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Phase Ⅲ, Clinical Trial to Compare an Inactivated Quadrivalent Influenza Vaccine and a Licensed Vaccine in Chile (TetraFluVac)

Primary Purpose

Influenza, Vaccines

Status
Recruiting
Phase
Phase 3
Locations
Chile
Study Type
Interventional
Intervention
Tetravalent influenza vaccine developed by Sinovac Biotech Co.
Sponsored by
Pontificia Universidad Catolica de Chile
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional prevention trial for Influenza focused on measuring influenza, vaccine, immunogenicity, clinical-trial

Eligibility Criteria

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

Inclusion Criteria:

  1. Volunteers age 3 years and older, in good health or medically stable;
  2. Written informed consent obtained from subjects or/and legal guardian;
  3. No receipt of influenza vaccines within 6 months or plans to receive any influenza vaccines during the study;
  4. Female subjects of non-childbearing may be enrolled in the study. Nonchildbearing potential is defined as surgically sterile (history of bilateral tubal ligation, bilateral oophorectomy, hysterectomy) or premenarche or postmenopausal (defined as amenorrhea for ≥ 12 consecutive months prior to screening without an alternative medical cause).
  5. Female subjects of childbearing potential may be enrolled in the study, if the subject:

    • Has a negative pregnancy test on the day of the first dose (day 0);
    • Has practiced adequate contraception or has abstained from all activities that could result in pregnancy for at least 28 days prior to the first dose and until at least 28 days after vaccination.

Exclusion Criteria:

  1. History of seasonal influenza within 6 months prior to the study entry;
  2. Axillary temperature ≥37.3℃;
  3. History of Guillain-Barré syndrome within 6 weeks of receipt of prior influenza vaccine.
  4. History of allergy to any vaccine, or any ingredient of the experimental vaccine.
  5. Serious adverse reaction(s) to the vaccine, such as urticaria, dyspnea or angioneurotic edema, etc.;
  6. History of serious neurological disorder (such as epilepsy, convulsions, etc.) , or mental illness;
  7. Autoimmune disease or immunodeficiency/immunosuppressive, or any immunosuppressant receipt within 6 months prior to the study entry;
  8. Significant chronic illnesses that, in the opinion of the investigator, is at a stage where it might interfere with trial conduct or completion (may include, but are not limited to cardiovascular disease, hypertension and diabetes that cannot be controlled by drugs, liver or kidney disorders, HIV infection or malignant tumor;
  9. Acute central nervous system diseases such as encephalitis/myelitis, acute disseminating encephalomyelitis, and related disorders;
  10. Absence of spleen, functional absence of spleen, and absence or removal of spleen under any circumstances;
  11. Diagnosed coagulation function abnormal (e.g., coagulation factor deficiency, coagulation disorder, or platelet abnormalities), or obvious bruising or coagulation disorders;
  12. Alcoholism or history of drug abuse
  13. Acute disease or acute stage of chronic disease within 7 days prior to study entry;
  14. Received blood products within 3 months prior to study entry;
  15. Received any live attenuated vaccine within 14 days prior to study entry or any subunit vaccine or inactivated vaccine within 7 days prior to study entry;
  16. Pregnant women or lactating women;
  17. Subjects participate other clinical trials (licensed or unlicensed vaccines, drugs, organisms, devices, blood products or drugs) during the study period;
  18. Any other factors which are unsuitable for participation in the clinical trial as judged by the investigator.

    -

Sites / Locations

  • Hospital Puerto MonttRecruiting
  • Centro de Investigaciones Médicas Respiratorias (CIMER)Recruiting
  • Hospital Clínico UC ChristusRecruiting
  • Hospital Félix BulnesRecruiting
  • Clínica Alemana de SantiagoRecruiting

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Active Comparator

Arm Label

Tetravalent influenza vaccine developed by Sinovac Biotech Co.

Vaxigrip Tetra TM

Arm Description

The group will be formed by 800 individuals. 200 from 3 to 8 years old, 200 from 9 to 17 years old, 200 from 18 to 64 years old and 200 subjects 65 years and older. They will receive an unique dose of the tetravalent influenza vaccine developed by Sinovac Biotech Co.(H1N1, H3N2 and 2 strains of influenza B). Subjects 3 to 8 years will receive 2 doses of influenza vaccine unless they have receipt of 2 previous doses of any influenza vaccine or they have an history of previous influenza.

