Trial Outcomes & Findings for Study of Fluzone® Influenza Virus Vaccine 2011-2012 Formulation (Intramuscular Route) Among Adults (NCT NCT01430819)

NCT ID: NCT01430819

Last Updated: 2013-05-27

Results Overview

Solicited injection site reactions: Pain, Erythema and Swelling. Solicited systemic reactions: Fever (temperature), Headache, Malaise, and Myalgia. Grade 3 solicited reactions were defined as: Fever ≥ 39.0°C; Pain, Headache, Malaise and Myalgia, significant, prevents daily activities; Erythema and Swelling \> 100 mm.

Recruitment status

COMPLETED

Study phase

PHASE4

Target enrollment

300 participants

Primary outcome timeframe

Day 0 to up to Day 28 post-vaccination

Results posted on

2013-05-27

Participant Flow

Study participants were enrolled from 07 September through 24 October 2011 in 6 clinic sites in the US.

A total of 300 participants who met the inclusion, but no exclusion criteria were enrolled and vaccinated.

Participant milestones

Participant milestones
Measure
Fluzone® Vaccine Group
Participants received the Influenza Virus Vaccine: Fluzone® 2011-2012 Formulation
Fluzone® High-Dose Vaccine Group
Participants received the Influenza Virus Vaccine, Fluzone® High-Dose 2011-2012 Formulation.
Overall Study
STARTED
150
150
Overall Study
COMPLETED
150
150
Overall Study
NOT COMPLETED
0
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Study of Fluzone® Influenza Virus Vaccine 2011-2012 Formulation (Intramuscular Route) Among Adults

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Fluzone® Vaccine Group
n=150 Participants
Participants received the Influenza Virus Vaccine: Fluzone® 2011-2012 Formulation.
Fluzone® High-Dose Vaccine Group
n=150 Participants
Participants received the Influenza Virus Vaccine: Fluzone® High-Dose 2011-2012 Formulation.
Total
n=300 Participants
Total of all reporting groups
Age, Categorical
<=18 years
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
Age, Categorical
Between 18 and 65 years
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
Age, Categorical
>=65 years
150 Participants
n=99 Participants
150 Participants
n=107 Participants
300 Participants
n=206 Participants
Age Continuous
72.6 Months
STANDARD_DEVIATION 5.8 • n=99 Participants
71.6 Months
STANDARD_DEVIATION 4.8 • n=107 Participants
72.1 Months
STANDARD_DEVIATION 5.3 • n=206 Participants
Sex: Female, Male
Female
91 Participants
n=99 Participants
92 Participants
n=107 Participants
183 Participants
n=206 Participants
Sex: Female, Male
Male
59 Participants
n=99 Participants
58 Participants
n=107 Participants
117 Participants
n=206 Participants
Region of Enrollment
United States
150 Participants
n=99 Participants
150 Participants
n=107 Participants
300 Participants
n=206 Participants

PRIMARY outcome

Timeframe: Day 0 to up to Day 28 post-vaccination

Population: Solicited injection site and systemic reactions were assessed in all enrolled and vaccinated participants, Intent-to-treat population (Safety Analysis Set).

Solicited injection site reactions: Pain, Erythema and Swelling. Solicited systemic reactions: Fever (temperature), Headache, Malaise, and Myalgia. Grade 3 solicited reactions were defined as: Fever ≥ 39.0°C; Pain, Headache, Malaise and Myalgia, significant, prevents daily activities; Erythema and Swelling \> 100 mm.

