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AzTrials

Influenza, HumanPhase 2NCT05874713

Study to Evaluate Safety and Immunogenicity of Different Priming and Booster Regimens With Adjuvanted H5N8 and/or H5N6 Influenza Vaccine in Adults

A Phase 2 study testing aH5N8c on Day 1, aH5N6c on Day 1 and aH5N8c on Day 22 in people with Influenza, Human and Infections, run by Seqirus at 9 sites in United States.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
Search all trials

Trial summary

This Phase 2, randomized, observer-blind clinical study is evaluating 3 different priming and booster regimens with MF59-adjuvanted H5N8 and/or H5N6 cell culture-derived influenza vaccine (aH5N8c; aH5N6c). Read more about this study

Who is it for?
Ages 18 years and olderHealthy volunteers can take part
What is being tested?
aH5N8c on Day 1, aH5N6c on Day 1 and aH5N8c on Day 22
Could I receive a placebo?
No, everyone receives an active treatment
How many people
480 participants
Where
9 sitesUnited States
Study dates
7 Jun 2023to 25 Sep 2024
Phase
Phase 2
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 years and older
  • All sexes
  • Healthy volunteers accepted
  • Adult, Older adult

Who may be able to join

  • Individuals of ≥18 years of age on the day of informed consent.
  • Individuals who or whose legally acceptable representative(s) have voluntarily given written consent after the nature of the study has been explained according to local regulatory requirements, prior to study entry.
  • Individuals who can comply with study procedures including follow-up.
  • Males, females of non-childbearing potential or females of childbearing potential who are using an effective birth control method which they intend to use for at least 30 days before the first study vaccination and plan to do so until 2 months after the last study vaccination.
  • Individuals must provide a baseline blood sample prior to randomization and vaccination.

Who cannot join

  • Females of childbearing potential who are pregnant, lactating, or who have not adhered to a specified set of contraceptive methods from at least 30 days prior to study entry and who do not plan to do so until 2 months after the last study vaccination.
  • Progressive, unstable or uncontrolled clinical conditions.
  • Hypersensitivity, including allergy, to any component of vaccines, medicinal products or medical equipment whose use is foreseen in this study.
  • Clinical conditions representing a contraindication to intramuscular vaccination and blood draws.
  • Abnormal function of the immune system resulting from:
  • Clinical conditions.
Show all 17Show fewer
  • Systemic administration of corticosteroids at a dose ≥20 mg/day of prednisone (or equivalent) for more than 14 consecutive days within 90 days prior to informed consent. Topical, inhaled and intranasal corticosteroids are permitted. Intermittent use (one dose in 30 days) of intra-articular corticosteroids are also permitted.
  • Administration of antineoplastic and immunomodulating agents or radiotherapy within 90 days prior to informed consent.
  • History of any medical condition considered an AESI.
  • Received immunoglobulins with immunomodulating effects or any blood products within 180 days prior to informed consent.
  • Individuals who previously received an H5 influenza vaccine or have a known history of H5 influenza infection prior to enrollment.
  • Received an investigational or non-registered medicinal product within 30 days prior to informed consent or are unwilling to refuse participation in another clinical study at any time during the conduct of this study.
  • Study personnel or immediate family or household member of study personnel.
  • Any other clinical condition that, in the opinion of the investigator, might interfere with the results of the study or pose additional risk to the individual due to participation in the study.
  • Individuals who received any other vaccines (with the exception of COVID-19 vaccines) within 14 days (for inactivated vaccines) or 28 days (for live vaccines) prior to enrolment in this study or who are planning to receive any vaccine within 28 days from any of the 3 scheduled study vaccinations.
  • Receipt of any (investigational or licensed) COVID-19 vaccine within 14 days (non-replicating vaccines) or 28 days (replicating vaccines) prior to enrollment or plan to receive any COVID-19 vaccine within 7 days from any of the 3 scheduled study vaccinations.
  • A known history of Guillain-Barre Syndrome or other demyelinating diseases such as encephalomyelitis and transverse myelitis.

Trial locations and contacts

9 sites in 1 country.

