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NCT01788228

Safety and Tolerability Study of GlaxoSmithKline (GSK)1557484A Vaccine in Adults at Occupational Risk for Influenza A (H5N1) Exposure

Completed Phase 3 Results posted Last updated 23 June 2020
What this trial tests

Phase 3 trial testing Influenza A (H5N1) Virus Monovalent Vaccine, Adjuvanted (A/Indonesia) in Influenza in 50 participants. Completed in 25 February 2015.

Timeline
22 March 2013
Primary endpoint
27 March 2014
25 February 2015

Quick facts

Lead sponsorGlaxoSmithKline
PhasePhase 3
StatusCompleted
Study typeINTERVENTIONAL
Allocationnon randomized
Designparallel
Maskingnone
Primary purposeprevention
Enrollment50
Start date22 March 2013
Primary completion27 March 2014
Estimated completion25 February 2015
Sites3 locations across United States

Drugs / interventions tested

Conditions studied

Sponsor

GlaxoSmithKline — full company profile →

Who can join

18 and older, any sex, with Influenza or Influenza Vaccines. 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 Subjects Reporting Any and Grade 3 Solicited Local Symptoms Overall and by Age Category (18-64 and >64 Years of Age). Primary · During a 7-day follow-up period (Days 0-6) after each vaccination

Solicited local symptoms assessed were pain, redness and swelling. Any was defined as any solicited local symptom reported irrespective of intensity. Grade 3 pain was defined as significant pain at rest that prevented normal everyday activities. Grade 3 redness and swelling was greater than 100 millimeters (mm) i.e. \>100mm.

Any Pain
GroupValue95% CI
Influenza A (H5N1) Virus Monovalent Vaccine 18-64 Years Group45
Influenza A (H5N1) Virus Monovalent Vaccine > 64 Years Group1
Influenza A (H5N1) Virus Monovalent Vaccine Group46
Grade 3 Pain
GroupValue95% CI
Influenza A (H5N1) Virus Monovalent Vaccine 18-64 Years Group4
Influenza A (H5N1) Virus Monovalent Vaccine > 64 Years Group0
Influenza A (H5N1) Virus Monovalent Vaccine Group4
Any Redness
GroupValue95% CI
Influenza A (H5N1) Virus Monovalent Vaccine 18-64 Years Group6
Influenza A (H5N1) Virus Monovalent Vaccine > 64 Years Group0
Influenza A (H5N1) Virus Monovalent Vaccine Group6
Grade 3 Redness
GroupValue95% CI
Influenza A (H5N1) Virus Monovalent Vaccine 18-64 Years Group0
Influenza A (H5N1) Virus Monovalent Vaccine > 64 Years Group0
Influenza A (H5N1) Virus Monovalent Vaccine Group0
Any Swelling
GroupValue95% CI
Influenza A (H5N1) Virus Monovalent Vaccine 18-64 Years Group7
Influenza A (H5N1) Virus Monovalent Vaccine > 64 Years Group0
Influenza A (H5N1) Virus Monovalent Vaccine Group7
Grade 3 Swelling
GroupValue95% CI
Influenza A (H5N1) Virus Monovalent Vaccine 18-64 Years Group0
Influenza A (H5N1) Virus Monovalent Vaccine > 64 Years Group0
Influenza A (H5N1) Virus Monovalent Vaccine Group0
Number of Subjects Reporting Any, Grade 3 and Related Solicited General Symptoms Overall and by Age Category (18-64 and >64 Years of Age). Primary · During a 7-day follow-up period (Days 0-6) after each vaccination

Solicited general symptoms assessed were fatigue, gastrointestinal symptoms, headache, joint pain, muscle ache, shivering, sweating and fever \[oral temperature above 38.0 degrees Celsius (°C)\]. Gastrointestinal symptoms included nausea, vomiting, diarrhea and/or abdominal pain. Any = any solicited general symptom reported irrespective of intensity and relationship to vaccination. Related = symptoms considered by the investigator to have a causal relationship to vaccination. Grade 3 symptoms = symptoms that prevented normal activity. Grade 3 fever = axillary temperature ≥ 39.0°C and ≤40°C.

