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Influenza APhase 1NCT04650971

Study to Assess Safety, Tolerability and Reactogenicity of Vaccine "UniFluVec" After Two Intranasal Administrations in Healthy Volunteers

A Phase 1 study testing UniFluVec in people with Influenza A, run by Pharmenterprises Biotech LLC at 1 site in Russia.

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

A double-blind, randomized, placebo-controlled, Phase I clinical study of the safety, tolerability, reactogenicity and immunogenic activity of the universal influenza vector vaccine "UniFluVec" at two dose levels after two intranasal administrations 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 A
What is being tested?
UniFluVec
Type of treatment
Vaccines
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
60 participants
Where
1 siteRussia
Study dates
29 Aug 2019to 31 Mar 2020
Phase
Phase 1
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 49 years
  • All sexes
  • Healthy volunteers accepted
  • Adult

Who may be able to join

  • Availability of signed informed consent.
  • Adult men and women at the age from 18 through 49 years old.
  • Diagnosis "healthy", verified by standard examination.
  • Body weight ≥ 50 kg.
  • The subjects, who are antibody-negative to influenza A/H1N1pdm virus (antibody titers ≤1:10 based on Hemagglutination inhibition assay (HIA)).
  • Ability and voluntary desire to keep records in the Self-Observation Diary, as well as to attend all the visits of the study for the medical control.
  • Consent of study subjects to use reliable contraception methods during the entire period of their participation in the study, as well as within 3 months after completion of participation in the study.

Who cannot join

  • Participation in another clinical study within three months prior to the beginning of this study; plans to participate in another study during the period of this study.
  • Immunization with any other vaccine, not provided by the study within 6 months prior to inclusion in this study, or refusal to postpone another immunization until the end of the four-week period after completion of this study.
  • Regular administration of irrigation therapy of the nasal cavity within the last six months prior to inclusion in this study or occasional application of this treatment method within two weeks prior to inclusion in this study.
  • Frequent nosebleeds within the year before the study in the past medical history (> 5).
  • Clinically significant anatomical pathology of the paranasal area or signs of surgical intervention in the area of the nose, sinus sinuses or traumatic injuries of the nose during the month before the beginning of screening.
  • Symptoms of acute respiratory disease, including fever, or other acute diseases as of the screening date or within two weeks before the beginning of screening.
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  • Treatment with immunoglobulins or other blood products within three months prior to the beginning of screening or planning such treatment during participation in this study; blood/plasma donation (from 450 ml blood or plasma) in less than 2 months prior to screening.
  • The presence or suspicion of various immunosuppressive or immunodeficient conditions or continuous administration (the drug is prescribed for more than 14 days of continous administration) of immunosuppressive drugs, immunomodulators during 6 months before inclusion in this study (for corticosteroids - greater than or equal to 0.5 mg/kg of prednisolone or other equivalent corticosteroids per day; topical and inhaled steroids, except for administration in the nasal cavity, are allowed).
  • Participation in any previous studies to assess vaccines containing influenza viruses A/H1N1pdm09.
  • Severe allergic reactions, including asthma, Quincke's edema, anaphylactic shock in the past medical history.
  • Wheezing after a previous immunization with live influenza vaccine in the past medical history.
  • Hypersensitivity after any previous vaccination against influenza and/or adverse effects caused by immunization, like body temperature above 40°C, fainting, non-febrile convulsions, anaphylaxis, when there is a minimal risk of association with the previous administration of any vaccine (not only against influenza).
  • Suspected hypersensitivity to any components of the investigated vaccine, including chicken egg protein.
  • Seasonal (spring or autumn) hypersensitivity to the natural factor effects.
  • Acute or chronic clinically significant lesions in the lungs, the cardiovascular system, liver, endocrine, neurological and psychiatric diseases or renal dysfunction, as revealed based on the past medical history, physical examination or clinical laboratory findings, which may have an impact on the study results.
  • Leukemia or any other malignant blood diseases or solid malignant neoplasms of other organs in the past medical history.
  • Thrombocytopenic purpura blood-clotting disorders in the past medical history.
  • Seizures in the past medical history.
  • HIV, hepatitis B or C.
  • Tuberculosis.
  • Chronic alcohol addiction or chronic use of illegal drugs, drug abuse.
  • Pregnancy or breastfeeding.
  • Any condition that, according to the researcher, can increase the health risk for the volunteer participating in the study or influence the study results.

Trial locations and contacts

1 site in 1 country.

Russia1 site
  • Federal State Budgetary Institution "Research Institute of Influenza" of the Ministry of Health of the Russian Federation

    Saint Petersburg

Other trials in Russia

About this study

Official title: Phase I Randomized Double Blind Placebo-controlled Study of Universal Influenza Vector Vaccine "UniFluVec" of Two Dose Levels After Two Intranasal Administrations in Healthy Volunteers at the Age From 18 to 49 Years Old

A double-blind, randomized, placebo-controlled, Phase I clinical study of the safety, tolerability, reactogenicity and immunogenic activity of the universal influenza vector vaccine "UniFluVec" at two dose levels after two intranasal administrations in healthy adults. The volunteers randomized to the study group received intranasally 0.5 ml of the vaccine (0.25 ml in each nostril) as nasal aerosol stray twice with an interval of 3 weeks. The vaccine of the first dose level contained 6.7 log EID50/0.5 ml (50% egg infective dose) of attenuated recombinant influenza A/H1N1pdm09 virus; vaccine of the second dose level contained 7.7 log EID50/0.5 ml of attenuated recombinant influenza A/H1N1pdm09 virus.

