Reactogenicity, Safety and Immunogenicity of a LAIV H7N9 Influenza Vaccine
Primary Purpose
Influenza
Status
Completed
Phase
Phase 1
Locations
Study Type
Interventional
Intervention
H7N9 live influenza vaccine
Placebo
Sponsored by
About this trial
This is an interventional prevention trial for Influenza focused on measuring influenza vaccine pandemic
Eligibility Criteria
Inclusion Criteria:
- Legal male or female adult 18 through 49 years of age at the enrollment visit.
- Literate and willing to provide written informed consent.
- A signed informed consent.
- Free of obvious health problems, as established by the medical history and screening evaluations, including physical examination.
- Capable and willing to complete diary cards and willing to return for all follow-up visits
- Willing to comply with the rules of the isolation unit (including willing and able to take oseltamivir influenza antiviral medication, should that be recommended by a study physician).
- For females, willing to take reliable birth control measures through day 56.
Exclusion Criteria:
- Participation in another clinical trial involving any therapy within the previous three months or planned enrollment in such a trial during the period of this study.
- Receipt of any non-study vaccine within four weeks prior to enrollment or refusal to postpone receipt of such vaccines until four weeks after study completion.
- Practice of nasal irrigation on a regular basis within the past six months or has engaged in nasal irrigation within two weeks prior to enrollment.
- Recent history of frequent nose bleeds (more than 5 within the past year).
- Clinically relevant abnormal paranasal anatomy.
- Recent history (within the past month) of rhino or sinus surgery, or surgery for any traumatic injury of the nose.
- Current or recent (within two weeks of enrollment) acute respiratory illness with or without fever.
- Other acute illness at the time of study enrollment.
- Receipt of immune globulin or other blood products within three months prior to study enrollment or planned receipt of such products during the period of subject participation in the study.
- Chronic administration (defined as more than 14 consecutively-prescribed days) of immunosuppressants or other immune-modulating therapy within six months prior to study enrollment (for corticosteroids, this means prednisone or equivalent, 0.5 mg per kg per day; topical steroids are allowed, exclusive of nasal.)
- Participation in any previous trial of any H7 or H5 containing influenza vaccine.
- History of bronchial asthma.
- Hypersensitivity and allergy reactions after previous administration of any vaccine.
- History of wheezing after past receipt of any live influenza vaccine.
- Other AE following immunization (body temperature more than 40°C, collapse, non-febrile seizures, anaphylaxis), at least possibly related to previous receipt of any vaccine (not only influenza).
- Suspected or known hypersensitivity to any of the study vaccine components, including chicken or egg protein.
- Seasonal (autumnal) hypersensitivity to the natural environment.
- Acute or chronic clinically significant pulmonary, cardiovascular, hepatic, metabolic, neurologic, psychiatric or renal functional abnormality, as determined by medical history, physical examination or clinical laboratory screening tests, which in the opinion of the investigator, might interfere with the study objectives. Subjects with physical examination findings or clinical laboratory screening results which would be graded 2 or higher on the AE severity grading scale will be excluded from entry into the study and will be excluded from receipt of dose two of study vaccine or placebo.
- History of leukemia or any other blood or solid organ cancer.
- History of thrombocytopenic purpura or known bleeding disorder.
- History of seizures.
- Known or suspected immunosuppressive or immunodeficient condition of any kind, including HIV infection.
- Known chronic HBV or HCV infection.
- Known tuberculosis infection or evidence of previous tuberculosis exposure.
- History of chronic alcohol abuse and/or illegal drug use.
- Claustrophobia or sociophobia.
- Pregnancy or lactation (a negative pregnancy test will be required before administration of study vaccine or placebo for all women of childbearing potential).
- Any condition that, in the opinion of the investigator, would increase the health risk to the subject if he/she participates in the study or would interfere with the evaluation of the study objectives.
- Allergic, including anaphylactic, reactions to the introduction of any vaccines in the subject's medical history (not only flu vaccine).
Sites / Locations
Arms of the Study
Arm 1
Arm 2
Arm Type
Active Comparator
Placebo Comparator
Arm Label
H7N9 LAIV
Placebo
Arm Description
H7N9 live influenza vaccine
Lyophilized purified allantoic fluid of chicken embryos with stabilizers
Outcomes
Primary Outcome Measures
Immediate reactions
Immediate reactions occurring within two hours of administration of any dose, measured as observed by study staff or reported by the subject to study staff
Solicited adverse events
Adverse events commonly associated with intranasal vaccination (solicited local and systemic reactions), measured as observed by study staff or reported by the subject to study staff
Changes from baseline in laboratory findings
Abnormal laboratory findings from blood and urine specimens
Serious adverse events (SAEs)
All SAEs during 56 days, as observed by study staff, reported by the subject to study staff, or noted by the subject on a diary card, including abnormal laboratory findings from blood specimens collected on Days 28 (pre-vaccination) and 56
Secondary Outcome Measures
Immune responses
Immune responses was parameterized as the proportion of subjects with at least a four-fold rise after each dose from baseline or as the mean titer after each dose in any of the following:
Serum hemagglutination inhibition (HAI) antibodies
Serum neutralizing antibodies
Serum immunoglobulin class A (IgA) or immunoglobulin class G (IgG) antibodies measured by enzyme-linked immunosorbent assay (ELISA)
Secretory IgA antibodies from the nasal mucosa detected in nasal wick specimens using ELISA
Secretory IgA antibodies in saliva specimens using ELISA
Virus shedding
Virus shedding with virus detected by real-time reverse transcriptase polymerase chain reaction rRTPCR in nasal swabs at any time point (at day of vaccination and daily during hospitalization).
