Trial Outcomes & Findings for Open-Label Study of H5 Vaccine in Participants of Protocol 04-077 (NCT NCT00402649)

NCT ID: NCT00402649

Last Updated: 2011-06-13

Results Overview

Number of subjects reporting solicited Adverse Events collected on Memory Aid for Days 0-7 post each vaccination for all subjects (systematic assessment), for any and severe severities.

Recruitment status

COMPLETED

Study phase

PHASE1/PHASE2

Target enrollment

35 participants

Primary outcome timeframe

Days 0-7 post each vaccination

Results posted on

2011-06-13

Participant Flow

Recruitment was offered to the 23 subjects (aged 2-10 years) who were previously enrolled and assigned to placebo at the three clinical sites in the DMID 04-077 study (NCT00133536), along with up to 32 subjects from a single site who were incorrectly dosed in that study.

Participant milestones

Participant milestones
Measure
Inactivated Influenza A/H5N1 Vaccine
All subjects will receive at least 2 and up to 3 doses of the vaccine approximately 28 days apart.
Overall Study
STARTED
35
Overall Study
COMPLETED
33
Overall Study
NOT COMPLETED
2

Reasons for withdrawal

Reasons for withdrawal
Measure
Inactivated Influenza A/H5N1 Vaccine
All subjects will receive at least 2 and up to 3 doses of the vaccine approximately 28 days apart.
Overall Study
Lost to Follow-up
1
Overall Study
Withdrawal by Subject
1

Baseline Characteristics

Open-Label Study of H5 Vaccine in Participants of Protocol 04-077

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Inactivated Influenza A/H5N1 Vaccine
n=35 Participants
All subjects will receive at least 2 and up to 3 doses of the vaccine approximately 28 days apart.
Age, Categorical
<=18 years
35 Participants
n=93 Participants
Age, Categorical
Between 18 and 65 years
0 Participants
n=93 Participants
Age, Categorical
>=65 years
0 Participants
n=93 Participants
Age Continuous
7.6 years
STANDARD_DEVIATION 2.3 • n=93 Participants
Sex: Female, Male
Female
16 Participants
n=93 Participants
Sex: Female, Male
Male
19 Participants
n=93 Participants
Region of Enrollment
United States
35 participants
n=93 Participants

PRIMARY outcome

Timeframe: Days 0-7 post each vaccination

Number of subjects reporting solicited Adverse Events collected on Memory Aid for Days 0-7 post each vaccination for all subjects (systematic assessment), for any and severe severities.

Outcome measures

Outcome measures
Measure
Inactivated Influenza A/H5N1 Vaccine
n=35 Participants
All subjects will receive at least 2 and up to 3 doses of the vaccine approximately 28 days apart.
Occurrence of Solicited Adverse Events Among All Subjects
Rash of any severity
0 Participants
Occurrence of Solicited Adverse Events Among All Subjects
Rash - severe
0 Participants
Occurrence of Solicited Adverse Events Among All Subjects
Elevated Oral Temperature of any severity
0 Participants
Occurrence of Solicited Adverse Events Among All Subjects
Elevated Oral Temperature - severe
0 Participants
Occurrence of Solicited Adverse Events Among All Subjects
General Activity of any severity
10 Participants
Occurrence of Solicited Adverse Events Among All Subjects
General Activity - severe
1 Participants
Occurrence of Solicited Adverse Events Among All Subjects
Pain of any severity
19 Participants
Occurrence of Solicited Adverse Events Among All Subjects
Pain - severe
0 Participants
Occurrence of Solicited Adverse Events Among All Subjects
Mobility of any severity
5 Participants
Occurrence of Solicited Adverse Events Among All Subjects
Mobility - severe
0 Participants
Occurrence of Solicited Adverse Events Among All Subjects
Redness of any severity
4 Participants
Occurrence of Solicited Adverse Events Among All Subjects
Redness - severe
0 Participants
Occurrence of Solicited Adverse Events Among All Subjects
Swelling of any severity
4 Participants
Occurrence of Solicited Adverse Events Among All Subjects
Swelling - severe
0 Participants

PRIMARY outcome

Timeframe: Days 0-7 post each vaccination

Population: Solicited symptom of Body Aches was collected from subjects age 6-10 only

Number of subjects reporting solicited Adverse Event of Body Aches, collected on Memory Aid for Days 0-7 post each vaccination for children age 6-10 only (systematic assessment), of any and severe severities.