9 sites in 1 country

United States9 sites
  • Velocity Clinical Research

    Baton Rouge, Louisiana, 70809

  • Cope Family Medicine

    Bountiful, Utah, 84010

  • Cullman Clinical Trials

    Cullman, Alabama, 35055

  • Medical Care LLC

    Elizabethton, Tennessee, 37643

  • Velocity Clinical Research

    Grand Island, Nebraska, 68803

  • Lifeline Primary Care

    Lilburn, Georgia, 30047

  • Georgia Clinic

    Norcross, Georgia, 30092

  • Velocity Clinical Research

    Norfolk, Nebraska, 68701

  • Velocity Clinical Research

    Sioux City, Iowa, 51106

Other trials in United States

About this study

Official title: A Phase 2, Multi-Center, Randomized, Observer-Blind Study, to Evaluate Safety and Immunogenicity of Homologous or Heterologous Priming and Booster Vaccinations With H5N8 or H5N6 MF59-adjuvanted, Cell Culture-derived Influenza Vaccine in Healthy Subjects ≥18 Years of Age

This Phase 2, randomized, observer-blind clinical study is evaluating 3 different priming and booster regimens with MF59-adjuvanted H5N8 and/or H5N6 cell culture-derived influenza vaccine (aH5N8c; aH5N6c). Approximately 480 healthy adult subjects are to be randomized into 1 of 3 possible treatment groups, stratified by age group (18-64 years and ≥65 years) and by poultry worker status (yes/no). Each subject will receive a priming influenza vaccine injection on Day 1 and Day 22 and a booster vaccination on Day 202. Subjects will be followed up for approximately 6 months after the booster injection.

The primary immunogenicity analysis is based on antibody responses against H5N8 and H5N6 as measured by hemagglutination inhibition (HI) assay on Day 1, Day 22, Day 29, Day 43, Day 202, Day 209 (H5N8 only), and Day 223.

Being tested
aH5N8c on Day 1, aH5N6c on Day 1, aH5N8c on Day 22, aH5N6c on Day 22, aH5N8c on Day 202
Keywords
Influenza, Vaccine, MF59, Adjuvant, H5N8, H5N6, Pandemic, Avian
Medical subject headings
Influenza, Human, Infections, Respiratory Tract Infections, Virus Diseases

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • aH5N8c on Day 1Biological

    MF59-adjuvanted cell-culture derived subunit inactivated monovalent A/H5N8 vaccine (aH5N8c) for intramuscular administration, containing intermediate dose H5N8 hemagglutinin + standard dose MF59 (approximately 0.5 mL total volume)

  • aH5N6c on Day 1Biological

    MF59-adjuvanted cell-culture derived subunit inactivated monovalent A/H5N6 vaccine (aH5N6c) for intramuscular administration, containing intermediate dose H5N6 hemagglutinin + standard dose MF59 (approximately 0.5 mL total volume)

  • aH5N8c on Day 22Biological

    MF59-adjuvanted cell-culture derived subunit inactivated monovalent A/H5N8 vaccine (aH5N8c) for intramuscular administration, containing intermediate dose H5N8 hemagglutinin + standard dose MF59 (approximately 0.5 mL total volume)

  • aH5N6c on Day 22Biological

    MF59-adjuvanted cell-culture derived subunit inactivated monovalent A/H5N6 vaccine (aH5N6c) for intramuscular administration, containing intermediate dose H5N6 hemagglutinin + standard dose MF59 (approximately 0.5 mL total volume)

  • aH5N8c on Day 202Biological

    MF59-adjuvanted cell-culture derived subunit inactivated monovalent A/H5N8 vaccine (aH5N8c) for intramuscular administration, containing intermediate dose H5N8 hemagglutinin + standard dose MF59 (approximately 0.5 mL total volume)

Study groups in NCT05874713
Study groupRoleWhat they receive
Arm AExperimentalEligible subjects who have been randomized to receive aH5N8c on Day 1, Day 22 and Day 202
Receives: Biological: aH5N8c on Day 1; Biological: aH5N8c on Day 22; Biological: aH5N8c on Day 202
Arm BExperimentalEligible subjects who have been randomized to receive aH5N8c on Day 1, aH5N6c on Day 22, and aH5N8c on Day 202
Receives: Biological: aH5N8c on Day 1; Biological: aH5N6c on Day 22; Biological: aH5N8c on Day 202
Arm CExperimentalEligible subjects who have been randomized to receive aH5N6c on Day 1 and aH5N8c on Day 22 and Day 202
Receives: Biological: aH5N6c on Day 1; Biological: aH5N8c on Day 22; Biological: aH5N8c on Day 202

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Geometric mean titer (GMT) of hemagglutination inhibition (HI) antibodies against H5N8 strain - Day 1

