Trial Outcomes & Findings for Seasonal Trivalent Inactivated Split Virion Influenza Vaccine Clinical Trial (IVACFLU-S) - PHASE 2/3 (NCT NCT03095599)

NCT ID: NCT03095599

Last Updated: 2019-07-22

Results Overview

Solicited local AEs were assessed by study staff 30 minutes after vaccination.

Recruitment status

COMPLETED

Study phase

PHASE2/PHASE3

Target enrollment

889 participants

Primary outcome timeframe

Within 30 minutes of vaccination

Results posted on

2019-07-22

Participant Flow

Phase 2 was conducted at the District Health Center (DHC) of Ben Luc, Long An Province and involved 252 subjects. After positive safety review of Day 8 data, Phase 3 was at 2 sites: the DHC of Ben Luc, Long An Province and the DHC of Long Thanh, Dong Nai Province. In total, of the 1399 subjects who were screened, 888 subjects were rand

Participant milestones

Participant milestones
Measure
Vaccine
IVACFLU-S: Trivalent inactivated split virion influenza vaccine
Placebo
PBS with pH 7.2; 0.5 ml/per dose
Overall Study
STARTED
741
148
Overall Study
Withdrawal Before Vaccination
1
0
Overall Study
Vaccinated
740
148
Overall Study
COMPLETED
738
148
Overall Study
NOT COMPLETED
3
0

Reasons for withdrawal

Reasons for withdrawal
Measure
Vaccine
IVACFLU-S: Trivalent inactivated split virion influenza vaccine
Placebo
PBS with pH 7.2; 0.5 ml/per dose
Overall Study
Withdrawal by Subject
1
0
Overall Study
Lost to Follow-up
1
0
Overall Study
Withdrawal prior to vaccination
1
0

Baseline Characteristics

Seasonal Trivalent Inactivated Split Virion Influenza Vaccine Clinical Trial (IVACFLU-S) - PHASE 2/3

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Vaccine
n=740 Participants
IVACFLU-S: Trivalent inactivated split virion influenza vaccine
Placebo
n=148 Participants
PBS with pH 7.2; 0.5 ml/per dose
Total
n=888 Participants
Total of all reporting groups
Age, Continuous
42.8 years
n=99 Participants
42.8 years
n=107 Participants
42.8 years
n=206 Participants
Sex: Female, Male
Female
431 Participants
n=99 Participants
89 Participants
n=107 Participants
520 Participants
n=206 Participants
Sex: Female, Male
Male
309 Participants
n=99 Participants
59 Participants
n=107 Participants
368 Participants
n=206 Participants
Race/Ethnicity, Customized
Kinh
735 Participants
n=99 Participants
148 Participants
n=107 Participants
883 Participants
n=206 Participants
Race/Ethnicity, Customized
Khmer
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
Race/Ethnicity, Customized
Hoa
2 Participants
n=99 Participants
0 Participants
n=107 Participants
2 Participants
n=206 Participants
Race/Ethnicity, Customized
Other
3 Participants
n=99 Participants
0 Participants
n=107 Participants
3 Participants
n=206 Participants
Region of Enrollment
Vietnam
740 participants
n=99 Participants
148 participants
n=107 Participants
888 participants
n=206 Participants

PRIMARY outcome

Timeframe: Within 30 minutes of vaccination

Population: All recipients of the vaccine in Phases 2 and 3

Solicited local AEs were assessed by study staff 30 minutes after vaccination.

Outcome measures

Outcome measures
Measure
Vaccine
n=740 Participants
Received one dose of IVACFLU-S vaccine intramuscularly.
Placebo
n=148 Participants
Received one dose of placebo intramuscularly.
Number and Percentage of Subjects Experiencing Solicited Local Adverse Events (AE)
Induration
1 Participants
0 Participants
Number and Percentage of Subjects Experiencing Solicited Local Adverse Events (AE)
Redness
1 Participants
0 Participants
Number and Percentage of Subjects Experiencing Solicited Local Adverse Events (AE)
Pain
24 Participants
0 Participants
Number and Percentage of Subjects Experiencing Solicited Local Adverse Events (AE)
Swelling
1 Participants
0 Participants
Number and Percentage of Subjects Experiencing Solicited Local Adverse Events (AE)
Tenderness
14 Participants
1 Participants
Number and Percentage of Subjects Experiencing Solicited Local Adverse Events (AE)
No report of solicited local AE
711 Participants
147 Participants

PRIMARY outcome

Timeframe: Within 30 minutes of vaccination

Population: All recipients of the vaccine in Phases 2 and 3

Solicited systemic AEs were assessed by study staff 30 minutes after vaccination.

Outcome measures

Outcome measures
Measure
Vaccine
n=740 Participants
Received one dose of IVACFLU-S vaccine intramuscularly.
Placebo
n=148 Participants
Received one dose of placebo intramuscularly.
Number and Percentage of Subjects Experiencing Solicited Systemic Adverse Events (AE)
No report of solicited systemic AEs
733 Participants
148 Participants
Number and Percentage of Subjects Experiencing Solicited Systemic Adverse Events (AE)
Chills
0 Participants
0 Participants
Number and Percentage of Subjects Experiencing Solicited Systemic Adverse Events (AE)
Fatigue/Malaise
0 Participants
0 Participants
Number and Percentage of Subjects Experiencing Solicited Systemic Adverse Events (AE)
Generalized muscle aches
5 Participants
0 Participants
Number and Percentage of Subjects Experiencing Solicited Systemic Adverse Events (AE)
Headaches
1 Participants
0 Participants
Number and Percentage of Subjects Experiencing Solicited Systemic Adverse Events (AE)
Joint aches
0 Participants
0 Participants
Number and Percentage of Subjects Experiencing Solicited Systemic Adverse Events (AE)
Nausea
1 Participants
0 Participants
Number and Percentage of Subjects Experiencing Solicited Systemic Adverse Events (AE)
Vomiting
0 Participants
0 Participants

PRIMARY outcome

Timeframe: Day 1 to Day 7

Population: All recipients of the vaccine in Phases 2 and 3

Solicited local AEs were assessed by study staff 30 minutes after vaccination then daily for 7 days by the subjects. Subjects were provided a thermometer, ruler and a diary to record the presence or absence of solicited AEs, severity of the solicited AE and use of concomitant medication. AEs were graded as follows: * Mild: Mild symptoms causing no or minimal interference with usual social and functional activities with intervention not indicated. * Moderate: Moderate symptoms causing greater than minimal interference with usual social and functional activities with intervention indicated. * Severe: Severe symptoms causing inability to perform usual social and functional activities with intervention or hospitalization indicated. * Life-threatening: Potentially life-threatening symptoms causing inability to perform basic self-care functions with intervention indicated to prevent permanent impairment, persistent disability, or death.

Outcome measures

Outcome measures
Measure
Vaccine
n=740 Participants
Received one dose of IVACFLU-S vaccine intramuscularly.
Placebo
n=148 Participants
Received one dose of placebo intramuscularly.
Number and Percentage of Subjects Experiencing Solicited Local Adverse Events (AE), by Severity
Pain · None reported
279 Participants
122 Participants
Number and Percentage of Subjects Experiencing Solicited Local Adverse Events (AE), by Severity
Hardness · Mild
23 Participants
0 Participants
Number and Percentage of Subjects Experiencing Solicited Local Adverse Events (AE), by Severity
Hardness · Moderate
1 Participants
0 Participants
Number and Percentage of Subjects Experiencing Solicited Local Adverse Events (AE), by Severity
Hardness · Severe
0 Participants
0 Participants
Number and Percentage of Subjects Experiencing Solicited Local Adverse Events (AE), by Severity
Hardness · Life threatening
0 Participants
0 Participants
Number and Percentage of Subjects Experiencing Solicited Local Adverse Events (AE), by Severity
Hardness · None reported
716 Participants
148 Participants
Number and Percentage of Subjects Experiencing Solicited Local Adverse Events (AE), by Severity
Pain · Mild
405 Participants
25 Participants
Number and Percentage of Subjects Experiencing Solicited Local Adverse Events (AE), by Severity
Pain · Moderate
55 Participants
1 Participants
Number and Percentage of Subjects Experiencing Solicited Local Adverse Events (AE), by Severity
Pain · Severe
1 Participants
0 Participants
Number and Percentage of Subjects Experiencing Solicited Local Adverse Events (AE), by Severity
Pain · Life threatening
0 Participants
0 Participants
Number and Percentage of Subjects Experiencing Solicited Local Adverse Events (AE), by Severity
Redness · Mild
18 Participants
1 Participants
Number and Percentage of Subjects Experiencing Solicited Local Adverse Events (AE), by Severity
Redness · Moderate
1 Participants
0 Participants
Number and Percentage of Subjects Experiencing Solicited Local Adverse Events (AE), by Severity
Redness · Severe
0 Participants
0 Participants
Number and Percentage of Subjects Experiencing Solicited Local Adverse Events (AE), by Severity
Redness · Life threatening
0 Participants
0 Participants
Number and Percentage of Subjects Experiencing Solicited Local Adverse Events (AE), by Severity
Redness · None reported
721 Participants
147 Participants
Number and Percentage of Subjects Experiencing Solicited Local Adverse Events (AE), by Severity
Swelling · Mild
20 Participants
1 Participants
Number and Percentage of Subjects Experiencing Solicited Local Adverse Events (AE), by Severity
Swelling · Moderate
6 Participants
0 Participants
Number and Percentage of Subjects Experiencing Solicited Local Adverse Events (AE), by Severity
Swelling · Severe
0 Participants
0 Participants
Number and Percentage of Subjects Experiencing Solicited Local Adverse Events (AE), by Severity
Swelling · Life threatening
0 Participants
0 Participants
Number and Percentage of Subjects Experiencing Solicited Local Adverse Events (AE), by Severity
Swelling · None reported
714 Participants
147 Participants
Number and Percentage of Subjects Experiencing Solicited Local Adverse Events (AE), by Severity
Tenderness · Mild
441 Participants
30 Participants
Number and Percentage of Subjects Experiencing Solicited Local Adverse Events (AE), by Severity
Tenderness · Moderate
54 Participants
2 Participants
Number and Percentage of Subjects Experiencing Solicited Local Adverse Events (AE), by Severity
Tenderness · Severe
1 Participants
0 Participants
Number and Percentage of Subjects Experiencing Solicited Local Adverse Events (AE), by Severity
Tenderness · Life threatening
0 Participants
0 Participants
Number and Percentage of Subjects Experiencing Solicited Local Adverse Events (AE), by Severity
Tenderness · None reported
244 Participants
116 Participants

