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NCT02893878

Post-authorisation Passive Enhanced Safety Surveillance of Seasonal Influenza Vaccines

Completed Results posted Last updated 11 February 2019
What this trial tests

trial testing Vaccine safety surveillance in Influenza, Human in 19,334 participants. Completed in 24 November 2016.

Timeline
12 September 2016
Primary endpoint
24 November 2016
24 November 2016

Quick facts

Lead sponsorGlaxoSmithKline
StatusCompleted
Study typeOBSERVATIONAL
Enrollment19,334
Start date12 September 2016
Primary completion24 November 2016
Estimated completion24 November 2016
Sites1 location across United Kingdom

Drugs / interventions tested

Conditions studied

Sponsor

GlaxoSmithKline — full company profile →

Who can join

6 Months and older, any sex, with Influenza, Human. 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 Reporting European Medical Agency (EMA) Defined Adverse Events of Interest (AEIs) (Any) & Onset Dates of AEIs Using a Card Based-adverse Drug Reaction (ADR) Reporting System in the Vaccinated_Fluarix Tetra Group, on a Weekly Basis. Primary · Within 7 days post vaccination (anticipated to be between 01 September 2016 and 30 November 2016)

AEIs were presented by categories depending of the nature of the event. -Fever or other febrile illness; - Local reaction; - General reaction (fatigue, myalgia,etc); - All other presentations that were reported following vaccination (e .g., Bell's palsy, Guillain-Barre syndrome). The primary analysis included all subjects vaccinated with GSK vaccine instead of the subjects who received the ADR card as the information whether or not subjects received the ADR card was not encoded in EHR.

Week 37
GroupValue95% CI
Vaccinated_Fluarix Tetra Group0
Week 38
GroupValue95% CI
Vaccinated_Fluarix Tetra Group67
Week 39
GroupValue95% CI
Vaccinated_Fluarix Tetra Group169
Week 40
GroupValue95% CI
Vaccinated_Fluarix Tetra Group164
Week 41
GroupValue95% CI
Vaccinated_Fluarix Tetra Group112
Week 42
GroupValue95% CI
Vaccinated_Fluarix Tetra Group85
Week 43
GroupValue95% CI
Vaccinated_Fluarix Tetra Group29
Week 44
GroupValue95% CI
Vaccinated_Fluarix Tetra Group31
Number of Subjects Reporting European Medical Agency (EMA) Defined AEIs (Any) and Onset Dates of AEIs Using a Card Based ADR Reporting System in the Vaccinated_Fluarix Tetra Group, on a Weekly Basis (Cumulative). Primary · Within 7 days post vaccination (anticipated to be between 01 September 2016 and 30 November 2016)

AEIs were presented by categories depending of the nature of the event. -Fever or other febrile illness; - Local reaction; - General reaction (fatigue, myalgia,etc); - All other presentations that were reported following vaccination (e .g., Bell's palsy, Guillain-Barre syndrome). The primary analysis included all subjects vaccinated with GSK vaccine instead of the subjects who received the ADR card as the information whether or not subjects received the ADR card was not encoded in EHR.

Week 37
GroupValue95% CI
Vaccinated_Fluarix Tetra Group0
Week 38
GroupValue95% CI
Vaccinated_Fluarix Tetra Group67
Week 39
GroupValue95% CI
Vaccinated_Fluarix Tetra Group236
Week 40
GroupValue95% CI
Vaccinated_Fluarix Tetra Group400
Week 41
GroupValue95% CI
Vaccinated_Fluarix Tetra Group512
Week 42
GroupValue95% CI
Vaccinated_Fluarix Tetra Group597
Week 43
GroupValue95% CI
Vaccinated_Fluarix Tetra Group626
Week 44
GroupValue95% CI
Vaccinated_Fluarix Tetra Group657
Number of Subjects Reporting European Medical Agency (EMA) Defined AEIs (Fever/Pyrexia) and Onset Dates of AEIs Using a Card Based ADR Reporting System in the Vaccinated_Fluarix Tetra Group, on a Weekly Basis. Primary · Within 7 days post vaccination (anticipated to be between 01 September 2016 and 30 November 2016)

The primary analysis included all subjects vaccinated with GSK vaccine instead of the subjects who received the ADR card as the information whether or not subjects received the ADR card was not encoded in EHR.

