ClinicalTrials.gg
RecruitingNCT06842173Updated Apr 2, 2026

Safety and Immunogenicity of the Monovalent Influenza Vaccine A (H5N8) (Inactivated, Fragmented and Adjuvanted) in Adults and Older Adults

A Phase 1/2 interventional study of Monovalent Influenza Vaccine A (H5N8) (Inactivated, Fragmented, and Adjuvanted) 7.5 mcg and Monovalent influenza vaccine type A (H5N8) 15 mcg in Avian Influenza A Virus, sponsored by Butantan Institute. Recruiting at 5 sites in Brazil. Open to participants aged 18 Years and older, including healthy volunteers. Per ClinicalTrials.gov, last updated 2026-04-02.

Sponsored by Butantan Institute · Phase 1/2, Interventional, and Prevention

From the registry’s dates

  • Started Sep 2025; still recruiting 1 year 2 months later.
Phase
Phase 1/2
Study type
Interventional
Enrollment
700
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

This study aims to demonstrate the safety and immunogenicity of two formulations of the monovalent influenza vaccine candidate A (H5N8) (inactivated, fragmented, and adjuvanted with IB160) from the Instituto Butantan in adults and older adults, to be developed for situations of pandemic, epidemic or outbreak of avian type A/H5 in humans, in the context of pandemic preparedness.

Read the detailed description

This is a clinical trial (randomized, double-blind, placebo-controlled Phase I/II) to evaluate the safety and immunogenicity of two formulations of the monovalent influenza vaccine candidate A (H5N8) (inactivated, fragmented, and adjuvanted with IB160) from the Instituto Butantan in adults and older adults. Safety will be assessed by the frequency (n, %) of participants with solicited (local and systemic) and unsolicited adverse events reported within 7 days post each vaccination; as well as the frequency of adverse reactions post causality evaluation. Immunogenicity will be assessed by seroprotection and seroconversion rates in the 21 days after the second dose.

02

Conditions studied

  • Avian Influenza A Virus

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Keywords

  • Influenza A Virus Subtype H5N8
  • Avian Influenza
  • Safety
  • Immunogenicity
03

In context

Influenza in Birds

96 studies on the registry are indexed under Influenza in Birds; 2 are open to participants now.

This study's planned enrollment of 700 is above the median of 150 across 88 interventional studies indexed under Influenza in Birds.

Browse Influenza in Birds studies →

Lead sponsor

Butantan Institute is the lead sponsor of 31 studies on the registry; 3 are open to participants now.

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

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Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
Yes

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

  1. Males and non-pregnant females aged ≥ 18 years at the time of the first study vaccination.
  2. Be in good health and clinically stable (defined as having no pre-existing health condition or having a pre-existing health condition that has not required a change in treatment or hospitalization for worsening of disease in the 3 months prior to the date of the first study vaccination).
  3. Agree to participate in the study and provide written prior to the initiation of any study procedures.
  4. Be able and willing to comply with all study procedures, including completing Participant Diaries, collecting blood samples, and being available for scheduled study visits and contacts.
  5. For females of , have a negative pregnancy test prior to the first study vaccination.
  6. For women of childbearing potential, be willing to use effective measures during the screening visit until at least 30 days after the second study vaccination.

Exclusion criteria

Exclusion Criteria:

