NCT00985673

Brief Summary

The purpose of this study is to characterize the safety and immunogenicity of the H1N1 (swine) flu vaccines GSK2340274A and GSK2340273A when co-administered with the seasonal flu vaccine in adults 19 to 40 years of age.

Trial Health

90
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
611

participants targeted

Target at P75+ for phase_2

Timeline
Completed

Started Oct 2009

Shorter than P25 for phase_2

Geographic Reach
2 countries

7 active sites

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

September 24, 2009

Completed
4 days until next milestone

First Posted

Study publicly available on registry

September 28, 2009

Completed
3 days until next milestone

Study Start

First participant enrolled

October 1, 2009

Completed
3 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

December 28, 2009

Completed
1 year until next milestone

Study Completion

Last participant's last visit for all outcomes

December 29, 2010

Completed
1.1 years until next milestone

Results Posted

Study results publicly available

January 30, 2012

Completed
Last Updated

August 1, 2018

Status Verified

September 1, 2016

Enrollment Period

3 months

First QC Date

September 24, 2009

Results QC Date

December 21, 2011

Last Update Submit

July 4, 2018

Conditions

Keywords

GSK Bio's influenza vaccine GSK2340274Ainfluenza infectionGSK Bio's influenza vaccine GSK2340273A

Outcome Measures

Primary Outcomes (2)

  • Hemagglutination Inhibition (HI) Antibody Titers Against A/California/7/2009 H1N1 Vaccine Strain.

    The A/California vaccine virus-homologous antibody response was measured in subjects having received Flulaval vaccine co-administered with the first dose of Arepanrix vaccine, and in subjects having received two doses of Arepanrix vaccine alone. Titers were expressed as geometric mean antibody titers (GMTs).

    21 days after the second dose of Arepanrix vaccine (at Day 42).

  • Hemagglutination Inhibition (HI) Antibody Titers Against A/California/7/2009 H1N1 Vaccine Strain.

    The A/California vaccine virus-homologous antibody response was measured in subjects having received Flulaval vaccine co-administered with the first dose of the unadjuvanted formulation of Arepanrix vaccine, and in subjects having received two doses of the unadjuvanted formulation of Arepanrix vaccine alone. Titers were expressed as geometric mean antibody titers (GMTs).

    21 days after the second dose of the unadjuvanted formulation of Arepanrix vaccine (at Day 42)

Secondary Outcomes (38)

  • Number of Influenza-specific Cluster of Differentiation 4 (CD4) T-cells Per Million Producing Two or More Markers Within Cluster Differentiation 40 Ligand (CD40L), Interleukin-2 (IL-2), Interferon-γ (IFN-γ) and Tumor Necrosis Factor-α (TNF-α).

    On Days 0, 7, 21, 28, 42, 63 and 182

  • Number of Influenza-specific Cluster of Differentiation 8 (CD8) T-cells Per Million Producing Two or More Markers Within Cluster Differentiation 40 Ligand (CD40L), Interleukin-2 (IL-2), Interferon-γ (IFN-γ) and Tumor Necrosis Factor-α (TNF-α).

    On Days 0, 7, 21, 28, 42, 63 and 182

  • Number of Subjects Reporting Clinical Laboratory Abnormalities in Biochemical and Haematological Parameters Assessed

    On Days 0, 7, 21, 28, 42, 63 and 182

  • Number of Subjects Reporting Clinical Laboratory Abnormalities in Biochemical and Haematological Parameters Assessed

    On Days 0, 7, 21, 28, 42, 63 and 182

  • Number of Subjects Reporting Solicited Local Symptoms.

    During a 7-day follow-up period (Days 0-6) post-vaccination period

  • +33 more secondary outcomes

Study Arms (6)

Flulaval/placebo/unadjuvanted Arepanrix Group

EXPERIMENTAL

subjects received co-administration of Flulaval vaccine and saline placebo on Day 0 followed by the unadjuvanted formulation of Arepanrix vaccine on Day 21 and Day 42. All vaccines were administered intramuscularly in the deltoids of the dominant or non dominant arm. At Day 0 the two vaccines were administered each in a separate arm, at Day 21 in the dominant arm and at Day 42 in the non-dominant arm.

Biological: GSK2340273ABiological: Seasonal trivalent influenza vaccine (TIV)Biological: Saline placebo

Flulaval/placebo/Arepanrix Group

EXPERIMENTAL

subjects received co-administration of Flulaval vaccine and saline placebo on Day 0 followed the administration of Arepanrix vaccine on Day 21 and Day 42. All vaccines were administered intramuscularly in the deltoids of the dominant or non dominant arm. At Day 0 the two vaccines were administered each in a separate arm, at Day 21 in the dominant arm and at Day 42 in the non-dominant arm.

