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The purpose of this study is to investigate the safety and immunogenicity of a recombinant hemagglutinin (rHA) influenza vaccine derived from A/Indonesia/05/2005 (H5N1) administered at 3 dose levels in adjuvanted (SE) rHA formulations and 1 dose levels in an un-adjuvanted rHA formulation.
All currently licensed influenza vaccines in the United States are produced in embryonated hen's eggs. There are several well-recognized disadvantages to the use of eggs as the substrate for influenza vaccine. Eggs require specialized manufacturing facilities and could be difficult to scale up rapidly in response to an emerging need such as a pandemic. It is usually necessary to adapt candidate vaccine viruses for high-yield growth in eggs, a process that can be time consuming, is not always successful, and can select receptor variants that may have suboptimal immunogenicity. In addition, agricultural diseases that affect chicken flocks, and that might be an important issue in a pandemic due to an avian influenza virus strain, could easily disrupt the supply of eggs for vaccine manufacturing. Therefore, development of alternative substrates for influenza vaccine production has been identified as a high-priority objective.
One potential alternative method for production of influenza vaccine is expression of the influenza virus hemagglutinin (HA) using recombinant DNA techniques. This alternative avoids dependence on eggs and is very efficient because of the high levels of protein expression under the control of the baculovirus polyhedrin promoter.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| PanBlok 15µg in 2% SE | Experimental | 15µg recombinant hemagglutinin in a 2% oil-in-water stable emulsion (rHA adjuvant). 0.5mL intramuscular injection on Day 0 and Day 21 in the deltoid muscle |
|
| PanBlok 3.8µg in 2% SE | Experimental | 3.8µg recombinant hemagglutinin in a 2% oil-in-water stable emulsion (rHA adjuvant). 0.5mL intramuscular injection on Day 0 and Day 21 in the deltoid muscle |
|
| PanBlok 7.5µg No Adjuvant | Experimental | 7.5µg recombinant hemagglutinin, no adjuvant. 0.5mL intramuscular injection on Day 0 and Day 21 in the deltoid muscle |
|
| PanBlok 7.5µg in 2% SE | Experimental | 7.5µg recombinant hemagglutinin in a 2% oil-in-water stable emulsion (rHA adjuvant). 0.5mL intramuscular injection on Day 0 and Day 21 in the deltoid muscle |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| PanBlok | Biological | Intramuscular injection |
|
| Measure | Description | Time Frame |
|---|---|---|
| The Difference in Seroconversion/Immunogenicity Between rHA Formulated in an oil-in- Water Adjuvant (SE) Compared to a rHA Antigen Alone. | Immunogenicity was assessed by measuring the percentage of subjects in each group exhibiting seroconversion on Day 42. The treatment groups that received adjuvanted rHA were evaluated against a non-adjuvanted rHA treatment group for whether they demonstrated seroconversion rates and 95% confidence intervals. | 42 Days |
| The Difference in Geometric Mean Titer Between rHA Formulated in an oil-in- Water Adjuvant (SE) Compared to a rHA Antigen Alone. | 42 Days |
| Measure | Description | Time Frame |
|---|---|---|
| Reactogenicity Immediately After Each Injection, Extending to Day 7. | Solicited events of local and systemic reactogenicity Days 0-7. These events are expected to occur and not considered or recorded as Adverse Events. | 7 Days |
| Long-term Safety |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| John J Treanor, MD | University of Rochester | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Meridian Clinical Research | Omaha | Nebraska | 68134 | United States | ||
