Trial Outcomes & Findings for Immune Responses to H5N1 Vaccine With and Without AS03 Adjuvant (NCT NCT01578317)

NCT ID: NCT01578317

Last Updated: 2019-02-26

Results Overview

Flu Antibody titers at days 0, 21, 42, 100. Antibody-neutralization titers by microneutralization were measured against five different H5N1 virus strains (i.e., A/Vietnam/1194/2004 (clade 1), A/Indonesia/5/2005 (clade 2.1), A/Turkey/15/2006 (clade 2.2), A/Egypt/3072/2010 (clade 2.2), and A/Anhui/1/2005 (clade 2.3.4)) at day 0 (prevaccination), day 21 (post first vaccination), day 42 (post second vaccination) and day 100 postvaccination for AS03-adjuvanted group and unadjuvanted group. Sera were tested at an initial dilution of 1:20, and those that were negative (\<1:20) were assigned a titer of 10.

Recruitment status

COMPLETED

Study phase

PHASE1/PHASE2

Target enrollment

43 participants

Primary outcome timeframe

Days 0, 21, 42, and 100

Results posted on

2019-02-26

Participant Flow

Participant milestones

Participant milestones
Measure
AS03 Adjuvanted
Adminsitered day 1, booster at Day 21 H5N1 vaccine plus AS03 adjuvant: H5N1 influenza vaccine with AS03 at the 3.75 mcg dose level given 21 days apart.
Unadjuvanted
Administer day 1 and booster at Day 21 H5N1 vaccine without adjuvant: H5N1 influenza vaccine non- adjuvanted form at the 3.75 mcg dose level given 21 days apart.
Overall Study
STARTED
22
21
Overall Study
Analysis Population
22
20
Overall Study
COMPLETED
22
20
Overall Study
NOT COMPLETED
0
1

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Immune Responses to H5N1 Vaccine With and Without AS03 Adjuvant

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
AS03 Adjuvanted
n=22 Participants
Adminsitered day 1, booster at Day 21 H5N1 vaccine plus AS03 adjuvant: H5N1 influenza vaccine with AS03 at the 3.75 mcg dose level given 21 days apart.
Unadjuvanted
n=20 Participants
Administer day 1 and booster at Day 21 H5N1 vaccine without adjuvant: H5N1 influenza vaccine non- adjuvanted form at the 3.75 mcg dose level given 21 days apart.
Total
n=42 Participants
Total of all reporting groups
Age, Continuous
33.59 years
STANDARD_DEVIATION 6.64 • n=99 Participants
30.85 years
STANDARD_DEVIATION 5.62 • n=107 Participants
32.28 years
STANDARD_DEVIATION 6.25 • n=206 Participants
Sex: Female, Male
Female
13 Participants
n=99 Participants
12 Participants
n=107 Participants
25 Participants
n=206 Participants
Sex: Female, Male
Male
9 Participants
n=99 Participants
8 Participants
n=107 Participants
17 Participants
n=206 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
1 Participants
n=99 Participants
2 Participants
n=107 Participants
3 Participants
n=206 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
21 Participants
n=99 Participants
18 Participants
n=107 Participants
39 Participants
n=206 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
Race (NIH/OMB)
Asian
0 Participants
n=99 Participants
3 Participants
n=107 Participants
3 Participants
n=206 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
1 Participants
n=99 Participants
0 Participants
n=107 Participants
1 Participants
n=206 Participants
Race (NIH/OMB)
Black or African American
6 Participants
n=99 Participants
4 Participants
n=107 Participants
10 Participants
n=206 Participants
Race (NIH/OMB)
White
13 Participants
n=99 Participants
12 Participants
n=107 Participants
25 Participants
n=206 Participants
Race (NIH/OMB)
More than one race
2 Participants
n=99 Participants
1 Participants
n=107 Participants
3 Participants
n=206 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
Region of Enrollment
United States
22 Participants
n=99 Participants
20 Participants
n=107 Participants
42 Participants
n=206 Participants

PRIMARY outcome

Timeframe: Days 0, 21, 42, and 100

Flu Antibody titers at days 0, 21, 42, 100. Antibody-neutralization titers by microneutralization were measured against five different H5N1 virus strains (i.e., A/Vietnam/1194/2004 (clade 1), A/Indonesia/5/2005 (clade 2.1), A/Turkey/15/2006 (clade 2.2), A/Egypt/3072/2010 (clade 2.2), and A/Anhui/1/2005 (clade 2.3.4)) at day 0 (prevaccination), day 21 (post first vaccination), day 42 (post second vaccination) and day 100 postvaccination for AS03-adjuvanted group and unadjuvanted group. Sera were tested at an initial dilution of 1:20, and those that were negative (\<1:20) were assigned a titer of 10.

