CClinicalTrials.gg
CompletedNCT01104493Updated Jul 18, 2011Results posted

A Clinical Study to Assess the Safety of a New Influenza Vaccine

A Phase 4 interventional study of Monovalent Frozen FluMist® and Placebo in Healthy, sponsored by MedImmune LLC. Completed at 3 sites in United States. Open to participants aged 18 Years to 49 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2011-07-18.

Sponsored by MedImmune LLC · Phase 4, Interventional, and Treatment

Phase
Phase 4
Study type
Interventional
Enrollment
300
Allocation
Randomized
Ages
18 Years to 49 Years
Sex
All
01

Study summary

To assess the safety of a new influenza virus vaccine containing a new virus strain in healthy patients prior to the release of the vaccine.

Read the detailed description

This prospective, randomized, double-blind, placebo-controlled release study will enroll approximately 300 healthy adults 18-49 years of age. Eligible subjects will be randomly assigned in a 4:1 fashion to receive a single dose of monovalent vaccine or placebo by intranasal spray. This study will be conducted at multiple sites in the United States. Randomization will be stratified by site.

Each subject will receive one dose of investigational product on Study Day 1. The duration of study participation for each subject is the time from receipt of investigational product through 180 days after receipt of investigational product.

To summarize the primary safety phase data (Study Days 1-8), the study will be unblinded to the analysis team at MedImmune after all data through at least Study Day 8 are locked.

02

Conditions studied

  • Healthy
03

In context

Lead sponsor

MedImmune LLC is the lead sponsor of 265 studies on the registry; none are open to participants now.

Of its 50 completed or terminated interventional studies of FDA-regulated products, 28 (56%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years to 49 Years
Sexes eligible
All
Accepts healthy volunteers
Yes

Inclusion criteria

  • Male or female, 18 through 49 years of age (not yet reached their 50th birthday) at the time of investigational product administration
  • Healthy by medical history and physical examination
  • Written informed consent and any locally required authorization (eg, Health Insurance Portability and Accountability Act in the United States of America, European Union [EU] Data Privacy Directive in the EU) obtained from the subject/legal representative prior to performing any protocol-related procedures, including screening evaluations
  • Female subjects of child-bearing potential, (ie, unless at least 2 years postmenopausal, surgically sterile [eg, bilateral tubal ligation, bilateral oophorectomy, or hysterectomy], has sterile male partner, or practices abstinence) must use an effective method of avoiding pregnancy (including oral, transdermal, or implanted contraceptives, intrauterine device, female condom with spermicide, diaphragm with spermicide, cervical cap, or use of a condom with spermicide by the sexual partner) for 30 days prior to administration of investigational product, and must agree to continue using such precautions for 60 days after investigational product administration. In addition, the subject must also have a negative urine or blood pregnancy test at screening and, if screening and Day 1 do not occur on the same day, on the day of vaccination prior to randomization.
  • Males, unless surgically sterile must use an effective method of birth control with a female partner and must agree to continue using such contraceptive precautions for at least 30 days after dosing with investigational product (from Study Day 1 through Study Day 31)
  • Subject available by telephone
  • Ability to understand and comply with the requirements of the protocol, as judged by the investigator
  • Ability to complete follow-up period of 180 days after dosing as required by the protocol

Exclusion criteria

Exclusion Criteria:

