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NCT01711736

Study to Evaluate Immunogenicity and Safety of GlaxoSmithKline (GSK) Biologicals' Quadrivalent Influenza Vaccine GSK2282512A When Administered to Children 6 to 35 Months of Age

Completed Phase 3 Results posted Last updated 1 November 2021
What this trial tests

Phase 3 trial testing Quadrivalent influenza GSK2282512A vaccine in Influenza in 606 participants. Completed in 19 June 2013.

Timeline
1 November 2012
Primary endpoint
21 February 2013
19 June 2013

Quick facts

Lead sponsorGlaxoSmithKline
PhasePhase 3
StatusCompleted
Study typeINTERVENTIONAL
Allocationrandomized
Designparallel
Maskingquadruple
Primary purposeprevention
Enrollment606
Start date1 November 2012
Primary completion21 February 2013
Estimated completion19 June 2013
Sites8 locations across Canada, Dominican Republic, Honduras

Drugs / interventions tested

Conditions studied

Sponsor

GlaxoSmithKline — full company profile →

Who can join

Adults 6 Months to 35 Months, 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.

Number of Seroconverted Subjects for Anti- Haemagglutination Inhibition (HI) Antibodies Against Each of the Four Vaccine Influenza Strains of Quadrivalent Influenza GSK2282512A Vaccine. Primary · At Day 28 for primed subjects and at Day 56 for unprimed subjects

A seroconverted subject was defined as a vaccinated subject with either a pre-vaccination titer less than (\<) 1:10 and a post-vaccination titer greater than or equal to (≥) 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 Flu A/CAL/7/09 (H1N1), Flu A/Victoria/361/11 (H3N2), Flu B/Hubei-Wujiagang/158/09 (Yamagata) and Flu B/Bri/60/08 (Victoria). This outcome concerns solely subjects in the GSK2282512A Group.

[H1N1, Day 28 = primed and Day 56 = unprimed]
GroupValue95% CI
GSK2282512A Group244
[H3N2, Day 28 = primed and Day 56 = unprimed]
GroupValue95% CI
GSK2282512A Group205
[Yamagata, Day 28 = primed and Day 56 = unprimed]
GroupValue95% CI
GSK2282512A Group224
[Victoria, Day 28 = primed and Day 56 = unprimed]
GroupValue95% CI
GSK2282512A Group210
Number of Subjects Reporting Any and Grade 3 Solicited Local Symptoms. Primary · During the 7-day (Days 0-6) post-vaccination period

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

Any Pain
GroupValue95% CI
GSK2282512A Group95
Fluarix Group91
Grade 3 Pain
GroupValue95% CI
GSK2282512A Group7
Fluarix Group3
Any Redness
GroupValue95% CI
GSK2282512A Group6
Fluarix Group6
Grade 3 Redness
GroupValue95% CI
GSK2282512A Group0
Fluarix Group0
Any Swelling
GroupValue95% CI
GSK2282512A Group5
Fluarix Group6
Grade 3 Swelling
GroupValue95% CI
GSK2282512A Group0
Fluarix Group0
Number of Subjects Reporting Any, Grade 3 and Related Solicited General Symptoms (Excluding Fever). Primary · During the 7-day (Days 0-6) post-vaccination period

Solicited general symptoms assessed were drowsiness, irritability/fussiness and loss of appetite. Any was defined as any solicited general symptom reported irrespective of intensity and relationship to vaccination. Related was defined as symptoms assessed by the investigator to have a causal relationship to vaccination. Grade 3 irritability/fussiness was defined as crying that could not be comforted/prevented normal activity. Grade 3 loss of appetite was defined as not eating at all. Grade 3 drowsiness was defined as drowsiness that prevented normal activity.

Any Drowsiness
GroupValue95% CI
GSK2282512A Group93
Fluarix Group88
Grade 3 Drowsiness
GroupValue95% CI
GSK2282512A Group9
Fluarix Group9
Related Drowsiness
GroupValue95% CI
GSK2282512A Group79
Fluarix Group80
Any Irritability/fussiness
GroupValue95% CI
GSK2282512A Group118
Fluarix Group123
Grade 3 Irritability/fussiness
GroupValue95% CI
GSK2282512A Group15
Fluarix Group14
Related Irritability/fussiness
GroupValue95% CI
GSK2282512A Group104
Fluarix Group106
Any Loss of appetite
GroupValue95% CI
GSK2282512A Group99
Fluarix Group100
Grade 3 Loss of appetite
GroupValue95% CI
GSK2282512A Group16
Fluarix Group14
Number of Subjects Reporting Any, Grade 3 and Related Fever Primary · During the 7-day (Days 0-6) post-vaccination period

Any fever was defined as any fever ≥38.0 degrees Celsius (°C) irrespective of intensity and relationship to vaccination. Related was defined as symptoms assessed by the investigator to have a causal relationship to vaccination. Grade 3 fever was defined as fever ≥39.0 °C.

