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Study to Evaluate the Immunogenicity and Safety of 'IL-YANG Quadrivalent Influenza Vaccine Inj.'

Primary Purpose

Influenza

Status
Completed
Phase
Phase 3
Locations
Study Type
Interventional
Intervention
IL-YANG Quadrivalent Influenza Vaccine
IL-YANG Flu Vaccine Prefilled Syringe
IL-YANG Trivalent Influenza Vaccine
Sponsored by
Il-Yang Pharm. Co., Ltd.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Influenza

Eligibility Criteria

19 Years - undefined (Adult, Older Adult)All SexesAccepts Healthy Volunteers

Inclusion Criteria:

  • Healthy men and women at the age of 19 or older.
  • Women of childbearing potential must have a negative pregnancy test (urine HCG) at the screening visit.
  • Subjects who were given, and fully understood, the information about the study, and have provided voluntary written informed consent to participate in the study and to comply with all applicable study requirements.

Exclusion Criteria:

  • Subjects with known allergy to eggs, chicken, or any components of the study vaccine.
  • Subjects who had received an influenza vaccine within the last 6 months prior to study entry.
  • Subjects who have immune function disorders including immunodeficiency diseases or relevant family history.
  • Subjects who donated blood within 1 week prior to vaccination or plan to donate blood during the period from Day 1 to Month 7 of vaccination.
  • Subjects with a history of Guillain-Barre syndrome.
  • Subjects with Down's syndrome or cytogenetic disorders.
  • Subjects who are considered by the investigator to have difficulties in study participation due to severe chronic diseases (e.g., cardiovascular diseases except controlled hypertension and respiratory diseases with respiratory failure, metabolic diseases, renal function disorders, hemoglobinopathy, etc.).
  • Subjects with hemophilia or coagulation disorder, who are at increased risk of serious bleeding during intramuscular injection.
  • Subjects who had an acute fever with body temperature > 38.0 ºC within 72 hours prior to administration of the study vaccine.
  • Subjects who had received another vaccine within 28 days before administration of the study vaccine or are planning to receive another vaccine during the study.
  • Subjects who had received immunosuppressants or immune modifying drugs within 3 months prior to the investigational product vaccination.

    1. Azathioprine, cyclosporin, interferon, G-CSF, tacrolimus, everolimus, sirolimus, etc.
    2. High dose corticosteroids (a subject taking high doses, which is defined as 2mg/kg/day or higher of prednisolone administered for longer than 14 consecutive days, is not eligible for this study. The use of inhaled, nasal and topical corticosteroids is allowed, regardless of doses).
  • Subjects who had previously received immunoglobulin or blood-derived products within the last 3 months prior to administration of the study vaccine, or are scheduled to receive a treatment with blood-derived products during the study.
  • Subjects who had participated in another clinical trial within the 30 days before administration of the study vaccine.
  • Female subjects of childbearing potential who do not agree to use an acceptable method of birth control* for this study during the study period.

    • Medically acceptable methods of birth control: condom, injectable or implantable contraceptives, intrauterine device, or oral contraceptives, etc.
  • Subjects with other clinically significant medical or psychiatric illness who in the investigator's opinion, are not be suitable for the study.

Sites / Locations

    Arms of the Study

    Arm 1

    Arm 2

    Arm 3

    Arm Type

    Experimental

    Active Comparator

    Active Comparator

    Arm Label

    IL-YANG Quadrivalent Influenza Vaccine

    IL-YANG Flu Vaccine Prefilled Syringe

    IL-YANG Trivalent Influenza Vaccine

    Arm Description

    The QIV is included both B strain (Yamagata, Victoria).

    This TIV is included the B/Yamagata strain, and it was approved for commercial sale by MFDS.

    This TIV is included the B/Victoria strain.

