A Phase 2 interventional study of Split, Inactivated, Trivalent Influenza Vaccine and Split, Inactivated, Trivalent Influenza Vaccine in Orthomyxoviridae Infection, Influenza and Myxovirus Infection, sponsored by Sanofi. Completed at 19 sites in United States. Open to participants aged 6 Months to 8 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2011-12-01.
Sponsored by Sanofi · Phase 2, Interventional, and Prevention
Primary Objective:
To evaluate for each influenza strain the non-inferiority of Investigational Fluzone vaccine to the standard Fluzone® vaccine in healthy subjects aged 6 to 35 months or 3 to 8 years.
Secondary Objectives:
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This study's enrollment of 520 is above the median of 120 across 4,200 interventional studies indexed under Infections.
Browse Infections studies →Sanofi is the lead sponsor of 1,508 studies on the registry; 90 are open to participants now.
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Exclusion Criteria :
Split, Inactivated, Trivalent Influenza Vaccine
Biological: Split, Inactivated, Trivalent Influenza Vaccine
Split, Inactivated, Trivalent Influenza Vaccine
Biological: Split, Inactivated, Trivalent Influenza Vaccine
Split, Inactivated, Trivalent Influenza Vaccine
Biological: Split, Inactivated, Trivalent Influenza Vaccine ( Fluzone® 2006/2007 Formulation)
Split, Inactivated, Trivalent Influenza Vaccine
Biological: Split, Inactivated, Trivalent Influenza Vaccine ( Fluzone® 2006/2007 Formulation)
Vaccine (infant dose)
Vaccine (children dose)
Vaccine (infant dose)
Also known as: Fluzone® 2006/2007 Formulation.
Vaccine (children dose)
Also known as: Fluzone® 2006/2007 Formulation.
Geometric Mean Titers (GMTs) Before and Post Vaccination With Either a Fluzone Intradermal or a Fluzone Intramuscular Vaccine
Antibody titers against each strain of influenza hemagglutinin were measured in the sera using the hemagglutination inhibition (HI) technique.
Time frame: Day 0 and Day 28 post-vaccination
Percentage of Participants That Achieved A 4-Fold Rise in Serum HAI Antibody Titer Post-vaccination With Either a Fluzone Intradermal or a Fluzone Intramuscular Vaccine
Antibody titers against each strain of influenza hemagglutinin were measured in the sera using the hemagglutination inhibition (HI) technique.
Time frame: Day 28 post-vaccination
Percentage of Participants That Achieved Seroprotection Before and Post-vaccination With Either a Fluzone Intradermal or a Fluzone Intramuscular Vaccine
Seroprotection was defined as participants achieving a post-dose antibody titers ≥40. Antibody titers against each strain of influenza hemagglutinin were measured in the sera using the hemagglutination inhibition (HI) technique.
Time frame: Day 28 post-vaccination
Percentage of Participants That Achieved Seroconversion Post-vaccination With Either a Fluzone Intradermal or a Fluzone Intramuscular Vaccine
Seroconversion was defined as the conversion to a post-vaccination titer of ≥ 40 for subjects with pre-vaccination titer \< 10, or at least a 4-fold increase in post vaccination titer for subjects with pre vaccination titer ≥ 10.
Time frame: Day 28 post-vaccination
Number of Participants Reporting a Solicited Injection Site or Systemic Reactions After Each Vaccination With Either a Fluzone Intradermal or a Fluzone Intramuscular Vaccine - Age 6 to 35 Months.
Solicited injection site reactions: Tenderness, Redness, Swelling, Induration and Ecchymosis. Solicited Systemic reaction: Fever (Temperature), Vomiting, Abnormal crying, Drowsiness, Loss of Appetite, and Irritability.
Time frame: Day 0 to Day 7 post-vaccination
Number of Participants Reporting a Solicited Injection Site or Systemic Reactions After Each Vaccination With Either a Fluzone Intradermal or a Fluzone Intramuscular Vaccine - Age 3 to 8 Year Olds
Solicited injection site reactions: Pain, Redness, Swelling, Induration and Ecchymosis. Solicited Systemic reaction: Fever (Temperature), Headache, Malaise, and Myalgia.
