ClinicalTrials.gg
CompletedNCT05875961Updated Sep 21, 2026

Study to Evaluate Immunogenicity, Safety and Tolerability of Adjuvanted and Non-Adjuvanted H2N3 Influenza Vaccines in Adults

A Phase 1 interventional study of Low dose A/H2N3c + standard dose MF59 and Intermediate dose A/H2N3c + standard dose MF59 in Influenza, Human, Infections and Respiratory Tract Infections, sponsored by Seqirus. Completed at 7 sites in 2 countries. Open to participants aged 18 Years and older, including healthy volunteers. Per ClinicalTrials.gov, last updated 2026-09-21.

Sponsored by Seqirus (part of CSL Limited) · Phase 1, Interventional, and Prevention

From the registry’s dates

  • Primary completion was Nov 2024, 1 year 11 months ago, and no results have been posted to the registry.
Phase
Phase 1
Study type
Interventional
Enrollment
600
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

This Phase 1, randomized, observer-blind, dose-ranging clinical study is evaluating 6 different formulations of MF59-adjuvanted and non-adjuvanted H2N3 influenza vaccine. Approximately 600 healthy adult subjects are to be randomized into 1 of 6 possible treatment groups with 100 subjects per group, stratified by age group (born after or before 1968). Each subject will receive an influenza vaccine injection on Day 1 and Day 22. Subjects will be followed up for approximately 12 months after the second vaccine injection.

The primary immunogenicity analysis is based on the Day 1, Day 8, Day 22, Day 29, and Day 43 serology data. The primary safety analysis is based on solicited local and systemic adverse events (AEs) reported within 10 days after each vaccination, unsolicited AEs reported within 3 weeks after each vaccination, and serious AEs (SAEs), medically attended AEs (MAAEs), AEs leading to withdrawal from the study, and AEs of special interest (AESIs) reported throughout the study.

02

Conditions studied

  • Influenza, Human
  • Infections
  • Respiratory Tract Infections
  • Virus Diseases
  • Infection Viral

Keywords

  • Influenza
  • Vaccine
  • MF59
  • Adjuvant
  • H2N3
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 600 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

  • Individuals of 18 years of age and older on the day of who were not born in 1968.
  • Individuals who have voluntarily given written informed consent after the nature of the study has been explained according to local regulatory requirements, prior to study entry.
  • Individuals who can comply with study procedures including follow-up.
  • Males, females of non- or females of childbearing potential who are using an effective method, at least 30 days prior to informed consent, which they intend to use for at least 2 months after the last study vaccination.

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 2 months after the last study vaccination.
  • A (BMI) ≥35 kg/m2.
  • Progressive, unstable, or uncontrolled clinical conditions as per investigator's assessment. Subjects must be stable and unchanged for a minimum of 3 months.
  • , 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 resulting from:

    1. Clinical conditions.
    2. Systemic administration of at a dose of ≥20 mg/day of prednisone or equivalent for more than 14 consecutive days within 90 days prior to . Topical, inhaled and intranasal corticosteroids are permitted. Intermittent use (one dose in 30 days) of intra-articular corticosteroids are also permitted.
    3. Administration of antineoplastic and immunomodulating agents or radiotherapy within 90 days prior to informed consent.
  • 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 informed consent.
  • Received an or non-registered medicinal product within 30 days prior to informed consent.
  • Study personnel or immediate family or household member of study personnel.
  • Any other clinical condition that, in the opinion of the investigator, might interfere with the results of the study or pose additional risk to the subject due to participation in the study.
  • Individuals who received any other vaccines (with the exception of COVID-19 vaccines) within 14 days (for inactivated vaccines) or 28 days (for ) prior to enrolment in this study or who are planning to receive any vaccine within 28 days from the study vaccines.
  • Receipt of any (investigational or licensed) COVID-19 vaccine within 14 days (non-replicating vaccines) or 28 days (replicating vaccines) prior to enrollment or plan to receive any COVID-19 vaccine within 14 days from study vaccination.
  • A known history of Guillain-Barre Syndrome or other demyelinating diseases such as encephalomyelitis and transverse myelitis.
Terms in these criteria, in plain language(9)

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.