    Outcomes

    Primary Outcome Measures

    Rate of Healthy Adults Aged ≥19 Years With Seroconversion
    Seroconversion is defined as follows. (Case 1) A pre-vaccination (Day 0) HI antibody titer < 1:10 and a post-vaccination (Day 28) HI antibody titer ≥ 1: 40. or (Case 2) a pre-vaccination (Day 0) HI antibody titer ≥ 1:10 and a minimum four-fold rise in post-vaccination (Day 28) HI antibody titer.
    Rate of Healthy Adults Aged ≥19 Years With Seroprotection
    Seroprotection: A post-vaccination (Day 28) HI antibody titer ≥ 1:40.

    Secondary Outcome Measures

    Percentage of Subjects With SCR on Day 28 After Vaccination of the Investigational Product by Age Group
    The percentage of subjects with HI antibody SCR on Day 28 after vaccination of the investigational product was calculated and its 95% two-sided CI was presented for each strain by treatment group and by age group. The immunogenicity of the test vaccine was to be demonstrated if the lower limit of the 95% two-sided CI by age group was higher than the above mentioned criteria (40% for < 65 years of age, 30% for ≥ 65 years of age) in each treatment group.
    Rate of Healthy Adults Aged ≥19 ~ <65 Years and ≥65 Years With Seroprotection, Respectively.
    Seroprotection is defined as follows. subjects who have a post-vaccination (Day 28) HI antibody titer ≥ 1: 40
    Geometric Mean Titer as Measured by HI Antibody Titer on Day 28 After Vaccination of the Investigational Product (GMTcomparator/GMTtest Vaccine).
    Difference of Seroconversion Rate(SCR) of HI Antibody Titer After 28days Vaccination(SCRcomparator-SCRtest Vaccine)
    The IL-YANG Quadrivalent Influenza Vaccine contain two types of B strain, while two kinds of Trivalent Influenza Vaccine contain each type of B strain. Primary outcome was about seroconversion and seroprotection rate of HI antibody, so each results of 3 kinds of vaccine was described. Considering the cross-reaction between two types of B strain, the analysis was designed in a way that the SCR/SPR of the B strains can be compared, respectively. However, secondary outcome, unlike the primary outcome, is expressed as a ratio(difference of seroconversion rate). So, the above factors were not to be consider. All methods of analysis are comply with the request of MFDS, and the result data that may make you confuse will be delete.
    Geometric Mean Titer as Measured by HI Antibody Titer Before (Day 0) and on Day 28 After Vaccination of the Investigational Product.
    Geometric Mean Ratio as Measured by HI Antibody Titer Before (Day 0) and on Day 28 After Vaccination of the Investigational Product.

    Full Information

    First Posted
    February 3, 2016
    Last Updated
    September 26, 2023
    Sponsor
    Il-Yang Pharm. Co., Ltd.
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    1. Study Identification

    Unique Protocol Identification Number
    NCT02677493
    Brief Title
    Study to Evaluate the Immunogenicity and Safety of 'IL-YANG Quadrivalent Influenza Vaccine Inj.'
    Official Title
    A Multicenter, Randomized, Double-blind, Active-controlled, Parallel Phase III Study to Investigate the Immunogenicity and Safety of 'IL-YANG Quadrivalent Influenza Vaccine Inj.' After Intramuscular Administration in Healthy Adult Subjects
    Study Type
    Interventional

    2. Study Status

    Record Verification Date
    July 2020
    Overall Recruitment Status
    Completed
    Study Start Date
    October 2015 (undefined)
    Primary Completion Date
    January 2016 (Actual)
    Study Completion Date
    June 2016 (Actual)

    3. Sponsor/Collaborators

    Responsible Party, by Official Title
    Sponsor
    Name of the Sponsor
    Il-Yang Pharm. Co., Ltd.

