A Phase 3 interventional study of Seqirus QIV and Comparator QIV in Influenza, Human, sponsored by Seqirus. Completed at 32 sites in United States. Open to participants aged 5 Years to 17 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2018-05-23.
Sponsored by Seqirus · Phase 3, Interventional, and Prevention
This is a study to assess the immune (antibody) response and safety of a Seqirus split virion, inactivated Quadrivalent Influenza Vaccine (Seqirus QIV), in comparison with a US licensed 2015/2016 Quadrivalent Influenza Vaccine (comparator QIV) in a healthy pediatric population 5 through 17 years of age.
2,214 studies on the registry are indexed under Influenza, Human; 164 are open to participants now.
This study's enrollment of 2,278 is above the median of 238 across 1,853 interventional studies indexed under Influenza, Human.
Browse Influenza, Human studies →Seqirus is the lead sponsor of 52 studies on the registry; none are open to participants now.
Of its 14 completed or terminated interventional studies of FDA-regulated products, 10 (71%) have results posted.
Counted across the registry records on this site, refreshed daily.
Exclusion Criteria:
Current or recent immunosuppressive or immunomodulatory therapy, as follows:
Note: Use of topical, inhalant or localised tissue injections of corticosteroids prior to administration of the Study Vaccine or throughout the study are acceptable.
The Seqirus study vaccine is a sterile, thimerosal-free suspension containing 60 mcg total hemagglutinin antigen per 0.5 mL dose (15 mcg each of the four recommended influenza strains for the Northern Hemisphere 2015/2016 influenza season).
Biological: Seqirus QIV
The comparator Quadrivalent Inactivated Influenza vaccine is a US-licensed product containing four recommended influenza strains for the Northern Hemisphere 2015/2016 influenza season.
Biological: Comparator QIV
Seqirus QIV, inactivated, split-virion, thimerosal-free, quadrivalent influenza vaccine, administered as a 0.5 mL intramuscular dose. The vaccine is presented in a prefilled needleless syringe. The subject's age and influenza vaccination history determines the dosing regimen (a single vaccination or a 2-vaccination regimen administered 28 days apart) according to the most recent US ACIP guidelines for seasonal influenza vaccination.
The US-licensed Comparator QIV, inactivated, split-virion, thimerosal-free, quadrivalent influenza vaccine, administered as a 0.5 mL intramuscular dose. The vaccine is presented in a prefilled needleless syringe. The subject's age and influenza vaccination history determines the dosing regimen (a single vaccination or a 2-vaccination regimen administered 28 days apart) according to the most recent US ACIP guidelines for seasonal influenza vaccination.
Also known as: Fluarix Quadrivalent
The Geometric Mean Titer (GMT) Ratio of Each Virus Strain.
Noninferiority of Seqirus QIV compared to comparator QIV was assessed by the eight co-primary endpoints of hemagglutination inhibition (HI) antibody geometric mean titer (GMT) and seroconversion rate (SCR) for each viral strain included in the vaccines. The GMT ratio is defined as the geometric mean of the postvaccination HI titer for the US-licensed comparator QIV over the geometric mean of the postvaccination HI titer for Seqirus QIV.
Time frame: 28 days after last vaccination.
The Difference in Seroconversion Rate (SCR) for Each Virus Strain.
Noninferiority of Seqirus QIV compared to Comparator QIV was assessed by the eight co-primary endpoints of HI geometric mean titer (GMT) and seroconversion rate (SCR) for each viral strain. The rate of SCR is defined as the percentage of subjects with either a prevaccination HI titer \< 1:10 and a postvaccination HI titer ≥ 1:40, or a prevaccination HI titer ≥ 1:10 and a ≥ 4-fold increase in postvaccination HI titer. For the SCR comparison, the difference between the SCR for each virus strain will be determined.
Time frame: 28 days after last vaccination.
Safety Endpoint: The Frequency and Severity of Solicited Local Adverse Reactions.
Frequency and severity of solicited local adverse reactions (AEs) for 7 days (ie, day of vaccination and 6 subsequent days) after each vaccination dose
Time frame: 7 days after each vaccination.