| University of Rochester Center for Vaccine Studies |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 28089141 | Derived | Treanor JJ, Chu L, Essink B, Muse D, El Sahly HM, Izikson R, Goldenthal KL, Patriarca P, Dunkle LM. Stable emulsion (SE) alone is an effective adjuvant for a recombinant, baculovirus-expressed H5 influenza vaccine in healthy adults: A Phase 2 trial. Vaccine. 2017 Feb 7;35(6):923-928. doi: 10.1016/j.vaccine.2016.12.053. Epub 2017 Jan 11. |
| Label | URL |
|---|---|
| sponsor | View source |
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| ID | Title | Description |
|---|---|---|
| FG000 | PanBlok 15µg in 2% SE | 15µg recombinant hemagglutinin in a 2% oil-in-water stable emulsion (rHA adjuvant). 0.5mL intramuscular injection on Day 0 and Day 21 in the deltoid muscle PanBlok: Intramuscular injection rHA adjuvant: Intramuscular injection |
| FG001 | PanBlok 3.8µg in 2% SE | 3.8µg recombinant hemagglutinin in a 2% oil-in-water stable emulsion (rHA adjuvant). 0.5mL intramuscular injection on Day 0 and Day 21 in the deltoid muscle PanBlok: Intramuscular injection rHA adjuvant: Intramuscular injection |
| FG002 | PanBlok 7.5µg No Adjuvant | 7.5µg recombinant hemagglutinin, no adjuvant. 0.5mL intramuscular injection on Day 0 and Day 21 in the deltoid muscle PanBlok: Intramuscular injection |
| FG003 | PanBlok 7.5µg in 2% SE | 7.5µg recombinant hemagglutinin in a 2% oil-in-water stable emulsion (rHA adjuvant). 0.5mL intramuscular injection on Day 0 and Day 21 in the deltoid muscle PanBlok: Intramuscular injection rHA adjuvant: Intramuscular injection |
| Title | Milestones | Reasons Not Completed | ||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Overall Study |
|
|
Healthy adults 18-49 years of age with no prior vaccination with H5 pandemic influenza
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| ID | Title | Description |
|---|---|---|
| BG000 | PanBlok 15µg in 2% SE | 15µg recombinant hemagglutinin in a 2% oil-in-water stable emulsion (rHA adjuvant). 0.5mL intramuscular injection on Day 0 and Day 21 in the deltoid muscle PanBlok: Intramuscular injection rHA adjuvant: Intramuscular injection |
| BG001 | PanBlok 3.8µg in 2% SE |
| Units | Counts |
|---|---|
| Participants |
|
| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes |
|---|---|---|---|---|---|---|---|---|---|
| Age, Continuous | Mean |
| Type | Title | Description | Population Description | Reporting Status | Anticipated Posting Date | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Time Frame | Units Analyzed | Denominator Units Selected | Arm/Group Information | Denominators | Classes | Analyses | |||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Primary | The Difference in Seroconversion/Immunogenicity Between rHA Formulated in an oil-in- Water Adjuvant (SE) Compared to a rHA Antigen Alone. | Immunogenicity was assessed by measuring the percentage of subjects in each group exhibiting seroconversion on Day 42. The treatment groups that received adjuvanted rHA were evaluated against a non-adjuvanted rHA treatment group for whether they demonstrated seroconversion rates and 95% confidence intervals. | All subjects who received both doses of study vaccine and had pre- and post-immunization immunogenicity data for the time period summarized. | Posted | Number | 95% Confidence Interval | percentage of participants | 42 Days |
|
All AEs collected Days 0-42; Serious Adverse Events (SAEs), Adverse Events of Special Interest (AESIs) and New Onset Chronic Illnesses (NOCIs) collected through month 13 following vaccination.
