NCT00133523

Brief Summary

The purpose of this study is to compare 2 licensed flu vaccines to each other and to placebo (inactive substance). The study will be conducted among healthy adult participants aged 18-49 years and is expected to last 3 years. During year 1, participants will be assigned to receive 1 of the 2 licensed flu vaccines or placebo, given as either nasal spray (live-attenuated vaccine or placebo) or injection (inactivated vaccine or placebo). Participants will receive the same assigned vaccine or placebo during year 2. During year 3, participants will be followed, but will not receive flu vaccine. Each year blood samples will be collected before and 1 month after each vaccination and at the end of each flu season in order to measure how the body responds to the vaccine and how well participants were protected from the flu. During the flu season, participants with flu-like illness will provide information on symptoms and provide a throat swab to test for virus identification.

Trial Health

87
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
2,349

participants targeted

Target at P75+ for phase_4

Timeline
Completed

Started Oct 2004

Typical duration for phase_4

Geographic Reach
1 country

6 active sites

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

Study Start

First participant enrolled

October 1, 2004

Completed
11 months until next milestone

First Submitted

Initial submission to the registry

August 19, 2005

Completed
4 days until next milestone

First Posted

Study publicly available on registry

August 23, 2005

Completed
1.9 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

July 1, 2007

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

July 1, 2007

Completed
Last Updated

December 5, 2014

Status Verified

October 1, 2009

Enrollment Period

2.7 years

First QC Date

August 19, 2005

Last Update Submit

December 4, 2014

Conditions

Keywords

FLU-VACS, influenza, vaccine

Outcome Measures

Primary Outcomes (1)

  • The appearance among patients of symptomatic laboratory-confirmed influenza.

    Influenza season Nov-Apr. Within 72 hours of illness onset throat swab specimens will be obtained from participants with influenza like illness (ILI).

Secondary Outcomes (1)

  • Any measurable increase in antibody titers, and the proportion with antibody levels considered protective.

    Annual enrollment, post vaccination Oct-Jan, and post season Apr-May.

Study Arms (4)

Group 4: Placebo: Intramuscular

PLACEBO COMPARATOR

N=165 subjects administered placebo intramuscularly.

Other: Placebo

Group 3: Placebo: Nasal

PLACEBO COMPARATOR

N=165 subjects administered placebo intranasally.

Other: Placebo

Group 1: FluMist™

EXPERIMENTAL

N=825 subjects administered live attenuated vaccine intranasally.

Biological: Cold-adapted live attenuated influenza virus vaccine, trivalent

Group 2: Fluzone®/Fluvirin

EXPERIMENTAL

N=825 subjects administered inactivated vaccine intramuscularly.

Biological: Trivalent inactivated influenza vaccine

Interventions

Live-attenuated influenza vaccine; single annual dose administered as an intranasal spray.

Group 1: FluMist™
PlaceboOTHER

Physiological saline administered as an intramuscular injection.

Group 4: Placebo: Intramuscular

Inactivated influenza vaccine; single annual dose administered as an intramuscular injection..

Group 2: Fluzone®/Fluvirin

Eligibility Criteria

Age18 Years - 49 Years
Sexall
Healthy VolunteersYes
Age GroupsAdult (18-64)

You may qualify if:

  • Persons must be adult men and women aged 18-49 years.
  • Persons must be able and willing to provide informed consent.
  • Persons must expect to reside in the study area during the entire study period and be interested in participating each year.
  • Persons must be willing to receive the licensed live-attenuated vaccine (FluMist) or placebo given as a nasal spray, or the licensed inactivated influenza vaccine (Fluzone or Fluvirin) or placebo given as an intramuscular injection.
  • Persons must be willing to provide multiple blood specimens collected by venipuncture each year they are in the study. During each of the first two years of study, blood specimens will be collected three times - at the enrollment visit (immediately prior to administration of vaccine or placebo), at the first follow-up visit 3-5 weeks later, and at the end of the influenza season visit (approximately 4-6 months later); during the third year of the study, blood specimens will be collected twice only, at visits before and after the influenza season.
  • Persons must be willing to notify study personnel in the event of influenza-like illness, to provide information on illness symptoms, and to permit collection of a throat culture (swab) specimen for laboratory studies.
  • Persons must be willing to not receive an influenza vaccine while participating - other than that (influenza vaccine or placebo) received as study medication.

