Phase 1
Completed N=66
Safety and Immunogenicity of a Live-attenuated Universal Flu Vaccine Followed by an Inactivated Universal Flu Vaccine
Influenza · Vaccine
Source: ClinicalTrials.gov NCT03300050 ↗
Enrolled (actual)
66
Serious AEs
4.9%
Results posted
Feb 2021
Primary outcomePrimary: Number of Participants With Solicited Local Reactions Within 7 Days Following Each Vaccination — 10; 2; 0; 11 Participants
Summary
The clinical study will evaluate safety and the immune response of a prime- boost regimen with a live attenuated influenza vaccine (LAIV) prime and an inactivated split influenza vaccine (IIV) boost with or without adjuvant.
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Number of Participants With Solicited Local Reactions Within 7 Days Following Each Vaccination |
10; 2; 0; 11; 1; 4 | — |
| PRIMARY Number of Participants With Solicited General Reactions Within 7 Days Following Each Vaccination |
13; 8; 1; 10; 4; 0 | — |
| PRIMARY Number of Participants With Unsolicited Adverse Events Within 28 Days Following Any Vaccination |
10; 8; 1; 6; 5; 5 | — |
| PRIMARY Number of Participants With Grade 2 or Higher Hematological and Biochemical Laboratory Abnormalities From Day 8 to Day 113 |
0; 2; 0; 3; 1; 3 | — |
| PRIMARY Number of Participants With a Medically Attended Event (MAE), Laboratory-Confirmed Influenza-like Illness (LC-ILI), Potential Immune-mediated Disease (pIMD), or Serious Adverse Event (SAE) up to Day 113 |
0; 0; 1; 0; 0; 6 | — |
| SECONDARY Number of Participants With Any Grade 2 or Higher Hematological and Biochemical Laboratory Abnormalities From Month 9 to Month 15 |
0; 1; 0; 2; 0; 0 | — |
| SECONDARY Number of Participants With a Medically Attended Event (MAE), Laboratory-Confirmed Influenza-like Illness (LC-ILI), Potential Immune-mediated Disease (pIMD), or Serious Adverse Event (SAE) up to End of Study |
0; 0; 1; 0; 2; 7 | — |
| SECONDARY Number of Participants in Groups 1, 2, and 3 With Detectable Influenza A Virus in Nasal and Oropharyngeal Swabs on Days 1 to 5 |
7; 8; 0; 7; 4; 0 | — |
| SECONDARY Number of Participants in Groups 1, 2, and 3 With Viable Vaccine Virus in Cell Culture Through 5 Days Post-vaccination |
0; 0; 0; 0; 0; 0 | — |
| SECONDARY Percentage of Participants With Serum Anti-H1 Hemagglutinin Stalk Immunoglobulin G Antibody Seropositivity |
100; 100; 100; 100; 100; 100 | — |
| SECONDARY Geometric Mean Titer of Serum Anti-H1 Hemagglutinin Stalk IgG Antibodies |
11503; 10213; 12966; 12028; 8615; 11337 | <0.0001 sig |
| SECONDARY Percentage of Participants With a ≥ 4-fold Increase From Baseline in Serum Anti-H1 Hemagglutinin Stalk IgG Antibodies |
0.0; 0.0; 0.0; 80.0; 0.0; 75.0 | 0.0025 sig |
| SECONDARY Percentage of Participants With a ≥ 10-fold Increase From Baseline in Serum Anti-H1 Hemagglutinin Stalk IgG Antibodies |
0.0; 0.0; 0.0; 33.3; 0.0; 25.0 | — |
| SECONDARY Mean Geometric Increase From Baseline in Serum Anti-H1 Hemagglutinin Stalk IgG Antibodies |
1.0; 1.0; 0.9; 7.0; 0.9; 5.8 | — |
