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Clinical Trial to Compare the Immunogenicity, Safety, and Tolerability of an Adjuvanted A(H1N1) Influenza Vaccine Versus Non-Adjuvanted A(H1N1) Influenza Vaccines in Patients With Invasive Solid Tumors

12 september 2012 bijgewerkt door: Chiltern Pesquisa Clinica Ltda

A Phase III, Randomized, Controlled, Open Label Study to Evaluate the Immunogenicity, Safety, and Tolerability of an Adjuvanted A(H1N1) Vaccine Versus Non-Adjuvanted Vaccines Against Novel H1N1 Virus in Patients With Invasive Solid Tumors

This is a phase III, randomized, controlled, open label study with two vaccine regimens. The study will assess the relative safety and immunogenicity of vaccine regimens comparing adjuvanted versus non-adjuvanted formulations of A(H1N1) inactivated influenza virus vaccine in subjects with Solid Invasive Tumors and to compare safety and immunogenicity data with a contemporaneously enrolled control group of age-comparable, healthy subjects.

Because certain individuals may be hypo-responsive to influenza vaccination, additional studies with high-risk groups are warranted in order to determine the optimal vaccine formulation and dosing schedule for prevention of novel H1N1 virus infection.

Studie Overzicht

Studietype

Ingrijpend

Inschrijving (Werkelijk)

59

Fase

  • Fase 3

Contacten en locaties

In dit gedeelte vindt u de contactgegevens van degenen die het onderzoek uitvoeren en informatie over waar dit onderzoek wordt uitgevoerd.

Studie Locaties

    • MG
      • Belo Horizonte, MG, Brazilië
        • BIOCANCER Clinical Research
    • SP
      • Santo André, SP, Brazilië
        • Centro de Estudos e Pesquisas de Oncologia e Hematologia da Faculdade de Medicina da Fundação do ABC
      • São Paulo, SP, Brazilië
        • Universidade Federal de Sao Paulo

Deelname Criteria

Onderzoekers zoeken naar mensen die aan een bepaalde beschrijving voldoen, de zogenaamde geschiktheidscriteria. Enkele voorbeelden van deze criteria zijn iemands algemene gezondheidstoestand of eerdere behandelingen.

Geschiktheidscriteria

Leeftijden die in aanmerking komen voor studie

2 jaar tot 70 jaar (Kind, Volwassen, Oudere volwassene)

Accepteert gezonde vrijwilligers

Ja

Geslachten die in aanmerking komen voor studie

Allemaal

Beschrijving

Inclusion Criteria:

For Invasive Solid Tumor Subjects:

  • Subjects between 2 and 70 years of age (inclusive)
  • Any sex or ethnicity
  • Confirmed diagnosis of Invasive Solid Tumor or hematological malignancies in complete remission for at least 3 months and not more than 18 months after the last neo-adjuvant and/or adjuvant chemotherapy cycle according to investigators assessment and the subjects medical records
  • Previous use of neo-adjuvant and/or adjuvant chemotherapy for the treatment on an invasive solid tumor
  • Life expectancy of at least 12 months
  • Karnofsky Performance Scale > 40%
  • Childbearing potential women must be willing to use an acceptable contraceptive method. Acceptable contraceptive methods are defined as one or more of the following:

    1. Hormone contraceptive (such as oral, injectable, transdermal patch, subcutaneous implant, cervical ring)
    2. Barrier (condom with spermicide or diaphragm with spermicide) at each intercourse and during the whole intercourse
    3. Intra-uterine device (IUD)
    4. Monogamous relation with vasectomized partner (must have been vasectomized at least six months before the volunteer entered the study).
  • Subjects capable of following all the study procedures and available for all visits scheduled to the investigation site
  • Subjects capable of understanding the nature and risk of the study proposed and sign the consent form
  • In case of children and adolescents (below 18 years of age): Subjects capable of understanding the nature of the study and whose legal guardian understands the nature and risk of the study proposed and signs the consent form
  • The study subjects may have other underlying chronic diseases that do not involve immunosuppression (e.g. osteoarticular diseases, cardiorespiratory diseases, metabolic diseases, stable, non progressive, non-severe neurologic disorders without cognitive impairment, ophthalmologic diseases, etc.), but their symptoms/signs must be under control through medical follow-ups and drug therapy

For Healthy Subjects:

  • Subjects between 2 and 70 years of age (inclusive)
  • Any sex and ethnicity
  • Subjects with good health as determined by medical history, physical evaluation, and investigator's clinical opinion
  • Childbearing potential women must be willing to use an acceptable contraceptive method. Acceptable contraceptive methods are defined as one or more of the following:

    1. Hormone contraceptive (such as oral, injectable, transdermal patch, subcutaneous implant, cervical ring)
    2. Barrier (condom with spermicide or diaphragm with spermicide) at each intercourse and during the whole sexual intercourse
    3. Intra-uterine device (IUD)
    4. Monogamous relation with vasectomized partner (must have been vasectomized for at least six months before the volunteer entered the study).
  • Subjects capable of respecting all the study procedures and available for all the visits scheduled at the investigation site
  • Subjects capable of understanding the nature and risk of the study proposed and sign the consent form
  • In case of children and adolescents (below 18 years of age): Subjects capable of understanding the nature of the study and whose legal guardian understands the nature and risk of the study proposed and signs the consent form

Exclusion Criteria:

For Invasive Solid Tumor Subjects:

