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A Clinical Trial of an Inactivated Quadrivalent Influenza Vaccine in Chinese Children Aged 3 to 8 Years

Primary Purpose

Influenza

Status
Completed
Phase
Phase 4
Locations
China
Study Type
Interventional
Intervention
Quadrivalent influenza vaccine
Sponsored by
Jiangsu Province Centers for Disease Control and Prevention
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional prevention trial for Influenza focused on measuring Safety, Immunogenicity, Quadrivalent influenza vaccine

Eligibility Criteria

3 Years - 8 Years (Child)All SexesAccepts Healthy Volunteers

Inclusion Criteria:

  • Aged 3-8 years old
  • Healthy subjects judged from medical history and clinical examination
  • Subjects themselves or their guardians able to understand and sign theinformed consent
  • Subjects themselves or their guardians can and will comply with therequirements of the protocol
  • Subjects have received ≥2 doses of trivalent or quadrivalent infuenzavaccine before enrollment (Doses need not have been received duringsame or consecutive seasons); Subjects have not received infuenzavaccine before enrollment
  • Subjects with temperature <=37.0°C on axillary setting

Exclusion Criteria:

  • Any prior administration of other research medicine/vaccine in last 30 days
  • Any prior administration of influenza vaccine in last 6 month
  • Any prior administration of immunodepressant or corticosteroids in last 3 months
  • Any prior administration of blood products in last 3 months
  • Any prior administration of any attenuated live vaccine in last 14 days
  • Any prior administration of subunit or inactivated vaccines in last 7 days
  • Subject who developed guillain-Barre syndrome post influenza vaccination
  • Subject who is allergic to any ingredient of the vaccine
  • Subject with acute febrile illness or infectious disease
  • Thrombocytopenia, blood coagulation disorder or bleeding difficulties withintramuscular injection
  • Subject with damaged or low immune function which has already beenknown
  • Subject with congenital heart disease or other birth defects unsuitable for vaccination.
  • Subject with respiratory diseases (including pneumonia, tuberculosis, severe asthma, etc.), heart, liver and kidney diseases, mental disorders, or chronic infections.
  • Any medical, psychological, social or other condition judged byinvestigator, that may interfere subject's compliance with the protocol

Sites / Locations

  • Donghai County Center for Disease Control and Prevention

Arms of the Study

Arm 1

Arm Type

Experimental

Arm Label

Quadrivalent influenza vaccine

Arm Description

Subjects received 2 doses of 0.5 mL of quadrivalentinfluenza vaccine, 4 weeks apart. Each 0.5-ml dosecontained 15 μg of hemagglutinin per strain.

Outcomes

Primary Outcome Measures

the 95% confidence interval (CI) lower limit for Seroconversion Rate (SCR) of Hemagglutination inhibition (HAI)antibodies against each virus strain after 2nd vaccination ≥40%
The lowest dilution used in the assay is 1/10. Seroconversion was defined as either a pre-vaccination HAI titer < 1:10and a post-vaccination titer ≥1:40 or a pre-vaccination titer ≥1:10 and ≥ four-fold increase in post-vaccination titer.
Number of participants with Adverse Reactions (ARs)
Frequency and severity of ARs for 28 days after each vaccination

Secondary Outcome Measures

the 95% CI lower limit for seroprotection rates of HAI antibodies against each virus strain after 2nd vaccination≥70%
A seroprotected subject is defined as a vaccinated subject with serum HAI titer≥ 1:40.
Geometric Mean Fold Increase (GMFI) of HAI titer against each virus strain after 2nd vaccination>2.5
Hemagglutination inhibition (HAI) titers were used to calculate post-vaccination geometric mean fold increase (GMFI)against each virus strain
Number of participants with Adverse Events (AEs)
Frequency and severity of AEs for 28 days after each vaccination
Number of participants with Serious Adverse Events (SAE)
Frequency of SAEs for 6 months after the last vaccination

