Mode
Text Size
Log in / Sign up
Phase 2 N=372 Randomized Double-blind Prevention

Safety/Efficacy Study of Seqirus A/H7N9 IIV With or Without MF59(R) Adjuvant to Prevent Avian Influenza

Avian Influenza · Influenza Immunisation

Enrolled (actual)
372
Serious AEs
3.2%
Results posted
May 2021
Primary outcome: Primary: Geometric Mean Titers (GMT) of Serum Hemagglutinin Inhibition (HAI) Antibodies — 23.3; 19.9; 24.2; 6.0 titer

Study Design & Population

Study type
Interventional
Phase
Phase 2
Interventions
A/H7N9 (Biological); MF59 (Drug); Phosphate Buffered Saline (PBS) diluent (Other)
Age
Adult · 18+ yrs
Sex
All
Sponsor
National Institute of Allergy and Infectious Diseases (NIAID)
Primary completion
Apr 2020

Outcome Measures

OutcomeResultp-value
PRIMARY
Geometric Mean Titers (GMT) of Serum Hemagglutinin Inhibition (HAI) Antibodies
23.3; 19.9; 24.2; 6.0
PRIMARY
Geometric Mean Titers (GMT) of Serum Neutralizing (Neut) Antibodies
24.9; 24.1; 28.0; 6.4
PRIMARY
Number of Participants With Clinical Safety Laboratory Adverse Events
11; 13; 9; 4; 3; 6
PRIMARY
Number of Participants With Clinical Safety Laboratory Adverse Events
11; 13; 9; 4; 3; 6
PRIMARY
Number of Participants With Solicited Injection Site Reactogenicity Events
63; 55; 57; 13
PRIMARY
Number of Participants With Solicited Injection Site Reactogenicity Events
63; 55; 57; 13
PRIMARY
Number of Participants With Study Vaccine-related Serious Adverse Events (SAEs)
0; 0; 0; 0
PRIMARY
Number of Participants With Systemic Reactogenicity Events
29; 37; 27; 9
PRIMARY
Number of Participants With Systemic Reactogenicity Events
29; 37; 27; 9
PRIMARY
Percentage of Participants Achieving Hemagglutination Inhibition (HAI) Antibody Titer of 1:40 or Greater
34; 26; 40; 2
PRIMARY
Percentage of Participants Achieving Neutralizing (Neut) Antibody Titers of 1:40 or Greater
45; 42; 44; 2
PRIMARY
Percentage of Participants Achieving Seroconversion Defined by Hemagglutination Inhibition (HAI) Antibodies
34; 26; 40; 2
PRIMARY
Percentage of Participants Achieving Seroconversion Defined by Neutralizing (Neut) Antibodies
33; 29; 42; 0
SECONDARY
Geometric Mean Titers (GMTs) of Serum Hemagglutination Inhibition (HAI) Antibodies
17.4; 15.9; 23.6; 6.5
SECONDARY
Geometric Mean Titers (GMTs) of Serum Hemagglutination Inhibition (HAI) Antibodies
17.4; 15.9; 23.6; 6.5
SECONDARY
Geometric Mean Titers (GMTs) of Serum Hemagglutination Inhibition (HAI) Antibodies
17.4; 15.9; 23.6; 6.5
SECONDARY
Geometric Mean Titers (GMTs) of Serum Hemagglutination Inhibition (HAI) Antibodies
17.4; 15.9; 23.6; 6.5
SECONDARY
Geometric Mean Titers (GMTs) of Serum Neutralizing (Neut) Antibodies
19.2; 18.9; 25.2; 6.3
SECONDARY
Geometric Mean Titers (GMTs) of Serum Neutralizing (Neut) Antibodies
19.2; 18.9; 25.2; 6.3
SECONDARY
Geometric Mean Titers (GMTs) of Serum Neutralizing (Neut) Antibodies
19.2; 18.9; 25.2; 6.3
SECONDARY
Geometric Mean Titers (GMTs) of Serum Neutralizing (Neut) Antibodies
19.2; 18.9; 25.2; 6.3
SECONDARY
Number of Participants With Serious Adverse Events (SAEs), Regardless of the Assessment of Relatedness
1; 6; 4; 1
SECONDARY
Number of Participants With Unsolicited Adverse Events, Regardless of the Assessment of Seriousness or Relatedness
19; 18; 18; 14
SECONDARY
Number of Participants With Unsolicited Adverse Events, Regardless of the Assessment of Seriousness or Relatedness
19; 18; 18; 14
SECONDARY
Number of Participants With Medically-Attended Adverse Events (MAAEs), New-Onset Chronic Medical Conditions (NOCMCs), and Potentially Immune-Mediated Medical Conditions (PIMMCs)
23; 35; 35; 18; 6; 7
SECONDARY
Number of Participants With Study Vaccine-related Unsolicited Non-serious Adverse Events (AEs)
5; 4; 5; 3
SECONDARY
Number of Participants With Study Vaccine-related Unsolicited Non-serious Adverse Events (AEs)
5; 4; 5; 3
SECONDARY
Percentage of Participants Achieving Hemagglutination Inhibition (HAI) Antibody Titer of 1:40 or Greater
34; 26; 40; 2
SECONDARY
Percentage of Participants Achieving Hemagglutination Inhibition (HAI) Antibody Titer of 1:40 or Greater
34; 26; 40; 2
SECONDARY
Percentage of Participants Achieving Hemagglutination Inhibition (HAI) Antibody Titer of 1:40 or Greater
34; 26; 40; 2
SECONDARY
Percentage of Participants Achieving Hemagglutination Inhibition (HAI) Antibody Titer of 1:40 or Greater
34; 26; 40; 2
SECONDARY
Percentage of Participants Achieving Neutralizing (Neut) Antibody Titer of 1:40 or Greater
33; 29; 42; 0
SECONDARY
Percentage of Participants Achieving Neutralizing (Neut) Antibody Titer of 1:40 or Greater
33; 29; 42; 0
SECONDARY
Percentage of Participants Achieving Neutralizing (Neut) Antibody Titer of 1:40 or Greater
33; 29; 42; 0
SECONDARY
Percentage of Participants Achieving Neutralizing (Neut) Antibody Titer of 1:40 or Greater
33; 29; 42; 0
SECONDARY
Percentage of Participants Achieving Seroconversion Defined by Hemagglutination Inhibition (HAI) Antibodies
34; 26; 40; 2
SECONDARY
Percentage of Participants Achieving Seroconversion Defined by Hemagglutination Inhibition (HAI) Antibodies
34; 26; 40; 2
SECONDARY
Percentage of Participants Achieving Seroconversion Defined by Hemagglutination Inhibition (HAI) Antibodies
34; 26; 40; 2
SECONDARY
Percentage of Participants Achieving Seroconversion Defined by Neutralizing (Neut) Antibodies
33; 29; 42; 0
SECONDARY
Percentage of Participants Achieving Seroconversion Defined by Neutralizing (Neut) Antibodies
33; 29; 42; 0
SECONDARY
Percentage of Participants Achieving Seroconversion Defined by Neutralizing (Neut) Antibodies
33; 29; 42; 0