Outcome measures

Outcome measures
Measure
Fluzone® Vaccine Group
n=150 Participants
Participants received the Influenza Virus Vaccine: Fluzone® 2011-2012 Formulation.
Fluzone® High-Dose Vaccine Group
n=150 Participants
Participants received the Influenza Virus Vaccine: Fluzone® High-Dose 2011-2012 Formulation.
Number of Participants Reporting at Least One Solicited Injection Site or Systemic Reaction Following Vaccination With One Dose of Either Fluzone® or Fluzone® High-Dose Vaccine
Any injection site Pain
36 Participants
79 Participants
Interval 0.0 to 0.0
Number of Participants Reporting at Least One Solicited Injection Site or Systemic Reaction Following Vaccination With One Dose of Either Fluzone® or Fluzone® High-Dose Vaccine
Grade 3 injection site Pain
1 Participants
0 Participants
Interval 0.0 to 0.0
Number of Participants Reporting at Least One Solicited Injection Site or Systemic Reaction Following Vaccination With One Dose of Either Fluzone® or Fluzone® High-Dose Vaccine
Any injection site Erythema
7 Participants
13 Participants
Interval 0.0 to 0.0
Number of Participants Reporting at Least One Solicited Injection Site or Systemic Reaction Following Vaccination With One Dose of Either Fluzone® or Fluzone® High-Dose Vaccine
Any injection site Swelling
4 Participants
10 Participants
Interval 0.0 to 0.0
Number of Participants Reporting at Least One Solicited Injection Site or Systemic Reaction Following Vaccination With One Dose of Either Fluzone® or Fluzone® High-Dose Vaccine
Grade 3 injection site Swelling
0 Participants
0 Participants
Interval 0.0 to 0.0
Number of Participants Reporting at Least One Solicited Injection Site or Systemic Reaction Following Vaccination With One Dose of Either Fluzone® or Fluzone® High-Dose Vaccine
Any Fever
2 Participants
1 Participants
Interval 0.0 to 0.0
Number of Participants Reporting at Least One Solicited Injection Site or Systemic Reaction Following Vaccination With One Dose of Either Fluzone® or Fluzone® High-Dose Vaccine
Grade 3 Fever
0 Participants
0 Participants
Interval 0.0 to 0.0
Number of Participants Reporting at Least One Solicited Injection Site or Systemic Reaction Following Vaccination With One Dose of Either Fluzone® or Fluzone® High-Dose Vaccine
Any Headache
26 Participants
25 Participants
Interval 0.0 to 0.0
Number of Participants Reporting at Least One Solicited Injection Site or Systemic Reaction Following Vaccination With One Dose of Either Fluzone® or Fluzone® High-Dose Vaccine
Grade 3 Headache
2 Participants
0 Participants
Interval 0.0 to 0.0
Number of Participants Reporting at Least One Solicited Injection Site or Systemic Reaction Following Vaccination With One Dose of Either Fluzone® or Fluzone® High-Dose Vaccine
Any Malaise
21 Participants
24 Participants
Interval 0.0 to 0.0
Number of Participants Reporting at Least One Solicited Injection Site or Systemic Reaction Following Vaccination With One Dose of Either Fluzone® or Fluzone® High-Dose Vaccine
Grade 3 Malaise
5 Participants
0 Participants
Interval 0.0 to 0.0
Number of Participants Reporting at Least One Solicited Injection Site or Systemic Reaction Following Vaccination With One Dose of Either Fluzone® or Fluzone® High-Dose Vaccine
Any Myalgia
25 Participants
44 Participants
Interval 0.0 to 0.0
Number of Participants Reporting at Least One Solicited Injection Site or Systemic Reaction Following Vaccination With One Dose of Either Fluzone® or Fluzone® High-Dose Vaccine
Grade 3 Myalgia
3 Participants
1 Participants
Interval 0.0 to 0.0
Number of Participants Reporting at Least One Solicited Injection Site or Systemic Reaction Following Vaccination With One Dose of Either Fluzone® or Fluzone® High-Dose Vaccine
Grade 3 injection site Erythema
0 Participants
2 Participants
Interval 0.0 to 0.0

OTHER_PRE_SPECIFIED outcome

Timeframe: Day 21 post-vaccination

Population: GMTs of antibodies against Influenza vaccine antigens were determined in all enrolled and vaccinated participants, per-protocol population

Anti-influenza antibodies were measured using a hemagglutination inhibition (HAI) assay.

