ClinicalTrials.gg
CompletedNCT05422326Updated May 13, 2026Results posted

A Study to Evaluate Safety and Immunogenicity of One or Two Booster Vaccinations With H5N6 Influenza Vaccine in Adults Primed With H5N1 Influenza Vaccine or Unprimed

A Phase 2 interventional study of aH5N6c on Day 1 and aH5N6c on Day 22 in Influenza, Human, Influenza in Birds and Respiratory Tract Infections, sponsored by Seqirus. Completed at 18 sites in United States. Open to participants aged 18 Years and older, including healthy volunteers. Per ClinicalTrials.gov, last updated 2026-05-13.

Sponsored by Seqirus (part of CSL Limited) · Phase 2, Interventional, and Prevention

Phase
Phase 2
Study type
Interventional
Enrollment
260
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

This is a Phase 2, randomized, multi-center study in approximately 300 adults who received 2 doses of aH5N1c or placebo in and completed the parent study V89_18 in the \<65 years of age cohort. The study investigates whether two priming doses of MF59-adjuvanted H5N1 cell culture-derived vaccine (aH5N1c) followed by one or two booster vaccinations with a MF59-adjuvanted H5N6 cell culture derived vaccine (aH5N6c) 3 weeks apart elicit immune responses to the antigens used for priming (H5N1) and boosting (H5N6) after first and second heterologous booster vaccination.

Eligible subjects, who received 2 doses of aH5N1c in the parent study V89_18 are randomized in a 1:1 ratio to receive either two aH5N6c vaccinations, 3 weeks apart (group 1) or an aH5N6c vaccination on Day 1 and saline placebo on Day 22 (group 2). Eligible subjects, who received placebo in the parent study will receive two aH5N6c vaccinations, 3 weeks apart (group 3). After the second vaccine administration, subjects are monitored for approximately 6 months for safety and antibody persistence. The total study duration will be approximately 7 months per subject.

02

Conditions studied

  • Influenza, Human
  • Influenza in Birds
  • Respiratory Tract Infections
  • Infections
  • Orthomyxoviridae Infections
  • RNA Virus Infections
  • Virus Diseases
  • Respiratory Tract Diseases

Keywords

  • Influenza
  • Pandemic
  • Vaccine
  • H5N1
  • H5N6
  • Flu
  • MF59
  • Avian
03

In context

Influenza, Human

2,356 studies on the registry are indexed under Influenza, Human; 184 are open to participants now.

This study's enrollment of 260 is above the median of 227 across 1,957 interventional studies indexed under Influenza, Human.

Browse Influenza, Human studies →

Lead sponsor

Seqirus is the lead sponsor of 53 studies on the registry; none are open to participants now.

Of its 15 completed or terminated interventional studies of FDA-regulated products, 10 (67%) have results posted.

First submitted after Seqirus became part of CSL Limited.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
Yes

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Subjects who received 2 doses of aH5N1c vaccine or placebo in and completed the parent study V89_18 in the \<65 years of age cohort.
  • Individuals who can comply with study procedures including follow-up.

Exclusion criteria

Exclusion Criteria:

  • Females of who are pregnant, lactating, or who have not adhered to a specified set of methods from at least 30 days prior to study entry and who do not plan to do so until at least 30 days after the last study vaccination.
  • Progressive, unstable or uncontrolled clinical conditions.
  • , including allergy, to any component of vaccines, medicinal products or medical equipment whose use is foreseen in this study.
  • Clinical conditions representing a to intramuscular vaccination and blood draws.
  • Abnormal function of the immune system.
  • History of any medical condition considered an adverse event of special interest (AESI).
  • Received immunoglobulins with immunomodulating effects or any blood products within 180 days prior to .
  • Subjects, who received an influenza H5 vaccine other than in the V89_18 parent study or have a history of H5 influenza infection prior to enrollment.
  • Received an or non-registered medicinal product within 30 days prior to informed consent.
  • Individuals who received any other vaccines [except corona virus disease 2019 (COVID-19) vaccines] within 14 days (for inactivated vaccines) or 28 days (for ) prior to enrollment in this study or who are planning to receive any vaccine within 28 days from the study vaccination.
  • Receipt of any COVID-19 vaccine within 7 days prior to enrollment or plan to receive any COVID-19 vaccine within 7 days from study vaccination.
  • Acute (severe) febrile illness.
  • A known history of Guillain-Barre Syndrome or other demyelinating diseases such as encephalomyelitis and transverse myelitis.
Terms in these criteria, in plain language(7)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Childbearing potential

Able to become pregnant: from the first period until menopause, unless permanently unable to through surgery (removal of the womb, or of both ovaries or both fallopian tubes).

