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Safety and Immunogenicity of Influenza H9 Vaccine in Humans

Primary Purpose

Influenza

Status
Completed
Phase
Phase 1
Locations
United Kingdom
Study Type
Interventional
Intervention
H9N2 whole virus vaccine, IM, 1.5microg
H9N2 whole virus vaccine, IM, 5microg
H9N2 whole virus vaccine vaccine, IM, 15microg
H9N2 whole virus vaccine, IM, 45microg
H9N2 whole virus vaccine, alum, IM, 1.5microg
H9N2 whole virus, alum, IM, 5microg
H9N2 vaccine, whole virus, alum, IM, 15 microg
H9N2 vaccine, whole virus, alum, IM, 45microg
H9N2 virosome vaccine, IM, 1.5microg
H9N2 virosomal vaccine, IM, 5microg
H9N2 virosomal vaccine, IM, 15microg
H9N2 virosomal vaccine, IM, 45microg
H9N2 whole virus vaccine, ID, 5microg
H9N2 whole virus vaccine, ID, 15microg
Sponsored by
University Hospitals, Leicester
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional basic science trial for Influenza focused on measuring influenza, H9N2, vaccine

Eligibility Criteria

18 Years - undefined (Adult, Older Adult)All SexesAccepts Healthy Volunteers

Inclusion Criteria:

  • Mentally competent adults, who have signed an informed consent form after having received a detailed explanation of the study protocol.
  • Male or female subjects over 18 years who are either healthy or have a stable medical condition.
  • Able to understand and comply with all study procedures and to complete study diaries
  • Individuals who can be contacted throughout the study and are available for all study visits
  • Females should either be using secure contraceptive precautions including a) the oral contraceptive pill, b) condom/barrier contraception c) partner has had a vasectomy, d) be surgically sterilised, or e) post- (defined as at least two years since the last menstrual period)

Exclusion Criteria:

  • Any clinically significant concurrent illness or unstable medical condition including: malignant tumours, autoimmune illnesses (including rheumatoid arthritis), acute or progressive renal or hepatic pathology, chronic obstructive pulmonary disease requiring oxygen therapy, and any active neurological disorder.
  • Individuals with a history of anaphylaxis or serious reactions to vaccines; hypersensitivity to eggs, chicken protein, chicken feathers, influenzal viral protein, neomycin or polymixin, or products containing mercury.
  • Persons with known immunosuppressive disease or who use systemic immunosuppressive drugs or other drugs listed in section 8 of the British National Formulary (BNF) or chloroquine, gold or penicillamine or other drugs listed in section 10.1.3 of the BNF to suppress a chronic disease process, or have received in the last 6 months radiotherapy or chemotherapy.
  • Subjects who are at high risk of developing illnesses of the immune system.
  • Individuals who are taking immunostimulant therapy or interferon
  • Individuals who have received blood products or immunoglobulins parenterally during the preceding three months.
  • Women should not be pregnant or lactating.
  • Women who refuse to use a reliable contraceptive method throughout the study
  • Known or suspected drug abuse.
  • Individuals who have received another vaccine or experimental (investigational) drug in the preceding 4 weeks.
  • Individuals who have previously received H9N2 vaccine
  • Unable to lead an independent life either physically or mentally
  • Regularly drink more than 40 units of alcohol weekly
  • Individuals who have had acute respiratory pathology or infections requiring systemic antibiotic or antiviral therapy during the preceding 7 days (chronic antibiotic therapy for prevention of urinary tract infections is acceptable).
  • Individuals who had a temperature over 38 degrees C in the preceding 3 days.
  • Individuals who, in the opinion of the investigator, have conditions that might complicate interpretation of the study results.

Sites / Locations

  • University Hospitals Leicester

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm 5

Arm 6

Arm 7

Arm 8

Arm 9

Arm 10

Arm 11

Arm 12

Arm 13

Arm 14

Arm Type

Active Comparator

Active Comparator

Active Comparator

Active Comparator

Active Comparator

Active Comparator

Active Comparator

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Arm Label

Vaccine 1

vaccine 2

Vaccine 3

Vaccine 4

Vaccine 5

Vaccine 6

Vaccine 7

Vaccine 8

Vaccine 9

Vaccine 10

Vaccine 11

Vaccine 12

Vaccine 13

Vaccine 14

Arm Description

influenza H9N2 vaccine whole virus containing 1.5microg haemagglutinin by intramuscular injection

influenza H9N2 vaccine whole virus containing 5microg haemagglutinin by intramuscular injection

