A Phase 2 interventional study of Fluarix™ and GSK1247446A in Influenza, sponsored by GlaxoSmithKline. Completed at 1 site in Belgium. Open to participants aged 18 Years to 59 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2018-06-08.
Sponsored by GlaxoSmithKline · Phase 2, Interventional, and Prevention
The purpose of this study is to evaluate the immunogenicity and the safety of candidate vaccines compared to Fluarix™ administered intramuscularly in subjects aged 18-59 years
2,214 studies on the registry are indexed under Influenza, Human; 163 are open to participants now.
This study's enrollment of 300 is above the median of 238 across 1,853 interventional studies indexed under Influenza, Human.
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Exclusion Criteria:
Subjects aged 18 - 59 years at the time of enrolment received one dose of the GSK1247446A vaccine adjuvanted with a full dose of adjuvant at Day 0. The adjuvanted GSK1247446A vaccine was administered intramuscularly in the deltoid region of the non-dominant arm.
Biological: GSK1247446A
Subjects aged 18 - 59 years at the time of enrolment received one dose of the GSK1247446A vaccine adjuvanted with a half dose of adjuvant at Day 0. The adjuvanted GSK1247446A vaccine was administered intramuscularly in the deltoid region of the non-dominant arm.
Biological: GSK1247446A
Subjects aged 18 - 59 years at the time of enrolment received one dose of the Fluarix™ vaccine at Day 0. The Fluarix™ vaccine was administered intramuscularly in the deltoid region of the non-dominant arm.
Biological: Fluarix™
GlaxoSmithKline Biologicals' licensed influenza vaccine
Low-dose GlaxoSmithKline Biologicals' GSK1247446A influenza vaccine
Titers of Serum Haemagglutination-inhibition (HI) Antibodies Against Each of the 3 Influenza Strains Assessed.
Influenza strains assessed were the A/New Caledonia (A/CAL), A/Wisconsin (A/WIS), B/Malaysia (B/MAL) strains. Titers were presented as geometric mean titers (GMTs) calculated on subjects with available results, and expressed in haemagglutination-inhibition unit (HIU), e. g. the dilution of a serum haemagglutination-inhibition containing the specific antibody each of the assessed influenza strains at which the solution retained the minimum level of activity needed to neutralize or precipitate the corresponding influenzae antigen. The seropositivity cut-off value of the assay was 10 HIU.
Time frame: At Day 0 and at Day 21.
Number of Seroprotected Subjects Against Each of the 3 Influenza Strains Assessed.
A seroprotected subject was a subject whose antibody titer against each of the influenza strains assessed (A/New Caledonia (A/CAL), A/Wisconsin (A/WIS) and B/Malaysia (B/MAL) strains) was equal to or higher than (\>=) the assay seroprotection cut-off value of 40 haemagglutination-inhibition units (HIU) (e. g. the dilution of a serum haemagglutination-inhibition containing the specific antibody each of the assessed influenza strains at which the solution retained the minimum level of activity needed to neutralize or precipitate the corresponding influenzae antigen).
Time frame: At Day 0 and at Day 21.
Number of Seroconverted Subjects Against Each of the 3 Influenza Strains Assessed
Influenza strains assessed were the A/New Caledonia (A/CAL), A/Wisconsin (A/WIS), and B/Malaysia (B/MAL) strains. A seroconverted subject was a subject who had either a pre-vaccination serum HI antibody titer lower than 10 haemagglutination-inhibition units (HIU) (e. g. the dilution of a serum haemagglutination-inhibition containing the specific antibody each of the assessed influenza strains at which the solution retained the minimum level of activity needed to neutralize or precipitate the corresponding influenzae antigen) and a post-vaccination titer higher than or equal to 40 HIU, or a pre-vaccination titer \>= 10 and at least a four-fold increase in post- vaccination titer.
Time frame: At Day 21.
Seroconversion Factor Against Each of the 3 Influenza Strains Assessed.
Influenza strains assessed were the A/New Caledonia (A/CAL), A/Wisconsin (A/WIS), and B/Malaysia (B/MAL) strains. The seroconversion factor (SCF) was defined as a ratio, as the fold increase in serum haemagglutination-inhibition geometric mean titers (GMTs) post-vaccination compared to Day 0 (with GMTs in the above calculation expressed in haemagglutination-inhibition units (HIU) \[e. g. the dilution of a serum haemagglutination-inhibition containing the specific antibody each of the assessed influenza strains at which the solution retained the minimum level of activity needed to neutralize or precipitate the corresponding influenza antigen\]).
Time frame: At Day 21.
