Study to Evaluate Safety and Immunogenicity of Different Priming and Booster Regimens With Adjuvanted H5N8 and/or H5N6 Influenza Vaccine in Adults

Seqirus480 enrolled

Overview

This Phase 2, randomized, observer-blind clinical study is evaluating 3 different priming and booster regimens with MF59-adjuvanted H5N8 and/or H5N6 cell culture-derived influenza vaccine (aH5N8c; aH5N6c). Approximately 480 healthy adult subjects are to be randomized into 1 of 3 possible treatment groups, stratified by age group (18-64 years and ≥65 years) and by poultry worker status (yes/no). Each subject will receive a priming influenza vaccine injection on Day 1 and Day 22 and a booster vaccination on Day 202. Subjects will be followed up for approximately 6 months after the booster injection. The primary immunogenicity analysis is based on antibody responses against H5N8 and H5N6 as measured by hemagglutination inhibition (HI) assay on Day 1, Day 22, Day 29, Day 43, Day 202, Day 209 (H5N8 only), and Day 223.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

PREVENTION

Masking

TRIPLE

Enrollment

480

Conditions

Influenza, Human Infections Respiratory Tract Infections Virus Diseases

Interventions

aH5N8c on Day 1BIOLOGICAL

MF59-adjuvanted cell-culture derived subunit inactivated monovalent A/H5N8 vaccine (aH5N8c) for intramuscular administration, containing intermediate dose H5N8 hemagglutinin + standard dose MF59 (approximately 0.5 mL total volume)

aH5N6c on Day 1BIOLOGICAL

MF59-adjuvanted cell-culture derived subunit inactivated monovalent A/H5N6 vaccine (aH5N6c) for intramuscular administration, containing intermediate dose H5N6 hemagglutinin + standard dose MF59 (approximately 0.5 mL total volume)

aH5N8c on Day 22BIOLOGICAL

aH5N6c on Day 22BIOLOGICAL

aH5N8c on Day 202BIOLOGICAL

Eligibility

Sex: ALLMin age: 18 YearsHealthy volunteers:

Medical Language ↔ Plain English

Inclusion Criteria: * Individuals of ≥18 years of age on the day of informed consent. * Individuals who or whose legally acceptable representative(s) have voluntarily given written consent after the nature of the study has been explained according to local regulatory requirements, prior to study entry. * Individuals who can comply with study procedures including follow-up. * Males, females of non-childbearing potential or females of childbearing potential who are using an effective birth control method which they intend to use for at least 30 days before the first study vaccination and plan to do so until 2 months after the last study vaccination. * Individuals must provide a baseline blood sample prior to randomization and vaccination. Exclusion Criteria: * Females of childbearing potential who are pregnant, lactating, or who have not adhered to a specified set of contraceptive methods from at least 30 days prior to study entry and who do not plan to do so until 2 months after the last study vaccination. * Progressive, unstable or uncontrolled clinical conditions. * Hypersensitivity, including allergy, to any component of vaccines, medicinal products or medical equipment whose use is foreseen in this study. * Clinical conditions representing a contraindication to intramuscular vaccination and blood draws. * Abnormal function of the immune system resulting from: 1. Clinical conditions. 2. Systemic administration of corticosteroids at a dose ≥20 mg/day of prednisone (or equivalent) for more than 14 consecutive days within 90 days prior to informed consent. Topical, inhaled and intranasal corticosteroids are permitted. Intermittent use (one dose in 30 days) of intra-articular corticosteroids are also permitted. 3. Administration of antineoplastic and immunomodulating agents or radiotherapy within 90 days prior to informed consent. * History of any medical condition considered an AESI. * Received immunoglobulins with immunomodulating effects or any blood products within 180 days prior to informed consent. * Individuals who previously received an H5 influenza vaccine or have a known history of H5 influenza infection prior to enrollment. * Received an investigational or non-registered medicinal product within 30 days prior to informed consent or are unwilling to refuse participation in another clinical study at any time during the conduct of this study. * Study personnel or immediate family or household member of study personnel. * Any other clinical condition that, in the opinion of the investigator, might interfere with the results of the study or pose additional risk to the individual due to participation in the study. * Individuals who received any other vaccines (with the exception of COVID-19 vaccines) within 14 days (for inactivated vaccines) or 28 days (for live vaccines) prior to enrolment in this study or who are planning to receive any vaccine within 28 days from any of the 3 scheduled study vaccinations. * Receipt of any (investigational or licensed) COVID-19 vaccine within 14 days (non-replicating vaccines) or 28 days (replicating vaccines) prior to enrollment or plan to receive any COVID-19 vaccine within 7 days from any of the 3 scheduled study vaccinations. * A known history of Guillain-Barre Syndrome or other demyelinating diseases such as encephalomyelitis and transverse myelitis.

