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CompletedNCT02743117FluMistUpdated Oct 4, 2017Results posted

Study to Evaluate the Safety of 1 New 6:2 Influenza Virus Reassortant in Adults for the 2016-2017 Season

A Phase 4 interventional study of Monovalent Influenza Vaccine and Placebo in Influenza and 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 2017-10-04.

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

Phase
Phase 4
Study type
Interventional
Enrollment
301
Allocation
Randomized
Ages
18 Years to 49 Years
Sex
All
01

Study summary

This prospective annual release study is designed to evaluate the safety of 1 new influenza virus vaccine strain to be included in FluMist Quadrivalent for the 2016-2017 influenza season

Read the detailed description

This prospective, randomized, double-blind, placebo-controlled release study will enroll approximately 300 healthy adults 18 to 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. Randomization will be stratified by site. This study will be conducted at 3 sites in the United States of America. Each subject will receive 1 dose of investigational product on Day 1. The duration of study participation for each subject is the time from study vaccination through 180 days after study vaccination.

02

Conditions studied

  • Influenza
  • Healthy

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Keywords

  • Trivalent
  • Influenza
  • FluMist Quadrivalent
  • Vaccine
  • Prevention
  • Healthy
  • Monovalent
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 301 is above the median of 238 across 1,853 interventional studies indexed under Influenza, Human.

Browse Influenza, Human studies →

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

  • Age 18 through 49 years
  • Written informed consent
  • Subject available by telephone
  • Ability to understand and comply with the requirements of the protocol, as judged by the Investigator

Exclusion criteria

Exclusion Criteria:

  • Concurrent enrollment in another clinical study up to 180 days after receipt of investigational product (Day 181)
  • 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
  • Any condition for which the inactivated influenza vaccine is indicated, including chronic disorders of the pulmonary or cardiovascular systems (example [eg], asthma), chronic metabolic diseases (eg, diabetes mellitus), renal dysfunction, or hemoglobinopathies that required regular medical follow-up or hospitalization during the preceding year
  • Acute febrile (greater than [>] 100.0 degrees Fahrenheit [F] oral or equivalent) and/or clinically significant respiratory illness (example, cough or sore throat) within 14 days prior to randomization
  • Any known immunosuppressive condition or immune deficiency disease, including human immunodeficiency virus infection, or ongoing immunosuppressive therapy
  • History of Guillain-Barré syndrome
05

Study design

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

Study arms

  • Experimental
    Monovalent Influenza Vaccine

    A single dose of 10\^(7.0 +/- 0.5) fluorescent focus units (FFU) strain of monovalent influenza vaccine will be administered as intranasal spray on Day 1.

    Biological: Monovalent Influenza Vaccine

  • Placebo comparator
    Placebo

    A single dose of placebo matched to monovalent influenza vaccine will be administered as intranasal spray on Day 1.

    Other: Placebo

Interventions

  • BiologicalMonovalent Influenza Vaccine

    A single dose of 10\^(7.0 ± 0.5) FFU strain of monovalent influenza vaccine will be administered as intranasal spray on Day 1.

  • OtherPlacebo

    A single dose of placebo matched to monovalent influenza vaccine will be administered as intranasal spray on Day 1.

06

What researchers measure

Primary outcomes

  1. Percentage of Participants With Fever Greater Than or Equal to (>=) 101 Degrees Fahrenheit (F)

    Percentage of participants with fever defined as oral temperature \>=101 degrees F were reported.

    Time frame: Baseline (Day 1) up to Day 8

Secondary outcomes

  1. Percentage of Participants With Solicited Symptoms

    Solicited symptoms are predefined symptoms or events specifically inquired about and assessed daily after vaccine administration up to 15 days after vaccination. The solicited symptoms include fever greater than (\>) 100.0 degrees F (37.8 degrees Celsius), runny nose, sore throat, cough, vomiting, muscle aches, chills, decreased activity and headache. Results were reported for all solicited symptoms except fever \>=101 degrees F (reported as primary outcome) up to 8 days after vaccination and all solicited symptoms up to 15 days after vaccination.