Criteria for people of childbearing potential usually ask for a negative pregnancy test and for contraception during the study and for a time after it.

Contraception

Ways of preventing pregnancy. “Highly effective” methods fail less than 1% of the time a year when used correctly — for example an IUD or an implant.

Criteria usually say which methods count and how long to keep using them after the last dose, sometimes for male participants too. Some studies accept a partner’s vasectomy if it was confirmed successful and that person is the participant’s only sexual partner.

Hypersensitivity

An allergy, or another reaction of the immune system, to a substance. “Hypersensitivity to the study drug” means a known allergic reaction to it — not every side effect a medicine can have.

Contraindication

A reason a treatment, test or procedure should not be given to a particular person, such as an allergy, another illness or a medicine they take.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

Investigational drug or device

A drug or device being studied in a clinical trial.

It may be new, or already approved and being studied for another use, dose or form. Criteria often leave out people who took part in another study of one within a recent period, commonly 30 days or five half-lives.

Live vaccines

Vaccines made with a weakened form of the germ, such as measles–mumps–rubella (MMR), chickenpox and yellow fever. They can be risky when the immune system is weakened. Flu injections are not live; the nasal flu spray is.

05

Study design

Phase
Phase 2
Primary purpose
Prevention
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Triple (Participant, Investigator, Outcomes assessor)
Enrollment
260 participants (actual)

Study arms

  • Experimental
    Group 1

    Eligible subjects who received 2 doses of aH5N1c in the parent study V89\_18 and have been randomized to receive two aH5N6c vaccinations, 3 weeks apart

    Biological: aH5N6c on Day 1 · Biological: aH5N6c on Day 22

  • Experimental
    Group 2

    Eligible subjects who received 2 doses of aH5N1c in the parent study V89\_18 and have been randomized to receive an aH5N6c vaccination on Day 1 and saline placebo on Day 22

    Biological: aH5N6c on Day 1 · Biological: Placebo on Day 22

  • Experimental
    Group 3

    Eligible subjects who received placebo in the parent study V89\_18 receive two aH5N6c vaccinations, 3 weeks apart.

    Biological: aH5N6c on Day 1 · Biological: aH5N6c on Day 22

Interventions

  • BiologicalaH5N6c on Day 1

    MF59-adjuvanted cell-culture derived subunit inactivated monovalent A/H5N6 vaccine (aH5N6c) for intramuscular (IM) administration, containing 7.5 μg H5N6 hemagglutinin (HA) (A/Guangdong/18SF020/2018 (H5N6)-like) + 0.25 mL MF59 (approximately 0.5 mL total volume)

  • BiologicalaH5N6c on Day 22

    MF59-adjuvanted cell-culture derived subunit inactivated monovalent A/H5N6 vaccine (aH5N6c) for intramuscular (IM) administration, containing 7.5 μg H5N6 HA (A/Guangdong/18SF020/2018 (H5N6)-like) + 0.25 mL MF59 (approximately 0.5 mL total volume) given 3 weeks after the first aH5N6c vaccination

  • BiologicalPlacebo on Day 22

    Saline placebo (sterile, 0.5 mL) given 3 weeks after the aH5N6c vaccination

06

What researchers measure

Primary outcomes

  1. Geometric Mean Titer (GMT) of Hemagglutination Inhibition (HI) Antibodies Against the H5N6 Strain

    GMT pre-vaccination, 1 and 3 weeks post-vaccination 1, and 3 weeks post-vaccination 2 Note: The Overall Number of Participants Analyzed (N) represents the total number of participants in the per-protocol set (PPS); definitions are provided in the Statistical Analysis Plan (SAP). The Number Analyzed (n) at each timepoint corresponds to the number of participants with an available serum analysis result for the relevant strain at that timepoint. Instances where n\<N reflect missing serum samples or non-evaluable results. All participants included in the Overall Number of Participants Analyzed contributed data to the analysis at one or more timepoints.

    Time frame: Day 1, Day 8, Day 22, Day 43

  2. Geometric Mean Fold Increase (GMFI) of HI Antibodies Against the H5N6 Strain

    GMFI 1 and 3 weeks post-vaccination 1, and 3 weeks post-vaccination 2 compared to pre-vaccination (Day 1) Note: The Overall Number of Participants Analyzed (N) represents the total number of participants in the PPS; definitions are provided in the SAP. The Number Analyzed (n) at each timepoint corresponds to the number of participants with an available serum analysis result for the relevant strain at that timepoint. Instances where n\<N reflect missing serum samples or non-evaluable results. All participants included in the Overall Number of Participants Analyzed contributed data to the analysis at one or more timepoints.

