ADITEC FLU STUDY: Understanding the Genetic Basis for Immune Responses

NCT ID: NCT01682369

Last Updated: 2017-10-02

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE2

Total Enrollment

90 participants

Study Classification

INTERVENTIONAL

Study Start Date

2012-09-30

Study Completion Date

2015-01-31

Brief Summary

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Infants and young children do not respond as well as adults to the flu vaccines currently available in the UK. Fluad, is a different type of influenza vaccine that has been available in the European continent for the last decade, and contains an adjuvant known as MF59.

This vaccine has been used extensively in adults over 65 years of age. It has been administered to over 4000 children in previous studies, which have shown that it produces an enhanced immune response in children compared with traditional vaccines, and that it is safe in this age group. It is, however, not yet licensed for use in children. The reason for this new study is to gain a better understanding of the how this vaccine is stimulating the immune system, by looking to see which parts of the genetic code are 'switched on' in response to immunisation, and to see how this differs from the response to currently used flu vaccines.

To do this the Oxford Vaccine Group will enrol children aged 14 to 26 months to receive either the influenza vaccine with the MF59 adjuvant (ATIV) or one of the influenza vaccines currently available in the UK (Agrippal/ Begripal or TIV). The study will also help to find out whether it is possible to identify patterns of genetic response which can predict responses to immunisation. Being able to do so could potentially enable more rapid development of vaccines against influenza and other diseases in the future. We will also measure how well the immune system responds to the two vaccines and look at any side effects.

The study is funded by Aditec is a collaborative research programme that aims to accelerate the development of novel and powerful immunisation technologies for the next generation of human vaccines.

Detailed Description

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Conditions

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Influenza

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

OTHER

Blinding Strategy

NONE

Study Groups

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Group 1 a - TIV

V1- Day 0- Administer a dose of 0.25ml of vaccine TIV (Agrippal) + Collect blood sample (up to 6.0 ml)

V2- Day 28 (26-35)- Vaccination 2nd dose, Administer a dose of 0.25ml of vaccine TIV (Agrippal)

V3-(Day V2+1)- Collect blood sample (up to 6.0 ml)

V4- Day V2+28 (26-35)- Collect blood sample (up to 6.0 ml)

Group Type OTHER

TIV (Aggripal)

Intervention Type BIOLOGICAL

Group 1 b - TIV

V1- Day 0- Administer a dose of 0.25ml of vaccine TIV (Agrippal) + Collect blood sample (up to 6.0 ml)

V2- Day 28 (26-35)- Vaccination 2nd dose, Administer a dose of 0.25ml of vaccine TIV (Agrippal)

V3-(Day V2+3)- Collect blood sample (up to 6.0 ml)

V4- Day V2+28 (26-35)- Collect blood sample (up to 6.0 ml)

Group Type OTHER

TIV (Aggripal)

Intervention Type BIOLOGICAL

Group 1 c - TIV

V1- Day 0- Administer a dose of 0.25ml of vaccine TIV (Aggripal) + Collect blood sample (up to 6.0 ml)

V2- Day 28 (26-35)- Vaccination 2nd dose, Administer a dose of 0.25ml of vaccine TIV (Aggripal)

V3-(Day V2+7)- Collect blood sample (up to 6.0 ml)

V4- Day V2+28 (26-35)- Collect blood sample (up to 6.0 ml)

Group Type OTHER

TIV (Aggripal)

Intervention Type BIOLOGICAL

Group 2 a - ATIV

V1- Day 0- Administer a dose of 0.25ml of vaccine ATIV (Fluad) + Collect blood sample (up to 6.0 ml)

V2- Day 28 (26-35)- Vaccination 2nd dose, Administer a dose of 0.25ml of vaccine ATIV (Fluad)

V3- V3(Day V2+1)- Collect blood sample (up to 6.0 ml)

V4- V4 Day V2+28 (26-35)- Collect blood sample (up to 6.0 ml)

Group Type OTHER

ATIV (Fluad)

