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CompletedNCT01691326Updated Apr 16, 2014Results posted

Safety and Immunogenicity Among Healthy Children Receiving Fluzone® Influenza Virus Vaccine (2012-2013 Formulation)

A Phase 4 interventional study of Fluzone®: Influenza Virus Vaccine, No Preservative: Pediatric Dose and Fluzone®; Influenza Virus Vaccine, No Preservative in Influenza, sponsored by Sanofi Pasteur, a Sanofi Company. Completed at 2 sites in United States. Open to participants aged 6 Months to 8 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2014-04-16.

Sponsored by Sanofi Pasteur, a Sanofi Company · Phase 4, Interventional, and Prevention

Phase
Phase 4
Study type
Interventional
Enrollment
60
Allocation
Non-randomized
Ages
6 Months to 8 Years
Sex
All
01

Study summary

The aim of this clinical study is to demonstrate safety and immunogenicity of Fluzone vaccine.

Objective:

  • To describe the safety of the 2012-2013 formulation of Fluzone vaccine, administered in a 1- or 2-dose schedule, in accordance with Advisory Committee on Immunization Practices (ACIP) recommendations, in children 6 months to \< 9 years of age.

Observational Objectives:

  • To describe the immunogenicity of the 2012-2013 formulation of Fluzone vaccine, administered in a 1- or 2-dose schedule in accordance with ACIP recommendations, in children 6 months to \< 9 years of age.
  • To submit remaining available sera from subjects to the Center for Biologics Evaluation and Research (CBER) for further analysis by the World Health Organization (WHO), the Centers for Disease Control and Prevention (CDC), and the Food and Drug Administration (FDA) to support selection and recommendation of strains for subsequent years' influenza vaccines.
Read the detailed description

All participants will receive Fluzone vaccine during Visit 1. For subjects receiving 2 doses of influenza vaccine, per ACIP guidance, a second dose of Fluzone vaccine will be administered during Visit 2.

Total duration of participation in the study is approximately 28 days for participants receiving 1 dose and 56 days for those receiving 2 doses of Fluzone vaccine.

02

Conditions studied

  • Influenza

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Keywords

  • Influenza
  • Fluzone® (Influenza Virus Vaccine) 2012-2013 Formulation
  • Influenza virus vaccine
  • Trivalent Inactivated Influenza Vaccine
03

In context

Influenza, Human

2,214 studies on the registry are indexed under Influenza, Human; 163 are open to participants now.

This study's enrollment of 60 is below the median of 238 across 1,853 interventional studies indexed under Influenza, Human.

Browse Influenza, Human studies →

Lead sponsor

Sanofi Pasteur, a Sanofi Company is the lead sponsor of 366 studies on the registry; 4 are open to participants now.

Of its 94 completed or terminated interventional studies of FDA-regulated products, 73 (78%) have results posted.

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

04

Who can participate

Ages eligible
6 Months to 8 Years
Sexes eligible
All
Accepts healthy volunteers
Yes

Inclusion criteria

  • Subject is 6 months to \< 9 years of age on the day of inclusion
  • Parent/guardian is willing and able to attend scheduled visits and to comply with the study procedures during the entire duration of the study
  • Assent form has been signed and dated by subjects 7 to \< 9 years of age, and informed consent form has been signed and dated by parent(s) or another legally acceptable representative
  • For subjects 6 months to \< 24 months of age, born at full term of pregnancy (≥ 37 weeks) and with a birth weight ≥ 2.5 kg (5.5 lbs).

Exclusion criteria

Exclusion Criteria:

