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Clinical Trial to Evaluate the Safety and Immunogenicity of Quadrivalent Influenza Vaccine (7.5μg/0.25ml)

Primary Purpose

Seasonal Influenza

Status
Completed
Phase
Phase 3
Locations
China
Study Type
Interventional
Intervention
Quadrivalent influenza vaccine
Quadrivalent influenza vaccine
Trivalent influenza vaccine (contains B/Victoria strain)
Trivalent influenza vaccine (contains B/Yamagata strain)
Sponsored by
Sinovac Biotech Co., Ltd
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional prevention trial for Seasonal Influenza focused on measuring Influenza Vaccine, Quadrivalent, Trivalent, Children

Eligibility Criteria

6 Months - 35 Months (Child)All SexesAccepts Healthy Volunteers

Inclusion Criteria:

  • Healthy volunteer between 6 - 35 months old; Term birth; Birth weight >2500g;
  • Proven legal identity;
  • Written consent of the guardian(s) of the volunteer;

Exclusion Criteria:

  • Received seasonal influenza vaccine in the current year;
  • Suffering from seasonal influenza in the past 6 moths;
  • Axillaty temperature > 37.0 °C;
  • History of allergy to any vaccine or vaccine ingredient;
  • History of serious adverse reaction(s) to vaccination, such as urticaria, difficulty in breathing, angioneurotic edema, abdominal pain, etc;
  • Autoimmune disease or immunodeficiency;
  • Congenital malformation, developmental disorders;
  • Severe malnutrition;
  • Diagnosed coagulation function abnormal (e.g., coagulation factor deficiency, coagulation disorder, or platelet abnormalities) , or obvious bruising or coagulation disorders;
  • History of epilepsy (except febrile seizures occurred < 2 years of age or pure epilepsy occurred within the past 3 years that does not need treatment)
  • Chronic diseases (e.g., viral hepatitis, tuberculosis, diabetes, blood diseases, or neurological disorders)
  • Acute disease or acute stage of chronic disease;
  • Receipt of any of the following products:

    1. Any subunit vaccine or inactivated vaccine (e.g., pneumococcal vaccine) or treatment of allergy within 14 days prior to study entry;
    2. Any live attenuated vaccine within 30 days prior to study entry;
    3. Any other investigational medicine(s) or vaccine within 30 days prior to study entry;
    4. Blood product within 3 months prior to study entry;
    5. Any immunosuppressant, cytotoxic medicine, or inhaled corticosteroids (except corticosteroid spray for treatment of allergic rhinitis or corticosteroid treatment on surface for acute non-complicated dermatitis) within 6 month prior to study entry;
  • Participate or will participate in other clinical trial(s) during this study;
  • Based on the judgment of investigator(s) or the Ethic Committee, there was any condition indicating that the subject should be excluded;

Sites / Locations

  • Guanyun Center for Disease Prevention and Control
  • Pizhou Center for Disease Prevention and Control

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm Type

Experimental

Experimental

Active Comparator

Active Comparator

Arm Label

Experimental group-phase Ⅰ

Experimental group-phase Ⅲ

Control group 1-phase Ⅲ

Control group 2-phase Ⅲ

Arm Description

Quadrivalent influenza vaccine

Quadrivalent influenza vaccine

Trivalent influenza vaccine (contains B/Victoria strain)

Trivalent influenza vaccine (contains B/Yamagata strain)

Outcomes

Primary Outcome Measures

The lower limit of 95% confidence intervals (95%CI) of geometric mean titer (GMT) ratio (experimental group/control group) of hemagglutination inhibition (HI) antibody titer≥2/3.
Immunogenicity index, One of the standard to evaluate the experimental vaccine is non-inferior to the control vaccines.
The lower limit of 95% CI of the seroconversion rate difference (experimental group-control group)≥-10%.
Immunogenicity index, Another standard to evaluate the experimental vaccine is non-inferior to the control vaccines.

Secondary Outcome Measures

The lower limit of 95%CI of the ratio of GMT (experimental group/control group) >1.5.
Immunogenicity index, One of the standard to evaluate the experimental vaccine is superior to the control vaccines for specific antigen type.
The lower limit of 95% CI of the difference of HI antibody seroconversion rate (experimental group-control group)>10%
Immunogenicity index, Another standard to evaluate the experimental vaccine is superior to the control vaccines for specific antigen type.
The lower limit of 95% CI of seroconversion rate for each HI antibody after two doses immunization≥40%.
Immunogenicity index
The seroprotective rate (HI antibody titer≥1:40) of each HI antibody after two doses immunization≥70%.
Immunogenicity index
The geometric mean increase (GMI) of each HI antibody after two doses immunization >2.5.
Immunogenicity index
The lower limit of 95%CI of the ratio of GMT(experimental group/control group)≥2/3, in the subjects whose pre-immune HI antibody titer<1:40
Immunogenicity index
The lower limit of 95% CI of the difference of HI antibody seroconversion rate (experimental group-control group)≥-10%, in the subjects whose pre-immune HI antibody titer<1:40.
Immunogenicity index
The incidence of the solicited local and general adverse reactions 0-7 days after each immunization.
Safety index, The adverse reactions refers to the adverse events which were considered related to the vaccination.
The incidence of the unsolicited adverse events 0-28 days after each immunization
Safety Index
The incidence of the serious adverse events within 7 months after the first immunization.
Safety Index