Week 37
GroupValue95% CI
Vaccinated_Fluarix Tetra Group0
Week 38
GroupValue95% CI
Vaccinated_Fluarix Tetra Group4
Week 39
GroupValue95% CI
Vaccinated_Fluarix Tetra Group15
Week 40
GroupValue95% CI
Vaccinated_Fluarix Tetra Group8
Week 41
GroupValue95% CI
Vaccinated_Fluarix Tetra Group10
Week 42
GroupValue95% CI
Vaccinated_Fluarix Tetra Group9
Week 43
GroupValue95% CI
Vaccinated_Fluarix Tetra Group3
Week 44
GroupValue95% CI
Vaccinated_Fluarix Tetra Group2
Number of Subjects Reporting EMA Defined AEIs (Fever/Pyrexia) and Onset Dates of AEIs Using a Card Based ADR Reporting System in the Vaccinated_Fluarix Tetra Group, on a Weekly Basis in a (Cumulative). Primary · Within 7 days post vaccination (anticipated to be between 01 September 2016 and 30 November 2016)

The primary analysis included all subjects vaccinated with GSK vaccine instead of the subjects who received the ADR card as the information whether or not subjects received the ADR card was not encoded in EHR.

Week 37
GroupValue95% CI
Vaccinated_Fluarix Tetra Group0
Week 38
GroupValue95% CI
Vaccinated_Fluarix Tetra Group4
Week 39
GroupValue95% CI
Vaccinated_Fluarix Tetra Group19
Week 40
GroupValue95% CI
Vaccinated_Fluarix Tetra Group27
Week 41
GroupValue95% CI
Vaccinated_Fluarix Tetra Group37
Week 42
GroupValue95% CI
Vaccinated_Fluarix Tetra Group46
Week 43
GroupValue95% CI
Vaccinated_Fluarix Tetra Group49
Week 44
GroupValue95% CI
Vaccinated_Fluarix Tetra Group51
Number of Subjects Reporting EMA Defined AEIs (Local Symptoms) and Onset Dates of AEIs Using a Card Based ADR Reporting System in the Vaccinated_Fluarix Tetra Group, on a Weekly Basis. Primary · Within 7 days post vaccination (anticipated to be between 01 September 2016 and 30 November 2016)

Local symptoms include local erythema. The primary analysis included all subjects vaccinated with GSK vaccine instead of the subjects who received the ADR card as the information whether or not subjects received the ADR card was not encoded in EHR.

Week 37
GroupValue95% CI
Vaccinated_Fluarix Tetra Group0
Week 38
GroupValue95% CI
Vaccinated_Fluarix Tetra Group16
Week 39
GroupValue95% CI
Vaccinated_Fluarix Tetra Group20
Week 40
GroupValue95% CI
Vaccinated_Fluarix Tetra Group24
Week 41
GroupValue95% CI
Vaccinated_Fluarix Tetra Group28
Week 42
GroupValue95% CI
Vaccinated_Fluarix Tetra Group15
Week 43
GroupValue95% CI
Vaccinated_Fluarix Tetra Group6
Week 44
GroupValue95% CI
Vaccinated_Fluarix Tetra Group7
Number of Subjects Reporting EMA Defined AEIs (Local Symptoms) and Onset Dates of AEIs Using a Card Based ADR Reporting System in the Vaccinated_Fluarix Tetra Group, on a Weekly Basis in a (Cumulative). Primary · Within 7 days post vaccination (anticipated to be between 01 September 2016 and 30 November 2016)

Local symptoms include local erythema. The primary analysis included all subjects vaccinated with GSK vaccine instead of the subjects who received the ADR card as the information whether or not subjects received the ADR card was not encoded in EHR.