    Time frame: Baseline (Day 1) up to Day 8 and Day 15

  2. Number of Participants With Treatment-Emergent Adverse Events (TEAEs)

    An adverse event (AE) is any untoward medical occurrence in a participant who received study drug without regard to possibility of causal relationship. Treatment-emergent AEs were events between administration of study drug and up to 15 days after vaccination that are absent before treatment or that worsened relative to pre-treatment state. Results were given for AEs reported up to 8 days and 15 days after vaccination.

    Time frame: Baseline (Day 1) up to Day 8 and Day 15

  3. Number of Participants With Treatment-Emergent Serious Adverse Events (TESAEs) and New Onset Chronic Diseases (NOCDs)

    An AE is any untoward medical occurrence in a participant who received study drug without regard to possibility of causal relationship. An SAE is an AE resulting in any of the following outcomes or deemed significant for any other reason: death; initial or prolonged inpatient hospitalization; life-threatening experience (immediate risk of dying); persistent or significant disability/incapacity; congenital anomaly. Treatment-emergent SAEs were serious events between administration of study drug and up to 181 days after the dose that are absent before treatment or that worsen relative to pretreatment state. An NOCD is a newly diagnosed medical condition that is of a chronic, ongoing nature and is assessed by the investigator as medically significant. Results were given for TESAEs and NOCDs reported up to 29 days and 181 days after vaccination.

    Time frame: Baseline (Day 1) up to Day 29 and Day 181

  4. Percentage of Participants Who Require Antipyretic and/or Analgesic Medication

    Percentage of participants who require antipyretic and/or analgesic medication were reported.

    Time frame: Baseline (Day 1) up to Day 8 and Day 15

07

Results

Posted Oct 4, 2017

Participant flow

A total of 301 participants were randomized and participated in the study from 02-May-2016 through 30-Nov-2016 at 3 sites in the United States of America (USA).

Participant flow — Overall Study
MilestonePlaceboMonovalent Influenza Vaccine
Started60241
Treated59241
Completed59240
Not completed11
Withdrew: Lost to follow-up01
Withdrew: Other10

Outcome measures

PrimaryPercentage of Participants With Fever Greater Than or Equal to (>=) 101 Degrees Fahrenheit (F)

Percentage of participants with fever defined as oral temperature \>=101 degrees F were reported.

Time frame:
Baseline (Day 1) up to Day 8
Reported as:
Number · Percentage of participants
Percentage of Participants With Fever Greater Than or Equal to (>=) 101 Degrees Fahrenheit (F)
Percentage of participantsPlaceboMonovalent Influenza Vaccine
Percentage of Participants With Fever Greater Than or Equal to (>=) 101 Degrees Fahrenheit (F)1.70.4
Statistical analysis
  • Placebo vs Monovalent Influenza Vaccine · Rate difference: -1.3 · 95% CI -8.1 to 1.3
SecondaryPercentage of Participants With Solicited Symptoms

Solicited symptoms are predefined symptoms or events specifically inquired about and assessed daily after vaccine administration up to 15 days after vaccination. The solicited symptoms include fever greater than (\>) 100.0 degrees F (37.8 degrees Celsius), runny nose, sore throat, cough, vomiting, muscle aches, chills, decreased activity and headache. Results were reported for all solicited symptoms except fever \>=101 degrees F (reported as primary outcome) up to 8 days after vaccination and all solicited symptoms up to 15 days after vaccination.

Time frame:
Baseline (Day 1) up to Day 8 and Day 15
Reported as:
Number · Percentage of participants
Percentage of Participants With Solicited Symptoms
Percentage of participantsPlaceboMonovalent Influenza Vaccine
Up to Day 833.925.7
Up to Day 1537.329.9
Statistical analysis
  • Placebo vs Monovalent Influenza Vaccine · Rate difference: -8.2 · 95% CI -22.2 to 4.6
  • Placebo vs Monovalent Influenza Vaccine · Rate difference: -7.4 · 95% CI -21.6 to 5.9
SecondaryNumber of Participants With Treatment-Emergent Adverse Events (TEAEs)

An adverse event (AE) is any untoward medical occurrence in a participant who received study drug without regard to possibility of causal relationship. Treatment-emergent AEs were events between administration of study drug and up to 15 days after vaccination that are absent before treatment or that worsened relative to pre-treatment state. Results were given for AEs reported up to 8 days and 15 days after vaccination.