    GMT (HI) prevaccination

    Measured: Day 1

  2. GMT of HI antibodies against H5N8 strain - Day 22

    GMT (HI) 3 weeks post first priming vaccination

    Measured: Day 22

  3. GMT of HI antibodies against H5N8 strain - Day 43

    GMT (HI) 3 weeks post second priming vaccination

    Measured: Day 43

  4. GMT of HI antibodies against H5N8 strain - Day 202

    GMT (HI) pre booster vaccination

    Measured: Day 202

  5. GMT of HI antibodies against H5N8 strain - Day 209

    GMT (HI) 1 week post booster vaccination

    Measured: Day 209

  6. GMT of HI antibodies against H5N8 strain - Day 223

    GMT (HI) 3 weeks post booster vaccination

    Measured: Day 223

  7. GMT of HI antibodies against H5N6 strain - Day 1

    GMT (HI) prevaccination

    Measured: Day 1

  8. GMT of HI antibodies against H5N6 strain - Day 22

    GMT (HI) 3 weeks post first priming vaccination

    Measured: Day 22

  9. GMT of HI antibodies against H5N6 strain - Day 43

    GMT (HI) 3 weeks post second priming vaccination

    Measured: Day 43

  10. GMT of HI antibodies against H5N6 strain - Day 202

    GMT (HI) pre booster vaccination

    Measured: Day 202

  11. GMT of HI antibodies against H5N6 strain - Day 223

    GMT (HI) 3 weeks post booster vaccination

    Measured: Day 223

  12. Geometric mean fold increase (GMFI) of HI antibodies against H5N8 strain - Day 22

    GMFI (HI) 3 weeks post first priming vaccination compared to prevaccination

    Measured: Day 22

  13. GMFI of HI antibodies against H5N8 strain - Day 43

    GMFI (HI) 3 weeks post second priming vaccination compared to prevaccination

    Measured: Day 43

  14. GMFI of HI antibodies against H5N8 strain - Day 209

    GMFI (HI) 1 week post booster vaccination compared to pre booster vaccination

    Measured: Day 209

  15. GMFI of HI antibodies against H5N8 strain - Day 223

    GMFI (HI) 3 weeks post booster vaccination compared to pre booster vaccination

    Measured: Day 223

  16. GMFI of HI antibodies against H5N6 strain - Day 22

    GMFI (HI) 3 weeks post first priming vaccination compared to prevaccination

    Measured: Day 22

  17. GMFI of HI antibodies against H5N6 strain - Day 43

    GMFI (HI) 3 weeks post second priming vaccination compared to prevaccination

    Measured: Day 43

  18. GMFI of HI antibodies against H5N6 strain - Day 223

    GMFI (HI) 3 weeks post booster vaccination compared to pre booster vaccination

    Measured: Day 223

  19. Percentages of subjects with HI titers ≥1:40 against H5N8 strain - Day 1

    % ≥1:40 (HI) prevaccination

    Measured: Day 1

  20. Percentages of subjects with HI titers ≥1:40 against H5N8 strain - Day 22

    % ≥1:40 (HI) 3 weeks post first priming vaccination

    Measured: Day 22

  21. Percentages of subjects with HI titers ≥1:40 against H5N8 strain - Day 43

    % ≥1:40 (HI) 3 weeks post second priming vaccination

    Measured: Day 43

  22. Percentages of subjects with HI titers ≥1:40 against H5N8 strain - Day 209

    % ≥1:40 (HI) 1 week post booster vaccination

    Measured: Day 209

  23. Percentages of subjects with HI titers ≥1:40 against H5N8 strain - Day 223

    % ≥1:40 (HI) 3 weeks post booster vaccination

    Measured: Day 223

  24. Percentages of subjects with HI titers ≥1:40 against H5N6 strain - Day 1

    % ≥1:40 (HI) prevaccination

    Measured: Day 1

  25. Percentages of subjects with HI titers ≥1:40 against H5N6 strain - Day 22

    % ≥1:40 (HI) 3 weeks post first priming vaccination

    Measured: Day 22

  26. Percentages of subjects with HI titers ≥1:40 against H5N6 strain - Day 43

    % ≥1:40 (HI) 3 weeks post second priming vaccination

    Measured: Day 43

  27. Percentages of subjects with HI titers ≥1:40 against H5N6 strain - Day 223

    % ≥1:40 (HI) 3 weeks post booster vaccination

    Measured: Day 223

  28. Percentages of subjects with seroconversion by HI against H5N8 strain - Day 22

    % seroconversion (HI) 3 weeks post first priming vaccination, defined as a ≥4-fold increase in HI titer postvaccination in those with prevaccination titer ≥1:10, or a postvaccination HI titer ≥1:40 for subjects with prevaccination titer <1:10

