ClinicalTrials.gg
CompletedNCT03266237Updated Aug 30, 2017

The Immune Response to Influenza Vaccinations in Elderly Individuals

A Phase 4 interventional study of Vaxigrip® in Influenza, sponsored by National University Hospital, Singapore. Completed at 9 sites in Singapore. Open to participants aged 21 Years to 90 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2017-08-30.

Sponsored by National University Hospital, Singapore · Phase 4, Interventional, and Prevention

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Phase
Phase 4
Study type
Interventional
Enrollment
240
Allocation
Randomized
Ages
21 Years to 90 Years
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-14

Among 18 studies testing vaxigrip in Influenza, Human — 1 open to participants now, 2 under way, 1 of them phase 3. vaxigrip · Influenza, Human.

Enrollment
11th of 18
240 · median 277
Started
2013
with 2 others
Phase 4
8 of 18
none open now
Registered
15th of 18
by date
Lead sponsor
1 of 18
National University Hospital, Singapore

Among the 18 studies testing vaxigrip in Influenza, Human, this one is the 11th largest by enrollment, is one of 3 that started in 2013, is one of 8 in phase 4, and was the 15th registered.

Influenza, Human

2,358 studies on the registry are indexed under Influenza, Human; 184 are open to participants now.

Browse Influenza, Human studies →

Open to participants now

1 of the 18 studies testing vaxigrip in Influenza, Human is open now, in 1 country. Recruiting first, the newest first:

By country, each count listing its studies:

About vaxigrip

No approval found in the FDA or EMA files read. How studies give it is on its page →

Who these studies take

Of the 121 Influenza, Human studies recruiting now, 66 (55%) set no upper age limit and 45 (37%) stop at 75 or younger; 33 take children under 18; 67 take healthy volunteers.

This study: 21 Years to 90 Years · all sexes · healthy volunteers too.

The full table on the hub →

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Watch this landscapeDownload CSVNarrow it in search →With an account: a weekly mail of what changed among 18 studies testing vaxigrip in Influenza, Human, or all of them as a file.
02

Study summary

The aim of this study is to characterize the immune profile of frail and healthy aged individuals and investigate their immune responsiveness including the response to influenza vaccine over an 18-month period. The project will include a longitudinal study to define immune signatures and multi-parameter profiles associated with frailty and may lead to the identification of predictive markers of evolution to frailty and Immunosenescence in the elderly.

Read the detailed description

With better healthcare available and improved accessibility, people are living longer. However, a majority of older persons cannot be considered to be aging well. Approximately 70% of those aged 85 years or older require frequent long hospitalizations because of their increased susceptibility to infections, cancers, dementia, and other age-related health problems, along with overall loss of function and autonomy associated with old age. Previous studies have shown that vaccination against influenza, which significantly reduces all-cause mortality in the elderly (65 years and older), was less immunogenic and effective with age. Frailty, a geriatric syndrome associated with low functional activity, weight loss, exhaustion, disability, decreased resilience to stressors, has been shown to increase risk for adverse outcomes and death. Better understanding the relationship between aging and waning immune responsiveness will enable the development of strategies to improve response to vaccination in the elderly and reduce morbidity and eventually mortality associated with age related complications and outcomes such as infectious diseases or frailty. A comprehensive analysis of the immune phenotype and function after antigenic challenge in older individuals would be a unique approach to understand (i) the potential associations between aging, impaired immune function and transition to frailty, (ii) which components of the immune system are altered with aging (innate vs adaptive immunity) and (iii) if early and/or late immune responses are preferentially altered with aging and frailty.

03

Conditions studied

  • Influenza

Keywords

  • Influenza
  • Influenza Virus Vaccines
  • Vaxigrip
  • Respiratory Tract Infections
  • Orthomyxoviridae Infections
  • Frailty
  • Aging
  • Safety
  • Immunogenicity
04

Who can participate

Ages eligible
21 Years to 90 Years
Sexes eligible
All
Accepts healthy volunteers
Yes

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  1. Aged ≥ 65 years and \<90 years on the day of inclusion for the elderly group, and ≥ 21-\<40 for the adult group.
  2. form has been signed and dated.
  3. Able to attend all scheduled visits and to comply with all trial procedures.
  4. Living at home.
  5. Able to walk without personal assistance and no other physical limitations that can limit participation.
  6. Recruited from the cohort in Singapore Longitudinal Ageing Study-II (SLAS-II), as well as from sites in West Jurong and from Outpatient clinics at National University Hospital (NUH).

