Influenza, HumanPhase 3NCT02107807
Safety and Immunogenicity of Two Doses of aH5N1 Vaccine in Adult and Elderly Subjects With and Without Immunosuppressive Conditions *aH5N1:Monovalent H5N1 Influenza Vaccine
A Phase 3 study testing Novartis Investigational H5N1 vaccine and Novartis Seasonal Influenza Vaccine in people with Influenza, Human and Flu, Human, run by Seqirus at 17 sites in 3 countries.
Trial summary
Evaluate the safety, immune response and reactogenicity of aH5N1 vaccination in adult (18 through 60 years of age) and elderly (≥61 years of age) subjects with and without immunosuppressive conditions. Read more about this study
- Who is it for?
- Ages 18 years and olderHealthy volunteers can take part
- Conditions the study is for
- Influenza, Human, Flu, Human, Flu, Avian
- What is being tested?
- Novartis Investigational H5N1 vaccine and Novartis Seasonal Influenza Vaccine
- Type of treatment
- Vaccines
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 539 participants
- Where
- 17 sitesin 3 countries
- Study dates
- Apr 2014to May 2015
- Phase
- Phase 3
- 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 18 years and older
- All sexes
- Healthy volunteers accepted
- Adult, Older adult
Who may be able to join
- Male and female individuals 18 years of age and older at the time of enrollment who are mentally competent, willing and able to understand the nature and risks of the proposed study, and able to sign the consent form prior to study entry;
- Individuals who are able to comply with all study procedures and requirements;
- Healthy volunteers and volunteers specifically HIV positive, transplant recipients, cancer patients may be eligible;
- Please contact the site for additional eligibility criteria.
Who cannot join
- Individuals who are not able to follow all the required study procedures for the whole period of the study;
- Individuals with behavioral or cognitive impairment or psychiatric disease that, in the opinion of the Investigator, may interfere with the subject's ability to participate in the study;
- Please contact the site for additional eligibility criteria.
Trial locations and contacts
17 sites in 3 countries.
17 sites in 3 countries
Italy10 sites
007, Novartis Investigational Site
Aviano, Padova, 33080
005, Novartis Investigational Site
Chieti, Chieti, 66013
008, Novartis Investigational Site
Chieti, Chieti, 66013
082, Novartis Investigational Site
Fossacesia, Chieti, 66022
081, Novartis Investigational Site
Lanciano, Chieti, 66034
001, Novartis Investigational Site
Milan, 20127
002, Novartis Investigational Site
Milan, 20157
003, Novartis Investigational Site
Monza, Milan, 20052
004, Novartis Investigational Site
Parma, Parma, 43100
006, Novartis Investigational Site
San Daniele del Friuli, Udine, 33038
Germany4 sites
302, Novartis Investigational Site
Hamburg, Free and Hanseatic City of Hamburg, 39120
301, Novartis Investigational Site
Magdeburg, Saxony-Anhalt, 39120
304, Novartis Investigational Site
Rostock, Mecklenburg-Vorpommern, 18057
303, Novartis Investiagtional Site
Würzburg, Bavaria, 97070
Australia3 sites
102, Novartis Investigational Site
Darlinghurst, New South Wales, 2010
103, Novartis Investigational Site
Darlinghurst, New South Wales, 2010
101, Novartis Investigational Site
Merewether, New South Wales, 2291
About this study
Official title: A Phase III, Stratified, Randomized, Controlled, Observer-Blind, Multicenter Study to Evaluate the Safety, Tolerability, and Immunogenicity of Two Doses of aH5N1when Administered to Adult and Elderly Subjects With and Without Immunosuppressive Conditions
Evaluate the safety, immune response and reactogenicity of aH5N1 vaccination in adult (18 through 60 years of age) and elderly (≥61 years of age) subjects with and without immunosuppressive conditions.
