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Avian Influenza A VirusPhase 1/2NCT06842173

Safety and Immunogenicity of the Monovalent Influenza Vaccine A (H5N8) (Inactivated, Fragmented and Adjuvanted) in Adults and Older Adults

A Phase 1/2 study testing Monovalent Influenza Vaccine A (H5N8) (Inactivated, Fragmented, and Adjuvanted) 7.5 mcg and Monovalent influenza vaccine type A (H5N8) 15 mcg in people with Avian Influenza A Virus, run by Butantan Institute at 5 sites in Brazil.

Recruiting

Looking for participants now. Contact the study team or a site below to ask about taking part.

Sites and contacts
Official record
Search all trials

Trial summary

This study aims to demonstrate the safety and immunogenicity of two formulations of the monovalent influenza vaccine candidate A (H5N8) (inactivated, fragmented, and adjuvanted with IB160) from the Instituto Butantan in adults and older adults, to be developed for situations of pandemic, epidemic or outbreak of avian… Read more about this study

Who is it for?
Ages 18 years and olderHealthy volunteers can take part
Conditions the study is for
Avian Influenza A Virus
What is being tested?
Monovalent Influenza Vaccine A (H5N8) (Inactivated, Fragmented, and Adjuvanted) 7.5 mcg and Monovalent influenza vaccine type A (H5N8) 15 mcg
Type of treatment
Vaccines
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
700 participants
Where
5 sitesBrazil
Study dates
10 Sep 2025to 10 Oct 2027
Phase
Phase 1/2
Are there results?
Not yet: the study is under way

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 years and older
  • All sexes
  • Healthy volunteers accepted
  • Adult, Older adult

Who may be able to join

  • Males and non-pregnant females aged ≥ 18 years at the time of the first study vaccination.
  • Be in good health and clinically stable (defined as having no pre-existing health condition or having a pre-existing health condition that has not required a change in treatment or hospitalization for worsening of disease in the 3 months prior to the date of the first study vaccination).
  • Agree to participate in the study and provide written informed consent prior to the initiation of any study procedures.
  • Be able and willing to comply with all study procedures, including completing Participant Diaries, collecting blood samples, and being available for scheduled study visits and contacts.
  • For females of childbearing potential, have a negative pregnancy test prior to the first study vaccination.
  • For women of childbearing potential, be willing to use effective contraceptive measures during the screening visit until at least 30 days after the second study vaccination.

Who cannot join

  • Having received any vaccine (including seasonal influenza) 28 days prior to the date of the first study vaccination or having any vaccination in the period from the first vaccination to the immune response assessment visit after the last vaccination.
  • Known hypersensitivity or allergy to eggs, chicken proteins, squalene-based adjuvants, or any other component of the investigational product.
  • History of serious adverse reaction or anaphylaxis to any previous influenza vaccine (licensed or not).
  • Having received any influenza A/H5 vaccine or history of exposure to avian influenza A/H5.
  • Presence of a bleeding disorder or any condition that contraindicates intramuscular injection.
  • Having received immunoglobulin, blood, or any blood-derived product in the 3 months prior to the date of the first study vaccination or having had immunoglobulin or blood-derived product administered during the entire follow-up of the study.
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  • Having received a solid organ, bone marrow, or stem cell transplant.
  • Having a history of asplenia (anatomic or functional).
  • Having any confirmed or suspected immunosuppressive or immunodeficiency condition, including a history of human immunodeficiency virus (HIV) infection.
  • Having a history of Guillain-Barré syndrome or other demyelinating disease.
  • Having a history of neurological disease, seizures, or progressive or severe neurological disorder.
  • History of malignant neoplasm or previous history of malignant neoplasm being disease-free for 5 years at the date of the first study vaccination (with the exception of basal cell carcinoma of the skin), autoimmune disease (including type 1 diabetes mellitus), liver cirrhosis and renal failure.
  • History of significant, progressive or decompensated chronic disease in the 3 months prior to the date of the first study vaccination (complicated type 2 diabetes mellitus, liver disease, kidney disease, heart disease, advanced arteriosclerotic disease or lung disease such as oxygen-dependent chronic obstructive pulmonary disease, among others).
  • Having received or using radiotherapy, chemotherapy, cytotoxic drugs, immunosuppressants or immunomodulators in the 6 months prior to the date of the first study vaccination.
  • Use of systemic corticosteroids (oral or parenteral) in the 3 months prior to the date of the first study vaccination, at an immunosuppressive dose equivalent to a dose of ≥ 20 mg of prednisone per day for ≥ 14 days or a cumulative dose of ≥ 280 mg. Topical use of corticosteroids (e.g., cream, eye drops, inhalation and intranasal sprays) is permitted, within the dosage indicated on the product label.
  • Presenting a behavioral, cognitive disorder/disorder or psychiatric illness that, in the opinion of the Investigator, may interfere with the ability to participate in the study.
  • Infection with the human immunodeficiency virus (HIV), hepatitis B or hepatitis C.
  • Abuse of alcohol or drugs in the 12 months prior to the date of the first study vaccination, that may interfere with the ability to participate in the study.
  • Body mass index (BMI) ≥ 35 kg/m2 on the date of the first study vaccination.
  • Clinically significant abnormalities in the general physical examination.
  • Major surgery or surgery with the use of general anaesthesia planned to occur in the period from the first vaccination to the visit to assess the immune response after the last vaccination.
  • Women who are pregnant, breastfeeding or planning to become pregnant during the 30 days after the last vaccination in the study.
  • Laboratory parameter values at the screening visit equal to or greater than grade 2 will be considered as a criterion for exclusion from participation in the study.
  • Presenting any clinically significant condition or situation that, in the opinion of the Investigator, represents a risk to the participant health or may interfere with the evaluation of the study objectives, the schedule of visits, participation in or completion of the study (such as planned travel or change of residence, among others).
  • Having participated in another clinical trial involving an experimental product, with less than three months between the completion of that follow-up and the planned date of the first vaccination in this study, or plans to enter a clinical study during the period of this study.
  • Institutionalized individual (people residing in long-term care, assistance or health care institutions and deprived of liberty).
  • aa. Being related to or part of the research centre staff or employee directly involved in the study.

