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A Phase I Clinical Trial With Whole Virus Inactivated Influenza H5N1 Vaccine in Healthy Adolescents and Adults

Primary Purpose

Healthy

Status
Withdrawn
Phase
Phase 1
Locations
China
Study Type
Interventional
Intervention
7.5μg /0.5ml
15.0μg /0.5ml
30.0μg /0.5ml
0/0.5ml placebo
Sponsored by
Jiangsu Province Centers for Disease Control and Prevention
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional prevention trial for Healthy focused on measuring whole virus, inactivated, influenza, H5N1 vaccine, safety, immunogenicity

Eligibility Criteria

12 Years - 60 Years (Child, Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • Healthy subjects aged from 12 to 60 years old of normal intelligence;
  • The subjects' guardians are able to understand and sign the informed consent;
  • Subjects established as healthy after medical history questioning, physical examination and clinical decision;
  • Subjects who can comply with the requirements of the clinical trial protocol;
  • Subjects who have never received influenza H5N1 vaccine and other preventive products;
  • Subjects with temperature ≤37°C on axillary setting.

Exclusion Criteria:

Exclusion Criteria for the first dose:

  • Women in pregnancy / lactation or plan to be pregnant during the study;
  • The subject has a history of allergy or is allergic with any Ingredient of vaccine, such as egg, ovalbumin;
  • Had serious adverse reactions in previous vaccination, such as allergies, hives, difficult breath, angioneurotic edema or abdominal pain;
  • Autoimmune diseases or immune deficiency;
  • Had asthma, over the past two years, the condition is unstable in need of emergency treatment, hospitalization and oral or intravenous corticosteroids;
  • Diabete (type I or type II) not including gestational diabete;
  • Thyroidectomy history, or treatment because of thyroid diseases in the past 12 months;
  • Over the past 3 years, severe angioneurotic edema, or need treatment in the past 2 years;
  • Severe hypertension and blood pressure is still more than 150/100 mmHg after drug maintenance therapy;
  • coagulation abnormalities diagnosed by doctor (such as lack of coagulation factors, coagulation disorder diseases, platelet abnormality) or coagulation disorder;
  • Malignancy, active or treated tumor without explicitly been cured, or the possibility of a recurrence during the study period;
  • Epilepsy not including alcohol epilepsy of stop drinking in the first 3 years or the simplicity not requiring treatment in the past 3 years;
  • Asplenia, functional asplenia, and any circumstances leading to asplenia or splenectomy;
  • Guillain-Barre syndrome;
  • Had immunosuppressive therapy, cytotoxic therapy, inhaled corticosteroids (excluding corticosteroid spray to treat allergic rhinitis and corticosteroid treatment of the acute uncomplicated dermatitis) within the past six months;
  • Received immune globulin in three months before study;
  • Received other experimental drugs in 30 days before study;
  • Received live attenuated vaccine in 30 days before study;
  • Receiving subunit or inactivated vaccines in 14days before study, such as pneumococcal vaccine or allergy treatment;
  • In prevention or treatment of the anti-TB (antituberculosis) now;
  • Had fever (axillary temperature ≥ 38.0℃) 3 days before vaccination or had any acute illness in the past five days requiring systemic antibiotics or antiviral therapy);
  • The subject is unable to comply with the study requirements because of psychology, or had mental illness or dual-stage affective psychosis not well controlled within the past two years or had psychology in medication and suicidal tendency in the past five years;
  • According to the researcher, contrary to the study protocol or effect signed informed consent due to a variety of medical, psychological, social conditions, occupational factors or other conditions.

Exclusion Criteria for the second dose:

  • Had any vaccination-related Grade 3 or more adverse reactions in 72 hours after first vaccination;
  • Any situation meets the exclusion criteria stated in the exclusion criteria for first dose;
  • Had serious adverse reactions caused by the study vaccination.
  • Acute infection;
  • Any condition the investigator believed may affect the evaluation of the vaccine.