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.

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.

BMI (body mass index)

Weight in kilograms divided by height in metres squared. Example: 70 kg and 1.75 m gives 70 ÷ (1.75 × 1.75) ≈ 22.9.

What counts as overweight or obesity differs between countries (some use lower cut-offs), so go by the range the study states.

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.

Corticosteroids (steroids)

Anti-inflammatory medicines such as prednisone, prednisolone and dexamethasone — not the anabolic steroids used for muscle.

Studies differ in what they allow: check which steroid medicines, routes (tablets, injections, creams, inhalers, eye drops) and doses this study accepts.

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 1
Primary purpose
Prevention
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Triple (Participant, Investigator, Outcomes assessor)
Enrollment
600 participants (actual)

Study arms

  • Experimental
    Group A

    Eligible subjects who have been randomized to receive two intramuscular vaccinations (3 weeks apart) of low dose A/H2N3c + standard dose MF59 adjuvant

    Biological: Low dose A/H2N3c + standard dose MF59

  • Experimental
    Group B

    Eligible subjects who have been randomized to receive two intramuscular vaccinations (3 weeks apart) of intermediate dose A/H2N3c + standard dose MF59 adjuvant

    Biological: Intermediate dose A/H2N3c + standard dose MF59

  • Experimental
    Group C

    Eligible subjects who have been randomized to receive two intramuscular vaccinations (3 weeks apart) of high dose A/H2N3c + standard dose MF59 adjuvant

    Biological: High dose A/H2N3c + standard dose MF59

  • Experimental
    Group D

    Eligible subjects who have been randomized to receive two intramuscular vaccinations (3 weeks apart) of high dose A/H2N3c non-adjuvanted

    Biological: High dose A/H2N3c non-adjuvanted

  • Experimental
    Group E

    Eligible subjects who have been randomized to receive two intramuscular vaccinations (3 weeks apart) of lowest dose A/H2N3c + high dose MF59 adjuvant

    Biological: Lowest dose A/H2N3c + high dose MF59

  • Experimental
    Group F

    Eligible subjects who have been randomized to receive two intramuscular vaccinations (3 weeks apart) of low dose A/H2N3c + high dose MF59 adjuvant

    Biological: Low dose A/H2N3c + high dose MF59

Interventions

  • BiologicalLow dose A/H2N3c + standard dose MF59

    Two intramuscular injections (3 weeks apart) of cell culture-derived MF59 adjuvanted H2N3 vaccine

  • BiologicalIntermediate dose A/H2N3c + standard dose MF59

    Two intramuscular injections (3 weeks apart) of cell culture-derived MF59 adjuvanted H2N3 vaccine

  • BiologicalHigh dose A/H2N3c + standard dose MF59

    Two intramuscular injections (3 weeks apart) of cell culture-derived MF59 adjuvanted H2N3 vaccine

  • BiologicalHigh dose A/H2N3c non-adjuvanted

    Two intramuscular injections (3 weeks apart) of cell culture-derived non-adjuvanted H2N3 vaccine

  • BiologicalLowest dose A/H2N3c + high dose MF59

    Two intramuscular injections (3 weeks apart) of cell culture-derived MF59 adjuvanted H2N3 vaccine

  • BiologicalLow dose A/H2N3c + high dose MF59

    Two intramuscular injections (3 weeks apart) of cell culture-derived MF59 adjuvanted H2N3 vaccine

