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Safety and Immunogenicity of the Butantan Institute Influenza Vaccine Compared to Sanofi Pasteur Influenza Vaccine

Primary Purpose

Influenza

Status
Unknown status
Phase
Phase 4
Locations
Brazil
Study Type
Interventional
Intervention
Butantan Institute Trivalent Seasonal Influenza Vaccine
Sanofi Trivalent Seasonal Influenza Vaccine
Sponsored by
Butantan Institute
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional prevention trial for Influenza focused on measuring Vaccine, Immunization, Safety, Immunogenicity

Eligibility Criteria

18 Years - 69 Years (Adult, Older Adult)All SexesAccepts Healthy Volunteers

Inclusion Criteria:

  • Adult, male or female, age 18 to 69 years (inclusive) at the time of enrollment;
  • Provide written informed consent;
  • Agrees to complete all study visits, procedures and contacts;

Exclusion Criteria:

  • Chronic medical conditions such as psychiatric conditions, diabetes, hypertension or any other conditions that might place the subjects at high risk of adverse events. Study clinicians will use clinical judgment on a case-by-case basis to assess safety risks under this criterion;
  • Clinically significant abnormalities on physical examination;
  • Use of immunosuppressive medications such as systemic corticosteroids or chemotherapeutics, or immunosuppressive illness. It will be considered immunosuppressive dose of systemic corticosteroids the equivalent to a dose ≥10 mg of prednisone per day for over 14 days;
  • Women who report being pregnant or have plans to become pregnant during the study period;
  • Participation in research involving another investigational product within 30 days before planned date of first vaccination or anytime through the last study safety visit;
  • Acute febrile illness (axilar temperature ≥ 37.8°C);
  • Hypersensitivity to egg or chicken proteins;
  • History of Guillain-Barre Syndrome;
  • Thrombocytopenia or a bleeding disorder contraindicating intramuscular vaccination;
  • Unstable chronic illness (defined as illness requiring hospitalization or a clinically significant change in medication in the previous 12 weeks);
  • Alcohol abuse or drug addiction;
  • Any vaccination within the previous 4 weeks;
  • Seasonal influenza vaccination in the previous 6 months.

Sites / Locations

  • Unidade de Pesquisa Clínica do Hospital das Clínicas da Faculdade de Medicina de Ribeirão Preto da Universidade de São Paulo
  • Centro de Referências para Imunobiológicos Especiais da Universidade Federal de São Paulo
  • Centro de Pesquisas Clínicas do Instituto da Criança do Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo
  • Centro de Referência de Imunobiológicos Especiais (CRIE) Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo

Arms of the Study

Arm 1

Arm 2

Arm Type

Other

Other

Arm Label

Butantan Trivalent Influenza Vaccine

Sanofi Trivalent Influenza Vaccine

Arm Description

Butantan Institute Trivalent Seasonal Influenza Vaccine (IB-TIV): 15 μg influenza A/H1N1 antigen + 15 μg influenza A/H3N2 antigen + 15 μg influenza B antigen Patients will receive one dose (0,5 ml) via intramuscular injection.

Sanofi Trivalent Seasonal Influenza Vaccine (IB-TIV): 15 μg influenza A/H1N1 antigen + 15 μg influenza A/H3N2 antigen + 15 μg influenza B antigen Patients will receive one dose (0,5 ml) via intramuscular injection.

