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NCT03600428

Safety of LAIV4 in Children With Asthma

Completed Phase 4 Results posted Last updated 16 March 2021
What this trial tests

Phase 4 trial testing Live Attenuated Influenza Vaccine (LAIV) in Asthma in Children in 152 participants. Completed in 20 March 2020.

Timeline
15 October 2018
Primary endpoint
20 March 2020
20 March 2020

Quick facts

Lead sponsorVanderbilt University Medical Center
PhasePhase 4
StatusCompleted
Study typeINTERVENTIONAL
Allocationrandomized
Designparallel
Maskingnone
Primary purposeprevention
Enrollment152
Start date15 October 2018
Primary completion20 March 2020
Estimated completion20 March 2020
Sites3 locations across United States

Drugs / interventions tested

Conditions studied

Sponsor

Vanderbilt University Medical Center

Who can join

Adults 5 to 11, any sex, with Asthma in Children or Vaccine Adverse Reaction. 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.

Comparison of the Proportion of Participants Experiencing an Asthma Exacerbation During the 42 Days After LAIV4 vs. IIV4 (Until Day 43). Primary · Day 43

For this study, asthma exacerbation will be defined as: any acute episode of progressively worsening shortness of breath (dyspnea), cough, wheezing, chest tightness, and/or respiratory distress during the 42 days (until day 43) after influenza vaccination for which the patient seeks unscheduled medical attention (e.g., healthcare provider office or Emergency Department visit or hospitalization) or receives a new prescription for systemic corticosteroids.

GroupValue95% CI
Live Attenuated Influenza Vaccine (LAIV4)8
Inactivated Influenza Vaccine (IIV4)10
Live Attenuated Influenza Vaccine (LAIV4)66
Inactivated Influenza Vaccine (IIV4)58
Comparison of the Proportion of Participants Experiencing an Asthma Exacerbation During the 14 Days After LAIV4 vs. IIV4 Secondary · Day 15

For this study, asthma exacerbation will be defined as: any acute episode of progressively worsening shortness of breath (dyspnea), cough, wheezing, chest tightness, and/or respiratory distress during the 14 days (until day 15) after influenza vaccination for which the patient seeks unscheduled medical attention (e.g., healthcare provider office or Emergency Department visit or hospitalization) or receives a new prescription for systemic corticosteroids.

GroupValue95% CI
Live Attenuated Influenza Vaccine (LAIV4)3
Inactivated Influenza Vaccine (IIV4)4
Live Attenuated Influenza Vaccine (LAIV4)73
Inactivated Influenza Vaccine (IIV4)66
Comparison of the Proportion of Participants With Asthma Symptoms and Unscheduled Albuterol Use During the 14 Days After Receipt of LAIV4 or IIV4 (Each is Assessed Separately). Secondary · Day 15

Cough, wheezing, tightness in chest, nighttime awakening and unscheduled albuterol use will all be assessed by parent self-report

Asthma symptoms within 14 days
GroupValue95% CI
Live Attenuated Influenza Vaccine (LAIV4)18
Inactivated Influenza Vaccine (IIV4)20
Live Attenuated Influenza Vaccine (LAIV4)58
Inactivated Influenza Vaccine (IIV4)50
Night-time awakening within 14 days
GroupValue95% CI
Live Attenuated Influenza Vaccine (LAIV4)55
Inactivated Influenza Vaccine (IIV4)42
Live Attenuated Influenza Vaccine (LAIV4)21
Inactivated Influenza Vaccine (IIV4)28
Unscheduled Albuterol use within 14 days
GroupValue95% CI
Live Attenuated Influenza Vaccine (LAIV4)41
Inactivated Influenza Vaccine (IIV4)44
Live Attenuated Influenza Vaccine (LAIV4)35
Inactivated Influenza Vaccine (IIV4)26
Comparison of the Proportion of Participants With Asthma Symptoms and Unscheduled Albuterol Use During the 14 Days After Receipt of LAIV4 or IIV4 (Each is Assessed Separately). Secondary · Day 15

Cough, wheezing, tightness in chest, nighttime awakening and unscheduled albuterol use will all be assessed by parent self-report

