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NCT01416571

Immunogenicity and Safety Study of GlaxoSmithKline (GSK) Biologicals' Monovalent Pandemic H5N1 Vaccine in Adults

Completed Phase 2 Results posted Last updated 21 September 2018
What this trial tests

Phase 2 trial testing Influenza A (H5N1) Virus Monovalent Vaccine, Adjuvanted in Influenza in 78 participants. Completed in 28 September 2012.

Timeline
12 August 2011
Primary endpoint
29 November 2011
28 September 2012

Quick facts

Lead sponsorGlaxoSmithKline
PhasePhase 2
StatusCompleted
Study typeINTERVENTIONAL
Allocationna
Designsingle group
Maskingnone
Primary purposeprevention
Enrollment78
Start date12 August 2011
Primary completion29 November 2011
Estimated completion28 September 2012
Sites1 location across United States

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 H5N1 Strain of Influenza Disease. Primary · At Day 42

A seroconverted subject was defined as a vaccinated subject who had either a pre-vaccination reciprocal HI titer less than (\<) 1:10 and a post-vaccination reciprocal HI 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 reciprocal titer against the vaccine virus.

GroupValue95% CI
Influenza A (H5N1) Group72
Mean Geometric Increase (MGI) for the H5N1 Strain of Influenza Disease. Primary · At Day 42

MGI was defined as the geometric mean of the within-subject ratios of the post-vaccination reciprocal HI titer to the pre-vaccination (Day 0) reciprocal HI titer for the vaccine virus.

GroupValue95% CI
Influenza A (H5N1) Group41.732.0 – 54.3
Number of Seroprotected Subjects Against the H5N1 Strain of Influenza Disease. Primary · At Day 42

A seroprotected subject was defined as a vaccinated subject who had H5N1 reciprocal HI titers ≥ 1:40 against the vaccine-homologous virus.

GroupValue95% CI
Influenza A (H5N1) Group74
Number of Seropositive Subjects Against the H5N1 Strain of Influenza Disease. Secondary · At Day 0 and Day 42

A seropositive subject was defined as a vaccinated subject who had a serum HI titer ≥ 1:10.

H5N1 at Day 0
GroupValue95% CI
Influenza A (H5N1) Group26
H5N1 at Day 42
GroupValue95% CI
Influenza A (H5N1) Group75
Titers for Serum HI Antibodies Against the H5N1 Strain of Influenza Disease. Secondary · At Day 0 and Day 42

Titers are presented as geometric mean titers (GMTs).

H5N1 at Day 0
GroupValue95% CI
Influenza A (H5N1) Group7.56.5 – 8.6
H5N1 at Day 42
GroupValue95% CI
Influenza A (H5N1) Group311.3249.2 – 389.0
Number of Seropositive Subjects Against the H5N1 Strain of Influenza Disease. Secondary · At Day 0 and Day 182

A seropositive subject was defined as a vaccinated subject who had a serum HI titer ≥ 1:10.

H5N1 at Day 0
GroupValue95% CI
Influenza A (H5N1) Group27
H5N1 at Day 182
GroupValue95% CI
Influenza A (H5N1) Group73
Titers for Serum HI Antibodies Against the H5N1 Strain of Influenza Disease. Secondary · At Day 0 and Day 182

Titers are presented as geometric mean titers (GMTs).

H5N1 at Day 0
GroupValue95% CI
Influenza A (H5N1) Group7.86.6 – 9.1
H5N1 at Day 182
GroupValue95% CI
Influenza A (H5N1) Group56.347.0 – 67.5
Number of Seroprotected Subjects Against the H5N1 Strain of Influenza Disease. Secondary · At Day 0 and Day 182

A seroprotected subject was defined as a vaccinated subject who had H5N1 reciprocal HI titers ≥ 1:40 against the vaccine-homologous virus.

H5N1 at Day 0
GroupValue95% CI
Influenza A (H5N1) Group3
H5N1 at Day 182
GroupValue95% CI
Influenza A (H5N1) Group56
Number of Seroconverted Subjects Against the H5N1 Strain of Influenza Disease. Secondary · At Day 182

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

GroupValue95% CI
Influenza A (H5N1) Group48
Mean Geometric Increase (MGI) for the H5N1 Strain of Influenza Disease. Secondary · At Day 182

MGI was defined as the geometric mean of the within-subject ratios of the post-vaccination reciprocal HI titer to the pre-vaccination (Day 0) reciprocal HI titer for the vaccine virus.

