ClinicalTrials.gg
CompletedNCT05901636Updated Sep 8, 2025Results posted

A Clinical Study to Evaluate an Experimental Universal Influenza Vaccine, INFLUENZA G1 mHA, in Healthy Adults

A Phase 1/2 interventional study of INFLUENZA G1 mHA and Placebo in Influenza Prevention, sponsored by Janssen Vaccines & Prevention B.V.. Completed at 4 sites in United States. Open to participants aged 18 Years to 45 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2025-09-08.

Sponsored by Janssen Vaccines & Prevention B.V. (part of Johnson & Johnson) · Phase 1/2, Interventional, and Prevention

Phase
Phase 1/2
Study type
Interventional
Enrollment
170
Allocation
Randomized
Ages
18 Years to 45 Years
Sex
All
01

Study summary

The primary purpose of this study is to evaluate safety/ reactogenicity of INFLUENZA G1 mini-hemagglutinin stem-derived protein vaccine antigen (mHA), with or without Al(OH)3 adjuvant, in healthy adults greater than or equal to (>=) 18 to less than or equal to (\<=) 45 years of age.

02

Conditions studied

  • Influenza Prevention

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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 170 is below the median of 227 across 1,957 interventional studies indexed under Influenza, Human.

Browse Influenza, Human studies →

Lead sponsor

Janssen Vaccines & Prevention B.V. is the lead sponsor of 49 studies on the registry; none are open to participants now.

Of its 37 completed or terminated interventional studies of FDA-regulated products, 32 (86%) have results posted.

First submitted after Janssen Vaccines & Prevention B.V. became part of Johnson & Johnson.

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

04

Who can participate

Ages eligible
18 Years to 45 Years
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

  • Must be healthy as confirmed by medical history, physical examination, vital signs, and clinical laboratory tests performed at screening
  • (birth control) use by female participants should be consistent with local regulations regarding the acceptable methods of contraception for those participating in clinical studies. Before randomization, participants who were born female must be either: a) not of ; b) of childbearing potential and practicing a highly effective method of contraception and agreeing to remain on such a method of contraception from signing the until 3 months after the last dose of study vaccine. Use of hormonal contraception should start at least 28 days before the first administration of study vaccine. Highly effective methods for this study include: hormonal contraception, intrauterine device, intrauterine hormone-releasing system, bilateral tubal occlusion/ligation procedures, vasectomized partner (the vasectomized partner should be the sole partner for that participant), and sexual abstinence
  • All female participants of childbearing potential must: a) have a negative highly sensitive serum beta-human chorionic gonadotropin (beta-hCG) pregnancy test at screening; b) have a negative urine beta-hCG pregnancy test immediately prior to each study vaccine administration
  • Must be healthy on the basis of clinical laboratory tests performed at screening. If the results of the laboratory screening tests are outside the laboratory normal reference ranges and additionally within the limits of toxicity Grade 2 according to the US FDA toxicity scale the participant may be included only if the investigator judges the abnormalities or deviations from normal to be not and appropriate and reasonable for the population under study. This determination must be recorded in the participant's source documents and initialed by the investigator

Exclusion criteria

Exclusion Criteria:

  • to IM injections and blood draws, example, bleeding disorders
  • acute illness (this does not include minor illnesses such as diarrhea or mild upper respiratory tract infection) or temperature greater than or equal to (>=) 38.0 degree Celsius (100.4 degree Fahrenheit) within 24 hours prior to the planned first dose of study vaccine; randomization at a later date is permitted at the discretion of the investigator and after consultation with the sponsor
  • History of severe allergic reaction (for example, anaphylaxis) or other serious adverse reactions to vaccines or vaccine (specifically the excipients of the study vaccine[s])
  • Abnormal function of the immune system resulting from: a) clinical conditions (example, disease or immunodeficiency) or their treatments expected to have an impact on the immune response elicited by the study vaccine; b) chronic or recurrent use of systemic within 2 months before administration of study vaccine and during the study; c) administration of antineoplastic and immunomodulating agents or radiotherapy expected to have an impact on the immune response elicited by the study vaccine within 6 months before administration of study vaccine and during the study
  • History of acute polyneuropathy (example, Guillain-Barré syndrome) or chronic idiopathic demyelinating polyneuropathy
  • Received treatment with immunoglobulins (including monoclonal antibodies) expected to impact the vaccine-induced immune response in the 2 months or blood products in the 3 months before the planned administration of the first dose of study vaccine or has any plans to receive such treatment during the study.
  • Received an drug or used an invasive investigational medical device within 30 days or received an investigational vaccine within 6 months before the planned administration of the first dose of study vaccine, or received an investigational biological product within 3 months or 5 half-lives, whichever is longer, before the planned study intervention, or is currently enrolled or plans to participate in another investigational study or observational clinical study during the course of this study
  • Pregnant, or breastfeeding, or planning to become pregnant while enrolled in this study or within 3 months after the last dose of study vaccine. Oocyte donation is prohibited while enrolled in this study
  • Received or plans to receive: licensed - within 28 days before or after planned administration of the first or subsequent study vaccination[s]; other licensed (not live) vaccines (not including seasonal influenza vaccines) - within 14 days before or after planned administration of the first or subsequent study vaccination[s]; seasonal influenza vaccines - within 4 months before planned administration of the first study vaccination until the end of the study (that is, any individual who requires a seasonal influenza vaccination for occupational or other reasons will be excluded)
  • Has received a pandemic influenza vaccine (other than Hemagglutinin Type 1 and Neuraminidase Type 1 [H1N1]) in a previous pandemic influenza vaccine study at any time prior to randomization
Terms in these criteria, in plain language(10)

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.

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.

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.

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.

Clinically significant

Judged by the study doctor to matter for your health or for the study. It is a doctor’s decision, so ask the study team if you are unsure whether something counts.

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.

Excipients

The other ingredients in a medicine besides the active drug, such as fillers, colours or preservatives.

Autoimmune disease

A condition in which the immune system attacks the body’s own tissues, such as rheumatoid arthritis, lupus, psoriasis, type 1 diabetes or inflammatory bowel disease.

Immunotherapy studies often leave out active autoimmune disease, and some name exceptions, such as thyroid disease on replacement hormone. Check the exceptions this study lists.

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 / Phase 2
Primary purpose
Prevention
Allocation
Randomized
Intervention model
Sequential assignment
Masking
Double (Participant, Investigator)
Enrollment
170 participants (actual)

Study arms

  • Experimental
    INFLUENZA G1 mHA Dose Level 1

    Participants will receive single intramuscular (IM) injection of INFLUENZA G1 mHA Dose level 1 on Days 1 and 57 in Cohort 1.

    Biological: INFLUENZA G1 mHA

  • Experimental
    INFLUENZA G1 mHA Dose Level 1 along with Al(OH)3

    Participants will receive single IM injection of INFLUENZA G1 mHA Dose level 1 with Aluminum Hydroxide (Al\[OH\])3 adjuvant on Days 1 and 57 in Cohort 1.

    Biological: INFLUENZA G1 mHA · Biological: Al(OH)3

  • Placebo comparator
    Placebo

    Participants will receive IM injection of placebo on Days 1 and 57 in Cohorts 1 and 2.

    Biological: Placebo

  • Experimental
    INFLUENZA G1 mHA Dose Level 2

    Participants will receive single IM injection of INFLUENZA G1 mHA Dose level 2 on Days 1 and 57 in Cohort 2.

    Biological: INFLUENZA G1 mHA

  • Experimental
    INFLUENZA G1 mHA Dose Level 2 along with Al(OH)3

    Participants will receive single IM injection of INFLUENZA G1 mHA Dose level 2 with Al(OH)3 adjuvant on Days 1 and 57 in Cohort 2.

    Biological: INFLUENZA G1 mHA · Biological: Al(OH)3

  • Experimental
    INFLUENZA G1 mHA Dose Level 2 + Placebo

    Participants will receive single IM injection of INFLUENZA G1 mHA Dose level 2 on Day 1 and placebo on Day 57 in Cohort 2.

    Biological: INFLUENZA G1 mHA

  • Experimental
    INFLUENZA G1 mHA Dose Level 2 along with Al(OH)3 + Placebo

    Participants will receive single IM injection of INFLUENZA G1 mHA Dose level 2 with Al(OH)3 adjuvant on Day 1 and placebo on Day 57 in Cohort 2.

    Biological: INFLUENZA G1 mHA · Biological: Al(OH)3

Interventions

  • BiologicalINFLUENZA G1 mHA

    INFLUENZA G1 mHA will be administered intramuscularly.

  • BiologicalPlacebo

    Placebo will be administered intramuscularly.

  • BiologicalAl(OH)3

    Al(OH)3 will be administered intramuscularly.

06

What researchers measure

Primary outcomes

  1. Number of Participants With Solicited Local Adverse Events (AEs) Within 7 Days After Vaccination 1

    An AE was any untoward medical occurrence in a clinical study participant administered a medicinal (investigational or non-investigational) product. An AE does not necessarily have a causal relationship with the intervention. Solicited local AEs were used to assess the reactogenicity of the study vaccine and were pre-defined local (injection site) AEs for which participants were specifically questioned and which were noted by participants in a diary for 7 days post vaccination (day of vaccination and the subsequent 7 days). Solicited local AEs included injection site pain/tenderness, erythema, and swelling at the vaccination site.

    Time frame: Within 7 Days after vaccination 1 on Day 1 (from Day 1 up to Day 8)

  2. Number of Participants With Solicited Local AEs Within 7 Days After Vaccination 2

    An AE was any untoward medical occurrence in a clinical study participant administered a medicinal (investigational or non-investigational) product. An AE does not necessarily have a causal relationship with the intervention. Solicited local AEs were used to assess the reactogenicity of the study vaccine and were pre-defined local (injection site) AEs for which participants were specifically questioned and which were noted by participants in a diary for 7 days post vaccination (day of vaccination and the subsequent 7 days). Solicited local AEs included injection site pain/tenderness, erythema, and swelling at the vaccination site.