06

What researchers measure

Primary outcomes

  1. Geometric mean titer (GMT) of hemagglutination inhibition (HI) antibodies against homologous H2N3 strain - Day 1

    GMT (HI) prevaccination

    Time frame: Day 1

  2. GMT of HI antibodies against homologous H2N3 strain - Day 8

    GMT (HI) 1 week postvaccination 1

    Time frame: Day 8

  3. GMT of HI antibodies against homologous H2N3 strain Day 22

    GMT (HI) 3 weeks postvaccination 1

    Time frame: Day 22

  4. GMT of HI antibodies against homologous H2N3 strain - Day 29

    GMT (HI) 1 week postvaccination 2

    Time frame: Day 29

  5. GMT of HI antibodies against homologous H2N3 strain - Day 43

    GMT (HI) 3 weeks postvaccination 2

    Time frame: Day 43

  6. GMT of microneutralization (MN) antibodies against homologous H2N3 strain - Day 1

    GMT (MN) prevaccination

    Time frame: Day 1

  7. GMT of MN antibodies against homologous H2N3 strain - Day 8

    GMT (MN) 1 week postvaccination 1

    Time frame: Day 8

  8. GMT of MN antibodies against homologous H2N3 strain - Day 22

    GMT (MN) 3 weeks postvaccination 1

    Time frame: Day 22

  9. GMT of MN antibodies against homologous H2N3 strain - Day 29

    GMT (MN) 1 week postvaccination 2

    Time frame: Day 29

  10. GMT of MN antibodies against homologous H2N3 strain - Day 43

    GMT (MN) 3 weeks postvaccination 2

    Time frame: Day 43

  11. Geometric mean fold increase (GMFI) of HI antibodies against homologous H2N3 strain - Day 8

    GMFI (HI) 1 week postvaccination 1 compared to prevaccination

    Time frame: Day 8

  12. GMFI of HI antibodies against homologous H2N3 strain - Day 22

    GMFI (HI) 3 weeks postvaccination 1 compared to prevaccination

    Time frame: Day 22

  13. GMFI of HI antibodies against homologous H2N3 strain - Day 29

    GMFI (HI) 1 week postvaccination 2 compared to prevaccination

    Time frame: Day 29

  14. GMFI of HI antibodies against homologous H2N3 strain - Day 43

    GMFI (HI) 3 weeks postvaccination 2 compared to prevaccination

    Time frame: Day 43

  15. GMFI of MN antibodies against homologous H2N3 strain - Day 8

    GMFI (MN) 1 week postvaccination 1 compared to prevaccination

    Time frame: Day 8

  16. GMFI of MN antibodies against homologous H2N3 strain - Day 22

    GMFI (MN) 3 weeks postvaccination 1 compared to prevaccination

    Time frame: Day 22

  17. GMFI of MN antibodies against homologous H2N3 strain - Day 29

    GMFI (MN) 1 week postvaccination 2 compared to prevaccination

    Time frame: Day 29

  18. GMFI of MN antibodies against homologous H2N3 strain - Day 43

    GMFI (MN) 3 weeks postvaccination 2 compared to prevaccination

    Time frame: Day 43

  19. Percentages of subjects with HI titers ≥1:40 against homologous H2N3 strain - Day 1

    % ≥1:40 (HI) prevaccination

    Time frame: Day 1

  20. Percentages of subjects with HI titers ≥1:40 against homologous H2N3 strain - Day 8

    % ≥1:40 (HI) 1 week postvaccination 1

    Time frame: Day 8

  21. Percentages of subjects with HI titers ≥1:40 against homologous H2N3 strain - Day 22

    % ≥1:40 (HI) 3 weeks postvaccination 1

    Time frame: Day 22

  22. Percentages of subjects with HI titers ≥1:40 against homologous H2N3 strain - Day 29

    % ≥1:40 (HI) 1 week postvaccination 2

    Time frame: Day 29

  23. Percentages of subjects with HI titers ≥1:40 against homologous H2N3 strain - Day 43

    % ≥1:40 (HI) 3 weeks postvaccination 2

    Time frame: Day 43

  24. Percentages of subjects with MN titers ≥1:40 against homologous H2N3 strain - Day 1

    % ≥1:40 (MN) prevaccination

    Time frame: Day 1

  25. Percentages of subjects with MN titers ≥1:40 against homologous H2N3 strain - Day 8

    % ≥1:40 (MN) 1 week postvaccination 1

    Time frame: Day 8

  26. Percentages of subjects with MN titers ≥1:40 against homologous H2N3 strain - Day 22

    % ≥1:40 (MN) 3 weeks postvaccination 1

    Time frame: Day 22

  27. Percentages of subjects with MN titers ≥1:40 against homologous H2N3 strain - Day 29

    % ≥1:40 (MN) 1 week postvaccination 2

    Time frame: Day 29

  28. Percentages of subjects with MN titers ≥1:40 against homologous H2N3 strain - Day 43

    % ≥1:40 (MN) 3 weeks postvaccination 2

    Time frame: Day 43

  29. Percentages of subjects with seroconversion by HI against homologous H2N3 strain - Day 8

    % seroconversion (HI) 1 week postvaccination 1, defined as a ≥4-fold increase in HI titer postvaccination in those with prevaccination titer ≥1:10, or a postvaccination HI titer ≥1:40 for subjects with baseline titer \<1:10

