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Tolerability, Safety and Immunogenicity Trial of the FLU-M® Tetra

Primary Purpose

Influenza

Status
Completed
Phase
Phase 2
Locations
Russian Federation
Study Type
Interventional
Intervention
Flu-M Tetra [Inactivated split influenza vaccine] w/p
Flu-M Tetra [Inactivated split influenza vaccine] w/o/p
Ultrix [Inactivated split influenza vaccine]
Sponsored by
St. Petersburg Research Institute of Vaccines and Sera
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional prevention trial for Influenza focused on measuring influenza, flu, vaccine, FLU-M Tetra

Eligibility Criteria

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

Inclusion Criteria:

  1. Volunteers (men and women) at the age of 60 years and above
  2. Written informed consent of volunteers to participate in the clinical trial;
  3. Volunteers able to fulfill requirements of the Protocol (i.e. fill out the patient's diary, come to follow-up visits);
  4. For fertile women - a negative result of the pregnancy test and consent to observe adequate methods of contraception during the trial and at least two months after vaccination;
  5. For fertile men - consent to observe adequate methods of contraception during the trial and at least two months after vaccination, except for men after vasectomy with documented azoospermia, and their sexual partners should use methods of contraception that ensure more than 90% reliability or be incapable of conception after a surgical sterilization or have a natural menopause for at least 2 years.

Exclusion Criteria:

  1. History of influenza/ARVI or previous influenza vaccination during 6 months before the trial;
  2. Positive result of the SARS-CoV-2 test;
  3. A serious post-vaccination reaction (temperature above 40 °C, hyperemia or edema more than 8 cm in diameter) or complications (collapse or shock-like condition that developed within 48 hours after vaccination; convulsions accompanied or not accompanied by a fever due to any previous vaccination);
  4. Allergic reactions to vaccine components or any previous vaccination;
  5. History of allergic reaction to chicken protein;
  6. History of Guillain-Barré syndrome (acute polyneuropathy);
  7. Previous vaccination with rabies vaccines less than 2 months before immunization or scheduled vaccination with rabies vaccines within 1 month after immunization with the trial vaccines;
  8. History of leukemia, cancer, autoimmune diseases;
  9. Positive blood test results for HIV, syphilis, hepatitis B/C.
  10. Volunteers who received immunoglobulin or blood products or had a blood transfusion during the last three months before the trial;
  11. History of long-term use (more than 14 days) of immunosuppressants or immunomodulatory drugs for six months before the trial;
  12. History of any confirmed or suspected immunosuppressive or immunodeficiency condition;
  13. History of chronic diseases of the cardiovascular, bronchopulmonary, neuroendocrine systems, the gastrointestinal tract, liver, kidneys, hematopoietic, immune and endocrine system, mental disease in the acute stage or in the decompensation stage (recovery less than 4 weeks before vaccination);
  14. History of eczema;
  15. Treatment with glucocorticosteroids, including in small doses, as well as local use of drugs containing steroids (> 10 mg of prednisolone or its equivalent for more than 14 days before the screening);
  16. Tuberculosis, neurological or mental disorders, a convulsive syndrome, including in the past medical history;
  17. History of acute infectious diseases (recovery less than 4 weeks before vaccination);
  18. Consumption of more than 10 units of alcohol per week or history of alcohol addiction, drug addiction or abuse of pharmaceutical products;
  19. Smoking of more than 10 cigarettes per day;
  20. Participation in another clinical trial during the last 3 months;
  21. Pregnancy or lactation;
  22. Coagulopathy, haemophilia;
  23. Taking aspirin or other antiplatelet agents in high doses.