  • History of hypersensitivity to any component of the vaccine, including egg or egg protein or serious, life threatening, or severe reactions to previous influenza vaccinations
  • History of hypersensitivity to gentamicin
  • Any condition for which the inactivated influenza vaccine is indicated, including chronic disorders of the pulmonary or cardiovascular systems (eg, asthma), chronic metabolic diseases (eg, diabetes mellitus), renal dysfunction, or hemoglobinopathies that required regular medical follow-up or hospitalization during the preceding year Note: A history of asthma that requires regular medical follow-up or hospitalization during the preceding 2 years is exclusionary. Investigator judgment is required to determine whether or not a subject has a history of asthma; however, for adult subjects, a remote history of wheezing or a remote diagnosis of asthma that the investigator does not consider to be relevant to current health does not need to be considered to be a history of asthma. For example, childhood asthma that has not required treatment in adulthood is not necessarily exclusionary
  • Acute febrile (> 100.0°F oral or equivalent) and/or clinically significant respiratory illness (eg, cough or sore throat) within 14 days prior to randomization
  • Any known immunosuppressive condition or immune deficiency disease, including human immunodeficiency virus (HIV) infection, or ongoing immunosuppressive therapy
  • History of Guillain-Barré syndrome
  • A household contact who is severely immunocompromised (eg, hematopoietic stem cell transplant recipient, during those periods in which the immunocompromised individual requires care in a protective environment); additionally, subject should avoid close contact with severely immunocompromised individuals for at least 21 days after receipt of investigational product
  • Receipt of any investigational agent within 30 days prior to randomization, or expected receipt through 30 days after the dose of investigational product
  • Receipt of any non-study vaccine within 30 days prior to randomization, or expected receipt through 30 days after receipt of investigational product
  • Expected receipt of antipyretic or analgesic medication on a daily or every other day basis from randomization through 14 days after receipt of investigational product Note: A daily dose of up to 81 mg of aspirin for prophylactic use is not considered a contraindication to enrollment.
  • Administration of intranasal medications within 14 days prior to randomization, or expected receipt through 14 days after administration of investigational product
  • Receipt of influenza antiviral therapy or antiviral agents within 48 hours prior to investigational product administration or expected receipt of influenza antiviral therapy or antiviral agents through 14 days after receipt of each dose of investigational product
  • Known or suspected mitochondrial encephalomyopathy
  • Nursing mother
  • Any condition (eg, chronic cough) that, in the opinion of the investigator, would interfere with evaluation of the investigational product or interpretation of subject safety or study results
  • Employees of the clinical study site, any other individuals involved with the conduct of the study, or immediate family members of such individuals
05

Study design

Phase
Phase 4
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
300 participants (actual)

Study arms

  • Experimental
    1

    Single dose of monovalent vaccine

    Biological: Monovalent Frozen FluMist®

  • Placebo comparator
    2

    Placebo

    Other: Placebo

Interventions

  • BiologicalMonovalent Frozen FluMist®

    Single dose of monovalent vaccine (240 subjects) by intranasal spray on Study Day 1.

  • OtherPlacebo

    Single dose of placebo (60 subjects) by intranasal spray on Study Day 1

06

What researchers measure

Primary outcomes

  1. Percentage of Participants Reporting Fever, Defined as Oral Temperature ≥ 101°F

    A comparison of the rate of fever (oral temperature ≥ 101°F) reported during the 7 days post administration of investigational product between the monovalent vaccine and placebo groups.

    Time frame: Study Days 1-8

Secondary outcomes

  1. Percentage of Participants Reporting Any Solicited Symptom

    Solicited symptoms were events that were considered likely to occur post dosing. Solicited symptoms for this study are listed below.

    Time frame: Study Days 1-8

  2. Percentage of Participants Reporting Any Adverse Event.

    An adverse event (AE) was defined as: Any untoward medical occurrence in a patient or clinical investigation subject administered a pharmaceutical product and which does not necessarily have a causal relationship with this treatment. An AE can therefore be any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease temporally associated with the use of a medicinal product, whether or not considered related to the medicinal product.

    Time frame: Study Days 1-8

  3. Percentage of Participants Reporting Any Solicited Symptom.

    Solicited symptoms were events that were considered likely to occur post dosing. Solicited symptoms for this study are listed below.

    Time frame: Study Days 1-15

  4. Percentage of Participants Reporting Any Adverse Event.

    An adverse event (AE) was defined as: Any untoward medical occurrence in a patient or clinical investigation subject administered a pharmaceutical product and which does not necessarily have a causal relationship with this treatment. An AE can therefore be any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease temporally associated with the use of a medicinal product, whether or not considered related to the medicinal product.

    Time frame: Study Days 1-15

  5. Percentage of Participants Reporting at Least One Serious Adverse Event (SAE) or New Onset Chronic Disease (NOCD), Study Days 1-29

    SAEs were those that resulted in death; were life-threatening; resulted in inpatient hospitalization or prolongation of existing hospitalization; resulted in persistent or significant disability or incapacity; were a congenital anomaly/birth defect in the offspring of a study participant; or were a medical event that may have jeopardized the subject and may have required medical or surgical intervention to prevent one of the outcomes listed above. An NOCD was a newly diagnosed medical condition of a chronic, ongoing nature and assessed by the investigator as medically significant.