    Time frame: Within 7 Days after vaccination 2 on Day 57 (from Day 57 up to Day 64)

  3. Number of Participants With Worst Grade (at Least Grade 3) Solicited Local AEs Within 7 Days After Vaccination 1

    AE: any untoward medical occurrence in clinical study participant administered a medicinal (investigational or non-investigational) product. AE does not necessarily have a causal relationship with intervention. Solicited local AEs used to assess reactogenicity of vaccine. Pre-defined local AEs (pain/tenderness, erythema and swelling at injection site) were noted by participants in a diary for 7 days post vaccination (day of vaccination and subsequent 7 days). Severity was assessed using food and drug administration (FDA) toxicity grading scale- Pain: Grade (G) 1 (mild; does not interfere with activity); G2 (moderate; requires modification in activity/use of medications); G3 (severe; inability to do usual activities/use of narcotic pain reliever); G4 (life threatening; hospitalization), Erythema and swelling: G 1 (mild; 25 -50 millimeter \[mm\]); G2 (moderate; 51 -100 mm); G3 (severe; greater than \[\>\] 100 mm); G4 (life threatening; hospitalization/necrosis or exfoliative dermatitis).

    Time frame: Within 7 Days after vaccination 1 on Day 1 (from Day 1 up to Day 8)

  4. Number of Participants With Worst Grade (at Least Grade 3) Solicited Local AEs Within 7 Days After Vaccination 2

    AE: any untoward medical occurrence in clinical study participant administered a medicinal (investigational or non-investigational) product. AE does not necessarily have a causal relationship with intervention. Solicited local AEs used to assess reactogenicity of vaccine. Pre-defined local AEs (pain/tenderness, erythema and swelling at injection site) were noted by participants in a diary for 7 days post vaccination (day of vaccination and subsequent 7 days). Severity was assessed using FDA toxicity grading scale- Pain: Grade 1 (mild; does not interfere with activity); Grade 2 (moderate; requires modification in activity/use of medications); Grade 3 (severe; inability to do usual activities/use of narcotic pain reliever); Grade 4 (life threatening; hospitalization), Erythema and swelling: Grade 1 (mild; 25 -50 mm); Grade 2 (moderate; 51 -100 mm); Grade 3 (severe; \>100 mm); Grade 4 (life threatening; hospitalization/necrosis or exfoliative dermatitis).

    Time frame: Within 7 Days after vaccination 2 on Day 57 (from Day 57 up to Day 64)

  5. Duration of Solicited Local AEs That Occurred Within 7 Days After Vaccination 1

    Duration of solicited AEs was defined as number of days from the start of the event until resolution of the event. An AE was any untoward medical occurrence in a clinical study participant administered a medicinal (investigational or non-investigational) product. An AE does not necessarily have a causal relationship with the intervention. Solicited local AEs were used to assess the reactogenicity of the study vaccine and were pre-defined local (injection site) AEs for which participants were specifically questioned and which were noted by participants in a diary for 7 days post vaccination (day of vaccination and the subsequent 7 days). Solicited local AEs included injection site pain/tenderness, erythema, and swelling at the vaccination site.

    Time frame: From Day 1 up to Day 365

  6. Duration of Solicited Local AEs That Occurred Within 7 Days After Vaccination 2

    Duration of solicited AEs was defined as number of days from the start of the event until resolution of the event. An AE was any untoward medical occurrence in a clinical study participant administered a medicinal (investigational or non-investigational) product. An AE does not necessarily have a causal relationship with the intervention. Solicited local AEs were used to assess the reactogenicity of the study vaccine and were pre-defined local (injection site) AEs for which participants were specifically questioned and which were noted by participants in a diary for 7 days post vaccination (day of vaccination and the subsequent 7 days). Solicited local AEs included injection site pain/tenderness, erythema, and swelling at the vaccination site.

    Time frame: From Day 57 up to Day 365

  7. Number of Participants With Solicited Systemic AEs Within 7 Days After Vaccination 1

    An AE was any untoward medical occurrence in a clinical study participant administered a medicinal (investigational or non-investigational) product. An AE does not necessarily have a causal relationship with the intervention. Solicited systemic AEs were used to assess the reactogenicity of the study vaccine. Systemic events (fatigue, headache, nausea, myalgia, and fever) for which participants were specifically questioned, and which were noted by participants in a diary for 7 days post vaccination (day of vaccination and the subsequent 7 days).

    Time frame: Within 7 Days after vaccination 1 on Day 1 (from Day 1 up to Day 8)

  8. Number of Participants With Solicited Systemic AE Within 7 Days After Vaccination 2

    An AE was any untoward medical occurrence in a clinical study participant administered a medicinal (investigational or non-investigational) product. An AE does not necessarily have a causal relationship with the intervention. Solicited systemic AEs were used to assess the reactogenicity of the study vaccine. Systemic events (fatigue, headache, nausea, myalgia, and fever) for which participants were specifically questioned, and which were noted by participants in a diary for 7 days post vaccination (day of vaccination and the subsequent 7 days).

    Time frame: Within 7 Days after vaccination 2 on Day 57 (from Day 57 up to Day 64)

  9. Number of Participants With Worst Grade (at Least Grade 3) Solicited Systemic AEs Within 7 Days After Vaccination 1

    AE was any untoward medical occurrence in clinical study participant administered a medicinal (investigational or non-investigational) product. AE does not necessarily have causal relationship with intervention. Solicited systemic AEs used to assess reactogenicity of vaccine. Systemic events (fatigue, headache, nausea, myalgia, fever) for which participants were specifically questioned and were noted by participants in a diary for 7 days post vaccination (day of vaccination and subsequent 7 days). Severity assessed by FDA toxicity grading scale- Fever: Grade (G) 1 (mild; 38.0-38.4 degrees Celsius \[C\]), G2 (moderate; 38.5-38.9 degrees C), G3 (severe; 39.0-40.0 degrees C), G4 (\>40.0 degrees C); fatigue, headache, nausea and myalgia: G1 (mild; does not interfere with activity), G2 (moderate; requires modification in activity/use of medications), G3 (severe; inability to do usual activities/use of medications); G4 (life threatening; hospitalization).

    Time frame: Within 7 Days after vaccination 1 on Day 1 (from Day 1 up to Day 8)

  10. Number of Participants With Worst Grade (at Least Grade 3) Solicited Systemic AE Within 7 Days After Vaccination 2

    AE was any untoward medical occurrence in clinical study participant administered a medicinal (investigational or non-investigational) product. AE does not necessarily have causal relationship with intervention. Solicited systemic AEs used to assess reactogenicity of vaccine. Systemic events (fatigue, headache, nausea, myalgia, fever) for which participants were specifically questioned and were noted by participants in a diary for 7 days post vaccination (day of vaccination and subsequent 7 days). Severity assessed by FDA toxicity grading scale- Fever: Grade (G) 1 (mild; 38.0-38.4 degrees Celsius \[C\]), G2 (moderate; 38.5-38.9 degrees C), G3 (severe; 39.0-40.0 degrees C), G4 (\>40.0 degrees C); fatigue, headache, nausea and myalgia: G1 (mild; does not interfere with activity), G2 (moderate; requires modification in activity/use of medications), G3 (severe; inability to do usual activities/use of medications); G4 (life threatening; hospitalization).

    Time frame: Within 7 Days after vaccination 2 on Day 57 (from Day 57 up to Day 64)

  11. Duration of Solicited Systemic AEs That Occurred Within 7 Days After Vaccination 1

    Duration of solicited AEs was defined as number of days from the start of the event until resolution of the event. An AE was any untoward medical occurrence in a clinical study participant administered a medicinal (investigational or non-investigational) product. An AE does not necessarily have a causal relationship with the intervention. Solicited systemic AEs were used to assess the reactogenicity of the study vaccine. Systemic events (fatigue, headache, nausea, myalgia, and fever) for which participants were specifically questioned, and which were noted by participants in a diary for 7 days post vaccination (day of vaccination and the subsequent 7 days).

    Time frame: From Day 1 up to Day 365

  12. Duration of Solicited Systemic AEs That Occurred Within 7 Days After Vaccination 2

    Duration of solicited AEs was defined as number of days from the start of the event until resolution of the event. An AE was any untoward medical occurrence in a clinical study participant administered a medicinal (investigational or non-investigational) product. An AE does not necessarily have a causal relationship with the intervention. Solicited systemic AEs were used to assess the reactogenicity of the study vaccine. Systemic events (fatigue, headache, nausea, myalgia, and fever) for which participants were specifically questioned, and which were noted by participants in a diary for 7 days post vaccination (day of vaccination and the subsequent 7 days).

    Time frame: From Day 57 up to Day 365

  13. Number of Participants With Solicited Systemic AEs Related to Study Vaccine Within 7 Days After Vaccination 1

    An AE was any untoward medical occurrence in a clinical study participant administered a medicinal (investigational or non-investigational) product. An AE does not necessarily have a causal relationship with the intervention. Solicited systemic AEs were used to assess the reactogenicity of the study vaccine. Systemic events (fatigue, headache, nausea, myalgia, and fever) for which participants were specifically questioned, and which were noted by participants in a diary for 7 days post vaccination (day of vaccination and the subsequent 7 days). Number of participants with solicited systemic AEs related to study vaccine were reported.

    Time frame: Within 7 Days after vaccination 1 on Day 1 (from Day 1 up to Day 8)

  14. Number of Participants With Solicited Systemic AEs Related to Study Vaccine Within 7 Days After Vaccination 2

    An AE was any untoward medical occurrence in a clinical study participant administered a medicinal (investigational or non-investigational) product. An AE does not necessarily have a causal relationship with the intervention. Solicited systemic AEs were used to assess the reactogenicity of the study vaccine. Systemic events (fatigue, headache, nausea, myalgia, and fever) for which participants were specifically questioned, and which were noted by participants in a diary for 7 days post vaccination (day of vaccination and the subsequent 7 days). Number of participants with solicited systemic AEs related to study vaccine were reported.