Biological: GSK2340274ABiological: Seasonal trivalent influenza vaccine (TIV)Biological: Saline placebo

Flulaval/unadjuvanted Arepanrix/placebo Group

EXPERIMENTAL

subjects received co-administration of Flulaval vaccine and the unadjuvanted formulation of Arepanrix vaccine on Day 0 followed by the administration of the unadjuvanted formulation of Arepanrix vaccine on Day 21 and saline placebo on Day 42. All vaccines were administered intramuscularly in the deltoids of the dominant or non dominant arm. At Day 0 the two vaccines were administered each in a separate arm, at Day 21 in the dominant arm and at Day 42 in the non-dominant arm.

Biological: GSK2340273ABiological: Seasonal trivalent influenza vaccine (TIV)Biological: Saline placebo

Flulaval/Arepanrix/placebo Group

EXPERIMENTAL

subjects received co-administration of Flulaval vaccine and Arepanrix vaccine on Day 0 followed by Arepanrix vaccine on Day 21 and saline placebo on Day 42. All vaccines were administered intramuscularly in the deltoids of the dominant or non dominant arm. At Day 0 the two vaccines were administered each in a separate arm, at Day 21 in the dominant arm and at Day 42 in the non-dominant arm.

Biological: GSK2340274ABiological: Seasonal trivalent influenza vaccine (TIV)Biological: Saline placebo

Unadjuvanted Arepanrix/placebo/Flulaval Group

EXPERIMENTAL

subjects received co-administration of the unadjuvanted formulation of Arepanrix vaccine and saline placebo on Day 0 followed by the unadjuvanted formulation of Arepanrix vaccine on Day 21 and Flulaval vaccine on Day 42. All vaccines were administered intramuscularly in the deltoids of the dominant or non dominant arm. At Day 0 the two vaccines were administered each in a separate arm, at Day 21 in the dominant arm and at Day 42 in the non-dominant arm.

Biological: GSK2340273ABiological: Seasonal trivalent influenza vaccine (TIV)Biological: Saline placebo

Arepanrix/placebo/Flulaval Group

EXPERIMENTAL

subjects received co-administration of Arepanrix vaccine and saline placebo on Day 0 followed by Arepanrix vaccine on Day 21 and Flulaval vaccine on Day 42. All vaccines were administered intramuscularly in the deltoids of the dominant or non dominant arm. At Day 0 the two vaccines were administered each in a separate arm, at Day 21 in the dominant arm and at Day 42 in the non-dominant arm.

Biological: GSK2340274ABiological: Seasonal trivalent influenza vaccine (TIV)Biological: Saline placebo

Interventions

GSK2340274ABIOLOGICAL

Two intramuscular injections

Arepanrix/placebo/Flulaval GroupFlulaval/Arepanrix/placebo GroupFlulaval/placebo/Arepanrix Group
GSK2340273ABIOLOGICAL

Two intramuscular injections

Flulaval/placebo/unadjuvanted Arepanrix GroupFlulaval/unadjuvanted Arepanrix/placebo GroupUnadjuvanted Arepanrix/placebo/Flulaval Group

Single intramuscular injection

Arepanrix/placebo/Flulaval GroupFlulaval/Arepanrix/placebo GroupFlulaval/placebo/Arepanrix GroupFlulaval/placebo/unadjuvanted Arepanrix GroupFlulaval/unadjuvanted Arepanrix/placebo GroupUnadjuvanted Arepanrix/placebo/Flulaval Group
Saline placeboBIOLOGICAL

Single intramuscular injection

Arepanrix/placebo/Flulaval GroupFlulaval/Arepanrix/placebo GroupFlulaval/placebo/Arepanrix GroupFlulaval/placebo/unadjuvanted Arepanrix GroupFlulaval/unadjuvanted Arepanrix/placebo GroupUnadjuvanted Arepanrix/placebo/Flulaval Group

Eligibility Criteria

Age19 Years - 40 Years
Sexall
Healthy VolunteersYes
Age GroupsAdult (18-64)

You may qualify if:

  • Subjects who the investigator believes can and will comply with the requirements of the protocol.
  • Written informed consent obtained from the subject.
  • Male or female adults, 19-40 years of age at the time of the first vaccination.
  • Safety laboratory tests results within the parameters specified in the protocol.
  • Satisfactory baseline medical assessment by physical examination.
  • Comprehension of the study requirements, ability to comprehend and comply with procedures for collection of safety data, expressed availability for the required study period, and ability and willingness to attend scheduled visits as documented by signature on the informed consent document.
  • Access to a consistent means of telephone contact, which may be either in the home or at the workplace, land line, or mobile, but NOT a pay phone or other multiple-user device.
  • Female subjects of non-childbearing potential may be enrolled in the study.
  • Female subjects of childbearing potential may be enrolled in the study, if the subject:
  • has practiced adequate contraception for 30 days prior to vaccination, and
  • has a negative pregnancy test on the day of first vaccination, and
  • has agreed to continue adequate contraception during the entire treatment period and for 2 months after completion of the vaccination series.