    Measured: Day 22

  29. Percentages of subjects with seroconversion by HI against H5N8 strain - Day 43

    % seroconversion (HI) 3 weeks post second priming vaccination, defined as a ≥4-fold increase in HI titer postvaccination in those with pre-vaccination titer ≥1:10, or a postvaccination HI titer ≥1:40 for subjects with prevaccination titer <1:10

    Measured: Day 43

  30. Percentages of subjects with seroconversion by HI against H5N8 strain - Day 209

    % seroconversion (HI) 1 week post booster vaccination, defined as a ≥4-fold increase in HI titer postvaccination in those with pre-vaccination titer ≥1:10, or a postvaccination HI titer ≥1:40 for subjects with prevaccination titer <1:10

    Measured: Day 209

  31. Percentages of subjects with seroconversion by HI against H5N8 strain - Day 223

    % seroconversion (HI) 3 weeks post booster vaccination, defined as a ≥4-fold increase in HI titer postvaccination in those with pre-vaccination titer ≥1:10, or a postvaccination HI titer ≥1:40 for subjects with prevaccination titer <1:10

    Measured: Day 223

  32. Percentages of subjects with seroconversion by HI against H5N6 strain - Day 22

    % seroconversion (HI) 3 weeks post first priming vaccination, defined as a ≥4-fold increase in HI titer postvaccination in those with pre-vaccination titer ≥1:10, or a postvaccination HI titer ≥1:40 for subjects with prevaccination titer <1:10

    Measured: Day 22

  33. Percentages of subjects with seroconversion by HI against H5N6 strain - Day 43

    % seroconversion (HI) 3 weeks post second priming vaccination, defined as a ≥4-fold increase in HI titer postvaccination in those with pre-vaccination titer ≥1:10, or a postvaccination HI titer ≥1:40 for subjects with prevaccination titer <1:10

    Measured: Day 43

  34. Percentages of subjects with seroconversion by HI against H5N6 strain - Day 223

    % seroconversion (HI) 3 weeks post booster vaccination, defined as a ≥4-fold increase in HI titer postvaccination in those with pre-vaccination titer ≥1:10, or a postvaccination HI titer ≥1:40 for subjects with prevaccination titer <1:10

    Measured: Day 223

Secondary outcomes (19)
  1. Frequency and severity of solicited local and systemic adverse events (AEs)

    For 7 consecutive days following each vaccination (ie, Day 1 through Day 7, Day 22 through Day 28, and Day 202 through 208, or until symptom resolution if ongoing at Day 7, Day 28 or Day 208 for a maximum of 14 days postvaccination).

    Measured: Day 1 through Day 7, Day 22 through Day 28, and Day 202 through 208

  2. Frequency and severity of unsolicited AEs

    For 3 weeks following each vaccination

    Measured: Day 1 through Day 43 and Day 202 through Day 223

  3. Frequency and severity of serious AEs (SAEs), AEs leading to withdrawal, AEs of special interest (AESI), and medically attended AEs (MAAEs)

    From first vaccination until study completion

    Measured: Day 1 through Day 382

  4. GMT of HI antibodies against H5N8 strain - Persistence

    GMT (HI) 6 months post 2nd priming vaccination and 6 months post booster vaccination

    Measured: Day 202, Day 382

  5. GMT of HI antibodies against H5N6 strain - Persistence

    GMT (HI) 6 months post 2nd priming vaccination

    Measured: Day 202

  6. GMFI of HI antibodies against H5N8 strain - Persistence

    GMFI (HI) 6 months post 2nd priming vaccination compared to prevaccination (Day 1), and 6 months post booster vaccination compared to prevaccination (Day 1) and compared to pre booster vaccination (Day 202)

    Measured: Day 202, Day 382

  7. GMFI of HI antibodies against H5N6 strain - Persistence

    GMFI (HI) 6 months post 2nd priming vaccination compared to prevaccination

    Measured: Day 202

  8. Percentages of subjects with HI titers ≥1:40 against H5N8 strain - Persistence

    % ≥1:40 (HI) 6 months post 2nd priming vaccination and 6 months post booster vaccination

    Measured: Day 202, Day 382

  9. Percentages of subjects with HI titers ≥1:40 against H5N6 strain - Persistence

    % ≥1:40 (HI) 6 months post 2nd priming vaccination

    Measured: Day 202

  10. Percentages of subjects with seroconversion by HI against H5N8 strain - Persistence

    % seroconversion (HI) 6 months post 2nd priming vaccination and 6 months post booster vaccination, defined as a ≥4-fold increase in HI titer postvaccination in those with pre-vaccination titer ≥1:10, or a postvaccination HI titer ≥1:40 for subjects with prevaccination titer <1:10

