E.1 Medical condition or disease under investigation |
E.1.1 | Medical condition(s) being investigated |
Prophylaxis of Influenza Virus Infection |
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E.1.1.1 | Medical condition in easily understood language |
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E.1.1.2 | Therapeutic area | Diseases [C] - Virus Diseases [C02] |
MedDRA Classification |
E.1.2 Medical condition or disease under investigation |
E.1.2 | Version | 20.0 |
E.1.2 | Level | PT |
E.1.2 | Classification code | 10022000 |
E.1.2 | Term | Influenza |
E.1.2 | System Organ Class | 10021881 - Infections and infestations |
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E.1.3 | Condition being studied is a rare disease | No |
E.2 Objective of the trial |
E.2.1 | Main objective of the trial |
PRIMARY IMMUNOGENICITY OBJECTIVE: To demonstrate that vaccination with QIVc elicits an immune response that is not inferior to that of a US-licensed QIV containing the recommended strains for the season, in subjects 6 months through 47 months of age, as measured by hemagglutination inhibition (HAI) assay for A/H1N1, B/Yamagata and B/Victoria strains and by microneutralization (MN) assay for A/H3N2 strain, using cell-derived target viruses. |
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E.2.2 | Secondary objectives of the trial |
SECONDARY IMMUNOGENICITY OBJECTIVES: 1. To describe the immunogenicity of QIVc and US-licensed QIV by HAI assay for A/H1N1, B/Victoria, and B/Yamagata strains, and by MN assay for A/H3N2 strain, using egg-derived target viruses. 2. To describe the immunogenicity of QIVc and US-licensed QIV by HAI assay for A/H1N1, B/Victoria, and B/Yamagata strains, and by MN assay for A/H3N2 strain, using cell-derived target viruses. 3. To describe the immunogenicity of QIVc and US-licensed QIV by MN assay for A/H1N1, B/Victoria, and B/Yamagata strains, in a subset of subjects.
SECONDARY SAFETY OBJECTIVE: 1. To evaluate the safety and reactogenicity of QIVc and US-licensed QIV |
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E.2.3 | Trial contains a sub-study | No |
E.3 | Principal inclusion criteria |
1. Individuals 6 through 47 months of age on the day of informed consent. 2. Individuals whose parent(s)/ LAR(s) have voluntarily given written informed consent after the nature of the study has been explained according to local regulatory requirements, prior to study entry. 3. Individuals who can comply with study procedures, including follow-up1. 4. Individual who is in generally good health as per the Investigator’s medical judgement. |
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E.4 | Principal exclusion criteria |
1. Acute (severe) febrile illness. 2. History of any anaphylaxis, serious vaccine reactions or hypersensitivity, including allergic reactions, to any component of vaccine or medical equipment whose use is foreseen in this study. 3. Clinical conditions representing a contraindication to intramuscular vaccination and blood draws. These may include known bleeding disorders, or treatment with anticoagulants in the 3 weeks preceding vaccination. 4. A known history of Guillain-Barre Syndrome or other demyelinating diseases such as encephalomyelitis and transverse myelitis. 5. Abnormal function of the immune system resulting from clinical conditions, which include: a. Known or suspected congenital or acquired immunodeficiency. b. Systemic administration of corticosteroids (PO/IV/IM) at any dose for more than 14 days, within 90 days prior to informed consent. Topical, inhaled and intranasal corticosteroids are permitted. Intermittent use (1 dose in 30 days) of intra-articular corticosteroids is also permitted. c. Administration of antineoplastic and immunomodulating agents or radiotherapy within 90 days prior to informed consent. 6. Received immunoglobulins or any blood products within 180 days prior to informed consent. 7. Received an investigational or non-registered medicinal product within 30 days prior to informed consent, or intend to participate in another clinical trial during the study. 