influenza H9N2 vaccine whole virus containing 15microg haemagglutinin by intramuscular injection

influenza H9N2 vaccine whole virus containing 45microg haemagglutinin by intramuscular injection

influenza H9N2 vaccine whole virus adjuvanted with alum hydroxide containing 1.5microg haemagglutinin by intramuscular injection

influenza H9N2 vaccine whole virus adjuvanted with alum hydroxide containing 5microg haemagglutinin by intramuscular injection

influenza H9N2 vaccine whole virus adjuvanted with alum hydroxide containing 15microg haemagglutinin by intramuscular injection

influenza H9N2 vaccine whole virus adjuvanted with alum hydroxide containing 45microg haemagglutinin by intramuscular injection

influenza H9N2 vaccine virosomal containing 1.5microg haemagglutinin by intramuscular injection

influenza H9N2 vaccine virosomal containing 5microg haemagglutinin by intramuscular injection

influenza H9N2 vaccine virosomal containing 15microg haemagglutinin by intramuscular injection

influenza H9N2 vaccine virosomal containing 45microg haemagglutinin by intramuscular injection

influenza H9N2 vaccine whole virus containing 5microg haemagglutinin by intradermal injection

influenza H9N2 vaccine whole virus containing 15microg haemagglutinin by intradermal injection

Outcomes

Primary Outcome Measures

Geometric mean antibody titres of antibody to influenza H9 by HI and neutralising antibody assays

Secondary Outcome Measures

Local and systemic reactogenicity of influenza H9 vaccine
seroprotective antibody titres to influenza H9 by HI and neutralising antibody

Full Information

First Posted
December 23, 2008
Last Updated
July 20, 2009
Sponsor
University Hospitals, Leicester
Collaborators
Crucell Holland BV, National Institute of Biological Standards and Control, Public Health England
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1. Study Identification

Unique Protocol Identification Number
NCT00814229
Brief Title
Safety and Immunogenicity of Influenza H9 Vaccine in Humans
Official Title
Randomised Dose Ranging Observer Blind Single Centre Study to Evaluate Safety and Immunogenicity of Adjuvanted and Non-adjuvanted Influenza H9 Influenza Vaccine in Humans
Study Type
Interventional

2. Study Status

Record Verification Date
July 2009
Overall Recruitment Status
Completed
Study Start Date
August 2007 (undefined)
Primary Completion Date
January 2008 (Actual)
Study Completion Date
September 2008 (Actual)

3. Sponsor/Collaborators

Name of the Sponsor
University Hospitals, Leicester
Collaborators
Crucell Holland BV, National Institute of Biological Standards and Control, Public Health England

4. Oversight

Data Monitoring Committee
Yes

5. Study Description

Brief Summary
H9N2 influenza circulates in animal and poultry and has caused delf limiting infections in children. Influenza H9N2 poses a pandemic threat to humans. This study evaluates the safety and immunogenicity of adjuvanted and non-adjuvanted whole virus and virosomal H9N2 vaccines by the intramuscular route. We also assess intradermal route of administration to see if this has any advantages. The aim is to assess antibody responses before and after vaccination. The hypothesis is that lower doses of adjuvanted vaccine will induce similar antibody responses to non-adjuvanted vaccine
Detailed Description
A double-blind, single centre comparative study in which fourteen groups of 40 male and female adults >18 years of age will be randomly allocated to receive 1.7, 5, 15 or 45 µg quantities of whole virion (WV), Aluminium -adjuvanted WV(Al-WV), and virosomal (V) influenza A/Hong Kong/1073/99 (H9N2) vaccines by intramuscular injection into the deltoid muscle; or 5 or 15microg WV vaccine administered by intradermal injection. A second dose of the same vaccine containing the same quantity of antigen as in the first dose will be administered 21 days later. Subjects will be observed for local and systemic reactions for 30 minutes after each immunisation (day 0 and 21), and will be monitored for any reactions and other adverse events for 7 days after immunisation. Blood for immunogenicity studies will be obtained at day 0 (pre-immunisation), day-21 (+4 days), and at day-42 (i.e., 21 +4 days after the second immunization). Immunogenicity will be evaluated by haemagglutination inhibition, virus neutralization,, single radial haemolysis, neuraminidase inhibition and cellular mediated responses (in a subset of 5-10 subjects from each group).