Outcome measures

Outcome measures
Measure
Fluzone® Vaccine Group
n=147 Participants
Participants received the Influenza Virus Vaccine: Fluzone® 2011-2012 Formulation.
Fluzone® High-Dose Vaccine Group
n=145 Participants
Participants received the Influenza Virus Vaccine: Fluzone® High-Dose 2011-2012 Formulation.
Geometric Mean Titers of Antibodies to Vaccine Antigens Before and Following Vaccination With Either Fluzone® or Fluzone® High-Dose Vaccine.
A/H1N1 (Pre-vaccination; N = 147, 145)
63.9 Titers
Interval 50.1 to 81.5
57.5 Titers
Interval 44.6 to 74.1
Geometric Mean Titers of Antibodies to Vaccine Antigens Before and Following Vaccination With Either Fluzone® or Fluzone® High-Dose Vaccine.
A/H1N1 (Post-vaccination; N = 147, 144)
228 Titers
Interval 187.0 to 279.0
442 Titers
Interval 362.0 to 540.0
Geometric Mean Titers of Antibodies to Vaccine Antigens Before and Following Vaccination With Either Fluzone® or Fluzone® High-Dose Vaccine.
A/H3N2 (Pre-vaccination; N = 147, 145)
104 Titers
Interval 80.2 to 134.0
102 Titers
Interval 78.1 to 133.0
Geometric Mean Titers of Antibodies to Vaccine Antigens Before and Following Vaccination With Either Fluzone® or Fluzone® High-Dose Vaccine.
A/H3N2 (Post-vaccination; N = 147, 145)
384 Titers
Interval 317.0 to 465.0
880 Titers
Interval 721.0 to 1072.0
Geometric Mean Titers of Antibodies to Vaccine Antigens Before and Following Vaccination With Either Fluzone® or Fluzone® High-Dose Vaccine.
B (Pre-vaccination; N = 147, 145)
32.4 Titers
Interval 27.2 to 38.5
31.1 Titers
Interval 25.8 to 37.5
Geometric Mean Titers of Antibodies to Vaccine Antigens Before and Following Vaccination With Either Fluzone® or Fluzone® High-Dose Vaccine.
B (Post-vaccination; N = 147, 145)
73.0 Titers
Interval 63.4 to 84.0
106 Titers
Interval 90.2 to 125.0

OTHER_PRE_SPECIFIED outcome

Timeframe: Day 21 post-vaccination

Population: Seroconversion to Influenza vaccine antigens were determined in all enrolled and vaccinated participants, per-protocol population

Anti-influenza antibodies were measured using a hemagglutination inhibition (HAI) assay. Seroconversion was defined as either a pre-vaccination HAI titer \< 1:10 and a post-vaccination titer ≥ 1:40; or a pre-vaccination titer ≥ 1:10 and a four-fold increase in post-vaccination titer.

Outcome measures

Outcome measures
Measure
Fluzone® Vaccine Group
n=147 Participants
Participants received the Influenza Virus Vaccine: Fluzone® 2011-2012 Formulation.
Fluzone® High-Dose Vaccine Group
n=145 Participants
Participants received the Influenza Virus Vaccine: Fluzone® High-Dose 2011-2012 Formulation.
Number of Participants With Seroconversion Following Vaccination With Either Fluzone® or Fluzone® High-Dose Vaccine
A/H1N1 (N = 147, 144)
53 Participants
88 Participants
Interval 0.0 to 0.0
Number of Participants With Seroconversion Following Vaccination With Either Fluzone® or Fluzone® High-Dose Vaccine
A/H3N2 (N = 147, 145)
60 Participants
100 Participants
Interval 0.0 to 0.0
Number of Participants With Seroconversion Following Vaccination With Either Fluzone® or Fluzone® High-Dose Vaccine
B (N = 147, 145)
32 Participants
60 Participants
Interval 0.0 to 0.0

OTHER_PRE_SPECIFIED outcome

Timeframe: Day 21 post-vaccination

Population: Geometric mean of titer ratios of antibodies against Influenza vaccine antigens were determined in all enrolled and vaccinated participants, per-protocol population

Anti-influenza antibodies were measured using a hemagglutination inhibition (HAI) assay. Geometric mean of titer ratio is the geometric mean of the individual post-vaccination/pre-vaccination titer ratios.

