Title

Comparison of the Safety of Flublok® Versus Licensed IIV in Healthy, Medically Stable Adults ≥ 50 Years of Age
Comparison of the Safety of Flublok® Versus Licensed Inactivated Influenza Vaccine in Healthy, Medically Stable Adults ≥ 50 Years of Age
  • Phase

    Phase 3
  • Study Type

    Interventional
  • Study Participants

    2640
The hypothesis for this trial is that the incidence of a pre-defined composite of common systemic hypersensitivity adverse events for Flublok recipients is non-inferior to that reported for licensed IIV recipients. Another hypothesis is that the safety and reactogenicity of Flublok is clinically acceptable, i.e. consistent with the overall safety profiles previously observed with Flublok and with the licensed comparator.
The Advisory Committee on Immunization Practices (ACIP) recommends that all people aged 6 months and older be immunized to prevent influenza. Currently the only approved influenza vaccine across the entire age group is inactivated influenza vaccine (IIV). A Biologics Licensing Application (BLA) for Flublok was approved by the FDA for influenza immunization of adults 18-49 years of age. Additional safety and, ultimately efficacy, data is needed to support use in adults ≥50 years of age, an important age group as adults ≥65 years of age are among those at increased risk of influenza complications.
Study Started
Mar 31
2013
Primary Completion
May 31
2013
Study Completion
May 31
2013
Results Posted
Feb 18
2015
Estimate
Last Update
Feb 18
2015
Estimate

Biological Flublok

A Biologics Licensing Application (BLA) for Flublok was approved by the FDA for influenza immunization of adults 18-49 years of age. Flublok is produced using recombinant technology under serum-free conditions.

Biological Afluria

Afluria is approved for use in persons 5 years of age and older and is produced by inactivation and disruption of live influenza virus grown in embryonated chicken eggs.

Flublok Active Comparator

Flublok containing 3x45µg (135µg total) of recombinant hemagglutinin (rHA) derived from influenza A/H1N1 and A/H3N2 and influenza B viruses in a total volume of 0.5 mL

Afluria Placebo Comparator

Afluria, containing 3x15µg (45µg total), of trivalent, inactivated influenza vaccine (licensed IIV) containing influenza antigen derived from A/H1N1 and A/H3N2 and influenza B viruses in a total volume of 0.5 mL

Criteria

Inclusion Criteria:

Ambulatory adults aged 50 years and older
Medically stable, as determined by medical history and targeted physical examination based on medical history, if appropriate
Able to understand and comply with planned study procedures
Provides written informed consent prior to initiation of any study procedure.

Exclusion Criteria:

Known contraindication to either study vaccine (see product package inserts)
Receipt of any other influenza or other vaccine within 30 days prior to enrollment in this study.
Receipt of any new medication within 30 days prior to enrollment in this study
Plans to participate in any investigation involving an investigational product during this study.
Pre-existence of atopic dermatitis or any other cutaneous disorder that could complicate the evaluation of potential primary endpoints.
Any clinical or social circumstance that in the opinion of the investigator could interfere with compliance with study procedures or interfere with the interpretation of clinical data.

Summary

Flublok

Afluria

All Events

Event Type Organ System Event Term Flublok Afluria

Number of Participants With Common Hypersensitivity Reactions as Measure of Safety

Number of participants who experience a pre-defined common systemic hypersensitivity adverse event, including rash, urticaria, swelling or edema through Day 30 post-vaccine administration.

Flublok

31.0
participants

Afluria

21.0
participants

Subjects With at Least One Unsolicited Adverse Event in the 30 Days Following Vaccine Administration

Subjects with at least one serious adverse event and subjects with at least one medically-attended unsolicited adverse event occurring during the 30 days following vaccine administration

Flublok

Medically-Attended Unsolicited Adverse Events

53.0
participants

Serious Adverse Events (SAEs)

5.0
participants

Afluria

Medically-Attended Unsolicited Adverse Events

51.0
participants

Serious Adverse Events (SAEs)

10.0
participants

Number of Participants With Local and Systemic Events Reported as a Measure of Safety

Number of solicited local and systemic events of reactogenicity reported with the help of a memory aid during the seven days following vaccine administration.

Flublok

432.0
participants

Afluria

480.0
participants

Subjects With at Least One Hypersensitivity Event Reported on Day 0 and Days 0-7 Following Vaccine Administration as a Measure of Safety

Subjects with at least one pre-defined common systemic hypersensitivity adverse event, including rash, urticaria, swelling or non-dependent edema on Day 0 and for Days 0 to 7 following vaccine administration

Flublok

Day 0

5.0
participants

Days 0-7

25.0
participants

Afluria

Day 0

3.0
participants

Days 0-7

12.0
participants

Total

2627
Participants

Age, Continuous

64
years (Mean)
Full Range: 50.0 to 99.0

Age, Categorical

Ethnicity (NIH/OMB)

Race (NIH/OMB)

Region of Enrollment

Sex: Female, Male

Overall Study

Flublok

Afluria

Drop/Withdrawal Reasons

Flublok

Afluria