Working…
COVID-19 is an emerging, rapidly evolving situation.
Get the latest public health information from CDC: https://www.coronavirus.gov.

Get the latest research information from NIH: https://www.nih.gov/coronavirus.
ClinicalTrials.gov
ClinicalTrials.gov Menu

Inactivated Influenza Vaccine Delivered by Microneedle Patch or by Hypodermic Needle

The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details.
 
ClinicalTrials.gov Identifier: NCT02438423
Recruitment Status : Completed
First Posted : May 8, 2015
Results First Posted : July 5, 2019
Last Update Posted : July 5, 2019
Sponsor:
Collaborator:
Emory University
Information provided by (Responsible Party):
Mark Prausnitz, Georgia Institute of Technology

Tracking Information
First Submitted Date  ICMJE May 6, 2015
First Posted Date  ICMJE May 8, 2015
Results First Submitted Date  ICMJE February 27, 2018
Results First Posted Date  ICMJE July 5, 2019
Last Update Posted Date July 5, 2019
Study Start Date  ICMJE June 2015
Actual Primary Completion Date March 23, 2016   (Final data collection date for primary outcome measure)
Current Primary Outcome Measures  ICMJE
 (submitted: April 12, 2019)
  • Occurrence of Solicited Injection Site and Systemic Reactogenicity on the Day of Study Product Administration Through 7 Days After Administration. [ Time Frame: From Day 0 through Day 8 ]
    Safety will be measured by the occurrence of solicited injection site and systemic reactogenicity on the day of study product administration through 7 days after, and serious adverse events (SAEs) and new-onset chronic medical conditions through 180 days after study product administration. Local and systemic reactions were graded using an Injection Site Reaction table listing local reactions (e.g., swelling, erythema, etc.) and grade levels from 0 to 4 for each local reaction, a General Adverse Reaction table listing systemic reactions (e.g., fatigue, myalgia, etc.) and grade levels from 0 to 4 for each systemic reaction, and a Clinical Adverse Event Grading Scale (grades 1-4) for safety labs. In all tables, the higher the grade, the worse the adverse event.
  • Occurrence of Study Product-related Serious Adverse Events From D0 Until D180 (+/- 14 Days) After Study Product Administration. [ Time Frame: From Day 0 until Day 180 ]
  • Occurrence of Grade 3 Solicited or Unsolicited Adverse Events From D0 Until D28 (+/- 2 Days) After Study Product Administration. [ Time Frame: From Day 0 until Day 28 ]
Original Primary Outcome Measures  ICMJE
 (submitted: May 7, 2015)
To evaluate the safety and reactogenicity following receipt of inactivated influenza vaccine delivered by microneedle patch (either by staff or self-administered). [ Time Frame: 180 days ]
Safety will be measured by the occurrence of solicited injection site and systemic reactogenicity on the day of study product administration through 7 days after, and serious adverse events (SAEs) and new-onset chronic medical conditions through 180 days after study product administration.
Change History
Current Secondary Outcome Measures  ICMJE
 (submitted: April 12, 2019)
  • Geometric Mean Titer (GMT) of HAI Antibody Approximately 28 Days Following Receipt of IIV Delivered by Microneedle Patch or by Hypodermic Needle (Both Vaccines Administered by Study Staff). [ Time Frame: At Day 28 ]
  • Percentage of Subjects Achieving Seroprotection (Defined as a HAI Antibody Titer of 1:40 or Greater) Approximately 28 Days Following Receipt of IIV Delivered by Microneedle Patch or by Hypodermic Needle (Both Vaccines Administered by Study Staff). [ Time Frame: At Day 28 ]
  • Percentage of Subjects Achieving Seroconversion Approximately 28 Days Following Receipt of IIV Delivered by Microneedle Patch or by Hypodermic Needle (Both Vaccines Administered by Study Staff). [ Time Frame: At Day 28 ]
    Seroconversion is defined as either a pre-vaccination HAI titer <1:10 and a post-vaccination HAI titer ≥1:40, or a pre-vaccination HAI titer ≥1:10 and a minimum four-fold rise in post-vaccination HAI antibody titer.
Original Secondary Outcome Measures  ICMJE
 (submitted: May 7, 2015)
To evaluate the HAI titers following receipt of inactivated influenza vaccine delivered either by microneedle patch or by hypodermic needle (both vaccines administered by study staff). [ Time Frame: 28 days ]
Immunogenicity testing will include performing hemagglutination inhibition (HAI) +/- microneutralizing antibody assays as well as other adaptive immune assays on D0 prior to study product administration and at D8 (+2 days) and D28 (+/- 2 days)
Current Other Pre-specified Outcome Measures Not Provided
Original Other Pre-specified Outcome Measures Not Provided
 