Any Fever
GroupValue95% CI
GSK2282512A Group61
Fluarix Group60
Grade 3 Fever
GroupValue95% CI
GSK2282512A Group23
Fluarix Group13
Related Fever
GroupValue95% CI
GSK2282512A Group49
Fluarix Group48
Haemagglutination Inhibition (HI) Antibody Titers Against Each of the Four Vaccine Influenza Strains Secondary · At Day 0 (for all subjects) and 28 days after the last vaccine dose (at Day 28 for primed subjects and at Day 56 for unprimed subjects)

HI antibody titres were expressed as Geometric mean titers (GMTs). The vaccine strains assessed were Flu A/CAL/7/09 (H1N1), Flu A/Victoria/361/11 (H3N2), Flu B/Hubei-Wujiagang/158/09 (Yamagata) and Flu B/Bri/60/08 (Victoria)

[H1N1, Day 0]
GroupValue95% CI
GSK2282512A Group9.68.1 – 11.3
Fluarix Group9.88.3 – 11.6
[H1N1, Day 28 = primed and Day 56 = unprimed]
GroupValue95% CI
GSK2282512A Group157.1132.8 – 185.9
Fluarix Group61.249.2 – 76.2
[H3N2, Day 0]
GroupValue95% CI
GSK2282512A Group17.414.1 – 21.5
Fluarix Group13.811.4 – 16.8
[H3N2, Day 28 = primed and Day 56 = unprimed]
GroupValue95% CI
GSK2282512A Group159.4129.4 – 196.3
Fluarix Group103.083.7 – 126.7
[Yamagata, Day 0]
GroupValue95% CI
GSK2282512A Group7.76.9 – 8.7
Fluarix Group7.26.5 – 8.0
[Yamagata, Day 28 = primed and Day 56 = unprimed]
GroupValue95% CI
GSK2282512A Group114.2100.0 – 130.5
Fluarix Group107.292.2 – 124.6
[Victoria, Day 0]
GroupValue95% CI
GSK2282512A Group10.69.1 – 12.4
Fluarix Group9.38.0 – 10.7
[Victoria, Day 28 = primed and Day 56 = unprimed]
GroupValue95% CI
GSK2282512A Group111.491.9 – 135.2
Fluarix Group15.613.3 – 18.5
Number of Seroconverted Subjects for Anti- Haemagglutination Inhibition (HI) Antibodies Against Each of the Four Vaccine Influenza Strains of Fluarix Vaccine Secondary · At Day 28 for primed subjects and at Day 56 for unprimed subjects

A seroconverted subject was defined as a vaccinated subject with either a pre-vaccination titer less than (\<) 1:10 and a post-vaccination titer greater than or equal to (≥) 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 Flu A/CAL/7/09 (H1N1), Flu A/Victoria/361/11 (H3N2), Flu B/Hubei-Wujiagang/158/09 (Yamagata) and Flu B/Bri/60/08 (Victoria). This outcome concerns solely subjects in the Fluarix Group.

[H1N1, Day 28 = primed and Day 56 = unprimed]
GroupValue95% CI
Fluarix Group154
[H3N2, Day 28 = primed and Day 56 = unprimed]
GroupValue95% CI
Fluarix Group160
[Yamagata, Day 28 = primed and Day 56 = unprimed]
GroupValue95% CI
Fluarix Group222
[Victoria, Day 28 = primed and Day 56 = unprimed]
GroupValue95% CI
Fluarix Group28
Number of Subjects Who Were Seroprotected for Haemagglutination Inhibition (HI) Antibodies Against Each of the Four Vaccine Influenza Strains. Secondary · At Day 0 (for all subjects) and Day 28 after last vaccine dose (Day 28 for primed subjects and Day 56 for unprimed subjects)

