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CTRI Number  CTRI/2015/09/006209 [Registered on: 23/09/2015] Trial Registered Prospectively
Last Modified On: 14/11/2018
Post Graduate Thesis  No 
Type of Trial  Interventional 
Type of Study   Vaccine 
Study Design  Randomized, Parallel Group, Active Controlled Trial 
Public Title of Study   Clinical study to compare the immune response and safety of tetravalent flu vaccine manufactured by Cadila Healthcare Ltd. with a trivalent flu vaccine marketed in India in healthy adults 
Scientific Title of Study   A prospective, randomized, two arm, single blind, parallel, active controlled, multicentre, phase II/III clinical study to evaluate the immunogenicity and safety of Inactivated Tetravalent Influenza vaccine (split virion) of M/s Cadila Healthcare Limited compared to marketed Inactivated Trivalent Influenza vaccine in healthy adults 
Trial Acronym   
Secondary IDs if Any  
Secondary ID  Identifier 
Project No.15-02; Version 00; dated 27-04-2015  Protocol Number 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr Ravindra Mittal 
Designation  Medical Advisor & Head - Regulatory Affairs 
Affiliation  Cadila Healthcare Ltd  
Address  Cadila Healthcare Ltd., Zydus-PTC, Sigma Commerce Zone, B/H ISCON Temple, Near Satellite Cross Roads, Ambli-Bopal Road

Ahmadabad
GUJARAT
380015
India 
Phone  079-26868926  
Fax  079-26868910  
Email  r.mittal@zyduscadila.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Ravindra Mittal 
Designation  Medical Advisor & Head - Regulatory Affairs 
Affiliation  Cadila Healthcare Ltd  
Address  Cadila Healthcare Ltd., Zydus-PTC, Sigma Commerce Zone, B/H ISCON Temple, Near Satellite Cross Roads, Ambli-Bopal Road


GUJARAT
380015
India 
Phone  079-26868926  
Fax  079-26868910  
Email  r.mittal@zyduscadila.com  
 
Details of Contact Person
Public Query
 
Name  Dr Jayesh Sanmukhani 
Designation  Senior Manager – New Product Development 
Affiliation  Cadila Healthcare Ltd 
Address  Cadila Healthcare Ltd., Zydus-PTC, Sigma Commerce Zone, B/H ISCON Temple, Near Satellite Cross Roads, Ambli-Bopal Road, Ahmedabad

Ahmadabad
GUJARAT
380015
India 
Phone  079-26868924  
Fax  079-26868910  
Email  jayeshsanmukhani@zyduscadila.com  
 
Source of Monetary or Material Support  
Cadila Healthcare Ltd., SIGMA CommerZone Near Iscon Temple & Satellite Cross Roads, Ambli-Bopal Road, Ahmedabad - 380015. Gujarat, INDIA. Phone No.: 079-2686-8900079-2686-8900 Fax No.: 079-2686-8910 
 
Primary Sponsor  
Name  Cadila Healthcare Ltd 
Address  SIGMA CommerZone Near Iscon Temple & Satellite Cross Roads, Ambli-Bopal Road, Ahmedabad - 380015. Gujarat, INDIA. Phone No.: 079-2686-8900079-2686-8900 Fax No.: 079-2686-8910 
Type of Sponsor  Pharmaceutical industry-Indian 
 
Details of Secondary Sponsor  
Name  Address 
NIL  NIL 
 
Countries of Recruitment     India  
Sites of Study
Modification(s)  
No of Sites = 7  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr Kalpesh S Sukhwani  GCS Medical College  Department of Medicine GCS Medical college, Hospital & Research Centre, Opp. DRM office, Nr. Chamunda bridge, naroda Road
Ahmadabad
GUJARAT 
8238268870

kalpesh1710@yahoo.com 
Dr Sanjay Kumar Jangid  Hi-Tech Medical College and Hospital  Department of Medicine, Hi-Tech Medical College and Hospital, Health Park, Pandara, Rasulgarh, Bhubaneshwar
Khordha
ORISSA 
09337671521

