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Safety and Immunogenicity of Different Dosages of High-Dose Quadrivalent Influenza Vaccine in Children 6 Months to 17 Years of Age

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信息的提供 (责任方):
October 4, 2018
October 5, 2018
October 5, 2018
September 18, 2018
August 2019   (主要结果测量的最终数据收集日期)
Number of participants reporting solicited injection site reactions or systemic reactions[ Time Frame: Within 7 days after any injection ]
Injection site reactions: tenderness/pain, erythema, swelling, induration and bruising. Systemic reactions for participants < 36 months: fever, vomiting, crying abnormal, drowsiness, appetite lost, and irritability; 3 to 17 years: fever, headache, malaise, myalgia, and shivering

Geometric mean titers (GMTs) of influenza vaccine antibodies[ Time Frame: Day 28 after each injection ]
Antibody titers are measured by HAI and expressed as GMTs

Influenza vaccine antibody titer ratio[ Time Frame: Day 28 after each injection ]
Ratio of titers measured by HAI on Day 28/Day 0 for all participants and Day 56/Day 0 for participants receiving 2 injections

Number of participants with seroconversion[ Time Frame: Day 28 after each injection ]
Antibody titers are measured by HAI. Seroconversion is defined as titer < 10 [1/dilution {dil}] at Day 0 and post-injection titer ≥ 40 [1/dil] at Day 28, or titer ≥ 10 [1/dil] at Day 0 and a ≥ 4-fold increase in titer [1/dil] at Day 28

Number of participants with titers ≥ 40 (1/dil)[ Time Frame: Day 28 after each injection ]
Antibody titers are measured by HAI

Neutralization test (NT) titers of influenza vaccine antibodies[ Time Frame: Day 28 after each injection ]
Antibody titers are measured by virus SN method and expressed as NT titers

Influenza vaccine antibody NT titer ratio[ Time Frame: Day 28 after each injection ]
Ratio of titers measured by virus SN method on Day 28/Day 0 for all participants and Day 56/Day 0 for participants receiving 2 injections

Participants with influenza vaccine antibody NT titers above pre-defined thresholds[ Time Frame: Day 28 after each injection ]
Antibody titers are measured by virus SN method

Fold-increase in influenza vaccine antibody NT titer[ Time Frame: Day 28 after each injection ]
Antibody titers are measured by virus SN method. The increase post/pre-injection ≥2 and ≥ 4 is assessed

与当前相同
  • [ Time Frame: ]
 
Safety and Immunogenicity of Different Dosages of High-Dose Quadrivalent Influenza Vaccine in Children 6 Months to 17 Years of Age
Safety and Immunogenicity of Different Dosages of High-Dose Quadrivalent Influenza Vaccine in Children 6 Months to 17 Years of Age

The objectives of this study are: - To describe the safety of each dosage of high-dose quadrivalent influenza vaccine (QIV-HD) used in the study during the 28 days following each vaccination, and serious adverse events (including adverse events of special interest throughout the study - To describe the antibody response induced by each dosage of QIV-HD used in the study compared with unadjuvanted standard-dose quadrivalent influenza vaccine (QIV-SD) by hemagglutination inhibition (HAI) - To describe the antibody response induced by each dosage of QIV-HD used in the study compared with unadjuvanted QIV-SD by virus seroneutralization (SN) measurement methods - To describe the antibody response induced by the highest acceptable dosage of QIV-HD compared with adjuvanted trivalent influenza vaccine (TIV) by HAI and virus SN measurement methods

