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Trivalent influenza virus vaccine

Phase 3

Human | Monoclonal antibody | Infectious Disease |Novartis AG|Last Updated: Apr 23, 2021

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Trial Design

UNCONTROLLED
Total Trials1
Total Enrollment126

FDA Designations

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Clinical trial landscape

Trivalent influenza virus vaccine · 3 trials · 4 indications

Phase 3 2Phase 2 1
NCT01640327Safety and Immunogenicity of One Dose of Seasonal Trivalent Influenza Virus Vaccine (TIVf, Purified Surface Antigen, Inactivated, Egg Derived) in Adults Aged 18 Years and AboveHuman
COMPLETED126 Analytics
NCT00841763Safety, Tolerability and Immunogenicity of Two Doses of Adjuvanted Monovalent Influenza Vaccine Administered to Healthy Adult and Elderly SubjectsPandemic Influenza Disease
COMPLETED3,647 Analytics
PHASE3COMPLETED
Safety and Immunogenicity of One Dose of Seasonal Trivalent Influenza Virus Vaccine (TIVf, Purified Surface Antigen, Inactivated, Egg Derived) in Adults Aged 18 Years and Above
HumanUnlock trial analytics
PHASE3COMPLETED
Safety, Tolerability and Immunogenicity of Two Doses of Adjuvanted Monovalent Influenza Vaccine Administered to Healthy Adult and Elderly Subjects
Pandemic Influenza DiseaseUnlock trial analytics

Study Endpoints

Primary Endpoints

Percentage of Subjects With Seroconversion or Significant Increase in HI Titer Against Each of Three Vaccine Strains After One Vaccination of TIVf
Day 22

Immunogenicity was measured as the percentage of subjects who achieved seroconversion or significant increase in hemagglutination inhibition (HI) titer, against each of three vaccine strains, three weeks after vaccination (day 22), evaluated using HI antigen assay. As per the European (CHMP) criteria seroconversion or significant increase in titer was defined as the percentage of subjects with a prevaccination HI titer \<10 to a postvaccination HI titer ≥40; or in subjects with a prevaccination HI titer ≥10, a ≥4-fold increase in postvaccination HI antibody titer. This criterion was met according to CHMP guideline if percentage of subjects achieving seroconversion or significant increase in HI titer is \>40% (≥18 years to ≤60 years) or \>30% (≥61 years).

Geometric Mean Ratio of Subjects Against Each of Three Vaccine Strains After One Vaccination of TIVf
Day 22

Geometric mean ratio (GMR) of subjects was calculated as the ratio of postvaccination to prevaccination HI geometric mean titers (GMTs), directed against each of three vaccine strains, three weeks after vaccination (day 22). The CHMP criterion was met if the geometric mean increase (GMR, day 22/day 1) in HI antibody titer was \>2.5 (≥18 years to ≤60 years) or \>2.0 (≥61 years).

Percentage of Subjects Who Achieved HI Titer ≥40 Against Each of Three Vaccine Strains After One Vaccination of TIVf
Day 1 and 22

Immunogenicity was measured as the percentage of subjects achieving HI titer ≥40 against each of three vaccine strains at baseline (day 1) and three weeks after TIVf vaccination (day 22). This criterion was met according to CHMP guideline if percentage of subjects achieving HI titer ≥40 is \>70% (≥18 years to ≤60) or \>60% (≥61 years).

Number of Subjects With at Least One Reactogenicity Sign After Two Doses of the Adjuvanted Pandemic Influenza Vaccine.
Up to 6 days after each vaccination.

To assess the safety and tolerability profile of two doses of the MF59-adjuvanted A/Vietnam/1194/2004 pandemic influenza vaccine (aH5N1), each containing 7.5 μg of H5N1 antigen in terms of the number of participants who reported local and systemic reactions up to 6 days after each vaccination per vaccination group.

Number of Subjects Exposed to Adjuvanted Pandemic Influenza Vaccine.
Upto Day 224 post vaccination

To report safety data from a large enough number of subjects exposed to adjuvanted pandemic influenza vaccine aH5N1 capable of detecting rare adverse events (AEs), i.e. events occurring at a frequency of \<=0.1%, \& uncommon AEs in elderly, i.e. occurring at a frequency of \<=1% of subjects.

Percentage of Subjects Who Achieved Seroconversion or Significant Increase in SRH Area Against Each of Three Vaccine Strains After One Vaccination of TIV
Day 22

Immunogenicity was measured as the percentage of subjects who achieved seroconversion or significant increase in single radial hemolysis (SRH) area, against each of three vaccine strains, three weeks after vaccination (day 22), evaluated using SRH assay. Seroconversion or significant increase in SRH area was defined as the percentage of subjects with a negative prevaccination serum (SRH area ≤4 mm2) to a postvaccination SRH area ≥25 mm2; or a significant increase in antibody titer from a non-negative prevaccination serum, i.e., at least a 50% increase in area. The European (CHMP) criterion is met if percentage of subjects achieving seroconversion or significant increase in SRH area is \>40% (≥18 years to ≤60 years) or 30% (≥61 years).

Geometric Mean Ratio of Subjects Against Each of Three Vaccine Strains After One Vaccination of TIV
Day 22

Geometric mean ratio (GMR) of subjects was calculated as the ratio of postvaccination to prevaccination SRH geometric mean areas (GMAs), directed against each of three vaccine strains, three weeks after vaccination (day 22). The CHMP criterion was met if the geometric mean increase (GMR, day 22/day 1) in SRH antibody area is \>2.5 (≥18 years to ≤60 years) or \>2.0 (≥61 years).