    Time frame: Day 1, Day 8, Day 22, Day 43

  3. Percentage of Subjects With HI Titers ≥1:40 Against the H5N6 Strain

    Pre-vaccination, 1 and 3 weeks post-vaccination 1, and 3 weeks post-vaccination 2 Note: The Overall Number of Participants Analyzed (N) represents the total number of participants in the PPS; definitions are provided in the SAP. The Number Analyzed (n) at each timepoint corresponds to the number of participants with an available serum analysis result for the relevant strain at that timepoint. Instances where n\<N reflect missing serum samples or non-evaluable results. All participants included in the Overall Number of Participants Analyzed contributed data to the analysis at one or more timepoints.

    Time frame: Day 1, Day 8, Day 22, Day 43

  4. Percentage of Subjects With Seroconversion Against the H5N6 Strain

    Seroconversion 1 and 3 weeks post-vaccination 1, and 3 weeks post-vaccination 2, defined as a ≥4-fold increase in HI titer post-vaccination in those with pre-vaccination titer ≥1:10, or a post-vaccination HI titer ≥1:40 for subjects with baseline titer \<1:10 Note: The Overall Number of Participants Analyzed (N) represents the total number of participants in the PPS; definitions are provided in the SAP. The Number Analyzed (n) at each timepoint corresponds to the number of participants with an available serum analysis result for the relevant strain at that timepoint. Instances where n\<N reflect missing serum samples or non-evaluable results. All participants included in the Overall Number of Participants Analyzed contributed data to the analysis at one or more timepoints.

    Time frame: Day 8, Day 22, Day 43

Secondary outcomes

  1. GMT of HI Antibodies Against the H5N1 Strain

    GMT pre-vaccination, 1 and 3 weeks post-vaccination 1, and 3 weeks and 6 months post-vaccination 2 Note: The Overall Number of Participants Analyzed (N) represents the total number of participants in the PPS; definitions are provided in the SAP. The Number Analyzed (n) at each timepoint corresponds to the number of participants with an available serum analysis result for the relevant strain at that timepoint. Instances where n\<N reflect missing serum samples or non-evaluable results. All participants included in the Overall Number of Participants Analyzed contributed data to the analysis at one or more timepoints.

    Time frame: Day 1, Day 8, Day 22, Day 43, Day 202

  2. GMFI of HI Antibodies Against the H5N1 Strain

    GMFI 1 and 3 weeks post-vaccination 1, and 3 weeks and 6 months post-vaccination 2 compared to pre-vaccination (Day 1) Note: The Overall Number of Participants Analyzed (N) represents the total number of participants in the PPS; definitions are provided in the SAP. The Number Analyzed (n) at each timepoint corresponds to the number of participants with an available serum analysis result for the relevant strain at that timepoint. Instances where n\<N reflect missing serum samples or non-evaluable results. All participants included in the Overall Number of Participants Analyzed contributed data to the analysis at one or more timepoints.

    Time frame: Day 1, Day 8, Day 22, Day 43, Day 202

  3. Percentage of Subjects With HI Titers ≥1:40 Against the H5N1 Strain

    Pre-vaccination, 1 and 3 weeks post-vaccination 1, and 3 weeks and 6 months post-vaccination 2 Note: The Overall Number of Participants Analyzed (N) represents the total number of participants in the PPS; definitions are provided in the SAP. The Number Analyzed (n) at each timepoint corresponds to the number of participants with an available serum analysis result for the relevant strain at that timepoint. Instances where n\<N reflect missing serum samples or non-evaluable results. All participants included in the Overall Number of Participants Analyzed contributed data to the analysis at one or more timepoints.

    Time frame: Day 1, Day 8, Day 22, Day 43, Day 202

  4. Percentage of Subjects With Seroconversion Against the H5N1 Strain

    Seroconversion 1 and 3 weeks post-vaccination 1, and 3 weeks and 6 months post-vaccination 2, defined as a ≥4-fold increase in HI titer post-vaccination in those with pre-vaccination titer ≥1:10, or a post-vaccination HI titer ≥1:40 for subjects with baseline titer \<1:10 Note: The Overall Number of Participants Analyzed (N) represents the total number of participants in the PPS; definitions are provided in the SAP. The Number Analyzed (n) at each timepoint corresponds to the number of participants with an available serum analysis result for the relevant strain at that timepoint. Instances where n\<N reflect missing serum samples or non-evaluable results. All participants included in the Overall Number of Participants Analyzed contributed data to the analysis at one or more timepoints.

