Assessment of Needle-free Disposable-syringe Jet Injector (DSJI) ID Dose-sparing of Pandemic A H1N1 Influenza Vaccine

NCT01582633 | Unknown Phase 2

• 1 other identifier: CAPPesq 0015/2010
• Study Type: interventional
• Target: 300
• Locations: 1 country
• Sites: 1

Brief Summary

This study will evaluate the immunological response and the safety profiles of seasonal, inactivated vaccine which contains in its composition the A/California/7/2009 H1N1 "pandemic" influenza virus, delivered via ID in reduced dose (0,1 mL) and (0,2 mL), and via IM in full dose (0,5 mL) delivered with needle-free, disposable-syringe jet injector, and control group with via IM in full dose (0,5 mL) delivered syringes and needles in subjects from 42 to 60 years old. Reduced doses into the skin will be delivered by an investigational intradermal model of a licensed, needle-free, disposable-syringe jet injector (DSJI) system, LECTRAJET® M3 RA manufactured by D'Antonio Consultants International, Inc. DSJIs avoid the drawbacks and dangers of conventional needle-syringe injection. Delivery by DSJI into the skin is also rapid and simple and overcomes the difficulty and patient discomfort of the traditional Mantoux needle method for skin injection, as used for BCG vaccination and tuberculosis skin testing. Participants will be assessed for local and systemic adverse events by clinical observation immediately after injection and then upon return on day 21 after each injection. In addition, investigators will call participants by telephone on days 2 and 7 days to collect information local and systemic side effects. Serum will be collected on day 21 after each injection, and assayed for hemagglutination inhibition (HAI) using conventional methods performed by the Virology Lab of the Instituto de Medicina Tropical de São Paulo, blinded to the study arm allocations of each participant. Information about the adverse events would be collected on days 1, 3 and 7 after dose delivery. The investigators assessing adverse reactions will be blinded to the study arm to which each subject was allocated. The primary endpoint of the study is to evaluate the vaccine's immunogenicity by HAI, each dose in accordance with international parameters which include: seroconversion or significant title increase (SCR), the frequencies by study arm of seroprotection defined as a post-vaccination titer of \>40 (1/dil) (SPR), as well as the Geometric Mean Titers (GMTRs) of post-vaccination sera.

Conditions

Influenza

Keywords

vaccine; influenza; needle free jet injector; Intradermal; sparing dose

Outcome Measures

Primary Outcomes (1)

• Immunogenicity

  Assess whether the experimental and standard dosages/delivery routes (ID and IM) for each age group met all modified criteria for assessment of influenza vaccines 21 days after vaccination for soroconversion for A/California/7/2009 H1N1 influenza virus.

  21 days

Secondary Outcomes (2)

• Safety

  21 days

• Seasonal influenza immunogenicity

  21 days

Study Arms (4)

0.1 ml ID dose

EXPERIMENTAL

Dose of 0.1 ml ID trivalent 2012 influenza vaccine administered by disposable needle-free jet injector

Biological: 2012 trivalent influenza vaccine

0.2 ml ID dose

EXPERIMENTAL

Dose of 0.2 ml ID trivalent 2012 influenza vaccine administered by disposable needle-free jet injector

Biological: 2012 trivalent influenza vaccine

0.5 ml IM dose - needle-free

EXPERIMENTAL

Dose of 0.5 ml IM trivalent 2012 influenza vaccine administered by disposable needle-free jet injector

Biological: 2012 trivalent influenza vaccine

0.5 ml IM - needle and syringe

ACTIVE COMPARATOR

Dose of 0.5 ml IM trivalent 2012 influenza vaccine administered by needle and syringe

Biological: 2012 trivalent influenza vaccine

Interventions

2012 trivalent influenza vaccine BIOLOGICAL

2012 trivalent influenza vaccine: * influenza A/California/7/2009 (H1N1) * influenza A/Perth/16/2009 (H3N2) * influenza B/Brisbane/60/2008 Single dose.

0.1 ml ID dose; 0.2 ml ID dose; 0.5 ml IM - needle and syringe; 0.5 ml IM dose - needle-free

Eligibility Criteria

• Age: 42 Years - 60 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64)

You may qualify if:

• Between 42 and up to 60 years of age.
• Available for follow up visits, at least at day 21.
• Written informed consent signed by the volunteer after reading and explanation.

You may not qualify if:

• Suspect or verified diagnosis of congenital or acquired immunodeficiency including AIDS.
• Suspect or verified diagnosis of malignant neoplasia, other than basocellular carcinoma.
• Volunteer ongoing treatment with high doses of systemic corticosteroids (equivalent to prednisone (2 mg/kg/d for more than two weeks) or on immunosuppressant therapy.
• Received or planning to receive a vaccine with live attenuated strain of virus within 30 days of the intended day(s) of study vaccination(s).
• Verified diagnosis of Influenza A/California/H1N1 or has already been immunized against (Influenza A/California/H1N1).
• Suspect or confirmed pregnancy (no need of pregnancy test, information on possible pregnancy is enough. These cases must be referred to routine vaccination).
• Suspect or verified diagnosis of hypersensitivity to any ingredient of the vaccine, to egg proteins or any component of the vaccine or life-threatening reactions after previous administration of any influenza vaccine.
• Any other circumstances that may potentially damage the minor or prevent procedures from being carried out according to evaluation of the research team.
• Volunteer shows signs or symptoms of an active intercurrent disease (e.g. fever, rash, etc.) that may interfere with the evaluation of adverse events following immunization at the research team's discretion.

Sponsors & Collaborators

• University of Sao Paulo General Hospital: lead
• D'Antonio Consultants International, Inc.: collaborator
• Sao Paulo, Secretaria de Estado da Saúde: collaborator

Study Sites (1)

Hosp das Clinicas da Faculdade de Medicina da Universidade de Sao Paulo

São Paulo, São Paulo, 05403-000, Brazil

Location

MeSH Terms

Conditions

Influenza, Human

Condition Hierarchy (Ancestors)

Respiratory Tract Infections; Infections; Orthomyxoviridae Infections; RNA Virus Infections; Virus Diseases; Respiratory Tract Diseases

Study Officials

• Glacus Brito, MD

  Hosp das Clinicas da Faculdade de Medicina da Universidade de Sao Paulo

  PRINCIPAL INVESTIGATOR

Central Study Contacts

Glacus Brito, MD

CONTACT

551138731562; glacus@usp.br

Study Design

• Study Type: interventional
• Phase: phase 2
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: OUTCOMES ASSESSOR
• Purpose: PREVENTION
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: April 19, 2012
• First Posted: April 20, 2012
• Study Start: July 1, 2012
• Primary Completion: August 1, 2012
• Study Completion: September 1, 2012
• Last Updated: June 21, 2012

Record last verified: 2012-06

Locations

BR (1)