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NCT00989287

Immunogenicity and Safety Study of an Investigational Influenza (H1N1 Influenza Virus) Vaccine in Adults

Completed Phase 3 Results posted Last updated 26 June 2019
What this trial tests

Phase 3 trial testing GSK2340272A in Influenza in 131 participants. Completed in 26 October 2010.

Timeline
7 October 2009
Primary endpoint
9 October 2009
26 October 2010

Quick facts

Lead sponsorGlaxoSmithKline
PhasePhase 3
StatusCompleted
Study typeINTERVENTIONAL
Allocationrandomized
Designparallel
Maskingtriple
Primary purposeprevention
Enrollment131
Start date7 October 2009
Primary completion9 October 2009
Estimated completion26 October 2010
Sites1 location across Belgium

Drugs / interventions tested

Conditions studied

Sponsor

GlaxoSmithKline — full company profile →

Who can join

Adults 18 to 60, 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 (SCR) Subjects for Hemagglutination Inhibition (HI) Antibodies Against Flu A/California/7/2009 (H1N1) Virus Strain Primary · At Day 21

Seroconversion was defined as: For initially seronegative subjects \[antibody titer below (\<) 10 post-vaccination\], antibody titer greater than or equal to (≥) 40 after vaccination; For initially seropositive subjects (antibody titer ≥ 10 prior to vaccination), antibody titer after vaccination ≥ 4 fold the pre-vaccination antibody titer. The Flu strain assessed was A/California/7/2009 (H1N1)v-like influenza (Flu A/CAL/7/09).

GroupValue95% CI
GSK2340272A Group60
GSK2340269A Group44
Number of Subjects Who Were Seroprotected (SPR) for HI Antibodies Against the Flu A/California/7/2009 (H1N1) Virus Strain Primary · At Day 21

A seroprotected subject was defined as a vaccinated subject with a serum HI titer greater than or equal to (≥) 1:40, that usually is accepted as indicating protection.

GroupValue95% CI
GSK2340272A Group60
GSK2340269A Group46
Geometric Mean Fold Change (GMFR) for HI Antibodies Against Flu A/California/7/2009 (H1N1) Strain of Influenza Disease Primary · At Day 21

GMFR was defined as the fold change in serum HI geometric mean titers (GMTs) post-vaccination compared to pre-vaccination. The flu strain assessed was Flu A/CAL/7/09.

GroupValue95% CI
GSK2340272A Group44.433.6 – 58.7
GSK2340269A Group11.48.1 – 16.3
Number of Subjects Who Were Seropositive for Hemagglutination Inhibition (HI) Antibodies Against the Flu A/California/7/2009 (H1N1) Virus Strain Secondary · At Days 0, 21 and 42

A seropositive subject was defined as a vaccinated subject with a serum HI titer greater than or equal to (≥) 1:10, that usually is accepted as indicating protection.

Flu A/CAL/7/09, Day 0
GroupValue95% CI
GSK2340272A Group29
GSK2340269A Group20
Flu A/CAL/7/09, Day 21
GroupValue95% CI
GSK2340272A Group29
GSK2340269A Group20
Flu A/CAL/7/09, Day 42
GroupValue95% CI
GSK2340272A Group29
GSK2340269A Group20
Titers for Serum Hemagglutination Inhibition (HI) Antibodies Against the Flu A/California/7/2009 (H1N1) Strain of Influenza Disease Secondary · At Days 0, 21 and 42

Titers are presented as geometric mean titers (GMTs). The flu strain assessed was Flu A/CAL/7/09. The reference seropositivity cut-off value was ≥ 1:10.