Full Information

First Posted
February 28, 2019
Last Updated
February 28, 2019
Sponsor
Sinovac Biotech Co., Ltd
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1. Study Identification

Unique Protocol Identification Number
NCT03859141
Brief Title
Clinical Trial to Evaluate the Safety and Immunogenicity of Quadrivalent Influenza Vaccine (7.5μg/0.25ml)
Official Title
Open Phase I and Randomized, Double-blind, Controlled Phase III Clinical Trial to Evaluate the Safety and Immunogenicity of Quadrivalent Influenza Vaccine in Healthy Subjects Aged 6-35 Months
Study Type
Interventional

2. Study Status

Record Verification Date
February 2019
Overall Recruitment Status
Completed
Study Start Date
February 6, 2018 (Actual)
Primary Completion Date
April 17, 2018 (Actual)
Study Completion Date
November 2, 2018 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Sinovac Biotech Co., Ltd

4. Oversight

Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
No

5. Study Description

Brief Summary
The purpose of this study is to evaluate the safety and immunogenicity of quadrivalent influenza vaccine in healthy children aged 6-35 months.
Detailed Description
The study includes open-labelled phase I and randomized, double-blind, controlled phase III clinical trial. In the phase I, 20 healthy Chinese children aged 6-35 months were administered with two doses of QIV (7.5μg/0.25ml). In the phase Ⅲ clinical trial, 2320 children were assigned to QIV group, TIV (B/Victoria) group and TIV (B/Yamagata) group in a 2:1:1 ratio. All vaccines were manufactured by Sinovac Biotech Co., Ltd.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Seasonal Influenza
Keywords
Influenza Vaccine, Quadrivalent, Trivalent, Children

7. Study Design

Primary Purpose
Prevention
Study Phase
Phase 3
Interventional Study Model
Parallel Assignment
Model Description
The phase Ⅰ clinical trial was a single arm.The phase Ⅲ was 3 parallel arms.
Masking
ParticipantInvestigator
Allocation
Randomized
Enrollment
2340 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Experimental group-phase Ⅰ
Arm Type
Experimental
Arm Description
Quadrivalent influenza vaccine
Arm Title
Experimental group-phase Ⅲ
Arm Type
Experimental
Arm Description
Quadrivalent influenza vaccine
Arm Title
Control group 1-phase Ⅲ
Arm Type
Active Comparator
Arm Description
Trivalent influenza vaccine (contains B/Victoria strain)
Arm Title
Control group 2-phase Ⅲ
Arm Type
Active Comparator
Arm Description
Trivalent influenza vaccine (contains B/Yamagata strain)
Intervention Type
Biological
Intervention Name(s)
Quadrivalent influenza vaccine
Intervention Description
One dose of quadrivalent influenza vaccine: 0.25 ml per dose containing 7.5μg antigen.
Intervention Type
Biological
Intervention Name(s)
Quadrivalent influenza vaccine
Intervention Description
One dose of quadrivalent influenza vaccine: 0.25 ml per dose containing 7.5μg antigen.
Intervention Type
Biological
Intervention Name(s)
Trivalent influenza vaccine (contains B/Victoria strain)
Intervention Description
One dose of trivalent influenza vaccine (contains B/Victoria strain): 0.25 ml per dose containing 7.5μg antigen.
Intervention Type
Biological
Intervention Name(s)
Trivalent influenza vaccine (contains B/Yamagata strain)
Intervention Description
One dose of trivalent influenza vaccine (contains B/Yamagata strain): 0.25 ml per dose containing 7.5μg antigen.
Primary Outcome Measure Information:
Title
The lower limit of 95% confidence intervals (95%CI) of geometric mean titer (GMT) ratio (experimental group/control group) of hemagglutination inhibition (HI) antibody titer≥2/3.
Description
Immunogenicity index, One of the standard to evaluate the experimental vaccine is non-inferior to the control vaccines.
Time Frame
28 days after two doses immunization
Title
The lower limit of 95% CI of the seroconversion rate difference (experimental group-control group)≥-10%.
Description
Immunogenicity index, Another standard to evaluate the experimental vaccine is non-inferior to the control vaccines.
Time Frame
28 days after two doses immunization
Secondary Outcome Measure Information:
Title
The lower limit of 95%CI of the ratio of GMT (experimental group/control group) >1.5.
Description
Immunogenicity index, One of the standard to evaluate the experimental vaccine is superior to the control vaccines for specific antigen type.
Time Frame
28 days after two doses immunization
Title
The lower limit of 95% CI of the difference of HI antibody seroconversion rate (experimental group-control group)>10%
Description
Immunogenicity index, Another standard to evaluate the experimental vaccine is superior to the control vaccines for specific antigen type.
Time Frame
28 days after two doses immunization
Title
The lower limit of 95% CI of seroconversion rate for each HI antibody after two doses immunization≥40%.
Description
Immunogenicity index
Time Frame
28 days after two doses immunization
Title
The seroprotective rate (HI antibody titer≥1:40) of each HI antibody after two doses immunization≥70%.
Description
Immunogenicity index
Time Frame
28 days after two doses immunization
Title
The geometric mean increase (GMI) of each HI antibody after two doses immunization >2.5.
Description
Immunogenicity index
Time Frame
28 days after two doses immunization
Title
The lower limit of 95%CI of the ratio of GMT(experimental group/control group)≥2/3, in the subjects whose pre-immune HI antibody titer<1:40
Description
Immunogenicity index
Time Frame
28 days after two doses immunization
Title
The lower limit of 95% CI of the difference of HI antibody seroconversion rate (experimental group-control group)≥-10%, in the subjects whose pre-immune HI antibody titer<1:40.
Description
Immunogenicity index
Time Frame
28 days after two doses immunization
Title
The incidence of the solicited local and general adverse reactions 0-7 days after each immunization.
Description
Safety index, The adverse reactions refers to the adverse events which were considered related to the vaccination.
Time Frame
0-7 days
Title
The incidence of the unsolicited adverse events 0-28 days after each immunization
Description
Safety Index
Time Frame
0-28 days after each dose immunization
Title
The incidence of the serious adverse events within 7 months after the first immunization.
Description
Safety Index
Time Frame
Within 7 months after the first dose immunization

