<?xml version="1.0" encoding="utf-8"?>
<!DOCTYPE trials [
<!ELEMENT trials (trial+)>

<!ELEMENT trial (main,contacts,countries,criteria,health_condition_code,health_condition_keyword,intervention_code,
          intervention_keyword,primary_outcome,secondary_outcome,secondary_sponsor,secondary_ids,source_support,ethics_reviews)>

<!ELEMENT main (trial_id,utrn?,reg_name,date_registration,primary_sponsor,public_title,acronym?,scientific_title,scientific_acronym?,
          date_enrolment,type_enrolment,target_size,recruitment_status,url?,study_type,study_design,phase,hc_freetext?,i_freetext?,results_actual_enrolment,results_date_completed,results_url_link,results_summary,           results_date_posted,results_date_first_publication,results_baseline_char,results_participant_flow,results_adverse_events,results_outcome_measures,results_url_protocol,results_IPD_plan, results_IPD_description)>
<!ELEMENT trial_id (#PCDATA)>
<!ELEMENT utrn (#PCDATA)>
<!ELEMENT reg_name (#PCDATA)>
<!ELEMENT date_registration (#PCDATA)><!-- dd/mm/yyyy -->
<!ELEMENT primary_sponsor (#PCDATA)>
<!ELEMENT public_title (#PCDATA)>
<!ELEMENT acronym (#PCDATA)>
<!ELEMENT scientific_title (#PCDATA)>
<!ELEMENT scientific_acronym (#PCDATA)>
<!ELEMENT date_enrolment (#PCDATA)><!-- dd/mm/yyyy -->
<!ELEMENT type_enrolment (#PCDATA)>
<!ELEMENT target_size (#PCDATA)>
<!ELEMENT recruitment_status (#PCDATA)><!-- Pending,Recruiting,Suspended,Complete,Other -->
<!ELEMENT url (#PCDATA)>
<!ELEMENT study_type (#PCDATA)><!-- interventional,observational -->
<!ELEMENT study_design (#PCDATA)>
<!ELEMENT phase (#PCDATA)>
<!ELEMENT hc_freetext (#PCDATA)>
<!ELEMENT i_freetext (#PCDATA)>
<!ELEMENT results_actual_enrolment (#PCDATA)>
<!ELEMENT results_date_completed (#PCDATA)><!-- dd/mm/yyyy -->
<!ELEMENT results_url_link (#PCDATA)>
<!ELEMENT results_summary (#PCDATA)>
<!ELEMENT results_date_posted (#PCDATA)><!-- dd/mm/yyyy -->
<!ELEMENT results_date_first_publication (#PCDATA)><!-- dd/mm/yyyy -->
<!ELEMENT results_baseline_char (#PCDATA)>
<!ELEMENT results_participant_flow (#PCDATA)>
<!ELEMENT results_adverse_events (#PCDATA)>
<!ELEMENT results_outcome_measures (#PCDATA)>
<!ELEMENT results_url_protocol (#PCDATA)>
<!ELEMENT results_IPD_plan (#PCDATA)>
<!ELEMENT results_IPD_description (#PCDATA)>


<!ELEMENT contacts (contact+)>
<!ELEMENT contact (type,firstname,middlename,lastname,address,city,country1,zip,telephone,email,affiliation)>
<!ELEMENT type (#PCDATA)><!-- Public,Scientific -->
<!ELEMENT firstname (#PCDATA)>
<!ELEMENT middlename (#PCDATA)>
<!ELEMENT lastname (#PCDATA)>
<!ELEMENT address (#PCDATA)>
<!ELEMENT city (#PCDATA)>
<!ELEMENT country1 (#PCDATA)>
<!ELEMENT zip (#PCDATA)>
<!ELEMENT telephone (#PCDATA)>
<!ELEMENT email (#PCDATA)>
<!ELEMENT affiliation (#PCDATA)>

