Inactivated Influenza Via Jet Injection (IIJI)
Primary Purpose
Influenza, Human
Status
Completed
Phase
Phase 4
Locations
United States
Study Type
Interventional
Intervention
Influenza Vaccine
Sponsored by
About this trial
This is an interventional prevention trial for Influenza, Human focused on measuring Needle Free, Influenza
Eligibility Criteria
Inclusion Criteria:
- Adults aged ≥ 18 and ≤ 64 years of age at time of enrollment
- Willing and able to give informed consent after reading the consent form and given adequate opportunity to discuss the study with the investigator or qualified designee
- Willing and able to adhere to all protocol required study procedures and to attend scheduled visits
- Able to receive the trivalent influenza vaccine (TIV) or quadrivalent influenza vaccine (QIV) based on PI judgment
- Stable health status with no exclusionary medical or neuropsychiatric conditions as determined during the screening evaluation and based on the clinical judgment of the investigator or qualified designee
- Access to a consistent means of telephone contact
Exclusion Criteria:
- Presence of any febrile illness (oral temperature >38 °C) on the day of immunization. Such subjects will be reevaluated for enrollment after resolution of illness
- Presence of significant acute or chronic uncontrolled medical or neuropsychiatric illness and /or presence of any significant condition that may prohibit inclusion as determined by the investigator or his qualified designee. Uncontrolled is defined as: requiring institution of a new treatment within 1 month prior to study enrollment or change in medication dosage in the month prior to study enrollment
- Any known immunosuppressive condition including: history of human immunodeficiency virus (HIV) infection, cancer or cancer treatment within 3 years of study enrollment, systemic glucocorticoids (in a dose ≥10 mg prednisone daily or equivalent for more than 7 consecutive days or for 10 or more days in total) within 1 month of study enrollment, or any other cytotoxic or immunosuppressive drug within 3 months of study enrollment. Any significant disorder of coagulation that would increase the risk of intramuscular injections or treatment with Coumadin derivatives or heparin
- Known or suspected to be allergic to eggs, chicken protein, neomycin, polymyxin or influenza vaccine
- History of severe or previous serious adverse reaction after an influenza vaccination
- Receipt of any immunoglobulin and/or blood products within 3 months of immunization or planned administration of any of these products during the study period
- Prior history of any demyelinating disease including Guillain-Barre syndrome.
- Presence of an active neurological disorder
- History of significant alcohol or drug abuse within one year prior to study enrollment
- Influenza vaccination or laboratory confirmed influenza infection within the previous six months before study vaccination or planned influenza vaccination during the study period
- Planned administration of any non-influenza vaccines 30 days prior to the study or during the study period
- Pregnant or plans to become pregnant during the study period
- Currently enrolled in another vaccine or drug study
Sites / Locations
- Optimal Research LLC
- Optimal Research, LLC
- Optimal Research, LLC
- Optimal Research, LLC
- Optimal Reserach, LLC
- Optimal Research, LLC
Arms of the Study
Arm 1
Arm 2
Arm Type
Experimental
Active Comparator
Arm Label
Needle- Free
Needle and Syringe
Arm Description
Subjects will receive a single 0.5mL injection of inactivated influenza vaccine in the deltoid region on Day 0.
Subjects will receive a single 0.5mL injection of inactivated Influenza Vaccine in the deltoid region on Day 0.
Outcomes
Primary Outcome Measures
Anti Influenza Hemagglutination Inhibition (HAI) Antibody Geometric Mean Titers (GMT)
The GMT criterion for non-inferiority for the upper limit of the 95% CIs of the GMT ratio (GMT with Needle-Free / GMT with Needle and Syringe) antigen will not exceed 1.5 fold.
The Number of Evaluable Participants Achieving Seroconversion or Significant Increase in Antibody Titer.
Seroconversion is defined as a 4-fold rise in HAI titer in post-immunization serum relative to pre-immunization serum, or if pre-immunization serum had an undetectable titer (<1:10), attainment of a post-immunization titer of ≥1:40.
Secondary Outcome Measures
Percentage of Subjects With Immediate Complaints
The following possible immediate complaints will be solicited following the 30 minute safety observation period post-vaccination: local pain, redness, induration/swelling, itching where the injection was given. The data will be reported as "immediate complaints" and presumed to be related to the test article. Any other symptom experienced at 30 minutes will be recorded as an adverse event.
