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Tolerability, Safety and Immunogenicity Trial of the Flu-M Quadro, Tetravalent Inactivated Split Influenza Vaccine

Primary Purpose

Influenza, Influenza, Human, Influenza Viral Infections

Status
Completed
Phase
Phase 2
Locations
Russian Federation
Study Type
Interventional
Intervention
Influenza vaccine [inactivated]
Influenza vaccine [inactivated]
Influenza vaccine [inactivated]
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, Vaccination, SPbSRIVS, Flu-M Tetra, Flu-M Quadro, Quadrivalent, Inactivated, Split

Eligibility Criteria

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

Inclusion Criteria: Healthy volunteers (men and women) aged 18-60; Written informed consent of the 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 (usage of contraceptives one month before vaccination and at least two months after vaccination). All females with childbearing potential must have a negative pregnancy test result during the screening period. In the course of the trial women should use barrier contraceptives with a reliability exceeding 90 %, or be sterile, or be in a postmenopausal state. Barrier contraceptives with a reliability exceeding 90 % of common use include cervical caps with spermicide, diaphragms with spermicide, condoms, intra-uterine spirals; For the men, are able to conceive - consent to use adequate contraception methods. In the course of the trial and during at least two months after vaccination, men and their sexual partners should use barrier contraceptives with a reliability exceeding 90 %, or be sterile. Barrier contraceptives with a reliability exceeding 90 % of common use include cervical caps with spermicide, diaphragms with spermicide, condoms, intra-uterine spirals; Exclusion Criteria: History of influenza or ARVI or previous influenza vaccination during 9 moths before the trial; 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; History of Guillain-Barré syndrome (acute polyneuropathy); 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, tuberculosis, 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 other 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); History of progressive neurological pathology, convulsive syndrome; 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 during the last three months); According to the medical history, the volunteer was/is a patient of a tuberculosis dispensary and/or narcological dispensary and/or neuropsychiatric dispensary and/or other; History of acute infectious diseases (recovery less than 4 weeks before vaccination); Consumption of more than 10 units of alcoholic drinks 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; Serious concurrent illnesses or pathological conditions not listed above which, in the opinion of the investigator, could complicate the assessment of the results of the trial including pathological deviations from age norms and laboratory norms of blood and urine parameters, which are clinically significant in the opinion of the investigator

Sites / Locations

  • Federally Funded Healthcare Institution Primary Healthcare Unit No. 163,of Federal Medical and Biologic Agency (FFHI PHU No. 163, FMBA of Russia)
  • Bessalar Clinic. Clinical Trial Center Limited Liability Company (Bessalar Clinic. Clinical Trial Center LLC)
  • Federation (FSBEI of Higher Education "E. A. Wagner PSMU" of the of the Ministry of Health of the Russian Federation)
  • Baltic Medicine Limited Liability Company (Baltic Medicine LLC)
  • Eco-Safety Scientific Research and Development Center Limited Liability Company (Eco-Safety Scientific Research and Development Center LLC)

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm Type

Experimental

Experimental

Active Comparator

Arm Label

Flu-M Quadro with preservative

Flu-M Quadro without preservative

Ultrix® Quadri

Arm Description

150 volunteers were vaccinated with the Flu-M Quadro Inactivated Split Influenza Vaccine with a preservative

150 volunteers were vaccinated with the Flu-M Quadro Inactivated Split Influenza Vaccine without a preservative

150 volunteers were vaccinated with Ultrix® Quadri Vaccine

Outcomes

Primary Outcome Measures

Seroconversion rate for each virus strain (A (H1N1), A (H3N2) and B (Yamagata line and Victoria line)) The percentage of subjects who have a prevaccination titer of influenza haemagglutinin antibody titer (HA titer) ≤ 1:10 and a postvaccination HA titer