Asthma related cough within 14 days
GroupValue95% CI
Live Attenuated Influenza Vaccine (LAIV4)26
Inactivated Influenza Vaccine (IIV4)22
Live Attenuated Influenza Vaccine (LAIV4)35
Inactivated Influenza Vaccine (IIV4)29
Live Attenuated Influenza Vaccine (LAIV4)14
Inactivated Influenza Vaccine (IIV4)15
Live Attenuated Influenza Vaccine (LAIV4)1
Inactivated Influenza Vaccine (IIV4)4
Asthma related wheezing within 14 days
GroupValue95% CI
Live Attenuated Influenza Vaccine (LAIV4)51
Inactivated Influenza Vaccine (IIV4)39
Live Attenuated Influenza Vaccine (LAIV4)19
Inactivated Influenza Vaccine (IIV4)18
Live Attenuated Influenza Vaccine (LAIV4)5
Inactivated Influenza Vaccine (IIV4)12
Live Attenuated Influenza Vaccine (LAIV4)1
Inactivated Influenza Vaccine (IIV4)1
Asthma related chest tightness within 14 days
GroupValue95% CI
Live Attenuated Influenza Vaccine (LAIV4)58
Inactivated Influenza Vaccine (IIV4)45
Live Attenuated Influenza Vaccine (LAIV4)12
Inactivated Influenza Vaccine (IIV4)21
Live Attenuated Influenza Vaccine (LAIV4)5
Inactivated Influenza Vaccine (IIV4)3
Live Attenuated Influenza Vaccine (LAIV4)1
Inactivated Influenza Vaccine (IIV4)1
Comparison of the Proportion of Participants Who Experience a Clinically Significant Decrease in Peak Flow Measurement From Baseline During the 14 Days After LAIV4 or IIV4 Secondary · Baseline, Day 15

For purposes of this measure, a clinically significant decrease in peak flow is defined as: a decrease of ≥20% in PEFR from baseline PEFR

GroupValue95% CI
Live Attenuated Influenza Vaccine (LAIV4)36
Inactivated Influenza Vaccine (IIV4)37
Live Attenuated Influenza Vaccine (LAIV4)39
Inactivated Influenza Vaccine (IIV4)33
Live Attenuated Influenza Vaccine (LAIV4)1
Inactivated Influenza Vaccine (IIV4)0

Adverse events — posted to ClinicalTrials.gov

Time frame: Within 42 days (until day 43) after vaccination.. Reporting threshold: 5%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Live Attenuated Influenza Vaccine (LAIV4)
Serious: 0/74 (0%)
Deaths: 0/74
Inactivated Influenza Vaccine (IIV4)
Serious: 0/68 (0%)
Deaths: 0/68
Other adverse events (1 terms — click to expand)

ReactionSystemLive Attenuated Influenza …Inactivated Influenza Vacc…
Asthma ExacerbationRespiratory, thoracic and mediastinal disorders

Data from ClinicalTrials.gov NCT03600428 adverse events section.

Sponsor's own description

This is a prospective randomized, open label clinical trial in approximately 300 children aged 5-11 years with a physician diagnosis of persistent asthma. Participants will be randomized 1:1 to receive either a single intranasal dose of licensed quadrivalent LAIV (LAIV4) or an intramuscular injection of quadrivalent IIV4 (IIV4).

Publications & conference data

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

  1. Safety of Live Attenuated Influenza Vaccine in Children With Asthma.
    Sokolow AG, Stallings AP, Kercsmar C, Harrington T, et al · · 2022 · cited 10× · PMID 35342923 · DOI 10.1542/peds.2021-055432
  2. Nanotechnology-driven advances in intranasal vaccine delivery systems against infectious diseases.
    Zhang Z, Yang Y, Huang L, Yuan L, et al · · 2025 · cited 4× · PMID 40416956 · DOI 10.3389/fimmu.2025.1573037
  3. Head-to-head comparison of influenza vaccines in children: a systematic review and meta-analysis.
    Garai R, Jánosi Á, Krivácsy P, Herczeg V, et al · · 2024 · cited 3× · PMID 39367499 · DOI 10.1186/s12967-024-05676-9

Verify or expand the search:

Other recruiting trials for Asthma in Children

Currently open trials in the same condition.

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Trials by the same sponsor.

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