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Immunogenicity and Safety of Butantan Quadrivalent Influenza Vaccine (Split Virion, Inactivated) in Infants and Children .

Primary Purpose

Influenza, Human

Status
Recruiting
Phase
Phase 3
Locations
Brazil
Study Type
Interventional
Intervention
Quadrivalent Influenza Vaccine (split virion, inactivated)
Trivalent Influenza Vaccine (split virion, inactivated) containing Influenza B virus - Victoria lineage
Trivalent Influenza Vaccine (split virion, inactivated) containing Influenza B virus - Yamagata lineage
Sponsored by
Butantan Institute
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional prevention trial for Influenza, Human focused on measuring Influenza Vaccines

Eligibility Criteria

6 Months - 35 Months (Child)All SexesAccepts Healthy Volunteers

Inclusion Criteria: Healthy infant and child of either sex aged between 6 and 35 months on the day of the first study vaccination. Born at term (≥ 37 weeks of gestational age) and birth weight ≥ 2.5 kg. Parents/legal guardians of the infant or child able and willing to attend all scheduled visits and comply with all study procedures, including blood draws. Parents/legal guardians of the infant or child have provided informed consent. Exclusion Criteria: Having received any influenza vaccine from the current season and/or 6 months before the first study vaccination. History of allergy to egg, chicken proteins, or other components of the influenza vaccine. History of serious adverse reaction to any influenza vaccine. Have any clinically significant condition or situation that, in the Investigator's opinion, would interfere with study evaluations or participation. History of Guillain-Barré or other demyelinating diseases. History of neurological disease and/or clinically significant developmental delay (at the discretion of the Investigator), or seizure (except for an isolated febrile seizure episode). Having received immune globulin, blood, or any blood product 3 months before the planned date of the first study vaccination or planned administration during the study period. Any confirmed or suspected immunosuppressive condition, congenital or acquired immunodeficiency (including human immunodeficiency virus - HIV) based on medical history and physical examination. Immediate personal or family history of congenital immunodeficiency. Having received or are using radiation therapy, chemotherapy, immunosuppressive drugs, or other immunomodulatory drugs within three months before the planned date of the first study vaccination or planned use during the study. Be a solid organ or bone marrow/stem cell transplant recipient. Thrombocytopenia, bleeding disorder, use of anticoagulants, or any condition that contraindicates intramuscular injection. Significant chronic disease (cancer, autoimmune disease, diabetes mellitus, acute or progressive liver disease, acute or progressive kidney disease, severe heart or lung disease) or which in the Investigator's opinion poses a risk to the health of the infant or child participating in the study or which may interfere with the conduct or conclusion of the study. History of seropositivity for human immunodeficiency virus (HIV), hepatitis B, or hepatitis C. Major surgery or surgery using general anesthesia planned to occur during the period between the first vaccination and 28 days after full vaccination in the study. Any condition that, in the opinion of the Investigator, may interfere with the conduct or completion of the study (such as travelling or planned moving of residence, among others). Participation in another clinical trial involving another experimental or unregistered product 1 year before the planned date of the study's first vaccination, or plans to entering a clinical trial during the study. Infant and institutionalized child. Be related to the Investigator, research site staff member, or employee directly involved in the study. Postponement Criteria: Have received any vaccine (including routine childhood vaccines) within 28 days of the first study vaccination (delay until the 28-day deadline from the date of the last vaccination). Moderate or severe (as judged by the Investigator) acute illness/infection or febrile illness (temperature ≥ 37.8°C) 48 hours before the planned date of the first study vaccination. Acute respiratory illness within 14 days preceding the planned date of the first study vaccination.

Sites / Locations

  • Instituto Auto Imune de Pesquisa e Educação Continuada - Real Hospital Português de Beneficência em Pernambuco (Site REC01)Recruiting
  • Centro Oncológico de Roraima - CECOR (Site BVB-01)Recruiting
  • Centro de Pesquisas Clínicas da Universidade Federal de Sergipe (Site AJU01)Recruiting
  • Hospital das Clínicas da Faculdade de Medicina Ribeirão Preto - USP (Site RAO 04)Recruiting
  • Centro de Pesquisa Clínica S (Site RAO03)Recruiting
  • CPMC Pesquisa Clínica - Clinica De Alergia Martti Antila SorocabaRecruiting
  • A2Z Clinical Centro Avançado de Pesquisa Clínica Ltda.(Site 001)Recruiting
  • CPQuali Pesquisa Clínica Ltda (Site 002)Recruiting
  • Instituto de Pesquisa PENSI (Site SAO09)Recruiting
  • Centro de Pesquisa Clínica do Instituto da Criança - Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo (Site SAO08)Recruiting

