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Study to Evaluate the Safety and Immunogenicity of a Pandemic Influenza Vaccine in Adults Aged 18 Years and Above

28 de mayo de 2018 actualizado por: GlaxoSmithKline

A Phase III, Observer-blind, Randomised Study to Evaluate the Safety and Immunogenicity of One and Two Administrations of Pandemic Monovalent (H5N1) Influenza Vaccine (Adjuvanted Split Virus Formulation) in Adults Aged 18 Years and Older

Today, the leading contender for the next pandemic of influenza is H5N1, a strain of avian virus. Prevention and control will depend on the rapid production and worldwide distribution of specific pandemic vaccines. Candidate 'pandemic-like' vaccines must be developed and tested in clinical trials to determine the most optimal formulation and the best vaccination schedule. This study is designed to test in healthy adults aged above 18 years the reactogenicity and immunogenicity of one and two administrations of a candidate pandemic H5N1 vaccine formulated from Split Virus.

Descripción general del estudio

Descripción detallada

This study has 2 phases:

The study ID 107064 corresponds to objectives & outcome measures evaluated from day 0 until day 51.

The study ID 107217 corresponds to objectives & outcome measures evaluated at day 180.

The Protocol Posting has been updated in order to comply with the FDA Amendment Act, Sep 2007.

Tipo de estudio

Intervencionista

Inscripción (Actual)

5075

Fase

  • Fase 3

Contactos y Ubicaciones

Esta sección proporciona los datos de contacto de quienes realizan el estudio e información sobre dónde se lleva a cabo este estudio.

Ubicaciones de estudio

      • Berlin, Alemania, 14057
        • GSK Investigational Site
      • Berlin, Alemania, 10117
        • GSK Investigational Site
      • Berlin, Alemania, 10787
        • GSK Investigational Site
      • Hamburg, Alemania, 22143
        • GSK Investigational Site
      • Hamburg, Alemania, 20249
        • GSK Investigational Site
    • Bayern
      • Muenchen, Bayern, Alemania, 81667
        • GSK Investigational Site
      • Muenchen, Bayern, Alemania, 80799
        • GSK Investigational Site
      • Regensburg, Bayern, Alemania, 93053
        • GSK Investigational Site
      • Wuerzburg, Bayern, Alemania, 97070
        • GSK Investigational Site
    • Mecklenburg-Vorpommern
      • Schwerin, Mecklenburg-Vorpommern, Alemania, 19055
        • GSK Investigational Site
    • Niedersachsen
      • Hannover, Niedersachsen, Alemania, 30519
        • GSK Investigational Site
    • Nordrhein-Westfalen
      • Witten, Nordrhein-Westfalen, Alemania, 58455
        • GSK Investigational Site
    • Sachsen
      • Dresden, Sachsen, Alemania, 01067
        • GSK Investigational Site
      • Leipzig, Sachsen, Alemania, 04229
        • GSK Investigational Site
      • Leipzig, Sachsen, Alemania, 04103
        • GSK Investigational Site
      • Barcelona, España, 08036
        • GSK Investigational Site
      • Barcelona, España, 08035
        • GSK Investigational Site
      • Madrid, España, 28041
        • GSK Investigational Site
      • Madrid, España, 28006
        • GSK Investigational Site
      • Madrid, España, 28040
        • GSK Investigational Site
      • Marid, España, 28040
        • GSK Investigational Site
      • Valencia, España, 46017
        • GSK Investigational Site
      • Valencia, España, 46014
        • GSK Investigational Site
      • Tallinn, Estonia, 10617
        • GSK Investigational Site
      • Tartu, Estonia, 50417
        • GSK Investigational Site
      • Ekaterinburg, Federación Rusa, 620078
        • GSK Investigational Site
      • Ekaterinburg, Federación Rusa, 620028
        • GSK Investigational Site
      • Kazan, Federación Rusa, 420015
        • GSK Investigational Site
      • Novokuznetsk, Federación Rusa, 654063
        • GSK Investigational Site
      • Saratov, Federación Rusa
        • GSK Investigational Site
      • Caen cedex 4, Francia, 14052
        • GSK Investigational Site
      • Lagord, Francia, 17140
        • GSK Investigational Site
      • Nantes, Francia, 44093
        • GSK Investigational Site
      • Paris Cedex 18, Francia, 75877
        • GSK Investigational Site
      • Poitiers, Francia, 86000
        • GSK Investigational Site
      • Rouen, Francia, 76100
        • GSK Investigational Site
      • Rotterdam, Países Bajos, 3011 EN
        • GSK Investigational Site
      • Rotterdam, Países Bajos, 3015 GE
        • GSK Investigational Site
      • Eskilstuna, Suecia, SE-631 88
        • GSK Investigational Site
      • Stockholm, Suecia, SE-141 86
        • GSK Investigational Site

Criterios de participación

Los investigadores buscan personas que se ajusten a una determinada descripción, denominada criterio de elegibilidad. Algunos ejemplos de estos criterios son el estado de salud general de una persona o tratamientos previos.