  1. Having received any vaccine (including seasonal influenza) 28 days prior to the date of the first study vaccination or having any vaccination in the period from the first vaccination to the immune response assessment visit after the last vaccination.
  2. Known or allergy to eggs, chicken proteins, squalene-based adjuvants, or any other component of the product.
  3. History of serious adverse reaction or anaphylaxis to any previous influenza vaccine (licensed or not).
  4. Having received any influenza A/H5 vaccine or history of exposure to avian influenza A/H5.
  5. Presence of a bleeding disorder or any condition that contraindicates intramuscular injection.
  6. Having received immunoglobulin, blood, or any blood-derived product in the 3 months prior to the date of the first study vaccination or having had immunoglobulin or blood-derived product administered during the entire follow-up of the study.
  7. Having received a solid organ, bone marrow, or stem cell transplant.
  8. Having a history of asplenia (anatomic or functional).
  9. Having any confirmed or suspected or immunodeficiency condition, including a history of (HIV) infection.
  10. Having a history of Guillain-Barré syndrome or other demyelinating disease.
  11. Having a history of neurological disease, seizures, or progressive or severe neurological disorder.
  12. History of malignant neoplasm or previous history of malignant neoplasm being disease-free for 5 years at the date of the first study vaccination (with the exception of basal cell carcinoma of the skin), disease (including type 1 diabetes mellitus), liver cirrhosis and renal failure.
  13. History of significant, progressive or decompensated chronic disease in the 3 months prior to the date of the first study vaccination (complicated type 2 diabetes mellitus, liver disease, kidney disease, heart disease, advanced arteriosclerotic disease or lung disease such as oxygen-dependent , among others).
  14. Having received or using radiotherapy, chemotherapy, cytotoxic drugs, immunosuppressants or immunomodulators in the 6 months prior to the date of the first study vaccination.
  15. Use of systemic (oral or parenteral) in the 3 months prior to the date of the first study vaccination, at an immunosuppressive dose equivalent to a dose of ≥ 20 mg of prednisone per day for ≥ 14 days or a cumulative dose of ≥ 280 mg. Topical use of corticosteroids (e.g., cream, eye drops, inhalation and intranasal sprays) is permitted, within the dosage indicated on the product label.
  16. Presenting a behavioral, cognitive disorder/disorder or psychiatric illness that, in the opinion of the Investigator, may interfere with the ability to participate in the study.
  17. Infection with the human immunodeficiency virus (HIV), or .
  18. Abuse of alcohol or drugs in the 12 months prior to the date of the first study vaccination, that may interfere with the ability to participate in the study.
  19. (BMI) ≥ 35 kg/m2 on the date of the first study vaccination.
  20. abnormalities in the general physical examination.
  21. Major surgery or surgery with the use of general anaesthesia planned to occur in the period from the first vaccination to the visit to assess the immune response after the last vaccination.
  22. Women who are pregnant, breastfeeding or planning to become pregnant during the 30 days after the last vaccination in the study.
  23. Laboratory parameter values at the screening visit equal to or greater than grade 2 will be considered as a criterion for exclusion from participation in the study.
  24. Presenting any clinically significant condition or situation that, in the opinion of the Investigator, represents a risk to the participant health or may interfere with the evaluation of the study objectives, the schedule of visits, participation in or completion of the study (such as planned travel or change of residence, among others).
  25. Having participated in another clinical trial involving an experimental product, with less than three months between the completion of that follow-up and the planned date of the first vaccination in this study, or plans to enter a clinical study during the period of this study.
  26. Institutionalized individual (people residing in long-term care, assistance or health care institutions and deprived of liberty).

aa. Being related to or part of the research centre staff or employee directly involved in the study.

Terms in these criteria, in plain language(14)

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.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

Childbearing potential

Able to become pregnant: from the first period until menopause, unless permanently unable to through surgery (removal of the womb, or of both ovaries or both fallopian tubes).

Criteria for people of childbearing potential usually ask for a negative pregnancy test and for contraception during the study and for a time after it.

Contraception

Ways of preventing pregnancy. “Highly effective” methods fail less than 1% of the time a year when used correctly — for example an IUD or an implant.

Criteria usually say which methods count and how long to keep using them after the last dose, sometimes for male participants too. Some studies accept a partner’s vasectomy if it was confirmed successful and that person is the participant’s only sexual partner.

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.

Investigational drug or device

A drug or device being studied in a clinical trial.

It may be new, or already approved and being studied for another use, dose or form. Criteria often leave out people who took part in another study of one within a recent period, commonly 30 days or five half-lives.

Immunosuppression

A weakened immune system. It can come from an illness, such as HIV or some blood cancers, or from medicines that turn the immune system down, for example after an organ transplant or for an autoimmune disease; steroids at higher doses count.

Read whether the line is about a condition or about medicines, and which medicines and doses it means.

HIV

The human immunodeficiency virus, which weakens the immune system.

Many studies now accept people whose HIV is controlled on treatment, judged by the viral load and the CD4 count. Check the limits this study sets.

Autoimmune disease

A condition in which the immune system attacks the body’s own tissues, such as rheumatoid arthritis, lupus, psoriasis, type 1 diabetes or inflammatory bowel disease.

Immunotherapy studies often leave out active autoimmune disease, and some name exceptions, such as thyroid disease on replacement hormone. Check the exceptions this study lists.

COPD

Chronic obstructive pulmonary disease: long-term lung disease that makes it hard to breathe out, including emphysema and chronic bronchitis.

Corticosteroids (steroids)

Anti-inflammatory medicines such as prednisone, prednisolone and dexamethasone — not the anabolic steroids used for muscle.

Studies differ in what they allow: check which steroid medicines, routes (tablets, injections, creams, inhalers, eye drops) and doses this study accepts.

