Phase 2
Completed N=185
A Dose Ranging Safety and Immunogenicity Study of GlaxoSmithKline (GSK) Biologicals' GSK1557484A Vaccine in Children 6 to Less Than 36 Months of Age
Source: ClinicalTrials.gov NCT02719743 ↗Enrolled (actual)
185
Serious AEs
15.7%
Results posted
Jun 2019
Primary outcomePrimary: Humoral Immune Response for A/Indonesia/05/2005 (H5N1) Strain in Terms of Vaccine-homologous Haemagglutination Inhibition (HI) Antibody Titers Following Primary Vaccination — 1; 0.54; 0.57; 0.40 Immunogenicity Index
Summary
The purpose of this study is to assess the safety and immunogenicity of different formulations of GSK Biologicals' influenza candidate vaccine GSK1557484A, in children 6-35 months of age.
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Humoral Immune Response for A/Indonesia/05/2005 (H5N1) Strain in Terms of Vaccine-homologous Haemagglutination Inhibition (HI) Antibody Titers Following Primary Vaccination |
1; 0.54; 0.57; 0.40; 0.34 | — |
| PRIMARY Humoral Immune Response for A/Indonesia/05/2005 (H5N1) Strain in Terms of Vaccine-homologous Microneutralization (MN) Antibody Titers Following Primary Vaccination |
1; 0.56; 0.57; 0.32; 0.33 | — |
| PRIMARY Evaluation of Fever Index for A/Indonesia/05/2005 (H5N1) Strain in Terms of Vaccine-homologous Haemagglutination Inhibition (HI) Antibody Titers Following Primary Vaccination. |
0.84; 0.91; 0.95; 0.93; 0.94 | — |
| PRIMARY Evaluation of Fever Index for A/Indonesia/05/2005 (H5N1) Strain in Terms of Vaccine-homologous Microneutralization (MN) Antibody Titers Following Primary Vaccination. |
0.84; 0.91; 0.95; 0.93; 0.94 | — |
| PRIMARY Mean Geometric Increase (MGI) for Vaccine Homologous and Heterologous HI Antibody Titers Against Each of the Four Vaccine Influenza Strains. |
4.9; 6.6; 4.2; 3.6; 3.4; 5.2 | — |
| PRIMARY Mean Geometric Increase (MGI) for Vaccine Homologous and Heterologous MN Antibody Titers Against Each of the 3 Vaccine Influenza Strains. |
4.3; 4.8; 3.2; 2.8; 2.5; 2.9 | — |
| SECONDARY Number of Seroconverted Subjects for HI Antibodies Against Each of the 4 Vaccine Influenza Strains. |
36; 33; 37; 31; 35; 33 | — |
| SECONDARY Number of Subjects Who Were Seroprotected for HI Antibodies Against Each of the 4 Vaccine Influenza Strains. |
0; 0; 0; 0; 0; 36 | — |
| SECONDARY Geometric Mean Titers (GMTs) for Humoral Immune Response in Terms of HI Antibodies Against Vaccine-homologous/Heterologous Antigens |
5.1; 5.1; 5.1; 5.0; 5.6; 1118.6 | — |
| SECONDARY Mean Geometric Increase (MGI) for Haemagglutination Inhibition (HI) Antibody Titer Against Each of the 4 Vaccine Influenza Strains |
219.5; 168.2; 177.7; 128.0; 101.0; 19.2 | — |
| SECONDARY Mean Geometric Increase (MGI) for MN Antibodies Against the 3 Vaccine Influenza Strains. |
17.5; 14.8; 15.3; 17.8; 14.2; 7.6 | — |
| SECONDARY Humoral Immune Response for A/Indonesia/05/2005 (H5N1) Strain in Terms of MN Antibodies Against Vaccine-homologous/Heterologous Antigens |
14.3; 14.0; 14.0; 14.0; 14.0; 1498.5 | — |
| SECONDARY Vaccine Response Rate (VRR) for Homologous and Heterologous MN Antibodies Against Each of the 3 Vaccine Influenza Strains. |
36; 31; 37; 29; 35; 34 | — |
| SECONDARY Cell Mediated Immunity (CMI) in Terms of T-cell Markers Related to Flu A/Indonesia/05/2005 Antigen. |
55.5; 42.0; 43.0; 89.5; 74.0; 2711.0 | — |
| SECONDARY Number of Subjects Reporting Solicited Local Symptoms |
20; 15; 16; 20; 17; 2 | — |
| SECONDARY Duration of Solicited Local Symptoms |
3.0; 2.0; 1.0; 1.0; 1.0; 2.0 | — |
| SECONDARY Number of Subjects Reporting Solicited General Symptoms. |
25; 18; 13; 17; 16; 2 | — |
| SECONDARY Duration of Solicited General Symptoms. |
2.0; 1.5; 2.0; 2.0; 1.0; 1.0 | — |
| SECONDARY Number of Subjects Reporting Any Unsolicited Adverse Events (AEs) Post Primary Vaccination. |
21; 20; 23; 20; 21; 3 | — |
| SECONDARY Number of Subjects Reporting Any Unsolicited Adverse Events (AEs) Post Booster Vaccination |
16; 8; 16; 19; 14; 1 | — |
| SECONDARY Number of Subjects Reporting Medically Attended Events (MAEs) |