Any Fatigue
GroupValue95% CI
Influenza A (H5N1) Virus Monovalent Vaccine 18-64 Years Group27
Influenza A (H5N1) Virus Monovalent Vaccine > 64 Years Group0
Influenza A (H5N1) Virus Monovalent Vaccine Group27
Grade 3 Fatigue
GroupValue95% CI
Influenza A (H5N1) Virus Monovalent Vaccine 18-64 Years Group1
Influenza A (H5N1) Virus Monovalent Vaccine > 64 Years Group0
Influenza A (H5N1) Virus Monovalent Vaccine Group1
Related Fatigue
GroupValue95% CI
Influenza A (H5N1) Virus Monovalent Vaccine 18-64 Years Group26
Influenza A (H5N1) Virus Monovalent Vaccine > 64 Years Group0
Influenza A (H5N1) Virus Monovalent Vaccine Group26
Any Gastrointestinal symptoms
GroupValue95% CI
Influenza A (H5N1) Virus Monovalent Vaccine 18-64 Years Group12
Influenza A (H5N1) Virus Monovalent Vaccine > 64 Years Group0
Influenza A (H5N1) Virus Monovalent Vaccine Group12
Grade 3 Gastrointestinal symptoms
GroupValue95% CI
Influenza A (H5N1) Virus Monovalent Vaccine 18-64 Years Group2
Influenza A (H5N1) Virus Monovalent Vaccine > 64 Years Group0
Influenza A (H5N1) Virus Monovalent Vaccine Group2
Related Gastrointestinal symptoms
GroupValue95% CI
Influenza A (H5N1) Virus Monovalent Vaccine 18-64 Years Group8
Influenza A (H5N1) Virus Monovalent Vaccine > 64 Years Group0
Influenza A (H5N1) Virus Monovalent Vaccine Group8
Any Headache
GroupValue95% CI
Influenza A (H5N1) Virus Monovalent Vaccine 18-64 Years Group20
Influenza A (H5N1) Virus Monovalent Vaccine > 64 Years Group0
Influenza A (H5N1) Virus Monovalent Vaccine Group20
Grade 3 Headache
GroupValue95% CI
Influenza A (H5N1) Virus Monovalent Vaccine 18-64 Years Group2
Influenza A (H5N1) Virus Monovalent Vaccine > 64 Years Group0
Influenza A (H5N1) Virus Monovalent Vaccine Group2
Number of Subjects Reporting Any Unsolicited AEs, Overall and by Age Category (18-64 and >64 Years of Age) Primary · During the 21-day (Days 0-20 post dose 1 and Days 21-41 post dose 2) post-vaccination period

Unsolicited AE covers any AE reported in addition to those solicited during the clinical study and any solicited symptom with onset outside the specified period of follow-up for solicited symptoms. Any was defined as occurrence of any unsolicited symptom regardless of intensity grade or relation to vaccination. Related was defined as an unsolicited symptom assessed as causally related to the study vaccination.

Any unsolicited AEs
GroupValue95% CI
Influenza A (H5N1) Virus Monovalent Vaccine 18-64 Years Group10
Influenza A (H5N1) Virus Monovalent Vaccine > 64 Years Group0
Influenza A (H5N1) Virus Monovalent Vaccine Group10
Related unsolicited AEs
GroupValue95% CI
Influenza A (H5N1) Virus Monovalent Vaccine 18-64 Years Group4
Influenza A (H5N1) Virus Monovalent Vaccine > 64 Years Group0
Influenza A (H5N1) Virus Monovalent Vaccine Group4
Number of Subjects Reporting Any or Related Medically Attended Adverse Events (MAEs) Secondary · During the entire study period (Day 0 to Day 385)

MAEs refer to events that required medical attention defined as hospitalization, an emergency room visit or a visit to or from medical personnel (medical doctor) for any reason. Related = symptom assessed by the investigator as causally related to the study vaccination.

Any MAEs
GroupValue95% CI
Influenza A (H5N1) Virus Monovalent Vaccine 18-64 Years Group9
Influenza A (H5N1) Virus Monovalent Vaccine > 64 Years Group0
Related MAEs
GroupValue95% CI
Influenza A (H5N1) Virus Monovalent Vaccine 18-64 Years Group0
Influenza A (H5N1) Virus Monovalent Vaccine > 64 Years Group0
Number of Subjects Reporting Any and Related Potential Immune-Mediated Diseases (pIMDs) Secondary · During the entire study period (Day 0 to Day 385)

Potential immune-mediated diseases (pIMDs) were defined as a subset of adverse events (AEs) that included autoimmune diseases and other inflammatory and/or neurologic disorders of interest which may or may not have an autoimmune aetiology. Any was defined as occurrence of any pIMD regardless of intensity grade or relation to vaccination. Related was defined as pIMD(s) considered by the investigator to have a causal relationship to vaccination.