<!ELEMENT countries (country2+)>
<!ELEMENT country2 (#PCDATA)>

<!ELEMENT criteria (inclusion_criteria,agemin,agemax,gender,exclusion_criteria)>
<!ELEMENT inclusion_criteria (#PCDATA)>
<!ELEMENT agemin (#PCDATA)>
<!ELEMENT agemax (#PCDATA)>
<!ELEMENT gender (#PCDATA)>
<!ELEMENT exclusion_criteria (#PCDATA)>

<!ELEMENT health_condition_code (hc_code+)>
<!ELEMENT hc_code (#PCDATA)>

<!ELEMENT health_condition_keyword (hc_keyword+)>
<!ELEMENT hc_keyword (#PCDATA)>

<!ELEMENT intervention_code (i_code+)>
<!ELEMENT i_code (#PCDATA)>

<!ELEMENT intervention_keyword (i_keyword+)>
<!ELEMENT i_keyword (#PCDATA)>

<!ELEMENT primary_outcome (prim_outcome+)>
<!ELEMENT prim_outcome (#PCDATA)>

<!ELEMENT secondary_outcome (sec_outcome+)>
<!ELEMENT sec_outcome (#PCDATA)>

<!ELEMENT secondary_sponsor (sponsor_name+)>
<!ELEMENT sponsor_name (#PCDATA)>

<!ELEMENT secondary_ids (secondary_id+)>
<!ELEMENT secondary_id (sec_id,issuing_authority)>
<!ELEMENT sec_id (#PCDATA)>
<!ELEMENT issuing_authority (#PCDATA)>

