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A/H5N1 Virus-Like Particle Antigen Dose Ranging Study With Adjuvant 1

Primary Purpose

Influenza (Pandemic)

Status
Completed
Phase
Phase 1
Locations
United States
Study Type
Interventional
Intervention
Monovalent Avian Influenza VLP (H5N1)
Monovalent Avian Influenza VLP (H5N1)
Monovalent Avian Influenza VLP (H5N1); Adjuvant
Monovalent Avian Influenza VLP (H5N1); Adjuvant
Monovalent Avian Influenza VLP (H5N1); Adjuvant
Saline placebo
Sponsored by
Novavax
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional prevention trial for Influenza (Pandemic)

Eligibility Criteria

18 Years - 49 Years (Adult)All SexesAccepts Healthy Volunteers

Inclusion Criteria:

  1. Healthy adult male or female, ≥18 and ≤49 years of age,
  2. Willing and able to give informed consent prior to study enrollment,
  3. Able to comply with study requirements, and
  4. Women must have a negative urine pregnancy test prior to each vaccination; will be advised through the Informed Consent process to avoid becoming pregnant over the duration of the study, and must assert that they will employ an effective form of birth control for the duration of the study. Acceptable forms of birth control are: credible history of continuous abstinence from heterosexual activity or prior surgical sterilization, hormonal contraceptives (oral, injectable, implant, patch, ring), double-barrier contraceptives (condom or diaphragm, with spermicide), and intrauterine device (IUD).

Exclusion Criteria:

  1. Any ongoing, symptomatic acute or chronic illness requiring medical or surgical care. Asymptomatic conditions (e.g., hypertension, dyslipidemia) that are being managed medically and that are not associated with evidence of end-organ damage are not exclusionary provided they are clinically stable (defined as no unscheduled medical interventions or change in medications for cause within 3 months).
  2. Any history of jaundice, or of hepatic injury due to drug (prescription, OTC, or illicit) or alcohol use or viral hepatitis; or the presence of hepatitis B surface antigen or hepatitis C antibody at screening.
  3. Any grade 1 or higher (as based on the Toxicity Grading Scale [TGS]) abnormality in ALT, AST, alkaline phosphatase or total bilirubin levels.
  4. Any grade 2 or higher (as based on the TGS) vital sign or clinical laboratory abnormality not specified in criterion 3 above. Note that any abnormal vital sign may be repeated at the Investigator's discretion.
  5. Participation in research involving investigational product (drug / biologic / device) within 45 days before planned date of first vaccination.
  6. History of a serious reaction to prior influenza vaccination.
  7. History of Guillain-Barré Syndrome (GBS) within 6 weeks following a previous influenza vaccine.
  8. Received any vaccine in the 4 weeks preceding the study vaccination; or any A/H5N1 avian influenza vaccine at any time.
  9. Any known or suspected immunosuppressive condition, acquired or congenital, including HIV infection as determined by history and/or physical examination.
  10. Chronic administration (defined as more than 14 continuous days) of immunosuppressants or other immune-modifying drugs within 6 months prior to the administration of the study vaccine. An immunosuppressant dose of glucocorticoid will be defined as a systemic dose ≥10 mg of prednisone per day or equivalent. The use of topical, inhaled, and nasal glucocorticoids will be permitted.
  11. Administration of immunoglobulins and/or any blood products within the 3 months preceding the administration of the study vaccine or during the study.
  12. Acute disease at the time of enrollment (defined as the presence of a moderate or severe illness with or without fever, or an oral temperature >38.0°C on the planned day of vaccine administration).
  13. Known disturbance of coagulation.
  14. Women who are pregnant or breastfeeding, or plan to become pregnant during the study.
  15. Suspicion or recent history (within one year of planned vaccination) of alcohol or other substance abuse.
  16. Any condition that in the opinion of the investigator would pose a health risk to the subject if enrolled or could interfere with evaluation of the vaccine or interpretation of study results (including neurologic or psychiatric conditions deemed likely to impair the quality of safety reporting).

