Clinical trial • Infectious Disease|Respiratory

INFLUENZA VIRUS B/AUSTRIA/1359417/2021 - LIKE STRAIN; INFLUENZA VIRUS A/VICTORIA/4897/2022 (H1N1)PDM09 - LIKE STRAIN; INFLUENZA VIRUS A/THAILAND/8/2022 (H3N2)-LIKE STRAIN for Influenza

Clinical trial of INFLUENZA VIRUS B/AUSTRIA/1359417/2021 - LIKE STRAIN; INFLUENZA VIRUS A/VICTORIA/4897/2022 (H1N1)PDM09 - LIKE STRAIN; INFLUENZA VIRUS A/…

Overview

Trial Therapeutic Area
Infectious Disease|Respiratory
Trial Disease
Influenza
Drug Modality
Vaccine

Key dates

Initial CTIS Submission Date
21-10-2023
First CTIS Authorization Date
16-01-2024

Trial design

Randomised, arm 1: i.m. vaxigriptetra® 1 dose of 0.5 ml + i.n. placebo 1 dose of 0.2 ml (1 spray in each nostril). arm 2: i.m. placebo 0.5 ml (1 dose of 0.5 ml) + i.n. flumist® 1 dose of 0.2 ml (1 spray in each nostril).-controlled trial across 1 site in Denmark.

Randomised
Yes
Comparator
Arm 1: I.M. Vaxigriptetra® 1 dose of 0.5 mL + I.N. Placebo 1 dose of 0.2 mL (1 spray in each nostril). Arm 2: I.M. Placebo 0.5 mL (1 dose of 0.5 mL) + I.N. Flumist® 1 dose of 0.2 mL (1 spray in each nostril).
Target Sample Size
55
Trial Duration For Participant
104

Eligibility

Recruits 55 Vulnerable population not selected (isVulnerablePopulationSelected: false). 'Inability to provide written informed consent' is listed as an exclusion. Informed consent documents are provided (Informed Consent Form; Participant Information). No assent/child consent procedures are specified (adult participants only)..

Pregnancy Exclusion
Women of childbearing potential not using safe contraception, or who are pregnant, or breast-feeding
Vulnerable Population
Vulnerable population not selected (isVulnerablePopulationSelected: false). 'Inability to provide written informed consent' is listed as an exclusion. Informed consent documents are provided (Informed Consent Form; Participant Information). No assent/child consent procedures are specified (adult participants only).

Inclusion criteria

  • {"criterion_text":"-Age ≥ 20-40 years"}
  • {"criterion_text":"-Participants who have not received any influenza as per medical history and documented in DDV (electronic vaccine registry)"}

Exclusion criteria

  • {"criterion_text":"-Laboratory-confirmed influenza infection during the past year documented by a positive PCR test in the Danish Microbiological database"}
  • {"criterion_text":"-Total IgG levels < 6.1 g/L obtaining at screening visit"}
  • {"criterion_text":"-Influenza specific IgA in upper quartile in mucosa. Upper quartile will be defined “real time” in the screening population"}
  • {"criterion_text":"-Active smoker"}
  • {"criterion_text":"-BMI >35"}
  • {"criterion_text":"-Charlson (score > 0)"}
  • {"criterion_text":"-Women of childbearing potential not using safe contraception, or who are pregnant, or breast-feeding"}
  • {"criterion_text":"-Any allergies to components of or contraindication for Vaxigriptetra® or Flumist®"}
  • {"criterion_text":"-Participants who have experienced severe adverse reactions to previous influenza vaccinations or components of the vaccines, including allergy to egg"}
  • {"criterion_text":"-Use of immunosuppressive drugs within the past 6 months or who are currently using them"}
  • {"criterion_text":"-Known immunodeficiency disorders [any diagnosis that would qualify to an ICD-10 diagnosis in the categories DD80-DD89 (except DD86)"}
  • {"criterion_text":"-HIV, HBV, HCV laboatory confirm active infection at screening visit"}
  • {"criterion_text":"-Have an acute illness, including an oral temperature ≥ 38°C, within 3 days prior to vaccination"}
  • {"criterion_text":"-Have received any vaccines, including live-attenuated vaccines within 4 weeks before inclusion, or plan receipt of such vaccines within 30 days following the inclusion"}
  • {"criterion_text":"-Any known malignant neoplasm within 5 years (except basal carcinoma of the skin)"}
  • {"criterion_text":"-Severe mental illness or linguistic issues which significantly impedes cooperation"}
  • {"criterion_text":"-Inability to provide written informed consent"}
  • {"criterion_text":"-Previous medical history, evidence of an intercurrent illness or any condition that, in the opinion of the investigator, would interfere with evaluation of the study vaccine products or interpretation of subject safety or that may compromise the safety of the subject in the study."}

Endpoints

Primary endpoints

  • {"endpoint_text":"-Cellular: Antigen activated CD4+ T-lymphocytes measured at –14, day +7 day +28 [+/-5 days]and day +90 [+/-5 days] after vaccination.","definition_or_measurement_approach":"Measurement of antigen-activated CD4+ T-lymphocytes at timepoints –14, day +7, day +28 (±5 days) and day +90 (±5 days) after vaccination."}
  • {"endpoint_text":"-Humoral: Number of participants with ≥-4-fold rise in mucosal antibody titer against each vaccine virus haemagglutinin antigens vaccine-specific antibody (IgG and IgA) titers in respiratory secretions measured using antibody titer measured at –14, day +7 day +28 [+/-5 days]and day +90 [+/-5 days] after vaccination","definition_or_measurement_approach":"Number of participants with ≥4-fold rise in mucosal vaccine-specific IgG and IgA antibody titers in respiratory secretions measured at –14, day +7, day +28 (±5 days) and day +90 (±5 days) after vaccination."}