Any pIMDs
GroupValue95% CI
Influenza A (H5N1) Virus Monovalent Vaccine 18-64 Years Group0
Influenza A (H5N1) Virus Monovalent Vaccine > 64 Years Group0
Related pIMDs
GroupValue95% CI
Influenza A (H5N1) Virus Monovalent Vaccine 18-64 Years Group0
Influenza A (H5N1) Virus Monovalent Vaccine > 64 Years Group0
Number of Subjects Reporting Any and Related Serious Adverse Events (SAEs) Secondary · During the entire study period (Day 0 to Day 385)

A serious adverse event was any untoward medical occurrence that: resulted in death, was life-threatening, required hospitalization or prolongation of existing hospitalization, resulted in disability/incapacity or was a congenital anomaly/birth defect in the offspring of a study subject. Any was defined as occurrence of any symptom regardless of intensity grade or relation to vaccination and related was an event assessed by the investigator as causally related to the study vaccination.

Any SAEs
GroupValue95% CI
Influenza A (H5N1) Virus Monovalent Vaccine 18-64 Years Group0
Influenza A (H5N1) Virus Monovalent Vaccine > 64 Years Group0
Related SAEs
GroupValue95% CI
Influenza A (H5N1) Virus Monovalent Vaccine 18-64 Years Group0
Influenza A (H5N1) Virus Monovalent Vaccine > 64 Years Group0
Number of Subjects With Reported Adverse Pregnancy Outcomes Secondary · During the entire study period (Day 0 to Day 385)

Any = Occurrence of any adverse pregnancy outcomes regardless of intensity grade or relation to study vaccination. Related = Adverse pregnancy outcomes assessed by the investigator as causally related to the study vaccination

Any adverse pregnancy outcome(s)
GroupValue95% CI
Influenza A (H5N1) Virus Monovalent Vaccine 18-64 Years Group0
Influenza A (H5N1) Virus Monovalent Vaccine > 64 Years Group0
Related adverse pregnancy outcomes
GroupValue95% CI
Influenza A (H5N1) Virus Monovalent Vaccine 18-64 Years Group0
Influenza A (H5N1) Virus Monovalent Vaccine > 64 Years Group0
Assessment of Changes From Baseline (Day 0) in the SF-36v2 Daily Questionnaire Subscale Component, Summary Component and QALY Scores Secondary · Day 0 (baseline) and at each day from Day 1 to Day 7 post first vaccine dose

The assessed parameters for change from baseline were Physical functioning (PF), Physical-health related role limitations (RP), Bodily pain (BP), General health (GH), Vitality (VT), Social functioning (SF), Emotional health related role limitations (RE), Mental health (MH) defined as subscale component, and physical (PCS) and mental (MCS) component defined as summary components, and Quality Adjusted Life Years (QALY). See methodology details in outcome 11 description. For all subscale components, scores range from 0 to 100, with high scores indicating high levels of functioning/quality of life

PF : Day 1
GroupValue95% CI
Influenza A (H5N1) Virus Monovalent Vaccine Group0.0000-17.3500 – 28.9200
RP : Day 1
GroupValue95% CI
Influenza A (H5N1) Virus Monovalent Vaccine Group0.0000-17.6100 – 8.81
BP : Day 1
GroupValue95% CI
Influenza A (H5N1) Virus Monovalent Vaccine Group0.0000-30.7900 – 10.2600
GH : Day 1
GroupValue95% CI
Influenza A (H5N1) Virus Monovalent Vaccine Group-1.3200-16.7700 – 8.8200
VT : Day 1
GroupValue95% CI
Influenza A (H5N1) Virus Monovalent Vaccine Group0.0000-21.7700 – 21.7700
SF : Day 1
GroupValue95% CI
Influenza A (H5N1) Virus Monovalent Vaccine Group0.0000-19.7700 – 14.8200
RE : Day 1
GroupValue95% CI
Influenza A (H5N1) Virus Monovalent Vaccine Group0.0000-7.6400 – 11.4500
MH : Day 1
GroupValue95% CI
Influenza A (H5N1) Virus Monovalent Vaccine Group0.0000-22.3000 – 14.8700
Assessment of Changes From Baseline (Day 0) in the SF-36v2 Weekly Health 8-score Secondary · Day 0 (baseline) and at Days 7 and 21 QoL evaluation (post dose 1) and Day 28 QoL evaluation (post dose 2)

