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Trial of Tolerability, Reactogenicity, Safety and Immunogenicity of Flu-M [Inactivated Split Influenza Vaccine] in Pregnant Women

Primary Purpose

Influenza, Human, Vaccination; Infection, Vaccines

Status
Completed
Phase
Phase 3
Locations
Russian Federation
Study Type
Interventional
Intervention
Flu-M, Inactivated split influenza vaccine
Ultrix®, Inactivated Split Influenza Vaccine
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, Human focused on measuring Influenza, Flu, Vaccine, FLU-M, SPbSRIVS, Ultrix

Eligibility Criteria

18 Years - 35 Years (Adult)FemaleAccepts Healthy Volunteers

Inclusion Criteria:

  1. Presence of signed Informed Consent of the female patient to participate in the trial
  2. Healthy women aged 18 to 35 years in their 2nd and 3rd trimesters of pregnancy with gestational age of no more than 32 weeks
  3. Singleton pregnancy progressing normally
  4. No contraindications for vaccination
  5. Pregnant women that are able to fulfill the requirements of the protocol (i.e., fill out the Self-Observation Diary, come to follow-up visits)
  6. The investigator is given the opportunity to collect data about somatic, infectious, and allergic diseases within at least 3 months from vaccination (one or more calls from the clinical investigator or visits per month (as needed))

Exclusion Criteria:

  1. Body temperature above 37°С
  2. History of influenza or previous influenza vaccination during 6 months before the screening
  3. History of allergic reactions to chicken protein
  4. Allergic reactions to vaccine components or any previous vaccination
  5. Gestational toxicosis
  6. Any disorders of pregnancy
  7. Thyroid disorders
  8. Bronchial asthma
  9. Clotting disorders
  10. 1, 2 type diabetes mellitus
  11. High risk of fetal chromosomal abnormalities (individual risk of at least 1/100) in the 1st trimester of pregnancy and/or the detection of fetal congenital anomalies / developmental defects in the 1st, 2nd, and 3rd trimesters of pregnancy
  12. Strong 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 from prior vaccination; convulsions accompanied or not accompanied by a fever due to any prior vaccination
  13. Acute infectious or non-infectious diseases less than 4 weeks before the screening, exacerbation of chronic diseases (the vaccination can be carried out after recovery or in the period of remission)
  14. Immunomodulatory therapy, including immune-enhancing, immunosuppressive therapy (corticosteroids, cytotoxic and radioactive drugs) in the 6 months preceding the trial
  15. Any other contraindications against vaccination according to the investigator.
  16. Leukemia, cancer or a positive reaction to HIV infection, hepatitis B and C, syphilis in the medical history
  17. Volunteers who received immunoglobulin or blood products within the last three months before the trial
  18. History of Guillain-Barré syndrome (acute polyneuropathy)
  19. Autoimmune diseases
  20. Any confirmed or suspected immunosuppressive or immunodeficiency condition
  21. Respiratory, cardiovascular failure, impaired liver or kidney function.
  22. Severe birth defects or serious chronic diseases, including any clinically significant chronic diseases of lungs, kidneys, cardiovascular, nervous system, psychiatric diseases or metabolic disorders, confirmed by medical history or objective examination
  23. Vaccination with any vaccine less than 30 days before the screening or scheduled vaccination with any vaccine within 30 days from vaccination with the trial vaccines
  24. The woman is/was a patient of a tuberculosis dispensary and/or narcological dispensary and/or neuropsychiatric dispensary
  25. Chronic alcohol abuse and/or use of drugs in the past history
  26. Smoking
  27. Participation in another clinical trial during the last 3 months

Sites / Locations

  • Federal State Budgetary Educational Institution of Higher Education "Altai State Medical University" of the Ministry of Health of the Russian Federation
  • Federal State Budgetary Institution "Siberian Federal Scientific and Clinical Center of Federal Medical and Biologic Agency"
  • Municipal Budgetary Institution "Central City Hospital No.7"
  • "Curator" Limited Liability Company
  • KOROLEV MEDICINE Limited Liability Company

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm Type

Experimental

Active Comparator

Experimental

Active Comparator

Arm Label

Flu-M, II trimester of pregnancy

Ultrix®, II trimester of pregnancy

Flu-M, III trimester of pregnancy

Ultrix®, III trimester of pregnancy

Arm Description

Subjects during their II trimester of pregnancy (gestational age: 14-26 weeks), immunized once with the Flu-M vaccine.