PRIMARY outcome

Timeframe: Day 1 to Day 7

Population: All recipients of the vaccine in Phases 2 and 3

Solicited systemic AEs were assessed by study staff 30 minutes after vaccination then daily for 7 days by the subjects. Subjects were provided a thermometer, ruler and a diary to record the presence or absence of solicited AEs, severity of the solicited AE and use of concomitant medication. AEs were graded as follows: * Mild: Mild symptoms causing no or minimal interference with usual social and functional activities with intervention not indicated. * Moderate: Moderate symptoms causing greater than minimal interference with usual social and functional activities with intervention indicated. * Severe: Severe symptoms causing inability to perform usual social and functional activities with intervention or hospitalization indicated. * Life-threatening: Potentially life-threatening symptoms causing inability to perform basic self-care functions with intervention indicated to prevent permanent impairment, persistent disability, or death.

Outcome measures

Outcome measures
Measure
Vaccine
n=740 Participants
Received one dose of IVACFLU-S vaccine intramuscularly.
Placebo
n=148 Participants
Received one dose of placebo intramuscularly.
Number and Percentage of Subjects Experiencing Solicited Systemic Adverse Events (AE), by Severity
Generalized muscle aches · None reported
603 Participants
132 Participants
Number and Percentage of Subjects Experiencing Solicited Systemic Adverse Events (AE), by Severity
Headaches · Mild
93 Participants
23 Participants
Number and Percentage of Subjects Experiencing Solicited Systemic Adverse Events (AE), by Severity
Nausea · Mild
14 Participants
4 Participants
Number and Percentage of Subjects Experiencing Solicited Systemic Adverse Events (AE), by Severity
Vomiting · Life threatening
0 Participants
0 Participants
Number and Percentage of Subjects Experiencing Solicited Systemic Adverse Events (AE), by Severity
Chills · Mild
36 Participants
10 Participants
Number and Percentage of Subjects Experiencing Solicited Systemic Adverse Events (AE), by Severity
Chills · Moderate
9 Participants
2 Participants
Number and Percentage of Subjects Experiencing Solicited Systemic Adverse Events (AE), by Severity
Chills · Severe
0 Participants
1 Participants
Number and Percentage of Subjects Experiencing Solicited Systemic Adverse Events (AE), by Severity
Chills · Life threatening
0 Participants
0 Participants
Number and Percentage of Subjects Experiencing Solicited Systemic Adverse Events (AE), by Severity
Chills · None reported
695 Participants
135 Participants
Number and Percentage of Subjects Experiencing Solicited Systemic Adverse Events (AE), by Severity
Fatigue/Malaise · Mild
111 Participants
18 Participants
Number and Percentage of Subjects Experiencing Solicited Systemic Adverse Events (AE), by Severity
Fatigue/Malaise · Moderate
29 Participants
8 Participants
Number and Percentage of Subjects Experiencing Solicited Systemic Adverse Events (AE), by Severity
Fatigue/Malaise · Severe
2 Participants
1 Participants
Number and Percentage of Subjects Experiencing Solicited Systemic Adverse Events (AE), by Severity
Fatigue/Malaise · Life threatening
0 Participants
0 Participants
Number and Percentage of Subjects Experiencing Solicited Systemic Adverse Events (AE), by Severity
Fatigue/Malaise · None reported
598 Participants
121 Participants
Number and Percentage of Subjects Experiencing Solicited Systemic Adverse Events (AE), by Severity
Generalized muscle aches · Mild
114 Participants
14 Participants
Number and Percentage of Subjects Experiencing Solicited Systemic Adverse Events (AE), by Severity
Generalized muscle aches · Moderate
23 Participants
1 Participants
Number and Percentage of Subjects Experiencing Solicited Systemic Adverse Events (AE), by Severity
Generalized muscle aches · Severe
0 Participants
1 Participants
Number and Percentage of Subjects Experiencing Solicited Systemic Adverse Events (AE), by Severity
Generalized muscle aches · Life threatening
0 Participants
0 Participants
Number and Percentage of Subjects Experiencing Solicited Systemic Adverse Events (AE), by Severity
Headaches · Moderate
27 Participants
4 Participants
Number and Percentage of Subjects Experiencing Solicited Systemic Adverse Events (AE), by Severity
Headaches · Severe
1 Participants
2 Participants
Number and Percentage of Subjects Experiencing Solicited Systemic Adverse Events (AE), by Severity
Headaches · Life threatening
0 Participants
0 Participants
Number and Percentage of Subjects Experiencing Solicited Systemic Adverse Events (AE), by Severity
Headaches · None reported
619 Participants
119 Participants
Number and Percentage of Subjects Experiencing Solicited Systemic Adverse Events (AE), by Severity
Joint aches · Mild
42 Participants
11 Participants
Number and Percentage of Subjects Experiencing Solicited Systemic Adverse Events (AE), by Severity
Joint aches · Moderate
16 Participants
0 Participants
Number and Percentage of Subjects Experiencing Solicited Systemic Adverse Events (AE), by Severity
Joint aches · Severe
0 Participants
1 Participants
Number and Percentage of Subjects Experiencing Solicited Systemic Adverse Events (AE), by Severity
Joint aches · Life threatening
0 Participants
0 Participants
Number and Percentage of Subjects Experiencing Solicited Systemic Adverse Events (AE), by Severity
Joint aches · None reported
682 Participants
136 Participants
Number and Percentage of Subjects Experiencing Solicited Systemic Adverse Events (AE), by Severity
Nausea · Moderate
2 Participants
0 Participants
Number and Percentage of Subjects Experiencing Solicited Systemic Adverse Events (AE), by Severity
Nausea · Severe
1 Participants
1 Participants
Number and Percentage of Subjects Experiencing Solicited Systemic Adverse Events (AE), by Severity
Nausea · Life threatening
0 Participants
0 Participants
Number and Percentage of Subjects Experiencing Solicited Systemic Adverse Events (AE), by Severity
Nausea · None reported
723 Participants
143 Participants
Number and Percentage of Subjects Experiencing Solicited Systemic Adverse Events (AE), by Severity
Vomiting · Mild
3 Participants
0 Participants
Number and Percentage of Subjects Experiencing Solicited Systemic Adverse Events (AE), by Severity
Vomiting · Moderate
2 Participants
0 Participants
Number and Percentage of Subjects Experiencing Solicited Systemic Adverse Events (AE), by Severity
Vomiting · Severe
1 Participants
0 Participants
Number and Percentage of Subjects Experiencing Solicited Systemic Adverse Events (AE), by Severity
Vomiting · None reported
734 Participants
148 Participants

PRIMARY outcome

Timeframe: Day 1 to Day 7

Population: All recipients of the vaccine in Phases 2 and 3

Subjects reporting body temperature by maximum severity; Grade 0: \<38°C, Grade 1: 38.0 - \<38.6°C, Grade 2: 38.6 - \<39.3°C, Grade 3: 39.3 - \<40.0°C, Grade 4: \>= 40.0°C

Outcome measures

Outcome measures
Measure
Vaccine
n=740 Participants
Received one dose of IVACFLU-S vaccine intramuscularly.
Placebo
n=148 Participants
Received one dose of placebo intramuscularly.
Number and Percentage of Subjects Experiencing Fever
Grade 0
729 Participants
146 Participants
Number and Percentage of Subjects Experiencing Fever
Grade 1
5 Participants
1 Participants
Number and Percentage of Subjects Experiencing Fever
Grade 2
5 Participants
1 Participants
Number and Percentage of Subjects Experiencing Fever
Grade 3
1 Participants
0 Participants
Number and Percentage of Subjects Experiencing Fever
Grade 4
0 Participants
0 Participants

PRIMARY outcome

Timeframe: Day 1 to Day 21

Population: All recipients of the vaccine in Phases 2 and 3

Unsolicited AEs were observed by study staff while the subject is at a clinic for a study visit or reported by the subject at any time. Any sign or symptom that would normally be considered a "solicited AE" (for example, fever, nausea, injection site pain) starting after 7 days post-vaccination was to be recorded as an unsolicited AE. The clinician determined whether there was a reasonable possibility that the investigational product(s) caused or contributed to an AE. The following guidelines were used: * Related: There is a reasonable possibility that the study vaccine caused the AE. "Reasonable possibility" means that there is evidence to suggest a causal relationship between the study product and the AE. * Not Related: There is not a reasonable possibility that the administration of the study product caused the event.