Outcome measures

Outcome measures
Measure
AS03 Adjuvanted
n=22 Participants
Adminsitered day 1, booster at Day 21 H5N1 vaccine plus AS03 adjuvant: H5N1 influenza vaccine with AS03 at the 3.75 mcg dose level given 21 days apart.
Unadjuvanted
n=20 Participants
Administer day 1 and booster at Day 21 H5N1 vaccine without adjuvant: H5N1 influenza vaccine non- adjuvanted form at the 3.75 mcg dose level given 21 days apart.
Flu Antibody Titers
A/Indonesia/5/05 Day 0
10.65 Titers
Standard Deviation 6.4
10.35 Titers
Standard Deviation 2.24
Flu Antibody Titers
A/Indonesia/5/05 Day 21
31.09 Titers
Standard Deviation 60.53
10.35 Titers
Standard Deviation 2.24
Flu Antibody Titers
A/Indonesia/5/05 Day 42
600.92 Titers
Standard Deviation 487.05
20 Titers
Standard Deviation 74.64
Flu Antibody Titers
A/Indonesia/5/05 Day 100
218.57 Titers
Standard Deviation 133.05
18.59 Titers
Standard Deviation 49.14
Flu Antibody Titers
A/Turkey/15/2006 Day 0
10.32 Titers
Standard Deviation 2.13
10 Titers
Standard Deviation 0
Flu Antibody Titers
A/Turkey/15/2006 Day 21
10.99 Titers
Standard Deviation 15.95
10 Titers
Standard Deviation 0
Flu Antibody Titers
A/Turkey/15/2006 Day 42
93.65 Titers
Standard Deviation 313.55
10.72 Titers
Standard Deviation 6.71
Flu Antibody Titers
A/Turkey/15/2006 Day 100
34.82 Titers
Standard Deviation 20.12
11.16 Titers
Standard Deviation 3.75
Flu Antibody Titers
A/Egypt/3072/2010 Day 0
10.65 Titers
Standard Deviation 6.4
10 Titers
Standard Deviation 0
Flu Antibody Titers
A/Egypt/3072/2010 Day 21
14.59 Titers
Standard Deviation 34.83
10 Titers
Standard Deviation 0
Flu Antibody Titers
A/Egypt/3072/2010 Day 42
136.68 Titers
Standard Deviation 291.7
11.89 Titers
Standard Deviation 16.7
Flu Antibody Titers
A/Egypt/3072/2010 Day 100
40 Titers
Standard Deviation 35.02
11.57 Titers
Standard Deviation 9.46
Flu Antibody Titers
A/Anhui/1/2005 Day 0
10.65 Titers
Standard Deviation 6.4
10 Titers
Standard Deviation 0
Flu Antibody Titers
A/Anhui/1/2005 Day 21
12.87 Titers
Standard Deviation 16.77
10 Titers
Standard Deviation 0
Flu Antibody Titers
A/Anhui/1/2005 Day 42
106.23 Titers
Standard Deviation 173.42
10.72 Titers
Standard Deviation 6.71
Flu Antibody Titers
A/Anhui/1/2005 Day 100
45.95 Titers
Standard Deviation 33.78
12 Titers
Standard Deviation 9.55
Flu Antibody Titers
A/Vietnam/1203/2004 Day 0
10.65 Titers
Standard Deviation 6.4
10 Titers
Standard Deviation 0
Flu Antibody Titers
A/Vietnam/1203/2004 Day 21
10.99 Titers
Standard Deviation 14.92
10 Titers
Standard Deviation 0
Flu Antibody Titers
A/Vietnam/1203/2004 Day 42
20 Titers
Standard Deviation 66.76
10 Titers
Standard Deviation 0
Flu Antibody Titers
A/Vietnam/1203/2004 Day 100
11.49 Titers
Standard Deviation 15.69
10 Titers
Standard Deviation 0

Adverse Events

AS03 Adjuvanted

Serious events: 0 serious events
Other events: 17 other events
Deaths: 0 deaths

Unadjuvanted

Serious events: 0 serious events
Other events: 13 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
AS03 Adjuvanted
n=22 participants at risk
Adminsitered day 1, booster at Day 21 H5N1 vaccine plus AS03 adjuvant: H5N1 influenza vaccine with AS03 at the 3.75 mcg dose level given 21 days apart.
Unadjuvanted
n=20 participants at risk
Administer day 1 and booster at Day 21 H5N1 vaccine without adjuvant: H5N1 influenza vaccine non- adjuvanted form at the 3.75 mcg dose level given 21 days apart.
Respiratory, thoracic and mediastinal disorders
Cough
13.6%
3/22 • Number of events 3
0.00%
0/20
Blood and lymphatic system disorders
Decreased Hemoglobin
9.1%
2/22 • Number of events 5
25.0%
5/20 • Number of events 5
Blood and lymphatic system disorders
Decreased Neutrophils
13.6%
3/22 • Number of events 3
15.0%
3/20 • Number of events 4
Blood and lymphatic system disorders
Decreased White Blood Cells
4.5%
1/22 • Number of events 1
15.0%
3/20 • Number of events 4
Blood and lymphatic system disorders
Increased White Blood Cells
13.6%
3/22 • Number of events 5
5.0%
1/20 • Number of events 1
General disorders
Fatigue
13.6%
3/22 • Number of events 4
5.0%
1/20 • Number of events 2
General disorders
Fever
31.8%
7/22 • Number of events 7
0.00%
0/20
Nervous system disorders
Headache
13.6%
3/22 • Number of events 4
15.0%
3/20 • Number of events 6
Respiratory, thoracic and mediastinal disorders
Increased Respiratory Rate
13.6%
3/22 • Number of events 6
20.0%
4/20 • Number of events 8
Skin and subcutaneous tissue disorders
Injection Site Redness
4.5%
1/22 • Number of events 1
10.0%
2/20 • Number of events 3
Musculoskeletal and connective tissue disorders
Myalgia
27.3%
6/22 • Number of events 10
5.0%
1/20 • Number of events 2
Gastrointestinal disorders
Nausea
9.1%
2/22 • Number of events 2
10.0%
2/20 • Number of events 6
Skin and subcutaneous tissue disorders
Pain at Injection Site
27.3%
6/22 • Number of events 7
5.0%
1/20 • Number of events 1
Gastrointestinal disorders
Sore Throat
13.6%
3/22 • Number of events 3
0.00%
0/20
Cardiac disorders
Tachycardia
9.1%
2/22 • Number of events 2
5.0%
1/20 • Number of events 1
Cardiac disorders
Bradycardia
4.5%
1/22 • Number of events 1
10.0%
2/20 • Number of events 4

Additional Information

John Tsang

NIH

Phone: 301-496-0304

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place