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A Study to Evaluate the Safety and Immunogenicity of H7N9 Influenza Vaccine (AT-501) in Healthy Adult Subjects

Primary Purpose

H7N9 Influenza Vaccine

Status
Completed
Phase
Phase 1
Locations
Taiwan
Study Type
Interventional
Intervention
AT-501 High Dose vaccine
AT-501 High Dose vaccine with Adjuvant
AT-501 Low Dose vaccine
AT-501 Low Dose vaccine with Adjuvant
Sponsored by
Medigen Vaccine Biologics Corp.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional prevention trial for H7N9 Influenza Vaccine focused on measuring H7N9 Influenza, Avian influenza A, cell culture derived

Eligibility Criteria

20 Years - 60 Years (Adult)All SexesAccepts Healthy Volunteers

Inclusion Criteria:

  1. Subject within the age limit range, is free of obvious health problems as judged by the investigator before entering the study.
  2. Female subjects must be:

    • either of non-childbearing potential, or one year post-menopausal;
    • or, if of childbearing potential, must be abstinent or have used adequate contraceptive precautions for 30 days prior to receiving the study vaccination, have a negative pregnancy test and must agree to continue such precautions for two months after completion of the vaccination series.
  3. Subject is willing and able to comply with all required study visits and follow-up required by this protocol.
  4. Subject must provide written informed consent or the Subjects' legal representative must understand and consent to the procedure.

Exclusion Criteria:

  1. Subjects with previous known or potential exposure to avian influenza virus H7N9 HA antigen and any other avian influenza including H5N1.
  2. Subjects who have had seasonal influenza vaccine within 6 months prior to enrolment or who will have seasonal influenza vaccine at any time during the study period
  3. Subjects administered with any other vaccine during the period within 6 weeks before the first administration of study vaccine.
  4. Subjects with confirmed or suspected abnormal immune function, immunosuppressive or immunodeficient condition, including human immunodeficiency virus (HIV) infection, based on medical history and physical examination.
  5. Subjects with a history of hypersensitivity to vaccines or a history of allergic disease or reactions likely to be exacerbated by any component of the vaccine.
  6. Subjects with a history of inflammatory or degenerative neurological disease .
  7. Subjects receiving chronic administration of immunosuppressants or other immune-modifying drugs within 6 months prior to the administration of the study vaccine. Inhaled and topical steroids are allowed.
  8. Known HIV, hepatitis B (HBsAg) or hepatitis C seropositivity.
  9. Subjects, judged by the investigator, with any clinically significant medical illness including acute pulmonary, cardiovascular, hepatic or renal functional abnormality, as determined by medical history, physical examination and/or laboratory screening tests.
  10. The subjects would not be suitable for the vaccination if the screening laboratory tests show any of the follows

    • ALT or AST > upper limit of normal range (ULN);
    • Serum creatinine > upper limit of normal range (ULN);
    • Any significant laboratory abnormality as judged by the investigator
  11. Subjects receiving administration of immunoglobulins and/or any blood products within the 3 months preceding the administration of the study vaccine or at any time during the study.
  12. Subjects with acute disease at the time of enrolment.
  13. Use of any investigational or non-registered product other than the study vaccine within 30 days prior to the first vaccination, or planned use of the abovementioned product during the entire study period.
  14. Psychiatric, addictive, or any disorder, which may compromise the ability to give a truly informed consent for participation of this study or adequate compliance.
  15. Any clinically relevant disease and/or abnormal laboratory findings (, which, in the opinion of the Investigator, may either put the patient at risk because of participation in the study, or influence the results of the study, or the patient's ability to participate in the study.
  16. Breast feeding or pregnant women or refusal to submit to a urine test to rule out pregnancy prior to enrolment and during the study.

Sites / Locations

  • National Taiwan University Hospital

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm Type

Experimental

Experimental

Experimental

Experimental

Arm Label

AT-501 High Dose vaccine

AT-501 High Dose vaccine with Adjuvant

AT-501 Low Dose vaccine

AT-501 Low Dose vaccine with Adjuvant

Arm Description

Inactivated H7N9 High Dose Antigen

Inactivated H7N9 High Dose Antigen with Adjuvant

Inactivated H7N9 Low Dose Antigen

Inactivated H7N9 Low Dose Antigen with Adjuvant

Outcomes

Primary Outcome Measures

Safety of AT-501 vaccine measured by Adverse Event
Phase 1 Percentage, intensity and relationship to vaccination of solicited local and general signs and symptoms during a 7-day follow-up period after the first and second dose of administered vaccine. Percentage, intensity and relationship to vaccination of unsolicited local and general signs and symptoms during a 21-day follow-up period after each administered vaccine. Occurrence of overall adverse events and serious adverse events during the entire period of study.
Immunogenicity of AT-501 vaccine measured by HI titers
Phase 2 HI titers as follows: Seroconversion Rate (SCR) at day 22 and 43 Seroconversion Factor (SCF) at day 22 and day 43 Seroprotection Rate (SPR) at day 22 and day 43

