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NCT00695669

A Trial to Test the Response to Different Vaccination Regimens With an H5N1 Vaccine With AS03 in Adults Aged 18-64

Completed Phase 2 Results posted Last updated 31 July 2018
What this trial tests

Phase 2 trial testing Influenza A (H5N1) Virus Monovalent Vaccine in Influenza in 312 participants. Completed in 8 January 2009.

Timeline
5 June 2008
Primary endpoint
13 August 2008
8 January 2009

Quick facts

Lead sponsorGlaxoSmithKline
PhasePhase 2
StatusCompleted
Study typeINTERVENTIONAL
Allocationrandomized
Designparallel
Maskingnone
Primary purposeprevention
Enrollment312
Start date5 June 2008
Primary completion13 August 2008
Estimated completion8 January 2009
Sites3 locations across Canada

Drugs / interventions tested

Conditions studied

Sponsor

GlaxoSmithKline — full company profile →

Who can join

Adults 18 to 64, any sex, with Influenza. Patients with the condition only — healthy volunteers not accepted.

Results — posted to ClinicalTrials.gov

Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.

Number of Seroconverted Subjects Against the A/Indonesia/5/2005 (H5N1) Strain of Influenza Disease. Primary · At Day 14 post Dose 2

A seroconverted subject was defined as a vaccinated subject who had either a pre-vaccination (Day 0) reciprocal hemagglutination inhibition (HI) titer less than (\<) 1:10 and a post-vaccination (at Day 14 post Dose 2) reciprocal titer greater than or equal to (≥) 1:40 or a pre-vaccination reciprocal HI titer ≥ 1:10 and at least a four-fold increase in post-vaccination (at Day 14 post Dose 2) titer.

GroupValue95% CI
Influenza A (H5N1) 1 Group63
Influenza A (H5N1) 2 Group64
Influenza A (H5N1) 3 Group53
Influenza A (H5N1) 4 Group54
Titers for Serum Hemagglutination Inhibition (HI) Antibodies Against the A/Indonesia/5/2005 (H5N1) Strain of Influenza Disease. Primary · At Day 0 and at Day 14 post Dose 2

Titers are presented as geometric mean titers (GMTs). The Confidence Interval for this outcome was 98.75%.

H5N1 at Day 0
GroupValue95% CI
Influenza A (H5N1) 1 Group5.44.7 – 6.1
Influenza A (H5N1) 2 Group5.34.7 – 6.0
Influenza A (H5N1) 3 Group5.54.8 – 6.3
Influenza A (H5N1) 4 Group5.84.8 – 7.0
H5N1 at Day 14 post Dose 2
GroupValue95% CI
Influenza A (H5N1) 1 Group640.0413.7 – 990.0
Influenza A (H5N1) 2 Group345.0221.2 – 538.1
Influenza A (H5N1) 3 Group77.749.9 – 121.0
Influenza A (H5N1) 4 Group67.442.5 – 107.0
Number of Seroprotected Subjects Against 3 Strains the A/Indonesia/5/2005 (H5N1) Strain of Influenza Disease. Primary · At Day 0 and at Day 14 post Dose 2

A seroprotected subject was defined as a vaccinated subject who had a serum HI titer ≥ 1:40.

H5N1 at Day 0
GroupValue95% CI
Influenza A (H5N1) 1 Group2
Influenza A (H5N1) 2 Group1
Influenza A (H5N1) 3 Group2
Influenza A (H5N1) 4 Group3
H5N1 at Day 14 post Dose 2
GroupValue95% CI
Influenza A (H5N1) 1 Group63
Influenza A (H5N1) 2 Group64
Influenza A (H5N1) 3 Group55
Influenza A (H5N1) 4 Group56
Titers for Serum Hemagglutination Inhibition (HI) Antibodies Against the A/Indonesia/5/2005 (H5N1) Strain of Influenza Disease. Secondary · At Days 0, 21, 28, 35, 42 and 182.

Titers are presented as geometric mean titers (GMTs). This outcome only covers results for the Pumarix 1 Group.

H5N1 at Day 0 [N=65]
GroupValue95% CI
Influenza A (H5N1) 1 Group5.44.9 – 5.9
H5N1 at Day 21 [N=64]
GroupValue95% CI
Influenza A (H5N1) 1 Group40.227.9 – 58.1
H5N1 at Day 28 [N=65]
GroupValue95% CI
Influenza A (H5N1) 1 Group150.9101.1 – 225.1
H5N1 at Day 35 [N=65]
GroupValue95% CI
Influenza A (H5N1) 1 Group640.0455.9 – 898.4
H5N1 at Day 42 [N=62]
GroupValue95% CI
Influenza A (H5N1) 1 Group523.3366.0 – 748.3
H5N1 at Day 182 [N=65]
GroupValue95% CI
Influenza A (H5N1) 1 Group51.137.0 – 70.6
Titers for Serum Hemagglutination Inhibition (HI) Antibodies Against the A/Indonesia/5/2005 (H5N1) Strain of Influenza Disease. Secondary · At Days 0, 14, 21, 28, 35, 42 and 182.