Intervention Type BIOLOGICAL

Group 2 b - ATIV

V1- Day 0- Administer a dose of 0.25ml of vaccine ATIV (Fluad) + Collect blood sample (up to 6.0 ml)

V2- Day 28 (26-35)- Vaccination 2nd dose, Administer a dose of 0.25ml of vaccine ATIV (Fluad)

V3- V3(Day V2+3)- Collect blood sample (up to 6.0 ml)

V4- V4 Day V2+28 (26-35)- Collect blood sample (up to 6.0 ml)

Group Type OTHER

ATIV (Fluad)

Intervention Type BIOLOGICAL

Group 2 c - ATIV

V1- Day 0- Administer a dose of 0.25ml of vaccine ATIV (Fluad) + Collect blood sample (up to 6.0 ml)

V2- Day 28 (26-35)- Vaccination 2nd dose, Administer a dose of 0.25ml of vaccine ATIV (Fluad)

V3- V3(Day V2+7)- Collect blood sample (up to 6.0 ml)

V4- V4 Day V2+28 (26-35)- Collect blood sample (up to 6.0 ml)

Group Type OTHER

ATIV (Fluad)

Intervention Type BIOLOGICAL

Interventions

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TIV (Aggripal)

Intervention Type BIOLOGICAL

ATIV (Fluad)

Intervention Type BIOLOGICAL

Other Intervention Names

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Begripal

Eligibility Criteria

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Inclusion Criteria

* The investigator believes that the parents / LAR (s) of the child can and will comply with requirements of the protocol (e.g. completion of diary cards, understanding of study procedure, consent process, availability at visits)
* Written informed consent obtained from parent / LAR (s) of the subject
* Age from 14 months to 26 months (from start of 14 months up to \& excluding 27 months of age)
* Subject is healthy as determined by medical history and clinical examination
* Have received the standard UK immunisation schedule

Exclusion Criteria

* Child in care
* Use or planned use of any non-registered or investigational product in last 30 days
* Previous influenza vaccination
* Microbiologically proven influenza illness or treatment with antiviral medications
* Confirmed or suspected egg allergy.
* Chronic serious medical conditions which may, in the opinion of the investigator, interfere with evaluation of study objectives e.g. Chronic lung disease, chronic liver/renal disease, chronic renal failure chronic heart disease, congenital genetic syndromes (e.g. Trisomy 21).
* Suspected or confirmed immunosuppressive or immunodeficiency conditions (including splenic dysfunction \& HIV)
* Autoimmune conditions e.g. Type 1/2 diabetes mellitus, thyroid disease, juvenile idiopathic arthritis etc.
* Bleeding disorders
Minimum Eligible Age

14 Months

Maximum Eligible Age

26 Months

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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University of Oxford

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Andrew J Pollard, PhD

Role: PRINCIPAL_INVESTIGATOR

Oxford Vaccine Group

Matthew Snape, PhD

Role: PRINCIPAL_INVESTIGATOR

Oxford Vaccine Group

Locations

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Centre for Clinical Vaccinology & Tropical Medicine (CCVTM)

Oxford, Oxfordshire, United Kingdom

Site Status

Countries

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United Kingdom

References

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Nakaya HI, Clutterbuck E, Kazmin D, Wang L, Cortese M, Bosinger SE, Patel NB, Zak DE, Aderem A, Dong T, Del Giudice G, Rappuoli R, Cerundolo V, Pollard AJ, Pulendran B, Siegrist CA. Systems biology of immunity to MF59-adjuvanted versus nonadjuvanted trivalent seasonal influenza vaccines in early childhood. Proc Natl Acad Sci U S A. 2016 Feb 16;113(7):1853-8. doi: 10.1073/pnas.1519690113. Epub 2016 Jan 11.

Reference Type BACKGROUND
PMID: 26755593 (View on PubMed)

Related Links

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Other Identifiers

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2012-002443-26

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

OVG 2012/04

Identifier Type: -

Identifier Source: org_study_id