Sites / Locations

  • Anaheim Clinical Trials
  • Miami Research Associates
  • Broward Research Group
  • Johnson County Clin-Trials
  • Clinical Trials of Texas

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm 5

Arm 6

Arm Type

Experimental

Experimental

Experimental

Experimental

Experimental

Experimental

Arm Label

Group A

Group B

Group C

Group D

Group E

Group F

Arm Description

Outcomes

Primary Outcome Measures

Number of solicited and unsolicited adverse events in H5N1 VLP antigen dose groups delivering HA with/without Adjuvant 1.

Secondary Outcome Measures

Measurement of HAI antibody seroconversion rates and GMT achieved by a constant H5N1 VLP antigen dose alone and in combination with Adjuvant 1.

Full Information

First Posted
May 2, 2012
Last Updated
February 5, 2014
Sponsor
Novavax
Collaborators
Department of Health and Human Services
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1. Study Identification

Unique Protocol Identification Number
NCT01594320
Brief Title
A/H5N1 Virus-Like Particle Antigen Dose Ranging Study With Adjuvant 1
Official Title
A Phase 1 Randomized, Observer-Blinded, Dose-Ranging Study to Evaluate the Immunogenicity and Safety of Monovalent A/Indonesia/05/05 (H5N1) Virus-Like Particle (VLP) Avian Influenza Antigen (Recombinant) in Healthy Young Adults With and Without Adjuvant 1.
Study Type
Interventional

2. Study Status

Record Verification Date
February 2014
Overall Recruitment Status
Completed
Study Start Date
April 2012 (undefined)
Primary Completion Date
July 2012 (Actual)
Study Completion Date
August 2013 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Novavax
Collaborators
Department of Health and Human Services

4. Oversight

Data Monitoring Committee
Yes

5. Study Description

Brief Summary
The purpose of this study is to evaluate the immunogenicity and safety profile of the Avian flu vaccine with and without adjuvant 1 in healthy, young adults. The study is divided down into Parts A1, A2 and B. Groups within each Part will receive two doses of the assigned test article on Study Days 0 and 21. There will be a Safety Monitoring Committee assessment following Day 7 for each part, prior to allowing vaccination of subjects in subsequent Parts of the study.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Influenza (Pandemic)

7. Study Design

Primary Purpose
Prevention
Study Phase
Phase 1
Interventional Study Model
Parallel Assignment
Masking
ParticipantInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
333 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Group A
Arm Type
Experimental
Arm Title
Group B
Arm Type
Experimental
Arm Title
Group C
Arm Type
Experimental
Arm Title
Group D
Arm Type
Experimental
Arm Title
Group E
Arm Type
Experimental
Arm Title
Group F
Arm Type
Experimental
Intervention Type
Biological
Intervention Name(s)
Monovalent Avian Influenza VLP (H5N1)
Intervention Description
Dose A without Adjuvant 1; intramuscular, deltoid, Day 0 & Day 21
Intervention Type
Biological
Intervention Name(s)
Monovalent Avian Influenza VLP (H5N1)
Intervention Description
Dose B without Adjuvant 1; intramuscular, deltoid, Day 0 & Day 21
Intervention Type
Biological
Intervention Name(s)
Monovalent Avian Influenza VLP (H5N1); Adjuvant
Intervention Description
Dose B with Adjuvant 1; intramuscular, deltoid, Day 0 & Day 21
Intervention Type
Biological
Intervention Name(s)
Monovalent Avian Influenza VLP (H5N1); Adjuvant
Intervention Description
Dose C with Adjuvant 1; intramuscular, deltoid, Day 0 & Day 21
Intervention Type
Biological
Intervention Name(s)
Monovalent Avian Influenza VLP (H5N1); Adjuvant
Intervention Description
Dose D with Adjuvant 1; intramuscular, deltoid, Day 0 & Day 21
Intervention Type
Biological
Intervention Name(s)
Saline placebo
Intervention Description
Placebo; Intramuscular, deltoid, Day 0 & Day 21
Primary Outcome Measure Information:
Title
Number of solicited and unsolicited adverse events in H5N1 VLP antigen dose groups delivering HA with/without Adjuvant 1.
Time Frame
Day 42
Secondary Outcome Measure Information:
Title
Measurement of HAI antibody seroconversion rates and GMT achieved by a constant H5N1 VLP antigen dose alone and in combination with Adjuvant 1.
Time Frame
Day 42