Outcomes

Primary Outcome Measures

Geometric Mean Titers of Hemaglutination Inhibition (HI) for each of the three vaccine components.
HI titers will be determined in serum samples collected before vaccination and 21 days after vaccination from all the subjects.
Adverse events occurring over the immediate 30-minute post vaccination
Immediate Reactogenicity
Number of participants with solicited local AE (erythema, swelling, induration, pain, tenderness, ecchymosis, pruritus) until 3 days post vaccination.
Solicited Local Adverse Events
Number of participants with solicited systemic AEs (fever, fatigue, malaise, myalgia, arthralgia, chills, nausea, vomiting, and headache) until 3 days post vaccination.
Solicited Systemic Adverse Events
Number of participants with unsolicited adverse events up to 3 days after vaccination.
Unsolicited Adverse Events
All adverse reactions with severity graded 3/4 over the entire study period.
Adverse Reactions with severity graded 3/4

Secondary Outcome Measures

Full Information

First Posted
December 12, 2018
Last Updated
July 11, 2019
Sponsor
Butantan Institute
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1. Study Identification

Unique Protocol Identification Number
NCT03777163
Brief Title
Safety and Immunogenicity of the Butantan Institute Influenza Vaccine Compared to Sanofi Pasteur Influenza Vaccine
Official Title
Safety and Immunogenicity of the Butantan Institute Trivalent Seasonal Influenza Vaccine in Comparison With the Sanofi Pasteur Trivalent Seasonal Influenza Vaccine in Brazilian Subjects.
Study Type
Interventional

2. Study Status

Record Verification Date
July 2019
Overall Recruitment Status
Unknown status
Study Start Date
April 22, 2019 (Actual)
Primary Completion Date
January 15, 2020 (Anticipated)
Study Completion Date
March 30, 2020 (Anticipated)

3. Sponsor/Collaborators

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

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
The overall aim of this study is to evaluate the safety and immunogenicity of Butantan Institute Trivalent Seasonal Influenza Vaccine in comparison with the Sanofi Trivalent Seasonal Influenza Vaccine.
Detailed Description
To detemine whether immunogenicity elicited by a single-dose Butantan Institute Trivalent Seasonal Influenza Vaccine is not inferior to that elicited by a single dose of Sanofi Trivalent Seasonal Influenza Vaccine in adult and elderly populations measured by HI GMT for the three vaccine components 21 days post-immunization. To describe the safety profile of Butantan Institute Trivalent Seasonal Influenza Vaccine and Sanofi Trivalent Seasonal Influenza Vaccine after a single dose in adult and elderly populations.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Influenza
Keywords
Vaccine, Immunization, Safety, Immunogenicity

7. Study Design

Primary Purpose
Prevention
Study Phase
Phase 4
Interventional Study Model
Parallel Assignment
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
632 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Butantan Trivalent Influenza Vaccine
Arm Type
Other
Arm Description
Butantan Institute Trivalent Seasonal Influenza Vaccine (IB-TIV): 15 μg influenza A/H1N1 antigen + 15 μg influenza A/H3N2 antigen + 15 μg influenza B antigen Patients will receive one dose (0,5 ml) via intramuscular injection.
Arm Title
Sanofi Trivalent Influenza Vaccine
Arm Type
Other
Arm Description
Sanofi Trivalent Seasonal Influenza Vaccine (IB-TIV): 15 μg influenza A/H1N1 antigen + 15 μg influenza A/H3N2 antigen + 15 μg influenza B antigen Patients will receive one dose (0,5 ml) via intramuscular injection.
Intervention Type
Biological
Intervention Name(s)
Butantan Institute Trivalent Seasonal Influenza Vaccine
Intervention Description
Butantan Institute and Pasteur-Mérieux (present, Sanofi Pasteur) established a technology transfer in 1999 for the production of a trivalent influenza vaccine of inactivated split-virion using embryonated eggs. The technology transfer followed a progressive approach from importing the finished product, to packaging and quality control test for release (1999), and, finally, to the first batch of influenza vaccine entirely produced by Butantan (2011). In 2013, the Butantan vaccine was registered by the Brazilian National Agency of Sanitary Surveillance (ANVISA).
Intervention Type
Biological
Intervention Name(s)
Sanofi Trivalent Seasonal Influenza Vaccine
Intervention Description
VAXIGRIP® was launched in 1968 and since then has been licensed in more than 100 countries and prequalified by WHO in 2011. Several clinical studies by Sanofi Pasteur have examined the safety and immunogenicity of Vaxigrip® in older children (8-10 years), adults (18-59 years), elderly (> 60 years),11,12 children (six months to three years) 13 and pregnant women.
Primary Outcome Measure Information:
Title
Geometric Mean Titers of Hemaglutination Inhibition (HI) for each of the three vaccine components.
Description
HI titers will be determined in serum samples collected before vaccination and 21 days after vaccination from all the subjects.
Time Frame
21 days
Title
Adverse events occurring over the immediate 30-minute post vaccination
Description
Immediate Reactogenicity
Time Frame
30-minute post vaccination
Title
Number of participants with solicited local AE (erythema, swelling, induration, pain, tenderness, ecchymosis, pruritus) until 3 days post vaccination.
Description
Solicited Local Adverse Events
Time Frame
3 days post vaccination
Title
Number of participants with solicited systemic AEs (fever, fatigue, malaise, myalgia, arthralgia, chills, nausea, vomiting, and headache) until 3 days post vaccination.
Description
Solicited Systemic Adverse Events
Time Frame
3 days post vaccination
Title
Number of participants with unsolicited adverse events up to 3 days after vaccination.
Description
Unsolicited Adverse Events
Time Frame
3 days after vaccination.
Title
All adverse reactions with severity graded 3/4 over the entire study period.
Description
Adverse Reactions with severity graded 3/4
Time Frame
180 days after vaccination.