Trial locations and contacts

5 sites in 1 country. Contact the study team or a site near you to ask about taking part.

5 sites in 1 country

Brazil5 sites, 5 recruiting
  • Centro de Terapias Avançadas E Inovadoras - Ct Terapias/Ufmg

    Belo Horizonte, Minas Gerais, 30750-140

    Mauro MD Teixeira, PhD, (31)2520-4008, mmtex.ufmg@gmail.com

    Not yet recruiting
  • Plátano Centro de Pesquisa Clínica LTDA

    Recife, Pernambuco, 52011-040

    Carlos MD Brito, PhD, (81)99127-7732, cbritoc@gmail.com

    Recruiting
  • Fundação Faculdade Regional de Medicina de São Jose do Rio Preto - (Centro integrado de Pesquisa CIP)

    São José do Rio Preto, São Paulo, 15090-000

    Mauricio MD Nogueira, PhD, (17)98811-0550, mauricio.nogueira@edu.famerp.br

    Not yet recruiting
  • Centro de Pesquisas Clínicas do Hospital das Clínicas da FMUSP

    São Paulo, 05403-010

    Ferdinando MD Menezes, PhD, (11)98373-2290, f.menezes@hc.fm.usp.br

    Not yet recruiting
  • Fundação de Apoio ao Ensino, Pesquisa e Assistência do Hospital das Clínicas da Faculdade de Medicina de Ribeirão Preta da Universidade de São Paulo - (Centro de Pesquisa Clínica - S)

    Serrana, São Paulo

    Marcos MD Borges, PhD, (16)98116-5608, marcosborges@fmrp.usp.br

    Not yet recruiting

Other trials in Brazil

About this study

Official title: Randomized, Double-Blind, Placebo-Controlled Phase I/II Clinical Trial To Evaluate The Safety And Immunogenicity Of The Monovalent Influenza Vaccine A (H5N8) (Inactivated, Fragmented, and Adjuvanted) From Instituto Butantan, In Adults And The Older Adults

This study aims to demonstrate the safety and immunogenicity of two formulations of the monovalent influenza vaccine candidate A (H5N8) (inactivated, fragmented, and adjuvanted with IB160) from the Instituto Butantan in adults and older adults, to be developed for situations of pandemic, epidemic or outbreak of avian type A/H5 in humans, in the context of pandemic preparedness.

