Trial record 2 of 135 for:    novel influenza a (h1n1)

Swine Flu (Novel Influenza A H1N1) Vaccine Study

This study has been completed.
Sponsor:
Information provided by:
University of Oxford
ClinicalTrials.gov Identifier:
NCT00980850
First received: September 18, 2009
Last updated: May 7, 2013
Last verified: May 2013
  Purpose

In the first half of this year a novel Influenza A H1N1 virus has resulted in an influenza pandemic. The United Kingdom has seen a particularly high incidence of disease. The highest rates of disease are being seen in young children. In anticipation of an influenza pandemic two vaccine manufacturers, Baxter and GlaxoSmithKline, have gained marketing authorization approval from the European Medicines Agency (EMEA) for a pandemic strain vaccine under the "mockup" dossier route based on limited clinical trial data for a candidate H5N1 vaccine. This "mockup" dossier route for pandemic influenza vaccines allows the submission of a core pandemic dossier during the interpandemic period, which results in the approval of a mockup pandemic vaccine. This is followed by a fast track approval of the pandemic vaccine based on the submission of the pandemic variation when the situation arises. The Baxter and GlaxoSmithKline vaccines have now been modified to cover the novel influenza A H1N1 strain.

Given the high rates of swine flu disease in children, this age group is likely to particularly benefit from immunization against this virus, however there are few data on the use of these vaccines in a pediatric population. The proposed study therefore aims to assess the immunogenicity, safety, and tolerability of these two H1N1 vaccines when administered as two doses three weeks apart to children aged 6 months to 12 years of age.


Condition Intervention Phase
Influenza
Biological: Baxter Novel Influenza A H1N1 Whole Virus Vaccine
Biological: GlaxoSmithKline Novel Influenza A H1N1 Split Virion Vaccine
Phase 2

Study Type: Interventional
Study Design: Allocation: Randomized
Endpoint Classification: Safety Study
Intervention Model: Parallel Assignment
Masking: Open Label
Primary Purpose: Prevention
Official Title: Open Label, Randomized, Parallel-Group, Multi-Centre Study to Evaluate the Safety, Tolerability and Immunogenicity of Baxter H1N1 Vaccine and GlaxoSmithKline H1N1 Vaccine in Children 6 Months to 12 Years of Age

Resource links provided by NLM:


Further study details as provided by University of Oxford:

Primary Outcome Measures:
  • Percentage of subjects with a 4 fold rise in MN titre between the pre-vaccination sample and sample taken 3 weeks after the second dose [ Time Frame: 3 weeks after second vaccine dose ] [ Designated as safety issue: No ]
  • Percentage of participants experiencing each of fever (≥ 38°C per axilla), local tenderness, local swelling or local erythema within the 7 days following each immunisation with the study vaccines [ Time Frame: Within the 7 days following each immunisation with the study vaccines ] [ Designated as safety issue: Yes ]

Secondary Outcome Measures:
  • Percentage of subjects with an HAI titre ≥ 1 in 32 [ Time Frame: 3 weeks after the second dose ] [ Designated as safety issue: No ]
  • Percentage of subjects with a 4 fold rise in HAI titre between the pre-vaccination sample and sample taken 3 weeks after the second dose [ Time Frame: 3 weeks after the second dose ] [ Designated as safety issue: No ]
  • The geometric mean fold rises in HAI titres from baseline to after three weeks after 2 doses of the Baxter H1N1 vaccine and the GSK H1N1 vaccine. [ Time Frame: 3 weeks after the second dose ] [ Designated as safety issue: No ]
  • The geometric mean fold rises in MN titres from baseline to three weeks after 2 doses of the Baxter H1N1 vaccine and the GSK H1N1 vaccine. [ Time Frame: 3 weeks after the second dose ] [ Designated as safety issue: No ]
  • The geometric mean HAI and MN titres three weeks after 2 doses of the Baxter H1N1 vaccine and the GSK H1N1 vaccine. [ Time Frame: 3 weeks after the second dose ] [ Designated as safety issue: No ]
  • Percentage of participants experiencing each of: reduced feeding, reduced activity, irritability, persistent crying, vomiting or diarrhoea, receiving medication for pain or temperature (6 month to 5 year olds). [ Time Frame: Up to 3 weeks after the second dose ] [ Designated as safety issue: Yes ]
  • Percentage of participants experiencing each of: malaise, headache, nausea/ vomiting, diarrhoea, reduced appetite, muscle pain or joint pain, receiving analgesic/ antipyretic medication (5 to 12 year olds). [ Time Frame: Up to 3 weeks after the second dose ] [ Designated as safety issue: Yes ]
  • The effect of genetic polymorphisms on the immunogenicity and reactogenicity of the H1N1 vaccines. [ Time Frame: Up to 3 weeks after the second dose ] [ Designated as safety issue: No ]

