This is a multiple sites phase II trial, randomized, observer-blind, dose ranging, placebo-controlled study to evaluate the immunogenicity, safety, and tolerability of a single intramuscular injection of plant-based Seasonal VLP Quadrivalent Influenza Vaccine administered in elderly subjects (50 years old and more). A total of four hundred fifty (450) subjects will be randomized in six (6) groups of 75 subjects to receive one injection of either a non-adjuvanted low, medium or high dose level of VLP, a low or high dose level of VLP of the quadrivalent VLP influenza vaccine combined with Alhydrogel® as adjuvant or the placebo preparation (100 millimolar (mM) phosphate buffer + 150 mM sodium chloride (NaCl) + 0.01% Tween 80)
This study will use cohort staggering (slow enrollment) for 3 non-adjuvanted dose levels (low, medium, high dose level of VLP per strain), 2 adjuvanted dose levels (low or high dose level of VLP per strain) and a placebo-controlled group divided in 3 cohorts: * Cohort 1: Approximately one hundred and thirty-eight (138) subjects will be randomized and dosed as follows: seventy-five (75) subjects with the lowest non-adjuvanted dose of the quadrivalent VLP vaccine, nineteen (19) subjects with the medium non-adjuvanted dose of the quadrivalent VLP vaccine, nineteen (19) subjects with the lowest adjuvanted dose of the quadrivalent VLP vaccine and twenty-five (25) subjects with a placebo. The 7-day safety data after the immunization will be collected by the clinical staff and will be reviewed by the Data and Safety Monitoring Board (DSMB). The DSMB consisting of the PIs, the Sponsor's Medical Officer and 3 external medical advisors (voting members); the members will determine if the clinical sites are allowed to continue with the immunization of the second cohort. * Cohort 2: Approximately one hundred and seventy-five (175) subjects will be randomized and dosed as follows: fifty-six (56) subjects with the medium non-adjuvanted dose quadrivalent VLP vaccine, fifty-six (56) subjects with the lowest adjuvanted dose quadrivalent VLP vaccine, nineteen (19) subjects with the highest adjuvanted dose quadrivalent VLP vaccine, nineteen (19) subjects with the highest non-adjuvanted dose quadrivalent VLP vaccine and twenty-five (25) subjects with a placebo. The 7-day safety data after the immunization will be collected by the clinical staff and reviewed by the DSMB prior to allowing immunization of the third cohort. * Cohort 3: Approximately one hundred and thirty-seven (137) subjects will be randomized and dosed as follows: fifty-six (56) subjects with the highest adjuvanted dose, fifty-six (56) subjects with the highest non-adjuvanted dose and twenty-five (25) subjects with a placebo.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
PREVENTION
Masking
QUADRUPLE
Enrollment
450
A single non-adjuvanted low dose of quadrivalent VLP vaccine
A single non-adjuvanted medium dose of quadrivalent VLP vaccine
A single non-adjuvanted high dose of quadrivalent VLP vaccine
A single low dose of quadrivalent VLP vaccine mixed with Alhydrogel®
A single high dose of quadrivalent VLP vaccine mixed with Alhydrogel®
A single dose of placebo
MUHC-Vaccine Study Centre
Pierrefonds, Quebec, Canada
Centre de recherche-CHU de Québec
Québec, Canada
inVentiv Health Clinique
Québec, Canada
Immunogenicity
Immunogenicity will be assessed by Geometric mean titers (GMTs) of Hemagglutination Inhibition (HI) antibodies against the vaccine strains on Days 0 and 21 and assessed by measuring geometric mean fold rise, seroconversion rate and seroprotection rate. Follow-up serology samples for GMTs will be collected at Day 201.
Time frame: 21 days after injection
Solicited systemic and local reactions
Safety and tolerability will be assessed by the rate, severity and relationship to vaccination of solicited and unsolicited adverse events post-vaccination. A 6-month follow-up period will be performed.
Time frame: 21 days after injection
Immunogenicity (against vaccine strains and heterologous strains)
Immunogenicity will be evaluated by Geometric mean titers (GMTs) of microneutralization (MN) antibodies (Days 0 and 21) against the vaccine strains and assessed by measuring Geometric mean fold rise ans seroconversion rate. Cross-reactivity of antibodies induced by a single dose of the quadrivalent VLP vaccine will also be assessed and measured by HI and microneutralization (MN) antibody titers for heterologous influenza strains. This will be assessed using the measure of Geometric mean fold rise, seroconversion rate and seroprotection rate (for HI only).
Time frame: 21 days after injection
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