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| Name | Class |
|---|---|
| Department of Health and Human Services | FED |
| World Health Organization | OTHER |
| PATH | OTHER |
| Comac Medical |
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This is a phase I, double-blind, randomized, placebo-controlled trial with two groups of participants to receive seasonal trivalent split, inactivated influenza vaccine (A/H1N1; A/H3N2 and B) or placebo (phosphate buffered saline). A total of 60 healthy male and female adults 18 through 45 years of age will be randomized to receive vaccine (30) or placebo (30).
This is a phase 1, double blinded, randomized, placebo-controlled study. The study will be conducted at 1 site in Serbia. Sixty (60) healthy male and female adults, 18 to 45 years of age, will be enrolled into the trial. Subjects will be randomized 1:1 to one of two treatment allocations: 30 to vaccine, 30 to placebo. The study will utilize a "randomized block design" to assure a balance of 1:1 vaccine and placebo when all subjects are enrolled. The study will be double blinded, meaning the study subjects, investigators, and the sponsor will be unaware of the treatment allocated to each subject until the clinical trial database is declared final and locked. The study should take about 5 months to complete, with each subject involved for 3 months from the day of injection. The justification for the 3 month follow up, rather than 6 month follow up is that this is an inactivated vaccine that follows very standard manufacturing practices with standard antigens. The safety of inactivated influenza vaccines is well-established. Adding length to the follow up results in delays in future testing of the vaccine for licensure.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Vaccine | Experimental | 0.5 mL of influenza vaccine, split, inactivated with 15 mcg of haemagglutination (HA) of each of 3 strains:
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|
| Placebo | Placebo Comparator | 0.5 mL of phosphate buffered saline |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Influenza vaccine, split inactivated | Biological | Seasonal trivalent inactivated influenza vaccine (TIV), inactivated split virion, purified by sucrose gradient ultracentrifugation. The vaccine is produced in hen's eggs, and inactivated with beta-propiolactone. |
| Measure | Description | Time Frame |
|---|---|---|
| Number of Subjects With Immediate Adverse Events | Number of subjects with observed immediate adverse events, including allergic reaction or anaphylaxis, following administration of the study product. | 30-minute post-vaccination period. |
| Number and Percentage of Subjects With Solicited Local Reactogenicity | Number of subjects reporting solicited local reactions (redness, swelling, induration, pain and tenderness) at the injection site post-vaccination with study vaccine or placebo | 7-day period (Days 0-6) post-vaccination. |
| Number and Percentage of Subjects With Solicited Systemic Reactogenicity | Number of subjects reporting solicited systemic reactions (fever, fatigue/malaise, muscle aches, joint aches, chills, nausea, vomiting, and headache) post-vaccination with study vaccine or Placebo | 7-day period (Days 0-6) post-vaccination. |
| Number and Percentage of Subjects With Occurrence of Unsolicited Adverse Events | These data are presented broadly as number per group for the study. Please see AE reporting section for more specific details on AEs. | Within 21 days post vaccination |
| Number and Percentage of Subjects With Occurrence of Serious Adverse Events (SAE) | Over the entire study period (Day 90). |
| Measure | Description | Time Frame |
|---|---|---|
| Number and Percentage of Seroconverted Subjects Against 3 Strains of Influenza Vaccine. | Seroconversion is defined as a serum HAI titer meeting the following criteria:
The 3 influenza strains assessed were B/Massachusetts, H1/A/California and H3/A/Texas |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Goran Stevanovic, PhD | Clinic for Infectious and Tropical Diseases | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Clinical Center of Serbia | Belgrade | Serbia |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 29239682 | Derived | Stevanovic G, Lavadinovic L, Filipovic Vignjevic S, Holt R, Ilic K, Berlanda Scorza F, Sparrow E, Stoiljkovic V, Torelli G, Madenwald T, Socquet M, Barac A, Ilieva-Borisova Y, Pelemis M, Flores J. Safety and immunogenicity of a seasonal trivalent inactivated split influenza vaccine: a phase I randomized clinical trial in healthy Serbian adults. Hum Vaccin Immunother. 2018 Mar 4;14(3):579-586. doi: 10.1080/21645515.2017.1415683. Epub 2018 Feb 23. |
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66 people were screened for the study after signing consent. 6 subjects failed screening. A total of 60 subjects received vaccine or placebo.
All volunteers were recruited at the Clinical Center of Serbia, Belgrade, Serbia.
