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CompletedNCT01031719Updated Sep 13, 2012

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

A Phase 3 interventional study of adjuvanted A(H1N1) influenza vaccine and non-adjuvanted A(H1N1) influenza vaccine in H1N1 Influenza Virus and Invasive Solid Tumors, sponsored by Chiltern Pesquisa Clinica Ltda. Completed at 3 sites in Brazil. Open to participants aged 2 Years to 70 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2012-09-13.

Sponsored by Chiltern Pesquisa Clinica Ltda · Phase 3, Interventional, and Prevention

Phase
Phase 3
Study type
Interventional
Enrollment
59
Allocation
Randomized
Ages
2 Years to 70 Years
Sex
All
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Study summary

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.

02

Conditions studied

  • H1N1 Influenza Virus
  • Invasive Solid Tumors

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Keywords

  • Influenza A Virus
  • Virus Diseases
  • Influenza, Human
  • H1N1
  • Immunogenicity
  • safety
  • tolerability
  • tumors
  • oncology
03

In context

Influenza, Human

2,214 studies on the registry are indexed under Influenza, Human; 163 are open to participants now.

This study's enrollment of 59 is below the median of 238 across 1,853 interventional studies indexed under Influenza, Human.

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Lead sponsor

Chiltern Pesquisa Clinica Ltda is the lead sponsor of 3 studies on the registry; none are open to participants now.

Counted across the registry records on this site, refreshed daily.

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Who can participate

Ages eligible
2 Years to 70 Years
Sexes eligible
All
Accepts healthy volunteers
Yes

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

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
05

Study design

Phase
Phase 3
Primary purpose
Prevention
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
59 participants (actual)

Study arms

  • Experimental
    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

    Biological: adjuvanted A(H1N1) influenza vaccine

  • Experimental
    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

    Biological: non-adjuvanted A(H1N1) influenza vaccine

  • Experimental
    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

    Biological: adjuvanted A(H1N1) influenza vaccine

  • Experimental
    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

    Biological: non-adjuvanted A(H1N1) influenza vaccine

Interventions

  • Biologicaladjuvanted A(H1N1) influenza vaccine

    7.5 ug of HA antigen; adjuvanted; monovalent

  • Biologicalnon-adjuvanted A(H1N1) influenza vaccine

    15ug of HA antigen, non-adjuvanted; trivalent

  • Biologicalnon-adjuvanted A(H1N1) influenza vaccine

    15 mcg of antigen; non-adjuvanted; trivalent

06

What researchers measure

Primary outcomes

  1. The primary objective of this study is to determine the optimal influenza vaccination strategy in patients with invasive solid tumors

    Time frame: 3 months

Secondary outcomes

  1. Assess whether the adjuvanted vaccine offers a meaningful benefit in relation to the non-adjuvanted vaccine in this at-risk population

    Time frame: 3 months

  2. Assess whether two doses of either study vaccine will provide meaningful benefit in comparison to one dose

    Time frame: 3 months

  3. Assess the persistence of antibody levels in the two vaccine groups

    Time frame: 3 months

  4. Gain further insight into the safety of the adjuvanted and non-adjuvanted H1N1 vaccines in this high-risk patient population

    Time frame: 3 months

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Study locations

3 sites
  • BIOCANCER Clinical Research
    Belo Horizonte, MG, Brazil
  • Centro de Estudos e Pesquisas de Oncologia e Hematologia da Faculdade de Medicina da Fundação do ABC
    Santo André, SP, Brazil
  • Universidade Federal de São Paulo
    São Paulo, SP, Brazil
08

References and documents

Publications

  • Clark TW, Pareek M, Hoschler K, Dillon H, Nicholson KG, Groth N, Stephenson I. Trial of 2009 influenza A (H1N1) monovalent MF59-adjuvanted vaccine. N Engl J Med. 2009 Dec 17;361(25):2424-35. doi: 10.1056/NEJMoa0907650. Epub 2009 Sep 10. PubMed 19745215 ↗
  • Novel Swine-Origin Influenza A (H1N1) Virus Investigation Team; Dawood FS, Jain S, Finelli L, Shaw MW, Lindstrom S, Garten RJ, Gubareva LV, Xu X, Bridges CB, Uyeki TM. Emergence of a novel swine-origin influenza A (H1N1) virus in humans. N Engl J Med. 2009 Jun 18;360(25):2605-15. doi: 10.1056/NEJMoa0903810. Epub 2009 May 7. Erratum In: N Engl J Med. 2009 Jul 2;361(1):102. PubMed 19423869 ↗
  • Gross PA, Gould AL, Brown AE. Effect of cancer chemotherapy on the immune response to influenza virus vaccine: review of published studies. Rev Infect Dis. 1985 Sep-Oct;7(5):613-8. doi: 10.1093/clinids/7.5.613. PubMed 3903940 ↗
  • Kunisaki KM, Janoff EN. Influenza in immunosuppressed populations: a review of infection frequency, morbidity, mortality, and vaccine responses. Lancet Infect Dis. 2009 Aug;9(8):493-504. doi: 10.1016/S1473-3099(09)70175-6. PubMed 19628174 ↗
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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Sep 13, 2012, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT01031719
Lead sponsor
Chiltern Pesquisa Clinica Ltda
Responsible party
Sponsor
First posted
Dec 15, 2009
Start date
Aug 2010
Primary completion
Sep 2011
Completion
Jul 2012
Last update
Sep 13, 2012
View the source record on ClinicalTrials.gov ↗

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