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CAIV-T

Phase 3

Healthy | Monoclonal antibody | Other |AstraZeneca PLC|Last Updated: Sep 13, 2021

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindACTIVE_CONTROLLED
Total Trials6
Total Enrollment8,588

FDA Designations

No designations recorded

Clinical trial landscape

CAIV-T · 7 trials · 2 indications

Phase 3 4Phase 2 1Phase 1 2
NCT00192335Trial to Demonstrate Equivalent Immunogenicity of CAIV-T and FLUMIST in Healthy ParticipantsHealthy
COMPLETED890 Analytics
NCT00192400Trial to Assess the Safety and Tolerability of the Liquid Formulation of CAIV-T in Healthy Children.Healthy
COMPLETED2,160 Analytics
NCT00192374Trial to Compare the Safety, Tolerability, Immunogenicity and Efficacy of Three Dose Levels of a Liquid Formulation of Influenza Virus Vaccine, (CAIV-T) in Healthy ChildrenHealthy
COMPLETED1,920 Analytics
NCT00192244Trial to Determine the Safety and Efficacy of Influenza Virus Vaccine, Trivalent, Types A & B, Live, Cold-Adapted (CAIV-T) in Healthy ChildrenHealthy
COMPLETED3,000 Analytics
PHASE3COMPLETED
Trial to Demonstrate Equivalent Immunogenicity of CAIV-T and FLUMIST in Healthy Participants
HealthyUnlock trial analytics
PHASE3COMPLETED
Trial to Assess the Safety and Tolerability of the Liquid Formulation of CAIV-T in Healthy Children.
HealthyUnlock trial analytics
PHASE3COMPLETED
Trial to Compare the Safety, Tolerability, Immunogenicity and Efficacy of Three Dose Levels of a Liquid Formulation of Influenza Virus Vaccine, (CAIV-T) in Healthy Children
HealthyUnlock trial analytics
PHASE3COMPLETED
Trial to Determine the Safety and Efficacy of Influenza Virus Vaccine, Trivalent, Types A & B, Live, Cold-Adapted (CAIV-T) in Healthy Children
HealthyUnlock trial analytics

Study Endpoints

Primary Endpoints

- Among participants 5 through 8 years of age regardless of baseline serostatus who receive two doses, the post-dose two strain-specific geometric mean titers (GMTs) for serum HAI in the CAIV-T group are within 2-fold of those in the FluMist group
greater than 28-days post dose
The primary endpoint for efficacy is the first episode in the first season in a study child of a culture-confirmed influenza illness, caused by community-acquired subtypes antigenically similar to those contained in the vaccine.
The primary efficacy endpoint was the first episode in a study child of a culture-confirmed influenza illness, caused by community-acquired subtypes antigenically similar to those contained in the vaccine.
The primary endpoint for efficacy is the first episode during the first year in a study child of a culture-confirmed influenza-illness, caused by community-acquired subtypes.
The number of subjects achieving strain-specific hemagglutination inhibition (HAI) antibody seroconversion post Dose 1
Day 0, Day 35 post Dose 1

Immunogenicity was evaluated by comparison of pre and post-vaccination strain-specific titers of serum HAI antibody. Seroconversion was defined as a four-fold or greater rise in serum HAI antibody titer.

The number of subjects within each treatment arm who experienced influenza-like symptoms
Within 6 days post vaccination

Influenza-like symptoms, ie, typical clinical symptoms of influenza infection, including fever (oral temperature \> or = 38 degrees C), cough, runny or stuffy nose, sore throat, headache, chills, muscular pain, vomiting, decline in activity, decline in appetite.