Titers are presented as geometric mean titers (GMTs). This outcome only covers results for the Pumarix 2 Group.

H5N1 at Day 0 [N=69]
GroupValue95% CI
Influenza A (H5N1) 2 Group5.34.9 – 27.5
H5N1 at Day 14 [N=68]
GroupValue95% CI
Influenza A (H5N1) 2 Group26.818.8 – 38.0
H5N1 at Day 21 [N=69]
GroupValue95% CI
Influenza A (H5N1) 2 Group99.867.0 – 148.8
H5N1 at Day 28 [N=69]
GroupValue95% CI
Influenza A (H5N1) 2 Group345.0244.2 – 487.5
H5N1 at Day 35 [N=69]
GroupValue95% CI
Influenza A (H5N1) 2 Group305.9220.8 – 423.7
H5N1 at Day 42 [N=68]
GroupValue95% CI
Influenza A (H5N1) 2 Group262.3192.9 – 356.8
H5N1 at Day 182 [N=68]
GroupValue95% CI
Influenza A (H5N1) 2 Group36.527.5 – 48.4
Titers for Serum Hemagglutination Inhibition (HI) Antibodies Against the A/Indonesia/5/2005 (H5N1) Strain of Influenza Disease. Secondary · At Days 0, 7, 14, 21, 28, 42 and 182.

Titers are presented as geometric mean titers (GMTs). This outcome only covers results for the Pumarix 3 Group.

H5N1 at Day 0 [N=74]
GroupValue95% CI
Influenza A (H5N1) 3 Group5.54.9 – 6.1
H5N1 at Day 7 [N=74]
GroupValue95% CI
Influenza A (H5N1) 3 Group7.66.1 – 9.4
H5N1 at Day 14 [N=73]
GroupValue95% CI
Influenza A (H5N1) 3 Group45.132.0 – 63.5
H5N1 at Day 21 [N=74]
GroupValue95% CI
Influenza A (H5N1) 3 Group77.755.1 – 109.7
H5N1 at Day 28 [N=72]
GroupValue95% CI
Influenza A (H5N1) 3 Group99.870.9 – 140.6
H5N1 at Day 42 [N=73]
GroupValue95% CI
Influenza A (H5N1) 3 Group81.158.7 – 112.0
H5N1 at Day 182 [N=71]
GroupValue95% CI
Influenza A (H5N1) 3 Group21.316.2 – 28.1
Titers for Serum Hemagglutination Inhibition (HI) Antibodies Against the A/Indonesia/5/2005 (H5N1) Strain of Influenza Disease. Secondary · At Days 0, 7, 14, 21, 42 and 182.

Titers are presented as geometric mean titers (GMTs). This outcome only covers results for the Pumarix 4 Group.

H5N1 at Day 0 [N=75]
GroupValue95% CI
Influenza A (H5N1) 4 Group5.85.0 – 6.7
H5N1 at Day 7 [N=74]
GroupValue95% CI
Influenza A (H5N1) 4 Group10.88.0 – 14.6
H5N1 at Day 14 [N=75]
GroupValue95% CI
Influenza A (H5N1) 4 Group67.447.1 – 96.6
H5N1 at Day 21 [N=74]
GroupValue95% CI
Influenza A (H5N1) 4 Group76.352.6 – 110.8
H5N1 at Day 42 [N=74]
GroupValue95% CI
Influenza A (H5N1) 4 Group78.955.8 – 111.5
H5N1 at Day 182 [N=73]
GroupValue95% CI
Influenza A (H5N1) 4 Group28.221.0 – 37.8
Titers for Serum Hemagglutination Inhibition (HI) Antibodies Against the Flu A/Vietnam/1194/2004 (VIET) and Flu A/Turkey/Turkey/1/2005 (TURK) Strains of Influenza Disease. Secondary · At Days 0, 21, 28, 35, 42 and 182.

Titers are presented as geometric mean titers (GMTs). This outcome only covers results for the Pumarix 1 Group.

