A Phase 2 interventional study of Influenza Vaccine GSK1247446A - 4 different formulations and Fluarix™ in Influenza, sponsored by GlaxoSmithKline. Completed at 15 sites in 3 countries. Open to participants aged 18 Years to 64 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2019-06-14.
Sponsored by GlaxoSmithKline · Phase 2, Interventional, and Prevention
In order to find the formulation leading to a maximal increase of the immune response while maintaining an acceptable safety profile, this study is designed to evaluate the immunogenicity, safety and reactogenicity of the different formulations of GSK Biologicals' influenza vaccine administered in adults aged 18-64 years.
The Protocol Posting has been updated in order to comply with the FDA Amendment Act, Sep 2007.
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Exclusion Criteria:
Subjects aged 18-64 years at the time of enrolment received 1 dose of GSK1247446A with a full dose of AS03 adjuvant at Day 0. The vaccine was administered intramuscularly in the deltoid region of the non-dominant arm.
Biological: Influenza Vaccine GSK1247446A - 4 different formulations
Subjects aged 18-64 years at the time of enrolment received 1 dose of GSK1247446A with 1/2 dose of AS03 adjuvant at Day 0. The vaccine was administered intramuscularly in the deltoid region of the non-dominant arm.
Biological: Influenza Vaccine GSK1247446A - 4 different formulations
Subjects aged 18-64 years at the time of enrolment received 1 dose of GSK1247446A with 1/4 dose of AS03 adjuvant at Day 0. The vaccine was administered intramuscularly in the deltoid region of the non-dominant arm.
Biological: Influenza Vaccine GSK1247446A - 4 different formulations
Subjects aged 18-64 years at the time of enrolment received 1 dose of GSK1247446A with 1/8 dose of AS03 adjuvant at Day 0. The vaccine was administered intramuscularly in the deltoid region of the non-dominant arm.
Biological: Influenza Vaccine GSK1247446A - 4 different formulations
Subjects aged 18-64 years at the time of enrolment received 1 dose of FluarixTM at Day 0. The vaccine was administered intramuscularly in the deltoid region of the non-dominant arm.
Biological: Fluarix™
Single dose, Intramuscular injection
Single dose, Intramuscular injection
Titers for Serum Hemagglutination Inhibition (HI) Antibodies Against 3 Strains of Influenza Disease.
Titers are presented as geometric mean titers (GMTs). The 3 influenza strains assessed were A/Solomon Islands (SOLO), A/Wisconsin (WISC) and B/Malaysia (MALA). The seropositivity cut-off assay was 1:10. The results for Day 0 and Day 21 are the primary efficacy variables.
Time frame: At Days 0, 21 and 180
Number of Seroconverted Subjects Against 3 Strains of Influenza Disease.
A seroconverted subject was defined as a vaccinated subject who had either a pre-vaccination titer \<1:10 and a post-vaccination titer ≥1:40 or a pre-vaccination titer ≥1:10 and at least a four-fold increase in post-vaccination titer. The 3 influenza strains assessed were A/Solomon Islands (SOLO), A/Wisconsin (WISC) and B/Malaysia (MALA).
Time frame: At Days 21 and 180
Seroconversion Factor for Hemagglutination Inhibition (HI) Antibodies Against 3 Strains of Influenza Disease.
The seroconversion factor (SCF) was defined as the fold increase in serum Hemagglutination Inhibition (HI) geometric mean titers (GMTs) post vaccination compared to Day 0. The 3 influenza strains assessed were A/Solomon Islands (SOLO), A/Wisconsin (WISC) and B/Malaysia (MALA).
Time frame: At Days 21 and 180
Number of Seroprotected Subjects Against 3 Strains of Influenza Disease.
A seroprotected subject was defined as a vaccinated subject who had a serum HI titer ≥ 1:40. The 3 influenza strains assessed were A/Solomon Islands (SOLO), A/Wisconsin (WISC) and B/Malaysia (MALA).
Time frame: At Days 0, 21 and 180
Titers for Serum Hemagglutination Inhibition (HI) Antibodies Against 4 Strains of Influenza Disease.
Titers are presented as geometric mean titers (GMTs). The 4 influenza strains assessed were A/Wisconsin (WISC), B/Malaysia (MALA), A/Brisbane (BRIS) and B/Florida (FLOR). The seropositivity cut-off assay was 1:28.
Time frame: At Days 0 and 21
Geometric Mean of Influenza-specific Cluster of Differentiation (CD) 4 T-cells.