Outcome measures

Outcome measures
Measure
Vaccine
n=740 Participants
Received one dose of IVACFLU-S vaccine intramuscularly.
Placebo
n=148 Participants
Received one dose of placebo intramuscularly.
Number and Percentage of Subjects Experiencing Unsolicited Adverse Events (AE)
At least one unsolicited AE
110 Participants
17 Participants
Number and Percentage of Subjects Experiencing Unsolicited Adverse Events (AE)
At least one vaccine-related unsolicited AE
3 Participants
1 Participants
Number and Percentage of Subjects Experiencing Unsolicited Adverse Events (AE)
At least one severe unsolicited AE
2 Participants
0 Participants
Number and Percentage of Subjects Experiencing Unsolicited Adverse Events (AE)
At least one life threatening unsolicited AE
0 Participants
0 Participants
Number and Percentage of Subjects Experiencing Unsolicited Adverse Events (AE)
Subjects requiring treatment during the study
64 Participants
11 Participants

PRIMARY outcome

Timeframe: Day 1 to Day 91

Population: All recipients of the vaccine in Phases 2 and 3

Unsolicited AEs were observed by study staff while the subject is at a clinic for a study visit or reported by the subject at any time. Any sign or symptom that would normally be considered a "solicited AE" (for example, fever, nausea, injection site pain) starting after 7 days post-vaccination was to be recorded as an unsolicited AE. The clinician determined whether there was a reasonable possibility that the investigational product(s) caused or contributed to an AE. The following guidelines were used: * Related: There is a reasonable possibility that the study vaccine caused the AE. "Reasonable possibility" means that there is evidence to suggest a causal relationship between the study product and the AE. * Not Related: There is not a reasonable possibility that the administration of the study product caused the event.

Outcome measures

Outcome measures
Measure
Vaccine
n=740 Participants
Received one dose of IVACFLU-S vaccine intramuscularly.
Placebo
n=148 Participants
Received one dose of placebo intramuscularly.
Number and Percentage of Subjects Experiencing Unsolicited Serious Adverse Events (SAE)
Related to vaccine
0 Participants
0 Participants
Number and Percentage of Subjects Experiencing Unsolicited Serious Adverse Events (SAE)
Not related to vaccine
4 Participants
2 Participants

PRIMARY outcome

Timeframe: Day 1, Day 22

Population: Phase 3 participants who were participated in the study through at least day 22, overall and by age group.

Serum specimens during Phase 3 were tested for the presence and titer of HAI antibodies to each one of the influenza strains represented in the vaccine (A/H1N1, B, and A/H3N2). This testing was performed by VisMederi SRL laboratory (Siena, Italy), by using a validated assay. Sample collection on Day 1 was prior to administration of study product. Seroconversion is defined as a serum HAI antibody titer meeting the following criteria: * pre-vaccination titer \< 1:10 and a post-vaccination titer measured on Day 22 of ≥ 1:40, or * pre-vaccination titer ≥ 1:10 and at least a 4-fold increase in post-vaccination measured on Day 22

Outcome measures

Outcome measures
Measure
Vaccine
n=209 Participants
Received one dose of IVACFLU-S vaccine intramuscularly.
Placebo
n=42 Participants
Received one dose of placebo intramuscularly.
Number and Percentage of Subjects With Seroconversion of Hemagglutination Inhibition (HAI) Antibodies for Vaccine Antigens, Overall and by Age Group
Ages 46-60: A/H3N2
85 Participants
0 Participants
Number and Percentage of Subjects With Seroconversion of Hemagglutination Inhibition (HAI) Antibodies for Vaccine Antigens, Overall and by Age Group
Overall: A/H1N1
147 Participants
0 Participants
Number and Percentage of Subjects With Seroconversion of Hemagglutination Inhibition (HAI) Antibodies for Vaccine Antigens, Overall and by Age Group
Overall: A/H3N2
159 Participants
0 Participants
Number and Percentage of Subjects With Seroconversion of Hemagglutination Inhibition (HAI) Antibodies for Vaccine Antigens, Overall and by Age Group
Overall: B
113 Participants
1 Participants
Number and Percentage of Subjects With Seroconversion of Hemagglutination Inhibition (HAI) Antibodies for Vaccine Antigens, Overall and by Age Group
Ages 18-45: A/H1N1
73 Participants
0 Participants
Number and Percentage of Subjects With Seroconversion of Hemagglutination Inhibition (HAI) Antibodies for Vaccine Antigens, Overall and by Age Group
Ages 18-45: AH3N2
74 Participants
0 Participants
Number and Percentage of Subjects With Seroconversion of Hemagglutination Inhibition (HAI) Antibodies for Vaccine Antigens, Overall and by Age Group
Ages 18-45: B
52 Participants
0 Participants
Number and Percentage of Subjects With Seroconversion of Hemagglutination Inhibition (HAI) Antibodies for Vaccine Antigens, Overall and by Age Group
Ages 46-60: A/H1N1
74 Participants
0 Participants
Number and Percentage of Subjects With Seroconversion of Hemagglutination Inhibition (HAI) Antibodies for Vaccine Antigens, Overall and by Age Group
Ages 46-60: B
61 Participants
1 Participants

PRIMARY outcome

Timeframe: Day 1, Day 22

Population: Phase 3 participants who were participated in the study through at least day 22, overall and by age group.

Serum specimens during Phase 3 were tested for the presence and titer of HAI antibodies to each one of the influenza strains represented in the vaccine (A/H1N1, B, and A/H3N2). This testing was performed by VisMederi SRL laboratory (Siena, Italy), by using a validated assay. Sample collection on Day 1 was prior to administration of study product.

Outcome measures

Outcome measures
Measure
Vaccine
n=209 Participants
Received one dose of IVACFLU-S vaccine intramuscularly.
Placebo
n=42 Participants
Received one dose of placebo intramuscularly.
Geometric Mean Titer (GMT) of Hemagglutination Inhibition (HAI) Antibodies for Vaccine Antigens at Baseline and Day 22, Overall and by Age Group
Ages 18-45: A/H1N1: Day 1
12.65 titer
Interval 10.102 to 15.837
15.49 titer
Interval 8.399 to 28.553
Geometric Mean Titer (GMT) of Hemagglutination Inhibition (HAI) Antibodies for Vaccine Antigens at Baseline and Day 22, Overall and by Age Group
Overall: A/H1N1: Day 1
9.93 titer
Interval 8.593 to 11.465
13.51 titer
Interval 9.288 to 19.665
Geometric Mean Titer (GMT) of Hemagglutination Inhibition (HAI) Antibodies for Vaccine Antigens at Baseline and Day 22, Overall and by Age Group
Overall: A/H1N1: Day 22
130.48 titer
Interval 107.898 to 157.78
13.46 titer
Interval 9.438 to 19.192
Geometric Mean Titer (GMT) of Hemagglutination Inhibition (HAI) Antibodies for Vaccine Antigens at Baseline and Day 22, Overall and by Age Group
Overall: A/H3N2: Day 1
12.92 titer
Interval 11.256 to 14.831
12.65 titer
Interval 8.836 to 18.115
Geometric Mean Titer (GMT) of Hemagglutination Inhibition (HAI) Antibodies for Vaccine Antigens at Baseline and Day 22, Overall and by Age Group
Overall: A/H3N2: Day 22
153.12 titer
Interval 127.996 to 183.17
12.65 titer
Interval 8.859 to 18.068
Geometric Mean Titer (GMT) of Hemagglutination Inhibition (HAI) Antibodies for Vaccine Antigens at Baseline and Day 22, Overall and by Age Group
Overall: B: Day 1
7.17 titer
Interval 6.62 to 7.756
6.35 titer
Interval 5.468 to 7.379
Geometric Mean Titer (GMT) of Hemagglutination Inhibition (HAI) Antibodies for Vaccine Antigens at Baseline and Day 22, Overall and by Age Group
Overall: B: Day 22
42.04 titer
Interval 35.654 to 49.57
6.79 titer
Interval 5.58 to 8.251
Geometric Mean Titer (GMT) of Hemagglutination Inhibition (HAI) Antibodies for Vaccine Antigens at Baseline and Day 22, Overall and by Age Group
Ages 18-45: A/H1N1: Day 22
149.19 titer
Interval 119.134 to 186.81
15.74 titer
Interval 8.732 to 28.386
Geometric Mean Titer (GMT) of Hemagglutination Inhibition (HAI) Antibodies for Vaccine Antigens at Baseline and Day 22, Overall and by Age Group
Ages 18-45: A/H3N2: Day 1
16.16 titer
Interval 13.008 to 20.072
21.36 titer
Interval 11.9 to 38.359
Geometric Mean Titer (GMT) of Hemagglutination Inhibition (HAI) Antibodies for Vaccine Antigens at Baseline and Day 22, Overall and by Age Group
Ages 18-45: A/H3N2: Day 22
145.26 titer
Interval 114.633 to 184.07
22.26 titer
Interval 12.528 to 39.569
Geometric Mean Titer (GMT) of Hemagglutination Inhibition (HAI) Antibodies for Vaccine Antigens at Baseline and Day 22, Overall and by Age Group
Ages 18-45: B: Day 1
6.48 titer
Interval 5.915 to 7.108
6.20 titer
Interval 5.273 to 7.282
Geometric Mean Titer (GMT) of Hemagglutination Inhibition (HAI) Antibodies for Vaccine Antigens at Baseline and Day 22, Overall and by Age Group
Ages 18-45: B: Day 22
38.18 titer
Interval 30.703 to 47.469
6.62 titer
Interval 5.278 to 8.302
Geometric Mean Titer (GMT) of Hemagglutination Inhibition (HAI) Antibodies for Vaccine Antigens at Baseline and Day 22, Overall and by Age Group
Ages 46-60: A/H1N1: Day 1
7.81 titer
Interval 6.569 to 9.278
11.79 titer
Interval 7.278 to 19.112
Geometric Mean Titer (GMT) of Hemagglutination Inhibition (HAI) Antibodies for Vaccine Antigens at Baseline and Day 22, Overall and by Age Group
Ages 46-60: A/H1N1: Day 22
114.26 titer
Interval 84.025 to 155.382
11.51 titer
Interval 7.418 to 17.846
Geometric Mean Titer (GMT) of Hemagglutination Inhibition (HAI) Antibodies for Vaccine Antigens at Baseline and Day 22, Overall and by Age Group
Ages 46-60: A/H3N2: Day 1
10.35 titer
Interval 8.79 to 12.193
7.49 titer
Interval 5.447 to 10.304
Geometric Mean Titer (GMT) of Hemagglutination Inhibition (HAI) Antibodies for Vaccine Antigens at Baseline and Day 22, Overall and by Age Group
Ages 46-60: A/H3N2: Day 22
161.33 titer
Interval 122.86 to 211.83
7.19 titer
Interval 5.363 to 9.635
Geometric Mean Titer (GMT) of Hemagglutination Inhibition (HAI) Antibodies for Vaccine Antigens at Baseline and Day 22, Overall and by Age Group
Ages 46-60: B: Day 1
7.91 titer
Interval 6.964 to 8.986
6.51 titer
Interval 4.979 to 8.514
Geometric Mean Titer (GMT) of Hemagglutination Inhibition (HAI) Antibodies for Vaccine Antigens at Baseline and Day 22, Overall and by Age Group
Ages 46-60: B: Day 22
46.25 titer
Interval 36.051 to 59.341
6.96 titer
Interval 4.95 to 9.773