Percentage of Subjects With Solicited Local or Systemic Adverse Events
vaccine reactogenicity will be collected on a patient-completed diary card daily for seven days post-vaccination. The following adverse events will be solicited on the diary card: injection site pain, injection site tenderness, injection site itching, injection site swelling, injection site redness, injection site bruising, fever, fatigue, headache, nausea, chills, muscle ache.
Percentage of Subjects With Spontaneously Reported Adverse Events
Subjects will be asked to report any other symptoms experienced in addition to the solicited "immediate" and "vaccine reactogenicity" events. Any other events reported will be tabulated as spontaneously reported adverse events.
Full Information
1. Study Identification
Unique Protocol Identification Number
NCT02290691
Brief Title
Inactivated Influenza Via Jet Injection
Acronym
IIJI
Official Title
Inactivated Influenza Via Jet Injection
Study Type
Interventional
2. Study Status
Record Verification Date
November 2017
Overall Recruitment Status
Completed
Study Start Date
November 2014 (undefined)
Primary Completion Date
January 2015 (Actual)
Study Completion Date
January 2015 (Actual)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Sponsor
Name of the Sponsor
PharmaJet, Inc.
4. Oversight
Data Monitoring Committee
No
5. Study Description
Brief Summary
The purpose of this study is to determine if the administration of flu vaccine using Needle-Free is equivalent to Needle and Syringe administration as measured by laboratory tests of immune response.
Detailed Description
Primary:
To evaluate the non-inferiority of flu vaccine administered by needle-free intramuscular (IM) injection versus needle and syringe IM injection as determined with serum hemagglutination inhibition (HAI) reciprocal titers in healthy adults between 18-64 years.
Secondary:
To compare tolerability and safety of the vaccine in the same population based on specifically solicited local and systemic reactions occurring through 7 days post-immunization and adverse events spontaneously reported through approximately 28 days post immunization.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Influenza, Human
Keywords
Needle Free, Influenza
7. Study Design
Primary Purpose
Prevention
Study Phase
Phase 4
Interventional Study Model
Parallel Assignment
Masking
Outcomes Assessor
Allocation
Randomized
Enrollment
985 (Actual)
8. Arms, Groups, and Interventions
Arm Title
Needle- Free
Arm Type
Experimental
Arm Description
Subjects will receive a single 0.5mL injection of inactivated influenza vaccine in the deltoid region on Day 0.
Arm Title
Needle and Syringe
Arm Type
Active Comparator
Arm Description
Subjects will receive a single 0.5mL injection of inactivated Influenza Vaccine in the deltoid region on Day 0.
Intervention Type
Biological
Intervention Name(s)
Influenza Vaccine
Intervention Description
Influenza Vaccine
Primary Outcome Measure Information:
Title
Anti Influenza Hemagglutination Inhibition (HAI) Antibody Geometric Mean Titers (GMT)
Description
The GMT criterion for non-inferiority for the upper limit of the 95% CIs of the GMT ratio (GMT with Needle-Free / GMT with Needle and Syringe) antigen will not exceed 1.5 fold.
Time Frame
28 Days
Title
The Number of Evaluable Participants Achieving Seroconversion or Significant Increase in Antibody Titer.
Description
Seroconversion is defined as a 4-fold rise in HAI titer in post-immunization serum relative to pre-immunization serum, or if pre-immunization serum had an undetectable titer (<1:10), attainment of a post-immunization titer of ≥1:40.
Time Frame
28 Days
Secondary Outcome Measure Information:
Title
Percentage of Subjects With Immediate Complaints
Description
The following possible immediate complaints will be solicited following the 30 minute safety observation period post-vaccination: local pain, redness, induration/swelling, itching where the injection was given. The data will be reported as "immediate complaints" and presumed to be related to the test article. Any other symptom experienced at 30 minutes will be recorded as an adverse event.
Time Frame
Day 0
Title
Percentage of Subjects With Solicited Local or Systemic Adverse Events
Description
vaccine reactogenicity will be collected on a patient-completed diary card daily for seven days post-vaccination. The following adverse events will be solicited on the diary card: injection site pain, injection site tenderness, injection site itching, injection site swelling, injection site redness, injection site bruising, fever, fatigue, headache, nausea, chills, muscle ache.