| SECONDARY Percentage of Participants With Serum Anti-H1 Hemagglutinin Stalk Immunoglobulin A Antibody Seropositivity |
100; 100; 100; 100; 100; 100 | — |
| SECONDARY Geometric Mean Titer of Serum Anti-H1 Hemagglutinin Stalk IgA Antibodies |
5815; 3536; 6935; 3408; 2887; 6070 | 0.1665 |
| SECONDARY Percentage of Participants With a ≥ 4-fold Increase From Baseline in Serum Anti-H1 Hemagglutinin Stalk IgA Antibodies |
0.0; 7.1; 0.0; 53.3; 0.0; 62.5 | 0.4667 |
| SECONDARY Percentage of Participants With a ≥ 10-fold Increase From Baseline in Serum Anti-H1 Hemagglutinin Stalk IgA Antibodies |
0.0; 0.0; 0.0; 26.7; 0.0; 18.8 | — |
| SECONDARY Mean Geometric Increase From Baseline in Serum Anti-H1 Hemagglutinin Stalk IgA Antibodies |
1.0; 1.4; 1.1; 4.7; 1.1; 4.8 | — |
| SECONDARY Percentage of Participants With Serum Anti-H1 Hemagglutinin Stalk Neutralizing Antibody Seropositivity |
100; 100; 100; 100; 100; 100 | — |
| SECONDARY Geometric Mean Titer of Serum Anti-H1 Hemagglutinin Stalk Neutralizing Antibodies |
48; 49; 63; 58; 43; 48 | 0.0928 |
| SECONDARY Percentage of Participants With a ≥ 4-fold Increase From Baseline in Serum Anti-H1 Hemagglutinin Stalk Neutralizing Antibodies |
5.3; 0.0; 0.0; 20.0; 0.0; 50.0 | 0.4515 |
| SECONDARY Percentage of Participants With a ≥ 10-fold Increase From Baseline in Serum Anti-H1 Hemagglutinin Stalk Neutralizing Antibodies |
0.0; 0.0; 0.0; 0.0; 0.0; 6.3 | — |
| SECONDARY Mean Geometric Increase From Baseline in Serum Anti-H1 Hemagglutinin Stalk Neutralizing Antibodies |
1.0; 0.8; 0.8; 1.9; 0.9; 3.4 | — |
| SECONDARY Serum Antibody-dependent Cell-mediated Cytotoxicity (ADCC) to the H1 Hemagglutinin Stalk |
321389; 200649; 486775; 331849; 109178; 322530 | 0.0031 sig |
| SECONDARY Fold-Increase From Baseline in Serum ADCC to the H1 Hemagglutinin Stalk |
0.9; 1.1; 1.2; 2.4; 1.0; 3.6 | 0.8243 |
| SECONDARY Percentage of Participants With a ≥ 4-fold Increase From Baseline in Serum ADCC to the H1 Hemagglutinin Stalk |
0.0; 8.3; 0.0; 26.7; 10.0; 50.0 | — |
| SECONDARY Percentage of Participants With a ≥ 10-fold Increase From Baseline in Serum ADCC to the H1 Hemagglutinin Stalk |
0.0; 8.3; 0.; 13.3; 0.0; 31.3 | — |
| SECONDARY Percentage of Participants With Anti-H1 Hemagglutinin Stalk Salivary IgG Antibody Seropositivity |
94.4; 84.6; 66.7; 86.7; 88.9; 94.4 | — |
| SECONDARY Geometric Mean Titer of Anti-H1 Hemagglutinin Stalk Salivary IgG Antibodies |
40; 43; 21; 55; 45; 31 | 0.8830 |
| SECONDARY Percentage of Participants With a ≥ 4-fold Increase From Baseline in Anti-H1 Hemagglutinin Stalk Salivary IgG |
0.0; 7.7; 33.3; 40.0; 0.0; 53.3 | 0.7036 |
| SECONDARY Percentage of Participants With a ≥ 10-fold Increase From Baseline in Anti-H1 Hemagglutinin Stalk Salivary IgG |
0.0; 7.7; 0.0; 13.3; 0.0; 20.0 | — |
| SECONDARY Mean Geometric Increase of Anti-H1 Hemagglutinin Stalk Salivary IgG Antibodies |
0.7; 0.9; 2.0; 2.8; 0.8; 4.0 | — |
| SECONDARY Percentage of Participants With Anti-H1 Hemagglutinin Stalk Secretory IgA Antibody Seropositivity in Saliva |
100; 100; 100; 100; 100; 100 | — |