Locations (9)

Cullman Clinical Trials

Cullman, Alabama, United States

Lifeline Primary Care

Lilburn, Georgia, United States

Georgia Clinic

Norcross, Georgia, United States

Velocity Clinical Research

Sioux City, Iowa, United States

Velocity Clinical Research

Baton Rouge, Louisiana, United States

Velocity Clinical Research

Grand Island, Nebraska, United States

Velocity Clinical Research

Norfolk, Nebraska, United States

Medical Care LLC

Elizabethton, Tennessee, United States

Cope Family Medicine

Bountiful, Utah, United States

Outcomes

Primary Outcomes

Geometric mean titer (GMT) of hemagglutination inhibition (HI) antibodies against H5N8 strain - Day 1

GMT (HI) prevaccination

Time frame: Day 1

GMT of HI antibodies against H5N8 strain - Day 22

GMT (HI) 3 weeks post first priming vaccination

Time frame: Day 22

GMT of HI antibodies against H5N8 strain - Day 43

GMT (HI) 3 weeks post second priming vaccination

Time frame: Day 43

GMT of HI antibodies against H5N8 strain - Day 202

GMT (HI) pre booster vaccination

Time frame: Day 202

GMT of HI antibodies against H5N8 strain - Day 209

GMT (HI) 1 week post booster vaccination

Time frame: Day 209

GMT of HI antibodies against H5N8 strain - Day 223

GMT (HI) 3 weeks post booster vaccination

Time frame: Day 223

GMT of HI antibodies against H5N6 strain - Day 1

GMT (HI) prevaccination

Time frame: Day 1

GMT of HI antibodies against H5N6 strain - Day 22

GMT (HI) 3 weeks post first priming vaccination

Time frame: Day 22

GMT of HI antibodies against H5N6 strain - Day 43

GMT (HI) 3 weeks post second priming vaccination

Time frame: Day 43

GMT of HI antibodies against H5N6 strain - Day 202

GMT (HI) pre booster vaccination

Time frame: Day 202

GMT of HI antibodies against H5N6 strain - Day 223

GMT (HI) 3 weeks post booster vaccination

Time frame: Day 223

Geometric mean fold increase (GMFI) of HI antibodies against H5N8 strain - Day 22