    Time frame: Within 7 Days after vaccination 2 on Day 57 (from Day 57 up to Day 64)

  15. Number of Participants With Unsolicited AEs Within 28 Days After Vaccination 1

    An AE was any untoward medical occurrence in clinical study participant administered a medicinal (investigational or non-investigational) product. An AE does not necessarily have causal relationship with intervention. An unsolicited AE was defined as all AEs for which the participants were not specifically questioned in the participant's reactogenicity diary.

    Time frame: Within 28 Days after vaccination 1 on Day 1 (from Day 1 up to Day 29)

  16. Number of Participants With Unsolicited AEs Within 28 Days After Vaccination 2

    An AE was any untoward medical occurrence in clinical study participant administered a medicinal (investigational or non-investigational) product. An AE does not necessarily have causal relationship with intervention. An unsolicited AE was defined as all AEs for which the participants were not specifically questioned in the participant's reactogenicity diary.

    Time frame: Within 28 Days after vaccination 2 on Day 57 (from Day 57 up to Day 85)

  17. Number of Participants With Worst Grade (At Least Grade 3) Unsolicited AEs Within 28 Days After Vaccination 1

    An AE was any untoward medical occurrence in clinical study participant administered a medicinal (investigational or non-investigational) product. An AE does not necessarily have causal relationship with intervention. An unsolicited AE was defined as all AEs for which the participants were not specifically questioned in the participant's reactogenicity diary. The severity of AEs was assessed by FDA toxicity grading scale: Grade 1 (mild; symptoms causing no or minimal interference with usual social and functional activities); Grade 2 (moderate; symptoms causing greater than minimal interference with usual social and functional activities; Grade 3 (severe; symptoms causing inability to perform usual social and functional activities and requires medical intervention); Grade 4 (life threatening; hospitalization).

    Time frame: Within 28 Days after vaccination 1 on Day 1 (from Day 1 up to Day 29)

  18. Number of Participants With Worst Grade (At Least Grade 3) Unsolicited AEs Within 28 Days After Vaccination 2

    An AE was any untoward medical occurrence in clinical study participant administered a medicinal (investigational or non-investigational) product. An AE does not necessarily have causal relationship with intervention. An unsolicited AE was defined as all AEs for which the participants were not specifically questioned in the participant's reactogenicity diary. The severity of AEs was assessed by FDA toxicity grading scale: Grade 1 (mild; symptoms causing no or minimal interference with usual social and functional activities); Grade 2 (moderate; symptoms causing greater than minimal interference with usual social and functional activities; Grade 3 (severe; symptoms causing inability to perform usual social and functional activities and requires medical intervention); Grade 4 (life threatening; hospitalization).

    Time frame: Within 28 Days after vaccination 2 on Day 57 (from Day 57 up to Day 85)

  19. Duration of Unsolicited AEs That Occurred Within 28 Days After Vaccination 1

    Duration of unsolicited AEs was defined as number of days from the start of the event until resolution of the event. An AE was any untoward medical occurrence in clinical study participant administered a medicinal (investigational or non-investigational) product. An AE does not necessarily have causal relationship with intervention. An unsolicited AE was defined as all AEs for which the participants were not specifically questioned in the participant's reactogenicity diary. Unsolicited AEs that occurred within 28 days after vaccination 1 are reported below.

    Time frame: From Day 1 up to Day 365

  20. Duration of Unsolicited AEs That Occurred Within 28 Days After Vaccination 2

    Duration of unsolicited AEs was defined as number of days from the start of the event until resolution of the event. An AE was any untoward medical occurrence in clinical study participant administered a medicinal (investigational or non-investigational) product. An AE does not necessarily have causal relationship with intervention. An unsolicited AE was defined as all AEs for which the participants were not specifically questioned in the participant's reactogenicity diary. Unsolicited AEs that occurred within 28 days after vaccination 2 are reported below.

    Time frame: From Day 57 up to Day 365

  21. Number of Participants With Unsolicited AEs Related to Study Vaccine Within 28 Days After Vaccination 1

    An AE was any untoward medical occurrence in clinical study participant administered a medicinal (investigational or non-investigational) product. An AE does not necessarily have causal relationship with intervention. An unsolicited AE was defined as all AEs for which the participants were not specifically questioned in the participant's reactogenicity diary. Number of participants with any unsolicited AEs related to study vaccine were reported.

    Time frame: Within 28 Days after vaccination 1 on Day 1 (from Day 1 up to Day 29)

  22. Number of Participants With Unsolicited AEs Related to Study Vaccine Within 28 Days After Vaccination 2

    An AE was any untoward medical occurrence in clinical study participant administered a medicinal (investigational or non-investigational) product. An AE does not necessarily have causal relationship with intervention. An unsolicited AE was defined as all AEs for which the participants were not specifically questioned in the participant's reactogenicity diary. Number of participants with any unsolicited AEs related to study vaccine were reported.

    Time frame: Within 28 Days after vaccination 2 on Day 57 (from Day 57 up to Day 85)

  23. Number of Participants With Serious Adverse Events (SAEs) and SAEs Related to Study Vaccine

    An AE was any untoward medical occurrence in a clinical study participant administered a medicinal (investigational or non-investigational) product. An AE does not necessarily have a causal relationship with the intervention. Serious AE was the AE resulting in any of following outcomes/deemed significant for any other reason: death; initial/prolonged inpatient hospitalization; life-threatening experience (immediate risk of dying); persistent or significant disability/incapacity; congenital anomaly. Number of participants with SAEs and SAEs related to study vaccine were reported.

    Time frame: From first vaccination (Day 1) up to Day 365

Secondary outcomes

  1. Geometric Mean Concentration of Antibodies Binding to Hemagglutinin (HA) Stem or Full-length HA Protein as Measured by Enzyme-Linked Immunosorbent Assay (ELISA)

    Geometric mean concentration of antibodies binding to HA stem or full-length HA protein as measured by ELISA (H5-ELISA and mHA ELISA) was reported. HA stem derived protein vaccine antigen (mHA) derived from H1N1 A/California/07/2009 virus strain. Per-protocol Immunogenicity population was denoted as PPI. As planned, combined data was collected and analyzed for participants who received Placebo in Groups 3 and 8.

    Time frame: Days 29 and 85

07

Results

Posted Sep 8, 2025

Participant flow

Participant flow — Overall Study
MilestoneGroup 1: Influenza A G1 mHA 45 mcg (Two Doses)Group 2: Influenza A G1 mHA 45 mcg With Al(OH)3 (Two Doses)Group 4: Influenza A G1 mHA 135 mcg (Two Doses)Group 5: Influenza A G1 mHA 135 mcg With Al(OH)3 (Two Doses)Group 6: Influenza A G1 mHA 135 mcg (First Dose) + Placebo (Second Dose)Group 7: Influenza A G1 mHA 135 mcg With Al(OH)3 (First Dose) + Placebo (Second Dose)Group 3 and Group 8: Placebo (Two Doses)
Started25252525252520
Number of participants who received vaccination 125252525252520
Number of participants who received vaccination 224232325232420
Number of participants who received 2 doses of placebo in group 300000010
Number of participants who received 2 doses of placebo in group 800000010
Completed24232222232117
Not completed1233243
Withdrew: Lost to follow-up0101131
Withdrew: Non- compliance with study schedule0021002
Withdrew: Withdrawal by subject1100110
Withdrew: Other0011000

Outcome measures

PrimaryNumber of Participants With Solicited Local Adverse Events (AEs) Within 7 Days After Vaccination 1

An AE was any untoward medical occurrence in a clinical study participant administered a medicinal (investigational or non-investigational) product. An AE does not necessarily have a causal relationship with the intervention. Solicited local AEs were used to assess the reactogenicity of the study vaccine and were pre-defined local (injection site) AEs for which participants were specifically questioned and which were noted by participants in a diary for 7 days post vaccination (day of vaccination and the subsequent 7 days). Solicited local AEs included injection site pain/tenderness, erythema, and swelling at the vaccination site.

Time frame:
Within 7 Days after vaccination 1 on Day 1 (from Day 1 up to Day 8)
Reported as:
Count of participants · Participants
Number of Participants With Solicited Local Adverse Events (AEs) Within 7 Days After Vaccination 1
ParticipantsGroup 1: Influenza A G1 mHA 45 mcg (Two Doses)Group 2: Influenza A G1 mHA 45 mcg With Al(OH)3 (Two Doses)Group 4: Influenza A G1 mHA 135 mcg (Two Doses)Group 5: Influenza A G1 mHA 135 mcg With Al(OH)3 (Two Doses)Group 6: Influenza A G1 mHA 135 mcg (First Dose) + Placebo (Second Dose)Group 7: Influenza A G1 mHA 135 mcg With Al(OH)3 (First Dose) + Placebo (Second Dose)Group 3 and Group 8: Placebo (Two Doses)
Number of Participants With Solicited Local Adverse Events (AEs) Within 7 Days After Vaccination 15123136141
PrimaryNumber of Participants With Solicited Local AEs Within 7 Days After Vaccination 2

An AE was any untoward medical occurrence in a clinical study participant administered a medicinal (investigational or non-investigational) product. An AE does not necessarily have a causal relationship with the intervention. Solicited local AEs were used to assess the reactogenicity of the study vaccine and were pre-defined local (injection site) AEs for which participants were specifically questioned and which were noted by participants in a diary for 7 days post vaccination (day of vaccination and the subsequent 7 days). Solicited local AEs included injection site pain/tenderness, erythema, and swelling at the vaccination site.

