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Trial of Tolerability, Safety and Immunogenicity of the Flu-M Vaccine in Children Between 6 Months and 9 Years Old

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 0.5 mL
Vaxigrip, Inactivated split influenza vaccine 0.5 mL
Flu-M, Inactivated split influenza vaccine 0.25 mL
Vaxigrip, Inactivated split influenza vaccine 0.25 mL
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, Vaxigrip, Children

Eligibility Criteria

6 Months - 9 Years (Child)All SexesAccepts Healthy Volunteers

Inclusion Criteria:

  • For volunteers aged 3 to 9 years:

    • Healthy children of both sexes aged 3 to 9 years (3 years 0 months 0 days - 8 years 11 months 30 days);
    • The written and dated informed consent of one of the parents for participation in the trial;
  • For volunteers aged 6 to 35 months:

    • Healthy children of both genders aged 6 to 35 months, inclusive (6 months 0 days - 35 months 30 days);
    • The written and dated informed consent of one of the parents for participation in the trial;
    • The trial subject of the was born full-term, with the Apgar score of 7-10 points.
  • For all volunteers:

Ability of a volunteer's parents to fulfill the requirements of the Protocol (i.e. to fill out the Patient Diary, come to visit with the volunteer).

Exclusion Criteria:

  1. History of influenza (including in mothers for children aged 6 to 35 months) or previous influenza vaccination during 6 months before the trial;
  2. Positive result of the SARS-CoV-2 test;
  3. Vaccination of the pregnant woman in the 2nd-3rd trimester (for the age group of 6 - 35 months) with an influenza vaccine;
  4. Vaccination with any vaccine less than 30 days before participating in the trial or scheduled vaccination with any vaccine within 30 days after vaccination with the trial vaccines;
  5. A serious post-vaccination reaction (temperature above 40 °C, hyperemia or edema more than 8 cm in diameter at the injection site) 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), encephalopathy;
  6. Allergic reactions to vaccine components or any previous vaccination;
  7. History of allergic reaction to chicken protein;
  8. History of cancer, leukemia, tuberculosis, autoimmune diseases;
  9. Carriage of HIV, syphilis, hepatitis B and C in the medical history, including by parents;
  10. Children who received immunoglobulin products or transfusions of whole blood or its components less than 3 months before the start of the trial;
  11. Long-term use (more than 14 days) of any immunomodulating medicines less than 3 months before the start of the trial;
  12. Any confirmed or suspected immunosuppressive or immunodeficiency condition;
  13. History of chronic diseases of the cardiovascular, bronchopulmonary, endocrine systems, blood in the acute stage (recovery less than 4 weeks before vaccination) or in the decompensation stage;
  14. Children with hemophilia who may develop bleeding after intramuscular injection;
  15. History of progressive neurological pathology, convulsive syndrome, afebrile convulsions;
  16. History of acute infectious diseases (fever ≥ 37.5°С): recovery less than 2 weeks before vaccination;
  17. Participation in another clinical trial less than 3 months before the start of the trial;
  18. History of mental illness of the child and the volunteer's parents;
  19. The history of the volunteer's parent being registered with a tuberculosis dispensary and/or a narcological dispensary;
  20. Maternal history of drug use or alcohol abuse during pregnancy and/or breastfeeding;
  21. Pronounced congenital malformations in a child;
  22. Suspected developmental delay in a child.

Sites / Locations

  • LLC "Energiya zdorov'ya"
  • St. Petersburg State Budgetary Institution of Health Care "Children's City Polyclinic No. 45" of the Nevsky District

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm Type

Experimental

Active Comparator

Experimental

Active Comparator

Arm Label

Flu-M, children aged 3-9 years

Vaxigrip, children aged 3-9 years

Flu-M, children aged 6-35 months

Vaxigrip, children aged 6-35 months

Arm Description

Outcomes

Primary Outcome Measures

Change from Baseline seroconversion level
Specific anti-influenza antibodies were determined using haemagglutination inhibition assay (HI assay) The upper limit of bilateral 95 % CI for the difference between seroconversion levels (seroconversion level reference vaccine - the seroconversion level trial vaccine) should not exceed 10%. Seroconversion ≥ 40%