Outcome measures

Outcome measures
Measure
Inactivated Influenza A/H5N1 Vaccine
n=26 Participants
All subjects will receive at least 2 and up to 3 doses of the vaccine approximately 28 days apart.
Occurrence of the Solicited Adverse Event of Body Aches, Solicited Only From Children Age 6-10
Body Aches of any severity
6 Participants
Occurrence of the Solicited Adverse Event of Body Aches, Solicited Only From Children Age 6-10
Body Aches - severe
0 Participants

PRIMARY outcome

Timeframe: Through Day 28 after second vaccination

Number of subjects with spontaneous reports of Adverse Events of any and severe severities. Events reported by more than 5.6% of subjects in any group are reported by MedDRA Preferred Term.

Outcome measures

Outcome measures
Measure
Inactivated Influenza A/H5N1 Vaccine
n=35 Participants
All subjects will receive at least 2 and up to 3 doses of the vaccine approximately 28 days apart.
Occurrence of Unsolicited Adverse Events
Vomiting of any severity
2 Participants
Occurrence of Unsolicited Adverse Events
Vomiting - severe
0 Participants
Occurrence of Unsolicited Adverse Events
Gastrointestinal viral of any severity
2 Participants
Occurrence of Unsolicited Adverse Events
Gastrointestinal viral - severe
0 Participants
Occurrence of Unsolicited Adverse Events
Nasopharyngitis of any severity
2 Participants
Occurrence of Unsolicited Adverse Events
Nasopharyngitis - severe
0 Participants
Occurrence of Unsolicited Adverse Events
Upper respiratory tract infection of any severity
2 Participants
Occurrence of Unsolicited Adverse Events
Upper respiratory tract infection - severe
0 Participants
Occurrence of Unsolicited Adverse Events
Headache of any severity
2 Participants
Occurrence of Unsolicited Adverse Events
Headache - severe
0 Participants
Occurrence of Unsolicited Adverse Events
Rhinitis allergic of any severity
2 Participants
Occurrence of Unsolicited Adverse Events
Rhinitis allergic - severe
0 Participants

PRIMARY outcome

Timeframe: 6 months after the first vaccination

Number of subjects with Serious Adverse Events during the 6 months after the first vaccination.

Outcome measures

Outcome measures
Measure
Inactivated Influenza A/H5N1 Vaccine
n=35 Participants
All subjects will receive at least 2 and up to 3 doses of the vaccine approximately 28 days apart.
Occurrence of Serious Adverse Events
0 Participants

SECONDARY outcome

Timeframe: Day 28 after second vaccination

Population: Blood draw was optional - blood collected from 16 participants

Number of subjects achieving serum hemagglutination inhibition antibody titer of 1:40 or greater against the influenza A/H5N1 virus after receipt of two doses of vaccine.

Outcome measures

Outcome measures
Measure
Inactivated Influenza A/H5N1 Vaccine
n=16 Participants
All subjects will receive at least 2 and up to 3 doses of the vaccine approximately 28 days apart.
Number of Participants With Serum Hemagglutination Inhibition (HAI) Antibody Titers of 1:40 or Greater
7 Participants

SECONDARY outcome

Timeframe: Day 28 after second vaccination

Population: Blood draw was optional - blood collected from 16 participants

Geometric mean titer of hemagglutination inhibition antibody titers after receipt of two doses of vaccine.

Outcome measures

Outcome measures
Measure
Inactivated Influenza A/H5N1 Vaccine
n=16 Participants
All subjects will receive at least 2 and up to 3 doses of the vaccine approximately 28 days apart.
Geometric Mean Titer of Hemagglutination Inhibition Antibody Titers
20.9 Titer
Interval 8.4 to 51.9

SECONDARY outcome

Timeframe: Day 28 after second vaccination

Population: Blood draw was optional - blood collected from 16 participants post vaccination, but missing baseline assessment for 3 of 16 subjects

Number of subjects with a 4-fold or greater increase, relative to baseline, in hemagglutination inhibition antibody titers after receipt of two doses of vaccine.

