INVITED trial

2022-500906-17-01 Protocol INVITED-2022 Therapeutic exploratory (Phase II) Ongoing, recruiting

Start 21 Mar 2023 · Status Ongoing, recruiting · 1 EU/EEA countries · 10 sites · Protocol INVITED-2022

Overview

Sponsor-declared trial summary

Phase Therapeutic exploratory (Phase II)
Status Ongoing, recruiting
Participants planned 100
Countries 1
Sites 10

Type 1 diabetes

To determine whether or not influenza vaccination will preserve β cell function in early type 1 diabetes mellitus.

Key facts

Sponsor
Aarhus University Hospital
Participant type
Pediatric, Patients
Age range
0-17 years
Gender
Male and Female
Therapeutic area
Diseases [C] - Hormonal diseases [C19]
Trial duration
21 Mar 2023 → ongoing
Decision date (initial)
2022-09-12
Transition trial
No
Low-intervention
No
Rare-disease indication
No
Vulnerable population
Yes
Funding sources
theflulab.org

Trial design

CTIS Part I — objectives, methods, condition coding

Main objective

Scope: Therapy, Prophylaxis

To determine whether or not influenza vaccination will preserve β cell function in early type 1 diabetes mellitus.

Conditions and MedDRA coding

Type 1 diabetes

VersionLevelCodeTermSystem organ class
20.0 LLT 10012609 Diabetes mellitus juvenile onset 10027433

Regulatory references

Plan to share IPD
Yes
IPD plan description
Data Collection: Data will be collected from patient records and electronic case report forms, including patient demographics, clinical outcomes, and laboratory results. Data Type: The dataset will include anonymized patient data, ensuring confidentiality in line with GDPR guidelines. Data Storage: Data will be stored in a secure, institutional repository with controlled access to maintain participant privacy and data integrity. Data Accessibility: Data will be available for other researchers upon reasonable request 12 months following publication of the primary outcomes data. Data Formats: Data will be available in R and Excel formats, facilitating use and analysis by others. Supporting Documentation: Metadata, study files, and analysis scripts will be included to ensure replicability of the study findings. Data Retention Period: Data will be available for a min. of 10 years post-publication. Contact Information: The corresponding author will be available for queries regarding thedata
EU CT numberTitleSponsor
2022-500906-17-00 INfluenza VaccInation To mitigate typE 1 Diabetes (INVITED trial) Aarhus University Hospital

Eligibility criteria

Principal inclusion / exclusion criteria as submitted by sponsor

Inclusion criteria 3

  1. Patients hospitalized with newly diagnosed type 1 diabetes mellitus.
  2. Male or female subjects ≥7 and <18 years.
  3. Written informed consent (parents, legal guardian).

Exclusion criteria 9

  1. Influenza vaccination during the current influenza season (September 1 – March 1).
  2. Strong indication for influenza vaccination for non-diabetic disease.
  3. Severe allergy to eggs or previous allergic reaction to influenza vaccine.
  4. Suspicion of febrile illness or acute, ongoing infection.
  5. Hypersensitivity to the active substances or ingredients of Vaxigrip Tetra or against any residues, such as eggs (ovalbumin or chicken proteins), neomycin, formaldehyde and octoxinol.
  6. Patients with endogenic or iatrogenic immunosuppression that may result in reduced immunization response.
  7. Inability to provide informed consent.
  8. Age <7 or ≥18 years.
  9. Previous randomization in the INVITED trial.

Endpoints

Primary and secondary outcome measures (English text)

Primary endpoints 1

  1. Change in fasting residual β cell (C-peptide) function, baseline to 12 months.

Secondary endpoints 5

  1. Change in fasting C-peptide levels, baseline to 6 months.
  2. Change in HbA1c, baseline to 12 months.
  3. Change in insulin requirements, baseline to 12 months (measured as total insulin dose per kg body weight per day as a mean for the last 14 days).
  4. Time-In-Range (3.9-10.0 mmol/L) of continuous glucose monitoring over 14 days at 12 months.
  5. Percent coefficient of variation of glucose (%CV) over 14 days at 12 months.

Investigational products

Investigational medicinal products (IMPs), comparators, placebo, auxiliary

Test 1

Vaxigrip Tetra, suspension for injection in pre-filled syringe Quadrivalent influenza vaccine (split virion, inactivated)

PRD9032965 · Product

Active substance
BPHUKET30732013-LIKE Virus (BPHUKET30732013, Wild Type)
Pharmaceutical form
SUSPENSION FOR INJECTION
Route of administration
INTRAMUSCULAR INJECTION
Max daily dose
0.5 ml millilitre(s)
Max total dose
0.5 ml millilitre(s)
Max treatment duration
1 Day(s)
Authorisation status
Authorised
ATC code
J07BB02 — INFLUENZA, PURIFIED ANTIGEN
Marketing authorisation
MA573/00103
MA holder
SANOFI PASTEUR
MA country
Malta
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Placebo 1

