Trial Outcomes & Findings for Immunogenicity and Safety Study of Inactivated Subunit H5N1 Influenza Vaccine in Prior Recipients of Live Attenuated H2N2, H6N1 and H9N2 Influenza Vaccines and in H5N1 and Live Attenuated Vaccine Naïve Individuals (NCT NCT03816878)

NCT ID: NCT03816878

Last Updated: 2025-09-22

Results Overview

As measured by enzyme-linked immunosorbent assay (ELISA) and microneutralization assay (MN) using the chimeric cH6/N1 probe

Recruitment status

COMPLETED

Study phase

PHASE1

Target enrollment

32 participants

Primary outcome timeframe

Measured through Day 28

Results posted on

2025-09-22

Participant Flow

Participant milestones

Participant milestones
Measure
Cohort 1: pLAIV Recipients
Participants who have received the pandemic live attenuated influenza vaccines (pLAIVs) H2N2, H6N1, or H9N2 during a previous CIR study will receive a single dose of 0.5 mL H5N1 pISV vaccine at Day 0. H5N1 pISV: Administered as an intramuscular (IM) injection
Cohort 2: pLAIV Naive
Participants who have never previously received a pLAIV will receive one dose of 0.5 mL H5N1 pISV vaccine at Day 0. H5N1 pISV: Administered as an intramuscular (IM) injection
Overall Study
STARTED
11
21
Overall Study
COMPLETED
10
20
Overall Study
NOT COMPLETED
1
1

Reasons for withdrawal

Reasons for withdrawal
Measure
Cohort 1: pLAIV Recipients
Participants who have received the pandemic live attenuated influenza vaccines (pLAIVs) H2N2, H6N1, or H9N2 during a previous CIR study will receive a single dose of 0.5 mL H5N1 pISV vaccine at Day 0. H5N1 pISV: Administered as an intramuscular (IM) injection
Cohort 2: pLAIV Naive
Participants who have never previously received a pLAIV will receive one dose of 0.5 mL H5N1 pISV vaccine at Day 0. H5N1 pISV: Administered as an intramuscular (IM) injection
Overall Study
Taken off study after Day 28 due to unrelated serious adverse event requiring hospitalization
1
0
Overall Study
Volunteer taken off study due to incarceration
0
1

Baseline Characteristics

Immunogenicity and Safety Study of Inactivated Subunit H5N1 Influenza Vaccine in Prior Recipients of Live Attenuated H2N2, H6N1 and H9N2 Influenza Vaccines and in H5N1 and Live Attenuated Vaccine Naïve Individuals

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Cohort 1: pLAIV Recipients
n=11 Participants
Participants who have received the pandemic live attenuated influenza vaccines (pLAIVs) H2N2, H6N1, or H9N2 during a previous CIR study will receive a single dose of 0.5 mL H5N1 pISV vaccine at Day 0. H5N1 pISV: Administered as an intramuscular (IM) injection
Cohort 2: pLAIV Naive
n=20 Participants
Participants who have never previously received a pLAIV will receive one dose of 0.5 mL H5N1 pISV vaccine at Day 0. H5N1 pISV: Administered as an intramuscular (IM) injection
Total
n=31 Participants
Total of all reporting groups
Age, Categorical
<=18 years
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
Age, Categorical
Between 18 and 65 years
11 Participants
n=99 Participants
20 Participants
n=107 Participants
31 Participants
n=206 Participants
Age, Categorical
>=65 years
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
Age, Continuous
43.7 years
n=99 Participants
38 years
n=107 Participants
41 years
n=206 Participants
Sex: Female, Male
Female
7 Participants
n=99 Participants
6 Participants
n=107 Participants
13 Participants
n=206 Participants
Sex: Female, Male
Male
4 Participants
n=99 Participants
14 Participants
n=107 Participants
18 Participants
n=206 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
1 Participants
n=99 Participants
0 Participants
n=107 Participants
1 Participants
n=206 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
10 Participants
n=99 Participants
19 Participants
n=107 Participants
29 Participants
n=206 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=99 Participants
1 Participants
n=107 Participants
1 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
2 Participants
n=107 Participants
2 Participants
n=206 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
Race (NIH/OMB)
Black or African American
10 Participants
n=99 Participants
12 Participants
n=107 Participants
22 Participants
n=206 Participants
Race (NIH/OMB)
White
1 Participants
n=99 Participants
5 Participants
n=107 Participants
6 Participants
n=206 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=99 Participants
1 Participants
n=107 Participants
1 Participants
n=206 Participants
Region of Enrollment
United States
11 participants
n=99 Participants
20 participants
n=107 Participants
31 participants
n=206 Participants