Safety Endpoint: The Frequency and Severity of Solicited Systemic Adverse Events (AEs).
Frequency and severity of solicited systemic adverse events (AEs) for 7 days (ie, day of vaccination and 6 subsequent days) after each vaccination dose
Time frame: 7 days after each vaccination.
Safety Endpoint: The Frequency of Cellulitis-like Reaction.
Frequency of cellulitis-like reaction for at least 28 days after each vaccination dose
Time frame: 28 days after each vaccination.
Safety Endpoint: The Frequency and Severity of Unsolicited Adverse Events (AEs).
Frequency and severity of unsolicited AEs for at least 28 days (ie, day of vaccination and 27 subsequent days) after each vaccination dose
Time frame: 28 days after each vaccination.
Safety Endpoint: The Frequency of Serious Adverse Events (SAEs).
Frequency of serious adverse events (SAEs) for 180 days after the last vaccination dose.
Time frame: 180 days after the last vaccination dose.
Immunogenicity Endpoint: GMTs - Geometric Mean of HI Titers Prevaccination (Day 1) and Postvaccination (Study Exit Visit)
The humoral immune response was assessed for Seqirus QIV \& comparator QIV. Serum HI titers against the 4 influenza vaccine strains was used to calculate: - Geometric mean of HI titers prevaccination \& postvaccination
Time frame: 28 days after last vaccination.
Immunogenicity Endpoint: Seroconversion Rate (SCR)
The humoral immune response was assessed for Seqirus QIV \& comparator QIV. Serum HI titers against the 4 influenza vaccine strains was used to calculate: - SCRs: % of subjects with either a prevaccination HI titer \< 1:10 and a postvaccination HI titer ≥ 1:40 or a prevaccination titer ≥ 1:10 and a ≥ 4-fold increase in postvaccination titer
Time frame: 28 days after last vaccination.
Immunogenicity Endpoint: Seroprotection Rate
The humoral immune response was assessed for Seqirus QIV \& comparator QIV. Serum HI titers against the 4 influenza vaccine strains was used to calculate: - The % of subjects with a titer ≥40 (seroprotection rates) at Day 1 and at Exit Visit
Time frame: 28 days after last vaccination.
Immunogenicity Endpoint: Geometric Mean Fold Increase (GMFI)
The humoral immune response was assessed for Seqirus QIV \& comparator QIV. Serum HI titers against the 4 influenza vaccine strains was used to calculate: - Geometric mean fold increase (GMFI): geometric mean fold titer rise from Day 1 to Exit Visit
Time frame: 28 days after last vaccination.
First Patient In: 14-SEP-2015, Last Patient Last Visit: 13-JUN-2016. Number of activated sites that enrolled subjects: 32 (all based in USA).
| Milestone | Seqirus Quadrivalent Influenza Vaccine | Comparator Quadrivalent Influenza Vaccine |
|---|---|---|
| Started | 1709 | 569 |
| Completed | 1628 | 535 |
| Not completed | 81 | 34 |
| Withdrew: Lost to follow-up | 67 | 25 |
| Withdrew: Physician decision | 3 | 0 |
| Withdrew: Withdrawal by subject | 9 | 8 |
| Withdrew: Noncomplaince | 1 | 0 |
| Withdrew: Enrolment of subject at >1 study site | 1 | 1 |
Noninferiority of Seqirus QIV compared to comparator QIV was assessed by the eight co-primary endpoints of hemagglutination inhibition (HI) antibody geometric mean titer (GMT) and seroconversion rate (SCR) for each viral strain included in the vaccines. The GMT ratio is defined as the geometric mean of the postvaccination HI titer for the US-licensed comparator QIV over the geometric mean of the postvaccination HI titer for Seqirus QIV.
