InfluenzaPhase 1NCT01719783
Reactogenicity, Safety, and Immunogenicity of a Live Monovalent H5N2 Influenza Vaccine
A Phase 1 study testing LAIV H5N2 in people with Influenza, run by PATH at 1 site in Russia.
Trial summary
To evaluate the safety profile of two intranasal doses of LAIV A/17/turkey/Turkey/05/133 (H5N2) in healthy adults. Read more about this study
- Who is it for?
- Ages 18 to 49 yearsHealthy volunteers can take part
- Conditions the study is for
- Influenza
- What is being tested?
- LAIV H5N2
- Type of treatment
- Vaccines
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 40 participants
- Where
- 1 siteRussia
- Study dates
- Sep 2012to Jan 2013
- Phase
- Phase 1
- Are there results?
- Yes, posted in the registrySummary in the doctors' view
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 to 49 years
- All sexes
- Healthy volunteers accepted
- Adult
Who may be able to join
- Legal male or female adult 18 through 49 years of age at the enrollment visit.
- Literate and willing to provide written informed consent.
- Free of obvious health problems, as established by the medical history and screening evaluations, including physical examination.
- Capable and willing to complete diary cards and willing to return for all follow-up visits
- Willing to comply with the rules of the isolation unit (including willing and able to take oseltamivir influenza antiviral medication, should that be recommended by a study physician).
- For females, willing to take reliable birth control measures throughout the entire period of participation in the study.
Who cannot join
- Participation in another clinical trial involving any therapy within the previous three months or planned enrollment in such a trial during the period of this study.
- Receipt of any non-study vaccine within four weeks prior to enrollment or refusal to postpone receipt of such vaccines until four weeks after study completion.
- Practice of nasal irrigation on a regular basis within the past six months or has engaged in nasal irrigation within two weeks prior to enrollment.
- Recent history of frequent nose bleeds (>5 within the past year).
- Clinically relevant abnormal paranasal anatomy.
- Recent history (within the past month) of rhino or sinus surgery, or surgery for any traumatic injury of the nose.
Show all 28Show fewer
- Current or recent (within two weeks of enrollment) acute respiratory illness with or without fever.
- Other acute illness at the time of study enrollment.
- Receipt of immune globulin or other blood products within three months prior to study enrollment or planned receipt of such products during the period of subject participation in the study.
- Chronic administration (defined as more than 14 consecutively-prescribed days) of immunosuppressants or other immune-modulating therapy within six months prior to study enrollment. (For corticosteroids, this means prednisone or equivalent, 0.5 mg per kg per day; topical steroids are allowed, exclusive of nasal.)
- Participation in any previous trial of any H5 or H7 containing influenza vaccine.
- History of asthma.
- Hypersensitivity after previous administration of any influenza vaccine.
- History of wheezing after past receipt of any live influenza vaccine.
- Other adverse event (AE) following immunization, at least possibly related to previous receipt of any influenza vaccine.
- Suspected or known hypersensitivity to any of the study vaccine components, including chicken or egg protein.
- Seasonal (autumnal) hypersensitivity to the natural environment.
- Acute or chronic clinically significant pulmonary, cardiovascular, hepatic, metabolic, neurologic, psychiatric or renal functional abnormality, as determined by medical history, physical examination or clinical laboratory screening tests, which in the opinion of the investigator, might interfere with the study objectives. Subjects with physical examination findings or clinical laboratory screening results which would be graded 2 or higher on the AE severity grading scale (see Attachments) will be excluded from entry into the study and will be excluded from receipt of dose two of study vaccine or placebo.
- History of leukemia or any other blood or solid organ cancer.
- History of thrombocytopenic purpura or known bleeding disorder.
- History of seizures.
- Known or suspected immunosuppressive or immunodeficient condition of any kind, including HIV infection.
- Known chronic hepatitis B (HBV) or hepatitis C (HCV) infection.
- Known tuberculosis infection or evidence of previous tuberculosis exposure.
- History of chronic alcohol abuse and/or illegal drug use.
- Claustrophobia or sociophobia.