The primary objective of the study was to evaluate the safety, tolerability and reactogenicity profile of vaccine "UniFluVec" based on the frequency and severity of adverse events. The secondary objective of the study was to assess the immunogenicity.

Read the detailed description

One center located in Russia (Saint-Petersburg) was approved for participation in this study. The study consisted of 3 periods: screening, double vaccination with an interval of 3 weeks and follow-up.

All eligible subjects were randomized into the study in appropriate cohort groups sequentially. Randomization was performed within each cohort in ratio 2:1 to the vaccine and placebo groups, respectively:

  • Cohort 1 (total 30 volunteers) - 20 volunteers received the vaccine twice, 6.7 log EID50/dose; 10 volunteers received Placebo twice.
  • Cohort 2 (total 30 volunteers) - 20 volunteers received the vaccine twice, 7.7 log EID50/dose; 10 volunteers received Placebo twice.

The decision to administer the second dose of vaccine or increased vaccine dose (cohort 2) was approved by the Data Safety Monitoring Committee on the basis of preliminary safety results assessment.

The follow-up period lasted 3 months after the second vaccination.

Conditions
Influenza A
Being tested
UniFluVec, Placebo
Keywords
Healthy volunteers, Vector vaccine, UniFluVec

What participants receive

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

  • UniFluVecBiological

    Vaccination was performed intranasally (0.25 ml in each nostril) twice with an interval of 3 weeks

  • PlaceboBiological

    Vaccination was performed intranasally (0.25 ml in each nostril) twice with an interval of 3 weeks

Study groups in NCT04650971
Study groupRoleWhat they receive
Vaccine "UniFluVec" 6.7 log EID50/doseExperimentalCohort 1 - 30 subjects were randomized in a 2:1 ratio to be treated either with Vaccine "UniFluVec" 6.7 log EID50/dose (20 subjects) or with placebo (10 subject, see placebo arm).
Receives: Biological: UniFluVec
Vaccine "UniFluVec" 7.7 log EID50/doseExperimentalCohort 2 - 30 subjects were randomized in a 2:1 ratio to be treated either with Vaccine "UniFluVec" 7.7 log EID50/dose (20 subjects) or with placebo (10 subject, see placebo arm).
Receives: Biological: UniFluVec
PlaceboPlacebo comparatorPlacebo comparator arm consists of 20 subjects (10 subject in each Сohort).
Receives: Biological: Placebo

What is being measured

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

  1. Number of Adverse events

    Adverse events (AEs) were summarized per treatment arm according to the current Medical Dictionary for Regulatory Activities (medDRA) version 21.1. For each preferred term, frequency counts and percentages were calculated.

    Related and unrelated AEs were assessed.

    Special attention was paid to vaccine-specific significant AEs:

    • Immediate AEs occurring within two hours after administration of the vaccine and detected both by the medical personnel and based on the information provided by the volunteer to the research staff.
    • Post-vaccination reactions (foreseen local and systemic clinical signs), usually caused by intranasal vaccination within two hours and the subsequent 7 days after administration of the vaccine.

    Measured: Day -7 (7 days before first dose) - Day 111

Secondary outcomes (7)
  1. Assessment of the virus reisolation after the vaccination

    This was evaluated according to the diagnostic rapid test for influenza A virus by immunochromatographic method in the nasal swab samples within control periods after vaccination

    Measured: Day 2 - Day 5, Day 23, Day 25

  2. The content of serum antibodies

    This was evaluated by Hemagglutinin-inhibition assay

    Measured: Day 1, Day 21, Day 42

  3. The content of serum neutralizing antibodies

    This was evaluated by microneutralization assay

    Measured: Day 1, Day 21, Day 42

  4. The content of serum Immunoglobulins class G (IgG)

    This was evaluated by enzyme-linked immunosorbent assay (ELISA)

    Measured: Day 1, Day 21, Day 42

  5. The content of serum Immunoglobulins class E (IgE)

    This was evaluated by ELISA

    Measured: Day 1, Day 21, Day 42

  6. Determination of Myxovirus resistance (MxA) protein 1

    This was evaluated in the whole blood samples by ELISA

    Measured: Day 1, Day 3 (1-st and 3-d days after first vaccination), Day 21, Day 23 (1th and 3th days after second vaccination)

  7. The content of secretory Immunoglobulins class A (IgA) and IgG

    This was evaluated by ELISA and microneutralization assay in the samples of nasal secretions.

    Measured: Day 1, Day 21, Day 42

Timeline

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

  1. First posted3 Dec 2020
  2. Study start29 Aug 2019
  3. Primary completion31 Mar 2020
  4. Study completion31 Mar 2020

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 1
Primary purpose
Prevention
Allocation
Randomised
Intervention model
Sequential
Model description
The dose cohorts were included into the study based on evaluation of the safety results performed by the Data Safety Monitoring Committee. 2 doses of vaccine/placebo were used in the study. The volunteers randomized to the study group received intranasally 0.5 ml of the vaccine/placebo (0.25 ml in each nostril) as nasal aerosol stray twice with an interval of 3 weeks.
Masking
Double blind
Who is masked
Participant, Investigator
Enrolment
60 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04650971
Sponsor's protocol ID
UFV-I-01/2017
Status last verified
Nov 2020
First submitted
25 Nov 2020
Last updated
3 Dec 2020
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No

Questions about this trial

What is this clinical trial studying?

A Phase 1 study testing UniFluVec in people with Influenza A, run by Pharmenterprises Biotech LLC 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 7 inclusion and 23 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 3 Dec 2020. 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?

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?

Number of Adverse events (time frame: Day -7 (7 days before first dose) - Day 111). 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 3 Dec 2020.

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