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This study aims to demonstrate the non-inferiority of two doses of H5N1 influenza antigen in non-elderly and elderly adult subjects in order to submit an extension application for a lower dose of Focetria.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| H5N1 pandemic Influenza vaccine 3.75µg | Active Comparator |
| |
| H5N1 pandemic Influenza vaccine 7.5µg | Active Comparator |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| H5N1 pandemic Influenza vaccine 3.75µg | Biological | 2 doses of monovalent MF59-adjuvanted H5N1 pandemic vaccine containing 3.75µg H5N1 antigen |
|
| Measure | Description | Time Frame |
|---|---|---|
| Day 43 post vaccination ratio of GMTs for the 2 different vaccine groups (3.75µ / 7.5µg) including two-sided 95% confidence intervals as measured by HI and SRH in the adult and elderly population combined. | 43 days | |
| Solicited local reactions: ecchymosis, erythema, induration, swelling and pain at injection site. | 6 weeks | |
| Solicited systemic reactions: headache, arthralgia, chills, fatigue, malaise, myalgia, nausea, sweating and fever as measured by axillary temperature for Day 1 through 7 and Day 22 to 28 of the study. | 6 weeks |
| Measure | Description | Time Frame |
|---|---|---|
| Geometric mean titers/area (GMTs/GMAs) on each blood sampling days as determined by HI and SRH, and the applicable geometric mean ratios. | 6 weeks | |
| Percentage of subjects achieving seroconversion or significant increase in antibody titer on each post-vaccination blood sampling days, as measured by HI and SRH. |
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Inclusion Criteria:
Exclusion Criteria:
Laboratory-confirmed or suspected influenza disease within 6 months prior to Visit 1. "Laboratory-confirmed" includes:
Positive serology result
Positive viral culture
Positive rapid antigen test
"Suspected" influenza disease includes: subjects with influenza-like illness within the past 6 months with a household/intimate contact with "laboratory-confirmed" influenza disease
a. Medically significant cancer (except for benign or localized skin cancer, cancer in remission for ≥10 years or localized prostate cancer that has been clinically stable for more than 2 years without treatment) b. autoimmune disease (including rheumatoid arthritis) except for Hashimoto's thyroiditis that has been clinically stable for ≥ 5 years; c. diabetes mellitus type I; d. poorly controlled diabetes mellitus type II; e. diabetes relating to genetic defects/syndromes, diseases of the exocrine pancreas, or infections; f. advanced arteriosclerotic disease; g. severe chronic obstructive pulmonary disease (COPD), i.e. GOLD stages 3 and 4; h. acute or progressive hepatic disease; i. acute or progressive renal disease; j. medically significant congestive heart failure; k. history of underlying medical condition such as major congenital abnormalities requiring surgery, chronic treatment, or associated with developmental delay (e.g., Down's syndrome)
Known or suspected impairment/alteration of immune function, including:
Receipt of another vaccine within 2 weeks (for inactivated vaccines) or 4 weeks (for live vaccines) prior to Day 1 or planned vaccination before Day 43. Seasonal influenza vaccination is allowed 3 weeks after last study vaccination (after the blood sampling for serology on Day 43)
Experienced body temperature ≥38.0°C (100.4°F) within 3 days prior to each study vaccination.
Use of antipyretic/analgesic medication within 24 hours of each study vaccination
Receipt of another investigational agent within 30 days prior to enrollment in the study or before completion of the safety follow-up period in another study, whichever is longer, prior to enrollment and unwilling to refuse participation in another clinical study through the end of the study
Pregnant or breast-feeding female
Any positive or indeterminate pregnancy test
If female, of childbearing potential, and has not used any of the "acceptable contraceptive methods" for at least 2 months prior to study entry
i. Hormonal contraceptive (such as oral, injection, transdermal patch, implant, cervical ring) ii. Barrier (condom with spermicide or diaphragm with spermicide) each and every time during intercourse iii. Intrauterine device (IUD) iv. Monogamous relationship with vasectomized partner. Partner must have been vasectomized for at least six months prior to the subject's study entry
If female of childbearing potential, refusal to use an "acceptable contraceptive method" during the study including day 43.
If female of childbearing potential, refusal to submit for pregnancy testing prior to study vaccination
Research staff directly involved with the clinical study or family members or household members of research staff. Research staff are individuals with direct or indirect contact with study subjects, or study site personnel who have access to any study documents containing subject information. This would include receptionists, persons scheduling appointments or making screening calls, regulatory specialists, laboratory technicians, etc.
Elective surgery or hospitalization planned during the period of study participation.
BMI >35Kg/m2 where BMI is for obese and not for high muscle mass
Individuals with history of substance or alcohol abuse within the past 2 years that in the opinion of the Investigator might interfere with the safety of the subject or the evaluation of the study objectives.
Any condition, which in the opinion of the Investigator, might interfere with the evaluation of the study objectives.
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| Name | Affiliation | Role |
|---|---|---|
| Novartis Vaccines | Novartis Vaccines | Study Chair |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| NZOZ Centrum Zdrowia "Blonie" | Bydgoszcz | Poland | ||||
| Prakytka Lekarzy Rodzinnych "Salus" |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 23362618 | Derived | Czajka H, Unal S, Ulusoy S, Usluer G, Strus A, Sennaroglu E, Guzik J, Topeli Iskit A, Dargiewicz A, Musial D, Caylan R, Dziduch J, Eskioglu E, Hasiec B, Cwinarowiczliwa E, Belli R, Abdel-Messih IA, Beygo J, Fragapane E. A phase II, randomised clinical trial to demonstrate the non-inferiority of low-dose MF59-adjuvanted pre-pandemic A/H5N1 influenza vaccine in adult and elderly subjects. J Prev Med Hyg. 2012 Sep;53(3):136-42. |
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| H5N1 pandemic Influenza vaccine 7.5µg | Biological | 2 doses of monovalent MF59-adjuvanted H5N1 pandemic vaccine containing 7.5µg H5N1 antigen |
|
| 6 weeks |
| Percentage of subjects achieving an HI titer ≥40/ SRH area ≥25mm² on each blood sampling days. | 6 weeks |
| Immunogenicity, as determined by HI or SRH, will be assessed according to age-appropriate CHMP criteria (CPMP/BWP/214/96). | 6 weeks |
| Immunogenicity according to CBER criteria in terms of hemagglutination inhibition test in non-elderly adult and elderly subjects separately, for all post-vaccination blood sampling days and the immunogenicity according to microneutralization test | 6 weeks |
| Katowice |
| Poland |
| Szpital Internistyczny | Krakow | Poland |
| Wojewodzki Specjalistyczny Szpital Dzieciecy im. | Krakow | Poland |
| Samodyielny Publiczny ZOZ | Lubartów | Poland |
| NZOZ Praktyka Lekarza Rodzinnego "Eskulap" | Lubin | Poland |
| Gazi Universitesi Tip Fakultesi | Ankara | Turkey (Türkiye) |
| Hacettepe Universitesi Tip Fakultesi Ic Hastaliklan | Ankara | Turkey (Türkiye) |
| T.C.S.B. Ankara Numune Egitim ve Arastirma | Ankara | Turkey (Türkiye) |
| T.C.S.B.Ataturk Egitim ve Arastirma Hastanesi | Ankara | Turkey (Türkiye) |
| Osmangazi Universitesi Tip Fakutesi | Eskişehir | Turkey (Türkiye) |
| Enfeksiyon Hastaliklari ve Klinik Mikeoviyloji | Izmir | Turkey (Türkiye) |