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Phase 3 Trial of Serbian Seasonal Influenza Vaccine (Torlak-300)

Primary Purpose

Influenza

Status
Completed
Phase
Phase 3
Locations
Serbia
Study Type
Interventional
Intervention
Vaccine
Placebo
Sponsored by
Institute of Virology, Vaccines and Sera, Torlak
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional prevention trial for Influenza focused on measuring seasonal influenza, vaccine

Eligibility Criteria

18 Years - 65 Years (Adult, Older Adult)All SexesAccepts Healthy Volunteers

Inclusion Criteria:

  • Aged 18 to 65 years on the day of screening/enrollment.
  • Literate (by self-report) and willing to provide written informed consent.
  • Able to attend all scheduled visits and to comply with all trial procedures.
  • Healthy or medically stable, as established by medical history and physical examination. For individuals with medical conditions, symptoms/signs, if present must be stable under control or unchanged for the past three months. If medication is used to treat the condition, the medication dose must have been stable for at least one month preceding vaccination.

For female participants:

  • Not breast feeding, non-pregnant (based on negative urine pregnancy test) and no plan to become pregnant up to Day 22.
  • Women who are not surgically sterile (hysterectomy or tubal ligation) or post-menopausal for more than one year must be willing to use effective contraceptive method to prevent pregnancy until three weeks (Day 22) after vaccination. Effective methods include intrauterine device, hormonal contraceptives (oral, injectable, patch, implant, ring) or double barrier contraceptives (condom or diaphragm with spermicide). Women with credible history of abstinence may be enrolled at the discretion of the investigator.

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 influenza vaccine in the last 10 months.
  • Receipt of any non-study vaccine within four weeks prior to enrollment or refusal to postpone receipt of such vaccines until after the Day 22 visit.
  • Receipt of immune globulin or other blood products within three months prior to study enrollment or planned receipt of such products prior to the Day 22 visit.
  • Known or suspected congenital or acquired immunodeficiency.
  • 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.)
  • Unstable illness by history or physical examination that in the opinion of the investigator, might interfere with the conduct or results of the study or pose additional risk to the participant.
  • Hypersensitivity after previous administration of any vaccine.
  • Suspected or known hypersensitivity to any of the study vaccine components, including chicken or egg protein or antibiotics.
  • Bleeding disorder or receipt of anticoagulants in the three weeks preceding enrollment.
  • Known active tuberculosis or symptoms of active tuberculosis, regardless of cause (self-report).
  • Current alcohol or drug addiction that in the opinion of the Investigator, might interfere with the ability to comply with trial procedures.
  • History of Guillain-Barré Syndrome.
  • Neoplastic disease or any hematologic malignancy. Allowed: localized skin or prostate cancer that is no longer being treated and is stable at the time of vaccination and participants who have a history of neoplastic disease and who have been disease free for ≥ 5 years.
  • Any condition that, in the opinion of the investigator, would increase the health risk to the participant if he/she participates in the study, or would interfere with the evaluation of the study objectives.

Sites / Locations

  • Clinical Center of Serbia: Clinic for Infectious and Tropical Diseases
  • Clinical Center of Serbia: Clinic for Pulmonology
  • Institute for Students' Healthcare
  • Institute of Health Care of Workers of the Ministry of Internal Affairs
  • Jevremova Special gynecology hospital with maternity
  • General Hospital Vrsac

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Placebo Comparator

Arm Label

Vaccine Arm

Placebo Arm

Arm Description

Seasonal trivalent split, inactivated influenza vaccine

Phosphate buffered saline

Outcomes

Primary Outcome Measures

Number of Participants With Solicited Adverse Events (Local & Systemic Reactogenicity)
Number of participants experiencing one or more solicited local AEs, including redness /erythema, swelling / induration and pain
Number of Participants With Solicited Local Adverse Events (Local Reactogenicity)
Number of subjects reporting one or more solicited local reactions (redness/erythema, swelling/induration, pain, and tenderness) at the injection site post-vaccination with study vaccine or placebo
Number of Participants With Solicited Systemic Adverse Events (Systemic Reactogenicity)
Number of subjects reporting one or more solicited systemic reactions (fever, fatigue/malaise, muscle aches, joint aches, chills, nausea, vomiting, and headache) post-vaccination with study vaccine or placebo.
Number of Participants With Unsolicited Adverse Events
Unsolicited AEs occurring in 1% or more of study participants; includes events irrespective of causality
Number of Participants With Serious Adverse Events (SAE)
Number of participants reporting one or more of all anticipated and unanticipated serious adverse events, grouped by organ system, with number and frequency of such events in each arm/group of the clinical study.
Number and Percentage of Seroconverted Subjects
Seroconversion is defined as a serum HAI antibody titer meeting the following criteria: Pre-vaccination titer <1:10 and a post-vaccination titer measured on Day 22 of ≥1:40; or Pre-vaccination titer ≥1:10 and at least a four-fold increase in post-vaccination measured on Day 22. Measured against each of the 3 antigens
Number and Percentage of Participants With a HAI Antibody Titer ≥1:40 (Seroprotection)
Seroprotective Titers is considered as HAI antibody Titre ≥1:40; measured for each of the 3 antigens
Geometric Mean Titers (GMTs) of Serum HAI Antibodies
Serum HAI Antibodies GMTs Pre- (Day 1) and Post-vaccination (Day 22); measured for each of the 3 antigens
Geometric Mean Fold Rises (GMFRs) of Serum HAI Antibodies
GMFR calculated as GMT for of Serum HAI Antibodies Post-vaccination/Pre-vaccination; measured for each of the 3 antigens

