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NCT01440387

A Study of Immunogenicity and Safety of GSK Biologicals' Influenza Vaccine FLU-Q-QIV in Adults Aged 18 Years and Older

Completed Phase 3 Results posted Last updated 7 September 2018
What this trial tests

Phase 3 trial testing FLULAVAL® QUADRIVALENT in Influenza in 112 participants. Completed in 22 October 2011.

Timeline
30 September 2011
Primary endpoint
22 October 2011
22 October 2011

Quick facts

Lead sponsorGlaxoSmithKline
PhasePhase 3
StatusCompleted
Study typeINTERVENTIONAL
Allocationnon randomized
Designparallel
Maskingnone
Primary purposeprevention
Enrollment112
Start date30 September 2011
Primary completion22 October 2011
Estimated completion22 October 2011
Sites1 location across Canada

Drugs / interventions tested

Conditions studied

Sponsor

GlaxoSmithKline — full company profile →

Who can join

18 and older, any sex, with Influenza. Patients with the condition only — healthy volunteers not accepted.

Results — posted to ClinicalTrials.gov

Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.

Humoral Immune Response in Terms of Hemagglutination Inhibition (HI) Antibodies Against Each of the 4 Vaccine Influenza Strains. Primary · At Day 0 and Day 21

Antibody titres were expressed as Geometric mean titers (GMTs). The vaccine strains assessed were Flu B/Florida/4/06 (Yamagata), FluB/Bri/60/08 (Victoria), Flu A/CAL/7/09 (H1N1) and Flu A/Victoria/210/09 (H3N2) antigens.

Yamagata strain, Day 0
GroupValue95% CI
FLULAVAL QUADRIVALENT Adult Group130.492.8 – 183.2
FLULAVAL QUADRIVALENT Elderly Group57.344.3 – 74.0
Yamagata strain, Day 21
GroupValue95% CI
FLULAVAL QUADRIVALENT Adult Group404.8323.1 – 507.2
FLULAVAL QUADRIVALENT Elderly Group355.5263.5 – 479.5
Victoria strain, Day 0
GroupValue95% CI
FLULAVAL QUADRIVALENT Adult Group92.866.5 – 129.4
FLULAVAL QUADRIVALENT Elderly Group38.528.3 – 52.4
Victoria strain, Day 21
GroupValue95% CI
FLULAVAL QUADRIVALENT Adult Group318.0251.4 – 402.3
FLULAVAL QUADRIVALENT Elderly Group237.8179.7 – 314.9
H1N1 strain, Day 0
GroupValue95% CI
FLULAVAL QUADRIVALENT Adult Group82.054.9 – 122.5
FLULAVAL QUADRIVALENT Elderly Group25.017.3 – 36.0
H1N1 strain, Day 21
GroupValue95% CI
FLULAVAL QUADRIVALENT Adult Group392.5305.4 – 504.4
FLULAVAL QUADRIVALENT Elderly Group223.5157.0 – 318.1
H3N2 strain, Day 0
GroupValue95% CI
FLULAVAL QUADRIVALENT Adult Group45.331.3 – 65.4
FLULAVAL QUADRIVALENT Elderly Group23.216.4 – 32.8
H3N2 strain, Day 21
GroupValue95% CI
FLULAVAL QUADRIVALENT Adult Group215.4166.3 – 278.9
FLULAVAL QUADRIVALENT Elderly Group160.1115.7 – 221.4
Number of Subjects Who Were Seroprotected for HI Antibodies Against Each of the 4 Vaccine Influenza Strains. Primary · At Day 0 and Day 21

A seroprotected subject was defined as a subject with a serum HI titer greater than or equal to 1:40 that usually is accepted as indicating protection. The vaccine strains assessed were Yamagata, Victoria, H1N1 and H3N2 antigens.

Yamagata strain, Day 0
GroupValue95% CI
FLULAVAL QUADRIVALENT Adult Group48
FLULAVAL QUADRIVALENT Elderly Group45
Yamagata strain, Day 21
GroupValue95% CI
FLULAVAL QUADRIVALENT Adult Group56
FLULAVAL QUADRIVALENT Elderly Group56
Victoria strain, Day 0
GroupValue95% CI
FLULAVAL QUADRIVALENT Adult Group47
FLULAVAL QUADRIVALENT Elderly Group31
Victoria strain, Day 21
GroupValue95% CI
FLULAVAL QUADRIVALENT Adult Group56
FLULAVAL QUADRIVALENT Elderly Group55
H1N1 strain, Day 0
GroupValue95% CI
FLULAVAL QUADRIVALENT Adult Group44
FLULAVAL QUADRIVALENT Elderly Group26
H1N1 strain, Day 21
GroupValue95% CI
FLULAVAL QUADRIVALENT Adult Group55
FLULAVAL QUADRIVALENT Elderly Group52
H3N2 strain, Day 0
GroupValue95% CI
FLULAVAL QUADRIVALENT Adult Group34
FLULAVAL QUADRIVALENT Elderly Group28
H3N2 strain, Day 21
GroupValue95% CI
FLULAVAL QUADRIVALENT Adult Group54
FLULAVAL QUADRIVALENT Elderly Group53
Number of Seroconverted Subjects for HI Antibodies Against Each of the 4 Vaccine Influenza Strains. Primary · At Day 21