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| ID | Title | Description |
|---|---|---|
| FG000 | Vaccine Group | 0.5 mL of influenza vaccine split, inactivated with 15 mcg of HA of B/Massachusetts, H1/A/California, and H3/A/Texas |
| FG001 | Placebo Group | 0.5 mL of phosphate buffered saline |
| Title | Milestones | Reasons Not Completed | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Overall Study |
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| ID | Title | Description |
|---|---|---|
| BG000 | Vaccine Group | 0.5 mL of influenza vaccine split, inactivated with 15 mcg of HA of B/Massachusetts, H1/A/California, and H3/A/Texas |
| BG001 | Placebo Group | 0.5 mL of phosphate buffered saline |
| Units | Counts |
|---|---|
| Participants |
|
| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes |
|---|---|---|---|---|---|---|---|---|---|
| Age, Continuous | Mean |
| Type | Title | Description | Population Description | Reporting Status | Anticipated Posting Date | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Time Frame | Units Analyzed | Denominator Units Selected | Arm/Group Information | Denominators | Classes | Analyses | ||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Primary | Number of Subjects With Immediate Adverse Events | Number of subjects with observed immediate adverse events, including allergic reaction or anaphylaxis, following administration of the study product. | The analysis was conducted for subjects who were randomized and received a study vaccination | Posted | Count of Participants | Participants | 30-minute post-vaccination period. |
|
90 days
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| ID | Title | Description | Deaths (Affected) | Deaths (At Risk) | Serious Events (Affected) | Serious Events (At Risk) | Other Events (Affected) | Other Events (At Risk) |
|---|---|---|---|---|---|---|---|---|
| EG000 | Vaccine Group | 0.5 mL of influenza vaccine, split, inactivated with 15 mcg of HA of each of 3 strains:
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| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Respiratory Tract Infection | Respiratory, thoracic and mediastinal disorders | MedDRA (18.1) | Systematic Assessment | Unrelated to study product |
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| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Dr. Goran Stevanovic | Clinical Center of Serbia-Clinic for Infectious and Tropical Diseases | +381 64 1703059 | goran_ste@yahoo.com |
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| ID | Term |
|---|---|
| D007251 | Influenza, Human |
| ID | Term |
|---|---|
| D012141 | Respiratory Tract Infections |
| D007239 | Infections |
| D009976 | Orthomyxoviridae Infections |
| D012327 | RNA Virus Infections |
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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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| INDUSTRY |
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| Placebo | Other | 0.5 mL of phosphate buffered saline |
|
| Day 21 |
| Number and Percentage of Seroprotected Subjects Against 3 Strains of Influenza Vaccine | A seroprotected subject was defined as a vaccinated subject who had a serum Hemagluttination Inhibition (HAI) titer ≥ 1:40. The 3 influenza strains assessed were B/Massachusetts, H1/A/California an d H3/A/Texas | Day 0 and Day 21 post vaccination |
| Geometric Mean Titers (GMTs) of Serum Hemagglutination Inhibition (HAI) Antibodies Pre- (Day 0) and Post-vaccination (Day 21) for Each of the 3 Antigens | The 3 influenza strains assessed were B/Massachusetts, H1/A/California an d H3/A/Texas | Pre- (Day 0) and post-vaccination (Day 21) |
| Geometric Mean Fold Rises (GMFRs) of Serum (HAI) Antibodies (Post-vaccination / Pre-vaccination) for Each of the 3 Antigens. | The 3 influenza strains assessed were B/Massachusetts, H1/A/California an d H3/A/Texas | Pre- (Day 0) and post-vaccination (Day 21) |
| Geometric Mean Neutralization Titers of Neutralizing Antibodies (MNT) Pre- (Day 0) and Post-vaccination (Day 21) for Each of the 3 Antigens. | Pre- (Day 0) and post-vaccination (Day 21) |
| Geometric Mean Fold Rises (GMFRs) of MNT (Post-vaccination / Pre-vaccination) for Each of the 3 Antigens. | The 3 influenza strains assessed were B/Massachusetts, H1/A/California an d H3/A/Texas | Pre- (Day 0) and post-vaccination (Day 21) |
| BG002 | Total | Total of all reporting groups |
| years |
|
| Sex: Female, Male | Count of Participants | Participants |
|
| Race/Ethnicity, Customized | Count of Participants | Participants |
|
| Region of Enrollment | Number | participants |
|
|
|
| Primary | Number and Percentage of Subjects With Solicited Local Reactogenicity | Number of subjects reporting solicited local reactions (redness, swelling, induration, pain and tenderness) at the injection site post-vaccination with study vaccine or placebo | The analysis was conducted for subjects who were randomized and received a study vaccination | Posted | Count of Participants | Participants | 7-day period (Days 0-6) post-vaccination. |
|
|
|
| Primary | Number and Percentage of Subjects With Solicited Systemic Reactogenicity | Number of subjects reporting solicited systemic reactions (fever, fatigue/malaise, muscle aches, joint aches, chills, nausea, vomiting, and headache) post-vaccination with study vaccine or Placebo | The analysis was conducted for subjects who were randomized and received a study vaccination | Posted | Count of Participants | Participants | 7-day period (Days 0-6) post-vaccination. |
