A phase 2, Randomized, Observer-blind, Multicenter, Dose-Ranging Study to Evaluate the Immunogenicity, Safety, and Tolerability of the plant-made H5 VLP Influenza vaccine adjuvanted with Alhydrogel or Glucopyranosyl-lipid adjuvant in squalene emulsion (GLA-SE), in healthy adults 18-60 years of age.
This study will consist of a dose-ranging in 390 subjects who will be randomized to receive one injection at Days 0 and 21 of either a low, medium or a high dose of H5 VLP Influenza vaccine combined with Alhydrogel®, or a low or high dose of H5 VLP Influenza vaccine combined with GLA-SE, or the placebo preparation (100 millimolar (mM) phosphate buffer + 150 mM Sodium Chloride (NaCl) + 0.01% Tween 80). Seven-day (7) safety data after the first immunization of the first 25% study subjects enrolled (98 subjects) will be tabulated and reviewed by the Data and Safety Monitoring Board (DSMB), prior to permitting the first immunization of the remaining study subjects and the second immunisations. Also, based on medical expert opinion and on safety criteria defined in the protocol, a DSMB review might be necessary on the seven-day safety data of the same 25% study subjects following administration of their second dose, before proceeding to the second immunizations of the remaining study subjects. Twenty-one (21) days after each immunization, key safety and immunogenicity data will be collected and analysed. All subjects will be followed for safety until Day 407.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
PREVENTION
Masking
QUADRUPLE
Enrollment
390
Biological: low dose of H5 VLP vaccine 2 doses given 21 days apart of low dose of H5 VLP vaccine mixed with Alhydrogel
Biological:Med dose of H5 VLP vaccine 2 doses given 21 days apart of Med dose H5 VLP vaccine mixed with Alhydrogel
Biological: High dose of H5 VLP vaccine 2 doses given 21 days apart of High dose of H5 VLP vaccine mixed with Alhydrogel
INC Research
Toronto, Ontario, Canada
MUHC Vaccine Study Center
Pierrefonds, Quebec, Canada
Levels of antibodies induced against the H5 of the H5N1/A/Indonesia/5/05, clade 2.1 virus
Immunogenicity Geometric mean titers (GMTs) of hemagglutination inhibition (HI antibody on Day 21).
Time frame: 21 days after each injection
Levels of antibodies induced against the H5 of the H5N1/A/Indonesia/5/05, clade 2.1 virus
Immunogenicity Geometric mean titers (GMTs) of hemagglutination inhibition (HI antibody on Day 42).
Time frame: 42 days after each injection
Cross-reactivity of antibodies induced by 2 consecutive doses of H5 VLP influenza vaccine
Measures of Geometric Mean Fold Rise, seroconversion rate and seroprotection rate (for HI only).
Time frame: 21 days after each injection
Reactivity of antibodies induced by 2 consecutive doses of H5 VLP influenza vaccine given 21 days apart
GMFR, seroconversion rate, percentage of subjects with a detectable MN antibody response
Time frame: 21 days after each injection
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Biological: low dose of H5 VLP vaccine 2 doses given 21 days apart of low dose of H5 VLP vaccine mixed with GLA-SE
Biological: High dose of H5 VLP vaccine 2 doses given 21 days apart of High dose of H5 VLP vaccine mixed with GLA-SE
Biological: Placebo 2 doses given 21 days apart of the placebo