    4. Oversight

    Data Monitoring Committee
    No

    5. Study Description

    Brief Summary
    This study evaluates the immunogenicity and safety of 'IL-YANG Quadrivalent Influenza Vaccine Inj.' in healthy male and female adults at the age of 19 or older.
    Detailed Description
    In this study, only eligible subjects for the study based on the inclusion/exclusion criteria will be randomized to the following stratification groups by age to receive one dose of the test vaccine, comparator 1, or comparator 2. Group A: healthy adults at the age of ≥ 19 and < 65. Group B: healthy adults at the age of ≥ 65. During the study participation, the investigator will assess immunogenicity and safety in subjects. The investigator will perform immunogenicity tests at Visits 1 and 3 (end of study visit) for immunogenicity evaluation (prior to the investigational product vaccination) and instruct subjects to record AEs occurring after the investigational product vaccination for safety assessment. A blood sample will be collected from a subject who is assigned a subject number. Following an intramuscular injection of 0.5mL investigational product in the deltoid muscle of the shoulder, the subject will have a study visit on Week 4 for blood sampling for antibody titer testing. In addition, a telephone visit will be performed to assess serious AEs (SAEs) up to Day 180 after vaccination.

    6. Conditions and Keywords

    Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
    Influenza

    7. Study Design

    Primary Purpose
    Treatment
    Study Phase
    Phase 3
    Interventional Study Model
    Parallel Assignment
    Masking
    ParticipantCare ProviderInvestigatorOutcomes Assessor
    Allocation
    Randomized
    Enrollment
    1794 (Actual)

    8. Arms, Groups, and Interventions

    Arm Title
    IL-YANG Quadrivalent Influenza Vaccine
    Arm Type
    Experimental
    Arm Description
    The QIV is included both B strain (Yamagata, Victoria).
    Arm Title
    IL-YANG Flu Vaccine Prefilled Syringe
    Arm Type
    Active Comparator
    Arm Description
    This TIV is included the B/Yamagata strain, and it was approved for commercial sale by MFDS.
    Arm Title
    IL-YANG Trivalent Influenza Vaccine
    Arm Type
    Active Comparator
    Arm Description
    This TIV is included the B/Victoria strain.
    Intervention Type
    Biological
    Intervention Name(s)
    IL-YANG Quadrivalent Influenza Vaccine
    Intervention Description
    A single 0.5mL dose administrated as an intramuscular injection.
    Intervention Type
    Biological
    Intervention Name(s)
    IL-YANG Flu Vaccine Prefilled Syringe
    Intervention Description
    A single 0.5mL dose administrated as an intramuscular injection.
    Intervention Type
    Biological
    Intervention Name(s)
    IL-YANG Trivalent Influenza Vaccine
    Intervention Description
    A single 0.5mL dose administrated as an intramuscular injection.
    Primary Outcome Measure Information:
    Title
    Rate of Healthy Adults Aged ≥19 Years With Seroconversion
    Description
    Seroconversion is defined as follows. (Case 1) A pre-vaccination (Day 0) HI antibody titer < 1:10 and a post-vaccination (Day 28) HI antibody titer ≥ 1: 40. or (Case 2) a pre-vaccination (Day 0) HI antibody titer ≥ 1:10 and a minimum four-fold rise in post-vaccination (Day 28) HI antibody titer.
    Time Frame
    Day 28
    Title
    Rate of Healthy Adults Aged ≥19 Years With Seroprotection
    Description
    Seroprotection: A post-vaccination (Day 28) HI antibody titer ≥ 1:40.
    Time Frame
    Day 28
    Secondary Outcome Measure Information:
    Title
    Percentage of Subjects With SCR on Day 28 After Vaccination of the Investigational Product by Age Group
    Description
    The percentage of subjects with HI antibody SCR on Day 28 after vaccination of the investigational product was calculated and its 95% two-sided CI was presented for each strain by treatment group and by age group. The immunogenicity of the test vaccine was to be demonstrated if the lower limit of the 95% two-sided CI by age group was higher than the above mentioned criteria (40% for < 65 years of age, 30% for ≥ 65 years of age) in each treatment group.
    Time Frame
    Day 28
    Title
    Rate of Healthy Adults Aged ≥19 ~ <65 Years and ≥65 Years With Seroprotection, Respectively.
    Description
    Seroprotection is defined as follows. subjects who have a post-vaccination (Day 28) HI antibody titer ≥ 1: 40
    Time Frame
    Day 28
    Title
    Geometric Mean Titer as Measured by HI Antibody Titer on Day 28 After Vaccination of the Investigational Product (GMTcomparator/GMTtest Vaccine).
    Time Frame
    Day 28
    Title
    Difference of Seroconversion Rate(SCR) of HI Antibody Titer After 28days Vaccination(SCRcomparator-SCRtest Vaccine)
    Description
    The IL-YANG Quadrivalent Influenza Vaccine contain two types of B strain, while two kinds of Trivalent Influenza Vaccine contain each type of B strain. Primary outcome was about seroconversion and seroprotection rate of HI antibody, so each results of 3 kinds of vaccine was described. Considering the cross-reaction between two types of B strain, the analysis was designed in a way that the SCR/SPR of the B strains can be compared, respectively. However, secondary outcome, unlike the primary outcome, is expressed as a ratio(difference of seroconversion rate). So, the above factors were not to be consider. All methods of analysis are comply with the request of MFDS, and the result data that may make you confuse will be delete.
    Time Frame
    Day 28
    Title
    Geometric Mean Titer as Measured by HI Antibody Titer Before (Day 0) and on Day 28 After Vaccination of the Investigational Product.
    Time Frame
    Day 28
    Title
    Geometric Mean Ratio as Measured by HI Antibody Titer Before (Day 0) and on Day 28 After Vaccination of the Investigational Product.
    Time Frame
    Day 28