Read the detailed description

This is a clinical trial (randomized, double-blind, placebo-controlled Phase I/II) to evaluate the safety and immunogenicity of two formulations of the monovalent influenza vaccine candidate A (H5N8) (inactivated, fragmented, and adjuvanted with IB160) from the Instituto Butantan in adults and older adults. Safety will be assessed by the frequency (n, %) of participants with solicited (local and systemic) and unsolicited adverse events reported within 7 days post each vaccination; as well as the frequency of adverse reactions post causality evaluation. Immunogenicity will be assessed by seroprotection and seroconversion rates in the 21 days after the second dose.

Being tested
Monovalent Influenza Vaccine A (H5N8) (Inactivated, Fragmented, and Adjuvanted) 7.5 mcg, Monovalent influenza vaccine type A (H5N8) 15 mcg, Placebo
Keywords
Influenza A Virus Subtype H5N8, Avian Influenza, Safety, Immunogenicity
Medical subject headings
Influenza in Birds

What participants receive

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

  • Monovalent Influenza Vaccine A (H5N8) (Inactivated, Fragmented, and Adjuvanted) 7.5 mcgBiological

    Also called Avian Flu vaccine

    Monovalent Influenza Vaccine A (H5N8) (Inactivated, Fragmented, and Adjuvanted) 7.5 mcg + IB160 adjuvant (0.5mL total)

  • Monovalent influenza vaccine type A (H5N8) 15 mcgBiological

    Also called Avian Flu vaccine

    Monovalent influenza vaccine type A (H5N8) 15 mcg + IB160 adjuvant (0.5mL total)

  • PlaceboOther

    Also called Control arm

    Phosphate buffered saline (PBS) (0.5 mL/dose).

Study groups in NCT06842173
Study groupRoleWhat they receive
Monovalent Influenza Vaccine A (H5N8) 7.5 mcgExperimentalIntervention: Monovalent Influenza Vaccine A (H5N8) (Inactivated, Fragmented, and Adjuvanted) from Instituto Butantan, containing 7.5 mcg/dose of hemagglutinin (HA) and adjuvant IB160 (0.5 mL/dose of final combined product).
Receives: Biological: Monovalent Influenza Vaccine A (H5N8) (Inactivated, Fragmented, and Adjuvanted) 7.5 mcg
Monovalent influenza vaccine A (H5N8) 15 mcgExperimentalIntervention: Monovalent Influenza Vaccine A (H5N8) (Inactivated, Fragmented, and Adjuvanted) from Instituto Butantan, containing 15 mcg/dose of hemagglutinin (HA) and adjuvant IB160 (0.5 mL/dose of final combined product).
Receives: Biological: Monovalent influenza vaccine type A (H5N8) 15 mcg
PlaceboPlacebo comparatorPhosphate buffered saline (PBS) (0.5 mL/dose).
Receives: Other: Placebo

What is being measured

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

  1. Safety - Percentage of participants with solicited and unsolicited adverse events

    Percentage (%) of participants with solicited (local and systemic) and unsolicited adverse events, for each intervention group, in adults and older adults.

    Measured: 7 days post each vaccination.

  2. Safety - Percentage of solicited and unsolicited adverse events by intensity degree

    Percentage of solicited and unsolicited adverse events by intensity degree for each intervention group, in adults and older adults.

    Measured: 7 days post each vaccination

  3. Safety - Percentage of participants with solicited and unsolicited adverse reactions

    Percentage of participants with solicited and unsolicited adverse reactions, for each intervention group, in adults and older adults.

    Measured: 7 days post each vaccination

  4. Safety - Percentage of solicited and unsolicited adverse reactions by intensity degree

    Percentage of solicited and unsolicited adverse reactions by intensity degree for each intervention group, in adults and older adults.

    Measured: 7 days post each vaccination

  5. Safety - Description of solicited adverse reactions, regarding duration, time until onset and use of medication

    Description of solicited adverse reactions, regarding duration, time until onset and use of medication, for each intervention group, in adults and older adults.

    Measured: 7 days post each vaccination

  6. Immunogenicity - Seroconversion rate post second vaccination

    Seroconversion rate after the second vaccination (by the hemagglutination inhibition test - HI), for each intervention group, in adults and older adults.

    Measured: 21 days post second vaccination

  7. Immunogenicity - Seroprotection rate post second vaccination

    Seroprotection rate after the second vaccination (by the hemagglutination inhibition test - HI), for each intervention group, in adults and older adults.

    Measured: 21 days post second vaccination

Secondary outcomes (19)
  1. Safety - Percentage of participants with unsolicited adverse events

    Percentage of participants with unsolicited adverse events, for each intervention group, in adults and older adults.

