E.1 Medical condition or disease under investigation |
E.1.1 | Medical condition(s) being investigated |
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MedDRA Classification |
E.1.3 | Condition being studied is a rare disease | No |
E.2 Objective of the trial |
E.2.1 | Main objective of the trial |
To evaluate the antibody reponse to each influenza vaccine antigen, as measured by Haemagglutination Inhibition (HI) test at 21 days post-immunisation in non-elderley adult and elderely subjects in compliance with the requirements of the current EU recommedations for clinical trials related to yearly licensing of influenza vaccines (CPMP/BWP/214/96) |
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E.2.2 | Secondary objectives of the trial |
To evaluate safety of a single IM (intramuscular) dose of the subunit influenza vaccine Fluvirin® in non-elderley adult and elderly subjects in compliance with the requirements of the current EU recommedations for clinical tirals related to yearly licensing of influenza vaccine (CPMP/BWP/214/96) |
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E.2.3 | Trial contains a sub-study | No |
E.3 | Principal inclusion criteria |
Subjects eligible for enrollment into this study are male and female adults who are 1. ≥ 18 years of age, mentally competent, willing and able to give informed consent prior to study entry 2. able to comply with all study requirements 3. in good health as determined by: - medical history - physical examination - clinical judgment of the investigator Informed consent must be obtained for all the subjects before enrollment into the study after the nature of the study has been explained.
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E.4 | Principal exclusion criteria |
Subjects are not to be enrolled into the study if at least one of the following criteria is fulfilled: 1. They have any serious chronic or acute disease (in the judgment of the investigator) including but not limited to: a. Cancer, except for localized skin cancer b. Advanced congestive heart failure c. Chronic obstructive pulmonary disease (COPD) d. Autoimmune disease (including rheumatoid arthritis) e. Acute or progressive hepatic disease f. Acute or progressive renal disease g. Severe neurological or psychiatric disorder h. Severe Asthma 2. History of any anaphylactic reaction and/or serious allergic reaction following a vaccination, a proven hypersensitivity to any component of the study vaccine (e.g., to ovalbumin, chicken protein, chicken feathers, influenza viral protein neomycin or polymyxin). 3. Known or suspected (or have a high risk of developing) impairment/alteration of immune function (excluding that normally associated with advanced age) resulting for example from: a. receipt of immunosuppressive therapy (any parental or oral cortical steroid or cancer chemotherapy/radiotherapy) within the past 60 days and for the full length of the study; b. Receipt of immunostimulants, c. Receipt of parenteral immunoglobulin preparation, blood products, and/or plasma derivatives within the past 3 months and for the full length of the study, d. Suspected or known HIV infection or HIV-related disease. 4. Known or suspected history of drug or alcohol abuse. 5. They have a bleeding diathesis or conditions associated with prolonged bleeding time that in the investigator’s opinion would interfere with the safety of the subject; 6. Women who are pregnant or woman of childbearing potential unwilling to practice acceptable contraception for the duration of the study (21 days). Females who are pregnant or nursing (breastfeeding) mothers or females of childbearing age who do not plan to use acceptable birth control measures, for the duration of the study. Adequate contraception is defined as hormonal (oral, injection, transdermal patch, implant, cervical ring), barrier (condom or diaphragm), intrauterine device (IUD) or monogamous relationship with vasectomized partner who has been vasectomized for 6 months or more prior to the subject’s study entry. 7. Influenza vaccination or laboratory confirmed influenza within the last 6 months and more than one influenza vaccination within the past 12 months 8. Within the past 4 weeks they have received: - another vaccine - any investigational agent; 9. Any acute or chronic infection requiring systemic antibiotic treatment or antiviral therapy within the last 7 days. 10. They have experienced fever (i.e., axillary temperature ≥ 38°C) within the last 3 days 11. Simultaneous participation in another clinical study. 12. Any condition, which, in the opinion of the investigator, might prevent the subject from participation or interfere with the evaluation of the study objectives. 13. Severely obese with Body Mass Index (BMI) > 35 14. Site personnel involved in evaluation of safety and their immediate relatives are excluded from participation.
