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| ID | Type | Description | Link |
|---|---|---|---|
| VAC021 | Other Identifier | PATH |
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| Name | Class |
|---|---|
| Department of Health and Human Services | FED |
| World Health Organization | OTHER |
| Institut Pasteur | INDUSTRY |
| PATH |
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This is a first-in-human study of safety and immunogenicity of an A/H5N1 inactivated whole cell vaccine when given in two injections in two doses (low and high) compared to a placebo in 76 healthy adult subjects in Vietnam. Vaccine and placebo are manufactured by the IVAC in Vietnam.
This is a phase 1, double blinded, randomized, placebo-controlled study. Seventy-six healthy male and female adults, 18 to 30 years of age, will be enrolled into the trial. Subjects will be randomized to one of three treatment allocations: 32 subjects to 7.5 mcg/dose vaccine (low dose), 32 subjects to 15 mcg/dose vaccine (high dose) and 12 subjects to placebo. This sample size was selected to enable at least 30 evaluable subjects in each of the groups receiving active vaccine. The study will utilize a "block randomization" to assure a balance of 8:8:3 vaccine and placebo when all subjects are enrolled. The study will be double blinded, meaning the study subjects, investigators, and the sponsor will be unaware of the treatment allocated to each subject until the clinical trial database is declared final and locked.
Since this is a first-in-human study, all injections of study product will be sequential and staggered and there will be a safety evaluation between a sentinel cohort of 19 subjects and the remaining 57 study subjects for both the 1st and 2nd doses in the study.
A sentinel group of 19 participants' enrollment and vaccination will precede the remainder of the study group by approximately 2-3 weeks.
Product administration for both injections of vaccine or placebo will be sequential and staggered.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| IVACFLU-A/H5N1, 7.5 mcg | Experimental | IVACFLU-A/H5N1, 7.5 mcg HA per dose |
|
| IVACFLU-A/H5N1, 15 mcg | Experimental | IVACFLU-A/H5N1, 15 mcg HA per dose. |
|
| Placebo | Placebo Comparator | Phosphate buffered saline |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| IVACFLU-A/H5N1, 7.5 mcg | Biological | Contains 7.5 mcg HA and 0.6 mg of aluminum hydroxide adjuvant per 0.5 mL dose. |
|
| Measure | Description | Time Frame |
|---|---|---|
| Immediate Reactions Occurring Within 60 Minutes of Administration of Any Dose | Data presented are after 1st and 2nd vaccination combined. All participants were observed for immediate reactions for 60 minutes after administration of study product, with appropriate medical treatment readily available in case of an anaphylactic reaction following the administration of study product. | 60 min post injection |
| Number of Participants With at Least One Solicted Reactogenicity After Both Injections | Data presented are after 1st and 2nd vaccination combined. Solicted reactogenicity are local and systemic events that are expected after injection and specifically asked of the participant. Only reported reactogenicity is presented. If not shown, then no participant reported that reaction in any study group. Local reactions are redness, swelling, pain, tenderness, and hardness. Systemic reactions are actual and subjective fever, chills, cough, difficulty breathing, runny nose, nasal congestion, sore throat, hoarseness of voice, headache, confusion. convulsions/seizures, fatigue/malaise, muscle aches (generalized), joint pain, pink or red eyes, sore eyes, itchy eyes, drainage from eyes. ear pain or discharge, rash, abdominal pain, diarrhea, vomiting, and jaundice. | Within 7 days after injection |
| Number of Participants With at Least One Unsolicited AE | Summary of number of participants with at least one unsolicited AE after 1st and 2nd vaccination combined. Please see the adverse event section of this report for full details. | Within 7 weeks of injection |
| All Serious Adverse Events (SAEs) Occurring Within 3 Weeks of Receipt of Any Dose | Summary data. Data presented are after 1st and 2nd injections combined. Please see AE reporting section of this report for full details. | Within 3 weeks of any injection |
| Measure | Description | Time Frame |