Secondary Outcome Measures

Change from Baseline Geometric mean titer (GMT) of antibodies
Specific anti-influenza antibodies were determined using haemagglutination inhibition assay (HI assay) The upper limit of bilateral 95% CI for the GMT ratio (GMTreference vaccine/GMTtrial vaccine) should not exceed 1.5
Change from Baseline Seroconversion factor
Specific anti-influenza antibodies were determined using haemagglutination inhibition assay (HI assay) Seroconversion factor ≥ 2.5
Change from Baseline Seroprotection rate
Specific anti-influenza antibodies were determined using haemagglutination inhibition assay (HI assay) Seroprotection ≥ 70%
Change from Baseline Seroconversion rate for each virus strain
Specific anti-influenza antibodies were determined using haemagglutination inhibition assay (HI assay)
Incidence of immediate adverse events (allergic reactions)
Anaphylaxis, Quincke's edema, Urticaria.
Incidence of local adverse events
Pain at the injection site at palpation, Hyperemia at the injection site, infiltrate at the injection site, Edema at the injection site, Pruritus at the injection site, Enlarged regional lymph nodes.
Incidence of systemic adverse events
Headache, Cough, Sore throat, Nausea, Increased sweating, Arthralgia, Myalgia, Fever, Chills, Asthenia
Incidence of severe adverse events during the trial
Number of participants with abnormal changes in physical examination data
Physical examination of volunteers includes an interview, discovery of complaints and symptoms, when required, palpation, auscultation, percussion; examination of skin, mucosa, eyes, oral cavity and pharynx, lungs/chest, heart/cardiovascular system, abdominal organs, nervous system, lymph nodes, musculoskeletal system.
Number of participants with abnormal changes of neurological status
Number of participants with abnormal changes in vital signs - Blood pressure (BP)
BP measurements include the systolic and diastolic blood pressure.
Number of participants with abnormal changes in vital signs - Heart rate (HR)
HR is measured using a phonendoscope at the apex of the heart during 1 minute.
Number of participants with abnormal changes in vital signs - Respiratory rate (RR)
RR is counted with a hand placed on the child's chest or abdomen or by holding a stethoscope at the child's nose. The measurement is carried out during one minute.
Number of participants with abnormal changes in vital signs - Body temperature
Measurement with a digital thermometer.
Number of participants with clinically significant abnormalities - Complete blood count (CBC)
Hemoglobin, hematocrit, erythrocytes, leukocytes, leukocytic formula, platelets, erythrocyte sedimentation rate (ESR).
Number of participants with clinically significant abnormalities - Biochemical blood test (BBT)
ALT, AST, LDH, alkaline phosphatase, total bilirubin, urea, glucose.
Number of participants with clinically significant abnormalities - Urinalysis
pH, specific density, protein, glucose, erythrocytes, leukocytes.
Number of participants with abnormal changes of total IgE

Full Information

First Posted
July 19, 2022
Last Updated
July 19, 2022
Sponsor
St. Petersburg Research Institute of Vaccines and Sera
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1. Study Identification

Unique Protocol Identification Number
NCT05470582
Brief Title
Trial of Tolerability, Safety and Immunogenicity of the Flu-M Vaccine in Children Between 6 Months and 9 Years Old
Official Title
Randomized, Double-blind, Comparative, Controlled Trial of Tolerability, Safety and Immunogenicity of the Flu-M Vaccine in Children Between 6 Months and 9 Years Old
Study Type
Interventional

2. Study Status

Record Verification Date
July 2022
Overall Recruitment Status
Completed
Study Start Date
February 16, 2021 (Actual)
Primary Completion Date
October 29, 2021 (Actual)
Study Completion Date
December 24, 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 trial of tolerability, reactogenicity, safety and immunogenicity of the Flu-M vaccine as compared to the Vaxigrip® vaccine in terms of prevention of influenza in children aged 6 months to 9 years (at the time of the first vaccination).
Detailed Description
The trial includes 2 stages (stage I, II). At stage I children aged 3-9 years will be included. Based on findings from tolerability and safety assessment in respect of the Flu-M vaccine vs. the Vaxigrip® vaccine for the first 7 days after vaccination of volunteers during Stage I, an intermediate report will be prepared. The report will be submitted to the supervisory executive authorities alongside the notice of commencement of Stage II of the trial - the continuation of trial on children aged 3-9 years and the commencement of trial on children aged between 6 months and 35 months. During Stage II, the trial for Stage I volunteers will continue in full and also children aged between 6 and 35 months will be included in the trial.

