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Phase 2 N=720 Randomized Double-blind Prevention

Sanofi 2017 H7N9 With/Without AS03 in Adults/Elderly

Avian Influenza · Influenza Immunisation

Enrolled (actual)
720
Serious AEs
2.9%
Results posted
Oct 2020
Primary outcome: Primary: Geometric Mean Titers (GMTs) of Serum Hemagglutination Inhibition (HAI) Antibodies — 33.6; 33.5; 39.2; 5.5 titer

Study Design & Population

Study type
Interventional
Phase
Phase 2
Interventions
AS03 (Drug); Inactivated influenza H7N9 vaccine (Biological); Phosphate Buffered Saline (PBS) diluent (Other)
Age
Adult, Older Adult · 19+ yrs
Sex
All
Sponsor
National Institute of Allergy and Infectious Diseases (NIAID)
Primary completion
Sep 2019

Outcome Measures

OutcomeResultp-value
PRIMARY
Geometric Mean Titers (GMTs) of Serum Hemagglutination Inhibition (HAI) Antibodies
36.7; 45.1; 45.7; 5.4; 6.8
PRIMARY
Geometric Mean Titers (GMTs) of Serum Neutralizing (Neut) Antibodies
43.6; 53.9; 54.7; 6.1; 8.1
PRIMARY
Number of Participants With Clinical Safety Laboratory Adverse Events
10; 14; 14; 7; 4; 7
PRIMARY
Number of Participants With Clinical Safety Laboratory Adverse Events
10; 14; 14; 7; 4; 7
PRIMARY
Number of Participants Reporting Solicited Injection Site Events
122; 116; 140; 35; 33
PRIMARY
Number of Participants Reporting Solicited Injection Site Events
122; 116; 140; 35; 33
PRIMARY
Number of Participants Reporting Study Vaccine-related Serious Adverse Events (SAEs)
0; 0; 0; 0; 0
PRIMARY
Number of Participants Reporting Systemic Reactogenicity Events
75; 64; 72; 19; 17
PRIMARY
Number of Participants Reporting Systemic Reactogenicity Events
75; 64; 72; 19; 17
PRIMARY
Percentage of Participants Achieving Hemagglutination Inhibition (HAI) Antibodies Titer of 1:40 or Greater
57; 56; 61; 0; 2
PRIMARY
Percentage of Participants Achieving Neutralizing (Neut) Antibodies Titer of 1:40 or Greater
64; 65; 68; 0; 3
PRIMARY
Percentage of Participants Achieving Seroconversion Defined by Hemagglutination Inhibition (HAI) Antibodies
56; 65; 64; 0; 5
PRIMARY
Percentage of Participants Achieving Seroconversion Defined by Neutralizing (Neut) Antibodies
60; 70; 67; 0; 6
SECONDARY
Geometric Mean Titers (GMTs) of Serum Hemagglutination Inhibition (HAI) Antibodies
36.7; 45.1; 45.7; 5.4; 6.8
SECONDARY
Geometric Mean Titers (GMTs) of Serum Hemagglutination Inhibition (HAI) Antibodies
36.7; 45.1; 45.7; 5.4; 6.8
SECONDARY
Geometric Mean Titers (GMTs) of Serum Hemagglutination Inhibition (HAI) Antibodies
36.7; 45.1; 45.7; 5.4; 6.8
SECONDARY
Geometric Mean Titers (GMTs) of Serum Hemagglutination Inhibition (HAI) Antibodies
36.7; 45.1; 45.7; 5.4; 6.8
SECONDARY
Geometric Mean Titers (GMTs) of Serum Neutralizing (Neut) Antibodies
43.6; 53.9; 54.7; 6.1; 8.1
SECONDARY
Geometric Mean Titers (GMTs) of Serum Neutralizing (Neut) Antibodies
43.6; 53.9; 54.7; 6.1; 8.1
SECONDARY
Geometric Mean Titers (GMTs) of Serum Neutralizing (Neut) Antibodies
43.6; 53.9; 54.7; 6.1; 8.1
SECONDARY
Geometric Mean Titers (GMTs) of Serum Neutralizing (Neut) Antibodies
43.6; 53.9; 54.7; 6.1; 8.1
SECONDARY
Number of Participants Reporting Serious Adverse Events (SAEs), Regardless of the Assessment of Relatedness
4; 9; 4; 3; 1
SECONDARY
Number of Participants Reporting Unsolicited Adverse Events (AEs), Regardless of the Assessment of Seriousness or Relatedness
72; 62; 67; 23; 27
SECONDARY
Number of Participants Reporting Medically-attended Adverse Events (MAAEs), New-onset Chronic Medical Conditions (NOCMCs), and Potentially Immune-mediated Medical Conditions (PIMMCs)
69; 59; 65; 33; 25; 17
SECONDARY
Number of Participants Reporting Study Vaccine-related Unsolicited Non-serious Adverse Events (AEs)
19; 14; 12; 4; 4
SECONDARY
Percentage of Participants Achieving Hemagglutination Inhibition (HAI) Antibodies Titers of 1:40 or Greater
57; 65; 64; 0; 5
SECONDARY
Percentage of Participants Achieving Hemagglutination Inhibition (HAI) Antibodies Titers of 1:40 or Greater
57; 65; 64; 0; 5
SECONDARY
Percentage of Participants Achieving Hemagglutination Inhibition (HAI) Antibodies Titers of 1:40 or Greater
57; 65; 64; 0; 5
SECONDARY
Percentage of Participants Achieving Hemagglutination Inhibition (HAI) Antibodies Titers of 1:40 or Greater
57; 65; 64; 0; 5
SECONDARY
Percentage of Participants Achieving Neutralizing (Neut) Antibodies Titers of 1:40 or Greater
61; 71; 67; 0; 6
SECONDARY
Percentage of Participants Achieving Neutralizing (Neut) Antibodies Titers of 1:40 or Greater
61; 71; 67; 0; 6
SECONDARY
Percentage of Participants Achieving Neutralizing (Neut) Antibodies Titers of 1:40 or Greater
61; 71; 67; 0; 6
SECONDARY
Percentage of Participants Achieving Neutralizing (Neut) Antibodies Titers of 1:40 or Greater
61; 71; 67; 0; 6
SECONDARY
Percentage of Participants Achieving Seroconversion Defined by Hemagglutination Inhibition (HAI) Antibodies
56; 65; 64; 0; 5
SECONDARY
Percentage of Participants Achieving Seroconversion Defined by Hemagglutination Inhibition (HAI) Antibodies
56; 65; 64; 0; 5
SECONDARY
Percentage of Participants Achieving Seroconversion Defined by Hemagglutination Inhibition (HAI) Antibodies
56; 65; 64; 0; 5
SECONDARY
Percentage of Participants Achieving Seroconversion Defined by Neutralizing (Neut) Antibodies
60; 70; 67; 0; 6
SECONDARY
Percentage of Participants Achieving Seroconversion Defined by Neutralizing (Neut) Antibodies
60; 70; 67; 0; 6
SECONDARY
Percentage of Participants Achieving Seroconversion Defined by Neutralizing (Neut) Antibodies
60; 70; 67; 0; 6