Virus stability
Virus stability (virus detected and sequenced after inoculation into chicken eggs)
Full Information
NCT ID
NCT02480101
First Posted
June 16, 2015
Last Updated
June 19, 2015
Sponsor
Research Institute of Influenza, Russia
Collaborators
World Health Organization, Institute of Experimental Medicine, Russia
1. Study Identification
Unique Protocol Identification Number
NCT02480101
Brief Title
Reactogenicity, Safety and Immunogenicity of a LAIV H7N9 Influenza Vaccine
Official Title
Reactogenicity, Safety and Immunogenicity of a Live Monovalent A/17/Anhui/2013/61 (H7N9) Influenza Vaccine
Study Type
Interventional
2. Study Status
Record Verification Date
June 2015
Overall Recruitment Status
Completed
Study Start Date
October 2014 (undefined)
Primary Completion Date
December 2014 (Actual)
Study Completion Date
April 2015 (Actual)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Principal Investigator
Name of the Sponsor
Research Institute of Influenza, Russia
Collaborators
World Health Organization, Institute of Experimental Medicine, Russia
4. Oversight
Data Monitoring Committee
Yes
5. Study Description
Brief Summary
This is a single centre phase I, double-blind placebo-controlled study to assess reactogenicity, safety and immunogenicity of a live monovalent A/17/Anhui/2013/61 (H7N9) influenza vaccine in healthy male and female adults, 18 through 49 years of age .
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Influenza
Keywords
influenza vaccine pandemic
7. Study Design
Primary Purpose
Prevention
Study Phase
Phase 1
Interventional Study Model
Parallel Assignment
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
40 (Actual)
8. Arms, Groups, and Interventions
Arm Title
H7N9 LAIV
Arm Type
Active Comparator
Arm Description
H7N9 live influenza vaccine
Arm Title
Placebo
Arm Type
Placebo Comparator
Arm Description
Lyophilized purified allantoic fluid of chicken embryos with stabilizers
Intervention Type
Biological
Intervention Name(s)
H7N9 live influenza vaccine
Other Intervention Name(s)
LAIV H7N9
Intervention Description
H7N9 live influenza vaccine
Intervention Type
Biological
Intervention Name(s)
Placebo
Intervention Description
Lyophilized purified allantoic fluid of chicken embryos with stabilizers
Primary Outcome Measure Information:
Title
Immediate reactions
Description
Immediate reactions occurring within two hours of administration of any dose, measured as observed by study staff or reported by the subject to study staff
Time Frame
2 hours
Title
Solicited adverse events
Description
Adverse events commonly associated with intranasal vaccination (solicited local and systemic reactions), measured as observed by study staff or reported by the subject to study staff
Time Frame
Greater than two hours after administration of any dose of study vaccine or placebo through 6 days following any dose
Title
Changes from baseline in laboratory findings
Description
Abnormal laboratory findings from blood and urine specimens
Time Frame
Days 3, 6 and 34
Title
Serious adverse events (SAEs)
Description
All SAEs during 56 days, as observed by study staff, reported by the subject to study staff, or noted by the subject on a diary card, including abnormal laboratory findings from blood specimens collected on Days 28 (pre-vaccination) and 56
Time Frame
4 weeks of receipt of any dose
Secondary Outcome Measure Information:
Title
Immune responses
Description
Immune responses was parameterized as the proportion of subjects with at least a four-fold rise after each dose from baseline or as the mean titer after each dose in any of the following:
Serum hemagglutination inhibition (HAI) antibodies
Serum neutralizing antibodies
Serum immunoglobulin class A (IgA) or immunoglobulin class G (IgG) antibodies measured by enzyme-linked immunosorbent assay (ELISA)
Secretory IgA antibodies from the nasal mucosa detected in nasal wick specimens using ELISA
Secretory IgA antibodies in saliva specimens using ELISA
Time Frame
Days 0, 28 and 56
Title
Virus shedding
Description
Virus shedding with virus detected by real-time reverse transcriptase polymerase chain reaction rRTPCR in nasal swabs at any time point (at day of vaccination and daily during hospitalization).