A seroprotected subject was defined as a vaccinated subject with a serum HI titer greater than or equal to (≥) 1:40 that usually is accepted as indicating protection in adults. The vaccine strains assessed were Flu A/CAL/7/09 (H1N1), Flu A/Victoria/361/11 (H3N2), Flu B/Hubei-Wujiagang/158/09 (Yamagata) and Flu B/Bri/60/08 (Victoria)

[H1N1, Day 0]
GroupValue95% CI
GSK2282512A Group46
Fluarix Group47
[H1N1, Day 28 = primed and Day 56 = unprimed]
GroupValue95% CI
GSK2282512A Group254
Fluarix Group169
[H3N2, Day 0]
GroupValue95% CI
GSK2282512A Group93
Fluarix Group74
[H3N2, Day 28 = primed and Day 56 = unprimed]
GroupValue95% CI
GSK2282512A Group231
Fluarix Group191
[Yamagata, Day 0]
GroupValue95% CI
GSK2282512A Group26
Fluarix Group24
[Yamagata, Day 28 = primed and Day 56 = unprimed]
GroupValue95% CI
GSK2282512A Group242
Fluarix Group229
[Victoria, Day 0]
GroupValue95% CI
GSK2282512A Group56
Fluarix Group45
[Victoria, Day 28 = primed and Day 56 = unprimed]
GroupValue95% CI
GSK2282512A Group216
Fluarix Group74
Mean Geometric Increase (MGI) for Haemagglutination Inhibition (HI) Antibody Titer Against Each of the Four Vaccine Influenza Strains. Secondary · 28 days after the last vaccine dose (at Day 28 for primed subjects and at Day 56 for unprimed subjects)

MGI was defined as the fold increase in serum haemagglutination inhibition (HI) GMTs post-vaccination compared to pre-vaccination (Day 0). The vaccine strains assessed were Flu A/CAL/7/09 (H1N1), Flu A/Victoria/361/11 (H3N2), Flu B/Hubei-Wujiagang/158/09 (Yamagata) and Flu B/Bri/60/08 (Victoria)

[H1N1, Day 28 = primed and Day 56 = unprimed]
GroupValue95% CI
GSK2282512A Group16.414.3 – 18.7
Fluarix Group6.25.3 – 7.3
[H3N2, Day 28 = primed and Day 56 = unprimed]
GroupValue95% CI
GSK2282512A Group9.18.0 – 10.5
Fluarix Group7.56.4 – 8.7
[Yamagata, Day 28 = primed and Day 56 = unprimed]
GroupValue95% CI
GSK2282512A Group14.812.8 – 17.1
Fluarix Group14.812.8 – 17.2
[Victoria, Day 28 = primed and Day 56 = unprimed]
GroupValue95% CI
GSK2282512A Group10.59.2 – 11.9
Fluarix Group1.71.5 – 1.9
Number of Subjects Reporting Any, Grade 3 and Related Fever Secondary · During the 4-day (Days 0-3) post-vaccination period

Any fever was defined as any fever ≥38.0 °C irrespective of intensity and relationship to vaccination. Related was defined as symptoms considered by the investigator to have a causal relationship to vaccination. Grade 3 fever was defined as fever ≥39.0 °C.

Any Fever
GroupValue95% CI
GSK2282512A Group46
Fluarix Group42
Grade 3 Fever
GroupValue95% CI
GSK2282512A Group16
Fluarix Group8
Related Fever
GroupValue95% CI
GSK2282512A Group39
Fluarix Group38
Number of Subjects Reporting Any Medically Attended Adverse Events (MAEs) Secondary · During the entire study period (Day 0 to Day 180)

MAEs were defined as adverse events with medically-attended visits that were not routine visits for physical examination or vaccination, such as visits for hospitalization, an emergency room visit, or an otherwise unscheduled visit to or from medical personnel (medical doctor) for any reason. Any was defined as any occurrence of MAE(s).

GroupValue95% CI
GSK2282512A Group156
Fluarix Group156
Number of Subjects Reporting Any Potential Immune-Mediated Diseases (pIMDs) Secondary · During the entire study period (Day 0 to Day 180)

Potential immune-mediated diseases (pIMDs) were defined as a subset of adverse events that included both clearly autoimmune diseases and also other inflammatory and/or neurologic disorders which might or might not have an autoimmune aetiology. Any pIMD was defined as at least one pIMD experienced by the study subject.

