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Study to Compare Self-administered and Nurse-administered Intradermal Influenza Vaccine

Primary Purpose

Influenza

Status
Completed
Phase
Phase 4
Locations
Canada
Study Type
Interventional
Intervention
Intanza
Intanza
Sponsored by
Dalhousie University
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional prevention trial for Influenza

Eligibility Criteria

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

Inclusion Criteria:

  • Medically stable persons between age of 18-60
  • Available during the trial period and for follow-up
  • Able to read, understand, and sign informed consent
  • Able to be contacted by telephone for follow-up of adverse events

Exclusion Criteria:

  • Use of experimental vaccines within the month prior to study entry, or expected use of experimental or licensed vaccines or blood/blood products during the duration of the study.
  • Receipt of immunoglobulin or other blood product within 3 months prior to enrollment
  • Receipt of other licensed vaccines within the preceding 4 weeks
  • History of a severe reaction following influenza vaccination
  • Use of cytotoxic therapy or biologic modifiers in the previous 2 years.
  • Plans to receive cytotoxic therapy during the study period.
  • Concurrent acute moderate to severe illness. (Vaccination will be deferred until recovery. Subjects with mild illnesses with fever ≤37.8ºC orally may be enrolled).
  • History of medical disorder associated with immunosuppression (eg. including HIV-infected individuals, transplant recipients)
  • History of chronic lung, cardiac, renal or liver disease, which has required hospitalization in the last year.
  • Receipt of any high-dose daily systemic corticosteroids (inhaled steroids are acceptable) within two weeks of study entry. High dose is defined as a dose of 20 mg of prednisone daily or its equivalent. Topical steroids are allowed.
  • Failure to give written, informed consent
  • History of febrile illness (>37.8ºC orally) within the past 72 hours (immunization may be deferred).
  • Known allergy to eggs or other components of vaccine (i.e., thimerosal)
  • History of Guillain-Barré Syndrome (GBS)

Sites / Locations

  • Canadian Center for Vaccinology
  • Mount Sinai Hospital

Arms of the Study

Arm 1

Arm 2

Arm Type

Active Comparator

Active Comparator

Arm Label

Intanza - self-administered

Intanza - nurse-administered

Arm Description

Self-administered intradermal influenza vaccine

Nurse-administered intradermal influenza vaccine

Outcomes

Primary Outcome Measures

Immunogenicity
That the immunogenicity of self-administered intradermal 2010/11 seasonal influenza vaccine (Intanza) is non-inferior to that of nurse administered intradermal 2010/11 seasonal influenza vaccine. Specifically, that ratio of increase in geometric mean titres between day 0 and day 21 post-vaccination are greater than 2/3 (i.e. GMT (IDS)/GMT (IDN) > 0.65).

Secondary Outcome Measures

Reactogenicity
The reactogenicity of self-administered intradermal 2010/11 seasonal influenza vaccine (Intanza) is not significantly greater than that of nurse administered intradermal 2010/11 seasonal influenza vaccine.
Observational
85% or more of healthy adults can self-administer Intanza successfully; that is, they are willing to self-administer vaccine and successfully administer it, as judged by observation by a trained nurse.

Full Information

First Posted
October 14, 2010
Last Updated
June 14, 2011
Sponsor
Dalhousie University
Collaborators
IWK Health Centre, MCM Vaccines B.V., Mount Sinai Hospital, Canada
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1. Study Identification

Unique Protocol Identification Number
NCT01224613
Brief Title
Study to Compare Self-administered and Nurse-administered Intradermal Influenza Vaccine
Official Title
A Randomized Controlled Trial To Compare The Immunogenicity Of Self-Administered And Nurse-Administered Intradermal Influenza Vaccine
Study Type
Interventional

2. Study Status

Record Verification Date
June 2011
Overall Recruitment Status
Completed
Study Start Date
November 2010 (undefined)
Primary Completion Date
January 2011 (Actual)
Study Completion Date
February 2011 (Actual)

3. Sponsor/Collaborators

Name of the Sponsor
Dalhousie University
Collaborators
IWK Health Centre, MCM Vaccines B.V., Mount Sinai Hospital, Canada

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
The purpose of this study is to compare the immunogenicity and reactogenicity of self-administered intradermal influenza vaccine (Intanza)to nurse-administered.
Detailed Description
Participants will be randomized at visit one to either receive self-administered or nurse-administered intradermal influenza vaccine (Intanza). A blood sample will be taken prior to vaccination and 21 days post-vaccination. Participants will record information in a memory aid for 7 days including daily temperatures, solicited, unsolicited and general reactions. They will be called on study Day 8 to collect this information. Participants will return 21-24 days later for follow-up serology and review of adverse events.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Influenza