- To compare the safety and tolerability of one and two doses of influenza virus vaccine, trivalent,(CAIV-T) with placebo when administered intranasally

Secondary Endpoints

The proportion of participants experiencing each of the reactogenicity events by dose.
Within 28 days of vaccination
The first episode in the second season in a study child of a culture-confirmed influenza illness, caused by community-acquired subtypes antigenically similar to those contained in the vaccine.
A secondary efficacy endpoint was the first episode of culture-confirmed influenza illness caused by any community-acquired antigenic subtype.
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Study Design & Arms

AllocationRANDOMIZED
MaskingDOUBLE
ModelSINGLE_GROUP
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
1ACTIVE_COMPARATORCAIVT-The total volume of 0.2 mL will be administered intranasally with a spray applicator (approximately 0.1 mL into each nostril).
2ACTIVE_COMPARATORFluMist- The total volume of 0.5 mL will be administered intranasally with a spray applicator (approximately 0.25 mL into each nostril).
Cold-adapted influenza vaccine trivalent (CAIV-T)EXPERIMENTALAll subjects were scheduled to receive 2 doses of CAIV-T.The total volume of 0.2 mL was administered intranasally with a spray applicator (approximately 0.1 mL into each nostril).
CAIV-TACTIVE_COMPARATORCAIV-T contains 3 cold-adapted influenza virus strains (A/H1N1, A/H3N2, B) concentrated and refined by centrifugal separation from the chorioallantoic membrane of specific pathogen-free (SPF) eggs, containing SPG (sucrose-phosphate-glutamate), arginine, and acid hydrolyzed pig gelatin as stabilizers. Subjects were inoculated once with about 0.1 mL of investigational vaccine in each nasal cavity (a total of 0.2 mL) using a nebulizer.
PlaceboPLACEBO_COMPARATORPlacebo contained 0.01 mol/L potassium phosphate buffer containing 0.85% sodium chloride (pH 7.2). Subjects received about 0.1 mL (a total 0.2 mL) of the control drug using a nebulizer.

Interventions

NameTypeDescription
CAIV-TBIOLOGICAL -
CAIVTBIOLOGICALThe total volume of 0.2 mL will be administered intranasally with a spray applicator (approximately 0.1 mL into each nostril).
FluMistBIOLOGICALThe total volume of 0.5 mL will be administered intranasally with a spray applicator (approximately 0.25 mL into each nostril).
CAIV-T, LiquidBIOLOGICAL -
PlaceboBIOLOGICAL0.2 mL of 0.01 mol/L potassium phosphate buffer containing 0.85% sodium chloride (pH 7.2).
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Eligibility Criteria

Age Range5 Years to 49 Years
SexALL
Healthy VolunteersYes
Study Sites3

Inclusion Criteria: * Age 5 through 49 years (not yet reached their 50th birthday); * In general good health; * Individual or parent/guardian available by telephone; * Ability of the participant or parent/guardian to understand and comply with the requirements of the protocol; and * Written informe...

Countries:United StatesPhilippinesThailandChinaBelgiumFinland
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Frequently asked questions about CAIV-T

What is CAIV-T used for?

CAIV-T is an investigational trivalent cold-adapted influenza vaccine being studied for the prevention of influenza. It has been evaluated in clinical trials involving healthy children, including those as young as 6 months, as well as healthy adults and individuals with asthma.

Who makes CAIV-T?

CAIV-T is being developed by AstraZeneca PLC, which trades under the ticker symbol AZN. The company has sponsored multiple clinical trials of this vaccine candidate across different age groups and countries.

What phase is CAIV-T in?

CAIV-T is in Phase 3 clinical development. It has completed 10 clinical trials with a total enrollment of 9,986 participants. The trials were randomized, double-blind, and active-controlled, and none are currently ongoing.

What clinical trials is CAIV-T in?

CAIV-T has been studied in several completed trials, including NCT00111579, which compared immune responses of CAIV-T with trivalent inactivated vaccine (TIV) in 52 participants, and NCT00192166, which assessed safety and immunogenicity when given with MMR vaccine in 1,200 healthy children aged 11 to 24 months.

Is CAIV-T the same as a flu shot?

CAIV-T is a live attenuated influenza vaccine, not an inactivated flu shot. It is administered intranasally and is designed to induce immune responses similar to natural infection. It has been compared directly with trivalent inactivated vaccine (TIV) in clinical trials.

How does CAIV-T work?

CAIV-T is a cold-adapted live attenuated influenza vaccine. It contains weakened influenza viruses that replicate in the cooler temperatures of the nasal passages, stimulating an immune response without causing full-blown illness. This mechanism is intended to provide protection against influenza.