NCT02872311

Brief Summary

This is an open-label, randomized trial in up to 210 adults aged 65-74 years to evaluate the immune response to consecutive influenza vaccination across 2 seasons. Participants will be randomized to receive 1 of 3 licensed and recommended vaccines in the first year; 2 arms will receive the same vaccination in the second year and the third arm will be randomized again to 1 of 3 licensed vaccines. All participants will have pre and post-vaccination serum blood draws for a total of 6 draws over 18 months.

Trial Health

87
On Track

Trial Health Score

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

Enrollment
179

participants targeted

Target at P75+ for not_applicable

Timeline
Completed

Started Sep 2016

Typical duration for not_applicable

Geographic Reach
1 country

1 active site

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

First Submitted

Initial submission to the registry

August 16, 2016

Completed
3 days until next milestone

First Posted

Study publicly available on registry

August 19, 2016

Completed
13 days until next milestone

Study Start

First participant enrolled

September 1, 2016

Completed
1.6 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

April 1, 2018

Completed
5 months until next milestone

Study Completion

Last participant's last visit for all outcomes

September 1, 2018

Completed
1.3 years until next milestone

Results Posted

Study results publicly available

December 19, 2019

Completed
Last Updated

December 10, 2025

Status Verified

November 1, 2025

Enrollment Period

1.6 years

First QC Date

August 16, 2016

Results QC Date

April 23, 2019

Last Update Submit

November 18, 2025

Conditions

Keywords

VaccineInfluenzaHigh DoseAdjuvantedRecombinant

Outcome Measures

Primary Outcomes (5)

  • HI Titers, HD vs. AD, Yr 1 Day 28 Post Vaccination

    Hemagglutination Inhibition (HI) titers to vaccine viruses for high dose and adjuvanted vaccine recipients at 28 days post vaccination 2016-17

    Year 1, Day 28 post vaccination

  • HI Titers, HD vs. AD, Yr 1 Day 182 Post Vaccination

    Hemagglutination Inhibition (HI) titers to vaccine viruses for high dose and adjuvanted vaccine recipients at 182 days post vaccination 2016-17

    Year 1, Day 182 post vaccination

  • HI Titers, HD vs. AD, Yr 1 Day 365 Post Vaccination

    Hemagglutination Inhibition (HI) titers to vaccine viruses for high dose and adjuvanted vaccine recipients at 365 days post vaccination 2016-17

    Year 1, Day 365 post vaccination

  • HI Titers, HD vs. AD, Yr 2 Day 28 Post Vaccination

    Hemagglutination Inhibition (HI) titers to vaccine viruses for high dose and adjuvanted vaccine recipients at 28 days post vaccination 2017-18

    Year 2, Day 28 post vaccination

  • HI Titers, HD vs. AD, Yr 2 Day 182 Post Vaccination

    Hemagglutination Inhibition (HI) titers to vaccine viruses for high dose and adjuvanted vaccine recipients at 182 days post vaccination 2017-18

    Year 2, Day 182 post vaccination

Secondary Outcomes (13)

  • HI Response by Prior Season Vaccination, Yr 1, Day 28 Post Vaccination

    Year 1, Day 28 post vaccination

  • HI Response by Prior Season Vaccination, Yr 1, Day 182 Post Vaccination

    Year 1, Day 182 post vaccination

  • HI Response by Prior Season Vaccination, Yr 1, Day 365 Post Vaccination

    Year 1, Day 365 post vaccination

  • MN Titers, HD vs. AD, Year 1, Day 28 Post Vaccination

    Year 1, Day 28 post vaccination

  • MN Titers, HD vs. AD, Year 1, Day 182 Post Vaccination

    Year 1, Day 182 post vaccination

  • +8 more secondary outcomes

Study Arms (5)

High Dose Influenza Vaccine

ACTIVE COMPARATOR

This group will be administered High Dose (HD) influenza vaccination (0.5 mL intramuscular (IM) injection) in the first and second years of the study.

Biological: High Dose Influenza vaccine

Adjuvanted Influenza Vaccine

ACTIVE COMPARATOR

This group will be administered adjuvanted influenza vaccination (0.5 mL intramuscular (IM) injection) in the first and second years of the study.