Subjects during their II trimester of pregnancy (gestational age: 14-26 weeks), immunized once with Ultrix®.

Subjects during their III trimester of pregnancy (gestational age: 27-32 weeks), will be immunized once with the Flu-M vaccine.

Subjects during their III trimester of pregnancy (gestational age: 27-32 weeks), immunized once with Ultrix®.

Outcomes

Primary Outcome Measures

Change from Baseline Seroprotection rate at day 21 after vaccination
The percentage of vaccinees who have an antibody titer of more than 1:40 by Day 21 after vaccination. Antibodies to influenza B, А (H1N1), А (H3N2) viruses Seroprotection rate ≥ 70%.
Change from Baseline Seroconversion rate at day 21 after vaccination
The relative number of vaccinees, whose titer of hemagglutinin inhibiting antibodies has increased by more than 4 times vs. baseline among all immunoprotective persons. Antibodies to influenza B, А (H1N1), А (H3N2) viruses Seroconversion rate ≥ 40%
Change from Baseline Seroconversion factor at day 21 after vaccination
An increase in the geometric mean titers of hemagglutinin inhibiting antibodies on Day 21 vs. baseline, expressed in multiplicity of increase. Antibodies to influenza B, А (H1N1), А (H3N2) viruses Seroconversion factor ≥ 2.5

Secondary Outcome Measures

Incidence of AEs and SAEs associated with vaccination
The degree of intensity or severity of AE was evaluated on a 4-point scale: 0 - none (no symptoms) - mild (mild symptoms) - moderate (symptoms that disrupt normal daily activities to a certain extent) - severe (symptoms that disrupt normal daily activities)
Number of participants with abnormal changes in physical examination data
Physical examination includes examination of the general appearance, condition of the skin and mucous membranes, neck (including the thyroid gland), eyes, ears, nasopharynx, lungs, heart, abdomen, liver, back, lymph nodes Table 6
Number of participants with abnormal changes in vital signs - Blood pressure (BP)
BP is measured in a sitting position after 10 minutes of rest
Number of participants with abnormal changes in vital signs - Heart rate (HR)
HR is measured in a sitting position after 10 minutes of rest
Number of participants with abnormal changes in vital signs - Respiratory rate (RR)
RR is measured in a sitting position after 10 minutes of rest
Number of participants with abnormal changes in vital signs - Body temperature
Body temperature is measured in the armpit
Incidence and severity of systemic post-injection reactions
Incidence and severity of local post-injection reactions
Number of participants with abnormal changes data obtained from examinations by immunologist-allergist
Number of participants with clinically significant abnormalities
Number of participants with abnormal changes of neurological examination data
Number of participants with clinically significant abnormalities
Number of participants with abnormal changes data obtained from examinations by obstetrician-gynecologist
Examination: Respiratory organs, Blood circulation organs, Digestive organs, Organs of the urinary system, Mammary glands, Tone of the uterus, Fetal palpation results, Fetal auscultation results
Number of participants with abnormal changes in the ultrasound data assessment of fetus and uterus
Number of participants with clinically significant abnormalities - Complete blood count (CBC)
Red cells, Hemoglobin, ESR, White cells, Platelets, Relating to stab neutrophile, Segmented neutrophils, Lymphocytes, Eosinophils, Basophils, Monocytes
Number of participants with clinically significant abnormalities - Biochemical blood test (BBT)
Creatinine, Urea, Aspartate aminotransferase (AST), Alanine transaminase (ALT), Lactate dehydrogenase (LDH), Total protein, C-reactive protein, Alkaline phosphatase, Bilirubin, Glucose, Cholesterol, Prothrombin complex, Thymol test, β-lipoproteins
Number of participants with clinically significant abnormalities - Urinalysis
Density, Leukocytes, pH, color, urine glucose, urine erythrocytes, bacteria
Number of participants with abnormal changes of total IgE

