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Immunogenicity and Tolerability Study of Fluval AB Novo Suspension for Injection for Children and Adolescents

Primary Purpose

Human Influenza

Status
Completed
Phase
Phase 3
Locations
Study Type
Interventional
Intervention
Vaccination with Fluval AB Novo suspension for injection, half dose of a single intramuscular dose (0.25 ml)
Vaccination with Fluval AB Novo suspension for injection, single intramuscular dose (0.5 ml)
Sponsored by
Fluart Innovative Vaccine Ltd, Hungary
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional prevention trial for Human Influenza focused on measuring immunogenicity, reduced dose, Phase III, tolerability, safety

Eligibility Criteria

3 Years - 18 Years (Child, Adult)All SexesAccepts Healthy Volunteers

Inclusion Criteria:

  • Children aged 3 to 11 years, adolescents aged 12 to 18 years from both sexes;
  • Are in good health (as determined by vital signs and existing medical condition) or are in stable medical condition. Subjects will not be excluded with known adequately treated clinically significant organ or systemic diseases (e.g. asthma or diabetes), such that, in the opinion of the investigator, the significance of the disease will not compromise the subject's participation in the study;
  • Female volunteers of childbearing potential with a negative result from the urine pregnancy test prior to vaccination who agrees to use an acceptable contraception method or abstinence throughout the trial and not become pregnant for the duration of the study;
  • Capability of adolescent participants aged 12 to 18 years and the legitimate representative of all volunteers to understand and comply with planned study procedures;
  • Adolescent participants aged 12 to 18 years and the legitimate representative of all volunteers provide written Informed Consent (IC) prior to initiation of study procedures;
  • Absence of existence of any exclusion criteria.

Exclusion Criteria:

  • Pregnancy, breast feeding or positive urine pregnancy test at baseline prior to vaccination. Female subjects who are able to bear children but not willing to use an acceptable contraception method for the duration of the study.
  • Known hypersensitivity to eggs, thiomersal, formaldehyde, gentamycin, ciprofloxacin, neomycin, vancomycin or any other component of the vaccine;
  • History of Guillain-Barré syndrome;
  • History of neurological symptoms or signs, or anaphylactic shock following administration of any vaccine;
  • Serious disease, such as cancer, autoimmune disease, advanced arteriosclerotic disease, complicated diabetes mellitus, acute or progressive hepatic disease, acute or progressive renal disease, congestive heart failure;
  • Immunosuppressive therapy within 36 months prior to vaccination;
  • Concomitant corticosteroid therapy, including high-dose inhaled corticosteroids;
  • Receipt of immunostimulants,
  • Receipt of parenteral immunoglobulin, blood products and/or plasma derivate within 3 months prior to vaccination;
  • Suspected or known HIV, HBV or HCV infection;
  • Acute disease and/or axillary temperature ≥37oC within 3 days prior to vaccination;
  • Vaccine therapy within 4 weeks prior to vaccination;
  • Influenza vaccination (any kind) within 6 months prior to vaccination;
  • Experimental drug therapy within 4 weeks prior to vaccination;
  • Concomitant participation in another clinical study;
  • Any condition which, in the opinion of the investigator, may interfere with the evaluation of the study;
  • Past or current psychiatric disease of the volunteer or the legitimate representative that upon judgement of the investigator may have effect on the objective decision-making of the volunteer;
  • Alcohol or drug abuse of the participant or the legitimate representative.

Sites / Locations

    Arms of the Study

    Arm 1

    Arm 2

    Arm Type

    Experimental

    Experimental

    Arm Label

    Age group 1: children (3-11 years)

    Age group 2: adolescents (12-18 years)

    Arm Description

    Intervention: Vaccination with Fluval AB Novo suspension for injection. Dosage: Half dose of a single dose (0.25 ml) vaccine, administered intramuscularly.

    Intervention: Vaccination with Fluval AB Novo suspension for injection. Dosage: A single dose (0.5 ml) vaccine, administered intramuscularly.