| Ratio | GMT Ratios: GMT Comparator QIV Over GMT Seqirus QIV |
|---|---|
| A/H1N1 | 1.01 (0.93 to 1.09) |
| A/H3N2 | 1.05 (0.96 to 1.15) |
| B/Yamagata | 0.89 (0.81 to 0.98) |
| B/Victoria | 0.92 (0.83 to 1.02) |
Noninferiority of Seqirus QIV compared to Comparator QIV was assessed by the eight co-primary endpoints of HI geometric mean titer (GMT) and seroconversion rate (SCR) for each viral strain. The rate of SCR is defined as the percentage of subjects with either a prevaccination HI titer \< 1:10 and a postvaccination HI titer ≥ 1:40, or a prevaccination HI titer ≥ 1:10 and a ≥ 4-fold increase in postvaccination HI titer. For the SCR comparison, the difference between the SCR for each virus strain will be determined.
| percentage of participants | SCR Difference = Comparator QIV SCR % Minus Seqirus QIV SCR % |
|---|---|
| A/H1N1 | -3.1 (-8.0 to 1.8) |
| A/H3N2 | 0.4 (-4.5 to 5.3) |
| B/Yamagata | -3.4 (-8.3 to 1.5) |
| B/Victoria | -2.0 (-6.9 to 2.9) |
Frequency and severity of solicited local adverse reactions (AEs) for 7 days (ie, day of vaccination and 6 subsequent days) after each vaccination dose
| participants | Seqirus Quadrivalent Influenza Vaccine | Comparator Quadrivalent Influenza Vaccine |
|---|---|---|
| Frequency of Solicited Local AEs | 909 | 279 |
| Severe (Grade 3) Solicited Local AEs | 71 | 21 |
Frequency and severity of solicited systemic adverse events (AEs) for 7 days (ie, day of vaccination and 6 subsequent days) after each vaccination dose
| participants | Seqirus Quadrivalent Influenza Vaccine | Comparator Quadrivalent Influenza Vaccine |
|---|---|---|
| Frequency of Solicited Systemic AEs | 499 | 147 |
| Severe (Grade 3) Solicited Systemic AEs | 24 | 6 |
Frequency of cellulitis-like reaction for at least 28 days after each vaccination dose
| participants | Seqirus Quadrivalent Influenza Vaccine | Comparator Quadrivalent Influenza Vaccine |
|---|---|---|
| Safety Endpoint: The Frequency of Cellulitis-like Reaction. | 1 | 0 |
Frequency and severity of unsolicited AEs for at least 28 days (ie, day of vaccination and 27 subsequent days) after each vaccination dose
| participants | Seqirus Quadrivalent Influenza Vaccine | Comparator Quadrivalent Influenza Vaccine |
|---|---|---|
| At least one Unsolicited AE | 269 | 70 |
| Severe (Grade 3) Unsolicited AE | 11 | 6 |
Frequency of serious adverse events (SAEs) for 180 days after the last vaccination dose.
| participants | Seqirus Quadrivalent Influenza Vaccine | Comparator Quadrivalent Influenza Vaccine |
|---|---|---|
| Safety Endpoint: The Frequency of Serious Adverse Events (SAEs). | 8 | 2 |
The humoral immune response was assessed for Seqirus QIV \& comparator QIV. Serum HI titers against the 4 influenza vaccine strains was used to calculate: - Geometric mean of HI titers prevaccination \& postvaccination
| Titer | Seqirus Quadrivalent Influenza Vaccine | Comparator Quadrivalent Influenza Vaccine |
|---|---|---|
| A/H1N1 (pre-vaccination) | 114.8 (106.79 to 123.33) | 119.5 (105.48 to 135.38) |
| A/H3N2 (pre-vaccination) | 75.2 (70.80 to 79.88) | 72.1 (64.61 to 80.40) |