    Time frame: Study Days 1-29

  6. Percentage of Participants Reporting at Least One Serious Adverse Event (SAE) or New Onset Chronic Disease (NOCD), Study Days 1-181

    SAEs were those that resulted in death; were life-threatening; resulted in inpatient hospitalization or prolongation of existing hospitalization; resulted in persistent or significant disability or incapacity; were a congenital anomaly/birth defect in the offspring of a study participant; or were a medical event that may have jeopardized the subject and may have required medical or surgical intervention to prevent one of the outcomes listed above. An NOCD was a newly diagnosed medical condition of a chronic, ongoing nature and assessed by the investigator as medically significant.

    Time frame: Study Days 1-181

07

Results

Posted Jul 14, 2011

Participant flow

Three investigators at 3 clinical research units in the United States of America (USA) enrolled 300 subjects in May, 2010.

Participant flow — Overall Study
MilestoneMonovalent Influenza Virus VaccinePlacebo
Started24060
Completed24058
Not completed02
Withdrew: Lost to follow-up02

Outcome measures

PrimaryPercentage of Participants Reporting Fever, Defined as Oral Temperature ≥ 101°F

A comparison of the rate of fever (oral temperature ≥ 101°F) reported during the 7 days post administration of investigational product between the monovalent vaccine and placebo groups.

Time frame:
Study Days 1-8
Reported as:
Number · Percentage of participants
Percentage of Participants Reporting Fever, Defined as Oral Temperature ≥ 101°F
Percentage of participantsMonovalent Influenza Virus VaccinePlacebo
Percentage of Participants Reporting Fever, Defined as Oral Temperature ≥ 101°F0.40.0
Statistical analysis
  • Monovalent Influenza Virus Vaccine vs Placebo · score statistic · Rate difference: 0.4 · 95% CI -5.2 to 2.6
SecondaryPercentage of Participants Reporting Any Solicited Symptom

Solicited symptoms were events that were considered likely to occur post dosing. Solicited symptoms for this study are listed below.

Time frame:
Study Days 1-8
Reported as:
Number · Percentage of participants
Percentage of Participants Reporting Any Solicited Symptom
Percentage of participantsMonovalent Influenza Virus VaccinePlacebo
Any symptom33.840.0
Fever > 100F0.80.0
Fever > 102F0.00.0
Fever > 103F0.00.0
Runny nose13.318.3
Sore throat8.85.0
Cough7.56.7
Vomiting0.80.0
Muscle aches5.83.3
Chills2.51.7
Decreased activity (tiredness)8.36.7
Headache16.716.7
SecondaryPercentage of Participants Reporting Any Adverse Event.

An adverse event (AE) was defined as: Any untoward medical occurrence in a patient or clinical investigation subject administered a pharmaceutical product and which does not necessarily have a causal relationship with this treatment. An AE can therefore be any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease temporally associated with the use of a medicinal product, whether or not considered related to the medicinal product.

Time frame:
Study Days 1-8
Reported as:
Number · Percentage of participants
Percentage of Participants Reporting Any Adverse Event.
Percentage of participantsMonovalent Influenza Virus VaccinePlacebo
Percentage of Participants Reporting Any Adverse Event.3.83.3
SecondaryPercentage of Participants Reporting Any Solicited Symptom.

Solicited symptoms were events that were considered likely to occur post dosing. Solicited symptoms for this study are listed below.

Time frame:
Study Days 1-15
Reported as:
Number · Percentage of participants
Percentage of Participants Reporting Any Solicited Symptom.
Percentage of participantsMonovalent Influenza Virus VaccinePlacebo
Any Symptom38.350.0
Fever > 100F1.71.7
Fever ≥ 101F0.81.7
Fever > 102F0.00.0
Fever > 103F0.00.0
Runny nose17.121.7
Sore throat10.88.3
Cough8.86.7
Vomiting1.30.0
Muscle aches7.56.7
Chills3.31.7
Decreased activity (tiredness)8.88.3
Headache19.225.0
SecondaryPercentage of Participants Reporting Any Adverse Event.

An adverse event (AE) was defined as: Any untoward medical occurrence in a patient or clinical investigation subject administered a pharmaceutical product and which does not necessarily have a causal relationship with this treatment. An AE can therefore be any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease temporally associated with the use of a medicinal product, whether or not considered related to the medicinal product.