Percentage of Subjects Who Achieved SRH Area ≥25 mm2 Against Each of Three Vaccine Strains After One Vaccination of TIV
Day 1 and 22

Immunogenicity was measured as the percentage of subjects achieving SRH area ≥25 mm2 against each of three vaccine strains at baseline (day 1) and three weeks after TIV vaccination (day 22). This criterion was met according to CHMP guideline if percentage of subjects achieving SRH area ≥25 mm2 is \>70% (≥18 years to ≤60) or 60% (≥61 years).

Secondary Endpoints

Numbers of Subjects Who Reported Solicited Local and Systemic Reactions (Day 1 - Day 4 Postvaccination)
From day 1 through day 4 postvaccination
The Number of Subjects With at Least One Reactogenicity Sign After Two Doses of the Adjuvanted Pandemic aH5N1 Vaccine as Compared With the Adjuvanted Seasonal Trivalent Influenza Vaccine aTIV.
Up to 6 days after each vaccination.
Geometric Mean Titers (GMTs) After Two Doses of the Adjuvanted Pandemic aH5N1 Vaccine Against the Homologous A/Vietnam/1194/2004 Strain.
Day 22, Day 43, Day 64
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Study Design & Arms

AllocationNA
MaskingNONE
ModelSINGLE_GROUP
PurposePREVENTION

Treatment Arms

ArmTypeDescription
TIVfEXPERIMENTAL -
TIV + aH5N1EXPERIMENTALFirst dose of the non-adjuvanted trivalent influenza virus vaccine (TIV) followed by two doses of the adjuvanted monovalent influenza virus vaccine (aH5N1).
PL + aTIVACTIVE_COMPARATORFirst dose of placebo (PL-saline) followed by two doses of the adjuvanted trivalent influenza virus vaccine (aTIV).
Arm 1EXPERIMENTAL -

Interventions

NameTypeDescription
Trivalent influenza virus vaccine (TIVf)BIOLOGICALA single dose (0.5 mL) of vaccine supplied in prefilled syringes was administered intramuscularly in the deltoid muscle, preferably of the non dominant arm
Placebo (PL)BIOLOGICALOne dose of 0.5 ml IM injection of isotonic saline solution was administered in the deltoid muscle, preferably of the non-dominant arm.
Trivalent influenza virus vaccine (TIV)BIOLOGICALA single IM injection of a 0.5 ml dose of non-adjuvanted trivalent influenza virus vaccine administered in the deltoid muscle, preferably of the non-dominant arm.
Adjuvanted monovalent influenza virus vaccine (aH5N1)BIOLOGICALTwo intramuscular (IM) injections of a 0.5 ml dose administered three weeks apart in the deltoid muscle.
Adjuvanted trivalent influenza virus vaccine (aTIV)BIOLOGICALTwo IM injections of a 0.5 ml dose of adjuvanted trivalent influenza virus vaccine administered three weeks apart, in the deltoid muscle.
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Eligibility Criteria

Age Range18 Years to N/A
SexALL
Healthy VolunteersYes
Study Sites1

Inclusion Criteria: 1. Male and female volunteers of 18 years of age or older, mentally competent, were willing and gave written informed consent prior to study entry; 2. Individuals who complied with all the study requirements; 3. Individuals in good health as determined by the outcome of medical ...

Countries:GermanyFinlandBelgium
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Frequently asked questions about Trivalent influenza virus vaccine

What is Trivalent influenza virus vaccine used for?

Trivalent influenza virus vaccine is used for pandemic influenza disease and human influenza. It is an investigational vaccine being developed by Novartis AG (NVS) for the prevention of influenza. The vaccine is currently in Phase 3 clinical development, with completed trials evaluating its safety, tolerability, and immunogenicity in adult and elderly populations.

Who makes Trivalent influenza virus vaccine?

Trivalent influenza virus vaccine is being developed by Novartis AG, which trades under the ticker NVS. The company has conducted clinical trials for this vaccine in countries including Finland, Germany, and Belgium, focusing on healthy adult and elderly subjects to assess its safety and immunogenicity.

What phase is Trivalent influenza virus vaccine in?

Trivalent influenza virus vaccine is in Phase 3 clinical development. It has completed Phase 3 trials, including a study with 3,647 participants evaluating two doses of an adjuvanted monovalent influenza vaccine for pandemic influenza. The vaccine remains investigational and is not yet approved for commercial use.

What clinical trials is Trivalent influenza virus vaccine in?

Trivalent influenza virus vaccine has been studied in several completed trials. NCT00841763 was a Phase 3 trial with 3,647 participants in Finland and Germany for pandemic influenza. NCT01636102 was a Phase 2 trial with 126 participants in Belgium, and NCT01640327 was a Phase 3 trial with 126 participants in Germany for human influenza.

Is Trivalent influenza virus vaccine the same as a monovalent influenza vaccine?

Trivalent influenza virus vaccine is distinct from a monovalent influenza vaccine. The trivalent vaccine targets three influenza strains, while the monovalent vaccine targets a single strain. Clinical trials have evaluated both formulations separately, with the trivalent vaccine studied for seasonal influenza and the monovalent vaccine for pandemic influenza.