  • Known systemic hypersensitivity to eggs, chicken proteins, latex, or any of the vaccine components, or a history of a life-threatening reaction to Fluzone vaccine or to a vaccine containing any of the same substances (the complete list of vaccine components is included in the Prescribing Information)
  • History of serious adverse reaction to any influenza vaccine
  • Receipt of any vaccine within 30 days before receiving study vaccine, or plans to receive another vaccine before Visit 2 for subjects receiving 1 influenza vaccine or Visit 3 for subjects receiving 2 doses of influenza vaccine
  • Participation in another interventional clinical trial investigating a vaccine, drug, medical device, or medical procedure in the 30 days preceding the first study vaccination or during the course of the study unless no intervention for the other study occurred within the 30 days prior to the first study vaccination and none are planned before the subject would complete safety surveillance for the present study
  • Prior vaccination with any formulation of 2012-2013 influenza vaccine
  • Bleeding disorder or receipt of anticoagulants in the 3 weeks preceding inclusion, which may be a contraindication for intramuscular (IM) vaccination, at the discretion of the Investigator
  • Thrombocytopenia, which may be a contraindication for IM vaccination, at the discretion of the Investigator
  • Any condition that in the opinion of the Investigator would pose a health risk to the subject if enrolled or could interfere with the evaluation of the vaccine
  • Personal history of Guillain-Barré syndrome
  • Known or suspected congenital or acquired immunodeficiency; or receipt of immunosuppressive therapy such as anti-cancer chemotherapy or radiation therapy within the preceding 6 months; or long-term systemic corticosteroid therapy (prednisone or equivalent for more than 2 consecutive weeks within the past 3 months)
  • Personal history of clinically significant developmental delay (at the discretion of the Investigator), neurologic disorder, or seizure disorder
  • Chronic illness that, in the opinion of the Investigator, is at a stage where it might interfere with trial conduct or completion
  • Known seropositivity for human immunodeficiency virus (HIV), hepatitis B, or hepatitis C
  • Moderate or severe acute illness/infection (according to investigator judgment) on the day of vaccination or febrile illness (temperature ≥ 100.4°F). A prospective subject should not be included in the study until the condition has resolved or the febrile event has subsided
  • Receipt of immune globulins, blood, or blood-derived products in the past 3 months
  • Identified as a natural or adopted child of the Investigator or an employee with direct involvement in the proposed study.
05

Study design

Phase
Phase 4
Primary purpose
Prevention
Allocation
Non-randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
60 participants (actual)

Study arms

  • Experimental
    6 months to < 36 months of age group

    Participants at 6 months to \< 36 months of age at the time of enrollment will receive Influenza Virus Vaccine, No Preservative; Fluzone® (Pediatric Dose).

    Biological: Fluzone®: Influenza Virus Vaccine, No Preservative: Pediatric Dose

  • Experimental
    3 years to < 9 years of age group

    Participants at 3 years to \< 9 years of age at the time of enrollment will receive Influenza Virus Vaccine, No Preservative; Fluzone®.

    Biological: Fluzone®; Influenza Virus Vaccine, No Preservative

Interventions

  • BiologicalFluzone®: Influenza Virus Vaccine, No Preservative: Pediatric Dose

    0.25 mL dose, Intramuscular

    Also known as: Fluzone® (Influenza Virus Vaccine) 2012-2013 Formulation

  • BiologicalFluzone®; Influenza Virus Vaccine, No Preservative

    0.5 mL dose, Intramuscular

    Also known as: Fluzone® (Influenza Virus Vaccine) 2012 2013 Formulation

06

What researchers measure

Primary outcomes

  1. Number of Participants Reporting Solicited Injection Site or Systemic Reactions Following Vaccination With Fluzone® Influenza Virus Vaccine (2012-2013 Formulation)

    Solicited injection site reactions (Age 6 to \< 24 Months): Tenderness, Erythema and Swelling. Solicited systemic reactions: Fever (Temperature), Vomiting, Abnormal crying, Drowsiness, Loss of appetite, and Irritability. Grade 3: Tenderness, Cries when injected limb is moved; Erythema and Swelling, ≥ 50 mm; Fever, \>103.1°F; Vomiting, ≥6 episodes/24 hours; Abnormal crying, \>3 hours; Drowsiness, Sleeping most of the time; Loss of appetite, Refuses ≥3 feeds/meals or most feeds/meals; Irritability, Inconsolable. Solicited injection site reactions (Age 24 Months to \< 9 Years): Pain, Erythema, and Swelling. Systemic reactions: Fever (Temperature), Headache, Malaise, and Myalgia. Grade 3: Pain, Incapacitating, unable to perform usual activities; Redness and Swelling, ≥ 50 mm; Fever: ≥102.1°F; Headache, Malaise, and Myalgia, Significant, prevents daily activity.