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm Type

Experimental

Experimental

Active Comparator

Active Comparator

Arm Label

QIV-IB/dose 0.25ml

QIV-IB/dose 0.50ml

TIVV-IB

TIVY-IB

Arm Description

Butantan Quadrivalent Influenza Vaccine (split virion, inactivated)/dose 0.25ml

Butantan Quadrivalent Influenza Vaccine (split virion, inactivated)/dose 0.50ml

Butantan Trivalent Influenza Vaccine (split virion, inactivated)/dose 0.25ml containing Influenza B virus - Victoria lineage

Butantan Trivalent Influenza Vaccine (split virion, inactivated)/dose 0.25ml containing Influenza B virus - Yamagata lineage

Outcomes

Primary Outcome Measures

Ratio of Geometric Mean Titers (rGMT) of antibodies induced by QIV-IB/0.25ml compared to those induced by TIVV-IB and TIVY-IB, for each strain, in infants and children from 6 to 35 months of age.
Immunogenicity outcomes assessed in serum samples by hemagglutination inhibition (HAI) assay.
Ratio of Geometric Mean Titers (rGMT) of antibodies induced by QIV-IB/0.50ml compared to those induced by TIVV-IB and TIVY-IB, for each strain, in infants and children from 6 to 35 months of age.
Immunogenicity outcomes assessed in serum samples by hemagglutination inhibition (HAI) assay.
Ratio of Geometric Mean Titers (rGMT) of antibodies induced by QIV-IB/0.25ml compared to those induced by TIV that does not contain the B strain, for B lineage Victoria and Yamagata, in infants and children aged 6 to 35 months age.
Immunogenicity outcomes assessed in serum samples by hemagglutination inhibition (HAI) assay.
Ratio of Geometric Mean Titers (rGMT) of antibodies induced by QIV-IB/0.50ml compared to those induced by TIV that does not contain the B strain, for B lineage Victoria and Yamagata, in infants and children aged 6 to 35 months age.
Immunogenicity outcomes assessed in serum samples by hemagglutination inhibition (HAI) assay.

Secondary Outcome Measures

Ratio of Geometric Mean Titers (rGMT) of antibodies induced by QIV-IB/0.50ml compared to those induced by QIV-IB/0.25ml, for each strain, in infants and children from 6 to 35 months of age.
Immunogenicity outcomes assessed in serum samples by hemagglutination inhibition (HAI) assay.
Percentage of Participants With Seroconversion (Seroconversion Rate - SCR) to Influenza Vaccine Antigens.
SCR is defined as the percentage of subjects with either a prevaccination HAI titer < 1:10 and a postvaccination HI titer ≥ 1:40, or a prevaccination HI titer ≥ 1:10 and a ≥ 4-fold increase in postvaccination HI titer.
Percentage of Participants achieving seroprotection (Seroprotection Rate - SPR) to Influenza Vaccine Antigens.
Seroprotection Rate is defined as the percentage of subjects with HAI titer ≥1:40
Pre- and post-vaccination Geometric Mean Titers (GMT) induced by QIV-IB/0.25ml, QIV-IB/0.50ml, TIVV-IB e TIVY-IB, for each strain, in infants and children from 6 to 35 months of age.
Immunogenicity outcomes assessed in serum samples by hemagglutination inhibition (HAI) assay.
Ratio of Pre- and post-vaccination Geometric Mean Titers (rGMT) induced by QIV-IB/0.25ml, QIV-IB/0.50ml, TIVV-IB e TIVY-IB, for each strain, in infants and children from 6 to 35 months of age.
Immunogenicity outcomes assessed in serum samples by hemagglutination inhibition (HAI) assay.
Solicited local Site or Systemic Reactions After each Injection
Percentage of subjects with Solicited local Site or Systemic Reactions After each Injection
Related Unsolicited Adverse Events
Percentage of subjects with Related Unsolicited Adverse Events
Serious Adverse Events (SAE) and adverse events of special interest (AESI)
Percentage of subjects with Serious Adverse Events (SAE) and adverse events of special interest (AESI)

Full Information

First Posted
March 9, 2023
Last Updated
October 13, 2023
Sponsor
Butantan Institute
Collaborators
Fundação Butantan
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1. Study Identification

Unique Protocol Identification Number
NCT05779020
Brief Title
Immunogenicity and Safety of Butantan Quadrivalent Influenza Vaccine (Split Virion, Inactivated) in Infants and Children .
Official Title
A Blind Randomized Clinical Trial, With Active Controls, to Evaluate the Immunogenicity and Safety of the Quadrivalent Influenza Vaccine (Split Virion, Inactivated) From Instituto Butantan, in Infants and Children Aged 6 to 35 Months.
Study Type
Interventional

