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| Name | Class |
|---|---|
| Flinders University | OTHER |
| Australian Respiratory and Sleep Medicine Institute | OTHER |
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Recombinant hemagglutinin has been shown to induce protective neutralising antibodies against avian influenza virus but is relatively non-immunogenic. An ideal pandemic avian influenza influenza vaccine would combine hemagglutinin antigen with an appropriate adjuvant to increase its immunogenicity. This Phase 1 study will collect preliminary human safety and efficacy data on combined formulations of recombinant hemagglutinin with Advax adjuvant formulations administered by intramuscular injection
This is a study to test new vaccine formulations against pandemic avian influenza ("bird flu"). Bird flu is a potentially deadly disease that is caused by influenza virus from birds. It is not the same as the common seasonal flu for which there is a seasonal vaccine released around March each year. To date, bird flu due to the H5N1 strain of influenza virus has infected over 500 people mainly in Asia resulting in death in more than half the cases. More recently there has been an outbreak of another bird flu virus in China known as H9N7 that is also highly lethal when it infects humans. Vaccination is the single most effective measure to prevent infection from bird flu viruses such as H5N1 or H9N7 should such a pandemic occur. In the event of a major bird flu pandemic outbreak, vaccine supplies are likely to be very limited, as there is not currently sufficient manufacturing capacity to provide enough vaccine quickly for the whole population. Research is needed on how to make the pandemic flu vaccine more effective but also how to stretch vaccine supplies using a strategy called 'antigen-sparing'. This can potentially be achieved by using an important ingredient called an 'adjuvant'. Adjuvants act by stimulating the immune system to make vaccines more effective. This study will test Advax adjuvants which are based on delta inulin in combination with recombinant hemagglutinin from the H5N1 influenza virus serotype.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| HA 45ug | Experimental | recombinant influenza hemagglutinin (H5) 45ug, i.m. injection, 2 doses |
|
| HA 45ug+Advax1 | Experimental | recombinant influenza hemagglutinin(H5) 45ug, Advax1 adjuvant 20mg, i.m. injection, 2 doses |
|
| HA 45ug+Advax2 | Experimental | recombinant influenza hemagglutinin (H5) 45ug, Advax2 adjuvant 20mg, i.m. injection, 2 doses |
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| HA 15ug+Advax1 | Experimental | recombinant influenza hemagglutinin (H5) 15ug, Advax1 adjuvant 20mg, i.m. injection, 2 doses |
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| HA 15ug+Advax2 | Experimental | recombinant influenza hemagglutinin (H5) 15ug, Advax2 adjuvant 20mg, i.m. injection, 2 doses |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| recombinant influenza hemagglutinin | Biological | recombinant influenza hemagglutinin |
|
| Measure | Description | Time Frame |
|---|---|---|
| The incidence of adverse events | The frequency of adverse events will be compared between groups | 12 months |
| Measure | Description | Time Frame |
|---|---|---|
| Hemagglutination inhibition assay | Seroconversion, seroprotection and GMT fold increase will be compared between groups at each time point using hemagglutination inhibition titers | 1 month post each immunization and 11 months post final immunization |
| Measure | Description | Time Frame |
|---|---|---|
| Plasmablast response | The size of the plasmablast response will be compared between groups as an experimental endpoint | 7 and 28 days post each immunization |
| T-cell response | The size of the memory T cell response will be compared between groups as an experimental endpoint |
Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Dimitar Sajkov, FRACP, PhD | Flinders University | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Flinders University | Adelaide | South Australia | 5042 | Australia |
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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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| HA 5ug+Advax1 | Experimental | recombinant influenza hemagglutinin (H5) 5ug, Advax1 adjuvant 20mg, i.m. injection, 2 doses |
|
| HA 5ug+Advax2 | Experimental | recombinant influenza hemagglutinin (H5) 5ug, Advax2 adjuvant 20mg, i.m. injection, 2 doses |
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| HA 2.5ug+Advax2 | Experimental | recombinant influenza hemagglutinin (H5) 2.5ug, Advax2 adjuvant 20mg, i.m. injection, 2 doses |
|
| HA 15ug | Experimental | recombinant influenza hemagglutinin (H5) 15ug, i.m. injection, 2 doses |
|
| Advax1 | Biological | Delta inulin adjuvant formulation 1 |
|
| Advax2 | Biological | Delta inulin adjuvant formulation 2 |
|
| 7 and 28 days post each immunization |
| D014777 | Virus Diseases |
| D012140 | Respiratory Tract Diseases |