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CTRI Number  CTRI/2017/08/009204 [Registered on: 01/08/2017] 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 evaluate the immune response and safety of four valent flu vaccine manufactured by Cadila Healthcare Ltd. in healthy children aged 6 months to 17 years  
Scientific Title of Study   A prospective, randomized, two arm, single blind, parallel, active controlled, multicentre, phase III clinical study to evaluate the immunogenicity and safety of Inactivated Influenza vaccine (split virion) I.P. (Tetravalent) of M/s Cadila Healthcare Limited in healthy children aged 6 months to 17 years 
Trial Acronym   
Secondary IDs if Any  
Secondary ID  Identifier 
Project No.16-05; Version 01; dated 08-03-2017   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  07926868926  
Fax    
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

Ahmadabad
GUJARAT
380015
India 
Phone  07926868926  
Fax    
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  7600012192  
Fax    
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 = 4  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr Chandrakant Bokade  Government Medical college and Hospital  HOD Room, Department of Paediatrics, 1st Floor Nagpur
Nagpur
MAHARASHTRA 
9373111532

cmbokade77@gmail.com 
Dr Sumantra Sarkar  IPGMER & SSKM Hospital   Department of Pediatrics, IPGMER & SSKM Hospital, A.J.C. Bose Road
Kolkata
WEST BENGAL 
9433090390

drsumantrasarkar@gmail.com 
Dr N Ravi Kumar   Niloufer Hospital (Osmania Medical College)  Research Room, First Floor, Niloufer Hospital (OPD Building), Lakdikapol
Hyderabad
ANDHRA PRADESH 
9392393394

ravik1961@yahoo.com 
Dr Kapil Garg  SMS Medical College  Professors chamber (Dr. Kapil Garg), 3rd Floor,Jay Kay Lon Hospital
Jaipur
RAJASTHAN 
01412619827

drkapilgargjkl@gmail.com 
 
Details of Ethics Committee
Modification(s)  
No of Ethics Committees= 4  
Name of Committee  Approval Status 
Ethics Committee, Osmania medical College, Koti, Hyderabad – 500059  Approved 
Institutional Ethics Committee, Department of Pharmacology, Government Medical College, Nagpur – 440003, Maharashtra   Approved 
IPGME & R Research Oversight Committee, Institute of Post Graduate Medical Education and Research (IPGME & R) 244, AJC Bose Road, Kolkata-700020  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 
Comparator Agent  Inactivated Influenza vaccine (split virion) I.P. of M/s Sanofi Pasteur  Subjects enrolled in Cohort 1 (9 – 17 years) will receive 0.5 ml single dose. Subjects enrolled in Cohort 2 (3 – 8 years) will receive two doses (0.5 ml each, at least 28 days apart) subjects in Cohort 3 (6-35 months) will receive 2 doses (0.25 ml each, at least 28 days apart) 
Intervention  Inactivated Tetravalent Influenza vaccine (split virion) I.P. of M/s Cadila Healthcare Limited   Subjects enrolled in Cohort 1 (9 – 17 years) will receive 0.5 ml single dose. Subjects enrolled in Cohort 2 (3 – 8 years) will receive two doses (0.5 ml each, at least 28 days apart) subjects in Cohort 3 (6-35 months) will receive 2 doses (0.25 ml each, at least 28 days apart) 
 
Inclusion Criteria  
Age From  6.00 Month(s)
Age To  17.00 Year(s)
Gender  Both 
Details  1. Healthy subject of either gender 6 months to 17 years of age
2. Written informed consent from subject’s either parent (mother / father) and
written assent from subjects more than 7 years of age
3. Subject’s either parent (mother / father) literate 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 vaccine, egg,
chicken proteins, aminoglycoside antibiotics
2. Subjects with history of administration of any influenza vaccine 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 ≥ 37.5°C) 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 girls & female subjects of child bearing age 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 
Fulfilment of serologic criteria set by the USFDA for licensure of seasonal
inactivated Influenza vaccines in pediatric population in Test group 
28 days after
last vaccination 
 
Secondary Outcome  
Outcome  TimePoints 
Seroprotection rate for all the four viral strains in the two groups, 28 days after
last vaccination 
28 days after
last vaccination 
Seroconversion rate for all the four viral strains in the two groups, 28 days
after last vaccination 
28 days after
last vaccination 
Geometric mean titres for all the four viral strains in the two groups, 28 days
after last vaccination 
28 days after
last vaccination 
 
Target Sample Size   Total Sample Size="304"
Sample Size from India="304" 
Final Enrollment numbers achieved (Total)= "306"
Final Enrollment numbers achieved (India)="306" 
Phase of Trial   Phase 3 
Date of First Enrollment (India)   04/09/2017 
Date of Study Completion (India) 28/02/2018 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Date Missing 
Estimated Duration of Trial   Years="1"
Months="0"
Days="0" 
Recruitment Status of Trial (Global)   Not Applicable 
Recruitment Status of Trial (India)  Completed 
Publication Details   None yet 
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 phase 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 children. Three hundred and four 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. The enrolled subjects will be divided into three cohorts: Cohort 1 (9 to 17 years), Cohort 2 (3 to 8 years) and Cohort 3 (6 to 35 months). Subjects in Cohort 1 (9 to 17 years) will receive a single dose of Inactivated Influenza vaccine at the baseline visitas per their allocated study group and will be followed up on visit 2 (day 14), visit 3 (day 28, immunogenicity assessment) and visit 4 (day 42, end of study). Subjects in Cohort 2 (3 to 8 years) and Cohort 3 (6 to 35 months) will receive two doses of Inactivated Influenza vaccine at baseline visit and visit 3 (28 days after first vaccination) as per their allocated study group and will be followed on visit 2 (day 14), visit 4 (14 days after second vaccination), visit 5 (28 days after second vaccination,
immunological assessment) and visit 6 (42 days after second vaccination). A pre vaccination and a post vaccination (day 28 after last dose) 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 criteria set by the USFDA for licensure of seasonal inactivated Influenza vaccines in pediatric population. 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, 28 days after last vaccination. The safety of the vaccine will be assessed by recording the adverse events occurring during the entire course of the study
 
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