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Immunogenicity, Safety, and Tolerability of MF59-Adjuvanted Versus Non-Adjuvanted Influenza Vaccines in Patients With HIV-1 Infection

Primary Purpose

H1N1 Influenza Virus, Human Immunodeficiency Virus Type 1 (HIV-1) Infection

Status
Completed
Phase
Phase 3
Locations
Brazil
Study Type
Interventional
Intervention
Focetria®
Begrivac®
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, HIV-1, Immunodeficiency Virus, H1N1, HIV Infection, Immunogenicity, safety, tolerability

Eligibility Criteria

18 Years - 60 Years (Adult)All SexesAccepts Healthy Volunteers

Inclusion Criteria:

For HIV-1 Infected Subjects:

  • Adults between 18-60 years old (inclusive)
  • Any sex or ethnicity
  • Confirmed Diagnosis of HIV-1 infection
  • CD4+ cells count >200 per mm3 within 3 months prior to inclusion in the study
  • HIV-1 viral load below 200 copies/mL within 90 days prior to inclusion in the study
  • 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)
  • No changes in the antiviral therapy (including HAART) for the previous 4 weeks and/or change in the predicted antiviral therapy through study Day 43 (3 weeks after the second dose of the vaccine)
  • No use of immunomodulatory therapy, including cyclosporine, interleukins, interferons, or systemic glucocorticoids (including inhalatory) within 3 months before study inclusion
  • Subjects capable of respecting 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 signing the consent form
  • The subjects may have other underlying diseases, such as, but not limited to, hypertension, diabetes, cardiac ischemic disease, or hypothyroidism, however their symptoms/signs must be currently under control with medical treatment according to the investigator's evaluation

For Healthy Adults:

  • Adults between 18-60 years old (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 signing the consent form

There will be NO blood sample collection of healthy volunteers viewing the determination of their serological status regarding the HIV virus.

Exclusion Criteria:

For HIV-1-Infected Subjects:

  • HIV-1 viral load above 500 copies/mL within 6 months prior to inclusion in the study
  • Previous laboratory confirmed diagnosis of an infection by the novel H1N1 virus
  • Receipt of another 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)
  • History of cancer, except for skin cancer, including Kaposi's Sarcoma, basal cell carcinoma, and non-invasive malignancy related to HPV
  • 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
  • Projected life expectancy lower than 12 months
  • Receipt of any investigational product within 12 months prior to inclusion in the study

For Healthy Adults:

  • Previous laboratory confirmed diagnosis of an infection by the novel H1N1 virus
  • Receipt of another 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 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

  • Centro Médico São Francisco
  • ICG - Instituto Centro de Genomas

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm Type

Experimental

Experimental

Experimental

Experimental

Arm Label

HIV-1 Infected Subjects Receiving Vaccine with Adjuvant

HIV-1 Infected Subjects Receiving Vaccine without Adjuvant

Healthy Subjects Receiving Vaccine with Adjuvant

Healthy Subjects Receiving Vaccine without Adjuvant

Arm Description

Each subject received two doses of vaccine with adjuvant (Focetria®), the first on Study Day 1, and the second on Study Day 22

Each subject received two doses of vaccine without adjuvant (Begrivac®), the first on Study Day 1, and the second on Study Day 22

Each subject received two doses of vaccine with adjuvant (Focetria®), the first on Study Day 1, and the second on Study Day 22

Each subject received two doses of vaccine without adjuvant (Begrivac®), the first on Study Day 1, and the second on Study Day 22

Outcomes

Primary Outcome Measures

Geometric Mean HI Titer by Visit
Geometric mean hemagglutination inhibition (HI) titer = GMT
Percentage of Subjects Who Reached Seroprotection by Visit
The primary objective of this study is to determine the optimal influenza vaccination strategy in patients with HIV infection. The percentage of subjects that reached seroprotection in comparison to the pre-vaccination result are presented by visit. Seroprotection was defined as HI titer ≥40.
Difference in the Seroconversion Rates or Significant Increase by Visit (Vaccine With Adjuvant - Vaccine Without Adjuvant)
The primary objective of this study was to help determine the ideal strategy of vaccination against pandemic H1N1 influenza in subjects with invasive solid tumors/hematologic neoplasms. Comparisons were made by vaccine group using differences in the percentage of subjects with seroconversion/significant increase and were presented with 95% confidence intervals.

