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Reactogenicity, Safety and Immunogenicity of a Live Monovalent A/17/CALIFORNIA/66/395 (H2N2) Influenza Vaccine

Primary Purpose

Influenza

Status
Completed
Phase
Phase 1
Locations
Russian Federation
Study Type
Interventional
Intervention
LAIV H2N2
Placebo
Sponsored by
PATH
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional prevention trial for Influenza focused on measuring H2N2, vaccine

Eligibility Criteria

18 Years - 40 Years (Adult)All SexesAccepts Healthy Volunteers

Inclusion Criteria:

  • Legal male or female adult aged 18 through 40 years
  • Literate and willing to provide written informed consent.
  • A signed informed consent.
  • Free of obvious health problems, as established by medical history and screening evaluations, including physical examination.
  • Capable and willing to complete diary cards and willing to return for all follow-up visits
  • Willing to comply with the rules of isolation unit (including willing and able to take oseltamivir influenza antiviral medication, should that be recommended by study physician).
  • For females, willing to take reliable birth control measures through day 56.

Exclusion Criteria:

  • Participation in another clinical trial involving any therapy within the previous three months or planned enrollment in such a trial during trial period.
  • Receipt of any non-study vaccine within four weeks prior to enrollment or refusal to postpone receipt of such vaccines until four weeks after study completion.
  • Practice of nasal irrigation on a regular basis within the past six months or has engaged in nasal irrigation within two weeks prior to enrollment.
  • Recent history of frequent nose bleeds (>5 within the past year).
  • Clinically relevant abnormal paranasal anatomy.
  • Recent history (within the past month) of rhino or sinus surgery, or surgery for any traumatic injury of the nose.
  • Current or recent (within two weeks of enrollment) acute respiratory illness with or without fever.
  • Other acute illness at the time of study enrollment.
  • Receipt of immune globulin or other blood products within three months prior to study enrollment or planned receipt during period of subject participation in the study.
  • Chronic administration (defined as more than 14 consecutively-prescribed days) of immunosuppressants and/or other immune-modulating therapy within six months prior to study enrollment.
  • Participation in any previous trial of any H2N2 containing influenza vaccine.
  • History of asthma.
  • Hypersensitivity after previous administration of any influenza vaccine.
  • History of wheezing after past receipt of any live influenza vaccine.
  • Other adverse event (AE) following immunization (body temperature more than 40°C, collapse, non-febrile seizures, anaphylaxis), at least possibly related to previous receipt of any vaccine (not only influenza).
  • Suspected or known hypersensitivity to any study vaccine components, including chicken or egg protein.
  • Seasonal (autumnal) hypersensitivity to the natural environment
  • Acute or chronic clinically significant pulmonary, cardiovascular, hepatic, metabolic, neurologic, psychiatric or renal functional abnormality, as determined by medical history, physical examination or clinical laboratory screening tests, which in the opinion of the investigator, might interfere with the study objectives. Subjects with physical examination findings or clinical laboratory screening results which would be graded 2 or higher on the AE severity grading scale (see Attachments) will be excluded from entry into the study and will be excluded from receipt of dose two of study vaccine or placebo.
  • History of leukemia or any other blood or solid organ cancer.
  • History of thrombocytopenic purpura or known bleeding disorder.
  • History of seizures.
  • Known or suspected immunosuppressive or immunodeficient condition of any kind, including HIV infection.
  • Known chronic hepatitis B virus (HBV) or hepatitis C virus (HCV) infection.
  • Known tuberculosis infection or evidence of previous tuberculosis exposure.
  • History of chronic alcohol abuse and/or illegal drug use.
  • Claustrophobia or sociophobia.
  • Pregnancy or lactation.
  • Any condition that, in the opinion of the investigator, would increase the health risk to the subject if participates in the study or would interfere with the evaluation of the study objectives.
  • Allergic, including anaphylactic, reactions to the introduction of any vaccines (not only influenza) in the subject's medical history

Sites / Locations

  • Research Institute of Influenza

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Placebo Comparator

Arm Label

LAIV H2N2 vaccine

Placebo

Arm Description

LAIV H2N2 vaccine A/17/California/66/395 (H2N2) live monovalent influenza vaccine delivered intranasally 2 doses 1 month apart

Placebo is composed of a lyophilizate containing the same concentrations of stabilizers as LAIV vaccine. It is prepared onsite in an identical fashion to the vaccine and delivered intranasally.