Flu A/CAL/7/09, Day 0
GroupValue95% CI
GSK2340272A Group9.67.6 – 12.0
GSK2340269A Group8.46.7 – 10.6
Flu A/CAL/7/09, Day 21
GroupValue95% CI
GSK2340272A Group424.0312.4 – 575.5
GSK2340269A Group96.464.0 – 145.3
Flu A/CAL/7/09, Day 42
GroupValue95% CI
GSK2340272A Group686.7567.0 – 831.7
GSK2340269A Group149.7108.0 – 207.7
Number of Subjects Who Were Seropositive for HI Antibodies Against Flu A/California/7/2009 (H1N1) Virus Strain Secondary · At Days 0, 21 and 42

A seropositive subject was defined as a vaccinated subject with a serum HI titer ≥ 1:10, that usually is accepted as indicating protection.

Flu A/CAL/7/09, Day 0
GroupValue95% CI
GSK2340272A (18-40y)17
GSK2340269A (18-40y)13
GSK2340272A (41-60y)12
GSK2340269A (41-60y)7
GSK2340272A (41-50y)4
GSK2340269A (41-50y)5
GSK2340272A (51-60y)8
GSK2340269A (51-60y)2
Flu A/CAL/7/09, Day 21
GroupValue95% CI
GSK2340272A (18-40y)17
GSK2340269A (18-40y)13
GSK2340272A (41-60y)12
GSK2340269A (41-60y)7
GSK2340272A (41-50y)4
GSK2340269A (41-50y)5
GSK2340272A (51-60y)8
GSK2340269A (51-60y)2
Flu A/CAL/7/09, Day 42
GroupValue95% CI
GSK2340272A (18-40y)17
GSK2340269A (18-40y)13
GSK2340272A (41-60y)12
GSK2340269A (41-60y)7
GSK2340272A (41-50y)4
GSK2340269A (41-50y)5
GSK2340272A (51-60y)8
GSK2340269A (51-60y)2
Titers for Serum HI Antibodies Against Flu A/California/7/2009 (H1N1) Strain of Influenza Disease Secondary · At Days 0, 21 and 42

Titers are presented as geometric mean titers (GMTs). The flu strain assessed was Flu A/CAL/7/09. The reference seropositivity cut-off value was ≥ 1:10.

Flu A/CAL/7/09, Day 0
GroupValue95% CI
GSK2340272A (18-40y)12.48.2 – 18.7
GSK2340269A (18-40y)10.97.2 – 16.5
GSK2340272A (41-60y)7.46.1 – 8.9
GSK2340269A (41-60y)6.55.3 – 8.1
GSK2340272A (41-50y)6.35.0 – 8.1
GSK2340269A (41-50y)7.55.1 – 11.2
GSK2340272A (51-60y)8.66.3 – 11.7
GSK2340269A (51-60y)5.74.7 – 6.9
Flu A/CAL/7/09, Day 21
GroupValue95% CI
GSK2340272A (18-40y)705.7523.8 – 950.7
GSK2340269A (18-40y)171.196.7 – 302.8
GSK2340272A (41-60y)254.8156.7 – 414.4
GSK2340269A (41-60y)55.432.0 – 95.7
GSK2340272A (41-50y)287.1164.1 – 502.1
GSK2340269A (41-50y)123.359.5 – 255.5
GSK2340272A (51-60y)226.295.3 – 536.6
GSK2340269A (51-60y)24.812.9 – 47.9
Flu A/CAL/7/09, Day 42
GroupValue95% CI
GSK2340272A (18-40y)895.4714.7 – 1121.8
GSK2340269A (18-40y)216.2134.8 – 346.8
GSK2340272A (41-60y)526.7393.1 – 705.6
GSK2340269A (41-60y)104.967.4 – 163.2
GSK2340272A (41-50y)462.5340.9 – 627.5
GSK2340269A (41-50y)170.894.4 – 308.8
GSK2340272A (51-60y)599.7352.3 – 1020.8
GSK2340269A (51-60y)64.434.6 – 120.0
Number of Subjects Who Were Seropositive for HI Antibodies Against the Flu A/California/7/2009 (H1N1) Virus Strain Secondary · At Days 182 and 364

A seropositive subject was defined as a vaccinated subject with a serum HI titer greater than or equal to (≥) 1:10, that usually is accepted as indicating protection.