Secondary Outcome Measures

Change from Baseline Geometric mean titer (GMT) ratio of antibodies for each virus strain (A (H1N1), A (H3N2) and B (Yamagata line and Victoria line))
Geometric mean titer (GMT) of antibodies in the blood serums of vaccinated participants in haemagglutination inhibition assay
Seroconversion factor for each virus strain (A (H1N1), A (H3N2) and B (Yamagata line and Victoria line)) Seroconversion factor is an increase in the geometric mean titers of antibodies at Day 28 vs. the baseline level, expressed in the fold rise
Seroprotection rate for each virus strain (A (H1N1), A (H3N2) and B (Yamagata line and Victoria line)) Seroprotection rate is the percentage of subjects with a generated protective HA titer (at least 1:40) vs. the baseline level
Incidence of influenza and ARVI
Incidence, severity, and duration of influenza and ARVI during 6 months after vaccination detected outside of the Protocol.
Incidence of immediate adverse events (allergic reactions)
Incidence of local adverse events
Incidence of systemic adverse events
Incidence of other adverse reactions
Incidence of severe adverse events
Incidence of withdrawal of a volunteer from the trial due to development of an AE/SAE associated with the use of the trial products
Number of participants with abnormal physical examination findings
Physical examination of volunteers included an interview, discovery of complaints and symptoms, when required, palpation, auscultation, percussion. During the interview, all complaints and symptoms that had developed since the last visit were identified and assessed. An examination and (when applicable) palpation, auscultation, percussion were performed for the following organs and systems: skin, mucosa, eyes, oral cavity and pharynx, lungs/chest, heart/cardiovascular system, abdominal organs, nervous system, lymph nodes, musculoskeletal system, thyroid gland. The palpation analysis of lymph nodes (submandibular, cervical, ulnar) included an assessment of their size, consistency, pain, mobility, adhesion between themselves and with surrounding tissues and skin
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)
Number of participants with abnormal changes in vital signs - Body temperature
Body temperature was measured using mercury or digital thermometer, in the armpit for at least 5 minutes
Number of participants with clinically significant abnormalities - Complete blood count (CBC)
Red blood cells, Hemoglobin, ESR, Differential Leukocyte Count (segmented and rod neutrophils, lymphocytes, monocytes, eosinophils, basophils), Platelets
Number of participants with clinically significant abnormalities - Biochemical blood test (BBT)
ALT, AST, Alkaline phosphatase, Total Bilirubin, Total Protein, Urea, Glucose, C-reactive protein, Creatinine, Cholesterol
Number of participants with clinically significant abnormalities - Urinalysis
pH, Relative Density/Specific Gravity, Protein, Glucose, Red Blood Cells, White Blood Cells
Number of participants with abnormal changes of total IgE
Number of participants with abnormal neurological examinations
Number of participants with abnormal electrocardiography results
Standard 12-lead ECG

Full Information

First Posted
May 11, 2023
Last Updated
May 11, 2023
Sponsor
St. Petersburg Research Institute of Vaccines and Sera
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1. Study Identification

Unique Protocol Identification Number
NCT05869201
Brief Title
Tolerability, Safety and Immunogenicity Trial of the Flu-M Quadro, Tetravalent Inactivated Split Influenza Vaccine
Official Title
Double-blind Comparative Randomized Tolerability, Safety and Immunogenicity Trial of the Flu-M Quadro Tetravalent Inactivated Split Influenza Vaccine, Solution for Intramuscular Injection, FSUE SPbSRIVS FMBA of Russia, in Volunteers Aged 18-60 Years
Study Type
Interventional

2. Study Status

Record Verification Date
May 2023
Overall Recruitment Status
Completed
Study Start Date
October 6, 2020 (Actual)
Primary Completion Date
December 8, 2020 (Actual)
Study Completion Date
December 8, 2020 (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
The goal of this clinical trial is to assess tolerability, safety and immunogenicity of the Flu-M Quadro vaccine as compared to the Ultrix® Quadri vaccine in volunteers aged between 18 and 60. Participants were given Flu-M Quadro [inactivated split influenza vaccine] with preservative or Flu-M Quadro [inactivated split influenza vaccine] without preservative or Ultrix® Quadri vaccine.The volunteers of each group were vaccinated with a single dose vaccine. Researchers assessed the tolerability, safety and immunogenicity of the Flu-M Quadro quadrivalent inactivated split influenza vaccine. Researchers performed a comparative assessment of the tolerability, safety, and immunogenicity of the Flu-M Quadro quadrivalent inactivated split influenza vaccine and the Ultrix® Quadri vaccine.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Influenza, Influenza, Human, Influenza Viral Infections, Vaccine Reaction, Vaccination; Infection
Keywords
Influenza, Flu, Vaccine, Vaccination, SPbSRIVS, Flu-M Tetra, Flu-M Quadro, Quadrivalent, Inactivated, Split

