Saint Louis University - Center for Vaccine Development
St Louis, Missouri, 63104-1015, United States
NCT Number: NCT03553940
This is a Phase I double-blind, randomized, placebo-controlled study in 50 healthy adolescents and children, 9-17 years of age, inclusive, who are in good health and meet all eligibility criteria. This clinical trial is designed to assess the safety and immunogenicity of a prime-boost regimen of H3N2 M2SR intranasal influenza vaccine (manufactured by FluGen) followed by licensed inactivated Quadrivalent Influenza Vaccine (QIV) boost administered intramuscularly Subjects will be enrolled in one of two groups in a 1:1 ratio. Arm 1 will receive one dose of M2SR intranasally on Day 1 and one dose of QIV on Day 92. Arm 2 will receive one dose of placebo (saline) intranasally on Day 1, and one dose of QIV on Day 92. Study duration will be approximately 28 months with patient participation duration approximately 13 months. The primary study objective is to assess the safety and reactogenicity of a monovalent live attenuated influenza H3N2 M2SR vaccine.
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Notify Me9 year–17 year
All sexes
Interventional
Phase 1
St Louis, Missouri, 63104-1015, United States
This is a Phase I double-blind, randomized, placebo-controlled study in 50 healthy adolescents and children, 9-17 years of age, inclusive, who are in good health and meet all eligibility criteria. This clinical trial is designed to assess the safety and immunogenicity of a prime-boost regimen of H3N2 M2SR intranasal influenza vaccine (manufactured by FluGen) followed by licensed inactivated Quadrivalent Influenza Vaccine (QIV) boost administered intramuscularly. Subjects will be enrolled in one of two groups in a 1:1 ratio. Arm 1 will receive one dose of M2SR intranasally on Day 1 and one dose of QIV on Day 92. Arm 2 will receive one dose of placebo (saline) intranasally on Day 1, and one dose of QIV on Day 92. Study duration will be approximately 28 months with patient participation duration approximately 13 months. The primary study objective is to assess the safety and reactogenicity of a monovalent live attenuated influenza H3N2 M2SR vaccine. The secondary study objectives are to identify circulating and mucosal antibody responses induced by H3N2 M2SR vaccination and to identify cellular immune responses induced by H3N2 M2SR vaccination.
Healthy volunteers accepted: Yes
Only the study team can determine whether someone qualifies for participation.
Inclusion criteria
*As determined by medical history and physical examination to evaluate acute or currently ongoing chronic medical diagnoses or conditions, defined as those that have been present for at least 90 days, which would affect the assessment of the safety of subjects or the immunogenicity of study vaccinations. Chronic medical diagnoses or conditions should be stable for the last 60 days (no hospitalizations, ER, or urgent care for condition and no adverse symptoms that need medical intervention). This includes no change in chronic prescription medication, dose, or frequency as a result of deterioration of the chronic medical diagnosis or condition in the 60 days prior to enrollment. Any prescription change that is due to change of health care provider, insurance company, etc., or that is done for financial reasons, as long as in the same class of medication, will not be considered a deviation of this inclusion criterion. Any change in prescription medication due to improvement of a disease outcome, as determined by the site principal investigator or appropriate sub-investigator, will not be considered a deviation of this inclusion criterion. Subjects may be on chronic or as needed (prn) medications if, in the opinion of the site principal investigator or appropriate sub-investigator, they pose no additional risk to subject safety or assessment of reactogenicity and immunogenicity and do not indicate a worsening of medical diagnosis or condition. Similarly, medication changes subsequent to enrollment and study vaccination are acceptable provided there was no deterioration in the subject's chronic medical condition that necessitated a medication change, and there is no additional risk to the subject or interference with the evaluation of responses to study vaccination. Note: Low dose topical steroids, herbals, vitamins, and supplements are permitted.
*Defined by the onset of menses, and not sterilized via tubal ligation, bilateral oophorectomy, hysterectomy, or successful Essure(R) placement (permanent, non-surgical, non-hormonal sterilization) with documented radiological confirmation test at least 90 days after the procedure, and still menstruating.
**Includes non-male sexual relationships, abstinence from sexual intercourse with a male partner, monogamous relationship with a vasectomized partner, and correct use of male condoms with the use of applied spermicide, intrauterine devices, NuvaRing(R), and licensed hormonal methods such as implants, injectables, contraceptive patches or oral contraceptives ("the pill"). Method of contraception will be captured on the appropriate data collection form.
Exclusion criteria
*An acute illness which is nearly resolved with only minor residual symptoms remaining is allowable if, in the opinion of the site PI or appropriate sub-investigator, the residual symptoms will not interfere with the ability to assess safety parameters as required by the protocol.
*Including acute or chronic medical disease or condition, defined as persisting for at least 90 days, that would place the subject at an unacceptable risk of injury, render the subject unable to meet the requirements of the protocol, or may interfere with the evaluation of responses or the subject's successful completion of this study.
*High-dose defined as per age as using inhaled high dose per reference chart.
