This study is being conducted to compare the immunogenicity, safety, and viral shedding of a new A/H1N1 strain that will be incorporated into the FluMist quadrivalent formulation for the 2017-2018 influenza season with the previous A/H1N1 strain that was included in the vaccine in the 2015-2016 influenza season.
This randomized, double-blind, multi-center study will enroll approximately 200 children 24 to less than (\<) 48 months of age. Participants will be randomized in a 1:1:1 ratio to receive two doses of either FluMist quadrivalent 2017-2018, FluMist quadrivalent 2015-2016 formulation, or FluMist trivalent 2015-2016 formulation. Participants will be screened within 30 days prior to randomization. Randomization will be stratified according to whether the participant ever received prior influenza vaccination. Approximately 50% of the participants will not have been previously vaccinated. All participants will receive two doses of investigational product on Study Days 1 and 28, and followed for a 28-day follow-up period after each dose. Blood and nasal samples will be collected and safety evaluations perfomed. The duration of participants participation is approximately 2 to 3 months. The study will be conducted during the influenza "off-season" in the US. After completion of the study all participants will be offered and strongly encouraged to receive an inactivated influenza vaccine approved for use in the US for the 2017-2018 influenza season.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
PREVENTION
Masking
QUADRUPLE
Enrollment
200
0.2 mL (total dose in both nostrils) on Days 1 and 28. Each 0.2 mL dose will contain 10\^7±0.5 FFU of each vaccine strain.
0.2 mL (total dose in both nostrils) on Days 1 and 28. Each 0.2 mL dose will contain 10\^7±0.5 FFU of each vaccine strain.
0.2 mL (total dose in both nostrils) on Days 1 and 28. Each 0.2 mL dose will contain 10\^7±0.5 FFU of each vaccine strain.
Research Site
Savannah, Georgia, United States
Research Site
Bardstown, Kentucky, United States
Research Site
St Louis, Missouri, United States
Percentage of Participants With A/H1N1 Hemagglutination Inhibition (HAI) Antibody Seroconversion Rate at Day 28
Seroconversion rate is defined as at least (\>=) 4-fold rise from baseline in A/H1N1 HAI antibody titer. Percentage of participants with \>= 4-fold rise in A/H1N1 HAI antibody titer at Day 28 is reported. Comparative statistical analysis was planned only for 'FluMist Quadrivalent (2015-2016)' and 'FluMist Quadrivalent (2017-2018)' arms.
Time frame: Day 28
Percentage of Participants With A/H3N2 HAI Antibody Seroconversion Rate at Day 28
Seroconversion rate is defined as \>= 4-fold rise from baseline in A/H3N2 HAI antibody titer. Percentage of participants with \>= 4-fold rise in A/H3N2 HAI antibody titer at Day 28 is reported.
Time frame: Day 28
Percentage of Participants With B/Yamagata HAI Antibody Seroconversion Rate at Day 28
Seroconversion rate is defined as \>= 4-fold rise from baseline in B/Yamagata HAI antibody titer. Percentage of participants with \>= 4-fold rise in B/Yamagata HAI antibody titer at Day 28 is reported.
Time frame: Day 28
Percentage of Participants With B/Victoria HAI Antibody Seroconversion Rate at Day 28
Seroconversion rate is defined as \>= 4-fold rise from baseline in B/Victoria HAI antibody titer. Percentage of participants with \>= 4-fold rise in B/Victoria HAI antibody titer at Day 28 is reported.
Time frame: Day 28
Percentage of Participants With A/H1N1 HAI Antibody Seroconversion Rate at Day 56
Seroconversion rate is defined as \>= 4-fold rise from baseline in A/H1N1 HAI antibody titer. Percentage of participants with \>= 4-fold rise in A/H1N1 HAI antibody titer at Day 56 is reported. Comparative statistical analysis was planned only for 'FluMist Quadrivalent (2015-2016)' and 'FluMist Quadrivalent (2017-2018)' arms.
Time frame: Day 56
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Research Site
Norfolk, Nebraska, United States
Research Site
Omaha, Nebraska, United States
Research Site
Binghamton, New York, United States
Research Site
Dakota Dunes, South Dakota, United States
Research Site
Fort Worth, Texas, United States
Research Site
San Angelo, Texas, United States
Research Site
Tomball, Texas, United States
...and 2 more locations
Percentage of Participants With A/H3N2 HAI Antibody Seroconversion Rate at Day 56
Seroconversion rate is defined as \>= 4-fold rise from baseline in A/H3N2 HAI antibody titer. Percentage of participants with \>= 4-fold rise in A/H3N2 HAI antibody titer at Day 56 is reported.