Week 37
GroupValue95% CI
Vaccinated_Fluarix Tetra Group0
Week 38
GroupValue95% CI
Vaccinated_Fluarix Tetra Group16
Week 39
GroupValue95% CI
Vaccinated_Fluarix Tetra Group36
Week 40
GroupValue95% CI
Vaccinated_Fluarix Tetra Group60
Week 41
GroupValue95% CI
Vaccinated_Fluarix Tetra Group88
Week 42
GroupValue95% CI
Vaccinated_Fluarix Tetra Group103
Week 43
GroupValue95% CI
Vaccinated_Fluarix Tetra Group109
Week 44
GroupValue95% CI
Vaccinated_Fluarix Tetra Group116
Number of Subjects Reporting EMA Defined AEIs (General Non-specific Symptoms) and Onset Dates of AEIs Using a Card Based ADR Reporting System in the Vaccinated_Fluarix Tetra Group, on a Weekly Basis. Primary · Within 7 days post vaccination (anticipated to be between 01 September 2016 and 30 November 2016)

General non-specific symptoms include any general non-specific symptoms, drowsiness, fatigue, irritability and malaise. The primary analysis included all subjects vaccinated with GSK vaccine instead of the subjects who received the ADR card as the information whether or not subjects received the ADR card was not encoded in EHR.

Any, Week 37
GroupValue95% CI
Vaccinated_Fluarix Tetra Group0
Any, Week 38
GroupValue95% CI
Vaccinated_Fluarix Tetra Group20
Any, Week 39
GroupValue95% CI
Vaccinated_Fluarix Tetra Group47
Any, Week 40
GroupValue95% CI
Vaccinated_Fluarix Tetra Group43
Any, Week 41
GroupValue95% CI
Vaccinated_Fluarix Tetra Group25
Any, Week 42
GroupValue95% CI
Vaccinated_Fluarix Tetra Group20
Any, Week 43
GroupValue95% CI
Vaccinated_Fluarix Tetra Group3
Any, Week 44
GroupValue95% CI
Vaccinated_Fluarix Tetra Group6
Number of Subjects Reporting EMA Defined AEIs (General Non-specific Symptoms) and Onset Dates of AEIs Using a Card Based ADR Reporting System in the Vaccinated_Fluarix Tetra Group, on a Weekly Basis (Cumulative). Primary · Within 7 days post vaccination (anticipated to be between 01 September 2016 and 30 November 2016)

General non-specific symptoms include any general non-specific symptoms, drowsiness, fatigue, irritability and malaise. The primary analysis included all subjects vaccinated with GSK vaccine instead of the subjects who received the ADR card as the information whether or not subjects received the ADR card was not encoded in EHR.

Any, Week 37
GroupValue95% CI
Vaccinated_Fluarix Tetra Group0
Any, Week 38
GroupValue95% CI
Vaccinated_Fluarix Tetra Group20
Any, Week 39
GroupValue95% CI
Vaccinated_Fluarix Tetra Group67
Any, Week 40
GroupValue95% CI
Vaccinated_Fluarix Tetra Group110
Any, Week 41
GroupValue95% CI
Vaccinated_Fluarix Tetra Group135
Any, Week 42
GroupValue95% CI
Vaccinated_Fluarix Tetra Group155
Any, Week 43
GroupValue95% CI
Vaccinated_Fluarix Tetra Group158
Any, Week 44
GroupValue95% CI
Vaccinated_Fluarix Tetra Group164
Number of Subjects Reporting EMA Defined AEIs (Respiratory/Miscellaneous Adverse Events) and Onset Dates of AEIs Using a Card Based ADR Reporting System in the Vaccinated_Fluarix Tetra Group, on a Weekly Basis. Primary · Within 7 days post vaccination (anticipated to be between 01 September 2016 and 30 November 2016)

Respiratory/Miscellaneous AE include any respiratory/miscellaneous AE, conjunctivitis, coryza, cough, epistaxis, hoarseness, nasal congestion, oropharyngeal pain, rhinorrhoea and wheezing. The primary analysis included all subjects vaccinated with GSK vaccine instead of the subjects who received the ADR card as the information whether or not subjects received the ADR card was not encoded in EHR.