Study duration per participant will be approximately 180 days for participants receiving one dose of vaccine and 208 days for participants receiving two doses of vaccine
Interventional
Phase 2
分配: Randomized
干预模型: Sequential Assignment
干预模型描述: The study will be divided into 13 groups and will enroll in 4 stages. The study will use a stepwise age de-escalation and dose ascension design for children 6 months to < 5 years of age.
盲法: Interventional
盲法描述:Modified double-blind: the participant's parent / legally acceptable representative, the Investigator, and other study personnel remain unaware of the treatment assignments throughout the trial. An unblinded vaccine administrator will administer the appropriate vaccine but will not be involved in safety data collection.
主要目的: Prevention
  • Biological: QIV-HD, 30 µg HA/strain/dose
    Pharmaceutical form:Suspension for injection Route of administration: Intramuscular
  • Biological: QIV-HD, 45 µg µg HA/strain/dose
    Pharmaceutical form:Suspension for injection Route of administration: Intramuscular
  • Biological: QIV-HD 60 µg HA/strain/dose
    Pharmaceutical form:Suspension for injection Route of administration: Intramuscular
  • Biological: Unadjuvanted QIV-SD, 15 µg HA/strain/dose
    Pharmaceutical form:Suspension for injection Route of administration: Intramuscular
  • Biological: Adjuvanted TIV, 7.5 µg HA/strain/dose
    Pharmaceutical form:Suspension for injection Route of administration: Intramuscular
  • Experimental: Group 1a (36 months to < 5 years)
    QIV-HD 30 µg HA/strain/dose
  • Active Comparator: Group 1b (36 months to < 5 years)
    Unadjuvanted QIV-SD 15 µg HA/strain/dose
  • Experimental: Group 2a (36 months to < 5 years)
    QIV-HD 45 µg HA/strain/dose
  • Active Comparator: Group 2b (36 months to < 5 years)
    Unadjuvanted QIV-SD 15 µg HA/strain/dose
  • Experimental: Group 3a (6 to < 36 months)
    QIV-HD 30 µg HA/strain/dose
  • Active Comparator: Group 3b (6 to < 36 months)
    Unadjuvanted QIV-SD 15 µg HA/strain/dose
  • Experimental: Group 4a (36 months to < 5 years)
    QIV-HD 60 µg HA/strain/dose
  • Active Comparator: Group 4b (36 months to < 5 years)
    Unadjuvanted QIV-SD 15 µg HA/strain/dose
  • Experimental: Group 5a (6 to < 36 months)
    QIV-HD 45 µg HA/strain/dose
  • Active Comparator: Group 5b (6 to < 36 months)
    Unadjuvanted QIV-SD 15 µg HA/strain/dose
  • Experimental: Group 6a (6 to 36 months)
    QIV-HD 30, 45 or 60 µg HA/strain/dose
  • Active Comparator: Group 6b (6 to 36 months)
    Unadjuvanted QIV-SD 15 µg HA/strain/dose
  • Experimental: Group 7a (6 to 36 months)
    QIV-HD 30, 45 or 60 µg HA/strain/dose
  • Active Comparator: Group 7b (6 to 36 months)
    Unadjuvanted QIV-SD 15 µg HA/strain/dose
  • Experimental: Group 8a (6 to < 24 months)
    QIV-HD 30, 45 or 60 µg HA/strain/dose
  • Active Comparator: Group 8b (6 to < 24 months)
    Adjuvanted TIV 15 µg HA/strain/dose
  • Experimental: Group 9a (5 to 8 years)
    QIV-HD 30 µg HA/strain/dose
  • Active Comparator: Group 9b (5 to 8 years)
    Unadjuvanted QIV-SD 15 µg HA/strain/dose
  • Experimental: Group 10a (5 to 8 years)
    QIV-HD 45 µg HA/strain/dose
  • Active Comparator: Group 10b (5 to 8 years)
    Unadjuvanted QIV-SD 15 µg HA/strain/dose
  • Experimental: Group 11a (5 to 8 years)
    QIV-HD 60 µg HA/strain/dose
  • Active Comparator: Group 11b (5 to 8 years)
    Unadjuvanted QIV-SD 15 µg HA/strain/dose
  • Experimental: Group 12a (9 to 17 years)
    QIV-HD 30 µg HA/strain/dose
  • Experimental: Group 12b (9 to 17 years)
    QIV-HD 45 µg HA/strain/dose
  • Active Comparator: Group 12c (9 to 17 years)
    Unadjuvanted QIV-SD 15 µg HA/strain/dose
  • Experimental: Group 13a (9 to 17 years)
    QIV-HD 60 µg HA/strain/dose
  • Active Comparator: Group 13b (9 to 17 years)
    Unadjuvanted QIV-SD 15 µg HA/strain/dose
 
