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Tolerability, Safety and Immunogenicity Trial of the Flu-M® Inactivated Vaccine in Volunteers Aged 18 to 60 Years

Primary Purpose

Influenza, Flu, Human

Status
Completed
Phase
Phase 3
Locations
Russian Federation
Study Type
Interventional
Intervention
Flu-M [inactivated split influenza vaccine] without preservative
Flu-M [inactivated split influenza vaccine] with preservative
Sponsored by
St. Petersburg Research Institute of Vaccines and Sera
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional prevention trial for Influenza focused on measuring Influenza, Flu, Vaccine, FLU-M, SPbSRIVS

Eligibility Criteria

18 Years - 60 Years (Adult)All SexesAccepts Healthy Volunteers

Inclusion Criteria:

  1. Healthy volunteers (men and women) aged 18-60 years;
  2. Written informed consent of volunteers to participate in the clinical trial;
  3. Volunteers able to fulfill requirements of the Protocol (i.e. fill out the patient's diary, come to follow-up visits);
  4. For fertile women - a negative result of the pregnancy test and consent to observe adequate methods of contraception during the trial and at least two months after vaccination
  5. For fertile men - consent to observe adequate methods of contraception during the trial and at least two months after vaccination, except for men after vasectomy with documented azoospermia, and their sexual partners should use methods of contraception that ensure more than 90% reliability or be incapable of conception after a surgical sterilization or have a natural menopause for at least 2 years.

Exclusion Criteria:

  1. History of influenza/ARVI or previous influenza vaccination during 6 months before the trial;
  2. Positive result of the SARS-CoV-2 test;
  3. A serious post-vaccination reaction (temperature above 40 °C, hyperemia or edema more than 8 cm in diameter) or complications (collapse or shock-like condition that developed within 48 hours after vaccination; convulsions accompanied or not accompanied by a fever due to any previous vaccination);
  4. Allergic reactions to vaccine components or any previous vaccination;
  5. History of allergic reaction to chicken protein;
  6. Guillain-Barré syndrome (acute polyneuropathy) in the medical history;
  7. Previous vaccination with rabies vaccines less than 2 months before immunization or scheduled vaccination with rabies vaccines within 1 month after immunization with the trial vaccines;
  8. Use of any vaccines within 1 month before the vaccination, excluding vaccines according to the National Calendar of Preventive Vaccination, including for epidemic reasons;
  9. History of leukemia, cancer, autoimmune diseases;
  10. (Positive blood test results for HIV, syphilis, hepatitis B/C;
  11. Volunteers who received immunoglobulin or blood products or had a blood transfusion during the last three months before the trial;
  12. History of long-term use (more than 14 days) of immunosuppressants or immunomodulatory drugs for six months before the trial;
  13. History of any confirmed or suspected immunosuppressive or immunodeficiency condition;
  14. History of chronic diseases of the cardiovascular, bronchopulmonary, neuroendocrine systems, the gastrointestinal tract, liver, kidneys, hematopoietic or immune systems, mental disease in the acute stage or in the decompensation stage (recovery less than 4 weeks before vaccination);
  15. Diabetes mellitus, thyrotoxicosis or other diseases of the endocrine system;
  16. History of eczema;
  17. Treatment with glucocorticosteroids, including in small doses, as well as local use of drugs containing steroids (> 10 mg of prednisolone or its equivalent for more than 14 days before the screening);
  18. Tuberculosis, neurological or mental disorders, a convulsive syndrome, including in the past medical history;
  19. History of acute infectious diseases (recovery less than 4 weeks before vaccination);
  20. Consumption of more than 10 units of alcohol per week or history of alcohol addiction, drug addiction or abuse of pharmaceutical products;
  21. Smoking of more than 10 cigarettes per day;
  22. Participation in another clinical trial during the last 3 months;
  23. Pregnancy or lactation;
  24. Coagulopathy, including hemophilia;
  25. Taking aspirin or other antiplatelet agents in high doses.

Sites / Locations

  • State Autonomous Health Institution "Engels City Clinical Hospital No1"
  • Limited Liability Company "Professorskaya Clinica"
  • Limited Liability Company "Clinika Zvezdnaya"
  • Limited Liability Company "MEDICINSKAYA CLINIKA"
  • Limited Liability Company "PeterClinic"
  • Limited Liability Company "Scientific Research Center Eco-Safety"
  • Saint Petersburg State Budgetary Healthcare Institution "State Polyclinic No. 117"
  • Limited Liability Company "Medical Center Diagnostics and Prevention Plus"

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Experimental

Arm Label

FLU-M w/o/p

FLU-M w/p

Arm Description

Volunteers were vaccinated with a single dose of the Flu-M vaccine (without preservative) intramuscularly in a dose of 0.5 mL.