drsanjay_jangid@yahoo.co.in 
Dr Rajesh Vukkala  Indo-US Super-speciality Hospital  Room No. 2, Ground Floor, Indo-US Super-speciality Hospital, Shyam Karan Road, Ameerpet
Hyderabad
ANDHRA PRADESH 
7702116066

vukkala@gmail.com 
Dr Jitendra Vinubhai Patel  Medilink Hospital  Research Room, Basement, Medilink Hospital, Near Shyamal Char-rasta, 132 ft. Ring Road, Satellite
Ahmadabad
GUJARAT 
079-26760646

medilinkresearchcentre@yahoo.com 
Dr Sanjay Kumar  MV Hospital And Research Centre  314/13 ,Mirza Mandi, Chowk
Lucknow
UTTAR PRADESH 
0522-2258215

mvhrclko@gmail.com 
Dr Veer Bahadur Singh  S. P. Medical College and P.B.M Hospitals  Department of Medicine, PBM Hospital
Bikaner
RAJASTHAN 
9414136888

vbsingh2@rediffmail.com 
Dr Shrikant Sharma  SMS Medical College & Hospital  Department of Medicine, SMS Medical College & Hospital, JLN Marg, Jaipur
Jaipur
RAJASTHAN 
9214403945

skant_sunita@yahoo.co.in 
 
Details of Ethics Committee
Modification(s)  
No of Ethics Committees= 7  
Name of Committee  Approval Status 
Ethics Committee, S.P Medical College & A.G Hospitals Ethics Committee, S.P Medical College & A.G Hospitals HRMC Cardiovascular Sciences & Research Centre Bikaner 334001  Approved 
Institutional Ethics Committee, 1st floor, MV Hospital And Research Centre, 314/13 ,Mirza Mandi, Chowk, Lucknow -226003  Approved 
Institutional Ethics Committee, GCS Medical college, Hospital & Research Centre, Opp. DRM office, Nr. Chamunda bridge, naroda Road, Ahmedabad 25, Gujarat  Approved 
Institutional Ethics Committee, Hi-Tech Medical College & Hospital, Health Park, Pandra, Rasulgarh, Bhubaneswar, Odisha 751025  Approved 
Institutional Ethics Committee, Indo-US Super-speciality Hospital, Shyam Karan Road, Ameerpet, Hyderabad-500016, Telangana  Approved 
Medilink Ethics Committee, Basement Medilink Hospital, Near Shyamal Char-rasta, 132 ft. Ring Road, Satellite, Ahmedabad-380015   Approved 
The Ethics Committee, S.M.S. Medical College and Attached Hospitals, Jaipur First Floor, Dhanvantri OPD Block, S.M.S. Hospital, J.L.N. Marg, Jaipur  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Approved/Obtained 
 
Health Condition / Problems Studied
Modification(s)  
Health Type  Condition 
Healthy Human Volunteers  Active immunization for the prevention of influenza  
Patients  (1) ICD-10 Condition: Z23||Encounter for immunization,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Inactivated Tetravalent Influenza vaccine (split virion) I.P. of M/s Cadila Healthcare Limited  Each subject will be given a single dose of 0.5ml vaccine given as a intramuscular injection in the deltoid region on day 0. Subjects will be followed up for 42 days after single dose of vaccine 
Comparator Agent  Vaxigrip, Influenza vaccine (Split Virion, Inactivated) Manufactured by Sanofi Pasteur SA, (France)  Each subject will be given a single dose of 0.5ml vaccine given as a intramuscular injection in the deltoid region on day 0. Subjects will be followed up for 42 days after single dose of vaccine 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  99.00 Year(s)
Gender  Both 
Details  1. Healthy subject of either gender ≥ 18 years of age
2. Written informed consent from subjects
3. Adult subjects literature enough to fill the diary card 
 