Time frame:
Within 7 Days after vaccination 2 on Day 57 (from Day 57 up to Day 64)
Reported as:
Count of participants · Participants
Number of Participants With Solicited Local AEs Within 7 Days After Vaccination 2
ParticipantsGroup 1: Influenza A G1 mHA 45 mcg (Two Doses)Group 2: Influenza A G1 mHA 45 mcg With Al(OH)3 (Two Doses)Group 4: Influenza A G1 mHA 135 mcg (Two Doses)Group 5: Influenza A G1 mHA 135 mcg With Al(OH)3 (Two Doses)Group 6: Influenza A G1 mHA 135 mcg (First Dose) + Placebo (Second Dose)Group 7: Influenza A G1 mHA 135 mcg With Al(OH)3 (First Dose) + Placebo (Second Dose)Group 3 and Group 8: Placebo (Two Doses)
Number of Participants With Solicited Local AEs Within 7 Days After Vaccination 25958252
PrimaryNumber of Participants With Worst Grade (at Least Grade 3) Solicited Local AEs Within 7 Days After Vaccination 1

AE: any untoward medical occurrence in clinical study participant administered a medicinal (investigational or non-investigational) product. AE does not necessarily have a causal relationship with intervention. Solicited local AEs used to assess reactogenicity of vaccine. Pre-defined local AEs (pain/tenderness, erythema and swelling at injection site) were noted by participants in a diary for 7 days post vaccination (day of vaccination and subsequent 7 days). Severity was assessed using food and drug administration (FDA) toxicity grading scale- Pain: Grade (G) 1 (mild; does not interfere with activity); G2 (moderate; requires modification in activity/use of medications); G3 (severe; inability to do usual activities/use of narcotic pain reliever); G4 (life threatening; hospitalization), Erythema and swelling: G 1 (mild; 25 -50 millimeter \[mm\]); G2 (moderate; 51 -100 mm); G3 (severe; greater than \[\>\] 100 mm); G4 (life threatening; hospitalization/necrosis or exfoliative dermatitis).

Time frame:
Within 7 Days after vaccination 1 on Day 1 (from Day 1 up to Day 8)
Reported as:
Count of participants · Participants
Number of Participants With Worst Grade (at Least Grade 3) Solicited Local AEs Within 7 Days After Vaccination 1
ParticipantsGroup 1: Influenza A G1 mHA 45 mcg (Two Doses)Group 2: Influenza A G1 mHA 45 mcg With Al(OH)3 (Two Doses)Group 4: Influenza A G1 mHA 135 mcg (Two Doses)Group 5: Influenza A G1 mHA 135 mcg With Al(OH)3 (Two Doses)Group 6: Influenza A G1 mHA 135 mcg (First Dose) + Placebo (Second Dose)Group 7: Influenza A G1 mHA 135 mcg With Al(OH)3 (First Dose) + Placebo (Second Dose)Group 3 and Group 8: Placebo (Two Doses)
Number of Participants With Worst Grade (at Least Grade 3) Solicited Local AEs Within 7 Days After Vaccination 10100000
PrimaryNumber of Participants With Worst Grade (at Least Grade 3) Solicited Local AEs Within 7 Days After Vaccination 2

AE: any untoward medical occurrence in clinical study participant administered a medicinal (investigational or non-investigational) product. AE does not necessarily have a causal relationship with intervention. Solicited local AEs used to assess reactogenicity of vaccine. Pre-defined local AEs (pain/tenderness, erythema and swelling at injection site) were noted by participants in a diary for 7 days post vaccination (day of vaccination and subsequent 7 days). Severity was assessed using FDA toxicity grading scale- Pain: Grade 1 (mild; does not interfere with activity); Grade 2 (moderate; requires modification in activity/use of medications); Grade 3 (severe; inability to do usual activities/use of narcotic pain reliever); Grade 4 (life threatening; hospitalization), Erythema and swelling: Grade 1 (mild; 25 -50 mm); Grade 2 (moderate; 51 -100 mm); Grade 3 (severe; \>100 mm); Grade 4 (life threatening; hospitalization/necrosis or exfoliative dermatitis).

Time frame:
Within 7 Days after vaccination 2 on Day 57 (from Day 57 up to Day 64)
Reported as:
Count of participants · Participants
Number of Participants With Worst Grade (at Least Grade 3) Solicited Local AEs Within 7 Days After Vaccination 2
ParticipantsGroup 1: Influenza A G1 mHA 45 mcg (Two Doses)Group 2: Influenza A G1 mHA 45 mcg With Al(OH)3 (Two Doses)Group 4: Influenza A G1 mHA 135 mcg (Two Doses)Group 5: Influenza A G1 mHA 135 mcg With Al(OH)3 (Two Doses)Group 6: Influenza A G1 mHA 135 mcg (First Dose) + Placebo (Second Dose)Group 7: Influenza A G1 mHA 135 mcg With Al(OH)3 (First Dose) + Placebo (Second Dose)Group 3 and Group 8: Placebo (Two Doses)
Number of Participants With Worst Grade (at Least Grade 3) Solicited Local AEs Within 7 Days After Vaccination 20000000
PrimaryDuration of Solicited Local AEs That Occurred Within 7 Days After Vaccination 1

Duration of solicited AEs was defined as number of days from the start of the event until resolution of the event. An AE was any untoward medical occurrence in a clinical study participant administered a medicinal (investigational or non-investigational) product. An AE does not necessarily have a causal relationship with the intervention. Solicited local AEs were used to assess the reactogenicity of the study vaccine and were pre-defined local (injection site) AEs for which participants were specifically questioned and which were noted by participants in a diary for 7 days post vaccination (day of vaccination and the subsequent 7 days). Solicited local AEs included injection site pain/tenderness, erythema, and swelling at the vaccination site.

Time frame:
From Day 1 up to Day 365
Reported as:
Median · Days
Duration of Solicited Local AEs That Occurred Within 7 Days After Vaccination 1
DaysGroup 1: Influenza A G1 mHA 45 mcg (Two Doses)Group 2: Influenza A G1 mHA 45 mcg With Al(OH)3 (Two Doses)Group 4: Influenza A G1 mHA 135 mcg (Two Doses)Group 5: Influenza A G1 mHA 135 mcg With Al(OH)3 (Two Doses)Group 6: Influenza A G1 mHA 135 mcg (First Dose) + Placebo (Second Dose)Group 7: Influenza A G1 mHA 135 mcg With Al(OH)3 (First Dose) + Placebo (Second Dose)Group 3 and Group 8: Placebo (Two Doses)
Vaccination site erythema1.0 (1 to 1)1.0 (1 to 1)1.0 (1 to 1)——1.0 (1 to 1)—
Vaccination site swelling1.0 (1 to 1)1.0 (1 to 1)5.0 (5 to 5)————
Vaccination site pain1.0 (1 to 2)2.5 (1 to 7)4.0 (3 to 5)2.0 (1 to 4)1.0 (1 to 1)2.0 (1 to 7)3.0 (3 to 3)
PrimaryDuration of Solicited Local AEs That Occurred Within 7 Days After Vaccination 2

Duration of solicited AEs was defined as number of days from the start of the event until resolution of the event. An AE was any untoward medical occurrence in a clinical study participant administered a medicinal (investigational or non-investigational) product. An AE does not necessarily have a causal relationship with the intervention. Solicited local AEs were used to assess the reactogenicity of the study vaccine and were pre-defined local (injection site) AEs for which participants were specifically questioned and which were noted by participants in a diary for 7 days post vaccination (day of vaccination and the subsequent 7 days). Solicited local AEs included injection site pain/tenderness, erythema, and swelling at the vaccination site.

Time frame:
From Day 57 up to Day 365
Reported as:
Median · Days
Duration of Solicited Local AEs That Occurred Within 7 Days After Vaccination 2
DaysGroup 1: Influenza A G1 mHA 45 mcg (Two Doses)Group 2: Influenza A G1 mHA 45 mcg With Al(OH)3 (Two Doses)Group 4: Influenza A G1 mHA 135 mcg (Two Doses)Group 5: Influenza A G1 mHA 135 mcg With Al(OH)3 (Two Doses)Group 6: Influenza A G1 mHA 135 mcg (First Dose) + Placebo (Second Dose)Group 7: Influenza A G1 mHA 135 mcg With Al(OH)3 (First Dose) + Placebo (Second Dose)Group 3 and Group 8: Placebo (Two Doses)
Vaccination site erythema——————1.0 (1 to 1)
Vaccination site swelling——————1.0 (1 to 1)
Vaccination site pain1.0 (1 to 2)2.0 (1 to 6)2.0 (1 to 4)1.5 (1 to 3)1.0 (1 to 1)1.0 (1 to 2)1.0 (1 to 1)
PrimaryNumber of Participants With Solicited Systemic AEs Within 7 Days After Vaccination 1

An AE was any untoward medical occurrence in a clinical study participant administered a medicinal (investigational or non-investigational) product. An AE does not necessarily have a causal relationship with the intervention. Solicited systemic AEs were used to assess the reactogenicity of the study vaccine. Systemic events (fatigue, headache, nausea, myalgia, and fever) for which participants were specifically questioned, and which were noted by participants in a diary for 7 days post vaccination (day of vaccination and the subsequent 7 days).

Time frame:
Within 7 Days after vaccination 1 on Day 1 (from Day 1 up to Day 8)
Reported as:
Count of participants · Participants
Number of Participants With Solicited Systemic AEs Within 7 Days After Vaccination 1
ParticipantsGroup 1: Influenza A G1 mHA 45 mcg (Two Doses)Group 2: Influenza A G1 mHA 45 mcg With Al(OH)3 (Two Doses)Group 4: Influenza A G1 mHA 135 mcg (Two Doses)Group 5: Influenza A G1 mHA 135 mcg With Al(OH)3 (Two Doses)Group 6: Influenza A G1 mHA 135 mcg (First Dose) + Placebo (Second Dose)Group 7: Influenza A G1 mHA 135 mcg With Al(OH)3 (First Dose) + Placebo (Second Dose)Group 3 and Group 8: Placebo (Two Doses)
Number of Participants With Solicited Systemic AEs Within 7 Days After Vaccination 1712697124
PrimaryNumber of Participants With Solicited Systemic AE Within 7 Days After Vaccination 2

An AE was any untoward medical occurrence in a clinical study participant administered a medicinal (investigational or non-investigational) product. An AE does not necessarily have a causal relationship with the intervention. Solicited systemic AEs were used to assess the reactogenicity of the study vaccine. Systemic events (fatigue, headache, nausea, myalgia, and fever) for which participants were specifically questioned, and which were noted by participants in a diary for 7 days post vaccination (day of vaccination and the subsequent 7 days).