Number of Subjects With Any and Grade 3 Solicited Local Symptoms
Assessed solicited local symptoms were ecchymosis, pain, redness and swelling the site of injection. Any = occurrence of a solicited local symptom regardless of intensity grade. Grade 3 pain = Pain which prevented normal activity. Grade 3 ecchymosis/redness/swelling = ecchymosis/redness/swelling at injection site with a diameter larger than (\>) 50 millimeters (mm). All solicited local symptoms assessed were considered by the investigator as causally related to the study vaccination.
Time frame: Within the 7-day follow-up period (Days 0-6) after vaccination
Number of Subjects With Any, Grade 3 and Related Solicited General Symptoms
Assessed solicited general symptoms were arthralgia, fatigue, fever (axillary temperature higher than or equal to (\>=) 37.5 degrees Celsius (°C)), headache, muscle aches, and shivering. Any = Occurrence of a particular symptom regardless of intensity or relationship to vaccination. Grade 3 symptom = Symptom which prevented normal activity. Related = Symptom assessed by the investigator as causally related to the study vaccination. Grade 3 fever = axillary temperature higher than 39.0°C.
Time frame: Within the 7-day follow-up period (Days 0-6) after vaccination
Number of Subjects With Any, Grade 3 and Related Unsolicited Adverse Events (AEs)
An unsolicited AE is any untoward medical occurrence in a patient or clinical investigation subject, temporally associated with use of a medicinal product, whether or not considered related to the medicinal product. Any AE = any occurrence of an AE, regardless of intensity or relationship to study vaccination. Grade 3 = an event that prevented normal activity. Related = event assessed by the investigator as causally related to the study vaccination.
Time frame: Within the 30-day follow-up period (Days 0-29) after vaccination
Number of Subjects With Any and Related Serious Adverse Events (SAEs)
SAEs assessed include medical occurrences that result in death, are life threatening, require hospitalization or prolongation of hospitalization, result in disability/incapacity or are a congenital anomaly/birth defect in the offspring of a study subject. Any SAE = any occurrence of an SAE, regardless of relationship to study vaccination. A related SAE = an SAE assessed by the investigator as causally related to the study vaccination.
Time frame: From study start to study end, from Day 0 to Day 30
A total of 300 subjects were enrolled in the study. Study duration was of approximately 1 month (30 days) for all subjects.
| Milestone | GSK1247446A Formulation 1 Group | GSK1247446A Formulation 2 Group | Fluarix Group |
|---|---|---|---|
| Started | 100 | 100 | 100 |
| Completed | 100 | 100 | 100 |
| Not completed | 0 | 0 | 0 |
Influenza strains assessed were the A/New Caledonia (A/CAL), A/Wisconsin (A/WIS), B/Malaysia (B/MAL) strains. Titers were presented as geometric mean titers (GMTs) calculated on subjects with available results, and expressed in haemagglutination-inhibition unit (HIU), e. g. the dilution of a serum haemagglutination-inhibition containing the specific antibody each of the assessed influenza strains at which the solution retained the minimum level of activity needed to neutralize or precipitate the corresponding influenzae antigen. The seropositivity cut-off value of the assay was 10 HIU.
| HIU | GSK1247446A Formulation 1 Group | GSK1247446A Formulation 2 Group | Fluarix Group |
|---|---|---|---|
| A/CAL, Day 0 | 31.9 (23.5 to 43.4) | 36.1 (26.9 to 48.5) | 26.1 (20.5 to 33.2) |
| A/CAL, Day 21 | 475.4 (352.2 to 641.6) | 399.0 (294.7 to 540.2) | 380.6 (274.2 to 528.4) |
| A/WIS, Day 0 | 16.8 (13.1 to 21.5) | 19.9 (15.2 to 25.9) | 14.7 (11.6 to 18.6) |
| A/WIS, Day 21 | 276.2 (223.5 to 341.3) | 241.9 (192.9 to 303.4) | 172.3 (136.4 to 217.6) |
| B/MAL, Day 0 | 20.4 (15.9 to 26.1) | 22.2 (17.6 to 27.9) | 26.5 (20.9 to 33.6) |
| B/MAL, Day 21 | 268.6 (221.3 to 326.0) | 301.5 (246.1 to 369.4) | 219.2 (171.4 to 280.2) |
A seroprotected subject was a subject whose antibody titer against each of the influenza strains assessed (A/New Caledonia (A/CAL), A/Wisconsin (A/WIS) and B/Malaysia (B/MAL) strains) was equal to or higher than (\>=) the assay seroprotection cut-off value of 40 haemagglutination-inhibition units (HIU) (e. g. the dilution of a serum haemagglutination-inhibition containing the specific antibody each of the assessed influenza strains at which the solution retained the minimum level of activity needed to neutralize or precipitate the corresponding influenzae antigen).