The group will be formed by 800 individuals. 200 from 3 to 8 years old, 200 from 9 to 17 years old, 200 from 18 to 64 years old and 200 subjects 65 years and older. They will receive an unique dose of the tetravalent influenza vaccine Vaxigrip Tetra TM(H1N1, H3N2 and 2 strains of influenza B). Subjects 3 to 8 years will receive 2 doses of influenza vaccine unless they have receipt of 2 previous doses of any influenza vaccine or they have an history of previous influenza.

Outcomes

Primary Outcome Measures

Seroconversion for influenza
Seroconversion rates and geometric mean titers of human influenza antibody for each of the four antigens.

Secondary Outcome Measures

Antibody titer 1:40 or more
Proportion of subjects with antibody titer ≥1:40
Cellular immunity-ELISPOT
Quantification by ELISPOT of specific Spot Forming Cells for cytokines, molecules and immunoglobulins induced by both vaccines
Cellular immunity-Cytometry
Quantification by flow cytometry of CD3+CD4+ and CD3+CD8+ cells positive for Activation Induced Markers, induced by both vaccines.
Cellular immunity-Luminex (TM)
• Quantification by Luminex® of cytokines secreted by specific CD3+CD4+ and CD3+CD8+ cells induced by each vaccine

Full Information

First Posted
August 7, 2022
Last Updated
August 7, 2022
Sponsor
Pontificia Universidad Catolica de Chile
Collaborators
Sinovac Biotech (Chile) SpA, Sinovac Biotech Co., Ltd
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1. Study Identification

Unique Protocol Identification Number
NCT05494047
Brief Title
Phase Ⅲ, Clinical Trial to Compare an Inactivated Quadrivalent Influenza Vaccine and a Licensed Vaccine in Chile
Acronym
TetraFluVac
Official Title
A Phase III, Randomized, Double-blind and Controlled Clinical Trial to Evaluate the Immunogenicity and Safety of Influenza Vaccine, Inactivated, Quadrivalent Developed by Sinovac Biotech Co., Ltd. Compared to a Licensed Quadrivalent Influenza Vaccine, VaxigripTetra™, in Individuals Aged 3 Years and Older in Chile
Study Type
Interventional

2. Study Status

Record Verification Date
August 2022
Overall Recruitment Status
Recruiting
Study Start Date
July 14, 2022 (Actual)
Primary Completion Date
May 31, 2023 (Anticipated)
Study Completion Date
July 31, 2023 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Pontificia Universidad Catolica de Chile
Collaborators
Sinovac Biotech (Chile) SpA, Sinovac Biotech Co., Ltd

4. Oversight

Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
Yes

5. Study Description

Brief Summary
This study compares the immunogenity and safety of quadrivalent inactivated influenza vaccines. The experimental group receives the quadrivalent influenza vaccine developed by Sinovac Biotech Co., Ltd and the control group immunized with Vaxigrip Tetra™. The group has 1600 persons from general population 3 years and older. The design is double-blind and randomized. The primary outcome is the immunogenicity against the 4 strains of influenza included in both vaccines.
Detailed Description
The study is designed to evaluate the immunogenicity of the quadrivalent inactivated-virus influenza vaccine developed by Sinovac Biotech Co., Ltd against Vaxigrip Tetra™. The population included in the study is healthy subjects 3 years and older, being 800 individuals 10 years old or less and 800 over 18 years, randomized 1:1 to experimental vaccine or Vaxigrip Tetra™. Volunteers 8 years old or less, without history of previous influenza infection will receive 2 doses of vaccine, al other individuals will receipt 1 dose of vaccine. Immunogenicity will be assessed one month after the last dose of vaccine, humoral responses will be determined for all patients meanwhile ome subgroup of patients will have a determination of cellular immunity also. Subjects will be follow up for one month, adverse events will be assessed during this time.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Influenza, Vaccines
Keywords
influenza, vaccine, immunogenicity, clinical-trial