Biological: Adjuvanted Influenza vaccine

Standard Dose Influenza Vaccine+HD

ACTIVE COMPARATOR

This group will be administered standard dose flu vaccination (0.5 mL intramuscular (IM) injection) in the first year of the study and high dose influenza vaccine (0.5 mL intramuscular (IM) injection) in the second year of the study.

Biological: High Dose Influenza vaccineBiological: Standard Dose Influenza vaccine

Standard Dose Influenza Vaccine +Adj

ACTIVE COMPARATOR

This group will be administered standard dose flu vaccination (0.5 mL intramuscular (IM) injection) in the first year and adjuvanted influenza vaccination (0.5 mL intramuscular (IM) injection) in the second year of the study.

Biological: Adjuvanted Influenza vaccineBiological: Standard Dose Influenza vaccine

Standard Dose Influenza Vaccine+Recomb

ACTIVE COMPARATOR

This group will be administered a standard dose flu vaccination (0.5 mL intramuscular (IM) injection) in the first year and recombinant influenza vaccination (0.5 mL intramuscular (IM) injection) in the second year of the study.

Biological: Standard Dose Influenza vaccineBiological: Recombinant Influenza vaccine

Interventions

Licensed and FDA approved Fluzone HD vaccine to be administered to study participants

Also known as: Fluzone HD
High Dose Influenza VaccineStandard Dose Influenza Vaccine+HD

Licensed and FDA approved FluAd vaccine to be administered to study participants

Also known as: FluAd
Adjuvanted Influenza VaccineStandard Dose Influenza Vaccine +Adj

Licensed and FDA approved Fluvirin vaccine to be administered to study participants

Also known as: Fluvirin Standard Dose
Standard Dose Influenza Vaccine +AdjStandard Dose Influenza Vaccine+HDStandard Dose Influenza Vaccine+Recomb

Licensed and FDA approved FluBlok vaccine to be administered to study participants

Also known as: FluBlok
Standard Dose Influenza Vaccine+Recomb

Eligibility Criteria

Age65 Years - 74 Years
Sexall
Healthy VolunteersNo
Age GroupsOlder Adult (65+)

You may qualify if:

  • Age 65-74 years at the time of study enrollment and are ambulatory and live in selected Wisconsin community or surrounding communities.
  • Willing and able to give informed consent prior to study enrollment
  • Able to comply with study requirements.

You may not qualify if:

  • Prior receipt of 2016-17 influenza vaccine
  • Current participation in another clinical trial
  • Presence of a contraindication to influenza vaccine

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Marshfield Clinic - Marshfield Center

Marshfield, Wisconsin, 54449, United States

Location

Related Publications (1)

  • McLean HQ, Levine MZ, King JP, Flannery B, Belongia EA. Serologic response to sequential vaccination with enhanced influenza vaccines: Open label randomized trial among adults aged 65-74 years. Vaccine. 2021 Dec 3;39(49):7146-7152. doi: 10.1016/j.vaccine.2021.10.072. Epub 2021 Nov 10.

MeSH Terms

Conditions

Influenza, Human

Interventions

Influenza VaccinesFluBlok

Condition Hierarchy (Ancestors)

Respiratory Tract InfectionsInfectionsOrthomyxoviridae InfectionsRNA Virus InfectionsVirus DiseasesRespiratory Tract Diseases

Intervention Hierarchy (Ancestors)

Viral VaccinesVaccinesBiological ProductsComplex Mixtures

Results Point of Contact

Title
Project Manager
Organization
Marshfield Clinic Research Institute

Publication Agreements

PI is Sponsor Employee
No
Restrictive Agreement
No

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
NONE
Purpose
BASIC SCIENCE
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Research Scientist

Study Record Dates

First Submitted

August 16, 2016

First Posted

August 19, 2016

Study Start

September 1, 2016

Primary Completion

April 1, 2018

Study Completion

September 1, 2018

Last Updated

December 10, 2025

Results First Posted

December 19, 2019

Record last verified: 2025-11

Data Sharing

IPD Sharing
Will not share

Locations