GroupValue95% CI
Influenza A (H5N1) Group7.25.8 – 9.0
Number of Subjects With Any and Grade 3 Solicited Local Symptoms Secondary · During the 7-day follow-up period (Days 0-6) after any vaccination

Assessed solicited local symptoms were pain, redness and swelling. Any = occurrence of any solicited local symptoms regardless of intensity grade. Grade 3 pain = significant pain at rest; prevented normal activities. Grade 3 Redness/Swelling = Redness/Swelling \>100 millimeters (mm).

Any Pain
GroupValue95% CI
Influenza A (H5N1) Group71
Any Redness
GroupValue95% CI
Influenza A (H5N1) Group7
Any Swelling
GroupValue95% CI
Influenza A (H5N1) Group12
Grade 3 Pain
GroupValue95% CI
Influenza A (H5N1) Group6
Grade 3 Redness
GroupValue95% CI
Influenza A (H5N1) Group0
Grade 3 Swelling
GroupValue95% CI
Influenza A (H5N1) Group0
Duration of Solicited Local Symptoms After Vaccination. Secondary · During the 7-day (Days 0-6) post-vaccination period following each dose

Assessed solicited local symptoms were pain, redness and swelling. Duration was defined as the number of days with any grade of local symptoms.

Pain, Dose 1
GroupValue95% CI
Influenza A (H5N1) Group3.02.0 – 4.0
Pain, Dose 2
GroupValue95% CI
Influenza A (H5N1) Group3.02.0 – 3.0
Redness, Dose1
GroupValue95% CI
Influenza A (H5N1) Group2.01.0 – 2.0
Redness, Dose 2
GroupValue95% CI
Influenza A (H5N1) Group3.01.0 – 4.0
Swelling, Dose 1
GroupValue95% CI
Influenza A (H5N1) Group2.01.0 – 3.0
Swelling, Dose 2
GroupValue95% CI
Influenza A (H5N1) Group1.01.0 – 2.0

Adverse events — posted to ClinicalTrials.gov

Time frame: Solicited local and general symptoms: Within the 7-day period after primary vaccination. Unsolicited AEs: From Day 0 to Day 84. SAEs: from Day 0 to Day 385.. Reporting threshold: 5%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

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

Serious adverse events (3 terms)

ReactionSystemInfluenza A (H5N1) Group
Hernia obstructiveGeneral disorders
PneumoniaInfections and infestations
Small cell lung cancerNeoplasms benign, malignant and unspecified (incl cysts and polyps)
Other adverse events (14 terms — click to expand)

ReactionSystemInfluenza A (H5N1) Group
PainGeneral disorders
FatigueGeneral disorders
Muscle achesGeneral disorders
HeadacheGeneral disorders
GastrointestinalGeneral disorders
Joint painGeneral disorders
SwellingGeneral disorders
SweatingGeneral disorders
ShiveringGeneral disorders
NasopharyngitisInfections and infestations
RednessGeneral disorders
CoughRespiratory, thoracic and mediastinal disorders
Neck painMusculoskeletal and connective tissue disorders
Oropharyngeal painRespiratory, thoracic and mediastinal disorders

Most-reported serious reactions: Hernia obstructive, Pneumonia, Small cell lung cancer.

Data from ClinicalTrials.gov NCT01416571 adverse events section.

Sponsor's own description

This trial will assess the immunogenicity and safety of GSK Biologicals' vaccine GSK1557484A, prepared from old concentrated monobulk material, in adults aged 18 to 64 years, when administered up to 5 years following production.

Publications & conference data

1 peer-reviewed publication reference this trial (live from Europe PMC):

  1. Immunogenicity and safety of AS03A-adjuvanted H5N1 influenza vaccine prepared from bulk antigen after stockpiling for 4 years.
    Godeaux O, Izurieta P, Madariaga M, Dramé M, et al · · 2015 · cited 9× · PMID 25090645 · DOI 10.1016/j.vaccine.2014.07.062

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