    Time frame: Day 0 up to Day 7 post-vaccination

Other outcomes

  1. Geometric Mean Titers of Antibodies to Influenza Antigens Before and Following Vaccination With Fluzone® Influenza Virus Vaccine (2012-2013 Formulation).

    The influenza virus antibodies were measured using a hemagglutination inhibition (HAI) assay.

    Time frame: Day 0 (pre-vaccination) and Day 28 after final vaccination

  2. Number of Participants With Seroprotection Before and Following Vaccination With Fluzone® Influenza Virus Vaccine (2012-2013 Formulation)

    Influenza virus antibodies were measured using a HAI assay. Seroprotection was defined as a titer ≥40 (1/dilution).

    Time frame: Day 0 (pre-vaccination) and Day 28 after final vaccination

  3. Number of Participants With Seroconversion Against Influenza Virus Antigens Following Vaccination With Fluzone® Influenza Virus Vaccine (2012-2013 Formulation)

    Influenza virus antibodies were measured using a HAI assay. Seroconversion was defined as a pre-vaccination titer \<10 (1/dilution) and a post-vaccination titer ≥40 (1/dilution), or a pre-vaccination titer ≥10 (1/dilution) and ≥4-fold increase in titer 28 days after final vaccination.

    Time frame: Day 28 after final vaccination

  4. Geometric Mean Titer Ratios (GMTRs) of Antibodies to Influenza Virus Antigens Following Vaccination With Fluzone® Influenza Virus Vaccine (2012-2013 Formulation).

    Influenza virus antibodies were measured using a HAI assay. Geometric mean titer ratio is the geometric mean of the individual post-vaccination / pre-vaccination titer of antibodies to the influenza virus antigens

    Time frame: Day 0 (pre-vaccination) and Day 28 after final vaccination

07

Results

Posted Apr 16, 2014

Participant flow

The study participants were enrolled from 19 September 2012 to 12 December 2012 at 2 clinic centers in the United States.

Participant flow — Overall Study
MilestoneAge 6 to < 36 Months GroupAge 3 to < 9 Years Group
Started3030
Completed3030
Not completed00

Outcome measures

PrimaryNumber of Participants Reporting Solicited Injection Site or Systemic Reactions Following Vaccination With Fluzone® Influenza Virus Vaccine (2012-2013 Formulation)

Solicited injection site reactions (Age 6 to \< 24 Months): Tenderness, Erythema and Swelling. Solicited systemic reactions: Fever (Temperature), Vomiting, Abnormal crying, Drowsiness, Loss of appetite, and Irritability. Grade 3: Tenderness, Cries when injected limb is moved; Erythema and Swelling, ≥ 50 mm; Fever, \>103.1°F; Vomiting, ≥6 episodes/24 hours; Abnormal crying, \>3 hours; Drowsiness, Sleeping most of the time; Loss of appetite, Refuses ≥3 feeds/meals or most feeds/meals; Irritability, Inconsolable. Solicited injection site reactions (Age 24 Months to \< 9 Years): Pain, Erythema, and Swelling. Systemic reactions: Fever (Temperature), Headache, Malaise, and Myalgia. Grade 3: Pain, Incapacitating, unable to perform usual activities; Redness and Swelling, ≥ 50 mm; Fever: ≥102.1°F; Headache, Malaise, and Myalgia, Significant, prevents daily activity.