The mean was calculated for CD4 T-cells (per million CD4 T-cells) producing at least two different cytokines (All Doubles), at least CD40L, at least INF gamma (IFN-γ), at least IL2 and at least TNF alpha (TNF-α).
Time frame: At Days 0, 21 and 180
Geometric Mean of Influenza-specific Cluster of Differentiation (CD) 8 T-cells.
The mean was calculated for CD8 T-cells (per million CD8 T-cells) producing at least two different cytokines (All Doubles), at least CD40L, at least INF gamma (IFN-γ), at least IL2 and at least TNF alpha (TNF-α).
Time frame: At Days 0, 21 and 180
Number of Subjects With Any and Grade 3 Solicited Local Symptoms.
Assessed solicited local symptoms were ecchymosis, pain, redness and swelling at injection site. Any = incidence of a particular symptom regardless of intensity grade. Grade 3 pain = pain that prevented normal everyday activity. Grade 3 redness/swelling/ecchymosis = redness/swelling/ecchymosis spreading beyond 50 millimeters (mm) of the injection site.
Time frame: During the 7-day (Days 0-6) post vaccination period
Number of Subjects With Any, Grade 3 and Related Solicited General Symptoms.
Assessed solicited general symptoms were arthralgia, fatigue, fever \[oral temperature above (\>) 38.0 degrees Celsius (°C)\], headache, myalgia, nausea and shivering. Any = incidence of a particular symptom regardless of grade intensity or relationship with the study vaccination. Grade 3 symptom = symptom that prevented normal activity. Grade 3 fever = fever ≥ 39.0°C. Related = symptom considered by the investigator to have a causal relationship to study vaccination.
Time frame: During the 7-day (Days 0-6) post vaccination period
Number of Subjects With Any, Grade 3 and Related Medically Significant Conditions (MSCs).
MSCs were defined as conditions prompting emergency room visits or physician visits that were not related to common diseases or routine visits. Any = incidence of a particular symptom regardless of grade intensity or relationship with the study vaccination. Grade 3 = event which prevented normal activities. Related = event assessed by the investigator as causally related to the study vaccination
Time frame: From Day 0 to Day 180
Number of Subjects With Any, Grade 3 and Related Unsolicited Adverse Events (AEs).
Unsolicited AE covers any AE 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 = any unsolicited AE regardless of intensity or relationship to vaccination. Grade 3 = unsolicited AE that prevented normal activity Related = unsolicited AE assessed by the investigator as related to the vaccination.
Time frame: During the 21-day (Days 0-20) post vaccination period
Number of Subjects With Serious Adverse Events (SAEs).
Serious adverse events (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.
Time frame: From Day 0 to Day 180
| Milestone | GSK1247446A 1 Group | GSK1247446A 2 Group | GSK1247446A 3 Group | GSK1247446A 4 Group | Fluarix Group |
|---|---|---|---|---|---|
| Started | 200 | 198 | 204 | 202 | 202 |
| Completed | 197 | 197 | 204 | 202 | 202 |
| Not completed | 3 | 1 | 0 | 0 | 0 |
| Withdrew: Adverse event | 2 | 0 | 0 | 0 | 0 |
| Withdrew: Lost to follow-up | 1 | 1 | 0 | 0 | 0 |
Titers are presented as geometric mean titers (GMTs). The 3 influenza strains assessed were A/Solomon Islands (SOLO), A/Wisconsin (WISC) and B/Malaysia (MALA). The seropositivity cut-off assay was 1:10. The results for Day 0 and Day 21 are the primary efficacy variables.
