Influenza, HumanPhase 3NCT03927131
Safety and Immunogenicity of the Butantan Quadrivalent Influenza Vaccine
A Phase 3 study testing QIV-IB, TIVV-IB and TIVY-IB in people with Influenza, Human, run by Butantan Institute at 12 sites in Brazil.
Trial summary
Studies have shown that a broader spectrum influenza vaccine may help in reducing the influenza burden of disease. Butantan Institute is currently developing a quadrivalent influenza vaccine candidate. This study is will provide safety and immunogenicity data on this quadrivalent influenza vaccine candidate. Read more about this study
- Who is it for?
- Ages 3 years and olderHealthy volunteers can take part
- Conditions the study is for
- Influenza, Human
- What is being tested?
- QIV-IB, TIVV-IB and TIVY-IB
- Type of treatment
- Vaccines
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 5,822 participants
- Where
- 12 sitesBrazil
- Study dates
- 12 May 2021to 13 Mar 2024
- Phase
- Phase 3
- 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 3 years and older
- All sexes
- Healthy volunteers accepted
- Child, Adult, Older adult
Who may be able to join
- Male or female, age 3 years or older at the time of enrollment.
- Provide written informed consent
- Agrees to complete all study visits, procedures and contacts
- Women and adolescents of childbearing age: Negative pregnancy test with understanding (through informed consent process).
Who cannot join
- Chronic medical conditions such as psychiatric conditions, diabetes, hypertension or any other conditions that might place the subjects at high risk of adverse events. Study clinicians will use clinical judgment on a case-by-case basis to assess safety risks under this criterion.
- Clinically significant abnormalities on physical examination.
- Use of immunosuppressive medications such as systemic corticosteroids or chemotherapeutics, or immunosuppressive illness.
- Women who are pregnant or planning to become pregnant during the study period plus 3 months beyond the last vaccine dose and currently nursing women.
- Participation in research involving another investigational product within 30 days before planned date of first vaccination or anytime through the last study safety visit.
- Clinically significant abnormalities on basic laboratory screening tests.
Show all 13Show fewer
- Acute febrile illness (axillar temperature ≥ 37.8°C)
- Hypersensitivity to egg or chicken proteins or any of the vaccine constituents
- Thrombocytopenia or a bleeding disorder contraindicating intramuscular vaccination
- Unstable chronic illness (defined as illness requiring hospitalization or a clinically significant change in medication in the previous 12 weeks).
- Alcohol abuse of alcohol or drug addiction
- Any vaccination within the previous 4 weeks
- Seasonal influenza vaccination in the current year
Trial locations and contacts
12 sites in 1 country.
12 sites in 1 country
Brazil12 sites
Centro de Pesquisa e desenvolvimento de fármacos (Site BHZ01)
Belo Horizonte, Minas Gerais, 30750-140
Centro de Pesquisa Clínica Universidade Federal do Ceará - UFC (Site FOR01)
Fortaleza, Ceará, 60430-275
Núcleo de Pesquisa e Desenvolvimento de Medicamentos - NPDM - Universidade Federal do Ceará - UFC (Site FOR 01)
Fortaleza, Ceará, 60430-275
Centro de Pesquisas Clínicas da Universidade Federal de Sergipe (Site AJU01)
Laranjeiras, Sergipe, 49170-000
Centro de Pesquisa Clínica Hospital Escola da Universidade Federal de Pelotas (Site PET01)
Pelotas, Rio Grande do Sul, 96040-010
Centro de Pesquisa Clínica do Hospital São Lucas da PUCRS (Site POA01)
Porto Alegre, Rio Grande do Sul, 90619-900
Centro de Pesquisa Clínica Real Hospital Português de Beneficência em Pernambuco (Site REC01)
Recife, Pernambuco, 52010-902
Centro de Pesquisa Clínica Faculdade de Medicina de Ribeirão Preto da Universidade de São Paulo (FMRPUSP) (Site RAO01)
Ribeirão Preto, São Paulo, 14055-380
Centro de Pesquisa Clínica da Universidade Municipal de São Caetano do Sul (Site SCS01)
São Caetano do Sul, São Paulo, 09530-700
Centro de Pesquisa Clínica Fundação Faculdade Regional de Medicina de São José do Rio Preto (Site SJP01)
São José do Rio Preto, São Paulo, 15090-000
Centro de Pesquisas Clínicas do Instituto Central da FMUSP Unidade II (Site SAO01)
São Paulo, 05402-000
Centro de Pesquisa Clínica Serrana (Site RAO03)
Serrana, São Paulo, 14150-000
About this study
Official title: Double-blind, Randomized Clinical Trial With Active Controls to Assess Safety, Immunogenicity and Lot-to-lot Consistency of Inactivated Split-virion Quadrivalent Influenza Vaccine of Butantan Institute
Studies have shown that a broader spectrum influenza vaccine may help in reducing the influenza burden of disease. Butantan Institute is currently developing a quadrivalent influenza vaccine candidate. This study is will provide safety and immunogenicity data on this quadrivalent influenza vaccine candidate.