    Outcomes

    Primary Outcome Measures

    Increase in Geometric Mean Titre Ratio, A/H1N1 Strain
    Ratio of Day 0 and Day 21-28 antihaemagglutination inhibition titres Requirement: > 2.5
    Increase in Geometric Mean Titre Ratio, A/H3N2 Strain
    Ratio of Day 0 and Day 21-28 antihaemagglutination inhibition titres Requirement: > 2.5
    Increase in Geometric Mean Titre Ratio, B Strain
    Ratio of Day 0 and Day 21-28 antihaemagglutination inhibition titres Requirement: > 2.5
    Seroconversion, A/H1N1 Strain
    Proportion of subjects seroconverted or had a significant increase in titres Requirement: > 40 %
    Seroconversion, A/H3N2 Strain
    Proportion of subjects seroconverted or had a significant increase in titres Requirement: > 40 %
    Seroconversion, B Strain
    Proportion of subjects seroconverted or had a significant increase in titres Requirement: > 40 %
    Seroprotection, A/H1N1 Strain
    Proportion of subjects seroprotected Requirement: > 70 %
    Seroprotection, A/H3N2 Strain
    Proportion of subjects seroprotected Requirement: > 70 %
    Seroprotection, B Strain
    Proportion of subjects seroprotected Requirement: > 70 %

    Secondary Outcome Measures

    Full Information

    First Posted
    October 16, 2014
    Last Updated
    February 17, 2021
    Sponsor
    Fluart Innovative Vaccine Ltd, Hungary
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    1. Study Identification

    Unique Protocol Identification Number
    NCT02387294
    Brief Title
    Immunogenicity and Tolerability Study of Fluval AB Novo Suspension for Injection for Children and Adolescents
    Official Title
    Immunogenicity and Tolerability Study of Fluval AB Novo Suspension for Injection (Trivalent, Seasonal Influenza Vaccine, Active Ingredient Content: 6 μg HA/Strain/0.5 ml) for Children and Adolescents
    Study Type
    Interventional

    2. Study Status

    Record Verification Date
    March 2015
    Overall Recruitment Status
    Completed
    Study Start Date
    October 2014 (undefined)
    Primary Completion Date
    December 2014 (Actual)
    Study Completion Date
    December 2014 (Actual)

    3. Sponsor/Collaborators

    Responsible Party, by Official Title
    Sponsor
    Name of the Sponsor
    Fluart Innovative Vaccine Ltd, Hungary