| titers | GSK1247446A 1 Group | GSK1247446A 2 Group | GSK1247446A 3 Group | GSK1247446A 4 Group | Fluarix Group |
|---|---|---|---|---|---|
| SOLO, Day 0 [N=187;189;190;192;185] | 13.0 (10.9 to 15.5) | 12.3 (10.2 to 14.8) | 12.9 (10.6 to 15.8) | 14.9 (12.3 to 18.2) | 15.1 (12.5 to 18.2) |
| SOLO, Day 21 [N=187;189;190;192;185] | 203.2 (171.7 to 240.3) | 155.8 (128.2 to 189.4) | 164.9 (137.6 to 197.8) | 151.1 (124.7 to 183.1) | 191.0 (158.5 to 230.2) |
| SOLO, Day 180 [N=189;190;192;192;187] | 81.3 (68.3 to 96.8) | 71.1 (58.8 to 86.1) | 76.3 (63.2 to 92.0) | 80.7 (66.7 to 97.5) | 97.6 (82.5 to 115.5) |
| WISC, Day 0 [N=187;189;190;192;185] | 29.4 (23.8 to 36.4) | 30.0 (24.3 to 37.2) | 29.9 (24.5 to 36.5) | 27.2 (22.6 to 32.8) | 37.4 (30.2 to 46.4) |
| WISC, Day 21 [N=187;189;190;192;185] | 380.1 (321.3 to 449.8) | 326.4 (275.6 to 386.7) | 319.9 (270.0 to 379.1) | 273.9 (232.0 to 323.3) | 335.3 (286.2 to 392.7) |
| WISC, Day 180 [N=189;190;192;192;187] | 174.3 (145.6 to 208.8) | 149.5 (125.3 to 178.3) | 164.0 (138.0 to 195.0) | 133.0 (112.5 to 157.3) | 176.2 (151.7 to 204.6) |
| MALA, Day 0 [N=187;189;190;192;185] | 25.8 (21.3 to 31.3) | 27.3 (22.6 to 32.9) | 22.6 (18.8 to 27.1) | 23.2 (19.5 to 27.8) | 27.0 (22.2 to 32.7) |
| MALA, Day 21 [N=187;189;190;192;185] | 225.8 (195.3 to 261.1) | 246.1 (210.9 to 287.2) | 195.5 (165.1 to 231.4) | 171.2 (144.2 to 203.2) | 217.8 (184.3 to 257.4) |
| MALA, Day 180 [N=189;190;192;192;187] | 106.6 (91.7 to 124.0) | 119.6 (103.7 to 138.0) | 97.2 (83.2 to 113.5) | 95.7 (82.1 to 111.7) | 108.8 (93.1 to 127.0) |
A seroconverted subject was defined as a vaccinated subject who had either a pre-vaccination titer \<1:10 and a post-vaccination titer ≥1:40 or a pre-vaccination titer ≥1:10 and at least a four-fold increase in post-vaccination titer. The 3 influenza strains assessed were A/Solomon Islands (SOLO), A/Wisconsin (WISC) and B/Malaysia (MALA).
| subjects | GSK1247446A 1 Group | GSK1247446A 2 Group | GSK1247446A 3 Group | GSK1247446A 4 Group | Fluarix Group |
|---|---|---|---|---|---|
| SOLO, Day 21 [N=187;189;190;192;185] | 154 | 141 | 133 | 119 | 131 |
| SOLO, Day 180 [N=189;190;192;192;187] | 117 | 108 | 102 | 102 | 110 |
| WISC, Day 21 [N=187;189;190;192;185] | 150 | 147 | 142 | 142 | 118 |
| WISC, Day 180 [N=189;190;192;192;187] | 112 | 97 | 112 | 106 | 100 |
| MALA, Day 21 [N=187;189;190;192;185] | 136 | 127 | 128 | 127 | 125 |
| MALA, Day 180 [N=189;190;192;192;187] | 99 | 99 | 98 | 102 | 88 |
The seroconversion factor (SCF) was defined as the fold increase in serum Hemagglutination Inhibition (HI) geometric mean titers (GMTs) post vaccination compared to Day 0. The 3 influenza strains assessed were A/Solomon Islands (SOLO), A/Wisconsin (WISC) and B/Malaysia (MALA).
| fold increase | GSK1247446A 1 Group | GSK1247446A 2 Group | GSK1247446A 3 Group | GSK1247446A 4 Group | Fluarix Group |
|---|---|---|---|---|---|
| SOLO, Day 21 [N=187;189;190;192;185] | 15.6 (12.7 to 19.2) | 12.7 (10.2 to 15.8) | 12.8 (10.1 to 16.1) | 10.1 (8.0 to 12.8) | 12.7 (9.9 to 16.2) |
| SOLO, Day 180 [N=189;190;192;192;187] | 6.4 (5.3 to 7.7) | 5.9 (4.8 to 7.2) | 5.9 (4.8 to 7.2) | 5.4 (4.4 to 6.7) | 6.5 (5.2 to 8.0) |
| WISC, Day 21 [N=187;189;190;192;185] | 12.9 (10.5 to 16.0) | 10.9 (8.9 to 13.3) | 10.7 (8.6 to 13.2) | 10.1 (10.1 to 12.3) | 9.0 (7.2 to 11.2) |
| WISC, Day 180 [N=189;190;192;192;187] | 6.0 (5.0 to 7.2) | 5.0 (4.2 to 6.1) | 5.4 (4.5 to 6.6) | 4.9 (4.1 to 5.9) | 4.7 (3.9 to 5.8) |
| MALA, Day 21 [N=187;189;190;192;185] | 8.7 (7.2 to 10.6) | 9.0 (7.3 to 11.2) | 8.7 (7.0 to 10.8) | 7.4 (6.1 to 8.9) | 8.1 (6.6 to 9.9) |
| MALA, Day 180 [N=189;190;192;192;187] | 4.2 (3.5 to 4.9) | 4.4 (3.6 to 5.3) | 4.4 (3.6 to 5.3) | 4.1 (3.5 to 4.8) | 4.0 (3.3 to 4.8) |
A seroprotected subject was defined as a vaccinated subject who had a serum HI titer ≥ 1:40. The 3 influenza strains assessed were A/Solomon Islands (SOLO), A/Wisconsin (WISC) and B/Malaysia (MALA).