    Time frame: Day 8, Day 22, Day 43, Day 202

  5. GMT of HI Antibodies Against the H5N6 Strain

    GMT 6 months post-vaccination 2

    Time frame: Day 202

  6. GMFI of HI Antibodies Against the H5N6 Strain

    GMFI 6 months post-vaccination 2 compared to pre-vaccination (Day 1)

    Time frame: Day 1, Day 202

  7. Percentage of Subjects With HI Titers ≥1:40 Against the H5N6 Strain

    6 months post-vaccination 2

    Time frame: Day 202

  8. Percentage of Subjects With Seroconversion Against the H5N6 Strain

    Seroconversion 6 months post-vaccination 2, defined as a ≥4-fold increase in HI titer post-vaccination in those with pre-vaccination titer ≥1:10, or a post-vaccination HI titer ≥1:40 for subjects with baseline titer \<1:10

    Time frame: Day 202

  9. Frequency and Severity of Solicited Local and Systemic Adverse Events (AEs)

    For 7 days following each vaccination

    Time frame: Day 1 through Day 7 and Day 22 through Day 28

  10. Frequency and Severity of Unsolicited AEs

    For 3 weeks following each vaccination

    Time frame: Day 1 through Day 43

  11. Frequency of Serious AEs (SAEs), AEs Leading to Withdrawal, AEs of Special Interest (AESI) and Medically Attended AEs (MAAEs)

    From vaccination until study completion

    Time frame: Day 1 through Day 202

07

Results

Posted May 13, 2026

Participant flow

Subjects were enrolled between 18 July 2022 and 2 September 2022.

Participant flow — Overall Study
MilestoneGroup 1Group 2Group 3
Started8178101
Completed757495
Not completed646
Withdrew: Adverse event100
Withdrew: Death100
Withdrew: Lost to follow-up033
Withdrew: Protocol violation011
Withdrew: Withdrawal by subject401
Withdrew: Unable to obtain blood sample001

Outcome measures

PrimaryGeometric Mean Titer (GMT) of Hemagglutination Inhibition (HI) Antibodies Against the H5N6 Strain

GMT pre-vaccination, 1 and 3 weeks post-vaccination 1, and 3 weeks post-vaccination 2 Note: The Overall Number of Participants Analyzed (N) represents the total number of participants in the per-protocol set (PPS); definitions are provided in the Statistical Analysis Plan (SAP). The Number Analyzed (n) at each timepoint corresponds to the number of participants with an available serum analysis result for the relevant strain at that timepoint. Instances where n\<N reflect missing serum samples or non-evaluable results. All participants included in the Overall Number of Participants Analyzed contributed data to the analysis at one or more timepoints.

Time frame:
Day 1, Day 8, Day 22, Day 43
Reported as:
Geometric mean · titer
Geometric Mean Titer (GMT) of Hemagglutination Inhibition (HI) Antibodies Against the H5N6 Strain
titerGroup 1Group 2Group 3
Day 15.48 (5.07 to 5.92)5.55 (5.13 to 6.01)5.47 (5.12 to 5.85)
Day 820.39 (15.22 to 27.33)23.67 (17.47 to 32.06)7.97 (6.21 to 10.23)
Day 2246.89 (34.62 to 63.50)66.73 (48.85 to 91.14)12.14 (9.30 to 15.85)
Day 4358.16 (43.21 to 78.28)50.55 (37.21 to 68.68)30.76 (23.78 to 39.79)
PrimaryGeometric Mean Fold Increase (GMFI) of HI Antibodies Against the H5N6 Strain

GMFI 1 and 3 weeks post-vaccination 1, and 3 weeks post-vaccination 2 compared to pre-vaccination (Day 1) Note: The Overall Number of Participants Analyzed (N) represents the total number of participants in the PPS; definitions are provided in the SAP. The Number Analyzed (n) at each timepoint corresponds to the number of participants with an available serum analysis result for the relevant strain at that timepoint. Instances where n\<N reflect missing serum samples or non-evaluable results. All participants included in the Overall Number of Participants Analyzed contributed data to the analysis at one or more timepoints.

