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This is a phase III, randomized, controlled, open label study with two vaccine regimens. The study will assess the relative safety and immunogenicity of vaccine regimens comparing adjuvanted versus non-adjuvanted formulations of A(H1N1) inactivated influenza virus vaccine in subjects with Solid Invasive Tumors and to compare safety and immunogenicity data with a contemporaneously enrolled control group of age-comparable, healthy subjects.
Because certain individuals may be hypo-responsive to influenza vaccination, additional studies with high-risk groups are warranted in order to determine the optimal vaccine formulation and dosing schedule for prevention of novel H1N1 virus infection.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Group A: High Risk Population | Experimental | Each subject will receive two doses of the assigned vaccine, the first on Study Day 1, and the second on Study Day 22 |
|
| Group B: High Risk Subjects | Experimental | Each subject will receive two doses of the assigned vaccine, the first on Study Day 1, and the second on Study Day 22 |
|
| Group C: Healthy Subjects | Experimental | Each subject will receive two doses of the assigned vaccine, the first on Study Day 1, and the second on Study Day 22 |
|
| Group D: Healthy Subjects | Experimental | Each subject will receive two doses of the assigned vaccine, the first on Study Day 1, and the second on Study Day 22 |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| adjuvanted A(H1N1) influenza vaccine | Biological | 7.5 ug of HA antigen; adjuvanted; monovalent |
|
| Measure | Description | Time Frame |
|---|---|---|
| The primary objective of this study is to determine the optimal influenza vaccination strategy in patients with invasive solid tumors | 3 months |
| Measure | Description | Time Frame |
|---|---|---|
| Assess whether the adjuvanted vaccine offers a meaningful benefit in relation to the non-adjuvanted vaccine in this at-risk population | 3 months | |
| Assess whether two doses of either study vaccine will provide meaningful benefit in comparison to one dose |
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Inclusion Criteria:
For Invasive Solid Tumor Subjects:
Subjects between 2 and 70 years of age (inclusive)
Any sex or ethnicity
Confirmed diagnosis of Invasive Solid Tumor or hematological malignancies in complete remission for at least 3 months and not more than 18 months after the last neo-adjuvant and/or adjuvant chemotherapy cycle according to investigators assessment and the subjects medical records
Previous use of neo-adjuvant and/or adjuvant chemotherapy for the treatment on an invasive solid tumor
Life expectancy of at least 12 months
Karnofsky Performance Scale > 40%
Childbearing potential women must be willing to use an acceptable contraceptive method. Acceptable contraceptive methods are defined as one or more of the following:
Subjects capable of following all the study procedures and available for all visits scheduled to the investigation site
Subjects capable of understanding the nature and risk of the study proposed and sign the consent form
In case of children and adolescents (below 18 years of age): Subjects capable of understanding the nature of the study and whose legal guardian understands the nature and risk of the study proposed and signs the consent form
The study subjects may have other underlying chronic diseases that do not involve immunosuppression (e.g. osteoarticular diseases, cardiorespiratory diseases, metabolic diseases, stable, non progressive, non-severe neurologic disorders without cognitive impairment, ophthalmologic diseases, etc.), but their symptoms/signs must be under control through medical follow-ups and drug therapy
For Healthy Subjects:
Subjects between 2 and 70 years of age (inclusive)
Any sex and ethnicity
Subjects with good health as determined by medical history, physical evaluation, and investigator's clinical opinion
Childbearing potential women must be willing to use an acceptable contraceptive method. Acceptable contraceptive methods are defined as one or more of the following:
Subjects capable of respecting all the study procedures and available for all the visits scheduled at the investigation site
Subjects capable of understanding the nature and risk of the study proposed and sign the consent form
In case of children and adolescents (below 18 years of age): Subjects capable of understanding the nature of the study and whose legal guardian understands the nature and risk of the study proposed and signs the consent form
Exclusion Criteria:
For Invasive Solid Tumor Subjects:
For Healthy Subjects:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| BIOCANCER Clinical Research | Belo Horizonte | Minas Gerais | Brazil | |||
| Centro de Estudos e Pesquisas de Oncologia e Hematologia da Faculdade de Medicina da Fundação do ABC |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 19745215 | Background | Clark TW, Pareek M, Hoschler K, Dillon H, Nicholson KG, Groth N, Stephenson I. Trial of 2009 influenza A (H1N1) monovalent MF59-adjuvanted vaccine. N Engl J Med. 2009 Dec 17;361(25):2424-35. doi: 10.1056/NEJMoa0907650. Epub 2009 Sep 10. | |
| 19423869 | Background | Novel Swine-Origin Influenza A (H1N1) Virus Investigation Team; Dawood FS, Jain S, Finelli L, Shaw MW, Lindstrom S, Garten RJ, Gubareva LV, Xu X, Bridges CB, Uyeki TM. Emergence of a novel swine-origin influenza A (H1N1) virus in humans. N Engl J Med. 2009 Jun 18;360(25):2605-15. doi: 10.1056/NEJMoa0903810. Epub 2009 May 7. |
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| non-adjuvanted A(H1N1) influenza vaccine | Biological | 15ug of HA antigen, non-adjuvanted; trivalent |
|
| non-adjuvanted A(H1N1) influenza vaccine | Biological | 15 mcg of antigen; non-adjuvanted; trivalent |
|
| 3 months |
| Assess the persistence of antibody levels in the two vaccine groups | 3 months |
| Gain further insight into the safety of the adjuvanted and non-adjuvanted H1N1 vaccines in this high-risk patient population | 3 months |
| Santo André |
| São Paulo |
| Brazil |
| Universidade Federal de São Paulo | São Paulo | São Paulo | Brazil |
| 3903940 | Background | Gross PA, Gould AL, Brown AE. Effect of cancer chemotherapy on the immune response to influenza virus vaccine: review of published studies. Rev Infect Dis. 1985 Sep-Oct;7(5):613-8. doi: 10.1093/clinids/7.5.613. |
| 19628174 | Background | Kunisaki KM, Janoff EN. Influenza in immunosuppressed populations: a review of infection frequency, morbidity, mortality, and vaccine responses. Lancet Infect Dis. 2009 Aug;9(8):493-504. doi: 10.1016/S1473-3099(09)70175-6. |
| ID | Term |
|---|---|
| D014777 | Virus Diseases |
| D007251 | Influenza, Human |
| D009369 | Neoplasms |
| ID | Term |
|---|---|
| D007239 | Infections |
| D012141 | Respiratory Tract Infections |
| D009976 | Orthomyxoviridae Infections |
| D012327 | RNA Virus Infections |
| D012140 | Respiratory Tract Diseases |
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| ID | Term |
|---|---|
| D007252 | Influenza Vaccines |
| ID | Term |
|---|---|
| D014765 | Viral Vaccines |
| D014612 | Vaccines |
| D001688 | Biological Products |
| D045424 | Complex Mixtures |
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