|---|---|---|
| The Proportion of Subjects Achieving a Hemagglutination Inhibition (HAI) Titer ≥ 1:40 Pre-vaccination (Day 0) to Post 2nd Vaccination (Day 49) | Day 0 to Day 49 | |
| The Proportion of Subjects Achieving a Four-fold Rise in HAI Between Doses or From Baseline to Post-Injection 2 |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Le Hoang San, MD | Pasteur Institute, Ho Chi Minh City | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Ben Luc Health Center | Bến Lức | Long An Province | Vietnam |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 27591953 | Result | Phan TL, Ho VT, Vu MH, Nguyen TN, Duong HT, Holt R, Wahid R, Donnelly J, Flores J. Clinical testing of an inactivated influenza A/H5N1 vaccine candidate in a double-blinded, placebo-controlled, randomized trial in healthy adults in Vietnam. Vaccine. 2016 Oct 26;34(45):5449-5456. doi: 10.1016/j.vaccine.2016.08.055. Epub 2016 Aug 31. |
| Label | URL |
|---|---|
| Journal "Vaccine" on line by Elsevier | View source |
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| ID | Title | Description |
|---|---|---|
| FG000 | IVACFLU-A/H5N1, 7.5 mcg | IVACFLU-A/H5N1, 7.5 mcg HA per dose, given by intramuscular (IM) injection at Day 0 and Day 21. |
| FG001 | IVACFLU-A/H5N1, 15 mcg | IVACFLU-A/H5N1, 15 mcg HA per dose, given IM at Day 0 and Day 21. |
| FG002 | Placebo | phosphate buffered saline, given IM at Day 0 and Day 21. |
| Title | Milestones | Reasons Not Completed | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Overall Study |
|
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| ID | Title | Description |
|---|---|---|
| BG000 | IVACFLU-A/H5N1, 7.5 mcg | IVACFLU-A/H5N1, 7.5 mcg HA per dose, given by intramuscular (IM) injection at Day 0 and Day 21. |
| BG001 | IVACFLU-A/H5N1, 15 mcg | IVACFLU-A/H5N1, 15 mcg HA per dose, given IM at Day 0 and Day 21. |
| Units | Counts |
|---|---|
| Participants |
|
| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes |
|---|---|---|---|---|---|---|---|---|---|
| Age, Categorical | Count of Participants |
| 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 | Immediate Reactions Occurring Within 60 Minutes of Administration of Any Dose | Data presented are after 1st and 2nd vaccination combined. All participants were observed for immediate reactions for 60 minutes after administration of study product, with appropriate medical treatment readily available in case of an anaphylactic reaction following the administration of study product. | Intent to treat population. | Posted | Count of Participants | Participants | 60 min post injection |
|
90 days
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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 | IVACFLU-A/H5N1, 7.5 mcg | IVACFLU-A/H5N1, 7.5 mcg HA per dose, given by intramuscular (IM) injection at Day 0 and Day 21. |
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| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Immune system disorders | Immune system disorders | MedDRA (17.0) | Non-systematic Assessment | Food allergy |
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| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Dr. Le Van Be | IVAC | ivaclevanbe@gmail.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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| OTHER |
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| IVACFLU-A/H5N1, 15 mcg | Biological | Contains 15 mcg HA and 0.6 mg of aluminum hydroxide adjuvant per 0.5 mL dose |
|
| Placebo Comparator | Other | PBS, pH 7.2 in 0.5 mL single-dose vials. |
|
|
| Days 21 and 42 |
| Geometric Mean Titer (GMT) of Hemagglutination Inhibition After Each Dose | Days 0, 21 and 42 |
| Geometric Mean Titer (GMT) of Neutralizing Antibody After Each Dose | Days 0, 21, and 42 |
| Results of clinical trial published on line in the journal Vaccine | View source |
| BG002 | Placebo | phosphate buffered saline, given IM at Day 0 and Day 21. |
| BG003 | Total | Total of all reporting groups |
| Participants |
|
| Age, Continuous | Mean | Full Range | years |
|
| Sex: Female, Male | Count of Participants | Participants |
|
| Race/Ethnicity, Customized | Number | participants |
|
| Race/Ethnicity, Customized | Count of Participants | Participants |
|
| Region of Enrollment | Number | participants |
|
IVACFLU-A/H5N1, 15 mcg HA per dose, given IM at Day 0 and Day 21.