Sites / Locations

  • State Autonomous Health Institution "Engels City Clinical Hospital No1"
  • Limited Liability Company Professorskaya Clinica
  • Limited Liability Company Energia Zdorovya
  • Limited Liability Company MEDICINSKAYA CLINIKA
  • Limited Liability Company Scientific Research Center Eco-Bezopasnost
  • Piramida Limited Liability Company
  • Private Health Care Institution Clinical Hospital "RZD-Medicine" in Saint Petersburg
  • Saint Petersburg State Budgetary Healthcare Institution "State Polyclinic No. 117"
  • Saint Petersburg State Budgetary Healthcare Institution "State Polyclinic No. 43"
  • Limited Liability Company "DNA Research Center"
  • Federal State Budget Healthcare Institution "Yaroslavl Region Clinical Hospital No. 2"

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm Type

Experimental

Experimental

Active Comparator

Arm Label

FLU-M Tetra w/p

FLU-M Tetra w/o/p

Ultrix

Arm Description

211 volunteers aged 60 y.o. and older received a single intramuscular dose of the Flu-M Tetra vaccine (with preservative) intramuscularly

211 volunteers aged 60 y.o. and older received a single intramuscular dose of the Flu-M Tetra vaccine (without preservative) intramuscularly.

211 volunteers aged 60 y.o. and older received a single intramuscular dose of the Ultrix vaccine.

Outcomes

Primary Outcome Measures

Geometric mean titer (GMT) ratio of antibodies after vaccination
Geometric mean titer (GMT) of antibodies in the blood serums of vaccinated people in haemagglutination inhibition assay.

Secondary Outcome Measures

Change from baseline seroconversion rate at 28 days
Seroconversion rate refers to the percentage of subjects who have a prevaccination titer of influenza haemagglutinin antibody titer (HA titer) ≤ 1:10 and a post-vaccination HA titer ≥ 1:40 or a prevaccination HA titer > 1:10 and at least a 4-fold increase in post-vaccination HA titer vs. the baseline.
Seroconversion factor
Seroconversion factor is an increase in the geometric mean titers of antibodies at Day 28 vs. the baseline level, expressed in the fold rise.
Seroprotection rate
Seroprotection rate refers to the percentage of subjects with a generated protective HA titer (at least 1:40) vs. the baseline level.
Frequency of development of AEs associated with the vaccination
An adverse event (AE) is any adverse medical occurrence in a trial subject who has received a pharmaceutical product or medicine that does not necessarily have a causal relationship with the medicine. AE include: new disease, complication of signs or symptoms of the condition being treated or a concomitant disease, effect of the trial drug or the reference drug, effect associated with a trial procedure, any combination of one or more of these factors.
Frequency of development of SAEs associated with the vaccination
An adverse event is considered serious if it is fatal, threatens the life, requires hospitalization or extension of hospitalization, results in permanent or significant disability, is a congenital abnormality or defect (not applicable to this trial), is an important medical event.
Number of participants with abnormal physical examination findings
Physical examination of volunteers includes an interview, discovery of complaints and symptoms, when required, palpation, auscultation, percussion for the following organs and systems: skin, mucosa, eyes, oral cavity and pharynx, lungs/chest, cardiovascular system, abdominal organs, nervous system, lymph nodes, musculoskeletal system, endocrine system.
Results of assessment of blood pressure (BP)
BP measurements include the systolic and diastolic blood pressure.
Results of assessment of heart rate (HR)
HR is measured during auscultation of the heart in parallel with determining the pulse rate on the radial artery (or on the carotid artery in case of weak pulsation in the radial artery) for a minute while sitting.
Results of E immunoglobulin tests
Determination of total IgE.
Results of assessment of respiratory rate (RR)
RR is measured for a minute at rest in the sitting position, by registering the breathing movements of the chest or abdominal wall, without attracting the patient's attention.
Results of assessment of body temperature
Body temperature is measured with a mercury or digital thermometer in the armpit for at least 5 minutes or with a non-contact infrared digital thermometer.
Number of participants with abnormal neurological examinations
Assessement of neurological status, cranial nerve function, motor sphere, reflex sphere, sensitive sphere, coordination sphere, pelvic functions, higher mental functions.
Number of participants with abnormal ECG findings
ECG QT Interval, QTc Interval, PQ Interval, QRS complex.
Number of participants with abnormal complete blood counts results
Hemoglobin, hematocrit, erythrocytes, leukocytes, platelets, leukocyte count, ESR.
Number of participants with abnormal biochemical blood tests results
Total protein, creatinine, urea, glucose, total bilirubin, total cholesterol, AST, ALT, ALP.
Number of participants with abnormal urinalysis results
pH, specific gravity, protein, glucose, red blood cells, white blood cells