PRIMARY outcome

Timeframe: Day 1, Day 22

Population: Phase 3 participants who were participated in the study through at least day 22, overall and by age group.

Fold change in titer between Day 1 and Day 22. Serum specimens during Phase 3 were tested for the presence and titer of HAI antibodies to each one of the influenza strains represented in the vaccine (A/H1N1, B, and A/H3N2). This testing was performed by VisMederi SRL laboratory (Siena, Italy), by using a validated assay. Sample collection on Day 1 was prior to administration of study product.

Outcome measures

Outcome measures
Measure
Vaccine
n=209 Participants
Received one dose of IVACFLU-S vaccine intramuscularly.
Placebo
n=42 Participants
Received one dose of placebo intramuscularly.
Geometric Mean Fold Change of Serum Hemagglutination Inhibition (HAI) Antibody Titer, Overall and by Age Group
Ages 46-60: B
5.85 fold change
Interval 4.615 to 7.407
1.07 fold change
Interval 0.797 to 1.433
Geometric Mean Fold Change of Serum Hemagglutination Inhibition (HAI) Antibody Titer, Overall and by Age Group
Overall: A/H3N2
11.85 fold change
Interval 9.762 to 14.388
1.00 fold change
Interval 0.939 to 1.065
Geometric Mean Fold Change of Serum Hemagglutination Inhibition (HAI) Antibody Titer, Overall and by Age Group
Overall: B
5.87 fold change
Interval 4.987 to 6.902
1.07 fold change
Interval 0.895 to 1.275
Geometric Mean Fold Change of Serum Hemagglutination Inhibition (HAI) Antibody Titer, Overall and by Age Group
Ages 18-45: A/H1N1
11.79 fold change
Interval 8.832 to 15.752
1.02 fold change
Interval 0.852 to 1.213
Geometric Mean Fold Change of Serum Hemagglutination Inhibition (HAI) Antibody Titer, Overall and by Age Group
Ages 18-45: AH3N2
8.99 fold change
Interval 6.878 to 11.75
1.04 fold change
Interval 0.935 to 1.162
Geometric Mean Fold Change of Serum Hemagglutination Inhibition (HAI) Antibody Titer, Overall and by Age Group
Ages 46-60: A/H1N1
14.64 fold change
Interval 10.669 to 20.078
0.98 fold change
Interval 0.908 to 1.048
Geometric Mean Fold Change of Serum Hemagglutination Inhibition (HAI) Antibody Titer, Overall and by Age Group
Ages 46-60: AH3N2
15.58 fold change
Interval 11.839 to 20.512
0.96 fold change
Interval 0.895 to 1.029
Geometric Mean Fold Change of Serum Hemagglutination Inhibition (HAI) Antibody Titer, Overall and by Age Group
Overall: A/H1N1
13.15 fold change
Interval 10.623 to 16.268
1.00 fold change
Interval 0.909 to 1.091
Geometric Mean Fold Change of Serum Hemagglutination Inhibition (HAI) Antibody Titer, Overall and by Age Group
Ages 18-45: B
5.89 fold change
Interval 4.694 to 7.385
1.07 fold change
Interval 0.852 to 1.34

SECONDARY outcome

Timeframe: Day 22

Population: Phase 3 participants who were participated in the study through at least day 22, overall and by age group.

Serum specimens during Phase 3 were tested for the presence and titer of HAI antibodies to each one of the influenza strains represented in the vaccine (A/H1N1, B, and A/H3N2). This testing was performed by VisMederi SRL laboratory (Siena, Italy), by using a validated assay. Sample collection on Day 1 was prior to administration of study product.

Outcome measures

Outcome measures
Measure
Vaccine
n=209 Participants
Received one dose of IVACFLU-S vaccine intramuscularly.
Placebo
n=42 Participants
Received one dose of placebo intramuscularly.
Number and Percentage of Subjects With at Least a 4-fold Increase in HAI Antibody Titer, by Strain, Age Group, and Baseline Titer
Age 46-60 A/H3N2; baseline ≥1:10
45 Participants
0 Participants
Number and Percentage of Subjects With at Least a 4-fold Increase in HAI Antibody Titer, by Strain, Age Group, and Baseline Titer
Age 18-45 A/H1N1; baseline ≥1:10
28 Participants
0 Participants
Number and Percentage of Subjects With at Least a 4-fold Increase in HAI Antibody Titer, by Strain, Age Group, and Baseline Titer
Age 46-60 B; baseline ≥1:10
28 Participants
0 Participants
Number and Percentage of Subjects With at Least a 4-fold Increase in HAI Antibody Titer, by Strain, Age Group, and Baseline Titer
Overall A/H1N1; baseline <1:10
97 Participants
0 Participants
Number and Percentage of Subjects With at Least a 4-fold Increase in HAI Antibody Titer, by Strain, Age Group, and Baseline Titer
Overall for A/H1N1; baseline ≥1:10
50 Participants
0 Participants
Number and Percentage of Subjects With at Least a 4-fold Increase in HAI Antibody Titer, by Strain, Age Group, and Baseline Titer
Overall A/H3N2; baseline <1:10
66 Participants
0 Participants
Number and Percentage of Subjects With at Least a 4-fold Increase in HAI Antibody Titer, by Strain, Age Group, and Baseline Titer
Age 46-60 A/H1N1; baseline ≥1:10
22 Participants
0 Participants
Number and Percentage of Subjects With at Least a 4-fold Increase in HAI Antibody Titer, by Strain, Age Group, and Baseline Titer
Age 46-60 A/H3N2; baseline <1:10
40 Participants
0 Participants
Number and Percentage of Subjects With at Least a 4-fold Increase in HAI Antibody Titer, by Strain, Age Group, and Baseline Titer
Age 46-60 B; baseline <1:10
33 Participants
1 Participants
Number and Percentage of Subjects With at Least a 4-fold Increase in HAI Antibody Titer, by Strain, Age Group, and Baseline Titer
Overall A/H3N2; baseline ≥1:10
93 Participants
0 Participants
Number and Percentage of Subjects With at Least a 4-fold Increase in HAI Antibody Titer, by Strain, Age Group, and Baseline Titer
Overall B; baseline <1:10
71 Participants
1 Participants
Number and Percentage of Subjects With at Least a 4-fold Increase in HAI Antibody Titer, by Strain, Age Group, and Baseline Titer
Overall B; baseline ≥1:10
42 Participants
0 Participants
Number and Percentage of Subjects With at Least a 4-fold Increase in HAI Antibody Titer, by Strain, Age Group, and Baseline Titer
Age18-45 A/H1N1; baseline <1:10
45 Participants
0 Participants
Number and Percentage of Subjects With at Least a 4-fold Increase in HAI Antibody Titer, by Strain, Age Group, and Baseline Titer
Age18-45 A/H3N2; baseline <1:10
26 Participants
0 Participants
Number and Percentage of Subjects With at Least a 4-fold Increase in HAI Antibody Titer, by Strain, Age Group, and Baseline Titer
Age 18-45 A/H3N2; baseline ≥1:10
48 Participants
0 Participants
Number and Percentage of Subjects With at Least a 4-fold Increase in HAI Antibody Titer, by Strain, Age Group, and Baseline Titer
Age18-45 B; baseline <1:10
38 Participants
0 Participants
Number and Percentage of Subjects With at Least a 4-fold Increase in HAI Antibody Titer, by Strain, Age Group, and Baseline Titer
Age 18-45 B; baseline ≥1:10
14 Participants
0 Participants
Number and Percentage of Subjects With at Least a 4-fold Increase in HAI Antibody Titer, by Strain, Age Group, and Baseline Titer
Age 46-60 A/H1N1; baseline <1:10
52 Participants
0 Participants

SECONDARY outcome

Timeframe: Day 1, Day 22

Population: Phase 3 participants who were participated in the study through at least day 22.

