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Clinical Trial to Compare the Immunogenicity, Safety, and Tolerability of an Adjuvanted A(H1N1) Influenza Vaccine Versus Non-Adjuvanted A(H1N1) Influenza Vaccines in Patients With Invasive Solid Tumors

Primary Purpose

H1N1 Influenza Virus, Invasive Solid Tumors

Status
Completed
Phase
Phase 3
Locations
Brazil
Study Type
Interventional
Intervention
adjuvanted A(H1N1) influenza vaccine
non-adjuvanted A(H1N1) influenza vaccine
non-adjuvanted A(H1N1) influenza vaccine
Sponsored by
Chiltern Pesquisa Clinica Ltda
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional prevention trial for H1N1 Influenza Virus focused on measuring Influenza A Virus, Virus Diseases, Influenza, Human, H1N1, Immunogenicity, safety, tolerability, tumors, oncology

Eligibility Criteria

2 Years - 70 Years (Child, Adult, Older Adult)All SexesAccepts Healthy Volunteers

Inclusion Criteria:

For Invasive Solid Tumor Subjects:

  • Subjects between 2 and 70 years of age (inclusive)
  • Any sex or ethnicity
  • Confirmed diagnosis of Invasive Solid Tumor or hematological malignancies in complete remission for at least 3 months and not more than 18 months after the last neo-adjuvant and/or adjuvant chemotherapy cycle according to investigators assessment and the subjects medical records
  • Previous use of neo-adjuvant and/or adjuvant chemotherapy for the treatment on an invasive solid tumor
  • Life expectancy of at least 12 months
  • Karnofsky Performance Scale > 40%
  • Childbearing potential women must be willing to use an acceptable contraceptive method. Acceptable contraceptive methods are defined as one or more of the following:

    1. Hormone contraceptive (such as oral, injectable, transdermal patch, subcutaneous implant, cervical ring)
    2. Barrier (condom with spermicide or diaphragm with spermicide) at each intercourse and during the whole intercourse
    3. Intra-uterine device (IUD)
    4. Monogamous relation with vasectomized partner (must have been vasectomized at least six months before the volunteer entered the study).
  • Subjects capable of following all the study procedures and available for all visits scheduled to the investigation site
  • Subjects capable of understanding the nature and risk of the study proposed and sign the consent form
  • In case of children and adolescents (below 18 years of age): Subjects capable of understanding the nature of the study and whose legal guardian understands the nature and risk of the study proposed and signs the consent form
  • The study subjects may have other underlying chronic diseases that do not involve immunosuppression (e.g. osteoarticular diseases, cardiorespiratory diseases, metabolic diseases, stable, non progressive, non-severe neurologic disorders without cognitive impairment, ophthalmologic diseases, etc.), but their symptoms/signs must be under control through medical follow-ups and drug therapy

For Healthy Subjects:

  • Subjects between 2 and 70 years of age (inclusive)
  • Any sex and ethnicity
  • Subjects with good health as determined by medical history, physical evaluation, and investigator's clinical opinion
  • Childbearing potential women must be willing to use an acceptable contraceptive method. Acceptable contraceptive methods are defined as one or more of the following:

    1. Hormone contraceptive (such as oral, injectable, transdermal patch, subcutaneous implant, cervical ring)
    2. Barrier (condom with spermicide or diaphragm with spermicide) at each intercourse and during the whole sexual intercourse
    3. Intra-uterine device (IUD)
    4. Monogamous relation with vasectomized partner (must have been vasectomized for at least six months before the volunteer entered the study).
  • Subjects capable of respecting all the study procedures and available for all the visits scheduled at the investigation site
  • Subjects capable of understanding the nature and risk of the study proposed and sign the consent form
  • In case of children and adolescents (below 18 years of age): Subjects capable of understanding the nature of the study and whose legal guardian understands the nature and risk of the study proposed and signs the consent form

Exclusion Criteria:

For Invasive Solid Tumor Subjects:

  • Previous laboratory confirmed diagnosis of an infection by the novel H1N1 virus
  • Administration of other vaccine against the novel H1N1 virus within 3 months prior to inclusion in the study
  • Any recent vaccine given within the last 21 days (inclusive)
  • History of allergic reaction to an influenza vaccine in the past, or a current or previous occurrence of allergy to egg or egg protein, kanamycin, and neomycin sulfate
  • Acute febrile disease (vaccination may be delayed up to 3 days after the resolution of the symptoms)
  • Presence of other diseases, not related to cancer with confirmed immunosuppression
  • Chemotherapy, biologic therapy or radiation within 3 months prior to inclusion in the study
  • History of chronic hepatic or renal disease
  • History of cognitive disorders
  • History of progressive or severe neurological disorders, including Guillain-Barré Syndrome
  • Pregnancy or breast-feeding
  • Use of immunomodulatory therapy, including cyclosporin, interleukins, and interferons, within 3 months prior to inclusion in the study
  • Receipt of parenteral immunoglobulin, hemotherapy, and/or plasma derivatives within 3 months prior to inclusion in the study
  • Receipt of any investigational product within 12 months prior to inclusion in the study