7. Study Design

Primary Purpose
Prevention
Study Phase
Phase 2, Phase 3
Interventional Study Model
Parallel Assignment
Masking
ParticipantInvestigator
Allocation
Randomized
Enrollment
450 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Flu-M Quadro with preservative
Arm Type
Experimental
Arm Description
150 volunteers were vaccinated with the Flu-M Quadro Inactivated Split Influenza Vaccine with a preservative
Arm Title
Flu-M Quadro without preservative
Arm Type
Experimental
Arm Description
150 volunteers were vaccinated with the Flu-M Quadro Inactivated Split Influenza Vaccine without a preservative
Arm Title
Ultrix® Quadri
Arm Type
Active Comparator
Arm Description
150 volunteers were vaccinated with Ultrix® Quadri Vaccine
Intervention Type
Biological
Intervention Name(s)
Influenza vaccine [inactivated]
Other Intervention Name(s)
Flu-M Quadro (with a preservative)
Intervention Description
Solution for intramuscular injection, 0.5 ml (1 dose) Vaccination with a single dose vaccine
Intervention Type
Biological
Intervention Name(s)
Influenza vaccine [inactivated]
Other Intervention Name(s)
Flu-M Quadro (without preservative)
Intervention Description
Solution for intramuscular injection, 0.5 ml (1 dose) Vaccination with a single dose vaccine
Intervention Type
Biological
Intervention Name(s)
Influenza vaccine [inactivated]
Other Intervention Name(s)
Ultrix® Quadri
Intervention Description
Solution for intramuscular injection, 0.5 ml (1 dose) Vaccination with a single dose vaccine
Primary Outcome Measure Information:
Title
Seroconversion rate for each virus strain (A (H1N1), A (H3N2) and B (Yamagata line and Victoria line)) The percentage of subjects who have a prevaccination titer of influenza haemagglutinin antibody titer (HA titer) ≤ 1:10 and a postvaccination HA titer
Time Frame
Screening (Days 0+5), Day 28
Secondary Outcome Measure Information:
Title
Change from Baseline Geometric mean titer (GMT) ratio of antibodies for each virus strain (A (H1N1), A (H3N2) and B (Yamagata line and Victoria line))
Description
Geometric mean titer (GMT) of antibodies in the blood serums of vaccinated participants in haemagglutination inhibition assay
Time Frame
Screening (Days 0+5), Day 28
Title
Seroconversion factor for each virus strain (A (H1N1), A (H3N2) and B (Yamagata line and Victoria line)) Seroconversion factor is an increase in the geometric mean titers of antibodies at Day 28 vs. the baseline level, expressed in the fold rise
Time Frame
Screening (Days 0+5), Day 28
Title
Seroprotection rate for each virus strain (A (H1N1), A (H3N2) and B (Yamagata line and Victoria line)) Seroprotection rate is the percentage of subjects with a generated protective HA titer (at least 1:40) vs. the baseline level
Time Frame
Screening (Days 0+5), Day 28
Title
Incidence of influenza and ARVI
Description
Incidence, severity, and duration of influenza and ARVI during 6 months after vaccination detected outside of the Protocol.
Time Frame
During 6 months after vaccination
Title
Incidence of immediate adverse events (allergic reactions)
Time Frame
2 hours after vaccination
Title
Incidence of local adverse events
Time Frame
7 days after vaccination
Title
Incidence of systemic adverse events
Time Frame
7 days after vaccination
Title
Incidence of other adverse reactions
Time Frame
Days 8 to 28 after vaccination
Title
Incidence of severe adverse events
Time Frame
Days 1 to 28 after vaccination
Title
Incidence of withdrawal of a volunteer from the trial due to development of an AE/SAE associated with the use of the trial products
Time Frame
Days 1-7, 14
Title
Number of participants with abnormal physical examination findings
Description
Physical examination of volunteers included an interview, discovery of complaints and symptoms, when required, palpation, auscultation, percussion. During the interview, all complaints and symptoms that had developed since the last visit were identified and assessed. An examination and (when applicable) palpation, auscultation, percussion were performed for the following organs and systems: skin, mucosa, eyes, oral cavity and pharynx, lungs/chest, heart/cardiovascular system, abdominal organs, nervous system, lymph nodes, musculoskeletal system, thyroid gland. The palpation analysis of lymph nodes (submandibular, cervical, ulnar) included an assessment of their size, consistency, pain, mobility, adhesion between themselves and with surrounding tissues and skin
Time Frame
Screening (Days 0+5), Days 1-7, 14, 28
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
Screening (Days 0+5), Days 1-7, 14, 28
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
Screening (Days 0+5), Days 1-7, 14, 28
Title
Number of participants with abnormal changes in vital signs - Respiratory rate (RR)
Time Frame
Screening (Days 0+5), Days 1-7, 14, 28
Title
Number of participants with abnormal changes in vital signs - Body temperature
Description
Body temperature was measured using mercury or digital thermometer, in the armpit for at least 5 minutes
Time Frame
Screening (Days 0+5), Day 1 - before vaccination, 20 minutes and 2, 5-8 hours after vaccination; Days 2-7, 14, 28
Title
Number of participants with clinically significant abnormalities - Complete blood count (CBC)
Description
Red blood cells, Hemoglobin, ESR, Differential Leukocyte Count (segmented and rod neutrophils, lymphocytes, monocytes, eosinophils, basophils), Platelets
Time Frame
Screening (Days 0+5), Days 3, 14, 28
Title
Number of participants with clinically significant abnormalities - Biochemical blood test (BBT)
Description
ALT, AST, Alkaline phosphatase, Total Bilirubin, Total Protein, Urea, Glucose, C-reactive protein, Creatinine, Cholesterol
Time Frame
Screening (Days 0+5), Days 3, 14, 28
Title
Number of participants with clinically significant abnormalities - Urinalysis
Description
pH, Relative Density/Specific Gravity, Protein, Glucose, Red Blood Cells, White Blood Cells
Time Frame
Screening (Days 0+5), Days 3, 14, 28
Title
Number of participants with abnormal changes of total IgE
Time Frame
Screening (Days 0+5), Days 3, 14, 28
Title
Number of participants with abnormal neurological examinations
Time Frame
Screening (Days 0+5), Days 1, 3 (When the interval between the screening visit and visit 1 is more than 3 days), 14, 28
Title
Number of participants with abnormal electrocardiography results
Description
Standard 12-lead ECG
Time Frame
Screening (Days 0+5), Day 3