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, Vaxigrip, Children

7. Study Design

Primary Purpose
Prevention
Study Phase
Phase 3
Interventional Study Model
Parallel Assignment
Masking
ParticipantInvestigator
Allocation
Randomized
Enrollment
1066 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Flu-M, children aged 3-9 years
Arm Type
Experimental
Arm Title
Vaxigrip, children aged 3-9 years
Arm Type
Active Comparator
Arm Title
Flu-M, children aged 6-35 months
Arm Type
Experimental
Arm Title
Vaxigrip, children aged 6-35 months
Arm Type
Active Comparator
Intervention Type
Biological
Intervention Name(s)
Flu-M, Inactivated split influenza vaccine 0.5 mL
Intervention Description
Solution for intramuscular injection Сhildren were vaccinated with the Flu-M vaccine once/twice (all children were vaccinated twice with an interval of 28 days between the first vaccination and revaccination; if the child is vaccinated for the first time) intramuscularly in a dose of 0.5 mL
Intervention Type
Biological
Intervention Name(s)
Vaxigrip, Inactivated split influenza vaccine 0.5 mL
Intervention Description
Suspension for intramuscular and subcutaneous injection Children were vaccinated with the Vaxigrip® vaccine once/twice (all children were vaccinated twice with an interval of 28 days between the first vaccination and revaccination; if the child is vaccinated for the first time) intramuscularly in a dose of 0.5 mL
Intervention Type
Biological
Intervention Name(s)
Flu-M, Inactivated split influenza vaccine 0.25 mL
Intervention Description
Solution for intramuscular injection Children were vaccinated with the Flu-M vaccine twice (all children were vaccinated twice with an interval of 28 days between the first vaccination and revaccination) intramuscularly in a dose of 0.25 mL
Intervention Type
Biological
Intervention Name(s)
Vaxigrip, Inactivated split influenza vaccine 0.25 mL
Intervention Description
Suspension for intramuscular and subcutaneous injection Children were vaccinated with the Vaxigrip® vaccine twice (all children were vaccinated twice with an interval of 28 days between the first vaccination and revaccination) intramuscularly in a dose of 0.25 mL
Primary Outcome Measure Information:
Title
Change from Baseline seroconversion level
Description
Specific anti-influenza antibodies were determined using haemagglutination inhibition assay (HI assay) The upper limit of bilateral 95 % CI for the difference between seroconversion levels (seroconversion level reference vaccine - the seroconversion level trial vaccine) should not exceed 10%. Seroconversion ≥ 40%
Time Frame
Days 0 (screening), 28, 56, 180 after vaccination/revaccination
Secondary Outcome Measure Information:
Title
Change from Baseline Geometric mean titer (GMT) of antibodies
Description
Specific anti-influenza antibodies were determined using haemagglutination inhibition assay (HI assay) The upper limit of bilateral 95% CI for the GMT ratio (GMTreference vaccine/GMTtrial vaccine) should not exceed 1.5
Time Frame
Days 0 (screening), 28 after vaccination/revaccination
Title
Change from Baseline Seroconversion factor
Description
Specific anti-influenza antibodies were determined using haemagglutination inhibition assay (HI assay) Seroconversion factor ≥ 2.5
Time Frame
Days 0 (screening), 28, 56, 180 after vaccination/revaccination
Title
Change from Baseline Seroprotection rate
Description
Specific anti-influenza antibodies were determined using haemagglutination inhibition assay (HI assay) Seroprotection ≥ 70%
Time Frame
Days 0 (screening), 28, 56, 180 after vaccination/revaccination
Title
Change from Baseline Seroconversion rate for each virus strain
Description
Specific anti-influenza antibodies were determined using haemagglutination inhibition assay (HI assay)
Time Frame
Days 0 (screening), 28, 56, 180 after vaccination/revaccination
Title
Incidence of immediate adverse events (allergic reactions)
Description
Anaphylaxis, Quincke's edema, Urticaria.
Time Frame
2 hours after vaccination/revaccination
Title
Incidence of local adverse events
Description
Pain at the injection site at palpation, Hyperemia at the injection site, infiltrate at the injection site, Edema at the injection site, Pruritus at the injection site, Enlarged regional lymph nodes.
Time Frame
Day 1 (2 and 5-8 hours after vaccination/revaccination), days 2-180
Title
Incidence of systemic adverse events
Description
Headache, Cough, Sore throat, Nausea, Increased sweating, Arthralgia, Myalgia, Fever, Chills, Asthenia
Time Frame
Day 1 (2 and 5-8 hours after vaccination/revaccination), days 2-180
Title
Incidence of severe adverse events during the trial
Time Frame
Day 1 (2 and 5-8 hours after vaccination/revaccination), days 2-180
Title
Number of participants with abnormal changes in physical examination data
Description
Physical examination of volunteers includes an interview, discovery of complaints and symptoms, when required, palpation, auscultation, percussion; examination of skin, mucosa, eyes, oral cavity and pharynx, lungs/chest, heart/cardiovascular system, abdominal organs, nervous system, lymph nodes, musculoskeletal system.
Time Frame
Days 0 (screening), 3, 7, 28, 56
Title
Number of participants with abnormal changes of neurological status
Time Frame
Days 0 (screening), 3, 7, 28, 56
Title
Number of participants with abnormal changes in vital signs - Blood pressure (BP)
Description
BP measurements include the systolic and diastolic blood pressure.
Time Frame
Days 0 (screening), 3, 7, 28, 56
Title
Number of participants with abnormal changes in vital signs - Heart rate (HR)
Description
HR is measured using a phonendoscope at the apex of the heart during 1 minute.
Time Frame
Days 0 (screening), 3, 7, 28, 56
Title
Number of participants with abnormal changes in vital signs - Respiratory rate (RR)
Description
RR is counted with a hand placed on the child's chest or abdomen or by holding a stethoscope at the child's nose. The measurement is carried out during one minute.
Time Frame
Days 0 (screening), 3, 7, 28, 56
Title
Number of participants with abnormal changes in vital signs - Body temperature
Description
Measurement with a digital thermometer.
Time Frame
Day 0 (screening); 10 min before, 20 min and 2 hours after vaccination; days 3, 7, 28, 56
Title
Number of participants with clinically significant abnormalities - Complete blood count (CBC)
Description
Hemoglobin, hematocrit, erythrocytes, leukocytes, leukocytic formula, platelets, erythrocyte sedimentation rate (ESR).
Time Frame
Days 0 (screening), 3
Title
Number of participants with clinically significant abnormalities - Biochemical blood test (BBT)
Description
ALT, AST, LDH, alkaline phosphatase, total bilirubin, urea, glucose.
Time Frame
Days 0 (screening), 3
Title
Number of participants with clinically significant abnormalities - Urinalysis
Description
pH, specific density, protein, glucose, erythrocytes, leukocytes.
Time Frame
Days 0 (screening), 3
Title
Number of participants with abnormal changes of total IgE
Time Frame
Days 0 (screening), 3, 56

