Overview
Sponsor-declared trial summary
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
| Version | Level | Code | Term | System 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 number | Title | Sponsor |
|---|---|---|
| 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
- Patients hospitalized with newly diagnosed type 1 diabetes mellitus.
- Male or female subjects ≥7 and <18 years.
- Written informed consent (parents, legal guardian).
Exclusion criteria 9
- Influenza vaccination during the current influenza season (September 1 – March 1).
- Strong indication for influenza vaccination for non-diabetic disease.
- Severe allergy to eggs or previous allergic reaction to influenza vaccine.
- Suspicion of febrile illness or acute, ongoing infection.
- 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.
- Patients with endogenic or iatrogenic immunosuppression that may result in reduced immunization response.
- Inability to provide informed consent.
- Age <7 or ≥18 years.
- Previous randomization in the INVITED trial.
Endpoints
Primary and secondary outcome measures (English text)
Primary endpoints 1
- Change in fasting residual β cell (C-peptide) function, baseline to 12 months.
Secondary endpoints 5
- Change in fasting C-peptide levels, baseline to 6 months.
- Change in HbA1c, baseline to 12 months.
- 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).
- Time-In-Range (3.9-10.0 mmol/L) of continuous glucose monitoring over 14 days at 12 months.
- Percent coefficient of variation of glucose (%CV) over 14 days at 12 months.
Investigational products
Investigational medicinal products (IMPs), comparators, placebo, auxiliary
Test 1
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
| Organisation | City, country | Duties |
|---|---|---|
| Aarhus Universitet ORG-100028380
|
Aarhus N, Denmark | On site monitoring |
Locations
1 EU/EEA country · 10 investigational sites
By country
| Country | MS status | Planned subjects | Sites |
|---|---|---|---|
| Denmark | Ongoing, recruiting | 100 | 10 |
| Rest of world | — | 0 | — |
Investigational sites
Country notifications
Trial-start, recruitment-start, end and early-termination notifications submitted per Member State
| Country | Trial start | Trial end | Recruitment start | Recruitment 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
| Organisation | City | Country | Type |
|---|---|---|---|
| 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.
| Type | Title | Version |
|---|---|---|
| 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
| # | Type | Code | Submitted | Reference MS | Conclusion | Decision 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 |