Immunogenicity and Tolerability Study of Fluval AB Novo Suspension for Injection for Children and Adolescents
Primary Purpose
Human Influenza
Status
Completed
Phase
Phase 3
Locations
Study Type
Interventional
Intervention
Vaccination with Fluval AB Novo suspension for injection, half dose of a single intramuscular dose (0.25 ml)
Vaccination with Fluval AB Novo suspension for injection, single intramuscular dose (0.5 ml)
Sponsored by
About this trial
This is an interventional prevention trial for Human Influenza focused on measuring immunogenicity, reduced dose, Phase III, tolerability, safety
Eligibility Criteria
Inclusion Criteria:
- Children aged 3 to 11 years, adolescents aged 12 to 18 years from both sexes;
- Are in good health (as determined by vital signs and existing medical condition) or are in stable medical condition. Subjects will not be excluded with known adequately treated clinically significant organ or systemic diseases (e.g. asthma or diabetes), such that, in the opinion of the investigator, the significance of the disease will not compromise the subject's participation in the study;
- Female volunteers of childbearing potential with a negative result from the urine pregnancy test prior to vaccination who agrees to use an acceptable contraception method or abstinence throughout the trial and not become pregnant for the duration of the study;
- Capability of adolescent participants aged 12 to 18 years and the legitimate representative of all volunteers to understand and comply with planned study procedures;
- Adolescent participants aged 12 to 18 years and the legitimate representative of all volunteers provide written Informed Consent (IC) prior to initiation of study procedures;
- Absence of existence of any exclusion criteria.
Exclusion Criteria:
- Pregnancy, breast feeding or positive urine pregnancy test at baseline prior to vaccination. Female subjects who are able to bear children but not willing to use an acceptable contraception method for the duration of the study.
- Known hypersensitivity to eggs, thiomersal, formaldehyde, gentamycin, ciprofloxacin, neomycin, vancomycin or any other component of the vaccine;
- History of Guillain-Barré syndrome;
- History of neurological symptoms or signs, or anaphylactic shock following administration of any vaccine;
- Serious disease, such as cancer, autoimmune disease, advanced arteriosclerotic disease, complicated diabetes mellitus, acute or progressive hepatic disease, acute or progressive renal disease, congestive heart failure;
- Immunosuppressive therapy within 36 months prior to vaccination;
- Concomitant corticosteroid therapy, including high-dose inhaled corticosteroids;
- Receipt of immunostimulants,
- Receipt of parenteral immunoglobulin, blood products and/or plasma derivate within 3 months prior to vaccination;
- Suspected or known HIV, HBV or HCV infection;
- Acute disease and/or axillary temperature ≥37oC within 3 days prior to vaccination;
- Vaccine therapy within 4 weeks prior to vaccination;
- Influenza vaccination (any kind) within 6 months prior to vaccination;
- Experimental drug therapy within 4 weeks prior to vaccination;
- Concomitant participation in another clinical study;
- Any condition which, in the opinion of the investigator, may interfere with the evaluation of the study;
- Past or current psychiatric disease of the volunteer or the legitimate representative that upon judgement of the investigator may have effect on the objective decision-making of the volunteer;
- Alcohol or drug abuse of the participant or the legitimate representative.
Sites / Locations
Arms of the Study
Arm 1
Arm 2
Arm Type
Experimental
Experimental
Arm Label
Age group 1: children (3-11 years)
Age group 2: adolescents (12-18 years)
Arm Description
Intervention: Vaccination with Fluval AB Novo suspension for injection. Dosage: Half dose of a single dose (0.25 ml) vaccine, administered intramuscularly.
Intervention: Vaccination with Fluval AB Novo suspension for injection. Dosage: A single dose (0.5 ml) vaccine, administered intramuscularly.