Time frame:
Within 7 Days after vaccination 2 on Day 57 (from Day 57 up to Day 64)
Reported as:
Count of participants · Participants
Number of Participants With Solicited Systemic AE Within 7 Days After Vaccination 2
ParticipantsGroup 1: Influenza A G1 mHA 45 mcg (Two Doses)Group 2: Influenza A G1 mHA 45 mcg With Al(OH)3 (Two Doses)Group 4: Influenza A G1 mHA 135 mcg (Two Doses)Group 5: Influenza A G1 mHA 135 mcg With Al(OH)3 (Two Doses)Group 6: Influenza A G1 mHA 135 mcg (First Dose) + Placebo (Second Dose)Group 7: Influenza A G1 mHA 135 mcg With Al(OH)3 (First Dose) + Placebo (Second Dose)Group 3 and Group 8: Placebo (Two Doses)
Number of Participants With Solicited Systemic AE Within 7 Days After Vaccination 24879684
PrimaryNumber of Participants With Worst Grade (at Least Grade 3) Solicited Systemic AEs Within 7 Days After Vaccination 1

AE was any untoward medical occurrence in clinical study participant administered a medicinal (investigational or non-investigational) product. AE does not necessarily have causal relationship with intervention. Solicited systemic AEs used to assess reactogenicity of vaccine. Systemic events (fatigue, headache, nausea, myalgia, fever) for which participants were specifically questioned and were noted by participants in a diary for 7 days post vaccination (day of vaccination and subsequent 7 days). Severity assessed by FDA toxicity grading scale- Fever: Grade (G) 1 (mild; 38.0-38.4 degrees Celsius \[C\]), G2 (moderate; 38.5-38.9 degrees C), G3 (severe; 39.0-40.0 degrees C), G4 (\>40.0 degrees C); fatigue, headache, nausea and myalgia: G1 (mild; does not interfere with activity), G2 (moderate; requires modification in activity/use of medications), G3 (severe; inability to do usual activities/use of medications); G4 (life threatening; hospitalization).

Time frame:
Within 7 Days after vaccination 1 on Day 1 (from Day 1 up to Day 8)
Reported as:
Count of participants · Participants
Number of Participants With Worst Grade (at Least Grade 3) Solicited Systemic AEs Within 7 Days After Vaccination 1
ParticipantsGroup 1: Influenza A G1 mHA 45 mcg (Two Doses)Group 2: Influenza A G1 mHA 45 mcg With Al(OH)3 (Two Doses)Group 4: Influenza A G1 mHA 135 mcg (Two Doses)Group 5: Influenza A G1 mHA 135 mcg With Al(OH)3 (Two Doses)Group 6: Influenza A G1 mHA 135 mcg (First Dose) + Placebo (Second Dose)Group 7: Influenza A G1 mHA 135 mcg With Al(OH)3 (First Dose) + Placebo (Second Dose)Group 3 and Group 8: Placebo (Two Doses)
Number of Participants With Worst Grade (at Least Grade 3) Solicited Systemic AEs Within 7 Days After Vaccination 10000000
PrimaryNumber of Participants With Worst Grade (at Least Grade 3) Solicited Systemic AE Within 7 Days After Vaccination 2

AE was any untoward medical occurrence in clinical study participant administered a medicinal (investigational or non-investigational) product. AE does not necessarily have causal relationship with intervention. Solicited systemic AEs used to assess reactogenicity of vaccine. Systemic events (fatigue, headache, nausea, myalgia, fever) for which participants were specifically questioned and were noted by participants in a diary for 7 days post vaccination (day of vaccination and subsequent 7 days). Severity assessed by FDA toxicity grading scale- Fever: Grade (G) 1 (mild; 38.0-38.4 degrees Celsius \[C\]), G2 (moderate; 38.5-38.9 degrees C), G3 (severe; 39.0-40.0 degrees C), G4 (\>40.0 degrees C); fatigue, headache, nausea and myalgia: G1 (mild; does not interfere with activity), G2 (moderate; requires modification in activity/use of medications), G3 (severe; inability to do usual activities/use of medications); G4 (life threatening; hospitalization).

Time frame:
Within 7 Days after vaccination 2 on Day 57 (from Day 57 up to Day 64)
Reported as:
Count of participants · Participants
Number of Participants With Worst Grade (at Least Grade 3) Solicited Systemic AE Within 7 Days After Vaccination 2
ParticipantsGroup 1: Influenza A G1 mHA 45 mcg (Two Doses)Group 2: Influenza A G1 mHA 45 mcg With Al(OH)3 (Two Doses)Group 4: Influenza A G1 mHA 135 mcg (Two Doses)Group 5: Influenza A G1 mHA 135 mcg With Al(OH)3 (Two Doses)Group 6: Influenza A G1 mHA 135 mcg (First Dose) + Placebo (Second Dose)Group 7: Influenza A G1 mHA 135 mcg With Al(OH)3 (First Dose) + Placebo (Second Dose)Group 3 and Group 8: Placebo (Two Doses)
Number of Participants With Worst Grade (at Least Grade 3) Solicited Systemic AE Within 7 Days After Vaccination 20001100
PrimaryDuration of Solicited Systemic AEs That Occurred Within 7 Days After Vaccination 1

Duration of solicited AEs was defined as number of days from the start of the event until resolution of the event. An AE was any untoward medical occurrence in a clinical study participant administered a medicinal (investigational or non-investigational) product. An AE does not necessarily have a causal relationship with the intervention. Solicited systemic AEs were used to assess the reactogenicity of the study vaccine. Systemic events (fatigue, headache, nausea, myalgia, and fever) for which participants were specifically questioned, and which were noted by participants in a diary for 7 days post vaccination (day of vaccination and the subsequent 7 days).

Time frame:
From Day 1 up to Day 365
Reported as:
Median · Days
Duration of Solicited Systemic AEs That Occurred Within 7 Days After Vaccination 1
DaysGroup 1: Influenza A G1 mHA 45 mcg (Two Doses)Group 2: Influenza A G1 mHA 45 mcg With Al(OH)3 (Two Doses)Group 4: Influenza A G1 mHA 135 mcg (Two Doses)Group 5: Influenza A G1 mHA 135 mcg With Al(OH)3 (Two Doses)Group 6: Influenza A G1 mHA 135 mcg (First Dose) + Placebo (Second Dose)Group 7: Influenza A G1 mHA 135 mcg With Al(OH)3 (First Dose) + Placebo (Second Dose)Group 3 and Group 8: Placebo (Two Doses)
Fatigue2.0 (1 to 7)3.0 (1 to 6)1.5 (1 to 3)1 (1 to 1)1.5 (1 to 5)4.5 (1 to 8)1.0 (1 to 7)
Headache3.0 (2 to 4)4.0 (1 to 6)1.5 (1 to 2)1.0 (1 to 1)5.5 (4 to 7)4.5 (1 to 6)—
Nausea1.0 (1 to 1)1.0 (1 to 1)1.0 (1 to 1)—1.0 (1 to 1)5.0 (2 to 7)—
Myalgia1.0 (1 to 2)3.0 (1 to 6)1.0 (1 to 5)1.0 (1 to 2)3.5 (1 to 6)1.0 (1 to 5)1.0 (1 to 1)
PrimaryDuration of Solicited Systemic AEs That Occurred Within 7 Days After Vaccination 2

Duration of solicited AEs was defined as number of days from the start of the event until resolution of the event. An AE was any untoward medical occurrence in a clinical study participant administered a medicinal (investigational or non-investigational) product. An AE does not necessarily have a causal relationship with the intervention. Solicited systemic AEs were used to assess the reactogenicity of the study vaccine. Systemic events (fatigue, headache, nausea, myalgia, and fever) for which participants were specifically questioned, and which were noted by participants in a diary for 7 days post vaccination (day of vaccination and the subsequent 7 days).

Time frame:
From Day 57 up to Day 365
Reported as:
Median · Days
Duration of Solicited Systemic AEs That Occurred Within 7 Days After Vaccination 2
DaysGroup 1: Influenza A G1 mHA 45 mcg (Two Doses)Group 2: Influenza A G1 mHA 45 mcg With Al(OH)3 (Two Doses)Group 4: Influenza A G1 mHA 135 mcg (Two Doses)Group 5: Influenza A G1 mHA 135 mcg With Al(OH)3 (Two Doses)Group 6: Influenza A G1 mHA 135 mcg (First Dose) + Placebo (Second Dose)Group 7: Influenza A G1 mHA 135 mcg With Al(OH)3 (First Dose) + Placebo (Second Dose)Group 3 and Group 8: Placebo (Two Doses)
Fatigue6.0 (2 to 15)6.0 (4 to 8)1.0 (1 to 5)1.0 (1 to 9)1.0 (1 to 4)4.0 (1 to 7)1.0 (1 to 2)
Headache9.0 (1 to 17)5.0 (1 to 8)3.0 (2 to 6)3.0 (2 to 7)2.0 (2 to 2)4.0 (1 to 7)2.0 (2 to 2)
Nausea1.0 (1 to 1)——1.0 (1 to 1)—3.5 (1 to 6)1.5 (1 to 2)
Myalgia1.5 (1 to 2)2.5 (1 to 5)2.0 (1 to 3)2.0 (1 to 3)—1.0 (1 to 6)—
Pyrexia——————8.0 (8 to 8)
PrimaryNumber of Participants With Solicited Systemic AEs Related to Study Vaccine Within 7 Days After Vaccination 1

An AE was any untoward medical occurrence in a clinical study participant administered a medicinal (investigational or non-investigational) product. An AE does not necessarily have a causal relationship with the intervention. Solicited systemic AEs were used to assess the reactogenicity of the study vaccine. Systemic events (fatigue, headache, nausea, myalgia, and fever) for which participants were specifically questioned, and which were noted by participants in a diary for 7 days post vaccination (day of vaccination and the subsequent 7 days). Number of participants with solicited systemic AEs related to study vaccine were reported.