Sites / Locations

  • Jiangsu Provincial Center for Diseases Control and Prevention

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm 5

Arm 6

Arm 7

Arm 8

Arm Type

Experimental

Experimental

Experimental

Experimental

Experimental

Experimental

Placebo Comparator

Placebo Comparator

Arm Label

7.5μg/0.5ml in subjects(12-17 years old)

15μg/0.5ml in subjects(12-17 years old)

30μg/0.5ml in subjects(12-17 years old)

7.5μg/0.5ml in subjects(18-60 years old)

15μg/0.5ml in subjects(18-60 years old)

30μg/0.5ml in subjects(18-60 years old)

0/0.5ml in adolescents (12-17 years old)

0/0.5ml in adults(18-60 years old)

Arm Description

whole virus inactivated influenza H5N1 vaccine of 7.5μg /0.5ml in 30 adolescents aged 12-17 years old on day 0, 21

whole virus inactivated influenza H5N1 vaccine of 15.0μg /0.5ml in 30 adolescents aged 12-17 years old on day0,21

whole virus inactivated influenza H5N1 vaccine of 30.0μg /0.5ml in 30 adolescents aged 12-17 years old on day0,21

whole virus inactivated influenza H5N1 vaccine of 7.5μg /0.5ml in 30 adults aged 18-60 years old on day 0, 21

whole virus inactivated influenza H5N1 vaccine of 15.0μg /0.5ml in 30 adults aged 18-60 years old on day 0, 21

whole virus inactivated influenza H5N1 vaccine of 30.0μg /0.5ml in 30 adults aged 18-60 years old on day 0, 21

0/0.5ml placebo in 30 adolescents aged 12-17 years old on day 0, 21

0/0.5ml placebo in 30 adults aged 18-60 years old on day 0, 21

Outcomes

Primary Outcome Measures

the safety of whole virus inactivated influenza H5N1 vaccine in healthy adolescents aged from 12-17 years and adults aged from 18-60 years
Frequency of systemic and local adverse reactions within 21 days after the first doses of whole virus inactivated influenza H5N1 vaccine in healthy adolescents aged from 12-17 years and adults aged from 18-60 years
the safety of whole virus inactivated influenza H5N1 vaccine in healthy adolescents aged from 12-17 years and adults aged from 18-60 years
Frequency of systemic and local adverse reactions within 21 days after the second doses of whole virus inactivated influenza H5N1 vaccine in healthy adolescents aged from 12-17 years and adults aged from 18-60 years
the immunogenicity of the vaccine after first dose
the seroconversion rate and GMFI of antibodies on day 21 after first dose with different formulation vaccines in healthy adolescents aged from 12-17 years and adults aged from 18-60 years
the immunogenicity of the vaccine after second dose
the seroconversion rate and GMFI of antibodies on day 21 after second dose with different formulation vaccines in healthy adolescents aged from 12-17 years and adults aged from 18-60 years
the immunogenicity of the vaccine after whole immunization
the seroconversion rate and GMFI of antibodies 3 months after the second dose with different formulation vaccines in healthy adolescents aged from 12-17 years and adults aged from 18-60 years

Secondary Outcome Measures

abnormal change of hematological examination and the function of liver and kidney after first dose
abnormal change of hematological examination and the function of liver and kidney 3 days after first dose with different formulation vaccines in healthy adolescents aged from 12-17 years and adults aged from 18-60 years
abnormal change of hematological examination and the function of liver and kidney after second dose
abnormal change of hematological examination and the function of liver and kidney 3 days after second dose with different formulation vaccines in healthy adolescents aged from 12-17 years and adults aged from 18-60 years

Full Information

First Posted
August 29, 2012
Last Updated
March 14, 2013
Sponsor
Jiangsu Province Centers for Disease Control and Prevention
Collaborators
Wuhan Institute of Biological Products Co., Ltd
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1. Study Identification

Unique Protocol Identification Number
NCT01676675
Brief Title
A Phase I Clinical Trial With Whole Virus Inactivated Influenza H5N1 Vaccine in Healthy Adolescents and Adults
Official Title
A Single Center, Randomized, Double-blind, Placebo-controlled, Dose-escalation Phase I Clinical Trial for Safety and Preliminary Immunogenicity of a Whole Virus Inactivated Influenza H5N1 Vaccine in Healthy Adolescents and Adults, on Day 0 and 21 Intramuscularly
Study Type
Interventional

2. Study Status

Record Verification Date
March 2013
Overall Recruitment Status
Withdrawn
Study Start Date
August 2012 (undefined)
Primary Completion Date
January 2013 (Anticipated)
Study Completion Date
March 2013 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Jiangsu Province Centers for Disease Control and Prevention
Collaborators
Wuhan Institute of Biological Products Co., Ltd

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
Influenza is an acute respiratory infection caused by influenza virus with high incidence and serious complications even causing death. According to the announcement released by the World Health Organization (WHO), the number of global annual influenza case was 0.6 to 1.2 billion and 0.5 to 1 million people died. The emergence of a new subtype of influenza virus may cause an influenza pandemic with occurence once every 10 to 50 years which cause serious adverse consequences for human health and social welfare worldwide. From 1997 to 2003,the H5N1 virus infection has increased highly and gradually spreaded to Europe, Africa and other countries and regions. High mortality caused by H5N1 virus has attracted the WHO and national government great attention. So it is meaningful to develop vaccine to provide effective antibody to reduce the number of infections. The objective of this study is to evaluate the safety and preliminary immunogenicity of a whole virus inactivated influenza H5N1 vaccine.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Healthy
Keywords
whole virus, inactivated, influenza, H5N1 vaccine, safety, immunogenicity