| subjects | GSK1247446A 1 Group | GSK1247446A 2 Group | GSK1247446A 3 Group | GSK1247446A 4 Group | Fluarix Group |
|---|---|---|---|---|---|
| SOLO, Day 0 [N=187;189;190;192;185] | 45 | 46 | 43 | 52 | 50 |
| SOLO, Day 21 [N=187;189;190;192;185] | 177 | 170 | 169 | 166 | 172 |
| SOLO, Day 180 [N=189;190;192;192;187] | 157 | 144 | 144 | 151 | 159 |
| WISC, Day 0 [N=187;189;190;192;185] | 90 | 90 | 96 | 91 | 95 |
| WISC, Day 21 [N=187;189;190;192;185] | 183 | 186 | 185 | 184 | 183 |
| WISC, Day 180 [N=189;190;192;192;187] | 175 | 175 | 175 | 173 | 183 |
| MALA, Day 0 [N=187;189;190;192;185] | 80 | 88 | 81 | 86 | 88 |
| MALA, Day 21 [N=187;189;190;192;185] | 183 | 186 | 180 | 180 | 178 |
| MALA, Day 180 [N=189;190;192;192;187] | 174 | 177 | 167 | 171 | 169 |
Titers are presented as geometric mean titers (GMTs). The 4 influenza strains assessed were A/Wisconsin (WISC), B/Malaysia (MALA), A/Brisbane (BRIS) and B/Florida (FLOR). The seropositivity cut-off assay was 1:28.
| titers | GSK1247446A 1 Group | GSK1247446A 2 Group | GSK1247446A 3 Group | GSK1247446A 4 Group | Fluarix Group |
|---|---|---|---|---|---|
| WISC, Day 0 [N=43;47;44;43;42] | 134.3 (94.6 to 190.8) | 136.3 (101.4 to 183.1) | 160.8 (111.0 to 232.9) | 148.0 (107.0 to 204.5) | 212.5 (138.2 to 326.6) |
| WISC, Day 21 [N=47;48;44;47;42] | 1193.7 (876.6 to 1625.5) | 859.6 (637.8 to 1158.5) | 1027.9 (760.3 to 1389.8) | 842.3 (641.9 to 1105.2) | 864.0 (654.2 to 1140.9) |
| MALA, Day 0 [N=46;48;44;44;42] | 34.1 (25.7 to 45.1) | 36.5 (25.9 to 51.3) | 33.3 (24.4 to 45.4) | 27.7 (21.1 to 36.2) | 49.7 (35.2 to 70.0) |
| MALA, Day 21 [N=44;48;43;42;42] | 162.5 (117.6 to 224.5) | 161.5 (128.6 to 202.9) | 141.0 (103.8 to 191.3) | 130.5 (98.7 to 172.7) | 166.0 (111.2 to 247.7) |
| BRIS, Day 0 [N=47;48;44;47;41] | 494.2 (389.0 to 627.7) | 365.9 (298.3 to 449.0) | 392.5 (319.1 to 482.8) | 445.7 (369.2 to 538.0) | 466.8 (355.2 to 613.5) |
| BRIS, Day 21 [N=47;48;44;47;42] | 1151.5 (901.8 to 1470.4) | 847.5 (668.0 to 1075.3) | 884.2 (673.2 to 1161.2) | 1038.2 (799.3 to 1348.6) | 867.1 (658.9 to 1141.1) |
| FLOR, Day 0 [N=45;48;44;47;42] | 48.9 (35.2 to 67.9) | 56.9 (38.6 to 83.9) | 51.0 (35.2 to 73.9) | 46.8 (32.7 to 66.9) | 76.7 (51.1 to 115.3) |
| FLOR, Day 21 [N=43;48;43;43;42] | 94.3 (68.8 to 129.3) | 113.6 (79.7 to 162.0) | 92.1 (60.6 to 139.9) | 82.7 (57.9 to 118.2) | 131.1 (93.3 to 184.2) |
The mean was calculated for CD4 T-cells (per million CD4 T-cells) producing at least two different cytokines (All Doubles), at least CD40L, at least INF gamma (IFN-γ), at least IL2 and at least TNF alpha (TNF-α).