Time frame:
Baseline (Day 1) up to Day 8 and Day 15
Reported as:
Number · Participants
Number of Participants With Treatment-Emergent Adverse Events (TEAEs)
ParticipantsPlaceboMonovalent Influenza Vaccine
Up to Day 819
Up to Day 15114
SecondaryNumber of Participants With Treatment-Emergent Serious Adverse Events (TESAEs) and New Onset Chronic Diseases (NOCDs)

An AE is any untoward medical occurrence in a participant who received study drug without regard to possibility of causal relationship. An SAE is an AE resulting in any of the following outcomes or deemed significant for any other reason: death; initial or prolonged inpatient hospitalization; life-threatening experience (immediate risk of dying); persistent or significant disability/incapacity; congenital anomaly. Treatment-emergent SAEs were serious events between administration of study drug and up to 181 days after the dose that are absent before treatment or that worsen relative to pretreatment state. An NOCD is a newly diagnosed medical condition that is of a chronic, ongoing nature and is assessed by the investigator as medically significant. Results were given for TESAEs and NOCDs reported up to 29 days and 181 days after vaccination.

Time frame:
Baseline (Day 1) up to Day 29 and Day 181
Reported as:
Number · Participants
Number of Participants With Treatment-Emergent Serious Adverse Events (TESAEs) and New Onset Chronic Diseases (NOCDs)
ParticipantsPlaceboMonovalent Influenza Vaccine
Up to Day 29: TESAEs00
Up to Day 29: NOCDs00
Up to Day 181: TESAEs00
Up to Day 181: NOCDs00
SecondaryPercentage of Participants Who Require Antipyretic and/or Analgesic Medication

Percentage of participants who require antipyretic and/or analgesic medication were reported.

Time frame:
Baseline (Day 1) up to Day 8 and Day 15
Reported as:
Number · Percentage of participants
Percentage of Participants Who Require Antipyretic and/or Analgesic Medication
Percentage of participantsPlaceboMonovalent Influenza Vaccine
Up to Day 83.41.2
Up to Day 155.11.7

Adverse events

Collected over Adverse Events: From Screening (Day -14) up to Day 15, and Serious Adverse Events: From Screening (Day -14) up to Day 181. Non-serious events are listed at a 0% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Placebo—0/59 (0%)1/59 (1.7%)
Monovalent Influenza Vaccine—0/241 (0%)14/241 (5.8%)
Most frequent other events
Most frequent other events
EventPlaceboMonovalent Influenza Vaccine
Nasal congestionRespiratory, thoracic and mediastinal disorders0/595/241
PyrexiaGeneral disorders1/591/241
NauseaGastrointestinal disorders0/593/241
SneezingRespiratory, thoracic and mediastinal disorders0/592/241
DiarrhoeaGastrointestinal disorders0/591/241
Food poisoningGastrointestinal disorders0/591/241
LaryngitisInfections and infestations0/591/241
PharyngitisInfections and infestations0/591/241
DysgeusiaNervous system disorders0/591/241

Baseline characteristics

The intent-to-treat (ITT) population included all participants that were randomized and treated with investigational product.

Age, Continuous
Age, Continuous(Years)PlaceboMonovalent Influenza VaccineTotal
Mean33.2 ± 9.433.3 ± 9.533.3 ± 9.4
Sex: Female, Male
Sex: Female, Male(Participants)PlaceboMonovalent Influenza VaccineTotal
Female33139172
Male26102128
08

Study locations

3 sites
  • Research Site
    South Miami, Florida 33143, United States
  • Research Site
    Stockbridge, Georgia 30281, United States
  • Research Site
    Portland, Oregon 97239, United States
09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Oct 4, 2017, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT02743117
Lead sponsor
MedImmune LLC
Collaborators
AstraZeneca
Responsible party
Sponsor
First posted
Apr 19, 2016
Start date
May 2, 2016
Primary completion
Nov 30, 2016
Completion
Nov 30, 2016
Results posted
Oct 4, 2017
Last update
Oct 4, 2017

Oversight

Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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