GMFI (HI) 3 weeks post first priming vaccination compared to prevaccination

Time frame: Day 22

GMFI of HI antibodies against H5N8 strain - Day 43

GMFI (HI) 3 weeks post second priming vaccination compared to prevaccination

Time frame: Day 43

GMFI of HI antibodies against H5N8 strain - Day 209

GMFI (HI) 1 week post booster vaccination compared to pre booster vaccination

Time frame: Day 209

GMFI of HI antibodies against H5N8 strain - Day 223

GMFI (HI) 3 weeks post booster vaccination compared to pre booster vaccination

Time frame: Day 223

GMFI of HI antibodies against H5N6 strain - Day 22

GMFI (HI) 3 weeks post first priming vaccination compared to prevaccination

Time frame: Day 22

GMFI of HI antibodies against H5N6 strain - Day 43

GMFI (HI) 3 weeks post second priming vaccination compared to prevaccination

Time frame: Day 43

GMFI of HI antibodies against H5N6 strain - Day 223

GMFI (HI) 3 weeks post booster vaccination compared to pre booster vaccination

Time frame: Day 223

Percentages of subjects with HI titers ≥1:40 against H5N8 strain - Day 1

% ≥1:40 (HI) prevaccination

Time frame: Day 1

Percentages of subjects with HI titers ≥1:40 against H5N8 strain - Day 22

% ≥1:40 (HI) 3 weeks post first priming vaccination

Time frame: Day 22

Percentages of subjects with HI titers ≥1:40 against H5N8 strain - Day 43

% ≥1:40 (HI) 3 weeks post second priming vaccination

Time frame: Day 43

Percentages of subjects with HI titers ≥1:40 against H5N8 strain - Day 209

% ≥1:40 (HI) 1 week post booster vaccination

Time frame: Day 209

Percentages of subjects with HI titers ≥1:40 against H5N8 strain - Day 223

% ≥1:40 (HI) 3 weeks post booster vaccination

Time frame: Day 223

Percentages of subjects with HI titers ≥1:40 against H5N6 strain - Day 1

% ≥1:40 (HI) prevaccination

Time frame: Day 1

Percentages of subjects with HI titers ≥1:40 against H5N6 strain - Day 22

% ≥1:40 (HI) 3 weeks post first priming vaccination

Time frame: Day 22

Percentages of subjects with HI titers ≥1:40 against H5N6 strain - Day 43

% ≥1:40 (HI) 3 weeks post second priming vaccination

Time frame: Day 43

Percentages of subjects with HI titers ≥1:40 against H5N6 strain - Day 223

% ≥1:40 (HI) 3 weeks post booster vaccination

Time frame: Day 223

Percentages of subjects with seroconversion by HI against H5N8 strain - Day 22

% seroconversion (HI) 3 weeks post first priming vaccination, defined as a ≥4-fold increase in HI titer postvaccination in those with prevaccination titer ≥1:10, or a postvaccination HI titer ≥1:40 for subjects with prevaccination titer \<1:10

Time frame: Day 22

Percentages of subjects with seroconversion by HI against H5N8 strain - Day 43

% seroconversion (HI) 3 weeks post second priming vaccination, defined as a ≥4-fold increase in HI titer postvaccination in those with pre-vaccination titer ≥1:10, or a postvaccination HI titer ≥1:40 for subjects with prevaccination titer \<1:10

Time frame: Day 43

Percentages of subjects with seroconversion by HI against H5N8 strain - Day 209

% seroconversion (HI) 1 week post booster vaccination, defined as a ≥4-fold increase in HI titer postvaccination in those with pre-vaccination titer ≥1:10, or a postvaccination HI titer ≥1:40 for subjects with prevaccination titer \<1:10

Time frame: Day 209

Percentages of subjects with seroconversion by HI against H5N8 strain - Day 223

% seroconversion (HI) 3 weeks post booster vaccination, defined as a ≥4-fold increase in HI titer postvaccination in those with pre-vaccination titer ≥1:10, or a postvaccination HI titer ≥1:40 for subjects with prevaccination titer \<1:10

Time frame: Day 223

Percentages of subjects with seroconversion by HI against H5N6 strain - Day 22

% seroconversion (HI) 3 weeks post first priming vaccination, defined as a ≥4-fold increase in HI titer postvaccination in those with pre-vaccination titer ≥1:10, or a postvaccination HI titer ≥1:40 for subjects with prevaccination titer \<1:10

Time frame: Day 22

Percentages of subjects with seroconversion by HI against H5N6 strain - Day 43

Time frame: Day 43

Percentages of subjects with seroconversion by HI against H5N6 strain - Day 223

Time frame: Day 223

Secondary Outcomes

Frequency and severity of solicited local and systemic adverse events (AEs)

For 7 consecutive days following each vaccination (ie, Day 1 through Day 7, Day 22 through Day 28, and Day 202 through 208, or until symptom resolution if ongoing at Day 7, Day 28 or Day 208 for a maximum of 14 days postvaccination).

Time frame: Day 1 through Day 7, Day 22 through Day 28, and Day 202 through 208

Frequency and severity of unsolicited AEs

For 3 weeks following each vaccination

Time frame: Day 1 through Day 43 and Day 202 through Day 223

Frequency and severity of serious AEs (SAEs), AEs leading to withdrawal, AEs of special interest (AESI), and medically attended AEs (MAAEs)

From first vaccination until study completion

Time frame: Day 1 through Day 382

GMT of HI antibodies against H5N8 strain - Persistence

GMT (HI) 6 months post 2nd priming vaccination and 6 months post booster vaccination

Time frame: Day 202, Day 382

GMT of HI antibodies against H5N6 strain - Persistence

GMT (HI) 6 months post 2nd priming vaccination

Time frame: Day 202

GMFI of HI antibodies against H5N8 strain - Persistence

GMFI (HI) 6 months post 2nd priming vaccination compared to prevaccination (Day 1), and 6 months post booster vaccination compared to prevaccination (Day 1) and compared to pre booster vaccination (Day 202)

Time frame: Day 202, Day 382

GMFI of HI antibodies against H5N6 strain - Persistence

GMFI (HI) 6 months post 2nd priming vaccination compared to prevaccination

Time frame: Day 202

Percentages of subjects with HI titers ≥1:40 against H5N8 strain - Persistence

Data from ClinicalTrials.gov

This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.