| OG002 | Combined Vaccine | Results of low and high doses combined |
| OG003 | Placebo | phosphate buffered saline, given IM at Day 0 and Day 21 |
|
|
| Primary | Number of Participants With at Least One Solicted Reactogenicity After Both Injections | Data presented are after 1st and 2nd vaccination combined. Solicted reactogenicity are local and systemic events that are expected after injection and specifically asked of the participant. Only reported reactogenicity is presented. If not shown, then no participant reported that reaction in any study group. Local reactions are redness, swelling, pain, tenderness, and hardness. Systemic reactions are actual and subjective fever, chills, cough, difficulty breathing, runny nose, nasal congestion, sore throat, hoarseness of voice, headache, confusion. convulsions/seizures, fatigue/malaise, muscle aches (generalized), joint pain, pink or red eyes, sore eyes, itchy eyes, drainage from eyes. ear pain or discharge, rash, abdominal pain, diarrhea, vomiting, and jaundice. | Participants who were randomized and received study injections | Posted | Count of Participants | Participants | Within 7 days after injection |
|
|
|
| Primary | Number of Participants With at Least One Unsolicited AE | Summary of number of participants with at least one unsolicited AE after 1st and 2nd vaccination combined. Please see the adverse event section of this report for full details. | Intent to treat population. Please see more detail in the AE section of this posting. Table 14.2.1.2.1 Summary of Unsolicited Adverse Events by System Organ Class and Preferred Term (After 1st and 2nd Vaccination Combined) Intention-to-Treat Population | Posted | Count of Participants | Participants | Within 7 weeks of injection |
|
|
|
| Primary | All Serious Adverse Events (SAEs) Occurring Within 3 Weeks of Receipt of Any Dose | Summary data. Data presented are after 1st and 2nd injections combined. Please see AE reporting section of this report for full details. | Table 14.2.2.3.1 Summary of Serious Unsolicited Adverse Events by System Organ Class and Preferred Term (After 1st and 2nd Vaccination Combined) Intention-to-Treat Population | Posted | Count of Participants | Participants | Within 3 weeks of any injection |
|
|
|
| Secondary | The Proportion of Subjects Achieving a Hemagglutination Inhibition (HAI) Titer ≥ 1:40 Pre-vaccination (Day 0) to Post 2nd Vaccination (Day 49) | Per-protocol analysis set--The Per-Protocol Analysis Set (PPAS) contained all study subjects who received 2 doses of vaccine or placebo and completed the Day 42 visit without major protocol violations that were determined to potentially interfere with immune response to the study vaccine. | Posted | Count of Participants | Participants | Day 0 to Day 49 |
|
|
|
| Secondary | The Proportion of Subjects Achieving a Four-fold Rise in HAI Between Doses or From Baseline to Post-Injection 2 | Per-protocol analysis set--The Per-Protocol Analysis Set (PPAS) contained all study subjects who received 2 doses of vaccine or placebo and completed the Day 42 visit without major protocol violations that were determined to potentially interfere with immune response to the study vaccine. | Posted | Count of Participants | Participants | Days 21 and 42 |
|
|
|
| Secondary | Geometric Mean Titer (GMT) of Hemagglutination Inhibition After Each Dose | Per-protocol analysis set--The Per-Protocol Analysis Set (PPAS) contained all study subjects who received 2 doses of vaccine or placebo and completed the Day 42 visit without major protocol violations that were determined to potentially interfere with immune response to the study vaccine. | Posted | Mean | 95% Confidence Interval | Titers | Days 0, 21 and 42 |
|
|
|
| Secondary | Geometric Mean Titer (GMT) of Neutralizing Antibody After Each Dose | Posted | Mean | 95% Confidence Interval | Titers | Days 0, 21, and 42 |
|
|
|
| 0 |
| 31 |
| 0 |
| 31 |
| 12 |
| 31 |
| EG001 | IVACFLU-A/H5N1, 15 mcg | IVACFLU-A/H5N1, 15 mcg HA per dose, given IM at Day 0 and Day 21. | 0 | 32 | 0 | 32 | 12 | 32 |
