Safety and Immunogenicity of Two Doses, Administered Three Weeks Apart, of Two Monovalent H5N1 Influenza Vaccines Containing 2 Doses of H5N1 Influenza Antigen, in Non-elderly Adult and Elderly Subjects

• Register: ClinicalTrials.gov
• Last refreshed on: 19 October 2015
• Main ID: NCT00914771
• Date of registration: 04/06/2009
• Prospective Registration: Yes
• Primary sponsor: Novartis Vaccines
• Public title: Safety and Immunogenicity of Two Doses, Administered Three Weeks Apart, of Two Monovalent H5N1 Influenza Vaccines Containing 2 Doses of H5N1 Influenza Antigen, in Non-elderly Adult and Elderly Subjects
• Scientific title: A Phase II, Randomized, Controlled, Double-blind, Multi-center, Study to Evaluate Safety and Immunogenicity of Two Doses, Administered Three Weeks Apart, of Two Monovalent H5N1 (Surface Antigen Adjuvanted With MF59C.1) Influenza Vaccines Containing 3.75 µg or 7.5 µg of H5N1 Influenza Antigen, in Non-elderly Adult and Elderly Subjects
• Date of first enrolment: September 2009
• Target sample size: 722
• Recruitment status: Completed
• URL: https://clinicaltrials.gov/show/NCT00914771
• Study type: Interventional
• Study design: Allocation: Randomized, Endpoint Classification: Safety/Efficacy Study, Intervention Model: Crossover Assignment, Masking: Double Blind (Subject, Caregiver, Investigator), Primary Purpose: Prevention
• Phase: Phase 2

Countries of recruitment

Poland, Turkey

Contacts

• Name: Novartis Vaccines
• Affiliation: Novartis Vaccines

Key inclusion & exclusion criteria

Inclusion Criteria:

- Males and females 18 yrs of age and above on the day of enrollment.

- Individuals in good health as determined by medical history, physical examination and
clinical judgment of the investigator

- Documented consent obtained after the nature of the study has been explained
according to local regulatory requirements

- Individuals are able to comply with all study procedures and are available for all
clinic visits scheduled in the study

Exclusion Criteria:

- Individuals who are not able to comprehend and to follow all required study
procedures for the whole period of the study or who do not consent to the retention
of the subject's serum samples after study completion.

- Individuals with behavioral or cognitive impairment or psychiatric disease that, in
the opinion of the investigator, may interfere with the subject's ability to
participate in the study

- Individuals with history or any illness that, in the opinion of the investigator,
might interfere with the results of the study or pose additional risk to the subjects
due to participation in the study

- Individuals who have had influenza vaccine or documented suspected influenza disease
within 6 months prior to Day 1.

Laboratory-confirmed or suspected influenza disease within 6 months prior to Visit 1.
"Laboratory-confirmed" includes:

1. Positive serology result

2. Positive viral culture

3. Positive rapid antigen test

4. "Suspected" influenza disease includes: subjects with influenza-like illness within
the past 6 months with a household/intimate contact with "laboratory-confirmed"
influenza disease

- Individuals experiencing any acute disease or infection requiring systemic
antibiotic or antiviral therapy within 6 days before vaccination (chronic
antibiotic therapy for urinary tract prophylaxis is acceptable)

- History of any anaphylaxis, serious vaccine reactions, or hypersensitivity to
influenza viral proteins, to any excipients, and to eggs (including ovalbumin),
chicken protein.

- History of any serious disease, such as:

a. Medically significant cancer (except for benign or localized skin cancer, cancer in
remission for =10 years or localized prostate cancer that has been clinically stable for
more than 2 years without treatment) b. autoimmune disease (including rheumatoid
arthritis) except for Hashimoto's thyroiditis that has been clinically stable for = 5
years; c. diabetes mellitus type I; d. poorly controlled diabetes mellitus type II; e.
diabetes relating to genetic defects/syndromes, diseases of the exocrine pancreas, or
infections; f. advanced arteriosclerotic disease; g. severe chronic obstructive pulmonary
disease (COPD), i.e. GOLD stages 3 and 4; h. acute or progressive hepatic disease; i.
acute or progressive renal disease; j. medically significant congestive heart failure; k.
history of underlying medical condition such as major congenital abnormalities requiring
surgery, chronic treatment, or associated with developmental delay (e.g., Down's syndrome)

- Known or suspected impairment/alteration of immune function, including:

1. Receipt of immunosuppressive therapy such as oral or systemic corticosteroids,
(use of inhaled, intranasal, or topical corticosteroids is allowed) or cancer
chemotherapy within 60 days prior to Visit 1