Secondary Outcome Measures

Full Information

First Posted
October 13, 2016
Last Updated
January 21, 2019
Sponsor
Institute of Virology, Vaccines and Sera, Torlak
Collaborators
PATH, Comac Medical, World Health Organization
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1. Study Identification

Unique Protocol Identification Number
NCT02935192
Brief Title
Phase 3 Trial of Serbian Seasonal Influenza Vaccine
Acronym
Torlak-300
Official Title
A Phase 3 Double Blinded, Randomized, Placebo- Controlled Study to Examine the Safety and Immunogenicity of a Seasonal Trivalent Split Inactivated Influenza Vaccine Produced by Institute Torlak in 18-65 Year Old Volunteers in Serbia
Study Type
Interventional

2. Study Status

Record Verification Date
January 2019
Overall Recruitment Status
Completed
Study Start Date
November 28, 2016 (Actual)
Primary Completion Date
January 8, 2017 (Actual)
Study Completion Date
March 25, 2017 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Institute of Virology, Vaccines and Sera, Torlak
Collaborators
PATH, Comac Medical, World Health Organization

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
A Phase 3, double-blind, randomized, placebo-controlled trial of a seasonal, trivalent, split, inactivated influenza vaccine produced by InstituteTorlak.
Detailed Description
This is a phase 3, double-blind, randomized, placebo- controlled trial with two groups of participants to receive seasonal trivalent split, inactivated influenza vaccine (A/H1N1; A/H3N2 and B) or placebo (phosphate buffered saline). A total of about 480 healthy male and female adults 18 through 65 years of age; 320 participants will be randomized to receive vaccine and160 will receive placebo (a 2:1 ratio). At least 25% of the participants (N=120) will be >/= 45 years of age (80 vaccine and 40 placebo recipients). Safety will be assessed in all participants through Day 91. Immunogenicity will be assessed in serum samples obtained at baseline and 21 days after vaccination in a subset of at least 100 individuals randomized to study vaccine and 50 placebo recipients.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Influenza
Keywords
seasonal influenza, vaccine

7. Study Design

Primary Purpose
Prevention
Study Phase
Phase 3
Interventional Study Model
Parallel Assignment
Masking
ParticipantInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
480 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Vaccine Arm
Arm Type
Experimental
Arm Description
Seasonal trivalent split, inactivated influenza vaccine
Arm Title
Placebo Arm
Arm Type
Placebo Comparator
Arm Description
Phosphate buffered saline
Intervention Type
Biological
Intervention Name(s)
Vaccine
Intervention Description
Seasonal trivalent split, inactivated influenza vaccine 15 mcg hemagglutinin antigen (HA) of each of A/H1N1; A/H3N2 and B strains; 0.5 mL by IM injection
Intervention Type
Other
Intervention Name(s)
Placebo
Intervention Description
Phosphate buffered saline, 0.5 mL by IM injection
Primary Outcome Measure Information:
Title
Number of Participants With Solicited Adverse Events (Local & Systemic Reactogenicity)
Description
Number of participants experiencing one or more solicited local AEs, including redness /erythema, swelling / induration and pain
Time Frame
30-minute post-vaccination period
Title
Number of Participants With Solicited Local Adverse Events (Local Reactogenicity)
Description
Number of subjects reporting one or more solicited local reactions (redness/erythema, swelling/induration, pain, and tenderness) at the injection site post-vaccination with study vaccine or placebo
Time Frame
5-day period (Days 1-5) post-vaccination
Title
Number of Participants With Solicited Systemic Adverse Events (Systemic Reactogenicity)
Description
Number of subjects reporting one or more solicited systemic reactions (fever, fatigue/malaise, muscle aches, joint aches, chills, nausea, vomiting, and headache) post-vaccination with study vaccine or placebo.
Time Frame
5-day period (Days 1-5) post-vaccination
Title
Number of Participants With Unsolicited Adverse Events
Description
Unsolicited AEs occurring in 1% or more of study participants; includes events irrespective of causality
Time Frame
Within 21 days post vaccination
Title
Number of Participants With Serious Adverse Events (SAE)
Description
Number of participants reporting one or more of all anticipated and unanticipated serious adverse events, grouped by organ system, with number and frequency of such events in each arm/group of the clinical study.
Time Frame
Over the entire study period (Day 91)
Title
Number and Percentage of Seroconverted Subjects
Description
Seroconversion is defined as a serum HAI antibody titer meeting the following criteria: Pre-vaccination titer <1:10 and a post-vaccination titer measured on Day 22 of ≥1:40; or Pre-vaccination titer ≥1:10 and at least a four-fold increase in post-vaccination measured on Day 22. Measured against each of the 3 antigens
Time Frame
Day 22
Title
Number and Percentage of Participants With a HAI Antibody Titer ≥1:40 (Seroprotection)
Description
Seroprotective Titers is considered as HAI antibody Titre ≥1:40; measured for each of the 3 antigens
Time Frame
Day 1 and Day 22
Title
Geometric Mean Titers (GMTs) of Serum HAI Antibodies
Description
Serum HAI Antibodies GMTs Pre- (Day 1) and Post-vaccination (Day 22); measured for each of the 3 antigens
Time Frame
Day 1 and Day 22
Title
Geometric Mean Fold Rises (GMFRs) of Serum HAI Antibodies
Description
GMFR calculated as GMT for of Serum HAI Antibodies Post-vaccination/Pre-vaccination; measured for each of the 3 antigens
Time Frame
Day 1 and Day 22