- Pregnancy or lactation. (A negative pregnancy test will be required before administration of study vaccine or placebo for all women of childbearing potential.)
- Any condition that, in the opinion of the investigator, would increase the health risk to the subject if he/she participates in the study or would interfere with the evaluation of the study objectives
Trial locations and contacts
1 site in 1 country.
About this study
Official title: Reactogenicity, Safety and Immunogenicity of a Live Monovalent A/17/Turkey/Turkey/05/133 (H5N2) Influenza Vaccine
To evaluate the safety profile of two intranasal doses of LAIV A/17/turkey/Turkey/05/133 (H5N2) in healthy adults.
- Conditions
- Influenza
- Being tested
- LAIV H5N2, Placebo
- Keywords
- influenza, vaccine, pandemic
- Medical subject headings
- Influenza, Human
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
LAIV H5N2Biological
Also called A/17/turkey/Turkey/05/133(H5N2)live influenza vaccine
2 doses provided intranasally
PlaceboOther
2 doses of placebo provided intranasally
| Study group | Role | What they receive |
|---|---|---|
| LAIV H5N2 | Experimental | Two doses of live monovalent influenza vaccine A/17/turkey/Turkey/05/133 ( live monovalent (LAIV H5N2) given intranasally Receives: Biological: LAIV H5N2 |
| Placebo | Placebo comparator | two doses of placebo solution intranasal Receives: Other: Placebo |
What is being measured
The primary outcome is the main question the study is designed to answer.
Adverse Events by Severity
Occurrence of participants with adverse events associated with intranasal administration, by worst grade of severity
Measured: 6 days
Secondary outcomes (10)
Number/Percentage of Subjects With Seroconversion for Serum Hemagglutination Inhibition (HAI)
Defined as a four-fold or greater antibody rise in titer from pre-vaccination level.
HAI = hemagglutination-inhibition, conducted using World Health Organization (WHO)-recommended protocols.
Measured: 28 days (Dose 1) and 56 days (Dose 2)
Number/Percentage of Subjects With Serum Neutralizing Antibodies
Defined as a four-fold or greater antibody rise in titer from pre-vaccination level.
Measured by microneutralization assay in Madin-Darby canine kidney cells (MDCK).
Measured: 28 days (Dose 1) and 56 days (Dose 2)
Number/Percentage of Subjects With Seroconversion for Serum Immunoglobulin A (IgA)
IgA = immunoglobulin class A antibodies Determined using ELISA using whole purified H5N2
Measured: 28 days (Dose 1) and 56 days (Dose 2)
Number/Percentage of Subjects With Seroconversion for Serum Immunoglobulin G (IgG)
Determined using ELISA using whole purified H5N2.
Measured: 28 days (Dose 1) and 56 days (Dose 2)
Number/Percentage of Subjects With Seroconversion for Secretory IgA
IgA antibodies from the nasal mucosa detected in nasal wick specimens. Determined using ELISA using whole purified H5N2
Measured: 28 days (Dose 1) and 56 days (Dose 2)
Number/Percentage of Subjects With Seroconversion for IgA in Saliva
IgA = Immunoglobulin Class A antibodies. Determined using ELISA using whole purified H5N2.
Measured: 28 days (Dose 1) and 56 days (Dose 2)
Number/Percentage of Vaccinated Participants Shedding Influenza Virus After First Dose
Nasal swabs were collected and used for Reverse transcription polymerase chain reaction (rRTPCR) assays to detect shedding of influenza virus for days 1-6 of the study.
Measured: 6 days post-vaccination
Number/Percentage of Vaccinated Participants Shedding Influenza Virus After Second Dose
Nasal swabs were collected and used for Reverse transcription polymerase chain reaction (rRTPCR) assays to detect shedding of influenza virus for days 29-34 of the study (6 days after the second vaccination).