**https://www.nhlbi.nih.gov/files/docs/guidelines/asthma_org.pdf.
*Medically significant wheezing: defined as wheezing on physical exam plus sign of respiratory distress (tachypnea, retractions, or dyspnea), hypoxemia (O2 saturation < 95%), or new bronchodilator prescription, or use of daily bronchodilator therapy (not on an "as needed" basis).
*Including vaccine, drug, biologic, device, blood product, or medication.
**Other than from participation in this study.
*Including agent (licensed or unlicensed vaccine, drug, biologic, device, blood product, or medication) during the 12-month study period.
*The study vaccination should be postponed/deferred until signs or symptoms have resolved and if within the acceptable protocol-specified window for that visit.
Live monovalent influenza A/H3N2-based M2SR (M2 defective Single Replication vaccine), comprised of 5 out of 8 gene segments on the donor virus influenza A/Puerto Rica/8/34. HA and NA derive from an A/Brisbane/10/2007-like virus. Administered intranasally as s single dose.
H3N2 M2SR vaccine placebo (normal saline). Administered intranasally as a single dose.
A quadrivalent cell culture inactivated vaccine (ccIV4) is an inactivated subunit influenza vaccine prepared from virus propagated in Madin Darby Canine Kidney (MDCK) cells indicated for the prevention of influenza disease caused by influenza virus subtypes A and type B contained in the vaccine. Administered intramuscularly as a single dose.
Time frame: Day 1 through Day 92
Adverse Events of Special Interest (AESIs) included medically significant wheezing and otitis media. AESIs were collected from receipt of the first study vaccination through 3 months after first vaccination.
Time frame: Day 1 through Day 92
Participants were queried at each visit for the occurrence of new onset chronic medical conditions (NOCMCs). NOCMCs were collected from receipt of the first study vaccination through 3 months after first vaccination.
Time frame: Day 1 through Day 366
SAEs included any untoward medical occurrence that resulted in death; was life threatening; was a persistent/significant disability/incapacity; required inpatient hospitalization or prolongation or a congenital anomaly/birth defect.
Time frame: Day 1 through Day 8
Reactogenicity assessments included an assessment of solicited AEs occurring from the time of first study vaccination through 7 days after first vaccination. For upper respiratory symptoms, this included an assessment of runny nose, stuffy nose/ congestion, sneezing, nasal pain/irritation/nasal dryness, nasal bleeding/epistaxis, sinus pressure/pain, sore throat/sore/scratchy, itchy or painful throat, cough, and trouble breathing/shortness of breath. For general systemic symptoms, this included an assessment of reactions including fever, feverishness (chills/shivering/sweating), fatigue (tiredness), malaise, myalgia (body aches/muscular pain), arthralgia (joint pain), headache, flushing, decreased activity, decreased appetite, abdominal pain, nausea, vomiting, diarrhea, eye pruritus, eye redness (conjunctivitis), allergy, and wheezing.
Time frame: Day 1 through Day 22
Adverse events were defined as any untoward medical occurrence in a participant administered a pharmaceutical product regardless of its causal relationship to the study treatment. Non-serious AEs were collected from the time of first study vaccination through 21 days after first vaccination. Adverse events were MedDRA coded and are summarized by MedDRA System Organ Class (SOC).
Time frame: Day 1 through Day 113
Blood was collected for ELISpot assays conducted with a peptide library consisting of conserved immunogenic peptides of internal flu virus proteins as the antigen . Collection took place on Day 1 (pre-vaccination), Days 8, 22, and 57 after first vaccination, immediately prior to second vaccination (Day 92), and 21 days after second vaccination (Day 113). Peripheral blood mononuclear cells (PBMCs) were harvested and retained from each whole blood collection. The geometric mean of each sample's replicate results was calculated from available results using spot forming cells per 3x10^5 peripheral blood mononuclear cells (SFC/3x10^5 PBMCs).
Time frame: Day 1 through Day 113
Blood was collected for ELISpot assays conducted with H3N2 M2SR-like virus A/Brisbane/10/2007 as the antigen. Collection took place on Day 1 (pre-vaccination), Days 8, 22, and 57 after first vaccination, immediately prior to second vaccination (Day 92), and 21 days after second vaccination (Day 113). Peripheral blood mononuclear cells (PBMCs) were harvested and retained from each whole blood collection. The geometric mean of each sample's replicate results was calculated from available results using spot forming cells per 3x10^5 peripheral blood mononuclear cells (SFC/3x10^5 PBMCs).
Time frame: Day 1 through Day 113
Blood was collected for ELISpot assays conducted with H3N2 QIV-like virus A/North Carolina/04/2016 as the antigen. Collection took place on Day 1 (pre-vaccination), Days 8, 22, and 57 after first vaccination, immediately prior to second vaccination (Day 92), and 21 days after second vaccination (Day 113). Peripheral blood mononuclear cells (PBMCs) were harvested and retained from each whole blood collection. The geometric mean of each sample's replicate results was calculated from available results using spot forming cells per 3x10^5 peripheral blood mononuclear cells (SFC/3x10^5 PBMCs).