Outcomes
Primary Outcome Measures
Increase in Geometric Mean Titre Ratio, A/H1N1 Strain
Ratio of Day 0 and Day 21-28 antihaemagglutination inhibition titres
Requirement: > 2.5
Increase in Geometric Mean Titre Ratio, A/H3N2 Strain
Ratio of Day 0 and Day 21-28 antihaemagglutination inhibition titres
Requirement: > 2.5
Increase in Geometric Mean Titre Ratio, B Strain
Ratio of Day 0 and Day 21-28 antihaemagglutination inhibition titres
Requirement: > 2.5
Seroconversion, A/H1N1 Strain
Proportion of subjects seroconverted or had a significant increase in titres
Requirement: > 40 %
Seroconversion, A/H3N2 Strain
Proportion of subjects seroconverted or had a significant increase in titres
Requirement: > 40 %
Seroconversion, B Strain
Proportion of subjects seroconverted or had a significant increase in titres
Requirement: > 40 %
Seroprotection, A/H1N1 Strain
Proportion of subjects seroprotected
Requirement: > 70 %
Seroprotection, A/H3N2 Strain
Proportion of subjects seroprotected
Requirement: > 70 %
Seroprotection, B Strain
Proportion of subjects seroprotected
Requirement: > 70 %
Secondary Outcome Measures
Full Information
NCT ID
NCT02387294
First Posted
October 16, 2014
Last Updated
February 17, 2021
Sponsor
Fluart Innovative Vaccine Ltd, Hungary
1. Study Identification
Unique Protocol Identification Number
NCT02387294
Brief Title
Immunogenicity and Tolerability Study of Fluval AB Novo Suspension for Injection for Children and Adolescents
Official Title
Immunogenicity and Tolerability Study of Fluval AB Novo Suspension for Injection (Trivalent, Seasonal Influenza Vaccine, Active Ingredient Content: 6 μg HA/Strain/0.5 ml) for Children and Adolescents
Study Type
Interventional
2. Study Status
Record Verification Date
March 2015
Overall Recruitment Status
Completed
Study Start Date
October 2014 (undefined)
Primary Completion Date
December 2014 (Actual)
Study Completion Date
December 2014 (Actual)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Fluart Innovative Vaccine Ltd, Hungary
4. Oversight
Data Monitoring Committee
Yes
5. Study Description
Brief Summary
Immunogenicity and Tolerability Study of Fluval AB Novo Suspension for Injection (trivalent, seasonal influenza vaccine, active ingredient content: 6 μg HA/strain/0.5 ml) for Children and Adolescents.
Detailed Description
STUDY PERIOD:
Length of enrollment: 2 weeks (estimated) Participation per subject: max. 1 month
OBJECTIVES:
Immunogenicity Objectives:
To assess immunogenicity of a single intramuscular injection of Fluval AB Novo suspension for injection (trivalent, seasonal influenza vaccine, active ingredient content: 6 μg HA/0.5 ml of seasonal A/H1N1, A/H3N2 and B influenza antigens each), as measured by haemagglutination inhibition (HI) test.
Safety and Tolerability Objectives:
To evaluate safety and tolerability (incidence of adverse events) of a single intramuscular injection of Fluval AB Novo suspension for injection.
CLINICAL PHASE:
Phase III
TYPE:
Interventional, prevention
DESIGN:
Non-controlled, open, multi-centre
METHODS:
In this uncontrolled, open, multi-centre immunogenicity and tolerability study subjects were enrolled into two groups according to age:
Age group 1: children (3-11 years): single intramuscular injection of Fluval AB Novo 0.25 ml suspension for injection; Age group 2: adolescents (12-18 years): single intramuscular injection of Fluval AB Novo 0.5 ml suspension for injection; Subjects were observed for 30 minutes after the injection for any immediate reactions.
All adolescent subjects aged 12 to 18 years and the legitimate representatives of all volunteers were requested to complete a Diary Card (DC) to record local reactions (injection site pain, erythema, swelling, induration, numbness, sensitivity and haematoma) and systemic reactions (fever, shivering, headache, malaise, fatigue, sweating, nausea, myalgia, arthralgia, dizziness and urticaria) starting on the day of vaccination on Visit 1 (Day 0) until 7 days following that.
All adverse events were collected during the period of Visit 1 (Day 0) to Visit 2 (between Day 21 and Day 28); Serum samples for immunogenicity assays were collected immediately before immunization on Visit 1 (Day 0) and on Visit 2 (between Day 21 and Day 28) in all subjects. Immunogenicity were evaluated by HI test.
INVESTIGATIONAL MEDICINAL PRODUCT:
Fluval AB Novo suspension for injection (trivalent, seasonal influenza vaccine, active ingredient content: 6 μg HA/0.5 ml of seasonal A/H1N1, A/H3N2 and B influenza antigens each) with aluminium phosphate gel adjuvant.
Lot No.: FL-N-05/13
CONCOMITANT VACCINES:
No concomitant vaccination is permitted for the duration of the study except for post-exposure vaccination in a medical emergency (e.g. tetanus, rabies, hepatitis).
STUDY POPULATION:
Considering approximately 17% of drop-out (one participant out of six), in total 120 subjects (60 subjects in each age group) were enrolled in order to achieve at least 100 evaluable subjects (50 subjects in each age group).
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Human Influenza
Keywords
immunogenicity, reduced dose, Phase III, tolerability, safety
7. Study Design
Primary Purpose
Prevention
Study Phase
Phase 3
Interventional Study Model
Single Group Assignment
Model Description
parallel-group study in two paediatric age groups
Masking
None (Open Label)
Allocation
Non-Randomized
Enrollment
120 (Actual)
8. Arms, Groups, and Interventions
Arm Title
Age group 1: children (3-11 years)
Arm Type
Experimental
Arm Description
Intervention: Vaccination with Fluval AB Novo suspension for injection.
Dosage: Half dose of a single dose (0.25 ml) vaccine, administered intramuscularly.
Arm Title
Age group 2: adolescents (12-18 years)
Arm Type
Experimental
Arm Description
Intervention: Vaccination with Fluval AB Novo suspension for injection.
Dosage: A single dose (0.5 ml) vaccine, administered intramuscularly.
