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Evaluate the Immunogenicity and Safety of the 2011-2012 Vaccine Against Seasonal Influenza on Pregnant Women (VACINFL2011)

Primary Purpose

Pregnancy, Investigation or Care in A Nonpregnant Woman

Status
Unknown status
Phase
Phase 2
Locations
Mexico
Study Type
Interventional
Intervention
Seasonal influenza vaccination
Sponsored by
Instituto Nacional de Salud Publica, Mexico
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional prevention trial for Pregnancy focused on measuring vaccination, Influenza, Immunogenicity, Safety

Eligibility Criteria

18 Years - 39 Years (Adult)FemaleDoes not accept healthy volunteers

I.Selection Criteria in pregnant women

I.a.Inclusion Criteria

  1. Pregnant women aged 18 to 39 years
  2. Have made at least one prenatal visit to confirm the pregnancy
  3. Available for follow-up time
  4. To be from 14 to 34 weeks of gestation
  5. If recruitment is conducted between August and November 2011, patient could have
  6. Received the Seasonal Influence Vaccine from previous period, but not the H1N1 vaccine
  7. Agree to participate in the study and provide informed consent
  8. Good health according to the clinical evaluation of the participant, confirming: heart
  9. Rate less than 100', systolic blood pressure less than 140 mm Hg, and diastolic less or
  10. Equal than 90 mmHg, and oral temperature less or equal than 37.4° C
  11. Normal physical exam and laboratory test within 28 days prior to recruitment
  12. HIV-negative test

I. b.Exclusion criteria

  1. Preeclampsia or eclampsia
  2. Treatment with immunosuppressive drugs
  3. Receipt of blood products, 120 days prior to HIV screening
  4. Receipt of immunoglobulin 60 days prior to screening for HIV
  5. Have received live attenuated vaccines 30 days prior of vaccination
  6. Have received inactivated vaccines within 14 days prior to vaccination
  7. Treatment of latent or active tuberculosis
  8. Autoimmune disease or immunodeficiency
  9. Contraindication to receiving seasonal influenza vaccine
  10. Vaccine side effects
  11. History of angioedema.
  12. Unstable asthma
  13. Diabetes
  14. Thyroidectomy or thyroid disease in the last 12 months
  15. Idiopathic urticaria
  16. Hypertension not well-controlled with treatment
  17. Medically diagnosed bleeding diathesis, coagulopathy or platelet disorder
  18. Active malignant tumor or in not-effective treatment
  19. Asplenia
  20. Allergic reaction to antibiotics
  21. Guillain Barre
  22. Psychiatric condition that difficult adherence to protocol

II.Selection criteria in nonpregnant woman

II. a.Inclusion criteria

  • Nonpregnant woman aged 18 to 39 years
  • Negative pregnancy test 24 hours prior to administration of the vaccine
  • Agree to participate in the study and provide informed consent
  • Good health according to the clinical evaluation of participant, confirming: heart rate
  • less than 100 ', systolic blood pressure less than 140 mmHg, diastolic less than or equal
  • to 90 mmHg, and oral temperature less than or equal to 37.4°C
  • Normal physical exam and laboratory test within 28 days prior to recruitment
  • HIV-negative test
  • Agree to not get pregnant during the study and follow an effective contraceptive
  • method
  • Good health, determined this by history
  • Receive the seasonal influenza vaccine at least two weeks prior to inclusion in this study

II. b.Exclusion criteria

  • Being in treatment with immunosuppressive drugs
  • Receipt of blood products, 120 days prior to HIV screening
  • Receipt of immunoglobulin 60 days prior to screening for HIV
  • Have received live attenuated vaccines 30 days of vaccination
  • Have received inactivated vaccines within 14 days prior to vaccination
  • Treatment of latent or active tuberculosis
  • Autoimmune disease or immunodeficiency
  • Contraindication to receiving seasonal influenza vaccine
  • Vaccine side effects
  • History of angioedema
  • Unstable asthma
  • Diabetes Type 2
  • Thyroidectomy or thyroid disease requiring treatment in the past 12 months.
  • Idiopathic urticaria
  • Hypertension not well-controlled with treatment
  • Medically diagnosed bleeding diathesis, coagulopathy or platelet disorder
  • Active malignant tumor
  • Convulsive condition
  • Anatomic or functional asplenia
  • Allergic reaction to antibiotics
  • Guillain Barre
  • Psychiatric condition

