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InfluenzaPhase 2NCT01035749

Study of GSK Biologicals' Pandemic Influenza (H1N1) Candidate Vaccine in Children Aged 10 to Less Than 18 Years

A Phase 2 study testing GSK Biologicals' Influenza investigational vaccine GSK2340274A and GSK Biologicals' Influenza investigational vaccine GSK2340273A in people with Influenza, run by GlaxoSmithKline at 9 sites in 2 countries.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

The purpose of this study is to show that vaccination with a single dose of GSK Biologicals' pandemic H1N1 vaccine results in an immune response that meets or exceeds European Medicines Agency (EMEA) Committee for Medicinal Products for Human Use (CHMP) guidance criteria for a pandemic influenza vaccine. Read more about this study

Who is it for?
Ages 10 to 17 yearsHealthy volunteers can take part
Conditions the study is for
Influenza
What is being tested?
GSK Biologicals' Influenza investigational vaccine GSK2340274A and GSK Biologicals' Influenza investigational vaccine GSK2340273A
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
310 participants
Where
9 sitesin 2 countries
Study dates
1 Feb 2010to 10 May 2011
Phase
Phase 2
Are there results?
Yes, posted in the registrySummary in the doctors' view

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 10 to 17 years
  • All sexes
  • Healthy volunteers accepted
  • Child

Who may be able to join

  • Male or female children 10 to < 18 years of age at the time of the first vaccination. "Less than 18 years of age" implies inclusion of adolescents who have not reached their 18th birthday as of Day 0, the day of the first vaccine dose under this protocol.
  • Written informed consent obtained from the subject's parent/legally acceptable representative (LAR); written informed assent obtained from the subject if appropriate.
  • Good general health as established by medical history and clinical examination before entering into the study.
  • Parent/LAR access to a consistent means of telephone contact, land line or mobile, but NOT a pay phone or other multiple-user device.
  • Subjects who the investigator believes that they and/or their parent(s)/LAR can and will comply with the requirements of the protocol.

Who cannot join

  • Medical history of physician-confirmed infection with an A/California/7/2009 (H1N1)v-like virus.
  • Previous vaccination at any time with an A/California/7/2009 (H1N1)v-like virus vaccine.
  • Presence of evidence of substance abuse or of neurological or psychiatric diagnoses which, even if stable, are deemed by the investigator to render the potential subject or parent(s)/ LAR(s) unable/unlikely to provide accurate safety reports.
  • Presence of a temperature >= 38.0ºC by any route or method, or acute symptoms greater than "mild" severity on the scheduled date of first vaccination. NOTE: The subject may be vaccinated at a later date, provided symptoms have resolved, vaccination occurs within the window specified by the protocol, and all other eligibility criteria continue to be satisfied.
  • Diagnosed with cancer, or treatment for cancer, within 3 years.
  • Any confirmed or suspected immunosuppressive or immunodeficient condition, based on medical history and physical examination (no laboratory testing required).
Show all 16Show fewer
  • Receipt of systemic glucocorticoids within 1 month prior to study enrollment (first dose of study vaccine), or any other cytotoxic or immunosuppressive drug within 6 months of study enrollment. Topical, intra-articular or inhaled glucocorticoids are allowed.
  • Receipt of any immunoglobulins and/or any blood products within 6 months of study enrollment or planned administration of any of these products during the study period.
  • Any significant disorder of coagulation or treatment with warfarin derivatives or heparin. Persons receiving individual doses of low molecular weight heparin are eligible if no such doses are given in the 24 hours before a study vaccination. Persons receiving prophylactic antiplatelet medications, e.g., low-dose acetylsalicylic acid, and without a clinically-apparent bleeding tendency, are eligible.
  • An acute evolving neurological disorder or history of Guillain-Barré syndrome within 6 weeks of receipt of seasonal influenza vaccine.
  • Administration of any licensed vaccine within 30 days before the first dose of study vaccine, with the exception of seasonal influenza vaccine (which may be given within 2 weeks before the first dose of study vaccine).
  • Planned administration of any A/California H1N1v-like vaccine other than the study vaccine between Day 0 and the Day 189 phlebotomy.
  • Planned administration of any other vaccine not foreseen by the study protocol between Day 0 and Day 42 after the first vaccine dose, including seasonal influenza vaccine. Routine childhood vaccinations are exempted if they cannot be delayed, but they must not be administered on the same day as the H1N1 vaccine candidate.
  • Use of any investigational or non-registered product (drug or vaccine) other than the study vaccine(s) within 30 days preceding the first dose of study vaccine, or planned use during the study period.
  • Any known or suspected allergy to any constituent of influenza vaccines; a history of anaphylactic-type reaction to consumption of eggs; or a history of severe adverse reaction to a previous influenza vaccine.
  • Child in care.