Summary

This is a randomized, double-blinded, Phase II study in healthy males and non-pregnant females, 18-64 years of age. This clinical trial is designed to assess the safety, reactogenicity, and immunogenicity of a pre-pandemic 2017 monovalent inactivated influenza A/H7N9 virus vaccine (2017 H7N9 IIV) manufactured by Seqirus Inc (Seqirus) administered at different dosages (3.75 microgram mcg, 7.5 mcg and 15 mcg of hemagglutinin (HA) per dose) given with MF59(R) adjuvant manufactured by Seqirus Inc., or without adjuvant (15 mcg of HA per dose). Phosphate buffered saline (PBS) diluent manufactured by Patheon Manufacturing Services LLC will be used to achieve certain targeted doses. Approximately 371 subjects who are in good health and meet all eligibility criteria will be randomized into one of 4 study groups. The study will be conducted at up to 7 Vaccine and Treatment Unit (VTEU) sites and will last approximately 17 months, with subject participation duration of approximately 13 months. The Primary Objectives of the study are: 1) To assess the safety and reactogenicity following receipt of two doses of 2017 H7N9 IIV administered intramuscularly (IM) at different dosages approximately 21 days apart given with or without MF59(R) adjuvant; 2) To assess the serum hemagglutinin inhibition (HAI) and neutralizing (Neut) antibody responses approximately 21 days following receipt of two doses of 2017 H7N9 IIV administered IM at different dosages approximately 21 days apart with or without MF59(R) adjuvant.

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, 18-64 years of age, inclusive.
  • Are in good health*. *As determined by physical examination and 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, 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, Emergency Room, 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. [Topical, nasal, and inhaled medications (with the exception of inhaled corticosteroids), herbals, vitamins, and supplements are permitted].
  • Oral temperature is less than 100.0 degree Fahrenheit.
  • Pulse is 47 to 100 beats per minute, inclusive.
  • Systolic blood pressure is 85 to 150 millimeters of Mercury, inclusive.
  • Diastolic blood pressure is 55 to 95 millimeters of Mercury, inclusive.
  • Women of childbearing potential* must agree to practice 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.

**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 male or female condoms with spermicide or with the use of applied spermicide, 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 serum or urine pregnancy test within 24 hours prior to study vaccination.

Exclusion Criteria

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

*An acute illness which is nearly resolved with only minor residual symptoms remaining is allowable if, in the opinion of the site pri

View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT03682120). 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.

Back to search