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NCT02148211

Fluarix/ FluLaval/ Fluarix Quadrivalent/ FluLaval Quadrivalent Vaccine Pregnancy Registry

Completed Results posted Last updated 12 June 2020
What this trial tests

trial testing Data collection in Influenza in 507 participants. Completed in 31 May 2019.

Timeline
1 June 2014
Primary endpoint
31 May 2019
31 May 2019

Quick facts

Lead sponsorGlaxoSmithKline
StatusCompleted
Study typeOBSERVATIONAL
Enrollment507
Start date1 June 2014
Primary completion31 May 2019
Estimated completion31 May 2019
Sites1 location across United States

Drugs / interventions tested

Conditions studied

Sponsor

GlaxoSmithKline — full company profile →

Who can join

Eligibility, female only, 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 Subjects Reported With Exposure and Outcomes, Stratified by Trimester of Exposure, in Pregnant Women Intentionally or Unintentionally Vaccinated With FluLaval During Pregnancy or Within 28 Days Preceding Conception Primary · Data collected for a minimum of 5 years starting from June 1, 2014 till May 31, 2019: for each subject, data was collected within 2 months of estimated date of delivery (EDD) and follow-up 6 and 12 months after EDD (for all live births)

Exposures and outcomes were stratified by trimester of exposure: first (1st), second (2nd), third (3rd) and unknown trimester (Tr?) multiple exposures during a pregnancy were classified by the earliest trimester of exposure. The estimated gestational age at the time of vaccination was calculated based on the date of the last menstrual period. The 2nd trimester was considered to begin at week 14 and the 3rd trimester begun at week 28. The presence or absence of birth defects or other abnormalities was evaluated within each of the preceding outcome categories. Ongoing = subject still pregnant at

Ongoing, 1st Tr.
GroupValue95% CI
Exposure Group2
Ongoing, 2nd Tr.
GroupValue95% CI
Exposure Group3
Ongoing, 3rd Tr.
GroupValue95% CI
Exposure Group0
Ongoing, Tr?
GroupValue95% CI
Exposure Group1
Unknown, 1st Tr.
GroupValue95% CI
Exposure Group0
Unknown, 2nd Tr.
GroupValue95% CI
Exposure Group0
Unknown, 3rd Tr.
GroupValue95% CI
Exposure Group2
Unknown, Tr?
GroupValue95% CI
Exposure Group0
Number of Subjects Reported With Exposure and Outcomes, Stratified by Trimester of Exposure in Pregnant Women Intentionally or Unintentionally Vaccinated With FluLaval Quadrivalent During Pregnancy or Within 28 Days Preceding Conception Primary · Data collected for a minimum of 5 years starting from June 1, 2014 till May 31, 2019: for each subject, data was collected within 2 months of estimated date of delivery (EDD) and follow-up 6 and 12 months after EDD (for all live births)

Exposure and outcomes were stratified by trimester of exposure: 1st, 2nd, 3rd and Tr?; multiple exposures during a pregnancy were classified by the earliest trimester of exposure. The estimated gestational age at the time of vaccination was calculated as described in the first outcome. Results were presented for the following categories: Ongoing, Live infants without congenital anomalies (Live infants without CA.); Spontaneous abortions with no apparent congenital anomalies (Sp. abortions with no ACA); Spontaneous abortions with congenital anomalies (Sp. abortions with CA). One subject had Flu