Trial locations and contacts

9 sites in 2 countries.

9 sites in 2 countries

Slovakia8 sites
  • GSK Investigational Site

    Cífer, 919 43

  • GSK Investigational Site

    Dolný Kubín, 026 01

  • GSK Investigational Site

    Dunajská Streda, 929 01

  • GSK Investigational Site

    Nová Dubnica, 018 51

  • GSK Investigational Site

    Nové Mesto nad Váhom, 915 01

  • GSK Investigational Site

    Púchov, 020 01

  • GSK Investigational Site

    Ružomberok, 034 01

  • GSK Investigational Site

    Trenčín, 911 01

Other trials in Slovakia

Estonia1 site
  • GSK Investigational Site

    Tartu, 50106

Other trials in Estonia

About this study

Official title: Safety and Immunogenicity Study of GSK Biologicals' Pandemic Influenza (H1N1) Candidate Vaccine (GSK2340274A) in Children Aged 10 to Less Than 18 Years

The purpose of this study is to show that vaccination with a single dose of GSK Biologicals' pandemic H1N1 vaccine results in an immune response that meets or exceeds European Medicines Agency (EMEA) Committee for Medicinal Products for Human Use (CHMP) guidance criteria for a pandemic influenza vaccine.

Conditions
Influenza
Being tested
GSK Biologicals' Influenza investigational vaccine GSK2340274A, GSK Biologicals' Influenza investigational vaccine GSK2340273A, Placebo (saline)
Keywords
pandemic influenza, Clinical trial, H1N1, children
Medical subject headings
Influenza, Human

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • GSK Biologicals' Influenza investigational vaccine GSK2340274ABiological

    One or two doses administered intramuscularly

  • GSK Biologicals' Influenza investigational vaccine GSK2340273ABiological

    Two doses intramuscularly

  • Placebo (saline)Biological

    One dose intramuscularly

Study groups in NCT01035749
Study groupRoleWhat they receive
AREPANRIX-ADJUVANTED F1 2D GROUPExperimentalSubjects received 2 doses of Arepanrix ™ formulation 1 adjuvanted vaccine on Day 0 and Day 182 (booster) and one dose of saline placebo on Day 21.
Receives: Biological: GSK Biologicals' Influenza investigational vaccine GSK2340274A; Biological: Placebo (saline)
AREPANRIX-ADJUVANTED F2 2D GROUPExperimentalSubjects received 2 doses of Arepanrix ™ formulation 2 adjuvanted vaccine on Day 0 and Day 182 (booster) and one dose of saline placebo on Day 21.
Receives: Biological: GSK Biologicals' Influenza investigational vaccine GSK2340274A; Biological: Placebo (saline)
AREPANRIX-ADJUVANTED F2 3D GROUPExperimentalSubjects received 3 doses of Arepanrix ™ formulation 2 adjuvanted vaccine on Day 0, Day 21 and Day 182 (booster).
Receives: Biological: GSK Biologicals' Influenza investigational vaccine GSK2340274A
AREPANRIX-UNADJUVANTED F2 2D GROUPExperimentalSubjects received 2 doses of Arepanrix ™ unadjuvanted vaccine on Day 0 and Day 182 (booster) and one dose of saline placebo on Day 21.
Receives: Biological: GSK Biologicals' Influenza investigational vaccine GSK2340273A; Biological: Placebo (saline)

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Number of Subjects Seroconverted for HI Antibodies Against Flu A/CAL/7/09 H1N1 Strain

    Seroconversion defined as: - For initially seronegative subjects, antibody titre ≥ 1:40 after vaccination - For initially seropositive subjects, antibody titre after vaccination ≥ 4 fold the pre-vaccination antibody titre

    Measured: At Day 21

  2. Number of Subjects Seroprotected for HI Antibodies Against Flu A/CAL/7/09 H1N1 Strain

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

    Measured: At Day 0 and Day 21

  3. HI Antibody Seroconversion Factors Against Flu A/CAL/7/09 H1N1 Strain

    Seroconversion factors were defined as the fold increase in serum HI GMTs post-vaccination compared to Day 0.

    Measured: At Day 21

Secondary outcomes (25)
  1. HI Antibody Titres Against Flu A/CAL/7/09 H1N1 Strain

    Antibody titres were expressed as Geometric mean titers (GMTs).

