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Safety Markers of Adjuvanted Influenza VaccinePhase 4NCT02523287

Placebo Controlled Study to Generate Data Characterising Clinical Events, Physiological Responses and Immune Responses

A Phase 4 study testing Fluad and Saline in people with Safety Markers of Adjuvanted Influenza Vaccine, run by University Hospital, Ghent at 1 site in Belgium.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

The purpose of this protocol is to generate a set of data that will be analysed by integrated systems biology approach, for validation in subsequent clinical trials or in animal models. Read more about this study

Who is it for?
Ages 18 to 45 yearsHealthy volunteers can take part
What is being tested?
Fluad and Saline
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
240 participants
Where
1 siteBelgium
Study dates
2 Oct 2014to 1 Aug 2016
Phase
Phase 4
Are there results?
None posted in the registry

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 45 years
  • All sexes
  • Healthy volunteers accepted
  • Adult

Who may be able to join

  • Healthy male or female subjects aged 18-45 years inclusive.
  • Male: Female ratio - Screening will ensure that no more than 2/3 of the population should be of either male or female
  • The subject is, in the opinion of the investigator: healthy based on medical history and clinical exam, with no active disease process that could interfere with the study endpoints.
  • Has a body Mass Index ≥18 and ≤30
  • Is able to read and understand the Informed Consent Form (ICF), and understand study procedures.
  • The subject has signed the ICF.
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  • The subject is available for follow-up for the duration of the study.
  • The subject agrees to abstain from donating blood during their participation in the study, or longer if necessary.
  • If the subject is a heterosexually active female, she is willing to use an effective method of contraception with partner (oral contraceptive pill; intrauterine device; injectable or implanted contraceptive; condoms incorporating spermicide if using these; physiological or anatomical sterility) from 30 days prior to, and 3 months after, vaccination. Willing to undergo urine pregnancy tests prior to vaccination at screening.
  • The subject has venous access sufficient to allow blood sampling as per the protocol.

Who cannot join

  • Pregnant or lactating at any point during the study from screening to final follow up.
  • Hypersensitivity to the active components of FLUAD, any of the excipients, eggs, chicken proteins, kanamycin and neomycin sulphate, formaldehyde, and cetyltrimetholammonium bromide or those who have had a previous life-threatening reaction to previous influenza vaccinations.
  • Presence of primary or acquired immunodeficiency states with a total lymphocyte count less than 1,200 per mm3 or presenting other evidence of lack of cellular immune competence e.g. leukaemias, lymphomas, blood dyscrasias, or patients receiving immunosuppressive therapy (including regular use of oral or parenteral corticosteroids).
  • Use of any immune suppressing or immunomodulating drugs within 6 months of Visit 1.
  • Regular use of non-steroidal anti-inflammatory drugs (oral or parenteral route) within 6 months of Visit 1 considered by the study physician as likely to interfere with immune responses.
  • Current intake of excessive amounts of alcohol and/or caffeine (as evaluated by the investigator) and not willing to adapt this use during the study period.
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  • Currently performing extreme physical activities (as evaluated by the investigator) and not willing to adapt this use during the study period.
  • Receipt of a vaccine within 30 days of visit 1, or requirement to receive another vaccine within the study period.
  • Vaccination with the 2014/2015 seasonal influenza vaccine and/or any other seasonal influenza vaccine within the last 6 months before the first study visit.
  • Presence of an acute severe febrile illness at time of immunisation.
  • History of alcohol, narcotic, benzodiazepine, rilatine, or other substance abuse or dependence within the 12 months preceding Visit 1.
  • Currently participating in another clinical study with an investigational or non-investigational drug or device, or has participated in a clinical trial within the 3 months preceding Visit 1.
  • Any condition that, in the investigator's opinion, compromises the subject's ability to meet protocol requirements or to complete the study.
  • Receipt of blood products or immunoglobin, or blood donation, within 3 months of screening.
  • Unable to read and speak Dutch or English to a fluency level adequate for the full comprehension of procedures required in participation and consent.

Trial locations and contacts

1 site in 1 country.

Belgium1 site
  • Center for Vaccinology

    Ghent, East-Flanders, 9000

Other trials in Belgium

About this study

Official title: Clinical Study to Generate a Set of Data Characterising Clinical Events, Physiological Responses, and Innate and Adaptive Immune Responses Following a Single IM Immunisation With Fluad Seasonal Influenza Vaccine or Placebo in Healthy Adults

The purpose of this protocol is to generate a set of data that will be analysed by integrated systems biology approach, for validation in subsequent clinical trials or in animal models.