Secondary Outcome Measures

Geometric Mean Ratio by Visit
The primary objective of this study is to determine the optimal influenza vaccination strategy in patients with HIV infection.
Ratio of Immunogenicity Data by Visit (Vaccine with Adjuvant:Vaccine Without Adjuvant)
The primary objective of this study is to determine the optimal influenza vaccination strategy in patients with HIV infection. Comparisons were made by vaccine group using ratios of immunogenicity data and were presented with 95% confidence intervals.
Percentage of Subjects Who Seroconverted or Had a Significant Increase in GMT by Visit
The primary objective of this study is to determine the optimal influenza vaccination strategy in patients with HIV infection. The percentage of subjects that reached seroconversion or had a significant increase in comparison to the pre-vaccination result were presented by visit. Seroconversion or a significant increase was defined as HI titer ≥40 in subjects with negative results at pre-vaccination (HI titer <10) or an increase of at least 4 times in HI titer for individuals with positive results at pre-vaccination (HI titer >10) at Day 22 and Day 43 in comparison to the pre-vaccination result.
Difference in Seroprotection Rates by Visit (Vaccine with Adjuvant - Vaccine without Adjuvant)
The primary objective of this study is to determine the optimal influenza vaccination strategy in patients with HIV infection. Comparisons were made by vaccine group using differences in the percentage of subjects with seroprotection and were presented with 95% confidence intervals.

Full Information

First Posted
December 14, 2009
Last Updated
June 4, 2013
Sponsor
Chiltern Pesquisa Clinica Ltda
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1. Study Identification

Unique Protocol Identification Number
NCT01032408
Brief Title
Immunogenicity, Safety, and Tolerability of MF59-Adjuvanted Versus Non-Adjuvanted Influenza Vaccines in Patients With HIV-1 Infection
Official Title
A Phase 3, Randomized, Controlled, Open Label Study to Evaluate the Immunogenicity, Safety, and Tolerability of MF59-Adjuvanted Versus Non-Adjuvanted Vaccines Against Novel H1N1 Virus in Patients With Human Immunodeficiency Virus Type 1 (HIV-1) Infection
Study Type
Interventional

2. Study Status

Record Verification Date
June 2013
Overall Recruitment Status
Completed
Study Start Date
April 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 Human Immunodeficiency Virus Type 1 (HIV-1) Infection 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, Human Immunodeficiency Virus Type 1 (HIV-1) Infection
Keywords
Influenza A Virus, Virus Diseases, Influenza, Human, HIV-1, Immunodeficiency Virus, H1N1, HIV Infection, Immunogenicity, safety, tolerability