Time frame:
Day 0 up to Day 7 post-vaccination
Reported as:
Number · Participants
Number of Participants Reporting Solicited Injection Site or Systemic Reactions Following Vaccination With Fluzone® Influenza Virus Vaccine (2012-2013 Formulation)
ParticipantsAge 6 to < 36 Months GroupAge 3 to < 9 Years Group
Injection site Tenderness (N = 15, 0)8NA (0 to 0)
Grade 3 Injection site Tenderness (N =15, 0)1NA (0 to 0)
Injection site Pain (N =15, 30)813 (0 to 0)
Grade 3 Injection site Pain (N = 15, 30)00 (0 to 0)
Injection site Erythema (N = 30, 30)89 (0 to 0)
Grade 3 Injection site Erythema (N = 30, 30)00 (0 to 0)
Injection site Swelling (N = 30, 30)57 (0 to 0)
Grade 3 Injection site Swelling (N = 30, 30)00 (0 to 0)
Fever (N = 30, 28)20 (0 to 0)
Grade 3 Fever (N = 30, 28)00 (0 to 0)
Headache (N = 15, 30)15 (0 to 0)
Grade 3 Headache (N = 15, 30)00 (0 to 0)
Malaise (N = 15, 30)44 (0 to 0)
Grade 3 Malaise (N = 15, 30)00 (0 to 0)
Myalgia (N = 15, 30)32 (0 to 0)
Grade 3 Myalgia (N = 15, 30)00 (0 to 0)
Vomiting (N = 15, 0)1NA (0 to 0)
Grade 3 Vomiting (N = 15, 0)0NA (0 to 0)
Abnormal crying (N = 15, 0)6NA (0 to 0)
Grade 3 Abnormal crying (N = 15, 0)0NA (0 to 0)
Drowsiness (N = 15, 0)5NA (0 to 0)
Grade 3 Drowsiness (N = 15, 0)0NA (0 to 0)
Loss of Appetite (N = 15, 0)4NA (0 to 0)
Grade 3 Loss of Appetite (N = 15, 0)0NA (0 to 0)
Irritability (N = 15, 0)9NA (0 to 0)
Grade 3 Irritability (N = 15, 0)1NA (0 to 0)
Other pre-specifiedGeometric Mean Titers of Antibodies to Influenza Antigens Before and Following Vaccination With Fluzone® Influenza Virus Vaccine (2012-2013 Formulation).

The influenza virus antibodies were measured using a hemagglutination inhibition (HAI) assay.

Time frame:
Day 0 (pre-vaccination) and Day 28 after final vaccination
Reported as:
Geometric mean · Titers
Geometric Mean Titers of Antibodies to Influenza Antigens Before and Following Vaccination With Fluzone® Influenza Virus Vaccine (2012-2013 Formulation).
Titers6 to < 36 Months Age Group3 to < 9 Years Age Group
A/H1N1 (pre-vaccination)20.6 (9.93 to 42.6)68.8 (30.5 to 155)
A/H1N1 (post-vaccination)334 (189 to 589)864 (559 to 1337)
A/H3N2 (pre-vaccination)23.3 (11.4 to 47.5)84.8 (49.5 to 145)
A/H3N2 (post-vaccination)506 (296 to 865)895 (585 to 1369)
B (pre-vaccination)5.82 (4.76 to 7.13)9.66 (7.42 to 12.6)
B (post-vaccination)16.7 (11.2 to 24.8)69.6 (46.4 to 105)
Other pre-specifiedNumber of Participants With Seroprotection Before and Following Vaccination With Fluzone® Influenza Virus Vaccine (2012-2013 Formulation)

Influenza virus antibodies were measured using a HAI assay. Seroprotection was defined as a titer ≥40 (1/dilution).

Time frame:
Day 0 (pre-vaccination) and Day 28 after final vaccination
Reported as:
Number · Participants
Number of Participants With Seroprotection Before and Following Vaccination With Fluzone® Influenza Virus Vaccine (2012-2013 Formulation)
ParticipantsAge 6 to < 36 Months GroupAge 3 to < 9 Years Group
A/H1N1 (pre-vaccination)1018 (0 to 0)
A/H1N1 (post-vaccination)2430 (0 to 0)
A/H3N2 (pre-vaccination)1120 (0 to 0)
A/H3N2 (post-vaccination)2530 (0 to 0)
B (pre-vaccination)12 (0 to 0)
B (post-vaccination)621 (0 to 0)
Other pre-specifiedNumber of Participants With Seroconversion Against Influenza Virus Antigens Following Vaccination With Fluzone® Influenza Virus Vaccine (2012-2013 Formulation)

Influenza virus antibodies were measured using a HAI assay. Seroconversion was defined as a pre-vaccination titer \<10 (1/dilution) and a post-vaccination titer ≥40 (1/dilution), or a pre-vaccination titer ≥10 (1/dilution) and ≥4-fold increase in titer 28 days after final vaccination.