2. receipt of immunostimulants within 60 days prior to Visit 1

3. receipt of parenteral immunoglobulin preparation, blood products, and/or plasma
derivates within 3 months prior to Visit 1 or planned during the full length of
the study

4. HIV infection or HIV-related disease

5. Heritable immunodeficiency

6. Abnormalities of splenic or thymic function

- Receipt of another vaccine within 2 weeks (for inactivated vaccines) or 4 weeks (for
live vaccines) prior to Day 1 or planned vaccination before Day 43. Seasonal
influenza vaccination is allowed 3 weeks after last study vaccination (after the
blood sampling for serology on Day 43)

- Experienced body temperature =38.0°C (100.4°F) within 3 days prior to each study
vaccination.

- Use of antipyretic/analgesic medication within 24 hours of each study vaccination

- Receipt of another investigational agent within 30 days prior to enrollment in the
study or before completion of the safety follow-up period in another study, whichever
is longer, prior to enrollment and unwilling to refuse participation in another
clinical study through the end of the study

- Pregnant or breast-feeding female

- Any positive or indeterminate pregnancy test

- If female, of childbearing potential, and has not used any of the "acceptable
contraceptive methods" for at least 2 months prior to study entry

1. Of childbearing potential is defined as status post onset of menarche and not
surgically sterile

2. Acceptable birth control methods are defined as one or more of the following:

i. Hormonal contraceptive (such as oral, injection, transdermal patch, implant,
cervical ring) ii. Barrier (condom with spermicide or diaphragm with spermicide) each
and every time during intercourse iii. Intrauterine device (IUD) iv. Monogamous
relationship with vasectomized partner. Partner must have been vasectomized for at
least six months prior to the subject's study entry

- If female of childbearing potential, refusal to use an "acceptable contraceptive
method" during the study including day 43.

- If female of childbearing potential, refusal to submit for pregnancy testing prior to
study vaccination

- Research staff directly involved with the clinical study or family members or
household members of research staff. Research staff are individuals with direct or
indirect contact with study subjects, or study site personnel who have access to any
study documents containing subject information. This would include receptionists,
persons scheduling appointments or making screening calls, regulatory specialists,
laboratory technicians, etc.

- Elective surgery or hospitalization planned during the period of study participation.

- BMI >35Kg/m2 where BMI is for obese and not for high muscle mass

- Individuals with history of substance or alcohol abuse within the past 2 years that
in the opinion of the Investigator might interfere with the safety of the subject or
the evaluation of the study objectives.

- An


Age minimum: 18 Years
Age maximum: N/A
Gender: Both

Health Condition(s) or Problem(s) studied

Pandemic H5N1 Influenza

Intervention(s)

Biological: H5N1 pandemic Influenza vaccine 3.75µg

Biological: H5N1 pandemic Influenza vaccine 7.5µg

Primary Outcome(s)

Solicited local reactions: ecchymosis, erythema, induration, swelling and pain at injection site. [Time Frame: 6 weeks]

Solicited systemic reactions: headache, arthralgia, chills, fatigue, malaise, myalgia, nausea, sweating and fever as measured by axillary temperature for Day 1 through 7 and Day 22 to 28 of the study. [Time Frame: 6 weeks]

Day 43 post vaccination ratio of GMTs for the 2 different vaccine groups (3.75µ / 7.5µg) including two-sided 95% confidence intervals as measured by HI and SRH in the adult and elderly population combined. [Time Frame: 43 days]

Secondary Outcome(s)

Immunogenicity according to CBER criteria in terms of hemagglutination inhibition test in non-elderly adult and elderly subjects separately, for all post-vaccination blood sampling days and the immunogenicity according to microneutralization test [Time Frame: 6 weeks]

Immunogenicity, as determined by HI or SRH, will be assessed according to age-appropriate CHMP criteria (CPMP/BWP/214/96). [Time Frame: 6 weeks]

Geometric mean titers/area (GMTs/GMAs) on each blood sampling days as determined by HI and SRH, and the applicable geometric mean ratios. [Time Frame: 6 weeks]

Percentage of subjects achieving seroconversion or significant increase in antibody titer on each post-vaccination blood sampling days, as measured by HI and SRH. [Time Frame: 6 weeks]

Percentage of subjects achieving an HI titer =40/ SRH area =25mm² on each blood sampling days. [Time Frame: 6 weeks]

Secondary ID(s)

V87_17

Source(s) of Monetary Support

Please refer to primary and secondary sponsors