7. Study Design

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

8. Arms, Groups, and Interventions

Arm Title
HIV-1 Infected Subjects Receiving Vaccine with Adjuvant
Arm Type
Experimental
Arm Description
Each subject received two doses of vaccine with adjuvant (Focetria®), the first on Study Day 1, and the second on Study Day 22
Arm Title
HIV-1 Infected Subjects Receiving Vaccine without Adjuvant
Arm Type
Experimental
Arm Description
Each subject received two doses of vaccine without adjuvant (Begrivac®), the first on Study Day 1, and the second on Study Day 22
Arm Title
Healthy Subjects Receiving Vaccine with Adjuvant
Arm Type
Experimental
Arm Description
Each subject received two doses of vaccine with adjuvant (Focetria®), the first on Study Day 1, and the second on Study Day 22
Arm Title
Healthy Subjects Receiving Vaccine without Adjuvant
Arm Type
Experimental
Arm Description
Each subject received two doses of vaccine without adjuvant (Begrivac®), the first on Study Day 1, and the second on Study Day 22
Intervention Type
Biological
Intervention Name(s)
Focetria®
Intervention Description
7.5 ug of HA antigen; adjuvanted; monovalent
Intervention Type
Biological
Intervention Name(s)
Begrivac®
Intervention Description
15 ug of HA antigen; non-adjuvanted; trivalent
Primary Outcome Measure Information:
Title
Geometric Mean HI Titer by Visit
Description
Geometric mean hemagglutination inhibition (HI) titer = GMT
Time Frame
13 months after vaccination (Day 1, Day 22, Day 43, Day 133, Day 223 and Day 403)
Title
Percentage of Subjects Who Reached Seroprotection by Visit
Description
The primary objective of this study is to determine the optimal influenza vaccination strategy in patients with HIV infection. The percentage of subjects that reached seroprotection in comparison to the pre-vaccination result are presented by visit. Seroprotection was defined as HI titer ≥40.
Time Frame
13 Months after vaccination (Day 22, Day 43, Day 133, Day 223 and Day 403)
Title
Difference in the Seroconversion Rates or Significant Increase by Visit (Vaccine With Adjuvant - Vaccine Without Adjuvant)
Description
The primary objective of this study was to help determine the ideal strategy of vaccination against pandemic H1N1 influenza in subjects with invasive solid tumors/hematologic neoplasms. Comparisons were made by vaccine group using differences in the percentage of subjects with seroconversion/significant increase and were presented with 95% confidence intervals.
Time Frame
13 Months after vaccination (Day 22, Day 43, Day 133, Day 223 and Day 403)
Secondary Outcome Measure Information:
Title
Geometric Mean Ratio by Visit
Description
The primary objective of this study is to determine the optimal influenza vaccination strategy in patients with HIV infection.
Time Frame
13 months after vaccination (Day 22/Day1, Day 43/Day 1, Day 43/Day 22, Day 133/Day 43, Day 223/Day 43 and Day 403/Day 223)
Title
Ratio of Immunogenicity Data by Visit (Vaccine with Adjuvant:Vaccine Without Adjuvant)
Description
The primary objective of this study is to determine the optimal influenza vaccination strategy in patients with HIV infection. Comparisons were made by vaccine group using ratios of immunogenicity data and were presented with 95% confidence intervals.
Time Frame
13 months after vaccination (Day 1, Day 22, Day 22/Day1, Day 43, Day 43/Day 1, Day 43/Day 22, Day 133, Day 133/Day 43, Day 223, Day 223/Day 43 and Day 403, Day 403/Day 223)
Title
Percentage of Subjects Who Seroconverted or Had a Significant Increase in GMT by Visit
Description
The primary objective of this study is to determine the optimal influenza vaccination strategy in patients with HIV infection. The percentage of subjects that reached seroconversion or had a significant increase in comparison to the pre-vaccination result were presented by visit. Seroconversion or a significant increase was defined as HI titer ≥40 in subjects with negative results at pre-vaccination (HI titer <10) or an increase of at least 4 times in HI titer for individuals with positive results at pre-vaccination (HI titer >10) at Day 22 and Day 43 in comparison to the pre-vaccination result.
Time Frame
13 Months after vaccination (Day 22, Day 43, Day 133, Day 223 and Day 403)
Title
Difference in Seroprotection Rates by Visit (Vaccine with Adjuvant - Vaccine without Adjuvant)
Description
The primary objective of this study is to determine the optimal influenza vaccination strategy in patients with HIV infection. Comparisons were made by vaccine group using differences in the percentage of subjects with seroprotection and were presented with 95% confidence intervals.
Time Frame
13 months after vaccination (Day 22, Day 43, Day 133, Day 223, Day 403)

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
60 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: For HIV-1 Infected Subjects: Adults between 18-60 years old (inclusive) Any sex or ethnicity Confirmed Diagnosis of HIV-1 infection CD4+ cells count >200 per mm3 within 3 months prior to inclusion in the study HIV-1 viral load below 200 copies/mL within 90 days prior to inclusion in the study 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) No changes in the antiviral therapy (including HAART) for the previous 4 weeks and/or change in the predicted antiviral therapy through study Day 43 (3 weeks after the second dose of the vaccine) No use of immunomodulatory therapy, including cyclosporine, interleukins, interferons, or systemic glucocorticoids (including inhalatory) within 3 months before study inclusion Subjects capable of respecting 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 signing the consent form The subjects may have other underlying diseases, such as, but not limited to, hypertension, diabetes, cardiac ischemic disease, or hypothyroidism, however their symptoms/signs must be currently under control with medical treatment according to the investigator's evaluation For Healthy Adults: Adults between 18-60 years old (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 signing the consent form There will be NO blood sample collection of healthy volunteers viewing the determination of their serological status regarding the HIV virus. Exclusion Criteria: For HIV-1-Infected Subjects: HIV-1 viral load above 500 copies/mL within 6 months prior to inclusion in the study Previous laboratory confirmed diagnosis of an infection by the novel H1N1 virus Receipt of another 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) History of cancer, except for skin cancer, including Kaposi's Sarcoma, basal cell carcinoma, and non-invasive malignancy related to HPV 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 Projected life expectancy lower than 12 months Receipt of any investigational product within 12 months prior to inclusion in the study For Healthy Adults: Previous laboratory confirmed diagnosis of an infection by the novel H1N1 virus Receipt of another 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 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
Centro Médico São Francisco
City
Curitiba
State/Province
PR
Country
Brazil
Facility Name
ICG - Instituto Centro de Genomas
City
São Paulo
State/Province
SP
Country
Brazil

12. IPD Sharing Statement

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Immunogenicity, Safety, and Tolerability of MF59-Adjuvanted Versus Non-Adjuvanted Influenza Vaccines in Patients With HIV-1 Infection

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