Immune Response to High-Dose vs. Standard Dose Influenza Vaccine
1 other identifier
interventional
85
2 countries
2
Brief Summary
This 5-year proposal is a randomized study of split-virus influenza vaccine (SVV) in a high-dose (HD) vs. standard-dose (SD) formulation in each of five influenza seasons to define the key determinants of vaccine-mediated protection against influenza and how these immunologic mediators may be enhanced by vaccination with a newly approved high-dose influenza vaccine in older people
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P50-P75 for phase_4
Started Oct 2014
Longer than P75 for phase_4
2 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
October 1, 2014
CompletedFirst Submitted
Initial submission to the registry
November 3, 2014
CompletedFirst Posted
Study publicly available on registry
November 21, 2014
CompletedPrimary Completion
Last participant's last visit for primary outcome
December 1, 2019
CompletedStudy Completion
Last participant's last visit for all outcomes
December 1, 2019
CompletedAugust 1, 2018
February 1, 2018
5.2 years
November 3, 2014
July 31, 2018
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Number of Influenza Cases
Influenza surveillance includes weekly contact with study subjects to assess for any flu-like symptoms or acute respiratory infection (ARI), and include nasopharyngeal swabs (within 5 days of onset of symptoms) for polymerase chain reaction (PCR) detection of influenza virus and post-influenza season detection of an antibody response to influenza infection. Routine screen for symptoms of ARI will also occur at the 4, 10 and 20 week visits when blood samples are collected. Influenza illness will be documented by PCR detection of influenza during an IARI or seroconversion (4-fold rise in antibody titers) in association with an ARI. ARI includes upper (coryza or sore throat) or lower (cough or shortness of breath) respiratory tract symptoms, or headache, malaise, myalgia or fever (\> 99°F or 37.3°C orally or 100°F rectally) \[41\]. as physician visits, hospitalizations and deaths attributed to acute cardiopulmonary illness and will be tracked through the influenza season.
five years
Study Arms (2)
Flu Vaccine SD
ACTIVE COMPARATORFluzone Standard Dose Influenza Vaccine
Flu Vaccine HD
ACTIVE COMPARATORFluzone High Dose Influenza Vaccine
Interventions
Eligibility Criteria
You may qualify if:
- Written informed consent provided by the participant
- Age 20-40 years old with no underlying chronic diseases or age ≥65 years old
- Willing to receive influenza vaccination
- Older cohort has received their influenza vaccine for the previous influenza season
You may not qualify if:
- Immunosuppressive disorders or medications (including oral prednisone in doses \>10 mg daily)
- Have not received influenza vaccination in the past or cannot be vaccinated due to previous severe reaction to influenza vaccine, egg, latex, or thimerosol allergies, or refusal of vaccination
- Participant has received a community available influenza vaccine for the approaching influenza season
- Females who are pregnant at Visit 1 (a pregnancy test will be administered for all females of child-bearing potential)
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Health Sciences North Research Institutelead
- UConn Healthcollaborator
Study Sites (2)
Center on Aging, UConn Health
Farmington, Connecticut, 06030, United States
Health Sciences North Research Institute
Greater Sudbury, Ontario, P3E 5J1, Canada
Related Publications (1)
McElhaney JE, Verschoor CP, Haynes L, Pawelec G, Loeb M, Andrew MK, Kuchel GA. Key Determinants of Cell-Mediated Immune Responses: A Randomized Trial of High Dose Vs. Standard Dose Split-Virus Influenza Vaccine in Older Adults. Front Aging. 2021 May;2:649110. doi: 10.3389/fragi.2021.649110. Epub 2021 May 21.
PMID: 35128529DERIVED
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Janet E McElhaney, MD
Health Sciences North Research Institute
Study Design
- Study Type
- interventional
- Phase
- phase 4
- Allocation
- RANDOMIZED
- Masking
- DOUBLE
- Who Masked
- PARTICIPANT, INVESTIGATOR
- Purpose
- PREVENTION
- Intervention Model
- FACTORIAL
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Senior Scientist, AMRIC, Professor (NOSM), Medical Lead for Senior's Care and Consulting Geriatrician (HSN), HSN Volunteer Association Chair in Geriatric Research
Study Record Dates
First Submitted
November 3, 2014
First Posted
November 21, 2014
Study Start
October 1, 2014
Primary Completion
December 1, 2019
Study Completion
December 1, 2019
Last Updated
August 1, 2018
Record last verified: 2018-02