Time frame: Day 0 to Day 7 post-vaccination
Study participants ere enrolled from 19 October to 12 December 2006 in 20 clinical centers in the US.
| Milestone | Group 1: Fluzone ID at Age 6 to 35 Months | Group 2: Fluzone IM 6 to 35 Months Age Group | Group 3: Fluzone ID at 3 to 8 Years Age | Group 4: Fluzone IM 3 to 8 Years Age |
|---|---|---|---|---|
| Started | 98 | 97 | 161 | 164 |
| Completed | 89 | 87 | 138 | 145 |
| Not completed | 9 | 10 | 23 | 19 |
| Withdrew: Adverse event | 0 | 0 | 0 | 1 |
| Withdrew: Lost to follow-up | 1 | 3 | 7 | 4 |
| Withdrew: Protocol violation | 2 | 3 | 6 | 7 |
| Withdrew: Withdrawal by subject | 6 | 4 | 10 | 7 |
Antibody titers against each strain of influenza hemagglutinin were measured in the sera using the hemagglutination inhibition (HI) technique.
| Titers | Group 1: Fluzone ID at Age 6 to 35 Months | Group 2: Fluzone IM 6 to 35 Months Age Group | Group 3: Fluzone ID at 3 to 8 Years Age | Group 4: Fluzone IM 3 to 8 Years Age |
|---|---|---|---|---|
| Serogroup A/H1N1 Pre-vaccination | 8.9 (7.1 to 11.2) | 9.6 (7.5 to 12.3) | 20.5 (15.6 to 26.9) | 26.9 (19.6 to 37.1) |
| Serogroup A/H1N1 Post-vaccination 1 | 58.5 (28.6 to 119.4) | 113.1 (59.9 to 213.7) | 100.1 (55.0 to 182.1) | 264.2 (162.8 to 428.9) |
| Serogroup A/H1N1 Post-vaccination 2 | 138.3 (105.2 to 181.8) | 160.0 (123.7 to 206.9) | 162.9 (128.7 to 206.3) | 390.6 (308.2 to 495.0) |
| Serogroup A/H3N2 Pre-vaccination | 22.4 (14.0 to 35.9) | 20.9 (13.7 to 31.9) | 222.2 (165.4 to 298.5) | 171.0 (121.5 to 240.7) |
| Serogroup A/H3N2 Post-vaccination 1 | 341.8 (142.9 to 817.7) | 566.9 (304.6 to 1054.9) | 1012.5 (666.9 to 1537.2) | 1256.9 (898.2 to 1758.8) |
| Serogroup A/H3N2 Post-vaccination 2 | 614.8 (471.3 to 802.0) | 471.4 (368.0 to 603.7) | 1111.0 (944.0 to 1307.5) | 1344.4 (1146.1 to 1577.1) |
| Serogroup B Pre-vaccination | 5.3 (4.9 to 5.8) | 5.4 (5.0 to 5.9) | 8.3 (7.1 to 9.7) | 6.8 (6.0 to 7.7) |
| Serogroup B Post-vaccination 1 | 7.4 (4.4 to 12.5) | 9.7 (4.2 to 22.1) | 46.6 (23.3 to 93.3) | 28.8 (16.0 to 52.0) |
| Serogroup B Post-vaccination 2 | 31.1 (23.7 to 40.8) | 18.2 (13.9 to 24.0) | 56.4 (43.8 to 72.7) | 51.6 (40.8 to 65.2) |
Antibody titers against each strain of influenza hemagglutinin were measured in the sera using the hemagglutination inhibition (HI) technique.
