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Safety and Immunogenicity of the Butantan Quadrivalent Influenza Vaccine

Primary Purpose

Influenza, Human

Status
Active
Phase
Phase 3
Locations
Brazil
Study Type
Interventional
Intervention
QIV-IB
TIVV-IB
TIVY-IB
QIV-IB Lot A
QIV-IB Lot B
QIV-IB Lot C
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 Vaccines

Eligibility Criteria

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

Inclusion Criteria:

  • Male or female, age 3 years or older at the time of enrollment.
  • Provide written informed consent
  • Agrees to complete all study visits, procedures and contacts
  • Women and adolescents of childbearing age: Negative pregnancy test with understanding (through informed consent process).

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.
  • Women who are pregnant or planning to become pregnant during the study period plus 3 months beyond the last vaccine dose and currently nursing women.
  • Participation in research involving another investigational product within 30 days before planned date of first vaccination or anytime through the last study safety visit.
  • Clinically significant abnormalities on basic laboratory screening tests.
  • Acute febrile illness (axillar temperature ≥ 37.8°C)
  • Hypersensitivity to egg or chicken proteins or any of the vaccine constituents
  • 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 of alcohol or drug addiction
  • Any vaccination within the previous 4 weeks For immune response groups
  • Seasonal influenza vaccination in the previous or current years

Sites / Locations

  • Centro de Pesquisa Clínica Universidade Federal do Ceará - UFC (Site FOR01)
  • Núcleo de Pesquisa e Desenvolvimento de Medicamentos - NPDM - Universidade Federal do Ceará - UFC (Site FOR 01)
  • Centro de Pesquisa e desenvolvimento de fármacos (Site BHZ01)
  • Centro de Pesquisa Clínica Real Hospital Português de Beneficência em Pernambuco (Site REC01)
  • Centro de Pesquisa Clínica Hospital Escola da Universidade Federal de Pelotas (Site PET01)
  • Centro de Pesquisa Clínica do Hospital São Lucas da PUCRS (Site POA01)
  • Centro de Pesquisas Clínicas da Universidade Federal de Sergipe (Site AJU01)
  • Centro de Pesquisa Clínica Faculdade de Medicina de Ribeirão Preto da Universidade de São Paulo (FMRPUSP) (Site RAO01)
  • Centro de Pesquisa Clínica Serrana (Site RAO03)
  • Centro de Pesquisa Clínica da Universidade Municipal de São Caetano do Sul (Site SCS01)
  • Centro de Pesquisa Clínica Fundação Faculdade Regional de Medicina de São José do Rio Preto (Site SJP01)
  • Centro de Pesquisas Clínicas do Instituto Central da FMUSP Unidade II (Site SAO01)

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm 5

Arm 6

Arm Type

Experimental

Active Comparator

Active Comparator

Experimental

Experimental

Experimental

Arm Label

QIV-IB

TIVV-IB

TIVY-IB

QIV-IB Lot A

QIV-IB Lot B

QIV-IB Lot C

Arm Description

Inactivated split-virion quadrivalent influenza vaccine

Inactivated split-virion trivalent Influenza Vaccine containing Influenza B virus - Victoria lineage

Inactivated split-virion trivalent Influenza Vaccine containing Influenza B virus - Yamagata lineage

Inactivated split-virion quadrivalent influenza vaccine - Lot A

Inactivated split-virion quadrivalent influenza vaccine - Lot B

Inactivated split-virion quadrivalent influenza vaccine - Lot C

Outcomes

Primary Outcome Measures

Safety through number of Adverse Events of QIV-IB, TIVV-IB, TIVY-IB per age group
Frequency and intensity of solicited and unsolicited adverse reactions
Safety through number of Adverse Events of QIV-IB, TIVV-IB, TIVY-IB per age group
Frequency and intensity of unsolicited adverse reactions and adverse events of special interest
Superiority for influenza B/Victoria strain
HI GMT ratio for Influenza B/Victoria strains between QIV-IB and TIVY-IB
Superiority for influenza B/Yamagata strain
HI GMT ratio for Influenza B/Yamagata strains between QIV-IB and TIVV-IB
Non-inferiority for common influenza strains between QIV-IB, TIVV-IB and TIVY-IB
HI GMT ratios for Influenza strains between QIV-IB, TIVV-IB and TIVY-IB
Lot-to-lot consistency for immune response to different lots of QIV-IB
HI GMT ratios for Influenza among QIV-IB strains towards among of different lots (A, B and C)

Secondary Outcome Measures

Full Information

First Posted
April 23, 2019
Last Updated
October 13, 2023
Sponsor
Butantan Institute
Collaborators
Butantan Foundation
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1. Study Identification