    Measured: At Day 0 and Day 42

  2. HI Antibody Titres Against Flu A/CAL/7/09 H1N1 Strain

    Antibody titres were expressed as GMTs.

    Measured: At Day 0 and Day 182

  3. HI Antibody Titres Against Flu A/CAL/7/09 H1N1 Strain

    Antibody titres were expressed as Geometric mean titers (GMTs).

    Measured: At Days 0, 182 and 189

  4. Number of Subjects Seroconverted for HI Antibodies Against Flu A/CAL/7/09 H1N1 Strain

    A seroconverted subject was defined as a subject who had either a pre-vaccination titre below 1:10 and a post-vaccination titre greater than or equal to 1:40 or a pre-vaccination titre greater than or equal to 1:10 and at least a 4-fold increase in post-vaccination titre.

    Measured: At Day 42

  5. HI Antibody Titres Against Flu A/CAL/7/09 H1N1 Strain

    Antibody titers were expressed as GMTs.

    Measured: At Day 0 and Day 21

  6. Number of Subjects Seroconverted for HI Antibodies Against Flu A/CAL/7/09 H1N1 Strain

    A seroconverted subject was defined as a subject who had either a pre-vaccination titre below 1:10 and a post-vaccination titre greater than or equal to 1:40 or a pre-vaccination titre greater than or equal to 1:10 and at least a 4-fold increase in post-vaccination titre.

    Measured: At Day 182

  7. Number of Subjects Seroconverted for HI Antibodies Against Flu A/CAL/7/09 H1N1 Strain

    A seroconverted subject was defined as a subject who had either a pre-vaccination titre below 1:10 and a post-vaccination titre greater than or equal to 1:40 or a pre-vaccination titre greater than or equal to 1:10 and at least a 4-fold increase in post-vaccination titre. Day 0 was used as reference activity.

    Measured: At Day 189

  8. Number of Subjects Seroconverted for HI Antibodies Against Flu A/CAL/7/09 H1N1 Strain

    A seroconverted subject was defined as a subject who had either a pre-vaccination titer below 1:10 and a post-vaccination titer greater than or equal to 1:40 or a pre-vaccination titer greater than or equal to 1:10 and at least a 4-fold increase in post-vaccination titer. Day 182 was used as reference activity.

    Measured: At Day 189

  9. The Number of Subjects Seroprotected for HI Antibodies Against Flu A/CAL/7/09 H1N1

    A seroprotected subject was defined as a subject with a serum HI titre greater than or equal to 1:40 that usually is accepted as indicating protection.

    Measured: At Day 0 and Day 42

  10. Number of Subjects Seroprotected to HI Antibodies Against Flu A/CAL/7/09 H1N1

    A seroprotected subject was defined as a subject with a serum HI titre greater than or equal to 1:40 that usually is accepted as indicating protection.

    Measured: At Day 0 and Day 182

  11. Number of Subjects Seroprotected to HI Antibodies Against Flu A/CAL/7/09 H1N1

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

    Measured: At Day 0, Day 182 and Day 189

  12. Geometric Mean Fold Rise (GMFR) for HI Antibodies Against Flu A/CAL/7/09 H1N1

    GMFR (also known as the seroconversion factor, SCF) was defined as the geometric mean of the within-subject ratios of the post-vaccination reciprocal HI titer to the pre-vaccination reciprocal HI titer for the vaccine virus.

    Measured: At Day 42

  13. GMFR for HI Antibodies Against Flu A/CAL/7/09 H1N1

    GMFR (also known as the seroconversion factor, SCF) was defined as the geometric mean of the within-subject ratios of the post-vaccination reciprocal HI titer to the pre-vaccination reciprocal HI titer for the vaccine virus.

    Measured: At Day 182

  14. GMFR for HI Antibodies Against Flu A/CAL/7/09 H1N1 Using Day 0 as Reference Activity

    GMFR (also known as the seroconversion factor, SCF) was defined as the geometric mean of the within-subject ratios of the post-vaccination reciprocal HI titer to the pre-vaccination reciprocal HI titer for the vaccine virus.

    Measured: At Day 189

  15. GMFR for HI Antibodies Against Flu A/CAL/7/09 H1N1 Using Day 182 as Reference Activity

    GMFR (also known as the seroconversion factor, SCF) was defined as the geometric mean of the within-subject ratios of the post-vaccination reciprocal HI titer to the pre-vaccination reciprocal HI titer for the vaccine virus.

    Measured: At Day 189

  16. Number of Subjects Reporting Any and Grade 3 Solicited Local Adverse Events (AEs)

    Any was defined as occurrence of any local symptom regardless of their intensity grade.Grade 3 redness and swelling was > 100 millimeter (mm) and grade 3 pain was defined as pain that prevented normal activity.