Time frame:
Day 1, Day 8, Day 22, Day 43
Reported as:
Geometric mean · ratio
Geometric Mean Fold Increase (GMFI) of HI Antibodies Against the H5N6 Strain
ratioGroup 1Group 2Group 3
Day 8 / Day 13.71 (2.77 to 4.98)4.31 (3.18 to 5.84)1.45 (1.13 to 1.86)
Day 22 / Day 18.52 (6.29 to 11.54)12.13 (8.88 to 16.57)2.21 (1.69 to 2.88)
Day 43 / Day 110.54 (7.83 to 14.19)9.16 (6.74 to 12.45)5.58 (4.31 to 7.21)
PrimaryPercentage of Subjects With HI Titers ≥1:40 Against the H5N6 Strain

Pre-vaccination, 1 and 3 weeks post-vaccination 1, and 3 weeks post-vaccination 2 Note: The Overall Number of Participants Analyzed (N) represents the total number of participants in the PPS; definitions are provided in the SAP. The Number Analyzed (n) at each timepoint corresponds to the number of participants with an available serum analysis result for the relevant strain at that timepoint. Instances where n\<N reflect missing serum samples or non-evaluable results. All participants included in the Overall Number of Participants Analyzed contributed data to the analysis at one or more timepoints.

Time frame:
Day 1, Day 8, Day 22, Day 43
Reported as:
Number · % of participants
Percentage of Subjects With HI Titers ≥1:40 Against the H5N6 Strain
% of participantsGroup 1Group 2Group 3
Day 10.0 (0.00 to 4.99)0.0 (0.00 to 5.44)1.1 (0.03 to 5.91)
Day 829.4 (18.98 to 41.71)39.1 (27.10 to 52.07)9.9 (4.62 to 17.95)
Day 2260.8 (48.77 to 71.96)65.2 (52.79 to 76.29)20.7 (12.92 to 30.36)
Day 4373.2 (61.41 to 83.06)59.1 (46.29 to 71.05)50.0 (39.39 to 60.61)
PrimaryPercentage of Subjects With Seroconversion Against the H5N6 Strain

Seroconversion 1 and 3 weeks post-vaccination 1, and 3 weeks post-vaccination 2, defined as a ≥4-fold increase in HI titer post-vaccination in those with pre-vaccination titer ≥1:10, or a post-vaccination HI titer ≥1:40 for subjects with baseline titer \<1:10 Note: The Overall Number of Participants Analyzed (N) represents the total number of participants in the PPS; definitions are provided in the SAP. The Number Analyzed (n) at each timepoint corresponds to the number of participants with an available serum analysis result for the relevant strain at that timepoint. Instances where n\<N reflect missing serum samples or non-evaluable results. All participants included in the Overall Number of Participants Analyzed contributed data to the analysis at one or more timepoints.

Time frame:
Day 8, Day 22, Day 43
Reported as:
Number · % of participants
Percentage of Subjects With Seroconversion Against the H5N6 Strain
% of participantsGroup 1Group 2Group 3
Day 828.4 (18.01 to 40.69)36.1 (24.16 to 49.37)8.9 (3.92 to 16.77)
Day 2259.7 (47.5 to 71.12)63.6 (50.87 to 75.13)18.9 (11.41 to 28.51)
Day 4371.0 (58.84 to 81.31)55.6 (42.49 to 68.08)47.2 (36.51 to 58.06)
SecondaryGMT of HI Antibodies Against the H5N1 Strain

GMT pre-vaccination, 1 and 3 weeks post-vaccination 1, and 3 weeks and 6 months post-vaccination 2 Note: The Overall Number of Participants Analyzed (N) represents the total number of participants in the PPS; definitions are provided in the SAP. The Number Analyzed (n) at each timepoint corresponds to the number of participants with an available serum analysis result for the relevant strain at that timepoint. Instances where n\<N reflect missing serum samples or non-evaluable results. All participants included in the Overall Number of Participants Analyzed contributed data to the analysis at one or more timepoints.

Time frame:
Day 1, Day 8, Day 22, Day 43, Day 202
Reported as:
Geometric mean · titer
GMT of HI Antibodies Against the H5N1 Strain
titerGroup 1Group 2Group 3
Day 113.16 (10.91 to 15.87)15.54 (12.83 to 18.83)6.89 (5.86 to 8.11)
Day 8115.14 (85.71 to 154.69)122.91 (90.05 to 167.75)14.81 (11.43 to 19.20)
Day 22345.46 (255.76 to 466.61)428.42 (312.86 to 586.67)17.95 (13.59 to 23.71)
Day 43333.37 (250.37 to 443.87)343.48 (253.50 to 465.40)23.15 (17.70 to 30.28)
Day 202122.10 (93.95 to 158.67)99.22 (75.66 to 130.12)15.86 (12.43 to 20.25)
SecondaryGMFI of HI Antibodies Against the H5N1 Strain

GMFI 1 and 3 weeks post-vaccination 1, and 3 weeks and 6 months post-vaccination 2 compared to pre-vaccination (Day 1) Note: The Overall Number of Participants Analyzed (N) represents the total number of participants in the PPS; definitions are provided in the SAP. The Number Analyzed (n) at each timepoint corresponds to the number of participants with an available serum analysis result for the relevant strain at that timepoint. Instances where n\<N reflect missing serum samples or non-evaluable results. All participants included in the Overall Number of Participants Analyzed contributed data to the analysis at one or more timepoints.