Secondary Outcome Measures

Immunogenicity of AT-501 vaccine measured HI and neutralizing antibody titers
Phase 1 Change of antibody titers from baseline to day 22 and day 43 Geometric Mean Titer (GMT) of both serum HI titers and neutralizing antibody titers, pre-vaccination and day 22 and day 43 post-vaccination
Safety of AT-501 vaccine measured by Adverse Event
Phase 2 Percentage, intensity and relationship to vaccination of solicited local and general signs and symptoms during a 7-day follow-up period after the first and second dose of administered vaccine. Percentage, intensity and relationship to vaccination of unsolicited local and general signs and symptoms during a 21-day follow-up period after each administered vaccine. Occurrence of overall adverse events and serious adverse events during the entire period of study.

Full Information

First Posted
April 27, 2015
Last Updated
August 18, 2016
Sponsor
Medigen Vaccine Biologics Corp.
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1. Study Identification

Unique Protocol Identification Number
NCT02436928
Brief Title
A Study to Evaluate the Safety and Immunogenicity of H7N9 Influenza Vaccine (AT-501) in Healthy Adult Subjects
Study Type
Interventional

2. Study Status

Record Verification Date
March 2016
Overall Recruitment Status
Completed
Study Start Date
April 2015 (undefined)
Primary Completion Date
February 2016 (Actual)
Study Completion Date
February 2016 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Medigen Vaccine Biologics Corp.

4. Oversight

Data Monitoring Committee
Yes

5. Study Description

Brief Summary
This study aims to evaluate the safety and immunogenicity of an inactivated cell culture derived H7N9 vaccine in healthy adult subjects.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
H7N9 Influenza Vaccine
Keywords
H7N9 Influenza, Avian influenza A, cell culture derived

7. Study Design

Primary Purpose
Prevention
Study Phase
Phase 1, Phase 2
Interventional Study Model
Parallel Assignment
Masking
None (Open Label)
Allocation
Randomized
Enrollment
200 (Actual)

8. Arms, Groups, and Interventions

Arm Title
AT-501 High Dose vaccine
Arm Type
Experimental
Arm Description
Inactivated H7N9 High Dose Antigen
Arm Title
AT-501 High Dose vaccine with Adjuvant
Arm Type
Experimental
Arm Description
Inactivated H7N9 High Dose Antigen with Adjuvant
Arm Title
AT-501 Low Dose vaccine
Arm Type
Experimental
Arm Description
Inactivated H7N9 Low Dose Antigen
Arm Title
AT-501 Low Dose vaccine with Adjuvant
Arm Type
Experimental
Arm Description
Inactivated H7N9 Low Dose Antigen with Adjuvant
Intervention Type
Biological
Intervention Name(s)
AT-501 High Dose vaccine
Intervention Description
Comparison of each dose of vaccine
Intervention Type
Biological
Intervention Name(s)
AT-501 High Dose vaccine with Adjuvant
Intervention Description
Comparison of each dose of vaccine
Intervention Type
Biological
Intervention Name(s)
AT-501 Low Dose vaccine
Intervention Description
Comparison of each dose of vaccine
Intervention Type
Biological
Intervention Name(s)
AT-501 Low Dose vaccine with Adjuvant
Intervention Description
Comparison of each dose of vaccine
Primary Outcome Measure Information:
Title
Safety of AT-501 vaccine measured by Adverse Event
Description
Phase 1 Percentage, intensity and relationship to vaccination of solicited local and general signs and symptoms during a 7-day follow-up period after the first and second dose of administered vaccine. Percentage, intensity and relationship to vaccination of unsolicited local and general signs and symptoms during a 21-day follow-up period after each administered vaccine. Occurrence of overall adverse events and serious adverse events during the entire period of study.
Time Frame
1 year from the start of study enrolment
Title
Immunogenicity of AT-501 vaccine measured by HI titers
Description
Phase 2 HI titers as follows: Seroconversion Rate (SCR) at day 22 and 43 Seroconversion Factor (SCF) at day 22 and day 43 Seroprotection Rate (SPR) at day 22 and day 43
Time Frame
1 year from the start of study enrolment
Secondary Outcome Measure Information:
Title
Immunogenicity of AT-501 vaccine measured HI and neutralizing antibody titers
Description
Phase 1 Change of antibody titers from baseline to day 22 and day 43 Geometric Mean Titer (GMT) of both serum HI titers and neutralizing antibody titers, pre-vaccination and day 22 and day 43 post-vaccination
Time Frame
1 year from the start of study enrolment
Title
Safety of AT-501 vaccine measured by Adverse Event
Description
Phase 2 Percentage, intensity and relationship to vaccination of solicited local and general signs and symptoms during a 7-day follow-up period after the first and second dose of administered vaccine. Percentage, intensity and relationship to vaccination of unsolicited local and general signs and symptoms during a 21-day follow-up period after each administered vaccine. Occurrence of overall adverse events and serious adverse events during the entire period of study.
Time Frame
1 year from the start of study enrolment