PRIMARY outcome

Timeframe: Measured through Day 28

As measured by enzyme-linked immunosorbent assay (ELISA) and microneutralization assay (MN) using the chimeric cH6/N1 probe

Outcome measures

Outcome measures
Measure
Cohort 1: pLAIV Recipients
n=11 Participants
Participants who have received the pandemic live attenuated influenza vaccines (pLAIVs) H2N2, H6N1, or H9N2 during a previous CIR study will receive a single dose of 0.5 mL H5N1 pISV vaccine at Day 0. H5N1 pISV: Administered as an intramuscular (IM) injection
Cohort 2: pLAIV Naive
n=20 Participants
Participants who have never previously received a pLAIV will receive one dose of 0.5 mL H5N1 pISV vaccine at Day 0. H5N1 pISV: Administered as an intramuscular (IM) injection
Fold Rise in Titer of Anti-group 1 Stalk-antibodies in Recipients of the Pandemic Live Attenuated Influenza Vaccines (pLAIVs) (H2N2, H6N1 and H9N2) Compared to the Control pLAIV-naïve Cohort
Day 0
1.5 fold rise
Standard Deviation 1.2
1 fold rise
Standard Deviation 0
Fold Rise in Titer of Anti-group 1 Stalk-antibodies in Recipients of the Pandemic Live Attenuated Influenza Vaccines (pLAIVs) (H2N2, H6N1 and H9N2) Compared to the Control pLAIV-naïve Cohort
Day 28
1.4 fold rise
Standard Deviation 1.2
1 fold rise
Standard Deviation 0

SECONDARY outcome

Timeframe: Measured through Day 28 for non serious adverse events

Graded according to the Division of AIDS (DAIDS) Table for Grading the Severity of Adult and Pediatric Adverse Events, Version 2.1, March 2017

Outcome measures

Outcome measures
Measure
Cohort 1: pLAIV Recipients
n=11 Participants
Participants who have received the pandemic live attenuated influenza vaccines (pLAIVs) H2N2, H6N1, or H9N2 during a previous CIR study will receive a single dose of 0.5 mL H5N1 pISV vaccine at Day 0. H5N1 pISV: Administered as an intramuscular (IM) injection
Cohort 2: pLAIV Naive
n=20 Participants
Participants who have never previously received a pLAIV will receive one dose of 0.5 mL H5N1 pISV vaccine at Day 0. H5N1 pISV: Administered as an intramuscular (IM) injection
Number of Participants With Vaccine-related Adverse Events in the pLAIV Compared to the Control Cohort
Injection site erythema
0 number of participants
1 number of participants
Number of Participants With Vaccine-related Adverse Events in the pLAIV Compared to the Control Cohort
Injection site induration
1 number of participants
0 number of participants
Number of Participants With Vaccine-related Adverse Events in the pLAIV Compared to the Control Cohort
Injection site pain
1 number of participants
5 number of participants
Number of Participants With Vaccine-related Adverse Events in the pLAIV Compared to the Control Cohort
Malaise
1 number of participants
1 number of participants
Number of Participants With Vaccine-related Adverse Events in the pLAIV Compared to the Control Cohort
Pain
1 number of participants
0 number of participants

Adverse Events

Cohort 1: pLAIV Recipients

Serious events: 1 serious events
Other events: 8 other events
Deaths: 0 deaths

Cohort 2: pLAIV Naive

Serious events: 0 serious events
Other events: 10 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Cohort 1: pLAIV Recipients
n=11 participants at risk
Participants who have received the pandemic live attenuated influenza vaccines (pLAIVs) H2N2, H6N1, or H9N2 during a previous CIR study will receive a single dose of 0.5 mL H5N1 pISV vaccine at Day 0. H5N1 pISV: Administered as an intramuscular (IM) injection
Cohort 2: pLAIV Naive
n=20 participants at risk
Participants who have never previously received a pLAIV will receive one dose of 0.5 mL H5N1 pISV vaccine at Day 0. H5N1 pISV: Administered as an intramuscular (IM) injection
Gastrointestinal disorders
Surgery
9.1%
1/11 • Number of events 1 • 90 days beginning at study vaccination
0.00%
0/20 • 90 days beginning at study vaccination