- Being tested
- Novartis Investigational H5N1 vaccine, Novartis Seasonal Influenza Vaccine
- Keywords
- Influenza,, H5N1, aH5N1, H5N1 vaccine, Pandemic Influenza vaccine, MF59, Adjuvant, Avian flu, Underlying Immunosuppressive, immunosuppressive conditions, Pandemic vaccine, Adjuvanted vaccine
- Medical subject headings
- Influenza, Human, Influenza in Birds
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Novartis Investigational H5N1 vaccineBiological
2 doses of 0.5 ml, 3 weeks apart
Novartis Investigational H5N1 vaccineBiological
2 doses of 0.5 ml, 3 weeks apart
Novartis Seasonal Influenza VaccineBiological
2 doses of 0.5 ml, 3 weeks apart
Novartis Seasonal Influenza VaccineBiological
2 doses of 0.5 ml, 3 weeks apart
| Study group | Role | What they receive |
|---|---|---|
| Arm 1: aH5N1 adult | Experimental | aH5N1 healthy and non-healthy adults Receives: Biological: Novartis Investigational H5N1 vaccine |
| Arm 2: aH5N1 elderly | Experimental | aH5N1 healthy and non-healthy elderly Receives: Biological: Novartis Investigational H5N1 vaccine |
| Arm 4: aTIV elderly | Active comparator | aTIV healthy and non-healthy elderly Receives: Biological: Novartis Seasonal Influenza Vaccine |
| Arm 3: aTIV adult | Active comparator | aTIV healthy and non-healthy adults Receives: Biological: Novartis Seasonal Influenza Vaccine |
What is being measured
The primary outcome is the main question the study is designed to answer.
Percentage of subjects achieving seroconversion*
*seroconversion: (defined as HI ≥1:40 for subjects who were seronegative at baseline [day 1 HI titer <1:10] or a minimum 4-fold increase in HI titer for subjects who were seropositive at baseline [day 1 HI titer
≥1:10]) on day 43.
Measured: day 43
Geometric mean ratios (GMRs) as determined by HI assay
Measured: day 43
Percentage of subjects with an HI titer ≥1:40
Measured: day 43
Solicited and unsolicited adverse events
In pooled age groups 18 years of age and older subjects who are healthy or with underlying medical condition who have received aTIV or aH5N1 vaccine.
Measured: day 202
Secondary outcomes (18)
Geometric mean titers as determined by Hemagglutination Inhibition
Measured: Day 1
Geometric mean titers as determined by Hemagglutination Inhibition
Measured: Day 22
Geometric mean titers as determined by Hemagglutination Inhibition
Measured: Day 43
Geometric mean titers as determined by Single Radial Hemolysis
Measured: Day 1
Geometric mean titers as determined by Single Radial Hemolysis
Measured: Day 22
Geometric mean titers as determined by Single Radial Hemolysis
Measured: Day 43
Geometric Mean Ratio as determined by Hemagglutination Inhibition
Measured: Day 22
Geometric Mean Ratio as determined by Hemagglutination Inhibition
Measured: Day 43
Geometric Mean Ratio as determined by Single Radial Hemolysis
Measured: Day 22
Geometric Mean Ratio as determined by Single Radial Hemolysis
Measured: Day 43
Percentage of subjects achieving seroconversion determined by HI
seroconversion is defined as HI ≥1:40 for subjects who were seronegative at baseline [day 1 HI titer <1:10] or a minimum 4-fold increase in HI titer for subjects who were seropositive at baseline [day 1 HI titer ≥1:10]) on days 22
Measured: Day 22
Percentage of subjects achieving seroconversion determined by SRH
seroconversion (defined as SRH area ≥25 mm2 for subjects who were seronegative at baseline [day 1 SRH area ≤3.997 mm2] or a significant increase [at least 50% increase] in SRH area for subjects who were seropositive at baseline [SRH area >3.997 mm2]) on days 22, 43
Measured: Day 22
Percentage of subjects achieving seroconversion determined by SRH
seroconversion is defined as SRH area ≥25 mm2 for subjects who were seronegative at baseline [day 1 SRH area ≤3.997 mm2] or a significant increase [at least 50% increase] in SRH area for subjects who were seropositive at baseline [SRH area >3.997 mm2]) on days 22, 43
Measured: Day 43
Percentage of subjects with an HI titer ≥1:40
Measured: Day 1
Percentage of subjects with an HI titer ≥1:40
Measured: Day 22
Percentage of subjects with geometric mean area ≥25 mm2
Measured: Day 1
Percentage of subjects with geometric mean area ≥25 mm2
Measured: Day 22
Percentage of subjects with geometric mean area ≥25 mm2
Measured: Day 43
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted8 Apr 2014 (estimated)
- Study startApr 2014
- Primary completionMay 2015
- Study completionMay 2015
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (3)Papers the sponsor has linked to this study.