% ≥1:40 (HI) 6 months post 2nd priming vaccination and 6 months post booster vaccination

Time frame: Day 202, Day 382

Percentages of subjects with HI titers ≥1:40 against H5N6 strain - Persistence

% ≥1:40 (HI) 6 months post 2nd priming vaccination

Time frame: Day 202

Percentages of subjects with seroconversion by HI against H5N8 strain - Persistence

% seroconversion (HI) 6 months post 2nd priming vaccination and 6 months post booster vaccination, defined as a ≥4-fold increase in HI titer postvaccination in those with pre-vaccination titer ≥1:10, or a postvaccination HI titer ≥1:40 for subjects with prevaccination titer \<1:10

Time frame: Day 202, Day 382

Percentages of subjects with seroconversion by HI against H5N6 strain - Persistence

% seroconversion (HI) 6 months post 2nd priming vaccination, defined as a ≥4-fold increase in HI titer postvaccination in those with pre-vaccination titer ≥1:10, or a postvaccination HI titer ≥1:40 for subjects with prevaccination titer \<1:10

Time frame: Day 202

GMT of microneutralization (MN) antibodies against H5N8 strain

GMT (MN) prevaccination, 3 weeks post priming vaccinations, pre booster vaccination and 3 weeks post booster vaccination

Time frame: Day 1, Day 22, Day 43, Day 202, Day 223

GMT of MN antibodies against H5N6 strain

GMT (MN) prevaccination, 3 weeks post 2nd priming vaccination, pre booster vaccination and 3 weeks post booster vaccination

Time frame: Day 1, Day 43, Day 202, Day 223

GMFI of MN antibodies against H5N8 strain

GMFI (MN) 3 weeks post priming vaccinations and 6 months post 2nd priming vaccination compared to prevaccination (Day 1), and 3 weeks post booster vaccination compared to pre booster vaccination (Day 202)

Time frame: Day 22, Day 43, Day 202, Day 223

GMFI of MN antibodies against H5N6 strain

GMFI (MN) 3 weeks and 6 months post 2nd priming vaccination compared to prevaccination (Day 1), and 3 weeks post booster vaccination compared to pre booster vaccination (Day 202)

Time frame: Day 43, Day 202, Day 223

Percentages of subjects with MN titers ≥1:40 against H5N8 strain

% ≥1:40 (MN) prevaccination, 3 weeks post priming vaccinations, pre booster vaccination, and 3 weeks post booster vaccination

Time frame: Day 1, Day 22, Day 43, Day 202, Day 223

Percentages of subjects with MN titers ≥1:40 against H5N6 strain

% ≥1:40 (MN) prevaccination, 3 weeks post 2nd priming vaccination, pre booster vaccination, and 3 weeks post booster vaccination

Time frame: Day 1, Day 43, Day 202, Day 223

Percentages of subjects with seroconversion by MN against H5N8 strain

% seroconversion (MN) 3 weeks post priming vaccinations, pre booster vaccination, and 3 weeks post booster vaccination, defined as a ≥4-fold increase in MN titer postvaccination for subjects with prevaccination titer ≥lower limit of quantification (LLOQ), or a postvaccination MN titer ≥4×LLOQ for subjects with prevaccination titer \<LLOQ

Time frame: Day 22, Day 43, Day 202, Day 209, Day 223

Percentages of subjects with seroconversion by MN against H5N6 strain

% seroconversion (MN) 3 weeks post 2nd priming vaccination, pre booster vaccination, and 3 weeks post booster vaccination, defined as a ≥4-fold increase in MN titer postvaccination for subjects with prevaccination titer ≥lower limit of quantification (LLOQ), or a postvaccination MN titer ≥4×LLOQ for subjects with prevaccination titer \<LLOQ

Time frame: Day 43, Day 202, Day 209, Day 223