Flu A/CAL/7/09, Day 182
GroupValue95% CI
GSK2340272A Group64
GSK2340269A Group59
Flu A/CAL/7/09, Day 364
GroupValue95% CI
GSK2340272A Group60
GSK2340269A Group49
Titers for Serum HI Antibodies Against the Flu A/California/7/2009 (H1N1) Strain of Influenza Disease Secondary · At Days 182 and 364

Titers are presented as geometric mean titers (GMTs). The flu strain assessed was Flu A/CAL/7/09. The reference seropositivity cut-off value was greater than or equal to (≥) 1:10.

Flu A/CAL/7/09, Day 182
GroupValue95% CI
GSK2340272A Group222.6172.4 – 287.4
GSK2340269A Group80.455.1 – 117.2
Flu A/CAL/7/09, Day 364
GroupValue95% CI
GSK2340272A Group76.858.1 – 101.5
GSK2340269A Group35.224.0 – 51.7
Number of Subjects Who Were Seropositive for HI Antibodies Against Flu A/California/7/2009 (H1N1) Virus Strain Secondary · At Days 182 and 364

A seropositive subject was defined as a vaccinated subject with a serum HI titer ≥ 1:10, that usually is accepted as indicating protection.

Flu A/CAL/7/09, Day 182
GroupValue95% CI
GSK2340272A (18-40y)32
GSK2340269A (18-40y)29
GSK2340272A (41-50y)16
GSK2340269A (41-50y)16
GSK2340272A (51-60y)16
GSK2340269A (51-60y)14
Flu A/CAL/7/09, Day 364
GroupValue95% CI
GSK2340272A (18-40y)30
GSK2340269A (18-40y)26
GSK2340272A (41-50y)16
GSK2340269A (41-50y)14
GSK2340272A (51-60y)14
GSK2340269A (51-60y)9
Titers for Serum HI Antibodies Against Flu A/California/7/2009 (H1N1) Strain of Influenza Disease Secondary · At Days 182 and 364

Titers are presented as geometric mean titers (GMTs). The flu strain assessed was Flu A/CAL/7/09. The reference seropositivity cut-off value was ≥ 1:10.

Flu A/CAL/7/09, Day 182
GroupValue95% CI
GSK2340272A (18-40y)269.1183.9 – 393.9
GSK2340269A (18-40y)132.375.9 – 230.4
GSK2340272A (41-50y)182.2126.8 – 261.7
GSK2340269A (41-50y)99.347.8 – 206.6
GSK2340272A (51-60y)186.197.5 – 355.4
GSK2340269A (51-60y)24.815.6 – 39.6
Flu A/CAL/7/09, Day 364
GroupValue95% CI
GSK2340272A (18-40y)96.263.1 – 146.7
GSK2340269A (18-40y)57.232.2 – 101.8
GSK2340272A (41-50y)57.738.4 – 86.8
GSK2340269A (41-50y)48.423.2 – 101.1
GSK2340272A (51-60y)66.433.1 – 133.2
GSK2340269A (51-60y)10.66.8 – 16.7
Number of Seroconverted (SCR) Subjects for HI Antibodies Against Flu A/California/7/2009 (H1N1) Strain of Influenza Disease Secondary · At Days 21 and 42

Seroconversion was defined as: For initially seronegative subjects \[antibody titer below (\<) 10 post-vaccination\], antibody titer greater than or equal to (≥) 40 after vaccination; For initially seropositive subjects (antibody titer ≥ 10 prior to vaccination), antibody titer after vaccination ≥ 4 fold the pre-vaccination antibody titer. The Flu strain assessed was A/California/7/2009 (H1N1)v-like influenza (Flu A/CAL/7/09).