Full Information

First Posted
July 11, 2022
Last Updated
July 11, 2022
Sponsor
St. Petersburg Research Institute of Vaccines and Sera
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1. Study Identification

Unique Protocol Identification Number
NCT05457894
Brief Title
Trial of Tolerability, Reactogenicity, Safety and Immunogenicity of Flu-M [Inactivated Split Influenza Vaccine] in Pregnant Women
Official Title
Randomized, Double-blind, Comparative, Controlled Trial of Tolerability, Reactogenicity, Safety and Immunogenicity of Flu-M [Inactivated Split Influenza Vaccine] in Pregnant Women During the 2nd - 3rd Trimester
Study Type
Interventional

2. Study Status

Record Verification Date
July 2022
Overall Recruitment Status
Completed
Study Start Date
January 23, 2020 (Actual)
Primary Completion Date
March 11, 2021 (Actual)
Study Completion Date
July 26, 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 study of tolerability, reactogenicity, safety and immunogenicity Flu-M [Inactivated Split Influenza Vaccine] vs. the Ultrix® vaccine for the prevention of influenza in pregnant women in the 2nd-3rd trimesters of pregnancy
Detailed Description
This is a randomized, double-blind, comparative, controlled trial. A design with a control group treated with Ultrix®, inactivated influenza vaccine, was chosen to obtain objective findings.Trial population: healthy women aged 18 to 35 years during the 2nd and 3rd trimesters of pregnancy. Subjects were randomized into 4 groups in a ratio of 1:1:1:1, 50 subjects per group.