For Healthy Subjects:

  • Previous laboratory confirmed diagnosis of an infection by the new virus H1N1
  • Receipt of another vaccine against the new virus H1N1 within 3 months prior to inclusion in the study
  • Any recent vaccine given within the last 21 days (inclusive)
  • History of allergic reaction to influenza vaccine in the past, or a current or previous allergy to egg or egg protein, kanamycin, and neomycin sulfate;
  • Acute febrile disease (the vaccination may be delayed up to 3 days after symptoms resolution)
  • Pregnancy or breast-feeding
  • Receipt of parenteral immunoglobulin, hemotherapy, and/or plasma derivatives within 3 months prior to inclusion in the study;
  • Receipt of any investigational product within 12 months prior to inclusion in the study

Sites / Locations

  • BIOCANCER Clinical Research
  • Centro de Estudos e Pesquisas de Oncologia e Hematologia da Faculdade de Medicina da Fundação do ABC
  • Universidade Federal de São Paulo

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm Type

Experimental

Experimental

Experimental

Experimental

Arm Label

Group A: High Risk Population

Group B: High Risk Subjects

Group C: Healthy Subjects

Group D: Healthy Subjects

Arm Description

Each subject will receive two doses of the assigned vaccine, the first on Study Day 1, and the second on Study Day 22

Each subject will receive two doses of the assigned vaccine, the first on Study Day 1, and the second on Study Day 22

Each subject will receive two doses of the assigned vaccine, the first on Study Day 1, and the second on Study Day 22

Each subject will receive two doses of the assigned vaccine, the first on Study Day 1, and the second on Study Day 22

Outcomes

Primary Outcome Measures

The primary objective of this study is to determine the optimal influenza vaccination strategy in patients with invasive solid tumors

Secondary Outcome Measures

Assess whether the adjuvanted vaccine offers a meaningful benefit in relation to the non-adjuvanted vaccine in this at-risk population
Assess whether two doses of either study vaccine will provide meaningful benefit in comparison to one dose
Assess the persistence of antibody levels in the two vaccine groups
Gain further insight into the safety of the adjuvanted and non-adjuvanted H1N1 vaccines in this high-risk patient population

Full Information

First Posted
December 14, 2009
Last Updated
September 12, 2012
Sponsor
Chiltern Pesquisa Clinica Ltda
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1. Study Identification

Unique Protocol Identification Number
NCT01031719
Brief Title
Clinical Trial to Compare the Immunogenicity, Safety, and Tolerability of an Adjuvanted A(H1N1) Influenza Vaccine Versus Non-Adjuvanted A(H1N1) Influenza Vaccines in Patients With Invasive Solid Tumors
Official Title
A Phase III, Randomized, Controlled, Open Label Study to Evaluate the Immunogenicity, Safety, and Tolerability of an Adjuvanted A(H1N1) Vaccine Versus Non-Adjuvanted Vaccines Against Novel H1N1 Virus in Patients With Invasive Solid Tumors
Study Type
Interventional

2. Study Status

Record Verification Date
September 2012
Overall Recruitment Status
Completed
Study Start Date
August 2010 (undefined)
Primary Completion Date
September 2011 (Actual)
Study Completion Date
July 2012 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Chiltern Pesquisa Clinica Ltda

4. Oversight

5. Study Description

Brief Summary
This is a phase III, randomized, controlled, open label study with two vaccine regimens. The study will assess the relative safety and immunogenicity of vaccine regimens comparing adjuvanted versus non-adjuvanted formulations of A(H1N1) inactivated influenza virus vaccine in subjects with Solid Invasive Tumors and to compare safety and immunogenicity data with a contemporaneously enrolled control group of age-comparable, healthy subjects. Because certain individuals may be hypo-responsive to influenza vaccination, additional studies with high-risk groups are warranted in order to determine the optimal vaccine formulation and dosing schedule for prevention of novel H1N1 virus infection.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
H1N1 Influenza Virus, Invasive Solid Tumors
Keywords
Influenza A Virus, Virus Diseases, Influenza, Human, H1N1, Immunogenicity, safety, tolerability, tumors, oncology