Time frame:
Within 7 Days after vaccination 1 on Day 1 (from Day 1 up to Day 8)
Reported as:
Count of participants · Participants
Number of Participants With Solicited Systemic AEs Related to Study Vaccine Within 7 Days After Vaccination 1
ParticipantsGroup 1: Influenza A G1 mHA 45 mcg (Two Doses)Group 2: Influenza A G1 mHA 45 mcg With Al(OH)3 (Two Doses)Group 4: Influenza A G1 mHA 135 mcg (Two Doses)Group 5: Influenza A G1 mHA 135 mcg With Al(OH)3 (Two Doses)Group 6: Influenza A G1 mHA 135 mcg (First Dose) + Placebo (Second Dose)Group 7: Influenza A G1 mHA 135 mcg With Al(OH)3 (First Dose) + Placebo (Second Dose)Group 3 and Group 8: Placebo (Two Doses)
Number of Participants With Solicited Systemic AEs Related to Study Vaccine Within 7 Days After Vaccination 1712697124
PrimaryNumber of Participants With Solicited Systemic AEs Related to Study Vaccine Within 7 Days After Vaccination 2

An AE was any untoward medical occurrence in a clinical study participant administered a medicinal (investigational or non-investigational) product. An AE does not necessarily have a causal relationship with the intervention. Solicited systemic AEs were used to assess the reactogenicity of the study vaccine. Systemic events (fatigue, headache, nausea, myalgia, and fever) for which participants were specifically questioned, and which were noted by participants in a diary for 7 days post vaccination (day of vaccination and the subsequent 7 days). Number of participants with solicited systemic AEs related to study vaccine were reported.

Time frame:
Within 7 Days after vaccination 2 on Day 57 (from Day 57 up to Day 64)
Reported as:
Count of participants · Participants
Number of Participants With Solicited Systemic AEs Related to Study Vaccine Within 7 Days After Vaccination 2
ParticipantsGroup 1: Influenza A G1 mHA 45 mcg (Two Doses)Group 2: Influenza A G1 mHA 45 mcg With Al(OH)3 (Two Doses)Group 4: Influenza A G1 mHA 135 mcg (Two Doses)Group 5: Influenza A G1 mHA 135 mcg With Al(OH)3 (Two Doses)Group 6: Influenza A G1 mHA 135 mcg (First Dose) + Placebo (Second Dose)Group 7: Influenza A G1 mHA 135 mcg With Al(OH)3 (First Dose) + Placebo (Second Dose)Group 3 and Group 8: Placebo (Two Doses)
Number of Participants With Solicited Systemic AEs Related to Study Vaccine Within 7 Days After Vaccination 24879683
PrimaryNumber of Participants With Unsolicited AEs Within 28 Days After Vaccination 1

An AE was any untoward medical occurrence in clinical study participant administered a medicinal (investigational or non-investigational) product. An AE does not necessarily have causal relationship with intervention. An unsolicited AE was defined as all AEs for which the participants were not specifically questioned in the participant's reactogenicity diary.

Time frame:
Within 28 Days after vaccination 1 on Day 1 (from Day 1 up to Day 29)
Reported as:
Count of participants · Participants
Number of Participants With Unsolicited AEs Within 28 Days After Vaccination 1
ParticipantsGroup 1: Influenza A G1 mHA 45 mcg (Two Doses)Group 2: Influenza A G1 mHA 45 mcg With Al(OH)3 (Two Doses)Group 4: Influenza A G1 mHA 135 mcg (Two Doses)Group 5: Influenza A G1 mHA 135 mcg With Al(OH)3 (Two Doses)Group 6: Influenza A G1 mHA 135 mcg (First Dose) + Placebo (Second Dose)Group 7: Influenza A G1 mHA 135 mcg With Al(OH)3 (First Dose) + Placebo (Second Dose)Group 3 and Group 8: Placebo (Two Doses)
Number of Participants With Unsolicited AEs Within 28 Days After Vaccination 11101011
PrimaryNumber of Participants With Unsolicited AEs Within 28 Days After Vaccination 2

An AE was any untoward medical occurrence in clinical study participant administered a medicinal (investigational or non-investigational) product. An AE does not necessarily have causal relationship with intervention. An unsolicited AE was defined as all AEs for which the participants were not specifically questioned in the participant's reactogenicity diary.

Time frame:
Within 28 Days after vaccination 2 on Day 57 (from Day 57 up to Day 85)
Reported as:
Count of participants · Participants
Number of Participants With Unsolicited AEs Within 28 Days After Vaccination 2
ParticipantsGroup 1: Influenza A G1 mHA 45 mcg (Two Doses)Group 2: Influenza A G1 mHA 45 mcg With Al(OH)3 (Two Doses)Group 4: Influenza A G1 mHA 135 mcg (Two Doses)Group 5: Influenza A G1 mHA 135 mcg With Al(OH)3 (Two Doses)Group 6: Influenza A G1 mHA 135 mcg (First Dose) + Placebo (Second Dose)Group 7: Influenza A G1 mHA 135 mcg With Al(OH)3 (First Dose) + Placebo (Second Dose)Group 3 and Group 8: Placebo (Two Doses)
Number of Participants With Unsolicited AEs Within 28 Days After Vaccination 21123221
PrimaryNumber of Participants With Worst Grade (At Least Grade 3) Unsolicited AEs Within 28 Days After Vaccination 1

An AE was any untoward medical occurrence in clinical study participant administered a medicinal (investigational or non-investigational) product. An AE does not necessarily have causal relationship with intervention. An unsolicited AE was defined as all AEs for which the participants were not specifically questioned in the participant's reactogenicity diary. The severity of AEs was assessed by FDA toxicity grading scale: Grade 1 (mild; symptoms causing no or minimal interference with usual social and functional activities); Grade 2 (moderate; symptoms causing greater than minimal interference with usual social and functional activities; Grade 3 (severe; symptoms causing inability to perform usual social and functional activities and requires medical intervention); Grade 4 (life threatening; hospitalization).

Time frame:
Within 28 Days after vaccination 1 on Day 1 (from Day 1 up to Day 29)
Reported as:
Count of participants · Participants
Number of Participants With Worst Grade (At Least Grade 3) Unsolicited AEs Within 28 Days After Vaccination 1
ParticipantsGroup 1: Influenza A G1 mHA 45 mcg (Two Doses)Group 2: Influenza A G1 mHA 45 mcg With Al(OH)3 (Two Doses)Group 4: Influenza A G1 mHA 135 mcg (Two Doses)Group 5: Influenza A G1 mHA 135 mcg With Al(OH)3 (Two Doses)Group 6: Influenza A G1 mHA 135 mcg (First Dose) + Placebo (Second Dose)Group 7: Influenza A G1 mHA 135 mcg With Al(OH)3 (First Dose) + Placebo (Second Dose)Group 3 and Group 8: Placebo (Two Doses)
Number of Participants With Worst Grade (At Least Grade 3) Unsolicited AEs Within 28 Days After Vaccination 10000000
PrimaryNumber of Participants With Worst Grade (At Least Grade 3) Unsolicited AEs Within 28 Days After Vaccination 2

An AE was any untoward medical occurrence in clinical study participant administered a medicinal (investigational or non-investigational) product. An AE does not necessarily have causal relationship with intervention. An unsolicited AE was defined as all AEs for which the participants were not specifically questioned in the participant's reactogenicity diary. The severity of AEs was assessed by FDA toxicity grading scale: Grade 1 (mild; symptoms causing no or minimal interference with usual social and functional activities); Grade 2 (moderate; symptoms causing greater than minimal interference with usual social and functional activities; Grade 3 (severe; symptoms causing inability to perform usual social and functional activities and requires medical intervention); Grade 4 (life threatening; hospitalization).

Time frame:
Within 28 Days after vaccination 2 on Day 57 (from Day 57 up to Day 85)
Reported as:
Count of participants · Participants
Number of Participants With Worst Grade (At Least Grade 3) Unsolicited AEs Within 28 Days After Vaccination 2
ParticipantsGroup 1: Influenza A G1 mHA 45 mcg (Two Doses)Group 2: Influenza A G1 mHA 45 mcg With Al(OH)3 (Two Doses)Group 4: Influenza A G1 mHA 135 mcg (Two Doses)Group 5: Influenza A G1 mHA 135 mcg With Al(OH)3 (Two Doses)Group 6: Influenza A G1 mHA 135 mcg (First Dose) + Placebo (Second Dose)Group 7: Influenza A G1 mHA 135 mcg With Al(OH)3 (First Dose) + Placebo (Second Dose)Group 3 and Group 8: Placebo (Two Doses)
Number of Participants With Worst Grade (At Least Grade 3) Unsolicited AEs Within 28 Days After Vaccination 20001100
PrimaryDuration of Unsolicited AEs That Occurred Within 28 Days After Vaccination 1

Duration of unsolicited AEs was defined as number of days from the start of the event until resolution of the event. An AE was any untoward medical occurrence in clinical study participant administered a medicinal (investigational or non-investigational) product. An AE does not necessarily have causal relationship with intervention. An unsolicited AE was defined as all AEs for which the participants were not specifically questioned in the participant's reactogenicity diary. Unsolicited AEs that occurred within 28 days after vaccination 1 are reported below.

