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A/Vietnam/H5N1 Influenza VirusPhase 2NCT02680002

Assess the Safety & Immunogenicity of Stored Inactivated Influenza H5N1 Virus Vaccine Given With & Without Stored MF59 Adjuvant

A Phase 2 study testing 7.5 mcg H5N1 (stored as monobulk), 15 mcg H5N1 (stored as monobulk) and 90 mcg H5N1 (stored as monobulk) in people with A/Vietnam/H5N1 Influenza Virus, run by Biomedical Advanced Research and Development Authority at 6 sites in United States.

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 main purpose of this study is to assess the usability of long-term stored H5N1 antigen and adjuvant. The study is designed to assist in stockpile management by assessing the safety, reactogenicity, and immunogenicity long-term stored influenza A/Vietnam/H5N1 vaccine when administered with or without MF59® adjuvant. Read more about this study

Who is it for?
Ages 18 to 49 yearsHealthy volunteers can take part
Conditions the study is for
A/Vietnam/H5N1 Influenza Virus
What is being tested?
7.5 mcg H5N1 (stored as monobulk), 15 mcg H5N1 (stored as monobulk) and 90 mcg H5N1 (stored as monobulk)
Type of treatment
Vaccines
Could I receive a placebo?
No, everyone receives an active treatment
How many people
422 participants
Where
6 sitesUnited States
Study dates
Mar 2016to 31 Mar 2017
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 18 to 49 years
  • All sexes
  • Healthy volunteers accepted
  • Adult

Who may be able to join

  • Male or nonpregnant female
  • Provide written informed consent prior to study-related procedures
  • Stable health status
  • Access to consistent and reliable means of telephone contact
  • Able to understand and comply with planned study procedures
  • Agree to stay in contact with site, and no plans to move from study area for study duration

Who cannot join

  • Allergic to eggs, other vaccine components, or squalene-based adjuvants
  • Women with positive pregnancy test within 24 hours of vaccination, or are breastfeeding
  • Females of childbearing potential who refuse acceptable birth control, if sexually active, have not used birth control for 2 months prior to study entry
  • Have immunosuppression or use anticancer chemotherapy or radiation therapy within preceding 36 months
  • Have an active neoplastic disease or history of hematologic malignancy
  • Have long term use (≥14 consecutive days) of glucocorticoids (>20 mg/day) or high-dose inhaled steroids (>800 mcg/day) within preceding 6 months
  • Diagnosis of schizophrenia, bipolar disease, or major psychiatric diagnosis
  • Have been hospitalized for psychiatric illness, attempted suicide or deemed danger to self or others within past 10 years

Trial locations and contacts

6 sites in 1 country.

6 sites in 1 country

United States6 sites
  • Radiant Research, Inc.

    Atlanta, Georgia, 30328

  • Clinical Research Advantage, Inc./Ridge Family Practice

    Council Bluffs, Iowa, 51503

  • Radiant Research, Inc.

    Edina, Minnesota, 55435

  • Johnson County Clin-Trials, Inc.

    Lenexa, Kansas, 66219

  • Central Kentucky Researcch Associates, Inc.

    Lexington, Kentucky, 40509

  • Rochester Clinical Research, Inc.

    Rochester, New York, 14609

Other trials in United States

About this study

Official title: Randomized, Double-Blinded, Phase 2 Study to Assess Safety & Immunogenicity of Stored Inactivated Monovalent Influenza A/Vietnam/H5N1 Virus Vaccine Administered Intramuscularly at Different Dose Levels Given With & Without Stored MF59® Adjuvant

The main purpose of this study is to assess the usability of long-term stored H5N1 antigen and adjuvant. The study is designed to assist in stockpile management by assessing the safety, reactogenicity, and immunogenicity long-term stored influenza A/Vietnam/H5N1 vaccine when administered with or without MF59® adjuvant.

Read the detailed description

This study is a randomized, double-blinded, Phase 2 study to assess the safety and immunogenicity of 2 doses of long-term stored inactivated monovalent influenza A/Vietnam/H5N1 virus vaccine administered intramuscularly with or without MF59 adjuvant in healthy males and nonpregnant females, aged 18 to 49 years, inclusive. This study is designed to assist in stockpile management and will assess the usability of long-term stored H5N1 antigen (ie, stored >10 years) and adjuvant (ie, stored >5 years).