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Influenza
Keywords
influenza, H9N2, vaccine

7. Study Design

Primary Purpose
Basic Science
Study Phase
Phase 1
Interventional Study Model
Single Group Assignment
Masking
ParticipantInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
353 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Vaccine 1
Arm Type
Active Comparator
Arm Description
influenza H9N2 vaccine whole virus containing 1.5microg haemagglutinin by intramuscular injection
Arm Title
vaccine 2
Arm Type
Active Comparator
Arm Description
influenza H9N2 vaccine whole virus containing 5microg haemagglutinin by intramuscular injection
Arm Title
Vaccine 3
Arm Type
Active Comparator
Arm Description
influenza H9N2 vaccine whole virus containing 15microg haemagglutinin by intramuscular injection
Arm Title
Vaccine 4
Arm Type
Active Comparator
Arm Description
influenza H9N2 vaccine whole virus containing 45microg haemagglutinin by intramuscular injection
Arm Title
Vaccine 5
Arm Type
Active Comparator
Arm Description
influenza H9N2 vaccine whole virus adjuvanted with alum hydroxide containing 1.5microg haemagglutinin by intramuscular injection
Arm Title
Vaccine 6
Arm Type
Active Comparator
Arm Description
influenza H9N2 vaccine whole virus adjuvanted with alum hydroxide containing 5microg haemagglutinin by intramuscular injection
Arm Title
Vaccine 7
Arm Type
Active Comparator
Arm Description
influenza H9N2 vaccine whole virus adjuvanted with alum hydroxide containing 15microg haemagglutinin by intramuscular injection
Arm Title
Vaccine 8
Arm Type
Active Comparator
Arm Description
influenza H9N2 vaccine whole virus adjuvanted with alum hydroxide containing 45microg haemagglutinin by intramuscular injection
Arm Title
Vaccine 9
Arm Type
Active Comparator
Arm Description
influenza H9N2 vaccine virosomal containing 1.5microg haemagglutinin by intramuscular injection
Arm Title
Vaccine 10
Arm Type
Active Comparator
Arm Description
influenza H9N2 vaccine virosomal containing 5microg haemagglutinin by intramuscular injection
Arm Title
Vaccine 11
Arm Type
Active Comparator
Arm Description
influenza H9N2 vaccine virosomal containing 15microg haemagglutinin by intramuscular injection
Arm Title
Vaccine 12
Arm Type
Active Comparator
Arm Description
influenza H9N2 vaccine virosomal containing 45microg haemagglutinin by intramuscular injection
Arm Title
Vaccine 13
Arm Type
Active Comparator
Arm Description
influenza H9N2 vaccine whole virus containing 5microg haemagglutinin by intradermal injection
Arm Title
Vaccine 14
Arm Type
Active Comparator
Arm Description
influenza H9N2 vaccine whole virus containing 15microg haemagglutinin by intradermal injection
Intervention Type
Biological
Intervention Name(s)
H9N2 whole virus vaccine, IM, 1.5microg
Intervention Description
influenza H9N2 vaccine whole virus containing 1.5microg haemagglutinin by intramuscular injection
Intervention Type
Biological
Intervention Name(s)
H9N2 whole virus vaccine, IM, 5microg
Intervention Description
influenza H9N2 vaccine whole virus containing 5microg haemagglutinin by intramuscular injection
Intervention Type
Biological
Intervention Name(s)
H9N2 whole virus vaccine vaccine, IM, 15microg
Intervention Description
influenza H9N2 vaccine whole virus containing 15microg haemagglutinin by intramuscular injection
Intervention Type
Biological
Intervention Name(s)
H9N2 whole virus vaccine, IM, 45microg
Intervention Description
influenza H9N2 vaccine whole virus containing 45microg haemagglutinin by intramuscular injection
Intervention Type
Biological
Intervention Name(s)
H9N2 whole virus vaccine, alum, IM, 1.5microg
Intervention Description
influenza H9N2 vaccine whole virus adjuvanted with alum hydroxide containing 1.5microg haemagglutinin by intramuscular injection
Intervention Type
Biological
Intervention Name(s)
H9N2 whole virus, alum, IM, 5microg
Intervention Description
influenza H9N2 vaccine whole virus adjuvanted with alum hydroxide containing 5microg haemagglutinin by intramuscular injection
Intervention Type
Biological
Intervention Name(s)
H9N2 vaccine, whole virus, alum, IM, 15 microg
Intervention Description
influenza H9N2 vaccine whole virus adjuvanted with alum hydroxide containing 15microg haemagglutinin by intramuscular injection
Intervention Type
Biological
Intervention Name(s)
H9N2 vaccine, whole virus, alum, IM, 45microg
Intervention Description
influenza H9N2 vaccine whole virus adjuvanted with alum hydroxide containing 45microg haemagglutinin by intramuscular injection
Intervention Type
Biological
Intervention Name(s)
H9N2 virosome vaccine, IM, 1.5microg
Intervention Description
influenza H9N2 vaccine virosomal containing 1.5microg haemagglutinin by intramuscular injection
Intervention Type
Biological
Intervention Name(s)
H9N2 virosomal vaccine, IM, 5microg
Intervention Description
influenza H9N2 vaccine virosome containing 5microg haemagglutinin by intramuscular injection
Intervention Type
Biological
Intervention Name(s)
H9N2 virosomal vaccine, IM, 15microg
Intervention Description
influenza H9N2 vaccine virosome containing 15microg haemagglutinin by intramuscular injection
Intervention Type
Biological
Intervention Name(s)
H9N2 virosomal vaccine, IM, 45microg
Intervention Description
influenza H9N2 vaccine virosome containing 45microg haemagglutinin by intramuscular injection
Intervention Type
Biological
Intervention Name(s)
H9N2 whole virus vaccine, ID, 5microg
Intervention Description
influenza H9N2 vaccine whole virus containing 5microg haemagglutinin by intradermal injection
Intervention Type
Biological
Intervention Name(s)
H9N2 whole virus vaccine, ID, 15microg
Intervention Description
influenza H9N2 vaccine whole virus containing 15microg haemagglutinin by intradermal injection
Primary Outcome Measure Information:
Title
Geometric mean antibody titres of antibody to influenza H9 by HI and neutralising antibody assays
Time Frame
Pre vaccination, 21 days and 42 days
Secondary Outcome Measure Information:
Title
Local and systemic reactogenicity of influenza H9 vaccine
Time Frame
within 7 days of vaccination
Title
seroprotective antibody titres to influenza H9 by HI and neutralising antibody
Time Frame
pre vacciantion, 21 and 42 days post-vaccine

