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InfluenzaPhase 1NCT01934127

Immunogenicity and Safety Study of Different Formulations of GlaxoSmithKline (GSK) Biologicals H7N1 Influenza Vaccine Administered to Adults 21 to 64 Years of Age

A Phase 1 study testing Investigational H7N1 vaccine GSK2789869A and Investigational H7N1 vaccine GSK2789868A 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 evaluate the safety and immunogenicity of different formulations of GSK Biologicals H7N1 influenza vaccine in subjects 21 to 64 years of age. The study will evaluate safety related events and antibody immune responses to different formulations of study vaccine and placebo. Read more about this study

Who is it for?
Ages 21 to 64 yearsHealthy volunteers can take part
Conditions the study is for
Influenza
What is being tested?
Investigational H7N1 vaccine GSK2789869A and Investigational H7N1 vaccine GSK2789868A
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
427 participants
Where
9 sitesin 2 countries
Study dates
26 Aug 2013to 20 Oct 2014
Phase
Phase 1
Are there results?
None posted in the registry

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 21 to 64 years
  • All sexes
  • Healthy volunteers accepted
  • Adult

Who may be able to join

  • Male or female adults who are 21 to 64 years of age (inclusive) at the time of first study vaccination.
  • Written informed consent obtained from the subject.
  • Subjects who the investigator believes can and will comply with the requirements of the protocol.
  • Healthy subjects as established by medical history and physical examination.
  • Access to a consistent means of telephone contact, which may be either in the home or at the workplace, land line or mobile, but NOT a pay phone or other multiple-user device.
  • For subjects who undergo a screening visit, results of all safety laboratory tests obtained at the screening visit must be within reference ranges. Results of any repeat testing cannot be used to qualify a subject for enrollment.
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  • Female subjects of non-childbearing potential may be enrolled in the study. Non-childbearing potential is defined as current tubal ligation, hysterectomy, ovariectomy or post-menopause.
  • Female subjects of childbearing potential may be enrolled in the study, if they
  • have practiced adequate contraception for 30 days prior to vaccination, and
  • have a negative pregnancy test on the day of vaccination, and
  • agree to continue to practice adequate contraception until 2 months after the last dose administered.

Who cannot join

  • Presence or evidence of neurological or psychiatric diagnoses which, although stable, are deemed by the investigator to render the potential subject unable/unlikely to provide accurate safety reports.
  • Presence or evidence of substance abuse.
  • Diagnosed with cancer, or treatment for cancer within three years.
  • Persons with a history of cancer who are disease-free without treatment for three years or more are eligible.
  • Persons with a history of histologically-confirmed basal cell carcinoma of the skin successfully treated with local excision only are excepted and are eligible, but other histologic types of skin cancer are exclusionary.
  • Women who are disease-free three years or more after treatment for breast cancer and receiving long-term prophylaxis are eligible.
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  • Diagnosed with excessive daytime sleepiness (unintended sleep episodes during the day present almost daily for at least one month), or narcolepsy.
  • History of narcolepsy in subject's parent, sibling or child
  • Presence of a temperature ≥ 38.0ºC (≥100.4ºF), 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, and all other eligibility criteria continue to be satisfied.
  • Any confirmed or suspected immunosuppressive or immunodeficient condition including history of human immunodeficiency virus (HIV) infection.
  • Receipt of systemic glucocorticoids within 30 days prior to the first dose of study vaccine/placebo, or any other cytotoxic, immunosuppressive or immune-modifying drugs within 6 months of first study vaccine/ placebo dose. Topical, intra-articularly injected, or inhaled glucocorticoids, topical calcineurin inhibitors or imiquimod are allowed.
  • Any significant disorder of coagulation or treatment with warfarin derivatives or heparin. Persons receiving individual doses of low molecular weight heparin outside of 24 hours prior to vaccination are eligible. Persons receiving prophylactic antiplatelet medications, e.g., low-dose aspirin, and without a clinically-apparent bleeding tendency, are eligible.
  • An acute evolving neurological disorder or Guillain Barré Syndrome within 42 days of receipt of prior seasonal or pandemic influenza vaccine.
  • Administration of an inactive vaccine within 14 days or of a live attenuated vaccine within 30 days before the first dose of study vaccine/placebo.
  • Planned administration of any vaccine other than the study vaccine/placebo before blood sampling at the Day 42 visit.
  • Previous administration of any H7 vaccine or physician-confirmed H7 disease.
  • Use of any investigational or non-registered product other than the study vaccine within 30 days preceding the first dose of study vaccine/placebo, or planned use during the study period.
  • Receipt of any immunoglobulins and/or any blood products within 90 days before the first dose of study vaccine/placebo, or planned administration of any of these products during the study period.
  • Any known or suspected allergy to any constituent of influenza vaccines or component used in the manufacturing process of the study vaccine including a history of anaphylactic-type reaction to consumption of eggs; or a history of severe adverse reaction to a previous influenza vaccine.
  • Known pregnancy or a positive urine beta-human chorionic gonadotropin (β-hCG) test result before the first dose of study vaccine/placebo.
  • Lactating or nursing women.
  • Any condition which, in the opinion of the investigator, prevents the subject from participating in the study.

