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Phase 3 Study to Evaluate the Immunogenicity and Safety of Inactivated Split Influenza Vaccine in Healthy Korea Children

Phase 3
Completed
Conditions
Healthy
Interventions
Biological: VAXIGRIP Prefilled Syringe INJ.
Biological: IL-YANG FLU Vaccine Prefilled Syringe INJ.
Registration Number
NCT02263131
Lead Sponsor
Il-Yang Pharm. Co., Ltd.
Brief Summary

The purpose of this study is to evaluate the safety and immunogenicity of IL-YANG Inactivated Split Influenza Vaccine (IL-YANG FLU Vaccine Prefilled Syringe INJ.) administered as a single intramuscular injection.

Detailed Description

This was a multi-center, randomized, double-blind, active-controlled study.

Before initiation of any protocol-specific activities, written informed consent was obtained from each patient and their legally acceptable representatives (consent of the legally acceptable representative was required for children younger than 10 years of age, and for the some sites, for children younger than 7 years of age). Subjects who met all of the eligibility criteria after screening assessments as specified in the protocol, were randomized into the test group or the comparator group in a ratio of 5 to 1 according to the pre-generated site-specific randomization table, and received a single dose or two doses of the study vaccine. The investigator performed the efficacy (immunogenicity) and safety assessments throughout the study. Efficacy data were collected at Visit 1 (prior to vaccination) and at the end-of-study visit for efficacy (immunogenicity) assessments, and for safety assessment, subjects and their legally acceptable representatives were instructed to record any treatment-emergent adverse event in Patient Diary cards.

For all randomized subjects, blood sample was obtained prior to vaccination, and the study vaccine 0.5mL or 0.25mL was administered to the deltoid muscle or anterolateral thigh muscle. For children aged from 6 months to \<9 years of age who had not been previously exposed to influenza virus or had not previously received influenza vaccine, another dose of the study vaccine was administered 4 to 5 weeks after the first dose. Blood samples were collected 4 to 5 weeks after the last dose of the study drug for the assessment of antibody titer. All subjects were followed for 6 months after the last dose of the study drug for the safety assessments, and Month 6 follow-up visit was the end-of-study visit.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
416
Inclusion Criteria
  • Healthy men or women aged from 6 months to < 18 years
  • Subjects were born after full term pregnancy (37 weeks)
  • Voluntary written informed consent was obtained from the subject and the subject's legally acceptable representative (consent of legally acceptable representative was required for subjects younger than 10 years of age (and for subjects younger than 7 years of age for the some institutions)).
Exclusion Criteria
  • Subject with a known allergy to eggs, chicken, neomycin, gentamicin or any components of the study vaccine
  • Subject who had received an influenza vaccine within the last 6 months
  • Subject who has, or has a family history of, an immune system disorder including immune deficiency disease
  • Subject with a history of Guillain-Barre syndrome
  • Subject with Down's syndrome or cytogenetic disorders.
  • Subject with severe chronic disease which in the investigator's opinion would not make the subject a good candidate for the clinical trial
  • Subject with hemophilia or being treated with an anticoagulant, who are at increased risk of serious bleeding during intramuscular injection
  • Subject who had an acute fever with body temperature > 38.0 Cº within 72 hours prior to administration of the study vaccine
  • Subject who had previously received another vaccine within 28 days before administration of the study drug, or is scheduled to receive another vaccine during the study period.
  • Subject who had received immunosuppressant or immune modifying drug within the last 3 months prior to administration of the study vaccine
  • Subject who had previously received immunoglobulin or blood-derived products within the last 3 months prior to administration of the study vaccine, or is expecting to be treated with immunoglobulin or blood-derived products during the study.
  • Subject who had participated in another experimental study within 30 days prior to administration of the study vaccine
  • Subject with other clinically significant medical or psychological condition who in the investigator's opinion would not be suitable for the study.

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
TIV PFSVAXIGRIP Prefilled Syringe INJ.VAXIGRIP Prefilled Syringe INJ.
IL-YANG PFSIL-YANG FLU Vaccine Prefilled Syringe INJ.IL-YANG FLU Vaccine Prefilled Syringe INJ.
Primary Outcome Measures
NameTimeMethod
Percentage of Participants With Healthy Children Aged From 6 Months to <18 Years With Seroconversionup to Day28(+7)

Seroconversion is defined as follows. (Case 1) A pre-vaccination (Day 0) HI antibody titer \< 1:10 and a post-vaccination (Day 28) HI antibody titer ≥ 1: 40. or (Case 2) a pre-vaccination (Day 0) HI antibody titer ≥ 1:10 and a minimum four-fold rise in post-vaccination (Day 28) HI antibody titer.

Seroprotection Rate for HI Antibodyup to Day28(+7)

Percentage of Participants With Healthy Children Aged From 6 Months to \<18 Years With Seroprotection

Percentage of Subjects Achieving Seroconversion for HI Antibody After Administration of the Study Vaccine Depending of the Number of Vaccinationup to Day28(+7)

Seroconversion: a pre-vaccination (Day 0) hemagglutination-inhibition (HI) antibody titer \< 1:10 and a post-vaccination (last vaccination + Day 28) HI antibody titer ≥ 1: 40 (Case 1), or a pre-vaccination (Day 0) HI antibody titer ≥ 1:10 and a minimum four-fold rise in post-vaccination (last vaccination + Day 28) HI antibody titer (Case 2),

Seroprotection Rate of HI Antibodyup to Day28(+7)

Percentage of subjects achieving seroprotection for HI antibody after administration of the study vaccine depending of the number of vaccination

Secondary Outcome Measures
NameTimeMethod
GMR of HI Antibody Titer Before Vaccination and After VaccinationDay28(+7)

Geometric Mean Ratio (GMR), as measured by pre-vaccination (Day 0) HI antibody titer and post-vaccination (vaccination + 28 days) HI antibody titer.

Geometric Mean Titer* (GMT) of HI AntibodyDay28(+7)

Geometric Mean Titer (GMT), as measured by pre-vaccination (Day 0) HI antibody titer and post-vaccination (vaccination + 28 days) HI antibody titer.

Number of Subjects With a Pre-vaccination (Day 0) HI Antibody Titer < 1:40, Minimum Four-fold Rise in Post-vaccination (Day 28) HI Antibody TiterDay28(+7)
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