| Percentage of Participants | Group 1: Fluzone ID at Age 6 to 35 Months | Group 2: Fluzone IM 6 to 35 Months Age Group | Group 3: Fluzone ID at 3 to 8 Years Age | Group 4: Fluzone IM 3 to 8 Years Age |
|---|---|---|---|---|
| Serogroup A/H1N1 Post-vaccination 1 | 52 | 75 (0 to 0) | 65 (0 to 0) | 74 (0 to 0) |
| Serogroup A/H1N1 Post-vaccination 2 | 91 | 88 (0 to 0) | 70 (0 to 0) | 78 (0 to 0) |
| Serogroup A/H3N2 Post-vaccination 1 | 81 | 80 (0 to 0) | 44 (0 to 0) | 63 (0 to 0) |
| Serogroup A/H3N2 Post-vaccination 2 | 88 | 91 (0 to 0) | 50 (0 to 0) | 62 (0 to 0) |
| Serogroup B Post-vaccination 1 | 5 | 10 (0 to 0) | 44 (0 to 0) | 40 (0 to 0) |
| Serogroup B Post-vaccination 2 | 44 | 21 (0 to 0) | 55 (0 to 0) | 53 (0 to 0) |
Seroprotection was defined as participants achieving a post-dose antibody titers ≥40. Antibody titers against each strain of influenza hemagglutinin were measured in the sera using the hemagglutination inhibition (HI) technique.
| Percentage of Participants | Group 1: Fluzone ID at Age 6 to 35 Months | Group 2: Fluzone IM 6 to 35 Months Age Group | Group 3: Fluzone ID at 3 to 8 Years Age | Group 4: Fluzone IM 3 to 8 Years Age |
|---|---|---|---|---|
| Serogroup A/H1N1 Pre-vaccination | 9 | 12 (0 to 0) | 33 (0 to 0) | 40 (0 to 0) |
| Serogroup A/H1N1 Post-vaccination 1 | 52 | 75 (0 to 0) | 79 (0 to 0) | 95 (0 to 0) |
| Serogroup A/H1N1 Post-vaccination 2 | 91 | 93 (0 to 0) | 92 (0 to 0) | 99 (0 to 0) |
| Serogroup A/H3N2 Pre-vaccination | 32 | 29 (0 to 0) | 86 (0 to 0) | 80 (0 to 0) |
| Serogroup A/H3N2 Post-vaccination 1 | 85 | 95 (0 to 0) | 97 (0 to 0) | 100 (0 to 0) |
| Serogroup A/H3N2 Post-vaccination 2 | 100 | 100 (0 to 0) | 99 (0 to 0) | 100 (0 to 0) |
| Serogroup B Pre-vaccination | 2 | 2 (0 to 0) | 9 (0 to 0) | 3 (0 to 0) |
| Serogroup B Post-vaccination 1 | 5 | 10 (0 to 0) | 47 (0 to 0) | 42 (0 to 0) |
| Serogroup B Post-vaccination 2 | 44 | 21 (0 to 0) | 63 (0 to 0) | 58 (0 to 0) |
Seroconversion was defined as the conversion to a post-vaccination titer of ≥ 40 for subjects with pre-vaccination titer \< 10, or at least a 4-fold increase in post vaccination titer for subjects with pre vaccination titer ≥ 10.
| Percentage of Participants | Group 1: Fluzone ID at Age 6 to 35 Months | Group 2: Fluzone IM 6 to 35 Months Age Group | Group 3: Fluzone ID at 3 to 8 Years Age | Group 4: Fluzone IM 3 to 8 Years Age |
|---|---|---|---|---|
| Serogroup A/H1N1 Post-vaccination 1 | 52 | 75 (0 to 0) | 65 (0 to 0) | 74 (0 to 0) |
| Serogroup A/H1N1 Post-vaccination 2 | 91 | 88 (0 to 0) | 70 (0 to 0) | 78 (0 to 0) |
| Serogroup A/H3N2 Post-vaccination 1 | 81 | 80 (0 to 0) | 44 (0 to 0) | 63 (0 to 0) |
| Serogroup A/H3N2 Post-vaccination 2 | 88 | 91 (0 to 0) | 50 (0 to 0) | 62 (0 to 0) |
| Serogroup B Post-vaccination 1 | 5 | 10 (0 to 0) | 44 (0 to 0) | 40 (0 to 0) |
| Serogroup B Post-vaccination 2 | 44 | 21 (0 to 0) | 55 (0 to 0) | 53 (0 to 0) |
Solicited injection site reactions: Tenderness, Redness, Swelling, Induration and Ecchymosis. Solicited Systemic reaction: Fever (Temperature), Vomiting, Abnormal crying, Drowsiness, Loss of Appetite, and Irritability.