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; Written informed consent of the 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 (usage of contraceptives one month before vaccination and at least two months after vaccination). All females with childbearing potential must have a negative pregnancy test result during the screening period. In the course of the trial women should use barrier contraceptives with a reliability exceeding 90 %, or be sterile, or be in a postmenopausal state. Barrier contraceptives with a reliability exceeding 90 % of common use include cervical caps with spermicide, diaphragms with spermicide, condoms, intra-uterine spirals; For the men, are able to conceive - consent to use adequate contraception methods. In the course of the trial and during at least two months after vaccination, men and their sexual partners should use barrier contraceptives with a reliability exceeding 90 %, or be sterile. Barrier contraceptives with a reliability exceeding 90 % of common use include cervical caps with spermicide, diaphragms with spermicide, condoms, intra-uterine spirals; Exclusion Criteria: History of influenza or ARVI or previous influenza vaccination during 9 moths before the trial; 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; History of Guillain-Barré syndrome (acute polyneuropathy); 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, tuberculosis, 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 other 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); History of progressive neurological pathology, convulsive syndrome; 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 during the last three months); According to the medical history, the volunteer was/is a patient of a tuberculosis dispensary and/or narcological dispensary and/or neuropsychiatric dispensary and/or other; History of acute infectious diseases (recovery less than 4 weeks before vaccination); Consumption of more than 10 units of alcoholic drinks 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; Serious concurrent illnesses or pathological conditions not listed above which, in the opinion of the investigator, could complicate the assessment of the results of the trial including pathological deviations from age norms and laboratory norms of blood and urine parameters, which are clinically significant in the opinion of the investigator
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Ellina Ruzanova
Organizational Affiliation
St. Petersburg Research Institute of Vaccines and Sera
Official's Role
Study Director
Facility Information:
Facility Name
Federally Funded Healthcare Institution Primary Healthcare Unit No. 163,of Federal Medical and Biologic Agency (FFHI PHU No. 163, FMBA of Russia)
City
Kol'tsovo
State/Province
Novosibirsk Region
Country
Russian Federation
Facility Name
Bessalar Clinic. Clinical Trial Center Limited Liability Company (Bessalar Clinic. Clinical Trial Center LLC)
City
Moscow
Country
Russian Federation
Facility Name
Federation (FSBEI of Higher Education "E. A. Wagner PSMU" of the of the Ministry of Health of the Russian Federation)
City
Perm
Country
Russian Federation
Facility Name
Baltic Medicine Limited Liability Company (Baltic Medicine LLC)
City
Saint-Petersburg
Country
Russian Federation
Facility Name
Eco-Safety Scientific Research and Development Center Limited Liability Company (Eco-Safety Scientific Research and Development Center LLC)
City
Saint-Petersburg
Country
Russian Federation

12. IPD Sharing Statement

Learn more about this trial

Tolerability, Safety and Immunogenicity Trial of the Flu-M Quadro, Tetravalent Inactivated Split Influenza Vaccine

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