VIET at Day 0 [N=65]
GroupValue95% CI
Influenza A (H5N1) 1 Group5.34.9 – 5.8
VIET at Day 21 [N=64]
GroupValue95% CI
Influenza A (H5N1) 1 Group9.77.3 – 12.9
VIET at Day 28 [N=65]
GroupValue95% CI
Influenza A (H5N1) 1 Group20.715.0 – 28.6
VIET at Day 35 [N=65]
GroupValue95% CI
Influenza A (H5N1) 1 Group61.644.4 – 85.6
VIET at Day 42 [N=62]
GroupValue95% CI
Influenza A (H5N1) 1 Group48.634.7 – 68.1
TURK at Day 0 [N=65]
GroupValue95% CI
Influenza A (H5N1) 1 Group7.66.0 – 9.7
TURK at Day 21 [N=64]
GroupValue95% CI
Influenza A (H5N1) 1 Group22.516.5 – 30.8
TURK at Day 28 [N=65]
GroupValue95% CI
Influenza A (H5N1) 1 Group46.432.0 – 67.4
Titers for Serum Hemagglutination Inhibition (HI) Antibodies Against the Flu A/Vietnam/1194/2004 (VIET) and Flu A/Turkey/Turkey/1/2005 (TURK) Strains of Influenza Disease. Secondary · At Days 0, 14, 21, 28, 35, 42 and 182.

Titers are presented as geometric mean titers (GMTs). This outcome only covers results for the Pumarix 2 Group.

VIET at Day 0 [N=69]
GroupValue95% CI
Influenza A (H5N1) 2 Group5.45.0 – 5.9
VIET at Day 14 [N=68]
GroupValue95% CI
Influenza A (H5N1) 2 Group9.27.2 – 11.7
VIET at Day 21 [N=69]
GroupValue95% CI
Influenza A (H5N1) 2 Group15.111.2 – 20.3
VIET at Day 28 [N=69]
GroupValue95% CI
Influenza A (H5N1) 2 Group29.921.8 – 40.9
VIET at Day 35 [N=69]
GroupValue95% CI
Influenza A (H5N1) 2 Group26.519.9 – 35.2
VIET at Day 42 [N=68]
GroupValue95% CI
Influenza A (H5N1) 2 Group23.217.4 – 30.9
TURK at Day 0 [N=69]
GroupValue95% CI
Influenza A (H5N1) 2 Group7.15.7 – 8.9
TURK at Day 14 [N=68]
GroupValue95% CI
Influenza A (H5N1) 2 Group17.012.0 – 24.0
Titers for Serum Hemagglutination Inhibition (HI) Antibodies Against the Flu A/Vietnam/1194/2004 (VIET) and Flu A/Turkey/Turkey/1/2005 (TURK) Strains of Influenza Disease. Secondary · At Days 0, 7, 14, 21, 28, 42 and 182.

Titers are presented as geometric mean titers (GMTs). This outcome only covers results for the Pumarix 3 Group.

VIET at Day 0 [N=74]
GroupValue95% CI
Influenza A (H5N1) 3 Group5.34.9 – 5.8
VIET at Day 7 [N=74]
GroupValue95% CI
Influenza A (H5N1) 3 Group6.45.6 – 7.4
VIET at Day 14 [N=73]
GroupValue95% CI
Influenza A (H5N1) 3 Group13.710.4 – 17.9
VIET at Day 21 [N=74]
GroupValue95% CI
Influenza A (H5N1) 3 Group16.112.2 – 21.2
VIET at Day 28 [N=72]
GroupValue95% CI
Influenza A (H5N1) 3 Group15.311.6 – 20.1
VIET at Day 42 [N=73]
GroupValue95% CI
Influenza A (H5N1) 3 Group13.410.5 – 17.1
TURK at Day 0 [N=74]
GroupValue95% CI
Influenza A (H5N1) 3 Group7.25.9 – 8.9
TURK at Day 7 [N=74]
GroupValue95% CI
Influenza A (H5N1) 3 Group8.76.8 – 11.2
Titers for Serum Hemagglutination Inhibition (HI) Antibodies Against the Flu A/Vietnam/1194/2004 (VIET) and Flu A/Turkey/Turkey/1/2005 (TURK) Strains of Influenza Disease. Secondary · At Days 0, 7, 14, 21, 42 and 182.

Titers are presented as geometric mean titers (GMTs). This outcome only covers results for the Pumarix 4 Group.

VIET at Day 0 [N=75]
GroupValue95% CI
Influenza A (H5N1) 4 Group5.85.1 – 6.6
VIET at Day 7 [N=74]
GroupValue95% CI
Influenza A (H5N1) 4 Group7.96.4 – 9.8
VIET at Day 14 [N=75]
GroupValue95% CI
Influenza A (H5N1) 4 Group16.312.1 – 21.9
VIET at Day 21 [N=74]
GroupValue95% CI
Influenza A (H5N1) 4 Group16.212.1 – 21.6
VIET at Day 42 [N=74]
GroupValue95% CI
Influenza A (H5N1) 4 Group16.012.3 – 20.6
TURK at Day 0 [N=75]
GroupValue95% CI
Influenza A (H5N1) 4 Group7.76.2 – 9.4
TURK at Day 7 [N=74]
GroupValue95% CI
Influenza A (H5N1) 4 Group11.88.7 – 16.0
TURK at Day 14 [N=75]
GroupValue95% CI
Influenza A (H5N1) 4 Group28.920.5 – 40.8
Number of Seroconverted Subjects Against the A/Indonesia/5/2005 (H5N1), Flu A/Vietnam/1194/2004 (VIET) and Flu A/Turkey/Turkey/1/2005 (TURK) Strains of Influenza Disease. Secondary · At Day 42