2. Study Status

Record Verification Date
June 2023
Overall Recruitment Status
Recruiting
Study Start Date
April 25, 2023 (Actual)
Primary Completion Date
March 15, 2024 (Anticipated)
Study Completion Date
October 15, 2024 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Butantan Institute
Collaborators
Fundação Butantan

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
This is a Phase III Randomized Clinical Trial, blind, multicenter, with active controls, to evaluate the immunogenicity and safety of the Quadrivalent Influenza Vaccine (split virion, inactivated) from Instituto Butantan, in two dose scheme (0.25ml and 0.50ml), in infants and children under 3 years of age.
Detailed Description
The study will be carried out in multiple sites in Brazil, using a community-based recruitment strategy. The study interventions are the Butantan Quadrivalent Influenza Vaccine (split virion, inactivated) in two dose scheme (QIV-IB/0.25ml and QIV-IB/0.50ml) and the active controls Butantan Trivalent Influenza Vaccine (split virion, inactivated) containing Influenza B virus - Victoria or Yamagata lineage (TIVV-IB and TIVY-IB), in a ratio 1:1:1:1. The study population is healthy infants and children aged 6 to 35 months and all participants will be followed up 6 months after the last vaccination.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Influenza, Human
Keywords
Influenza Vaccines

7. Study Design

Primary Purpose
Prevention
Study Phase
Phase 3
Interventional Study Model
Parallel Assignment
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
1412 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
QIV-IB/dose 0.25ml
Arm Type
Experimental
Arm Description
Butantan Quadrivalent Influenza Vaccine (split virion, inactivated)/dose 0.25ml
Arm Title
QIV-IB/dose 0.50ml
Arm Type
Experimental
Arm Description
Butantan Quadrivalent Influenza Vaccine (split virion, inactivated)/dose 0.50ml
Arm Title
TIVV-IB
Arm Type
Active Comparator
Arm Description
Butantan Trivalent Influenza Vaccine (split virion, inactivated)/dose 0.25ml containing Influenza B virus - Victoria lineage
Arm Title
TIVY-IB
Arm Type
Active Comparator
Arm Description
Butantan Trivalent Influenza Vaccine (split virion, inactivated)/dose 0.25ml containing Influenza B virus - Yamagata lineage
Intervention Type
Biological
Intervention Name(s)
Quadrivalent Influenza Vaccine (split virion, inactivated)
Intervention Description
Quadrivalent Influenza Vaccine (split virion, inactivated) from Instituto Butantan (dose 0.25ml and 0.50ml)
Intervention Type
Biological
Intervention Name(s)
Trivalent Influenza Vaccine (split virion, inactivated) containing Influenza B virus - Victoria lineage
Intervention Description
Trivalent Influenza Vaccine (split virion, inactivated) containing Influenza B virus - Victoria lineage/dose 0.50ml
Intervention Type
Biological
Intervention Name(s)
Trivalent Influenza Vaccine (split virion, inactivated) containing Influenza B virus - Yamagata lineage
Intervention Description
Trivalent Influenza Vaccine (split virion, inactivated) containing Influenza B virus - Yamagata lineage/dose 0.25ml
Primary Outcome Measure Information:
Title
Ratio of Geometric Mean Titers (rGMT) of antibodies induced by QIV-IB/0.25ml compared to those induced by TIVV-IB and TIVY-IB, for each strain, in infants and children from 6 to 35 months of age.
Description
Immunogenicity outcomes assessed in serum samples by hemagglutination inhibition (HAI) assay.
Time Frame
