ClinicalTrials.gg
Status unknownNCT02762851RCT-IVVEUpdated Oct 26, 2018

Influenza Vaccine To Prevent Adverse Vascular Events (RCT-IVVE)

A Phase 4 interventional study of Sterile saline and inactivated trivalent influenza vaccine in Heart Failure and Influenza, sponsored by McMaster University. Status unknown at 13 sites in 13 countries. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2018-10-26.

Sponsored by McMaster University · Phase 4, Interventional, and Treatment

The sponsor has not verified this record recently (last verified Oct 2018), so the status shown — last known as Recruiting — may be out of date.
Phase
Phase 4
Study type
Interventional
Enrollment
5,000
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

A multi-centre, randomized, placebo controlled, trial. Participants at high-risk for vascular events from the network of INTER- CHF will be randomized to inactivated influenza vaccine or placebo and followed prospectively over three influenza seasons. 5,000 participants will be enrolled prior to influenza season, randomized to either influenza vaccine or saline placebo, either of which they will receive annually for three years and then followed over each of the influenza seasons.

Read the detailed description

Cardiovascular disease is a major cause of morbidity and mortality. There is recent evidence that infection due to influenza may precipitate vascular events such as myocardial infarctions and strokes. There is some evidence that influenza vaccination may prevent such events but the data are inconclusive. The investigators propose a randomized controlled trial to assess whether influenza vaccination will prevent vascular illness. Adults with clinical heart failure will be randomized to inactivated influenza vaccine or saline placebo each year for three consecutive years. They will be followed over six months for a composite of cardiovascular death, non-fatal myocardial infarction, non-fatal stroke and hospitalizations for heart failure using standardized criteria. Rigorous demonstration of influenza vaccine leading to a reduction in major adverse vascular events in patients with heart failure would lead to a major change in how these patients are managed. Given the large burden of disease both in Canada and globally, the possibility to reduce cardiovascular and stroke related death is a compelling reason to conduct this trial.

02

Conditions studied

  • Heart Failure
  • Influenza

Keywords

  • Influenza
  • Vaccine
  • Heart failure
  • Vascular
03

In context

Heart Failure

6,331 studies on the registry are indexed under Heart Failure; 1,396 are open to participants now.

This study's planned enrollment of 5,000 is above the median of 76 across 4,049 interventional studies indexed under Heart Failure.

Browse Heart Failure studies →

Lead sponsor

McMaster University is the lead sponsor of 741 studies on the registry; 127 are open to participants now.

Of its 7 completed or terminated interventional studies of FDA-regulated products, 3 (43%) have results posted.

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

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Age ≥ 18 years and (New York Heart Association) functional class II, III and IV

Exclusion criteria

Exclusion Criteria:

  • Anaphylactic reaction to a previous dose of TIV(trivalent influenza vaccine)
  • Known IgE( Immunoglobulin E)-mediated to eggs manifested as hives, swelling of the mouth and throat, difficulty in breathing, hypotension, or shock
  • Guillain-Barré syndrome within eight weeks of a previous influenza vaccine
  • Anaphylactic reaction to neomycin
  • Patients who have had influenza vaccine in two of the three previous years
Terms in these criteria, in plain language(2)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

NYHA class (heart failure)

The New York Heart Association’s four classes of how much heart failure limits physical activity.

I
No limits: ordinary activity causes no undue tiredness or breathlessness.
II
Slight limits: comfortable at rest, ordinary activity causes symptoms.
III
Marked limits: comfortable at rest, less than ordinary activity causes symptoms.
IV
Symptoms even at rest; any activity makes them worse.

Studies set their own limit — many outside heart failure leave out class III–IV, while heart failure studies may ask for a particular class. Check the class this study names.

Hypersensitivity

An allergy, or another reaction of the immune system, to a substance. “Hypersensitivity to the study drug” means a known allergic reaction to it — not every side effect a medicine can have.

05

Study design

Phase
Phase 4
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
5,000 participants (estimated)

Study arms

  • Experimental
    Influenza vaccine

    Participants at high risk for adverse vascular events will be immunized with 0.5 ml dose of inactivated trivalent influenza vaccine prior to the influenza season.

    Drug: inactivated trivalent influenza vaccine

  • Placebo comparator
    Placebo vaccine

    Participants at high risk for adverse vascular events will be vaccinated with a 0.5 ml dose of sterile saline prior to the influenza season.

    Other: Sterile saline

Interventions

  • OtherSterile saline

    0.5 ml dose injected intramuscularly

  • Druginactivated trivalent influenza vaccine

    0.5 ml dose injected intramuscularly

    Also known as: VAXIGRIP vaccine

06

What researchers measure

Primary outcomes

  1. Adverse cardiovascular event

    The primary outcome will be a composite of cardiovascular death, non-fatal myocardial infarction, non-fatal stroke and hospitalizations for heart failure using standardized criteria.

    Time frame: Six months

Secondary outcomes

  1. Cardiovascular (CV) death

    CV death alone will be a secondary outcome.

    Time frame: Six months

07

Study locations

10 of 13 sites recruiting
  • Douala General Hospital
    Douala, Cameroon
    Terminated
  • Fuwai Hospital
    Beijing, Xicheng District 100037, China
    Recruiting
  • Centre for Chronic Disease Control
    New Delhi, India
    Recruiting
  • Aga Khan University
    Nairobi, Kenya
    Recruiting
  • American University of Beirut Medical Center
    Beirut, Lebanon
    Not yet recruiting
  • Maputo Central Hospital (Full Trial)
    Maputo, Mozambique
    Recruiting
  • Bayero University and Aminu Kano Teaching Hospital
    Kano, Nigeria
    Recruiting
  • University of Philippines
    Manila, Emita, Philippines
    Recruiting
  • King Saud Univeristy
    Riyadh, Saudi Arabia
    Recruiting
  • AlShaab Teaching Hospital
    Khartoum, Sudan
    Terminated
  • Mulago Hospital
    Kampala, Uganda
    Recruiting
  • Sheikh Khalifa Medical City
    Abu Dhabi, United Arab Emirates
    Recruiting
  • University of Zambia School of Medicine
    Lusaka, Zambia
    Recruiting
08

References and documents

Publications

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  • Jackson LA, Yu O, Heckbert SR, Psaty BM, Malais D, Barlow WE, Thompson WW; Vaccine Safety Datalink Study Group. Influenza vaccination is not associated with a reduction in the risk of recurrent coronary events. Am J Epidemiol. 2002 Oct 1;156(7):634-40. doi: 10.1093/aje/kwf073. PubMed 12244032 ↗
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Individual participant data

Plan to share: No

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Oct 26, 2018, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT02762851
Responsible party
Sponsor
First posted
May 5, 2016
Start date
Jun 2016
Primary completion
Dec 2019 (estimated)
Completion
Dec 2020 (estimated)
Last update
Oct 26, 2018

Study contacts

Mark Loeb, MD, MSc.
Contact
loebm@mcmaster.ca
905-525-9140 ext. 26066
Mark Loeb, MD, MSc.
principal investigator · McMaster University

Oversight

Data monitoring committee
Yes
View the source record on ClinicalTrials.gov ↗

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