Exclusion criteria

Exclusion Criteria:

  1. Participation at the time of study enrollment (or in the 4 weeks preceding trial vaccination) or planned participation during the present trial period in another clinical trial investigating vaccine, drug, medical device, or medical procedure.
  2. Receipt of any vaccine in the 4 weeks preceding the trial vaccination or planned receipt of any vaccine in the 4 weeks following trial vaccination, including influenza vaccination. However, 23-valent pneumococcal vaccine and tetanus vaccine will be allowed during this time window.
  3. Receipt of an influenza vaccine within the 6 months preceding the trial vaccination or planned influenza vaccination during the trial.
  4. Known or suspected congenital or acquired immunodeficiency or receipt of therapy, such as anti-cancer chemotherapy or radiation therapy, within the preceding 6 months; or long-term systemic therapy (prednisone or equivalent for more than 2 consecutive weeks within the past 3 months).
  5. Systemic to eggs, chicken proteins, or any of the vaccine components or a history of a life-threatening reaction to Vaxigrip® or to a vaccine containing any of the same substances.
  6. Deprived of freedom by an administrative or court order, or in an emergency setting, or hospitalized involuntarily.
  7. Current alcohol or drug addiction.
  8. Chronic illness that, in the opinion of the investigator, is at a stage where it might interfere with trial conduct or completion.
  9. Identified as an Investigator or employee of the Investigator or study centre with direct involvement in the proposed study, or identified as an immediate family member (i.e. parent, spouse) of the Investigator or employee with direct involvement in the proposed study.
  10. Severe audio-visual impairment.
  11. Dementia, severe cognitive impairment ( \<18), major depression or other psychotic disorders.
  12. Progressive, degenerative neurologic disease: e.g. Alzheimer's disease.
  13. Rapidly progressive or terminal illness under palliative care with less than 12 months.
  14. Primary severely muscle/joint disorders resulting in physical disability interfering with the physical performance tests needed for the study.
  15. Hospital admission in the past 6 weeks.
  16. (Relevant for the healthy young adults subjects group). Subject is pregnant (or positive urine pregnancy test), or lactating, or of (to be considered of non-childbearing potential, a female must be for at least 1 year, surgically sterile, or using an effective method of or abstinence from at least 4 weeks prior to vaccination and until at least 4 weeks after vaccination).
  17. Self-reported thrombocytopenia, contraindicating intramuscular vaccination
  18. Bleeding disorder, or receipt of anticoagulants in the 3 weeks preceding vaccination, contraindicating intramuscular vaccination upon investigator's judgement.
Terms in these criteria, in plain language(9)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

Immunosuppression

A weakened immune system. It can come from an illness, such as HIV or some blood cancers, or from medicines that turn the immune system down, for example after an organ transplant or for an autoimmune disease; steroids at higher doses count.

Read whether the line is about a condition or about medicines, and which medicines and doses it means.

Corticosteroids (steroids)

Anti-inflammatory medicines such as prednisone, prednisolone and dexamethasone — not the anabolic steroids used for muscle.

Studies differ in what they allow: check which steroid medicines, routes (tablets, injections, creams, inhalers, eye drops) and doses this study accepts.

Hypersensitivity

An allergy, or another reaction of the immune system, to a substance. “Hypersensitivity to the study drug” means a known allergic reaction to it — not every side effect a medicine can have.

MMSE and MoCA

Short tests of memory and thinking, each scored out of 30. Lower scores suggest more difficulty; criteria give a range, either to include people with memory problems or to leave them out.

Life expectancy

The study doctor’s estimate of how long someone is likely to live. Criteria use it so that people can stay in the study long enough for it to answer its question.

Childbearing potential

Able to become pregnant: from the first period until menopause, unless permanently unable to through surgery (removal of the womb, or of both ovaries or both fallopian tubes).

Criteria for people of childbearing potential usually ask for a negative pregnancy test and for contraception during the study and for a time after it.

Postmenopausal

Periods have stopped for good: usually no period for 12 months in a row without another medical reason, sometimes confirmed by a blood test (FSH).

Contraception

Ways of preventing pregnancy. “Highly effective” methods fail less than 1% of the time a year when used correctly — for example an IUD or an implant.

Criteria usually say which methods count and how long to keep using them after the last dose, sometimes for male participants too. Some studies accept a partner’s vasectomy if it was confirmed successful and that person is the participant’s only sexual partner.

05

Study design

Phase
Phase 4
Primary purpose
Prevention
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
240 participants (actual)

Study arms

  • Experimental
    Healthy Adult

    Healthy adult participants aged 21-40 years will be vaccinated with Vaxigrip® influenza vaccine

    Drug: Vaxigrip®

  • Experimental
    Healthy Elderly

    Healthy Elderly participants aged 65-90 years will be vaccinated with Vaxigrip® influenza vaccine.