0.9% sodium chloride for intra muscular injection from hospital stock

N/A · Product

Other product name
N/A
Pharmaceutical form
N/A
ATC code
N/A — N/A
Marketing authorisation
N/A
MA holder
N/A
MA country
Iceland
Paediatric formulation
No

Sponsors and contacts

Sponsor organisations, regulatory contacts, third parties

Aarhus University Hospital

Sponsor organisation
Aarhus University Hospital
Address
Palle Juul-Jensens Boulevard 82
City
Aarhus N
Postcode
8200
Country
Denmark

Scientific contact point

Organisation
Aarhus University Hospital
Contact name
Ole Frobert

Public contact point

Organisation
Aarhus University Hospital
Contact name
Mads Fuglsang Kjolby

Third parties 1

OrganisationCity, countryDuties
Aarhus Universitet
ORG-100028380
Aarhus N, Denmark On site monitoring

Locations

1 EU/EEA country · 10 investigational sites

By country

CountryMS statusPlanned subjectsSites
Denmark Ongoing, recruiting 100 10
Rest of world 0

Investigational sites

Denmark

10 sites · Ongoing, recruiting
Aalborg University Hospital
Steno Diabetes Center (SDCN), Stengade 10, 9000, Aalborg
Nykoebing F Sygehus
Dept. of Pediatrics, Fjordvej 15, 4800, Nykobing F
Region Midtjylland
Børn og Unge, Hospitalsparken 15, 7400, Herning
Slagelse Hospital
Dept. of Pediatrics, Ingemannsvej 18, 4200, Slagelse
Aarhus University
Steno Diabetes Center Aarhus, Palle Juul-Jensens Boulevard 82, 8200, Aarhus N
Regionshospitalet Randers
Dept. of Pediatrics, Skovlyvej 15, 8930, Randers Nø
Holbaek Sygehus
Dept. of Pediatrics, Smedelundsgade 60, 4300, Holbæk
Region Midtjylland
Børn og Unge, Heibergs Alle 4, 8800, Viborg
Region Sjaelland
Dept. of Pediatrics, Sygehusvej 10, 4000, Roskilde
Steno Diabetes Center Copenhagen
Steno Diabetes Center Copenhagen, Borgmester Ib Juuls Vej 83, 2730, Herlev

Country notifications

Trial-start, recruitment-start, end and early-termination notifications submitted per Member State

Country Trial startTrial end Recruitment startRecruitment end Early termination
Denmark 2023-03-21 2023-03-21

Oversight and notifications

Regulatory notifications under CTR Articles 38, 52, 53, 54 and 77

Serious breaches 1 · Art. 52 CTR

Serious breach SB-8670

Sponsor became aware
2023-11-20
Date of breach
2023-09-21
Submission date
2023-11-27
Member states concerned
Denmark
Categories
Regulation
Areas impacted
Regulatory
Benefit-risk balance changed
No
Description
Description of serious breach is provided in the attached document
Sponsor actions
Se attached document
OrganisationCityCountryType
Region Midtjylland Herning Denmark Other
Aalborg University Hospital Aalborg Denmark Other

Results and documents

Annex IV summary of results, Annex V layperson summary, and all documents registered in CTIS for this trial

Documents 3 files

Public protocol annexes, IB summaries, regulatory submissions and post-authorisation documents registered in CTIS.

TypeTitleVersion
Protocol (for publication) Protocol 1.7
Summary of Product Characteristics (SmPC) (for publication) Vaxigriptetra produktresume 1
Synopsis of the protocol (for publication) protocol summary 1.5

Application history

9 submissions — initial application plus substantial / non-substantial modifications

#TypeCodeSubmittedReference MSConclusionDecision date
1 INITIAL IN 2022-06-24 Denmark Acceptable
2022-09-11
2022-09-12
2 NON SUBSTANTIAL MODIFICATION NSM-1 2023-03-21 Denmark Acceptable
2022-09-11
2023-03-21
3 NON SUBSTANTIAL MODIFICATION NSM-2 2023-06-14 Denmark Acceptable
2022-09-11
2023-06-14
4 SUBSTANTIAL MODIFICATION SM-1 2023-09-21 Denmark Acceptable
2023-10-20
2023-11-06
5 SUBSTANTIAL MODIFICATION SM-2 2024-02-28 Denmark Acceptable 2024-03-21
6 SUBSTANTIAL MODIFICATION SM-3 2024-07-10 Denmark Acceptable
2024-08-06
2024-08-07
7 NON SUBSTANTIAL MODIFICATION NSM-3 2025-05-08 Denmark Acceptable
2024-08-06
2025-05-08
8 SUBSTANTIAL MODIFICATION SM-4 2025-08-12 Denmark Acceptable
2025-08-29
2025-08-29
9 NON SUBSTANTIAL MODIFICATION NSM-4 2026-01-28 Denmark Acceptable
2025-08-29
2026-01-28