The goal of this clinical trial is to assess tolerability, reactogenicity, safety and immunogenicity of the Flu-M Tetra vaccine as compared to the VaxigripTetra vaccine in terms of prevention of influenza in children aged 6 months to 17 years old inclusive.
The trial will be conducted in three stages. • Stage I Participants - children aged 10 to 17 years (10 years 0 months 0 days - 17 years 11 months 30 days), will be vaccinated a single 0.5 mL dose of the Flu-M Tetra vaccine or the VaxigripTetra vaccine intramuscularly. Once reviewed by the Sponsor, the report will be submitted to the supervisory executive authorities alongside the notice of commencement of Stage II trial. • Stage II Participants - children aged 3 to 9 years (3 years 0 months 0 days - 9 years 11 months 30 days), will be vaccinated a single 0.5 mL dose of the Flu-M Tetra vaccine or the VaxigripTetra vaccine intramuscularly (double dose for volunteers who have not been vaccinated before). Once reviewed by the Sponsor, the report will be submitted to the supervisory executive authorities alongside the notice of commencement of Stage III trial. • Stage III Participants - children aged 6 to 35 months (6 months 0 days - 35 months 30 days), will be vaccinated twice 0.25 mL dose of the Flu-M Tetra vaccine or the VaxigripTetra vaccine intramuscularly.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
PREVENTION
Masking
DOUBLE
Enrollment
948
solution for intramuscular injection, 1 dose (0.5 mL)
suspension for intramuscular and subcutaneous injection, 1 dose (0.5 mL)
State Autonomous Health Care Institution "Engels City Clinical Hospital No1"
Engel's, Russia
RECRUITINGLlc "Olla-Med"
Moscow, Russia
RECRUITINGLLC "Professorskaya Clinica"
Perm, Russia
Change from Baseline Geometric mean titer (GMT) ratio of antibodies for each virus strain (A (H1N1), A (H3N2) and B)
Geometric mean titer (GMT) of antibodies in the blood serums of vaccinated participants in haemagglutination inhibition assay
Time frame: Baseline (day 1) and 28 days after vaccination (Stage I, II, III) and revaccination (Stage II, III)
Change from Baseline Seroconversion factor for each virus strain (A (H1N1), A (H3N2) and B)
Seroconversion factor is an increase in the geometric mean titers of antibodies at Day 28 vs. the baseline level, expressed in the fold rise
Time frame: Baseline (day 1) and 28 days after vaccination (Stage I, II, III) and revaccination (Stage II, III)
Change from Baseline Seroprotection rate for each virus strain (A (H1N1), A (H3N2) and B)
Seroprotection rate refers to the percentage of subjects with a generated protective HA titer (at least 1:40) vs. the baseline level
Time frame: Baseline (day 1) and 28 days after vaccination (Stage I, II, III) and revaccination (Stage II, III)
Change from Baseline Seroconversion rate for each virus strain (A (H1N1), A (H3N2) and B)
Seroconversion rate refers to the percentage of subjects who have a prevaccination titer of influenza haemagglutinin antibody titer (HA titer) ≤ 1:10 and a post-vaccination HA titer ≥ 1:40 or a prevaccination HA titer \> 1:10 and at least a 4-fold increase in post-vaccination HA titer vs. the baseline
Time frame: Baseline (day 1) and 28 days after vaccination (Stage I, II, III) and revaccination (Stage II, III)
Incidence of immediate adverse events (allergic reactions)
Time frame: 2 hours after vaccination
Incidence of local adverse events
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State Budgetary Healthcare Institution of the Perm Territory "City Children's Clinical Clinic No. 5"
Perm, Russia
ACTIVE_NOT_RECRUITINGLLC PiterClinica
Saint Petersburg, Russia
RECRUITINGLLC "DNA Research Center"
Saratov, Russia
RECRUITINGState Autonomous Health Care Institution of the Sverdlovsk Region "Children's City Clinical Hospital No. 11"
Yekaterinburg, Russia
ACTIVE_NOT_RECRUITINGTime frame: 7 days after vaccination
Incidence of systemic adverse events
Time frame: 7 days after vaccination
Incidence of other adverse reactions
Time frame: Days 8 to 28 after vaccination
Incidence of severe adverse events
Time frame: Days 1 to 28+3 (for participants with 1 vaccination), Day 1 to 56±3 (for participants with vaccination and revaccination)
Withdrawal of a volunteer from the trial due to development of an AE/SAE associated with the use of the trial products
Time frame: Days 1 to 28+3 (for participants with 1 vaccination), Day 1 to 56±3 (for participants with vaccination and revaccination)
Number of participants with abnormal physical examination findings
Physical examination of volunteers includes an interview, discovery of complaints and symptoms, when required, palpation, auscultation, percussion. It is necessary to conduct an examination of the following organs and systems: skin, mucosa, eyes, oral cavity and pharynx, lungs/chest, heart/cardiovascular system, abdominal organs, nervous system, lymph nodes, musculoskeletal system
Time frame: Days 1, 3, 7, 28+3 (for participants with 1 vaccination), Days 1,3,7,28+3,56±3 (for participants with vaccination and revaccination)
Number of participants with abnormal changes in vital signs - Blood pressure (BP)
BP is assessed in children aged 36 months and older. BP measurements include the systolic and diastolic blood pressure.
Time frame: Days 1, 3, 7, 28+3 (for participants with 1 vaccination), Days 1,3,7,28+3,56±3 (for participants with vaccination and revaccination)
Number of participants with abnormal changes in vital signs - Heart rate (HR)
HR is measured using a phonendoscope at the apex of the heart during 1 minute.
Time frame: Days 1, 3, 7, 28+3 (for participants with 1 vaccination), Days 1,3,7,28+3,56±3 (for participants with vaccination and revaccination)
Number of participants with abnormal changes in vital signs - Respiratory rate (RR)
RR is counted with a hand placed on the child's chest or abdomen or by holding a stethoscope at the child's nose. The measurement is conducted during one minute.
Time frame: Days 1, 3, 7, 28+3 (for participants with 1 vaccination), Days 1,3,7,28+3,56±3 (for participants with vaccination and revaccination)
Number of participants with abnormal changes in vital signs - Body temperature
The body temperature is measured with a digital thermometer.
Time frame: Days 1, 3, 7, 28+3 (for participants with 1 vaccination), Days 1,3,7,28+3,56±3 (for participants with vaccination and revaccination)
Number of participants with clinically significant abnormalities - Complete blood count (CBC)
Hemoglobin, Hematocrit, Erythrocytes, Leukocytes, Leukocytic Formula, Platelets, Erythrocyte Sedimentation Rate (ESR)
Time frame: Days 1, 3
Number of participants with clinically significant abnormalities - Biochemical blood test (BBT)
ALT, AST, Alkaline Phosphatase, Total Bilirubin, Total Protein, Urea, Glucose
Time frame: Days 1, 3
Number of participants with clinically significant abnormalities - Urinalysis
pH, Color, Relative Density/Specific Gravity, Protein, Glucose, Red Blood Cells, White Blood Cells
Time frame: Days 1, 3
Number of participants with abnormal changes of total IgE
Time frame: Days 1, 3
Number of participants with abnormal neurological examinations
Time frame: Days 1, 3, 7, 28+3 (for participants with 1 vaccination), Days 1,3,7,28+3,56±3 (for participants with vaccination and revaccination)