Optimizing the time of day of influenza vaccine administration in adults aged 60-85 years: A randomized controlled trial

2024-513558-30-00 Protocol IIV-654 Therapeutic use (Phase IV) Ended

Start 25 Sep 2024 · End 1 May 2025 · Status Ended · 1 EU/EEA countries · 1 sites · Protocol IIV-654

Overview

Sponsor-declared trial summary

Phase Therapeutic use (Phase IV)
Status Ended
Participants planned 440
Countries 1
Sites 1

Influenza

Determine the effect of the time of day of influenza vaccine administration on influenza vaccine strain-specific serum antibody titers 28 days (+/- 3 days) after vaccination in adults aged 60-85 years.

Key facts

Sponsor
Rijksinstituut voor Volksgezondheid en Milieu (RIVM)
Participant type
Healthy volunteers
Age range
18-64 years, 65+ years
Gender
Male and Female
Therapeutic area
Diseases [C] - Respiratory Tract Diseases [C08], Diseases [C] - Virus Diseases [C02]
Trial duration
25 Sep 2024 → 1 May 2025
Decision date (initial)
2024-08-15
Transition trial
No
Low-intervention
Yes
Rare-disease indication
No
Vulnerable population
No
Funding sources
National Institute for Public Health and the Environment (RIVM)

External identifiers

EU CT number
2024-513558-30-00
ISRCTN
ISRCTN65770516

Trial design

CTIS Part I — objectives, methods, condition coding

Main objective

Scope: Prophylaxis, Pharmacodynamic

Determine the effect of the time of day of influenza vaccine administration on influenza vaccine strain-specific serum antibody titers 28 days (+/- 3 days) after vaccination in adults aged 60-85 years.

Secondary objectives 4

  1. Determine the effect of the time of day of influenza vaccine administration on influenza-specific T cell responses 28 days (+/- 3 days) after vaccination in adults aged 60-85 years.
  2. Determine the optimal time of day for administering the influenza vaccine to induce the strongest vaccine strain-specific antibody and T cell responses in adults aged 60-85 years.
  3. Determine the association between chronotype and both the vaccine-induced immune response and optimal vaccination time.
  4. Determine the effect of the time of day of influenza vaccine administration on the incidence of influenza virus infection and self-reported ILI symptoms up to six months of follow-up.

Conditions and MedDRA coding

Influenza

Eligibility criteria

Principal inclusion / exclusion criteria as submitted by sponsor

Inclusion criteria 4

  1. Aged 60-85 years at the time of inclusion.
  2. Willing and able to come to the vaccination location at a randomly assigned timeslot.
  3. Available for the follow-up period of 6 months.
  4. Have provided written informed consent.

Exclusion criteria 10

  1. Known or suspected allergy to any of the vaccine components or having experienced a previous severe adverse reaction to any vaccine.
  2. Present evidence of serious diseases demanding either regular use of oral immunosuppressive medical treatment, like corticosteroids, three months prior to study enrolment, or demanding acute use of high dose oral immunosuppressives two weeks prior study to study enrolment.
  3. Receipt of an organ- or bone marrow transplant
  4. Receipt of chemotherapy in the previous year.
  5. Receipt of blood products or immunoglobulins, within 3 months before study entry.
  6. Known or suspected immunodeficiency, auto-immune disease, any type of cancer.
  7. Known to be positive for human immunodeficiency virus, and/or hepatitis C virus and/or hepatitis B virus.
  8. Receipt of any vaccine(s), including the COVID-19 vaccine, less than two weeks prior to or within one month after baseline.
  9. Receipt of influenza 2024/2025-season vaccine prior to or within one month after baseline.
  10. Known to have an increased susceptibility to bleeding (bleeding diathesis), and are therefore not suitable for intramuscular vaccination.

Endpoints

Primary and secondary outcome measures (English text)

Primary endpoints 1

  1. The increase in influenza vaccine strain-specific serum antibody titers from pre-vaccination (T0) to 28 days (+/- 3 days) post-vaccination (T1) as measured by HI assay.

Secondary endpoints 3

  1. The increase in influenza-specific T cell responses in PBMCs from pre-vaccination (T0) to 28 days (+/- 3 days) post-vaccination (T1) as measured by ELISpot.
  2. Chronotype, assessed via the micro-Munich Chronotype Questionnaire
  3. The incidence of influenza virus infection, as determined by rapid influenza diagnostic self-tests, and self-reported influenza-like illness symptoms up to six months of follow-up.

Investigational products

Investigational medicinal products (IMPs), comparators, placebo, auxiliary

Test 3

Influvac Tetra suspension for injection in pre-filled syringe (influenza vaccine, surface antigen, inactivated)

PRD10946721 · Product

Active substance
BPHUKET30732013-LIKE Virus (BPHUKET30732013, Wild Type)
Substance synonyms
B/PHUKET/3073/2013-LIKE STRAIN (B/PHUKET/3073/2013, WILD TYPE), B/Phuket/3073/2013-like strain (B/Yamagata/16/88 lineage) (B/Phuket/3073/2013, wild type)
Pharmaceutical form
SUSPENSION FOR INJECTION
Route of administration
INTRAMUSCULAR
Max daily dose
0.5 ml millilitre(s)
Max total dose
0.5 ml millilitre(s)
Max treatment duration
1 Day(s)
Authorisation status
Authorised
ATC code
J07BB02 — INFLUENZA, PURIFIED ANTIGEN
Marketing authorisation
PA23355/016/001
MA holder
VIATRIS HEALTHCARE LTD
MA country
Ireland
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Vaxigrip Tetra, suspension for injection in pre-filled syringe Quadrivalent influenza vaccine (split virion, inactivated)