Outcomes

Primary Outcome Measures

Percentage of Participants With Immediate Reactions
Measured as observed by study staff or reported by the subject to study staff whether related or not related.
Percentage of Subjects With Solicited Local and Systemic Reactions After Vaccination 1
Adverse events commonly associated with intranasal vaccination occurring greater than two hours after administration of any dose of study vaccine or placebo through 6 days following any dose, measured as observed by study staff or reported by the subject to study staff. Solicited local reactions included: dryness of the nose, nose bleeds, ticklish nose, nasal congestion, runny nose, ticklish throat, catarrhal nasopharynx. Solicited systemic reactions included: body temperature, feverishness/subjective fever, chills, cough, difficulty breathing, sore throat, headache, confusion, convulsions/seizures, fatigue/malaise, joint aches, muscle aches, pink or red eyes, draining eyes, swollen eyelids, ear pain or discharge, rash, abdominal pain, diarrhea, vomiting.
Percentage of Subjects With Solicited Local and Systemic Reactions After Vaccination 2
Adverse events commonly associated with intranasal vaccination occurring greater than two hours after administration of any dose of study vaccine or placebo through 6 days following any dose, measured as observed by study staff or reported by the subject to study staff. Solicited local reactions included: dryness of the nose, nose bleeds, ticklish nose, nasal congestion, runny nose, ticklish throat, catarrhal nasopharynx. Solicited systemic reactions included: body temperature, feverishness/subjective fever, chills, cough, difficulty breathing, sore throat, headache, confusion, convulsions/seizures, fatigue/malaise, joint aches, muscle aches, pink or red eyes, draining eyes, swollen eyelids, ear pain or discharge, rash, abdominal pain, diarrhea, vomiting.
Percentage of Subjects With Unsolicited Adverse Events After Vaccination 1
All other adverse events (including unsolicited events and abnormal laboratory parameters) occurring during the 6 days following any dose, measured as observed by study staff or reported by the subject to study staff.
Percentage of Subjects With Unsolicited Adverse Events After Vaccination 2
All other adverse events (including unsolicited events and abnormal laboratory parameters) occurring during the 6 days following any dose, measured as observed by study staff or reported by the subject to study staff.

Secondary Outcome Measures

Percentage of Subjects With Seroconversion for Serum Hemagglutination Inhibition (HAI) Antibodies
Defined as a 4-fold or higher response from baseline (day 0), 28 days after each vaccination and after 112 days.
Percentage of Subjects With Seroconversion for Serum Neutralizing Antibodies
Defined as a 4-fold or higher response from baseline (day 0), 28 days after each vaccination and after 112 days. Measured by microneutralization assay.
Percentage of Subjects With Seroconversion for Serum Immunoglobulin A Antibodies
Defined as a 4-fold or higher response from baseline (day 0), 28 days after each vaccination and after 112 days. Measured by enzyme-linked immunosorbent assay (ELISA).
Percentage of Subjects With Seroconversion for Serum Immunoglobulin G Antibodies
Defined as a 4-fold or higher response from baseline (day 0), 28 days after each vaccination and after 112 days. Measured by enzyme-linked immunosorbent assay (ELISA).
Percentage of Subjects With Seroconversion for Secretory Immunoglobulin A Antibodies From Nasal Mucosa
Defined as a 4-fold or higher response from baseline (day 0), 28 days after each vaccination.
Percentage of Subjects With Seroconversion for Secretory Immunoglobulin A Antibodies Detected in Saliva Specimens
Defined as a 4-fold or higher response from baseline (day 0), 28 days after each vaccination.
Percentage of Subjects Shedding Influenza A Virus Using Nasal Swab
Detected by real-time reverse transcriptase polymerase chain reaction. Specimens were collected prior to each vaccination and 7 days post-vaccination.
Percentage of Subjects Shedding Influenza Virus Subtype Using Nasal Swab
Detected by real-time reverse transcriptase polymerase chain reaction. Specimens were collected prior to each vaccination and 7 days post-vaccination.
Percentage of Subjects Shedding Influenza A Virus Using Throat Swab
Detected by real-time reverse transcriptase polymerase chain reaction. Specimens were collected prior to each vaccination and 7 days post-vaccination.
Percentage of Subjects Shedding Influenza Virus Subtype Using Throat Swab
Detected by real-time reverse transcriptase polymerase chain reaction. Specimens were collected prior to each vaccination and 7 days post-vaccination.