The study will be conducted in an open population of healthy participants (3 years old and above) recruited in different clinical sites in Brazil and will be adequately powered to assess safety, immune response (measured by GMT HI antibodies) to each viral strain in the vaccines and lot-to-lot consistency.
Read the detailed description
This is a double blinded, randomized active-control comparator study to assess the safety and immunogenicity of QIV-IB, the Butantan Institute quadrivalent influenza vaccine candidate. As active controls, two trivalent influenza vaccines with different Influenza B strains, one with influenza B/Victoria strain (TIVV-IB) and other with influenza B/Yamagata strain (TIVY-IB).
The study is designed to build a safety database of the quadrivalent influenza vaccine in adults to detect adverse events with a frequency of 1:1000 or higher and safety databases for elderly and pediatric age groups to detect adverse events with frequency of 1:100 or higher.
In terms of immune response, the study aims to demonstrate superiority of HI (Hemagglutinin inhibition) GMT (Geometric Mean Titer) of the QIV-IB for the Influenza B strain that is not present in each trivalent vaccine control. Regarding the Influenza A and B strains common to QIV-IB and both trivalent vaccine controls, the study aims to demonstrate non-inferiority on those strains.
Finally, a lot-to-lot consistency test will be performed in a sub-group of adult participants.
- Conditions
- Influenza, Human
- Being tested
- QIV-IB, TIVV-IB, TIVY-IB, QIV-IB Lot A, QIV-IB Lot B
- Keywords
- Vaccines
- Medical subject headings
- Influenza, Human
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
QIV-IBBiological
Inactivated split-virion quadrivalent influenza vaccine
TIVV-IBBiological
Inactivated split-virion trivalent Influenza Vaccine containing Influenza B virus - Victoria lineage
TIVY-IBBiological
Inactivated split-virion trivalent Influenza Vaccine containing Influenza B virus - Yamagata lineage
QIV-IB Lot ABiological
Inactivated split-virion quadrivalent influenza vaccine - Lot A
QIV-IB Lot BBiological
Inactivated split-virion quadrivalent influenza vaccine - Lot B
QIV-IB Lot CBiological
Inactivated split-virion quadrivalent influenza vaccine - Lot C
| Study group | Role | What they receive |
|---|---|---|
| QIV-IB | Experimental | Inactivated split-virion quadrivalent influenza vaccine Receives: Biological: QIV-IB |
| TIVV-IB | Active comparator | Inactivated split-virion trivalent Influenza Vaccine containing Influenza B virus - Victoria lineage Receives: Biological: TIVV-IB |
| TIVY-IB | Active comparator | Inactivated split-virion trivalent Influenza Vaccine containing Influenza B virus - Yamagata lineage Receives: Biological: TIVY-IB |
| QIV-IB Lot A | Experimental | Inactivated split-virion quadrivalent influenza vaccine - Lot A Receives: Biological: QIV-IB Lot A |
| QIV-IB Lot B | Experimental | Inactivated split-virion quadrivalent influenza vaccine - Lot B Receives: Biological: QIV-IB Lot B |
| QIV-IB Lot C | Experimental | Inactivated split-virion quadrivalent influenza vaccine - Lot C Receives: Biological: QIV-IB Lot C |
What is being measured
The primary outcome is the main question the study is designed to answer.