240 healthy participants (18-45y) will be enrolled, 228 will be administered a dose of Fluad on Day 0, 12 will receive a placebo on Day 0.

Read the detailed description

This study is part of the BIOVACSAFE project, a 5-year project funded by the Innovative Medicine Initiative, which will undertake a series of correlated clinical studies that will apply and develop technologies to generate clinical data on inflammation with licensed vaccines as benchmarks, and identify biomarkers to predict acceptable reactogenicity, for correlation with standardized clinical readouts and inflammatory markers assessed in natural infections.

The purpose of this protocol is to generate a set of data that will be analysed by integrated systems biology approach, for validation in subsequent clinical trials or in animal models. The dataset will broadly characterise:

  1. Physiological responses at various time points after immunisation by measuring:
  2. Local and systemic vaccine-related clinical events.
  3. Physiological assessments: heart rate, temperature, blood pressure.
  4. Haematology (blood counts and ESR), biochemistry parameters.
  5. Metabolic, innate and adaptive immune responses including:
  6. Innate immune activation detected by global gene expression in whole blood
  7. Metabolic responses detected by metabolic gene expression and pathway activation in whole blood
  8. Adaptive immunity determined by:
  9. Humoral immune response via serum anti-influenza HAI titre ii. Cellular immune response via enumeration of HA-specific CD4+ T cells expressing activation markers and/or cytokines following in vitro stimulation and analysis by flow cytometry.
  10. Innate and adaptive immune activation detected by gene pathway activation in whole blood
  11. Immune activation detected by concentration of selected inflammatory soluble mediators in serum including:
  12. chemokines and cytokines ii. acute phase proteins
  13. Genetic testing of subjects when deemed necessary (genetic testing analysis may be SNIP analysis or full genome analysis).
  14. Correlations in changes in innate and adaptive immune activation and metabolism with adverse events, haematology and biochemistry panels, genotype and physiological assessments

The investigators will biobank all samples for the duration of the BIOVACSAFE programme so that the investigators can selectively analyse different samples and different time points depending on the results generated, principally from the gene expression analysis of whole blood.

Being tested
Fluad, Saline

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • FluadBiological

    Randomized assignment

  • SalineBiological

    Randomized assignment

Study groups in NCT02523287
Study groupRoleWhat they receive
Fluad - 5 study visits (114 subjects)Active comparator0,5 ml adjuvanted, subunit seasonal trivalent influenza vaccine (2014-2015). Administration: Intramuscular, deltoid. 5 out-patient visits: Day 0 (blood sampling, vaccination), Day 1 (blood sampling), Day 3 (blood sampling), Day 7 (blood sampling), Day 21 (blood sampling).
Receives: Biological: Fluad
Fluad - 3 study visits (114 subjects)Active comparator0,5 ml adjuvanted, subunit seasonal trivalent influenza vaccine (2014-2015). Administration: Intramuscular, deltoid. 3 out-patient visits: Day 0 (blood sampling, vaccination), Day 1 (blood sampling), Day 7 (blood sampling). On day 21 there's a phone call for safety follow-up.
Receives: Biological: Fluad
Saline - 5 study visits (6 subjects)Placebo comparator0,5 ml saline. Administration: Intramuscular, deltoid. 5 out-patient visits: Day 0 (blood sampling, vaccination), Day 1 (blood sampling), Day 3 (blood sampling), Day 7 (blood sampling), Day 21 (blood sampling).
Receives: Biological: Saline
Saline - 3 study visits (6 subjects)Placebo comparator0,5 ml saline. Administration: Intramuscular, deltoid. 3 out-patient visits: Day 0 (blood sampling, vaccination), Day 1 (blood sampling), Day 7 (blood sampling). On day 21 there's a phone call for safety follow-up.
Receives: Biological: Saline

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Frequency of local and systemic vaccine-related clinical events.

    Measured: At all time points from vaccination up to 28 days after vaccination

  2. Change from pre-immunisation baseline values in pulse.

    Measured: At all time points from time of vaccination up to 28 days after vaccination

  3. Change from pre-immunisation baseline values in haematology (blood counts and ESR) parameters.

    Measured: At selected time points from time of vaccination up to 28 days after vaccination

  4. Change from pre-immunisation baseline values in global gene expression measured on whole blood samples.

    Measured: At selected time points from time of vaccination up to 28 days after vaccination

  5. Change from pre-immunisation baseline values in metabolic gene expression and pathway activation measured on whole blood samples.