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
49 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: Healthy adult male or female, ≥18 and ≤49 years of age, Willing and able to give informed consent prior to study enrollment, Able to comply with study requirements, and Women must have a negative urine pregnancy test prior to each vaccination; will be advised through the Informed Consent process to avoid becoming pregnant over the duration of the study, and must assert that they will employ an effective form of birth control for the duration of the study. Acceptable forms of birth control are: credible history of continuous abstinence from heterosexual activity or prior surgical sterilization, hormonal contraceptives (oral, injectable, implant, patch, ring), double-barrier contraceptives (condom or diaphragm, with spermicide), and intrauterine device (IUD). Exclusion Criteria: Any ongoing, symptomatic acute or chronic illness requiring medical or surgical care. Asymptomatic conditions (e.g., hypertension, dyslipidemia) that are being managed medically and that are not associated with evidence of end-organ damage are not exclusionary provided they are clinically stable (defined as no unscheduled medical interventions or change in medications for cause within 3 months). Any history of jaundice, or of hepatic injury due to drug (prescription, OTC, or illicit) or alcohol use or viral hepatitis; or the presence of hepatitis B surface antigen or hepatitis C antibody at screening. Any grade 1 or higher (as based on the Toxicity Grading Scale [TGS]) abnormality in ALT, AST, alkaline phosphatase or total bilirubin levels. Any grade 2 or higher (as based on the TGS) vital sign or clinical laboratory abnormality not specified in criterion 3 above. Note that any abnormal vital sign may be repeated at the Investigator's discretion. Participation in research involving investigational product (drug / biologic / device) within 45 days before planned date of first vaccination. History of a serious reaction to prior influenza vaccination. History of Guillain-Barré Syndrome (GBS) within 6 weeks following a previous influenza vaccine. Received any vaccine in the 4 weeks preceding the study vaccination; or any A/H5N1 avian influenza vaccine at any time. Any known or suspected immunosuppressive condition, acquired or congenital, including HIV infection as determined by history and/or physical examination. Chronic administration (defined as more than 14 continuous days) of immunosuppressants or other immune-modifying drugs within 6 months prior to the administration of the study vaccine. An immunosuppressant dose of glucocorticoid will be defined as a systemic dose ≥10 mg of prednisone per day or equivalent. The use of topical, inhaled, and nasal glucocorticoids will be permitted. Administration of immunoglobulins and/or any blood products within the 3 months preceding the administration of the study vaccine or during the study. Acute disease at the time of enrollment (defined as the presence of a moderate or severe illness with or without fever, or an oral temperature >38.0°C on the planned day of vaccine administration). Known disturbance of coagulation. Women who are pregnant or breastfeeding, or plan to become pregnant during the study. Suspicion or recent history (within one year of planned vaccination) of alcohol or other substance abuse. Any condition that in the opinion of the investigator would pose a health risk to the subject if enrolled or could interfere with evaluation of the vaccine or interpretation of study results (including neurologic or psychiatric conditions deemed likely to impair the quality of safety reporting).
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Nigel Thomas, Ph.D
Organizational Affiliation
Novavax
Official's Role
Study Director
Facility Information:
Facility Name
Anaheim Clinical Trials
City
Anaheim
State/Province
California
ZIP/Postal Code
92801
Country
United States
Facility Name
Miami Research Associates
City
Miami
State/Province
Florida
ZIP/Postal Code
33143
Country
United States
Facility Name
Broward Research Group
City
Pembroke Pines
State/Province
Florida
ZIP/Postal Code
33026
Country
United States
Facility Name
Johnson County Clin-Trials
City
Lenexa
State/Province
Kansas
ZIP/Postal Code
66219
Country
United States
Facility Name
Clinical Trials of Texas
City
San Antonio
State/Province
Texas
ZIP/Postal Code
78229
Country
United States

12. IPD Sharing Statement

Links:
URL
http://www.novavax.com
Description
Related Info

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A/H5N1 Virus-Like Particle Antigen Dose Ranging Study With Adjuvant 1

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