Trial locations and contacts

9 sites in 2 countries.

9 sites in 2 countries

United States6 sites
  • GSK Investigational Site

    Austin, Texas, 78705

  • GSK Investigational Site

    Cleveland, Ohio, 44122

  • GSK Investigational Site

    Las Vegas, Nevada, 89104

  • GSK Investigational Site

    Miami, Florida, 33143

  • GSK Investigational Site

    Rochester, New York, 14609

  • GSK Investigational Site

    Stockbridge, Georgia, 30281

Other trials in United States

Canada3 sites
  • GSK Investigational Site

    Greater Sudbury, Ontario, P3E 1H5

  • GSK Investigational Site

    Toronto, Ontario, M9W 4L6

  • GSK Investigational Site

    Truro, Nova Scotia, B2N 1L2

Other trials in Canada

About this study

Official title: An Observer-blind Study to Evaluate the Safety and Immunogenicity of GSK Biologicals' Influenza Vaccine(s) GSK2789869A and GSK2789868A Administered in Adults 21 to 64 Years of Age

The purpose of this study is to evaluate the safety and immunogenicity of different formulations of GSK Biologicals H7N1 influenza vaccine in subjects 21 to 64 years of age. The study will evaluate safety related events and antibody immune responses to different formulations of study vaccine and placebo.

Conditions
Influenza
Being tested
Investigational H7N1 vaccine GSK2789869A, Investigational H7N1 vaccine GSK2789868A, Placebo
Keywords
Immunogenicity, H7N1, Influenza, Safety, AS03 adjuvant, Adults
Medical subject headings
Influenza, Human

What participants receive

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

  • Investigational H7N1 vaccine GSK2789869ABiological

    One dose of GSK2789869A H7N1 vaccine administered intramuscularly at the deltoid region of the non-dominant arm at Day 0 while second dose of GSK2789869A H7N1 vaccine administered intramuscularly at the deltoid region of the dominant arm at Day 21

  • Investigational H7N1 vaccine GSK2789868ABiological

    One dose of GSK2789868A H7N1 vaccine administered intramuscularly at the deltoid region of the non-dominant arm at Day 0 while the second dose of GSK2789868A H7N1 vaccine administered intramuscularly at the deltoid region of the dominant arm at Day 21

  • PlaceboBiological

    One dose of placebo administered intramuscularly at the deltoid region of the non-dominant arm at Day 0 while the second dose of placebo administered intramuscularly at the deltoid region of the dominant arm at Day 21

Study groups in NCT01934127
Study groupRoleWhat they receive
Formulation 1 GroupExperimentalSubjects in this group will receive two doses of GSK2789869A H7N1 vaccine formulation 1 at a 21 day interval
Receives: Biological: Investigational H7N1 vaccine GSK2789869A
Formulation 2 GroupExperimentalSubjects in this group will receive two doses of GSK2789869A H7N1 vaccine formulation 2 at a 21 day interval
Receives: Biological: Investigational H7N1 vaccine GSK2789869A
Formulation 3 GroupExperimentalSubjects in this group will receive two doses of GSK2789869A H7N1 vaccine formulation 3 at a 21 day interval
Receives: Biological: Investigational H7N1 vaccine GSK2789869A
Formulation 4 GroupExperimentalSubjects in this group will receive two doses of GSK2789869A H7N1 vaccine formulation 4 at a 21 day interval
Receives: Biological: Investigational H7N1 vaccine GSK2789869A
Formulation 5 GroupExperimentalSubjects in this group will receive two doses of GSK2789868A H7N1 vaccine formulation 5 at a 21 day interval
Receives: Biological: Investigational H7N1 vaccine GSK2789868A
Placebo GroupPlacebo comparatorSubjects in this group will receive two doses of placebo at a 21 day interval
Receives: Biological: Placebo

What is being measured

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

  1. Humoral immune response in terms of vaccine-homologous hemagglutination inhibition (HI) antibody titers for each adjuvanted H7N1 vaccine group

    The following aggregate variables will be calculated: Seroconversion rates (SCR); Seroprotection rates (SPR); Mean Geometric Increase (MGI);

    Measured: At Day 42

  2. Occurrence of each solicited local symptom

    Measured: During a 7-day follow-up period (i.e., day of vaccination and 6 subsequent days) after each vaccination

  3. Occurrence of each solicited general symptom

    Measured: During a 7-day follow-up period (i.e., day of vaccination and 6 subsequent days) after each vaccination

