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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/Anhui/1/2013 (H7N9) administered at 3 dose levels in adjuvanted (SE) rHA formulations and 1 dose levels in an unadjuvanted 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 30µg in 2% SE | Experimental | 30µg 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 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 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 |
|
| Panblok 30µg (No Adjuvant) | Experimental | 30µg recombinant hemagglutinin (no 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 |
|---|---|---|
| Demonstrate That the Immunogenicity of Adjuvanted Panblok H7 rHA is Sufficient to Support Emergency Use Authorization in the Event of a Declared Pandemic. | The primary endpoint will be "seroprotection rate" to the selected dose of adjuvanted H7 rHA, defined by a post-vaccination HAI titer ≥40 on Day 42. The definition of success will be a lower bound of the two-sided 95% CI ≥ 70% for adults <65 and ≥60% for adults ≥65 years of age. | 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 | 7 Days |
| Long-term Safety Assessed by Incidence of SAEs, NOCIs. AESs Over 12 Months Following Vaccination |
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Inclusion Criteria:
Adults, regardless of gender, aged 18 years and above
Able to give written informed consent to participate.
Body temperature <100.0ºF.
The subject must be in reasonably good health as determined by targeted physical examination, when necessary, based on medical history.
Women of child-bearing potential (WOCBP) must have a negative urine pregnancy test within 24 hours preceding receipt of first and second vaccine doses.
Women are considered not of child-bearing potential if they are:
Comprehension of the study requirements, expressed availability for the required study period, and ability to attend scheduled visits and remote contacts.
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| John J Treanor, MD | University of Rochester Center for Vaccine Studies | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Coastal Clinical Research | Mobile | Alabama | 36608 | United States | ||
| Avail Clinical Research |
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| ID | Title | Description |
|---|---|---|
| FG000 | Panblok 30µg in 2% SE | 30µg 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 15µg in 2% SE |
| Title | Milestones | Reasons Not Completed | |||||
|---|---|---|---|---|---|---|---|
| Overall Study |
|
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| rHA adjuvant | Biological | Intramuscular injection |
|
|
| 13 months |
| Unsolicited Adverse Events (UAEs) During Days 0-42 Following the First Administration of Study Vaccine | Unsolicited adverse events (UAEs) Days 0-42. | 42 Days |
| DeLand |
| Florida |
| 32720 |
| United States |
| Meridian Clinical Research | Savannah | Georgia | 31406 | United States |
| Meridian Clinical Research | Omaha | Nebraska | 68164 | United States |
| Regional Clinical Research, Inc. | Endwell | New York | 13760 | United States |
| Rapid Medical Research, Inc. | Cleveland | Ohio | 44122 | United States |
| Benchmark Reseach | Austin | Texas | 78705 | United States |
| Benchmark Research - Fort Worth | Fort Worth | Texas | 76135 | United States |
| Jean Brown Research | Salt Lake City | Utah | 84124 | United States |
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 |
| FG002 | 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 |
| FG003 | Panblok 30µg (No Adjuvant) | 30µg recombinant hemagglutinin (no adjuvant). 0.5mL intramuscular injection on Day 0 and Day 21 in the deltoid muscle Panblok: Intramuscular injection |
| COMPLETED |
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| NOT COMPLETED |
|
Modified Per Protocol Population
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| ID | Title | Description |
|---|---|---|
| BG000 | 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 |
| BG001 | 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 |
| BG002 | Panblok 30µg in 2% SE | 30µg 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 |
| BG003 | Panblok 30µg (No Adjuvant) | 30µg recombinant hemagglutinin (no adjuvant). 0.5mL intramuscular injection on Day 0 and Day 21 in the deltoid muscle Panblok: Intramuscular injection |
| BG004 | Total | Total of all reporting groups |
| Units | Counts |
|---|---|
| Participants |
|
| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes | ||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Age, Customized | Count of Participants | Participants |
| ||||||||||||||||
| Sex: Female, Male | Count of Participants | Participants |
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| 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 | Demonstrate That the Immunogenicity of Adjuvanted Panblok H7 rHA is Sufficient to Support Emergency Use Authorization in the Event of a Declared Pandemic. | The primary endpoint will be "seroprotection rate" to the selected dose of adjuvanted H7 rHA, defined by a post-vaccination HAI titer ≥40 on Day 42. The definition of success will be a lower bound of the two-sided 95% CI ≥ 70% for adults <65 and ≥60% for adults ≥65 years of age. | Modified Per Protocol Population | Posted | Count of Participants | Participants | 42 Days |
