Evaluate the Immunogenicity and Safety of the 2011-2012 Vaccine Against Seasonal Influenza on Pregnant Women (VACINFL2011)
Primary Purpose
Pregnancy, Investigation or Care in A Nonpregnant Woman
Status
Unknown status
Phase
Phase 2
Locations
Mexico
Study Type
Interventional
Intervention
Seasonal influenza vaccination
Sponsored by
About this trial
This is an interventional prevention trial for Pregnancy focused on measuring vaccination, Influenza, Immunogenicity, Safety
Eligibility Criteria
I.Selection Criteria in pregnant women
I.a.Inclusion Criteria
- Pregnant women aged 18 to 39 years
- Have made at least one prenatal visit to confirm the pregnancy
- Available for follow-up time
- To be from 14 to 34 weeks of gestation
- If recruitment is conducted between August and November 2011, patient could have
- Received the Seasonal Influence Vaccine from previous period, but not the H1N1 vaccine
- Agree to participate in the study and provide informed consent
- Good health according to the clinical evaluation of the participant, confirming: heart
- Rate less than 100', systolic blood pressure less than 140 mm Hg, and diastolic less or
- Equal than 90 mmHg, and oral temperature less or equal than 37.4° C
- Normal physical exam and laboratory test within 28 days prior to recruitment
- HIV-negative test
I. b.Exclusion criteria
- Preeclampsia or eclampsia
- Treatment with immunosuppressive drugs
- Receipt of blood products, 120 days prior to HIV screening
- Receipt of immunoglobulin 60 days prior to screening for HIV
- Have received live attenuated vaccines 30 days prior of vaccination
- Have received inactivated vaccines within 14 days prior to vaccination
- Treatment of latent or active tuberculosis
- Autoimmune disease or immunodeficiency
- Contraindication to receiving seasonal influenza vaccine
- Vaccine side effects
- History of angioedema.
- Unstable asthma
- Diabetes
- Thyroidectomy or thyroid disease in the last 12 months
- Idiopathic urticaria
- Hypertension not well-controlled with treatment
- Medically diagnosed bleeding diathesis, coagulopathy or platelet disorder
- Active malignant tumor or in not-effective treatment
- Asplenia
- Allergic reaction to antibiotics
- Guillain Barre
- Psychiatric condition that difficult adherence to protocol
II.Selection criteria in nonpregnant woman
II. a.Inclusion criteria
- Nonpregnant woman aged 18 to 39 years
- Negative pregnancy test 24 hours prior to administration of the vaccine
- Agree to participate in the study and provide informed consent
- Good health according to the clinical evaluation of participant, confirming: heart rate
- less than 100 ', systolic blood pressure less than 140 mmHg, diastolic less than or equal
- to 90 mmHg, and oral temperature less than or equal to 37.4°C
- Normal physical exam and laboratory test within 28 days prior to recruitment
- HIV-negative test
- Agree to not get pregnant during the study and follow an effective contraceptive
- method
- Good health, determined this by history
- Receive the seasonal influenza vaccine at least two weeks prior to inclusion in this study
II. b.Exclusion criteria
- Being in treatment with immunosuppressive drugs
- Receipt of blood products, 120 days prior to HIV screening
- Receipt of immunoglobulin 60 days prior to screening for HIV
- Have received live attenuated vaccines 30 days of vaccination
- Have received inactivated vaccines within 14 days prior to vaccination
- Treatment of latent or active tuberculosis
- Autoimmune disease or immunodeficiency
- Contraindication to receiving seasonal influenza vaccine
- Vaccine side effects
- History of angioedema
- Unstable asthma
- Diabetes Type 2
- Thyroidectomy or thyroid disease requiring treatment in the past 12 months.
