PMID- 26585940 OWN - NLM STAT- MEDLINE DCOM- 20160906 LR - 20181202 IS - 1878-3511 (Electronic) IS - 1201-9712 (Linking) VI - 41 DP - 2015 Dec TI - Non-inferiority of mammalian cell-derived quadrivalent subunit influenza virus vaccines compared to trivalent subunit influenza virus vaccines in healthy children: a phase III randomized, multicenter, double-blind clinical trial. PG - 65-72 LID - S1201-9712(15)00264-7 [pii] LID - 10.1016/j.ijid.2015.11.004 [doi] AB - OBJECTIVES: The safety and immunogenicity of mammalian cell-derived quadrivalent influenza vaccine (QIVc) as compared with trivalent influenza vaccines (TIV1c/TIV2c) was evaluated in children aged >/=4 to <18 years. METHODS: Two thousand three hundred and thirty-three subjects were randomized 2:1:1 to receive either one or two doses of study vaccine depending on previous vaccination status. Hemagglutination inhibition antibody responses for all four influenza strains were performed 3 weeks after the last dose. Reactogenicity and safety were also assessed (ClinicalTrials.gov: NCT01992107). RESULTS: QIVc met the non-inferiority criteria against all four vaccine strains and demonstrated superiority for both influenza B strains over the unmatched B lineage included in the comparator vaccines, when geometric mean titers and seroconversion rates were compared at 3 weeks after the last vaccination. Similar percentages of subjects experienced solicited and unsolicited adverse events (AEs) across all subgroups. Unsolicited AEs, serious AEs, medically attended AEs, and new onset chronic disease were reported in comparable percentages of subjects in all study groups. No vaccine-related serious AEs or deaths occurred. CONCLUSIONS: QIVc demonstrated a similar safety profile and immunogenicity responses against all four vaccine strains without signs of immune interference on addition of an alternate lineage B strain compared with TIV1c/TIV2c and may provide broader protection against both influenza B lineages in children. CI - Copyright (c) 2015 The Authors. Published by Elsevier Ltd.. All rights reserved. FAU - Hartvickson, Robyn AU - Hartvickson R AD - Heartland Research Associates, LLC, Newton, Kansas, USA. FAU - Cruz, Marilou AU - Cruz M AD - Premier Health Research Center, LLC, Downey, California, USA. FAU - Ervin, John AU - Ervin J AD - The Center for Pharmaceutical Research, Kansas City, Missouri, USA. FAU - Brandon, Donald AU - Brandon D AD - California Research Foundation, San Diego, California, USA. FAU - Forleo-Neto, Eduardo AU - Forleo-Neto E AD - Novartis Vaccines and Diagnostics Inc., Cambridge, Massachusetts, USA. FAU - Dagnew, Alemnew F AU - Dagnew AF AD - Novartis Vaccines and Diagnostics Inc., Cambridge, Massachusetts, USA. FAU - Chandra, Richa AU - Chandra R AD - Novartis Vaccines and Diagnostics Inc., Cambridge, Massachusetts, USA. FAU - Lindert, Kelly AU - Lindert K AD - Novartis Vaccines and Diagnostics Inc., Cambridge, Massachusetts, USA. FAU - Mateen, Ahmed Abdul AU - Mateen AA AD - Novartis Pharmaceuticals Canada Inc., 385 Bouchard Blvd, Dorval, Quebec, H9S 1A9, Canada. Electronic address: ahmed.abdul_mateen@novartis.com. LA - eng SI - ClinicalTrials.gov/NCT01992107 PT - Clinical Trial, Phase III PT - Journal Article PT - Multicenter Study PT - Randomized Controlled Trial PT - Research Support, Non-U.S. Gov't DEP - 20151114 PL - Canada TA - Int J Infect Dis JT - International journal of infectious diseases : IJID : official publication of the International Society for Infectious Diseases JID - 9610933 RN - 0 (Antibodies, Viral) RN - 0 (Influenza Vaccines) RN - 0 (Vaccines, Inactivated) SB - IM MH - Adolescent MH - Antibodies, Viral/blood MH - Antibody Formation MH - Child MH - Child, Preschool MH - Double-Blind Method MH - Female MH - Hemagglutination Inhibition Tests MH - Humans MH - Influenza Vaccines/*immunology MH - Influenza, Human/*prevention & control MH - Male MH - Seroconversion MH - Vaccination MH - Vaccines, Inactivated/immunology OTO - NOTNLM OT - Influenza OT - MDCK OT - Pediatric OT - Quadrivalent OT - Trivalent OT - Vaccine EDAT- 2015/11/21 06:00 MHDA- 2016/09/07 06:00 CRDT- 2015/11/21 06:00 PHST- 2015/07/25 00:00 [received] PHST- 2015/11/05 00:00 [revised] PHST- 2015/11/06 00:00 [accepted] PHST- 2015/11/21 06:00 [entrez] PHST- 2015/11/21 06:00 [pubmed] PHST- 2016/09/07 06:00 [medline] AID - S1201-9712(15)00264-7 [pii] AID - 10.1016/j.ijid.2015.11.004 [doi] PST - ppublish SO - Int J Infect Dis. 2015 Dec;41:65-72. doi: 10.1016/j.ijid.2015.11.004. Epub 2015 Nov 14.