    Measured: 21 days post each vaccination

  2. Safety - Percentage and intensity of unsolicited adverse events

    Percentage and intensity of unsolicited adverse events, for each intervention group, in adults and older adults.

    Measured: 21 days post each vaccination

  3. Safety - Percentage of participants with unsolicited adverse reactions

    Percentage of participants with unsolicited adverse reactions, for each intervention group, in adults and older adults.

    Measured: 21 days post each vaccination

  4. Safety - Percentage and intensity of unsolicited adverse reactions

    Percentage and intensity of unsolicited adverse reactions,, for each intervention group, in adults and older adults.

    Measured: 21 days post second vaccination

  5. Percentage of participants with adverse events of special interest (AEI)

    Percentage of participants with adverse events of special interest (AEI), for each intervention group, in adults and older adults.

    Measured: the entire follow-up of the study (6 months)

  6. Safety - Percentage and intensity of the participants with adverse events of special interest (AEI)

    Percentage and intensity of the participants with adverse events of special interest (AEI), for each intervention group, in adults and older adults.

    Measured: The entire follow-up of the study (6 months)

  7. Safety - Percentage of participants with serious adverse events (SAE)

    Percentage of participants with serious adverse events (SAE), for each intervention group, in adults and older adults.

    Measured: Entire follow-up of the study (6 months)

  8. Safety - Percentage and intensity of serious adverse events (SAE)

    Percentage and intensity of serious adverse events (SAE), for each intervention group, in adults and older adults.

    Measured: entire follow-up of the study (6 months)

  9. Immunogenicity - Ratio between the Geometric Mean Titers (rGMT) of antibodies

    Ratio between the Geometric Mean Titers (rGMT) of antibodies compared to that of pre-vaccination (by the hemagglutination inhibition test - HI), for each intervention group, in adults and older adults.

    Measured: 21 days post the first vaccination

  10. Immunogenicity - Ratio between the Geometric Mean Titers (rGMT) of antibodies

    Ratio of the Geometric Mean Titers (rGMT) of antibodies, post second vaccination about that of pre-vaccination (by the hemagglutination inhibition test - HI), for each intervention group, in adults and older adults.

    Measured: 21 days post the second vaccination

  11. Immunogenicity - Seroconversion rate

    Seroconversion rate (by the hemagglutination inhibition test - HI), for each intervention group, in adults and older adults.

    Measured: 21 days post the first vaccination

  12. Immunogenicity - Geometric Mean Titers (GMT)

    Geometric Mean Titers (GMT) pre and post-vaccination (by the hemagglutination inhibition test - HI), for each intervention group, in adults and older adults.

    Measured: pre-vaccination, 21 days post the first vaccination and 21 days post the second vaccination.

  13. Immunogenicity - Seroprotection rate

    Seroprotection rate pre and post-vaccination (by the hemagglutination inhibition test - HI), for each intervention group, in adults and older adults.

    Measured: pre-vaccination and 21 days post first vaccination

  14. Immunogenicity - Ratio between the Geometric Mean Titers (rGMT) of antibodies

    Ratio between the Geometric Mean Titers (rGMT) of antibodies, pre and post-vaccination (by microneutralization test - MN), for each intervention group, in adults and older adults.

    Measured: 21 days post the first vaccination

  15. Immunogenicity - Ratio between the Geometric Mean Titers (rGMT) of antibodies

    Ratio between the Geometric Mean Titers (rGMT) of antibodies, pre and post-vaccination (by microneutralization test - MN), for each intervention group, in adults and older adults.

    Measured: 21 days post the second vaccination

  16. Immunogenicity - Seroconversion rate pre and post vaccination

    Seroconversion rate 21 days post the first vaccination and 21 days post the second vaccination (by microneutralization test - MN), for each intervention group, in adults and older adults.

    Measured: 21 days post the first vaccination and 21 days post the second vaccination.

  17. Immunogenicity - Seroprotection rate pre and post-vaccination

    Seroprotection rate pre-vaccination, 21 days after the first vaccination and 21 days after the second vaccination (by microneutralization test - MN), for each intervention group, in adults and older adults.

    Measured: pre-vaccination, 21 days post the first vaccination and 21 days post the second vaccination

  18. Immunogenicity - Geometric Mean Titers (GMT) pre and post-vaccination

    Geometric Mean Titers (GMT) pre vaccination, 21 days post the first vaccination and 21 days after the second vaccination (by the microneutralization test - MN), for each intervention group, in adults and older adults.