Time frame:
From Day 1 up to Day 365
Reported as:
Median · Days
Duration of Unsolicited AEs That Occurred Within 28 Days After Vaccination 1
DaysGroup 1: Influenza A G1 mHA 45 mcg (Two Doses)Group 2: Influenza A G1 mHA 45 mcg With Al(OH)3 (Two Doses)Group 4: Influenza A G1 mHA 135 mcg (Two Doses)Group 5: Influenza A G1 mHA 135 mcg With Al(OH)3 (Two Doses)Group 6: Influenza A G1 mHA 135 mcg (First Dose) + Placebo (Second Dose)Group 7: Influenza A G1 mHA 135 mcg With Al(OH)3 (First Dose) + Placebo (Second Dose)Group 3 and Group 8: Placebo (Two Doses)
Anaemia——————57.0 (57 to 57)
Dermatitis contact—————11.0 (11 to 11)—
Diarrhoea—1.0 (1 to 1)—————
Nasopharyngitis11.0 (11 to 11)——————
Ventricular extrasystoles———1.0 (1 to 1)———
PrimaryDuration of Unsolicited AEs That Occurred Within 28 Days After Vaccination 2

Duration of unsolicited AEs was defined as number of days from the start of the event until resolution of the event. An AE was any untoward medical occurrence in clinical study participant administered a medicinal (investigational or non-investigational) product. An AE does not necessarily have causal relationship with intervention. An unsolicited AE was defined as all AEs for which the participants were not specifically questioned in the participant's reactogenicity diary. Unsolicited AEs that occurred within 28 days after vaccination 2 are reported below.

Time frame:
From Day 57 up to Day 365
Reported as:
Median · Days
Duration of Unsolicited AEs That Occurred Within 28 Days After Vaccination 2
DaysGroup 1: Influenza A G1 mHA 45 mcg (Two Doses)Group 2: Influenza A G1 mHA 45 mcg With Al(OH)3 (Two Doses)Group 4: Influenza A G1 mHA 135 mcg (Two Doses)Group 5: Influenza A G1 mHA 135 mcg With Al(OH)3 (Two Doses)Group 6: Influenza A G1 mHA 135 mcg (First Dose) + Placebo (Second Dose)Group 7: Influenza A G1 mHA 135 mcg With Al(OH)3 (First Dose) + Placebo (Second Dose)Group 3 and Group 8: Placebo (Two Doses)
Anaemia————34.0 (34 to 34)——
Arthralgia—3.0 (3 to 3)—————
Blood pressure increased———20.0 (20 to 20)———
Gastroenteritis———7.0 (7 to 7)———
Hypertension———252.0 (252 to 252)———
Influenza like illness——6.0 (6 to 6)7.0 (7 to 7)4.0 (4 to 4)7.0 (7 to 7)—
Leukopenia——52.0 (52 to 52)————
Nephrolithiasis14.0 (14 to 14)——————
Otitis media acute———7.0 (7 to 7)———
Pulmonary embolism——————92.0 (92 to 92)
Rhinorrhoea———2.0 (2 to 2)———
Sinusitis—————8.0 (8 to 8)—
Transient ischaemic attack———3.0 (3 to 3)———
PrimaryNumber of Participants With Unsolicited AEs Related to Study Vaccine Within 28 Days After Vaccination 1

An AE was any untoward medical occurrence in clinical study participant administered a medicinal (investigational or non-investigational) product. An AE does not necessarily have causal relationship with intervention. An unsolicited AE was defined as all AEs for which the participants were not specifically questioned in the participant's reactogenicity diary. Number of participants with any unsolicited AEs related to study vaccine were reported.

Time frame:
Within 28 Days after vaccination 1 on Day 1 (from Day 1 up to Day 29)
Reported as:
Count of participants · Participants
Number of Participants With Unsolicited AEs Related to Study Vaccine Within 28 Days After Vaccination 1
ParticipantsGroup 1: Influenza A G1 mHA 45 mcg (Two Doses)Group 2: Influenza A G1 mHA 45 mcg With Al(OH)3 (Two Doses)Group 4: Influenza A G1 mHA 135 mcg (Two Doses)Group 5: Influenza A G1 mHA 135 mcg With Al(OH)3 (Two Doses)Group 6: Influenza A G1 mHA 135 mcg (First Dose) + Placebo (Second Dose)Group 7: Influenza A G1 mHA 135 mcg With Al(OH)3 (First Dose) + Placebo (Second Dose)Group 3 and Group 8: Placebo (Two Doses)
Number of Participants With Unsolicited AEs Related to Study Vaccine Within 28 Days After Vaccination 10000000
PrimaryNumber of Participants With Unsolicited AEs Related to Study Vaccine Within 28 Days After Vaccination 2

An AE was any untoward medical occurrence in clinical study participant administered a medicinal (investigational or non-investigational) product. An AE does not necessarily have causal relationship with intervention. An unsolicited AE was defined as all AEs for which the participants were not specifically questioned in the participant's reactogenicity diary. Number of participants with any unsolicited AEs related to study vaccine were reported.

Time frame:
Within 28 Days after vaccination 2 on Day 57 (from Day 57 up to Day 85)
Reported as:
Count of participants · Participants
Number of Participants With Unsolicited AEs Related to Study Vaccine Within 28 Days After Vaccination 2
ParticipantsGroup 1: Influenza A G1 mHA 45 mcg (Two Doses)Group 2: Influenza A G1 mHA 45 mcg With Al(OH)3 (Two Doses)Group 4: Influenza A G1 mHA 135 mcg (Two Doses)Group 5: Influenza A G1 mHA 135 mcg With Al(OH)3 (Two Doses)Group 6: Influenza A G1 mHA 135 mcg (First Dose) + Placebo (Second Dose)Group 7: Influenza A G1 mHA 135 mcg With Al(OH)3 (First Dose) + Placebo (Second Dose)Group 3 and Group 8: Placebo (Two Doses)
Number of Participants With Unsolicited AEs Related to Study Vaccine Within 28 Days After Vaccination 20100000
PrimaryNumber of Participants With Serious Adverse Events (SAEs) and SAEs Related to Study Vaccine

An AE was any untoward medical occurrence in a clinical study participant administered a medicinal (investigational or non-investigational) product. An AE does not necessarily have a causal relationship with the intervention. Serious AE was the AE resulting in any of following outcomes/deemed significant for any other reason: death; initial/prolonged inpatient hospitalization; life-threatening experience (immediate risk of dying); persistent or significant disability/incapacity; congenital anomaly. Number of participants with SAEs and SAEs related to study vaccine were reported.

Time frame:
From first vaccination (Day 1) up to Day 365
Reported as:
Count of participants · Participants
Number of Participants With Serious Adverse Events (SAEs) and SAEs Related to Study Vaccine
ParticipantsGroup 1: Influenza A G1 mHA 45 mcg (Two Doses)Group 2: Influenza A G1 mHA 45 mcg With Al(OH)3 (Two Doses)Group 4: Influenza A G1 mHA 135 mcg (Two Doses)Group 5: Influenza A G1 mHA 135 mcg With Al(OH)3 (Two Doses)Group 6: Influenza A G1 mHA 135 mcg (First Dose) + Placebo (Second Dose)Group 7: Influenza A G1 mHA 135 mcg With Al(OH)3 (First Dose) + Placebo (Second Dose)Group 3 and Group 8: Placebo (Two Doses)
SAE0002000
SAE related to study vaccine0000000
SecondaryGeometric Mean Concentration of Antibodies Binding to Hemagglutinin (HA) Stem or Full-length HA Protein as Measured by Enzyme-Linked Immunosorbent Assay (ELISA)

Geometric mean concentration of antibodies binding to HA stem or full-length HA protein as measured by ELISA (H5-ELISA and mHA ELISA) was reported. HA stem derived protein vaccine antigen (mHA) derived from H1N1 A/California/07/2009 virus strain. Per-protocol Immunogenicity population was denoted as PPI. As planned, combined data was collected and analyzed for participants who received Placebo in Groups 3 and 8.

Time frame:
Days 29 and 85
Reported as:
Geometric mean · ELISA Unit per milliliter (EU)/mL
Geometric Mean Concentration of Antibodies Binding to Hemagglutinin (HA) Stem or Full-length HA Protein as Measured by Enzyme-Linked Immunosorbent Assay (ELISA)
ELISA Unit per milliliter (EU)/mLGroup 1: Influenza A G1 mHA 45 mcg (Two Doses)Group 2: Influenza A G1 mHA 45 mcg With Al(OH)3 (Two Doses)Group 4: Influenza A G1 mHA 135 mcg (Two Doses)Group 5: Influenza A G1 mHA 135 mcg With Al(OH)3 (Two Doses)Group 6: Influenza A G1 mHA 135 mcg (First Dose) + Placebo (Second Dose)Group 7: Influenza A G1 mHA 135 mcg With Al(OH)3 (First Dose) + Placebo (Second Dose)Group 3 and Group 8: Placebo (Two Doses)
H5 A/Vietnam/1203/2004 ELISA: Day 292919 (1563 to 5450)2990 (1970 to 4538)3240 (1750 to 5998)4468 (2659 to 7507)3998 (2262 to 7068)5468 (3429 to 8717)329 (197 to 549)
H5 A/Vietnam/1203/2004 ELISA: Day 853015 (1738 to 5233)2892 (1879 to 4450)3413 (1984 to 5870)4276 (2755 to 6638)3044 (1774 to 5224)3087 (1955 to 4874)363 (228 to 578)
H1 mHA A/California/07/2009 ELISA: Day 2927285 (16056 to 46368)28343 (20284 to 39604)31894 (17465 to 58242)43631 (28230 to 67437)44575 (28632 to 69397)57306 (41346 to 79426)3337 (2109 to 5280)
H1 mHA A/California/07/2009 ELISA: Day 8528875 (18668 to 44665)29496 (21477 to 40509)36459 (23450 to 56686)45667 (33342 to 62547)31845 (20601 to 49224)32809 (24239 to 44409)3383 (2136 to 5358)