The assessed parameters for change from baseline were Physical functioning (PF), Physical-health related role limitations (RP), Bodily pain (BP), General health (GH), Vitality (VT), Social functioning (SF), Emotional health related role limitations (RE), Mental health (MH) defined as subscale component. For all subscale components, scores range from 0 to 100, with high scores indicating high levels of functioning/quality of life. Median and range of the change from baseline of the SF-36 score are presented for each component and time point. Analysis was carried out for all subjects regardless

PF : Day 7
GroupValue95% CI
Influenza A (H5N1) Virus Monovalent Vaccine Group0.000-1.93 – 28.92
PF : Day 21
GroupValue95% CI
Influenza A (H5N1) Virus Monovalent Vaccine Group0.000-7.71 – 28.92
PF : Day 28
GroupValue95% CI
Influenza A (H5N1) Virus Monovalent Vaccine Group0.000-5.78 – 28.92
RP: Day 7
GroupValue95% CI
Influenza A (H5N1) Virus Monovalent Vaccine Group0.000-17.61 – 8.81
RP: Day 21
GroupValue95% CI
Influenza A (H5N1) Virus Monovalent Vaccine Group0.000-15.41 – 8.81
RP: Day 28
GroupValue95% CI
Influenza A (H5N1) Virus Monovalent Vaccine Group0.000-17.61 – 8.81
BP: Day 7
GroupValue95% CI
Influenza A (H5N1) Virus Monovalent Vaccine Group0.000-26.85 – 19.34
BP: Day 21
GroupValue95% CI
Influenza A (H5N1) Virus Monovalent Vaccine Group0.000-15.00 – 23.29
Assessment of Changes From Baseline (Day 0) in the SF-36v2 Weekly Questionnaire General Health Scores (Physical and Mental) Secondary · Day 0 (baseline) and at Days 7 and 21 QoL evaluation (post dose 1) and Day 28 QoL evaluation (post dose 2)

The assessed parameters for change from baseline were physical and mental component defined as summary components (PCS and MCS) or general health scores (GHS). For all subscale component, scores range from 0 to 100, with high scores indicating high levels of functioning/quality of life. Subscale component scores are averaged to compute the summary component score. Median and range of the change from baseline of the SF-36v2 score are presented for each summary component and time point. Analysis was carried out for all subjects regardless of age stratum.

PCS, Day 7
GroupValue95% CI
Influenza A (H5N1) Virus Monovalent Vaccine Group0.000-11.19 – 13.58
PCS, Day 21
GroupValue95% CI
Influenza A (H5N1) Virus Monovalent Vaccine Group0.180-11.32 – 13.58
PCS, Day 28
GroupValue95% CI
Influenza A (H5N1) Virus Monovalent Vaccine Group-0.290-6.36 – 13.58
MCS, Day 7
GroupValue95% CI
Influenza A (H5N1) Virus Monovalent Vaccine Group0.420-11.08 – 11.83
MCS, Day 21
GroupValue95% CI
Influenza A (H5N1) Virus Monovalent Vaccine Group0.095-5.10 – 7.33
MCS, Day 28
GroupValue95% CI
Influenza A (H5N1) Virus Monovalent Vaccine Group0.000-7.29 – 11.83
Assessment of Changes From Baseline (Day 0) for Quality Adjusted Life Years (QALY) Weekly Scores Secondary · Day 0 (baseline) and at Days 7 and 21 QoL evaluation (post dose 1) and Day 28 QoL evaluation (post dose 2)

The assessed parameters for change from baseline were QALY scores. The methodology used for the analysis of the SF-36v2 questionnaire was detailed in Ware et al \[Ware 2008\]. The QualityMetric Health Outcomes Scoring Software was used to generate a Quality of Life analysis dataset based on the SF-36 questionnaire. QoL data were transformed to generate Quality-Adjusted Life Years (QALY) scores. A standard algorithm was developed for processing subjects' answers and producing QALY scores. For all subscale components, scores range from 0 to 100, with high scores indicating high levels of functio

