H7N9 Vaccination With and Without AS03 and Unadjuvanted H3N2v Vaccination: Standard and Systems Biology Analyses
Avian Influenza · H1N1 Influenza · Influenza
Bottom Line
View on ClinicalTrials.gov: NCT02921997 ↗Study Design & Population
- Study type
- Interventional
- Phase
- Phase 2
- Interventions
- AS03 (Drug); Influenza Virus Vaccine, Monovalent A/H3N2v A/Minnesota/11/2010 NYMC X-203 (Biological); Monovalent influenza A/H7N9 virus vaccine (Biological)
- Age
- Adult · 18+ yrs
- Sex
- All
- Sponsor
- National Institute of Allergy and Infectious Diseases (NIAID)
- Primary completion
- Mar 2017
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Percentage of Participants Achieving Seroconversion Based on HAI Titer (A/H7N9 Vaccine, With and Without Adjuvant) |
80.0; 0 | — |
| PRIMARY Percentage of Participants Achieving Seroconversion Based on HAI Titer (A/H3N2v Vaccine) |
50 | — |
| PRIMARY Number of Differentially Expressed Genes Based on RNA Expression in Human Immune Cells (A/H7N9 Vaccine, With and Without Adjuvant) |
618; 0; 36; 0; 0; 0 | — |
| SECONDARY Number of Differentially Expressed Genes Based on RNA Expression in Human Immune Cells (A/H3N2v Vaccine) |
0; 0; 1; 0; 0; 2 | — |
| SECONDARY Cytokine and Chemokine Concentration by Study Arm and Study Visit Day - Part 1 |
310.9; 288.58; 356.19; 312.26; 224.58; 315.31 | — |
| SECONDARY Cytokine and Chemokine Concentration by Study Arm and Study Visit Day - Part 2 |
3.54; 3.25; 2.43; 3.83; 3.00; 2.63 | — |
| SECONDARY Cytokine and Chemokine Concentration by Study Arm and Study Visit Day - Part 3 |
25.49; 24.86; 22.98; 24.56; 24.96; 23.13 | — |
| SECONDARY Fold Change in Cytokine and Chemokine Concentrations From Pre-vaccination - Part 1 |
0.944; 1.015; 1.003; 1.024; 1.092; 0.946 | — |
| SECONDARY Fold Change in Cytokine and Chemokine Concentrations From Pre-vaccination - Part 2 |
0.981; 0.933; 0.950; 1.050; 1.004; 0.996 | — |
| SECONDARY Percentage of Participants Achieving Seroconversion Based on Neut Titer (A/H7N9 Vaccine, With and Without Adjuvant) |
100; 0 | — |
| SECONDARY Percentage of Participants Achieving Seroconversion Based on Neut Titer (A/H3N2v Vaccine) |
40 | — |
| SECONDARY Geometric Mean Titers of Serum HAI Antibody (A/H7N9 Vaccine, With and Without Adjuvant) |
5.2; 5.0; 7.3; 5.2; 85.7; 5.0 | — |
| SECONDARY Geometric Mean Titers of Serum HAI Antibody (A/H3N2v Vaccine) |
37.3; 144.2 | — |
| SECONDARY Geometric Mean Titers of Serum Neut Antibody (A/H7N9 Vaccine, With and Without Adjuvant) |
5.0; 5.0; 17.4; 5.4; 190.3; 5.9 | — |
| SECONDARY Geometric Mean Titers of Serum Neut Antibody (A/H3N2v Vaccine) |
171.5; 485.0 | — |
Summary
Eligibility Criteria
Inclusion Criteria
- Provide written informed consent prior to initiation of any study procedures.
- Are able to understand and comply with planned study procedures and be available for all study visits.
- Are males or non-pregnant females, 18 to 49 years old, inclusive.
- Are in good health*.
*As determined by medical history and targeted physical examination, if indicated based on medical history, to evaluate acute or currently ongoing chronic medical diagnoses or conditions, defined as those that have been present for at least 90 days, that would affect the assessment of the safety of subjects or the immunogenicity of study vaccinations. Chronic medical diagnoses or conditions should be stable for the last 60 days. This includes no change in chronic prescription medication, dose, or frequency as a result of deterioration of the chronic medical diagnosis or condition in the 60 days prior to enrollment. Any prescription change that is due to change of health care provider, insurance company, etc., or that is done for financial reasons, as long as in the same class of medication, will not be considered a deviation of this inclusion criterion. Any change in prescription medication due to improvement of a disease outcome, as determined by the site principal investigator or appropriate sub-investigator, will not be considered a deviation of this inclusion criterion. Subjects may be on chronic or as needed (prn) medications if, in the opinion of the site principal investigator or appropriate sub-investigator, they pose no additional risk to subject safety or assessment of reactogenicity and immunogenicity and do not indicate a worsening of medical diagnosis or condition. Similarly, medication changes subsequent to enrollment and study vaccination are acceptable provided there was no deterioration in the subject's chronic medical condition that necessitated a medication change, and there is no additional risk to the subject or interference with the evaluation of responses to study vaccination. Note: Topical, nasal, and inhaled medications (with the exception of inhaled corticosteroids as outlined in the Subject Exclusion Criteria), herbals, vitamins, and supplements are permitted.
- Oral temperature is less than 100.4 degrees F.
- Pulse is 50 to 115 bpm, inclusive.
- Systolic blood pressure is 85 to 150 mm Hg, inclusive.
- Diastolic blood pressure is 55 to 95 mm Hg, inclusive.
- Erythrocyte sedimentation rate (ESR) is less than 30 mm per hour.
- Women of childbearing potential* must use an acceptable contraception method** from 30 days before first study vaccination until 60 days after last study vaccination.
*Not sterilized via tubal ligation, bilateral oophorectomy, hysterectomy or successful Essure (R) placement (permanent, non-surgical, non-hormonal sterilization) with documented radiological confirmation test at least 90 days after the procedure, and still menstruating or 840 mcg/day of beclomethasone dipropionate CFC or equivalent.
- Received licensed live vaccine within 30 days prior to the first study vaccination, or plans to receive licensed live vaccine within 30 days before or after each study vaccination.
- Received licensed inactivated vaccine within 14 days prior to the first study vaccination, or plans to receive licensed inactivated vaccine within 14 days before or after each study vaccination.
- Received immunoglobulin or other blood products (with exception of Rho D immunoglobulin) within 90 days prior to study vaccination.
- Received an experimental agent* within 30 days prior to the first study vaccination, or expects to receive an experimental agent** during the 13-month study-reporting period.
*Including vaccine, drug, biologic, device, blood product, or medication.
**Other than from participation in this study.
- Are participating or plan to participate in another clinical trial with an interventional agent* that will be received during the 13-month study-reporting period.
*Includi
Data sourced from ClinicalTrials.gov (NCT02921997). 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.