Phase 2
Completed N=518
Safety and Immunogenicity of Different Formulations of Monovalent Influenza A/Astrakhan/3212/2020 Like (H5N8) Virus Vaccine With AS03 Adjuvant System in Medically Stable Adults
Influenza, Human
Source: ClinicalTrials.gov NCT05975840 ↗
Enrolled (actual)
518
Serious AEs
2.3%
Results posted
Feb 2025
Primary outcomePrimary: Hemagglutination-inhibiting (HI) Antibody Titers Against Vaccine-homologous H5N8 — 117.5; 175.2; 121.8; 176.6 Titer
Summary
The purpose of this study is to assess the safety and immunogenicity of different formulations of monovalent Influenza A/Astrakhan/3212/2020-like virus vaccine with AS03 adjuvant system in adults greater than or equal to (>=)18 years of age.
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Hemagglutination-inhibiting (HI) Antibody Titers Against Vaccine-homologous H5N8 |
117.5; 175.2; 121.8; 176.6; 80.6; 110.2 | — |
| PRIMARY Geometric Mean Fold Rise (GMFR) of Serum HI Antibody Titers Against Vaccine-homologous H5N8 |
21.7; 33.0; 23.7; 33.1; 11.7; 14.3 | — |
| PRIMARY Number of Seroprotected (SP) Participants for HI Antibody Titers |
56; 45; 46; 49; 43; 37 | — |
| PRIMARY Number of Participants Reporting Each Solicited Administration Site Event Following Dose 1 |
39; 34; 27; 38; 23; 22 | — |
| PRIMARY Number of Participants Reporting Each Solicited Administration Site Event Following Dose 2 |
31; 19; 21; 24; 17; 14 | — |
| PRIMARY Number of Participants Reporting Each Solicited Systemic Event Following Dose 1 |
25; 18; 15; 20; 9; 13 | — |
| PRIMARY Number of Participants Reporting Each Solicited Systemic Event Following Dose 2 |
18; 9; 10; 11; 5; 12 | — |
| PRIMARY Number of Participants With Any Increase in Toxicity Grading in Hematological Laboratory Parameters Following Dose 1 |
2; 5; 1; 6; 7; 6 | — |
| PRIMARY Number of Participants With Any Increase in Toxicity Grading in Hematological Laboratory Parameters Following Dose 2 |
5; 3; 3; 2; 2; 4 | — |
| PRIMARY Number of Participants With Any Increase in Toxicity Grading in Biochemical Laboratory Parameters Following Dose 1 |
1; 1; 0; 0; 0; 2 | — |
| PRIMARY Number of Participants With Any Increase in Toxicity Grading in Biochemical Laboratory Parameters Following Dose 2 |
0; 0; 0; 0; 1; 1 | — |
| PRIMARY Number of Participants Reporting Unsolicited AEs Following Dose 1 |
4; 6; 7; 7; 4; 5 | — |
| PRIMARY Number of Participants Reporting Unsolicited AEs Following Dose 2 |
3; 4; 2; 3; 6; 3 | — |
| PRIMARY Number of Participants Reporting Unsolicited Medically Attended Adverse Events (MAEs) Following Dose 1 |
1; 3; 3; 3; 2; 1 | — |
| PRIMARY Number of Participants Reporting Unsolicited MAEs Following Dose 2 |
2; 1; 1; 2; 1; 0 | — |
| PRIMARY Number of Participants Reporting Unsolicited MAEs up to 6 Months Post Dose 2 (Administered on Day 22) |
4; 6; 6; 8; 6; 6 | — |
| PRIMARY Number of Participants Reporting Serious Adverse Events (SAEs) up to Day 43 |
1; 1; 0; 2; 0; 0 | — |
| PRIMARY Number of Participants Reporting SAEs up to 6 Months Post Dose 2 (Administered on Day 22) |
1; 1; 0; 2; 2; 2 | — |
| PRIMARY Number of Participants Reporting Potential Immune-mediated Diseases (pIMDs) up to Day 43 |
0; 0; 0; 0; 0; 0 | — |
| PRIMARY Number of Participants Reporting pIMDs up to 6 Months Post Dose 2 (Administered on Day 22) |
0; 0; 0; 0; 0; 0 | — |
| SECONDARY HI Antibody Titers Against Vaccine-homologous H5N8 |
5.4; 5.2; 5.2; 5.4; 6.7; 7.7 | — |
| SECONDARY GMFR of Serum HI Antibody Titers Against Vaccine-homologous H5N8 |
9.1; 10.2; 10.2; 10.6; 5.8; 5.1 | — |
| SECONDARY Number of Seroprotected Participants for HI Antibody Titers |
0; 0; 0; 1; 1; 1 | — |
| SECONDARY Number of Seroconverted Participants for HI Antibody Titers |
40; 39; 39; 42; 21; 21 | — |
| SECONDARY Microneutralization (MN) Antibody Titers for a Subset of Participants |
5.0; 5.0; 5.0; 5.1; 5.0; 5.2 | — |
| SECONDARY Number of Seropositive Participants for MN Antibody Titers for a Subset of Participants |
0; 0; 0; 1; 0; 1 | — |
| SECONDARY Number of Participants Meeting Vaccine Response (VR) Criteria of MN Antibody Titers for a Subset of Participants |
0; 2; 1; 1; 1; 0 | — |
Eligibility Criteria
Inclusion Criteria
- Medically stable participants as established by medical history and clinical examination before entering into the study.