Estimated Enrollment: 1000
Study Start Date: September 2009
Study Completion Date: December 2009
Primary Completion Date: December 2009 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
Experimental: Groups A1 and A2
Baxter vaccine
Biological: Baxter Novel Influenza A H1N1 Whole Virus Vaccine
Two 0.5 ml doses of vaccine given within 3 weeks interval
Other Name: Celvapan
Experimental: Groups B1 and B2
GSK vaccine
Biological: GlaxoSmithKline Novel Influenza A H1N1 Split Virion Vaccine
Two 0.25 ml doses of vaccine given within 3 weeks interval
Other Name: Pandemrix

Detailed Description:

The study will be an open label, randomised, parallel group, multicentre clinical trial conducted by a consortium of the leading paediatric vaccine research units in the United Kingdom. The study will recruit healthy children 6 months to 12 years of age. Children with previously laboratory confirmed infection with swine flu will be excluded, as will those that have received a treatment course of oseltamivir. Children with immune deficiencies and egg allergy will also be excluded.

The study will be conducted as a collaboration between the Health Protection Agency and the following study recruitment sites: Oxford Vaccine Group (OVG), Bristol Children's Vaccine Centre (BCVC), the Royal Devon and Exeter Hospital, St George's Vaccine Institute (SGVI) and the University of Southampton Wellcome Trust Clinical Research Facility (USWTCRF). Families in the area of these research sites will be notified of the study by methods including print and electronic media, posters and direct mail out via the child health computer departments. The study visits themselves will be conducted in locations such as hospital outpatients, GP surgeries, or schools. General practitioners will be informed of the study and all immunisations administered during the study, as will the relevant child health computer department.

Participants will be randomised on 1:1 basis to receive 2 doses of either of the H1N1 influenza vaccines being studied. These vaccines will be given 2-3 weeks apart and the blood tests will be taken at baseline and around 3 weeks after completion of the 2 dose immunisation course. If at the start of the trial there is clinical data or a recommendation from JCVI that supports the use of a half dose of either vaccine in children under 3 years of age, this will be used for this age group and the ethics committee will be informed of this change.

Participants' families will be given diary cards to record local and systemic reactions to the vaccines administered, as well as recording daily temperatures for the 7 days after receipt of the vaccines. They will be telephoned 5-7 days after each vaccination to determine if there have been any SAEs since vaccination and to remind them to mail their completed diary cards to the HPA. Participants' families will also receive a memory card on which to record any visits to a doctor or emergency department from the 8th day after vaccine administration to the next study visit and any adverse events recorded in the diary card that are ongoing after day 7.

There will be 4 groups of children in the study:

Group A1: Children aged 6 months to less than 3 years of age will receive 2 doses of the Baxter H1N1 vaccine, 2-3 weeks apart. A blood sample will be taken at baseline and around 3 weeks after the second vaccine dose.

Group B1: Children aged 6 months to less than 3 years of age will receive 2 doses of the GSK H1N1 vaccine, 2-3 weeks apart. A blood sample will be taken at baseline and around 3 weeks after the second vaccine dose.

Group A2: Children aged greater than 3 years of age to 12 years of age will receive 2 doses of the Baxter H1N1 vaccine, 2-3 weeks apart. A blood sample will be taken at baseline and around 3 weeks after the second vaccine dose.

Group B2: Children aged greater than 3 years of age to 12 years of age will receive 2 doses of the GSK H1N1 vaccine, 2-3 weeks apart. A blood sample will be taken at baseline and around 3 weeks after the second vaccine dose.