Outcome measures

Outcome measures
Measure
Fluzone® Vaccine Group
n=147 Participants
Participants received the Influenza Virus Vaccine: Fluzone® 2011-2012 Formulation.
Fluzone® High-Dose Vaccine Group
n=145 Participants
Participants received the Influenza Virus Vaccine: Fluzone® High-Dose 2011-2012 Formulation.
Geometric Mean of Titer Ratios (GMTR) of Antibodies to Vaccine Antigens Before and Following Vaccination With Either Fluzone® or Fluzone® High-Dose Vaccine.
A/H1N1 (N = 147, 144)
3.28 Titers
Interval 2.69 to 4.01
7.14 Titers
Interval 5.61 to 9.11
Geometric Mean of Titer Ratios (GMTR) of Antibodies to Vaccine Antigens Before and Following Vaccination With Either Fluzone® or Fluzone® High-Dose Vaccine.
B (N = 147, 145)
2.13 Titers
Interval 1.9 to 2.38
3.14 Titers
Interval 2.69 to 3.67
Geometric Mean of Titer Ratios (GMTR) of Antibodies to Vaccine Antigens Before and Following Vaccination With Either Fluzone® or Fluzone® High-Dose Vaccine.
A/H3N2 (N = 147, 145)
3.5 Titers
Interval 2.88 to 4.24
8.23 Titers
Interval 6.45 to 10.5

Adverse Events

Fluzone® Vaccine Group

Serious events: 1 serious events
Other events: 36 other events
Deaths: 0 deaths

Fluzone® High-Dose Vaccine Group

Serious events: 0 serious events
Other events: 79 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Fluzone® Vaccine Group
n=150 participants at risk
Participants received the Influenza Virus Vaccine: Fluzone® 2011-2012 Formulation.
Fluzone® High-Dose Vaccine Group
n=150 participants at risk
Participants received the Influenza Virus Vaccine: Fluzone® High-Dose 2011-2012 Formulation.
Injury, poisoning and procedural complications
Joint injury
0.67%
1/150 • Number of events 1 • Adverse events were recorded following vaccination (Day 0) for up to 28 days post-vaccination
0.00%
0/150 • Adverse events were recorded following vaccination (Day 0) for up to 28 days post-vaccination

Other adverse events

Other adverse events
Measure
Fluzone® Vaccine Group
n=150 participants at risk
Participants received the Influenza Virus Vaccine: Fluzone® 2011-2012 Formulation.
Fluzone® High-Dose Vaccine Group
n=150 participants at risk
Participants received the Influenza Virus Vaccine: Fluzone® High-Dose 2011-2012 Formulation.
General disorders
Injection site Pain
24.0%
36/150 • Number of events 36 • Adverse events were recorded following vaccination (Day 0) for up to 28 days post-vaccination
52.7%
79/150 • Number of events 79 • Adverse events were recorded following vaccination (Day 0) for up to 28 days post-vaccination
General disorders
Injection site Erythema
4.7%
7/150 • Number of events 7 • Adverse events were recorded following vaccination (Day 0) for up to 28 days post-vaccination
8.7%
13/150 • Number of events 13 • Adverse events were recorded following vaccination (Day 0) for up to 28 days post-vaccination
General disorders
Injection site Swelling
2.7%
4/150 • Number of events 4 • Adverse events were recorded following vaccination (Day 0) for up to 28 days post-vaccination
6.7%
10/150 • Number of events 10 • Adverse events were recorded following vaccination (Day 0) for up to 28 days post-vaccination
General disorders
Malaise
14.0%
21/150 • Number of events 21 • Adverse events were recorded following vaccination (Day 0) for up to 28 days post-vaccination
16.0%
24/150 • Number of events 24 • Adverse events were recorded following vaccination (Day 0) for up to 28 days post-vaccination
Musculoskeletal and connective tissue disorders
Myalgia
16.7%
25/150 • Number of events 25 • Adverse events were recorded following vaccination (Day 0) for up to 28 days post-vaccination
29.3%
44/150 • Number of events 44 • Adverse events were recorded following vaccination (Day 0) for up to 28 days post-vaccination
Nervous system disorders
Headache
17.3%
26/150 • Number of events 26 • Adverse events were recorded following vaccination (Day 0) for up to 28 days post-vaccination
16.7%
25/150 • Number of events 25 • Adverse events were recorded following vaccination (Day 0) for up to 28 days post-vaccination

Additional Information

Medical Director

Sanofi Pasteur Inc.

Results disclosure agreements

  • Principal investigator is a sponsor employee Sponsor must have the opportunity to review at least 60 days prior to submission for publication or presentation. If review indicates that potentially patentable subject matter would be disclosed, publication or public disclosure may be delayed for a maximum of an additional 60 days to allow for filing the necessary patent applications
  • Publication restrictions are in place

Restriction type: OTHER