Other adverse events

Other adverse events
Measure
Cohort 1: pLAIV Recipients
n=11 participants at risk
Participants who have received the pandemic live attenuated influenza vaccines (pLAIVs) H2N2, H6N1, or H9N2 during a previous CIR study will receive a single dose of 0.5 mL H5N1 pISV vaccine at Day 0. H5N1 pISV: Administered as an intramuscular (IM) injection
Cohort 2: pLAIV Naive
n=20 participants at risk
Participants who have never previously received a pLAIV will receive one dose of 0.5 mL H5N1 pISV vaccine at Day 0. H5N1 pISV: Administered as an intramuscular (IM) injection
Cardiac disorders
Blood pressure increased
9.1%
1/11 • Number of events 1 • 90 days beginning at study vaccination
5.0%
1/20 • Number of events 1 • 90 days beginning at study vaccination
Respiratory, thoracic and mediastinal disorders
Nasal congestion
9.1%
1/11 • Number of events 1 • 90 days beginning at study vaccination
0.00%
0/20 • 90 days beginning at study vaccination
Respiratory, thoracic and mediastinal disorders
Rhinitis allergic
9.1%
1/11 • Number of events 1 • 90 days beginning at study vaccination
0.00%
0/20 • 90 days beginning at study vaccination
Infections and infestations
Upper Respiratory Infection
9.1%
1/11 • Number of events 1 • 90 days beginning at study vaccination
5.0%
1/20 • Number of events 1 • 90 days beginning at study vaccination
Nervous system disorders
Headache
9.1%
1/11 • Number of events 1 • 90 days beginning at study vaccination
0.00%
0/20 • 90 days beginning at study vaccination
Gastrointestinal disorders
Nausea
0.00%
0/11 • 90 days beginning at study vaccination
5.0%
1/20 • Number of events 1 • 90 days beginning at study vaccination
Gastrointestinal disorders
Tooth Disorder
0.00%
0/11 • 90 days beginning at study vaccination
15.0%
3/20 • Number of events 3 • 90 days beginning at study vaccination
Gastrointestinal disorders
Vomiting
0.00%
0/11 • 90 days beginning at study vaccination
5.0%
1/20 • Number of events 1 • 90 days beginning at study vaccination
Musculoskeletal and connective tissue disorders
Back pain
0.00%
0/11 • 90 days beginning at study vaccination
5.0%
1/20 • Number of events 1 • 90 days beginning at study vaccination
Musculoskeletal and connective tissue disorders
Musculoskeletal pain
0.00%
0/11 • 90 days beginning at study vaccination
5.0%
1/20 • Number of events 1 • 90 days beginning at study vaccination
Respiratory, thoracic and mediastinal disorders
Wheezing
0.00%
0/11 • 90 days beginning at study vaccination
5.0%
1/20 • Number of events 1 • 90 days beginning at study vaccination
Blood and lymphatic system disorders
Lymphadenopathy
0.00%
0/11 • 90 days beginning at study vaccination
5.0%
1/20 • Number of events 1 • 90 days beginning at study vaccination
General disorders
Injection site erythema
0.00%
0/11 • 90 days beginning at study vaccination
5.0%
1/20 • Number of events 1 • 90 days beginning at study vaccination
General disorders
Injection site induration
9.1%
1/11 • Number of events 1 • 90 days beginning at study vaccination
0.00%
0/20 • 90 days beginning at study vaccination
General disorders
Injection site pain
9.1%
1/11 • Number of events 1 • 90 days beginning at study vaccination
25.0%
5/20 • Number of events 5 • 90 days beginning at study vaccination
General disorders
Malaise
9.1%
1/11 • Number of events 1 • 90 days beginning at study vaccination
5.0%
1/20 • Number of events 1 • 90 days beginning at study vaccination
General disorders
Pain
9.1%
1/11 • Number of events 1 • 90 days beginning at study vaccination
0.00%
0/20 • 90 days beginning at study vaccination

Additional Information

Kawsar Talaat

Johns Hopkins University Center for Immunization Research

Phone: 410-336-9164

Results disclosure agreements

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