This is a Phase III Randomized Clinical Trial, blind, multicenter, with active controls, to evaluate the immunogenicity and safety of the Quadrivalent Influenza Vaccine (split virion, inactivated) from Instituto Butantan, in two dose scheme (0.25ml and 0.50ml), in infants and children under 3 years of age.
The study will be carried out in multiple sites in Brazil, using a community-based recruitment strategy. The study interventions are the Butantan Quadrivalent Influenza Vaccine (split virion, inactivated) in two dose scheme (QIV-IB/0.25ml and QIV-IB/0.50ml) and the active controls Butantan Trivalent Influenza Vaccine (split virion, inactivated) containing Influenza B virus - Victoria or Yamagata lineage (TIVV-IB and TIVY-IB), in a ratio 1:1:1:1. The study population is healthy infants and children aged 6 to 35 months and all participants will be followed up 6 months after the last vaccination.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
PREVENTION
Masking
QUADRUPLE
Enrollment
1,373
Quadrivalent Influenza Vaccine (split virion, inactivated) from Instituto Butantan (dose 0.25ml and 0.50ml)
Trivalent Influenza Vaccine (split virion, inactivated) containing Influenza B virus - Victoria lineage/dose 0.50ml
Instituto Auto Imune de Pesquisa e Educação Continuada - Real Hospital Português de Beneficência em Pernambuco (Site REC01)
Recife, Pernambuco, Brazil
Centro Oncológico de Roraima - CECOR (Site BVB-01)
Boa Vista, Roraima, Brazil
Centro de Pesquisas Clínicas da Universidade Federal de Sergipe (Site AJU01)
Ratio of Geometric Mean Titers (rGMT) of antibodies induced by QIV-IB/0.25ml compared to those induced by TIVV-IB and TIVY-IB, for each strain, in infants and children from 6 to 35 months of age.
Immunogenicity outcomes assessed in serum samples by hemagglutination inhibition (HAI) assay.
Time frame: 28 days after last vaccination
Ratio of Geometric Mean Titers (rGMT) of antibodies induced by QIV-IB/0.50ml compared to those induced by TIVV-IB and TIVY-IB, for each strain, in infants and children from 6 to 35 months of age.
Immunogenicity outcomes assessed in serum samples by hemagglutination inhibition (HAI) assay.
Time frame: 28 days after last vaccination
Ratio of Geometric Mean Titers (rGMT) of antibodies induced by QIV-IB/0.25ml compared to those induced by TIV that does not contain the B strain, for B lineage Victoria and Yamagata, in infants and children aged 6 to 35 months age.
Immunogenicity outcomes assessed in serum samples by hemagglutination inhibition (HAI) assay.
Time frame: 28 days after last vaccination
Ratio of Geometric Mean Titers (rGMT) of antibodies induced by QIV-IB/0.50ml compared to those induced by TIV that does not contain the B strain, for B lineage Victoria and Yamagata, in infants and children aged 6 to 35 months age.
Immunogenicity outcomes assessed in serum samples by hemagglutination inhibition (HAI) assay.
Time frame: 28 days after last vaccination
Ratio of Geometric Mean Titers (rGMT) of antibodies induced by QIV-IB/0.50ml compared to those induced by QIV-IB/0.25ml, for each strain, in infants and children from 6 to 35 months of age.
Immunogenicity outcomes assessed in serum samples by hemagglutination inhibition (HAI) assay.
Time frame: 28 days after last vaccination
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Trivalent Influenza Vaccine (split virion, inactivated) containing Influenza B virus - Yamagata lineage/dose 0.25ml
Laranjeiras, Sergipe, Brazil
Hospital das Clínicas da Faculdade de Medicina Ribeirão Preto - USP (Site RAO 04)
Ribeirão Preto, São Paulo, Brazil
Centro de Pesquisa Clínica S (Site RAO03)
Serrana, São Paulo, Brazil
CPMC Pesquisa Clínica - Clinica De Alergia Martti Antila Sorocaba
Sorocaba, São Paulo, Brazil
A2Z Clinical Centro Avançado de Pesquisa Clínica Ltda.(Site 001)
Valinhos, São Paulo, Brazil
CPQuali Pesquisa Clínica Ltda (Site 002)
São Paulo, Brazil
Instituto de Pesquisa PENSI (Site SAO09)
São Paulo, Brazil
Centro de Pesquisa Clínica do Instituto da Criança - Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo (Site SAO08)
São Paulo, Brazil
Percentage of Participants With Seroconversion (Seroconversion Rate - SCR) to Influenza Vaccine Antigens.
SCR is defined as the percentage of subjects with either a prevaccination HAI titer \< 1:10 and a postvaccination HI titer ≥ 1:40, or a prevaccination HI titer ≥ 1:10 and a ≥ 4-fold increase in postvaccination HI titer.
Time frame: At Days 0 and 28/56
Percentage of Participants achieving seroprotection (Seroprotection Rate - SPR) to Influenza Vaccine Antigens.
Seroprotection Rate is defined as the percentage of subjects with HAI titer ≥1:40
Time frame: At Days 0 and 28/56
Pre- and post-vaccination Geometric Mean Titers (GMT) induced by QIV-IB/0.25ml, QIV-IB/0.50ml, TIVV-IB e TIVY-IB, for each strain, in infants and children from 6 to 35 months of age.
Immunogenicity outcomes assessed in serum samples by hemagglutination inhibition (HAI) assay.
Time frame: At Days 0 and 28/56
Ratio of Pre- and post-vaccination Geometric Mean Titers (rGMT) induced by QIV-IB/0.25ml, QIV-IB/0.50ml, TIVV-IB e TIVY-IB, for each strain, in infants and children from 6 to 35 months of age.
Immunogenicity outcomes assessed in serum samples by hemagglutination inhibition (HAI) assay.
Time frame: At Days 0 and 28/56
Solicited local Site or Systemic Reactions After each Injection
Percentage of subjects with Solicited local Site or Systemic Reactions After each Injection
Time frame: Day 0 up to Day 7 post-injection
Related Unsolicited Adverse Events
Percentage of subjects with Related Unsolicited Adverse Events
Time frame: 28 days after last vaccination
Serious Adverse Events (SAE) and adverse events of special interest (AESI)
Percentage of subjects with Serious Adverse Events (SAE) and adverse events of special interest (AESI)
Time frame: Entire study participant's follow-up period (6 months after the last vaccination)