Any pIMD(s)
GroupValue95% CI
GSK2282512A Group0
Fluarix Group2
Related pIMD(s)
GroupValue95% CI
GSK2282512A Group0
Fluarix Group0
Number of Subjects Reporting Any, Grade 3 and Related Unsolicited Adverse Events (AEs). Secondary · During the 28-day (Days 0-27) post-vaccination period.

An unsolicited AE was defined as an 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 and 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.

Any Unsolicited AEs
GroupValue95% CI
GSK2282512A Group142
Fluarix Group165
Grade 3 Unsolicited AEs
GroupValue95% CI
GSK2282512A Group9
Fluarix Group5
Related Unsolicited AEs
GroupValue95% CI
GSK2282512A Group17
Fluarix Group13

Adverse events — posted to ClinicalTrials.gov

Time frame: Serious Adverse Events: From Day 0 to Day 180; Solicited local and general symptoms: During the 7-day (Days 0-6) post-vaccination period; Unsolicited adverse events: During the 28-day (Days 0-27) post-vaccination period.. Reporting threshold: 5%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

GSK2282512A Group
Serious: 9/299 (3%)
Deaths:
Fluarix Group
Serious: 8/302 (3%)
Deaths:

Serious adverse events (21 terms)

ReactionSystemGSK2282512A GroupFluarix Group
BronchiolitisInfections and infestations
Gastroenteritis rotavirusInfections and infestations
DehydrationMetabolism and nutrition disorders
Amoebic dysenteryInfections and infestations
AsthmaRespiratory, thoracic and mediastinal disorders
Bacterial pyelonephritisInfections and infestations
Blastocystis infectionInfections and infestations
Bronchial hyperreactivityRespiratory, thoracic and mediastinal disorders
Colitis ulcerativeGastrointestinal disorders
Dengue feverInfections and infestations
DiarrhoeaGastrointestinal disorders
Febrile convulsionNervous system disorders
Intestinal obstructionGastrointestinal disorders
Otitis media acuteInfections and infestations
PeritonitisInfections and infestations
Pharyngitis streptococcalInfections and infestations
Pneumonia aspirationRespiratory, thoracic and mediastinal disorders
Respiratory syncytial virus bronchiolitisInfections and infestations
Rotavirus infectionInfections and infestations
Septic shockInfections and infestations
TonsillitisInfections and infestations
Other adverse events (8 terms — click to expand)

ReactionSystemGSK2282512A GroupFluarix Group
Irritability/fussinessGeneral disorders
Loss of appetiteGeneral disorders
PainGeneral disorders
DrowsinessGeneral disorders
NasopharyngitisInfections and infestations
FeverGeneral disorders
FeverGeneral disorders
DiarrhoeaGastrointestinal disorders

Most-reported serious reactions: Bronchiolitis, Gastroenteritis rotavirus, Dehydration, Amoebic dysentery, Asthma, Bacterial pyelonephritis, Blastocystis infection, Bronchial hyperreactivity.

Data from ClinicalTrials.gov NCT01711736 adverse events section.

Sponsor's own description

The purpose of this study is to investigate the immunogenicity, reactogenicity and safety of the new influenza vaccine GSK2282512A (FLU-Q-QIV) and compare its activity to the marketed vaccine Fluarix® (TIV) in young children 6 to 35 months of age.

Publications & conference data

3 peer-reviewed publications reference this trial (live from Europe PMC):

  1. Immunogenicity and safety of an inactivated quadrivalent influenza vaccine candidate: a phase III randomized controlled trial in children.
    Langley JM, Carmona Martinez A, Chatterjee A, Halperin SA, et al · · 2013 · cited 56× · PMID 23847058 · DOI 10.1093/infdis/jit263
  2. Immunogenicity and Reactogenicity of an Inactivated Quadrivalent Influenza Vaccine Administered Intramuscularly to Children 6 to 35 Months of Age in 2012-2013: A Randomized, Double-Blind, Controlled, Multicenter, Multicountry, Clinical Trial.
    Langley JM, Wang L, Aggarwal N, Bueso A, et al · · 2015 · cited 27× · PMID 26336604 · DOI 10.1093/jpids/piu098
  3. Immunogenicity and safety of quadrivalent inactivated influenza vaccine in children aged 6 to 35 months: A systematic review and meta-analysis.
    Wei X, Tan X, Guan Q, Zhang R, et al · · 2023 · cited 2× · PMID 37794647 · DOI 10.1080/21645515.2023.2256510

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