8. Study personnel, family and household members of study personnel should not participate. 9. Any other clinical condition that, in the opinion of the investigator, might interfere with the results of the study or pose additional risk to the subject due to participation in the study. 10. Received influenza vaccination or has had documented influenza disease in the last 6 months prior to informed consent. 11. Received any other vaccines than influenza vaccine within 14 days (for inactivated vaccines) or 28 days (for live vaccines) prior to study vaccination or who are planning to receive any vaccine within 28 days after study vaccination. |
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E.5 End points |
E.5.1 | Primary end point(s) |
Primary Immunogenicity Endpoints: Serum antibody titers against A/H1N1, B/Victoria and B/Yamagata vaccine strains by HAI assay and serum neutralizing antibody titers against A/H3N2 vaccine strain by MN assay at Day 1 and Day 29/57 using cell-derived target virus strains. The noninferiority of QIVc compared to US-licensed QIV will be assessed for the eight co-primary endpoints of geometric mean titer (GMT) and seroconversion rate (SCR) for each cell-derived target virus strain included in QIVc as follows: - The GMT ratio for the A/H1N1 strain (HAI assay) - The GMT ratio for the A/H3N2 strain (MN assay) - The GMT ratio for the B Yamagata strain (HAI assay) - The GMT ratio for the B Victoria strain (HAI assay) - The difference between the SCRs for the A/H1N1 strain (HAI assay) - The difference between the SCRs for the A/H3N2 strain (MN assay) - The difference between the SCRs for the B Yamagata strain (HAI assay) - The difference between the SCRs for the B Victoria strain (HAI assay) |
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E.5.1.1 | Timepoint(s) of evaluation of this end point |
Immunogenicity of study vaccines will be evaluated at Day 1 and Day 29 for “previously vaccinated” subjects or Day 1 and Day 57 for “not previously vaccinated” subjects. HAI antibody responses will be evaluated for A/H1N1 and both B strains, and neutralizing antibody responses will be evaluated for the A/H3N2 strain in the immunogenicity group of subjects (primary immunogencity evaluation). Recent evolutionary changes in A/H3N2 hemagglutinin have resulted in the loss of capacity to agglutinate, and therefore the two A/H3N2 endpoints will be assessed using the MN assay. Cell-derived target virus data will be used for the primary immunogenicity analysis in both assays. |
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E.5.2 | Secondary end point(s) |
Secondary Immunogenicity Endpoints: #1 Humoral immune response in terms of HAI antibodies against A/H1N1, B/Victoria and B/Yamagata strains, using cell- and egg-derived target virus: - GMT by HAI assay at Days 1 and 29/57 - Geometric Mean Ratio (GMR), defined as the fold increase in serum HAI GMT postvaccination (Day 29/57) compared to prevaccination (Day 1) - Seropositivity rates (percentages of subjects with HAI titer ≥1:10) at Days 1 and 29/57 - Percentages of subjects with HAI titer ≥1:40 at Days 1 and 29/57 - SCR by HAI assay
#2 Neutralizing antibody titers against A/H3N2 vaccine strains, using cell- and egg-derived target virus: • GMT by MN assay at Days 1 and 29/57 • GMR, defined as the fold increase in serum MN GMT postvaccination (Day 29/57) compared to prevaccination (Day 1) • Seropositivity rates (percentages of subjects with MN titer ≥ 1:10 (LLOQ)) at Days 1 and 29/57 • SCR by MN assay, where SCR for MN is defined as the percentage of subjects with either a prevaccination MN titer <1:10 and a postvaccination MN titer ≥1:40, or a prevaccination MN titer ≥1:10 (LLOQ)) and a ≥4-fold increase in post vaccination MN titer
#2 Neutralizing antibody titers against A/H1N1, B/Victoria and B/Yamagata vaccine strains, in a subset of subjects: • GMT by MN assay at Days 1 and 29/57 • GMR, defined as the fold increase in serum MN GMT postvaccination (Day 29/57) compared to prevaccination (Day 1) • Seropositivity rates (percentages of subjects with MN titer ≥1:10 (LLOQ)) at Days 1 and 29/57 • SCR by MN assay