7. Study Design

Primary Purpose
Prevention
Study Phase
Phase 1
Interventional Study Model
Parallel Assignment
Masking
ParticipantCare ProviderInvestigator
Allocation
Randomized
Enrollment
0 (Actual)

8. Arms, Groups, and Interventions

Arm Title
7.5μg/0.5ml in subjects(12-17 years old)
Arm Type
Experimental
Arm Description
whole virus inactivated influenza H5N1 vaccine of 7.5μg /0.5ml in 30 adolescents aged 12-17 years old on day 0, 21
Arm Title
15μg/0.5ml in subjects(12-17 years old)
Arm Type
Experimental
Arm Description
whole virus inactivated influenza H5N1 vaccine of 15.0μg /0.5ml in 30 adolescents aged 12-17 years old on day0,21
Arm Title
30μg/0.5ml in subjects(12-17 years old)
Arm Type
Experimental
Arm Description
whole virus inactivated influenza H5N1 vaccine of 30.0μg /0.5ml in 30 adolescents aged 12-17 years old on day0,21
Arm Title
7.5μg/0.5ml in subjects(18-60 years old)
Arm Type
Experimental
Arm Description
whole virus inactivated influenza H5N1 vaccine of 7.5μg /0.5ml in 30 adults aged 18-60 years old on day 0, 21
Arm Title
15μg/0.5ml in subjects(18-60 years old)
Arm Type
Experimental
Arm Description
whole virus inactivated influenza H5N1 vaccine of 15.0μg /0.5ml in 30 adults aged 18-60 years old on day 0, 21
Arm Title
30μg/0.5ml in subjects(18-60 years old)
Arm Type
Experimental
Arm Description
whole virus inactivated influenza H5N1 vaccine of 30.0μg /0.5ml in 30 adults aged 18-60 years old on day 0, 21
Arm Title
0/0.5ml in adolescents (12-17 years old)
Arm Type
Placebo Comparator
Arm Description
0/0.5ml placebo in 30 adolescents aged 12-17 years old on day 0, 21
Arm Title
0/0.5ml in adults(18-60 years old)
Arm Type
Placebo Comparator
Arm Description
0/0.5ml placebo in 30 adults aged 18-60 years old on day 0, 21
Intervention Type
Biological
Intervention Name(s)
7.5μg /0.5ml
Intervention Description
whole virus inactivated influenza H5N1 vaccine of 7.5μg /0.5ml, two doses, 21 days interval
Intervention Type
Biological
Intervention Name(s)
15.0μg /0.5ml
Intervention Description
whole virus inactivated influenza H5N1 vaccine of 15.0μg /0.5ml, two doses, 21 days interval
Intervention Type
Biological
Intervention Name(s)
30.0μg /0.5ml
Intervention Description
whole virus inactivated influenza H5N1 vaccine of 30.0μg /0.5ml, two doses, 21 days interval
Intervention Type
Biological
Intervention Name(s)
0/0.5ml placebo
Intervention Description
0/0.5ml placebo, two doses, 21 days interval
Primary Outcome Measure Information:
Title
the safety of whole virus inactivated influenza H5N1 vaccine in healthy adolescents aged from 12-17 years and adults aged from 18-60 years
Description
Frequency of systemic and local adverse reactions within 21 days after the first doses of whole virus inactivated influenza H5N1 vaccine in healthy adolescents aged from 12-17 years and adults aged from 18-60 years
Time Frame
21 days after the first dose
Title
the safety of whole virus inactivated influenza H5N1 vaccine in healthy adolescents aged from 12-17 years and adults aged from 18-60 years
Description
Frequency of systemic and local adverse reactions within 21 days after the second doses of whole virus inactivated influenza H5N1 vaccine in healthy adolescents aged from 12-17 years and adults aged from 18-60 years
Time Frame
21 days after the second dose
Title
the immunogenicity of the vaccine after first dose
Description
the seroconversion rate and GMFI of antibodies on day 21 after first dose with different formulation vaccines in healthy adolescents aged from 12-17 years and adults aged from 18-60 years
Time Frame
on day 21±3 days
Title
the immunogenicity of the vaccine after second dose
Description
the seroconversion rate and GMFI of antibodies on day 21 after second dose with different formulation vaccines in healthy adolescents aged from 12-17 years and adults aged from 18-60 years
Time Frame
on day 42±7 days
Title
the immunogenicity of the vaccine after whole immunization
Description
the seroconversion rate and GMFI of antibodies 3 months after the second dose with different formulation vaccines in healthy adolescents aged from 12-17 years and adults aged from 18-60 years
Time Frame
3 months after second dose (±14 days)
Secondary Outcome Measure Information:
Title
abnormal change of hematological examination and the function of liver and kidney after first dose
Description
abnormal change of hematological examination and the function of liver and kidney 3 days after first dose with different formulation vaccines in healthy adolescents aged from 12-17 years and adults aged from 18-60 years
Time Frame
3 days after first dose
Title
abnormal change of hematological examination and the function of liver and kidney after second dose
Description
abnormal change of hematological examination and the function of liver and kidney 3 days after second dose with different formulation vaccines in healthy adolescents aged from 12-17 years and adults aged from 18-60 years
Time Frame
3 days after second dose