    Measured: During the 7-day (Days 0-6) post-vaccination period following each dose

  17. Number of Subjects Reporting Any and Grade 3 Solicited Local AEs

    Any was defined as occurrence of any local symptom regardless of their intensity grade.Grade 3 redness and swelling was > 100 millimeter (mm) and grade 3 pain was defined as pain that prevented normal activity

    Measured: During the 7-day (Days 0-6) post-vaccination period following booster dose

  18. Number of Subjects Reporting Any, Grade 3 and Related Solicited General AEs

    Solicited general symptoms assessed were arthralgia, fatigue, gastrointestinal, headache, myalgia, shivering, sweating and fever (Fever = axillary temperature equal to or above 38.0 degrees Celsius (°C)). 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 equal to or above (≥) 39.0°C.

    Measured: During the 7-day (Days 0-6) post-vaccination period following each dose

  19. Number of Subjects Reporting Any, Grade 3 and Related Solicited General AEs

    Solicited general symptoms assessed were arthralgia, fatigue, gastrointestinal, headache, myalgia, shivering, sweating and fever (Fever = axillary temperature equal to or above 38.0 degrees Celsius (°C)). 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 equal to or above (≥) 39.0°C.

    Measured: During the 7-day (Days 0-6) post-vaccination period following booster dose

  20. Number of Subjects Reporting Any Medically Attended Events (MAEs)

    MAEs were defined as events for which the subject received medical attention defined as hospitalization, an emergency room visit or a visit to or from medical personnel (medical doctor) for any reason.

    Measured: During the entire study period (Days 0-364) following the first vaccination

  21. Number of Subjects Reporting Potential Immune-Mediated Diseases (pIMDs)

    pIMDs were defined as a subset of AEs that included both clearly autoimmune diseases and also other inflammatory and/or neurologic disorders which may or may not have an autoimmune etiology.

    Measured: During the entire study period (Days 0-364) following first vaccination

  22. Number of Subjects With Normal and Abnormal Hematological and Biochemical Parameters Assessed With Respect to Normal Laboratory Ranges

    Subjects were categorized according to their results at pre-vaccination (PRE), Day 21, Day 42, Day 182 and Day 189 which were within normal, above normal, below the normal ranges or unknown. The laboratory parameters assessed were Alanine aminotransferase (ALAT), Aspartate aminotransferase (ASAT), Total Bilirubin, Creatinine, Hematocrit, Hemoglobin, Platelets, Blood urea nitrogen (BUN) and White blood cells (WBCs).

    Measured: At Days 0, 21, 42, 182 and 189

  23. Number of Subjects Reporting Any Unsolicited AEs

    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 any symptom regardless of intensity or relationship to vaccination.

    Measured: During the 42-day (Days 0-41) follow up period after first vaccination.

  24. Number of Subjects Reporting Any Unsolicited AEs

    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 any symptom regardless of intensity or relationship to vaccination.

    Measured: During the 21-day (Days 0-20) follow-up period after booster vaccination.

  25. Number of Subjects Reporting Serious Adverse Events (SAEs)

    SAEs: medical occurrences that result in death, are life threatening, require hospitalization or prolongation of hospitalization, result in disability/incapacity or are a congenital anomaly/birth defect in the offspring of a study subject.

    Measured: During the entire study period (Day 0 to Day 364)

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted21 Dec 2009 (estimated)
  2. Study start1 Feb 2010
  3. Primary completion27 Sep 2010
  4. Study completion10 May 2011

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 2
Primary purpose
Prevention
Allocation
Randomised
Intervention model
Parallel groups
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
310 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT01035749
Sponsor's protocol ID
113883
Status last verified
Nov 2016
First submitted
17 Dec 2009
Last updated
17 Aug 2018
Individual data sharing
Yes: Patient-level data for this study will be made available through www.clinicalstudydatarequest.com following the timelines and process described on this site.

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing GSK Biologicals' Influenza investigational vaccine GSK2340274A and GSK Biologicals' Influenza investigational vaccine GSK2340273A in people with Influenza, run by GlaxoSmithKline at 9 sites in 2 countries.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 5 inclusion and 16 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 17 Aug 2018. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 9 sites in Slovakia, Estonia. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

Yes. Results are posted in the registry (first posted 25 Jan 2017). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Number of Subjects Seroconverted for HI Antibodies Against Flu A/CAL/7/09 H1N1 Strain (time frame: At Day 21). The study lists 3 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 17 Aug 2018.

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