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Influenza, HumanPhase 3NCT05779020

Immunogenicity and Safety of Butantan Quadrivalent Influenza Vaccine (Split Virion, Inactivated) in Infants and Children .

A Phase 3 study testing Quadrivalent Influenza Vaccine (split virion, inactivated), Trivalent Influenza Vaccine (split virion, inactivated) containing Influenza B virus - Victoria lineage and Trivalent Influenza Vaccine (split virion, inactivated) containing Influenza B virus - Yamagata lineage in people with Influenza, Human, run by Butantan Institute at 10 sites in Brazil.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

This is a Phase III Randomized Clinical Trial, blind, multicenter, with active controls, to evaluate the immunogenicity and safety of the Quadrivalent Influenza Vaccine (split virion, inactivated) from Instituto Butantan, in two dose scheme (0.25ml and 0.50ml), in infants and children under 3 years of age. Read more about this study

Who is it for?
Ages 6 to 35 monthsHealthy volunteers can take part
Conditions the study is for
Influenza, Human
What is being tested?
Quadrivalent Influenza Vaccine (split virion, inactivated), Trivalent Influenza Vaccine (split virion, inactivated) containing Influenza B virus - Victoria lineage and Trivalent Influenza Vaccine (split virion, inactivated) containing Influenza B virus - Yamagata lineage
Type of treatment
Vaccines
Could I receive a placebo?
No, everyone receives an active treatment
How many people
1,373 participants
Where
10 sitesBrazil
Study dates
25 Apr 2023to 2 Aug 2025
Phase
Phase 3
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 6 to 35 months
  • All sexes
  • Healthy volunteers accepted
  • Child

Who may be able to join

  • Healthy infant and child of either sex aged between 6 and 35 months on the day of the first study vaccination.
  • Born at term (≥ 37 weeks of gestational age) and birth weight ≥ 2.5 kg.
  • Parents/legal guardians of the infant or child able and willing to attend all scheduled visits and comply with all study procedures, including blood draws.
  • Parents/legal guardians of the infant or child have provided informed consent.

Who cannot join

  • Having received any influenza vaccine from the current season and/or 6 months before the first study vaccination.
  • History of allergy to egg, chicken proteins, or other components of the influenza vaccine.
  • History of serious adverse reaction to any influenza vaccine.
  • Have any clinically significant condition or situation that, in the Investigator's opinion, would interfere with study evaluations or participation.
  • History of Guillain-Barré or other demyelinating diseases.
  • History of neurological disease and/or clinically significant developmental delay (at the discretion of the Investigator), or seizure (except for an isolated febrile seizure episode).
Show all 23Show fewer
  • Having received immune globulin, blood, or any blood product 3 months before the planned date of the first study vaccination or planned administration during the study period.
  • Any confirmed or suspected immunosuppressive condition, congenital or acquired immunodeficiency (including human immunodeficiency virus - HIV) based on medical history and physical examination.
  • Immediate personal or family history of congenital immunodeficiency.
  • Having received or are using radiation therapy, chemotherapy, immunosuppressive drugs, or other immunomodulatory drugs within three months before the planned date of the first study vaccination or planned use during the study.
  • Be a solid organ or bone marrow/stem cell transplant recipient.
  • Thrombocytopenia, bleeding disorder, use of anticoagulants, or any condition that contraindicates intramuscular injection.
  • Significant chronic disease (cancer, autoimmune disease, diabetes mellitus, acute or progressive liver disease, acute or progressive kidney disease, severe heart or lung disease) or which in the Investigator's opinion poses a risk to the health of the infant or child participating in the study or which may interfere with the conduct or conclusion of the study.
  • History of seropositivity for human immunodeficiency virus (HIV), hepatitis B, or hepatitis C.
  • Major surgery or surgery using general anesthesia planned to occur during the period between the first vaccination and 28 days after full vaccination in the study.
  • Any condition that, in the opinion of the Investigator, may interfere with the conduct or completion of the study (such as travelling or planned moving of residence, among others).
  • Participation in another clinical trial involving another experimental or unregistered product 1 year before the planned date of the study's first vaccination, or plans to entering a clinical trial during the study.
  • Infant and institutionalized child.
  • Be related to the Investigator, research site staff member, or employee directly involved in the study.
  • Postponement Criteria:
  • Have received any vaccine (including routine childhood vaccines) within 28 days of the first study vaccination (delay until the 28-day deadline from the date of the last vaccination).
  • Moderate or severe (as judged by the Investigator) acute illness/infection or febrile illness (temperature ≥ 37.8°C) 48 hours before the planned date of the first study vaccination.
  • Acute respiratory illness within 14 days preceding the planned date of the first study vaccination.

Trial locations and contacts

10 sites in 1 country.