Flu A/CAL/7/09, Day 21
GroupValue95% CI
GSK2340272A (18-40y)32
GSK2340269A (18-40y)25
GSK2340272A (41-50y)16
GSK2340269A (41-50y)12
GSK2340272A (51-60y)12
GSK2340269A (51-60y)7
Flu A/CAL/7/09, Day 42
GroupValue95% CI
GSK2340272A (18-40y)32
GSK2340269A (18-40y)27
GSK2340272A (41-50y)16
GSK2340269A (41-50y)15
GSK2340272A (51-60y)16
GSK2340269A (51-60y)12

Adverse events — posted to ClinicalTrials.gov

Time frame: Solicited local and general symptoms: during the 7-day (Days 0-6) post-vaccination period; Unsolicited AEs: within the 84-day (Days 0-83) post-vaccination period; SAEs: during the entire study period (from Day 0 up to Day 364).. Reporting threshold: 5%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

GSK2340272A Group
Serious: 4/65 (6%)
Deaths: 0/65
GSK2340269A Group
Serious: 4/66 (6%)
Deaths: 0/66

Serious adverse events (12 terms)

ReactionSystemGSK2340272A GroupGSK2340269A Group
AsthmaRespiratory, thoracic and mediastinal disorders
Abortion spontaneous completePregnancy, puerperium and perinatal conditions
Balance disorderNervous system disorders
Benign prostatic hyperplasiaReproductive system and breast disorders
Breast cancerNeoplasms benign, malignant and unspecified (incl cysts and polyps)
Calculus uretericRenal and urinary disorders
NephrolithiasisRenal and urinary disorders
Renal disorderRenal and urinary disorders
Ligament ruptureInjury, poisoning and procedural complications
Open woundInjury, poisoning and procedural complications
Radius fractureInjury, poisoning and procedural complications
SepsisInfections and infestations
Other adverse events (19 terms — click to expand)

ReactionSystemGSK2340272A GroupGSK2340269A Group
PainGeneral disorders
HeadacheNervous system disorders
FatigueGeneral disorders
MyalgiaMusculoskeletal and connective tissue disorders
Muscle achesGeneral disorders
ArthralgiaMusculoskeletal and connective tissue disorders
Joint Pain ar other locationGeneral disorders
ChillsGeneral disorders
ShiveringGeneral disorders
HyperhidrosisSkin and subcutaneous tissue disorders
SweatingGeneral disorders
Upper respiratory tract infectionInfections and infestations
SwellingGeneral disorders
ErythemaSkin and subcutaneous tissue disorders
RednessGeneral disorders
RhinitisInfections and infestations
PyrexiaGeneral disorders
GastroenteritisInfections and infestations
Influenza like illnessGeneral disorders

Most-reported serious reactions: Asthma, Abortion spontaneous complete, Balance disorder, Benign prostatic hyperplasia, Breast cancer, Calculus ureteric, Nephrolithiasis, Renal disorder.

Data from ClinicalTrials.gov NCT00989287 adverse events section.

Sponsor's own description

The objective of this study is to evaluate the immunogenicity and safety of GSK Biologicals' investigational vaccine GSK2340272A in adults aged 18 to 60 years.

Publications & conference data

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

  1. Effect on cellular and humoral immune responses of the AS03 adjuvant system in an A/H1N1/2009 influenza virus vaccine administered to adults during two randomized controlled trials.
    Roman F, Clément F, Dewé W, Walravens K, et al · · 2011 · cited 44× · PMID 21450978 · DOI 10.1128/cvi.00480-10
  2. 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
  3. Long-Term Persistence of Cell-Mediated and Humoral Responses to A(H1N1)pdm09 Influenza Virus Vaccines and the Role of the AS03 Adjuvant System in Adults during Two Randomized Controlled Trials.
    van der Most RG, Clément F, Willekens J, Dewé W, et al · · 2017 · cited 17× · PMID 28446441 · DOI 10.1128/cvi.00553-16

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