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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