    Measured: pre vaccination, 21 days post the first vaccination and 21 days post the second vaccination.

  19. Immunogenicity - Estimation of rGMT between the Monovalent Influenza Vaccine A (H5N8) (Inactivated, Fragmented, and Adjuvanted) containing 7.5 mcg of HA/dose compared to that containing 15 mcg of HA/dose

    Estimation of rGMT between the Monovalent Influenza Vaccine A (H5N8) (Inactivated, Fragmented, and Adjuvanted) containing 7.5 mcg of HA/dose compared to that containing 15 mcg of HA/dose (by the hemagglutination inhibition test - HI)

    Measured: 21 days post the second vaccination

Timeline

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

  1. First posted24 Feb 2025
  2. Study start10 Sep 2025
  3. Primary completion10 Aug 2027 (estimated)
  4. Study completion10 Oct 2027 (estimated)

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 1/2
Primary purpose
Prevention
Allocation
Randomised
Intervention model
Parallel groups
Model description
Double-blind clinical trial. Randomization, preparation and masking of the Product Under Investigation by an unblinded professional at the research site.
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
700 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06842173
Sponsor's protocol ID
FLP-02-IB
Status last verified
Apr 2026
First submitted
14 Feb 2025
Last updated
2 Apr 2026
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Publications

  • Akamatsu MA, Sakihara VA, Carvalho BP, de Paiva Abrantes A, Takano MAS, Adami EA, Yonehara FS, Dos Santos Carneiro P, Rico S, Schanoski A, Meros M, Simpson A, Phan T, Fox CB, Ho PL. Preparedness against pandemic influenza: Production of an oil-in-water emulsion adjuvant in Brazil. PLoS One. 2020 Jun 3;15(6):e0233632. doi: 10.1371/journal.pone.0233632. eCollection 2020.

    PubMed 32492039
  • Francis DP, Du YP, Precioso AR. Global vaccine supply. The increasing role of manufacturers from middle income countries. Vaccine. 2014 Sep 15;32(41):5259-65. doi: 10.1016/j.vaccine.2014.07.069. Epub 2014 Aug 8.

    PubMed 25110294
  • Miyaki C, Meros M, Precioso AR, Raw I. Influenza vaccine production for Brazil: a classic example of successful North-South bilateral technology transfer. Vaccine. 2011 Jul 1;29 Suppl 1:A12-5. doi: 10.1016/j.vaccine.2011.04.127.

    PubMed 21684420
  • Vanni T, Thome BC, Sparrow E, Friede M, Fox CB, Beckmann AM, Huynh C, Mondini G, Silveira DH, Viscondi JYK, Braga PE, Silva AD, Salomao MDG, Piorelli RO, Santos JP, Gattas VL, Lucchesi MBB, Oliveira MMM, Koike ME, Kallas EG, Campos LMA, Coelho EB, Siqueira MAM, Garcia CC, Miranda MD, Paiva TM, Timenetsky MDCST, Adami EA, Akamatsu MA, Ho PL, Precioso AR. Dose-sparing effect of two adjuvant formulations with a pandemic influenza A/H7N9 vaccine: A randomized, double-blind, placebo-controlled, phase 1 clinical trial. PLoS One. 2022 Oct 18;17(10):e0274943. doi: 10.1371/journal.pone.0274943. eCollection 2022.

    PubMed 36256646

Questions about this trial

What is this clinical trial studying?

A Phase 1/2 study testing Monovalent Influenza Vaccine A (H5N8) (Inactivated, Fragmented, and Adjuvanted) 7.5 mcg and Monovalent influenza vaccine type A (H5N8) 15 mcg in people with Avian Influenza A Virus, run by Butantan Institute at 5 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 6 inclusion and 27 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: looking for participants now, as of the sponsor's last update on 2 Apr 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 5 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. 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 combined 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.

Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

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

Are results available for this study?

This study is still under way. Results are not available in the source record yet.

How can a doctor refer a patient or contact the research team?

Each site lists its own contact: choose the nearest one under Trial locations. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Safety - Percentage of participants with solicited and unsolicited adverse events (time frame: 7 days post each vaccination.). The study lists 7 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 NCT06842173, which also lists 4 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 2 Apr 2026.

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