Time frame: Day 1 through Day 113
Blood was collected for ELISpot assays conducted with H3N2 QIV-like virus A/Singapore/INFIMH-16-0019/2016 as the antigen. Collection took place on Day 1 (pre-vaccination), Days 8, 22, and 57 after first vaccination, immediately prior to second vaccination (Day 92), and 21 days after second vaccination (Day 113). Peripheral blood mononuclear cells (PBMCs) were harvested and retained from each whole blood collection. The geometric mean of each sample's replicate results was calculated from available results using spot forming cells per 3x10^5 peripheral blood mononuclear cells (SFC/3x10^5 PBMCs).
Time frame: Day 1 through Day 113
Blood was collected for ELISpot assays conducted with H3N2 QIV-like virus A/Kansas/14/2017 as the antigen. Collection took place on Day 1 (pre-vaccination), Days 8, 22, and 57 after first vaccination, immediately prior to second vaccination (Day 92), and 21 days after second vaccination (Day 113). Peripheral blood mononuclear cells (PBMCs) were harvested and retained from each whole blood collection. The geometric mean of each sample's replicate results was calculated from available results using spot forming cells per 3x10^5 peripheral blood mononuclear cells (SFC/3x10^5 PBMCs).
Time frame: Day 8 through Day 113
Nasal swabs were collected for secretory immunoglobulin A (sIgA) assays conducted with H3N2 M2SR-like virus A/Brisbane/10/2007 as the antigen. Collection took place Day 1 (pre-vaccination), Days 8, 22, and 57 after first vaccination, immediately prior to second vaccination (Day 92), and 21 days after second vaccination (Day 113). The geometric mean of each sample's replicate results was calculated from available results. Geometric mean fold rise (GMFR) was calculated by dividing each post-baseline geometric mean titer by baseline geometric mean titer. The GMFR across samples was calculated within each study arm and analysis time point.
Time frame: Day 8 through Day 113
Nasal swabs were collected for secretory immunoglobulin A (sIgA) assays conducted with H3N2 M2SR-like virus A/Brisbane/10/2007 as the antigen. Collection took place on Day 1 (pre-vaccination), Days 8, 22, and 57 after first vaccination, immediately prior to second vaccination (Day 92), and 21 days after second vaccination (Day 113). The geometric mean of each sample's replicate results was calculated from available results. Results were normalized to total sIgA by dividing each geometric mean titer by total sIgA concentration (ng/mL). Geometric mean fold rise (GMFR) was calculated by dividing each post-baseline normalized geometric mean titer by baseline normalized geometric mean titer. The GMFR across samples was calculated within each study arm and analysis time point.
Time frame: Day 8 through Day 113
Nasal swabs were collected for secretory immunoglobulin A (sIgA) assays conducted with H3N2 QIV-like virus A/North Carolina/04/2016 as the antigen. Collection took place on Day 1 (pre-vaccination), Days 8, 22, and 57 after first vaccination, immediately prior to second vaccination (Day 92), and 21 days after second vaccination (Day 113). The geometric mean of each sample's replicate results was calculated from available results. Geometric mean fold rise (GMFR) was calculated by dividing each post-baseline geometric mean titer by baseline geometric mean titer. The GMFR across samples was calculated within each study arm and analysis time point.
Time frame: Day 8 through Day 113
Nasal swabs were collected for secretory immunoglobulin A (sIgA) assays conducted with H3N2 QIV-like virus A/North Carolina/04/2016 as the antigen. Collection took place on Day 1 (pre-vaccination), Days 8, 22, and 57 after first vaccination, immediately prior to second vaccination (Day 92), and 21 days after second vaccination (Day 113). The geometric mean of each sample's replicate results was calculated from available results. Results were normalized to total sIgA by dividing each geometric mean titer by total sIgA concentration (ng/mL). Geometric mean fold rise (GMFR) was calculated by dividing each post-baseline normalized geometric mean titer by baseline normalized geometric mean titer. The GMFR across samples was calculated within each study arm and analysis time point.
Time frame: Day 8 through Day 113
Nasal swabs were collected for secretory immunoglobulin A (sIgA) assays conducted with H3N2 QIV-like virus A/Singapore/INFIMH-16-0019/2016 as the antigen. Collection took place on Day 1 (pre-vaccination), Days 8, 22, and 57 after first vaccination, immediately prior to second vaccination (Day 92), and 21 days after second vaccination (Day 113). The geometric mean of each sample's replicate results was calculated from available results. Geometric mean fold rise (GMFR) was calculated by dividing each post-baseline geometric mean titer by baseline geometric mean titer. The GMFR across samples was calculated within each study arm and analysis time point.
Time frame: Day 8 through Day 113
Nasal swabs were collected for secretory immunoglobulin A (sIgA) assays conducted with H3N2 QIV-like virus A/Singapore/INFIMH-16-0019/2016 as the antigen. Collection took place on Day 1 (pre-vaccination), Days 8, 22, and 57 after first vaccination, immediately prior to second vaccination (Day 92), and 21 days after second vaccination (Day 113). The geometric mean of each sample's replicate results was calculated from available results. Results were normalized to total sIgA by dividing each geometric mean titer by total sIgA concentration (ng/mL). Geometric mean fold rise (GMFR) was calculated by dividing each post-baseline normalized geometric mean titer by baseline normalized geometric mean titer. The GMFR across samples was calculated within each study arm and analysis time point.