Any, Week 37
GroupValue95% CI
Vaccinated_Fluarix Tetra Group0
Any, Week 38
GroupValue95% CI
Vaccinated_Fluarix Tetra Group30
Any, Week 39
GroupValue95% CI
Vaccinated_Fluarix Tetra Group100
Any, Week 40
GroupValue95% CI
Vaccinated_Fluarix Tetra Group95
Any, Week 41
GroupValue95% CI
Vaccinated_Fluarix Tetra Group64
Any, Week 42
GroupValue95% CI
Vaccinated_Fluarix Tetra Group58
Any, Week 43
GroupValue95% CI
Vaccinated_Fluarix Tetra Group22
Any, Week 44
GroupValue95% CI
Vaccinated_Fluarix Tetra Group13
Number of Subjects Reporting EMA Defined AEIs (Respiratory/Miscellaneous Adverse Events) and Onset Dates of AEIs Using a Card Based ADR Reporting System in the Vaccinated_Fluarix Tetra Group, on a Weekly Basis (Cumulative). Primary · Within 7 days post vaccination (anticipated to be between 01 September 2016 and 30 November 2016)

Respiratory/Miscellaneous AE include any respiratory/miscellaneous AE, conjunctivitis, coryza, cough, epistaxis, hoarseness, nasal congestion, oropharyngeal pain, rhinorrhoea and wheezing. The primary analysis included all subjects vaccinated with GSK vaccine instead of the subjects who received the ADR card as the information whether or not subjects received the ADR card was not encoded in EHR.

Any, Week 37
GroupValue95% CI
Vaccinated_Fluarix Tetra Group0
Any, Week 38
GroupValue95% CI
Vaccinated_Fluarix Tetra Group30
Any, Week 39
GroupValue95% CI
Vaccinated_Fluarix Tetra Group130
Any, Week 40
GroupValue95% CI
Vaccinated_Fluarix Tetra Group225
Any, Week 41
GroupValue95% CI
Vaccinated_Fluarix Tetra Group289
Any, Week 42
GroupValue95% CI
Vaccinated_Fluarix Tetra Group347
Any, Week 43
GroupValue95% CI
Vaccinated_Fluarix Tetra Group369
Any, Week 44
GroupValue95% CI
Vaccinated_Fluarix Tetra Group382
Number of Subjects Reporting EMA Defined AEIs (Gastrointestinal Adverse Events) and Onset Dates of AEIs Using a Card Based ADR Reporting System in the Vaccinated_Fluarix Tetra Group, on a Weekly Basis. Primary · Within 7 days post vaccination (anticipated to be between 01 September 2016 and 30 November 2016)

Gastrointestinal AEs include any gastrointestinal AEs, decreased appetite, diarrhoea, nausea and vomiting. The primary analysis included all subjects vaccinated with GSK vaccine instead of the subjects who received the ADR card as the information whether or not subjects received the ADR card was not encoded in EHR.

Any, Week 37
GroupValue95% CI
Vaccinated_Fluarix Tetra Group0
Any, Week 38
GroupValue95% CI
Vaccinated_Fluarix Tetra Group15
Any, Week 39
GroupValue95% CI
Vaccinated_Fluarix Tetra Group29
Any, Week 40
GroupValue95% CI
Vaccinated_Fluarix Tetra Group29
Any, Week 41
GroupValue95% CI
Vaccinated_Fluarix Tetra Group21
Any, Week 42
GroupValue95% CI
Vaccinated_Fluarix Tetra Group18
Any, Week 43
GroupValue95% CI
Vaccinated_Fluarix Tetra Group6
Any, Week 44
GroupValue95% CI
Vaccinated_Fluarix Tetra Group4
Number of Subjects Reporting EMA Defined AEIs (Gastrointestinal Adverse Events) and Onset Dates of AEIs Using a Card Based ADR Reporting System in the Vaccinated_Fluarix Tetra Group, on a Weekly Basis (Cumulative). Primary · Within 7 days post vaccination (anticipated to be between 01 September 2016 and 30 November 2016)

Gastrointestinal AEs include any gastrointestinal AEs, decreased appetite, diarrhoea, nausea and vomiting. The primary analysis included all subjects vaccinated with GSK vaccine instead of the subjects who received the ADR card as the information whether or not subjects received the ADR card was not encoded in EHR.