| cells | GSK1247446A 1 Group | GSK1247446A 2 Group | GSK1247446A 3 Group | GSK1247446A 4 Group | Fluarix Group |
|---|---|---|---|---|---|
| All Doubles, Day 0 [N=45;47;43;47;39] | 2106.16 ± 1274.90 | 2043.17 ± 894.18 | 2252.44 ± 1726.88 | 2103.66 ± 1370.89 | 1976.23 ± 1051.16 |
| All Doubles, Day 21 [N=45;45;40;45;39] | 3857.76 ± 2195.47 | 3366.93 ± 1693.40 | 3103.30 ± 1549.21 | 2827.84 ± 1561.60 | 2489.15 ± 1468.71 |
| All Doubles, Day 180 [N=46;42;42;43;41] | 2628.96 ± 1353.46 | 2249.88 ± 1325.73 | 1963.38 ± 1245.21 | 2153.12 ± 1473.45 | 1952.02 ± 1240.63 |
| CD40L, Day 0 [N=45;47;43;47;39] | 1914.96 ± 1241.38 | 1863.96 ± 830.55 | 2045.86 ± 1638.11 | 1954.13 ± 1290.77 | 1827.67 ± 1033.38 |
| CD40L, Day 21 [N=45;45;40;45;39] | 3337.89 ± 1982.59 | 2947.20 ± 1487.13 | 2624.30 ± 1316.60 | 2472.98 ± 1378.17 | 2223.74 ± 1398.63 |
| CD40L, Day 180 [N=46;42;42;43;41] | 2108.04 ± 1190.42 | 1758.95 ± 1093.80 | 1581.31 ± 1184.99 | 1731.00 ± 1331.05 | 1560.76 ± 1009.77 |
| IFN-γ, Day 0 [N=45;47;43;47;39] | 1379.33 ± 987.07 | 1377.13 ± 741.31 | 1510.84 ± 1349.58 | 1342.57 ± 1040.63 | 1260.97 ± 809.24 |
| IFN-γ, Day 21 [N=45;45;40;45;39] | 2525.91 ± 1615.78 | 2233.24 ± 1371.05 | 2056.40 ± 1205.90 | 1824.69 ± 1265.29 | 1565.79 ± 1064.31 |
| IFN-γ, Day 180 [N=46;42;42;43;41] | 1792.74 ± 1075.76 | 1546.55 ± 1055.94 | 1335.62 ± 970.49 | 1440.09 ± 1199.84 | 1299.95 ± 894.25 |
| IL2, Day 0 [N=45;47;43;47;39] | 1684.24 ± 983.48 | 1657.28 ± 744.17 | 1796.33 ± 1354.89 | 1732.91 ± 1140.54 | 1572.69 ± 812.49 |
| IL2, Day 21 [N=45;45;40;45;39] | 3020.09 ± 1741.78 | 2634.64 ± 1415.24 | 2343.15 ± 1199.20 | 2256.02 ± 1251.58 | 1933.10 ± 1153.35 |
| IL2, Day 180 [N=46;42;42;43;41] | 2121.67 ± 1088.48 | 1816.26 ± 1116.55 | 1571.19 ± 987.96 | 1797.79 ± 1228.49 | 1581.73 ± 1028.49 |
| TNF-α, Day 0 [N=45;47;43;47;39] | 1606.64 ± 1087.17 | 1522.70 ± 747.67 | 1712.42 ± 1355.23 | 1548.00 ± 1094.03 | 1421.82 ± 781.48 |
| TNF-α, Day 21 [N=45;45;40;45;39] | 2767.02 ± 1598.41 | 2337.38 ± 1068.82 | 2109.45 ± 1075.51 | 1990.60 ± 1157.58 | 1639.31 ± 975.93 |
| TNF-α, Day 180 [N=46;42;42;43;41] | 1980.39 ± 1078.92 | 1654.90 ± 944.90 | 1454.40 ± 898.01 | 1627.67 ± 1155.63 | 1392.05 ± 933.32 |
The mean was calculated for CD8 T-cells (per million CD8 T-cells) producing at least two different cytokines (All Doubles), at least CD40L, at least INF gamma (IFN-γ), at least IL2 and at least TNF alpha (TNF-α).