7. Study Design

Primary Purpose
Prevention
Study Phase
Phase 3
Interventional Study Model
Parallel Assignment
Model Description
Individuals will be randomized to receive Vaxigrip Tetrs TM or equivalent vaccine developed by Sinovac Biotech Co. It is a a comparative, double blind, propsective clinical trial with 2 active compunds.
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Masking Description
Subjects will be randomized by a computer system. Investigators and care providers will not be able to know the vaccine administered. Statistical analysis will not have access to the information of immunization. Nonetheless, personnel study who will administer the vaccine will know the group because they will have access to the envelope of the vaccine then this personnel will not have any other responsibility during the study moreover, they will not have mantain regular contact with investigational team.
Allocation
Randomized
Enrollment
1600 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
Tetravalent influenza vaccine developed by Sinovac Biotech Co.
Arm Type
Experimental
Arm Description
The group will be formed by 800 individuals. 200 from 3 to 8 years old, 200 from 9 to 17 years old, 200 from 18 to 64 years old and 200 subjects 65 years and older. They will receive an unique dose of the tetravalent influenza vaccine developed by Sinovac Biotech Co.(H1N1, H3N2 and 2 strains of influenza B). Subjects 3 to 8 years will receive 2 doses of influenza vaccine unless they have receipt of 2 previous doses of any influenza vaccine or they have an history of previous influenza.
Arm Title
Vaxigrip Tetra TM
Arm Type
Active Comparator
Arm Description
The group will be formed by 800 individuals. 200 from 3 to 8 years old, 200 from 9 to 17 years old, 200 from 18 to 64 years old and 200 subjects 65 years and older. They will receive an unique dose of the tetravalent influenza vaccine Vaxigrip Tetra TM(H1N1, H3N2 and 2 strains of influenza B). Subjects 3 to 8 years will receive 2 doses of influenza vaccine unless they have receipt of 2 previous doses of any influenza vaccine or they have an history of previous influenza.
Intervention Type
Drug
Intervention Name(s)
Tetravalent influenza vaccine developed by Sinovac Biotech Co.
Other Intervention Name(s)
Sinovac vaccine
Intervention Description
15μg Hemagglutinin Antigen (HA) of each of the four strains
Primary Outcome Measure Information:
Title
Seroconversion for influenza
Description
Seroconversion rates and geometric mean titers of human influenza antibody for each of the four antigens.
Time Frame
28 days after the last dose of vaccination
Secondary Outcome Measure Information:
Title
Antibody titer 1:40 or more
Description
Proportion of subjects with antibody titer ≥1:40
Time Frame
28 days after the last dose of vaccination
Title
Cellular immunity-ELISPOT
Description
Quantification by ELISPOT of specific Spot Forming Cells for cytokines, molecules and immunoglobulins induced by both vaccines
Time Frame
28 days after the last dose
Title
Cellular immunity-Cytometry
Description
Quantification by flow cytometry of CD3+CD4+ and CD3+CD8+ cells positive for Activation Induced Markers, induced by both vaccines.
Time Frame
28 days after the last dose
Title
Cellular immunity-Luminex (TM)
Description
• Quantification by Luminex® of cytokines secreted by specific CD3+CD4+ and CD3+CD8+ cells induced by each vaccine
Time Frame
28 days after the last dose
Other Pre-specified Outcome Measures:
Title
Adverse events (AEs)
Description
Local and systemic AEs
Time Frame
Solicited AEs within 7 days after each dose and unsolicited AEs within 28 days after each dose
Title
Serious adverse events
Description
Ocurrence and relationship of serious adverse events
Time Frame
Within 28 days after each dose