6. Conditions and Keywords

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

7. Study Design

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

8. Arms, Groups, and Interventions

Arm Title
Flu-M, II trimester of pregnancy
Arm Type
Experimental
Arm Description
Subjects during their II trimester of pregnancy (gestational age: 14-26 weeks), immunized once with the Flu-M vaccine.
Arm Title
Ultrix®, II trimester of pregnancy
Arm Type
Active Comparator
Arm Description
Subjects during their II trimester of pregnancy (gestational age: 14-26 weeks), immunized once with Ultrix®.
Arm Title
Flu-M, III trimester of pregnancy
Arm Type
Experimental
Arm Description
Subjects during their III trimester of pregnancy (gestational age: 27-32 weeks), will be immunized once with the Flu-M vaccine.
Arm Title
Ultrix®, III trimester of pregnancy
Arm Type
Active Comparator
Arm Description
Subjects during their III trimester of pregnancy (gestational age: 27-32 weeks), immunized once with Ultrix®.
Intervention Type
Biological
Intervention Name(s)
Flu-M, Inactivated split influenza vaccine
Intervention Description
solution for intramuscular injection, 0.5 ml
Intervention Type
Biological
Intervention Name(s)
Ultrix®, Inactivated Split Influenza Vaccine
Intervention Description
solution for intramuscular injection, 0.5 ml
Primary Outcome Measure Information:
Title
Change from Baseline Seroprotection rate at day 21 after vaccination
Description
The percentage of vaccinees who have an antibody titer of more than 1:40 by Day 21 after vaccination. Antibodies to influenza B, А (H1N1), А (H3N2) viruses Seroprotection rate ≥ 70%.
Time Frame
Days 0 (screening), 21
Title
Change from Baseline Seroconversion rate at day 21 after vaccination
Description
The relative number of vaccinees, whose titer of hemagglutinin inhibiting antibodies has increased by more than 4 times vs. baseline among all immunoprotective persons. Antibodies to influenza B, А (H1N1), А (H3N2) viruses Seroconversion rate ≥ 40%
Time Frame
Days 0 (screening), 21
Title
Change from Baseline Seroconversion factor at day 21 after vaccination
Description
An increase in the geometric mean titers of hemagglutinin inhibiting antibodies on Day 21 vs. baseline, expressed in multiplicity of increase. Antibodies to influenza B, А (H1N1), А (H3N2) viruses Seroconversion factor ≥ 2.5
Time Frame
Days 0 (screening), 21
Secondary Outcome Measure Information:
Title
Incidence of AEs and SAEs associated with vaccination
Description
The degree of intensity or severity of AE was evaluated on a 4-point scale: 0 - none (no symptoms) - mild (mild symptoms) - moderate (symptoms that disrupt normal daily activities to a certain extent) - severe (symptoms that disrupt normal daily activities)
Time Frame
Day 1 (30 minutes, 3 and 5 hours after vaccination), days 2-21
Title
Number of participants with abnormal changes in physical examination data
Description
Physical examination includes examination of the general appearance, condition of the skin and mucous membranes, neck (including the thyroid gland), eyes, ears, nasopharynx, lungs, heart, abdomen, liver, back, lymph nodes Table 6
Time Frame
Days 0-7, day 21
Title
Number of participants with abnormal changes in vital signs - Blood pressure (BP)
Description
BP is measured in a sitting position after 10 minutes of rest
Time Frame
Days 0-7, day 21
Title
Number of participants with abnormal changes in vital signs - Heart rate (HR)
Description
HR is measured in a sitting position after 10 minutes of rest
Time Frame
Days 0-7, day 21
Title
Number of participants with abnormal changes in vital signs - Respiratory rate (RR)
Description
RR is measured in a sitting position after 10 minutes of rest
Time Frame
Days 0-7, day 21
Title
Number of participants with abnormal changes in vital signs - Body temperature
Description
Body temperature is measured in the armpit
Time Frame
Days 0, 1 (10 minutes before vaccination, 30 minutes and 2 and 5 hours after vaccination), days 2-7, day 21
Title
Incidence and severity of systemic post-injection reactions
Time Frame
Day 1 (30 minutes, 3 and 5 hours after vaccination), days 2-21
Title
Incidence and severity of local post-injection reactions
Time Frame
Day 1 (30 minutes, 3 and 5 hours after vaccination), days 2-21
Title
Number of participants with abnormal changes data obtained from examinations by immunologist-allergist
Description
Number of participants with clinically significant abnormalities
Time Frame
Days 1-7, day 21
Title
Number of participants with abnormal changes of neurological examination data
Description
Number of participants with clinically significant abnormalities
Time Frame
Days 0-7, day 21
Title
Number of participants with abnormal changes data obtained from examinations by obstetrician-gynecologist
Description
Examination: Respiratory organs, Blood circulation organs, Digestive organs, Organs of the urinary system, Mammary glands, Tone of the uterus, Fetal palpation results, Fetal auscultation results
Time Frame
Days 0-7, day 21
Title
Number of participants with abnormal changes in the ultrasound data assessment of fetus and uterus
Time Frame
Days 0 (screening), 21
Title
Number of participants with clinically significant abnormalities - Complete blood count (CBC)
Description
Red cells, Hemoglobin, ESR, White cells, Platelets, Relating to stab neutrophile, Segmented neutrophils, Lymphocytes, Eosinophils, Basophils, Monocytes
Time Frame
Days 0 (screening), 3, 21
Title
Number of participants with clinically significant abnormalities - Biochemical blood test (BBT)
Description
Creatinine, Urea, Aspartate aminotransferase (AST), Alanine transaminase (ALT), Lactate dehydrogenase (LDH), Total protein, C-reactive protein, Alkaline phosphatase, Bilirubin, Glucose, Cholesterol, Prothrombin complex, Thymol test, β-lipoproteins
Time Frame
Days 0 (screening), 3, 21
Title
Number of participants with clinically significant abnormalities - Urinalysis
Description
Density, Leukocytes, pH, color, urine glucose, urine erythrocytes, bacteria
Time Frame
Days 0 (screening), 3, 21
Title
Number of participants with abnormal changes of total IgE
Time Frame
Days 0 (screening), 3, 21