    Time frame: Day 8

  30. Percentages of subjects with seroconversion by HI against homologous H2N3 strain - Day 22

    % seroconversion (HI) 3 weeks postvaccination 1, defined as a ≥4-fold increase in HI titer postvaccination in those with prevaccination titer ≥1:10, or a postvaccination HI titer ≥1:40 for subjects with baseline titer \<1:10

    Time frame: Day 22

  31. Percentages of subjects with seroconversion by HI against homologous H2N3 strain - Day 29

    % seroconversion (HI) 1 week postvaccination 2, defined as a ≥4-fold increase in HI titer postvaccination in those with prevaccination titer ≥1:10, or a postvaccination HI titer ≥1:40 for subjects with baseline titer \<1:10

    Time frame: Day 29

  32. Percentages of subjects with seroconversion by HI against homologous H2N3 strain - Day 43

    % seroconversion (HI) 3 weeks postvaccination 2, defined as a ≥4-fold increase in HI titer postvaccination in those with prevaccination titer ≥1:10, or a postvaccination HI titer ≥1:40 for subjects with baseline titer \<1:10

    Time frame: Day 43

  33. Percentages of subjects with seroconversion by MN against homologous H2N3 strain - Day 8

    % seroconversion (MN) 1 week postvaccination 1, defined as a ≥4-fold increase in MN titer postvaccination in those with prevaccination titer ≥lower limit of quantification (LLOQ), or a postvaccination MN titer ≥4×LLOQ for subjects with baseline titer \<LLOQ

    Time frame: Day 8

  34. Percentages of subjects with seroconversion by MN against homologous H2N3 strain - Day 22

    % seroconversion (MN) 3 weeks postvaccination 1, defined as a ≥4-fold increase in MN titer postvaccination in those with prevaccination titer ≥lower limit of quantification (LLOQ), or a postvaccination MN titer ≥4×LLOQ for subjects with baseline titer \<LLOQ

    Time frame: Day 22

  35. Percentages of subjects with seroconversion by MN against homologous H2N3 strain - Day 29

    % seroconversion (MN) 1 week postvaccination 2, defined as a ≥4-fold increase in MN titer postvaccination in those with prevaccination titer ≥lower limit of quantification (LLOQ), or a postvaccination MN titer ≥4×LLOQ for subjects with baseline titer \<LLOQ

    Time frame: Day 29

  36. Percentages of subjects with seroconversion by MN against homologous H2N3 strain - Day 43

    % seroconversion (MN) 3 weeks postvaccination 2, defined as a ≥4-fold increase in MN titer postvaccination in those with prevaccination titer ≥lower limit of quantification (LLOQ), or a postvaccination MN titer ≥4×LLOQ for subjects with baseline titer \<LLOQ

    Time frame: Day 43

  37. Number and percentages of subjects reporting solicited local and systemic adverse events (AEs) - Day 1 through Day 10

    10 consecutive days postvaccination 1

    Time frame: Day 1 through Day 10

  38. Number and percentages of subjects reporting solicited local and systemic AEs - Day 22 through Day 31

    10 consecutive days postvaccination 2

    Time frame: Day 22 through Day 31

  39. Number and percentage of subjects reporting any unsolicited AEs

    For 3 weeks following each vaccination

    Time frame: Day 1 through Day 43

  40. Number and percentage of subjects reporting 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 387

Secondary outcomes

  1. GMT of ELLA titers as a measure of anti-neuraminidase (NA) immunogenicity

    GMT (ELLA) prevaccination, 1 and 3 weeks postvaccination

    Time frame: Day 1, Day 8, Day 22, Day 29, Day 43

  2. GMFI of ELLA titers as a measure of anti-NA immunogenicity

    GMFI (ELLA) 1 and 3 weeks postvaccination compared to prevaccination

    Time frame: Day 8, Day 22, Day 29, Day 43

  3. Percentage of subjects with ≥4-fold increase in ELLA titer as a measure of anti-NA immunogenicity

    % ≥4-fold increase (ELLA) 1 and 3 weeks postvaccination compared to prevaccination