10. Eligibility

Sex
All
Minimum Age & Unit of Time
3 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: Volunteers age 3 years and older, in good health or medically stable; Written informed consent obtained from subjects or/and legal guardian; No receipt of influenza vaccines within 6 months or plans to receive any influenza vaccines during the study; Female subjects of non-childbearing may be enrolled in the study. Nonchildbearing potential is defined as surgically sterile (history of bilateral tubal ligation, bilateral oophorectomy, hysterectomy) or premenarche or postmenopausal (defined as amenorrhea for ≥ 12 consecutive months prior to screening without an alternative medical cause). Female subjects of childbearing potential may be enrolled in the study, if the subject: Has a negative pregnancy test on the day of the first dose (day 0); Has practiced adequate contraception or has abstained from all activities that could result in pregnancy for at least 28 days prior to the first dose and until at least 28 days after vaccination. Exclusion Criteria: History of seasonal influenza within 6 months prior to the study entry; Axillary temperature ≥37.3℃; History of Guillain-Barré syndrome within 6 weeks of receipt of prior influenza vaccine. History of allergy to any vaccine, or any ingredient of the experimental vaccine. Serious adverse reaction(s) to the vaccine, such as urticaria, dyspnea or angioneurotic edema, etc.; History of serious neurological disorder (such as epilepsy, convulsions, etc.) , or mental illness; Autoimmune disease or immunodeficiency/immunosuppressive, or any immunosuppressant receipt within 6 months prior to the study entry; Significant chronic illnesses that, in the opinion of the investigator, is at a stage where it might interfere with trial conduct or completion (may include, but are not limited to cardiovascular disease, hypertension and diabetes that cannot be controlled by drugs, liver or kidney disorders, HIV infection or malignant tumor; Acute central nervous system diseases such as encephalitis/myelitis, acute disseminating encephalomyelitis, and related disorders; Absence of spleen, functional absence of spleen, and absence or removal of spleen under any circumstances; Diagnosed coagulation function abnormal (e.g., coagulation factor deficiency, coagulation disorder, or platelet abnormalities), or obvious bruising or coagulation disorders; Alcoholism or history of drug abuse Acute disease or acute stage of chronic disease within 7 days prior to study entry; Received blood products within 3 months prior to study entry; Received any live attenuated vaccine within 14 days prior to study entry or any subunit vaccine or inactivated vaccine within 7 days prior to study entry; Pregnant women or lactating women; Subjects participate other clinical trials (licensed or unlicensed vaccines, drugs, organisms, devices, blood products or drugs) during the study period; Any other factors which are unsuitable for participation in the clinical trial as judged by the investigator. -
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Pablo A Gonzalez, PhD
Phone
+56226862842
Email
pagonzalez@bio.puc.cl
First Name & Middle Initial & Last Name or Official Title & Degree
Mario A Calvo, MD
Phone
+56999676538
Email
macalvo@uach.cl
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Pablo A Gonzalez, PhD
Organizational Affiliation
Pontifical Catholic University of Chile
Official's Role
Principal Investigator
Facility Information:
Facility Name
Hospital Puerto Montt
City
Puerto Montt
State/Province
Los Lagos
Country
Chile
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Loreto I Twele, MD
Phone
+56991391703
Email
loreto.twele@gmail.com
First Name & Middle Initial & Last Name & Degree
Pia E Jara
Phone
+56957557121
Email
piaelisaj@gmail.com
Facility Name
Centro de Investigaciones Médicas Respiratorias (CIMER)
City
Providencia
State/Province
Metropolitana
ZIP/Postal Code
7500657
Country
Chile
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Rosa M Feijoo, MD
Phone
+56998268855
Email
rmfeijoo@gmail.com
First Name & Middle Initial & Last Name & Degree
Anyelina Navarrete
Phone
+56935251586
Email
anyelinanq21@yahoo.es
Facility Name
Hospital Clínico UC Christus
City
Santiago
State/Province
Metropolitana
ZIP/Postal Code
8330024
Country
Chile
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Alvaro Rojas, MD
Phone
56934056808
Email
arojas@med.puc.cl
First Name & Middle Initial & Last Name & Degree
María S Navarrete, RN
Phone
56975288431
Email
msnavarr@uc.cl
Facility Name
Hospital Félix Bulnes
City
Santiago
State/Province
Metropolitana
ZIP/Postal Code
9110056
Country
Chile
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Carlos Pérez, MD
Phone
+56998211521
Email
carlos.perez@uss.cl
First Name & Middle Initial & Last Name & Degree
Loreto Pérez, RN
Phone
56985959276
Email
perezlor@gmail.com
Facility Name
Clínica Alemana de Santiago
City
Vitacura
State/Province
Metropolitana
ZIP/Postal Code
7650567
Country
Chile
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Andrea Schilling, MD
Phone
56996798671
Email
dra.andrea.schilling@gmail.com
First Name & Middle Initial & Last Name & Degree
Amy Riviotta, RN
Phone
56998186942
Email
ariviotta@udd.cl