Descriptive Information
Brief Title  ICMJE Inactivated Influenza Vaccine Delivered by Microneedle Patch or by Hypodermic Needle
Official Title  ICMJE A Phase I Study of the Safety, Reactogenicity, Acceptability and Immunogenicity of Inactivated Influenza Vaccine Delivered by Microneedle Patch or by Hypodermic Needle
Brief Summary

Title: A Phase I Study of The Safety, Reactogenicity, Acceptability and Immunogenicity of Inactivated Influenza Vaccine Delivered either by Microneedle Patch or by Hypodermic Needle.

This is a single center, partially blinded, randomized phase I study in which healthy adult subjects (ages 18-49) will receive either inactivated influenza vaccine (IIV) (either by microneedle patch or hypodermic needle) or placebo (by microneedle patch). This study is designed to investigate the safety, reactogenicity, acceptability and immunogenicity of an inactivated influenza vaccine delivered by microneedle patch.

Detailed Description

Title: A Phase I Study of The Safety, Reactogenicity, Acceptability and Immunogenicity of Inactivated Influenza Vaccine Delivered either by Microneedle Patch or by Hypodermic Needle.

Population: healthy adults, 18-49 years inclusive

Number of Sites: One

Study Duration: 12 months

Subject Duration: 6 months

Objectives:

Primary:

To evaluate the safety and reactogenicity following receipt of inactivated influenza vaccine delivered by microneedle patch (either by staff or self-administered).

Secondary:

To evaluate the HAI titers following receipt of inactivated influenza vaccine delivered either by microneedle patch or by hypodermic needle (both vaccines administered by study staff).

To evaluate unsolicited adverse events following receipt of IIV delivered by microneedle patch (administered by study staff or self-administered).

To evaluate new-onset chronic illnesses (NOCI) following receipt of IIV delivered by microneedle patch (administered by study staff or self-administered).

Exploratory:

To evaluate microneutralizing antibody titers following receipt of inactivated influenza vaccine delivered either by microneedle patch or by hypodermic needle (both vaccines administered by study staff).

To evaluate HAI +/- microneutralization and ELISA titers following receipt of inactivated influenza vaccine delivered by microneedle patch (administered by study staff or self- administered) and compare to inactivated influenza vaccine delivered by hypodermic needle (administered by study staff).

To evaluate HAI +/- microneutralization and ELISA titers following receipt of inactivated influenza vaccine delivered by microneedle patch (administered by study staff) and compare to inactivated Influenza vaccine delivered by microneedle patch (self-administered).

To evaluate T follicular helper cells following receipt of inactivated influenza vaccine delivered by microneedle patch (administered by study staff or self-administered) and compare to inactivated influenza vaccine delivered by hypodermic needle (administered by study staff).

To evaluate innate immunity signatures by microarrays following receipt of inactivated influenza vaccine delivered by microneedle patch (administered by study staff or self-administered) and compare to inactivated influenza vaccine delivered by hypodermic needle (administered by study staff).

To evaluate B memory cells, CD4 and CD8 central memory and effector T cells, intracellular cytokine staining (ICS) for interferon-gamma and interleukin-4, cross reactive T cells following receipt of inactivated influenza vaccine delivered by microneedle patch (administered by study staff or self- administered) and compare to inactivated influenza vaccine delivered by hypodermic needle (administered by study staff).

To evaluate the acceptability of inactivated Influenza vaccine delivered by microneedle patch (administered by study staff or self-administered) and compare to inactivated influenza vaccine delivered by hypodermic needle (administered by study staff).

Schematic of Study Design:

This is a single center, partially blinded, randomized phase I study in which healthy adult subjects (ages 18-49) will receive either inactivated influenza vaccine (IIV) (either by microneedle patch or hypodermic needle) or placebo (by microneedle patch). This study is designed to investigate the safety, reactogenicity, acceptability and immunogenicity of an inactivated influenza vaccine delivered by microneedle patch.