Criterio de elegibilidad

Edades elegibles para estudiar

18 años y mayores (Adulto, Adulto Mayor)

Acepta Voluntarios Saludables

Géneros elegibles para el estudio

Todos

Descripción

Inclusion Criteria:

  • Subjects who the investigator believes that they can and will comply with the requirements of the protocol.
  • A male or female aged 18 years or above at the time of the first vaccination.
  • Written informed consent obtained from the subject.
  • Healthy subjects as established by medical history and clinical examination before entering into the study.
  • If the subject is female, she must be of non-childbearing potential, for 30 days prior to first vaccination, have a negative pregnancy test and must agree to continue such precautions for two months after completion of the vaccination series.

Exclusion Criteria:

  • Administration of other licensed vaccines within 2 weeks (for inactivated vaccines) or 4 weeks (for live vaccines) prior to enrolment in this study. Planned administration of a vaccine not foreseen by the study protocol up to 30 days after the second vaccination.
  • Administration of interpandemic influenza vaccine between Day 0 and Day 51of the study. Those study participants belonging to risk groups eligible to receive the annual interpandemic influenza vaccine (in accordance with local regulations) can receive the annual vaccination after day 51 and before the end of the study on Day 180.
  • Chronic administration (defined as more than 14 days) of immunosuppressants or other immune-modifying drugs within 6 months prior to the first administration of the study vaccine.
  • Any confirmed or suspected immunosuppressive or immunodeficient condition, based on medical history and physical examination
  • History of chronic alcohol consumption and/or drug abuse.
  • History of hypersensitivity to vaccines.
  • History of allergic disease or reactions likely to be exacerbated by any component of the vaccine.
  • Acute clinically significant pulmonary, cardiovascular, hepatic or renal functional abnormality, as determined by physical examination or laboratory screening tests.
  • Major congenital defects or serious chronic disease including any medically significant chronic pulmonary, cardiovascular, renal, neurological, psychiatric or metabolic disorder, as determined by medical history and physical examination. (Subjects suffering from seasonal allergies or asthma under inhalative treatment can be included).
  • Acute disease at the time of enrolment.
  • Administration of immunoglobulins and/or any blood products within the 3 months preceding the first administration of the study vaccine or during the study.
  • Lactating women
  • Use of any investigational or non-registered product (drug or vaccine) other than the study vaccine(s) within 30 days prior to the first vaccination, or planned use during the study period.

Plan de estudios

Esta sección proporciona detalles del plan de estudio, incluido cómo está diseñado el estudio y qué mide el estudio.

¿Cómo está diseñado el estudio?

Detalles de diseño

  • Propósito principal: Prevención
  • Asignación: Aleatorizado
  • Modelo Intervencionista: Asignación paralela
  • Enmascaramiento: Doble

Armas e Intervenciones

Grupo de participantes/brazo
Intervención / Tratamiento
Experimental: GSK1562902A Group
Male and female subjects aged 18 or over received two intramuscular doses of the GSK1562902A study vaccine, at Day 0 and Day 21, into the non-dominant arm. The group was further stratified by age for analyses.
2 doses, intramuscular injection
Comparador activo: Fluarix+Placebo Group
Male and female subjects aged 18 or over received one dose of Fluarix™ vaccine at Day 0 and one dose of placebo at Day 21, intramuscularly into de non-dominant arm. The group was further stratified by age for analyses.
One intramuscular injection
One intramuscular injection

¿Qué mide el estudio?