Time frame: Day 8 through Day 113
Nasal swabs were collected for secretory immunoglobulin A (sIgA) assays conducted with H3N2 QIV-like virus A/Kansas/14/2017 as the antigen. Collection took place on Day 1 (pre-vaccination), Days 8, 22, and 57 after first vaccination, immediately prior to second vaccination (Day 92), and 21 days after second vaccination (Day 113). The geometric mean of each sample's replicate results was calculated from available results. Geometric mean fold rise (GMFR) was calculated by dividing each post-baseline geometric mean titer by baseline geometric mean titer. The GMFR across samples was calculated within each study arm and analysis time point.
Time frame: Day 8 through Day 113
Nasal swabs were collected for secretory immunoglobulin A (sIgA) assays conducted with H3N2 QIV-like virus A/Kansas/14/2017 as the antigen. Collection took place on Day 1 (pre-vaccination), Days 8, 22, and 57 after first vaccination, immediately prior to second vaccination (Day 92), and 21 days after second vaccination (Day 113). The geometric mean of each sample's replicate results was calculated from available results. Results were normalized to total sIgA by dividing each geometric mean titer by total sIgA concentration (ng/mL). Geometric mean fold rise (GMFR) was calculated by dividing each post-baseline normalized geometric mean titer by baseline normalized geometric mean titer. The GMFR across samples was calculated within each study arm and analysis time point.
Time frame: Day 1 through Day 113
Nasal swabs were collected for secretory immunoglobulin A (sIgA) assays conducted with H3N2 M2SR-like virus A/Brisbane/10/2007 as the antigen. Collection took place on Day 1 (pre-vaccination), Days 8, 22, and 57 after first vaccination, immediately prior to second vaccination (Day 92), and 21 days after second vaccination (Day 113). The geometric mean of each sample's replicate results was calculated from available results. The geometric mean titer (GMT) across samples was calculated within each study arm and analysis time point.
Time frame: Day 1 through Day 113
Nasal swabs were collected for secretory immunoglobulin A (sIgA) assays conducted with H3N2 M2SR-like virus A/Brisbane/10/2007 as the antigen. Collection took place on Day 1 (pre-vaccination), Days 8, 22, and 57 after first vaccination, immediately prior to second vaccination (Day 92), and 21 days after second vaccination (Day 113). The geometric mean of each sample's replicate results was calculated from available results. Results were normalized to total sIgA by dividing each geometric mean titer by total sIgA concentration (ng/ml). The geometric mean titer (GMT) across samples was calculated within each study arm and analysis time point.
Time frame: Day 1 through Day 113
Nasal swabs were collected for secretory immunoglobulin A (sIgA) assays conducted with H3N2 QIV-like virus A/North Carolina/04/2016 as the antigen. Collection took place on Day 1 (pre-vaccination), Days 8, 22, and 57 after first vaccination, immediately prior to second vaccination (Day 92), and 21 days after second vaccination (Day 113). The geometric mean of each sample's replicate results was calculated from available results. The geometric mean titer (GMT) across samples was calculated within each study arm and analysis time point.
Time frame: Day 1 through Day 113
Nasal swabs were collected for secretory immunoglobulin A (sIgA) assays conducted with H3N2 QIV-like virus A/North Carolina/04/2016 as the antigen. Collection took place on Day 1 (pre-vaccination), Days 8, 22, and 57 after first vaccination, immediately prior to second vaccination (Day 92), and 21 days after second vaccination (Day 113). The geometric mean of each sample's replicate results was calculated from available results. Results were normalized to total sIgA by dividing each geometric mean titer by total sIgA concentration (ng/ml). The geometric mean titer (GMT) across samples was calculated within each study arm and analysis time point.
Time frame: Day 1 through Day 113
Nasal swabs were collected for secretory immunoglobulin A (sIgA) assays conducted with H3N2 QIV-like virus A/Singapore/INFIMH-16-0019/2016 as the antigen. Collection took place on Day 1 (pre-vaccination), Days 8, 22, and 57 after first vaccination, immediately prior to second vaccination (Day 92), and 21 days after second vaccination (Day 113). The geometric mean of each sample's replicate results was calculated from available results. The geometric mean titer (GMT) across samples was calculated within each study arm and analysis time point.
Time frame: Day 1 through Day 113
Nasal swabs were collected for secretory immunoglobulin A (sIgA) assays conducted with H3N2 QIV-like virus A/Singapore/INFIMH-16-0019/2016 as the antigen. Collection took place on Day 1 (pre-vaccination), Days 8, 22, and 57 after first vaccination, immediately prior to second vaccination (Day 92), and 21 days after second vaccination (Day 113). The geometric mean of each sample's replicate results was calculated from available results. Results were normalized to total sIgA by dividing each geometric mean titer by total sIgA concentration (ng/ml). The geometric mean titer (GMT) across samples was calculated within each study arm and analysis time point.