| SECONDARY Geometric Mean Titer of Anti-H1 Hemagglutinin Stalk Secretory IgA Antibodies in Saliva |
86; 102; 58; 221; 155; 80 | 0.3203 |
| SECONDARY Percentage of Participants With a ≥ 4-fold Increase From Baseline in Anti-H1 Hemagglutinin Stalk Secretory IgA Antibodies in Saliva |
0.0; 0.0; 0.0; 0.0; 0.0; 6.7 | >0.9999 |
| SECONDARY Percentage of Participants With a ≥ 10-fold Increase From Baseline in Anti-H1 Hemagglutinin Stalk Secretory IgA Antibodies in Saliva |
0.0; 0.0; 0.0; 0.0; 0.0; 6.7 | — |
| SECONDARY Mean Geometric Increase From Baseline in Anti-H1 Hemagglutinin Stalk Secretory IgA in Saliva |
0.9; 1.1; 1.3; 0.8; 0.7; 0.9 | — |
| SECONDARY Percentage of Participants With Anti-H1 Hemagglutinin Stalk Total IgA Antibody Seropositivity in Saliva |
100; 100; 100; 100; 100; 100 | — |
| SECONDARY Geometric Mean Titer of Anti-H1 Hemagglutinin Stalk Total IgA Antibodies in Saliva |
364; 487; 317; 792; 541; 369 | 0.9164 |
| SECONDARY Percentage of Participants With a ≥ 4-fold Increase From Baseline in Anti-H1 Hemagglutinin Stalk Total IgA Antibodies in Saliva |
12.5; 7.1; 0.0; 11.1; 14.3; 30.8 | >0.9999 |
| SECONDARY Percentage of Participants With a ≥ 10-fold Increase From Baseline in Anti-H1 Hemagglutinin Stalk Total IgA Antibodies in Saliva |
6.3; 0.0; 0.0; 0.0; 0.0; 7.7 | — |
| SECONDARY Mean Geometric Increase From Baseline in Anti-H1 Hemagglutinin Stalk Total IgA Antibodies in Saliva |
1.1; 1.4; 0.9; 0.7; 0.6; 1.7 | — |
| SECONDARY Percentage of Participants With Serum Anti-H2 Full-length Hemagglutinin IgG Antibody Seropositivity |
100; 100; 100; 100; 100; 100 | — |
| SECONDARY Geometric Mean Titer of Serum Anti-H2 Full-length Hemagglutinin IgG Antibodies |
6973; 6027; 7354; 7554; 5597; 7079 | — |
| SECONDARY Percentage of Participants With a ≥ 4-fold Increase From Baseline in Serum Anti-H2 Full-length Hemagglutinin IgG Antibodies |
0.0; 0.0; 0.0; 80.0; 0.0; 68.8 | — |
| SECONDARY Percentage of Participants With a ≥ 10-fold Increase From Baseline in Serum Anti-H2 Full-length Hemagglutinin IgG Antibodies |
0.0; 0.0; 0.0; 53.3; 0.0; 25.0 | — |
| SECONDARY Mean Geometric Increase of Serum Anti-H2 Full-length Hemagglutinin IgG Antibodies |
1.0; 1.0; 0.9; 8.9; 0.9; 5.8 | — |
| SECONDARY Percentage of Participants With Serum Anti-H9 Full-length Hemagglutinin IgG Antibody Seropositivity |
100; 100; 100; 100; 100; 100 | — |
| SECONDARY Geometric Mean Titer of Serum Anti-H9 Full-length Hemagglutinin IgG Antibodies |
10613; 8703; 13257; 10436; 7981; 10610 | — |
| SECONDARY Percentage of Participants With a ≥ 4-fold Increase From Baseline in Serum Anti-H9 Full-length Hemagglutinin IgG Antibodies |
0.0; 0.0; 0.0; 40.0; 0.0; 37.5 | — |
| SECONDARY Percentage of Participants With a ≥ 10-fold Increase From Baseline in Serum Anti-H9 Full-length Hemagglutinin IgG Antibodies |
0.0; 0.0; 0.0; 6.7; 0.0; 6.3 | — |
| SECONDARY Mean Geometric Increase of Serum Anti-H9 Full-length Hemagglutinin IgG Antibodies |
1.0; 1.0; 0.9; 3.6; 0.9; 3.8 | — |
| SECONDARY Percentage of Participants With Serum Anti-H18 Full-length Hemagglutinin IgG Antibody Seropositivity |