- Idiopathic urticaria
- Hypertension not well-controlled with treatment
- Medically diagnosed bleeding diathesis, coagulopathy or platelet disorder
- Active malignant tumor
- Convulsive condition
- Anatomic or functional asplenia
- Allergic reaction to antibiotics
- Guillain Barre
- Psychiatric condition
Sites / Locations
- National Institute of Public Health
Arms of the Study
Arm 1
Arm 2
Arm Type
Experimental
Experimental
Arm Label
Pregnant Woman
Nonpregnant women
Arm Description
Pregnant Woman
2011-2012 Seasonal Influenza Vaccine (include A/California/7/2009 (H1N1)-like, A/Perth/16/2009 (H3N2)-like, and B/Brisbane/60/2008-like antigens) administered to 15ug without adjuvant, via intramuscular in pregnant and nonpregnant women.
Outcomes
Primary Outcome Measures
Immunogenicity
The results of this analysis will determine whether the vaccine provides protection based on the immunogenicity provided by the vaccine. They identify specific antibodies against influenza virus A (H1N1), will carry out the serological techniques by hemagglutination inhibition and microneutralization. The immunogenicity analysis will be measured by seroconversion and seroresponse
Secondary Outcome Measures
Adverse events
Monitoring of pregnant women will be at monthly intervals until the time of the birth.
Pregnant women and nonpregnant are going to be monitored for 30 min after vaccination to monitor immediate clinical reactions, and at 28 days after completing a self-registration of possible events associated with vaccination, as well as follow-up home visits on days 1, 3, 5, 7, 11, 15, 21, and 28.
At day 28, will be made a complete clinical evaluation and blood sampling for assessment of immunogenicity.
Full Information
NCT ID
NCT01577316
First Posted
April 11, 2012
Last Updated
April 12, 2012
Sponsor
Instituto Nacional de Salud Publica, Mexico
Collaborators
Laboratorios de Biologicos y Reactivos de México, S.A. de C.V.
1. Study Identification
Unique Protocol Identification Number
NCT01577316
Brief Title
Evaluate the Immunogenicity and Safety of the 2011-2012 Vaccine Against Seasonal Influenza on Pregnant Women
Acronym
VACINFL2011
Official Title
Clinical Trial to Evaluate the Immunogenicity and Safety of the 2011-2012 Vaccine Against Seasonal Influenza on Pregnant Women
Study Type
Interventional
2. Study Status
Record Verification Date
April 2012
Overall Recruitment Status
Unknown status
Study Start Date
April 2012 (undefined)
Primary Completion Date
December 2012 (Anticipated)
Study Completion Date
December 2013 (Anticipated)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Principal Investigator
Name of the Sponsor
Instituto Nacional de Salud Publica, Mexico
Collaborators
Laboratorios de Biologicos y Reactivos de México, S.A. de C.V.
4. Oversight
Data Monitoring Committee
Yes
5. Study Description
Brief Summary
The hypothesis proposed in this study is that the 2011-2012 Seasonal Influenza Vaccine (including H3N2 and H1N1 subtypes of serotype A strain over the serotype B) administered to 15ug (without adjuvant) via intramuscular in pregnant women will be safe and immunogenic.
