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The purpose of this study is to evaluate the safety and immunogenicity of quadrivalent influenza vaccine in healthy children aged 6-35 months.
The study includes open-labelled phase I and randomized, double-blind, controlled phase III clinical trial. In the phase I, 20 healthy Chinese children aged 6-35 months were administered with two doses of QIV (7.5μg/0.25ml). In the phase Ⅲ clinical trial, 2320 children were assigned to QIV group, TIV (B/Victoria) group and TIV (B/Yamagata) group in a 2:1:1 ratio. All vaccines were manufactured by Sinovac Biotech Co., Ltd.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Experimental group-phase Ⅰ | Experimental | Quadrivalent influenza vaccine |
|
| Experimental group-phase Ⅲ | Experimental | Quadrivalent influenza vaccine |
|
| Control group 1-phase Ⅲ | Active Comparator | Trivalent influenza vaccine (contains B/Victoria strain) |
|
| Control group 2-phase Ⅲ | Active Comparator | Trivalent influenza vaccine (contains B/Yamagata strain) |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Quadrivalent influenza vaccine | Biological | One dose of quadrivalent influenza vaccine: 0.25 ml per dose containing 7.5μg antigen. |
|
| Measure | Description | Time Frame |
|---|---|---|
| The lower limit of 95% confidence intervals (95%CI) of geometric mean titer (GMT) ratio (experimental group/control group) of hemagglutination inhibition (HI) antibody titer≥2/3. | Immunogenicity index, One of the standard to evaluate the experimental vaccine is non-inferior to the control vaccines. | 28 days after two doses immunization |
| The lower limit of 95% CI of the seroconversion rate difference (experimental group-control group)≥-10%. | Immunogenicity index, Another standard to evaluate the experimental vaccine is non-inferior to the control vaccines. | 28 days after two doses immunization |
| Measure | Description | Time Frame |
|---|---|---|
| The lower limit of 95%CI of the ratio of GMT (experimental group/control group) >1.5. | Immunogenicity index, One of the standard to evaluate the experimental vaccine is superior to the control vaccines for specific antigen type. | 28 days after two doses immunization |
| The lower limit of 95% CI of the difference of HI antibody seroconversion rate (experimental group-control group)>10% |
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Inclusion Criteria:
Exclusion Criteria:
Received seasonal influenza vaccine in the current year;
Suffering from seasonal influenza in the past 6 moths;
Axillaty temperature > 37.0 °C;
History of allergy to any vaccine or vaccine ingredient;
History of serious adverse reaction(s) to vaccination, such as urticaria, difficulty in breathing, angioneurotic edema, abdominal pain, etc;
Autoimmune disease or immunodeficiency;
Congenital malformation, developmental disorders;
Severe malnutrition;
Diagnosed coagulation function abnormal (e.g., coagulation factor deficiency, coagulation disorder, or platelet abnormalities) , or obvious bruising or coagulation disorders;
History of epilepsy (except febrile seizures occurred < 2 years of age or pure epilepsy occurred within the past 3 years that does not need treatment)
Chronic diseases (e.g., viral hepatitis, tuberculosis, diabetes, blood diseases, or neurological disorders)
Acute disease or acute stage of chronic disease;
Receipt of any of the following products:
Participate or will participate in other clinical trial(s) during this study;
Based on the judgment of investigator(s) or the Ethic Committee, there was any condition indicating that the subject should be excluded;
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| Name | Affiliation | Role |
|---|---|---|
| Yuemei Hu, Bachelor | Jiangsu Provincial Center for Disease Prevention and Control | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Guanyun Center for Disease Prevention and Control | Lianyungang | Jiangsu | 222200 | China | ||
| Pizhou Center for Disease Prevention and Control |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 32347785 | Derived | Hu Y, Shao M, Hu Y, Liang Q, Jia N, Chu K, Xu L, Li J, Li C, Zhu F. Immunogenicity and safety of an inactivated quadrivalent influenza vaccine: a randomized, double-blind, controlled phase III clinical trial in children aged 6-35 months in China. Hum Vaccin Immunother. 2020 Jul 2;16(7):1691-1698. doi: 10.1080/21645515.2020.1721994. Epub 2020 Apr 29. |
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The phase Ⅰ clinical trial was a single arm.The phase Ⅲ was 3 parallel arms.
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| Quadrivalent influenza vaccine | Biological | One dose of quadrivalent influenza vaccine: 0.25 ml per dose containing 7.5μg antigen. |
|
| Trivalent influenza vaccine (contains B/Victoria strain) | Biological | One dose of trivalent influenza vaccine (contains B/Victoria strain): 0.25 ml per dose containing 7.5μg antigen. |
|
| Trivalent influenza vaccine (contains B/Yamagata strain) | Biological | One dose of trivalent influenza vaccine (contains B/Yamagata strain): 0.25 ml per dose containing 7.5μg antigen. |
|
Immunogenicity index, Another standard to evaluate the experimental vaccine is superior to the control vaccines for specific antigen type. |
| 28 days after two doses immunization |
| The lower limit of 95% CI of seroconversion rate for each HI antibody after two doses immunization≥40%. | Immunogenicity index | 28 days after two doses immunization |
| The seroprotective rate (HI antibody titer≥1:40) of each HI antibody after two doses immunization≥70%. | Immunogenicity index | 28 days after two doses immunization |
| The geometric mean increase (GMI) of each HI antibody after two doses immunization >2.5. | Immunogenicity index | 28 days after two doses immunization |
| The lower limit of 95%CI of the ratio of GMT(experimental group/control group)≥2/3, in the subjects whose pre-immune HI antibody titer<1:40 | Immunogenicity index | 28 days after two doses immunization |
| The lower limit of 95% CI of the difference of HI antibody seroconversion rate (experimental group-control group)≥-10%, in the subjects whose pre-immune HI antibody titer<1:40. | Immunogenicity index | 28 days after two doses immunization |
| The incidence of the solicited local and general adverse reactions 0-7 days after each immunization. | Safety index, The adverse reactions refers to the adverse events which were considered related to the vaccination. | 0-7 days |
| The incidence of the unsolicited adverse events 0-28 days after each immunization | Safety Index | 0-28 days after each dose immunization |
| The incidence of the serious adverse events within 7 months after the first immunization. | Safety Index | Within 7 months after the first dose immunization |
| Pizhou |
| Jiangsu |
| 221300 |
| China |
| ID | Term |
|---|---|
| D007251 | Influenza, Human |
| ID | Term |
|---|---|
| D012141 | Respiratory Tract Infections |
| D007239 | Infections |
| D009976 | Orthomyxoviridae Infections |
| D012327 | RNA Virus Infections |
| D014777 | Virus Diseases |
| 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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