    Drug: Vaxigrip®

  • Experimental
    Healthy Elderly Pre-Frail

    Healthy Elderly participants aged 65-90 years will be vaccinated with Vaxigrip® influenza vaccine.

    Drug: Vaxigrip®

  • Experimental
    Healthy Elderly Frail

    Healthy Elderly participants aged 65-90 years will be vaccinated with Vaxigrip® influenza vaccine.

    Drug: Vaxigrip®

Interventions

  • To describe the humoral immune response to Vaxigrip (IM) vaccination at Day 0 (baseline) and Day 28 according to the age and frailty status at baseline (i.e. in each study group) for each Influenza strain.

06

What researchers measure

Primary outcomes

  1. The Immune Responsiveness of Elderly Subjects when Administered Influenza Vaccination as Measured by HAI

    Hemagglutination Inhibition (HAI) titer

    Time frame: 18-month period

Secondary outcomes

  1. Cellular Immune Response and Inflammatory Profile of elderly subjects when administered influenza vaccination - Flu-Specific T cells

    % Flu-specific T cells out of total PBMCs

    Time frame: 18 months

  2. Flu-Specific B Cell Response

    No. of flu-specific B cells quantified out of 1x105 PBMCs

    Time frame: 18 months

  3. Inflammatory Markers

    Quantitative (pg/mL analyte, picogram of analyte per milliliter of plasma)

    Time frame: 18 months

Other outcomes

  1. Clinical Assessments of the elderly subjects - Weight

    Quantitative Weight (kg, kilograms)

    Time frame: 18 months

  2. Clinical Assessments of the elderly subjects - Height

    Quantitative Height (m, meters)

    Time frame: 18 months

  3. Clinical Assessments of the elderly subjects - BMI

    Quantitative BMI (weight and height will be combined to report in kg/m2)

    Time frame: 18 months

  4. Clinical Assessments of the elderly subjects - DXA

    Quantitative Dual-Energy X-Ray Absorptiometry (DXA) scan: Standardized Muscle Index (appendicular lean mass / height-squared); T-score based on Bone Mineral Density BMD (appendicular lean mass and height will be combined to report in g/cm2)

    Time frame: 18 months

07

Study locations

9 sites
  • Moral Neighbourhood Link @ Telok Blangah
    Singapore, 090003, Singapore
  • National University Hospital
    Singapore, 119228, Singapore
  • THK Seniors Activity Centre @ Henderson (Satellite 93)
    Singapore, 150093, Singapore
  • Moral Neighbourhood Link (Bukit Merah View)
    Singapore, 150118, Singapore
  • THK Seniors Activity Centre @ Beo Crescent
    Singapore, 160044, Singapore
  • SARAH Senior Activity Centre
    Singapore, 160105, Singapore
  • THK Seniors Service @ Taman Jurong
    Singapore, 610337, Singapore
  • TaRa @ Jurong Point, Jurong West Central 2
    Singapore, 648886, Singapore
  • Outpatient Clinic, St Luke's Hospital
    Singapore, 659674, Singapore
08

References and documents

Publications

  • Camous X, Visan L, Ying CTT, Abel B, Nyunt MSZ, Narang V, Poidinger M, Carre C, Sesay S, Bosco N, Burdin N, Tambyah PA, Pin NT, Larbi A. Healthy elderly Singaporeans show no age-related humoral hyporesponsiveness nor diminished plasmablast generation in response to influenza vaccine. Immun Ageing. 2018 Nov 12;15:28. doi: 10.1186/s12979-018-0137-4. eCollection 2018. PubMed 30455722 ↗

Individual participant data

Plan to share: Yes — Publication of the data in peer-reviewed journals

Supporting information: Study protocol

Time frame: five years approx

Access criteria: through a research agreement

09

Timeline

Tracking since Sep 25, 2026
Not marked actual or estimatedDates not marked actual or estimated

The record gives a start of Dec 2013, a primary completion of May 2016 and a completion of May 2016. It does not say whether these dates are actual or estimated.

How these figures are worked out, and which studies are left out of them.

Registered
Sep 20, 2016
First posted
Aug 30, 2017
Start
Dec 2013
Primary completionActual
May 2016
CompletionActual
May 2016
Last update
Aug 30, 2017
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Aug 30, 2017, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT03266237
Collaborators
National University of Singapore, Agency for Science, Technology and Research, Sanofi Pasteur, a Sanofi Company
Responsible party
Sponsor
First posted
Aug 30, 2017
Start date
Dec 2013
Primary completion
May 2016
Completion
May 2016
Last update
Aug 30, 2017

Study contacts

Professor Paul Anantharajah Tambyah, MD
principal investigator · National University of Singapore

Oversight

Data monitoring committee
Yes
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Oct 2016. You cannot join it, but the record below documents what was studied.

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