Volunteers were vaccinated with a single dose of the Flu-M vaccine (with preservative) intramuscularly in a dose of 0.5 mL.

Outcomes

Primary Outcome Measures

Change from baseline geometric mean titer ratio of antibodies for each virus strain (GMT (Flu-M w/p) / GMT (Flu-M w/o/p) at 6 months
The upper limit of bilateral 95% CI for the GMT ratio (GMT (Flu-M w/p) / GMT (Flu-M w/o/p) should not exceed 1.5
Change from baseline the difference between seroconversion rates (seroconversion rate Flu-M w/p - seroconversion rate Flu-M w/o/p) at 6 months
The upper limit of bilateral 95% CI for the difference between seroconversion rates (seroconversion rate Flu-M w/p - seroconversion rate Flu-M w/o/p) should not exceed 10%

Secondary Outcome Measures

Geometric mean titer of antibodies for each virus strain (A (H1N1), A (H3N2) and B)
Specific anti-influenza antibodies were determined using haemagglutination inhibition assay (HI assay)
Seroconversion rate for each virus strain (A (H1N1), A (H3N2) and B)
Seroconversion factor for each virus strain (A (H1N1), A (H3N2) and B)
Seroprotection rate for each virus strain (A (H1N1), A (H3N2) and B)
Incidence, severity, and duration of influenza or ARVI during 6 months after vaccination
Incidence of adverse events (AEs)
Incidence of serious adverse events (SAEs)
Number of patients with abnormal results of blood pressure (BP)
BP measurements include the systolic and diastolic blood pressure.BP is measured on the brachial artery according to the Korotkoff method using a certified sphygmomanometer or tonometer. It is also allowed to use a certified electronic tonometer for measuring.
Number of patients with abnormal results of heart rate (HR)
The HR is measured during auscultation of the heart in parallel with determining the pulse rate on the radial artery (or on the carotid artery in case of weak pulsation in the radial artery) for a minute while sitting.
Number of patients with abnormal results of respiratory rate (RR)
The RR is measured for a minute at rest in the sitting position, by registering the breathing movements of the chest or abdominal wall.
Number of patients with abnormal results of body temperature (>37 °С)
Body temperature (°C) is measured with a mercury or digital thermometer in the armpit for at least 5 minutes or with a non-contact infrared digital thermometer.
Number of patients with abnormal results of physical examination
Physical examination of volunteers includes an interview, discovery of complaints and symptoms, when required, palpation, auscultation, percussion.
Number of patients with abnormal results of neurological status
Assessment of: Cranial nerve function Motor sphere Reflex sphere Sensitive sphere Coordination sphere Pelvic functions Higher mental functions
Determination of total IgE
Number of patients with abnormal results of electrocardiography (ECG)
2-lead electrocardiography (ECG). Assessment of: PQ, QT,QTc intervals, QRS complex

Full Information

First Posted
March 17, 2022
Last Updated
March 28, 2022
Sponsor
St. Petersburg Research Institute of Vaccines and Sera
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1. Study Identification

Unique Protocol Identification Number
NCT05312294
Brief Title
Tolerability, Safety and Immunogenicity Trial of the Flu-M® Inactivated Vaccine in Volunteers Aged 18 to 60 Years
Official Title
Multicenter, Double-blind, Comparative, Randomized Tolerability, Safety and Immunogenicity Trial of the Flu-M® Inactivated Vaccine in Volunteers Aged 18 to 60 Years
Study Type
Interventional

2. Study Status

Record Verification Date
March 2022
Overall Recruitment Status
Completed
Study Start Date
December 7, 2020 (Actual)
Primary Completion Date
September 3, 2021 (Actual)
Study Completion Date
November 15, 2021 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
St. Petersburg Research Institute of Vaccines and Sera

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
Comparative assessment of the tolerability, safety, and immunogenicity of the Flu-M® Inactivated Split Influenza Vaccine (without preservative) and the Flu-M® vaccine (with preservative) in volunteers aged between 18 and 60
Detailed Description
Assessment of the tolerability and safety of the Flu-M® inactivated split influenza vaccine (without preservative) and Flu-M® (with preservative). Assessment of the immunogenicity of the Flu-M® inactivated split influenza vaccine (with preservative) and Flu-M® (without preservative). Single administration of the trial products. Duration of follow-up - 28+3 (outpatient visit) and Long-term follow-up - 180±3 days.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Influenza, Flu, Human
Keywords
Influenza, Flu, Vaccine, FLU-M, SPbSRIVS