PRD4633817 · Product

Active substance
BPHUKET30732013-LIKE Virus (BPHUKET30732013, Wild Type)
Substance synonyms
B/PHUKET/3073/2013-LIKE STRAIN (B/PHUKET/3073/2013, WILD TYPE), B/Phuket/3073/2013-like strain (B/Yamagata/16/88 lineage) (B/Phuket/3073/2013, wild type)
Pharmaceutical form
SUSPENSION FOR INJECTION
Route of administration
INTRAMUSCULAR
Max daily dose
0.5 ml millilitre(s)
Max total dose
0.5 ml millilitre(s)
Max treatment duration
1 Day(s)
Authorisation status
Authorised
ATC code
J07BB02 — INFLUENZA, PURIFIED ANTIGEN
Marketing authorisation
MA573/00103
MA holder
SANOFI PASTEUR
MA country
Malta
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

PNEUMOVAX 23 solution for injection in pre-filled syringe Pneumococcal Polysaccharide Vaccine

PRD4585859 · Product

Active substance
Pneumococcal Polysaccharide Serotype 4
Pharmaceutical form
SOLUTION FOR INJECTION
Route of administration
INTRAMUSCULAR
Max daily dose
0.5 ml millilitre(s)
Max total dose
0.5 ml millilitre(s)
Max treatment duration
1 Day(s)
Authorisation status
Authorised
ATC code
J07AL01 — PNEUMOCOCCUS, PURIFIED POLYSACCHARIDES ANTIGEN
Marketing authorisation
PA 1286/055/002
MA holder
MERCK SHARP & DOHME IRELAND (HUMAN HEALTH) LIMITED
MA country
Ireland
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Sponsors and contacts

Sponsor organisations, regulatory contacts, third parties

Rijksinstituut voor Volksgezondheid en Milieu (RIVM)

5 Total trials 4 Ended
Academic / Non-commercial
Sponsor organisation
Rijksinstituut voor Volksgezondheid en Milieu (RIVM)
Address
Antonie Van Leeuwenhoeklaan 9
City
Bilthoven
Postcode
3721 MA
Country
Netherlands

Scientific contact point

Organisation
Rijksinstituut voor Volksgezondheid en Milieu (RIVM)
Contact name
Study Team

Public contact point

Organisation
Rijksinstituut voor Volksgezondheid en Milieu (RIVM)
Contact name
Study Team

Locations

1 EU/EEA country · 1 investigational sites

By country

CountryMS statusPlanned subjectsSites
Netherlands Ended 440 1
Rest of world 0

Investigational sites

Netherlands

1 site · Ended
Rijksinstituut voor Volksgezondheid en Milieu (RIVM)
IIM, Antonie Van Leeuwenhoeklaan 9, 3721 MA, Bilthoven

Country notifications

Trial-start, recruitment-start, end and early-termination notifications submitted per Member State

Country Trial startTrial end Recruitment startRecruitment end Early termination
Netherlands 2024-09-25 2025-05-01 2024-11-04

Results and documents

Annex IV summary of results, Annex V layperson summary, and all documents registered in CTIS for this trial

Summary of results Art. 37(4) CTR

TitleSubmission dateStatusType
Summary of results
SUM-131710
2026-04-30T13:54:44 Submitted Summary of Results

Layperson summary Annex V

TitleSubmission dateStatusType
Laymen summary of results_Nederlands 2026-04-30T13:58:01 Submitted Laypersons Summary of Results
Laymen summary of results_English 2026-04-30T13:56:20 Submitted Laypersons Summary of Results

Documents 11 files

Public protocol annexes, IB summaries, regulatory submissions and post-authorisation documents registered in CTIS.

TypeTitleVersion
Laypersons summary of results (for publication) Laymen summary of results_English 1
Laypersons summary of results (for publication) Laymen summary of results_Nederlands 1
Protocol (for publication) D1_Protocol 2024-513558-30-00 2
Protocol (for publication) D4_Patient facing documents - Diary 1
Protocol (for publication) D4_Patient facing documents - Instructions selftest 1
Protocol (for publication) D4_Patient facing documents - Questionnaire 2
Summary of Product Characteristics (SmPC) (for publication) E2_SmPC Influvac Tetra 2
Summary of Product Characteristics (SmPC) (for publication) E2_SmPC Pneumovax-23 1
Summary of Product Characteristics (SmPC) (for publication) E2_SmPC Vaxigrip Tetra 2
Summary of results (for publication) Summary of results 1
Synopsis of the protocol (for publication) D1_Protocol Synopsis MS NL 2024-513558-30-00 2

Application history

2 submissions — initial application plus substantial / non-substantial modifications

#TypeCodeSubmittedReference MSConclusionDecision date
1 INITIAL IN 2024-04-24 Netherlands Acceptable with conditions
2024-08-12
2024-08-15
2 NON SUBSTANTIAL MODIFICATION NSM-1 2024-09-12 Netherlands Acceptable with conditions
2024-08-12
2024-09-12