Full Information

First Posted
March 29, 2022
Last Updated
August 13, 2022
Sponsor
Jiangsu Province Centers for Disease Control and Prevention
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1. Study Identification

Unique Protocol Identification Number
NCT05313893
Brief Title
A Clinical Trial of an Inactivated Quadrivalent Influenza Vaccine in Chinese Children Aged 3 to 8 Years
Official Title
A Clinical Trial to Assess Immunogencity and Safety of 2 Doses of anInactivated Quadrivalent Influenza Vaccine in Chinese Children Aged 3 to 8Years
Study Type
Interventional

2. Study Status

Record Verification Date
March 2022
Overall Recruitment Status
Completed
Study Start Date
September 11, 2021 (Actual)
Primary Completion Date
December 25, 2021 (Actual)
Study Completion Date
May 30, 2022 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Jiangsu Province Centers for Disease Control and Prevention

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
Routine annual influenza vaccination is recommended for all persons aged≥6 months who do not have contraindications. For those aged 6 monthsthrough 8 years who have previously received ≥2 total doses of trivalent orquadrivalent influenza vaccine ≥4 weeks apart, they require only 1 dose ofinfluenza vaccine. For those who have not previously received ≥2 doses oftrivalent or quadrivalent influenza vaccine, they require 2 dose of influenzavaccine. but the evidence on how to select vaccine doses for quadrivalentinfluenza vaccine is limited in China. The study is a prospective, open-labelcomparison of the immunogenicity and reactogenicity of 1 versus 2 doses ofan inactivated quadrivalent influenza vaccine in subjects of 3-8 years old withdifferent history of influenza vaccination.
Detailed Description
Subjects receive 2 dosed of quadrivalent influenza vaccine 4 weeks apart.Blood samples were obtained from children at 3 time points-before receiptof dose 1, 4 weeks after receipt of dose 1 and before dose 2, and 4 weeksafter dose 2. Hemagglutination inhibition (HAI) antibody titers to the A/H3N2,A/H1N1, and B antigens included in the vaccine were measured at each timepoint