Measured: 6 days post-vaccination
Geometric Mean Titers for Serum HAI Antibodies
Geometric mean titers for serum hemagglutination inhibition antibodies
Measured: 0 days, 28 days (Dose 1) and 56 days (Dose 2)
Geometric Mean Titers (GMT) for Serum Neutralizing Antibodies
Geometric mean titers for serum neutralizing antibodies measured by microneutralization assay
Measured: 0 days, 28 days (Dose 1) and 56 days (Dose 2)
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted1 Nov 2012 (estimated)
- Study startSep 2012
- Primary completionJan 2013
- Study completionJan 2013
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Posted resultsParticipant flow, outcome measures and adverse events reported by the sponsor.
- Publications (2)Papers the sponsor has linked to this study.
- Other trials for InfluenzaStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 1
- Primary purpose
- Prevention
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind
- Who is masked
- Participant, Care provider, Investigator, Outcomes assessor
- Enrolment
- 40 participants (actual)
Sponsor and investigators
- Lead sponsor
- PATH
- Sponsor type
- University, hospital or other
- Collaborators
- Microgen, Institute of Experimental Medicine, Russia
- Responsible party
- Sponsor
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT01719783
- Sponsor's protocol ID
- LAIV-H5N2-01
- Status last verified
- Nov 2018
- First submitted
- 26 Oct 2012
- Last updated
- 28 Nov 2018
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- Yes
Publications
Kiseleva I, Dubrovina I, Fedorova E, Larionova N, Isakova-Sivak I, Bazhenova E, Pisareva M, Kuznetsova V, Flores J, Rudenko L. Genetic stability of live attenuated vaccines against potentially pandemic influenza viruses. Vaccine. 2015 Dec 8;33(49):7008-14. doi: 10.1016/j.vaccine.2015.09.050. Epub 2015 Oct 2.
PubMed 26432909Rudenko L, Kiseleva I, Stukova M, Erofeeva M, Naykhin A, Donina S, Larionova N, Pisareva M, Krivitskaya V, Flores J; Russian LAIV Trial Study Group. Clinical testing of pre-pandemic live attenuated A/H5N2 influenza candidate vaccine in adult volunteers: results from a placebo-controlled, randomized double-blind phase I study. Vaccine. 2015 Sep 22;33(39):5110-7. doi: 10.1016/j.vaccine.2015.08.019. Epub 2015 Aug 19.
PubMed 26296497
Study at a glance
From the registry record, last updated by the sponsor on 28 Nov 2018. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Reactogenicity, Safety and Immunogenicity of a Live Monovalent A/17/Turkey/Turkey/05/133 (H5N2) Influenza Vaccine
- ClinicalTrials.gov ID
- NCT01719783
- Acronym / sponsor ID
- LAIV-H5N2-01
- Conditions
- Influenza
- Keywords
- influenza, vaccine, pandemic
- Phase
- Phase 1
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 40 participants (actual)
- Lead sponsor
- PATHUniversity, hospital or other
- Collaborators
- Microgen, Institute of Experimental Medicine, Russia
- Study start
- Sep 2012
- Primary completion
- Jan 2013 (actual)
- Study completion
- Jan 2013 (actual)
- First posted
- 1 Nov 2012 (estimated)
- Results
- Posted 28 Nov 2018
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
To evaluate the safety profile of two intranasal doses of LAIV A/17/turkey/Turkey/05/133 (H5N2) in healthy adults.
Study design
- Primary purpose
- Prevention
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind (participant, care provider, investigator, outcomes assessor)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| LAIV H5N2 | Experimental | Biological: LAIV H5N2Two doses of live monovalent influenza vaccine A/17/turkey/Turkey/05/133 ( live monovalent (LAIV H5N2) given intranasally |
| Placebo | Placebo comparator | Other: Placebotwo doses of placebo solution intranasal |
Who may qualify
- Ages
- 18 to 49 years
- Sex
- All
- Healthy volunteers
- Accepted
- Age groups
- Adult
Key inclusion criteria (6 listed)
- Legal male or female adult 18 through 49 years of age at the enrollment visit.
- Literate and willing to provide written informed consent.
- Free of obvious health problems, as established by the medical history and screening evaluations, including physical examination.
- Capable and willing to complete diary cards and willing to return for all follow-up visits
- Willing to comply with the rules of the isolation unit (including willing and able to take oseltamivir influenza antiviral medication, should that be recommended by a study physician).