A seroconverted subject was defined as a vaccinated subject who had either a pre-vaccination (Day 0) reciprocal HI titer \< 1:10 and a post-vaccination (at Day 14 post Dose 2) reciprocal titer ≥ 1:40 or a pre-vaccination reciprocal HI titer ≥ 1:10 and at least a four-fold increase in post-vaccination (at Day 14 post Dose 2) titer.

H5N1
GroupValue95% CI
Influenza A (H5N1) 1 Group59
Influenza A (H5N1) 2 Group63
Influenza A (H5N1) 3 Group57
Influenza A (H5N1) 4 Group55
VIET
GroupValue95% CI
Influenza A (H5N1) 1 Group41
Influenza A (H5N1) 2 Group35
Influenza A (H5N1) 3 Group16
Influenza A (H5N1) 4 Group19
TURK
GroupValue95% CI
Influenza A (H5N1) 1 Group52
Influenza A (H5N1) 2 Group51
Influenza A (H5N1) 3 Group41
Influenza A (H5N1) 4 Group39

Adverse events — posted to ClinicalTrials.gov

Time frame: Solicited local and general symptoms: Within the 7-day period after primary vaccination. Unsolicited AEs: Within the 51-day period after primary vaccination. SAEs: from Day 0 to Day 182.. Reporting threshold: 5%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Influenza A (H5N1) 1 Group
Serious: 1/78 (1%)
Deaths:
Influenza A (H5N1) 2 Group
Serious: 0/78 (0%)
Deaths:
Influenza A (H5N1) 3 Group
Serious: 3/78 (4%)
Deaths:
Influenza A (H5N1) 4 Group
Serious: 1/78 (1%)
Deaths:

Serious adverse events (8 terms)

ReactionSystemInfluenza A (H5N1) 1 GroupInfluenza A (H5N1) 2 GroupInfluenza A (H5N1) 3 GroupInfluenza A (H5N1) 4 Group
Cardiac failure congestiveCardiac disorders
CellulitisInfections and infestations
Diabetes mellitusMetabolism and nutrition disorders
InjuryInjury, poisoning and procedural complications
Irritable bowel syndromeGastrointestinal disorders
Myocardial infarctionCardiac disorders
PhlebitisVascular disorders
SyncopeNervous system disorders
Other adverse events (17 terms — click to expand)

ReactionSystemInfluenza A (H5N1) 1 GroupInfluenza A (H5N1) 2 GroupInfluenza A (H5N1) 3 GroupInfluenza A (H5N1) 4 Group
PainGeneral disorders
Muscle achesGeneral disorders
FatigueGeneral disorders
HeadacheGeneral disorders
Joint painGeneral disorders
SweatingGeneral disorders
ShiveringGeneral disorders
SwellingGeneral disorders
RednessGeneral disorders
LymphadenopathyBlood and lymphatic system disorders
NasopharyngitisInfections and infestations
NauseaGastrointestinal disorders
Oropharyngeal painRespiratory, thoracic and mediastinal disorders
FeverGeneral disorders
DiarrhoeaGastrointestinal disorders
Injection site warmthGeneral disorders
Oedema peripheralGeneral disorders

Most-reported serious reactions: Cardiac failure congestive, Cellulitis, Diabetes mellitus, Injury, Irritable bowel syndrome, Myocardial infarction, Phlebitis, Syncope.

Data from ClinicalTrials.gov NCT00695669 adverse events section.

Sponsor's own description

The purpose of the study is to characterize the immunogenicity \& safety of 2 doses of GSK's avian flu vaccine GSK 1557484A given according to different regimens to adults aged 18 to 64 years

Publications & conference data

2 peer-reviewed publications reference this trial (live from Europe PMC):

  1. Safety of AS03-adjuvanted inactivated split virion A(H1N1)pdm09 and H5N1 influenza virus vaccines administered to adults: pooled analysis of 28 clinical trials.
    Vaughn DW, Seifert H, Hepburn A, Dewe W, et al · · 2014 · cited 24× · PMID 25483467 · DOI 10.4161/21645515.2014.972149
  2. Rapid immunization against H5N1: a randomized trial evaluating homologous and cross-reactive immune responses to AS03(A)-adjuvanted vaccination in adults.
    Lasko B, Reich D, Madan A, Roman F, et al · · 2011 · cited 19× · PMID 21791660 · DOI 10.1093/infdis/jir328

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