Unique Protocol Identification Number
NCT03927131
Brief Title
Safety and Immunogenicity of the Butantan Quadrivalent Influenza Vaccine
Official Title
Double-blind, Randomized Clinical Trial With Active Controls to Assess Safety, Immunogenicity and Lot-to-lot Consistency of Inactivated Split-virion Quadrivalent Influenza Vaccine of Butantan Institute
Study Type
Interventional

2. Study Status

Record Verification Date
May 2023
Overall Recruitment Status
Active, not recruiting
Study Start Date
May 12, 2021 (Actual)
Primary Completion Date
July 8, 2023 (Actual)
Study Completion Date
October 18, 2024 (Anticipated)

3. Sponsor/Collaborators

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

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
Studies have shown that a broader spectrum influenza vaccine may help in reducing the influenza burden of disease. Butantan Institute is currently developing a quadrivalent influenza vaccine candidate. This study is will provide safety and immunogenicity data on this quadrivalent influenza vaccine candidate. The study will be conducted in an open population of healthy participants (3 years old and above) recruited in different clinical sites in Brazil and will be adequately powered to assess safety, immune response (measured by GMT HI antibodies) to each viral strain in the vaccines and lot-to-lot consistency.
Detailed Description
This is a double blinded, randomized active-control comparator study to assess the safety and immunogenicity of QIV-IB, the Butantan Institute quadrivalent influenza vaccine candidate. As active controls, two trivalent influenza vaccines with different Influenza B strains, one with influenza B/Victoria strain (TIVV-IB) and other with influenza B/Yamagata strain (TIVY-IB). The study is designed to build a safety database of the quadrivalent influenza vaccine in adults to detect adverse events with a frequency of 1:1000 or higher and safety databases for elderly and pediatric age groups to detect adverse events with frequency of 1:100 or higher. In terms of immune response, the study aims to demonstrate superiority of HI (Hemagglutinin inhibition) GMT (Geometric Mean Titer) of the QIV-IB for the Influenza B strain that is not present in each trivalent vaccine control. Regarding the Influenza A and B strains common to QIV-IB and both trivalent vaccine controls, the study aims to demonstrate non-inferiority on those strains. Finally, a lot-to-lot consistency test will be performed in a sub-group of adult participants.

6. Conditions and Keywords

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

7. Study Design

Primary Purpose
Prevention
Study Phase
Phase 3
Interventional Study Model
Parallel Assignment
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
5822 (Actual)

8. Arms, Groups, and Interventions

Arm Title
QIV-IB
Arm Type
Experimental
Arm Description
Inactivated split-virion quadrivalent influenza vaccine
Arm Title
TIVV-IB
Arm Type
Active Comparator
Arm Description
Inactivated split-virion trivalent Influenza Vaccine containing Influenza B virus - Victoria lineage
Arm Title
TIVY-IB
Arm Type
Active Comparator
Arm Description
Inactivated split-virion trivalent Influenza Vaccine containing Influenza B virus - Yamagata lineage
Arm Title
QIV-IB Lot A
Arm Type
Experimental
Arm Description
Inactivated split-virion quadrivalent influenza vaccine - Lot A
Arm Title
QIV-IB Lot B
Arm Type
Experimental
Arm Description
Inactivated split-virion quadrivalent influenza vaccine - Lot B
Arm Title
QIV-IB Lot C
Arm Type
Experimental
Arm Description
Inactivated split-virion quadrivalent influenza vaccine - Lot C
Intervention Type
Biological
Intervention Name(s)
QIV-IB
Intervention Description
Inactivated split-virion quadrivalent influenza vaccine
Intervention Type
Biological
Intervention Name(s)
TIVV-IB
Intervention Description
Inactivated split-virion trivalent Influenza Vaccine containing Influenza B virus - Victoria lineage
Intervention Type
Biological
Intervention Name(s)
TIVY-IB
Intervention Description
Inactivated split-virion trivalent Influenza Vaccine containing Influenza B virus - Yamagata lineage
Intervention Type
Biological
Intervention Name(s)
QIV-IB Lot A
Intervention Description
Inactivated split-virion quadrivalent influenza vaccine - Lot A
Intervention Type
Biological
Intervention Name(s)
QIV-IB Lot B
Intervention Description
Inactivated split-virion quadrivalent influenza vaccine - Lot B
Intervention Type
Biological
Intervention Name(s)
QIV-IB Lot C
Intervention Description
Inactivated split-virion quadrivalent influenza vaccine - Lot C
Primary Outcome Measure Information:
Title
Safety through number of Adverse Events of QIV-IB, TIVV-IB, TIVY-IB per age group
Description
Frequency and intensity of solicited and unsolicited adverse reactions
Time Frame
07 days post-vaccination
Title
Safety through number of Adverse Events of QIV-IB, TIVV-IB, TIVY-IB per age group
Description
Frequency and intensity of unsolicited adverse reactions and adverse events of special interest
Time Frame
42 days post-vaccination
Title
Superiority for influenza B/Victoria strain
Description
HI GMT ratio for Influenza B/Victoria strains between QIV-IB and TIVY-IB
Time Frame
21 days post-vaccination
Title
Superiority for influenza B/Yamagata strain
Description
HI GMT ratio for Influenza B/Yamagata strains between QIV-IB and TIVV-IB
Time Frame
21 days post-vaccination
Title
Non-inferiority for common influenza strains between QIV-IB, TIVV-IB and TIVY-IB
Description
HI GMT ratios for Influenza strains between QIV-IB, TIVV-IB and TIVY-IB
Time Frame
21 days post-vaccination
Title
Lot-to-lot consistency for immune response to different lots of QIV-IB
Description
HI GMT ratios for Influenza among QIV-IB strains towards among of different lots (A, B and C)
Time Frame
21 days post-vaccination