Outcome measures

Outcome measures
Measure
Inactivated Influenza A/H5N1 Vaccine
n=13 Participants
All subjects will receive at least 2 and up to 3 doses of the vaccine approximately 28 days apart.
Number of Participants With a Four-fold or Greater Increase in Hemagglutination Inhibition Antibody Titers
4 Participants

Adverse Events

Inactivated Influenza A/H5N1 Vaccine

Serious events: 0 serious events
Other events: 26 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
Inactivated Influenza A/H5N1 Vaccine
n=35 participants at risk
All subjects will receive at least 2 and up to 3 doses of the vaccine approximately 28 days apart.
Gastrointestinal disorders
Vomiting
5.7%
2/35 • Number of events 2 • Subjects' parents/guardians recorded solicited symptoms on a memory aid for 8 days (Day 0-7) following each dose. Unsolicited non-serious adverse events were collected for 28 days after each dose and serious adverse events were collected through Day 180.
The solicited symptoms are reported separately after each vaccination. The occurrence of a solicited symptom on any day(s) at any severity within the 8 day period was considered one event.
Infections and infestations
Gastroenteritis viral
5.7%
2/35 • Number of events 2 • Subjects' parents/guardians recorded solicited symptoms on a memory aid for 8 days (Day 0-7) following each dose. Unsolicited non-serious adverse events were collected for 28 days after each dose and serious adverse events were collected through Day 180.
The solicited symptoms are reported separately after each vaccination. The occurrence of a solicited symptom on any day(s) at any severity within the 8 day period was considered one event.
Infections and infestations
Nasopharyngitis
5.7%
2/35 • Number of events 2 • Subjects' parents/guardians recorded solicited symptoms on a memory aid for 8 days (Day 0-7) following each dose. Unsolicited non-serious adverse events were collected for 28 days after each dose and serious adverse events were collected through Day 180.
The solicited symptoms are reported separately after each vaccination. The occurrence of a solicited symptom on any day(s) at any severity within the 8 day period was considered one event.
Infections and infestations
Upper respiratory tract infection
5.7%
2/35 • Number of events 2 • Subjects' parents/guardians recorded solicited symptoms on a memory aid for 8 days (Day 0-7) following each dose. Unsolicited non-serious adverse events were collected for 28 days after each dose and serious adverse events were collected through Day 180.
The solicited symptoms are reported separately after each vaccination. The occurrence of a solicited symptom on any day(s) at any severity within the 8 day period was considered one event.
Nervous system disorders
Headache
5.7%
2/35 • Number of events 3 • Subjects' parents/guardians recorded solicited symptoms on a memory aid for 8 days (Day 0-7) following each dose. Unsolicited non-serious adverse events were collected for 28 days after each dose and serious adverse events were collected through Day 180.
The solicited symptoms are reported separately after each vaccination. The occurrence of a solicited symptom on any day(s) at any severity within the 8 day period was considered one event.
Respiratory, thoracic and mediastinal disorders
Rhinitis allergic
5.7%
2/35 • Number of events 2 • Subjects' parents/guardians recorded solicited symptoms on a memory aid for 8 days (Day 0-7) following each dose. Unsolicited non-serious adverse events were collected for 28 days after each dose and serious adverse events were collected through Day 180.
The solicited symptoms are reported separately after each vaccination. The occurrence of a solicited symptom on any day(s) at any severity within the 8 day period was considered one event.
General disorders
Pain - post dose 1
14.3%
5/35 • Number of events 5 • Subjects' parents/guardians recorded solicited symptoms on a memory aid for 8 days (Day 0-7) following each dose. Unsolicited non-serious adverse events were collected for 28 days after each dose and serious adverse events were collected through Day 180.
The solicited symptoms are reported separately after each vaccination. The occurrence of a solicited symptom on any day(s) at any severity within the 8 day period was considered one event.
General disorders
Pain - post dose 2
6.2%
2/32 • Number of events 2 • Subjects' parents/guardians recorded solicited symptoms on a memory aid for 8 days (Day 0-7) following each dose. Unsolicited non-serious adverse events were collected for 28 days after each dose and serious adverse events were collected through Day 180.
The solicited symptoms are reported separately after each vaccination. The occurrence of a solicited symptom on any day(s) at any severity within the 8 day period was considered one event.
General disorders
Injection site erythema - post dose 1
11.4%
4/35 • Number of events 4 • Subjects' parents/guardians recorded solicited symptoms on a memory aid for 8 days (Day 0-7) following each dose. Unsolicited non-serious adverse events were collected for 28 days after each dose and serious adverse events were collected through Day 180.