Time frame: Day 1 through Day 113
Nasal swabs were collected for secretory immunoglobulin A (sIgA) assays conducted with H3N2 QIV-like virus A/Kansas/14/2017 as the antigen. Collection took place on Day 1 (pre-vaccination), Days 8, 22, and 57 after first vaccination, immediately prior to second vaccination (Day 92), and 21 days after second vaccination (Day 113). The geometric mean of each sample's replicate results was calculated from available results. The geometric mean titer (GMT) across samples was calculated within each study arm and analysis time point.
Time frame: Day 1 through Day 113
Nasal swabs were collected for secretory immunoglobulin A (sIgA) assays conducted with H3N2 QIV-like virus A/Kansas/14/2017 as the antigen. Collection took place on Day 1 (pre-vaccination), Days 8, 22, and 57 after first vaccination, immediately prior to second vaccination (Day 92), and 21 days after second vaccination (Day 113). The geometric mean of each sample's replicate results was calculated from available results. Results were normalized to total sIgA by dividing each geometric mean titer by total sIgA concentration (ng/ml). The geometric mean titer (GMT) across samples was calculated within each study arm and analysis time point.
Time frame: Day 8 through Day 113
Blood was collected for HAI assays conducted with H3N2 M2SR-like virus A/Brisbane/10/2007 as the antigen. Collection took place on Day 1 (pre-vaccination), Days 8, 22, and 57 after first vaccination, immediately prior to second vaccination (Day 92), and 21 days after second vaccination (Day 113). The geometric mean of each sample's replicate results was calculated from available results. Geometric mean fold rise (GMFR) was calculated by dividing each post-baseline geometric mean titer by baseline geometric mean titer. The GMFR across samples was calculated within each study arm and analysis time point.
Time frame: Day 8 through Day 113
Blood was collected for HAI assays conducted with H3N2 QIV-like virus A/North Carolina/04/2016 as the antigen. Collection took place on Day 1 (pre-vaccination), Days 8, 22, and 57 after first vaccination, immediately prior to second vaccination (Day 92), and 21 days after second vaccination (Day 113). The geometric mean of each sample's replicate results was calculated from available results. Geometric mean fold rise (GMFR) was calculated by dividing each post-baseline geometric mean titer by baseline geometric mean titer. The GMFR across samples was calculated within each study arm and analysis time point.
Time frame: Day 8 through Day 113
Blood was collected for HAI assays conducted with H3N2 QIV-like virus A/Singapore/INFIMH-16-0019/2016 as the antigen. Collection took place on Day 1 (pre-vaccination), Days 8, 22, and 57 after first vaccination, immediately prior to second vaccination (Day 92), and 21 days after second vaccination (Day 113). The geometric mean of each sample's replicate results was calculated from available results. Geometric mean fold rise (GMFR) was calculated by dividing each post-baseline geometric mean titer by baseline geometric mean titer. The GMFR across samples was calculated within each study arm and analysis time point.
Time frame: Day 8 through Day 113
Blood was collected for HAI assays conducted with H3N2 QIV-like virus A/Kansas/14/2017 as the antigen. Collection took place on Day 1 (pre-vaccination), Days 8, 22, and 57 after first vaccination, immediately prior to second vaccination (Day 92), and 21 days after second vaccination (Day 113). The geometric mean of each sample's replicate results was calculated from available results. Geometric mean fold rise (GMFR) was calculated by dividing each post-baseline geometric mean titer by baseline geometric mean titer. The GMFR across samples was calculated within each study arm and analysis time point.
Time frame: Day 1 through Day 113
Blood was collected for HAI assays conducted with H3N2 M2SR-like virus A/Brisbane/10/2007 as the antigen. Collection took place on Day 1 (pre-vaccination), Days 8, 22, and 57 after first vaccination, immediately prior to second vaccination (Day 92), and 21 days after second vaccination (Day 113). The geometric mean of each sample's replicate results was calculated from available results. The geometric mean titer (GMT) across samples was calculated within each study arm and analysis time point.
Time frame: Day 1 through Day 113
Blood was collected for HAI assays conducted with H3N2 QIV-like virus A/North Carolina/04/2016 as the antigen. Collection took place on Day 1 (pre-vaccination), Days 8, 22, and 57 after first vaccination, immediately prior to second vaccination (Day 92), and 21 days after second vaccination (Day 113). The geometric mean of each sample's replicate results was calculated from available results. The geometric mean titer (GMT) across samples was calculated within each study arm and analysis time point.
Time frame: Day 1 through Day 113
Blood was collected for HAI assays conducted with H3N2 QIV-like virus A/Singapore/INFIMH-16-0019/2016 as the antigen. Collection took place on Day 1 (pre-vaccination), Days 8, 22, and 57 after first vaccination, immediately prior to second vaccination (Day 92), and 21 days after second vaccination (Day 113). The geometric mean of each sample's replicate results was calculated from available results. The geometric mean titer (GMT) across samples was calculated within each study arm and analysis time point.