10 sites in 1 country

Brazil10 sites
  • Centro Oncológico de Roraima - CECOR (Site BVB-01)

    Boa Vista, Roraima, 69304-015

  • Centro de Pesquisas Clínicas da Universidade Federal de Sergipe (Site AJU01)

    Laranjeiras, Sergipe, 49170-000

  • Instituto Auto Imune de Pesquisa e Educação Continuada - Real Hospital Português de Beneficência em Pernambuco (Site REC01)

    Recife, Pernambuco

  • Hospital das Clínicas da Faculdade de Medicina Ribeirão Preto - USP (Site RAO 04)

    Ribeirão Preto, São Paulo, 14051-140

  • CPQuali Pesquisa Clínica Ltda (Site 002)

    São Paulo, 01228-000

  • Instituto de Pesquisa PENSI (Site SAO09)

    São Paulo, 01228-200

  • Centro de Pesquisa Clínica do Instituto da Criança - Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo (Site SAO08)

    São Paulo, 05403-000

  • Centro de Pesquisa Clínica S (Site RAO03)

    Serrana, São Paulo

  • CPMC Pesquisa Clínica - Clinica De Alergia Martti Antila Sorocaba

    Sorocaba, São Paulo, 18040-425

  • A2Z Clinical Centro Avançado de Pesquisa Clínica Ltda.(Site 001)

    Valinhos, São Paulo, 13271-130

Other trials in Brazil

About this study

Official title: A Blind Randomized Clinical Trial, With Active Controls, to Evaluate the Immunogenicity and Safety of the Quadrivalent Influenza Vaccine (Split Virion, Inactivated) From Instituto Butantan, in Infants and Children Aged 6 to 35 Months.

This is a Phase III Randomized Clinical Trial, blind, multicenter, with active controls, to evaluate the immunogenicity and safety of the Quadrivalent Influenza Vaccine (split virion, inactivated) from Instituto Butantan, in two dose scheme (0.25ml and 0.50ml), in infants and children under 3 years of age.

Read the detailed description

The study will be carried out in multiple sites in Brazil, using a community-based recruitment strategy.

The study interventions are the Butantan Quadrivalent Influenza Vaccine (split virion, inactivated) in two dose scheme (QIV-IB/0.25ml and QIV-IB/0.50ml) and the active controls Butantan Trivalent Influenza Vaccine (split virion, inactivated) containing Influenza B virus - Victoria or Yamagata lineage (TIVV-IB and TIVY-IB), in a ratio 1:1:1:1.

The study population is healthy infants and children aged 6 to 35 months and all participants will be followed up 6 months after the last vaccination.

Being tested
Quadrivalent Influenza Vaccine (split virion, inactivated), Trivalent Influenza Vaccine (split virion, inactivated) containing Influenza B virus - Victoria lineage, Trivalent Influenza Vaccine (split virion, inactivated) containing Influenza B virus - Yamagata lineage
Keywords
Influenza Vaccines
Medical subject headings
Influenza, Human

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Quadrivalent Influenza Vaccine (split virion, inactivated)Biological

    Quadrivalent Influenza Vaccine (split virion, inactivated) from Instituto Butantan (dose 0.25ml and 0.50ml)

  • Trivalent Influenza Vaccine (split virion, inactivated) containing Influenza B virus - Victoria lineageBiological

    Trivalent Influenza Vaccine (split virion, inactivated) containing Influenza B virus - Victoria lineage/dose 0.50ml

  • Trivalent Influenza Vaccine (split virion, inactivated) containing Influenza B virus - Yamagata lineageBiological

    Trivalent Influenza Vaccine (split virion, inactivated) containing Influenza B virus - Yamagata lineage/dose 0.25ml

Study groups in NCT05779020
Study groupRoleWhat they receive
QIV-IB/dose 0.25mlExperimentalButantan Quadrivalent Influenza Vaccine (split virion, inactivated)/dose 0.25ml
Receives: Biological: Quadrivalent Influenza Vaccine (split virion, inactivated)
QIV-IB/dose 0.50mlExperimentalButantan Quadrivalent Influenza Vaccine (split virion, inactivated)/dose 0.50ml
Receives: Biological: Quadrivalent Influenza Vaccine (split virion, inactivated)
TIVV-IBActive comparatorButantan Trivalent Influenza Vaccine (split virion, inactivated)/dose 0.25ml containing Influenza B virus - Victoria lineage
Receives: Biological: Trivalent Influenza Vaccine (split virion, inactivated) containing Influenza B virus - Victoria lineage
TIVY-IBActive comparatorButantan Trivalent Influenza Vaccine (split virion, inactivated)/dose 0.25ml containing Influenza B virus - Yamagata lineage
Receives: Biological: Trivalent Influenza Vaccine (split virion, inactivated) containing Influenza B virus - Yamagata lineage

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Ratio of Geometric Mean Titers (rGMT) of antibodies induced by QIV-IB/0.25ml compared to those induced by TIVV-IB and TIVY-IB, for each strain, in infants and children from 6 to 35 months of age.