29; 28; 33; 27; 26; 1 | — |
| SECONDARY Number of Subjects Reporting Potential Immune Mediated Diseases (pIMDs) |
0; 0; 1; 0; 0; 0 | — |
| SECONDARY Number of Subjects Reporting Serious Adverse Events (SAEs) |
5; 6; 10; 4; 4; 0 | — |
| SECONDARY Number of Subjects Reporting Adverse Events of Special Interest (AESI) |
4; 3; 3; 2; 2; 1 | — |
Eligibility Criteria
Inclusion Criteria
- Subject's parent(s)/ Legally Acceptable Representative(s) [LAR(s)] who, in the opinion of the investigator, can and will comply with the requirements of the protocol.
- Male or female children 6 months to less than 36 months old at the time of the first vaccination. Children who are not 36 months old as of Day 0, the day of first vaccine dose under this protocol, can be enrolled.
- Written informed consent obtained from the parent(s)/legally acceptable representative(s) [LAR(s)] of the subject prior to performance of any study specific procedure.
- Healthy subjects as established by medical history and standard physical examination before entering into the study.
- Born full-term to be confirmed by interview with parent/LAR or available medical records.
Exclusion Criteria
- Child in care.
- Medical history of physician-confirmed infection with an H5N1 virus.
- Previous vaccination at any time with an H5N1 vaccine.
- Concurrently participating in another clinical study, or use of an investigational or a non-registered vaccine, pharmaceutical product, or device within 30 days preceding the first dose of study vaccine, or planned use during the study period.
- Presence in the parent(s) / LAR(s) of evidence of substance abuse or of neurological or psychiatric diagnoses which, even if stable, are deemed by the investigator to render the parent(s)/LAR(s) unable/unlikely to provide accurate safety reports.
- Acute disease and/or fever at the time of enrolment.
- Administration of immunoglobulins, any blood products, or long-acting immune-modifying drugs during the period starting 3 months before the first dose of study vaccine, or planned administration during the study period.
- History of any neurological disorders or seizures, or Guillain-Barré Syndrome.
- Diagnosed with excessive daytime sleepiness or narcolepsy; or history of narcolepsy in a subject's parent or sibling.
- Administration of an inactive vaccine within 14 days or of a live attenuated vaccine within 30 days before the first vaccination.
- Planned administration of any vaccine not foreseen by the study protocol between Day 0 and Day 42 or planned administration of an inactive vaccine within 14 days or of a live attenuated vaccine within 30 days before through 30 days after the booster vaccination. Note: routine vaccinations may be provided on Day 42 after all study assessments have been performed.
- History of any reaction or hypersensitivity likely to be exacerbated by any component of the vaccine; a history of anaphylactic-type reaction to consumption of eggs; or a history of severe adverse reaction to a previous influenza vaccine.
- Any medical condition that in the judgment of the investigator would make intramuscular injection unsafe.
- Chronic administration of immunosuppressants or other immune-modifying drugs during the period starting six months prior to the first vaccine. For corticosteroids, this will mean a dose of prednisone or equivalent of > 2 mg/kg/day of body weight or ≥ 20 mg/day (for persons who weigh ≥ 10 kg). Inhaled and topical steroids are allowed.
- Any confirmed or suspected immunosuppressive or immunodeficient condition, based on medical history and physical examination.
- Family history of congenital or hereditary immunodeficiency.
- Major congenital defects.
- Any condition which, in the opinion of the investigator, prevents the subject from participating in the study.
Data sourced from ClinicalTrials.gov (NCT02719743). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication. Informational only — not medical advice.