- Other trials for Influenza, HumanStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
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 3
- Primary purpose
- Prevention
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Double blind
- Who is masked
- Participant, Investigator
- Enrolment
- 539 participants (actual)
Sponsor and investigators
- Lead sponsor
- Seqirus
- Sponsor type
- Industry (pharma, biotech, devices)
- Collaborators
- Novartis Vaccines
- Responsible party
- Sponsor
- Investigators
- Novartis Vaccines, Study chair, Novartis Vaccines
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT02107807
- Sponsor's protocol ID
- V87_26
- Other IDs
- 2011-003573-28
- Status last verified
- May 2016
- First submitted
- 7 Mar 2014
- Last updated
- 9 May 2016
- Results posted
- No
- Data monitoring committee
- No
Publications
Podda A. The adjuvanted influenza vaccines with novel adjuvants: experience with the MF59-adjuvanted vaccine. Vaccine. 2001 Mar 21;19(17-19):2673-80. doi: 10.1016/s0264-410x(00)00499-0.
PubMed 11257408Atmar RL, Keitel WA, Patel SM, Katz JM, She D, El Sahly H, Pompey J, Cate TR, Couch RB. Safety and immunogenicity of nonadjuvanted and MF59-adjuvanted influenza A/H9N2 vaccine preparations. Clin Infect Dis. 2006 Nov 1;43(9):1135-42. doi: 10.1086/508174. Epub 2006 Sep 25.
PubMed 17029131Banzhoff A, Gasparini R, Laghi-Pasini F, Staniscia T, Durando P, Montomoli E, Capecchi PL, di Giovanni P, Sticchi L, Gentile C, Hilbert A, Brauer V, Tilman S, Podda A. MF59-adjuvanted H5N1 vaccine induces immunologic memory and heterotypic antibody responses in non-elderly and elderly adults. PLoS One. 2009;4(2):e4384. doi: 10.1371/journal.pone.0004384. Epub 2009 Feb 6.
PubMed 19197383
Study at a glance
From the registry record, last updated by the sponsor on 9 May 2016. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Phase III, Stratified, Randomized, Controlled, Observer-Blind, Multicenter Study to Evaluate the Safety, Tolerability, and Immunogenicity of Two Doses of aH5N1when Administered to Adult and Elderly Subjects With and Without Immunosuppressive Conditions
- ClinicalTrials.gov ID
- NCT02107807
- Acronym / sponsor ID
- V87_26
- Keywords
- Influenza,, H5N1, aH5N1, H5N1 vaccine, Pandemic Influenza vaccine, MF59, Adjuvant, Avian flu
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 539 participants (actual)
- Lead sponsor
- SeqirusIndustry (pharma, biotech, devices)
- Collaborators
- Novartis Vaccines
- Study start
- Apr 2014
- Primary completion
- May 2015 (actual)
- Study completion
- May 2015 (actual)
- First posted
- 8 Apr 2014 (estimated)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
Evaluate the safety, immune response and reactogenicity of aH5N1 vaccination in adult (18 through 60 years of age) and elderly (≥61 years of age) subjects with and without immunosuppressive conditions.
Study design
- Primary purpose
- Prevention
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Double blind (participant, investigator)
- Number of arms
- 4
| Arm | Type | Receives |
|---|---|---|
| Arm 1: aH5N1 adult | Experimental | Biological: Novartis Investigational H5N1 vaccineaH5N1 healthy and non-healthy adults |
| Arm 2: aH5N1 elderly | Experimental | Biological: Novartis Investigational H5N1 vaccineaH5N1 healthy and non-healthy elderly |
| Arm 4: aTIV elderly | Active comparator | Biological: Novartis Seasonal Influenza VaccineaTIV healthy and non-healthy elderly |
| Arm 3: aTIV adult | Active comparator | Biological: Novartis Seasonal Influenza VaccineaTIV healthy and non-healthy adults |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (4 listed)
- Male and female individuals 18 years of age and older at the time of enrollment who are mentally competent, willing and able to understand the nature and risks of the proposed study, and able to sign the consent form prior to study entry;
- Individuals who are able to comply with all study procedures and requirements;
- Healthy volunteers and volunteers specifically HIV positive, transplant recipients, cancer patients may be eligible;
- Please contact the site for additional eligibility criteria.
Key exclusion criteria (3 listed)
- Individuals who are not able to follow all the required study procedures for the whole period of the study;
- Individuals with behavioral or cognitive impairment or psychiatric disease that, in the opinion of the Investigator, may interfere with the subject's ability to participate in the study;
- Please contact the site for additional eligibility criteria.