Time Frame
Days 0-6 after each dose
Title
Virus stability
Description
Virus stability (virus detected and sequenced after inoculation into chicken eggs)
Time Frame
Days 0-6 after each dose
Other Pre-specified Outcome Measures:
Title
Cellular immune responses (cytokine and T-cell)
Description
Cellular immune responses (cytokine and T-cell) was measured using isolated peripheral blood mononuclear cells (PBMCs) tested by flow cytometry and/or enzyme-linked immunosorbent spot (ELISPOT) assay.
Time Frame
Days 0, 28 and 56
10. Eligibility
Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
49 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria:
Legal male or female adult 18 through 49 years of age at the enrollment visit.
Literate and willing to provide written informed consent.
A signed informed consent.
Free of obvious health problems, as established by the medical history and screening evaluations, including physical examination.
Capable and willing to complete diary cards and willing to return for all follow-up visits
Willing to comply with the rules of the isolation unit (including willing and able to take oseltamivir influenza antiviral medication, should that be recommended by a study physician).
For females, willing to take reliable birth control measures through day 56.
Exclusion Criteria:
Participation in another clinical trial involving any therapy within the previous three months or planned enrollment in such a trial during the period of this study.
Receipt of any non-study vaccine within four weeks prior to enrollment or refusal to postpone receipt of such vaccines until four weeks after study completion.
Practice of nasal irrigation on a regular basis within the past six months or has engaged in nasal irrigation within two weeks prior to enrollment.
Recent history of frequent nose bleeds (more than 5 within the past year).
Clinically relevant abnormal paranasal anatomy.
Recent history (within the past month) of rhino or sinus surgery, or surgery for any traumatic injury of the nose.
Current or recent (within two weeks of enrollment) acute respiratory illness with or without fever.
Other acute illness at the time of study enrollment.
Receipt of immune globulin or other blood products within three months prior to study enrollment or planned receipt of such products during the period of subject participation in the study.
Chronic administration (defined as more than 14 consecutively-prescribed days) of immunosuppressants or other immune-modulating therapy within six months prior to study enrollment (for corticosteroids, this means prednisone or equivalent, 0.5 mg per kg per day; topical steroids are allowed, exclusive of nasal.)
Participation in any previous trial of any H7 or H5 containing influenza vaccine.
History of bronchial asthma.
Hypersensitivity and allergy reactions after previous administration of any vaccine.
History of wheezing after past receipt of any live influenza vaccine.
Other AE following immunization (body temperature more than 40°C, collapse, non-febrile seizures, anaphylaxis), at least possibly related to previous receipt of any vaccine (not only influenza).
Suspected or known hypersensitivity to any of the study vaccine components, including chicken or egg protein.
Seasonal (autumnal) hypersensitivity to the natural environment.
Acute or chronic clinically significant pulmonary, cardiovascular, hepatic, metabolic, neurologic, psychiatric or renal functional abnormality, as determined by medical history, physical examination or clinical laboratory screening tests, which in the opinion of the investigator, might interfere with the study objectives. Subjects with physical examination findings or clinical laboratory screening results which would be graded 2 or higher on the AE severity grading scale will be excluded from entry into the study and will be excluded from receipt of dose two of study vaccine or placebo.
History of leukemia or any other blood or solid organ cancer.
History of thrombocytopenic purpura or known bleeding disorder.
History of seizures.
Known or suspected immunosuppressive or immunodeficient condition of any kind, including HIV infection.
Known chronic HBV or HCV infection.
Known tuberculosis infection or evidence of previous tuberculosis exposure.
History of chronic alcohol abuse and/or illegal drug use.
Claustrophobia or sociophobia.
Pregnancy or lactation (a negative pregnancy test will be required before administration of study vaccine or placebo for all women of childbearing potential).
Any condition that, in the opinion of the investigator, would increase the health risk to the subject if he/she participates in the study or would interfere with the evaluation of the study objectives.
Allergic, including anaphylactic, reactions to the introduction of any vaccines in the subject's medical history (not only flu vaccine).
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Larisa G Rudenko, MD PhD DSc
Organizational Affiliation
Institute of Experimental Medicine
Official's Role
Study Chair
12. IPD Sharing Statement
Citations:
PubMed Identifier
26673391
Citation
Rudenko L, Isakova-Sivak I, Naykhin A, Kiseleva I, Stukova M, Erofeeva M, Korenkov D, Matyushenko V, Sparrow E, Kieny MP. H7N9 live attenuated influenza vaccine in healthy adults: a randomised, double-blind, placebo-controlled, phase 1 trial. Lancet Infect Dis. 2016 Mar;16(3):303-10. doi: 10.1016/S1473-3099(15)00378-3. Epub 2015 Dec 8.
Results Reference
derived
Learn more about this trial
Reactogenicity, Safety and Immunogenicity of a LAIV H7N9 Influenza Vaccine
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