Detailed Description
Despite the fact that influenza vaccination of pregnant women is amply recommended, coverage of influenza vaccination is low. In general, there are few studies on safety of the vaccine to this group, particularly during the first three months of pregnancy or evaluating trivalent vaccines containing inactivated pandemic 2009 H1N1 virus. Studies are controversial regarding passage of maternal antibodies and protection to the newborn. The investigators propose to evaluate safety and immunogenicity of 2011-2012 seasonal trivalent influenza vaccine (Northern hemisphere)(containing an A/California/7/2009 (H1N1)-like virus; an A/Perth/16/2009 (H3N2)-like virus; a B/Brisbane/60/2008-like virus) produced by Sanofi Pasteur. Study design is a Phase II/III, two arm, non-randomized clinical trial. The investigators will recruit 120 pregnant women, 18 to 39 years of age, 14 to 34 week pregnant and 120 non-pregnant women. Trivalent influenza vaccine (0.5ml) will be administered IM in the deltoid zone. Participants will be observed for 30 min post-vaccination for acute adverse reactions and periodically during the 60 days post-vaccination for reactogenicity, adverse effects and severe adverse effects. Baseline and 28 day influenza antibodies will be measured by hemagglutination and microneutralization. Umbilical cord blood (10ml) will be drawn during delivery. Newborns will be followed monthly for growth and morbidity up to six months of age. If necessary, they will be referred for appropriate clinical care. Main outcome will be seroconversion and seroresponse at 28 days post vaccination. Results will be adjusted by study group and other relevant covariables.Safety will be analyzed according to type, severity and study group.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Pregnancy, Investigation or Care in A Nonpregnant Woman
Keywords
vaccination, Influenza, Immunogenicity, Safety
7. Study Design
Primary Purpose
Prevention
Study Phase
Phase 2, Phase 3
Interventional Study Model
Parallel Assignment
Masking
None (Open Label)
Allocation
Non-Randomized
Enrollment
240 (Anticipated)
8. Arms, Groups, and Interventions
Arm Title
Pregnant Woman
Arm Type
Experimental
Arm Description
Pregnant Woman
Arm Title
Nonpregnant women
Arm Type
Experimental
Arm Description
2011-2012 Seasonal Influenza Vaccine (include A/California/7/2009 (H1N1)-like, A/Perth/16/2009 (H3N2)-like, and B/Brisbane/60/2008-like antigens) administered to 15ug without adjuvant, via intramuscular in pregnant and nonpregnant women.
Intervention Type
Biological
Intervention Name(s)
Seasonal influenza vaccination
Other Intervention Name(s)
Be recruited and will continue in parallel both groups
Intervention Description
2011-2012 Seasonal Trivalent Inactivated Influenza Vaccine (include A/California/7/2009 (H1N1)-like, A/Perth/16/2009 (H3N2)-like, and B/Brisbane/60/2008-like antigens) administered to 15ug without adjuvant, via intramuscular in pregnant and nonpregnant women.
It is recommended that vaccines for use in the 2012-2013 influenza season (northern hemisphere winter) contain the following:
an A/California/7/2009 (H1N1)pdm09-like virus;
an A/Victoria/361/2011 (H3N2)-like virus;
a B/Wisconsin/1/2010-like virus.
Primary Outcome Measure Information:
Title
Immunogenicity
Description
The results of this analysis will determine whether the vaccine provides protection based on the immunogenicity provided by the vaccine. They identify specific antibodies against influenza virus A (H1N1), will carry out the serological techniques by hemagglutination inhibition and microneutralization. The immunogenicity analysis will be measured by seroconversion and seroresponse
Time Frame
Day 28
Secondary Outcome Measure Information:
Title
Adverse events
Description
Monitoring of pregnant women will be at monthly intervals until the time of the birth.
Pregnant women and nonpregnant are going to be monitored for 30 min after vaccination to monitor immediate clinical reactions, and at 28 days after completing a self-registration of possible events associated with vaccination, as well as follow-up home visits on days 1, 3, 5, 7, 11, 15, 21, and 28.
At day 28, will be made a complete clinical evaluation and blood sampling for assessment of immunogenicity.
Time Frame
30 minutes immediate, day 1, 3, 5,7,11, 15 and 28
10. Eligibility
Sex
Female
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
39 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
I.Selection Criteria in pregnant women
I.a.Inclusion Criteria
Pregnant women aged 18 to 39 years
Have made at least one prenatal visit to confirm the pregnancy
Available for follow-up time
To be from 14 to 34 weeks of gestation
If recruitment is conducted between August and November 2011, patient could have
Received the Seasonal Influence Vaccine from previous period, but not the H1N1 vaccine
Agree to participate in the study and provide informed consent
Good health according to the clinical evaluation of the participant, confirming: heart
Rate less than 100', systolic blood pressure less than 140 mm Hg, and diastolic less or
Equal than 90 mmHg, and oral temperature less or equal than 37.4° C
Normal physical exam and laboratory test within 28 days prior to recruitment
HIV-negative test
I. b.Exclusion criteria
Preeclampsia or eclampsia
Treatment with immunosuppressive drugs
Receipt of blood products, 120 days prior to HIV screening
Receipt of immunoglobulin 60 days prior to screening for HIV
Have received live attenuated vaccines 30 days prior of vaccination
Have received inactivated vaccines within 14 days prior to vaccination
Treatment of latent or active tuberculosis
Autoimmune disease or immunodeficiency
Contraindication to receiving seasonal influenza vaccine
Vaccine side effects
History of angioedema.