10. Eligibility

Sex
All
Minimum Age & Unit of Time
6 Months
Maximum Age & Unit of Time
9 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: For volunteers aged 3 to 9 years: Healthy children of both sexes aged 3 to 9 years (3 years 0 months 0 days - 8 years 11 months 30 days); The written and dated informed consent of one of the parents for participation in the trial; For volunteers aged 6 to 35 months: Healthy children of both genders aged 6 to 35 months, inclusive (6 months 0 days - 35 months 30 days); The written and dated informed consent of one of the parents for participation in the trial; The trial subject of the was born full-term, with the Apgar score of 7-10 points. For all volunteers: Ability of a volunteer's parents to fulfill the requirements of the Protocol (i.e. to fill out the Patient Diary, come to visit with the volunteer). Exclusion Criteria: History of influenza (including in mothers for children aged 6 to 35 months) or previous influenza vaccination during 6 months before the trial; Positive result of the SARS-CoV-2 test; Vaccination of the pregnant woman in the 2nd-3rd trimester (for the age group of 6 - 35 months) with an influenza vaccine; Vaccination with any vaccine less than 30 days before participating in the trial or scheduled vaccination with any vaccine within 30 days after vaccination with the trial vaccines; A serious post-vaccination reaction (temperature above 40 °C, hyperemia or edema more than 8 cm in diameter at the injection site) 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), encephalopathy; Allergic reactions to vaccine components or any previous vaccination; History of allergic reaction to chicken protein; History of cancer, leukemia, tuberculosis, autoimmune diseases; Carriage of HIV, syphilis, hepatitis B and C in the medical history, including by parents; Children who received immunoglobulin products or transfusions of whole blood or its components less than 3 months before the start of the trial; Long-term use (more than 14 days) of any immunomodulating medicines less than 3 months before the start of the trial; Any confirmed or suspected immunosuppressive or immunodeficiency condition; History of chronic diseases of the cardiovascular, bronchopulmonary, endocrine systems, blood in the acute stage (recovery less than 4 weeks before vaccination) or in the decompensation stage; Children with hemophilia who may develop bleeding after intramuscular injection; History of progressive neurological pathology, convulsive syndrome, afebrile convulsions; History of acute infectious diseases (fever ≥ 37.5°С): recovery less than 2 weeks before vaccination; Participation in another clinical trial less than 3 months before the start of the trial; History of mental illness of the child and the volunteer's parents; The history of the volunteer's parent being registered with a tuberculosis dispensary and/or a narcological dispensary; Maternal history of drug use or alcohol abuse during pregnancy and/or breastfeeding; Pronounced congenital malformations in a child; Suspected developmental delay in a child.
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
LLC "Energiya zdorov'ya"
City
Saint Petersburg
Country
Russian Federation
Facility Name
St. Petersburg State Budgetary Institution of Health Care "Children's City Polyclinic No. 45" of the Nevsky District
City
Saint Petersburg
Country
Russian Federation

12. IPD Sharing Statement

Learn more about this trial

Trial of Tolerability, Safety and Immunogenicity of the Flu-M Vaccine in Children Between 6 Months and 9 Years Old

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