| cells | GSK1247446A 1 Group | GSK1247446A 2 Group | GSK1247446A 3 Group | GSK1247446A 4 Group | Fluarix Group |
|---|---|---|---|---|---|
| All Doubles, Day 0 [N=44;46;43;45;39] | 50.02 ± 113.85 | 109.63 ± 405.09 | 17.33 ± 33.12 | 64.47 ± 181.32 | 48.38 ± 82.57 |
| All Doubles, Day 21 [N=44;43;40;42;38] | 47.18 ± 106.55 | 50.09 ± 101.55 | 38.53 ± 67.21 | 109.86 ± 282.04 | 55.11 ± 126.17 |
| All Doubles, Day 180 [N=44;40;42;41;41] | 44.32 ± 99.11 | 126.13 ± 323.68 | 36.31 ± 95.06 | 97.27 ± 258.53 | 30.98 ± 62.35 |
| CD40L, Day 0 [N=44;46;43;45;39] | 3.64 ± 12.37 | 5.91 ± 15.92 | 2.63 ± 8.06 | 16.27 ± 56.56 | 7.05 ± 20.43 |
| CD40L, Day 21 [N=44;43;40;42;38] | 8.82 ± 28.38 | 10.09 ± 21.58 | 6.45 ± 16.03 | 50.83 ± 193.00 | 37.55 ± 117.41 |
| CD40L, Day 180 [N=44;40;42;41;41] | 9.45 ± 35.59 | 15.88 ± 61.59 | 2.86 ± 8.48 | 1.68 ± 4.37 | 2.27 ± 5.83 |
| IFN-γ, Day 0 [N=44;46;43;45;39] | 29.50 ± 53.27 | 96.91 ± 375.61 | 14.42 ± 32.92 | 44.80 ± 137.59 | 17.31 ± 38.50 |
| IFN-γ, Day 21 [N=44;43;40;42;38] | 24.86 ± 61.18 | 48.07 ± 106.65 | 25.65 ± 49.98 | 64.98 ± 178.63 | 32.11 ± 104.54 |
| IFN-γ, Day 180 [N=44;40;42;41;41] | 38.18 ± 50.84 | 110.75 ± 303.91 | 20.62 ± 47.56 | 79.85 ± 239.36 | 19.80 ± 37.25 |
| IL2, Day 0 [N=44;46;43;45;39] | 35.59 ± 91.49 | 75.41 ± 309.22 | 8.81 ± 16.65 | 46.22 ± 130.46 | 43.59 ± 81.53 |
| IL2, Day 21 [N=44;46;43;45;39] | 36.98 ± 85.05 | 21.51 ± 42.47 | 31.28 ± 59.89 | 87.86 ± 244.84 | 50.84 ± 116.74 |
| IL2, Day 180 [N=44;40;42;41;41] | 27.36 ± 87.59 | 74.03 ± 183.59 | 24.50 ± 82.62 | 57.15 ± 136.73 | 28.73 ± 55.08 |
| TNF-α, Day 0 [N=44;46;43;45;39] | 42.98 ± 109.79 | 102.72 ± 391.96 | 15.42 ± 28.60 | 54.73 ± 156.41 | 46.18 ± 91.78 |
| TNF-α, Day 21 [N=44;43;40;42;38] | 37.93 ± 109.46 | 44.16 ± 99.17 | 31.55 ± 59.52 | 90.48 ± 239.47 | 37.82 ± 110.79 |
| TNF-α, Day 180 [N=44;40;42;41;41] | 34.70 ± 86.94 | 111.10 ± 299.67 | 33.60 ± 80.50 | 79.54 ± 208.13 | 25.63 ± 56.06 |
Assessed solicited local symptoms were ecchymosis, pain, redness and swelling at injection site. Any = incidence of a particular symptom regardless of intensity grade. Grade 3 pain = pain that prevented normal everyday activity. Grade 3 redness/swelling/ecchymosis = redness/swelling/ecchymosis spreading beyond 50 millimeters (mm) of the injection site.
