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A double-blind, randomized, placebo-controlled, Phase I clinical study of the safety, tolerability, reactogenicity and immunogenic activity of the universal influenza vector vaccine "UniFluVec" at two dose levels after two intranasal administrations in healthy adults. The volunteers randomized to the study group received intranasally 0.5 ml of the vaccine (0.25 ml in each nostril) as nasal aerosol stray twice with an interval of 3 weeks. The vaccine of the first dose level contained 6.7 log EID50/0.5 ml (50% egg infective dose) of attenuated recombinant influenza A/H1N1pdm09 virus; vaccine of the second dose level contained 7.7 log EID50/0.5 ml of attenuated recombinant influenza A/H1N1pdm09 virus.
The primary objective of the study was to evaluate the safety, tolerability and reactogenicity profile of vaccine "UniFluVec" based on the frequency and severity of adverse events. The secondary objective of the study was to assess the immunogenicity.
One center located in Russia (Saint-Petersburg) was approved for participation in this study. The study consisted of 3 periods: screening, double vaccination with an interval of 3 weeks and follow-up.
All eligible subjects were randomized into the study in appropriate cohort groups sequentially. Randomization was performed within each cohort in ratio 2:1 to the vaccine and placebo groups, respectively:
The decision to administer the second dose of vaccine or increased vaccine dose (cohort 2) was approved by the Data Safety Monitoring Committee on the basis of preliminary safety results assessment.
The follow-up period lasted 3 months after the second vaccination.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Vaccine "UniFluVec" 6.7 log EID50/dose | Experimental | Cohort 1 - 30 subjects were randomized in a 2:1 ratio to be treated either with Vaccine "UniFluVec" 6.7 log EID50/dose (20 subjects) or with placebo (10 subject, see placebo arm). |
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| Vaccine "UniFluVec" 7.7 log EID50/dose | Experimental | Cohort 2 - 30 subjects were randomized in a 2:1 ratio to be treated either with Vaccine "UniFluVec" 7.7 log EID50/dose (20 subjects) or with placebo (10 subject, see placebo arm). |
|
| Placebo | Placebo Comparator | Placebo comparator arm consists of 20 subjects (10 subject in each Сohort). |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| UniFluVec | Biological | Vaccination was performed intranasally (0.25 ml in each nostril) twice with an interval of 3 weeks |
|
| Measure | Description | Time Frame |
|---|---|---|
| Number of Adverse events | Adverse events (AEs) were summarized per treatment arm according to the current Medical Dictionary for Regulatory Activities (medDRA) version 21.1. For each preferred term, frequency counts and percentages were calculated. Related and unrelated AEs were assessed. Special attention was paid to vaccine-specific significant AEs:
| Day -7 (7 days before first dose) - Day 111 |
| Measure | Description | Time Frame |
|---|---|---|
| Assessment of the virus reisolation after the vaccination | This was evaluated according to the diagnostic rapid test for influenza A virus by immunochromatographic method in the nasal swab samples within control periods after vaccination | Day 2 - Day 5, Day 23, Day 25 |
| The content of serum antibodies |
| Measure | Description | Time Frame |
|---|---|---|
| The content of cytokines | This was evaluated by ELISA and detected in samples of nasal secretions | Day 1, Day 2, Day 3 |
Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Federal State Budgetary Institution "Research Institute of Influenza" of the Ministry of Health of the Russian Federation | Saint Petersburg | Russia |
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The dose cohorts were included into the study based on evaluation of the safety results performed by the Data Safety Monitoring Committee. 2 doses of vaccine/placebo were used in the study. The volunteers randomized to the study group received intranasally 0.5 ml of the vaccine/placebo (0.25 ml in each nostril) as nasal aerosol stray twice with an interval of 3 weeks.
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For blinding purposes the Placebo was made with the corresponding labelling of the study drug.
| Placebo | Biological | Vaccination was performed intranasally (0.25 ml in each nostril) twice with an interval of 3 weeks |
|
This was evaluated by Hemagglutinin-inhibition assay |
| Day 1, Day 21, Day 42 |
| The content of serum neutralizing antibodies | This was evaluated by microneutralization assay | Day 1, Day 21, Day 42 |
| The content of serum Immunoglobulins class G (IgG) | This was evaluated by enzyme-linked immunosorbent assay (ELISA) | Day 1, Day 21, Day 42 |
| The content of serum Immunoglobulins class E (IgE) | This was evaluated by ELISA | Day 1, Day 21, Day 42 |
| Determination of Myxovirus resistance (MxA) protein 1 | This was evaluated in the whole blood samples by ELISA | Day 1, Day 3 (1-st and 3-d days after first vaccination), Day 21, Day 23 (1th and 3th days after second vaccination) |
| The content of secretory Immunoglobulins class A (IgA) and IgG | This was evaluated by ELISA and microneutralization assay in the samples of nasal secretions. | Day 1, Day 21, Day 42 |