This study evaluates whether priming influenza naive infants, age six to 23 months, with a MF59-adjuvanted (oil in water emulsion) influenza vaccine is preferred to priming with an inactivated unadjuvanted influenza vaccine. All participants will receive a priming vaccine, either MF59-adjuvanted trivalent influenza vaccine (aTIV) or unadjuvanted quadrivalent influenza vaccine (QIV). For the booster shot the following year, two thirds of participants will receive QIV and one third will receive MF59-adjuvanted vaccine.
Children under 24 months of age suffer from an influenza burden (high morbidity and mortality) similar to that of the elderly, and have been identified as a high priority target for vaccination programs by Canada's National Advisory Committee on Immunization. There is evidence that a person's first exposure to influenza antigens may have long-term implications for protection. This is a randomized, controlled, observer-blind study that will assign participants to one of three groups. Group 1 will receive MF59-adjuvanted influenza vaccine (two doses one month apart) in the fall of year 1, followed by QIV (one dose) in the fall of year 2. Group 2 will receive QIV (two doses one month apart) in the fall of year 1, followed by QIV (one dose) in the fall of year 2. Group 3 will receive MF59-adjuvanted IV (two doses one month apart) in the fall of year 1, followed by MF59-adjuvanted IV (one dose) in the fall of year 2.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
PREVENTION
Masking
SINGLE
Enrollment
159
MF59-adjuvanted trivalent influenza virus primer: 2 doses (0.25mL) one month apart
Unadjuvanted quadrivalent influenza vaccine primer: 2 doses (0.5mL) one month apart
MF59-adjuvanted influenza virus vaccine booster: 1 dose (0.25mL), year 2
Vaccine Evaluation Center, BC Children's Hospital
Vancouver, British Columbia, Canada
IWK Health Centre
Halifax, Nova Scotia, Canada
Research Institute of the McGill University health Centre
Montreal, Quebec, Canada
Équipe de recherche en vaccination CHU de Québec-Université Laval
Québec, Quebec, Canada
Serum hemagglutination inhibition (HI) antibody titers
Serum HI antibodies to influenza antigens A/H3N2, A/H1N1, and B Yamagata and Victoria lineages will be used to calculate the seroconversion rate and the seroprotection rates.
Time frame: Before and after priming with the various vaccine combinations at day 393.
Adverse Events (AEs)
Measure local and systemic solicited and unsolicited adverse events following each vaccine dose, and severe AE throughout the study.
Time frame: Days 0 to 545
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Unadjuvanted quadrivalent influenza vaccine booster: 1 dose (0.5mL), year 2