Time frame: Day 1 through Day 113
Blood was collected for HAI assays conducted with H3N2 QIV-like virus A/Kansas/14/2017 as the antigen. Collection took place on Day 1 (pre-vaccination), Days 8, 22, and 57 after first vaccination, immediately prior to second vaccination (Day 92), and 21 days after second vaccination (Day 113). The geometric mean of each sample's replicate results was calculated from available results. The geometric mean titer (GMT) across samples was calculated within each study arm and analysis time point.
Time frame: Day 8 through Day 113
Blood was collected for Neutralizing assays conducted with H3N2 M2SR-like virus A/Brisbane/10/2007 as the antigen. Collection took place on Day 1 (pre-vaccination), Days 8, 22, and 57 after first vaccination, immediately prior to second vaccination (Day 92), and 21 days after second vaccination (Day 113). The geometric mean of each sample's replicate results was calculated from available results. Geometric mean fold rise (GMFR) was calculated by dividing each post-baseline geometric mean titer by baseline geometric mean titer. The GMFR across samples was calculated within each study arm and analysis time point.
Time frame: Day 8 through Day 113
Blood was collected for Neutralizing assays conducted with H3N2 QIV-like virus A/North Carolina/04/2016 as the antigen. Collection took place on Day 1 (pre-vaccination), Days 8, 22, and 57 after first vaccination, immediately prior to second vaccination (Day 92), and 21 days after second vaccination (Day 113). The geometric mean of each sample's replicate results was calculated from available results. Geometric mean fold rise (GMFR) was calculated by dividing each post-baseline geometric mean titer by baseline geometric mean titer. The GMFR across samples was calculated within each study arm and analysis time point.
Time frame: Day 8 through Day 113
Blood was collected for Neutralizing assays conducted with H3N2 QIV-like virus A/Singapore/INFIMH-16-0019/2016 as the antigen. Collection took place on Day 1 (pre-vaccination), Days 8, 22, and 57 after first vaccination, immediately prior to second vaccination (Day 92), and 21 days after second vaccination (Day 113). The geometric mean of each sample's replicate results was calculated from available results. Geometric mean fold rise (GMFR) was calculated by dividing each post-baseline geometric mean titer by baseline geometric mean titer. The GMFR across samples was calculated within each study arm and analysis time point.
Time frame: Day 8 through Day 113
Blood was collected for Neutralizing assays conducted with H3N2 QIV-like virus A/Kansas/14/2017 as the antigen. Collection took place on Day 1 (pre-vaccination), Days 8, 22, and 57 after first vaccination, immediately prior to second vaccination (Day 92), and 21 days after second vaccination (Day 113). The geometric mean of each sample's replicate results was calculated from available results. Geometric mean fold rise (GMFR) was calculated by dividing each post-baseline geometric mean titer by baseline geometric mean titer. The GMFR across samples was calculated within each study arm and analysis time point.
Time frame: Day 1 through Day 113
Blood was collected for Neutralizing assays conducted with H3N2 M2SR-like virus A/Brisbane/10/2007 as the antigen. Collection took place on Day 1 (pre-vaccination), Days 8, 22, and 57 after first vaccination, immediately prior to second vaccination (Day 92), and 21 days after second vaccination (Day 113). The geometric mean of each sample's replicate results was calculated from available results. The geometric mean titer (GMT) across samples was calculated within each study arm and analysis time point.
Time frame: Day 1 through Day 113
Blood was collected for Neutralizing assays conducted with H3N2 QIV-like virus A/North Carolina/04/2016 as the antigen. Collection took place on Day 1 (pre-vaccination), Days 8, 22, and 57 after first vaccination, immediately prior to second vaccination (Day 92), and 21 days after second vaccination (Day 113). The geometric mean of each sample's replicate results was calculated from available results. The geometric mean titer (GMT) across samples was calculated within each study arm and analysis time point.
Time frame: Day 1 through Day 113
Blood was collected for Neutralizing assays conducted with H3N2 QIV-like virus A/Singapore/INFIMH-16-0019/2016 as the antigen. Collection took place on Day 1 (pre-vaccination), Days 8, 22, and 57 after first vaccination, immediately prior to second vaccination (Day 92), and 21 days after second vaccination (Day 113). The geometric mean of each sample's replicate results was calculated from available results. The geometric mean titer (GMT) across samples was calculated within each study arm and analysis time point.
Time frame: Day 1 through Day 113
Blood was collected for Neutralizing assays conducted with H3N2 QIV-like virus A/Kansas/14/2017 as the antigen. Collection took place on Day 1 (pre-vaccination), Days 8, 22, and 57 after first vaccination, immediately prior to second vaccination (Day 92), and 21 days after second vaccination (Day 113). The geometric mean of each sample's replicate results was calculated from available results. The geometric mean titer (GMT) across samples was calculated within each study arm and analysis time point.