Key exclusion criteria (28 listed)
- Participation in another clinical trial involving any therapy within the previous three months or planned enrollment in such a trial during the period of this study.
- Receipt of any non-study vaccine within four weeks prior to enrollment or refusal to postpone receipt of such vaccines until four weeks after study completion.
- Practice of nasal irrigation on a regular basis within the past six months or has engaged in nasal irrigation within two weeks prior to enrollment.
- Recent history of frequent nose bleeds (>5 within the past year).
- Clinically relevant abnormal paranasal anatomy.
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| LAIV H5N2Also: A/17/turkey/Turkey/05/133(H5N2)live influenza vaccine2 doses provided intranasally | Biological | LAIV H5N2 |
| Placebo2 doses of placebo provided intranasally | Other | Placebo |
Primary outcome
Adverse Events by Severity
Time frame: 6 days
Occurrence of participants with adverse events associated with intranasal administration, by worst grade of severity
10 secondary outcomes
Number/Percentage of Subjects With Seroconversion for Serum Hemagglutination Inhibition (HAI)
Time frame: 28 days (Dose 1) and 56 days (Dose 2)
Number/Percentage of Subjects With Serum Neutralizing Antibodies
Time frame: 28 days (Dose 1) and 56 days (Dose 2)
Number/Percentage of Subjects With Seroconversion for Serum Immunoglobulin A (IgA)
Time frame: 28 days (Dose 1) and 56 days (Dose 2)
Number/Percentage of Subjects With Seroconversion for Serum Immunoglobulin G (IgG)
Time frame: 28 days (Dose 1) and 56 days (Dose 2)
Number/Percentage of Subjects With Seroconversion for Secretory IgA
Time frame: 28 days (Dose 1) and 56 days (Dose 2)
Number/Percentage of Subjects With Seroconversion for IgA in Saliva
Time frame: 28 days (Dose 1) and 56 days (Dose 2)
Number/Percentage of Vaccinated Participants Shedding Influenza Virus After First Dose
Time frame: 6 days post-vaccination
Number/Percentage of Vaccinated Participants Shedding Influenza Virus After Second Dose
Time frame: 6 days post-vaccination
Geometric Mean Titers for Serum HAI Antibodies
Time frame: 0 days, 28 days (Dose 1) and 56 days (Dose 2)
Geometric Mean Titers (GMT) for Serum Neutralizing Antibodies
Time frame: 0 days, 28 days (Dose 1) and 56 days (Dose 2)
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 28 Nov 2018.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Derived from this study: PubMed 26432909Kiseleva I, Dubrovina I, Fedorova E, Larionova N, Isakova-Sivak I, Bazhenova E, Pisareva M, Kuznetsova V, Flores J, Rudenko L. Genetic stability of live attenuated vaccines against potentially pandemic influenza viruses. Vaccine. 2015 Dec 8;33(49):7008-14. doi: 10.1016/j.vaccine.2015.09.050. Epub 2015 Oct 2.
- Derived from this study: PubMed 26296497Rudenko L, Kiseleva I, Stukova M, Erofeeva M, Naykhin A, Donina S, Larionova N, Pisareva M, Krivitskaya V, Flores J; Russian LAIV Trial Study Group. Clinical testing of pre-pandemic live attenuated A/H5N2 influenza candidate vaccine in adult volunteers: results from a placebo-controlled, randomized double-blind phase I study. Vaccine. 2015 Sep 22;33(39):5110-7. doi: 10.1016/j.vaccine.2015.08.019. Epub 2015 Aug 19.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
The record lists no contact. Use the official record to reach the sponsor.
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 1 study testing LAIV H5N2 in people with Influenza, run by PATH at 1 site in Russia.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 6 inclusion and 28 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 28 Nov 2018. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in Russia. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this phase mean?
Phase 1 studies test a treatment in a small group of people for the first time or in a new way, mainly to check safety and find the right dose.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
Yes. Results are posted in the registry (first posted 28 Nov 2018). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Adverse Events by Severity (time frame: 6 days). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT01719783, which also lists 2 linked publications.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 28 Nov 2018.