Time frame:
Day 1, Day 8, Day 22, Day 43, Day 202
Reported as:
Geometric mean · ratio
GMFI of HI Antibodies Against the H5N1 Strain
ratioGroup 1Group 2Group 3
Day 8 / Day 111.13 (8.28 to 14.95)11.88 (8.70 to 16.21)1.43 (1.10 to 1.86)
Day 22 / Day 131.97 (23.67 to 43.18)39.65 (28.95 to 54.29)1.66 (1.26 to 2.19)
Day 43 / Day 130.78 (23.12 to 40.98)31.71 (23.40 to 42.97)2.14 (1.63 to 2.80)
Day 202 / Day 111.07 (8.52 to 14.38)8.99 (6.86 to 11.80)1.44 (1.13 to 1.84)
SecondaryPercentage of Subjects With HI Titers ≥1:40 Against the H5N1 Strain

Pre-vaccination, 1 and 3 weeks post-vaccination 1, and 3 weeks and 6 months post-vaccination 2 Note: The Overall Number of Participants Analyzed (N) represents the total number of participants in the PPS; definitions are provided in the SAP. The Number Analyzed (n) at each timepoint corresponds to the number of participants with an available serum analysis result for the relevant strain at that timepoint. Instances where n\<N reflect missing serum samples or non-evaluable results. All participants included in the Overall Number of Participants Analyzed contributed data to the analysis at one or more timepoints.

Time frame:
Day 1, Day 8, Day 22, Day 43, Day 202
Reported as:
Number · % of participants
Percentage of Subjects With HI Titers ≥1:40 Against the H5N1 Strain
% of participantsGroup 1Group 2Group 3
Day 113.2 (6.23 to 23.64)23.8 (13.98 to 36.21)2.3 (0.28 to 7.97)
Day 883.8 (72.90 to 91.64)81.3 (69.54 to 89.92)10.1 (4.73 to 18.33)
Day 2291.9 (83.18 to 96.97)97.1 (89.92 to 99.65)12.6 (6.48 to 21.50)
Day 4393.1 (84.53 to 97.71)90.9 (81.26 to 96.59)20.0 (12.10 to 30.08)
Day 20282.9 (71.97 to 90.82)81.8 (70.39 to 90.24)9.6 (4.25 to 18.11)
SecondaryPercentage of Subjects With Seroconversion Against the H5N1 Strain

Seroconversion 1 and 3 weeks post-vaccination 1, and 3 weeks and 6 months post-vaccination 2, defined as a ≥4-fold increase in HI titer post-vaccination in those with pre-vaccination titer ≥1:10, or a post-vaccination HI titer ≥1:40 for subjects with baseline titer \<1:10 Note: The Overall Number of Participants Analyzed (N) represents the total number of participants in the PPS; definitions are provided in the SAP. The Number Analyzed (n) at each timepoint corresponds to the number of participants with an available serum analysis result for the relevant strain at that timepoint. Instances where n\<N reflect missing serum samples or non-evaluable results. All participants included in the Overall Number of Participants Analyzed contributed data to the analysis at one or more timepoints.

Time frame:
Day 8, Day 22, Day 43, Day 202
Reported as:
Number · % of participants
Percentage of Subjects With Seroconversion Against the H5N1 Strain
% of participantsGroup 1Group 2Group 3
Day 877.8 (65.54 to 87.28)72.4 (59.10 to 83.34)8.0 (3.30 to 15.88)
Day 2289.7 (79.93 to 95.76)96.8 (89.00 to 99.61)9.4 (4.15 to 17.71)
Day 4389.6 (79.65 to 95.70)90.2 (79.81 to 96.30)13.4 (6.89 to 22.74)
Day 20273.8 (61.46 to 83.97)75.4 (62.71 to 85.54)6.3 (2.06 to 13.99)
SecondaryGMT of HI Antibodies Against the H5N6 Strain

GMT 6 months post-vaccination 2

Time frame:
Day 202
Reported as:
Geometric mean · titer
GMT of HI Antibodies Against the H5N6 Strain
titerGroup 1Group 2Group 3
GMT of HI Antibodies Against the H5N6 Strain21.18 (16.69 to 26.89)19.35 (15.20 to 24.64)10.05 (8.14 to 12.40)
SecondaryGMFI of HI Antibodies Against the H5N6 Strain

GMFI 6 months post-vaccination 2 compared to pre-vaccination (Day 1)

