A Safety and Immunogenicity Study of IVACFLU-A/H5N1
A Phase 2/3 Double Blinded, Randomized, Placebo-controlled Study in Healthy Adult Volunteers in Vietnam to Examine the Safety and Immunogenicity of an Inactivated A/H5N1 Influenza Vaccine (IVACFLU-A/H5N1) Produced by IVAC
1 other identifier
interventional
930
1 country
2
Brief Summary
The study hypothesis was that two 0.5 mL doses of whole virion monovalent A/H5N1 influenza vaccine (IVACFLU-A/H5N1) adjuvanted with alum would be safe and well tolerated in healthy adults, and that at least one of the two doses tested would be immunogenic in 60% or more of the subjects tested.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for phase_2
Started Mar 2017
Shorter than P25 for phase_2
2 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
October 15, 2015
CompletedFirst Posted
Study publicly available on registry
November 24, 2015
CompletedStudy Start
First participant enrolled
March 7, 2017
CompletedPrimary Completion
Last participant's last visit for primary outcome
August 29, 2017
CompletedStudy Completion
Last participant's last visit for all outcomes
August 30, 2017
CompletedResults Posted
Study results publicly available
April 16, 2019
CompletedMay 21, 2019
May 1, 2019
6 months
October 15, 2015
January 17, 2019
May 12, 2019
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Number and Percentage of Subjects Achieving a Hemagglutination Inhibition (HAI) Titer of ≥1:40
Serum specimens were tested for the presence of HAI antibodies to influenza. The HAI assay was conducted using serum samples from all the subjects in Phase 2 of the study and in a subset of approximately 270 subjects receiving the IVACFLU-A/H5N1 vaccine (vaccinees) and placebo from one study site in Phase 3 in order to have at least 200 evaluable subjects receiving IVACFLU-A/H5N1 and 40 evaluable subjects receiving placebo, at the end of study.
Day 1, Day 43
Secondary Outcomes (17)
Phase 2: Number and Percentage of Subjects Achieving a Hemagglutination Inhibition (HAI) Titer of ≥1:40
Day 1, Day 22
Phase 2: Number and Percentage of Subjects Achieving at Least a 4-fold Increase in Hemagglutination Inhibition (HAI) Titer
Day 22, Day 43
Phase 3: Number and Percentage of Subjects Achieving at Least a 4-fold Increase in Hemagglutination Inhibition (HAI) Titer
Day 43
Phase 2: Geometric Mean Hemagglutination Inhibition (HAI) Titer
Day 1, Day 22, Day 43
Phase 3: Geometric Mean Hemagglutination Inhibition (HAI) Titer
Day 1, Day 43
- +12 more secondary outcomes
Study Arms (5)
Phase 2: Placebo
PLACEBO COMPARATORSubjects participating in Phase 2 and assigned to receiving two injections of placebo administered intramuscularly as a single dose, separated by 21 days.
Phase 2: Vaccine (15 mcg)
ACTIVE COMPARATORSubjects participating in Phase 2 and assigned to receiving two injections of IVACFLU-A/H5N1 vaccine (15 mcg concentration) administered intramuscularly as a single dose, separated by 21 days.
Phase 2: Vaccine (30 mcg)
ACTIVE COMPARATORSubjects participating in Phase 2 and assigned to receiving two injections of IVACFLU-A/H5N1 vaccine (30 mcg concentration) administered intramuscularly as a single dose, separated by 21 days.
Phase 3: Placebo
PLACEBO COMPARATORSubjects participating in Phase 3 and assigned to receiving two injections of placebo administered intramuscularly as a single dose, separated by 21 days.
Phase 3: Vaccine
EXPERIMENTALSubjects participating in Phase 2 and assigned to receiving two injections of IVACFLU-A/H5N1 vaccine (15 mcg concentration) administered intramuscularly as a single dose, separated by 21 days.
Interventions
Monovalent A/H5N1 influenza vaccine (MIV), whole virion inactivated, purified by sucrose gradient on ultracentrifuge. The vaccine was produced in eggs, inactivated with formaldehyde, and formulated with aluminum hydroxide 0.6 mg/0.5 mL with no preservative.