7. Study Design

Primary Purpose
Prevention
Study Phase
Phase 3
Interventional Study Model
Parallel Assignment
Masking
None (Open Label)
Allocation
Randomized
Enrollment
59 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Group A: High Risk Population
Arm Type
Experimental
Arm Description
Each subject will receive two doses of the assigned vaccine, the first on Study Day 1, and the second on Study Day 22
Arm Title
Group B: High Risk Subjects
Arm Type
Experimental
Arm Description
Each subject will receive two doses of the assigned vaccine, the first on Study Day 1, and the second on Study Day 22
Arm Title
Group C: Healthy Subjects
Arm Type
Experimental
Arm Description
Each subject will receive two doses of the assigned vaccine, the first on Study Day 1, and the second on Study Day 22
Arm Title
Group D: Healthy Subjects
Arm Type
Experimental
Arm Description
Each subject will receive two doses of the assigned vaccine, the first on Study Day 1, and the second on Study Day 22
Intervention Type
Biological
Intervention Name(s)
adjuvanted A(H1N1) influenza vaccine
Intervention Description
7.5 ug of HA antigen; adjuvanted; monovalent
Intervention Type
Biological
Intervention Name(s)
non-adjuvanted A(H1N1) influenza vaccine
Intervention Description
15ug of HA antigen, non-adjuvanted; trivalent
Intervention Type
Biological
Intervention Name(s)
non-adjuvanted A(H1N1) influenza vaccine
Intervention Description
15 mcg of antigen; non-adjuvanted; trivalent
Primary Outcome Measure Information:
Title
The primary objective of this study is to determine the optimal influenza vaccination strategy in patients with invasive solid tumors
Time Frame
3 months
Secondary Outcome Measure Information:
Title
Assess whether the adjuvanted vaccine offers a meaningful benefit in relation to the non-adjuvanted vaccine in this at-risk population
Time Frame
3 months
Title
Assess whether two doses of either study vaccine will provide meaningful benefit in comparison to one dose
Time Frame
3 months
Title
Assess the persistence of antibody levels in the two vaccine groups
Time Frame
3 months
Title
Gain further insight into the safety of the adjuvanted and non-adjuvanted H1N1 vaccines in this high-risk patient population
Time Frame
3 months