Time Frame
7 Days
Title
Percentage of Subjects With Spontaneously Reported Adverse Events
Description
Subjects will be asked to report any other symptoms experienced in addition to the solicited "immediate" and "vaccine reactogenicity" events. Any other events reported will be tabulated as spontaneously reported adverse events.
Time Frame
28 days
10. Eligibility
Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
64 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria:
Adults aged ≥ 18 and ≤ 64 years of age at time of enrollment
Willing and able to give informed consent after reading the consent form and given adequate opportunity to discuss the study with the investigator or qualified designee
Willing and able to adhere to all protocol required study procedures and to attend scheduled visits
Able to receive the trivalent influenza vaccine (TIV) or quadrivalent influenza vaccine (QIV) based on PI judgment
Stable health status with no exclusionary medical or neuropsychiatric conditions as determined during the screening evaluation and based on the clinical judgment of the investigator or qualified designee
Access to a consistent means of telephone contact
Exclusion Criteria:
Presence of any febrile illness (oral temperature >38 °C) on the day of immunization. Such subjects will be reevaluated for enrollment after resolution of illness
Presence of significant acute or chronic uncontrolled medical or neuropsychiatric illness and /or presence of any significant condition that may prohibit inclusion as determined by the investigator or his qualified designee. Uncontrolled is defined as: requiring institution of a new treatment within 1 month prior to study enrollment or change in medication dosage in the month prior to study enrollment
Any known immunosuppressive condition including: history of human immunodeficiency virus (HIV) infection, cancer or cancer treatment within 3 years of study enrollment, systemic glucocorticoids (in a dose ≥10 mg prednisone daily or equivalent for more than 7 consecutive days or for 10 or more days in total) within 1 month of study enrollment, or any other cytotoxic or immunosuppressive drug within 3 months of study enrollment. Any significant disorder of coagulation that would increase the risk of intramuscular injections or treatment with Coumadin derivatives or heparin
Known or suspected to be allergic to eggs, chicken protein, neomycin, polymyxin or influenza vaccine
History of severe or previous serious adverse reaction after an influenza vaccination
Receipt of any immunoglobulin and/or blood products within 3 months of immunization or planned administration of any of these products during the study period
Prior history of any demyelinating disease including Guillain-Barre syndrome.
Presence of an active neurological disorder
History of significant alcohol or drug abuse within one year prior to study enrollment
Influenza vaccination or laboratory confirmed influenza infection within the previous six months before study vaccination or planned influenza vaccination during the study period
Planned administration of any non-influenza vaccines 30 days prior to the study or during the study period
Pregnant or plans to become pregnant during the study period
Currently enrolled in another vaccine or drug study
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
William Gannon, MD
Organizational Affiliation
PharmaJet, Inc.
Official's Role
Study Director
Facility Information:
Facility Name
Optimal Research LLC
City
Huntsville
State/Province
Alabama
ZIP/Postal Code
35802
Country
United States
Facility Name
Optimal Research, LLC
City
San Diego
State/Province
California
ZIP/Postal Code
92108
Country
United States
Facility Name
Optimal Research, LLC
City
Melbourne
State/Province
Florida
ZIP/Postal Code
32934
Country
United States
Facility Name
Optimal Research, LLC
City
Peoria
State/Province
Illinois
ZIP/Postal Code
64614
Country
United States
Facility Name
Optimal Reserach, LLC
City
Mishawaka
State/Province
Indiana
ZIP/Postal Code
46545
Country
United States
Facility Name
Optimal Research, LLC
City
Rockville
State/Province
Maryland
ZIP/Postal Code
20850
Country
United States
12. IPD Sharing Statement
Citations:
PubMed Identifier
24881803
Citation
McAllister L, Anderson J, Werth K, Cho I, Copeland K, Le Cam Bouveret N, Plant D, Mendelman PM, Cobb DK. Needle-free jet injection for administration of influenza vaccine: a randomised non-inferiority trial. Lancet. 2014 Aug 23;384(9944):674-81. doi: 10.1016/S0140-6736(14)60524-9. Epub 2014 May 31.
Results Reference
background
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Inactivated Influenza Via Jet Injection
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