100; 100; 100; 100; 100; 100 | — |
| SECONDARY Geometric Mean Titer of Serum Anti-H18 Full-length Hemagglutinin IgG Antibodies |
5764; 5266; 6142; 7585; 5315; 6030 | — |
| SECONDARY Percentage of Participants With a ≥ 4-fold Increase From Baseline in Serum Anti-H18 Full-length Hemagglutinin IgG Antibodies |
0.0; 0.0; 0.0; 40.0; 0.0; 50.0 | — |
| SECONDARY Percentage of Participants With a ≥ 10-fold Increase From Baseline in Serum Anti-H18 Full-length Hemagglutinin IgG Antibodies |
0.0; 0.0; 0.0; 13.3; 0.0; 25.0 | — |
| SECONDARY Mean Geometric Increase of Serum Anti-H18 Full-length Hemagglutinin IgG Antibodies |
1.0; 1.0; 0.9; 4.0; 0.9; 4.5 | — |
| SECONDARY Percentage of Participants With Serum Anti-Human H1N1 Virus Neutralizing Antibody Seropositivity |
100; 100; 100; 100; 100; 100 | — |
| SECONDARY Geometric Mean Titer of Serum Anti-Human H1N1 Virus Neutralizing Antibodies |
149; 108; 63; 84; 98; 172 | — |
| SECONDARY Percentage of Participants With a ≥ 4-fold Increase in Serum Anti-Human H1N1 Virus Neutralizing Antibodies |
5.3; 0.0; 0.0; 20.0; 0.0; 25.0 | — |
| SECONDARY Percentage of Participants With a ≥ 10-fold Increase From Baseline in Serum Anti-Human H1N1 Virus Neutralizing Antibodies |
0.0; 0.0; 0.0; 0.0; 0.0; 6.3 | — |
| SECONDARY Mean Geometric Increase of Serum Anti-Human H1N1 Virus Neutralizing Antibodies |
1.2; 1.1; 0.8; 2.1; 0.8; 1.8 | — |
| SECONDARY Percentage of Participants With Serum Anti-Avian-Swine H1N1 Virus Neutralizing Antibody Seropositivity |
100; 100; 100; 100; 100; 100 | — |
| SECONDARY Geometric Mean Titer of Serum Anti-Avian-Swine H1N1 Virus Neutralizing Antibodies |
54; 46; 63; 73; 61; 56 | — |
| SECONDARY Percentage of Participants With a ≥ 4-fold Increase in Serum Anti-Avian-Swine H1N1 Virus Neutralizing Antibodies |
0.0; 7.1; 0.0; 20.0; 0.0; 37.5 | — |
| SECONDARY Percentage of Participants With a ≥ 10-fold Increase in Serum Anti-Avian-Swine H1N1 Virus Neutralizing Antibodies |
0.0; 0.0; 0.0; 0.0; 0.0; 0.0 | — |
| SECONDARY Mean Geometric Increase From Baseline in Serum Anti-Avian-Swine H1N1 Virus Neutralizing Antibodies |
1.0; 1.2; 1.0; 1.7; 0.8; 2.8 | — |
| SECONDARY Percentage of Participants With Serum Anti-H5N8 Virus Neutralizing Antibody Seropositivity |
100; 100; 100; 100; 100; 100 | — |
| SECONDARY Geometric Mean Titer of Serum Anti-H5N8 Virus Neutralizing Antibodies |
37; 30; 40; 35; 28; 36 | — |
| SECONDARY Percentage of Participants With a ≥ 4-fold Increase in Serum Anti-H5N8 Virus Neutralizing Antibodies |
0.0; 0.0; 0.0; 6.7; 0.0; 12.5 | — |
| SECONDARY Percentage of Participants With a ≥ 10-fold Increase in Serum Anti-H5N8 Virus Neutralizing Antibodies |
0.0; 0.0; 0.0; 0.0; 0.0; 0.0 | — |
| SECONDARY Mean Geometric Increase From Baseline in Serum Anti-H5N8 Virus Neutralizing Antibodies |
1.0; 0.9; 1.3; 1.6; 0.9; 1.8 | — |
Eligibility Criteria
Inclusion Criteria
- Able to understand planned study procedures and demonstrate comprehension of the protocol procedures and knowledge of study by passing a written examination prior to vaccination.