Secondary endpoints

  • {"endpoint_text":"-Cellular: Quantification and characterization of leukocyte cell subsets, incl T- and B-cell subsets and activation patterns, using highly standardized flowcytometry in combination with single cell RNAsequencing (scRNAseq) analysis coupled with single cell surface marker profiling (CITEseq or similar platform) for in-depth characterization of immune cell subsets measured at –14, day +7 day +28 [+/-5 days]and day +90 [+/-5 days] after vaccination","definition_or_measurement_approach":"Quantification and characterization of leukocyte subsets (T-, B-cells, activation) using standardized flow cytometry combined with single cell RNA sequencing and single-cell surface marker profiling (e.g., CITE-seq) at –14, day +7, day +28 (±5 days) and day +90 (±5 days)."}
  • {"endpoint_text":"-Humoral: Number of participants with ≥-4-fold rise in serum antibody titers against each vaccine virus haemagglutinin antigens vaccine-specific antibody (IgG) titers in serum measured using antibody titer measured measured at –14, day +7 day +28 [+/-5 days]and day +90 [+/-5 days] after vaccination.","definition_or_measurement_approach":"Number of participants with ≥4-fold rise in serum vaccine-specific IgG antibody titers measured at –14, day +7, day +28 (±5 days) and day +90 (±5 days) after vaccination."}

Recruitment

Planned Sample Size
55
Recruitment Window Months
28
Consent Approach
Written informed consent is required; 'Inability to provide written informed consent' is an exclusion. Participant Information and Informed Consent Form documents are listed. No age-specific assent processes or languages are specified; paediatric consent/assent not applicable as trial enrols adults.

Geography

Total Number Of Sites
1
Total Number Of Participants
55

Denmark

Earliest CTIS Part Ii Submission Date
12-01-2024
Latest Decision Or Authorization Date
27-11-2025
Processing Time Days
685
Number Of Sites
1
Number Of Participants
55

Sites

Site Name
Gentofte Hospital
Department Name
Department of Pulmonary Medicine
Principal Investigator Name
Jens Ulrik Stæhr Jensen
Principal Investigator Email
jens.ulrik.jensen@regionh.dk
Contact Person Name
Jens Ulrik Stæhr Jensen
Contact Person Email
jens.ulrik.jensen@regionh.dk
Number Of Participants
55

Sponsor

Primary sponsor

Full Name
Gentofte Hospital
Organisation Type
Hospital/Clinic/Other health care facility
Country Of Registered Address
Denmark

Third parties

  • {"country":"Denmark","full_name":"Frederiksberg Hospital","duties_or_roles":"sponsorDuties code 1","organisation_type":"Hospital/Clinic/Other health care facility"}

Investigational products

Investigational Product Name
Fluenz nasal spray suspension (Influenza vaccine, live attenuated, nasal)
Active Substance
INFLUENZA VIRUS B/AUSTRIA/1359417/2021 - LIKE STRAIN; INFLUENZA VIRUS A/VICTORIA/4897/2022 (H1N1)PDM09 - LIKE STRAIN; INFLUENZA VIRUS A/THAILAND/8/2022 (H3N2)-LIKE STRAIN
Modality
Vaccine
Routes Of Administration
NASAL SPRAY
Route
Intranasal (nasal spray)
Authorisation Status
Marketing authorisation EU/1/24/1816/002
Starting Dose
0.20 ml
Frequency
Single dose (1 spray in each nostril)
Maximum Dose
0.20 ml
Investigational Product Name
Vaxigrip suspension for injection in pre-filled syringe (Trivalent influenza vaccine, inactivated)
Active Substance
INFLUENZA VIRUS B/MICHIGAN/01/2021; INFLUENZA A/VICTORIA/4897/2022 IVR-238 (H1N1), INACTIVATED; INFLUENZA A VIRUS, A/CROATIA/10136RV/2023 (H3N2) LIKE STRAIN X-425A, INACTIVATED
Modality
Vaccine
Routes Of Administration
INTRAMUSCULAR
Route
Intramuscular
Authorisation Status
Marketing authorisation MA1560/00201
Starting Dose
0.50 ml
Frequency
Single dose
Maximum Dose
0.50 ml
Investigational Product Name
Fluenz Placebo
Modality
Other
Routes Of Administration
NASAL SPRAY
Route
Intranasal (nasal spray)
Authorisation Status
Placebo (not an authorised active medicinal product)
Starting Dose
0.20 ml
Frequency
Single dose (1 spray in each nostril)
Maximum Dose
0.20 ml
Investigational Product Name
NaCl (placebo for intramuscular injection)
Active Substance
NaCl
Modality
Other
Routes Of Administration
INTRAMUSCULAR INJECTION
Route
Intramuscular
Starting Dose
0.50 ml
Frequency
Single dose
Maximum Dose
0.50 ml
Combination Treatment
Yes

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