    4. Oversight

    Data Monitoring Committee
    Yes

    5. Study Description

    Brief Summary
    Immunogenicity and Tolerability Study of Fluval AB Novo Suspension for Injection (trivalent, seasonal influenza vaccine, active ingredient content: 6 μg HA/strain/0.5 ml) for Children and Adolescents.
    Detailed Description
    STUDY PERIOD: Length of enrollment: 2 weeks (estimated) Participation per subject: max. 1 month OBJECTIVES: Immunogenicity Objectives: To assess immunogenicity of a single intramuscular injection of Fluval AB Novo suspension for injection (trivalent, seasonal influenza vaccine, active ingredient content: 6 μg HA/0.5 ml of seasonal A/H1N1, A/H3N2 and B influenza antigens each), as measured by haemagglutination inhibition (HI) test. Safety and Tolerability Objectives: To evaluate safety and tolerability (incidence of adverse events) of a single intramuscular injection of Fluval AB Novo suspension for injection. CLINICAL PHASE: Phase III TYPE: Interventional, prevention DESIGN: Non-controlled, open, multi-centre METHODS: In this uncontrolled, open, multi-centre immunogenicity and tolerability study subjects were enrolled into two groups according to age: Age group 1: children (3-11 years): single intramuscular injection of Fluval AB Novo 0.25 ml suspension for injection; Age group 2: adolescents (12-18 years): single intramuscular injection of Fluval AB Novo 0.5 ml suspension for injection; Subjects were observed for 30 minutes after the injection for any immediate reactions. All adolescent subjects aged 12 to 18 years and the legitimate representatives of all volunteers were requested to complete a Diary Card (DC) to record local reactions (injection site pain, erythema, swelling, induration, numbness, sensitivity and haematoma) and systemic reactions (fever, shivering, headache, malaise, fatigue, sweating, nausea, myalgia, arthralgia, dizziness and urticaria) starting on the day of vaccination on Visit 1 (Day 0) until 7 days following that. All adverse events were collected during the period of Visit 1 (Day 0) to Visit 2 (between Day 21 and Day 28); Serum samples for immunogenicity assays were collected immediately before immunization on Visit 1 (Day 0) and on Visit 2 (between Day 21 and Day 28) in all subjects. Immunogenicity were evaluated by HI test. INVESTIGATIONAL MEDICINAL PRODUCT: Fluval AB Novo suspension for injection (trivalent, seasonal influenza vaccine, active ingredient content: 6 μg HA/0.5 ml of seasonal A/H1N1, A/H3N2 and B influenza antigens each) with aluminium phosphate gel adjuvant. Lot No.: FL-N-05/13 CONCOMITANT VACCINES: No concomitant vaccination is permitted for the duration of the study except for post-exposure vaccination in a medical emergency (e.g. tetanus, rabies, hepatitis). STUDY POPULATION: Considering approximately 17% of drop-out (one participant out of six), in total 120 subjects (60 subjects in each age group) were enrolled in order to achieve at least 100 evaluable subjects (50 subjects in each age group).

    6. Conditions and Keywords

    Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
    Human Influenza
    Keywords
    immunogenicity, reduced dose, Phase III, tolerability, safety

    7. Study Design

    Primary Purpose
    Prevention
    Study Phase
    Phase 3
    Interventional Study Model
    Single Group Assignment
    Model Description
    parallel-group study in two paediatric age groups
    Masking
    None (Open Label)
    Allocation
    Non-Randomized
    Enrollment
    120 (Actual)

    8. Arms, Groups, and Interventions

    Arm Title
    Age group 1: children (3-11 years)
    Arm Type
    Experimental
    Arm Description
    Intervention: Vaccination with Fluval AB Novo suspension for injection. Dosage: Half dose of a single dose (0.25 ml) vaccine, administered intramuscularly.
    Arm Title
    Age group 2: adolescents (12-18 years)
    Arm Type
    Experimental
    Arm Description
    Intervention: Vaccination with Fluval AB Novo suspension for injection. Dosage: A single dose (0.5 ml) vaccine, administered intramuscularly.
    Intervention Type
    Biological
    Intervention Name(s)
    Vaccination with Fluval AB Novo suspension for injection, half dose of a single intramuscular dose (0.25 ml)
    Other Intervention Name(s)
    Fluval AB Novo suspension for injection
    Intervention Description
    vaccination
    Intervention Type
    Biological
    Intervention Name(s)
    Vaccination with Fluval AB Novo suspension for injection, single intramuscular dose (0.5 ml)
    Intervention Description
    vaccination
    Primary Outcome Measure Information:
    Title
    Increase in Geometric Mean Titre Ratio, A/H1N1 Strain
    Description
    Ratio of Day 0 and Day 21-28 antihaemagglutination inhibition titres Requirement: > 2.5
    Time Frame
    21-28 days after vaccination
    Title
    Increase in Geometric Mean Titre Ratio, A/H3N2 Strain
    Description
    Ratio of Day 0 and Day 21-28 antihaemagglutination inhibition titres Requirement: > 2.5
    Time Frame
    21-28 days after vaccination
    Title
    Increase in Geometric Mean Titre Ratio, B Strain
    Description
    Ratio of Day 0 and Day 21-28 antihaemagglutination inhibition titres Requirement: > 2.5
    Time Frame
    21-28 days after vaccination
    Title
    Seroconversion, A/H1N1 Strain
    Description
    Proportion of subjects seroconverted or had a significant increase in titres Requirement: > 40 %
    Time Frame
    21-28 days after vaccination
    Title
    Seroconversion, A/H3N2 Strain
    Description
    Proportion of subjects seroconverted or had a significant increase in titres Requirement: > 40 %
    Time Frame
    21-28 days after vaccination
    Title
    Seroconversion, B Strain
    Description
    Proportion of subjects seroconverted or had a significant increase in titres Requirement: > 40 %
    Time Frame
    21-28 days after vaccination
    Title
    Seroprotection, A/H1N1 Strain
    Description
    Proportion of subjects seroprotected Requirement: > 70 %
    Time Frame
    21-28 days after vaccination
    Title
    Seroprotection, A/H3N2 Strain
    Description
    Proportion of subjects seroprotected Requirement: > 70 %
    Time Frame
    21-28 days after vaccination
    Title
    Seroprotection, B Strain
    Description
    Proportion of subjects seroprotected Requirement: > 70 %
    Time Frame
    21-28 days after vaccination