Sites / Locations

  • National Institute of Public Health

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Experimental

Arm Label

Pregnant Woman

Nonpregnant women

Arm Description

Pregnant Woman

2011-2012 Seasonal Influenza Vaccine (include A/California/7/2009 (H1N1)-like, A/Perth/16/2009 (H3N2)-like, and B/Brisbane/60/2008-like antigens) administered to 15ug without adjuvant, via intramuscular in pregnant and nonpregnant women.

Outcomes

Primary Outcome Measures

Immunogenicity
The results of this analysis will determine whether the vaccine provides protection based on the immunogenicity provided by the vaccine. They identify specific antibodies against influenza virus A (H1N1), will carry out the serological techniques by hemagglutination inhibition and microneutralization. The immunogenicity analysis will be measured by seroconversion and seroresponse

Secondary Outcome Measures

Adverse events
Monitoring of pregnant women will be at monthly intervals until the time of the birth. Pregnant women and nonpregnant are going to be monitored for 30 min after vaccination to monitor immediate clinical reactions, and at 28 days after completing a self-registration of possible events associated with vaccination, as well as follow-up home visits on days 1, 3, 5, 7, 11, 15, 21, and 28. At day 28, will be made a complete clinical evaluation and blood sampling for assessment of immunogenicity.

Full Information

First Posted
April 11, 2012
Last Updated
April 12, 2012
Sponsor
Instituto Nacional de Salud Publica, Mexico
Collaborators
Laboratorios de Biologicos y Reactivos de México, S.A. de C.V.
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1. Study Identification

Unique Protocol Identification Number
NCT01577316
Brief Title
Evaluate the Immunogenicity and Safety of the 2011-2012 Vaccine Against Seasonal Influenza on Pregnant Women
Acronym
VACINFL2011
Official Title
Clinical Trial to Evaluate the Immunogenicity and Safety of the 2011-2012 Vaccine Against Seasonal Influenza on Pregnant Women
Study Type
Interventional

2. Study Status

Record Verification Date
April 2012
Overall Recruitment Status
Unknown status
Study Start Date
April 2012 (undefined)
Primary Completion Date
December 2012 (Anticipated)
Study Completion Date
December 2013 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Principal Investigator
Name of the Sponsor
Instituto Nacional de Salud Publica, Mexico
Collaborators
Laboratorios de Biologicos y Reactivos de México, S.A. de C.V.

4. Oversight

Data Monitoring Committee
Yes

5. Study Description

Brief Summary
The hypothesis proposed in this study is that the 2011-2012 Seasonal Influenza Vaccine (including H3N2 and H1N1 subtypes of serotype A strain over the serotype B) administered to 15ug (without adjuvant) via intramuscular in pregnant women will be safe and immunogenic.
Detailed Description
Despite the fact that influenza vaccination of pregnant women is amply recommended, coverage of influenza vaccination is low. In general, there are few studies on safety of the vaccine to this group, particularly during the first three months of pregnancy or evaluating trivalent vaccines containing inactivated pandemic 2009 H1N1 virus. Studies are controversial regarding passage of maternal antibodies and protection to the newborn. The investigators propose to evaluate safety and immunogenicity of 2011-2012 seasonal trivalent influenza vaccine (Northern hemisphere)(containing an A/California/7/2009 (H1N1)-like virus; an A/Perth/16/2009 (H3N2)-like virus; a B/Brisbane/60/2008-like virus) produced by Sanofi Pasteur. Study design is a Phase II/III, two arm, non-randomized clinical trial. The investigators will recruit 120 pregnant women, 18 to 39 years of age, 14 to 34 week pregnant and 120 non-pregnant women. Trivalent influenza vaccine (0.5ml) will be administered IM in the deltoid zone. Participants will be observed for 30 min post-vaccination for acute adverse reactions and periodically during the 60 days post-vaccination for reactogenicity, adverse effects and severe adverse effects. Baseline and 28 day influenza antibodies will be measured by hemagglutination and microneutralization. Umbilical cord blood (10ml) will be drawn during delivery. Newborns will be followed monthly for growth and morbidity up to six months of age. If necessary, they will be referred for appropriate clinical care. Main outcome will be seroconversion and seroresponse at 28 days post vaccination. Results will be adjusted by study group and other relevant covariables.Safety will be analyzed according to type, severity and study group.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Pregnancy, Investigation or Care in A Nonpregnant Woman
Keywords
vaccination, Influenza, Immunogenicity, Safety