7. Study Design

Primary Purpose
Prevention
Study Phase
Phase 3
Interventional Study Model
Parallel Assignment
Masking
ParticipantInvestigator
Allocation
Randomized
Enrollment
654 (Actual)

8. Arms, Groups, and Interventions

Arm Title
FLU-M w/o/p
Arm Type
Experimental
Arm Description
Volunteers were vaccinated with a single dose of the Flu-M vaccine (without preservative) intramuscularly in a dose of 0.5 mL.
Arm Title
FLU-M w/p
Arm Type
Experimental
Arm Description
Volunteers were vaccinated with a single dose of the Flu-M vaccine (with preservative) intramuscularly in a dose of 0.5 mL.
Intervention Type
Biological
Intervention Name(s)
Flu-M [inactivated split influenza vaccine] without preservative
Intervention Description
Solution for intramuscular injection, 0.5 ml
Intervention Type
Biological
Intervention Name(s)
Flu-M [inactivated split influenza vaccine] with preservative
Intervention Description
Solution for intramuscular injection, 0.5 ml
Primary Outcome Measure Information:
Title
Change from baseline geometric mean titer ratio of antibodies for each virus strain (GMT (Flu-M w/p) / GMT (Flu-M w/o/p) at 6 months
Description
The upper limit of bilateral 95% CI for the GMT ratio (GMT (Flu-M w/p) / GMT (Flu-M w/o/p) should not exceed 1.5
Time Frame
days 0-180
Title
Change from baseline the difference between seroconversion rates (seroconversion rate Flu-M w/p - seroconversion rate Flu-M w/o/p) at 6 months
Description
The upper limit of bilateral 95% CI for the difference between seroconversion rates (seroconversion rate Flu-M w/p - seroconversion rate Flu-M w/o/p) should not exceed 10%
Time Frame
days 0-180
Secondary Outcome Measure Information:
Title
Geometric mean titer of antibodies for each virus strain (A (H1N1), A (H3N2) and B)
Description
Specific anti-influenza antibodies were determined using haemagglutination inhibition assay (HI assay)
Time Frame
days 0,28,180
Title
Seroconversion rate for each virus strain (A (H1N1), A (H3N2) and B)
Time Frame
days 0,28,180
Title
Seroconversion factor for each virus strain (A (H1N1), A (H3N2) and B)
Time Frame
days 0,28,180
Title
Seroprotection rate for each virus strain (A (H1N1), A (H3N2) and B)
Time Frame
days 0,28,180
Title
Incidence, severity, and duration of influenza or ARVI during 6 months after vaccination
Time Frame
days 1-180
Title
Incidence of adverse events (AEs)
Time Frame
days 1-180
Title
Incidence of serious adverse events (SAEs)
Time Frame
days 1-180
Title
Number of patients with abnormal results of blood pressure (BP)
Description
BP measurements include the systolic and diastolic blood pressure.BP is measured on the brachial artery according to the Korotkoff method using a certified sphygmomanometer or tonometer. It is also allowed to use a certified electronic tonometer for measuring.
Time Frame
days 0,1,7,28,180
Title
Number of patients with abnormal results of heart rate (HR)
Description
The HR is measured during auscultation of the heart in parallel with determining the pulse rate on the radial artery (or on the carotid artery in case of weak pulsation in the radial artery) for a minute while sitting.
Time Frame
days 0,1,7,28,180
Title
Number of patients with abnormal results of respiratory rate (RR)
Description
The RR is measured for a minute at rest in the sitting position, by registering the breathing movements of the chest or abdominal wall.
Time Frame
days 0,1,7,28,180
Title
Number of patients with abnormal results of body temperature (>37 °С)
Description
Body temperature (°C) is measured with a mercury or digital thermometer in the armpit for at least 5 minutes or with a non-contact infrared digital thermometer.
Time Frame
days 0,1,7,28,180
Title
Number of patients with abnormal results of physical examination
Description
Physical examination of volunteers includes an interview, discovery of complaints and symptoms, when required, palpation, auscultation, percussion.
Time Frame
days 0,1,7,28,180
Title
Number of patients with abnormal results of neurological status
Description
Assessment of: Cranial nerve function Motor sphere Reflex sphere Sensitive sphere Coordination sphere Pelvic functions Higher mental functions
Time Frame
days 0,7,28
Title
Determination of total IgE
Time Frame
days 0,7,28
Title
Number of patients with abnormal results of electrocardiography (ECG)
Description
2-lead electrocardiography (ECG). Assessment of: PQ, QT,QTc intervals, QRS complex
Time Frame
days 0,7