| B/Yamagata (pre-vaccination) | 10.5 (10.12 to 10.99) | 10.4 (9.69 to 11.22) |
| B/Victoria (pre-vaccination) | 17.0 (16.10 to 17.85) | 16.9 (15.42 to 18.46) |
| A/H1N1 (post-vaccination) | 858.7 (821.46 to 897.65) | 875.1 (814.14 to 940.59) |
| A/H3N2 (post-vaccination) | 803.6 (763.01 to 846.26) | 825.6 (756.12 to 901.55) |
| B/Yamagata (post-vaccination) | 60.7 (57.52 to 64.01) | 54.3 (49.65 to 59.28) |
| B/Victoria (post-vaccination) | 140.9 (132.97 to 149.26) | 130.3 (117.07 to 145.06) |
The humoral immune response was assessed for Seqirus QIV \& comparator QIV. Serum HI titers against the 4 influenza vaccine strains was used to calculate: - SCRs: % of subjects with either a prevaccination HI titer \< 1:10 and a postvaccination HI titer ≥ 1:40 or a prevaccination titer ≥ 1:10 and a ≥ 4-fold increase in postvaccination titer
| percentage of participants | Seqirus Quadrivalent Influenza Vaccine | Comparator Quadrivalent Influenza Vaccine |
|---|---|---|
| A/H1N1 | 66.4 (64.0 to 68.7) | 63.3 (59.0 to 67.4) |
| A/H3N2 | 82.9 (81.0 to 84.7) | 83.3 (79.9 to 86.4) |
| B/Yamagata | 58.5 (56.0 to 60.9) | 55.1 (50.8 to 59.4) |
| B/Victoria | 72.1 (69.8 to 74.3) | 70.1 (66.0 to 74.0) |
The humoral immune response was assessed for Seqirus QIV \& comparator QIV. Serum HI titers against the 4 influenza vaccine strains was used to calculate: - The % of subjects with a titer ≥40 (seroprotection rates) at Day 1 and at Exit Visit
| percentage of participants | Seqirus Quadrivalent Influenza Vaccine | Comparator Quadrivalent Influenza Vaccine |
|---|---|---|
| A/H1N1 (pre-vaccination) | 81.2 (79.2 to 83.1) | 82.0 (78.5 to 85.2) |
| A/H3N2 (pre-vaccination) | 76.7 (74.6 to 78.7) | 74.2 (70.3 to 77.9) |
| B/Yamagata (pre-vaccination) | 13.0 (11.4 to 14.7) | 14.2 (11.3 to 17.5) |
| B/Victoria (pre-vaccination) | 27.9 (25.7 to 30.2) | 27.8 (24.1 to 31.9) |
| A/H1N1 (post-vaccination) | 99.7 (99.3 to 99.9) | 99.6 (98.6 to 100.0) |
| A/H3N2 (post-vaccination) | 99.4 (98.9 to 99.7) | 99.4 (98.3 to 99.9) |
| B/Yamagata (post-vaccination) | 75.0 (72.8 to 77.1) | 74.2 (70.3 to 77.9) |
| B/Victoria (post-vaccination) | 90.3 (88.7 to 91.7) | 88.6 (85.6 to 91.2) |
The humoral immune response was assessed for Seqirus QIV \& comparator QIV. Serum HI titers against the 4 influenza vaccine strains was used to calculate: - Geometric mean fold increase (GMFI): geometric mean fold titer rise from Day 1 to Exit Visit
| Fold Change Titer (GMFI) | Seqirus Quadrivalent Influenza Vaccine | Comparator Quadrivalent Influenza Vaccine |
|---|---|---|
| A/H1N1 | 7.5 (6.99 to 8.01) | 7.3 (6.46 to 8.30) |
| A/H3N2 | 10.7 (10.09 to 11.31) | 11.5 (10.32 to 12.71) |
| B/Yamagata | 5.8 (5.44 to 6.08) | 5.2 (4.75 to 5.71) |
| B/Victoria | 8.3 (7.81 to 8.84) | 7.7 (6.92 to 8.62) |
Collected over Local and systemic solicited AEs collected from Day 1 to Day 7. Unsolicited AEs collected for 28 days after each vaccination dose. SAEs collected for 180 days after last vaccination.. Non-serious events are listed at a 3% frequency threshold.