Secondary Safety Endpoints: the measures for assessing safety and reactogenicity are as follows: 1. Percentage of subjects with solicited AEs within 7 days after each study vaccination 2. Percentage of subjects with any unsolicited AEs from Day 1 to Day 29 (in previously vaccinated subjects) and from Day 1 to Day 57 (in not previously vaccinated subjects) 3. Percentage of subjects with any SAEs, NOCDs, AEs leading to withdrawal during the entire study period (ie, from Day 1 to Day 181 for previously vaccinated subjects or from Day 1 to Day 209 for not previously vaccinated subjects) |
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E.5.2.1 | Timepoint(s) of evaluation of this end point |
The timepoints of evaluation for the secondary immunogenicity endpoints are Day 1 and Day 29/57, the latter depending upon age and previous influenza vaccine history. For the secondary immunogenicity evaluation, HAI antibody responses will be evaluated in the immunogenicity group of subjects for A/H1N1 and both B strains, and neutralizing antibody responses will be evaluated for A/H3N2 strains, using egg- and cell-derived target virus in both assays. |
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E.6 and E.7 Scope of the trial |
E.6 | Scope of the trial |
E.6.1 | Diagnosis | No |
E.6.2 | Prophylaxis | Yes |
E.6.3 | Therapy | No |
E.6.4 | Safety | Yes |
E.6.5 | Efficacy | No |
E.6.6 | Pharmacokinetic | No |
E.6.7 | Pharmacodynamic | No |
E.6.8 | Bioequivalence | No |
E.6.9 | Dose response | No |
E.6.10 | Pharmacogenetic | No |
E.6.11 | Pharmacogenomic | No |
E.6.12 | Pharmacoeconomic | No |
E.6.13 | Others | Yes |
E.6.13.1 | Other scope of the trial description |
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E.7 | Trial type and phase |
E.7.1 | Human pharmacology (Phase I) | No |
E.7.1.1 | First administration to humans | No |
E.7.1.2 | Bioequivalence study | No |
E.7.1.3 | Other | No |
E.7.1.3.1 | Other trial type description | |
E.7.2 | Therapeutic exploratory (Phase II) | No |
E.7.3 | Therapeutic confirmatory (Phase III) | Yes |
E.7.4 | Therapeutic use (Phase IV) | No |
E.8 Design of the trial |
E.8.1 | Controlled | Yes |
E.8.1.1 | Randomised | Yes |
E.8.1.2 | Open | No |
E.8.1.3 | Single blind | No |
E.8.1.4 | Double blind | No |
E.8.1.5 | Parallel group | No |
E.8.1.6 | Cross over | No |
E.8.1.7 | Other | Yes |
E.8.1.7.1 | Other trial design description |
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E.8.2 | Comparator of controlled trial |
E.8.2.1 | Other medicinal product(s) | Yes |
E.8.2.2 | Placebo | No |
E.8.2.3 | Other | Yes |
E.8.2.3.1 | Comparator description |
Egg-based quadrivalent inactivated influenza virus vaccine |
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E.8.2.4 | Number of treatment arms in the trial | 2 |
E.8.3 |
Will this trial be conducted at a single site globally?
| No |
E.8.4 | Will this trial be conducted at multiple sites globally? | Yes |
E.8.6 Trial involving sites outside the EEA |
E.8.6.2 | Trial being conducted completely outside of the EEA | Yes |
E.8.6.3 | Specify the countries outside of the EEA in which trial sites are planned |
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E.8.7 | Trial has a data monitoring committee | No |
E.8.8 |
Definition of the end of the trial and justification where it is not the last
visit of the last subject undergoing the trial
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For the purpose of this protocol, end of study is defined as the completion of the Last Subject Last Visit (LSLV), ie, the last subject’s Day 181 or Day 209 safety assessment call, or the completion of testing of biological samples to be achieved no later than 8 months after LSLV, whichever is longer. |
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E.8.9 Initial estimate of the duration of the trial |
E.8.9.2 | In all countries concerned by the trial months | 11 |
E.8.9.2 | In all countries concerned by the trial days | 29 |