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: Mentally competent adults, who have signed an informed consent form after having received a detailed explanation of the study protocol. Male or female subjects over 18 years who are either healthy or have a stable medical condition. Able to understand and comply with all study procedures and to complete study diaries Individuals who can be contacted throughout the study and are available for all study visits Females should either be using secure contraceptive precautions including a) the oral contraceptive pill, b) condom/barrier contraception c) partner has had a vasectomy, d) be surgically sterilised, or e) post- (defined as at least two years since the last menstrual period) Exclusion Criteria: Any clinically significant concurrent illness or unstable medical condition including: malignant tumours, autoimmune illnesses (including rheumatoid arthritis), acute or progressive renal or hepatic pathology, chronic obstructive pulmonary disease requiring oxygen therapy, and any active neurological disorder. Individuals with a history of anaphylaxis or serious reactions to vaccines; hypersensitivity to eggs, chicken protein, chicken feathers, influenzal viral protein, neomycin or polymixin, or products containing mercury. Persons with known immunosuppressive disease or who use systemic immunosuppressive drugs or other drugs listed in section 8 of the British National Formulary (BNF) or chloroquine, gold or penicillamine or other drugs listed in section 10.1.3 of the BNF to suppress a chronic disease process, or have received in the last 6 months radiotherapy or chemotherapy. Subjects who are at high risk of developing illnesses of the immune system. Individuals who are taking immunostimulant therapy or interferon Individuals who have received blood products or immunoglobulins parenterally during the preceding three months. Women should not be pregnant or lactating. Women who refuse to use a reliable contraceptive method throughout the study Known or suspected drug abuse. Individuals who have received another vaccine or experimental (investigational) drug in the preceding 4 weeks. Individuals who have previously received H9N2 vaccine Unable to lead an independent life either physically or mentally Regularly drink more than 40 units of alcohol weekly Individuals who have had acute respiratory pathology or infections requiring systemic antibiotic or antiviral therapy during the preceding 7 days (chronic antibiotic therapy for prevention of urinary tract infections is acceptable). Individuals who had a temperature over 38 degrees C in the preceding 3 days. Individuals who, in the opinion of the investigator, have conditions that might complicate interpretation of the study results.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Karl G Nicholson, FRCP, MD
Organizational Affiliation
University of Leicester
Official's Role
Principal Investigator
Facility Information:
Facility Name
University Hospitals Leicester
City
Leicester
State/Province
Leicestershire
ZIP/Postal Code
LE1 5WW
Country
United Kingdom

12. IPD Sharing Statement

Learn more about this trial

Safety and Immunogenicity of Influenza H9 Vaccine in Humans

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