    Immunogenicity outcomes assessed in serum samples by hemagglutination inhibition (HAI) assay.

    Measured: 28 days after last vaccination

  2. Ratio of Geometric Mean Titers (rGMT) of antibodies induced by QIV-IB/0.50ml compared to those induced by TIVV-IB and TIVY-IB, for each strain, in infants and children from 6 to 35 months of age.

    Immunogenicity outcomes assessed in serum samples by hemagglutination inhibition (HAI) assay.

    Measured: 28 days after last vaccination

  3. Ratio of Geometric Mean Titers (rGMT) of antibodies induced by QIV-IB/0.25ml compared to those induced by TIV that does not contain the B strain, for B lineage Victoria and Yamagata, in infants and children aged 6 to 35 months age.

    Immunogenicity outcomes assessed in serum samples by hemagglutination inhibition (HAI) assay.

    Measured: 28 days after last vaccination

  4. Ratio of Geometric Mean Titers (rGMT) of antibodies induced by QIV-IB/0.50ml compared to those induced by TIV that does not contain the B strain, for B lineage Victoria and Yamagata, in infants and children aged 6 to 35 months age.

    Immunogenicity outcomes assessed in serum samples by hemagglutination inhibition (HAI) assay.

    Measured: 28 days after last vaccination

Secondary outcomes (8)
  1. Ratio of Geometric Mean Titers (rGMT) of antibodies induced by QIV-IB/0.50ml compared to those induced by QIV-IB/0.25ml, for each strain, in infants and children from 6 to 35 months of age.

    Immunogenicity outcomes assessed in serum samples by hemagglutination inhibition (HAI) assay.

    Measured: 28 days after last vaccination

  2. Percentage of Participants With Seroconversion (Seroconversion Rate - SCR) to Influenza Vaccine Antigens.

    SCR is defined as the percentage of subjects with either a prevaccination HAI titer < 1:10 and a postvaccination HI titer ≥ 1:40, or a prevaccination HI titer ≥ 1:10 and a ≥ 4-fold increase in postvaccination HI titer.

    Measured: At Days 0 and 28/56

  3. Percentage of Participants achieving seroprotection (Seroprotection Rate - SPR) to Influenza Vaccine Antigens.

    Seroprotection Rate is defined as the percentage of subjects with HAI titer ≥1:40

    Measured: At Days 0 and 28/56

  4. Pre- and post-vaccination Geometric Mean Titers (GMT) induced by QIV-IB/0.25ml, QIV-IB/0.50ml, TIVV-IB e TIVY-IB, for each strain, in infants and children from 6 to 35 months of age.

    Immunogenicity outcomes assessed in serum samples by hemagglutination inhibition (HAI) assay.

    Measured: At Days 0 and 28/56

  5. Ratio of Pre- and post-vaccination Geometric Mean Titers (rGMT) induced by QIV-IB/0.25ml, QIV-IB/0.50ml, TIVV-IB e TIVY-IB, for each strain, in infants and children from 6 to 35 months of age.

    Immunogenicity outcomes assessed in serum samples by hemagglutination inhibition (HAI) assay.

    Measured: At Days 0 and 28/56

  6. Solicited local Site or Systemic Reactions After each Injection

    Percentage of subjects with Solicited local Site or Systemic Reactions After each Injection

    Measured: Day 0 up to Day 7 post-injection

  7. Related Unsolicited Adverse Events

    Percentage of subjects with Related Unsolicited Adverse Events

    Measured: 28 days after last vaccination

  8. Serious Adverse Events (SAE) and adverse events of special interest (AESI)

    Percentage of subjects with Serious Adverse Events (SAE) and adverse events of special interest (AESI)

    Measured: Entire study participant's follow-up period (6 months after the last vaccination)

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted22 Mar 2023
  2. Study start25 Apr 2023
  3. Primary completion12 Sep 2024
  4. Study completion2 Aug 2025

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 3
Primary purpose
Prevention
Allocation
Randomised
Intervention model
Parallel groups
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
1,373 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05779020
Sponsor's protocol ID
FLQ-02-IB
Status last verified
Sep 2025
First submitted
9 Mar 2023
Last updated
19 Sep 2025
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing Quadrivalent Influenza Vaccine (split virion, inactivated), Trivalent Influenza Vaccine (split virion, inactivated) containing Influenza B virus - Victoria lineage and Trivalent Influenza Vaccine (split virion, inactivated) containing Influenza B virus - Yamagata lineage in people with Influenza, Human, run by Butantan Institute at 10 sites in Brazil.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 4 inclusion and 23 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 19 Sep 2025. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 10 sites in Brazil. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Ratio of Geometric Mean Titers (rGMT) of antibodies induced by QIV-IB/0.25ml compared to those induced by TIVV-IB and TIVY-IB, for each strain, in infants and children from 6 to 35 months of age. (time frame: 28 days after last vaccination). The study lists 4 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 19 Sep 2025.

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