You may not qualify if:

  • Persons with any health condition for which the inactivated vaccine is recommended (Advisory Committee on Immunization Practices - ACIP) including: chronic diseases of the pulmonary or cardiovascular systems (including asthma); chronic metabolic diseases (including diabetes); renal dysfunction; hemoglobinopathies; immune deficiency disease (including HIV infection) or on-going immunosuppressive therapy.
  • Persons who are currently pregnant, nursing mothers or planning a pregnancy within one month of vaccination.
  • Persons with hypersensitivity to egg, egg protein, thimerosal (a preservative) or the antibiotic Gentamicin (also know as Garamycin).
  • Persons who have had a prior serious reaction to influenza vaccine, or ever had Guillain-Barre syndrome.
  • Persons who are living in a household with or have direction occupational contact with immunosuppressed individuals (including health care workers with direct patient contact).
  • Persons who have received an influenza vaccine for the influenza season in which they are to be first enrolled or those who plan to receive an influenza vaccine during their participation in the study - other than that (influenza vaccine or placebo) received as study medication.
  • Persons who have received any other vaccine within one week prior to enrollment (may delay enrollment).
  • Persons who have had a respiratory illness or illness with fever within 3 days of study enrollment (may delay enrollment).
  • Persons who are participating in another research study involving any study medications (medicines or vaccines).

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (6)

Ann Arbor West

Ann Arbor, Michigan, 48103, United States

Location

University of Michigan

Ann Arbor, Michigan, 48109-2029, United States

Location

Western Michigan University Health Services

Kalamazoo, Michigan, 49008, United States

Location

Livonia East

Livonia, Michigan, 48150, United States

Location

Central Michigan University Health Services

Mount Pleasant, Michigan, 48859, United States

Location

Eastern Michigan University Health Services

Ypsilanti, Michigan, 48197, United States

Location

Related Publications (3)

  • Ohmit SE, Victor JC, Rotthoff JR, Teich ER, Truscon RK, Baum LL, Rangarajan B, Newton DW, Boulton ML, Monto AS. Prevention of antigenically drifted influenza by inactivated and live attenuated vaccines. N Engl J Med. 2006 Dec 14;355(24):2513-22. doi: 10.1056/NEJMoa061850.

  • Ohmit SE, Victor JC, Teich ER, Truscon RK, Rotthoff JR, Newton DW, Campbell SA, Boulton ML, Monto AS. Prevention of symptomatic seasonal influenza in 2005-2006 by inactivated and live attenuated vaccines. J Infect Dis. 2008 Aug 1;198(3):312-7. doi: 10.1086/589885.

  • Petrie JG, Ohmit SE, Johnson E, Cross RT, Monto AS. Efficacy studies of influenza vaccines: effect of end points used and characteristics of vaccine failures. J Infect Dis. 2011 May 1;203(9):1309-15. doi: 10.1093/infdis/jir015. Epub 2011 Mar 4.

MeSH Terms

Conditions

Influenza, Human

Condition Hierarchy (Ancestors)

Respiratory Tract InfectionsInfectionsOrthomyxoviridae InfectionsRNA Virus InfectionsVirus DiseasesRespiratory Tract Diseases

Study Design

Study Type
interventional
Phase
phase 4
Allocation
RANDOMIZED
Masking
DOUBLE
Who Masked
PARTICIPANT, INVESTIGATOR
Purpose
PREVENTION
Intervention Model
PARALLEL
Sponsor Type
NIH

Study Record Dates

First Submitted

August 19, 2005

First Posted

August 23, 2005

Study Start

October 1, 2004

Primary Completion

July 1, 2007

Study Completion

July 1, 2007

Last Updated

December 5, 2014

Record last verified: 2009-10

Locations