Medidas de resultado primarias

Medida de resultado
Medida Descripción
Periodo de tiempo
Number of Subjects With Solicited Local Symptoms
Periodo de tiempo: During a 7 day follow-up period after each dose of vaccine and overall.
Assessed solicited local symptoms were ecchymosis, induration, pain, redness and swelling. Any = occurrence of symptom regardless of intensity grade. Grade 3 Pain = pain that prevented normal everyday activities Grade 3 ecchymosis/induration/redness/swelling = redness/swelling spreading beyond (>) 50 millimeters (mm) in diameter
During a 7 day follow-up period after each dose of vaccine and overall.
Number of Subjects With Solicited General Symptoms (Dose 1)
Periodo de tiempo: During the 7-day (Days 0-6) after Dose 1
Assessed solicited general symptoms were arthralgia, fatigue, fever [defined as axillary temperature equal to or above (≥) 37.5 degrees Celsius (°C)], headache, myalgia, shivering, sweating. Any = occurrence of symptom regardless of intensity grade and relationship to vaccination. Grade 3 symptom = symptoms that prevented normal activity. Grade 3 Fever = fever higher than (>) 39.0 °C. Related = symptom considered by the investigator to be casually related with the study vaccination.
During the 7-day (Days 0-6) after Dose 1
Number of Subjects With Solicited General Symptoms (Dose 2)
Periodo de tiempo: During the 7-day (Days 0-6) after Dose 2
Assessed solicited general symptoms were arthralgia, fatigue, fever [defined as axillary temperature equal to or above (≥) 37.5 degrees Celsius (°C)], headache, myalgia, shivering, sweating. Any = occurrence of symptom regardless of intensity grade and relationship to vaccination. Grade 3 symptom = symptoms that prevented normal activity. Grade 3 Fever = fever higher than (>) 39.0 °C. Related = symptom considered by the investigator to be casually related with the study vaccination.
During the 7-day (Days 0-6) after Dose 2
Number of Subjects With Solicited General Symptoms (Across Doses)
Periodo de tiempo: During the 7-day (Days 0-6) post vaccination across dosses
Assessed solicited general symptoms were arthralgia, fatigue, fever [defined as axillary temperature equal to or above (≥) 37.5 degrees Celsius (°C)], headache, myalgia, shivering, sweating. Any = occurrence of symptom regardless of intensity grade and relationship to vaccination. Grade 3 symptom = symptoms that prevented normal activity. Grade 3 Fever = fever higher than (>) 39.0 °C. Related = symptom considered by the investigator to be casually related with the study vaccination.
During the 7-day (Days 0-6) post vaccination across dosses
Number of Subjects With Unsolicited Adverse Events (AEs)
Periodo de tiempo: During the 21st Day (Days 0-20) post Dose 1
An unsolicited AE covers any untoward medical occurrence in a clinical investigation subject temporally associated with the use of a medicinal product, whether or not considered related to the medicinal product and reported in addition to those solicited during the clinical study and any solicited symptom with onset outside the specified period of follow-up for solicited symptoms. Any was defined as the occurrence of any unsolicited AE regardless of intensity grade or relation to vaccination. Grade 3 AE = an AE which prevented normal, everyday activities. Related = AE assessed by the investigator as related to the vaccination. Related symptoms were not available.
During the 21st Day (Days 0-20) post Dose 1
Number of Subjects With AEs
Periodo de tiempo: During the 30 Day (Days 0-29) post Dose 2
An unsolicited AE covers any untoward medical occurrence in a clinical investigation subject temporally associated with the use of a medicinal product, whether or not considered related to the medicinal product and reported in addition to those solicited during the clinical study and any solicited symptom with onset outside the specified period of follow-up for solicited symptoms. Any was defined as the occurrence of any unsolicited AE regardless of intensity grade or relation to vaccination. Grade 3 AE = an AE which prevented normal, everyday activities. Related = AE assessed by the investigator as related to the vaccination. Related symptoms were not available.
During the 30 Day (Days 0-29) post Dose 2
Number of Subjects With Serious Adverse Events (SAEs)
Periodo de tiempo: From Day 0 to Day 180
SAEs assessed include medical occurrences that result in death, are life threatening, require hospitalization or prolongation of hospitalization or result in disability/incapacity.
From Day 0 to Day 180
Number of Subjects With New Onset Chronic Diseases (NOCDs)
Periodo de tiempo: From Day 0 to Day 180
NOCDs include autoimmune disorders, asthma, type I diabetes, allergies.
From Day 0 to Day 180
Number of Subjects With Medically Significant Conditions (MSCs)
Periodo de tiempo: From Day 0 to Day 51
MSCs prompting emergency room or physician visits that were not related to common diseases or routine visits. Common diseases included upper respiratory infections, sinusitis, pharyngitis, gastroenteritis, urinary tract infections, cervico-vaginal yeast infections, menstrual cycle abnormalities and injury.
From Day 0 to Day 51