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
60 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: Healthy volunteers (men and women) aged 18-60 years; Written informed consent of volunteers to participate in the clinical trial; Volunteers able to fulfill requirements of the Protocol (i.e. fill out the patient's diary, come to follow-up visits); For fertile women - a negative result of the pregnancy test and consent to observe adequate methods of contraception during the trial and at least two months after vaccination For fertile men - consent to observe adequate methods of contraception during the trial and at least two months after vaccination, except for men after vasectomy with documented azoospermia, and their sexual partners should use methods of contraception that ensure more than 90% reliability or be incapable of conception after a surgical sterilization or have a natural menopause for at least 2 years. Exclusion Criteria: History of influenza/ARVI or previous influenza vaccination during 6 months before the trial; Positive result of the SARS-CoV-2 test; A serious post-vaccination reaction (temperature above 40 °C, hyperemia or edema more than 8 cm in diameter) or complications (collapse or shock-like condition that developed within 48 hours after vaccination; convulsions accompanied or not accompanied by a fever due to any previous vaccination); Allergic reactions to vaccine components or any previous vaccination; History of allergic reaction to chicken protein; Guillain-Barré syndrome (acute polyneuropathy) in the medical history; Previous vaccination with rabies vaccines less than 2 months before immunization or scheduled vaccination with rabies vaccines within 1 month after immunization with the trial vaccines; Use of any vaccines within 1 month before the vaccination, excluding vaccines according to the National Calendar of Preventive Vaccination, including for epidemic reasons; History of leukemia, cancer, autoimmune diseases; (Positive blood test results for HIV, syphilis, hepatitis B/C; Volunteers who received immunoglobulin or blood products or had a blood transfusion during the last three months before the trial; History of long-term use (more than 14 days) of immunosuppressants or immunomodulatory drugs for six months before the trial; History of any confirmed or suspected immunosuppressive or immunodeficiency condition; History of chronic diseases of the cardiovascular, bronchopulmonary, neuroendocrine systems, the gastrointestinal tract, liver, kidneys, hematopoietic or immune systems, mental disease in the acute stage or in the decompensation stage (recovery less than 4 weeks before vaccination); Diabetes mellitus, thyrotoxicosis or other diseases of the endocrine system; History of eczema; Treatment with glucocorticosteroids, including in small doses, as well as local use of drugs containing steroids (> 10 mg of prednisolone or its equivalent for more than 14 days before the screening); Tuberculosis, neurological or mental disorders, a convulsive syndrome, including in the past medical history; History of acute infectious diseases (recovery less than 4 weeks before vaccination); Consumption of more than 10 units of alcohol per week or history of alcohol addiction, drug addiction or abuse of pharmaceutical products; Smoking of more than 10 cigarettes per day; Participation in another clinical trial during the last 3 months; Pregnancy or lactation; Coagulopathy, including hemophilia; Taking aspirin or other antiplatelet agents in high doses.
Facility Information:
Facility Name
State Autonomous Health Institution "Engels City Clinical Hospital No1"
City
Engels
Country
Russian Federation
Facility Name
Limited Liability Company "Professorskaya Clinica"
City
Perm
Country
Russian Federation
Facility Name
Limited Liability Company "Clinika Zvezdnaya"
City
Saint Petersburg
Country
Russian Federation
Facility Name
Limited Liability Company "MEDICINSKAYA CLINIKA"
City
Saint Petersburg
Country
Russian Federation
Facility Name
Limited Liability Company "PeterClinic"
City
Saint Petersburg
Country
Russian Federation
Facility Name
Limited Liability Company "Scientific Research Center Eco-Safety"
City
Saint Petersburg
Country
Russian Federation
Facility Name
Saint Petersburg State Budgetary Healthcare Institution "State Polyclinic No. 117"
City
Saint Petersburg
Country
Russian Federation
Facility Name
Limited Liability Company "Medical Center Diagnostics and Prevention Plus"
City
Yaroslavl
Country
Russian Federation

12. IPD Sharing Statement

Learn more about this trial

Tolerability, Safety and Immunogenicity Trial of the Flu-M® Inactivated Vaccine in Volunteers Aged 18 to 60 Years

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