Time frame:
Day 1, Day 202
Reported as:
Geometric mean · ratio
GMFI of HI Antibodies Against the H5N6 Strain
ratioGroup 1Group 2Group 3
GMFI of HI Antibodies Against the H5N6 Strain3.82 (3.01 to 4.85)3.49 (2.74 to 4.45)1.81 (1.47 to 2.24)
SecondaryPercentage of Subjects With HI Titers ≥1:40 Against the H5N6 Strain

6 months post-vaccination 2

Time frame:
Day 202
Reported as:
Number · % of participants
Percentage of Subjects With HI Titers ≥1:40 Against the H5N6 Strain
% of participantsGroup 1Group 2Group 3
Percentage of Subjects With HI Titers ≥1:40 Against the H5N6 Strain39.7 (28.03 to 52.30)30.3 (19.59 to 42.85)11.8 (5.79 to 20.57)
SecondaryPercentage of Subjects With Seroconversion Against the H5N6 Strain

Seroconversion 6 months post-vaccination 2, defined as a ≥4-fold increase in HI titer post-vaccination in those with pre-vaccination titer ≥1:10, or a post-vaccination HI titer ≥1:40 for subjects with baseline titer \<1:10

Time frame:
Day 202
Reported as:
Number · % of participants
Percentage of Subjects With Seroconversion Against the H5N6 Strain
% of participantsGroup 1Group 2Group 3
Percentage of Subjects With Seroconversion Against the H5N6 Strain37.3 (25.80 to 49.99)30.2 (19.23 to 43.02)9.6 (4.25 to 18.11)
SecondaryFrequency and Severity of Solicited Local and Systemic Adverse Events (AEs)

For 7 days following each vaccination

Time frame:
Day 1 through Day 7 and Day 22 through Day 28
Reported as:
Count of participants · Participants
Frequency and Severity of Solicited Local and Systemic Adverse Events (AEs)
ParticipantsGroup 1Group 2Group 3
Solicited AEs (Overall)544867
Solicited Local AEs513860
Solicited Local AEs - Severe020
Solicited Systemic AEs263436
Solicited Systemic AEs - Severe212
Analgesic/antipyretic Use8513
SecondaryFrequency and Severity of Unsolicited AEs

For 3 weeks following each vaccination

Time frame:
Day 1 through Day 43
Reported as:
Count of participants · Participants
Frequency and Severity of Unsolicited AEs
ParticipantsGroup 1Group 2Group 3
Unsolicited AEs (Overall)232125
Unsolicited AEs - Mild81118
Unsolicited AEs - Moderate1497
Unsolicited AEs - Severe110
SecondaryFrequency of Serious AEs (SAEs), AEs Leading to Withdrawal, AEs of Special Interest (AESI) and Medically Attended AEs (MAAEs)

From vaccination until study completion

Time frame:
Day 1 through Day 202
Reported as:
Count of participants · Participants
Frequency of Serious AEs (SAEs), AEs Leading to Withdrawal, AEs of Special Interest (AESI) and Medically Attended AEs (MAAEs)
ParticipantsGroup 1Group 2Group 3
SAE334
MAAE222128
AESI000
AE leading to withdrawal from treatment001
AE leading to withdrawal from study100

Adverse events

Collected over SAEs, AEs leading to withdrawal from the study, adverse events of special interest (AESIs), and MAAEs Day 1 through Day 202, other AEs Day 1 through Day 43. Non-serious events are listed at a 5% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Group 11/80 (1.3%)3/80 (3.8%)12/80 (15%)
Group 20/78 (0%)3/78 (3.8%)5/78 (6.4%)
Group 30/100 (0%)4/100 (4%)7/100 (7%)
Most frequent serious events
Showing 10 of 11
Most frequent serious events
EventGroup 1Group 2Group 3
CholecystitisHepatobiliary disorders0/801/780/100
Type 2 diabetes mellitusMetabolism and nutrition disorders0/801/780/100
Mantle cell lymphomaNeoplasms benign, malignant and unspecified (incl cysts and polyps)0/801/781/100
Hypertensive heart diseaseCardiac disorders1/800/780/100
Brain neoplasmNeoplasms benign, malignant and unspecified (incl cysts and polyps)1/800/780/100
SeizureNervous system disorders1/800/780/100
Acute respiratory failureRespiratory, thoracic and mediastinal disorders1/800/780/100
ArteriosclerosisVascular disorders1/800/780/100
OsteoarthritisMusculoskeletal and connective tissue disorders0/800/781/100
GlioblastomaNeoplasms benign, malignant and unspecified (incl cysts and polyps)0/800/781/100
Most frequent other events
Most frequent other events
EventGroup 1Group 2Group 3
COVID-19Infections and infestations7/803/783/100
Injection site bruisingGeneral disorders5/803/784/100