12. IPD Sharing Statement

Plan to Share IPD
No
Citations:
PubMed Identifier
23210147
Citation
Vaccines against influenza WHO position paper - November 2012. Wkly Epidemiol Rec. 2012 Nov 23;87(47):461-76. No abstract available. English, French.
Results Reference
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PubMed Identifier
22226861
Citation
Reed C, Meltzer MI, Finelli L, Fiore A. Public health impact of including two lineages of influenza B in a quadrivalent seasonal influenza vaccine. Vaccine. 2012 Mar 2;30(11):1993-8. doi: 10.1016/j.vaccine.2011.12.098. Epub 2012 Jan 5.
Results Reference
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PubMed Identifier
23084849
Citation
Lee BY, Bartsch SM, Willig AM. The economic value of a quadrivalent versus trivalent influenza vaccine. Vaccine. 2012 Dec 14;30(52):7443-6. doi: 10.1016/j.vaccine.2012.10.025. Epub 2012 Oct 19. Erratum In: Vaccine. 2013 May 7;31(20):2477-9.
Results Reference
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PubMed Identifier
28062552
Citation
Jain VK, Domachowske JB, Wang L, Ofori-Anyinam O, Rodriguez-Weber MA, Leonardi ML, Klein NP, Schlichter G, Jeanfreau R, Haney BL, Chu L, Harris JS, Sarpong KO, Micucio AC, Soni J, Chandrasekaran V, Li P, Innis BL. Time to Change Dosing of Inactivated Quadrivalent Influenza Vaccine in Young Children: Evidence From a Phase III, Randomized, Controlled Trial. J Pediatric Infect Dis Soc. 2017 Mar 1;6(1):9-19. doi: 10.1093/jpids/piw068.
Results Reference
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PubMed Identifier
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Citation
Cadorna-Carlos JB, Nolan T, Borja-Tabora CF, Santos J, Montalban MC, de Looze FJ, Eizenberg P, Hall S, Dupuy M, Hutagalung Y, Pepin S, Saville M. Safety, immunogenicity, and lot-to-lot consistency of a quadrivalent inactivated influenza vaccine in children, adolescents, and adults: A randomized, controlled, phase III trial. Vaccine. 2015 May 15;33(21):2485-92. doi: 10.1016/j.vaccine.2015.03.065. Epub 2015 Apr 2.
Results Reference
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PubMed Identifier
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Citation
Mallory RM, Yu J, Kameo S, Tanaka M, Rito K, Itoh Y, Dubovsky F. The safety and efficacy of quadrivalent live attenuated influenza vaccine in Japanese children aged 2-18 years: Results of two phase 3 studies. Influenza Other Respir Viruses. 2018 Jul;12(4):438-445. doi: 10.1111/irv.12555. Epub 2018 Apr 10.
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Claeys C, Drame M, Garcia-Sicilia J, Zaman K, Carmona A, Tran PM, Miranda M, Martinon-Torres F, Thollot F, Horn M, Schwarz TF, Behre U, Merino JM, Sadowska-Krawczenko I, Szymanski H, Schu P, Neumeier E, Li P, Jain VK, Innis BL. Assessment of an optimized manufacturing process for inactivated quadrivalent influenza vaccine: a phase III, randomized, double-blind, safety and immunogenicity study in children and adults. BMC Infect Dis. 2018 Apr 18;18(1):186. doi: 10.1186/s12879-018-3079-8.
Results Reference
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PubMed Identifier
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Citation
Beran J, Peeters M, Dewe W, Raupachova J, Hobzova L, Devaster JM. Immunogenicity and safety of quadrivalent versus trivalent inactivated influenza vaccine: a randomized, controlled trial in adults. BMC Infect Dis. 2013 May 20;13:224. doi: 10.1186/1471-2334-13-224.
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Citation
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Phase Ⅲ, Clinical Trial to Compare an Inactivated Quadrivalent Influenza Vaccine and a Licensed Vaccine in Chile

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