Time frame: Day 56
Percentage of Participants With B/Yamagata HAI Antibody Seroconversion Rate at Day 56
Seroconversion rate is defined as \>= 4-fold rise from baseline in B/Yamagata HAI antibody titer. Percentage of participants with \>= 4-fold rise in B/Yamagata HAI antibody titer at Day 56 is reported.
Time frame: Day 56
Percentage of Participants With B/Victoria HAI Antibody Seroconversion Rate at Day 56
Seroconversion rate is defined as \>= 4-fold rise from baseline in B/Victoria HAI antibody titer. Percentage of participants with \>= 4-fold rise in B/Victoria HAI antibody titer at Day 56 is reported.
Time frame: Day 56
Percentage of Participants Who Shed Vaccine Virus by Formulation, Strain, Dose Number, and Baseline Serostatus as Measured by Quantitative Reverse Transcriptase Polymerase Chain Reaction (qRT-PCR)
Quantitative reverse transcriptase polymerase chain reaction (qRT-PCR) was used to measure viral shedding from the nasopharyngeal swabs. Percentage of participants who shed virus are reported.
Time frame: Days 2, 3, 4, 5, and 7 after Dose 1 (Day 1 dose) and on Days 2, 4, and 6 after Dose 2 (Day 28 dose)
Number of Days of Vaccine Virus Shedding by Formulation, Strain, Dose Number, and Baseline Serostatus as Measured by qRT-PCR
Quantitative reverse transcriptase polymerase chain reaction (qRT-PCR) was used to measure viral shedding from the nasopharyngeal swabs. Number of days of virus shedding are reported.
Time frame: Days 2, 3, 4, 5, and 7 after Dose 1 (Day 1 dose) and on Days 2, 4 and 6 after Dose 2 (Day 28 dose)
Viral Titer by Day, Strain, Dose Number, and Baseline Serostatus as Measured by qRT-PCR
Quantitative reverse transcriptase polymerase chain reaction (qRT-PCR) was used to measure viral titer from the nasopharyngeal swabs. Viral titers are reported.
Time frame: Day (D) 2, D3, D4, D5, and D7 after Dose 1 (D1 dose) and on D2, D4 and D6 after Dose 2 (D28 dose)
Percentage of Participants With Strain-specific Neutralizing Antibody Seroconversion Rates From Baseline Through Days 28 and 56 by Baseline Serostatus
Seroconversion rate is defined as \>= 4-fold rise from baseline in strain specific microneutralizing antibody titer. Baseline microneutralization values of less than or equal to (\<=) 10 were considered as microneutralization status negative and values greater than (\>) 10 were considered microneutralization positive. Percentage of participants with \>= 4-fold rise in strain specific neutralizing antibody titer at Days 28 and 56 are reported.
Time frame: Days 28 and 56
Percentage of Participants With Strain-specific Nasal Immunoglobulin A (IgA) Seroconversion Rate From Baseline Through Days 28 and 56
Seroconversion rate is defined as \>= 2-fold rise from baseline in strain speciific nasal IgA antibody titer. Percentage of participants with \>= 2-fold rise in strain speciific nasal IgA antibody titer at Days 28 and 56 are reported for this outcome.
Time frame: Days 28 and 56
Percentage of Participants With Any Post Dose Strain-specific Antibody Response
Strain specific antibody response defined as \>= 4-fold increase in HAI antibodies or \>= 4-fold increase in neutralizing antibodies or \>= 2-fold increase in IgA antibodies.
Time frame: Days 28 and 56
Percentage of Participants With Any Solicited Symptoms
Solicited symptoms included fever by any route (temperature \>= 100.4 degrees Fahrenheit), runny/stuffy nose, sore throat, cough, headache, generalized muscle aches, lethargy or tiredness/weakness, and decreased appetite.
Time frame: Day 1 through Day 14 after Dose 1 (Day 1 dose) and Dose 2 (Day 28 dose)
Number of Participants With Treatment-emergent Adverse Events (TEAEs) and Treatment-emergent Serious Adverse Events (TESAEs)
An Adverse Event (AE) is any unfavourable and unintended sign, symptoms, or diseases temporally associated with use of study drug, whether or not considered related to study drug. A serious adverse event (SAE) is an AE that results in death, initial or prolonged inpatient hospitalization, life-threatening, persistent or significant disability/incapacity, congenital anomaly/birth defect, or an important medical event. TEAEs and TESAEs are defined as AEs and SAEs present at baseline that worsened in intensity after administration of study drug, or events absent at baseline that emerged after administration of study drug.
Time frame: Day 1 through Day 28 after Dose 1 (Day 1 dose) and Dose 2 (Day 28 dose)