  4. Occurrence of clinical safety laboratory abnormalities reported for samples

    Measured: From Day 0 - 42 after each vaccination (i.e Days 0, 7 , 21, 28, 42)

  5. Occurrence of unsolicited adverse events

    Measured: 21 days after each dose

  6. Occurrence of Medically Attended Adverse Events (MAEs), potential Immune Mediated Diseases (pIMDs) and Serious Adverse Events (SAEs)

    Measured: From Day 0 until the Day 42 visit

Secondary outcomes (8)
  1. Humoral immune response in terms of Geometric mean reciprocal serum HI antibody titers (GMTs ratios)

    GMT ratios will be calculated for each adjuvanted (GSK2789869A) vaccine group which successfully meets Center for Biologics Evaluation and Research (CBER) and Committee for Medicinal Products for Human Use (CHMP) criteria, and for the unadjuvanted (GSK2789868A) plain antigen vaccine group

    Measured: At Day 42

  2. Humoral immune response in terms of vaccine-homologous HI antibody titers for the unadjuvanted (GSK2789868A) plain antigen vaccine group

    The following aggregate variables will be calculated : • SCR; • SPR; • MGI;

    Measured: At Day 42

  3. Vaccine-homologous (H7N1) HI antibody titers

    The following aggregate variables will be calculated for each study group: • GMTs; • Seropositivity rates; • SCR; • SPR; • MGI;

    Measured: • GMTs and Seropositivity rates at Days 0, 21, 42 and Months 6 and 12. • SCR and MGI at Day 21, 42 (Placebo group only) and Months 6 and 12. • SPR at Days 0, 21, 42 (Placebo group only) and Months 6 and 12.

  4. Vaccine-homologous (H7N1) HI antibody titers by age stratum

    The following aggregate variables will be calculated for each study group by age stratum (21-40 years; 41-64 years): • GMTs; • Seropositivity rates; • SCR; • SPR; • MGI;

    Measured: • GMTs, Seropositivity rates and SPR at Days 0, 21, 42 and Months 6 and 12. • SCR and MGI at Day 21, 42 and Months 6 and 12.

  5. Vaccine-heterologous (H7N9) HI antibody titers

    Measured: • GMTs and Seropositivity rates and SPR at Days 0, 21, 42 and Months 6 and 12. • SCR and MGI at Day 21, 42 and Months 6 and 12.

  6. Vaccine homologous (H7N1) and heterologous (H7N9) neutralizing (MN) antibody titers

    Measured: • GMTs and Seropositivity rates at Days 0, 21, 42 and Month 6. • VRR at Days 21, 42 and Month 6.

  7. Occurrence of MAEs, pIMDs and SAEs

    Measured: After the Day 42 visit until the Month 12 visit

  8. Humoral immune response in terms of SCR difference

    SCR difference will be calculated for each adjuvanted (GSK2789869A) vaccine group which successfully meets CBER and CHMP criteria, and for the unadjuvanted (GSK2789868A) plain antigen vaccine group

    Measured: At Day 42

Timeline

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

  1. First posted4 Sep 2013 (estimated)
  2. Study start26 Aug 2013
  3. Primary completion1 Nov 2013
  4. Study completion20 Oct 2014

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 1
Primary purpose
Prevention
Allocation
Randomised
Intervention model
Parallel groups
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
427 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT01934127
Sponsor's protocol ID
115415
Status last verified
May 2017
First submitted
1 Aug 2013
Last updated
8 May 2017
Results posted
No
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.

Publications

  • Madan A, Ferguson M, Sheldon E, Segall N, Chu L, Toma A, Rheault P, Friel D, Soni J, Li P, Innis BL, Schuind A. Immunogenicity and safety of an AS03-adjuvanted H7N1 vaccine in healthy adults: A phase I/II, observer-blind, randomized, controlled trial. Vaccine. 2017 Mar 7;35(10):1431-1439. doi: 10.1016/j.vaccine.2017.01.054. Epub 2017 Feb 7.

    PubMed 28187952

Questions about this trial

What is this clinical trial studying?

A Phase 1 study testing Investigational H7N1 vaccine GSK2789869A and Investigational H7N1 vaccine GSK2789868A 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 11 inclusion and 23 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 8 May 2017. 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 United States, Canada. 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. Some participants in this study may receive a placebo. 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 1 studies test a treatment in a small group of people for the first time or in a new way, mainly to check safety and find the right dose.

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

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

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?

Humoral immune response in terms of vaccine-homologous hemagglutination inhibition (HI) antibody titers for each adjuvanted H7N1 vaccine group (time frame: At Day 42). The study lists 6 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT01934127, which also lists 1 linked publication.

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 8 May 2017.

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Clinical Trial NCT01934127 | AzTrials