Recruiting
700
与当前相同
August 2019
August 2019   (主要结果测量的最终数据收集日期)
Inclusion criteria : - Aged 6 months to 17 years on the day of inclusion - Assent form has been signed and dated by the subject (7 to 17 years of age) and informed consent form has been signed and dated by the parent(s) or guardian(s) and by an independent witness, if required by local regulations - Subject / and subject and parent / guardian are able to attend all scheduled visits and to comply with all study procedures - For subjects aged < 24 months: Born at full term of pregnancy (≥ 37 weeks) and/or with a birth weight ≥ 2.5 kg Exclusion criteria: - Subject is pregnant, or lactating, or of childbearing potential and not using an effective method of contraception or abstinence from at least 4 weeks prior to vaccination until at least 4 weeks after vaccination. To be considered of non-childbearing potential, a female must be pre-menarche - Participation at the time of study enrollment (or in the 4 weeks preceding the first study vaccination) or planned participation during the present study period in another clinical study investigating a vaccine, drug, medical device, or medical procedure - Receipt of any vaccine in the 30 days preceding the first study vaccination, or planned receipt of any vaccine before Visit 3 for subjects receiving 1 dose of influenza vaccine or Visit 5 for subjects receiving 2 doses of influenza vaccine - For previously influenza vaccinated subjects: Previous vaccination against influenza in the preceding 6 months with either the study vaccine or another vaccine - For previously influenza unvaccinated subjects: Any influenza vaccination (from birth to the day of inclusion) with either the study vaccine or another influenza vaccine - For previously influenza unvaccinated subjects: Any previous laboratory confirmed influenza infection (from birth to the day of inclusion) - Receipt of immune globulins, blood or blood-derived products in the past 3 months - Known or suspected congenital or acquired immunodeficiency; or receipt of immunosuppressive therapy, such as anti-cancer chemotherapy or radiation therapy, within the preceding 6 months; or long-term systemic corticosteroid therapy (prednisone or equivalent for more than 2 consecutive weeks within the past 3 months) - Known systemic hypersensitivity to any of the vaccine components, or history of a life-threatening reaction to the vaccines used in the study or to a vaccine containing any of the same substances - Thrombocytopenia or bleeding disorder, contraindicating IM vaccination based on Investigator's judgement - Deprived of freedom by an administrative or court order, or in an emergency setting, or hospitalized involuntarily - Current alcohol abuse or drug addiction - Chronic illness that, in the opinion of the investigator, is at a stage where it might interfere with study conduct or completion - Moderate or severe acute illness/infection (according to investigator judgment) on the day of vaccination or febrile illness (temperature ≥ 38.0 C [≥ 100.4 F]). A prospective subject should not be included in the study until the condition has resolved or the febrile event has subsided - Identified as an immediate family member (ie, spouse, natural or adopted child, grandchild, nephew, or niece) of the Investigator or employee with direct involvement in the proposed study - Personal history of GBS - Any condition that in the opinion of the Investigator would pose a health risk to the subject if enrolled or could interfere with the evaluation of the vaccine - Personal history of clinically significant development delay (at the discretion of the Investigator), neurologic disorder, or seizure disorder - Known seropositivity for hepatitis B or hepatitis C The above information is not intended to contain all considerations relevant to a patient's potential participation in a clinical trial.
参与研究的性别: All
最小年龄:6 Months ,最大年龄:17 Years  
没有
United States
 
No
研究美国FDA监管的药品: Yes
研究涉及美国FDA监管的设备产品: No
计划分享 IPD: Yes
Sanofi Pasteur, a Sanofi Company
Study Director: Clinical Sciences & Operations Sanofi Pasteur, a Sanofi Company
October 2018

ICMJE     国际医学期刊编辑委员会和 世界卫生组织 ICTRP 要求的元素
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