| Participants | Group 1: Fluzone ID at Age 6 to 35 Months | Group 2: Fluzone IM 6 to 35 Months Age Group | Group 3: Fluzone ID at 3 to 8 Years Age | Group 4: Fluzone IM 3 to 8 Years Age |
|---|---|---|---|---|
| Any injection site tenderness Injection 1 | 51 | 43 | — | — |
| Grade 3 Tenderness (Reduced movement) | 0 | 0 | — | — |
| Any Injection site redness Injection 1 | 48 | 27 | — | — |
| Grade 3 redness ( ≥ 5 cm) | 0 | 0 | — | — |
| Any Injection site swelling Injection 1 | 23 | 15 | — | — |
| Grade 3 swelling ( ≥ 5 cm) | 0 | 0 | — | — |
| Any Injection site induration Injection 1 | 24 | 13 | — | — |
| Grade 3 induration ( ≥ 5 cm) | 0 | 0 | — | — |
| Any Injection site ecchymosis Injection 1 | 12 | 13 | — | — |
| Grade 3 ecchymosis ( ≥ 5 cm) | 1 | 0 | — | — |
| Any injection site tenderness Injection 2 | 48 | 49 | — | — |
| Grade 3 Tenderness (Reduced movement) | 1 | 1 | — | — |
| Any Injection site redness Injection 2 | 48 | 28 | — | — |
| Grade 3 redness ( ≥ 5 cm) | 1 | 0 | — | — |
| Any Injection site swelling Injection 2 | 18 | 13 | — | — |
| Grade 3 swelling ( ≥ 5 cm) | 1 | 0 | — | — |
| Any Injection site induration Injection 2 | 18 | 14 | — | — |
| Grade 3 induration ( ≥ 5 cm) | 0 | 0 | — | — |
| Any Injection site ecchymosis Injection 2 | 23 | 13 | — | — |
| Grade 3 ecchymosis ( ≥ 5 cm) | 1 | 0 | — | — |
| Any Solicited Fever Injection 1 | 10 | 10 | — | — |
| Grade 3 Fever > 103.1°F | 1 | 0 | — | — |
| Any Solicited Vomiting Injection 1 | 5 | 6 | — | — |
| Grade 3 Vomiting ≥ 6 episodes per 24 hours | 0 | 0 | — | — |
| Any Solicited Crying Abnormal Injection 1 | 17 | 29 | — | — |
| Grade 3 Crying Abnormal >3 hours | 3 | 0 | — | — |
| Any Solicited Drowsiness Injection 1 | 21 | 24 | — | — |
| Grade 3 Drowsiness Sleeping most of the time | 3 | 0 | — | — |
| Any Solicited Appetite Lost Injection 1 | 20 | 21 | — | — |
| Grade 3 Appetite Lost refuses most feeds | 3 | 0 | — | — |
| Any Solicited Irritability Injection 1 | 37 | 39 | — | — |
| Grade 3 Irritability inconsolable | 2 | 1 | — | — |
| Any Solicited Fever Injection 2 | 6 | 9 | — | — |
| Grade 3 Fever > 103.1°F | 0 | 1 | — | — |
| Any Solicited Vomiting Injection 2 | 4 | 7 | — | — |
| Grade 3 Vomiting ≥ 6 episodes per 24 hours | 0 | 0 | — | — |
| Any Solicited Crying Abnormal Injection 2 | 19 | 16 | — | — |
| Grade 3 Crying Abnormal >3 hours | 1 | 2 | — | — |
| Any Solicited Drowsiness Injection 2 | 13 | 23 | — | — |
| Grade 3 Drowsiness Sleeping most of the time | 0 | 0 | — | — |
| Any Solicited Appetite Lost Injection 2 | 18 | 17 | — | — |
| Grade 3 Appetite Lost refuses most feeds | 1 | 1 | — | — |
| Any Solicited Irritability Injection 2 | 30 | 30 | — | — |
| Grade 3 Irritability inconsolable | 3 | 4 | — | — |
Solicited injection site reactions: Pain, Redness, Swelling, Induration and Ecchymosis. Solicited Systemic reaction: Fever (Temperature), Headache, Malaise, and Myalgia.