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| ID | Title | Description | Deaths (Affected) | Deaths (At Risk) | Serious Events (Affected) | Serious Events (At Risk) | Other Events (Affected) | Other Events (At Risk) |
|---|---|---|---|---|---|---|---|---|
| EG000 | PanBlok 15µg in 2% SE | 15µg recombinant hemagglutinin in a 2% oil-in-water stable emulsion (rHA adjuvant). 0.5mL intramuscular injection on Day 0 and Day 21 in the deltoid muscle PanBlok: Intramuscular injection rHA adjuvant: Intramuscular injection |
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Depression | Psychiatric disorders | MedDRA 15 | Systematic Assessment | History of clinical depression since adolescence |
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Diarrhea | Gastrointestinal disorders | MedDRA 15 | Systematic Assessment |
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| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Lisa M. Dunkle, M.D., Chief Medical Officer | Protein Sciences Corproation | 203-599-6064 | 153 | ldunkle@proteinsciences.com |
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| ID | Term |
|---|---|
| D007251 | Influenza, Human |
| ID | Term |
|---|---|
| D012141 | Respiratory Tract Infections |
| D007239 | Infections |
| D009976 | Orthomyxoviridae Infections |
| D012327 | RNA Virus Infections |
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|
| rHA adjuvant | Biological | Intramuscular injection |
|
|
Incidence of Serious Adverse Events (SAEs), New Onset of Chronic Illnesses (NOCIs) and Adverse Events of Special Interest (AESIs) over 12 months following vaccination. Study subjects were followed every three months (for one year following Day 42) by telephone and visit for reports of SAEs, NOCIs, and AESIs.
| 13 Months |
| Rochester |
| New York |
| 14627 |
| United States |
| Benchmark Reseach | Austin | Texas | 78705 | United States |
| Baylor College of Medicine | Houston | Texas | 77030 | United States |
| Jean Brown Research | Salt Lake City | Utah | 84124 | United States |
| Physician Decision |
|
| Withdrawal by Subject |
|
3.8µg recombinant hemagglutinin in a 2% oil-in-water stable emulsion (rHA adjuvant). 0.5mL intramuscular injection on Day 0 and Day 21 in the deltoid muscle PanBlok: Intramuscular injection rHA adjuvant: Intramuscular injection |
| BG002 | PanBlok 7.5µg No Adjuvant | 7.5µg recombinant hemagglutinin, no adjuvant. 0.5mL intramuscular injection on Day 0 and Day 21 in the deltoid muscle PanBlok: Intramuscular injection |
| BG003 | PanBlok 7.5µg in 2% SE | 7.5µg recombinant hemagglutinin in a 2% oil-in-water stable emulsion (rHA adjuvant). 0.5mL intramuscular injection on Day 0 and Day 21 in the deltoid muscle PanBlok: Intramuscular injection rHA adjuvant: Intramuscular injection |
| BG004 | Total | Total of all reporting groups |
| years |
|
| Sex: Female, Male | Count of Participants | Participants |
|
| Race (NIH/OMB) | Count of Participants | Participants |
|
| Ethnicity (NIH/OMB) | Count of Participants | Participants |
|
| Region of Enrollment | Number | participants |
|
| OG001 | PanBlok 3.8µg in 2% SE | 3.8µg recombinant hemagglutinin in a 2% oil-in-water stable emulsion (rHA adjuvant). 0.5mL intramuscular injection on Day 0 and Day 21 in the deltoid muscle PanBlok: Intramuscular injection rHA adjuvant: Intramuscular injection |
| OG002 | PanBlok 7.5µg No Adjuvant | 7.5µg recombinant hemagglutinin, no adjuvant. 0.5mL intramuscular injection on Day 0 and Day 21 in the deltoid muscle PanBlok: Intramuscular injection |
| OG003 | PanBlok 7.5µg in 2% SE | 7.5µg recombinant hemagglutinin in a 2% oil-in-water stable emulsion (rHA adjuvant). 0.5mL intramuscular injection on Day 0 and Day 21 in the deltoid muscle PanBlok: Intramuscular injection rHA adjuvant: Intramuscular injection |
|
|
