Avian influenza vaccine immunity

2023-509178-44-00 Protocol Avian_inf_vacc_THL20 Therapeutic use (Phase IV) Ongoing, recruiting

Start 26 Jun 2024 · Status Ongoing, recruiting · 1 EU/EEA countries · 1 sites · Protocol Avian_inf_vacc_THL20

Overview

Sponsor-declared trial summary

Phase Therapeutic use (Phase IV)
Status Ongoing, recruiting
Participants planned 300
Countries 1
Sites 1

Avian influenza and seasonal influenza

The main objective of this study is to evaluate the humoral and cell-mediated immune responses induced by the customized avian influenza vaccine, specifically against the H5N1 2.3.4.4b clade.

Key facts

Sponsor
Finnish Institute For Health And Welfare
Participant type
Healthy volunteers
Age range
18-64 years, 65+ years
Gender
Male and Female
Therapeutic area
Diseases [C] - Respiratory Tract Diseases [C08], Diseases [C] - Virus Diseases [C02]
Trial duration
26 Jun 2024 → ongoing
Decision date (initial)
2024-04-19
Transition trial
No
Low-intervention
Yes
Rare-disease indication
No
Vulnerable population
Yes
Funding sources
Finnish Institute for Health and Welfare

Trial design

CTIS Part I — objectives, methods, condition coding

Main objective

Scope: Prophylaxis

The main objective of this study is to evaluate the humoral and cell-mediated immune responses induced by the customized avian influenza vaccine, specifically against the H5N1 2.3.4.4b clade.

Secondary objectives 5

  1. To evaluate humoral immune responses produced by the avian influenza vaccine against different H5N1 development lineages (clades) that have occurred before 2023, or that are identified to occur during the study
  2. To evaluate cellular immune responses induced by the customized avian influenza vaccine, against different H5N1 clades
  3. To evaluate the effects of prior seasonal influenza vaccines on the immune responses induced by the avian influenza vaccine
  4. To evaluate humoral immunity produced by seasonal influenza vaccinations against different H5N1 lineages evaluated from samples collected from healthcare personnel belonging to the target group of the seasonal influenza vaccine (“Immune responses to influenza vaccinations and viruses among health care personnel”, ClinicalTrials.gov Identifier: NCT03323112)
  5. To evaluate humoral and cellular immune responses induced by the H5N1 2.3.4.4b customized vaccine in subjects who have previously received avian influenza vaccines

Conditions and MedDRA coding

Avian influenza and seasonal influenza

Eligibility criteria

Principal inclusion / exclusion criteria as submitted by sponsor

Inclusion criteria 8

  1. Age 18 to 65 years
  2. Belongs to the target group of the avian influenza vaccine
  3. Is planning to receive at least one dose of the avian influenza vaccine
  4. Is able to understand the given written and oral information
  5. Has given written informed consent
  6. Home address in Finland
  7. Is able to give samples 3 weeks after each vaccine dose and preferably also participate in the follow-up at 6 and 12 months
  8. Pregnant and lactating women can participate in the study

Exclusion criteria 1

  1. None

Endpoints

Primary and secondary outcome measures (English text)

Primary endpoints 1

  1. Primary outcome measure: Seroconversion proportion in all study subjects 3 weeks after the second dose given at least 21 days after the first dose, as assessed by the microneutralization test

Secondary endpoints 3

  1. Rate of seroconversion defined as the percentage of subjects with either a pre-vaccination MNT titer < 1:10 and a post vaccination MNT titer ≥ 1:80 or a pre-vaccination MNT titer ≥ 1:10 and a minimum four-fold rise in post-vaccination HI antibody titer.
  2. Geometric mean titers at pre- and post-vaccination
  3. Detectable increase in T cell (CD4+ and CD8+) responses against H5N1 virus specific antigens in avian influenza virus vaccinated individuals

Investigational products

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

Test 6

VaxigripTetra, injektioneste, suspensio, esitäytetty ruisku. Nelivalenttinen influenssarokote (virusfragmentit, inaktivoitu)

PRD4506899 · Product

Active substance
BPHUKET30732013-LIKE Virus (BPHUKET30732013, Wild Type)
Substance synonyms
B/PHUKET/3073/2013-LIKE STRAIN (B/PHUKET/3073/2013, WILD TYPE), B/Phuket/3073/2013-like strain (B/Yamagata/16/88 lineage) (B/Phuket/3073/2013, wild type)
Pharmaceutical form
SUSPENSION FOR INJECTION
Route of administration
INTRAMUSCULAR OR SUBCUTANEOUS
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
33654
MA holder
SANOFI PASTEUR EUROPE
MA country
Finland
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Zoonotic Influenza Vaccine Seqirus suspension for injection in pre-filled syringe. Zoonotic influenza vaccine (H5N1) (surface antigen, inactivated, adjuvanted).