| Subject | GSK1247446A Formulation 1 Group | GSK1247446A Formulation 2 Group | Fluarix Group |
|---|---|---|---|
| A/CAL, Day 0 | 41 | 55 | 35 |
| A/CAL, Day 21 | 95 | 97 | 93 |
| A/WIS, Day 0 | 32 | 37 | 25 |
| A/WIS, Day 21 | 97 | 97 | 93 |
| B/MAL, Day 0 | 31 | 39 | 44 |
| B/MAL, Day 21 | 97 | 98 | 94 |
Influenza strains assessed were the A/New Caledonia (A/CAL), A/Wisconsin (A/WIS), and B/Malaysia (B/MAL) strains. A seroconverted subject was a subject who had either a pre-vaccination serum HI antibody titer lower than 10 haemagglutination-inhibition units (HIU) (e. g. the dilution of a serum haemagglutination-inhibition containing the specific antibody each of the assessed influenza strains at which the solution retained the minimum level of activity needed to neutralize or precipitate the corresponding influenzae antigen) and a post-vaccination titer higher than or equal to 40 HIU, or a pre-vaccination titer \>= 10 and at least a four-fold increase in post- vaccination titer.
| Subject | GSK1247446A Formulation 1 Group | GSK1247446A Formulation 2 Group | Fluarix Group |
|---|---|---|---|
| A/CAL, Day 21 | 69 | 64 | 66 |
| A/WIS, Day 21 | 88 | 79 | 73 |
| B/MAL, Day 21 | 76 | 82 | 65 |
Influenza strains assessed were the A/New Caledonia (A/CAL), A/Wisconsin (A/WIS), and B/Malaysia (B/MAL) strains. The seroconversion factor (SCF) was defined as a ratio, as the fold increase in serum haemagglutination-inhibition geometric mean titers (GMTs) post-vaccination compared to Day 0 (with GMTs in the above calculation expressed in haemagglutination-inhibition units (HIU) \[e. g. the dilution of a serum haemagglutination-inhibition containing the specific antibody each of the assessed influenza strains at which the solution retained the minimum level of activity needed to neutralize or precipitate the corresponding influenza antigen\]).
| Fold increase | GSK1247446A Formulation 1 Group | GSK1247446A Formulation 2 Group | Fluarix Group |
|---|---|---|---|
| A/CAL, Day 21 | 14.9 (10.4 to 21.3) | 11.0 (7.7 to 15.9) | 14.6 (9.9 to 21.6) |
| A/WIS, Day 21 | 16.5 (13.0 to 20.9) | 12.2 (9.2 to 16.1) | 11.7 (8.8 to 15.6) |
| B/MAL, Day 21 | 13.2 (10.0 to 17.4) | 13.6 (10.2 to 18.0) | 8.3 (6.2 to 11.0) |
Assessed solicited local symptoms were ecchymosis, pain, redness and swelling the site of injection. Any = occurrence of a solicited local symptom regardless of intensity grade. Grade 3 pain = Pain which prevented normal activity. Grade 3 ecchymosis/redness/swelling = ecchymosis/redness/swelling at injection site with a diameter larger than (\>) 50 millimeters (mm). All solicited local symptoms assessed were considered by the investigator as causally related to the study vaccination.
| Subject | GSK1247446A Formulation 1 Group | GSK1247446A Formulation 2 Group | Fluarix Group |
|---|---|---|---|
| Any ecchymosis | 6 | 11 | 6 |
| Grade 3 ecchymosis (> 50 mm) | 0 | 0 | 0 |
| Any pain | 92 | 89 | 64 |
| Grade 3 pain | 10 | 0 | 0 |
| Any redness | 24 | 12 | 15 |
| Grade 3 redness (> 50 mm) | 6 | 2 | 1 |
| Any swelling | 28 | 17 | 7 |
| Grade 3 swelling (> 50 mm) | 7 | 4 | 2 |
Assessed solicited general symptoms were arthralgia, fatigue, fever (axillary temperature higher than or equal to (\>=) 37.5 degrees Celsius (°C)), headache, muscle aches, and shivering. Any = Occurrence of a particular symptom regardless of intensity or relationship to vaccination. Grade 3 symptom = Symptom which prevented normal activity. Related = Symptom assessed by the investigator as causally related to the study vaccination. Grade 3 fever = axillary temperature higher than 39.0°C.