    Measured: Day 202, Day 382

  11. Percentages of subjects with seroconversion by HI against H5N6 strain - Persistence

    % seroconversion (HI) 6 months post 2nd priming vaccination, defined as a ≥4-fold increase in HI titer postvaccination in those with pre-vaccination titer ≥1:10, or a postvaccination HI titer ≥1:40 for subjects with prevaccination titer <1:10

    Measured: Day 202

  12. GMT of microneutralization (MN) antibodies against H5N8 strain

    GMT (MN) prevaccination, 3 weeks post priming vaccinations, pre booster vaccination and 3 weeks post booster vaccination

    Measured: Day 1, Day 22, Day 43, Day 202, Day 223

  13. GMT of MN antibodies against H5N6 strain

    GMT (MN) prevaccination, 3 weeks post 2nd priming vaccination, pre booster vaccination and 3 weeks post booster vaccination

    Measured: Day 1, Day 43, Day 202, Day 223

  14. GMFI of MN antibodies against H5N8 strain

    GMFI (MN) 3 weeks post priming vaccinations and 6 months post 2nd priming vaccination compared to prevaccination (Day 1), and 3 weeks post booster vaccination compared to pre booster vaccination (Day 202)

    Measured: Day 22, Day 43, Day 202, Day 223

  15. GMFI of MN antibodies against H5N6 strain

    GMFI (MN) 3 weeks and 6 months post 2nd priming vaccination compared to prevaccination (Day 1), and 3 weeks post booster vaccination compared to pre booster vaccination (Day 202)

    Measured: Day 43, Day 202, Day 223

  16. Percentages of subjects with MN titers ≥1:40 against H5N8 strain

    % ≥1:40 (MN) prevaccination, 3 weeks post priming vaccinations, pre booster vaccination, and 3 weeks post booster vaccination

    Measured: Day 1, Day 22, Day 43, Day 202, Day 223

  17. Percentages of subjects with MN titers ≥1:40 against H5N6 strain

    % ≥1:40 (MN) prevaccination, 3 weeks post 2nd priming vaccination, pre booster vaccination, and 3 weeks post booster vaccination

    Measured: Day 1, Day 43, Day 202, Day 223

  18. Percentages of subjects with seroconversion by MN against H5N8 strain

    % seroconversion (MN) 3 weeks post priming vaccinations, pre booster vaccination, and 3 weeks post booster vaccination, defined as a ≥4-fold increase in MN titer postvaccination for subjects with prevaccination titer ≥lower limit of quantification (LLOQ), or a postvaccination MN titer ≥4×LLOQ for subjects with prevaccination titer <LLOQ

    Measured: Day 22, Day 43, Day 202, Day 209, Day 223

  19. Percentages of subjects with seroconversion by MN against H5N6 strain

    % seroconversion (MN) 3 weeks post 2nd priming vaccination, pre booster vaccination, and 3 weeks post booster vaccination, defined as a ≥4-fold increase in MN titer postvaccination for subjects with prevaccination titer ≥lower limit of quantification (LLOQ), or a postvaccination MN titer ≥4×LLOQ for subjects with prevaccination titer <LLOQ

    Measured: Day 43, Day 202, Day 209, Day 223

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted25 May 2023
  2. Study start7 Jun 2023
  3. Primary completion25 Apr 2024
  4. Study completion25 Sep 2024

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 2
Primary purpose
Prevention
Allocation
Randomised
Intervention model
Parallel groups
Model description
Eligible subjects are randomized in a 2:1:1 ratio to Treatment Arm A, B, or C, respectively, and will receive two priming doses of the allocated aH5N8c/aH5N6c vaccine 3 weeks apart, ie, at Day 1 and Day 22, and a booster dose of aH5N8c vaccine at Day 202.
Masking
Triple blind
Who is masked
Participant, Investigator, Outcomes assessor
Enrolment
480 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05874713
Sponsor's protocol ID
V205_01
Status last verified
Dec 2024
First submitted
4 May 2023
Last updated
13 Dec 2024
Results posted
No
Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
Undecided

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing aH5N8c on Day 1, aH5N6c on Day 1 and aH5N8c on Day 22 in people with Influenza, Human and Infections, run by Seqirus at 9 sites in United States.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 5 inclusion and 17 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 13 Dec 2024. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 9 sites in United States. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Geometric mean titer (GMT) of hemagglutination inhibition (HI) antibodies against H5N8 strain - Day 1 (time frame: Day 1). The study lists 34 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 13 Dec 2024.

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