity Clinical Research Lincoln Site Number : 8400013

🇺🇸

Lincoln, Nebraska, United States

Meridian Clinical Research Norfolk Site Number : 8400011

🇺🇸

Norfolk, Nebraska, United States

Meridian Clinical Research Site Number : 8400006

🇺🇸

Binghamton, New York, United States

Ohio Pediatric Research Site Number : 8400020

🇺🇸

Dayton, Ohio, United States

Coastal Carolina Research Center - N Charleston Site Number : 8400022

🇺🇸

North Charleston, South Carolina, United States

Investigational Site Number : 6160010

🇵🇱

Bydgoszcz, Kujawsko-pomorskie, Poland

Investigational Site Number : 6160005

🇵🇱

Siemianowice ÅšlÄ…skie, Slaskie, Poland

Investigational Site Number : 6160003

🇵🇱

Bydgoszcz, Poland

Investigational Site Number : 2030001

🇨🇿

Jindrichuv Hradec, Czechia

Investigational Site Number : 6160004

🇵🇱

PuÃ…'awy, Lubuskie, Poland

Investigational Site Number : 6160006

🇵🇱

Tarnow, Poland

Investigational Site Number : 6160008

🇵🇱

Warsaw, Poland

Investigational Site Number : 6160012

🇵🇱

Wroclaw, Poland

Investigational Site Number : 7240006

🇪🇸

Centelles, Barcelona [Barcelona], Spain

Investigational Site Number : 7240007

🇪🇸

Sevilla, Spain

Investigational Site Number : 7240001

🇪🇸

Móstoles, Spain

Investigational Site Number : 7240005

🇪🇸

Malaga, Spain

Investigational Site Number : 7240018

🇪🇸

Madrid, Spain

Velocity Clinical Research Site Number : 8400012

🇺🇸

New Orleans, Louisiana, United States

Coastal Pediatric Research Charleston Site Number : 8400005

🇺🇸

Charleston, South Carolina, United States

Benchmark Research - Austin Site Number : 8400004

🇺🇸

Austin, Texas, United States

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