PRD10931113 · Product

Active substance
ATURKEYTURKEY105 (H5N1-LIKE Strain (NIBRG-23)
Pharmaceutical form
SUSPENSION FOR INJECTION
Route of administration
INTRAMUSCULAR
Max daily dose
0.5 ml millilitre(s)
Max total dose
1.0 ml millilitre(s)
Max treatment duration
3 Week(s)
Authorisation status
Authorised
ATC code
J07BB02 — INFLUENZA, PURIFIED ANTIGEN
Marketing authorisation
EU/1/23/1761/001
MA holder
SEQIRUS S.R.L.
MA country
EU
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Zoonotic Influenza Vaccine Seqirus suspension for injection in pre-filled syringe Zoonotic influenza vaccine (H5N8) (surface antigen, inactivated, adjuvanted)

PRD10931114 · Product

Active substance
Influenza AASTRAKHAN32122020 (H5N8-LIKE Strain (CBER-RG8A) (Clade 2344B)
Pharmaceutical form
SUSPENSION FOR INJECTION IN PRE-FILLED SYRINGE
Route of administration
INTRAMUSCULAR INJECTION
Max daily dose
0.5 ml millilitre(s)
Max total dose
1 ml millilitre(s)
Max treatment duration
3 Week(s)
Authorisation status
Authorised
ATC code
J07BB02 — INFLUENZA, PURIFIED ANTIGEN
Marketing authorisation
EU/1/23/1761/002
MA holder
SEQIRUS S.R.L.
MA country
EU
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Vaxigrip injektioneste, suspensio, esitäytetty ruisku. Kolmivalenttinen influenssarokote (virusfragmentit, inaktivoitu).

PRD12027853 · Product

Active substance
Influenza Virus BMICHIGAN012021
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 Week(s)
Authorisation status
Authorised
ATC code
J07BB02 — INFLUENZA, PURIFIED ANTIGEN
Marketing authorisation
43635
MA holder
SANOFI WINTHROP INDUSTRIE
MA country
Finland
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Fluad Tetra, suspension for injection in pre-filled syringe Influenza vaccine (surface antigen, inactivated, adjuvanted)

PRD8090559 · Product

Active substance
BPHUKET30732013-LIKE Strain (BPHUKET30732013, BVR-1B)
Substance synonyms
Influenza (Eggs) inactivated virus (split virion) (B/Phuket/3073/2013 BVR1B (B/Yamagata lineage) strain
Pharmaceutical form
SUSPENSION FOR INJECTION IN PRE-FILLED SYRINGE
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 Week(s)
Authorisation status
Authorised
ATC code
J07BB02 — INFLUENZA, PURIFIED ANTIGEN
Marketing authorisation
EU/1/20/1433/001
MA holder
SEQIRUS NETHERLANDS B.V.
MA country
EU
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Fluad suspension for injection in pre-filled syringe Influenza vaccine (surface antigen, inactivated, adjuvanted)

PRD11777909 · Product

Active substance
Influenza Virus BAUSTRIA13594172021-LIKE Strain (BAUSTRIA13594172021, BVR-26)
Substance synonyms
B/Austria/1359417/2021 (B/Victoria lineage)-like virus (B/Austria/1359417/2021 BVR-26)
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 Week(s)
Authorisation status
Authorised
ATC code
J07BB02 — INFLUENZA, PURIFIED ANTIGEN
Marketing authorisation
EU/1/24/1878/002
MA holder
SEQIRUS NETHERLANDS B.V.
MA country
Liechtenstein
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Sponsors and contacts

Sponsor organisations, regulatory contacts, third parties

Finnish Institute For Health And Welfare

Sponsor organisation
Finnish Institute For Health And Welfare
Address
P. O. Box 30
City
Helsinki
Postcode
00271
Country
Finland