Hepatitis B tests

Hepatitis B is a virus that infects the liver. These are separate tests: HBsAg positive usually means a current infection (a recent vaccination can briefly cause it too); total anti-HBc (HBcAb) positive means an infection now or in the past; HBV DNA measures how much virus is in the blood.

Some studies accept a past infection if HBV DNA is undetectable, sometimes with antiviral medicine during the study. Check what this study allows.

Hepatitis C tests

Hepatitis C is a virus that infects the liver. An HCV antibody test can stay positive after an infection has cleared (and is occasionally positive without one); an HCV RNA test shows whether the virus is there now.

After treatment, hepatitis C counts as cured when HCV RNA is still undetectable 12 weeks or more after the treatment ended. Studies often accept people cured this way.

BMI (body mass index)

Weight in kilograms divided by height in metres squared. Example: 70 kg and 1.75 m gives 70 ÷ (1.75 × 1.75) ≈ 22.9.

What counts as overweight or obesity differs between countries (some use lower cut-offs), so go by the range the study states.

Clinically significant

Judged by the study doctor to matter for your health or for the study. It is a doctor’s decision, so ask the study team if you are unsure whether something counts.

05

Study design

Phase
Phase 1 / Phase 2
Primary purpose
Prevention
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
700 participants (estimated)

Study arms

  • Experimental
    Monovalent Influenza Vaccine A (H5N8) 7.5 mcg

    Intervention: Monovalent Influenza Vaccine A (H5N8) (Inactivated, Fragmented, and Adjuvanted) from Instituto Butantan, containing 7.5 mcg/dose of hemagglutinin (HA) and adjuvant IB160 (0.5 mL/dose of final combined product).

    Biological: Monovalent Influenza Vaccine A (H5N8) (Inactivated, Fragmented, and Adjuvanted) 7.5 mcg

  • Experimental
    Monovalent influenza vaccine A (H5N8) 15 mcg

    Intervention: Monovalent Influenza Vaccine A (H5N8) (Inactivated, Fragmented, and Adjuvanted) from Instituto Butantan, containing 15 mcg/dose of hemagglutinin (HA) and adjuvant IB160 (0.5 mL/dose of final combined product).

    Biological: Monovalent influenza vaccine type A (H5N8) 15 mcg

  • Placebo comparator
    Placebo

    Phosphate buffered saline (PBS) (0.5 mL/dose).

    Other: Placebo

Interventions

  • BiologicalMonovalent Influenza Vaccine A (H5N8) (Inactivated, Fragmented, and Adjuvanted) 7.5 mcg

    Monovalent Influenza Vaccine A (H5N8) (Inactivated, Fragmented, and Adjuvanted) 7.5 mcg + IB160 adjuvant (0.5mL total)

    Also known as: Avian Flu vaccine

  • BiologicalMonovalent influenza vaccine type A (H5N8) 15 mcg

    Monovalent influenza vaccine type A (H5N8) 15 mcg + IB160 adjuvant (0.5mL total)

    Also known as: Avian Flu vaccine

  • OtherPlacebo

    Phosphate buffered saline (PBS) (0.5 mL/dose).

    Also known as: Control arm

06

What researchers measure

Primary outcomes

  1. Safety - Percentage of participants with solicited and unsolicited adverse events

    Percentage (%) of participants with solicited (local and systemic) and unsolicited adverse events, for each intervention group, in adults and older adults.

    Time frame: 7 days post each vaccination.

  2. Safety - Percentage of solicited and unsolicited adverse events by intensity degree

    Percentage of solicited and unsolicited adverse events by intensity degree for each intervention group, in adults and older adults.

    Time frame: 7 days post each vaccination

  3. Safety - Percentage of participants with solicited and unsolicited adverse reactions

    Percentage of participants with solicited and unsolicited adverse reactions, for each intervention group, in adults and older adults.

    Time frame: 7 days post each vaccination

  4. Safety - Percentage of solicited and unsolicited adverse reactions by intensity degree

    Percentage of solicited and unsolicited adverse reactions by intensity degree for each intervention group, in adults and older adults.

    Time frame: 7 days post each vaccination

  5. Safety - Description of solicited adverse reactions, regarding duration, time until onset and use of medication

    Description of solicited adverse reactions, regarding duration, time until onset and use of medication, for each intervention group, in adults and older adults.

    Time frame: 7 days post each vaccination

  6. Immunogenicity - Seroconversion rate post second vaccination

    Seroconversion rate after the second vaccination (by the hemagglutination inhibition test - HI), for each intervention group, in adults and older adults.