Serum specimens during Phase 3 were tested for the presence and titer of HAI antibodies to each one of the influenza strains represented in the vaccine (A/H1N1, B, and A/H1N1). This testing was performed by VisMederi SRL laboratory (Siena, Italy), by using a validated assay. Sample collection on Day 1 was prior to administration of study product.

Outcome measures

Outcome measures
Measure
Vaccine
n=209 Participants
Received one dose of IVACFLU-S vaccine intramuscularly.
Placebo
n=42 Participants
Received one dose of placebo intramuscularly.
Geometric Mean Titer (GMT) of Hemagglutination Inhibition (HAI) Antibodies for Vaccine Antigens at Baseline and Day 22: All Subjects
A/H1N1, Day 1: baseline <1:10
5 titer
Standard Deviation 1
5 titer
Standard Deviation 1
Geometric Mean Titer (GMT) of Hemagglutination Inhibition (HAI) Antibodies for Vaccine Antigens at Baseline and Day 22: All Subjects
A/H1N1, Day 22: baseline <1:10
99.78 titer
Standard Deviation 4.88
5.45 titer
Standard Deviation 1.31
Geometric Mean Titer (GMT) of Hemagglutination Inhibition (HAI) Antibodies for Vaccine Antigens at Baseline and Day 22: All Subjects
A/H1N1, Day 22: baseline ≥1:10
204.75 titer
Standard Deviation 2.27
30.60 titer
Standard Deviation 2.69
Geometric Mean Titer (GMT) of Hemagglutination Inhibition (HAI) Antibodies for Vaccine Antigens at Baseline and Day 22: All Subjects
A/H3N2 Day 22: baseline <1:10
97.17 titer
Standard Deviation 4.72
5 titer
Standard Deviation 1
Geometric Mean Titer (GMT) of Hemagglutination Inhibition (HAI) Antibodies for Vaccine Antigens at Baseline and Day 22: All Subjects
A/H3N2 Day 22: baseline ≥1:10
215.97 titer
Standard Deviation 2.65
32.01 titer
Standard Deviation 2.54
Geometric Mean Titer (GMT) of Hemagglutination Inhibition (HAI) Antibodies for Vaccine Antigens at Baseline and Day 22: All Subjects
A/H1N1, Day 1: baseline ≥1:10
31.40 titer
Standard Deviation 2.55
33.37 titer
Standard Deviation 2.76
Geometric Mean Titer (GMT) of Hemagglutination Inhibition (HAI) Antibodies for Vaccine Antigens at Baseline and Day 22: All Subjects
A/H3N2 Day 1: baseline <1:10
5 titer
Standard Deviation 1
5 titer
Standard Deviation 1
Geometric Mean Titer (GMT) of Hemagglutination Inhibition (HAI) Antibodies for Vaccine Antigens at Baseline and Day 22: All Subjects
A/H3N2 Day 1: baseline ≥1:10
26.49 titer
Standard Deviation 2.16
32.01 titer
Standard Deviation 2.60
Geometric Mean Titer (GMT) of Hemagglutination Inhibition (HAI) Antibodies for Vaccine Antigens at Baseline and Day 22: All Subjects
B, Day 1: baseline <1:10
5 titer
Standard Deviation 1
5 titer
Standard Deviation 1
Geometric Mean Titer (GMT) of Hemagglutination Inhibition (HAI) Antibodies for Vaccine Antigens at Baseline and Day 22: All Subjects
B, Day 1: baseline ≥1:10
14.64 titer
Standard Deviation 1.63
13.66 titer
Standard Deviation 1.56
Geometric Mean Titer (GMT) of Hemagglutination Inhibition (HAI) Antibodies for Vaccine Antigens at Baseline and Day 22: All Subjects
B, Day 22: baseline <1:10
33.10 titer
Standard Deviation 3.45
5.95 titer
Standard Deviation 1.80
Geometric Mean Titer (GMT) of Hemagglutination Inhibition (HAI) Antibodies for Vaccine Antigens at Baseline and Day 22: All Subjects
B, Day 22: baseline ≥1:10
67.61 titer
Standard Deviation 2.71
10.35 titer
Standard Deviation 1.78

SECONDARY outcome

Timeframe: Day 1, Day 22

Population: Phase 3 participants who were age 18-45 and participated in the study through at least day 22.

Serum specimens during Phase 3 were tested for the presence and titer of HAI antibodies to each one of the influenza strains represented in the vaccine (A/H1N1, B, and A/H3N2). This testing was performed by VisMederi SRL laboratory (Siena, Italy), by using a validated assay. Sample collection on Day 1 was prior to administration of study product.

Outcome measures

Outcome measures
Measure
Vaccine
n=104 Participants
Received one dose of IVACFLU-S vaccine intramuscularly.
Placebo
n=21 Participants
Received one dose of placebo intramuscularly.
Geometric Mean Titer (GMT) of Hemagglutination Inhibition (HAI) Antibodies for Vaccine Antigens at Baseline and Day 22: Subjects Aged 18-45
B, Day 22: baseline <1:10
34.97 titer
Standard Deviation 3.22
6.02 titer
Standard Deviation 1.66
Geometric Mean Titer (GMT) of Hemagglutination Inhibition (HAI) Antibodies for Vaccine Antigens at Baseline and Day 22: Subjects Aged 18-45
A/H1N1, Day 1: baseline <1:10
5 titer
Standard Deviation 1
5 titer
Standard Deviation 1
Geometric Mean Titer (GMT) of Hemagglutination Inhibition (HAI) Antibodies for Vaccine Antigens at Baseline and Day 22: Subjects Aged 18-45
A/H1N1, Day 1: baseline ≥1:10
35.85 titer
Standard Deviation 2.41
43.28 titer
Standard Deviation 2.95
Geometric Mean Titer (GMT) of Hemagglutination Inhibition (HAI) Antibodies for Vaccine Antigens at Baseline and Day 22: Subjects Aged 18-45
A/H1N1, Day 22: baseline <1:10
117.13 titer
Standard Deviation 4.11
5.95 titer
Standard Deviation 1.45
Geometric Mean Titer (GMT) of Hemagglutination Inhibition (HAI) Antibodies for Vaccine Antigens at Baseline and Day 22: Subjects Aged 18-45
A/H1N1, Day 22: baseline ≥1:10
195.73 titer
Standard Deviation 2
38.15 titer
Standard Deviation 3.29
Geometric Mean Titer (GMT) of Hemagglutination Inhibition (HAI) Antibodies for Vaccine Antigens at Baseline and Day 22: Subjects Aged 18-45
A/H3N2 Day 1: baseline <1:10
5 titer
Standard Deviation 1
5 titer
Standard Deviation 1
Geometric Mean Titer (GMT) of Hemagglutination Inhibition (HAI) Antibodies for Vaccine Antigens at Baseline and Day 22: Subjects Aged 18-45
A/H3N2 Day 1: baseline ≥1:10
30.07 titer
Standard Deviation 2.42
38.19 titer
Standard Deviation 2.85
Geometric Mean Titer (GMT) of Hemagglutination Inhibition (HAI) Antibodies for Vaccine Antigens at Baseline and Day 22: Subjects Aged 18-45
A/H3N2 Day 22: baseline <1:10
88.51 titer
Standard Deviation 4.49
5 titer
Standard Deviation 1
Geometric Mean Titer (GMT) of Hemagglutination Inhibition (HAI) Antibodies for Vaccine Antigens at Baseline and Day 22: Subjects Aged 18-45
A/H3N2 Day 22: baseline ≥1:10
188.82 titer
Standard Deviation 2.58
40.46 titer
Standard Deviation 2.64
Geometric Mean Titer (GMT) of Hemagglutination Inhibition (HAI) Antibodies for Vaccine Antigens at Baseline and Day 22: Subjects Aged 18-45
B, Day 1: baseline <1:10
5 titer
Standard Deviation 1
5 titer
Standard Deviation 1
Geometric Mean Titer (GMT) of Hemagglutination Inhibition (HAI) Antibodies for Vaccine Antigens at Baseline and Day 22: Subjects Aged 18-45
B, Day 1: baseline ≥1:10
13.13 titer
Standard Deviation 1.46
10.59 titer
Standard Deviation 1.15
Geometric Mean Titer (GMT) of Hemagglutination Inhibition (HAI) Antibodies for Vaccine Antigens at Baseline and Day 22: Subjects Aged 18-45
B, Day 22: baseline ≥1:10
48.46 titer
Standard Deviation 2.59
8.41 titer
Standard Deviation 1.53

SECONDARY outcome

Timeframe: Day 1, Day 22

Population: Phase 3 participants who were age 46-60 and participated in the study through at least day 22.

