NCT03669627

Brief Summary

This study evaluates whether priming influenza naive infants, age six to 23 months, with a MF59-adjuvanted (oil in water emulsion) influenza vaccine is preferred to priming with an inactivated unadjuvanted influenza vaccine. All participants will receive a priming vaccine, either MF59-adjuvanted trivalent influenza vaccine (aTIV) or unadjuvanted quadrivalent influenza vaccine (QIV). For the booster shot the following year, two thirds of participants will receive QIV and one third will receive MF59-adjuvanted vaccine.

Trial Health

87
On Track

Trial Health Score

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

Enrollment
159

participants targeted

Target at P75+ for phase_2

Timeline
Completed

Started Nov 2018

Geographic Reach
1 country

4 active sites

Status
completed

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

First Submitted

Initial submission to the registry

September 5, 2018

Completed
8 days until next milestone

First Posted

Study publicly available on registry

September 13, 2018

Completed
2 months until next milestone

Study Start

First participant enrolled

November 1, 2018

Completed
2.7 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

July 21, 2021

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

July 21, 2021

Completed
Last Updated

March 28, 2023

Status Verified

March 1, 2023

Enrollment Period

2.7 years

First QC Date

September 5, 2018

Last Update Submit

March 27, 2023

Conditions

Keywords

infantsprimingFluadFluzone

Outcome Measures

Primary Outcomes (1)

  • Serum hemagglutination inhibition (HI) antibody titers

    Serum HI antibodies to influenza antigens A/H3N2, A/H1N1, and B Yamagata and Victoria lineages will be used to calculate the seroconversion rate and the seroprotection rates.

    Before and after priming with the various vaccine combinations at day 393.

Secondary Outcomes (1)

  • Adverse Events (AEs)

    Days 0 to 545

Other Outcomes (2)

  • Vaccine acceptability: parent/Legally Authorized Representative (LAR) questionnaire

    Days 56, 180, 393, and 545

  • Cell-Mediated Immunity

    Days 0, 56, 180, 365, 393, 545

Study Arms (3)

Group 1: aTIV primer, QIV booster

ACTIVE COMPARATOR

Two doses (0.25 mL) aTIV (FLUAD )received one month apart in year 1. One dose (0.5 mL) QIV (Fluzone) received as booster in year 2.

Biological: aTIV PrimerBiological: QIV Booster

Group 2: QIV primer, QIV booster

OTHER

Standard of care control group: Two doses (0.5 mL) QIV (Fluzone) received one month apart in year 1. One dose (0.5 mL) QIV (Fluzone) received as booster in year 2.

Biological: QIV PrimerBiological: QIV Booster

Group 3: aTIV primer, aTIV booster

EXPERIMENTAL

This arm is experimental in that some participants will be receiving the MF59-adjuvanted TIV (FLUAD) in year two of the study, after the age of two years, which is off label. Two doses (0.25 mL) TIV (FLUAD) received one month apart in year 1. One dose (0.25 mL) TIV (FLUAD) received as booster in year 2.

Biological: aTIV PrimerBiological: aTIV Booster

Interventions

aTIV PrimerBIOLOGICAL

MF59-adjuvanted trivalent influenza virus primer: 2 doses (0.25mL) one month apart

Also known as: FLUAD Pediatric®
Group 1: aTIV primer, QIV boosterGroup 3: aTIV primer, aTIV booster
QIV PrimerBIOLOGICAL

Unadjuvanted quadrivalent influenza vaccine primer: 2 doses (0.5mL) one month apart

Also known as: Fluzone® Quadrivalent
Group 2: QIV primer, QIV booster
aTIV BoosterBIOLOGICAL

MF59-adjuvanted influenza virus vaccine booster: 1 dose (0.25mL), year 2

Also known as: FLUAD Pediatric®
Group 3: aTIV primer, aTIV booster
QIV BoosterBIOLOGICAL

Unadjuvanted quadrivalent influenza vaccine booster: 1 dose (0.5mL), year 2

Also known as: Fluzone® Quadrivalent
Group 1: aTIV primer, QIV boosterGroup 2: QIV primer, QIV booster

Eligibility Criteria

Age6 Months - 23 Months
Sexall
Healthy VolunteersYes
Age GroupsChild (0-17)

You may qualify if:

  • Parent/LAR is willing and able to give informed consent for participation in the trial.
  • Male or Female, aged six months to 23 months.
  • In the Investigator's opinion, is able and willing to comply with all trial requirements.

You may not qualify if:

  • Any significant disease or disorder which, in the opinion of the Investigator, may either put the participants at risk because of participation in the trial, or may influence the result of the trial, or the participant's ability to participate in the trial.
  • Participant in another research trial involving an investigational product or medical device in the prior 12 weeks.
  • Prior receipt of an influenza vaccine
  • History of laboratory-confirmed influenza infection, by parent/LAR report
  • Hypersensitivity to any vaccine component of products used in this study (see product monographs)
  • Immunodeficiency or autoimmune disease

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (4)

Vaccine Evaluation Center, BC Children's Hospital

Vancouver, British Columbia, V5Z 4H4, Canada

Location

IWK Health Centre

Halifax, Nova Scotia, B3K 6R8, Canada

Location

Research Institute of the McGill University health Centre

Montreal, Quebec, H9H 4Y6, Canada

Location

Équipe de recherche en vaccination CHU de Québec-Université Laval

Québec, Quebec, G1E 7G9, Canada

Location

MeSH Terms

Conditions

Influenza, Human

Condition Hierarchy (Ancestors)

Respiratory Tract InfectionsInfectionsOrthomyxoviridae InfectionsRNA Virus InfectionsVirus DiseasesRespiratory Tract Diseases

Study Officials

  • Joanne M Langley, MD

    Dalhousie University, Canadian Center for Vaccinology

    PRINCIPAL INVESTIGATOR
  • Soren Gantt, MD, PhD

    BC Children's Hospital, UBC

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
interventional
Phase
phase 2
Allocation
RANDOMIZED
Masking
SINGLE
Who Masked
INVESTIGATOR
Masking Details
Observer-blind
Purpose
PREVENTION
Intervention Model
PARALLEL
Model Details: Participants will be randomly assigned to one of three groups: Group 1 will receive aTIV as a primer and QIV as a booster, Group 2 will receive QIV as both primer and booster, and Group 3 will receive aTIV as both primer and booster.
Sponsor Type
NETWORK
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Principal Investigator

Study Record Dates

First Submitted

September 5, 2018

First Posted

September 13, 2018

Study Start

November 1, 2018

Primary Completion

July 21, 2021

Study Completion

July 21, 2021

Last Updated

March 28, 2023

Record last verified: 2023-03

Locations