| EG002 | Placebo | phosphate buffered saline, given IM at Day 0 and Day 21. | 0 | 12 | 0 | 12 | 4 | 12 |
|
| Infections | Infections and infestations | MedDRA (17.0) | Non-systematic Assessment | Urinary tract infection |
|
| Pruritis | Skin and subcutaneous tissue disorders | MedDRA (17.0) | Non-systematic Assessment | Pruritis (itchy skin) |
|
| Blood bilirubin increased | Investigations | MedDRA (17.0) | Non-systematic Assessment |
|
| Headache | Nervous system disorders | MedDRA (17.0) | Non-systematic Assessment |
|
| Cough | Respiratory, thoracic and mediastinal disorders | MedDRA (17.0) | Non-systematic Assessment |
|
| Dysphonia | Respiratory, thoracic and mediastinal disorders | MedDRA (17.0) | Non-systematic Assessment |
|
| Oropharanyngeal pain | Respiratory, thoracic and mediastinal disorders | MedDRA (17.0) | Non-systematic Assessment |
|
| Rhinorrhea | Respiratory, thoracic and mediastinal disorders | MedDRA (17.0) | Non-systematic Assessment |
|
| Pyrexia | Skin and subcutaneous tissue disorders | MedDRA (17.0) | Non-systematic Assessment |
|
| Otorrhea | Ear and labyrinth disorders | MedDRA (17.0) | Non-systematic Assessment |
|
| Apthous stomatitis | Gastrointestinal disorders | MedDRA (17.0) | Non-systematic Assessment |
|
| Nausea | Gastrointestinal disorders | MedDRA (17.0) | Non-systematic Assessment |
|
| Chills | General disorders | MedDRA (17.0) | Non-systematic Assessment |
|
| Feeling hot | General disorders | MedDRA (17.0) | Non-systematic Assessment |
|
| Malaise | General disorders | MedDRA (17.0) | Non-systematic Assessment |
|
| Clavicle fracture | Injury, poisoning and procedural complications | MedDRA (17.0) | Non-systematic Assessment |
|
| Soft tissue injury | Injury, poisoning and procedural complications | MedDRA (17.0) | Non-systematic Assessment |
|
| Alanine aminotransferase increased | Investigations | MedDRA (17.0) | Non-systematic Assessment |
|
| Heart rate increased | Investigations | MedDRA (17.0) | Non-systematic Assessment |
|
| Dizziness | Nervous system disorders | MedDRA (17.0) | Non-systematic Assessment |
|
| Dizziness postural | Nervous system disorders | MedDRA (17.0) | Non-systematic Assessment |
|
| Anxiety | Psychiatric disorders | MedDRA (17.0) | Non-systematic Assessment |
|
| Depressed mood | Psychiatric disorders | MedDRA (17.0) | Non-systematic Assessment |
|
| Dysmenorrhoea | Reproductive system and breast disorders | MedDRA (17.0) | Non-systematic Assessment |
|
| Skin discolouration | Skin and subcutaneous tissue disorders | MedDRA (17.0) | Non-systematic Assessment |
|
| Pyrexia | General disorders | MedDRA (17.0) | Non-systematic Assessment |
|
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| D014777 | Virus Diseases |
| D012140 | Respiratory Tract Diseases |
| Subjects with at least one local solicted AE |
|
| Subjects with at least one systemic solicited AE |
|
| Local reactions--Pain |
|
| Local reactions--Tenderness |
|
| Systemic reactogenicity--Abdominal pain |
|
| Systemic reactogenicity--Chills |
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| Systemic reactogenicity--Cough |
|
| Systemic reactogenicity--Diarrhea |
|
| Systemic reactogenicity--Ear pain/discharge |
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| Systemic reactogenicity--Fatigue/Malaise |
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| Systemic reactogenicity--Fever |
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| Systemic reactogenicity--Sore eyes |
|
| Systemic reactogenicity--Sore throat |
|
| Post vaccination #2 |
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| From post 1st- to post 2nd vaccination |
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| Baseline to 2nd vaccination |
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| Post vaccination #1 |
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| Post vaccination #2 |
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| Post vaccination #1 |
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| Post vaccination #2 |
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