Serum specimens during Phase 3 were tested for the presence and titer of HAI antibodies to each one of the influenza strains represented in the vaccine (A/H1N1, B, and A/H3N2). This testing was performed by VisMederi SRL laboratory (Siena, Italy), by using a validated assay. Sample collection on Day 1 was prior to administration of study product.

Outcome measures

Outcome measures
Measure
Vaccine
n=105 Participants
Received one dose of IVACFLU-S vaccine intramuscularly.
Placebo
n=21 Participants
Received one dose of placebo intramuscularly.
Geometric Mean Titer (GMT) of Hemagglutination Inhibition (HAI) Antibodies for Vaccine Antigens at Baseline and Day 22: Subjects Aged 46-60
A/H1N1, Day 22: baseline <1:10
88.85 titer
Standard Deviation 5.47
5 titer
Standard Deviation 1
Geometric Mean Titer (GMT) of Hemagglutination Inhibition (HAI) Antibodies for Vaccine Antigens at Baseline and Day 22: Subjects Aged 46-60
A/H3N2 Day 1: baseline ≥1:10
22.37 titer
Standard Deviation 1.74
20.59 titer
Standard Deviation 1.64
Geometric Mean Titer (GMT) of Hemagglutination Inhibition (HAI) Antibodies for Vaccine Antigens at Baseline and Day 22: Subjects Aged 46-60
A/H3N2 Day 22: baseline <1:10
103.41 titer
Standard Deviation 4.93
5 titer
Standard Deviation 1
Geometric Mean Titer (GMT) of Hemagglutination Inhibition (HAI) Antibodies for Vaccine Antigens at Baseline and Day 22: Subjects Aged 46-60
A/H3N2 Day 22: baseline ≥1:10
258.34 titer
Standard Deviation 2.70
17.82 titer
Standard Deviation 1.69
Geometric Mean Titer (GMT) of Hemagglutination Inhibition (HAI) Antibodies for Vaccine Antigens at Baseline and Day 22: Subjects Aged 46-60
B, Day 1: baseline <1:10
5 titer
Standard Deviation 1
5 titer
Standard Deviation 1
Geometric Mean Titer (GMT) of Hemagglutination Inhibition (HAI) Antibodies for Vaccine Antigens at Baseline and Day 22: Subjects Aged 46-60
B, Day 1: baseline ≥1:10
15.74 titer
Standard Deviation 1.72
20 titer
Standard Deviation 1.63
Geometric Mean Titer (GMT) of Hemagglutination Inhibition (HAI) Antibodies for Vaccine Antigens at Baseline and Day 22: Subjects Aged 46-60
A/H1N1, Day 1: baseline <1:10
5 titer
Standard Deviation 1
5 titer
Standard Deviation 1
Geometric Mean Titer (GMT) of Hemagglutination Inhibition (HAI) Antibodies for Vaccine Antigens at Baseline and Day 22: Subjects Aged 46-60
A/H1N1, Day 1: baseline ≥1:10
25.10 titer
Standard Deviation 2.72
25.73 titer
Standard Deviation 2.50
Geometric Mean Titer (GMT) of Hemagglutination Inhibition (HAI) Antibodies for Vaccine Antigens at Baseline and Day 22: Subjects Aged 46-60
A/H1N1, Day 22: baseline ≥1:10
220.93 titer
Standard Deviation 2.74
24.55 titer
Standard Deviation 2.08
Geometric Mean Titer (GMT) of Hemagglutination Inhibition (HAI) Antibodies for Vaccine Antigens at Baseline and Day 22: Subjects Aged 46-60
A/H3N2 Day 1: baseline <1:10
5 titer
Standard Deviation 1
5 titer
Standard Deviation 1
Geometric Mean Titer (GMT) of Hemagglutination Inhibition (HAI) Antibodies for Vaccine Antigens at Baseline and Day 22: Subjects Aged 46-60
B, Day 22: baseline <1:10
30.97 titer
Standard Deviation 3.75
5.89 titer
Standard Deviation 1.96
Geometric Mean Titer (GMT) of Hemagglutination Inhibition (HAI) Antibodies for Vaccine Antigens at Baseline and Day 22: Subjects Aged 46-60
B, Day 22: baseline ≥1:10
84.41 titer
Standard Deviation 2.64
14.14 titer
Standard Deviation 2

SECONDARY outcome

Timeframe: Day 1, Day 22

Population: Phase 3 participants who were participated in the study through at least day 22, overall and by age group.

Serum specimens during Phase 3 were tested for the presence and titer of HAI antibodies to each one of the influenza strains represented in the vaccine (A/H1N1, B, and A/H3N2). This testing was performed by VisMederi SRL laboratory (Siena, Italy), by using a validated assay. Sample collection on Day 1 was prior to administration of study product.

Outcome measures

Outcome measures
Measure
Vaccine
n=209 Participants
Received one dose of IVACFLU-S vaccine intramuscularly.
Placebo
n=42 Participants
Received one dose of placebo intramuscularly.
Geometric Mean Fold Change in HAI Antibody Titer, by Strain, Age Group, and Baseline Titer
Overall A/H1N1; baseline <1:10
19.96 fold change
Standard Deviation 4.88
1.09 fold change
Standard Deviation 1.31
Geometric Mean Fold Change in HAI Antibody Titer, by Strain, Age Group, and Baseline Titer
Overall for A/H1N1; baseline ≥1:10
6.52 fold change
Standard Deviation 3.48
0.92 fold change
Standard Deviation 1.34
Geometric Mean Fold Change in HAI Antibody Titer, by Strain, Age Group, and Baseline Titer
Overall A/H3N2; baseline <1:10
19.43 fold change
Standard Deviation 4.72
1 fold change
Standard Deviation 1
Geometric Mean Fold Change in HAI Antibody Titer, by Strain, Age Group, and Baseline Titer
Overall A/H3N2; baseline ≥1:10
8.15 fold change
Standard Deviation 3.30
1 fold change
Standard Deviation 1
Geometric Mean Fold Change in HAI Antibody Titer, by Strain, Age Group, and Baseline Titer
Overall B; baseline <1:10
6.62 fold change
Standard Deviation 3.45
1.19 fold change
Standard Deviation 1.80
Geometric Mean Fold Change in HAI Antibody Titer, by Strain, Age Group, and Baseline Titer
Overall B; baseline ≥1:10
4.62 fold change
Standard Deviation 2.89
0.76 fold change
Standard Deviation 1.38
Geometric Mean Fold Change in HAI Antibody Titer, by Strain, Age Group, and Baseline Titer
Age18-45 A/H1N1; baseline <1:10
23.43 fold change
Standard Deviation 4.11
1.19 fold change
Standard Deviation 1.45
Geometric Mean Fold Change in HAI Antibody Titer, by Strain, Age Group, and Baseline Titer
Age 18-45 A/H1N1; baseline ≥1:10
5.46 fold change
Standard Deviation 3.20
0.88 fold change
Standard Deviation 1.43
Geometric Mean Fold Change in HAI Antibody Titer, by Strain, Age Group, and Baseline Titer
Age18-45 A/H3N2; baseline <1:10
17.70 fold change
Standard Deviation 4.49
1.00 fold change
Standard Deviation 1.00
Geometric Mean Fold Change in HAI Antibody Titer, by Strain, Age Group, and Baseline Titer
Age 18-45 A/H3N2; baseline ≥1:10
6.28 fold change
Standard Deviation 3.21
1.06 fold change
Standard Deviation 1.33
Geometric Mean Fold Change in HAI Antibody Titer, by Strain, Age Group, and Baseline Titer
Age18-45 B; baseline <1:10
6.99 fold change
Standard Deviation 3.22
1.20 fold change
Standard Deviation 1.66
Geometric Mean Fold Change in HAI Antibody Titer, by Strain, Age Group, and Baseline Titer
Age 18-45 B; baseline ≥1:10
3.69 fold change
Standard Deviation 2.81
0.79 fold change
Standard Deviation 1.43
Geometric Mean Fold Change in HAI Antibody Titer, by Strain, Age Group, and Baseline Titer
Age 46-60 A/H1N1; baseline <1:10
17.77 fold change
Standard Deviation 5.47
1.00 fold change
Standard Deviation 1.00
Geometric Mean Fold Change in HAI Antibody Titer, by Strain, Age Group, and Baseline Titer
Age 46-60 A/H1N1; baseline ≥1:10
8.80 fold change
Standard Deviation 3.84
0.95 fold change
Standard Deviation 1.25
Geometric Mean Fold Change in HAI Antibody Titer, by Strain, Age Group, and Baseline Titer
Age 46-60 A/H3N2; baseline <1:10
20.68 fold change
Standard Deviation 4.93
1.00 fold change
Standard Deviation 1.00
Geometric Mean Fold Change in HAI Antibody Titer, by Strain, Age Group, and Baseline Titer
Age 46-60 A/H3N2; baseline ≥1:10
11.55 fold change
Standard Deviation 3.16
0.87 fold change
Standard Deviation 1.32
Geometric Mean Fold Change in HAI Antibody Titer, by Strain, Age Group, and Baseline Titer
Age 46-60 B; baseline <1:10
6.19 fold change
Standard Deviation 3.75
1.18 fold change
Standard Deviation 1.96
Geometric Mean Fold Change in HAI Antibody Titer, by Strain, Age Group, and Baseline Titer
Age 46-60 B; baseline ≥1:10
5.36 fold change
Standard Deviation 2.90
0.71 fold change
Standard Deviation 1.33