Full Information

First Posted
October 30, 2013
Last Updated
February 6, 2019
Sponsor
PATH
Collaborators
Ministry of Health, Russian Federation, Institute of Experimental Medicine, Russia
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1. Study Identification

Unique Protocol Identification Number
NCT01982331
Brief Title
Reactogenicity, Safety and Immunogenicity of a Live Monovalent A/17/CALIFORNIA/66/395 (H2N2) Influenza Vaccine
Official Title
Reactogenicity, Safety and Immunogenicity of a Live Monovalent A/17/California/66/395 (H2N2)Influenza Vaccine
Study Type
Interventional

2. Study Status

Record Verification Date
February 2019
Overall Recruitment Status
Completed
Study Start Date
October 2013 (undefined)
Primary Completion Date
January 2014 (Actual)
Study Completion Date
March 2014 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
PATH
Collaborators
Ministry of Health, Russian Federation, Institute of Experimental Medicine, Russia

4. Oversight

Data Monitoring Committee
Yes

5. Study Description

Brief Summary
This is a phase I study to evaluate the safety of a vaccine to protect against influenza viruses of the H2N2 subtype. A total of 40 adults will be enrolled and receive two doses of vaccine or placebo one month apart.
Detailed Description
The aim of this study is to evaluate the safety profile of two intranasal doses of LAIV A/17/California/66/395 (H2N2) in healthy adults in Russia. A(H2N2) viruses which are antigenically similar to the pandemic strain A/Singapore/1/57, continue to circulate in domestic and wild bird populations, as confirmed by routine moni¬toring of avian influenza viruses. 40 adults aged 18-40 will be enrolled. They will be randomized to receive vaccine or placebo. Blood and urine will be collected during the week following each vaccination and before the next vaccination to monitor safety. Blood samples will also be collected at several timepoints to assess the volunteer's immune response to the vaccine. The total duration of the study is 16 weeks for each volunteer.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Influenza
Keywords
H2N2, vaccine

7. Study Design

Primary Purpose
Prevention
Study Phase
Phase 1
Interventional Study Model
Parallel Assignment
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
38 (Actual)