| Subject | GSK1247446A Formulation 1 Group | GSK1247446A Formulation 2 Group | Fluarix Group |
|---|---|---|---|
| Any arthralgia | 32 | 14 | 7 |
| Grade 3 arthralgia | 3 | 1 | 0 |
| Related arthralgia | 32 | 13 | 5 |
| Any fatigue | 60 | 42 | 28 |
| Grade 3 fatigue | 6 | 2 | 1 |
| Related fatigue | 59 | 39 | 26 |
| Axillary fever (>= 37.5°C) | 30 | 12 | 2 |
| Grade 3 axillary fever (> 39.0°C) | 2 | 0 | 0 |
| Related axillary fever (>= 37.5°C) | 30 | 12 | 2 |
| Any headache | 51 | 40 | 29 |
| Grade 3 headache | 9 | 6 | 3 |
| Related headache | 50 | 35 | 23 |
| Any muscle aches | 48 | 30 | 12 |
| Grade 3 muscle aches | 4 | 2 | 0 |
| Related muscle aches | 47 | 29 | 11 |
| Any shivering | 33 | 13 | 5 |
| Grade 3 shivering | 2 | 2 | 0 |
| Related shivering | 33 | 13 | 5 |
An unsolicited AE is any untoward medical occurrence in a patient or clinical investigation subject, temporally associated with use of a medicinal product, whether or not considered related to the medicinal product. Any AE = any occurrence of an AE, regardless of intensity or relationship to study vaccination. Grade 3 = an event that prevented normal activity. Related = event assessed by the investigator as causally related to the study vaccination.
| Subject | GSK1247446A Formulation 1 Group | GSK1247446A Formulation 2 Group | Fluarix Group |
|---|---|---|---|
| Subject(s) with any unsolicited AE(s) | 55 | 47 | 35 |
| Subject(s) with Grade 3 unsolicited AE(s) | 11 | 5 | 6 |
| Subject(s) with related unsolicited AE(s) | 33 | 22 | 16 |
SAEs assessed include medical occurrences that result in death, are life threatening, require hospitalization or prolongation of hospitalization, result in disability/incapacity or are a congenital anomaly/birth defect in the offspring of a study subject. Any SAE = any occurrence of an SAE, regardless of relationship to study vaccination. A related SAE = an SAE assessed by the investigator as causally related to the study vaccination.
| Subject | GSK1247446A Formulation 1 Group | GSK1247446A Formulation 2 Group | Fluarix Group |
|---|---|---|---|
| Subject(s) with any SAE(s) | 1 | 0 | 0 |
| Subject(s) with related SAE(s) | 0 | 0 | 0 |
Collected over Solicited symptoms: within the 7-day (Days 0-6) follow-up period after vaccination. Unsolicited adverse events: Within the 30-day (Days 0-29) follow-up period after vaccination. Serious adverse events: From study start to study end (Days 0-30). Non-serious events are listed at a 5% frequency threshold.
| Group | Deaths | Serious | Other |
|---|---|---|---|
| GSK1247446A Formulation 1 Group | — | 1/100 (1%) | 98/100 (98%) |
| GSK1247446A Formulation 2 Group | — | 0/100 (0%) | 95/100 (95%) |
| Fluarix Group | — | 0/100 (0%) | 81/100 (81%) |
| Event | GSK1247446A Formulation 1 Group | GSK1247446A Formulation 2 Group | Fluarix Group |
|---|---|---|---|
| Post procedural nauseaInjury, poisoning and procedural complications | 1/100 | 0/100 | 0/100 |
| Event | GSK1247446A Formulation 1 Group | GSK1247446A Formulation 2 Group | Fluarix Group |
|---|---|---|---|
| PainGeneral disorders | 92/100 | 89/100 | 64/100 |
| FatigueGeneral disorders | 60/100 | 42/100 | 28/100 |
| HeadacheGeneral disorders | 51/100 | 40/100 | 29/100 |
| Muscle achesGeneral disorders | 48/100 | 30/100 | 12/100 |
| ShiveringGeneral disorders | 33/100 | 13/100 | 5/100 |
| ArthralgiaGeneral disorders | 32/100 | 14/100 | 7/100 |
| SwellingGeneral disorders | 28/100 | 17/100 | 7/100 |
| RednessGeneral disorders | 24/100 | 12/100 | 15/100 |
| NasopharyngitisInfections and infestations | 15/100 | 8/100 | 11/100 |
| EcchymosisGeneral disorders | 6/100 | 11/100 | 6/100 |
| Age, Continuous(Years) | GSK1247446A Formulation 1 Group | GSK1247446A Formulation 2 Group | Fluarix Group | Total |
|---|---|---|---|---|
| Mean | 37.3 ± 13.94 | 35.0 ± 13.26 | 37.7 ± 13.75 | 36.7 ± 13.65 |
| Sex: Female, Male(Participants) | GSK1247446A Formulation 1 Group | GSK1247446A Formulation 2 Group | Fluarix Group | Total |
|---|---|---|---|---|
| Female | 65 | 60 | 57 | 182 |
| Male | 35 | 40 | 43 | 118 |
Plan to share: Yes — Patient-level data for this study will be made available through www.clinicalstudydatarequest.com following the timelines and process described on this site.
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