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
69 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: Adult, male or female, age 18 to 69 years (inclusive) at the time of enrollment; Provide written informed consent; Agrees to complete all study visits, procedures and contacts; Exclusion Criteria: Chronic medical conditions such as psychiatric conditions, diabetes, hypertension or any other conditions that might place the subjects at high risk of adverse events. Study clinicians will use clinical judgment on a case-by-case basis to assess safety risks under this criterion; Clinically significant abnormalities on physical examination; Use of immunosuppressive medications such as systemic corticosteroids or chemotherapeutics, or immunosuppressive illness. It will be considered immunosuppressive dose of systemic corticosteroids the equivalent to a dose ≥10 mg of prednisone per day for over 14 days; Women who report being pregnant or have plans to become pregnant during the study period; Participation in research involving another investigational product within 30 days before planned date of first vaccination or anytime through the last study safety visit; Acute febrile illness (axilar temperature ≥ 37.8°C); Hypersensitivity to egg or chicken proteins; History of Guillain-Barre Syndrome; Thrombocytopenia or a bleeding disorder contraindicating intramuscular vaccination; Unstable chronic illness (defined as illness requiring hospitalization or a clinically significant change in medication in the previous 12 weeks); Alcohol abuse or drug addiction; Any vaccination within the previous 4 weeks; Seasonal influenza vaccination in the previous 6 months.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Alexander Precioso, MD, PhD
Organizational Affiliation
Instituto butantan
Official's Role
Study Director
Facility Information:
Facility Name
Unidade de Pesquisa Clínica do Hospital das Clínicas da Faculdade de Medicina de Ribeirão Preto da Universidade de São Paulo
City
Ribeirão Preto
State/Province
SP
ZIP/Postal Code
14049900
Country
Brazil
Facility Name
Centro de Referências para Imunobiológicos Especiais da Universidade Federal de São Paulo
City
São Paulo
State/Province
SP
ZIP/Postal Code
01220200
Country
Brazil
Facility Name
Centro de Pesquisas Clínicas do Instituto da Criança do Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo
City
São Paulo
State/Province
SP
ZIP/Postal Code
05403 000
Country
Brazil
Facility Name
Centro de Referência de Imunobiológicos Especiais (CRIE) Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo
City
São Paulo
State/Province
SP
ZIP/Postal Code
05403-000
Country
Brazil

12. IPD Sharing Statement

Plan to Share IPD
Undecided

Learn more about this trial

Safety and Immunogenicity of the Butantan Institute Influenza Vaccine Compared to Sanofi Pasteur Influenza Vaccine

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