The solicited symptoms are reported separately after each vaccination. The occurrence of a solicited symptom on any day(s) at any severity within the 8 day period was considered one event.
General disorders
Injection site erythema - post dose 2
6.2%
2/32 • Number of events 2 • Subjects' parents/guardians recorded solicited symptoms on a memory aid for 8 days (Day 0-7) following each dose. Unsolicited non-serious adverse events were collected for 28 days after each dose and serious adverse events were collected through Day 180.
The solicited symptoms are reported separately after each vaccination. The occurrence of a solicited symptom on any day(s) at any severity within the 8 day period was considered one event.
General disorders
Injection site swelling - post dose 1
11.4%
4/35 • Number of events 4 • Subjects' parents/guardians recorded solicited symptoms on a memory aid for 8 days (Day 0-7) following each dose. Unsolicited non-serious adverse events were collected for 28 days after each dose and serious adverse events were collected through Day 180.
The solicited symptoms are reported separately after each vaccination. The occurrence of a solicited symptom on any day(s) at any severity within the 8 day period was considered one event.
General disorders
Injection site swelling - post dose 2
6.2%
2/32 • Number of events 2 • Subjects' parents/guardians recorded solicited symptoms on a memory aid for 8 days (Day 0-7) following each dose. Unsolicited non-serious adverse events were collected for 28 days after each dose and serious adverse events were collected through Day 180.
The solicited symptoms are reported separately after each vaccination. The occurrence of a solicited symptom on any day(s) at any severity within the 8 day period was considered one event.
General disorders
Injection site pain - post dose 1
31.4%
11/35 • Number of events 11 • Subjects' parents/guardians recorded solicited symptoms on a memory aid for 8 days (Day 0-7) following each dose. Unsolicited non-serious adverse events were collected for 28 days after each dose and serious adverse events were collected through Day 180.
The solicited symptoms are reported separately after each vaccination. The occurrence of a solicited symptom on any day(s) at any severity within the 8 day period was considered one event.
General disorders
Injection site pain - post dose 2
46.9%
15/32 • Number of events 15 • Subjects' parents/guardians recorded solicited symptoms on a memory aid for 8 days (Day 0-7) following each dose. Unsolicited non-serious adverse events were collected for 28 days after each dose and serious adverse events were collected through Day 180.
The solicited symptoms are reported separately after each vaccination. The occurrence of a solicited symptom on any day(s) at any severity within the 8 day period was considered one event.
General disorders
Decreased activity - post dose 1
17.1%
6/35 • Number of events 6 • Subjects' parents/guardians recorded solicited symptoms on a memory aid for 8 days (Day 0-7) following each dose. Unsolicited non-serious adverse events were collected for 28 days after each dose and serious adverse events were collected through Day 180.
The solicited symptoms are reported separately after each vaccination. The occurrence of a solicited symptom on any day(s) at any severity within the 8 day period was considered one event.
General disorders
Decreased activity - post dose 2
14.3%
5/35 • Number of events 5 • Subjects' parents/guardians recorded solicited symptoms on a memory aid for 8 days (Day 0-7) following each dose. Unsolicited non-serious adverse events were collected for 28 days after each dose and serious adverse events were collected through Day 180.
The solicited symptoms are reported separately after each vaccination. The occurrence of a solicited symptom on any day(s) at any severity within the 8 day period was considered one event.
Musculoskeletal and connective tissue disorders
Joint range of motion decreased - post dose 1
14.3%
5/35 • Number of events 5 • Subjects' parents/guardians recorded solicited symptoms on a memory aid for 8 days (Day 0-7) following each dose. Unsolicited non-serious adverse events were collected for 28 days after each dose and serious adverse events were collected through Day 180.
The solicited symptoms are reported separately after each vaccination. The occurrence of a solicited symptom on any day(s) at any severity within the 8 day period was considered one event.
Musculoskeletal and connective tissue disorders
Joint range of motion decreased - post dose 2
8.6%
3/35 • Number of events 3 • Subjects' parents/guardians recorded solicited symptoms on a memory aid for 8 days (Day 0-7) following each dose. Unsolicited non-serious adverse events were collected for 28 days after each dose and serious adverse events were collected through Day 180.
The solicited symptoms are reported separately after each vaccination. The occurrence of a solicited symptom on any day(s) at any severity within the 8 day period was considered one event.

Additional Information

Ina Stephens, MD

University of Maryland Center for Vaccine Development

Phone: 410-706-1123

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place

Restriction type: LTE60