Safety through number of Adverse Events of QIV-IB, TIVV-IB, TIVY-IB per age group
Frequency and intensity of solicited and unsolicited adverse reactions
Measured: 07 days post-vaccination
Safety through number of Adverse Events of QIV-IB, TIVV-IB, TIVY-IB per age group
Frequency and intensity of unsolicited adverse reactions and adverse events of special interest
Measured: 42 days post-vaccination
Superiority for influenza B/Victoria strain
HI GMT ratio for Influenza B/Victoria strains between QIV-IB and TIVY-IB
Measured: 21 days post-vaccination
Superiority for influenza B/Yamagata strain
HI GMT ratio for Influenza B/Yamagata strains between QIV-IB and TIVV-IB
Measured: 21 days post-vaccination
Non-inferiority for common influenza strains between QIV-IB, TIVV-IB and TIVY-IB
HI GMT ratios for Influenza strains between QIV-IB, TIVV-IB and TIVY-IB
Measured: 21 days post-vaccination
Lot-to-lot consistency for immune response to different lots of QIV-IB
HI GMT ratios for Influenza among QIV-IB strains towards among of different lots (A, B and C)
Measured: 21 days post-vaccination
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted25 Apr 2019
- Study start12 May 2021
- Primary completion13 Oct 2023
- Study completion13 Mar 2024
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Influenza, HumanStudies 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 3
- Primary purpose
- Prevention
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind
- Who is masked
- Participant, Care provider, Investigator, Outcomes assessor
- Enrolment
- 5,822 participants (actual)
Sponsor and investigators
- Lead sponsor
- Butantan Institute
- Sponsor type
- Other government
- Collaborators
- Butantan Foundation
- Responsible party
- Sponsor
- Investigators
- Fernanda Castro Boulos, MD, Study director, Instituto Butantan
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT03927131
- Sponsor's protocol ID
- FLQ-01-IB
- Status last verified
- Feb 2025
- First submitted
- 23 Apr 2019
- Last updated
- 21 Feb 2025
- Results posted
- No
- Data monitoring committee
- Yes
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- No
Study at a glance
From the registry record, last updated by the sponsor on 21 Feb 2025. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Double-blind, Randomized Clinical Trial With Active Controls to Assess Safety, Immunogenicity and Lot-to-lot Consistency of Inactivated Split-virion Quadrivalent Influenza Vaccine of Butantan Institute
- ClinicalTrials.gov ID
- NCT03927131
- Acronym / sponsor ID
- FLQ-01-IB
- Conditions
- Influenza, Human
- Keywords
- Vaccines
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 5,822 participants (actual)
- Lead sponsor
- Butantan InstituteOther government
- Collaborators
- Butantan Foundation
- Study start
- 12 May 2021 (actual)
- Primary completion
- 13 Oct 2023 (actual)
- Study completion
- 13 Mar 2024 (actual)
- First posted
- 25 Apr 2019 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
Studies have shown that a broader spectrum influenza vaccine may help in reducing the influenza burden of disease. Butantan Institute is currently developing a quadrivalent influenza vaccine candidate. This study is will provide safety and immunogenicity data on this quadrivalent influenza vaccine candidate.
The study will be conducted in an open population of healthy participants (3 years old and above) recruited in different clinical sites in Brazil and will be adequately powered to assess safety, immune response (measured by GMT HI antibodies) to each viral strain in the vaccines and lot-to-lot consistency.
Detailed description
This is a double blinded, randomized active-control comparator study to assess the safety and immunogenicity of QIV-IB, the Butantan Institute quadrivalent influenza vaccine candidate. As active controls, two trivalent influenza vaccines with different Influenza B strains, one with influenza B/Victoria strain (TIVV-IB) and other with influenza B/Yamagata strain (TIVY-IB).
The study is designed to build a safety database of the quadrivalent influenza vaccine in adults to detect adverse events with a frequency of 1:1000 or higher and safety databases for elderly and pediatric age groups to detect adverse events with frequency of 1:100 or higher.
In terms of immune response, the study aims to demonstrate superiority of HI (Hemagglutinin inhibition) GMT (Geometric Mean Titer) of the QIV-IB for the Influenza B strain that is not present in each trivalent vaccine control. Regarding the Influenza A and B strains common to QIV-IB and both trivalent vaccine controls, the study aims to demonstrate non-inferiority on those strains.
Finally, a lot-to-lot consistency test will be performed in a sub-group of adult participants.