    10. Eligibility

    Sex
    All
    Minimum Age & Unit of Time
    19 Years
    Accepts Healthy Volunteers
    Accepts Healthy Volunteers
    Eligibility Criteria
    Inclusion Criteria: Healthy men and women at the age of 19 or older. Women of childbearing potential must have a negative pregnancy test (urine HCG) at the screening visit. Subjects who were given, and fully understood, the information about the study, and have provided voluntary written informed consent to participate in the study and to comply with all applicable study requirements. Exclusion Criteria: Subjects with known allergy to eggs, chicken, or any components of the study vaccine. Subjects who had received an influenza vaccine within the last 6 months prior to study entry. Subjects who have immune function disorders including immunodeficiency diseases or relevant family history. Subjects who donated blood within 1 week prior to vaccination or plan to donate blood during the period from Day 1 to Month 7 of vaccination. Subjects with a history of Guillain-Barre syndrome. Subjects with Down's syndrome or cytogenetic disorders. Subjects who are considered by the investigator to have difficulties in study participation due to severe chronic diseases (e.g., cardiovascular diseases except controlled hypertension and respiratory diseases with respiratory failure, metabolic diseases, renal function disorders, hemoglobinopathy, etc.). Subjects with hemophilia or coagulation disorder, who are at increased risk of serious bleeding during intramuscular injection. Subjects who had an acute fever with body temperature > 38.0 ºC within 72 hours prior to administration of the study vaccine. Subjects who had received another vaccine within 28 days before administration of the study vaccine or are planning to receive another vaccine during the study. Subjects who had received immunosuppressants or immune modifying drugs within 3 months prior to the investigational product vaccination. Azathioprine, cyclosporin, interferon, G-CSF, tacrolimus, everolimus, sirolimus, etc. High dose corticosteroids (a subject taking high doses, which is defined as 2mg/kg/day or higher of prednisolone administered for longer than 14 consecutive days, is not eligible for this study. The use of inhaled, nasal and topical corticosteroids is allowed, regardless of doses). Subjects who had previously received immunoglobulin or blood-derived products within the last 3 months prior to administration of the study vaccine, or are scheduled to receive a treatment with blood-derived products during the study. Subjects who had participated in another clinical trial within the 30 days before administration of the study vaccine. Female subjects of childbearing potential who do not agree to use an acceptable method of birth control* for this study during the study period. Medically acceptable methods of birth control: condom, injectable or implantable contraceptives, intrauterine device, or oral contraceptives, etc. Subjects with other clinically significant medical or psychiatric illness who in the investigator's opinion, are not be suitable for the study.

    12. IPD Sharing Statement

    Plan to Share IPD
    No

    Learn more about this trial

    Study to Evaluate the Immunogenicity and Safety of 'IL-YANG Quadrivalent Influenza Vaccine Inj.'

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