28 days after last vaccination
Title
Ratio of Geometric Mean Titers (rGMT) of antibodies induced by QIV-IB/0.50ml compared to those induced by TIVV-IB and TIVY-IB, for each strain, in infants and children from 6 to 35 months of age.
Description
Immunogenicity outcomes assessed in serum samples by hemagglutination inhibition (HAI) assay.
Time Frame
28 days after last vaccination
Title
Ratio of Geometric Mean Titers (rGMT) of antibodies induced by QIV-IB/0.25ml compared to those induced by TIV that does not contain the B strain, for B lineage Victoria and Yamagata, in infants and children aged 6 to 35 months age.
Description
Immunogenicity outcomes assessed in serum samples by hemagglutination inhibition (HAI) assay.
Time Frame
28 days after last vaccination
Title
Ratio of Geometric Mean Titers (rGMT) of antibodies induced by QIV-IB/0.50ml compared to those induced by TIV that does not contain the B strain, for B lineage Victoria and Yamagata, in infants and children aged 6 to 35 months age.
Description
Immunogenicity outcomes assessed in serum samples by hemagglutination inhibition (HAI) assay.
Time Frame
28 days after last vaccination
Secondary Outcome Measure Information:
Title
Ratio of Geometric Mean Titers (rGMT) of antibodies induced by QIV-IB/0.50ml compared to those induced by QIV-IB/0.25ml, for each strain, in infants and children from 6 to 35 months of age.
Description
Immunogenicity outcomes assessed in serum samples by hemagglutination inhibition (HAI) assay.
Time Frame
28 days after last vaccination
Title
Percentage of Participants With Seroconversion (Seroconversion Rate - SCR) to Influenza Vaccine Antigens.
Description
SCR is defined as the percentage of subjects with either a prevaccination HAI titer < 1:10 and a postvaccination HI titer ≥ 1:40, or a prevaccination HI titer ≥ 1:10 and a ≥ 4-fold increase in postvaccination HI titer.
Time Frame
At Days 0 and 28/56
Title
Percentage of Participants achieving seroprotection (Seroprotection Rate - SPR) to Influenza Vaccine Antigens.
Description
Seroprotection Rate is defined as the percentage of subjects with HAI titer ≥1:40
Time Frame
At Days 0 and 28/56
Title
Pre- and post-vaccination Geometric Mean Titers (GMT) induced by QIV-IB/0.25ml, QIV-IB/0.50ml, TIVV-IB e TIVY-IB, for each strain, in infants and children from 6 to 35 months of age.
Description
Immunogenicity outcomes assessed in serum samples by hemagglutination inhibition (HAI) assay.
Time Frame
At Days 0 and 28/56
Title
Ratio of Pre- and post-vaccination Geometric Mean Titers (rGMT) induced by QIV-IB/0.25ml, QIV-IB/0.50ml, TIVV-IB e TIVY-IB, for each strain, in infants and children from 6 to 35 months of age.
Description
Immunogenicity outcomes assessed in serum samples by hemagglutination inhibition (HAI) assay.
Time Frame
At Days 0 and 28/56
Title
Solicited local Site or Systemic Reactions After each Injection
Description
Percentage of subjects with Solicited local Site or Systemic Reactions After each Injection
Time Frame
Day 0 up to Day 7 post-injection
Title
Related Unsolicited Adverse Events
Description
Percentage of subjects with Related Unsolicited Adverse Events
Time Frame
28 days after last vaccination
Title
Serious Adverse Events (SAE) and adverse events of special interest (AESI)
Description
Percentage of subjects with Serious Adverse Events (SAE) and adverse events of special interest (AESI)
Time Frame
Entire study participant's follow-up period (6 months after the last vaccination)