Ongoing, 1st Tr.
GroupValue95% CI
Exposure Group0
Ongoing, 2nd Tr.
GroupValue95% CI
Exposure Group1
Ongoing, 3rd Tr.
GroupValue95% CI
Exposure Group1
Ongoing, Tr?
GroupValue95% CI
Exposure Group6
Live infants without CA, 1st Tr.
GroupValue95% CI
Exposure Group4
Live infants without CA, 2nd Tr.
GroupValue95% CI
Exposure Group6
Live infants without CA, 3rd Tr.
GroupValue95% CI
Exposure Group10
Live infants without CA, Tr?
GroupValue95% CI
Exposure Group3
Number of Subjects Reported With Exposure and Outcomes, Stratified by Trimester of Exposure in Pregnant Women Intentionally or Unintentionally Vaccinated With Fluarix During Pregnancy or Within 28 Days Preceding Conception Primary · Data collected for a minimum of 5 years starting from June 1, 2014 till May 31, 2019: for each subject, data was collected within 2 months of estimated date of delivery (EDD) and follow-up 6 and 12 months after EDD (for all live births)

Exposure and outcomes were stratified by trimester of exposure: 1st, 2nd, 3rd and Tr?; multiple exposures during a pregnancy were classified by the earliest trimester of exposure. The estimated gestational age at the time of vaccination was calculated as described in the first outcome. Unknown = unknown outcome at the time of last contact.

Unknown, 1st Tr.
GroupValue95% CI
Exposure Group0
Unknown, 2nd Tr.
GroupValue95% CI
Exposure Group0
Unknown, 3rd Tr.
GroupValue95% CI
Exposure Group0
Unknown, Tr?
GroupValue95% CI
Exposure Group1
Number of Subjects Reported With Exposure and Outcomes Stratified by Trimester of Exposure in Pregnant Women Intentionally or Unintentionally Vaccinated With Fluarix Quadrivalent During Pregnancy or Within 28 Days Preceding Conception Primary · Data collected for a minimum of 5 years starting from June 1, 2014 till May 31, 2019: for each subject, data was collected within 2 months of estimated date of delivery (EDD) and follow-up 6 and 12 months after EDD (for all live births)

Exposure and outcomes were stratified by trimester of exposure: 1st, 2nd, 3rd and Tr?; multiple exposures during a pregnancy were classified by the earliest trimester of exposure. The estimated gestational age at the time of vaccination was calculated as described in the first outcome. Results were presented for the following categories: Ongoing, Live infants without CA; Live infants with CA; Sp. abortions with no ACA; Sp. abortions with CA; Stillbirth with no ACA. Unknown = unknown pregnancy outcome at the time of last contact. One subject had FluLaval Quadrivalent and Fluarix Quadrivalent li

Ongoing, 1st Tr.
GroupValue95% CI
Exposure Group5
Ongoing, 2nd Tr.
GroupValue95% CI
Exposure Group2
Ongoing, 3rd Tr.
GroupValue95% CI
Exposure Group4
Ongoing, Tr?
GroupValue95% CI
Exposure Group15
Live infants without CA, 1st Tr.
GroupValue95% CI
Exposure Group15
Live infants without CA, 2nd Tr.
GroupValue95% CI
Exposure Group31
Live infants without CA, 3rd Tr.
GroupValue95% CI
Exposure Group21
Live infants without CA, Tr?
GroupValue95% CI
Exposure Group12
Number of Subjects Reported With Unsolicited Adverse Events (AEs) Primary · Data collected for a minimum of 5 years starting from June 1, 2014 till May 31, 2019

An unsolicited AE covers any untoward medical occurrence in a clinical investigation subject temporally associated with the use of a medicinal product, whether or not considered related to the medicinal product during the clinical study. Any was defined as the occurrence of any unsolicited AE regardless of intensity grade or relation to vaccination.

GroupValue95% CI
Exposure Group507
Number of Subjects Reported With Serious Adverse Events (SAEs) Primary · Data collected for a minimum of 5 years starting from June 1, 2014 till May 31, 2019

Serious adverse events (SAEs) assessed include medical occurrences that result in death, are life threatening, require hospitalization or prolongation of hospitalization or result in disability/incapacity.