| Participants | Group 1: Fluzone ID at Age 6 to 35 Months | Group 2: Fluzone IM 6 to 35 Months Age Group | Group 3: Fluzone ID at 3 to 8 Years Age | Group 4: Fluzone IM 3 to 8 Years Age |
|---|---|---|---|---|
| Any injection site Pain Injection 1 | — | — | 93 | 89 |
| Grade 3 Pain (Reduced movement) | — | — | 0 | 0 |
| Any Injection site Redness Injection 1 | — | — | 98 | 42 |
| Grade 3 Redness ( ≥ 5 cm) | — | — | 2 | 1 |
| Any Injection site Swelling Injection 1 | — | — | 59 | 30 |
| Grade 3 Swelling ( ≥ 5 cm) | — | — | 1 | 0 |
| Any Injection site Induration Injection 1 | — | — | 56 | 25 |
| Grade 3 Induration ( ≥ 5 cm) | — | — | 1 | 0 |
| Any Injection site Ecchymosis Injection 1 | — | — | 18 | 19 |
| Grade 3 Ecchymosis ( ≥ 5 cm) | — | — | 0 | 1 |
| Any Solicited Pruritus Injection 1 | — | — | 23 | 11 |
| Any injection site pain Injection 2 | — | — | 98 | 90 |
| Grade 3 Pain (Reduced movement) | — | — | 0 | 1 |
| Any Injection site Redness Injection 2 | — | — | 94 | 40 |
| Grade 3 Redness (≥ 5 cm) | — | — | 1 | 1 |
| Any Injection site Swelling Injection 2 | — | — | 61 | 21 |
| Grade 3 swelling ( ≥ 5 cm) | — | — | 1 | 0 |
| Any Injection site Induration Injection 2 | — | — | 50 | 17 |
| Grade 3 Induration (≥ 5 cm) | — | — | 1 | 0 |
| Any Injection site Ecchymosis Injection 2 | — | — | 18 | 22 |
| Grade 3 Ecchymosis (≥ 5 cm) | — | — | 0 | 0 |
| Any Solicited Pruritus Injection 2 | — | — | 15 | 19 |
| Any Solicited Fever Injection 1 | — | — | 10 | 18 |
| Grade 3 Fever > 102.2°F | — | — | 2 | 3 |
| Any Solicited Headache Injection 1 | — | — | 22 | 25 |
| Grade 3 Headache Prevents daily activities | — | — | 1 | 1 |
| Any Solicited Malaise Injection 1 | — | — | 21 | 30 |
| Grade 3 Malaise Prevents daily activities | — | — | 1 | 2 |
| Any Solicited Myalgia Injection 1 | — | — | 24 | 42 |
| Grade 3 Myalgia Prevents daily activities | — | — | 0 | 0 |
| Any Solicited Fever Injection 2 | — | — | 16 | 14 |
| Grade 3 Fever > 102.2°F | — | — | 0 | 2 |
| Any Solicited Headache Injection 2 | — | — | 15 | 17 |
| Grade 3 Headache Prevents daily activities | — | — | 2 | 2 |
| Any Solicited Malaise Injection 2 | — | — | 24 | 21 |
| Grade 3 Malaise Prevents daily activities | — | — | 1 | 1 |
| Any Solicited Myalgia Injection 2 | — | — | 24 | 25 |
| Grade 3 Myalgia Prevents daily activities | — | — | 2 | 0 |
Collected over Adverse events data were collected from the day of vaccination to up to 6 months post-vaccination 2. Non-serious events are listed at a 5.00% frequency threshold.