10. Eligibility

Sex
All
Minimum Age & Unit of Time
3 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: Male or female, age 3 years or older at the time of enrollment. Provide written informed consent Agrees to complete all study visits, procedures and contacts Women and adolescents of childbearing age: Negative pregnancy test with understanding (through informed consent process). 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. Women who are pregnant or planning to become pregnant during the study period plus 3 months beyond the last vaccine dose and currently nursing women. Participation in research involving another investigational product within 30 days before planned date of first vaccination or anytime through the last study safety visit. Clinically significant abnormalities on basic laboratory screening tests. Acute febrile illness (axillar temperature ≥ 37.8°C) Hypersensitivity to egg or chicken proteins or any of the vaccine constituents 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 of alcohol or drug addiction Any vaccination within the previous 4 weeks Seasonal influenza vaccination in the current year
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Fernanda Castro Boulos, MD
Organizational Affiliation
Instituto Butantan
Official's Role
Study Director
Facility Information:
Facility Name
Centro de Pesquisa Clínica Universidade Federal do Ceará - UFC (Site FOR01)
City
Fortaleza
State/Province
Ceará
ZIP/Postal Code
60430-275
Country
Brazil
Facility Name
Núcleo de Pesquisa e Desenvolvimento de Medicamentos - NPDM - Universidade Federal do Ceará - UFC (Site FOR 01)
City
Fortaleza
State/Province
Ceará
ZIP/Postal Code
60430-275
Country
Brazil
Facility Name
Centro de Pesquisa e desenvolvimento de fármacos (Site BHZ01)
City
Belo Horizonte
State/Province
Minas Gerais
ZIP/Postal Code
30750-140
Country
Brazil
Facility Name
Centro de Pesquisa Clínica Real Hospital Português de Beneficência em Pernambuco (Site REC01)
City
Recife
State/Province
Pernambuco
ZIP/Postal Code
52010-902
Country
Brazil
Facility Name
Centro de Pesquisa Clínica Hospital Escola da Universidade Federal de Pelotas (Site PET01)
City
Pelotas
State/Province
Rio Grande Do Sul
ZIP/Postal Code
96040-010
Country
Brazil
Facility Name
Centro de Pesquisa Clínica do Hospital São Lucas da PUCRS (Site POA01)
City
Porto Alegre
State/Province
Rio Grande Do Sul
ZIP/Postal Code
90619-900
Country
Brazil
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
Facility Name
Centro de Pesquisa Clínica Faculdade de Medicina de Ribeirão Preto da Universidade de São Paulo (FMRPUSP) (Site RAO01)
City
Ribeirão Preto
State/Province
São Paulo
ZIP/Postal Code
14055-380
Country
Brazil
Facility Name
Centro de Pesquisa Clínica Serrana (Site RAO03)
City
Serrana
State/Province
São Paulo
ZIP/Postal Code
14150-000
Country
Brazil
Facility Name
Centro de Pesquisa Clínica da Universidade Municipal de São Caetano do Sul (Site SCS01)
City
São Caetano do Sul
State/Province
São Paulo
ZIP/Postal Code
09530-700
Country
Brazil
Facility Name
Centro de Pesquisa Clínica Fundação Faculdade Regional de Medicina de São José do Rio Preto (Site SJP01)
City
São José do Rio Preto
State/Province
São Paulo
ZIP/Postal Code
15090-000
Country
Brazil
Facility Name
Centro de Pesquisas Clínicas do Instituto Central da FMUSP Unidade II (Site SAO01)
City
São Paulo
ZIP/Postal Code
05402-000
Country
Brazil

12. IPD Sharing Statement

Plan to Share IPD
No

Learn more about this trial

Safety and Immunogenicity of the Butantan Quadrivalent Influenza Vaccine

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