| Group | Deaths | Serious | Other |
|---|---|---|---|
| Seqirus Quadrivalent Influenza Vaccine | — | 8/1,692 (0.5%) | 1,019/1,692 (60.2%) |
| Comparator Quadrivalent Influenza Vaccine | — | 2/560 (0.4%) | 319/560 (57%) |
| Event | Seqirus Quadrivalent Influenza Vaccine | Comparator Quadrivalent Influenza Vaccine |
|---|---|---|
| Suicide attemptPsychiatric disorders | 0/1692 | 1/560 |
| Abortion spontaneousPregnancy, puerperium and perinatal conditions | 0/1692 | 1/560 |
| Gasteritis viralInfections and infestations | 1/1692 | 0/560 |
| InfluenzaInfections and infestations | 1/1692 | 0/560 |
| DepressionPsychiatric disorders | 1/1692 | 0/560 |
| Attention deficit/hyperactivity disorderPsychiatric disorders | 1/1692 | 0/560 |
| Bipolar disorderPsychiatric disorders | 1/1692 | 0/560 |
| Psychotic disorderPsychiatric disorders | 1/1692 | 0/560 |
| Suicidal ideationPsychiatric disorders | 1/1692 | 0/560 |
| Abdominal painGastrointestinal disorders | 1/1692 | 0/560 |
| Event | Seqirus Quadrivalent Influenza Vaccine | Comparator Quadrivalent Influenza Vaccine |
|---|---|---|
| PainGeneral disorders | 833/1692 | 254/560 |
| RednessGeneral disorders | 278/1692 | 93/560 |
| HeadacheNervous system disorders | 251/1692 | 67/560 |
| SwellingGeneral disorders | 224/1692 | 62/560 |
| MyalgiaMusculoskeletal and connective tissue disorders | 213/1692 | 60/560 |
| Malasia and FatigueGeneral disorders | 152/1692 | 36/560 |
| NauseaGastrointestinal disorders | 120/1692 | 44/560 |
| DiarrheaGastrointestinal disorders | 86/1692 | 21/560 |
| VomitingGastrointestinal disorders | 34/1692 | 18/560 |
| FeverGeneral disorders | 54/1692 | 12/560 |
The Full Analysis Set (FAS) was used for analysis of subject characteristics and comprised all subjects who gave informed consent and who were randomized to treatment. Screening failures were not included in the FAS.
| Age, Continuous(years) | Seqirus Quadrivalent Influenza Vaccine | Comparator Quadrivalent Influenza Vaccine | Total |
|---|---|---|---|
| Mean | 9.5 ± 3.49 | 9.5 ± 3.46 | 9.5 ± 3.48 |
| Age, Customized(Participants) | Seqirus Quadrivalent Influenza Vaccine | Comparator Quadrivalent Influenza Vaccine | Total |
|---|---|---|---|
| 5 through 8 years | 875 | 291 | 1166 |
| 9 through 17 years | 834 | 278 | 1112 |
| Sex: Female, Male(Participants) | Seqirus Quadrivalent Influenza Vaccine | Comparator Quadrivalent Influenza Vaccine | Total |
|---|---|---|---|
| Female | 825 | 267 | 1092 |
| Male | 884 | 302 | 1186 |
| Ethnicity (NIH/OMB)(Participants) | Seqirus Quadrivalent Influenza Vaccine | Comparator Quadrivalent Influenza Vaccine | Total |
|---|---|---|---|
| Hispanic or Latino | 412 | 130 | 542 |
| Not Hispanic or Latino | 1293 | 438 | 1731 |
| Unknown or Not Reported | 4 | 1 | 5 |
| Race (NIH/OMB)(Participants) | Seqirus Quadrivalent Influenza Vaccine | Comparator Quadrivalent Influenza Vaccine | Total |
|---|---|---|---|
| American Indian or Alaska Native | 5 | 2 | 7 |
| Asian | 16 | 2 | 18 |
| Native Hawaiian or Other Pacific Islander | 13 | 2 | 15 |
| Black or African American | 359 | 113 | 472 |
| White | 1239 | 430 | 1669 |
| More than one race | 0 | 0 | 0 |
| Unknown or Not Reported | 77 | 20 | 97 |
| Region of Enrollment(participants) | Seqirus Quadrivalent Influenza Vaccine | Comparator Quadrivalent Influenza Vaccine | Total |
|---|---|---|---|
| United States | 1709 | 569 | 2278 |
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