|
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| |||||||||||||||||||||||||||||||||||
| Secondary | Reactogenicity Immediately After Each Injection, Extending to Day 7 | Solicited events of local and systemic reactogenicity Days 0-7 | Reactogenicity Population | Posted | Count of Participants | Participants | 7 Days |
| |||||||||||||||||||||||||||||||||||||
| Secondary | Long-term Safety Assessed by Incidence of SAEs, NOCIs. AESs Over 12 Months Following Vaccination | Safety Population | Posted | Count of Participants | Participants | 13 months |
| ||||||||||||||||||||||||||||||||||||||
| Secondary | Unsolicited Adverse Events (UAEs) During Days 0-42 Following the First Administration of Study Vaccine | Unsolicited adverse events (UAEs) Days 0-42. | Safety Population | Posted | Count of Participants | Participants | 42 Days |
|
Day 0 to Week 55
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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 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 | 0 | 100 | 4 | 100 | 0 | 100 |
| EG001 | 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 | 0 | 101 | 4 | 101 | 0 | 101 |
| EG002 | Panblok 30µg in 2% SE | 30µg 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 | 0 | 102 | 3 | 102 | 0 | 102 |
| EG003 | Panblok 30µg (No Adjuvant) | 30µg recombinant hemagglutinin (no adjuvant). 0.5mL intramuscular injection on Day 0 and Day 21 in the deltoid muscle Panblok: Intramuscular injection | 1 | 97 | 2 | 97 | 0 | 97 |
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Angina unstable | Cardiac disorders | MedDRA Version 17.0 |
| ||
| Cellulitis | Infections and infestations | MedDRA Version 17.0 |
| ||
| Fracture malunion | Musculoskeletal and connective tissue disorders | MedDRA Version 17.0 |
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| Syncope | Nervous system disorders | MedDRA Version 17.0 |
| ||
| Myocardial infarction | Cardiac disorders | MedDRA Version 17.0 |
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| Sinus bradycardia | Cardiac disorders | MedDRA Version 17.0 |
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| Chest pain | General disorders | MedDRA Version 17.0 |
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| Appendicitis | Infections and infestations | MedDRA Version 17.0 |
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| Rib fracture | Injury, poisoning and procedural complications | MedDRA Version 17.0 |
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| Upper limb fracture | Injury, poisoning and procedural complications | MedDRA Version 17.0 |
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| Arthralgia | Musculoskeletal and connective tissue disorders | MedDRA Version 17.0 |
| ||
| Musculoskeletal pain | Musculoskeletal and connective tissue disorders | MedDRA Version 17.0 |
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| Osteoarthritis | Musculoskeletal and connective tissue disorders | MedDRA Version 17.0 |
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| Osteolysis | Musculoskeletal and connective tissue disorders | MedDRA Version 17.0 |
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| Cervicobrachial syndrome | Nervous system disorders | MedDRA Version 17.0 |
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| VIIth nerve paralysis | Nervous system disorders | MedDRA Version 17.0 |
| ||
| Suicide attempt | Psychiatric disorders | MedDRA Version 17.0 |
| ||
| Peripheral arterial occlusive disease | Vascular disorders | MedDRA Version 17.0 |
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| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Lisa M. Dunkle, M.D., Chief Medical Officer | Protein Sciences Corporation | 203-599-6064 | 153 | ldunkle@proteinsciences.com |
| ID | Term |
|---|---|
| D007251 | Influenza, Human |
| ID | Term |
|---|---|
| D012141 | Respiratory Tract Infections |
| D007239 | Infections |
| D009976 | Orthomyxoviridae Infections |
| D012327 | RNA Virus Infections |
| D014777 | Virus Diseases |
| D012140 | Respiratory Tract Diseases |
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| >=65 Years |
|
| Male |
|
30µg recombinant hemagglutinin (no adjuvant). 0.5mL intramuscular injection on Day 0 and Day 21 in the deltoid muscle Panblok: Intramuscular injection |
|
|
30µg recombinant hemagglutinin (no adjuvant). 0.5mL intramuscular injection on Day 0 and Day 21 in the deltoid muscle
Panblok: Intramuscular injection
|
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30µg recombinant hemagglutinin (no adjuvant). 0.5mL intramuscular injection on Day 0 and Day 21 in the deltoid muscle Panblok: Intramuscular injection |
|
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