Time frame:
Study Days 1-15
Reported as:
Number · Percentage of participants
Percentage of Participants Reporting Any Adverse Event.
Percentage of participantsMonovalent Influenza Virus VaccinePlacebo
Percentage of Participants Reporting Any Adverse Event.4.23.3
SecondaryPercentage of Participants Reporting at Least One Serious Adverse Event (SAE) or New Onset Chronic Disease (NOCD), Study Days 1-29

SAEs were those that resulted in death; were life-threatening; resulted in inpatient hospitalization or prolongation of existing hospitalization; resulted in persistent or significant disability or incapacity; were a congenital anomaly/birth defect in the offspring of a study participant; or were a medical event that may have jeopardized the subject and may have required medical or surgical intervention to prevent one of the outcomes listed above. An NOCD was a newly diagnosed medical condition of a chronic, ongoing nature and assessed by the investigator as medically significant.

Time frame:
Study Days 1-29
Reported as:
Number · Percentage of participants
Percentage of Participants Reporting at Least One Serious Adverse Event (SAE) or New Onset Chronic Disease (NOCD), Study Days 1-29
Percentage of participantsMonovalent Influenza Virus VaccinePlacebo
Total participants reporting ≥ one SAE0.00.0
Total participants reporting ≥ one NOCD0.00.0
SecondaryPercentage of Participants Reporting at Least One Serious Adverse Event (SAE) or New Onset Chronic Disease (NOCD), Study Days 1-181

SAEs were those that resulted in death; were life-threatening; resulted in inpatient hospitalization or prolongation of existing hospitalization; resulted in persistent or significant disability or incapacity; were a congenital anomaly/birth defect in the offspring of a study participant; or were a medical event that may have jeopardized the subject and may have required medical or surgical intervention to prevent one of the outcomes listed above. An NOCD was a newly diagnosed medical condition of a chronic, ongoing nature and assessed by the investigator as medically significant.

Time frame:
Study Days 1-181
Reported as:
Number · Percentage of participants
Percentage of Participants Reporting at Least One Serious Adverse Event (SAE) or New Onset Chronic Disease (NOCD), Study Days 1-181
Percentage of participantsMonovalent Influenza Virus VaccinePlacebo
Total participants reporting ≥ one SAE1.30.0
Total participants reporting ≥ one NOCD0.00.0

Adverse events

Collected over From the time that written informed consent was obtained, adverse events were collected through Study Day 15 after receipt of investigational product and serious adverse events were collected through Study Day 181 after receipt of investigational product.. Non-serious events are listed at a 0.5% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Monovalent Influenza Virus Vaccine—3/240 (1.3%)6/240 (2.5%)
Placebo—0/60 (0%)2/60 (3.3%)
Most frequent serious events
Most frequent serious events
EventMonovalent Influenza Virus VaccinePlacebo
oesophageal perforationGastrointestinal disorders1/2400/60
diverticulitisInfections and infestations1/2400/60
rotator cuff syndromeMusculoskeletal and connective tissue disorders1/2400/60
uterine leiomyomaNeoplasms benign, malignant and unspecified (incl cysts and polyps)1/2400/60
menometrorrhagiaReproductive system and breast disorders1/2400/60
Most frequent other events
Most frequent other events
EventMonovalent Influenza Virus VaccinePlacebo
SneezingRespiratory, thoracic and mediastinal disorders4/2401/60
Sinus congestionRespiratory, thoracic and mediastinal disorders0/2401/60
Depressed moodPsychiatric disorders0/2401/60
RashSkin and subcutaneous tissue disorders2/2400/60

Baseline characteristics

Age Continuous
Age Continuous(years)Monovalent Influenza Virus VaccinePlaceboTotal
Mean32.5 ± 8.832.4 ± 8.332.5 ± 8.7
Sex: Female, Male
Sex: Female, Male(Participants)Monovalent Influenza Virus VaccinePlaceboTotal
Female12729156
Male11331144
08

Study locations

3 sites
  • Miami Research Associates
    South Miami, Florida 33143, United States
  • Clinical Research Atlanta
    Stockbridge, Georgia 30281, United States
  • Columbia Research Group, Inc
    Portland, Oregon 97239, United States
09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jul 18, 2011, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT01104493
Lead sponsor
MedImmune LLC
First posted
Apr 15, 2010
Start date
May 2010
Primary completion
Jun 2010
Completion
Dec 2010
Results posted
Jul 14, 2011
Last update
Jul 18, 2011

Study contacts

Robert A. Gasser, Jr., M.D.
study director · MedImmune LLC

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

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