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Completed

NCT Number: NCT02335164

A Phase 1 Study to Evaluate the Immunogenicity and Safety of a Pandemic Avian Influenza Vaccine in Adults

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

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Key information

Age range

18 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Phase 1

Primary location

Flinders University

Adelaide, South Australia, 5042, Australia

About this study

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.

Who can participate

Healthy volunteers accepted: Yes

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Ambulatory males or females aged 18 years and over
  • Able to provide written informed consent
  • Willing and able to comply with the protocol for the duration of the study.
  • Not planning to have seasonal influenza vaccine within 2 months from the time of the first trial immunization

Exclusion criteria

  • Pregnant or lactating women.
  • Women of childbearing potential unless using a reliable and appropriate contraceptive method.
  • Receipt of another investigational agent within 28 days preceding initiation of treatment.
  • Any other serious medical, social or mental condition which, in the opinion of the investigator, would be detrimental to the subjects or the study.

Treatment and study plan

Recombinant influenza hemagglutinin

Biological

recombinant influenza hemagglutinin

Advax1

Biological

Delta inulin adjuvant formulation 1

Advax2

Biological

Delta inulin adjuvant formulation 2

Primary outcomes

  1. The incidence of adverse events

    Time frame: 12 months

    The frequency of adverse events will be compared between groups

Secondary outcomes

  1. Hemagglutination inhibition assay

    Time frame: 1 month post each immunization and 11 months post final immunization

    Seroconversion, seroprotection and GMT fold increase will be compared between groups at each time point using hemagglutination inhibition titers

Other outcomes

  1. Plasmablast response

    Time frame: 7 and 28 days post each immunization

    The size of the plasmablast response will be compared between groups as an experimental endpoint

  2. T-cell response

    Time frame: 7 and 28 days post each immunization

    The size of the memory T cell response will be compared between groups as an experimental endpoint

Sponsors and collaborators

Lead sponsor

Vaxine Pty Ltd

Industry

Collaborators

  • Australian Respiratory and Sleep Medicine Institute
  • Flinders University

Registry information

Official study title

A Randomised, Controlled, Blinded Phase 1 Study to Evaluate the Immunogenicity and Safety of a Pandemic Avian H5 Influenza Vaccine in Adults

Acronym: FLU003

Important dates

Study start
2015
Primary completion
2017
Study completion
2019
First posted
Jan 9, 2015
Registry last updated
May 7, 2019

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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