7. Study Design

Primary Purpose
Prevention
Study Phase
Phase 4
Interventional Study Model
Parallel Assignment
Masking
Outcomes Assessor
Allocation
Randomized
Enrollment
276 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
Intanza - self-administered
Arm Type
Active Comparator
Arm Description
Self-administered intradermal influenza vaccine
Arm Title
Intanza - nurse-administered
Arm Type
Active Comparator
Arm Description
Nurse-administered intradermal influenza vaccine
Intervention Type
Biological
Intervention Name(s)
Intanza
Other Intervention Name(s)
Influenza Vaccine (Split Virion, Inactivated)
Intervention Description
0.1 mL of Intanza intradermally at visit # 1
Intervention Type
Biological
Intervention Name(s)
Intanza
Other Intervention Name(s)
Influenza Vaccine (Split Virion, Inactivated)
Intervention Description
0.1 mL of Intanza intradermally at visit #1
Primary Outcome Measure Information:
Title
Immunogenicity
Description
That the immunogenicity of self-administered intradermal 2010/11 seasonal influenza vaccine (Intanza) is non-inferior to that of nurse administered intradermal 2010/11 seasonal influenza vaccine. Specifically, that ratio of increase in geometric mean titres between day 0 and day 21 post-vaccination are greater than 2/3 (i.e. GMT (IDS)/GMT (IDN) > 0.65).
Time Frame
21 days post-vaccination
Secondary Outcome Measure Information:
Title
Reactogenicity
Description
The reactogenicity of self-administered intradermal 2010/11 seasonal influenza vaccine (Intanza) is not significantly greater than that of nurse administered intradermal 2010/11 seasonal influenza vaccine.
Time Frame
7 days post-vaccination
Title
Observational
Description
85% or more of healthy adults can self-administer Intanza successfully; that is, they are willing to self-administer vaccine and successfully administer it, as judged by observation by a trained nurse.
Time Frame
at vaccination

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: Medically stable persons between age of 18-60 Available during the trial period and for follow-up Able to read, understand, and sign informed consent Able to be contacted by telephone for follow-up of adverse events Exclusion Criteria: Use of experimental vaccines within the month prior to study entry, or expected use of experimental or licensed vaccines or blood/blood products during the duration of the study. Receipt of immunoglobulin or other blood product within 3 months prior to enrollment Receipt of other licensed vaccines within the preceding 4 weeks History of a severe reaction following influenza vaccination Use of cytotoxic therapy or biologic modifiers in the previous 2 years. Plans to receive cytotoxic therapy during the study period. Concurrent acute moderate to severe illness. (Vaccination will be deferred until recovery. Subjects with mild illnesses with fever ≤37.8ºC orally may be enrolled). History of medical disorder associated with immunosuppression (eg. including HIV-infected individuals, transplant recipients) History of chronic lung, cardiac, renal or liver disease, which has required hospitalization in the last year. Receipt of any high-dose daily systemic corticosteroids (inhaled steroids are acceptable) within two weeks of study entry. High dose is defined as a dose of 20 mg of prednisone daily or its equivalent. Topical steroids are allowed. Failure to give written, informed consent History of febrile illness (>37.8ºC orally) within the past 72 hours (immunization may be deferred). Known allergy to eggs or other components of vaccine (i.e., thimerosal) History of Guillain-Barré Syndrome (GBS)
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Shelly McNeil, MD
Organizational Affiliation
Canadian Center for Vaccinology
Official's Role
Principal Investigator
Facility Information:
Facility Name
Canadian Center for Vaccinology
City
Halifax
State/Province
Nova Scotia
ZIP/Postal Code
B3K 6R8
Country
Canada
Facility Name
Mount Sinai Hospital
City
Toronto
State/Province
Ontario
ZIP/Postal Code
M5K 1X5
Country
Canada

12. IPD Sharing Statement

Citations:
PubMed Identifier
22902784
Citation
Coleman BL, McGeer AJ, Halperin SA, Langley JM, Shamout Y, Taddio A, Shah V, McNeil SA. A randomized control trial comparing immunogenicity, safety, and preference for self- versus nurse-administered intradermal influenza vaccine. Vaccine. 2012 Sep 28;30(44):6287-93. doi: 10.1016/j.vaccine.2012.08.006. Epub 2012 Aug 16.
Results Reference
derived

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Study to Compare Self-administered and Nurse-administered Intradermal Influenza Vaccine

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