  Eligibility

Ages Eligible for Study:   6 Months to 12 Years
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   Yes
Criteria

Inclusion Criteria:

  • baby or child aged between 6 months to 12 years of age (i.e., to day before 13th birthday)
  • for whom a parent/legal guardian has given written informed consent after the nature of the study has been explained
  • available for all the visits scheduled in the study
  • willingness to complete all study procedures

Exclusion Criteria:

  • History of any vaccine against novel influenza A strain H1N1 (based on verbal confirmation from parent/guardian)
  • Previous laboratory confirmed case of novel influenza A strain H1N1 or treatment with oseltamivir or zanamivir for novel influenza A strain H1N1 (n.b. a child commenced on treatment with oseltamivir or zanamivir for novel influenza A strain H1N1 whose treatment was stopped following negative microbiological tests for H1N1 on nasal swabs would be allowed to enrol in the study]
  • History of severe allergic reaction after previous vaccinations or hypersensitivity to any H1N1 vaccine component
  • Current egg allergy
  • Known or suspected impairment/alteration of the immune system
  • Disorders of coagulation
  • Immunosuppressive therapy, use of systemic corticosteroids for more than 1 week within the 3 months prior to enrollment
  • Receipt of blood, blood products and/or plasma derivatives or any immunoglobulin preparation within 3 months prior to enrollment
  • Intent to immunize with any other vaccine(s) against novel influenza A strain H1N1 throughout the study period
  • Participation in another clinical trial of an investigational medical product
  • Any condition which, in the opinion of the investigator, might interfere with the evaluation of the study objectives. Children with chronic, stable medical illnesses that do not result in immunosuppression (e.g., cerebral palsy, epilepsy, cystic fibrosis, congenital heart disease) will be allowed to participate in the study, unless these conditions will in some way interfere with the completion of study procedures. Children with conditions that may alter the immune response to vaccines (e.g., Trisomy 21) or will affect the ability to accurately describe adverse events (e.g., children over 5 years of age but with severe learning difficulties) will be excluded
  Contacts and Locations
Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the Contacts provided below. For general information, see Learn About Clinical Studies.

Please refer to this study by its ClinicalTrials.gov identifier: NCT00980850

Locations
United Kingdom
Bristol Children's Vaccine Centre
Bristol, United Kingdom, BS2 8AE
Royal Devon and Exeter NHS Foundation Trust
Exeter, United Kingdom, EX2 5DW
St Georges Vaccine Institute
London, United Kingdom, SW17 ORE
Oxford Vaccine Group
Oxford, United Kingdom, OX3 7LJ
University of Southampton Wellcome Trust Clinical Research Facility
Southampton, United Kingdom, SO16 6YD
Sponsors and Collaborators
University of Oxford
Investigators
Study Director: Andrew Pollard, MRCP, PhD Oxford Vaccine Group, University of Oxford
Principal Investigator: Liz Miller, FRCPath, DSc Health Protection Agency, United Kingdom
Principal Investigator: Paul Heath, FRCPCH St Georges Vaccine Institute
Principal Investigator: Adam Finn, PhD, FRCPCH Bristol Children's Vaccine Centre
Principal Investigator: Saul Faust, MRCPCH, PhD University of Southampton Wellcome Trust Clinical Research Facility
Principal Investigator: Andrew Collinson, MRCPCH, MD Royal Devon and Exeter NHS Foundation Trust
Principal Investigator: Matthew Snape, FRCPCH, MD Oxford Vaccine Group
  More Information

Publications:

Responsible Party: Andrew Pollard, University of Oxford
ClinicalTrials.gov Identifier: NCT00980850     History of Changes
Other Study ID Numbers: 2009/08 H1N1
Study First Received: September 18, 2009
Last Updated: May 7, 2013
Health Authority: United Kingdom: Medicines and Healthcare Products Regulatory Agency

Keywords provided by University of Oxford:
Flu vaccine
H1N1 swine flu virus
Immunogenicity
Reactogenicity

Additional relevant MeSH terms:
Influenza, Human
Orthomyxoviridae Infections
RNA Virus Infections
Virus Diseases
Respiratory Tract Infections
Respiratory Tract Diseases

ClinicalTrials.gov processed this record on July 24, 2014