10. Eligibility

Sex
All
Minimum Age & Unit of Time
20 Years
Maximum Age & Unit of Time
60 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: Subject within the age limit range, is free of obvious health problems as judged by the investigator before entering the study. Female subjects must be: either of non-childbearing potential, or one year post-menopausal; or, if of childbearing potential, must be abstinent or have used adequate contraceptive precautions for 30 days prior to receiving the study vaccination, have a negative pregnancy test and must agree to continue such precautions for two months after completion of the vaccination series. Subject is willing and able to comply with all required study visits and follow-up required by this protocol. Subject must provide written informed consent or the Subjects' legal representative must understand and consent to the procedure. Exclusion Criteria: Subjects with previous known or potential exposure to avian influenza virus H7N9 HA antigen and any other avian influenza including H5N1. Subjects who have had seasonal influenza vaccine within 6 months prior to enrolment or who will have seasonal influenza vaccine at any time during the study period Subjects administered with any other vaccine during the period within 6 weeks before the first administration of study vaccine. Subjects with confirmed or suspected abnormal immune function, immunosuppressive or immunodeficient condition, including human immunodeficiency virus (HIV) infection, based on medical history and physical examination. Subjects with a history of hypersensitivity to vaccines or a history of allergic disease or reactions likely to be exacerbated by any component of the vaccine. Subjects with a history of inflammatory or degenerative neurological disease . Subjects receiving chronic administration of immunosuppressants or other immune-modifying drugs within 6 months prior to the administration of the study vaccine. Inhaled and topical steroids are allowed. Known HIV, hepatitis B (HBsAg) or hepatitis C seropositivity. Subjects, judged by the investigator, with any clinically significant medical illness including acute pulmonary, cardiovascular, hepatic or renal functional abnormality, as determined by medical history, physical examination and/or laboratory screening tests. The subjects would not be suitable for the vaccination if the screening laboratory tests show any of the follows ALT or AST > upper limit of normal range (ULN); Serum creatinine > upper limit of normal range (ULN); Any significant laboratory abnormality as judged by the investigator Subjects receiving administration of immunoglobulins and/or any blood products within the 3 months preceding the administration of the study vaccine or at any time during the study. Subjects with acute disease at the time of enrolment. Use of any investigational or non-registered product other than the study vaccine within 30 days prior to the first vaccination, or planned use of the abovementioned product during the entire study period. Psychiatric, addictive, or any disorder, which may compromise the ability to give a truly informed consent for participation of this study or adequate compliance. Any clinically relevant disease and/or abnormal laboratory findings (, which, in the opinion of the Investigator, may either put the patient at risk because of participation in the study, or influence the results of the study, or the patient's ability to participate in the study. Breast feeding or pregnant women or refusal to submit to a urine test to rule out pregnancy prior to enrolment and during the study.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Shan-Chwen Chang, Dr.
Organizational Affiliation
National Taiwan University Hospital
Official's Role
Principal Investigator
Facility Information:
Facility Name
National Taiwan University Hospital
City
Taipei
Country
Taiwan

12. IPD Sharing Statement

Citations:
PubMed Identifier
28668573
Citation
Wu UI, Hsieh SM, Lee WS, Wang NC, Kung HC, Ou TY, Chen FL, Lin TY, Chen YC, Chang SC. Safety and immunogenicity of an inactivated cell culture-derived H7N9 influenza vaccine in healthy adults: A phase I/II, prospective, randomized, open-label trial. Vaccine. 2017 Jul 24;35(33):4099-4104. doi: 10.1016/j.vaccine.2017.06.044. Epub 2017 Jun 28.
Results Reference
derived

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A Study to Evaluate the Safety and Immunogenicity of H7N9 Influenza Vaccine (AT-501) in Healthy Adult Subjects

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