  • Previous laboratory confirmed diagnosis of an infection by the novel H1N1 virus
  • Administration of other vaccine against the novel H1N1 virus within 3 months prior to inclusion in the study
  • Any recent vaccine given within the last 21 days (inclusive)
  • History of allergic reaction to an influenza vaccine in the past, or a current or previous occurrence of allergy to egg or egg protein, kanamycin, and neomycin sulfate
  • Acute febrile disease (vaccination may be delayed up to 3 days after the resolution of the symptoms)
  • Presence of other diseases, not related to cancer with confirmed immunosuppression
  • Chemotherapy, biologic therapy or radiation within 3 months prior to inclusion in the study
  • History of chronic hepatic or renal disease
  • History of cognitive disorders
  • History of progressive or severe neurological disorders, including Guillain-Barré Syndrome
  • Pregnancy or breast-feeding
  • Use of immunomodulatory therapy, including cyclosporin, interleukins, and interferons, within 3 months prior to inclusion in the study
  • Receipt of parenteral immunoglobulin, hemotherapy, and/or plasma derivatives within 3 months prior to inclusion in the study
  • Receipt of any investigational product within 12 months prior to inclusion in the study

For Healthy Subjects:

  • Previous laboratory confirmed diagnosis of an infection by the new virus H1N1
  • Receipt of another vaccine against the new virus H1N1 within 3 months prior to inclusion in the study
  • Any recent vaccine given within the last 21 days (inclusive)
  • History of allergic reaction to influenza vaccine in the past, or a current or previous allergy to egg or egg protein, kanamycin, and neomycin sulfate;
  • Acute febrile disease (the vaccination may be delayed up to 3 days after symptoms resolution)
  • Pregnancy or breast-feeding
  • Receipt of parenteral immunoglobulin, hemotherapy, and/or plasma derivatives within 3 months prior to inclusion in the study;
  • Receipt of any investigational product within 12 months prior to inclusion in the study

Studie plan

Dit gedeelte bevat details van het studieplan, inclusief hoe de studie is opgezet en wat de studie meet.

Hoe is de studie opgezet?

Ontwerpdetails

  • Primair doel: Preventie
  • Toewijzing: Gerandomiseerd
  • Interventioneel model: Parallelle opdracht
  • Masker: Geen (open label)

Wapens en interventies

Deelnemersgroep / Arm
Interventie / Behandeling
Experimenteel: Group A: High Risk Population
Each subject will receive two doses of the assigned vaccine, the first on Study Day 1, and the second on Study Day 22
7.5 ug of HA antigen; adjuvanted; monovalent
Experimenteel: Group B: High Risk Subjects
Each subject will receive two doses of the assigned vaccine, the first on Study Day 1, and the second on Study Day 22
15ug of HA antigen, non-adjuvanted; trivalent
15 mcg of antigen; non-adjuvanted; trivalent
Experimenteel: Group C: Healthy Subjects
Each subject will receive two doses of the assigned vaccine, the first on Study Day 1, and the second on Study Day 22
7.5 ug of HA antigen; adjuvanted; monovalent
Experimenteel: Group D: Healthy Subjects
Each subject will receive two doses of the assigned vaccine, the first on Study Day 1, and the second on Study Day 22
15ug of HA antigen, non-adjuvanted; trivalent
15 mcg of antigen; non-adjuvanted; trivalent

Wat meet het onderzoek?

Primaire uitkomstmaten

Uitkomstmaat
Tijdsspanne
The primary objective of this study is to determine the optimal influenza vaccination strategy in patients with invasive solid tumors
Tijdsspanne: 3 months
3 months

Secundaire uitkomstmaten

Uitkomstmaat
Tijdsspanne
Assess whether the adjuvanted vaccine offers a meaningful benefit in relation to the non-adjuvanted vaccine in this at-risk population
Tijdsspanne: 3 months
3 months
Assess whether two doses of either study vaccine will provide meaningful benefit in comparison to one dose
Tijdsspanne: 3 months
3 months
Assess the persistence of antibody levels in the two vaccine groups
Tijdsspanne: 3 months
3 months
Gain further insight into the safety of the adjuvanted and non-adjuvanted H1N1 vaccines in this high-risk patient population
Tijdsspanne: 3 months
3 months

Medewerkers en onderzoekers

Hier vindt u mensen en organisaties die betrokken zijn bij dit onderzoek.

Publicaties en nuttige links

De persoon die verantwoordelijk is voor het invoeren van informatie over het onderzoek stelt deze publicaties vrijwillig ter beschikking. Dit kan gaan over alles wat met het onderzoek te maken heeft.

Studie record data

Deze datums volgen de voortgang van het onderzoeksdossier en de samenvatting van de ingediende resultaten bij ClinicalTrials.gov. Studieverslagen en gerapporteerde resultaten worden beoordeeld door de National Library of Medicine (NLM) om er zeker van te zijn dat ze voldoen aan specifieke kwaliteitscontrolenormen voordat ze op de openbare website worden geplaatst.

Bestudeer belangrijke data

Studie start

1 augustus 2010

Primaire voltooiing (Werkelijk)

1 september 2011

Studie voltooiing (Werkelijk)

1 juli 2012

Studieregistratiedata

Eerst ingediend

14 december 2009

Eerst ingediend dat voldeed aan de QC-criteria

14 december 2009

Eerst geplaatst (Schatting)

15 december 2009

Updates van studierecords

Laatste update geplaatst (Schatting)

13 september 2012

Laatste update ingediend die voldeed aan QC-criteria

12 september 2012

Laatst geverifieerd

1 september 2012

Meer informatie

Deze informatie is zonder wijzigingen rechtstreeks van de website clinicaltrials.gov gehaald. Als u verzoeken heeft om uw onderzoeksgegevens te wijzigen, te verwijderen of bij te werken, neem dan contact op met register@clinicaltrials.gov. Zodra er een wijziging wordt doorgevoerd op clinicaltrials.gov, wordt deze ook automatisch bijgewerkt op onze website .

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