| Secondary | Reactogenicity Immediately After Each Injection, Extending to Day 7. | Solicited events of local and systemic reactogenicity Days 0-7. These events are expected to occur and not considered or recorded as Adverse Events. | All randomized subjects who received at least one dose of study vaccine and provided any safety data following vaccination. | Posted | Number | participants | 7 Days |
|
|
|
| Secondary | Long-term Safety | Incidence of Serious Adverse Events (SAEs), New Onset of Chronic Illnesses (NOCIs) and Adverse Events of Special Interest (AESIs) over 12 months following vaccination. Study subjects were followed every three months (for one year following Day 42) by telephone and visit for reports of SAEs, NOCIs, and AESIs. | All randomized subjects who received at least one dose of study vaccine and provided any safety data following vaccination. | Posted | Number | participants | 13 Months |
|
|
|
| Primary | The Difference in Geometric Mean Titer Between rHA Formulated in an oil-in- Water Adjuvant (SE) Compared to a rHA Antigen Alone. | All subjects who received both doses of study vaccine and had pre- and post-immunization immunogenicity data for the time period summarized. | Posted | Geometric Mean | 95% Confidence Interval | titer | 42 Days |
|
|
|
| 0 |
| 84 |
| 22 |
| 84 |
| EG001 | PanBlok 3.8µg in 2% SE | 3.8µg recombinant hemagglutinin in a 2% oil-in-water stable emulsion (rHA adjuvant). 0.5mL intramuscular injection on Day 0 and Day 21 in the deltoid muscle PanBlok: Intramuscular injection rHA adjuvant: Intramuscular injection | 2 | 86 | 13 | 86 |
| EG002 | PanBlok 7.5µg No Adjuvant | 7.5µg recombinant hemagglutinin, no adjuvant. 0.5mL intramuscular injection on Day 0 and Day 21 in the deltoid muscle PanBlok: Intramuscular injection | 1 | 85 | 24 | 85 |
| EG003 | PanBlok 7.5µg in 2% SE | 7.5µg recombinant hemagglutinin in a 2% oil-in-water stable emulsion (rHA adjuvant). 0.5mL intramuscular injection on Day 0 and Day 21 in the deltoid muscle PanBlok: Intramuscular injection rHA adjuvant: Intramuscular injection | 2 | 86 | 16 | 86 |
|
| Community-acquired pneumonia | Infections and infestations | MedDRA 15 | Systematic Assessment | pneumonia complicated by pleural effusion |
|
| Gastroenteritis | Gastrointestinal disorders | MedDRA 15 | Systematic Assessment | Complicated by dehydration |
|
| Small bowel obstruction | Gastrointestinal disorders | MedDRA 15 | Systematic Assessment | History of abdominal surgery in childhood; irritable bowel syndrome |
|
| Appendicitis | Infections and infestations | MedDRA 15 | Systematic Assessment |
|
| Fatigue | General disorders | MedDRA 15 | Systematic Assessment |
|
| Pain | General disorders | MedDRA 15 | Systematic Assessment |
|
| Fungal infection | Infections and infestations | MedDRA 15 | Systematic Assessment |
|
| Gastroenteritis | Infections and infestations | MedDRA 15 | Systematic Assessment |
|
| Sinusitis | Infections and infestations | MedDRA 15 | Systematic Assessment |
|
| Upper Respiratory Infection | Infections and infestations | MedDRA 15 | Systematic Assessment |
|
| Arthropod bite | Injury, poisoning and procedural complications | MedDRA 15 | Systematic Assessment |
|
| Back pain | Musculoskeletal and connective tissue disorders | MedDRA 15 | Systematic Assessment |
|
| Pain in Extremity | Musculoskeletal and connective tissue disorders | MedDRA 15 | Systematic Assessment |
|
| Headache | Nervous system disorders | MedDRA 15 | Systematic Assessment |
|
| Cough | Respiratory, thoracic and mediastinal disorders | MedDRA 15 | Systematic Assessment |
|
| Pruritus | Skin and subcutaneous tissue disorders | MedDRA 15 | Systematic Assessment |
|
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| D014777 | Virus Diseases |
| D012140 | Respiratory Tract Diseases |
| Fatigue |
|
| Chills |
|
| Arthralgia |
|
| Myalgia |
|
| Headache |
|
| Nausea/Vomiting |
|
| Diarrhea |
|
| Injection site pain |
|
| Injection site tenderness |
|
| Injection site erythema |
|
| NOCIs |
|
| AESIs |
|