Comparative study of tolerability, reactogenicity, safety and immunogenicity Flu-M \[Inactivated Split Influenza Vaccine\] vs. the Ultrix® vaccine for the prevention of influenza in pregnant women in the 2nd-3rd trimesters of pregnancy
This is a randomized, double-blind, comparative, controlled trial. A design with a control group treated with Ultrix®, inactivated influenza vaccine, was chosen to obtain objective findings.Trial population: healthy women aged 18 to 35 years during the 2nd and 3rd trimesters of pregnancy. Subjects were randomized into 4 groups in a ratio of 1:1:1:1, 50 subjects per group.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
PREVENTION
Masking
DOUBLE
Enrollment
207
solution for intramuscular injection, 0.5 ml
solution for intramuscular injection, 0.5 ml
Federal State Budgetary Educational Institution of Higher Education "Altai State Medical University" of the Ministry of Health of the Russian Federation
Barnaul, Altai Territory, Russia
Federal State Budgetary Institution "Siberian Federal Scientific and Clinical Center of Federal Medical and Biologic Agency"
Seversk, Tomsk Oblast, Russia
"Curator" Limited Liability Company
Saint Petersburg, Russia
KOROLEV MEDICINE Limited Liability Company
Change from Baseline Seroprotection rate at day 21 after vaccination
The percentage of vaccinees who have an antibody titer of more than 1:40 by Day 21 after vaccination. Antibodies to influenza B, А (H1N1), А (H3N2) viruses Seroprotection rate ≥ 70%.
Time frame: Days 0 (screening), 21
Change from Baseline Seroconversion rate at day 21 after vaccination
The relative number of vaccinees, whose titer of hemagglutinin inhibiting antibodies has increased by more than 4 times vs. baseline among all immunoprotective persons. Antibodies to influenza B, А (H1N1), А (H3N2) viruses Seroconversion rate ≥ 40%
Time frame: Days 0 (screening), 21
Change from Baseline Seroconversion factor at day 21 after vaccination
An increase in the geometric mean titers of hemagglutinin inhibiting antibodies on Day 21 vs. baseline, expressed in multiplicity of increase. Antibodies to influenza B, А (H1N1), А (H3N2) viruses Seroconversion factor ≥ 2.5
Time frame: Days 0 (screening), 21
Incidence of AEs and SAEs associated with vaccination
The degree of intensity or severity of AE was evaluated on a 4-point scale: 0 - none (no symptoms) 1. \- mild (mild symptoms) 2. \- moderate (symptoms that disrupt normal daily activities to a certain extent) 3. \- severe (symptoms that disrupt normal daily activities)
Time frame: Day 1 (30 minutes, 3 and 5 hours after vaccination), days 2-21
Number of participants with abnormal changes in physical examination data
Physical examination includes examination of the general appearance, condition of the skin and mucous membranes, neck (including the thyroid gland), eyes, ears, nasopharynx, lungs, heart, abdomen, liver, back, lymph nodes Table 6
Time frame: Days 0-7, day 21
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Saint Petersburg, Russia
Municipal Budgetary Institution "Central City Hospital No.7"
Yekaterinburg, Russia
Number of participants with abnormal changes in vital signs - Blood pressure (BP)
BP is measured in a sitting position after 10 minutes of rest
Time frame: Days 0-7, day 21
Number of participants with abnormal changes in vital signs - Heart rate (HR)
HR is measured in a sitting position after 10 minutes of rest
Time frame: Days 0-7, day 21
Number of participants with abnormal changes in vital signs - Respiratory rate (RR)
RR is measured in a sitting position after 10 minutes of rest
Time frame: Days 0-7, day 21
Number of participants with abnormal changes in vital signs - Body temperature
Body temperature is measured in the armpit
Time frame: Days 0, 1 (10 minutes before vaccination, 30 minutes and 2 and 5 hours after vaccination), days 2-7, day 21
Incidence and severity of systemic post-injection reactions
Time frame: Day 1 (30 minutes, 3 and 5 hours after vaccination), days 2-21
Incidence and severity of local post-injection reactions
Time frame: Day 1 (30 minutes, 3 and 5 hours after vaccination), days 2-21
Number of participants with abnormal changes data obtained from examinations by immunologist-allergist
Number of participants with clinically significant abnormalities
Time frame: Days 1-7, day 21
Number of participants with abnormal changes of neurological examination data
Number of participants with clinically significant abnormalities
Time frame: Days 0-7, day 21
Number of participants with abnormal changes data obtained from examinations by obstetrician-gynecologist
Examination: Respiratory organs, Blood circulation organs, Digestive organs, Organs of the urinary system, Mammary glands, Tone of the uterus, Fetal palpation results, Fetal auscultation results
Time frame: Days 0-7, day 21
Number of participants with abnormal changes in the ultrasound data assessment of fetus and uterus
Time frame: Days 0 (screening), 21
Number of participants with clinically significant abnormalities - Complete blood count (CBC)
Red cells, Hemoglobin, ESR, White cells, Platelets, Relating to stab neutrophile, Segmented neutrophils, Lymphocytes, Eosinophils, Basophils, Monocytes
Time frame: Days 0 (screening), 3, 21
Number of participants with clinically significant abnormalities - Biochemical blood test (BBT)
Creatinine, Urea, Aspartate aminotransferase (AST), Alanine transaminase (ALT), Lactate dehydrogenase (LDH), Total protein, C-reactive protein, Alkaline phosphatase, Bilirubin, Glucose, Cholesterol, Prothrombin complex, Thymol test, β-lipoproteins
Time frame: Days 0 (screening), 3, 21
Number of participants with clinically significant abnormalities - Urinalysis
Density, Leukocytes, pH, color, urine glucose, urine erythrocytes, bacteria
Time frame: Days 0 (screening), 3, 21
Number of participants with abnormal changes of total IgE
Time frame: Days 0 (screening), 3, 21