10. Eligibility

Sex
All
Minimum Age & Unit of Time
2 Years
Maximum Age & Unit of Time
70 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: For Invasive Solid Tumor Subjects: Subjects between 2 and 70 years of age (inclusive) Any sex or ethnicity Confirmed diagnosis of Invasive Solid Tumor or hematological malignancies in complete remission for at least 3 months and not more than 18 months after the last neo-adjuvant and/or adjuvant chemotherapy cycle according to investigators assessment and the subjects medical records Previous use of neo-adjuvant and/or adjuvant chemotherapy for the treatment on an invasive solid tumor Life expectancy of at least 12 months Karnofsky Performance Scale > 40% Childbearing potential women must be willing to use an acceptable contraceptive method. Acceptable contraceptive methods are defined as one or more of the following: Hormone contraceptive (such as oral, injectable, transdermal patch, subcutaneous implant, cervical ring) Barrier (condom with spermicide or diaphragm with spermicide) at each intercourse and during the whole intercourse Intra-uterine device (IUD) Monogamous relation with vasectomized partner (must have been vasectomized at least six months before the volunteer entered the study). Subjects capable of following all the study procedures and available for all visits scheduled to the investigation site Subjects capable of understanding the nature and risk of the study proposed and sign the consent form In case of children and adolescents (below 18 years of age): Subjects capable of understanding the nature of the study and whose legal guardian understands the nature and risk of the study proposed and signs the consent form The study subjects may have other underlying chronic diseases that do not involve immunosuppression (e.g. osteoarticular diseases, cardiorespiratory diseases, metabolic diseases, stable, non progressive, non-severe neurologic disorders without cognitive impairment, ophthalmologic diseases, etc.), but their symptoms/signs must be under control through medical follow-ups and drug therapy For Healthy Subjects: Subjects between 2 and 70 years of age (inclusive) Any sex and ethnicity Subjects with good health as determined by medical history, physical evaluation, and investigator's clinical opinion Childbearing potential women must be willing to use an acceptable contraceptive method. Acceptable contraceptive methods are defined as one or more of the following: Hormone contraceptive (such as oral, injectable, transdermal patch, subcutaneous implant, cervical ring) Barrier (condom with spermicide or diaphragm with spermicide) at each intercourse and during the whole sexual intercourse Intra-uterine device (IUD) Monogamous relation with vasectomized partner (must have been vasectomized for at least six months before the volunteer entered the study). Subjects capable of respecting all the study procedures and available for all the visits scheduled at the investigation site Subjects capable of understanding the nature and risk of the study proposed and sign the consent form In case of children and adolescents (below 18 years of age): Subjects capable of understanding the nature of the study and whose legal guardian understands the nature and risk of the study proposed and signs the consent form Exclusion Criteria: For Invasive Solid Tumor Subjects: Previous laboratory confirmed diagnosis of an infection by the novel H1N1 virus Administration of other vaccine against the novel H1N1 virus within 3 months prior to inclusion in the study Any recent vaccine given within the last 21 days (inclusive) History of allergic reaction to an influenza vaccine in the past, or a current or previous occurrence of allergy to egg or egg protein, kanamycin, and neomycin sulfate Acute febrile disease (vaccination may be delayed up to 3 days after the resolution of the symptoms) Presence of other diseases, not related to cancer with confirmed immunosuppression Chemotherapy, biologic therapy or radiation within 3 months prior to inclusion in the study History of chronic hepatic or renal disease History of cognitive disorders History of progressive or severe neurological disorders, including Guillain-Barré Syndrome Pregnancy or breast-feeding Use of immunomodulatory therapy, including cyclosporin, interleukins, and interferons, within 3 months prior to inclusion in the study Receipt of parenteral immunoglobulin, hemotherapy, and/or plasma derivatives within 3 months prior to inclusion in the study Receipt of any investigational product within 12 months prior to inclusion in the study For Healthy Subjects: Previous laboratory confirmed diagnosis of an infection by the new virus H1N1 Receipt of another vaccine against the new virus H1N1 within 3 months prior to inclusion in the study Any recent vaccine given within the last 21 days (inclusive) History of allergic reaction to influenza vaccine in the past, or a current or previous allergy to egg or egg protein, kanamycin, and neomycin sulfate; Acute febrile disease (the vaccination may be delayed up to 3 days after symptoms resolution) Pregnancy or breast-feeding Receipt of parenteral immunoglobulin, hemotherapy, and/or plasma derivatives within 3 months prior to inclusion in the study; Receipt of any investigational product within 12 months prior to inclusion in the study
Facility Information:
Facility Name
BIOCANCER Clinical Research
City
Belo Horizonte
State/Province
MG
Country
Brazil
Facility Name
Centro de Estudos e Pesquisas de Oncologia e Hematologia da Faculdade de Medicina da Fundação do ABC
City
Santo André
State/Province
SP
Country
Brazil
Facility Name
Universidade Federal de São Paulo
City
São Paulo
State/Province
SP
Country
Brazil

12. IPD Sharing Statement

Citations:
PubMed Identifier
19745215
Citation
Clark TW, Pareek M, Hoschler K, Dillon H, Nicholson KG, Groth N, Stephenson I. Trial of 2009 influenza A (H1N1) monovalent MF59-adjuvanted vaccine. N Engl J Med. 2009 Dec 17;361(25):2424-35. doi: 10.1056/NEJMoa0907650. Epub 2009 Sep 10.
Results Reference
background
PubMed Identifier
19423869
Citation
Novel Swine-Origin Influenza A (H1N1) Virus Investigation Team; Dawood FS, Jain S, Finelli L, Shaw MW, Lindstrom S, Garten RJ, Gubareva LV, Xu X, Bridges CB, Uyeki TM. Emergence of a novel swine-origin influenza A (H1N1) virus in humans. N Engl J Med. 2009 Jun 18;360(25):2605-15. doi: 10.1056/NEJMoa0903810. Epub 2009 May 7. Erratum In: N Engl J Med. 2009 Jul 2;361(1):102.
Results Reference
background
PubMed Identifier
3903940
Citation
Gross PA, Gould AL, Brown AE. Effect of cancer chemotherapy on the immune response to influenza virus vaccine: review of published studies. Rev Infect Dis. 1985 Sep-Oct;7(5):613-8. doi: 10.1093/clinids/7.5.613.
Results Reference
background
PubMed Identifier
19628174
Citation
Kunisaki KM, Janoff EN. Influenza in immunosuppressed populations: a review of infection frequency, morbidity, mortality, and vaccine responses. Lancet Infect Dis. 2009 Aug;9(8):493-504. doi: 10.1016/S1473-3099(09)70175-6.
Results Reference
background

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Clinical Trial to Compare the Immunogenicity, Safety, and Tolerability of an Adjuvanted A(H1N1) Influenza Vaccine Versus Non-Adjuvanted A(H1N1) Influenza Vaccines in Patients With Invasive Solid Tumors

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