Time frame:
Day 28 after final vaccination
Reported as:
Number · Participants
Number of Participants With Seroconversion Against Influenza Virus Antigens Following Vaccination With Fluzone® Influenza Virus Vaccine (2012-2013 Formulation)
ParticipantsAge 6 to < 36 Months GroupAge 3 to < 9 Years Group
A/H1N12222 (0 to 0)
A/H3N22325 (0 to 0)
B520 (0 to 0)
Other pre-specifiedGeometric Mean Titer Ratios (GMTRs) of Antibodies to Influenza Virus Antigens Following Vaccination With Fluzone® Influenza Virus Vaccine (2012-2013 Formulation).

Influenza virus antibodies were measured using a HAI assay. Geometric mean titer ratio is the geometric mean of the individual post-vaccination / pre-vaccination titer of antibodies to the influenza virus antigens

Time frame:
Day 0 (pre-vaccination) and Day 28 after final vaccination
Reported as:
Geometric mean · Ratio
Geometric Mean Titer Ratios (GMTRs) of Antibodies to Influenza Virus Antigens Following Vaccination With Fluzone® Influenza Virus Vaccine (2012-2013 Formulation).
RatioAge 6 to < 36 Months GroupAge 3 to < 9 Years Group
A/H1N111.6 (7.24 to 18.7)10.7 (5.56 to 20.5)
A/H3N216.2 (9.45 to 27.9)10.3 (5.88 to 18.1)
B1.82 (1.29 to 2.55)5.34 (3.75 to 7.60)

Adverse events

Collected over Adverse event data were collected from Day 0 (post-vaccination) up to Day 28 after final vaccination.. Non-serious events are listed at a 5.00% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
6 to < 36 Months Age Group—0/30 (0%)9/30 (30%)
3 to < 9 Years Age Group—0/30 (0%)13/30 (43.3%)
Most frequent other events
Showing 10 of 17
Most frequent other events
Event6 to < 36 Months Age Group3 to < 9 Years Age Group
IrritabilityPsychiatric disorders9/15—
Injection site TendernessGeneral disorders8/15—
Injection site PainGeneral disorders8/1513/30
Abnormal cryingPsychiatric disorders6/15—
DrowsinessNervous system disorders5/15—
Injection site ErythemaGeneral disorders8/309/30
Loss of AppetiteMetabolism and nutrition disorders4/15—
MalaiseGeneral disorders4/154/30
Injection site SwellingGeneral disorders5/307/30
MyalgiaMusculoskeletal and connective tissue disorders3/152/30

Baseline characteristics

Age, Categorical
Age, Categorical(Participants)Age 6 to < 36 Months GroupAge 3 to < 9 Years GroupTotal
<=18 years303060
Between 18 and 65 years000
>=65 years000
Age, Continuous
Age, Continuous(Years)Age 6 to < 36 Months GroupAge 3 to < 9 Years GroupTotal
Mean1.8 ± 0.65.2 ± 1.63.5 ± 1.2
Sex: Female, Male
Sex: Female, Male(Participants)Age 6 to < 36 Months GroupAge 3 to < 9 Years GroupTotal
Female141327
Male161733
Region of Enrollment
Region of Enrollment(Participants)Age 6 to < 36 Months GroupAge 3 to < 9 Years GroupTotal
United States303060
08

Study locations

2 sites
  • Bardstown, Kentucky 40004, United States
  • Salt Lake City, Utah 84124, United States
09

References and documents

Related links

10

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Apr 16, 2014, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT01691326
Lead sponsor
Sanofi Pasteur, a Sanofi Company
Responsible party
Sponsor
First posted
Sep 24, 2012
Start date
Sep 2012
Primary completion
Dec 2012
Completion
Feb 2013
Results posted
Apr 16, 2014
Last update
Apr 16, 2014

Study contacts

Medical Director
study director · Sanofi Pasteur Inc.

Oversight

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

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