Intervention Type
Biological
Intervention Name(s)
Vaccination with Fluval AB Novo suspension for injection, half dose of a single intramuscular dose (0.25 ml)
Other Intervention Name(s)
Fluval AB Novo suspension for injection
Intervention Description
vaccination
Intervention Type
Biological
Intervention Name(s)
Vaccination with Fluval AB Novo suspension for injection, single intramuscular dose (0.5 ml)
Intervention Description
vaccination
Primary Outcome Measure Information:
Title
Increase in Geometric Mean Titre Ratio, A/H1N1 Strain
Description
Ratio of Day 0 and Day 21-28 antihaemagglutination inhibition titres
Requirement: > 2.5
Time Frame
21-28 days after vaccination
Title
Increase in Geometric Mean Titre Ratio, A/H3N2 Strain
Description
Ratio of Day 0 and Day 21-28 antihaemagglutination inhibition titres
Requirement: > 2.5
Time Frame
21-28 days after vaccination
Title
Increase in Geometric Mean Titre Ratio, B Strain
Description
Ratio of Day 0 and Day 21-28 antihaemagglutination inhibition titres
Requirement: > 2.5
Time Frame
21-28 days after vaccination
Title
Seroconversion, A/H1N1 Strain
Description
Proportion of subjects seroconverted or had a significant increase in titres
Requirement: > 40 %
Time Frame
21-28 days after vaccination
Title
Seroconversion, A/H3N2 Strain
Description
Proportion of subjects seroconverted or had a significant increase in titres
Requirement: > 40 %
Time Frame
21-28 days after vaccination
Title
Seroconversion, B Strain
Description
Proportion of subjects seroconverted or had a significant increase in titres
Requirement: > 40 %
Time Frame
21-28 days after vaccination
Title
Seroprotection, A/H1N1 Strain
Description
Proportion of subjects seroprotected
Requirement: > 70 %
Time Frame
21-28 days after vaccination
Title
Seroprotection, A/H3N2 Strain
Description
Proportion of subjects seroprotected
Requirement: > 70 %
Time Frame
21-28 days after vaccination
Title
Seroprotection, B Strain
Description
Proportion of subjects seroprotected
Requirement: > 70 %
Time Frame
21-28 days after vaccination
10. Eligibility
Sex
All
Minimum Age & Unit of Time
3 Years
Maximum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria:
Children aged 3 to 11 years, adolescents aged 12 to 18 years from both sexes;
Are in good health (as determined by vital signs and existing medical condition) or are in stable medical condition. Subjects will not be excluded with known adequately treated clinically significant organ or systemic diseases (e.g. asthma or diabetes), such that, in the opinion of the investigator, the significance of the disease will not compromise the subject's participation in the study;
Female volunteers of childbearing potential with a negative result from the urine pregnancy test prior to vaccination who agrees to use an acceptable contraception method or abstinence throughout the trial and not become pregnant for the duration of the study;
Capability of adolescent participants aged 12 to 18 years and the legitimate representative of all volunteers to understand and comply with planned study procedures;
Adolescent participants aged 12 to 18 years and the legitimate representative of all volunteers provide written Informed Consent (IC) prior to initiation of study procedures;
Absence of existence of any exclusion criteria.
Exclusion Criteria:
Pregnancy, breast feeding or positive urine pregnancy test at baseline prior to vaccination. Female subjects who are able to bear children but not willing to use an acceptable contraception method for the duration of the study.
Known hypersensitivity to eggs, thiomersal, formaldehyde, gentamycin, ciprofloxacin, neomycin, vancomycin or any other component of the vaccine;
History of Guillain-Barré syndrome;
History of neurological symptoms or signs, or anaphylactic shock following administration of any vaccine;
Serious disease, such as cancer, autoimmune disease, advanced arteriosclerotic disease, complicated diabetes mellitus, acute or progressive hepatic disease, acute or progressive renal disease, congestive heart failure;
Immunosuppressive therapy within 36 months prior to vaccination;
Concomitant corticosteroid therapy, including high-dose inhaled corticosteroids;
Receipt of immunostimulants,
Receipt of parenteral immunoglobulin, blood products and/or plasma derivate within 3 months prior to vaccination;
Suspected or known HIV, HBV or HCV infection;
Acute disease and/or axillary temperature ≥37oC within 3 days prior to vaccination;
Vaccine therapy within 4 weeks prior to vaccination;
Influenza vaccination (any kind) within 6 months prior to vaccination;
Experimental drug therapy within 4 weeks prior to vaccination;
Concomitant participation in another clinical study;
Any condition which, in the opinion of the investigator, may interfere with the evaluation of the study;
Past or current psychiatric disease of the volunteer or the legitimate representative that upon judgement of the investigator may have effect on the objective decision-making of the volunteer;
Alcohol or drug abuse of the participant or the legitimate representative.
12. IPD Sharing Statement
Learn more about this trial
Immunogenicity and Tolerability Study of Fluval AB Novo Suspension for Injection for Children and Adolescents
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