A seroconverted subject was defined as a subject who had either a pre-vaccination titer less than (\<) 1:10 and a post-vaccination titer ≥ 1:40, or a pre-vaccination titer ≥ 1:10 and at least a 4-fold increase in post-vaccination titer. The vaccine strains assessed were Yamagata, Victoria, H1N1 and H3N2 antigens.

Yamagata strain
GroupValue95% CI
FLULAVAL QUADRIVALENT Adult Group20
FLULAVAL QUADRIVALENT Elderly Group35
Victoria strain
GroupValue95% CI
FLULAVAL QUADRIVALENT Adult Group19
FLULAVAL QUADRIVALENT Elderly Group33
H1N1 strain
GroupValue95% CI
FLULAVAL QUADRIVALENT Adult Group28
FLULAVAL QUADRIVALENT Elderly Group34
H3N2 strain
GroupValue95% CI
FLULAVAL QUADRIVALENT Adult Group27
FLULAVAL QUADRIVALENT Elderly Group35
HI Antibody Seroconversion Factors (SCFs) Against Each of the 4 Vaccine Influenza Strains. Primary · At Day 21

SCFs were defined as the fold increase in serum HI GMTs post-vaccination compared to Day 0. The vaccine strains assessed were Yamagata, Victoria, H1N1 and H3N2 antigens.

Yamagata strain
GroupValue95% CI
FLULAVAL QUADRIVALENT Adult Group3.12.4 – 4.0
FLULAVAL QUADRIVALENT Elderly Group6.24.6 – 8.4
Victoria strain
GroupValue95% CI
FLULAVAL QUADRIVALENT Adult Group3.42.5 – 4.6
FLULAVAL QUADRIVALENT Elderly Group6.24.3 – 8.8
H1N1 strain
GroupValue95% CI
FLULAVAL QUADRIVALENT Adult Group4.83.3 – 7.0
FLULAVAL QUADRIVALENT Elderly Group8.95.8 – 13.7
H3N2 strain
GroupValue95% CI
FLULAVAL QUADRIVALENT Adult Group4.83.5 – 6.6
FLULAVAL QUADRIVALENT Elderly Group6.94.7 – 10.1
Number of Subjects Reporting Any and Grade 3 Solicited Local Symptoms. Secondary · During the 4-day (Days 0-3) post-vaccination period

Solicited local symptoms assessed were pain, redness and swelling. Any was defined as any solicited local symptom reported irrespective of intensity. Grade 3 pain was defined as pain that prevented normal everyday activities. Grade 3 redness and swelling were defined as redness/swelling greater than 100 millimeters (mm). i.e. \>100mm.

Any Pain
GroupValue95% CI
FLULAVAL QUADRIVALENT Adult Group41
FLULAVAL QUADRIVALENT Elderly Group19
Grade 3 Pain
GroupValue95% CI
FLULAVAL QUADRIVALENT Adult Group0
FLULAVAL QUADRIVALENT Elderly Group0
Any Redness
GroupValue95% CI
FLULAVAL QUADRIVALENT Adult Group1
FLULAVAL QUADRIVALENT Elderly Group0
Grade 3 Redness
GroupValue95% CI
FLULAVAL QUADRIVALENT Adult Group0
FLULAVAL QUADRIVALENT Elderly Group0
Any Swelling
GroupValue95% CI
FLULAVAL QUADRIVALENT Adult Group1
FLULAVAL QUADRIVALENT Elderly Group2
Grade 3 Swelling
GroupValue95% CI
FLULAVAL QUADRIVALENT Adult Group0
FLULAVAL QUADRIVALENT Elderly Group0
Number of Subjects Reporting Any, Grade 3 and Related Solicited General Symptoms. Secondary · During the 4-day (Days 0-3) post-vaccination period

Solicited general symptoms assessed were chest tightness, chills, cough, fatigue, headache, joint pain at other location, muscle pain, red eyes, sore throat, swelling of the face and fever \[oral temperature ≥ 38.0 degrees Celsius (°C)\]. Any = any solicited general symptom reported irrespective of intensity and relationship to vaccination. Related = symptoms considered by the investigator to have a causal relationship to vaccination. Grade 3 symptoms = symptoms that prevented normal activity. Grade 3 fever = oral temperature above 39.0°C