    Time frame: 21 days post second vaccination

  7. Immunogenicity - Seroprotection rate post second vaccination

    Seroprotection rate after the second vaccination (by the hemagglutination inhibition test - HI), for each intervention group, in adults and older adults.

    Time frame: 21 days post second vaccination

Secondary outcomes

  1. Safety - Percentage of participants with unsolicited adverse events

    Percentage of participants with unsolicited adverse events, for each intervention group, in adults and older adults.

    Time frame: 21 days post each vaccination

  2. Safety - Percentage and intensity of unsolicited adverse events

    Percentage and intensity of unsolicited adverse events, for each intervention group, in adults and older adults.

    Time frame: 21 days post each vaccination

  3. Safety - Percentage of participants with unsolicited adverse reactions

    Percentage of participants with unsolicited adverse reactions, for each intervention group, in adults and older adults.

    Time frame: 21 days post each vaccination

  4. Safety - Percentage and intensity of unsolicited adverse reactions

    Percentage and intensity of unsolicited adverse reactions,, for each intervention group, in adults and older adults.

    Time frame: 21 days post second vaccination

  5. Percentage of participants with adverse events of special interest (AEI)

    Percentage of participants with adverse events of special interest (AEI), for each intervention group, in adults and older adults.

    Time frame: the entire follow-up of the study (6 months)

  6. Safety - Percentage and intensity of the participants with adverse events of special interest (AEI)

    Percentage and intensity of the participants with adverse events of special interest (AEI), for each intervention group, in adults and older adults.

    Time frame: The entire follow-up of the study (6 months)

  7. Safety - Percentage of participants with serious adverse events (SAE)

    Percentage of participants with serious adverse events (SAE), for each intervention group, in adults and older adults.

    Time frame: Entire follow-up of the study (6 months)

  8. Safety - Percentage and intensity of serious adverse events (SAE)

    Percentage and intensity of serious adverse events (SAE), for each intervention group, in adults and older adults.

    Time frame: entire follow-up of the study (6 months)

  9. Immunogenicity - Ratio between the Geometric Mean Titers (rGMT) of antibodies

    Ratio between the Geometric Mean Titers (rGMT) of antibodies compared to that of pre-vaccination (by the hemagglutination inhibition test - HI), for each intervention group, in adults and older adults.

    Time frame: 21 days post the first vaccination

  10. Immunogenicity - Ratio between the Geometric Mean Titers (rGMT) of antibodies

    Ratio of the Geometric Mean Titers (rGMT) of antibodies, post second vaccination about that of pre-vaccination (by the hemagglutination inhibition test - HI), for each intervention group, in adults and older adults.

    Time frame: 21 days post the second vaccination

  11. Immunogenicity - Seroconversion rate

    Seroconversion rate (by the hemagglutination inhibition test - HI), for each intervention group, in adults and older adults.

    Time frame: 21 days post the first vaccination

  12. Immunogenicity - Geometric Mean Titers (GMT)

    Geometric Mean Titers (GMT) pre and post-vaccination (by the hemagglutination inhibition test - HI), for each intervention group, in adults and older adults.

    Time frame: pre-vaccination, 21 days post the first vaccination and 21 days post the second vaccination.

  13. Immunogenicity - Seroprotection rate

    Seroprotection rate pre and post-vaccination (by the hemagglutination inhibition test - HI), for each intervention group, in adults and older adults.

    Time frame: pre-vaccination and 21 days post first vaccination

  14. Immunogenicity - Ratio between the Geometric Mean Titers (rGMT) of antibodies

    Ratio between the Geometric Mean Titers (rGMT) of antibodies, pre and post-vaccination (by microneutralization test - MN), for each intervention group, in adults and older adults.

    Time frame: 21 days post the first vaccination

  15. Immunogenicity - Ratio between the Geometric Mean Titers (rGMT) of antibodies

    Ratio between the Geometric Mean Titers (rGMT) of antibodies, pre and post-vaccination (by microneutralization test - MN), for each intervention group, in adults and older adults.

    Time frame: 21 days post the second vaccination

  16. Immunogenicity - Seroconversion rate pre and post vaccination

    Seroconversion rate 21 days post the first vaccination and 21 days post the second vaccination (by microneutralization test - MN), for each intervention group, in adults and older adults.

    Time frame: 21 days post the first vaccination and 21 days post the second vaccination.

  17. Immunogenicity - Seroprotection rate pre and post-vaccination

    Seroprotection rate pre-vaccination, 21 days after the first vaccination and 21 days after the second vaccination (by microneutralization test - MN), for each intervention group, in adults and older adults.