10. Eligibility

Sex
All
Minimum Age & Unit of Time
12 Years
Maximum Age & Unit of Time
60 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Healthy subjects aged from 12 to 60 years old of normal intelligence; The subjects' guardians are able to understand and sign the informed consent; Subjects established as healthy after medical history questioning, physical examination and clinical decision; Subjects who can comply with the requirements of the clinical trial protocol; Subjects who have never received influenza H5N1 vaccine and other preventive products; Subjects with temperature ≤37°C on axillary setting. Exclusion Criteria: Exclusion Criteria for the first dose: Women in pregnancy / lactation or plan to be pregnant during the study; The subject has a history of allergy or is allergic with any Ingredient of vaccine, such as egg, ovalbumin; Had serious adverse reactions in previous vaccination, such as allergies, hives, difficult breath, angioneurotic edema or abdominal pain; Autoimmune diseases or immune deficiency; Had asthma, over the past two years, the condition is unstable in need of emergency treatment, hospitalization and oral or intravenous corticosteroids; Diabete (type I or type II) not including gestational diabete; Thyroidectomy history, or treatment because of thyroid diseases in the past 12 months; Over the past 3 years, severe angioneurotic edema, or need treatment in the past 2 years; Severe hypertension and blood pressure is still more than 150/100 mmHg after drug maintenance therapy; coagulation abnormalities diagnosed by doctor (such as lack of coagulation factors, coagulation disorder diseases, platelet abnormality) or coagulation disorder; Malignancy, active or treated tumor without explicitly been cured, or the possibility of a recurrence during the study period; Epilepsy not including alcohol epilepsy of stop drinking in the first 3 years or the simplicity not requiring treatment in the past 3 years; Asplenia, functional asplenia, and any circumstances leading to asplenia or splenectomy; Guillain-Barre syndrome; Had immunosuppressive therapy, cytotoxic therapy, inhaled corticosteroids (excluding corticosteroid spray to treat allergic rhinitis and corticosteroid treatment of the acute uncomplicated dermatitis) within the past six months; Received immune globulin in three months before study; Received other experimental drugs in 30 days before study; Received live attenuated vaccine in 30 days before study; Receiving subunit or inactivated vaccines in 14days before study, such as pneumococcal vaccine or allergy treatment; In prevention or treatment of the anti-TB (antituberculosis) now; Had fever (axillary temperature ≥ 38.0℃) 3 days before vaccination or had any acute illness in the past five days requiring systemic antibiotics or antiviral therapy); The subject is unable to comply with the study requirements because of psychology, or had mental illness or dual-stage affective psychosis not well controlled within the past two years or had psychology in medication and suicidal tendency in the past five years; According to the researcher, contrary to the study protocol or effect signed informed consent due to a variety of medical, psychological, social conditions, occupational factors or other conditions. Exclusion Criteria for the second dose: Had any vaccination-related Grade 3 or more adverse reactions in 72 hours after first vaccination; Any situation meets the exclusion criteria stated in the exclusion criteria for first dose; Had serious adverse reactions caused by the study vaccination. Acute infection; Any condition the investigator believed may affect the evaluation of the vaccine.
Facility Information:
Facility Name
Jiangsu Provincial Center for Diseases Control and Prevention
City
Nanjing
State/Province
Jiangsu
ZIP/Postal Code
210009
Country
China

12. IPD Sharing Statement

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A Phase I Clinical Trial With Whole Virus Inactivated Influenza H5N1 Vaccine in Healthy Adolescents and Adults

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