<!ELEMENT source_support (source_name+)>
<!ELEMENT source_name (#PCDATA)>

<!ELEMENT ethics_reviews (ethics_review+)>
<!ELEMENT ethics_review (status,approval_date,contact_name,contact_address,contact_phone,contact_email)>
<!ELEMENT status (#PCDATA)><!-- Not approved,Approved,NA -->
<!ELEMENT approval_date (#PCDATA)><!-- dd/mm/yyyy -->
<!ELEMENT contact_name (#PCDATA)>
<!ELEMENT contact_address (#PCDATA)>
<!ELEMENT contact_phone (#PCDATA)>
<!ELEMENT contact_email (#PCDATA)>
]>
<trials>
  <trial>
    <main>
      <trial_id>IRCT20200318046812N4</trial_id>
      <utrn></utrn>
      <reg_name>IRCT</reg_name>
      <date_registration>2021-01-21</date_registration>
      <primary_sponsor>Nivad Pharmed Salamat Company</primary_sponsor>
      <public_title>Evaluation of the immunogenicity and safety of quadrivalent seasonal flu vaccine and comparison with influenza vaccine named Vaxigrip</public_title>
      <acronym></acronym>
      <scientific_title>Evaluation of the immunogenicity and safety of quadrivalent flu vaccine (Fluguard) manufactured by Nivad pharmed Salamat, in comparison with seasonal flu vaccine Vaxigrip, as a reference product made by Sanofi, France in healthy volunteers aged 18 to 49 years, study Clinical phase 3 random, double-blind, double-arm, parallel, active control, non-inferiority</scientific_title>
      <scientific_acronym></scientific_acronym>
      <date_enrolment>2021-01-20</date_enrolment>
      <type_enrolment>anticipated</type_enrolment>
      <target_size>1369</target_size>
      <recruitment_status>Complete</recruitment_status>
      <url>https://irct.ir/trial/52619</url>
      <study_type>interventional</study_type>
      <study_design>Randomization: Randomized, Blinding: Double blinded, Placebo: Not used, Assignment: Parallel, Purpose: Prevention, Randomization description: Random sequencing of volunteers is done by sealedenvelope.com. Using random blocks each block size is 4 will be constructed for a total of 1150 volunteers (2: 1 ratio), Blinding description: Due to the similarity of the control and test drug packages and also random codes are used to identify them, the candidates will not be informed about the type of vaccine they received. Also, according to the identity codes of each patient that is created at the beginning of the study, the study data will be provided anonymously to the study results analysis team. Thus, the study is blinded for the patient and the evaluator.</study_design>
      <phase>3</phase>
      <hc_freetext>seasonal flu vaccination.</hc_freetext>
      <i_freetext>Intervention 1: Intervention group: Pre-filled syringe of Fluguard seasonal flu vaccine (manufactured by Nivad Pharmed Salamat) 45μg HA / serotype / dose, intramuscular injection (non-dominant hand deltoid muscle) of 0.5 ml at the first visit. Intervention 2: Control group: Pre-filled Vaxigrip Seasonal Influenza Vaccine Syringe (manufactured by Sanofi), 15μg HA / serotype / dose, intramuscular injection (non-dominant hand deltoid muscle) 0.5 ml at first visit.</i_freetext>
      <results_actual_enrolment></results_actual_enrolment>
      <results_date_completed></results_date_completed>
      <results_url_link></results_url_link>
      <results_summary></results_summary>
      <results_date_posted></results_date_posted>
      <results_date_first_publication></results_date_first_publication>
      <results_baseline_char></results_baseline_char>
      <results_participant_flow></results_participant_flow>
      <results_adverse_events></results_adverse_events>
      <results_outcome_measures></results_outcome_measures>
      <results_url_protocol></results_url_protocol>
      <results_IPD_plan>No - There is not a plan to make this available</results_IPD_plan>
      <results_IPD_description>Justification or reason for not sharing IPD is Because of confidentiality</results_IPD_description>
    </main>
    <contacts>
      <contact>
        <type>public</type>
        <firstname>Dr. Setayesh Sadeghi</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>No. 54, Sharif Innovation Station, Above Hassan Hosseini Sq., Azadi St., Habibollah St., Nivad pharmed Salamat Co.</address>
        <city>Tehran</city>
        <country1>Iran (Islamic Republic of)</country1>
        <zip>1455714181</zip>
        <telephone>+98 21 9107 7022</telephone>
        <email>sadeghi.setayesh@gmail.com</email>
        <affiliation>Nivad pharmed Salamat Co.</affiliation>
      </contact>
      <contact>
        <type>scientific</type>
        <firstname>Dr. Setayesh Sadeghi</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>No. 54, Sharif Innovation Station, Above Hassan Hosseini Sq., Azadi St., Habibollah St., Nivad pharmed Salamat Co.</address>
        <city>Tehran</city>
        <country1>Iran (Islamic Republic of)</country1>
        <zip>1455714181</zip>
        <telephone>+98 21 9107 7022</telephone>
        <email>sadeghi.setayesh@gmail.com</email>