Being tested
7.5 mcg H5N1 (stored as monobulk), 15 mcg H5N1 (stored as monobulk), 90 mcg H5N1 (stored as monobulk), 90 mcg H5N1 (stored in vials), MF59

What participants receive

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

  • 7.5 mcg H5N1 (stored as monobulk)Biological

  • 15 mcg H5N1 (stored as monobulk)Biological

  • 90 mcg H5N1 (stored as monobulk)Biological

  • 90 mcg H5N1 (stored in vials)Biological

  • MF59Other

  • MF59 (stored as monobulk)Other

Study groups in NCT02680002
Study groupRoleWhat they receive
7.5 mcg H5N1 (monobulk) Plus MF59 (monobulk)ExperimentalTwo 0.5-mL doses, given at Day 0 and 21 consisting of 7.5 mcg hemagglutinin (HA) antigen stored long-term as monobulk inactivated
Receives: Biological: 7.5 mcg H5N1 (stored as monobulk); Other: MF59 (stored as monobulk)
15 mcg H5N1 (monobulk) Plus MF59 (monobulk)ExperimentalTwo 0.5-mL doses, given at Day 0 and 21 consisting of 15 mcg HA antigen stored long-term as monobulk inactivated A/Vietnam/H5N1 vaccine and MF59 stored long-term as monobulk MF59 adjuvant
Receives: Biological: 15 mcg H5N1 (stored as monobulk); Other: MF59 (stored as monobulk)
7.5 mcg H5N1 (monobulk) Plus MF59 (vials)ExperimentalTwo 0.5-mL doses, given at Day 0 and 21 consisting of 7.5 mcg HA antigen stored long-term as monobulk inactivated A/Vietnam/H5N1 vaccine and MF59 stored short-term in vials as MF59 adjuvant
Receives: Biological: 7.5 mcg H5N1 (stored as monobulk); Other: MF59
15 mcg H5N1 (monobulk) Plus MF59 (vials)ExperimentalTwo 0.5-mL doses, given at Day 0 and 21 consisting of 15 mcg HA antigen stored long-term as monobulk inactivated A/Vietnam/H5N1 vaccine and MF59 stored short-term in vials as MF59 adjuvant
Receives: Biological: 15 mcg H5N1 (stored as monobulk); Other: MF59
90 mcg H5N1 (monobulk) without MF59ExperimentalTwo 1.0-mL doses at Day 0 and 21 consisting of 90 mcg HA antigen stored long-term as monobulk inactivated A/Vietnam/H5N1 antigen formulated and filled in 2015, administered without MF59
Receives: Biological: 90 mcg H5N1 (stored as monobulk)
90 mcg H5N1 (vials) without MF59ExperimentalTwo 1.0-mL doses at Day 0 and 21 consisting of 90 mcg HA antigen stored long-term in vials as inactivated A/Vietnam/H5N1 vaccine, administered without MF59
Receives: Biological: 90 mcg H5N1 (stored in vials)

What is being measured

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

  1. Number of Occurences of Mild, Moderate, or Severe Solicited Local Symptoms During the 7 Days After Each Vaccination.

    Occurence of mild, moderate, or severe solicited local symptoms during the 7 days (Days 0 to 7) following Dose 1

    Measured: Days 0 to 7

  2. Number of Occurences of Mild, Moderate, or Severe Solicited Local Symptoms During the 7 Days After Each Vaccination.

    Occurence of mild, moderate, or severe solicited local symptoms during the 7 days (Days 21 to 28) following Dose 2

    Measured: Days 21 to 28

  3. Number of Participants With >=1 (More Than or Equal to 1) Mild, Moderate, or Severe Solicited Local Symptoms During the 7 Days After Each Vaccination.

    Number of participants with >=1 mild, moderate, or severe solicited local symptoms during the 7 days (Days 0 to 7) following Dose 1

    Measured: Days 0 to 7

  4. Number of Participants With >=1 (More Than or Equal to 1) Mild, Moderate, or Severe Solicited Local Symptoms During the 7 Days After Each Vaccination.

    Number of participants with >=1 mild, moderate, or severe solicited local symptoms during the 7 days (Days 21 to 29) following Dose 2

    Measured: Days 21 to 28

  5. Number of Participants With Mild, Moderate, or Severe Solicited Systemic Reactogenicity Symptoms During the 7 Days After Each Vaccination.

    Number of participants with mild, moderate, or severe solicited systemic reactogenicity adverse events during the 7 days (Days 0 to 7) following Dose 1

    Measured: Days 0 to 7

  6. Number of Participants With of Mild, Moderate, or Severe Solicited Systemic Reactogenicity Symptoms During the 7 Days After Each Vaccination.

    Number of participants with of mild, moderate, or severe solicited systemic reactogenicity adverse events during the 7 days (Days 21 to 28) following Dose 2

    Measured: Days 21 to 28

  7. Geometric Mean Titer (GMT) of Hemagglutination Inhibition (HAI) Antibody

    Geometric Mean Titer (GMT) of hemagglutination inhibition (HAI) antibody against A/Vietnam/H5N1 antigen in each study group

    Measured: 21 days after receipt of second dose of vaccine (Day 42) (plus or minus 3 days)

Secondary outcomes (10)
  1. Number of Participants With Vaccine-associated Serious Adverse Events (SAE) or Adverse Event of Special Interests (AESI)

    Number of participants with vaccine-associated serious adverse events (SAE) or adverse event of special interests (AESI) and occurence of AESIs or AEs leading to study withdrawal

    Measured: First vaccination through 13 months

  2. Number of Participants With Adverse Events of Special Interest (AESI) or Adverse Events (AE) Leading to Study Withdrawal.