- A male or female >=18 years of age at the time of signing consent form.
- Participants, who, in the opinion of the investigator, can and will comply with the requirements of the protocol.
- Written or witnessed/thumb printed informed consent obtained from the participant prior to performance of any study specific procedure.
- Female participants of childbearing potential or non-childbearing potential may be enrolled in the study if specific criteria are met.
Exclusion Criteria
- Current diagnosis or history of autoimmune disorder(s) except hypothyroidism due to Hashimoto's thyroiditis.
- History of any reaction or hypersensitivity likely to be exacerbated by any component of the vaccine.
- Clinically significant acute or chronic pulmonary, cardiovascular, hepatic, or renal disease that appears uncontrolled or untreated, as determined by history or physical examination.
- Any confirmed or suspected immunosuppressive or immunodeficient condition, based on medical history, physical examination, or abnormalities in screening blood tests.
- Recurrent history of or uncontrolled neurological disorders or seizures.
- History of Guillain-Barré syndrome.
- Diagnosed with cancer, or treatment for cancer within 3 years.
- Persons with a history of cancer who are disease-free without treatment for 3 years or more are eligible.
- Persons with a history of histologically confirmed basal cell carcinoma of the skin successfully treated with local excision only, are accepted and are eligible, but other histologic types of skin cancer are exclusionary.
- Women who are disease-free 3 years or more after treatment for breast cancer and receiving long-term prophylaxis are eligible.
- Documented human immunodeficiency virus-positive participants.
- Bedridden participants.
- Personal or family history of narcolepsy.
- Food and Drug Administration (FDA) toxicity Grade 2, or greater, laboratory tests at Screening.
- Any other clinical condition that, in the opinion of the investigator, might pose additional risk to the participant due to participation in the study.
- Use of any investigational or non-registered product other than the study vaccine during the period beginning 30 days before the first dose of study vaccine (Day -29 to Day 1), or planned use during the entire study period.
- Use of public health emergency vaccines like coronavirus disease 2019 (COVID-19), Monkey pox (mpox) etc. These can be given at any time, but there should a gap of 2 - weeks before a dose of study vaccine can be given.
- Use of any licensed vaccines: prior to receipt of the study vaccine and continuing up to 3 weeks after receiving the dose 2 of study vaccine.
- Administration of long-acting immune-modifying drugs at any time during the study period.
- Administration of immunoglobulins and/or any blood products or plasma derivatives during the period starting 3 months before the first dose of study vaccine or planned administration during the study period.
- Chronic administration of immunosuppressants or other immune-modifying drugs during the period starting 3 months prior to the first vaccine dose and through the entire study period. For corticosteroids, this will mean prednisone equivalent >=20 milligrams/day for 14 days or a total of >=280 mg of prednisone equivalent dose in any 14-day period. Inhaled and topical steroids are allowed.
- Pregnant or lactating female.
- Female planning to become pregnant or planning to discontinue contraceptive precautions within 2 months after completion of the vaccination series.
- History of/or current drug/alcohol abuse.
- Any study personnel or their immediate dependents, family, or household member.
- Concurrently participating in another clinical study, at any time during the study period, in which the participant has been or will be exposed to an investigational or a non invest
Data sourced from ClinicalTrials.gov (NCT05975840). 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.