| Group | Deaths | Serious | Other |
|---|---|---|---|
| Group 1: Fluzone ID at Age 6 to 35 Months | — | 1/97 (1%) | 51/97 (52.6%) |
| Group 2: Fluzone IM 6 to 35 Months Age Group | — | 1/97 (1%) | 49/97 (50.5%) |
| Group 3: Fluzone ID at 3 to 8 Years Age | — | 1/160 (0.6%) | 98/160 (61.3%) |
| Group 4: Fluzone IM 3 to 8 Years Age | — | 1/163 (0.6%) | 90/163 (55.2%) |
| Event | Group 1: Fluzone ID at Age 6 to 35 Months | Group 2: Fluzone IM 6 to 35 Months Age Group | Group 3: Fluzone ID at 3 to 8 Years Age | Group 4: Fluzone IM 3 to 8 Years Age |
|---|---|---|---|---|
| Gastroenteritis viralInfections and infestations | 0/97 | 1/97 | 0/160 | 0/163 |
| DehydrationMetabolism and nutrition disorders | 1/97 | 0/97 | 0/160 | 0/163 |
| Viral infectionInfections and infestations | 0/97 | 0/97 | 1/160 | 0/163 |
| AutismNervous system disorders | 0/97 | 0/97 | 0/160 | 1/163 |
| Event | Group 1: Fluzone ID at Age 6 to 35 Months | Group 2: Fluzone IM 6 to 35 Months Age Group | Group 3: Fluzone ID at 3 to 8 Years Age | Group 4: Fluzone IM 3 to 8 Years Age |
|---|---|---|---|---|
| Injection site TendernessGeneral disorders | 51/93 | 49/87 | 98/137 | 90/145 |
| Injection site RednessGeneral disorders | 48/93 | 28/87 | 98/143 | 42/151 |
| Injection site SwellingGeneral disorders | 23/88 | 15/90 | 61/137 | 30/151 |
| IrritabilityNervous system disorders | 37/93 | 39/91 | 0/160 | 0/163 |
| Injection site IndurationGeneral disorders | 24/93 | 14/87 | 56/143 | 25/151 |
| CoughRespiratory, thoracic and mediastinal disorders | 33/97 | 32/97 | 46/160 | 42/163 |
| Crying abnormalPsychiatric disorders | 17/93 | 29/91 | 0/160 | 0/163 |
| MyalgiaGeneral disorders | 0/97 | 0/97 | 24/141 | 42/150 |
| DrowsinessNervous system disorders | 21/93 | 24/91 | 0/160 | 0/163 |
| Injection site EcchymosisGeneral disorders | 23/88 | 13/87 | 18/143 | 22/145 |
| Age, Categorical(Participants) | Group 1: Fluzone ID at Age 6 to 35 Months | Group 2: Fluzone IM 6 to 35 Months Age Group | Group 3: Fluzone ID at 3 to 8 Years Age | Group 4: Fluzone IM 3 to 8 Years Age | Total |
|---|---|---|---|---|---|
| <=18 years | 97 | 97 | 160 | 163 | 517 |
| Between 18 and 65 years | 0 | 0 | 0 | 0 | 0 |
| >=65 years | 0 | 0 | 0 | 0 | 0 |
| Age Continuous(Months) | Group 1: Fluzone ID at Age 6 to 35 Months | Group 2: Fluzone IM 6 to 35 Months Age Group | Group 3: Fluzone ID at 3 to 8 Years Age | Group 4: Fluzone IM 3 to 8 Years Age | Total |
|---|---|---|---|---|---|
| Mean | 22.6 ± 7.51 | 21.8 ± 8.03 | 69.6 ± 22.2 | 70.8 ± 21.6 | 46.5 ± 14.835 |
| Sex: Female, Male(Participants) | Group 1: Fluzone ID at Age 6 to 35 Months | Group 2: Fluzone IM 6 to 35 Months Age Group | Group 3: Fluzone ID at 3 to 8 Years Age | Group 4: Fluzone IM 3 to 8 Years Age | Total |
|---|---|---|---|---|---|
| Female | 45 | 43 | 70 | 84 | 242 |
| Male | 52 | 54 | 90 | 79 | 275 |
| Region of Enrollment(Participants) | Group 1: Fluzone ID at Age 6 to 35 Months | Group 2: Fluzone IM 6 to 35 Months Age Group | Group 3: Fluzone ID at 3 to 8 Years Age | Group 4: Fluzone IM 3 to 8 Years Age | Total |
|---|---|---|---|---|---|
| United States | 97 | 97 | 160 | 163 | 517 |
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