Full Information

First Posted
March 15, 2022
Last Updated
November 3, 2022
Sponsor
St. Petersburg Research Institute of Vaccines and Sera
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1. Study Identification

Unique Protocol Identification Number
NCT05308212
Brief Title
Tolerability, Safety and Immunogenicity Trial of the FLU-M® Tetra
Official Title
Multicenter, Double-blind, Comparative, Randomized Tolerability, Safety and Immunogenicity Trial of the FLU-M® Tetra Inactivated Vaccine in Volunteers Aged 60 Years and Above
Study Type
Interventional

2. Study Status

Record Verification Date
March 2022
Overall Recruitment Status
Completed
Study Start Date
March 4, 2021 (Actual)
Primary Completion Date
July 30, 2021 (Actual)
Study Completion Date
September 6, 2021 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
St. Petersburg Research Institute of Vaccines and Sera

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
Comparative assessment of the tolerability, safety, and immunogenicity of the FLU-M® Tetra quadrivalent inactivated split influenza vaccine and the Ultrix® vaccine in volunteers aged 60 years and above.
Detailed Description
Evaluation of the tolerability, safety and immunogenicity of the inactivated split influenza vaccine FLU-M® Tetra compared to Ultrix® vaccine in volunteers aged 60 years and above. Volunteers were screened and randomized in three groups: the Flu-M Tetra w/p (with preservative) group, the Flu-M Tetra w/o/p (without preservative) group and the Ultrix® group. All subjects were followed up for 28 days post randomization and vaccination.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Influenza
Keywords
influenza, flu, vaccine, FLU-M Tetra

7. Study Design

Primary Purpose
Prevention
Study Phase
Phase 2, Phase 3
Interventional Study Model
Parallel Assignment
Masking
ParticipantInvestigator
Allocation
Randomized
Enrollment
633 (Actual)

