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Completed

NCT Number: NCT03669627

CT18 Infant Influenza Priming Study in Vaccine Naive Infants

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.

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Key information

Age range

6 month–23 month

Sex eligibility

All sexes

Study type

Interventional

Phase

Phase 2

Primary location

Vaccine Evaluation Center, BC Children's Hospital, Vancouver, British Columbia, Canada

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About this study

Children under 24 months of age suffer from an influenza burden (high morbidity and mortality) similar to that of the elderly, and have been identified as a high priority target for vaccination programs by Canada's National Advisory Committee on Immunization. There is evidence that a person's first exposure to influenza antigens may have long-term implications for protection.

This is a randomized, controlled, observer-blind study that will assign participants to one of three groups. Group 1 will receive MF59-adjuvanted influenza vaccine (two doses one month apart) in the fall of year 1, followed by QIV (one dose) in the fall of year 2. Group 2 will receive QIV (two doses one month apart) in the fall of year 1, followed by QIV (one dose) in the fall of year 2. Group 3 will receive MF59-adjuvanted IV (two doses one month apart) in the fall of year 1, followed by MF59-adjuvanted IV (one dose) in the fall of year 2.

Who can participate

Healthy volunteers accepted: Yes

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • 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.

Exclusion criteria

  • 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

Treatment and study plan

aTIV Primer

Biological

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

Other names: FLUAD Pediatric®

QIV Primer

Biological

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

Other names: Fluzone® Quadrivalent

aTIV Booster

Biological

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

Other names: FLUAD Pediatric®

QIV Booster

Biological

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

Other names: Fluzone® Quadrivalent

Primary outcomes

  1. Serum hemagglutination inhibition (HI) antibody titers

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

    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.

Secondary outcomes

  1. Adverse Events (AEs)

    Time frame: Days 0 to 545

    Measure local and systemic solicited and unsolicited adverse events following each vaccine dose, and severe AE throughout the study.

Other outcomes

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

    Time frame: Days 56, 180, 393, and 545

    The Acceptability Questionnaire measures parental opinions about side effects of the study vaccines. There are four questions with a scale range evaluating degree of certainty and one open-ended question with a free text response. There is no total score.

  2. Cell-Mediated Immunity

    Time frame: Days 0, 56, 180, 365, 393, 545

    To assess cell mediated immune responses to three influenza immunization two priming schedules in vaccine naïve infants.

Sponsors and collaborators

Lead sponsor

Canadian Immunization Research Network

Network

Collaborators

  • CHU de Quebec-Universite Laval
  • Canadian Center for Vaccinology
  • Dalhousie University
  • McGill University Health Centre/Research Institute of the McGill University Health Centre
  • Provincial Health Services Authority British Columbia
  • Université de Montréal

Registry information

Official study title

A Randomized Controlled Observer Blind Trial to Compare the Immunogenicity and Acceptability of a MF59-adjuvanted Influenza Vaccine Compared to an Inactivated Influenza Vaccine as a Preferred Influenza Vaccine Priming Strategy for Naive Infants 6 to <24 Months of Age

Important dates

Study start
2018
Primary completion
2021
Study completion
2021
First posted
Sep 13, 2018
Registry last updated
Mar 28, 2023

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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