Safety and Immunogenicity of Two Doses of H5N1 Influenza Vaccine in Healthy Adults

Novartis Vaccines979 enrolled

Overview

Evaluate Safety, Tolerability and Immune Response of Adjuvanted H5N1 Cell Culture Derived Influenza Vaccine in Adult Subjects.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

PREVENTION

Masking

DOUBLE

Enrollment

979

Conditions

Pandemic H5N1 Influenza

Interventions

Adjuvanted H5N1 pandemic influenza vaccineBIOLOGICAL

Comparison of two doses of aH5N1c vaccine

Eligibility

Sex: ALLMin age: 18 YearsMax age: 64 YearsHealthy volunteers:

Medical Language ↔ Plain English

Inclusion Criteria: 1. Healthy adult subjects 18 to 64 years of age, 2. Individuals willing to provide written informed consent, 3. Individuals in good health, 4. Individuals willing to allow for their serum samples to be stored beyond the study period. Exclusion Criteria: 1. Individuals not able to understand and follow study procedures, 2. History of any significant illness, 3. History of any chronic medical condition or progressive disease, 4. Presence of medically significant cancer, 5. Known or suspected impairment/alteration of immune function, 6. Presence of any progressive or severe neurologic disorder, 7. Presence of any bleeding disorders or conditions that prolongs bleeding time, 8. History of allergy to vaccine components, 9. Receipt of any other investigational product within 30 days prior to entry into the study, 10. History of previous H5N1 vaccination, 11. Receipt of any other type of seasonal vaccination within 2 months prior to entry into the study, 12. Receipt of any other vaccine within 2 weeks prior to entry into the study 13. Body temperature ≥38°C.0 (≥100.4° F) and/or acute illness within 3 days of intended study vaccination, 14. Pregnant or breast feeding, 15. Females of childbearing potential refusing to use acceptable method of birth control, 16. Body mass index (BMI) ≥ 35 kg/m2, 17. History of drug or alcohol abuse, 18. Any planned surgery during study period, 19. Individuals conducting the study and their immediate family members, 20. Individuals with behavioral or cognitive impairment or psychiatric diseases.

Locations (8)

1 Miami Research Associates

Miami, Florida, United States

2 Mercy Health Research

St Louis, Missouri, United States

3 Saint Louis University

St Louis, Missouri, United States

4 Benchmark Medical Research

Austin, Texas, United States

Outcomes

Primary Outcomes

Percentages Of Subjects Achieving Hemagglutinin Inhibition (HI) Titers ≥40 Against A/H5N1 Strain.

The optimal aH5N1c vaccine formulation was evaluated in terms of percentages of subjects achieving HI titers ≥40 against homologous A/H5N1 strain, three weeks after second vaccination with either low dose or high dose of aH5N1c vaccine, according to the Center for Biologics Evaluation and Research (CBER) criterion. CBER criterion for the adult population is met if the lower limit of the two-sided 95% confidence interval (CI) for the percentages of subjects achieving HI titer ≥40 meets or exceeds 70%.

Time frame: Three weeks after 2nd vaccination (day 43)

Percentages Of Subjects Achieving Seroconversion Against A/H5N1 Strain.

Immunogenicity was measured in terms of the percentages of subjects achieving seroconversion or significant increase in HI titer against the vaccine strain, three weeks after receiving two injections of low dose or high dose of aH5N1c vaccine according to the CBER criterion. Seroconversion is defined as either a) in subjects with a prevaccination HI titer \<10, a postvaccination titer ≥40; or b) in subjects with prevaccination HI titer ≥10, a minimum four-fold rise in postvaccination HI antibody titer. CBER criterion for the adult population is met if the lower limit of the two-sided 95% CI for the percentages of subjects achieving seroconversion for HI antibody titer meets or exceeds 40%.

Time frame: Three weeks after 2nd vaccination (day 43)

Number of Subjects Reporting Solicited Local and Systemic Adverse Events (AE), After Any Vaccination.

Safety was assessed using the number of subjects who reported solicited local and systemic AEs following vaccination with either low or high dose of aH5N1c vaccine.

Time frame: From day 1 through day 7 after any vaccination.

Number of Subjects Reporting Unsolicited AEs After Any Vaccination.

Safety was assessed using the number of subjects who reported any unsolicited adverse events, adverse events possibly or probably related to study vaccine, serious adverse events (SAEs), new onset of chronic diseases (NOCDs), medically attended AEs, AEs of special interest (AESIs), AEs leading to withdrawal from study following vaccination with either low or high dose of aH5N1c vaccine.

Data from ClinicalTrials.gov

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Secondary Outcomes

Geometric Mean Ratios Against A/H5N1 Strain Following 2-dose Vaccination Schedule of Either Low Dose or High Dose aH5N1c Vaccine.

Immunogenicity was measured as the geometric mean ratio (GMR). The ratio of postvaccination to prevaccination HI GMTs, 3 weeks after first vaccination, 3 weeks after second vaccination and 12 months after second vaccination of either low dose or high dose of aH5N1c is reported. The criterion is met according to the European Committee for Medicinal Products for Human Use (CHMP) criterion if the geometric mean increase GMR (day 43/day 1) in HI antibody titer is \>2.5 for subjects 18-60 years of age.

Time frame: Day 1; day 22; day 43 and day 387

Percentages Of Subjects With HI Titers ≥40 Against A/H5N1 Strain.

Immunogenicity was assessed in terms of percentage of subjects achieving HI titers ≥40, 3 weeks after first vaccination, 3 weeks after second vaccination and 12 months after second vaccination of either low dose or high dose of aH5N1c according to the CHMP criterion. European Licensure (CHMP) criterion is met if the percentage of subjects achieving (at day 43) HI titers ≥40 is \>70%.

Time frame: Day 1, day 22, day 43 and day 387

Percentages Of Subjects Achieving Seroconversion Against A/H5N1 Strain.

Immunogenicity was assessed in terms of percentages of subjects achieving seroconversion in HI titers, 3 weeks after first vaccination, 3 weeks after second vaccination and 12 months after second vaccination of either low dose or high dose aH5N1c vaccine according to the CHMP criterion. Seroconversion is defined as: a) for subjects with a prevaccination HI titer \<10, a postvaccination titer ≥40; or b) for subjects with prevaccination HI titer ≥10, a minimum four-fold rise in postvaccination HI antibody titer. The criterion is met according to the European (CHMP) guideline if the percentage of subjects achieving seroconversion (at day 43) is \>40%.

Time frame: Day 22, day 43 and day 387