Adverse events

Collected over All cause mortality: From baseline (pre-vaccination Day 1) up to Day 365; SAE: From the day of vaccination 1 (Day 1) up to Day 365; Other AEs: Solicited AEs: within 7 days after vaccination 1 on Day 1 (up to Day 8), within 7 days after vaccination 2 on Day 57 (up to Day 64); Unsolicited AEs: within 28 days after vaccination 1 on Day 1 (up to Day 29 ), within 28 days after vaccination 2 on Day 57 (up to Day 85). Non-serious events are listed at a 5% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Group 1: Influenza A G1 mHA 45 mcg (Two Doses)0/25 (0%)0/25 (0%)9/25 (36%)
Group 2: Influenza A G1 mHA 45 mcg With Al(OH)3 (Two Doses)0/25 (0%)0/25 (0%)16/25 (64%)
Group 4: Influenza A G1 mHA 135 mcg (Two Doses)0/25 (0%)0/25 (0%)8/25 (32%)
Group 5: Influenza A G1 mHA 135 mcg With Al(OH)3 (Two Doses)0/25 (0%)2/25 (8%)18/25 (72%)
Group 6: Influenza A G1 mHA 135 mcg (First Dose) + Placebo (Second Dose)0/25 (0%)0/25 (0%)9/25 (36%)
Group 7: Influenza A G1 mHA 135 mcg With Al(OH)3 (First Dose) + Placebo (Second Dose)0/25 (0%)0/25 (0%)16/25 (64%)
Group 3 and Group 8: Placebo (Two Doses)0/20 (0%)0/20 (0%)9/20 (45%)
Most frequent serious events
Most frequent serious events
EventGroup 1: Influenza A G1 mHA 45 mcg (Two Doses)Group 2: Influenza A G1 mHA 45 mcg With Al(OH)3 (Two Doses)Group 4: Influenza A G1 mHA 135 mcg (Two Doses)Group 5: Influenza A G1 mHA 135 mcg With Al(OH)3 (Two Doses)Group 6: Influenza A G1 mHA 135 mcg (First Dose) + Placebo (Second Dose)Group 7: Influenza A G1 mHA 135 mcg With Al(OH)3 (First Dose) + Placebo (Second Dose)Group 3 and Group 8: Placebo (Two Doses)
Transient Ischaemic AttackNervous system disorders0/250/250/251/250/250/250/20
Abortion SpontaneousPregnancy, puerperium and perinatal conditions0/250/250/251/250/250/250/20
Most frequent other events
Most frequent other events
EventGroup 1: Influenza A G1 mHA 45 mcg (Two Doses)Group 2: Influenza A G1 mHA 45 mcg With Al(OH)3 (Two Doses)Group 4: Influenza A G1 mHA 135 mcg (Two Doses)Group 5: Influenza A G1 mHA 135 mcg With Al(OH)3 (Two Doses)Group 6: Influenza A G1 mHA 135 mcg (First Dose) + Placebo (Second Dose)Group 7: Influenza A G1 mHA 135 mcg With Al(OH)3 (First Dose) + Placebo (Second Dose)Group 3 and Group 8: Placebo (Two Doses)
Vaccination Site Pain (Solicited)General disorders7/2513/255/2514/257/2515/253/20
Fatigue (Solicited)General disorders8/258/257/2510/257/258/255/20
Myalgia (Solicited)Musculoskeletal and connective tissue disorders5/2510/254/255/252/2510/251/20
Headache (Solicited)Nervous system disorders3/257/255/256/253/259/251/20
Nausea (Solicited)Gastrointestinal disorders3/252/252/251/254/253/252/20
Vaccination Site Erythema (Solicited)General disorders1/251/251/250/250/252/251/20
Vaccination Site Swelling (Solicited)General disorders1/252/251/250/250/250/251/20
AnaemiaBlood and lymphatic system disorders0/250/250/250/251/250/251/20
Pyrexia (Solicited)General disorders0/250/250/250/250/250/251/20
Pulmonary EmbolismRespiratory, thoracic and mediastinal disorders0/250/250/250/250/250/251/20

Baseline characteristics

Age, Continuous
Age, Continuous(Years)Group 1: Influenza A G1 mHA 45 mcg (Two Doses)Group 2: Influenza A G1 mHA 45 mcg With Al(OH)3 (Two Doses)Group 4: Influenza A G1 mHA 135 mcg (Two Doses)Group 5: Influenza A G1 mHA 135 mcg With Al(OH)3 (Two Doses)Group 6: Influenza A G1 mHA 135 mcg (First Dose) + Placebo (Second Dose)Group 7: Influenza A G1 mHA 135 mcg With Al(OH)3 (First Dose) + Placebo (Second Dose)Group 3 and Group 8: Placebo (Two Doses)Total
Mean31.6 ± 7.7731.2 ± 8.3134.3 ± 7.1335.1 ± 7.2232.0 ± 7.0632.5 ± 7.9631.6 ± 7.6932.7 ± 7.6
Sex: Female, Male
Sex: Female, Male(Participants)Group 1: Influenza A G1 mHA 45 mcg (Two Doses)Group 2: Influenza A G1 mHA 45 mcg With Al(OH)3 (Two Doses)Group 4: Influenza A G1 mHA 135 mcg (Two Doses)Group 5: Influenza A G1 mHA 135 mcg With Al(OH)3 (Two Doses)Group 6: Influenza A G1 mHA 135 mcg (First Dose) + Placebo (Second Dose)Group 7: Influenza A G1 mHA 135 mcg With Al(OH)3 (First Dose) + Placebo (Second Dose)Group 3 and Group 8: Placebo (Two Doses)Total
Female87151813161289
Male1718107129881
Ethnicity (NIH/OMB)
Ethnicity (NIH/OMB)(Participants)Group 1: Influenza A G1 mHA 45 mcg (Two Doses)Group 2: Influenza A G1 mHA 45 mcg With Al(OH)3 (Two Doses)Group 4: Influenza A G1 mHA 135 mcg (Two Doses)Group 5: Influenza A G1 mHA 135 mcg With Al(OH)3 (Two Doses)Group 6: Influenza A G1 mHA 135 mcg (First Dose) + Placebo (Second Dose)Group 7: Influenza A G1 mHA 135 mcg With Al(OH)3 (First Dose) + Placebo (Second Dose)Group 3 and Group 8: Placebo (Two Doses)Total
Hispanic or Latino6111211127968
Not Hispanic or Latino19141314131811102
Unknown or Not Reported00000000
Race (NIH/OMB)
Race (NIH/OMB)(Participants)Group 1: Influenza A G1 mHA 45 mcg (Two Doses)Group 2: Influenza A G1 mHA 45 mcg With Al(OH)3 (Two Doses)Group 4: Influenza A G1 mHA 135 mcg (Two Doses)Group 5: Influenza A G1 mHA 135 mcg With Al(OH)3 (Two Doses)Group 6: Influenza A G1 mHA 135 mcg (First Dose) + Placebo (Second Dose)Group 7: Influenza A G1 mHA 135 mcg With Al(OH)3 (First Dose) + Placebo (Second Dose)Group 3 and Group 8: Placebo (Two Doses)Total
American Indian or Alaska Native00000000
Asian00000000
Native Hawaiian or Other Pacific Islander00100001
Black or African American965555338
White15181920202017129
More than one race11000002
Unknown or Not Reported00000000
Region of Enrollment
Region of Enrollment(Participants)Group 1: Influenza A G1 mHA 45 mcg (Two Doses)Group 2: Influenza A G1 mHA 45 mcg With Al(OH)3 (Two Doses)Group 4: Influenza A G1 mHA 135 mcg (Two Doses)Group 5: Influenza A G1 mHA 135 mcg With Al(OH)3 (Two Doses)Group 6: Influenza A G1 mHA 135 mcg (First Dose) + Placebo (Second Dose)Group 7: Influenza A G1 mHA 135 mcg With Al(OH)3 (First Dose) + Placebo (Second Dose)Group 3 and Group 8: Placebo (Two Doses)Total
United States25252525252520170
08

Study locations

4 sites
  • Floridian Clinical Research LLC
    Miami Lakes, Florida 33016, United States
  • Johnson County Clin-Trials
    Lenexa, Kansas 66219, United States
  • Clinical Trials Managements, LLC
    Metairie, Louisiana 70006, United States
  • CTI Clinical Trial and Consulting Services
    Cincinnati, Ohio 45212, United States
09

References and documents

Publications

  • Hertoghs N, Tang C, van Paassen V, Jongeneelen M, Tolboom J, Yieh L, Wang M, Kaszas K, McLean C, van den Berg S, Lowson D, Hu W, Aguilar Z, Hendriks J, Kuipers H, Kulke S, Sadoff J, Brandenburg B, Zahn R. A group 1 hemagglutinin stem vaccine elicits broad humoral responses against influenza in phase 1/2a study. Nat Commun. 2026 Apr 13;17(1):3451. doi: 10.1038/s41467-026-70396-1. PubMed 41974675 ↗

Study documents

PDFs hosted by the registry, ClinicalTrials.gov.

Individual participant data

Plan to share: Yes — The data sharing policy of the Janssen Pharmaceutical Companies of Johnson \& Johnson is available at www.janssen.com/clinical-trials/transparency. As noted on this site, requests for access to the study data can be submitted through Yale Open Data Access (YODA) Project site at yoda.yale.edu

Data sharing details ↗ · www.janssen.com

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 May 2023 to primary completion in Aug 2024, 15 months.

Results were first posted in Sep 2025, 1 year after primary completion.

Of 41 industry-sponsored phase 1/2 interventional studies under Influenza, Human, half reached primary completion within 13 months of starting (the median), counting those still running; a quarter within 7 and three quarters within 16. This study's 15 months is above that.

Counting every sponsor, half of 43 studies reached it within 12 months; a quarter within 7 and three quarters within 16.

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

Registered
Jun 5, 2023
First posted
Jun 13, 2023
StartActual
May 17, 2023
Primary completionActual
Aug 19, 2024
CompletionActual
Aug 19, 2024
Results first posted
Sep 8, 2025
Last update
Sep 8, 2025
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 Sep 8, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT05901636
Collaborators
Biomedical Advanced Research and Development Authority
Responsible party
Sponsor
First posted
Jun 13, 2023
Start date
May 17, 2023
Primary completion
Aug 19, 2024
Completion
Aug 19, 2024
Results posted
Sep 8, 2025
Last update
Sep 8, 2025

Study contacts

Janssen Vaccines & Prevention B.V. Clinical Trial
study director · Janssen Vaccines & Prevention B.V.

Oversight

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

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