Scientific contact point

Organisation
Finnish Institute For Health And Welfare
Contact name
Hanna Nohynek

Public contact point

Organisation
Finnish Institute For Health And Welfare
Contact name
Hanna Nohynek

Locations

1 EU/EEA country · 1 investigational sites

By country

CountryMS statusPlanned subjectsSites
Finland Ongoing, recruiting 300 1
Rest of world 0

Investigational sites

Finland

1 site · Ongoing, recruiting
Finnish Institute For Health And Welfare
Terveysturvaajat -osasto, Mannerheimintie 166, 00300, Helsinki

Country notifications

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

Country Trial startTrial end Recruitment startRecruitment end Early termination
Finland 2024-06-26 2024-07-10

Results and documents

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

Documents 22 files

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

TypeTitleVersion
Protocol (for publication) Avian_influenza_vaccine_study_research_plan_v1_12122023 3
Recruitment arrangements (for publication) Recruitment and Informed consent procedure_Avian_inf_vacc_THL2023 5
Subject information and informed consent form (for publication) Ajanvaraus- ja nayteohje_jatkokaynnit_yleinen_v1_12122023 3
Subject information and informed consent form (for publication) Kohderyhmittaiset infokirjeiden saatetekstit 1
Subject information and informed consent form (for publication) Lintuinfluenssatutkimus_Ajanvaraus_nayteohje_yleinen_v1_12122023 3
Subject information and informed consent form (for publication) Lintuinfluenssatutkimus_Infokirje1_laboratorio_ell_v1_12122023 3
Subject information and informed consent form (for publication) Lintuinfluenssatutkimus_Infokirje2_turkistarhaajat_siipikarjatilalliset_v1_12122023 3
Subject information and informed consent form (for publication) Lintuinfluenssatutkimus_Kutsukirje_jatkokaynnit_v1_12122023 1
Subject information and informed consent form (for publication) Lintuinfluenssatutkimus_Kutsukirje_v1_12122023 2
Subject information and informed consent form (for publication) Lintuinfluenssatutkimus_Suostumusasiakirja_v1_12122023 5
Subject information and informed consent form (for publication) Lintuinfluenssatutkimus_Tutkittavan tiedote_v1_12122023 4
Subject information and informed consent form (for publication) Lintuinfluenssatutkimus_verkkosivut 2.0
Subject information and informed consent form (for publication) Muistutusviesti tutkittavalle_v1_28102024 1
Subject information and informed consent form (for publication) Saatetekstin tarkennukset 1
Summary of Product Characteristics (SmPC) (for publication) Fluad Tetra-epar-product-information_fi_2024-2025 1
Summary of Product Characteristics (SmPC) (for publication) Fluad-epar-product-information_en_2025-2026 1
Summary of Product Characteristics (SmPC) (for publication) Valmisteyhteenveto_Vaxigrip Tetra 2024-2025 2
Summary of Product Characteristics (SmPC) (for publication) Valmisteyhteenveto_Vaxigrip_2025-2026 3
Summary of Product Characteristics (SmPC) (for publication) VaxigripTetra_valmisteyhteenveto_23155150 1
Summary of Product Characteristics (SmPC) (for publication) zoonotic-influenza-vaccine-seqirus-epar-product-information_en 2.0
Summary of Product Characteristics (SmPC) (for publication) zoonotic-influenza-vaccine-seqirus-epar-product-information_en 2
Synopsis of the protocol (for publication) Abstract_Avian_inf_vacc_THL2023 1

Application history

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

#TypeCodeSubmittedReference MSConclusionDecision date
1 INITIAL IN 2023-12-21 Finland Acceptable with conditions
2024-04-15
2024-04-19
2 NON SUBSTANTIAL MODIFICATION NSM-1 2024-04-23 Finland Acceptable with conditions
2024-04-15
2024-04-23
3 SUBSTANTIAL MODIFICATION SM-1 2024-04-29 Finland Acceptable with conditions
2024-06-05
2024-06-07
4 NON SUBSTANTIAL MODIFICATION NSM-2 2024-10-07 Finland Acceptable with conditions
2024-06-05
2024-10-07
5 SUBSTANTIAL MODIFICATION SM-2 2024-11-08 Finland Acceptable
2025-01-28
2025-01-31
6 SUBSTANTIAL MODIFICATION SM-6 2025-04-22 Finland Acceptable 2025-05-26
7 SUBSTANTIAL MODIFICATION SM-11 2025-12-11 Finland Acceptable
2026-01-20
2026-01-21