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Novartis Investigational H5N1 vaccine2 doses of 0.5 ml, 3 weeks apart | Biological | Arm 1: aH5N1 adult |
| Novartis Investigational H5N1 vaccine2 doses of 0.5 ml, 3 weeks apart | Biological | Arm 2: aH5N1 elderly |
| Novartis Seasonal Influenza Vaccine2 doses of 0.5 ml, 3 weeks apart | Biological | Arm 4: aTIV elderly |
| Novartis Seasonal Influenza Vaccine2 doses of 0.5 ml, 3 weeks apart | Biological | Arm 3: aTIV adult |
Primary outcome
Percentage of subjects achieving seroconversion*
Time frame: day 43
*seroconversion: (defined as HI ≥1:40 for subjects who were seronegative at baseline [day 1 HI titer <1:10] or a minimum 4-fold increase in HI titer for subjects who were seropositive at baseline [day 1 HI titer ≥1:10]) on day 43.
Geometric mean ratios (GMRs) as determined by HI assay
Time frame: day 43
Percentage of subjects with an HI titer ≥1:40
Time frame: day 43
Solicited and unsolicited adverse events
Time frame: day 202
In pooled age groups 18 years of age and older subjects who are healthy or with underlying medical condition who have received aTIV or aH5N1 vaccine.
18 secondary outcomes
Geometric mean titers as determined by Hemagglutination Inhibition
Time frame: Day 1
Geometric mean titers as determined by Hemagglutination Inhibition
Time frame: Day 22
Geometric mean titers as determined by Hemagglutination Inhibition
Time frame: Day 43
Geometric mean titers as determined by Single Radial Hemolysis
Time frame: Day 1
Geometric mean titers as determined by Single Radial Hemolysis
Time frame: Day 22
Geometric mean titers as determined by Single Radial Hemolysis
Time frame: Day 43
Geometric Mean Ratio as determined by Hemagglutination Inhibition
Time frame: Day 22
Geometric Mean Ratio as determined by Hemagglutination Inhibition
Time frame: Day 43
Geometric Mean Ratio as determined by Single Radial Hemolysis
Time frame: Day 22
Geometric Mean Ratio as determined by Single Radial Hemolysis
Time frame: Day 43
Percentage of subjects achieving seroconversion determined by HI
Time frame: Day 22
Percentage of subjects achieving seroconversion determined by SRH
Time frame: Day 22
Percentage of subjects achieving seroconversion determined by SRH
Time frame: Day 43
Percentage of subjects with an HI titer ≥1:40
Time frame: Day 1
Percentage of subjects with an HI titer ≥1:40
Time frame: Day 22
Percentage of subjects with geometric mean area ≥25 mm2
Time frame: Day 1
Percentage of subjects with geometric mean area ≥25 mm2
Time frame: Day 22
Percentage of subjects with geometric mean area ≥25 mm2
Time frame: Day 43
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 9 May 2016.
- Background: PubMed 11257408Podda A. The adjuvanted influenza vaccines with novel adjuvants: experience with the MF59-adjuvanted vaccine. Vaccine. 2001 Mar 21;19(17-19):2673-80. doi: 10.1016/s0264-410x(00)00499-0.
- Background: PubMed 17029131Atmar RL, Keitel WA, Patel SM, Katz JM, She D, El Sahly H, Pompey J, Cate TR, Couch RB. Safety and immunogenicity of nonadjuvanted and MF59-adjuvanted influenza A/H9N2 vaccine preparations. Clin Infect Dis. 2006 Nov 1;43(9):1135-42. doi: 10.1086/508174. Epub 2006 Sep 25.
- Background: PubMed 19197383Banzhoff A, Gasparini R, Laghi-Pasini F, Staniscia T, Durando P, Montomoli E, Capecchi PL, di Giovanni P, Sticchi L, Gentile C, Hilbert A, Brauer V, Tilman S, Podda A. MF59-adjuvanted H5N1 vaccine induces immunologic memory and heterotypic antibody responses in non-elderly and elderly adults. PLoS One. 2009;4(2):e4384. doi: 10.1371/journal.pone.0004384. Epub 2009 Feb 6.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Novartis Vaccines study chair
Novartis Vaccines
17 sites in 3 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing Novartis Investigational H5N1 vaccine and Novartis Seasonal Influenza Vaccine in people with Influenza, Human and Flu, Human, run by Seqirus at 17 sites in 3 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 4 inclusion and 3 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 9 May 2016. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 17 sites in Italy, Germany, Australia. 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 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.
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?
Percentage of subjects achieving seroconversion* (time frame: day 43). The study lists 4 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 NCT02107807, which also lists 3 linked publications.
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 9 May 2016.