QALY score : Day 7
GroupValue95% CI
Influenza A (H5N1) Virus Monovalent Vaccine Group0.000-0.25 – 0.33
QALY score : Day 21
GroupValue95% CI
Influenza A (H5N1) Virus Monovalent Vaccine Group0.000-0.25 – 0.33
QALY score : Day 28
GroupValue95% CI
Influenza A (H5N1) Virus Monovalent Vaccine Group0.000-0.19 – 0.33
Assessment of Changes From Baseline (Day 0) in the SF-36v2 Daily Questionnaire Subscale Component, Summary Component and QALY Scores for Subjects Who Reported at Least One Local or General Solicited AE Post First Vaccination. Secondary · Day 0 (baseline) and at each day from Day 1 to Day 7 post first vaccine dose

The assessed parameters for change from baseline were Physical functioning (PF), Physical-health related role limitations (RP), Bodily pain (BP), General health (GH), Vitality (VT), Social functioning (SF), Emotional health related role limitations (RE), Mental health (MH) defined as subscale component, and physical (PCS) and mental (MCS) component defined as summary components, and Quality Adjusted Life Years (QALY). For all subscale component, scores range from 0 to 100, with high scores indicating high levels of functioning/quality of life. Subscale component scores are averaged to compute

PF : Day 1
GroupValue95% CI
Influenza A (H5N1) Virus Monovalent Vaccine Group0.0000-17.3500 – 28.9200
RP : Day 1
GroupValue95% CI
Influenza A (H5N1) Virus Monovalent Vaccine Group0.0000-17.6100 – 8.81
BP : Day 1
GroupValue95% CI
Influenza A (H5N1) Virus Monovalent Vaccine Group-0.7900-30.7900 – 8.6800
GH : Day 1
GroupValue95% CI
Influenza A (H5N1) Virus Monovalent Vaccine Group-1.3200-16.7700 – 8.8200
VT : Day 1
GroupValue95% CI
Influenza A (H5N1) Virus Monovalent Vaccine Group0.0000-21.7700 – 21.7700
SF : Day 1
GroupValue95% CI
Influenza A (H5N1) Virus Monovalent Vaccine Group0.0000-19.7700 – 14.8200
RE : Day 1
GroupValue95% CI
Influenza A (H5N1) Virus Monovalent Vaccine Group0.0000-7.6400 – 11.4500
MH : Day 1
GroupValue95% CI
Influenza A (H5N1) Virus Monovalent Vaccine Group0.0000-22.3000 – 14.8700

Adverse events — posted to ClinicalTrials.gov

Time frame: Serious Adverse Events: From Day 0 up to Day 385; Solicited local and general symptoms: During the 7-day (Days 0-6) post-vaccination period after each vaccination; Unsolicited symptoms: During the 21-day (Day 0-20) post-vaccination period after each vaccination. Reporting threshold: 5%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Influenza A (H5N1) Virus Monovalent Vaccine 18-64 Years Group
Serious: 0/49 (0%)
Deaths: 0/49
Influenza A (H5N1)Virus Monovalent Vaccine ˃64 Years Group
Serious: 0/1 (0%)
Deaths: 0/1
Other adverse events (10 terms — click to expand)

ReactionSystemInfluenza A (H5N1) Virus M…Influenza A (H5N1)Virus Mo…
PainGeneral disorders
Muscle acheGeneral disorders
FatigueGeneral disorders
HeadacheGeneral disorders
Joint painGeneral disorders
Gastrointestinal symptomsGeneral disorders
ShiveringGeneral disorders
SwellingGeneral disorders
SweatingGeneral disorders
RednessGeneral disorders

Data from ClinicalTrials.gov NCT01788228 adverse events section.

Sponsor's own description

The purpose of this study is to evaluate the safety and tolerability of GSK Biologicals' vaccine GSK1557484A against pandemic avian (H5N1) influenza in adults at occupational risk of exposure to the virus.

Publications & conference data

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

  1. Pandemic preparedness through vaccine development for avian influenza viruses.
    Cargnin Faccin F, Perez DR. · · 2024 · cited 34× · PMID 38807261 · DOI 10.1080/21645515.2024.2347019
  2. Usability of daily SF36 questionnaires to capture the QALD variation experienced after vaccination with AS03<sub>A</sub>-adjuvanted monovalent influenza A (H5N1) vaccine in a safety and tolerability study.
    Standaert B, Dort T, Linden J, Madan A, et al · · 2019 · cited 7× · PMID 31060567 · DOI 10.1186/s12955-019-1147-4

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