Time frame: Day 1 through Day 113
Blood was collected for HAI assays conducted with H3N2 M2SR-like virus A/Brisbane/10/2007 as the antigen. Collection took place on Day 1 (pre-vaccination), Days 8, 22, and 57 after first vaccination, immediately prior to second vaccination (Day 92), and 21 days after second vaccination (Day 113). The geometric mean of each sample's replicate results was calculated from available results. The percentage of participants with HAI geometric mean titer >= 1:40 was calculated within each study arm and analysis time point.
Time frame: Day 1 through Day 113
Blood was collected for HAI assays conducted with H3N2 QIV-like virus A/North Carolina/04/2016 as the antigen. Collection took place on Day 1 (pre-vaccination), Days 8, 22, and 57 after first vaccination, immediately prior to second vaccination (Day 92), and 21 days after second vaccination (Day 113). The geometric mean of each sample's replicate results was calculated from available results. The percentage of participants with HAI geometric mean titer >= 1:40 was calculated within each study arm and analysis time point.
Time frame: Day 1 through Day 113
Blood was collected for HAI assays conducted with H3N2 QIV-like virus A/Singapore/INFIMH-16-0019/2016 as the antigen. Collection took place on Day 1 (pre-vaccination), Days 8, 22, and 57 after first vaccination, immediately prior to second vaccination (Day 92), and 21 days after second vaccination (Day 113). The geometric mean of each sample's replicate results was calculated from available results. The percentage of participants with HAI geometric mean titer >= 1:40 was calculated within each study arm and analysis time point.
Time frame: Day 1 through Day 113
Blood was collected for HAI assays conducted with H3N2 QIV-like virus A/Kansas/14/2017 as the antigen. Collection took place on Day 1 (pre-vaccination), Days 8, 22, and 57 after first vaccination, immediately prior to second vaccination (Day 92), and 21 days after second vaccination (Day 113). The geometric mean of each sample's replicate results was calculated from available results. The percentage of participants with HAI geometric mean titer >= 1:40 was calculated within each study arm and analysis time point.
Time frame: Day 1 through Day 113
Blood was collected for Neutralizing assays conducted with H3N2 M2SR-like virus A/Brisbane/10/2007 as the antigen. Collection took place on Day 1 (pre-vaccination), Days 8, 22, and 57 after first vaccination, immediately prior to second vaccination (Day 92), and 21 days after second vaccination (Day 113). The geometric mean of each sample's replicate results was calculated from available results. The percentage of participants with HAI geometric mean titer >= 1:40 was calculated within each study arm and analysis time point.
Time frame: Day 1 through Day 113
Blood was collected for Neutralizing assays conducted with H3N2 QIV-like virus A/North Carolina/04/2016 as the antigen. Collection took place on Day 1 (pre-vaccination), Days 8, 22, and 57 after first vaccination, immediately prior to second vaccination (Day 92), and 21 days after second vaccination (Day 113). The geometric mean of each sample's replicate results was calculated from available results. The percentage of participants with HAI geometric mean titer >= 1:40 was calculated within each study arm and analysis time point.
Time frame: Day 1 through Day 113
Blood was collected for Neutralizing assays conducted with H3N2 QIV-like virus A/Singapore/INFIMH-16-0019/2016 as the antigen. Collection took place on Day 1 (pre-vaccination), Days 8, 22, and 57 after first vaccination, immediately prior to second vaccination (Day 92), and 21 days after second vaccination (Day 113). The geometric mean of each sample's replicate results was calculated from available results. The percentage of participants with HAI geometric mean titer >= 1:40 was calculated within each study arm and analysis time point.
Time frame: Day 1 through Day 113
Blood was collected for Neutralizing assays conducted with H3N2 QIV-like virus A/Kansas/14/2017 as the antigen. Collection took place on Day 1 (pre-vaccination), Days 8, 22, and 57 after first vaccination, immediately prior to second vaccination (Day 92), and 21 days after second vaccination (Day 113). The geometric mean of each sample's replicate results was calculated from available results. The percentage of participants with HAI geometric mean titer >= 1:40 was calculated within each study arm and analysis time point.
Time frame: Day 8 through Day 113
Blood was collected for HAI assays conducted with H3N2 M2SR-like virus A/Brisbane/10/2007 as the antigen. Collection took place on Day 1 (pre-vaccination), Days 8, 22, and 57 after first vaccination, immediately prior to second vaccination (Day 92), and 21 days after second vaccination (Day 113). The geometric mean of each sample's replicate results was calculated from available results. Seroconversion is defined as either a pre-vaccination geometric mean titer (GMT) < 1:10 and a post-vaccination GMT >= 1:40, or a pre-vaccination GMT >= 1:10 and a minimum 4-fold rise in post-vaccination GMT. The percentage of participants achieving seroconversion was calculated within each study arm and analysis time point.
Time frame: Day 8 through Day 113
Blood was collected for HAI assays conducted with H3N2 QIV-like virus A/North Carolina/04/2016 as the antigen. Collection took place on Day 1 (pre-vaccination), Days 8, 22, and 57 after first vaccination, immediately prior to second vaccination (Day 92), and 21 days after second vaccination (Day 113). The geometric mean of each sample's replicate results was calculated from available results. Seroconversion is defined as either a pre-vaccination geometric mean titer (GMT) < 1:10 and a post-vaccination GMT >= 1:40, or a pre-vaccination GMT >= 1:10 and a minimum 4-fold rise in post-vaccination GMT. The percentage of participants achieving seroconversion was calculated within each study arm and analysis time point.