|
|
|
| Primary | Number and Percentage of Subjects With Occurrence of Unsolicited Adverse Events | These data are presented broadly as number per group for the study. Please see AE reporting section for more specific details on AEs. | The analysis was conducted for subjects who were randomized and received a study vaccination | Posted | Count of Participants | Participants | Within 21 days post vaccination |
|
|
|
| Primary | Number and Percentage of Subjects With Occurrence of Serious Adverse Events (SAE) | The analysis was conducted for subjects who were randomized and received a study vaccination | Posted | Count of Participants | Participants | Over the entire study period (Day 90). |
|
|
|
| Secondary | Number and Percentage of Seroconverted Subjects Against 3 Strains of Influenza Vaccine. | Seroconversion is defined as a serum HAI titer meeting the following criteria:
The 3 influenza strains assessed were B/Massachusetts, H1/A/California and H3/A/Texas | The analysis was conducted for subjects who were randomized and received a study vaccination | Posted | Count of Participants | Participants | Day 21 |
|
|
|
| Secondary | Number and Percentage of Seroprotected Subjects Against 3 Strains of Influenza Vaccine | A seroprotected subject was defined as a vaccinated subject who had a serum Hemagluttination Inhibition (HAI) titer ≥ 1:40. The 3 influenza strains assessed were B/Massachusetts, H1/A/California an d H3/A/Texas | All vaccinated subjects who have valid post vaccination immunogenicity measures with no major protocol violations | Posted | Count of Participants | Participants | Day 0 and Day 21 post vaccination |
|
|
|
| Secondary | Geometric Mean Titers (GMTs) of Serum Hemagglutination Inhibition (HAI) Antibodies Pre- (Day 0) and Post-vaccination (Day 21) for Each of the 3 Antigens | The 3 influenza strains assessed were B/Massachusetts, H1/A/California an d H3/A/Texas | All vaccinated subjects with no major protocol violations who have valid post vaccination immunogenicity measures | Posted | Mean | 95% Confidence Interval | Titers | Pre- (Day 0) and post-vaccination (Day 21) |
|
|
|
| Secondary | Geometric Mean Fold Rises (GMFRs) of Serum (HAI) Antibodies (Post-vaccination / Pre-vaccination) for Each of the 3 Antigens. | The 3 influenza strains assessed were B/Massachusetts, H1/A/California an d H3/A/Texas | All vaccinated subjects who have valid post vaccination immunogenicity measures with no major protocol violations | Posted | Mean | 95% Confidence Interval | fold rise | Pre- (Day 0) and post-vaccination (Day 21) |
|
|
|
| Secondary | Geometric Mean Neutralization Titers of Neutralizing Antibodies (MNT) Pre- (Day 0) and Post-vaccination (Day 21) for Each of the 3 Antigens. | All vaccinated subjects who have valid post vaccination immunogenicity measures with no major protocol violations | Posted | Mean | 95% Confidence Interval | Titers | Pre- (Day 0) and post-vaccination (Day 21) |
|
|
|
| Secondary | Geometric Mean Fold Rises (GMFRs) of MNT (Post-vaccination / Pre-vaccination) for Each of the 3 Antigens. | The 3 influenza strains assessed were B/Massachusetts, H1/A/California an d H3/A/Texas | All vaccinated subjects who have valid post vaccination immunogenicity measures with no major protocol violations | Posted | Mean | 95% Confidence Interval | fold rise | Pre- (Day 0) and post-vaccination (Day 21) |
|
|
|
| 0 |
| 30 |
| 0 |
| 30 |
| 2 |
| 30 |
| EG001 | Placebo Group | 0.5 mL of phosphate buffered saline | 0 | 30 | 0 | 30 | 4 | 30 |
|
| Diarrhea | Gastrointestinal disorders | MedDRA (18.1) | Systematic Assessment | Unrelated to study products |
|
| Alanine Aminotransferase Increased | Investigations | MedDRA (18.1) | Systematic Assessment | Unrelated to study products |
|
| Back Pain | Musculoskeletal and connective tissue disorders | MedDRA (18.1) | Systematic Assessment | Unrelated to study products |
|
| Cough | Respiratory, thoracic and mediastinal disorders | MedDRA (18.1) | Systematic Assessment | Unrelated to study products |
|
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| D014777 | Virus Diseases |
| D012140 | Respiratory Tract Diseases |
| Redness |
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| Swelling |
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| Tenderness |
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| Headache |
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| Joint aches |
|
| Muscle aches |
|
| Nausea |
|
| Tiredness |
|
| Vomiting |
|
| Seroconversion to B |
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| B |
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| GMT to H3 Day 0 |
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| GMT to H3 Day 21 |
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| GMT to B Day 0 |
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| GMT to B Day 21 |
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| GMFR for B |
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| GMT to H3 Day 0 |
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| GMT to H3 Day 21 |
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| GMT to B Day 0 |
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| GMT to B Day 21 |
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| GMFR for B |
|