| subjects | GSK1247446A 1 Group | GSK1247446A 2 Group | GSK1247446A 3 Group | GSK1247446A 4 Group | Fluarix Group |
|---|---|---|---|---|---|
| Any Ecchymosis | 11 | 9 | 8 | 14 | 7 |
| Grade 3 Ecchymosis | 1 | 0 | 0 | 1 | 1 |
| Any Pain | 182 | 175 | 167 | 151 | 121 |
| Grade 3 Pain | 5 | 5 | 3 | 1 | 1 |
| Any Redness | 75 | 66 | 53 | 64 | 49 |
| Grade 3 Redness | 17 | 4 | 3 | 2 | 2 |
| Any Swelling | 69 | 54 | 49 | 48 | 27 |
| Grade 3 Swelling | 11 | 4 | 5 | 3 | 2 |
Assessed solicited general symptoms were arthralgia, fatigue, fever \[oral temperature above (\>) 38.0 degrees Celsius (°C)\], headache, myalgia, nausea and shivering. Any = incidence of a particular symptom regardless of grade intensity or relationship with the study vaccination. Grade 3 symptom = symptom that prevented normal activity. Grade 3 fever = fever ≥ 39.0°C. Related = symptom considered by the investigator to have a causal relationship to study vaccination.
| subjects | GSK1247446A 1 Group | GSK1247446A 2 Group | GSK1247446A 3 Group | GSK1247446A 4 Group | Fluarix Group |
|---|---|---|---|---|---|
| Any Arthralgia | 64 | 51 | 38 | 39 | 25 |
| Grade 3 Arthralgia | 4 | 4 | 2 | 0 | 1 |
| Related Arthralgia | 52 | 49 | 32 | 31 | 20 |
| Any Fatigue | 103 | 90 | 86 | 78 | 47 |
| Grade 3 Fatigue | 5 | 4 | 2 | 2 | 2 |
| Related Fatigue | 81 | 83 | 72 | 62 | 34 |
| Fever >38°C | 27 | 16 | 8 | 6 | 3 |
| Fever ≥ 39°C | 2 | 0 | 0 | 0 | 0 |
| Related Fever | 23 | 13 | 8 | 6 | 3 |
| Any Headache | 90 | 77 | 68 | 66 | 51 |
| Grade 3 Headache | 7 | 2 | 4 | 3 | 1 |
| Related Headache | 72 | 61 | 49 | 49 | 36 |
| Any Myalgia | 102 | 85 | 74 | 70 | 49 |
| Grade 3 Myalgia | 6 | 6 | 4 | 0 | 2 |
| Related Myalgia | 81 | 77 | 59 | 57 | 40 |
| Any Nausea | 25 | 28 | 12 | 13 | 11 |
| Grade 3 Nausea | 1 | 2 | 3 | 0 | 0 |
| Related Nausea | 19 | 22 | 10 | 11 | 6 |
| Any Shivering | 74 | 53 | 40 | 34 | 12 |
| Grade 3 Shivering | 4 | 5 | 1 | 1 | 2 |
| Related Shivering | 64 | 50 | 31 | 29 | 8 |
MSCs were defined as conditions prompting emergency room visits or physician visits that were not related to common diseases or routine visits. Any = incidence of a particular symptom regardless of grade intensity or relationship with the study vaccination. Grade 3 = event which prevented normal activities. Related = event assessed by the investigator as causally related to the study vaccination
| subjects | GSK1247446A 1 Group | GSK1247446A 2 Group | GSK1247446A 3 Group | GSK1247446A 4 Group | Fluarix Group |
|---|---|---|---|---|---|
| Subjects with any MSCs | 70 | 56 | 53 | 64 | 45 |
| Subjects with grade 3 and related MSCs | 2 | 2 | 0 | 0 | 1 |
| Subjects with related MSCs | 5 | 2 | 0 | 0 | 1 |
Unsolicited AE covers any AE 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 = any unsolicited AE regardless of intensity or relationship to vaccination. Grade 3 = unsolicited AE that prevented normal activity Related = unsolicited AE assessed by the investigator as related to the vaccination.
| subjects | GSK1247446A 1 Group | GSK1247446A 2 Group | GSK1247446A 3 Group | GSK1247446A 4 Group | Fluarix Group |
|---|---|---|---|---|---|
| Subjects with any AE(s) | 85 | 91 | 70 | 82 | 80 |
| Subjects with grade 3 AE(s) | 4 | 10 | 3 | 10 | 5 |
| Subjects with related AE(s) | 37 | 41 | 25 | 19 | 14 |
Serious adverse events (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.
| subjects | GSK1247446A 1 Group | GSK1247446A 2 Group | GSK1247446A 3 Group | GSK1247446A 4 Group | Fluarix Group |
|---|---|---|---|---|---|
| Number of Subjects With Serious Adverse Events (SAEs). | 7 | 3 | 3 | 4 | 2 |
Collected over SAE(s)reports were collected during the entire study period (Day 0 - Day 180); Solicited local and general symptoms: during the 7-day (Days 0-6) follow-up period after any vaccination, Unsolicited AE(s): during the 21-day follow-up period (Days 0 to 20) after any vaccination.. Non-serious events are listed at a 5% frequency threshold.