You may not qualify if:

  • Previous vaccination with an H1N1v-like virus vaccine or a medical history of physician-confirmed infection with an H1N1v-like virus.
  • Prior receipt at any time of any seasonal influenza vaccine.
  • Planned administration of any vaccine not foreseen by the study protocol between Day 0 and the Day 63 phlebotomy.
  • Administration of any licensed vaccine within 4 weeks before the first study vaccine dose.
  • Use of any investigational or non-registered product other than the study vaccines within 30 days preceding the first dose of study vaccine, or planned use during the study period.
  • Receipt of systemic glucocorticoids within one month prior to study enrolment, or any other cytotoxic or immunosuppressive drug within six months of study enrolment. Topical, intra-articularly injected, or inhaled glucocorticoids, topical calcineurin inhibitors or imiquimod are allowed.
  • Receipt of any immunoglobulins and/or any blood products within three months of study enrolment or planned administration of any of these products during the study period.
  • Presence of evidence of substance abuse or of neurological or psychiatric diagnoses which, even if stable, are deemed by the investigator to render the potential subject unable/unlikely to provide accurate safety reports.
  • Presence of a temperature \>= 38.0ºC (\>=100.4ºF), or acute symptoms greater than "mild" severity on the scheduled date of first vaccination.
  • Diagnosed with cancer, or treatment for cancer, within 3 years.
  • Any confirmed or suspected immunosuppressive or immunodeficient condition, based on medical history and physical examination.
  • Any significant disorder of coagulation or treatment with warfarin derivatives or heparin. Persons receiving individual doses of low molecular weight heparin outside of 24 hours prior to vaccination are eligible. Persons receiving prophylactic antiplatelet medications, e.g., low-dose acetylsalicylic acid, and without a clinically-apparent bleeding tendency, are eligible.
  • An acute evolving neurological disorder or history of Guillain-Barré syndrome within six weeks of receipt of seasonal influenza vaccine.
  • Any known or suspected allergy to any constituent of influenza vaccines; a history of anaphylactic-type reaction to any constituent of influenza vaccines; or a history of severe adverse reaction to a previous influenza vaccine.
  • Known pregnancy or a positive urine beta-human chorionic gonadotropin test result prior to first vaccination.
  • +1 more criteria

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (7)

GSK Investigational Site

Stockbridge, Georgia, 30281, United States

Location

GSK Investigational Site

Raleigh, North Carolina, 27612, United States

Location

GSK Investigational Site

Austin, Texas, 78705, United States

Location

GSK Investigational Site

Fort Worth, Texas, 76135, United States

Location

GSK Investigational Site

Halifax, Nova Scotia, B3K 6R8, Canada

Location

GSK Investigational Site

Montreal, Quebec, H2K 4L5, Canada

Location

GSK Investigational Site

Sherbrooke, Quebec, J1H 4J6, Canada

Location

Related Publications (2)

  • Friel D, Co M, Ollinger T, Salaun B, Schuind A, Li P, Walravens K, Ennis FA, Vaughn DW. Non-neutralizing antibody responses following A(H1N1)pdm09 influenza vaccination with or without AS03 adjuvant system. Influenza Other Respir Viruses. 2021 Jan;15(1):110-120. doi: 10.1111/irv.12780. Epub 2020 Sep 5.

  • Langley JM, Frenette L, Chu L, McNeil S, Halperin S, Li P, Vaughn D. A randomized, controlled non-inferiority trial comparing A(H1N1)pmd09 vaccine antigen, with and without AS03 adjuvant system, co-administered or sequentially administered with an inactivated trivalent seasonal influenza vaccine. BMC Infect Dis. 2012 Oct 30;12:279. doi: 10.1186/1471-2334-12-279.

Related Links

MeSH Terms

Conditions

Influenza, Human

Condition Hierarchy (Ancestors)

Respiratory Tract InfectionsInfectionsOrthomyxoviridae InfectionsRNA Virus InfectionsVirus DiseasesRespiratory Tract Diseases

Results Point of Contact

Title
GSK Response Center
Organization
GlaxoSmithKline

Study Officials

  • GSK Clinical Trials

    GlaxoSmithKline

    STUDY DIRECTOR

Publication Agreements

PI is Sponsor Employee
No
Restriction Type
OTHER
Restrictive Agreement
Yes

Study Design

Study Type
interventional
Phase
phase 2
Allocation
RANDOMIZED
Masking
TRIPLE
Who Masked
PARTICIPANT, INVESTIGATOR, OUTCOMES ASSESSOR
Purpose
PREVENTION
Intervention Model
PARALLEL
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

September 24, 2009

First Posted

September 28, 2009

Study Start

October 1, 2009

Primary Completion

December 28, 2009

Study Completion

December 29, 2010

Last Updated

August 1, 2018

Results First Posted

January 30, 2012

Record last verified: 2016-09

Data Sharing

IPD Sharing
Will share

Patient-level data for this study will be made available through www.clinicalstudydatarequest.com following the timelines and process described on this site.

Available IPD Datasets

Dataset Specification (113536)Access
Informed Consent Form (113536)Access
Study Protocol (113536)Access
Individual Participant Data Set (113536)Access
Clinical Study Report (113536)Access
Statistical Analysis Plan (113536)Access
Annotated Case Report Form (113536)Access

Locations