10. Eligibility

Sex
Female
Gender Based
Yes
Gender Eligibility Description
Healthy women aged 18 to 35 years during the 2nd and 3rd trimesters of pregnancy.
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
35 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: Presence of signed Informed Consent of the female patient to participate in the trial Healthy women aged 18 to 35 years in their 2nd and 3rd trimesters of pregnancy with gestational age of no more than 32 weeks Singleton pregnancy progressing normally No contraindications for vaccination Pregnant women that are able to fulfill the requirements of the protocol (i.e., fill out the Self-Observation Diary, come to follow-up visits) The investigator is given the opportunity to collect data about somatic, infectious, and allergic diseases within at least 3 months from vaccination (one or more calls from the clinical investigator or visits per month (as needed)) Exclusion Criteria: Body temperature above 37°С History of influenza or previous influenza vaccination during 6 months before the screening History of allergic reactions to chicken protein Allergic reactions to vaccine components or any previous vaccination Gestational toxicosis Any disorders of pregnancy Thyroid disorders Bronchial asthma Clotting disorders 1, 2 type diabetes mellitus High risk of fetal chromosomal abnormalities (individual risk of at least 1/100) in the 1st trimester of pregnancy and/or the detection of fetal congenital anomalies / developmental defects in the 1st, 2nd, and 3rd trimesters of pregnancy Strong 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 from prior vaccination; convulsions accompanied or not accompanied by a fever due to any prior vaccination Acute infectious or non-infectious diseases less than 4 weeks before the screening, exacerbation of chronic diseases (the vaccination can be carried out after recovery or in the period of remission) Immunomodulatory therapy, including immune-enhancing, immunosuppressive therapy (corticosteroids, cytotoxic and radioactive drugs) in the 6 months preceding the trial Any other contraindications against vaccination according to the investigator. Leukemia, cancer or a positive reaction to HIV infection, hepatitis B and C, syphilis in the medical history Volunteers who received immunoglobulin or blood products within the last three months before the trial History of Guillain-Barré syndrome (acute polyneuropathy) Autoimmune diseases Any confirmed or suspected immunosuppressive or immunodeficiency condition Respiratory, cardiovascular failure, impaired liver or kidney function. Severe birth defects or serious chronic diseases, including any clinically significant chronic diseases of lungs, kidneys, cardiovascular, nervous system, psychiatric diseases or metabolic disorders, confirmed by medical history or objective examination Vaccination with any vaccine less than 30 days before the screening or scheduled vaccination with any vaccine within 30 days from vaccination with the trial vaccines The woman is/was a patient of a tuberculosis dispensary and/or narcological dispensary and/or neuropsychiatric dispensary Chronic alcohol abuse and/or use of drugs in the past history Smoking Participation in another clinical trial during the last 3 months
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Ellina Ruzanova, PhD
Organizational Affiliation
St. Petersburg Research Institute of Vaccines and Sera
Official's Role
Study Director
Facility Information:
Facility Name
Federal State Budgetary Educational Institution of Higher Education "Altai State Medical University" of the Ministry of Health of the Russian Federation
City
Barnaul
State/Province
Altai Territory
Country
Russian Federation
Facility Name
Federal State Budgetary Institution "Siberian Federal Scientific and Clinical Center of Federal Medical and Biologic Agency"
City
Seversk
State/Province
Tomsk Region
Country
Russian Federation
Facility Name
Municipal Budgetary Institution "Central City Hospital No.7"
City
Ekaterinburg
Country
Russian Federation
Facility Name
"Curator" Limited Liability Company
City
Saint Petersburg
Country
Russian Federation
Facility Name
KOROLEV MEDICINE Limited Liability Company
City
Saint Petersburg
Country
Russian Federation

12. IPD Sharing Statement

Learn more about this trial

Trial of Tolerability, Reactogenicity, Safety and Immunogenicity of Flu-M [Inactivated Split Influenza Vaccine] in Pregnant Women

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