    10. Eligibility

    Sex
    All
    Minimum Age & Unit of Time
    3 Years
    Maximum Age & Unit of Time
    18 Years
    Accepts Healthy Volunteers
    Accepts Healthy Volunteers
    Eligibility Criteria
    Inclusion Criteria: Children aged 3 to 11 years, adolescents aged 12 to 18 years from both sexes; Are in good health (as determined by vital signs and existing medical condition) or are in stable medical condition. Subjects will not be excluded with known adequately treated clinically significant organ or systemic diseases (e.g. asthma or diabetes), such that, in the opinion of the investigator, the significance of the disease will not compromise the subject's participation in the study; Female volunteers of childbearing potential with a negative result from the urine pregnancy test prior to vaccination who agrees to use an acceptable contraception method or abstinence throughout the trial and not become pregnant for the duration of the study; Capability of adolescent participants aged 12 to 18 years and the legitimate representative of all volunteers to understand and comply with planned study procedures; Adolescent participants aged 12 to 18 years and the legitimate representative of all volunteers provide written Informed Consent (IC) prior to initiation of study procedures; Absence of existence of any exclusion criteria. Exclusion Criteria: Pregnancy, breast feeding or positive urine pregnancy test at baseline prior to vaccination. Female subjects who are able to bear children but not willing to use an acceptable contraception method for the duration of the study. Known hypersensitivity to eggs, thiomersal, formaldehyde, gentamycin, ciprofloxacin, neomycin, vancomycin or any other component of the vaccine; History of Guillain-Barré syndrome; History of neurological symptoms or signs, or anaphylactic shock following administration of any vaccine; Serious disease, such as cancer, autoimmune disease, advanced arteriosclerotic disease, complicated diabetes mellitus, acute or progressive hepatic disease, acute or progressive renal disease, congestive heart failure; Immunosuppressive therapy within 36 months prior to vaccination; Concomitant corticosteroid therapy, including high-dose inhaled corticosteroids; Receipt of immunostimulants, Receipt of parenteral immunoglobulin, blood products and/or plasma derivate within 3 months prior to vaccination; Suspected or known HIV, HBV or HCV infection; Acute disease and/or axillary temperature ≥37oC within 3 days prior to vaccination; Vaccine therapy within 4 weeks prior to vaccination; Influenza vaccination (any kind) within 6 months prior to vaccination; Experimental drug therapy within 4 weeks prior to vaccination; Concomitant participation in another clinical study; Any condition which, in the opinion of the investigator, may interfere with the evaluation of the study; Past or current psychiatric disease of the volunteer or the legitimate representative that upon judgement of the investigator may have effect on the objective decision-making of the volunteer; Alcohol or drug abuse of the participant or the legitimate representative.

    12. IPD Sharing Statement

    Learn more about this trial

    Immunogenicity and Tolerability Study of Fluval AB Novo Suspension for Injection for Children and Adolescents

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