Any Chest tightness
GroupValue95% CI
FLULAVAL QUADRIVALENT Adult Group0
FLULAVAL QUADRIVALENT Elderly Group2
Grade 3 Chest tightness
GroupValue95% CI
FLULAVAL QUADRIVALENT Adult Group0
FLULAVAL QUADRIVALENT Elderly Group0
Related Chest tightness
GroupValue95% CI
FLULAVAL QUADRIVALENT Adult Group0
FLULAVAL QUADRIVALENT Elderly Group2
Any Chills
GroupValue95% CI
FLULAVAL QUADRIVALENT Adult Group1
FLULAVAL QUADRIVALENT Elderly Group5
Grade 3 Chills
GroupValue95% CI
FLULAVAL QUADRIVALENT Adult Group0
FLULAVAL QUADRIVALENT Elderly Group0
Related Chills
GroupValue95% CI
FLULAVAL QUADRIVALENT Adult Group1
FLULAVAL QUADRIVALENT Elderly Group5
Any Cough
GroupValue95% CI
FLULAVAL QUADRIVALENT Adult Group3
FLULAVAL QUADRIVALENT Elderly Group4
Grade 3 Cough
GroupValue95% CI
FLULAVAL QUADRIVALENT Adult Group0
FLULAVAL QUADRIVALENT Elderly Group0
Number of Subjects Reporting Any Unsolicited Adverse Events (AEs). Secondary · During the 21-day (Days 0-20) post-vaccination period.

An unsolicited AE was defined as any AE (i.e. any untoward medical occurrence in a patient or clinical investigation subject, temporally associated with use of a medicinal product, whether or not considered related to the medicinal product) reported in addition to those solicited during the clinical study and any solicited symptom with onset outside the specified period of follow-up for solicited symptoms. Any was defined as occurrence of any unsolicited symptom regardless of intensity grade or relation to vaccination.

GroupValue95% CI
FLULAVAL QUADRIVALENT Adult Group13
FLULAVAL QUADRIVALENT Elderly Group12
Number of Subjects Reporting Any and Related Serious Adverse Events (SAEs) Secondary · During the entire study period (Day 0 - Day 20 after vaccination).

A serious adverse event was any untoward medical occurrence that resulted in death, was life threatening, required hospitalization or prolongation of hospitalization, resulted in disability/incapacity or was a congenital anomaly/birth defect in the offspring of a study subject. Any was defined as occurrence of any symptom regardless of intensity grade or relation to vaccination and related was an event assessed by the investigator as causally related to the study vaccination.

GroupValue95% CI
FLULAVAL QUADRIVALENT Adult Group0
FLULAVAL QUADRIVALENT Elderly Group0

Adverse events — posted to ClinicalTrials.gov

Time frame: Serious Adverse Events: During the entire study period (Days 0 - 20 after vaccination); Solicited local and general symptoms: During the 4-day (Days 0-3) post-vaccination period; Unsolicited symptoms: During the 21-day (Days 0-20) post-vaccination period.. Reporting threshold: 5%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

FLULAVAL QUADRIVALENT Adult Group
Serious: 0/56 (0%)
Deaths:
FLULAVAL QUADRIVALENT Elderly Group
Serious: 0/56 (0%)
Deaths:
Other adverse events (10 terms — click to expand)

ReactionSystemFLULAVAL QUADRIVALENT Adul…FLULAVAL QUADRIVALENT Elde…
PainGeneral disorders
Muscle painGeneral disorders
HeadacheGeneral disorders
FatigueGeneral disorders
Joint pain at other locationGeneral disorders
Sore throatGeneral disorders
Upper respiratory tract infectionInfections and infestations
ChillsGeneral disorders
CoughGeneral disorders
Red eyesGeneral disorders

Data from ClinicalTrials.gov NCT01440387 adverse events section.

Sponsor's own description

The purpose of this study is to evaluate the immunogenicity and the safety of GlaxoSmithKline (GSK) Biologicals' investigational quadrivalent split virion influenza vaccine FLU-Q-QIV in adults 18 years of age and older.

Publications & conference data

1 peer-reviewed publication reference this trial (live from Europe PMC):

  1. A historically-controlled Phase III study in adults to characterize the acceptability of a process change for manufacturing inactivated quadrivalent influenza vaccine.
    Jain VK, Chandrasekaran V, Wang L, Li P, et al · · 2014 · cited 5× · PMID 24606983 · DOI 10.1186/1471-2334-14-133

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