| Group | Deaths | Serious | Other |
|---|---|---|---|
| GSK1247446A 1 Group | 1/200 (0.5%) | 7/200 (3.5%) | 182/200 (91%) |
| GSK1247446A 2 Group | 0/198 (0%) | 3/198 (1.5%) | 175/198 (88.4%) |
| GSK1247446A 3 Group | 0/204 (0%) | 3/204 (1.5%) | 167/204 (81.9%) |
| GSK1247446A 4 Group | 0/202 (0%) | 4/202 (2%) | 151/202 (74.8%) |
| Fluarix Group | 0/202 (0%) | 2/202 (1%) | 121/202 (59.9%) |
| Event | GSK1247446A 1 Group | GSK1247446A 2 Group | GSK1247446A 3 Group | GSK1247446A 4 Group | Fluarix Group |
|---|---|---|---|---|---|
| Ectopic pregnancyPregnancy, puerperium and perinatal conditions | 0/200 | 1/198 | 0/204 | 0/202 | 0/202 |
| Hand fractureInjury, poisoning and procedural complications | 0/200 | 1/198 | 0/204 | 0/202 | 0/202 |
| HypertensionVascular disorders | 0/200 | 1/198 | 0/204 | 0/202 | 0/202 |
| Renal cell carcinomaNeoplasms benign, malignant and unspecified (incl cysts and polyps) | 0/200 | 1/198 | 0/204 | 0/202 | 0/202 |
| Breast cancerNeoplasms benign, malignant and unspecified (incl cysts and polyps) | 1/200 | 0/198 | 0/204 | 0/202 | 0/202 |
| Cerebrovascular accidentNervous system disorders | 1/200 | 0/198 | 0/204 | 0/202 | 0/202 |
| Cervical spinal stenosisMusculoskeletal and connective tissue disorders | 1/200 | 0/198 | 0/204 | 0/202 | 0/202 |
| HypersensitivityImmune system disorders | 1/200 | 0/198 | 0/204 | 0/202 | 0/202 |
| HypotensionVascular disorders | 1/200 | 0/198 | 0/204 | 0/202 | 0/202 |
| Optic neuritisNervous system disorders | 1/200 | 0/198 | 0/204 | 0/202 | 0/202 |
| Event | GSK1247446A 1 Group | GSK1247446A 2 Group | GSK1247446A 3 Group | GSK1247446A 4 Group | Fluarix Group |
|---|---|---|---|---|---|
| PainGeneral disorders | 182/200 | 175/198 | 167/204 | 151/202 | 121/202 |
| FatigueGeneral disorders | 103/200 | 90/198 | 86/204 | 78/202 | 47/202 |
| MyalgiaGeneral disorders | 102/200 | 85/198 | 74/204 | 70/202 | 49/202 |
| HeadacheGeneral disorders | 90/200 | 77/198 | 68/204 | 66/202 | 51/202 |
| RednessGeneral disorders | 75/200 | 66/198 | 53/204 | 64/202 | 49/202 |
| ShiveringGeneral disorders | 74/200 | 53/198 | 40/204 | 34/202 | 12/202 |
| SwellingGeneral disorders | 69/200 | 54/198 | 49/204 | 48/202 | 27/202 |
| ArthralgiaGeneral disorders | 64/200 | 51/198 | 38/204 | 39/202 | 25/202 |
| NauseaGeneral disorders | 25/200 | 28/198 | 12/204 | 13/202 | 11/202 |
| Fever >38°CGeneral disorders | 27/200 | 16/198 | 8/204 | 6/202 | 3/202 |
| Age, Continuous(Years) | GSK1247446A 1 Group | GSK1247446A 2 Group | GSK1247446A 3 Group | GSK1247446A 4 Group | Fluarix Group | Total |
|---|---|---|---|---|---|---|
| Mean | 40.5 ± 14.14 | 40.3 ± 13.79 | 39.7 ± 14.37 | 39.7 ± 14.31 | 40.1 ± 14.11 | 40.1 ± 14.14 |
| Sex: Female, Male(Participants) | GSK1247446A 1 Group | GSK1247446A 2 Group | GSK1247446A 3 Group | GSK1247446A 4 Group | Fluarix Group | Total |
|---|---|---|---|---|---|---|
| Female | 115 | 116 | 115 | 140 | 123 | 609 |
| Male | 85 | 82 | 89 | 62 | 79 | 397 |
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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