Adverse Events

Vaccine

Serious events: 4 serious events
Other events: 110 other events
Deaths: 0 deaths

Placebo

Serious events: 2 serious events
Other events: 17 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Vaccine
n=740 participants at risk
IVACFLU-S: Trivalent inactivated split virion influenza vaccine
Placebo
n=148 participants at risk
PBS with pH 7.2; 0.5 ml/per dose
Injury, poisoning and procedural complications
Soft tissue injury
0.14%
1/740 • 22 days for non-serious adverse events; 91 days for serious adverse events.
0.00%
0/148 • 22 days for non-serious adverse events; 91 days for serious adverse events.
Injury, poisoning and procedural complications
Limb crushing injury
0.14%
1/740 • 22 days for non-serious adverse events; 91 days for serious adverse events.
0.00%
0/148 • 22 days for non-serious adverse events; 91 days for serious adverse events.
Infections and infestations
Pulmonary tuberculosis
0.14%
1/740 • 22 days for non-serious adverse events; 91 days for serious adverse events.
0.00%
0/148 • 22 days for non-serious adverse events; 91 days for serious adverse events.
Musculoskeletal and connective tissue disorders
Spondylolisthesis
0.14%
1/740 • 22 days for non-serious adverse events; 91 days for serious adverse events.
0.00%
0/148 • 22 days for non-serious adverse events; 91 days for serious adverse events.
Respiratory, thoracic and mediastinal disorders
Pharyngitis
0.00%
0/740 • 22 days for non-serious adverse events; 91 days for serious adverse events.
0.68%
1/148 • 22 days for non-serious adverse events; 91 days for serious adverse events.
Gastrointestinal disorders
Gastritis
0.00%
0/740 • 22 days for non-serious adverse events; 91 days for serious adverse events.
0.68%
1/148 • 22 days for non-serious adverse events; 91 days for serious adverse events.