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E.5 End points |
E.5.1 | Primary end point(s) |
The following serological assessments should be considered for each strain in non-elderly adult subjects, aged between 18 and 60 years, and at least one of the assessments should meet the indicated requirements:
• The proportion of subjects achieving seroconversion or significant increase in anti-HA antibody titer should be > 40% • Mean geometric increase should be > 2.5 • The proportion of subjects achieving an HI titer ≥ 40 or SRH area ≥ 25 mm2 should be > 70%
The following serological assessments should be considered for each strain in elderly subjects, aged over 60 years, and at least one of the assessments should meet the indicated requirements:
• The proportion of subjects achieving seroconversion or significant increase in anti-HA antibody titer should be > 30% • Mean geometric increase should be > 2.0 • The proportion of subjects achieving an HI titer ≥ 40 or SRH area ≥ 25 mm2 should be > 60%
Circulating anti-HA antibodies will be measured by HI assay just prior to vaccination (Day 0) and approximately 3 weeks after the vaccination (Day 21). For the purposes of calculation, any HI result < 10 (i.e. undetectable) will be expressed as 5. If an SRH assay is used, any negative SRH result will be expressed as 4 mm2.
In HI tests, seroconversion or significant increase in antibody titer corresponds to: • negative prevaccination serum / postvaccination serum ≥ 40 • at least a four-fold increase in titer from positive prevaccination serum
In SRH tests, seroconversion or significant increase in antibody titer corresponds to: • negative prevaccination serum / postvaccination serum area ≥ 25 mm2 • at least a 50% increase in area from positive prevaccination serum
The statistical parameters to be determined are: • Geometric mean of prevaccination and postvaccination serum anti-HA titers/areas • Mean geometric increase in antibody titres/areas • Proportion of subjects with seroconversion or significant increase • Proportion of subjects above a particular antibody titer (for SRH: area ≥ 25 mm2, for HI: titer ≥ 40) before vaccination • Proportion of subjects above a particular antibody titer (for SRH: area ≥ 25 mm2, for HI: titer ≥ 40) after vaccination
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E.6 and E.7 Scope of the trial |
E.6 | Scope of the trial |
E.6.1 | Diagnosis | No |
E.6.2 | Prophylaxis | Yes |
E.6.3 | Therapy | No |
E.6.4 | Safety | Yes |
E.6.5 | Efficacy | Yes |
E.6.6 | Pharmacokinetic | No |
E.6.7 | Pharmacodynamic | No |
E.6.8 | Bioequivalence | No |
E.6.9 | Dose response | No |
E.6.10 | Pharmacogenetic | No |
E.6.11 | Pharmacogenomic | No |
E.6.12 | Pharmacoeconomic | No |
E.6.13 | Others | No |
E.7 | Trial type and phase |
E.7.1 | Human pharmacology (Phase I) | No |
E.7.1.1 | First administration to humans | No |
E.7.1.2 | Bioequivalence study | No |
E.7.1.3 | Other | No |
E.7.1.3.1 | Other trial type description | |
E.7.2 | Therapeutic exploratory (Phase II) | Yes |
E.7.3 | Therapeutic confirmatory (Phase III) | No |
E.7.4 | Therapeutic use (Phase IV) | No |
E.8 Design of the trial |
E.8.1 | Controlled | No |
E.8.1.1 | Randomised | No |
E.8.1.2 | Open | Yes |
E.8.1.3 | Single blind | No |
E.8.1.4 | Double blind | No |
E.8.1.5 | Parallel group | No |
E.8.1.6 | Cross over | No |
E.8.1.7 | Other | No |
E.8.2 | Comparator of controlled trial |
E.8.2.1 | Other medicinal product(s) | Information not present in EudraCT |
E.8.2.2 | Placebo | Information not present in EudraCT |
E.8.2.3 | Other | Information not present in EudraCT |
E.8.3 |
The trial involves single site in the Member State concerned
| Yes |
E.8.4 | The trial involves multiple sites in the Member State concerned | No |
E.8.5 | The trial involves multiple Member States | No |
E.8.6 Trial involving sites outside the EEA |
E.8.6.1 | Trial being conducted both within and outside the EEA | No |
E.8.6.2 | Trial being conducted completely outside of the EEA | Information not present in EudraCT |
E.8.7 | Trial has a data monitoring committee | No |
E.8.8 |
Definition of the end of the trial and justification where it is not the last
visit of the last subject undergoing the trial
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E.8.9 Initial estimate of the duration of the trial |
E.8.9.1 | In the Member State concerned years | |
E.8.9.1 | In the Member State concerned months | |
E.8.9.1 | In the Member State concerned days | 26 |