10. Eligibility

Sex
All
Minimum Age & Unit of Time
6 Months
Maximum Age & Unit of Time
35 Months
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: Healthy infant and child of either sex aged between 6 and 35 months on the day of the first study vaccination. Born at term (≥ 37 weeks of gestational age) and birth weight ≥ 2.5 kg. Parents/legal guardians of the infant or child able and willing to attend all scheduled visits and comply with all study procedures, including blood draws. Parents/legal guardians of the infant or child have provided informed consent. Exclusion Criteria: Having received any influenza vaccine from the current season and/or 6 months before the first study vaccination. History of allergy to egg, chicken proteins, or other components of the influenza vaccine. History of serious adverse reaction to any influenza vaccine. Have any clinically significant condition or situation that, in the Investigator's opinion, would interfere with study evaluations or participation. History of Guillain-Barré or other demyelinating diseases. History of neurological disease and/or clinically significant developmental delay (at the discretion of the Investigator), or seizure (except for an isolated febrile seizure episode). Having received immune globulin, blood, or any blood product 3 months before the planned date of the first study vaccination or planned administration during the study period. Any confirmed or suspected immunosuppressive condition, congenital or acquired immunodeficiency (including human immunodeficiency virus - HIV) based on medical history and physical examination. Immediate personal or family history of congenital immunodeficiency. Having received or are using radiation therapy, chemotherapy, immunosuppressive drugs, or other immunomodulatory drugs within three months before the planned date of the first study vaccination or planned use during the study. Be a solid organ or bone marrow/stem cell transplant recipient. Thrombocytopenia, bleeding disorder, use of anticoagulants, or any condition that contraindicates intramuscular injection. Significant chronic disease (cancer, autoimmune disease, diabetes mellitus, acute or progressive liver disease, acute or progressive kidney disease, severe heart or lung disease) or which in the Investigator's opinion poses a risk to the health of the infant or child participating in the study or which may interfere with the conduct or conclusion of the study. History of seropositivity for human immunodeficiency virus (HIV), hepatitis B, or hepatitis C. Major surgery or surgery using general anesthesia planned to occur during the period between the first vaccination and 28 days after full vaccination in the study. Any condition that, in the opinion of the Investigator, may interfere with the conduct or completion of the study (such as travelling or planned moving of residence, among others). Participation in another clinical trial involving another experimental or unregistered product 1 year before the planned date of the study's first vaccination, or plans to entering a clinical trial during the study. Infant and institutionalized child. Be related to the Investigator, research site staff member, or employee directly involved in the study. Postponement Criteria: Have received any vaccine (including routine childhood vaccines) within 28 days of the first study vaccination (delay until the 28-day deadline from the date of the last vaccination). Moderate or severe (as judged by the Investigator) acute illness/infection or febrile illness (temperature ≥ 37.8°C) 48 hours before the planned date of the first study vaccination. Acute respiratory illness within 14 days preceding the planned date of the first study vaccination.
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Fernanda Boulos, M.D./PhD.
Phone
+55 11 3723-2150
Email
fernanda.boulos@butantan.gov.br
First Name & Middle Initial & Last Name or Official Title & Degree
Carolina Barbieri, M.D./PhD.
Phone
+55 11 3723-2150
Email
carolina.barbieri@butantan.gov.br
Facility Information:
Facility Name
Instituto Auto Imune de Pesquisa e Educação Continuada - Real Hospital Português de Beneficência em Pernambuco (Site REC01)
City
Recife
State/Province
Pernambuco
Country
Brazil
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Carlos Alexandre Antunes de Brito
Phone
(81) 3416-1450
Facility Name
Centro Oncológico de Roraima - CECOR (Site BVB-01)
City
Boa Vista
State/Province
Roraima
ZIP/Postal Code
69304-015
Country
Brazil
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Juliana Gomes da Rocha
Phone
(95) 99162-1921
Facility Name
Centro de Pesquisas Clínicas da Universidade Federal de Sergipe (Site AJU01)
City
Laranjeiras
State/Province
Sergipe
ZIP/Postal Code
49170-000
Country
Brazil
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Ricardo Queiroz Gurgel
Phone
(79) 9997-0480
Facility Name
Hospital das Clínicas da Faculdade de Medicina Ribeirão Preto - USP (Site RAO 04)
City
Ribeirão Preto
State/Province
São Paulo
ZIP/Postal Code
14051-140
Country
Brazil
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Marisa Márcia MD Mussi
Phone
(16) 3963-6523
Facility Name
Centro de Pesquisa Clínica S (Site RAO03)
City
Serrana
State/Province
São Paulo
Country
Brazil
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Marcos de Carvalho MD Borges
Phone
(16) 99281-5253
Facility Name
CPMC Pesquisa Clínica - Clinica De Alergia Martti Antila Sorocaba
City
Sorocaba
State/Province
São Paulo
ZIP/Postal Code
18040-425
Country
Brazil
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Martti Anton Antila
Phone
(15) 99735-5812
Facility Name
A2Z Clinical Centro Avançado de Pesquisa Clínica Ltda.(Site 001)
City
Valinhos
State/Province
São Paulo
ZIP/Postal Code
13271-130
Country
Brazil
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Ricardo Sobhie Diaz, MD
Phone
+55 (19) 3829-6160
Email
rsdiaz@catg.com.br
Facility Name
CPQuali Pesquisa Clínica Ltda (Site 002)
City
São Paulo
ZIP/Postal Code
01228-000
Country
Brazil
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Gustavo Akerman Augusto, MD
Phone
+55 (11) 2776-6801
Email
guakau@gmail.com
Facility Name
Instituto de Pesquisa PENSI (Site SAO09)
City
São Paulo
ZIP/Postal Code
01228-200
Country
Brazil
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Fátima Rodrigues Fernandes
Phone
(11) 2155-2055
Facility Name
Centro de Pesquisa Clínica do Instituto da Criança - Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo (Site SAO08)
City
São Paulo
ZIP/Postal Code
05403-000
Country
Brazil
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Lucia Maria Mattei de Arruda Campos
Phone
(11) 2661-8833

12. IPD Sharing Statement

Plan to Share IPD
No

Learn more about this trial

Immunogenicity and Safety of Butantan Quadrivalent Influenza Vaccine (Split Virion, Inactivated) in Infants and Children .

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