    Time frame: pre-vaccination, 21 days post the first vaccination and 21 days post the second vaccination

  18. Immunogenicity - Geometric Mean Titers (GMT) pre and post-vaccination

    Geometric Mean Titers (GMT) pre vaccination, 21 days post the first vaccination and 21 days after the second vaccination (by the microneutralization test - MN), for each intervention group, in adults and older adults.

    Time frame: pre vaccination, 21 days post the first vaccination and 21 days post the second vaccination.

  19. Immunogenicity - Estimation of rGMT between the Monovalent Influenza Vaccine A (H5N8) (Inactivated, Fragmented, and Adjuvanted) containing 7.5 mcg of HA/dose compared to that containing 15 mcg of HA/dose

    Estimation of rGMT between the Monovalent Influenza Vaccine A (H5N8) (Inactivated, Fragmented, and Adjuvanted) containing 7.5 mcg of HA/dose compared to that containing 15 mcg of HA/dose (by the hemagglutination inhibition test - HI)

    Time frame: 21 days post the second vaccination

07

Study locations

1 of 5 sites recruiting
  • Centro de Terapias Avançadas E Inovadoras - Ct Terapias/Ufmg
    Belo Horizonte, Minas Gerais 30750-140, Brazil
    Not yet recruiting
  • Plátano Centro de Pesquisa Clínica LTDA
    Recife, Pernambuco 52011-040, Brazil
    Recruiting
  • Fundação Faculdade Regional de Medicina de São Jose do Rio Preto - (Centro integrado de Pesquisa CIP)
    São José do Rio Preto, São Paulo 15090-000, Brazil
    Not yet recruiting
  • Fundação de Apoio ao Ensino, Pesquisa e Assistência do Hospital das Clínicas da Faculdade de Medicina de Ribeirão Preta da Universidade de São Paulo - (Centro de Pesquisa Clínica - S)
    Serrana, São Paulo, Brazil
    Not yet recruiting
  • Centro de Pesquisas Clínicas do Hospital das Clínicas da FMUSP
    São Paulo, 05403-010, Brazil
    Not yet recruiting
08

References and documents

Publications

  • Akamatsu MA, Sakihara VA, Carvalho BP, de Paiva Abrantes A, Takano MAS, Adami EA, Yonehara FS, Dos Santos Carneiro P, Rico S, Schanoski A, Meros M, Simpson A, Phan T, Fox CB, Ho PL. Preparedness against pandemic influenza: Production of an oil-in-water emulsion adjuvant in Brazil. PLoS One. 2020 Jun 3;15(6):e0233632. doi: 10.1371/journal.pone.0233632. eCollection 2020. PubMed 32492039 ↗
  • Francis DP, Du YP, Precioso AR. Global vaccine supply. The increasing role of manufacturers from middle income countries. Vaccine. 2014 Sep 15;32(41):5259-65. doi: 10.1016/j.vaccine.2014.07.069. Epub 2014 Aug 8. PubMed 25110294 ↗
  • Miyaki C, Meros M, Precioso AR, Raw I. Influenza vaccine production for Brazil: a classic example of successful North-South bilateral technology transfer. Vaccine. 2011 Jul 1;29 Suppl 1:A12-5. doi: 10.1016/j.vaccine.2011.04.127. PubMed 21684420 ↗
  • Vanni T, Thome BC, Sparrow E, Friede M, Fox CB, Beckmann AM, Huynh C, Mondini G, Silveira DH, Viscondi JYK, Braga PE, Silva AD, Salomao MDG, Piorelli RO, Santos JP, Gattas VL, Lucchesi MBB, Oliveira MMM, Koike ME, Kallas EG, Campos LMA, Coelho EB, Siqueira MAM, Garcia CC, Miranda MD, Paiva TM, Timenetsky MDCST, Adami EA, Akamatsu MA, Ho PL, Precioso AR. Dose-sparing effect of two adjuvant formulations with a pandemic influenza A/H7N9 vaccine: A randomized, double-blind, placebo-controlled, phase 1 clinical trial. PLoS One. 2022 Oct 18;17(10):e0274943. doi: 10.1371/journal.pone.0274943. eCollection 2022. PubMed 36256646 ↗

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 Apr 2, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT06842173
Lead sponsor
Butantan Institute
Collaborators
Butantan Foundation
Responsible party
Sponsor
First posted
Feb 24, 2025
Start date
Sep 10, 2025
Primary completion
Aug 10, 2027 (estimated)
Completion
Oct 10, 2027 (estimated)
Last update
Apr 2, 2026

Oversight

Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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