6. Conditions and Keywords

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

7. Study Design

Primary Purpose
Prevention
Study Phase
Phase 4
Interventional Study Model
Single Group Assignment
Model Description
Subjects received 2 doses of an inactivated quadrivalent influenza vaccine,4 weeks apart. Blood samples were obtained from children at 3 time points-before receipt of dose 1, 4 weeks after receipt of dose 1 and before dose 2, and4 weeks after dose 2.
Masking
None (Open Label)
Allocation
N/A
Enrollment
252 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Quadrivalent influenza vaccine
Arm Type
Experimental
Arm Description
Subjects received 2 doses of 0.5 mL of quadrivalentinfluenza vaccine, 4 weeks apart. Each 0.5-ml dosecontained 15 μg of hemagglutinin per strain.
Intervention Type
Biological
Intervention Name(s)
Quadrivalent influenza vaccine
Intervention Description
Subjects receive two doses of quadrivalent influenzavaccine administered 4 weeks apart by intramuscularinjection. Each 0.5-ml dosecontained 15 μg of hemagglutinin per strain.
Primary Outcome Measure Information:
Title
the 95% confidence interval (CI) lower limit for Seroconversion Rate (SCR) of Hemagglutination inhibition (HAI)antibodies against each virus strain after 2nd vaccination ≥40%
Description
The lowest dilution used in the assay is 1/10. Seroconversion was defined as either a pre-vaccination HAI titer < 1:10and a post-vaccination titer ≥1:40 or a pre-vaccination titer ≥1:10 and ≥ four-fold increase in post-vaccination titer.
Time Frame
day 28 after dose 2
Title
Number of participants with Adverse Reactions (ARs)
Description
Frequency and severity of ARs for 28 days after each vaccination
Time Frame
28 days after each vaccination
Secondary Outcome Measure Information:
Title
the 95% CI lower limit for seroprotection rates of HAI antibodies against each virus strain after 2nd vaccination≥70%
Description
A seroprotected subject is defined as a vaccinated subject with serum HAI titer≥ 1:40.
Time Frame
day 28 after dose 2
Title
Geometric Mean Fold Increase (GMFI) of HAI titer against each virus strain after 2nd vaccination>2.5
Description
Hemagglutination inhibition (HAI) titers were used to calculate post-vaccination geometric mean fold increase (GMFI)against each virus strain
Time Frame
day 28 after dose 2
Title
Number of participants with Adverse Events (AEs)
Description
Frequency and severity of AEs for 28 days after each vaccination
Time Frame
28 days after each vaccination
Title
Number of participants with Serious Adverse Events (SAE)
Description
Frequency of SAEs for 6 months after the last vaccination
Time Frame
6 months after the last vaccination
Other Pre-specified Outcome Measures:
Title
Comparision between Seroconversion Rate (SCR) of HAI antibodies against each virus strain post dose 1 and dose 2
Description
The lowest dilution used in the assay is 1/10. Seroconversion was defined as either a pre-vaccination HAI titer < 1:10and a post-vaccination titer ≥1:40 or a pre-vaccination titer ≥1:10 and ≥ four-fold increase in post-vaccination titer.
Time Frame
day 28 after receipt of dose 1 and before dose 2, and day 28 after dose 2
Title
Comparision between Geometric Mean Titre (GMT) of HAI antibodies against each virus strain post dose 1 and dose 2
Time Frame
day 28 after receipt of dose 1 and before dose 2, and day 28 after dose 2
Title
Comparision between seroprotection rates of HAI antibodies against each virus strain post dose 1 and dose 2
Description
A seroprotected subject is defined as a vaccinated subject with serum HAI titer≥ 1:40.
Time Frame
day 28 after receipt of dose 1 and before dose 2, and day 28 after dose 2
Title
Comparision between Geometric Mean Fold Increase (GMFI) of HAI antibodies against each virus strain post dose 1and dose 2
Time Frame
day 28 after receipt of dose 1 and before dose 2, and day 28 after dose 2

10. Eligibility

Sex
All
Minimum Age & Unit of Time
3 Years
Maximum Age & Unit of Time
8 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: Aged 3-8 years old Healthy subjects judged from medical history and clinical examination Subjects themselves or their guardians able to understand and sign theinformed consent Subjects themselves or their guardians can and will comply with therequirements of the protocol Subjects have received ≥2 doses of trivalent or quadrivalent infuenzavaccine before enrollment (Doses need not have been received duringsame or consecutive seasons); Subjects have not received infuenzavaccine before enrollment Subjects with temperature <=37.0°C on axillary setting Exclusion Criteria: Any prior administration of other research medicine/vaccine in last 30 days Any prior administration of influenza vaccine in last 6 month Any prior administration of immunodepressant or corticosteroids in last 3 months Any prior administration of blood products in last 3 months Any prior administration of any attenuated live vaccine in last 14 days Any prior administration of subunit or inactivated vaccines in last 7 days Subject who developed guillain-Barre syndrome post influenza vaccination Subject who is allergic to any ingredient of the vaccine Subject with acute febrile illness or infectious disease Thrombocytopenia, blood coagulation disorder or bleeding difficulties withintramuscular injection Subject with damaged or low immune function which has already beenknown Subject with congenital heart disease or other birth defects unsuitable for vaccination. Subject with respiratory diseases (including pneumonia, tuberculosis, severe asthma, etc.), heart, liver and kidney diseases, mental disorders, or chronic infections. Any medical, psychological, social or other condition judged byinvestigator, that may interfere subject's compliance with the protocol
Facility Information:
Facility Name
Donghai County Center for Disease Control and Prevention
City
Lianyungang
State/Province
Jiangsu
ZIP/Postal Code
222300
Country
China

12. IPD Sharing Statement

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A Clinical Trial of an Inactivated Quadrivalent Influenza Vaccine in Chinese Children Aged 3 to 8 Years

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