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Comparative trial of tolerability, reactogenicity, safety and immunogenicity of the Flu-M vaccine as compared to the Vaxigrip® vaccine in terms of prevention of influenza in children aged 6 months to 9 years (at the time of the first vaccination).
The trial includes 2 stages (stage I, II). At stage I children aged 3-9 years will be included. Based on findings from tolerability and safety assessment in respect of the Flu-M vaccine vs. the Vaxigrip® vaccine for the first 7 days after vaccination of volunteers during Stage I, an intermediate report will be prepared. The report will be submitted to the supervisory executive authorities alongside the notice of commencement of Stage II of the trial - the continuation of trial on children aged 3-9 years and the commencement of trial on children aged between 6 months and 35 months. During Stage II, the trial for Stage I volunteers will continue in full and also children aged between 6 and 35 months will be included in the trial.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Flu-M, children aged 3-9 years | Experimental |
| |
| Vaxigrip, children aged 3-9 years | Active Comparator |
| |
| Flu-M, children aged 6-35 months | Experimental |
| |
| Vaxigrip, children aged 6-35 months | Active Comparator |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Flu-M, Inactivated split influenza vaccine 0.5 mL | Biological | Solution for intramuscular injection Сhildren were vaccinated with the Flu-M vaccine once/twice (all children were vaccinated twice with an interval of 28 days between the first vaccination and revaccination; if the child is vaccinated for the first time) intramuscularly in a dose of 0.5 mL |
| Measure | Description | Time Frame |
|---|---|---|
| Change from Baseline seroconversion level | Specific anti-influenza antibodies were determined using haemagglutination inhibition assay (HI assay) The upper limit of bilateral 95 % CI for the difference between seroconversion levels (seroconversion level reference vaccine - the seroconversion level trial vaccine) should not exceed 10%. Seroconversion ≥ 40% | Days 0 (screening), 28, 56, 180 after vaccination/revaccination |
| Measure | Description | Time Frame |
|---|---|---|
| Change from Baseline Geometric mean titer (GMT) of antibodies | Specific anti-influenza antibodies were determined using haemagglutination inhibition assay (HI assay) The upper limit of bilateral 95% CI for the GMT ratio (GMTreference vaccine/GMTtrial vaccine) should not exceed 1.5 | Days 0 (screening), 28 after vaccination/revaccination |
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Inclusion Criteria:
For volunteers aged 3 to 9 years:
For volunteers aged 6 to 35 months:
For all volunteers:
Ability of a volunteer's parents to fulfill the requirements of the Protocol (i.e. to fill out the Patient Diary, come to visit with the volunteer).
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Ellina Ruzanova, PhD | St. Petersburg Research Institute of Vaccines and Sera | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| LLC "Energiya zdorov'ya" | Saint Petersburg | Russia | ||||
| St. Petersburg State Budgetary Institution of Health Care "Children's City Polyclinic No. 45" of the Nevsky District |
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|
| Vaxigrip, Inactivated split influenza vaccine 0.5 mL | Biological | Suspension for intramuscular and subcutaneous injection Children were vaccinated with the Vaxigrip® vaccine once/twice (all children were vaccinated twice with an interval of 28 days between the first vaccination and revaccination; if the child is vaccinated for the first time) intramuscularly in a dose of 0.5 mL |
|
| Flu-M, Inactivated split influenza vaccine 0.25 mL | Biological | Solution for intramuscular injection Children were vaccinated with the Flu-M vaccine twice (all children were vaccinated twice with an interval of 28 days between the first vaccination and revaccination) intramuscularly in a dose of 0.25 mL |
|
| Vaxigrip, Inactivated split influenza vaccine 0.25 mL | Biological | Suspension for intramuscular and subcutaneous injection Children were vaccinated with the Vaxigrip® vaccine twice (all children were vaccinated twice with an interval of 28 days between the first vaccination and revaccination) intramuscularly in a dose of 0.25 mL |