Includes 4.500mg sodium chloride, 0.685 mg sodium phosphate dibasic dihydrate, and 0.186 mg sodium phosphate monobasic dihydrate.
Eligibility Criteria
You may qualify if:
- Male or female adult 18 through 60 years of age at the enrollment visit.
- Literate (by self-report) and willing to provide written informed consent.
- Healthy adults, as established by the medical history and screening evaluations, including physical examination, capable and willing to complete Diary Cards, and willing to return for all follow-up visits.
- For females able to become pregnant, willing to utilize reliable birth control measures (intrauterine device, hormonal contraception, condoms) through the Day 43 visit.
You may not qualify if:
- Participation in another clinical trial involving any vaccine or therapy within the previous three months, or planned enrollment in such a trial during the period of this study.
- Received any non-study vaccine within 4 weeks prior to enrollment or refused to postpone receipt of such vaccines until after the Day 43 visit.
- Current or recent (within 2 weeks of enrollment) acute illness with or without fever.
- Received immune globulin or other blood products within 3 months prior to study enrollment or planned receipt of such products prior to the Day 43 visit.
- Chronic administration (defined as more than 14 consecutively-prescribed days) of immunosuppressants or other immune-modulating therapy within six months prior to study enrollment. (For corticosteroids, this meant prednisone or equivalent, 0.5 mg per kg per day; topical or intranasal steroids were allowed.)
- History of asthma.
- Hypersensitivity after previous administration of any vaccine.
- Suspected or known hypersensitivity to any of the study vaccine components, including chicken or egg protein, antibiotics, and rubber (from the vaccine vial stoppers).
- Acute or chronic clinically significant pulmonary, cardiovascular, hepatobiliary, metabolic, neurologic, psychiatric, or renal functional abnormality, as determined by medical history, physical examination, or clinical laboratory screening tests (Phase 2 only), which in the opinion of the investigator, might have interfered with the study objectives.
- History of any blood or solid organ cancer.
- History of thrombocytopenic purpura or known bleeding disorder.
- History of seizures.
- Known or suspected immunosuppressed or immune deficient condition of any kind.
- Known Hepatitis B Virus (HBV) or Hepatitis C virus (HCV) infection by self-report (Phase 3) or a positive test for either HBV surface antigen (HBsAg) or HCV antibody using anti-HCV test (Phase 2).
- Known HIV infection (self-report)
- +5 more criteria
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Institute of Vaccines and Medical Biologicals, Vietnamlead
- National Institute of Hygiene and Epidemiology, Vietnamcollaborator
- World Health Organizationcollaborator
- Department of Health and Human Servicescollaborator
- PATHcollaborator
- FHI 360collaborator
Study Sites (2)
Phase 3: Hai Phong Provincial Preventive Medicine Center
Haiphong, Hai Phong, Vietnam
Phase 2 & 3: Khanh Hoa Provincial Health Department
Nha Trang, Khanh Hoa, Vietnam
Related Publications (1)
Duong TN, Thiem VD, Anh DD, Cuong NP, Thang TC, Huong VM, Chien VC, Phuong NTL, Montomoli E, Holt R, Scorza FB, Flores J, Tewari T. A Phase 2/3 double blinded, randomized, placebo-controlled study in healthy adult participants in Vietnam to examine the safety and immunogenicity of an inactivated whole virion, alum adjuvanted, A(H5N1) influenza vaccine (IVACFLU-A/H5N1). Vaccine. 2020 Feb 5;38(6):1541-1550. doi: 10.1016/j.vaccine.2019.11.059. Epub 2019 Dec 4.
PMID: 31812464DERIVED
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Results Point of Contact
- Title
- Le Van Be
- Organization
- IVAC
Study Officials
- PRINCIPAL INVESTIGATOR
Tran N Duong, MD, PhD
National Institute of Hygiene and Epidemiology, Vietnam
Publication Agreements
- PI is Sponsor Employee
- No
- Restrictive Agreement
- No
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
October 15, 2015
First Posted
November 24, 2015
Study Start
March 7, 2017
Primary Completion
August 29, 2017
Study Completion
August 30, 2017
Last Updated
May 21, 2019
Results First Posted
April 16, 2019
Record last verified: 2019-05
Data Sharing
- IPD Sharing
- Will not share