Summary

This is a randomized, double-blinded, Phase II study in healthy males and non-pregnant females 19 years and older that is designed to assess the safety, reactogenicity, and immunogenicity of a pre-pandemic 2017 monovalent inactivated influenza A/H7N9 virus vaccine (2017 H7N9 IIV) administered at different dosages given with AS03 adjuvant and phosphate buffered saline (PBS) diluent, with AS03 adjuvant only, and without adjuvant. Eligible subjects will be randomized into 5 study groups, stratified by age. The study will enroll up to 420 individuals 19-64 years old and up to 300 individuals who are 65 years old and older. Study duration is approximately 16 months with subject participation duration approximately 13 months. The primary objectives of this study are: 1) to assess the safety and reactogenicity following receipt of two doses of 2017 H7N9 IIV administered intramuscularly at different dosages approximately 21 days apart given with or without AS03 adjuvant; 2) to assess the serum hemagglutination inhibition (HAI) and neutralizing (Neut) antibody responses following receipt of two doses of 2017 H7N9 IIV administered intramuscularly at different dosages approximately 21 days apart with or without AS03 adjuvant, stratified by age of recipient.

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, 19 years of age and older, inclusive.
  • Are in good health*. *As determined by medical history and physical examination to evaluate acute or currently ongoing chronic medical diagnoses or conditions, defined as those that have been present for at least 90 days, which 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 (no hospitalizations, ER, or urgent care for condition and no adverse symptoms that need medical intervention such as medication change/supplemental oxygen). 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 100.0 degrees Fahrenheit.
  • Pulse is 47 to 100 bpm, inclusive.
  • Systolic blood pressure is 85 to 150 mmHg, inclusive (subjects 65 years of age).
  • Diastolic blood pressure is 55 to 95 mmHg, 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, salpingectomy, 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 <1 year of the last menses if menopausal.

**Acceptable contraception includes non-male sexual relationships, abstinence from sexual intercourse with a male partner, monogamous relationship with vasectomized partner who has been vasectomized for 180 days or more prior to the subject receiving the first study vaccination, barrier methods such as condoms or diaphragms with spermicide or foam, effective intrauterine devices, NuvaRing(R), and licensed hormonal methods such as implants, injectables, or oral contraceptives ("the pill").

  • Women of childbearing potential must have a negative urine or serum pregnancy test within 24 hours prior to study vaccination.

Exclusion Criteria

  • Have an acute illness*, as determined by the site principal investigator or appropriate sub-investigator, within 72 hours prior to study vaccination.

*An acute illness which is nearly resolved with only

View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT03312231). 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.

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