ExclusionCriteria 
Details  1. Past history of hypersensitivity reaction, neurological disorder (Guillain–Barré syndrome or others) or any serious adverse event to any component of influenza vaccine, egg, chicken proteins, aminoglycoside antibiotics
2. Subjects with history of administration of any influenza vaccine within the past 6 months or subjects with laboratory confirmed influenza in past
3. Subjects with thrombocytopenia or any coagulation disorder, or subjects on anticoagulation therapy
4. Subjects with confirmed or suspected immunosuppressive or immunodeficiency disorder; or subjects on any immunosuppressive or immunostimulant therapy
5. Clinically significant systemic disorder such as cardiovascular, respiratory, neurologic, gastrointestinal, hepatic, renal, endocrine, hematological or immunological disorder
6. Subjects with febrile illness (temperature ≥ 100.4°F) at the time of enrolment, or acute respiratory pathology or infections requiring systemic antibiotic or antiviral therapy during the preceding 7 days
7. Subjects administered blood, blood containing products or immunoglobulins within the last 3 months or planned administration during the study
8. Any other vaccine administration within the last 30 days or planned to be administered during the study period
9. Pregnant and lactating women & female subjects not using acceptable contraceptive measures (double barrier methods, oral or injectable hormonal contraceptives or surgical sterilization)
10. Participation in another clinical trial in the past 3 months 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   An Open list of random numbers 
Blinding/Masking   Participant Blinded 
Primary Outcome  
Outcome  TimePoints 
1.Serologic parameters set by the Committee for Medicinal Products for Human Use (CHMP) for influenza vaccines
2. Seroconversion rate for all the four viral strains in the two groups at the end of study 
21 days following vaccination 
 
Secondary Outcome  
Outcome  TimePoints 
Geometric mean titres for all the four viral strains in the two groups at the end of the study  21 days following vaccination 
Seroprotection rate for all the four viral strains in the two groups at the end of the study  21 days following vaccination 
Local and systemic adverse events reported during the study  42 days following vaccination 
 
Target Sample Size   Total Sample Size="348"
Sample Size from India="348" 
Final Enrollment numbers achieved (Total)= "Applicable only for Completed/Terminated trials"
Final Enrollment numbers achieved (India)="Applicable only for Completed/Terminated trials" 
Phase of Trial   Phase 2/ Phase 3 
Date of First Enrollment (India)   30/09/2015 
Date of Study Completion (India) Applicable only for Completed/Terminated trials 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Applicable only for Completed/Terminated trials 
Estimated Duration of Trial   Years="0"
Months="6"
Days="0" 
Recruitment Status of Trial (Global)
Modification(s)  
Not Applicable 
Recruitment Status of Trial (India)  Open to Recruitment 
Publication Details    
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Brief Summary  

This is a randomized, single blind, parallel group, multicentre, non-inferiority phase II/III clinical trial to evaluate the immunogenicity and safety of Inactivated Tetravalent Influenza vaccine (split virion) of M/s Cadila Healthcare Limited compared to Vaxigrip (Influenza vaccine (Split Virion, Inactivated) Manufactured by Sanofi Pasteur SA, (France)) in healthy adults. Three hundred and forty eight subjects will be randomized to receive either Inactivated Tetravalent Influenza vaccine (split virion) of M/s Cadila Healthcare Limited or Vaxigrip (Influenza vaccine (Split Virion, Inactivated) Manufactured by Sanofi Pasteur SA, (France)) according to the centralized computer generated randomization plan. A pre vaccination and a post vaccination (day 21) blood sample will be collected to determine antibody titres attained after vaccination using haemaglutination inhibition assay against the vaccine strains of A/H1N1, A/H3N2, B/Victoria and B/Yamagata. Assessment of vaccine shall be based on the serologic parameters set by the Committee for Medicinal Products for Human Use (CHMP) for influenza vaccines. The end points for the study are Seroconversion rate, Seroprotection rate and Geometric Mean Titres for all the four viral strains in the two groups at the end of study. The results will also be stratified by age groups (adults: ≥18 to 60 years; and elderly: >60 years). The safety of the vaccine will be assessed by recording the adverse events occurring during the entire course of the study (42 days)

 
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