|
| Change from Baseline Seroconversion factor |
Specific anti-influenza antibodies were determined using haemagglutination inhibition assay (HI assay) Seroconversion factor ≥ 2.5 |
| Days 0 (screening), 28, 56, 180 after vaccination/revaccination |
| Change from Baseline Seroprotection rate | Specific anti-influenza antibodies were determined using haemagglutination inhibition assay (HI assay) Seroprotection ≥ 70% | Days 0 (screening), 28, 56, 180 after vaccination/revaccination |
| Change from Baseline Seroconversion rate for each virus strain | Specific anti-influenza antibodies were determined using haemagglutination inhibition assay (HI assay) | Days 0 (screening), 28, 56, 180 after vaccination/revaccination |
| Incidence of immediate adverse events (allergic reactions) | Anaphylaxis, Quincke's edema, Urticaria. | 2 hours after vaccination/revaccination |
| Incidence of local adverse events | Pain at the injection site at palpation, Hyperemia at the injection site, infiltrate at the injection site, Edema at the injection site, Pruritus at the injection site, Enlarged regional lymph nodes. | Day 1 (2 and 5-8 hours after vaccination/revaccination), days 2-180 |
| Incidence of systemic adverse events | Headache, Cough, Sore throat, Nausea, Increased sweating, Arthralgia, Myalgia, Fever, Chills, Asthenia | Day 1 (2 and 5-8 hours after vaccination/revaccination), days 2-180 |
| Incidence of severe adverse events during the trial | Day 1 (2 and 5-8 hours after vaccination/revaccination), days 2-180 |
| Number of participants with abnormal changes in physical examination data | Physical examination of volunteers includes an interview, discovery of complaints and symptoms, when required, palpation, auscultation, percussion; examination of skin, mucosa, eyes, oral cavity and pharynx, lungs/chest, heart/cardiovascular system, abdominal organs, nervous system, lymph nodes, musculoskeletal system. | Days 0 (screening), 3, 7, 28, 56 |
| Number of participants with abnormal changes of neurological status | Days 0 (screening), 3, 7, 28, 56 |
| Number of participants with abnormal changes in vital signs - Blood pressure (BP) | BP measurements include the systolic and diastolic blood pressure. | Days 0 (screening), 3, 7, 28, 56 |
| Number of participants with abnormal changes in vital signs - Heart rate (HR) | HR is measured using a phonendoscope at the apex of the heart during 1 minute. | Days 0 (screening), 3, 7, 28, 56 |
| Number of participants with abnormal changes in vital signs - Respiratory rate (RR) | RR is counted with a hand placed on the child's chest or abdomen or by holding a stethoscope at the child's nose. The measurement is carried out during one minute. | Days 0 (screening), 3, 7, 28, 56 |
| Number of participants with abnormal changes in vital signs - Body temperature | Measurement with a digital thermometer. | Day 0 (screening); 10 min before, 20 min and 2 hours after vaccination; days 3, 7, 28, 56 |
| Number of participants with clinically significant abnormalities - Complete blood count (CBC) | Hemoglobin, hematocrit, erythrocytes, leukocytes, leukocytic formula, platelets, erythrocyte sedimentation rate (ESR). | Days 0 (screening), 3 |
| Number of participants with clinically significant abnormalities - Biochemical blood test (BBT) | ALT, AST, LDH, alkaline phosphatase, total bilirubin, urea, glucose. | Days 0 (screening), 3 |
| Number of participants with clinically significant abnormalities - Urinalysis | pH, specific density, protein, glucose, erythrocytes, leukocytes. | Days 0 (screening), 3 |
| Number of participants with abnormal changes of total IgE | Days 0 (screening), 3, 56 |
| Saint Petersburg |
| Russia |
| ID | Term |
|---|---|
| D007251 | Influenza, Human |
| D007239 | Infections |
| ID | Term |
|---|---|
| D012141 | Respiratory Tract Infections |
| D009976 | Orthomyxoviridae Infections |
| D012327 | RNA Virus Infections |
| D014777 | Virus Diseases |
| D012140 | Respiratory Tract Diseases |
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| ID | Term |
|---|---|
| C478242 | vaxigrip |
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