CClinicalTrials.gg
Status unknownNCT02933723Updated Mar 9, 2021

Immunogenicity of Influenza Vaccine in Long Term Care

An interventional study of Blood Draw in Influenza, sponsored by Insight Therapeutics, LLC. Status unknown at 1 site in United States. Open to participants aged 65 Years and older. Per ClinicalTrials.gov, last updated 2021-03-09.

Sponsored by Insight Therapeutics, LLC · Not applicable, Interventional, and Basic science

The sponsor has not verified this record recently (last verified Mar 2021), so the status shown — last known as Active, not recruiting — may be out of date.
Phase
Not applicable
Study type
Interventional
Enrollment
200
Allocation
Non-randomized
Ages
65 Years and older
Sex
All
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Study summary

The study is designed to evaluated if adjuvanted vaccine elicits higher T cell and B cell responses than non-adjuvanted standard dose influenza vaccine in nursing home residents.

Read the detailed description

Summary: Study investigators will recruit residents of nursing homes that are administering a licensed influenza vaccine as their standard or care, either the trivalent influenza vaccine (Fluvirin) or the adjuvanted trivalent influenza vaccine (Fluad). Eligible residents are those or their legally authorized representatives who give written, informed consent for three blood draws over one month's time and permission to review their nursing home medical and administrative records, including information required to be submitted to Medicare including quality performance data (the Minimum Dataset or MDS) and Medicare claims data for demographic and underlying disease comparisons between our participating populations between nursing homes. The investigators propose to study up to 230 subjects in one season at a 1:1 ratio of adjuvanted vs. and non-adjuvanted vaccine.

Background: Influenza is the most common clinically important viral infection of older adults. Influenza vaccination is associated with reduced hospitalization, strokes, heart attacks and death in non-institutional older adult populations, but the benefit of influenza vaccine for the oldest population has been questioned. The adjuvanted vaccine was shown in the past to elicit higher antibody titers than non-adjuvanted TIV. This included the elderly population as well. There are far more limited data about cell-mediated immunity (CMI) and use of the adjuvanted vaccine. There are data that support that CMI is important beyond the helper function to B cells. CMI helps mitigate influenza disease if the antibodies alone are not adequately protective.

Objectives: To determine if adjuvanted vaccine elicits higher T cell and B cell responses than non-adjuvanted standard dose influenza vaccine in nursing home residents.

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Conditions studied

  • Influenza

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Keywords

  • influenza vaccine
  • nursing home
  • influenza
  • vaccination
  • immunity
  • cell-mediated immunity
  • humoral immunity
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In context

Influenza, Human

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

This study's planned enrollment of 200 is below the median of 238 across 1,853 interventional studies indexed under Influenza, Human.

Browse Influenza, Human studies →

Lead sponsor

Insight Therapeutics, LLC is the lead sponsor of 8 studies on the registry; none are open to participants now.

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

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Who can participate

Ages eligible
65 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Resident of Medicare Certified Facility (so they have to report Minimum Data Set (MDS) data)
  • Residence in a long-term care facility administering a Seqirus influenza vaccine as the standard-of-care.
  • Agreed to receive the vaccine that the NH plans to give to them
  • >= 65 years old
  • Able to obtain consent from subject or legally authorized representative (LAR) and assent from subject
  • Able to participate throughout the study period
  • Resident for at least 45 days prior to enrollment

Exclusion criteria

Exclusion Criteria:

  • Recent illness (within 30 days) severe enough to require hospitalization or physician-directed outpatient pharmacotherapy
  • Receiving chemotherapy for an active cancer
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Study design

Phase
Not applicable
Primary purpose
Basic science
Allocation
Non-randomized
Intervention model
Parallel assignment
Masking
Single (Outcomes assessor)
Enrollment
200 participants (estimated)

Study arms

  • Experimental
    Blood draw- adjuvanted TIV

    individuals who received adjuvanted trivalent influenza vaccine (aTIV, Fluad) and consent to a blood draw

    Procedure: Blood Draw

  • Active comparator
    Blood draw - nonadjuvanted TIV

    individuals who received nonadjuvanted trivalent influenza vaccine and consent to a blood draw

    Procedure: Blood Draw

Interventions

  • ProcedureBlood Draw

    Sampling 3 blood draws Day 0 for humoral and CMI 30 ml prior to vaccination (up to 2 week prior to vaccination) Day 7 for CMI 20 ml (+/- 1 day) Day 28 for humoral 10 ml (+/- 3 days)

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What researchers measure

Primary outcomes

  1. Change in hemagglutination inhibition (HAI)

    Fold change in antibody titers from day 0 to day 28 as determined by vaccine strain specific Hemagglutination Inhibition (HAI)

    Time frame: day 0 and day 28 +/-3 days

  2. Change in microneutralization (MN)

    Fold change in antibody titers from day 0 to day 28 as determined by vaccine strain specific microneutralization

    Time frame: day 0 and day 28 +/-3 days

Secondary outcomes

  1. Change in cell mediated immunity (CMI) - IFN-gamma

    Fold change in IFN-gamma (pg/mL) from day 0 to day 7 for vaccine strain-specific T cells

    Time frame: day 0 and day 7 +/-1 day

  2. Change in cell mediated immunity (CMI) - IL-10

    old change in IL-10 (pg/mL0 from day 0 to day 7 for vaccine strain-specific T cells