10. Eligibility

Sex
All
Minimum Age & Unit of Time
6 Months
Maximum Age & Unit of Time
35 Months
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: Healthy volunteer between 6 - 35 months old; Term birth; Birth weight >2500g; Proven legal identity; Written consent of the guardian(s) of the volunteer; Exclusion Criteria: Received seasonal influenza vaccine in the current year; Suffering from seasonal influenza in the past 6 moths; Axillaty temperature > 37.0 °C; History of allergy to any vaccine or vaccine ingredient; History of serious adverse reaction(s) to vaccination, such as urticaria, difficulty in breathing, angioneurotic edema, abdominal pain, etc; Autoimmune disease or immunodeficiency; Congenital malformation, developmental disorders; Severe malnutrition; Diagnosed coagulation function abnormal (e.g., coagulation factor deficiency, coagulation disorder, or platelet abnormalities) , or obvious bruising or coagulation disorders; History of epilepsy (except febrile seizures occurred < 2 years of age or pure epilepsy occurred within the past 3 years that does not need treatment) Chronic diseases (e.g., viral hepatitis, tuberculosis, diabetes, blood diseases, or neurological disorders) Acute disease or acute stage of chronic disease; Receipt of any of the following products: Any subunit vaccine or inactivated vaccine (e.g., pneumococcal vaccine) or treatment of allergy within 14 days prior to study entry; Any live attenuated vaccine within 30 days prior to study entry; Any other investigational medicine(s) or vaccine within 30 days prior to study entry; Blood product within 3 months prior to study entry; Any immunosuppressant, cytotoxic medicine, or inhaled corticosteroids (except corticosteroid spray for treatment of allergic rhinitis or corticosteroid treatment on surface for acute non-complicated dermatitis) within 6 month prior to study entry; Participate or will participate in other clinical trial(s) during this study; Based on the judgment of investigator(s) or the Ethic Committee, there was any condition indicating that the subject should be excluded;
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Yuemei Hu, Bachelor
Organizational Affiliation
Jiangsu Provincial Center for Disease Prevention and Control
Official's Role
Principal Investigator
Facility Information:
Facility Name
Guanyun Center for Disease Prevention and Control
City
Lianyungang
State/Province
Jiangsu
ZIP/Postal Code
222200
Country
China
Facility Name
Pizhou Center for Disease Prevention and Control
City
Pizhou
State/Province
Jiangsu
ZIP/Postal Code
221300
Country
China

12. IPD Sharing Statement

Citations:
PubMed Identifier
32347785
Citation
Hu Y, Shao M, Hu Y, Liang Q, Jia N, Chu K, Xu L, Li J, Li C, Zhu F. Immunogenicity and safety of an inactivated quadrivalent influenza vaccine: a randomized, double-blind, controlled phase III clinical trial in children aged 6-35 months in China. Hum Vaccin Immunother. 2020 Jul 2;16(7):1691-1698. doi: 10.1080/21645515.2020.1721994. Epub 2020 Apr 29.
Results Reference
derived

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Clinical Trial to Evaluate the Safety and Immunogenicity of Quadrivalent Influenza Vaccine (7.5μg/0.25ml)

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