Any, Week 37
GroupValue95% CI
Vaccinated_Fluarix Tetra Group0
Any, Week 38
GroupValue95% CI
Vaccinated_Fluarix Tetra Group15
Any, Week 39
GroupValue95% CI
Vaccinated_Fluarix Tetra Group44
Any, Week 40
GroupValue95% CI
Vaccinated_Fluarix Tetra Group73
Any, Week 41
GroupValue95% CI
Vaccinated_Fluarix Tetra Group94
Any, Week 42
GroupValue95% CI
Vaccinated_Fluarix Tetra Group112
Any, Week 43
GroupValue95% CI
Vaccinated_Fluarix Tetra Group118
Any, Week 44
GroupValue95% CI
Vaccinated_Fluarix Tetra Group122

Adverse events — posted to ClinicalTrials.gov

Time frame: Within 7 days post vaccination (anticipated to be between 01 September 2016 and 30 November 2016). Reporting threshold: 0%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Vaccinated_Fluarix Tetra Group
Serious: 0/13861 (0%)
Deaths:
Vaccinated_Non GSK Group
Serious: 0/2295 (0%)
Deaths:
Vaccinated_Unknown Group
Serious: 0/3178 (0%)
Deaths:
Other adverse events (31 terms — click to expand)

ReactionSystemVaccinated_Fluarix Tetra G…Vaccinated_Non GSK GroupVaccinated_Unknown Group
Muscle aches/myalgiaMusculoskeletal and connective tissue disorders
Nasal congestionGeneral disorders
RhinorrhoeaGeneral disorders
CoughGeneral disorders
HeadacheGeneral disorders
FatigueGeneral disorders
Oropharyngeal painGeneral disorders
Fever/pyrexiaGeneral disorders
Local erythemaGeneral disorders
CoryzaGeneral disorders
ArthropathyMusculoskeletal and connective tissue disorders
DrowsinessGeneral disorders
HoarsenessGeneral disorders
NauseaGastrointestinal disorders
DiarrhoeaGastrointestinal disorders
WheezingGeneral disorders
Decreased appetiteGastrointestinal disorders
Generalised rashGeneral disorders
ConjunctivitisGeneral disorders
Peripheral tremorGeneral disorders
VomitingGastrointestinal disorders
IrritabilityGeneral disorders
RashGeneral disorders
Hypersensitivity reactionsGeneral disorders
EpistaxisGeneral disorders
MalaiseGeneral disorders
Seizure / Febrile convulsionsGeneral disorders
Facial oedemaGeneral disorders
Anaphylactic reactionsGeneral disorders
Bell's palsyNervous system disorders
Guillain-Barre SyndromeNervous system disorders

Data from ClinicalTrials.gov NCT02893878 adverse events section.

Sponsor's own description

The purpose of this 2016/17 pilot study is to improve the combination of a card-based adverse drug reaction (ADR) system and the use of routine data to collect adverse events following vaccination with seasonal influenza vaccines, as per European Medicines Agency (EMA) guidance and Pharmacovigilance Risk Assessment Committee of EMA (PRAC) requirements, and to identify additional data which may need to be collected in order to appropriately address the requirement.

Publications & conference data

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

  1. Enhanced passive surveillance of influenza vaccination in England, 2016-2017- an observational study using an adverse events reporting card.
    de Lusignan S, Ferreira F, Damaso S, Byford R, et al · · 2019 · cited 19× · PMID 30648923 · DOI 10.1080/21645515.2019.1565258

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