8. Arms, Groups, and Interventions

Arm Title
LAIV H2N2 vaccine
Arm Type
Experimental
Arm Description
LAIV H2N2 vaccine A/17/California/66/395 (H2N2) live monovalent influenza vaccine delivered intranasally 2 doses 1 month apart
Arm Title
Placebo
Arm Type
Placebo Comparator
Arm Description
Placebo is composed of a lyophilizate containing the same concentrations of stabilizers as LAIV vaccine. It is prepared onsite in an identical fashion to the vaccine and delivered intranasally.
Intervention Type
Biological
Intervention Name(s)
LAIV H2N2
Other Intervention Name(s)
Monovalent A/17/California/66/395 (LAIV H2N2) vaccine
Intervention Description
vaccine is delivered intranasally, .25 cc to each nostril at day 0 and day 28
Intervention Type
Other
Intervention Name(s)
Placebo
Intervention Description
placebo delivered intranasally. .25cc to each nostril at day 0 and day 28
Primary Outcome Measure Information:
Title
Percentage of Participants With Immediate Reactions
Description
Measured as observed by study staff or reported by the subject to study staff whether related or not related.
Time Frame
2 hours
Title
Percentage of Subjects With Solicited Local and Systemic Reactions After Vaccination 1
Description
Adverse events commonly associated with intranasal vaccination occurring greater than two hours after administration of any dose of study vaccine or placebo through 6 days following any dose, measured as observed by study staff or reported by the subject to study staff. Solicited local reactions included: dryness of the nose, nose bleeds, ticklish nose, nasal congestion, runny nose, ticklish throat, catarrhal nasopharynx. Solicited systemic reactions included: body temperature, feverishness/subjective fever, chills, cough, difficulty breathing, sore throat, headache, confusion, convulsions/seizures, fatigue/malaise, joint aches, muscle aches, pink or red eyes, draining eyes, swollen eyelids, ear pain or discharge, rash, abdominal pain, diarrhea, vomiting.
Time Frame
7 days
Title
Percentage of Subjects With Solicited Local and Systemic Reactions After Vaccination 2
Description
Adverse events commonly associated with intranasal vaccination occurring greater than two hours after administration of any dose of study vaccine or placebo through 6 days following any dose, measured as observed by study staff or reported by the subject to study staff. Solicited local reactions included: dryness of the nose, nose bleeds, ticklish nose, nasal congestion, runny nose, ticklish throat, catarrhal nasopharynx. Solicited systemic reactions included: body temperature, feverishness/subjective fever, chills, cough, difficulty breathing, sore throat, headache, confusion, convulsions/seizures, fatigue/malaise, joint aches, muscle aches, pink or red eyes, draining eyes, swollen eyelids, ear pain or discharge, rash, abdominal pain, diarrhea, vomiting.
Time Frame
7 days
Title
Percentage of Subjects With Unsolicited Adverse Events After Vaccination 1
Description
All other adverse events (including unsolicited events and abnormal laboratory parameters) occurring during the 6 days following any dose, measured as observed by study staff or reported by the subject to study staff.
Time Frame
7 days following each vaccination
Title
Percentage of Subjects With Unsolicited Adverse Events After Vaccination 2
Description
All other adverse events (including unsolicited events and abnormal laboratory parameters) occurring during the 6 days following any dose, measured as observed by study staff or reported by the subject to study staff.
Time Frame
7 days following each vaccination
Secondary Outcome Measure Information:
Title
Percentage of Subjects With Seroconversion for Serum Hemagglutination Inhibition (HAI) Antibodies
Description
Defined as a 4-fold or higher response from baseline (day 0), 28 days after each vaccination and after 112 days.
Time Frame
Day 28, Day 56 and Day 112
Title
Percentage of Subjects With Seroconversion for Serum Neutralizing Antibodies
Description
Defined as a 4-fold or higher response from baseline (day 0), 28 days after each vaccination and after 112 days. Measured by microneutralization assay.
Time Frame
Day 28, Day 56 and Day 112
Title
Percentage of Subjects With Seroconversion for Serum Immunoglobulin A Antibodies
Description
Defined as a 4-fold or higher response from baseline (day 0), 28 days after each vaccination and after 112 days. Measured by enzyme-linked immunosorbent assay (ELISA).
Time Frame
Day 28, Day 56 and Day 112
Title
Percentage of Subjects With Seroconversion for Serum Immunoglobulin G Antibodies
Description
Defined as a 4-fold or higher response from baseline (day 0), 28 days after each vaccination and after 112 days. Measured by enzyme-linked immunosorbent assay (ELISA).
Time Frame
Day 28, Day 56 and Day 112
Title
Percentage of Subjects With Seroconversion for Secretory Immunoglobulin A Antibodies From Nasal Mucosa
Description
Defined as a 4-fold or higher response from baseline (day 0), 28 days after each vaccination.
Time Frame
Day 28 and Day 56
Title
Percentage of Subjects With Seroconversion for Secretory Immunoglobulin A Antibodies Detected in Saliva Specimens
Description
Defined as a 4-fold or higher response from baseline (day 0), 28 days after each vaccination.
Time Frame
Day 28 and Day 56
Title
Percentage of Subjects Shedding Influenza A Virus Using Nasal Swab
Description
Detected by real-time reverse transcriptase polymerase chain reaction. Specimens were collected prior to each vaccination and 7 days post-vaccination.
Time Frame
Days 0-6 and Days 28-34
Title
Percentage of Subjects Shedding Influenza Virus Subtype Using Nasal Swab
Description
Detected by real-time reverse transcriptase polymerase chain reaction. Specimens were collected prior to each vaccination and 7 days post-vaccination.
Time Frame
Days 0-6 and Days 28-34
Title
Percentage of Subjects Shedding Influenza A Virus Using Throat Swab
Description
Detected by real-time reverse transcriptase polymerase chain reaction. Specimens were collected prior to each vaccination and 7 days post-vaccination.
Time Frame
Days 0-6 and Days 28-34
Title
Percentage of Subjects Shedding Influenza Virus Subtype Using Throat Swab
Description
Detected by real-time reverse transcriptase polymerase chain reaction. Specimens were collected prior to each vaccination and 7 days post-vaccination.
Time Frame
Days 1-6 and Days 29-34