        <affiliation>Nivad pharmed Salamat Co.</affiliation>
      </contact>
    </contacts>
    <countries>
      <country2>Iran (Islamic Republic of)</country2>
    </countries>
    <criteria>
      <inclusion_criteria>Age between 18-49
Have general health
Sign informed consent
Be able to accompany with the visit programs and study process</inclusion_criteria>
      <agemin>18 years</agemin>
      <agemax>49 years</agemax>
      <gender>Both</gender>
      <exclusion_criteria>History of previous vaccinations against influenza strains used in injectable vaccines during the previous 6 months
History of allergy to Vaxigrip
Received another vaccine during this study
Covid-19 infection (PCR confirmation)
Diagnosis of any disease, receiving medication or vaccine within 30 days before enrollment
Underlying disease or therapeutic intervention that may adversely affect the immune response
Participate in other clinical studies
Pregnancy, breastfeeding or pregnancy planning during the study period
Any conditions that prevent the study volunteer from enrollment, due to PI opinion such as: • Receiving immunomodulatory drugs or immunosuppressants • Receiving immunoglobulins • History of allergic reactions or Guillain-Barre syndrome • Autoimmune diseases
A history of previous hospitalization with flu-like symptoms or a proven flu illness</exclusion_criteria>
    </criteria>
    <health_condition_code>
      <hc_code>J09</hc_code>
    </health_condition_code>
    <health_condition_keyword>
      <hc_keyword>Influenza due to certain identified influenza viruses</hc_keyword>
    </health_condition_keyword>
    <intervention_code>
      <i_code>Prevention</i_code>
      <i_code>Prevention</i_code>
    </intervention_code>
    <intervention_keyword>
      <i_keyword>Intervention group: Pre-filled syringe of Fluguard seasonal flu vaccine (manufactured by Nivad Pharmed Salamat) 45μg HA / serotype / dose, intramuscular injection (non-dominant hand deltoid muscle) of 0.5 ml at the first visit</i_keyword>
      <i_keyword>Control group: Pre-filled Vaxigrip Seasonal Influenza Vaccine Syringe (manufactured by Sanofi), 15μg HA / serotype / dose, intramuscular injection (non-dominant hand deltoid muscle) 0.5 ml at first visit</i_keyword>
    </intervention_keyword>
    <primary_outcome>
      <prim_outcome>Ratio of antibody titer against hemagglutinin protein of species A H1N1 with GMT scale after 28 days compared to control group. Timepoint: Day zero and 28. Method of measurement: ELISA.</prim_outcome>
      <prim_outcome>Ratio of antibody titer against hemagglutinin protein of species A H3N2 with GMT scale after 28 days compared to the control group. Timepoint: Day zero and 28. Method of measurement: ELISA.</prim_outcome>
      <prim_outcome>Ratio of antibody titer against Yamagata species B hemagglutinin protein with GMT scale after 28 days compared to control group. Timepoint: Day zero and 28. Method of measurement: ELISA.</prim_outcome>
      <prim_outcome>Ratio of antibody titer against Victoria B species hemagglutinin protein with GMT scale after 28 days compared to control group. Timepoint: Day zero and 28. Method of measurement: ELISA.</prim_outcome>
    </primary_outcome>
    <secondary_outcome>
      <sec_outcome>Seroconversion rate against hemagglutinin protein species A H1N1 after 28 days. Timepoint: Day zero and 28. Method of measurement: ELISA.</sec_outcome>
      <sec_outcome>Seroconversion rate against hemagglutinin protein species A H3N2 after 28 days. Timepoint: Day zero and 28. Method of measurement: ELISA.</sec_outcome>
      <sec_outcome>Seroconversion rate against Yamagata species B hemagglutinin protein after 28 days. Timepoint: Day zero and 28. Method of measurement: ELISA.</sec_outcome>
      <sec_outcome>Seroconversion rate against Victoria B species hemagglutinin protein after 28 days. Timepoint: Day zero and 28. Method of measurement: ELISA.</sec_outcome>
    </secondary_outcome>
    <secondary_sponsor>
      <sponsor_name></sponsor_name>
    </secondary_sponsor>
    <secondary_ids>
      <secondary_id>
        <sec_id></sec_id>
        <issuing_authority></issuing_authority>
      </secondary_id>
    </secondary_ids>
    <source_support>
      <source_name>Nivad Pharmed Salamat Company</source_name>
    </source_support>
    <ethics_reviews>
      <ethics_review>
        <status>Approved</status>
        <approval_date>2021-01-12</approval_date>
        <contact_name>National Research Ethics Committee</contact_name>
        <contact_address>Tehran - Ghods Town (West) - Between South Flamek and Zarafshan, Iran TV Street - Central Headquarters of the Ministry of Health, Treatment and Medical Education, Block A, 13th floor Tehran Tehran Iran (Islamic Republic of)</contact_address>
        <contact_phone></contact_phone>
        <contact_email></contact_email>
      </ethics_review>
    </ethics_reviews>
  </trial>
</trials>