GroupValue95% CI
Exposure Group9

Adverse events — posted to ClinicalTrials.gov

Time frame: Data collected for a minimum of 5 years starting from June 1, 2014 till May 31, 2019. Reporting threshold: 0%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Exposure Group
Serious: 9/507 (2%)
Deaths: 2/507

Serious adverse events (9 terms)

ReactionSystemExposure Group
Abortion spontaneousPregnancy, puerperium and perinatal conditions
Cleft lip and palateCongenital, familial and genetic disorders
Congenital cystic kidney diseaseCongenital, familial and genetic disorders
Injection site cellulitisInfections and infestations
Back painMusculoskeletal and connective tissue disorders
Neck painMusculoskeletal and connective tissue disorders
Pain in extremityMusculoskeletal and connective tissue disorders
StillbirthPregnancy, puerperium and perinatal conditions
Caesarean sectionSurgical and medical procedures
Other adverse events (44 terms — click to expand)

ReactionSystemExposure Group
Exposure during pregnancyInjury, poisoning and procedural complications
Live birthPregnancy, puerperium and perinatal conditions
Extra dose administeredInjury, poisoning and procedural complications
Expired product administeredInjury, poisoning and procedural complications
Wrong product administeredInjury, poisoning and procedural complications
Premature deliveryPregnancy, puerperium and perinatal conditions
Low birth weight babyPregnancy, puerperium and perinatal conditions
Twin pregnancyPregnancy, puerperium and perinatal conditions
MalaiseGeneral disorders
PainGeneral disorders
Maternal exposure during pregnancyInjury, poisoning and procedural complications
Gestational hypertensionPregnancy, puerperium and perinatal conditions
Premature babyPregnancy, puerperium and perinatal conditions
Prolonged pregnancyPregnancy, puerperium and perinatal conditions
Abdominal discomfortGastrointestinal disorders
Abdominal painGastrointestinal disorders
DyspepsiaGastrointestinal disorders
Gastroesophageal reflux diseaseGastrointestinal disorders
NauseaGastrointestinal disorders
CryingGeneral disorders
Injection site erythemaGeneral disorders
Injection site edemaGeneral disorders
Injection site painGeneral disorders
Injection site swellingGeneral disorders
Injection site warmthGeneral disorders
HypersensitivityImmune system disorders
Multiple allergiesImmune system disorders
InfluenzaInfections and infestations
Accidental overdoseInjury, poisoning and procedural complications
Contraindicated product administeredInjury, poisoning and procedural complications
Exposure via body fluidInjury, poisoning and procedural complications
Maternal exposure before pregnancyInjury, poisoning and procedural complications
Maternal exposure timing unspecifiedInjury, poisoning and procedural complications
OverdoseInjury, poisoning and procedural complications
Wrong technique in product usage processInjury, poisoning and procedural complications
Back painMusculoskeletal and connective tissue disorders
Neck painMusculoskeletal and connective tissue disorders
Pain in extremityMusculoskeletal and connective tissue disorders
NeuritisNervous system disorders
Neuropathy peripheralNervous system disorders

Most-reported serious reactions: Abortion spontaneous, Cleft lip and palate, Congenital cystic kidney disease, Injection site cellulitis, Back pain, Neck pain, Pain in extremity, Stillbirth.

Data from ClinicalTrials.gov NCT02148211 adverse events section.

Sponsor's own description

The purpose of this pregnancy registry study is to detect and describe abnormal pregnancy outcomes in women intentionally or unintentionally vaccinated with any of GlaxoSmithKline (GSK) Biologicals' seasonal Inactivated Influenza Vaccines (sIIVs): Fluarix, FluLaval, Fluarix Quadrivalent and FluLaval Quadrivalent.

Publications & conference data

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

  1. Seasonal influenza vaccine exposure in pregnancy: 5-year results from a pregnancy registry.
    Nwoji U. · · 2022 · cited 5× · PMID 34082643 · DOI 10.1080/21645515.2021.1932213

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Primary sources · FDA · ClinicalTrials.gov · EMA · SEC EDGAR · ChEMBL · Wikidata · full sourcing