- In the opinion of the investigator, can and will comply with the requirements of the protocol (e.g., completion of the diary cards, return for follow-up visits).
- Written informed consent obtained from the subject prior to performance of any study specific procedure.
- Male or non-pregnant female between, and including, 18 and 39 years of age at the time of the first vaccination.
- Healthy subjects without acute or chronic, clinically significant pulmonary, cardiovascular, hepatic or renal functional abnormality*.
- Female subjects of non-childbearing potential may be enrolled in the study.
- Female subjects of childbearing potential must have a negative pregnancy test within 24 hours of vaccination.
- Female subjects of childbearing potential must have practiced adequate contraception for 30 days prior to first vaccination and agree to continue adequate contraception until 2 months after completion of the vaccination series (Month 5).
- Male subjects must be surgically sterile (e.g., vasectomy) or agree to practice adequate contraception from the first vaccination until 2 months after completion of the vaccination series (Month 5). Please refer to the glossary of terms for the definition of adequate contraception.
Exclusion Criteria
- Use of any investigational or non-registered product (drug or vaccine) other than the study vaccines.
- Any medical condition that in the judgment of the investigator would make intramuscular injection unsafe.
- Medically diagnosed deviated nasal septum or nasal obstruction.
- Chronic administration (defined as more than 14 days in total) of immunosuppressants or other immune-modifying drugs within 6 months before the first dose.
- Administration of long-acting immune-modifying drugs (e.g., infliximab, rituximab) within 6 months before the first dose (Visit 03), or planned administration any time during the study period.
- Planned administration/administration of a vaccine not foreseen by the study protocol in the period starting 30 days before the first dose (Visit 03) up to Month 15 (Visit 15)
- Persons who should be annually vaccinated against influenza who live with or care for persons at high risk for influenza-related complications.
- History of influenza vaccination within 6 months prior to study enrollment or unwillingness to forego seasonal influenza vaccination during the entire study period.
- History of vaccination with an investigational pandemic influenza vaccine other than an 2009 H1N1 Pandemic (H1N1pdm09) vaccine.
- Any confirmed or suspected immunosuppressive or immunodeficient condition, based on medical history and physical examination.
- Infection with human immunodeficiency virus regardless of clinical stage of immunodeficiency.
- History of current infection with hepatitis B virus or hepatitis C virus regardless of clinical presentation.
- History of or current autoimmune disease.
- Subjects diagnosed with excessive daytime sleepiness or narcolepsy; or history of narcolepsy in a subject's parent or sibling.
- History of Guillain-Barré syndrome.
- History of any reaction or hypersensitivity likely to be exacerbated by any component of the vaccines (including egg proteins); a history of anaphylactic-type reaction to consumption of eggs; or a history of severe adverse reaction to a previous influenza vaccine.
- Hypersensitivity to latex.
- Administration of immunoglobulins and/or any blood products during the period starting 3 months before the first dose of study vaccines or planned administration during the study period.
- Pregnant or lactating female.
- Female planning to become pregnant or male planning to father a child or either planning to discontinue contraceptive precautions.
- Current smoker.
- During screening, have a positive test for opiates without a prescrip
Data sourced from ClinicalTrials.gov (NCT03300050). 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.