8. Arms, Groups, and Interventions

Arm Title
FLU-M Tetra w/p
Arm Type
Experimental
Arm Description
211 volunteers aged 60 y.o. and older received a single intramuscular dose of the Flu-M Tetra vaccine (with preservative) intramuscularly
Arm Title
FLU-M Tetra w/o/p
Arm Type
Experimental
Arm Description
211 volunteers aged 60 y.o. and older received a single intramuscular dose of the Flu-M Tetra vaccine (without preservative) intramuscularly.
Arm Title
Ultrix
Arm Type
Active Comparator
Arm Description
211 volunteers aged 60 y.o. and older received a single intramuscular dose of the Ultrix vaccine.
Intervention Type
Biological
Intervention Name(s)
Flu-M Tetra [Inactivated split influenza vaccine] w/p
Intervention Description
solution for intramuscular injection, 0.5 ml
Intervention Type
Biological
Intervention Name(s)
Flu-M Tetra [Inactivated split influenza vaccine] w/o/p
Intervention Description
solution for intramuscular injection, 0.5 ml
Intervention Type
Biological
Intervention Name(s)
Ultrix [Inactivated split influenza vaccine]
Intervention Description
solution for intramuscular injection, 0.5 ml
Primary Outcome Measure Information:
Title
Geometric mean titer (GMT) ratio of antibodies after vaccination
Description
Geometric mean titer (GMT) of antibodies in the blood serums of vaccinated people in haemagglutination inhibition assay.
Time Frame
days 0, 28
Secondary Outcome Measure Information:
Title
Change from baseline seroconversion rate at 28 days
Description
Seroconversion rate refers to the percentage of subjects who have a prevaccination titer of influenza haemagglutinin antibody titer (HA titer) ≤ 1:10 and a post-vaccination HA titer ≥ 1:40 or a prevaccination HA titer > 1:10 and at least a 4-fold increase in post-vaccination HA titer vs. the baseline.
Time Frame
days 0, 28
Title
Seroconversion factor
Description
Seroconversion factor is an increase in the geometric mean titers of antibodies at Day 28 vs. the baseline level, expressed in the fold rise.
Time Frame
days 0, 28
Title
Seroprotection rate
Description
Seroprotection rate refers to the percentage of subjects with a generated protective HA titer (at least 1:40) vs. the baseline level.
Time Frame
days 0, 28
Title
Frequency of development of AEs associated with the vaccination
Description
An adverse event (AE) is any adverse medical occurrence in a trial subject who has received a pharmaceutical product or medicine that does not necessarily have a causal relationship with the medicine. AE include: new disease, complication of signs or symptoms of the condition being treated or a concomitant disease, effect of the trial drug or the reference drug, effect associated with a trial procedure, any combination of one or more of these factors.
Time Frame
days 0-28
Title
Frequency of development of SAEs associated with the vaccination
Description
An adverse event is considered serious if it is fatal, threatens the life, requires hospitalization or extension of hospitalization, results in permanent or significant disability, is a congenital abnormality or defect (not applicable to this trial), is an important medical event.
Time Frame
days 0-28
Title
Number of participants with abnormal physical examination findings
Description
Physical examination of volunteers includes an interview, discovery of complaints and symptoms, when required, palpation, auscultation, percussion for the following organs and systems: skin, mucosa, eyes, oral cavity and pharynx, lungs/chest, cardiovascular system, abdominal organs, nervous system, lymph nodes, musculoskeletal system, endocrine system.
Time Frame
days 0,1,3,7,28
Title
Results of assessment of blood pressure (BP)
Description
BP measurements include the systolic and diastolic blood pressure.
Time Frame
days 0,1,3,7,28
Title
Results of assessment of heart rate (HR)
Description
HR is measured during auscultation of the heart in parallel with determining the pulse rate on the radial artery (or on the carotid artery in case of weak pulsation in the radial artery) for a minute while sitting.
Time Frame
days 0,1,3,7,28
Title
Results of E immunoglobulin tests
Description
Determination of total IgE.
Time Frame
days 0,3,28
Title
Results of assessment of respiratory rate (RR)
Description
RR is measured for a minute at rest in the sitting position, by registering the breathing movements of the chest or abdominal wall, without attracting the patient's attention.
Time Frame
days 0,1,3,7,28
Title
Results of assessment of body temperature
Description
Body temperature is measured with a mercury or digital thermometer in the armpit for at least 5 minutes or with a non-contact infrared digital thermometer.
Time Frame
days 0,1,3,7,28
Title
Number of participants with abnormal neurological examinations
Description
Assessement of neurological status, cranial nerve function, motor sphere, reflex sphere, sensitive sphere, coordination sphere, pelvic functions, higher mental functions.
Time Frame
days 0,1,3,7,28
Title
Number of participants with abnormal ECG findings
Description
ECG QT Interval, QTc Interval, PQ Interval, QRS complex.
Time Frame
days 0,3
Title
Number of participants with abnormal complete blood counts results
Description
Hemoglobin, hematocrit, erythrocytes, leukocytes, platelets, leukocyte count, ESR.
Time Frame
days 0,3
Title
Number of participants with abnormal biochemical blood tests results
Description
Total protein, creatinine, urea, glucose, total bilirubin, total cholesterol, AST, ALT, ALP.
Time Frame
days 0,3
Title
Number of participants with abnormal urinalysis results
Description
pH, specific gravity, protein, glucose, red blood cells, white blood cells
Time Frame
days 0,3