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
40 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: Legal male or female adult aged 18 through 40 years Literate and willing to provide written informed consent. A signed informed consent. Free of obvious health problems, as established by medical history and screening evaluations, including physical examination. Capable and willing to complete diary cards and willing to return for all follow-up visits Willing to comply with the rules of isolation unit (including willing and able to take oseltamivir influenza antiviral medication, should that be recommended by study physician). For females, willing to take reliable birth control measures through day 56. Exclusion Criteria: Participation in another clinical trial involving any therapy within the previous three months or planned enrollment in such a trial during trial period. Receipt of any non-study vaccine within four weeks prior to enrollment or refusal to postpone receipt of such vaccines until four weeks after study completion. Practice of nasal irrigation on a regular basis within the past six months or has engaged in nasal irrigation within two weeks prior to enrollment. Recent history of frequent nose bleeds (>5 within the past year). Clinically relevant abnormal paranasal anatomy. Recent history (within the past month) of rhino or sinus surgery, or surgery for any traumatic injury of the nose. Current or recent (within two weeks of enrollment) acute respiratory illness with or without fever. Other acute illness at the time of study enrollment. Receipt of immune globulin or other blood products within three months prior to study enrollment or planned receipt during period of subject participation in the study. Chronic administration (defined as more than 14 consecutively-prescribed days) of immunosuppressants and/or other immune-modulating therapy within six months prior to study enrollment. Participation in any previous trial of any H2N2 containing influenza vaccine. History of asthma. Hypersensitivity after previous administration of any influenza vaccine. History of wheezing after past receipt of any live influenza vaccine. Other adverse event (AE) following immunization (body temperature more than 40°C, collapse, non-febrile seizures, anaphylaxis), at least possibly related to previous receipt of any vaccine (not only influenza). Suspected or known hypersensitivity to any study vaccine components, including chicken or egg protein. Seasonal (autumnal) hypersensitivity to the natural environment Acute or chronic clinically significant pulmonary, cardiovascular, hepatic, metabolic, neurologic, psychiatric or renal functional abnormality, as determined by medical history, physical examination or clinical laboratory screening tests, which in the opinion of the investigator, might interfere with the study objectives. Subjects with physical examination findings or clinical laboratory screening results which would be graded 2 or higher on the AE severity grading scale (see Attachments) will be excluded from entry into the study and will be excluded from receipt of dose two of study vaccine or placebo. History of leukemia or any other blood or solid organ cancer. History of thrombocytopenic purpura or known bleeding disorder. History of seizures. Known or suspected immunosuppressive or immunodeficient condition of any kind, including HIV infection. Known chronic hepatitis B virus (HBV) or hepatitis C virus (HCV) infection. Known tuberculosis infection or evidence of previous tuberculosis exposure. History of chronic alcohol abuse and/or illegal drug use. Claustrophobia or sociophobia. Pregnancy or lactation. Any condition that, in the opinion of the investigator, would increase the health risk to the subject if participates in the study or would interfere with the evaluation of the study objectives. Allergic, including anaphylactic, reactions to the introduction of any vaccines (not only influenza) in the subject's medical history
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Oleg I Kiselev, Ph.D.
Organizational Affiliation
Research Institute of Influenza
Official's Role
Principal Investigator
First Name & Middle Initial & Last Name & Degree
Jorge E Flores, MD, Ph.D.
Organizational Affiliation
PATH
Official's Role
Study Director
Facility Information:
Facility Name
Research Institute of Influenza
City
St. Petersburg
Country
Russian Federation

12. IPD Sharing Statement

Citations:
PubMed Identifier
36146847
Citation
Rak A, Donina S, Zabrodskaya Y, Rudenko L, Isakova-Sivak I. Cross-Reactivity of SARS-CoV-2 Nucleocapsid-Binding Antibodies and Its Implication for COVID-19 Serology Tests. Viruses. 2022 Sep 14;14(9):2041. doi: 10.3390/v14092041.
Results Reference
derived
PubMed Identifier
26432909
Citation
Kiseleva I, Dubrovina I, Fedorova E, Larionova N, Isakova-Sivak I, Bazhenova E, Pisareva M, Kuznetsova V, Flores J, Rudenko L. Genetic stability of live attenuated vaccines against potentially pandemic influenza viruses. Vaccine. 2015 Dec 8;33(49):7008-14. doi: 10.1016/j.vaccine.2015.09.050. Epub 2015 Oct 2.
Results Reference
derived

Learn more about this trial

Reactogenicity, Safety and Immunogenicity of a Live Monovalent A/17/CALIFORNIA/66/395 (H2N2) Influenza Vaccine

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