Medidas de resultado secundarias

Medida de resultado
Medida Descripción
Periodo de tiempo
Anti- Haemagglutinin Antibody (Anti-HA) Titers Against Avian Influenza A Subtype H5N1
Periodo de tiempo: At Day 0 (PRE), 21 and 42
Anti-HA antibody titers were expressed as Geometric Mean Tiyers (GMTs).
At Day 0 (PRE), 21 and 42
Number of Seroconverted Subjects Against H5N1
Periodo de tiempo: At Day 21 and Day 42
Seroconversion rate for Haemagglutinin antibody response was defined as the number of vaccinees who had either a pre-vaccination titer lower than (<) 1:10 and a post-vaccination titer greater than or equal to (≥) 1:40 or a pre-vaccination titer ≥ 1:10 and at least a fourfold increase in post-vaccination titer. Seroconversion rate for Neutralising antibody response was defined as the percentage of vaccinees with a minimum 4-fold increase in titer at post-vaccination.
At Day 21 and Day 42
Seroconversion Factor for Hemagglutination Inhibition (HI) Antibodies Against A/Vietnam Influenza Strain
Periodo de tiempo: At Day 21 and Day 42
Seroconversion factor was defined as the fold increase in serum HI GMTs post-vaccination compared to day 0.
At Day 21 and Day 42
Number of Seroprotected Subjects Against A/Vietnam Influenza Strain
Periodo de tiempo: At Day 0 (PRE), Day 21 and Day 42
Seroprotection rate was defined as the number of vaccinees with a serum HI titer ≥1:40 that usually is accepted as indicating protection.
At Day 0 (PRE), Day 21 and Day 42

Colaboradores e Investigadores

Aquí es donde encontrará personas y organizaciones involucradas en este estudio.

Patrocinador

Publicaciones y enlaces útiles

La persona responsable de ingresar información sobre el estudio proporciona voluntariamente estas publicaciones. Estos pueden ser sobre cualquier cosa relacionada con el estudio.

Fechas de registro del estudio

Estas fechas rastrean el progreso del registro del estudio y los envíos de resultados resumidos a ClinicalTrials.gov. Los registros del estudio y los resultados informados son revisados ​​por la Biblioteca Nacional de Medicina (NLM) para asegurarse de que cumplan con los estándares de control de calidad específicos antes de publicarlos en el sitio web público.

Fechas importantes del estudio

Inicio del estudio (Actual)

1 de mayo de 2006

Finalización primaria (Actual)

1 de enero de 2007

Finalización del estudio (Actual)

31 de julio de 2007

Fechas de registro del estudio

Enviado por primera vez

26 de abril de 2006

Primero enviado que cumplió con los criterios de control de calidad

26 de abril de 2006

Publicado por primera vez (Estimar)

27 de abril de 2006

Actualizaciones de registros de estudio

Última actualización publicada (Actual)

23 de julio de 2018

Última actualización enviada que cumplió con los criterios de control de calidad

28 de mayo de 2018

Última verificación

1 de abril de 2017

Más información

Términos relacionados con este estudio

Plan de datos de participantes individuales (IPD)

¿Planea compartir datos de participantes individuales (IPD)?

Descripción del plan IPD

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

Datos del estudio/Documentos

  1. Formulario de consentimiento informado
    Identificador de información: 107064
    Comentarios de información: For additional information about this study please refer to the GSK Clinical Study Register
  2. Especificación del conjunto de datos
    Identificador de información: 107064
    Comentarios de información: For additional information about this study please refer to the GSK Clinical Study Register
  3. Protocolo de estudio
    Identificador de información: 107064
    Comentarios de información: For additional information about this study please refer to the GSK Clinical Study Register
  4. Informe de estudio clínico
    Identificador de información: 107064
    Comentarios de información: For additional information about this study please refer to the GSK Clinical Study Register
  5. Conjunto de datos de participantes individuales
    Identificador de información: 107064
    Comentarios de información: For additional information about this study please refer to the GSK Clinical Study Register. The results of this study 107064 are summarised with study 107217 on the GSK Clinical Study Register.
  6. Plan de Análisis Estadístico
    Identificador de información: 107064
    Comentarios de información: For additional information about this study please refer to the GSK Clinical Study Register

Esta información se obtuvo directamente del sitio web clinicaltrials.gov sin cambios. Si tiene alguna solicitud para cambiar, eliminar o actualizar los detalles de su estudio, comuníquese con register@clinicaltrials.gov. Tan pronto como se implemente un cambio en clinicaltrials.gov, también se actualizará automáticamente en nuestro sitio web. .

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