    Time frame: Day 8, Day 22, Day 29, Day 43

  4. GMT of HI antibodies against homologous H2N3 strain - Persistence

    GMT (HI) 6 and 12 months postvaccination 2

    Time frame: Day 202, Day 387

  5. GMT of MN antibodies against homologous H2N3 strain - Persistence

    GMT (MN) 6 and 12 months postvaccination 2

    Time frame: Day 202, Day 387

  6. GMT of ELLA titer as a measure of anti-NA immunogenicity- Persistence

    GMT (ELLA) 6 and 12 months postvaccination 2

    Time frame: Day 202, Day 387

  7. GMFI of HI antibodies against homologous H2N3 strain - Persistence

    GMFI (HI) 6 and 12 months postvaccination 2 compared to prevaccination

    Time frame: Day 202, Day 387

  8. GMFI of MN antibodies against homologous H2N3 strain - Persistence

    GMFI (MN) 6 and 12 months postvaccination 2 compared to prevaccination

    Time frame: Day 202, Day 387

  9. GMFI of ELLA titer as a measure of anti-NA immunogenicity- Persistence

    GMFI (ELLA) 6 and 12 months postvaccination 2 compared to prevaccination

    Time frame: Day 202, Day 387

  10. Percentages of subjects with HI titers ≥1:40 against homologous H2N3 strain - Persistence

    % ≥1:40 (HI) 6 and 12 months postvaccination 2

    Time frame: Day 202, Day 387

  11. Percentages of subjects with MN titers ≥1:40, ≥1:80 and ≥1:160 against homologous H2N3 strain - Persistence

    % ≥1:40, ≥1:80 and ≥1:160 (MN) 6 and 12 months postvaccination 2

    Time frame: Day 202, Day 387

  12. Percentages of subjects with seroconversion by HI against homologous H2N3 strain - Persistence

    % seroconversion (HI) 6 and 12 months postvaccination 2, defined as a ≥4-fold increase in HI titer postvaccination in those with prevaccination titer ≥1:10, or a postvaccination HI titer ≥1:40 for subjects with baseline titer \<1:10

    Time frame: Day 202, Day 387

  13. Percentages of subjects with seroconversion by MN against homologous H2N3 strain - Persistence

    % seroconversion (MN) 6 and 12 months postvaccination 2, defined as a ≥4-fold increase in MN titer postvaccination in those with prevaccination titer ≥LLOQ, or a postvaccination MN titer ≥4×LLOQ for subjects with baseline titer \<LLOQ

    Time frame: Day 202, Day 387

  14. Percentage of subjects with ≥4-fold increase in ELLA titer as a measure of anti-NA immunogenicity - Persistence

    % ≥4-fold increase (ELLA) 6 and 12 months postvaccination 2 compared to prevaccination

    Time frame: Day 202, Day 387

07

Study locations

7 sites
  • Meridian Clinical Research
    Rockville, Maryland 20854, United States
  • Meridian Clinical Research
    Lincoln, Nebraska 68510, United States
  • Meridian Clinical Research
    Omaha, Nebraska 58134, United States
  • West Visayas State University Medical Center
    Iloilo City, Philippines
  • Manila Doctors Hospital
    Manila, Philippines
  • Quirino Memorial Medical Center
    Quezon City, Philippines
  • Silang Specialists Medical Center
    Silang, Philippines
08

References and documents

Individual participant data

Plan to share: Undecided

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Sep 21, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT05875961
Lead sponsor
Seqirus
Collaborators
Biomedical Advanced Research and Development Authority
Responsible party
Sponsor
First posted
May 25, 2023
Start date
Jun 15, 2023
Primary completion
Nov 15, 2024
Completion
Nov 15, 2024
Last update
Sep 21, 2026

Study contacts

Clinical Science and Strategy
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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