    Measured: At selected time points from time of vaccination up to 28 days after vaccination

  6. Change from pre-immunisation baseline values in serum HAI titre in serum samples.

    Measured: At selected time points from time of vaccination up to 28 days after vaccination

  7. Change from pre-immunisation values of adaptive cellular immune response via enumeration of HA-specific CD4+ T cells expressing activation markers and/or cytokines following in vitro stimulation and analysis by flow cytometry

    Measured: At 7 days after vaccination

  8. Change from pre-immunisation baseline values in concentration of selected cytokines and acute phase proteins in serum samples

    Measured: At selected time points from time of vaccination up to 28 days after vaccination

  9. Change from pre-immunisation baseline values in PBMC cytokine secretion, proliferation or surface markers in response to in vitro antigen stimulation.

    Measured: At selected time points from time of vaccination up to 28 days after vaccination

  10. Genetic testing of subject (only when deemed necessary: may be SNIP analysis or full genome analysis)

    Measured: Up to 2 years after vaccination

  11. Change from pre-immunisation baseline values in body temperature.

    Measured: At all time points from time of vaccination up to 28 days after vaccination

  12. Change from pre-immunisation baseline values in blood pressure.

    Measured: At all time points from time of vaccination up to 28 days after vaccination

  13. Change from pre-immunisation baseline values in creatinin

    Measured: At selected time points from time of vaccination up to 28 days after vaccination

  14. Change from pre-immunisation baseline values in CRP

    Measured: At selected time points from time of vaccination up to 28 days after vaccination

  15. Change from pre-immunisation baseline values in AST/ALT

    Measured: At selected time points from time of vaccination up to 28 days after vaccination

  16. Change from pre-immunisation baseline values in albumin

    Measured: At selected time points from time of vaccination up to 28 days after vaccination

  17. Change from pre-immunisation baseline values in eGFR

    Measured: At selected time points from time of vaccination up to 28 days after vaccination

  18. Change from pre-immunisation baseline values in GGT

    Measured: At selected time points from time of vaccination up to 28 days after vaccination

  19. Change from pre-immunisation baseline values in total protein

    Measured: At selected time points from time of vaccination up to 28 days after vaccination

  20. Change from pre-immunisation baseline values in total prothrombin/fibrinogen

    Measured: At selected time points from time of vaccination up to 28 days after vaccination

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted14 Aug 2015 (estimated)
  2. Study start2 Oct 2014
  3. Primary completion1 Aug 2016
  4. Study completion1 Aug 2016

Resources

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 4
Primary purpose
Basic science
Allocation
Randomised
Intervention model
Parallel groups
Masking
Triple blind
Who is masked
Participant, Care provider, Investigator
Enrolment
240 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02523287
Sponsor's protocol ID
BioVacSafe - Fluad
Status last verified
Dec 2022
First submitted
24 Jun 2015
Last updated
20 Dec 2022
Results posted
No
Data monitoring committee
No

Publications

  • Muturi-Kioi V, Lewis D, Launay O, Leroux-Roels G, Anemona A, Loulergue P, Bodinham CL, Aerssens A, Groth N, Saul A, Podda A. Neutropenia as an Adverse Event following Vaccination: Results from Randomized Clinical Trials in Healthy Adults and Systematic Review. PLoS One. 2016 Aug 4;11(8):e0157385. doi: 10.1371/journal.pone.0157385. eCollection 2016.

    PubMed 27490698

Questions about this trial

What is this clinical trial studying?

A Phase 4 study testing Fluad and Saline in people with Safety Markers of Adjuvanted Influenza Vaccine, run by University Hospital, Ghent at 1 site in Belgium.

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 10 inclusion and 15 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 20 Dec 2022. 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 Belgium. 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 4 studies take place after a treatment is approved, to learn more about its long-term benefits and risks in everyday use.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

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?

Frequency of local and systemic vaccine-related clinical events. (time frame: At all time points from vaccination up to 28 days after vaccination). The study lists 20 primary outcomes in all. 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 NCT02523287, which also lists 1 linked publication.

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 20 Dec 2022; AzTrials last refreshed its copy on 30 Oct 2026.

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