A total of 100 subjects (25 subjects in each group) will be randomized to one of four groups as in the schematic of the study design below.

Group A: Inactivated influenza vaccine delivered by microneedle patch administered by study staff Group B: Inactivated influenza vaccine delivered by intramuscular injection administered by study staff Group C: Inactivated influenza vaccine delivered by microneedle patch administered by subject Group D: Placebo delivered by microneedle patch and administered by study staff

Each subject will have 6 clinic visits: D0, D2 (+1 day), D8 (+2 days), D28 (+/- 2 days), D56 (+/- 5 days), and D180( +/- 14 days).

Blood draws will be obtained at 6 clinic visits to evaluate for immunogenicity (D0, D2 (+1 day) D8 (+ 2 days) - D28 (+/- 2 days), D56 (+/- 5 days), and D180 (+/- 14 days)) and at four clinic visits for safety (D0, D2 (+1 day), D8 (+2 days), and D28 (+/- 2 days)).

Safety will be measured by the occurrence of solicited injection site and systemic reactogenicity on the day of study product administration through 7 days after, and serious adverse events (SAEs) and new-onset chronic medical conditions through 180 days after study product administration.

Immunogenicity testing will include performing hemagglutination inhibition (HAI) +/- microneutralizing antibody assays as well as other adaptive immune assays on D0 prior to study product administration and at D8 (+2 days) , D28 (+/- 2 days), D56 (+/-5 days), and D180 (+/-14 days)) .

Study Type  ICMJE Interventional
Study Phase  ICMJE Phase 1
Study Design  ICMJE Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single (Investigator)
Primary Purpose: Prevention
Condition  ICMJE Influenza
Intervention  ICMJE
  • Biological: Inactivated influenza vaccine
    Seasonal trivalent inactivated influenza vaccine FDA-approved for 2014-2015 influenza season
  • Other: Placebo
Study Arms  ICMJE
  • Experimental: IIV delivered by MN patch by study staff
    Inactivated influenza vaccine (IIV) delivered by microneedle (MN) patch administered by study staff
    Intervention: Biological: Inactivated influenza vaccine
  • Active Comparator: IIV delivered IM by study staff
    Inactivated influenza vaccine (IIV) delivered by intramuscular (IM) injection administered by study staff
    Intervention: Biological: Inactivated influenza vaccine
  • Experimental: IIV delivered by MN patch by subject
    Inactivated influenza vaccine (IIV) delivered by microneedle (MN) patch self-administered by subject
    Intervention: Biological: Inactivated influenza vaccine
  • Placebo Comparator: Placebo MN patch by study staff
    Placebo delivered by microneedle patch administered by study staff
    Intervention: Other: Placebo
Publications * Rouphael NG, Paine M, Mosley R, Henry S, McAllister DV, Kalluri H, Pewin W, Frew PM, Yu T, Thornburg NJ, Kabbani S, Lai L, Vassilieva EV, Skountzou I, Compans RW, Mulligan MJ, Prausnitz MR; TIV-MNP 2015 Study Group. The safety, immunogenicity, and acceptability of inactivated influenza vaccine delivered by microneedle patch (TIV-MNP 2015): a randomised, partly blinded, placebo-controlled, phase 1 trial. Lancet. 2017 Aug 12;390(10095):649-658. doi: 10.1016/S0140-6736(17)30575-5. Epub 2017 Jun 27.

*   Includes publications given by the data provider as well as publications identified by ClinicalTrials.gov Identifier (NCT Number) in Medline.
 
Recruitment Information
Recruitment Status  ICMJE Completed
Actual Enrollment  ICMJE
 (submitted: May 7, 2015)
100
Original Estimated Enrollment  ICMJE Same as current
Actual Study Completion Date  ICMJE March 23, 2016
Actual Primary Completion Date March 23, 2016   (Final data collection date for primary outcome measure)
Eligibility Criteria  ICMJE

Inclusion Criteria:

  1. Subject provides written informed consent prior to any study procedures being performed.
  2. Subject is male or non-pregnant female between the ages of 18 and 49, inclusive, on the day of signing informed consent.
  3. Subject is in good health as determined by vital signs, medical history and targeted physical examination
  4. Women of childbearing potential must agree to practice abstinence from sexual intercourse with men or use acceptable contraception, initiated at least 30 days prior to the study vaccination throughout D180 in order to avoid pregnancy.
  5. Women of childbearing potential must have a negative urine pregnancy test prior to administration of the study product.
  6. Subject is able to understand and comply with required study procedures.