7. Study Design

Primary Purpose
Prevention
Study Phase
Phase 2, Phase 3
Interventional Study Model
Parallel Assignment
Masking
None (Open Label)
Allocation
Non-Randomized
Enrollment
240 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
Pregnant Woman
Arm Type
Experimental
Arm Description
Pregnant Woman
Arm Title
Nonpregnant women
Arm Type
Experimental
Arm Description
2011-2012 Seasonal Influenza Vaccine (include A/California/7/2009 (H1N1)-like, A/Perth/16/2009 (H3N2)-like, and B/Brisbane/60/2008-like antigens) administered to 15ug without adjuvant, via intramuscular in pregnant and nonpregnant women.
Intervention Type
Biological
Intervention Name(s)
Seasonal influenza vaccination
Other Intervention Name(s)
Be recruited and will continue in parallel both groups
Intervention Description
2011-2012 Seasonal Trivalent Inactivated Influenza Vaccine (include A/California/7/2009 (H1N1)-like, A/Perth/16/2009 (H3N2)-like, and B/Brisbane/60/2008-like antigens) administered to 15ug without adjuvant, via intramuscular in pregnant and nonpregnant women. It is recommended that vaccines for use in the 2012-2013 influenza season (northern hemisphere winter) contain the following: an A/California/7/2009 (H1N1)pdm09-like virus; an A/Victoria/361/2011 (H3N2)-like virus; a B/Wisconsin/1/2010-like virus.
Primary Outcome Measure Information:
Title
Immunogenicity
Description
The results of this analysis will determine whether the vaccine provides protection based on the immunogenicity provided by the vaccine. They identify specific antibodies against influenza virus A (H1N1), will carry out the serological techniques by hemagglutination inhibition and microneutralization. The immunogenicity analysis will be measured by seroconversion and seroresponse
Time Frame
Day 28
Secondary Outcome Measure Information:
Title
Adverse events
Description
Monitoring of pregnant women will be at monthly intervals until the time of the birth. Pregnant women and nonpregnant are going to be monitored for 30 min after vaccination to monitor immediate clinical reactions, and at 28 days after completing a self-registration of possible events associated with vaccination, as well as follow-up home visits on days 1, 3, 5, 7, 11, 15, 21, and 28. At day 28, will be made a complete clinical evaluation and blood sampling for assessment of immunogenicity.
Time Frame
30 minutes immediate, day 1, 3, 5,7,11, 15 and 28