Baseline characteristics

Age, Continuous
Age, Continuous(years)Group 1Group 2Group 3Total
Mean52.8 ± 10.5952.8 ± 10.6747.9 ± 13.1750.9 ± 11.88
Age, Customized
Age, Customized(Participants)Group 1Group 2Group 3Total
Age Group — 18-49 years252551101
Age Group — ≥50 years565350159
Sex: Female, Male
Sex: Female, Male(Participants)Group 1Group 2Group 3Total
Female524655153
Male293246107
Ethnicity (NIH/OMB)
Ethnicity (NIH/OMB)(Participants)Group 1Group 2Group 3Total
Hispanic or Latino13172353
Not Hispanic or Latino676078205
Unknown or Not Reported1102
Race (NIH/OMB)
Race (NIH/OMB)(Participants)Group 1Group 2Group 3Total
American Indian or Alaska Native0000
Asian1225
Native Hawaiian or Other Pacific Islander0000
Black or African American6131837
White746180215
More than one race0112
Unknown or Not Reported0101
Region of Enrollment
Region of Enrollment(participants)Group 1Group 2Group 3Total
United States8178101260
Influenza Vaccination Within Past 2 Years
Influenza Vaccination Within Past 2 Years(Participants)Group 1Group 2Group 3Total
Yes544765166
No27313694
Height
Height(cm)Group 1Group 2Group 3Total
Mean167.92 ± 8.613167.16 ± 9.593168.71 ± 11.246168.00 ± 9.976

2 further baseline measures are reported on the registry.

08

Study locations

18 sites
  • Optimal Research, LLC
    Huntsville, Alabama 35802, United States
  • Clinical Research Consortium Arizona
    Tempe, Arizona 85283, United States
  • California Research Foundation
    San Diego, California 92103, United States
  • Clinical Research Consulting, LLC
    Milford, Connecticut 06460, United States
  • Innovative Research of West Florida, Inc.
    Clearwater, Florida 33756, United States
  • Optimal Research, LLC
    Melbourne, Florida 32934, United States
  • Great Lakes Clinical Trials LLC
    Chicago, Illinois 60640, United States
  • Heartland Research Associates, LLC
    Wichita, Kansas 67207, United States
  • The Center for Pharmaceutical Research
    Kansas City, Missouri 64114, United States
  • Sundance Clinical Research, LLC
    St Louis, Missouri 63141, United States
  • Rochester Clinical Research, Inc
    Rochester, New York 14609, United States
  • PMG Research of Raleigh
    Raleigh, North Carolina 27609, United States
  • AccellaCare
    Winston-Salem, North Carolina 27103, United States
  • Aventiv Research
    Columbus, Ohio 43213, United States
  • Biogenics Research Institute
    San Antonio, Texas 78229, United States
  • J. Lewis Research, Inc/Foothill Family Clinic North
    Salt Lake City, Utah 84109, United States
  • J. Lewis Research, Inc/Foothill Family Clinic South
    Salt Lake City, Utah 84121, United States
  • J. Lewis Research, Inc/Jordan River Family Medicine
    South Jordan, Utah 84095, United States
09

References and documents

Study documents

PDFs hosted by the registry, ClinicalTrials.gov.

Individual participant data

Plan to share: Undecided

10

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Ran from Jul 2022 to primary completion in Oct 2022, 3 months.

Results were first posted in May 2026, 3 years 6 months after primary completion. A results delay was requested in Aug 2023.

Of 86 industry-sponsored phase 2 interventional studies under Influenza, Human, half reached primary completion within 7 months of starting (the median), counting those still running; a quarter within 5 and three quarters within 14. This study's 3 months is below that.

Counting every sponsor, half of 122 studies reached it within 10 months; a quarter within 5 and three quarters within 19.

How these figures are worked out, and which studies are left out of them.

Registered
Jun 14, 2022
First posted
Jun 16, 2022
StartActual
Jul 18, 2022
Primary completionActual
Oct 24, 2022
CompletionActual
Mar 24, 2023
Results delay requested
Aug 1, 2023
Results first posted
May 13, 2026
Last update
May 13, 2026
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on May 13, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT05422326
Lead sponsor
Seqirus
Responsible party
Sponsor
First posted
Jun 16, 2022
Start date
Jul 18, 2022
Primary completion
Oct 24, 2022
Completion
Mar 24, 2023
Results posted
May 13, 2026
Last update
May 13, 2026

Study contacts

Therapeutic Area Head
study chair · Seqirus

Oversight

Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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