Influenza Clinical Trial
Official title:
Comparative Study of Influenza Vaccines in Adults - FLU-VACS
The purpose of this study is to compare 2 licensed flu vaccines to each other and to placebo (inactive substance). The study will be conducted among healthy adult participants aged 18-49 years and is expected to last 3 years. During year 1, participants will be assigned to receive 1 of the 2 licensed flu vaccines or placebo, given as either nasal spray (live-attenuated vaccine or placebo) or injection (inactivated vaccine or placebo). Participants will receive the same assigned vaccine or placebo during year 2. During year 3, participants will be followed, but will not receive flu vaccine. Each year blood samples will be collected before and 1 month after each vaccination and at the end of each flu season in order to measure how the body responds to the vaccine and how well participants were protected from the flu. During the flu season, participants with flu-like illness will provide information on symptoms and provide a throat swab to test for virus identification.
Status | Completed |
Enrollment | 2349 |
Est. completion date | July 2007 |
Est. primary completion date | July 2007 |
Accepts healthy volunteers | Accepts Healthy Volunteers |
Gender | Both |
Age group | 18 Years to 49 Years |
Eligibility |
Inclusion Criteria: - Persons must be adult men and women aged 18-49 years. - Persons must be able and willing to provide informed consent. - Persons must expect to reside in the study area during the entire study period and be interested in participating each year. - Persons must be willing to receive the licensed live-attenuated vaccine (FluMist) or placebo given as a nasal spray, or the licensed inactivated influenza vaccine (Fluzone or Fluvirin) or placebo given as an intramuscular injection. - Persons must be willing to provide multiple blood specimens collected by venipuncture each year they are in the study. During each of the first two years of study, blood specimens will be collected three times - at the enrollment visit (immediately prior to administration of vaccine or placebo), at the first follow-up visit 3-5 weeks later, and at the end of the influenza season visit (approximately 4-6 months later); during the third year of the study, blood specimens will be collected twice only, at visits before and after the influenza season. - Persons must be willing to notify study personnel in the event of influenza-like illness, to provide information on illness symptoms, and to permit collection of a throat culture (swab) specimen for laboratory studies. - Persons must be willing to not receive an influenza vaccine while participating - other than that (influenza vaccine or placebo) received as study medication. Exclusion Criteria: - Persons with any health condition for which the inactivated vaccine is recommended (Advisory Committee on Immunization Practices - ACIP) including: chronic diseases of the pulmonary or cardiovascular systems (including asthma); chronic metabolic diseases (including diabetes); renal dysfunction; hemoglobinopathies; immune deficiency disease (including HIV infection) or on-going immunosuppressive therapy. - Persons who are currently pregnant, nursing mothers or planning a pregnancy within one month of vaccination. - Persons with hypersensitivity to egg, egg protein, thimerosal (a preservative) or the antibiotic Gentamicin (also know as Garamycin). - Persons who have had a prior serious reaction to influenza vaccine, or ever had Guillain-Barre syndrome. - Persons who are living in a household with or have direction occupational contact with immunosuppressed individuals (including health care workers with direct patient contact). - Persons who have received an influenza vaccine for the influenza season in which they are to be first enrolled or those who plan to receive an influenza vaccine during their participation in the study - other than that (influenza vaccine or placebo) received as study medication. - Persons who have received any other vaccine within one week prior to enrollment (may delay enrollment). - Persons who have had a respiratory illness or illness with fever within 3 days of study enrollment (may delay enrollment). - Persons who are participating in another research study involving any study medications (medicines or vaccines). |
Allocation: Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Parallel Assignment, Masking: Double Blind (Subject, Investigator), Primary Purpose: Prevention
Country | Name | City | State |
---|---|---|---|
United States | Ann Arbor West | Ann Arbor | Michigan |
United States | University of Michigan | Ann Arbor | Michigan |
United States | Western Michigan University Health Services | Kalamazoo | Michigan |
United States | Livonia East | Livonia | Michigan |
United States | Central Michigan University Health Services | Mt. Pleasant | Michigan |
United States | Eastern Michigan University Health Services | Ypsilanti | Michigan |
Lead Sponsor | Collaborator |
---|---|
National Institute of Allergy and Infectious Diseases (NIAID) |
United States,
Ohmit SE, Victor JC, Rotthoff JR, Teich ER, Truscon RK, Baum LL, Rangarajan B, Newton DW, Boulton ML, Monto AS. Prevention of antigenically drifted influenza by inactivated and live attenuated vaccines. N Engl J Med. 2006 Dec 14;355(24):2513-22. — View Citation
Ohmit SE, Victor JC, Teich ER, Truscon RK, Rotthoff JR, Newton DW, Campbell SA, Boulton ML, Monto AS. Prevention of symptomatic seasonal influenza in 2005-2006 by inactivated and live attenuated vaccines. J Infect Dis. 2008 Aug 1;198(3):312-7. doi: 10.108 — View Citation
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | The appearance among patients of symptomatic laboratory-confirmed influenza. | Influenza season Nov-Apr. Within 72 hours of illness onset throat swab specimens will be obtained from participants with influenza like illness (ILI). | Yes | |
Secondary | Any measurable increase in antibody titers, and the proportion with antibody levels considered protective. | Annual enrollment, post vaccination Oct-Jan, and post season Apr-May. | No |
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