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
65 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: Aged 18 to 65 years on the day of screening/enrollment. Literate (by self-report) and willing to provide written informed consent. Able to attend all scheduled visits and to comply with all trial procedures. Healthy or medically stable, as established by medical history and physical examination. For individuals with medical conditions, symptoms/signs, if present must be stable under control or unchanged for the past three months. If medication is used to treat the condition, the medication dose must have been stable for at least one month preceding vaccination. For female participants: Not breast feeding, non-pregnant (based on negative urine pregnancy test) and no plan to become pregnant up to Day 22. Women who are not surgically sterile (hysterectomy or tubal ligation) or post-menopausal for more than one year must be willing to use effective contraceptive method to prevent pregnancy until three weeks (Day 22) after vaccination. Effective methods include intrauterine device, hormonal contraceptives (oral, injectable, patch, implant, ring) or double barrier contraceptives (condom or diaphragm with spermicide). Women with credible history of abstinence may be enrolled at the discretion of the investigator. 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 influenza vaccine in the last 10 months. Receipt of any non-study vaccine within four weeks prior to enrollment or refusal to postpone receipt of such vaccines until after the Day 22 visit. Receipt of immune globulin or other blood products within three months prior to study enrollment or planned receipt of such products prior to the Day 22 visit. Known or suspected congenital or acquired immunodeficiency. 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.) Unstable illness by history or physical examination that in the opinion of the investigator, might interfere with the conduct or results of the study or pose additional risk to the participant. Hypersensitivity after previous administration of any vaccine. Suspected or known hypersensitivity to any of the study vaccine components, including chicken or egg protein or antibiotics. Bleeding disorder or receipt of anticoagulants in the three weeks preceding enrollment. Known active tuberculosis or symptoms of active tuberculosis, regardless of cause (self-report). Current alcohol or drug addiction that in the opinion of the Investigator, might interfere with the ability to comply with trial procedures. History of Guillain-Barré Syndrome. Neoplastic disease or any hematologic malignancy. Allowed: localized skin or prostate cancer that is no longer being treated and is stable at the time of vaccination and participants who have a history of neoplastic disease and who have been disease free for ≥ 5 years. Any condition that, in the opinion of the investigator, would increase the health risk to the participant if he/she participates in the study, or would interfere with the evaluation of the study objectives.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Goran Stevanovic, MD
Organizational Affiliation
Clinical Center of Serbia, Clinic for Infectious and Tropical Diseases
Official's Role
Study Chair
Facility Information:
Facility Name
Clinical Center of Serbia: Clinic for Infectious and Tropical Diseases
City
Belgrade
Country
Serbia
Facility Name
Clinical Center of Serbia: Clinic for Pulmonology
City
Belgrade
Country
Serbia
Facility Name
Institute for Students' Healthcare
City
Belgrade
Country
Serbia
Facility Name
Institute of Health Care of Workers of the Ministry of Internal Affairs
City
Belgrade
Country
Serbia
Facility Name
Jevremova Special gynecology hospital with maternity
City
Belgrade
Country
Serbia
Facility Name
General Hospital Vrsac
City
Vršac
Country
Serbia

12. IPD Sharing Statement

Plan to Share IPD
No
Citations:
PubMed Identifier
32518891
Citation
Stevanovic G, Obradovic A, Ristic S, Petrovic D, Milenkovic B, Mitrovic D, Vignjevic SF, Ilic K, Stoiljkovic V, Lavadinovic L, Pelemis M, Petrovic S, Vidmanic A, Popovic O, Eremic N, Sparrow E, Torelli G, Socquet M, Holt R, Ilieva-Borisova Y, Tang Y, Scorza FB, Flores J, Rathi N. Safety and immunogenicity of a seasonal trivalent inactivated split influenza vaccine: a double blind, phase III randomized clinical trial in healthy Serbian adults. Ther Adv Vaccines Immunother. 2020 May 25;8:2515135520925336. doi: 10.1177/2515135520925336. eCollection 2020.
Results Reference
derived

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Phase 3 Trial of Serbian Seasonal Influenza Vaccine

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