Exclusion Criteria:

  1. Subject has received a 2014-2015 seasonal influenza vaccine.
  2. Subject with documented influenza infection during the 2014-2015 influenza season.
  3. Subject has touched or handled a microneedle patch prior to study enrollment (excluding dermaroller-like devices).
  4. Subject has a known allergy to eggs, egg or chicken protein or other components of the study product
  5. Subject has a history of severe reactions following previous immunization with licensed influenza virus vaccines.
  6. Subject has an acute illness with fever (temperature >100.4 °F) within 72 hours prior to vaccination.
  7. Subject has a known chronic medical problem
  8. Subject has known immunosuppression due to underlying illness or treatment
  9. Subject has a scar, tattoo, rash or other dermatologic condition in the area of the vaccination site which will interfere with the assessment of injection site reactogenicity.
  10. Subject has a history of keloid formation.
  11. Subject has used long-term* high-dose** oral or parenteral glucocorticoids, or high-dose inhaled steroids***.

    • Long term is defined as taken for 2 weeks or more in total at any time during the past 2 months.
    • High dose defined as prednisone ≥ 20 mg total daily dose, or equivalent dose of other glucocorticoids.
    • High dose defined as > 800 mcg/day of beclomethasone dipropionate or equivalent.

    If short term corticosteroids are given, then the subject should not receive study vaccination or have blood collected for immunogenicity studies within 1 week of steroid administration

  12. Subject has a history of Guillain-Barre Syndrome.
  13. Subject is pregnant, post-partum (<12 months after delivery), or breast feeding or plans to breastfeed during the study.
  14. Alcohol or drug abuse and psychiatric conditions that, in the opinion of the investigator, would preclude compliance with the trial or interpretation of safety or endpoint data.
  15. Subject has any condition that, in the opinion of the investigator, may put the subject at increased risk of harm, may cause the subject to be unable to meet the requirements or might otherwise interfere with evaluations required by the study.
  16. Subject has received any experimental products within 30 days before study entry or plan to receive experimental products at any time during the study.
  17. Subject has received a live vaccine within 28 days prior to study entry or plans to receive a live vaccine prior to Day 28 of the study.
  18. Subject has received an inactivated vaccine within 14 days prior to study entry or plans to receive an inactivated vaccine prior to Day 28 of the study.
  19. Subject has received immunoglobulin or blood products in the past 90 days or planned receipt at any time during the study.
  20. Subject BMI >35 kg/m2.
  21. Subject has a systolic blood pressure >160 or < 80 mmHg or diastolic blood pressure >100 or < 60 mmHg.
  22. Subject has a resting pulse rate < 50 bpm or >100 bpm.
  23. Subject donated blood 56 days before screening OR will donate blood on or before day 28 of the study.
Sex/Gender  ICMJE
Sexes Eligible for Study: All
Ages  ICMJE 18 Years to 49 Years   (Adult)
Accepts Healthy Volunteers  ICMJE Yes
Contacts  ICMJE Contact information is only displayed when the study is recruiting subjects
Listed Location Countries  ICMJE United States
Removed Location Countries  
 
Administrative Information
NCT Number  ICMJE NCT02438423
Other Study ID Numbers  ICMJE 2015 TIV-MNP
Has Data Monitoring Committee Yes
U.S. FDA-regulated Product Not Provided
IPD Sharing Statement  ICMJE Not Provided
Responsible Party Mark Prausnitz, Georgia Institute of Technology
Study Sponsor  ICMJE Mark Prausnitz
Collaborators  ICMJE Emory University
Investigators  ICMJE
Principal Investigator: Nadine Rouphael, MD Emory University
PRS Account Georgia Institute of Technology
Verification Date April 2019

ICMJE     Data element required by the International Committee of Medical Journal Editors and the World Health Organization ICTRP