Study design
- Primary purpose
- Prevention
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind (participant, care provider, investigator, outcomes assessor)
- Number of arms
- 6
| Arm | Type | Receives |
|---|---|---|
| QIV-IB | Experimental | Biological: QIV-IBInactivated split-virion quadrivalent influenza vaccine |
| TIVV-IB | Active comparator | Biological: TIVV-IBInactivated split-virion trivalent Influenza Vaccine containing Influenza B virus - Victoria lineage |
| TIVY-IB | Active comparator | Biological: TIVY-IBInactivated split-virion trivalent Influenza Vaccine containing Influenza B virus - Yamagata lineage |
| QIV-IB Lot A | Experimental | Biological: QIV-IB Lot AInactivated split-virion quadrivalent influenza vaccine - Lot A |
| QIV-IB Lot B | Experimental | Biological: QIV-IB Lot BInactivated split-virion quadrivalent influenza vaccine - Lot B |
| QIV-IB Lot C | Experimental | Biological: QIV-IB Lot CInactivated split-virion quadrivalent influenza vaccine - Lot C |
Who may qualify
- Ages
- 3 years and older
- Sex
- All
- Healthy volunteers
- Accepted
- Age groups
- Child, Adult, Older adult
Key inclusion criteria (4 listed)
- Male or female, age 3 years or older at the time of enrollment.
- Provide written informed consent
- Agrees to complete all study visits, procedures and contacts
- Women and adolescents of childbearing age: Negative pregnancy test with understanding (through informed consent process).
Key exclusion criteria (13 listed)
- Chronic medical conditions such as psychiatric conditions, diabetes, hypertension or any other conditions that might place the subjects at high risk of adverse events. Study clinicians will use clinical judgment on a case-by-case basis to assess safety risks under this criterion.
- Clinically significant abnormalities on physical examination.
- Use of immunosuppressive medications such as systemic corticosteroids or chemotherapeutics, or immunosuppressive illness.
- Women who are pregnant or planning to become pregnant during the study period plus 3 months beyond the last vaccine dose and currently nursing women.
- Participation in research involving another investigational product within 30 days before planned date of first vaccination or anytime through the last study safety visit.
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 |
|---|---|---|
| QIV-IBInactivated split-virion quadrivalent influenza vaccine | Biological | QIV-IB |
| TIVV-IBInactivated split-virion trivalent Influenza Vaccine containing Influenza B virus - Victoria lineage | Biological | TIVV-IB |
| TIVY-IBInactivated split-virion trivalent Influenza Vaccine containing Influenza B virus - Yamagata lineage | Biological | TIVY-IB |
| QIV-IB Lot AInactivated split-virion quadrivalent influenza vaccine - Lot A | Biological | QIV-IB Lot A |
| QIV-IB Lot BInactivated split-virion quadrivalent influenza vaccine - Lot B | Biological | QIV-IB Lot B |
| QIV-IB Lot CInactivated split-virion quadrivalent influenza vaccine - Lot C | Biological | QIV-IB Lot C |
Primary outcome
Safety through number of Adverse Events of QIV-IB, TIVV-IB, TIVY-IB per age group
Time frame: 07 days post-vaccination
Frequency and intensity of solicited and unsolicited adverse reactions
Safety through number of Adverse Events of QIV-IB, TIVV-IB, TIVY-IB per age group
Time frame: 42 days post-vaccination
Frequency and intensity of unsolicited adverse reactions and adverse events of special interest
Superiority for influenza B/Victoria strain
Time frame: 21 days post-vaccination
HI GMT ratio for Influenza B/Victoria strains between QIV-IB and TIVY-IB
Superiority for influenza B/Yamagata strain
Time frame: 21 days post-vaccination
HI GMT ratio for Influenza B/Yamagata strains between QIV-IB and TIVV-IB
Non-inferiority for common influenza strains between QIV-IB, TIVV-IB and TIVY-IB
Time frame: 21 days post-vaccination
HI GMT ratios for Influenza strains between QIV-IB, TIVV-IB and TIVY-IB
Lot-to-lot consistency for immune response to different lots of QIV-IB
Time frame: 21 days post-vaccination
HI GMT ratios for Influenza among QIV-IB strains towards among of different lots (A, B and C)
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 21 Feb 2025.
- Individual participant dataSharing planned: No
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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.
Fernanda Castro Boulos, MD study director
Instituto Butantan
12 sites in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing QIV-IB, TIVV-IB and TIVY-IB in people with Influenza, Human, run by Butantan Institute at 12 sites in Brazil.
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 4 inclusion and 13 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 21 Feb 2025. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 12 sites in Brazil. 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. 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 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.
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?
Safety through number of Adverse Events of QIV-IB, TIVV-IB, TIVY-IB per age group (time frame: 07 days post-vaccination). The study lists 6 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
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 21 Feb 2025.