10. Eligibility

Sex
All
Minimum Age & Unit of Time
60 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: Volunteers (men and women) at the age of 60 years and above Written informed consent of volunteers to participate in the clinical trial; Volunteers able to fulfill requirements of the Protocol (i.e. fill out the patient's diary, come to follow-up visits); For fertile women - a negative result of the pregnancy test and consent to observe adequate methods of contraception during the trial and at least two months after vaccination; For fertile men - consent to observe adequate methods of contraception during the trial and at least two months after vaccination, except for men after vasectomy with documented azoospermia, and their sexual partners should use methods of contraception that ensure more than 90% reliability or be incapable of conception after a surgical sterilization or have a natural menopause for at least 2 years. Exclusion Criteria: History of influenza/ARVI or previous influenza vaccination during 6 months before the trial; Positive result of the SARS-CoV-2 test; A serious post-vaccination reaction (temperature above 40 °C, hyperemia or edema more than 8 cm in diameter) or complications (collapse or shock-like condition that developed within 48 hours after vaccination; convulsions accompanied or not accompanied by a fever due to any previous vaccination); Allergic reactions to vaccine components or any previous vaccination; History of allergic reaction to chicken protein; History of Guillain-Barré syndrome (acute polyneuropathy); Previous vaccination with rabies vaccines less than 2 months before immunization or scheduled vaccination with rabies vaccines within 1 month after immunization with the trial vaccines; History of leukemia, cancer, autoimmune diseases; Positive blood test results for HIV, syphilis, hepatitis B/C. Volunteers who received immunoglobulin or blood products or had a blood transfusion during the last three months before the trial; History of long-term use (more than 14 days) of immunosuppressants or immunomodulatory drugs for six months before the trial; History of any confirmed or suspected immunosuppressive or immunodeficiency condition; History of chronic diseases of the cardiovascular, bronchopulmonary, neuroendocrine systems, the gastrointestinal tract, liver, kidneys, hematopoietic, immune and endocrine system, mental disease in the acute stage or in the decompensation stage (recovery less than 4 weeks before vaccination); History of eczema; Treatment with glucocorticosteroids, including in small doses, as well as local use of drugs containing steroids (> 10 mg of prednisolone or its equivalent for more than 14 days before the screening); Tuberculosis, neurological or mental disorders, a convulsive syndrome, including in the past medical history; History of acute infectious diseases (recovery less than 4 weeks before vaccination); Consumption of more than 10 units of alcohol per week or history of alcohol addiction, drug addiction or abuse of pharmaceutical products; Smoking of more than 10 cigarettes per day; Participation in another clinical trial during the last 3 months; Pregnancy or lactation; Coagulopathy, haemophilia; Taking aspirin or other antiplatelet agents in high doses.
Facility Information:
Facility Name
State Autonomous Health Institution "Engels City Clinical Hospital No1"
City
Engels
Country
Russian Federation
Facility Name
Limited Liability Company Professorskaya Clinica
City
Perm
Country
Russian Federation
Facility Name
Limited Liability Company Energia Zdorovya
City
Saint Petersburg
Country
Russian Federation
Facility Name
Limited Liability Company MEDICINSKAYA CLINIKA
City
Saint Petersburg
Country
Russian Federation
Facility Name
Limited Liability Company Scientific Research Center Eco-Bezopasnost
City
Saint Petersburg
Country
Russian Federation
Facility Name
Piramida Limited Liability Company
City
Saint Petersburg
Country
Russian Federation
Facility Name
Private Health Care Institution Clinical Hospital "RZD-Medicine" in Saint Petersburg
City
Saint Petersburg
Country
Russian Federation
Facility Name
Saint Petersburg State Budgetary Healthcare Institution "State Polyclinic No. 117"
City
Saint Petersburg
Country
Russian Federation
Facility Name
Saint Petersburg State Budgetary Healthcare Institution "State Polyclinic No. 43"
City
Saint Petersburg
Country
Russian Federation
Facility Name
Limited Liability Company "DNA Research Center"
City
Saratov
Country
Russian Federation
Facility Name
Federal State Budget Healthcare Institution "Yaroslavl Region Clinical Hospital No. 2"
City
Yaroslavl
Country
Russian Federation

12. IPD Sharing Statement

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Tolerability, Safety and Immunogenicity Trial of the FLU-M® Tetra

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