    Number of participants with adverse events of special interest (AESI) or adverse events (AE) leading to study withdrawal.

    Measured: First vaccination through approximately 13 months after first vaccination

  3. Number of Participants With Unsolicited Adverse Events (AE)

    Number of participants with unsolicited adverse events (AE) through Visit 8 (Day 201)

    Measured: Day 0 (Visit 1) through Day 201 (Visit 8)

  4. Frequency of Unsolicited Adverse Events (AE)

    Frequency of unsolicited adverse events (AE) for 21 days following Dose 1 (Days 0-21) and after Dose 2 (>21 Days)

    Measured: 21 days following each vaccination (Days 0-21, >21 Days)

  5. Occurrence of Clinical Safety Laboratory AEs

    Occurrence of clinical safety laboratory AEs at 7 and 21 days after each vaccination

    Measured: 7 and 21 days after each vaccination (Days 0, 7, 21, 28, and 42)

  6. GMT (Geometric Mean Titers) of Serum HAI (Hemagglutination Inhibition) Antibodies

    Overall GMTs of HAI antibodies at baseline (Day 0) and Days 21, 28 and 201

    Measured: Day 0 (Visit 1), Day 21 (Visit 4), Day 28 (Visit 6), Day 201 (Visit 8)

  7. GMT (Geometric Mean Titers) of Serum Microneutralization (MN) Antibodies

    GMT of serum MN antibodies at baseline (Day 0) and Days 21, 28, 42 and 201

    Measured: Day 0 (Visit 1), Day 21 (Visit 4), Day 28 (Visit 6), Day 42 (Visit 7), Day 201 (Visit 8)

  8. Serum HAI (Hemagglutination Inhibition) Titer of at Least 1:40

    Proportion of participants achieving a serum HAI titer of at least 1:40 against the A/Vietnam/H5N1 antigen

    Measured: Days 0 (Visit 1), 21 (Visit 4, +1day), 28 (Visit 6, +1 day), 42 (Visit 7, plus or minus 3 days), and 201 (Visit 8, plus or minus 7 days)

  9. Seroconversion Rate (SCR) for Hemagglutination Inhibition (HAI) Antibodies

    Defined as proportion of subjects achieving either a prevaccination HAI titer of <1:10 and postvaccination titer of at least 1:40 or a prevaccination HAI titer of at least 1:10 and a 4-fold or greater increase of HAI postvaccination antibody titers against the A/Vietnam/H5N1 antigen; if baseline HAI titer is undetectable, it will be assigned a vaue of half the lower limit of detection.

    Measured: Days 21, 28, 42, and 201

  10. Seroconversion Rate (SCR) for Microneutralization (MN) Antibodies

    Defined as proportion of subjects achieving either a prevaccination MN titer of <1:10 and postvaccination titer of at least 1:40 or a prevaccination MN titer of at least 1:10 and a 4-fold or greater increase of MN postvaccination antibody titers against the A/Vietnam/H5N1 antigen; if baseline MN titer is undetectable, it will be assigned a vaue of half the lower limit of detection.

    Measured: Days 21, 28, 42, and 201

Timeline

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

  1. First posted11 Feb 2016 (estimated)
  2. Study startMar 2016
  3. Primary completion13 May 2016
  4. Study completion31 Mar 2017

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
Triple blind
Who is masked
Participant, Investigator, Outcomes assessor
Enrolment
422 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02680002
Sponsor's protocol ID
BARDA CSN 15-0001
Status last verified
Apr 2019
First submitted
26 Jan 2016
Last updated
31 Aug 2020
Data monitoring committee
Yes
Individual data sharing
Yes: The study results will be posted on publicly available clinical trial registers.

Publications

  • Oshansky CM, Zhou J, Gao Y, Schweinle JE, Biscardi K, DeBeauchamp J, Pavetto C, Wollish A; BRITE Study Coordination Team; Webby RJ, Cioce V, Donis RO, Bright RA. Safety and immunogenicity of influenza A(H5N1) vaccine stored up to twelve years in the National Pre-Pandemic Influenza Vaccine Stockpile (NPIVS). Vaccine. 2019 Jan 14;37(3):435-443. doi: 10.1016/j.vaccine.2018.11.069. Epub 2018 Dec 12.

    PubMed 30553570

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing 7.5 mcg H5N1 (stored as monobulk), 15 mcg H5N1 (stored as monobulk) and 90 mcg H5N1 (stored as monobulk) in people with A/Vietnam/H5N1 Influenza Virus, run by Biomedical Advanced Research and Development Authority at 6 sites in United States.

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 6 inclusion and 8 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 31 Aug 2020. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 6 sites in United States. 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 31 Aug 2020). 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 Occurences of Mild, Moderate, or Severe Solicited Local Symptoms During the 7 Days After Each Vaccination. (time frame: Days 0 to 7). The study lists 7 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 NCT02680002, 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 31 Aug 2020.

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