Time frame: Day 8 through Day 113
Blood was collected for HAI assays conducted with H3N2 QIV-like virus A/Singapore/INFIMH-16-0019/2016 as the antigen. Collection took place on Day 1 (pre-vaccination), Days 8, 22, and 57 after first vaccination, immediately prior to second vaccination (Day 92), and 21 days after second vaccination (Day 113). The geometric mean of each sample's replicate results was calculated from available results. Seroconversion is defined as either a pre-vaccination geometric mean titer (GMT) < 1:10 and a post-vaccination GMT >= 1:40, or a pre-vaccination GMT >= 1:10 and a minimum 4-fold rise in post-vaccination GMT. The percentage of participants achieving seroconversion was calculated within each study arm and analysis time point.
Time frame: Day 8 through Day 113
Blood was collected for HAI assays conducted with H3N2 QIV-like virus A/Kansas/14/2017 as the antigen. Collection took place on Day 1 (pre-vaccination), Days 8, 22, and 57 after first vaccination, immediately prior to second vaccination (Day 92), and 21 days after second vaccination (Day 113). The geometric mean of each sample's replicate results was calculated from available results. Seroconversion is defined as either a pre-vaccination geometric mean titer (GMT) < 1:10 and a post-vaccination GMT >= 1:40, or a pre-vaccination GMT >= 1:10 and a minimum 4-fold rise in post-vaccination GMT. The percentage of participants achieving seroconversion was calculated within each study arm and analysis time point.
Time frame: Day 8 through Day 113
Blood was collected for Neutralizing assays conducted with H3N2 M2SR-like virus A/Brisbane/10/2007 as the antigen. Collection took place on Day 1 (pre-vaccination), Days 8, 22, and 57 after first vaccination, immediately prior to second vaccination (Day 92), and 21 days after second vaccination (Day 113). The geometric mean of each sample's replicate results was calculated from available results. Seroconversion is defined as either a pre-vaccination geometric mean titer (GMT) < 1:10 and a post-vaccination GMT >= 1:40, or a pre-vaccination GMT >= 1:10 and a minimum 4-fold rise in post-vaccination GMT. The percentage of participants achieving seroconversion was calculated within each study arm and analysis time point.
Time frame: Day 8 through Day 113
Blood was collected for Neutralizing assays conducted with H3N2 QIV-like virus A/North Carolina/04/2016 as the antigen. Collection took place on Day 1 (pre-vaccination), Days 8, 22, and 57 after first vaccination, immediately prior to second vaccination (Day 92), and 21 days after second vaccination (Day 113). The geometric mean of each sample's replicate results was calculated from available results. Seroconversion is defined as either a pre-vaccination geometric mean titer (GMT) < 1:10 and a post-vaccination GMT >= 1:40, or a pre-vaccination GMT >= 1:10 and a minimum 4-fold rise in post-vaccination GMT. The percentage of participants achieving seroconversion was calculated within each study arm and analysis time point.
Time frame: Day 8 through Day 113
Blood was collected for Neutralizing assays conducted with H3N2 QIV-like virus A/Singapore/INFIMH-16-0019/2016 as the antigen. Collection took place on Day 1 (pre-vaccination), Days 8, 22, and 57 after first vaccination, immediately prior to second vaccination (Day 92), and 21 days after second vaccination (Day 113). The geometric mean of each sample's replicate results was calculated from available results. Seroconversion is defined as either a pre-vaccination geometric mean titer (GMT) < 1:10 and a post-vaccination GMT >= 1:40, or a pre-vaccination GMT >= 1:10 and a minimum 4-fold rise in post-vaccination GMT. The percentage of participants achieving seroconversion was calculated within each study arm and analysis time point.
Time frame: Day 8 through Day 113
Blood was collected for Neutralizing assays conducted with H3N2 QIV-like virus A/Kansas/14/2017 as the antigen. Collection took place on Day 1 (pre-vaccination), Days 8, 22, and 57 after first vaccination, immediately prior to second vaccination (Day 92), and 21 days after second vaccination (Day 113). The geometric mean of each sample's replicate results was calculated from available results. Seroconversion is defined as either a pre-vaccination geometric mean titer (GMT) < 1:10 and a post-vaccination GMT >= 1:40, or a pre-vaccination GMT >= 1:10 and a minimum 4-fold rise in post-vaccination GMT. The percentage of participants achieving seroconversion was calculated within each study arm and analysis time point.
National Institute of Allergy and Infectious Diseases (NIAID)
Nih
A Phase I Trial to Evaluate the Safety and Immunogenicity of an Influenza Vaccination Strategy Including a H3N2 M2SR Prime Followed by a Seasonal Quadrivalent Inactivated Vaccine Boost in a Pediatric Population 9-17 Years Old
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