Safety Study of Seasonal Influenza Vaccine by Jet Injection

The device is called LectraJet M3 and has recently been approved by the Food and Drug
Administration (or FDA), the government agency that oversees the approval of new medical
devices. The approval is called a 510(k) and allows for the marketing and use of the device
in the United States (US). Devices under a 510(k) do not need to have clinical trials
performed. The researchers are performing this study in order to collect clinical data in a
controlled environment. Non significant risk (NSR) devices such as the LectraJet may be
studied in clinical trials with or without a 510(k). Currently there are several other
disposable-syringe jet injectors that are also FDA approved for sale and use in the United
States, including: 1) Biojector® 2000 , 2) Medi-Jector Vision, and 3) Injex™. These devices
have been used to deliver millions of injections in a variety of healthcare settings. The
LectraJet® is jet injector that is most suited for mass immunization campaigns due to the
ability to power the device with a foot pedal as well as electricity and the speed with
which immunizations can be delivered. It is designed so that vaccine delivery
characteristics are the same as that of the licensed disposable-syringe jet injectors.

Giving vaccines without needles (needle-free vaccine delivery) may be better than giving
them using a needle for many reasons. One method for giving shots without needles is a
technique called jet injection. This is what the researchers are testing in this study. A
jet injector pushes the vaccine fluid out of a small hole at a high enough speed to allow
the vaccine to go under the subject's skin without needing a needle. Years ago, people got
shots using jet injectors, but these older devices reused the same "nozzle" or hole through
which the fluid was forced. Newer jet injectors, including the one the researchers are
testing in this study, use disposable cartridges to hold the vaccine. So, the only thing
that touches the subject's skin is their own cartridge, which gets thrown away after
injection.

In this study, the volunteers are getting the licensed seasonal flu vaccine to see if the
jet injector works as well as giving the vaccine by needle and syringe. The seasonal flu
vaccine that the researchers are using is called trivalent influenza vaccine (TIV). It is
licensed in the US to protect people 6 months of age and older against influenza. Influenza
is a virus that is also commonly known as the "flu". The flu is a serious illness that kills
over 35,000 people per year in the US alone. The flu virus constantly changes and that is
why people who are at risk for developing complications from the flu, such as children, the
elderly, and people with underlying health conditions need to be vaccinated every year.
Volunteers will receive the 2009-2010 annual seasonal flu vaccine called TIV either by
needle and syringe or by jet injection. The researchers will compare the side effects and
see how well the vaccine generates an immune response when given by the two methods.

Inclusion Criteria:

- Age 18 and 49 years, inclusive

- In good health as evidenced by screening evaluation within the 30 days prior to
immunization.

- Expressed interest and availability to fulfill the study requirements.

- Signed, informed consent.

- For women of child-bearing potential, agreement to avoid pregnancy for the 90 days
following vaccination by use of effective birth control methods.

- Agreement to refrain from taking any experimental drug or vaccine from Day minus 30
to Day 90 (from screening until the volunteer completes the study).

Exclusion Criteria:

- A known allergy to a component of the vaccine, including egg, egg products, chicken
proteins, formaldehyde, gentamicin sulfate, or sodium deoxycholate.

- A positive urine pregnancy test in the 24 hours prior to vaccination. (A negative
urine pregnancy test is required within the 24 before vaccination for all women who
have not had a hysterectomy or are not at least 1 year post-menopausal)

- A woman who is breastfeeding.

- Any current medical illness that might jeopardize the volunteer's safety or interfere
with the interpretation of the study results. These include, but are not limited to
the following: cancer; immunodeficiency; bleeding disorder.

- Any underlying medical condition for which influenza vaccination is recommended:
chronic heart or lung conditions, including asthma; metabolic diseases; kidney
disease; blood disorder (such as sickle cell anemia); weakened immune systems,
including HIV/AIDS.

- Resident of nursing homes and long term care facility.

- Health care worker involved in direct patient care.

- Any current illness requiring daily medication, except for vitamins, contraceptives,
topical medications, antihistamines, antacids and other reflux medications, smoking
cessation medications, headache medications that do not have antipyretic activity,
nasal allergy medications, ophthalmologic and otic medications, psychiatric
medications for well-controlled conditions such as depression or anxiety, and
thyroxine for stable, inactive hypothyroidism. Volunteers may not take daily oral,
nasal, inhaled, or parenteral steroids or non-steroidal anti-inflammatory
medications. Medications other than those mentioned above will require approval from
the PI, the sponsor, and the medical monitor.

- Any use of antibiotics in the 7 days before enrollment.

- Vital signs that are abnormal and thought by the investigator to increase the risk to
the volunteer. Mild elevations or depressions of blood pressure or heart rate may be
allowed.

- Current alcohol or illicit drug dependence.

- History of receipt of an influenza vaccine in the 2008-2009 and/or 2009-2010 season

- History of Guillain-Barré Syndrome

- Failure to pass the written exam; a passing score is 70% or greater.

- Receipt of an experimental agent (e.g., a vaccine or medication) within the 30 days
prior to enrollment or the expectation of receipt of an experimental agent while
participating in this study.

- Receipt of a live, attenuated vaccine within the 30 days prior to enrollment.

- Receipt of a subunit or killed vaccine within the 14 days prior to enrollment.

- Receipt of a blood product, including immunoglobulin, in the 90 days prior to
enrollment.

- Oral temperature > 37.7 degrees C or other acute illness occurring prior to
inoculation on the day of vaccination. (This will lead to postponement of enrollment,
not exclusion from the trial. Mild resolving illnesses may be allowed at the
discretion of the investigator)

- Anything that, in the opinion of the investigator, will compromise the participation
of the volunteer with respect to his/her rights or risks.