Unstable asthma
Diabetes
Thyroidectomy or thyroid disease in the last 12 months
Idiopathic urticaria
Hypertension not well-controlled with treatment
Medically diagnosed bleeding diathesis, coagulopathy or platelet disorder
Active malignant tumor or in not-effective treatment
Asplenia
Allergic reaction to antibiotics
Guillain Barre
Psychiatric condition that difficult adherence to protocol
II.Selection criteria in nonpregnant woman
II. a.Inclusion criteria
Nonpregnant woman aged 18 to 39 years
Negative pregnancy test 24 hours prior to administration of the vaccine
Agree to participate in the study and provide informed consent
Good health according to the clinical evaluation of participant, confirming: heart rate
less than 100 ', systolic blood pressure less than 140 mmHg, diastolic less than or equal
to 90 mmHg, and oral temperature less than or equal to 37.4°C
Normal physical exam and laboratory test within 28 days prior to recruitment
HIV-negative test
Agree to not get pregnant during the study and follow an effective contraceptive
method
Good health, determined this by history
Receive the seasonal influenza vaccine at least two weeks prior to inclusion in this study
II. b.Exclusion criteria
Being in treatment with immunosuppressive drugs
Receipt of blood products, 120 days prior to HIV screening
Receipt of immunoglobulin 60 days prior to screening for HIV
Have received live attenuated vaccines 30 days of vaccination
Have received inactivated vaccines within 14 days prior to vaccination
Treatment of latent or active tuberculosis
Autoimmune disease or immunodeficiency
Contraindication to receiving seasonal influenza vaccine
Vaccine side effects
History of angioedema
Unstable asthma
Diabetes Type 2
Thyroidectomy or thyroid disease requiring treatment in the past 12 months.
Idiopathic urticaria
Hypertension not well-controlled with treatment
Medically diagnosed bleeding diathesis, coagulopathy or platelet disorder
Active malignant tumor
Convulsive condition
Anatomic or functional asplenia
Allergic reaction to antibiotics
Guillain Barre
Psychiatric condition
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Ferreyra-Reyes Leticia, MD
Phone
(52) 55 548710 00
Ext
4312
Email
freyes.ld@gmail.com
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Lourdes Garcia Garcia, DCs
Organizational Affiliation
Instituto Nacional de Salud Publica, Mexico
Official's Role
Principal Investigator
Facility Information:
Facility Name
National Institute of Public Health
City
Cuernavaca
State/Province
Morelos
ZIP/Postal Code
62100
Country
Mexico
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Leticia Ferreyra-Reyes, MD
Phone
(52)5554871000
Ext
4312
Email
freyes.ld@gmail.com
First Name & Middle Initial & Last Name & Degree
Renata Baez-Saldaña, MD
First Name & Middle Initial & Last Name & Degree
Elizabeth Ferreira-Guerrero, MD
First Name & Middle Initial & Last Name & Degree
Leticia Ferreyra-Reyes, MD
First Name & Middle Initial & Last Name & Degree
Guadalupe Delgado-Sánchez, MPH
First Name & Middle Initial & Last Name & Degree
Luis Pablo Cruz-Hervert, MSc
First Name & Middle Initial & Last Name & Degree
Samuel Ponce de Leon-Rosales, MD
First Name & Middle Initial & Last Name & Degree
Maria Eugenia Jiménez-Corona, DSc
12. IPD Sharing Statement
Learn more about this trial
Evaluate the Immunogenicity and Safety of the 2011-2012 Vaccine Against Seasonal Influenza on Pregnant Women
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