    Time frame: day 0 and day 7 +/-1 day

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Study locations

1 site
  • Case Western Reserve University
    Cleveland, Ohio 44106, United States
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References and documents

Publications

  • Nichol KL, Wuorenma J, von Sternberg T. Benefits of influenza vaccination for low-, intermediate-, and high-risk senior citizens. Arch Intern Med. 1998 Sep 14;158(16):1769-76. doi: 10.1001/archinte.158.16.1769. PubMed 9738606 ↗
  • Phrommintikul A, Kuanprasert S, Wongcharoen W, Kanjanavanit R, Chaiwarith R, Sukonthasarn A. Influenza vaccination reduces cardiovascular events in patients with acute coronary syndrome. Eur Heart J. 2011 Jul;32(14):1730-5. doi: 10.1093/eurheartj/ehr004. Epub 2011 Feb 2. PubMed 21289042 ↗
  • Frey SE, Reyes MR, Reynales H, Bermal NN, Nicolay U, Narasimhan V, Forleo-Neto E, Arora AK. Comparison of the safety and immunogenicity of an MF59(R)-adjuvanted with a non-adjuvanted seasonal influenza vaccine in elderly subjects. Vaccine. 2014 Sep 3;32(39):5027-34. doi: 10.1016/j.vaccine.2014.07.013. Epub 2014 Jul 18. PubMed 25045825 ↗
  • Van Buynder PG, Konrad S, Van Buynder JL, Brodkin E, Krajden M, Ramler G, Bigham M. The comparative effectiveness of adjuvanted and unadjuvanted trivalent inactivated influenza vaccine (TIV) in the elderly. Vaccine. 2013 Dec 9;31(51):6122-8. doi: 10.1016/j.vaccine.2013.07.059. Epub 2013 Aug 6. PubMed 23933368 ↗
  • Squarcione S, Sgricia S, Biasio LR, Perinetti E. Comparison of the reactogenicity and immunogenicity of a split and a subunit-adjuvanted influenza vaccine in elderly subjects. Vaccine. 2003 Mar 7;21(11-12):1268-74. doi: 10.1016/s0264-410x(02)00401-2. PubMed 12559808 ↗
  • Ansaldi F, Bacilieri S, Durando P, Sticchi L, Valle L, Montomoli E, Icardi G, Gasparini R, Crovari P. Cross-protection by MF59-adjuvanted influenza vaccine: neutralizing and haemagglutination-inhibiting antibody activity against A(H3N2) drifted influenza viruses. Vaccine. 2008 Mar 17;26(12):1525-9. doi: 10.1016/j.vaccine.2008.01.019. Epub 2008 Feb 1. PubMed 18294741 ↗
  • Ansaldi F, Zancolli M, Durando P, Montomoli E, Sticchi L, Del Giudice G, Icardi G. Antibody response against heterogeneous circulating influenza virus strains elicited by MF59- and non-adjuvanted vaccines during seasons with good or partial matching between vaccine strain and clinical isolates. Vaccine. 2010 Jun 7;28(25):4123-9. doi: 10.1016/j.vaccine.2010.04.030. Epub 2010 Apr 28. PubMed 20433807 ↗
  • Della Cioppa G, Nicolay U, Lindert K, Leroux-Roels G, Clement F, Castellino F, Galli G, Groth N, Del Giudice G. Superior immunogenicity of seasonal influenza vaccines containing full dose of MF59 ((R)) adjuvant: results from a dose-finding clinical trial in older adults. Hum Vaccin Immunother. 2012 Feb;8(2):216-27. doi: 10.4161/hv.18445. Epub 2012 Feb 1. PubMed 22426371 ↗
  • Wilkinson TM, Li CK, Chui CS, Huang AK, Perkins M, Liebner JC, Lambkin-Williams R, Gilbert A, Oxford J, Nicholas B, Staples KJ, Dong T, Douek DC, McMichael AJ, Xu XN. Preexisting influenza-specific CD4+ T cells correlate with disease protection against influenza challenge in humans. Nat Med. 2012 Jan 29;18(2):274-80. doi: 10.1038/nm.2612. PubMed 22286307 ↗
  • McElhaney JE, Xie D, Hager WD, Barry MB, Wang Y, Kleppinger A, Ewen C, Kane KP, Bleackley RC. T cell responses are better correlates of vaccine protection in the elderly. J Immunol. 2006 May 15;176(10):6333-9. doi: 10.4049/jimmunol.176.10.6333. PubMed 16670345 ↗

Individual participant data

Plan to share: No

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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Mar 9, 2021, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT02933723
Lead sponsor
Insight Therapeutics, LLC
Collaborators
Case Western Reserve University, University Hospitals Cleveland Medical Center, Seqirus
Responsible party
Sponsor
First posted
Oct 14, 2016
Start date
Oct 2016
Primary completion
May 24, 2017
Completion
Sep 1, 2021 (estimated)
Last update
Mar 9, 2021

Study contacts

H. Edward Davidson, PharmD
study director · Insight Therapeutics, LLC

Oversight

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

Not currently enrolling

This study is status unknown, as verified in Mar 2021. You cannot join it, but the record below documents what was studied.

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