Other adverse events

Other adverse events
Measure
Vaccine
n=740 participants at risk
IVACFLU-S: Trivalent inactivated split virion influenza vaccine
Placebo
n=148 participants at risk
PBS with pH 7.2; 0.5 ml/per dose
Infections and infestations
Acute Sinusitis
0.14%
1/740 • Number of events 1 • 22 days for non-serious adverse events; 91 days for serious adverse events.
0.00%
0/148 • 22 days for non-serious adverse events; 91 days for serious adverse events.
Infections and infestations
Conjunctivitis
0.14%
1/740 • Number of events 1 • 22 days for non-serious adverse events; 91 days for serious adverse events.
0.00%
0/148 • 22 days for non-serious adverse events; 91 days for serious adverse events.
Infections and infestations
Gingivitis
0.00%
0/740 • 22 days for non-serious adverse events; 91 days for serious adverse events.
0.68%
1/148 • Number of events 1 • 22 days for non-serious adverse events; 91 days for serious adverse events.
Infections and infestations
Hordeolum
0.14%
1/740 • Number of events 1 • 22 days for non-serious adverse events; 91 days for serious adverse events.
0.00%
0/148 • 22 days for non-serious adverse events; 91 days for serious adverse events.
Infections and infestations
Pharyngitis
1.1%
8/740 • Number of events 8 • 22 days for non-serious adverse events; 91 days for serious adverse events.
0.68%
1/148 • Number of events 1 • 22 days for non-serious adverse events; 91 days for serious adverse events.
Infections and infestations
Sinusitis
0.14%
1/740 • Number of events 1 • 22 days for non-serious adverse events; 91 days for serious adverse events.
0.00%
0/148 • 22 days for non-serious adverse events; 91 days for serious adverse events.
Infections and infestations
Tonsillitis
0.14%
1/740 • Number of events 1 • 22 days for non-serious adverse events; 91 days for serious adverse events.
0.00%
0/148 • 22 days for non-serious adverse events; 91 days for serious adverse events.
Infections and infestations
Upper Respiratory Tract Infection
0.27%
2/740 • Number of events 2 • 22 days for non-serious adverse events; 91 days for serious adverse events.
0.68%
1/148 • Number of events 1 • 22 days for non-serious adverse events; 91 days for serious adverse events.
Infections and infestations
Urinary Tract Infection
0.14%
1/740 • Number of events 1 • 22 days for non-serious adverse events; 91 days for serious adverse events.
0.00%
0/148 • 22 days for non-serious adverse events; 91 days for serious adverse events.
Infections and infestations
Viral Infection
0.27%
2/740 • Number of events 2 • 22 days for non-serious adverse events; 91 days for serious adverse events.
0.00%
0/148 • 22 days for non-serious adverse events; 91 days for serious adverse events.
Infections and infestations
Viral Upper Respiratory Tract Infection
0.41%
3/740 • Number of events 3 • 22 days for non-serious adverse events; 91 days for serious adverse events.
0.00%
0/148 • 22 days for non-serious adverse events; 91 days for serious adverse events.
Injury, poisoning and procedural complications
Contusion
0.14%
1/740 • Number of events 1 • 22 days for non-serious adverse events; 91 days for serious adverse events.
0.00%
0/148 • 22 days for non-serious adverse events; 91 days for serious adverse events.
Injury, poisoning and procedural complications
Limb Injury
0.14%
1/740 • Number of events 1 • 22 days for non-serious adverse events; 91 days for serious adverse events.
0.00%
0/148 • 22 days for non-serious adverse events; 91 days for serious adverse events.
Investigations
Blood Pressure Increased
0.14%
1/740 • Number of events 1 • 22 days for non-serious adverse events; 91 days for serious adverse events.
0.00%
0/148 • 22 days for non-serious adverse events; 91 days for serious adverse events.
Musculoskeletal and connective tissue disorders
Arthritis
0.14%
1/740 • Number of events 1 • 22 days for non-serious adverse events; 91 days for serious adverse events.
0.00%
0/148 • 22 days for non-serious adverse events; 91 days for serious adverse events.
Musculoskeletal and connective tissue disorders
Back pain
0.14%
1/740 • Number of events 1 • 22 days for non-serious adverse events; 91 days for serious adverse events.
0.00%
0/148 • 22 days for non-serious adverse events; 91 days for serious adverse events.
Musculoskeletal and connective tissue disorders
Muscle fatigue
0.14%
1/740 • Number of events 1 • 22 days for non-serious adverse events; 91 days for serious adverse events.
0.00%
0/148 • 22 days for non-serious adverse events; 91 days for serious adverse events.
Musculoskeletal and connective tissue disorders
Muscular Weakness
0.00%
0/740 • 22 days for non-serious adverse events; 91 days for serious adverse events.
0.68%
1/148 • Number of events 1 • 22 days for non-serious adverse events; 91 days for serious adverse events.
Musculoskeletal and connective tissue disorders
Musculoskeletal Pain
0.14%
1/740 • Number of events 1 • 22 days for non-serious adverse events; 91 days for serious adverse events.
0.00%
0/148 • 22 days for non-serious adverse events; 91 days for serious adverse events.
Musculoskeletal and connective tissue disorders
Myalgia
0.00%
0/740 • 22 days for non-serious adverse events; 91 days for serious adverse events.
0.68%
1/148 • Number of events 1 • 22 days for non-serious adverse events; 91 days for serious adverse events.
Musculoskeletal and connective tissue disorders
Myositis
0.14%
1/740 • Number of events 1 • 22 days for non-serious adverse events; 91 days for serious adverse events.
0.00%
0/148 • 22 days for non-serious adverse events; 91 days for serious adverse events.
Musculoskeletal and connective tissue disorders
Neck pain
0.14%
1/740 • Number of events 1 • 22 days for non-serious adverse events; 91 days for serious adverse events.
0.00%
0/148 • 22 days for non-serious adverse events; 91 days for serious adverse events.
Musculoskeletal and connective tissue disorders
Pain in extremity
0.14%
1/740 • Number of events 1 • 22 days for non-serious adverse events; 91 days for serious adverse events.
0.00%
0/148 • 22 days for non-serious adverse events; 91 days for serious adverse events.
Musculoskeletal and connective tissue disorders
Spinal pain
0.00%
0/740 • 22 days for non-serious adverse events; 91 days for serious adverse events.
0.68%
1/148 • Number of events 1 • 22 days for non-serious adverse events; 91 days for serious adverse events.
Nervous system disorders
Dizziness
0.14%
1/740 • Number of events 1 • 22 days for non-serious adverse events; 91 days for serious adverse events.
0.00%
0/148 • 22 days for non-serious adverse events; 91 days for serious adverse events.
Nervous system disorders
Headache
0.95%
7/740 • Number of events 7 • 22 days for non-serious adverse events; 91 days for serious adverse events.
0.68%
1/148 • Number of events 1 • 22 days for non-serious adverse events; 91 days for serious adverse events.
Nervous system disorders
Hypoaesthesia
0.27%
2/740 • Number of events 2 • 22 days for non-serious adverse events; 91 days for serious adverse events.
0.00%
0/148 • 22 days for non-serious adverse events; 91 days for serious adverse events.
Nervous system disorders
Intercostal Neuralgia
0.14%
1/740 • Number of events 1 • 22 days for non-serious adverse events; 91 days for serious adverse events.
0.00%
0/148 • 22 days for non-serious adverse events; 91 days for serious adverse events.
Nervous system disorders
Sciatica
0.00%
0/740 • 22 days for non-serious adverse events; 91 days for serious adverse events.
0.68%
1/148 • Number of events 1 • 22 days for non-serious adverse events; 91 days for serious adverse events.
Psychiatric disorders
Nervousness
0.14%
1/740 • Number of events 1 • 22 days for non-serious adverse events; 91 days for serious adverse events.
0.00%
0/148 • 22 days for non-serious adverse events; 91 days for serious adverse events.
Reproductive system and breast disorders
Vaginal Haemorrhage
0.00%
0/740 • 22 days for non-serious adverse events; 91 days for serious adverse events.
0.68%
1/148 • Number of events 1 • 22 days for non-serious adverse events; 91 days for serious adverse events.
Respiratory, thoracic and mediastinal disorders
Cough
1.6%
12/740 • Number of events 12 • 22 days for non-serious adverse events; 91 days for serious adverse events.
0.00%
0/148 • 22 days for non-serious adverse events; 91 days for serious adverse events.
Respiratory, thoracic and mediastinal disorders
Oropharyngeal Pain
0.41%
3/740 • Number of events 3 • 22 days for non-serious adverse events; 91 days for serious adverse events.
0.68%
1/148 • Number of events 1 • 22 days for non-serious adverse events; 91 days for serious adverse events.
Respiratory, thoracic and mediastinal disorders
Productive Cough
0.54%
4/740 • Number of events 4 • 22 days for non-serious adverse events; 91 days for serious adverse events.
0.00%
0/148 • 22 days for non-serious adverse events; 91 days for serious adverse events.
Respiratory, thoracic and mediastinal disorders
Rhinorrhoea
1.5%
11/740 • Number of events 11 • 22 days for non-serious adverse events; 91 days for serious adverse events.
0.68%
1/148 • Number of events 1 • 22 days for non-serious adverse events; 91 days for serious adverse events.
Respiratory, thoracic and mediastinal disorders
Sneezing
0.14%
1/740 • Number of events 1 • 22 days for non-serious adverse events; 91 days for serious adverse events.
0.00%
0/148 • 22 days for non-serious adverse events; 91 days for serious adverse events.
Respiratory, thoracic and mediastinal disorders
Throat Irritation
0.14%
1/740 • Number of events 1 • 22 days for non-serious adverse events; 91 days for serious adverse events.
0.00%
0/148 • 22 days for non-serious adverse events; 91 days for serious adverse events.
Respiratory, thoracic and mediastinal disorders
Upper Respiratory Tract Inflammation
1.6%
12/740 • Number of events 12 • 22 days for non-serious adverse events; 91 days for serious adverse events.
0.68%
1/148 • Number of events 1 • 22 days for non-serious adverse events; 91 days for serious adverse events.
Skin and subcutaneous tissue disorders
Dermatitis
0.14%
1/740 • Number of events 1 • 22 days for non-serious adverse events; 91 days for serious adverse events.
0.00%
0/148 • 22 days for non-serious adverse events; 91 days for serious adverse events.
Skin and subcutaneous tissue disorders
Dermatitis Allergic
0.27%
2/740 • Number of events 2 • 22 days for non-serious adverse events; 91 days for serious adverse events.
0.00%
0/148 • 22 days for non-serious adverse events; 91 days for serious adverse events.
Skin and subcutaneous tissue disorders
Haemorrhage Subcutaneous
0.14%
1/740 • Number of events 1 • 22 days for non-serious adverse events; 91 days for serious adverse events.
0.00%
0/148 • 22 days for non-serious adverse events; 91 days for serious adverse events.
Skin and subcutaneous tissue disorders
Pruritus
0.14%
1/740 • Number of events 1 • 22 days for non-serious adverse events; 91 days for serious adverse events.
0.68%
1/148 • Number of events 1 • 22 days for non-serious adverse events; 91 days for serious adverse events.
Ear and labyrinth disorders
Vertigo
0.14%
1/740 • Number of events 1 • 22 days for non-serious adverse events; 91 days for serious adverse events.
0.00%
0/148 • 22 days for non-serious adverse events; 91 days for serious adverse events.
Ear and labyrinth disorders
Vestibular disorder
0.27%
2/740 • Number of events 2 • 22 days for non-serious adverse events; 91 days for serious adverse events.
0.00%
0/148 • 22 days for non-serious adverse events; 91 days for serious adverse events.
Eye disorders
Eye pain
0.14%
1/740 • Number of events 1 • 22 days for non-serious adverse events; 91 days for serious adverse events.
0.00%
0/148 • 22 days for non-serious adverse events; 91 days for serious adverse events.
Gastrointestinal disorders
Abdominal pain
0.14%
1/740 • Number of events 1 • 22 days for non-serious adverse events; 91 days for serious adverse events.
0.00%
0/148 • 22 days for non-serious adverse events; 91 days for serious adverse events.
Gastrointestinal disorders
Abdominal pain upper
0.27%
2/740 • Number of events 2 • 22 days for non-serious adverse events; 91 days for serious adverse events.
0.68%
1/148 • Number of events 1 • 22 days for non-serious adverse events; 91 days for serious adverse events.
Gastrointestinal disorders
Diarrhoea
0.54%
4/740 • Number of events 4 • 22 days for non-serious adverse events; 91 days for serious adverse events.
0.00%
0/148 • 22 days for non-serious adverse events; 91 days for serious adverse events.
Gastrointestinal disorders
Gastrooesophageal Reflux Disease
0.41%
3/740 • Number of events 3 • 22 days for non-serious adverse events; 91 days for serious adverse events.
0.00%
0/148 • 22 days for non-serious adverse events; 91 days for serious adverse events.
Gastrointestinal disorders
Gingival Swelling
0.14%
1/740 • Number of events 1 • 22 days for non-serious adverse events; 91 days for serious adverse events.
0.00%
0/148 • 22 days for non-serious adverse events; 91 days for serious adverse events.
Gastrointestinal disorders
Toothache
0.14%
1/740 • Number of events 1 • 22 days for non-serious adverse events; 91 days for serious adverse events.
0.00%
0/148 • 22 days for non-serious adverse events; 91 days for serious adverse events.
General disorders
Injection Site Haemorrhage
0.14%
1/740 • Number of events 1 • 22 days for non-serious adverse events; 91 days for serious adverse events.
0.00%
0/148 • 22 days for non-serious adverse events; 91 days for serious adverse events.
General disorders
Injection Site Pruritus
0.14%
1/740 • Number of events 1 • 22 days for non-serious adverse events; 91 days for serious adverse events.
0.00%
0/148 • 22 days for non-serious adverse events; 91 days for serious adverse events.
General disorders
Peripheral Swelling
0.00%
0/740 • 22 days for non-serious adverse events; 91 days for serious adverse events.
0.68%
1/148 • Number of events 1 • 22 days for non-serious adverse events; 91 days for serious adverse events.
Immune system disorders
Food Allergy
0.14%
1/740 • Number of events 1 • 22 days for non-serious adverse events; 91 days for serious adverse events.
0.00%
0/148 • 22 days for non-serious adverse events; 91 days for serious adverse events.
Skin and subcutaneous tissue disorders
Pruritus Generalised
0.00%
0/740 • 22 days for non-serious adverse events; 91 days for serious adverse events.
0.68%
1/148 • Number of events 1 • 22 days for non-serious adverse events; 91 days for serious adverse events.
Vascular disorders
Hypertension
1.5%
11/740 • Number of events 11 • 22 days for non-serious adverse events; 91 days for serious adverse events.
0.00%
0/148 • 22 days for non-serious adverse events; 91 days for serious adverse events.
Injury, poisoning and procedural complications
Soft tissue injury
0.00%
0/740 • 22 days for non-serious adverse events; 91 days for serious adverse events.
0.68%
1/148 • Number of events 1 • 22 days for non-serious adverse events; 91 days for serious adverse events.
Gastrointestinal disorders
Gastritis
0.00%
0/740 • 22 days for non-serious adverse events; 91 days for serious adverse events.
0.68%
1/148 • Number of events 1 • 22 days for non-serious adverse events; 91 days for serious adverse events.
Musculoskeletal and connective tissue disorders
Spondylolisthesis
0.14%
1/740 • Number of events 1 • 22 days for non-serious adverse events; 91 days for serious adverse events.
0.00%
0/148 • 22 days for non-serious adverse events; 91 days for serious adverse events.
Infections and infestations
Pulmonary Tuberculosis
0.14%
1/740 • Number of events 1 • 22 days for non-serious adverse events; 91 days for serious adverse events.
0.00%
0/148 • 22 days for non-serious adverse events; 91 days for serious adverse events.

Additional Information

Le Van Be

IVAC

Phone: (+84 90) 3501529

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place