10. Eligibility

Sex
Female
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
39 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
I.Selection Criteria in pregnant women I.a.Inclusion Criteria Pregnant women aged 18 to 39 years Have made at least one prenatal visit to confirm the pregnancy Available for follow-up time To be from 14 to 34 weeks of gestation If recruitment is conducted between August and November 2011, patient could have Received the Seasonal Influence Vaccine from previous period, but not the H1N1 vaccine Agree to participate in the study and provide informed consent Good health according to the clinical evaluation of the participant, confirming: heart Rate less than 100', systolic blood pressure less than 140 mm Hg, and diastolic less or Equal than 90 mmHg, and oral temperature less or equal than 37.4° C Normal physical exam and laboratory test within 28 days prior to recruitment HIV-negative test I. b.Exclusion criteria Preeclampsia or eclampsia Treatment with immunosuppressive drugs Receipt of blood products, 120 days prior to HIV screening Receipt of immunoglobulin 60 days prior to screening for HIV Have received live attenuated vaccines 30 days prior of vaccination Have received inactivated vaccines within 14 days prior to vaccination Treatment of latent or active tuberculosis Autoimmune disease or immunodeficiency Contraindication to receiving seasonal influenza vaccine Vaccine side effects History of angioedema. Unstable asthma Diabetes Thyroidectomy or thyroid disease in the last 12 months Idiopathic urticaria Hypertension not well-controlled with treatment Medically diagnosed bleeding diathesis, coagulopathy or platelet disorder Active malignant tumor or in not-effective treatment Asplenia Allergic reaction to antibiotics Guillain Barre Psychiatric condition that difficult adherence to protocol II.Selection criteria in nonpregnant woman II. a.Inclusion criteria Nonpregnant woman aged 18 to 39 years Negative pregnancy test 24 hours prior to administration of the vaccine Agree to participate in the study and provide informed consent Good health according to the clinical evaluation of participant, confirming: heart rate less than 100 ', systolic blood pressure less than 140 mmHg, diastolic less than or equal to 90 mmHg, and oral temperature less than or equal to 37.4°C Normal physical exam and laboratory test within 28 days prior to recruitment HIV-negative test Agree to not get pregnant during the study and follow an effective contraceptive method Good health, determined this by history Receive the seasonal influenza vaccine at least two weeks prior to inclusion in this study II. b.Exclusion criteria Being in treatment with immunosuppressive drugs Receipt of blood products, 120 days prior to HIV screening Receipt of immunoglobulin 60 days prior to screening for HIV Have received live attenuated vaccines 30 days of vaccination Have received inactivated vaccines within 14 days prior to vaccination Treatment of latent or active tuberculosis Autoimmune disease or immunodeficiency Contraindication to receiving seasonal influenza vaccine Vaccine side effects History of angioedema Unstable asthma Diabetes Type 2 Thyroidectomy or thyroid disease requiring treatment in the past 12 months. Idiopathic urticaria Hypertension not well-controlled with treatment Medically diagnosed bleeding diathesis, coagulopathy or platelet disorder Active malignant tumor Convulsive condition Anatomic or functional asplenia Allergic reaction to antibiotics Guillain Barre Psychiatric condition
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Ferreyra-Reyes Leticia, MD
Phone
(52) 55 548710 00
Ext
4312
Email
freyes.ld@gmail.com
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Lourdes Garcia Garcia, DCs
Organizational Affiliation
Instituto Nacional de Salud Publica, Mexico
Official's Role
Principal Investigator
Facility Information:
Facility Name
National Institute of Public Health
City
Cuernavaca
State/Province
Morelos
ZIP/Postal Code
62100
Country
Mexico
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Leticia Ferreyra-Reyes, MD
Phone
(52)5554871000
Ext
4312
Email
freyes.ld@gmail.com
First Name & Middle Initial & Last Name & Degree
Renata Baez-Saldaña, MD
First Name & Middle Initial & Last Name & Degree
Elizabeth Ferreira-Guerrero, MD
First Name & Middle Initial & Last Name & Degree
Leticia Ferreyra-Reyes, MD
First Name & Middle Initial & Last Name & Degree
Guadalupe Delgado-Sánchez, MPH
First Name & Middle Initial & Last Name & Degree
Luis Pablo Cruz-Hervert, MSc
First Name & Middle Initial & Last Name & Degree
Samuel Ponce de Leon-Rosales, MD
First Name & Middle Initial & Last Name & Degree
Maria Eugenia Jiménez-Corona, DSc

12. IPD Sharing Statement

Learn more about this trial

Evaluate the Immunogenicity and Safety of the 2011-2012 Vaccine Against Seasonal Influenza on Pregnant Women

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