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Safety and Immunogenicity of Two Doses of H5N1 Influenza Vaccine in Healthy Adults

A Phase II, Randomized, Observer-Blind,Multi-Center, Study to Evaluate Safety, Tolerability and Immunogenicity of an Adjuvanted Cell Culture-Derived H5N1 Subunit Influenza Virus Vaccine at Two Different Formulations in Healthy Adult Subjects.

Status
Completed
Phases
Phase 2
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT01776541
Enrollment
979
Registered
2013-01-28
Start date
2013-01-31
Completion date
2014-05-31
Last updated
2015-02-03

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Pandemic H5N1 Influenza

Keywords

Influenza, Pandemic, H5N1, Adults

Brief summary

Evaluate Safety, Tolerability and Immune Response of Adjuvanted H5N1 Cell Culture Derived Influenza Vaccine in Adult Subjects.

Interventions

Comparison of two doses of aH5N1c vaccine

Sponsors

Department of Health and Human Services
CollaboratorFED
Novartis Vaccines
Lead SponsorINDUSTRY

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
PREVENTION
Masking
DOUBLE (Subject, Investigator)

Eligibility

Sex/Gender
ALL
Age
18 Years to 64 Years
Healthy volunteers
Yes

Inclusion criteria

1. Healthy adult subjects 18 to 64 years of age, 2. Individuals willing to provide written informed consent, 3. Individuals in good health, 4. Individuals willing to allow for their serum samples to be stored beyond the study period.

Exclusion criteria

1. Individuals not able to understand and follow study procedures, 2. History of any significant illness, 3. History of any chronic medical condition or progressive disease, 4. Presence of medically significant cancer, 5. Known or suspected impairment/alteration of immune function, 6. Presence of any progressive or severe neurologic disorder, 7. Presence of any bleeding disorders or conditions that prolongs bleeding time, 8. History of allergy to vaccine components, 9. Receipt of any other investigational product within 30 days prior to entry into the study, 10. History of previous H5N1 vaccination, 11. Receipt of any other type of seasonal vaccination within 2 months prior to entry into the study, 12. Receipt of any other vaccine within 2 weeks prior to entry into the study 13. Body temperature ≥38°C.0 (≥100.4° F) and/or acute illness within 3 days of intended study vaccination, 14. Pregnant or breast feeding, 15. Females of childbearing potential refusing to use acceptable method of birth control, 16. Body mass index (BMI) ≥ 35 kg/m2, 17. History of drug or alcohol abuse, 18. Any planned surgery during study period, 19. Individuals conducting the study and their immediate family members, 20. Individuals with behavioral or cognitive impairment or psychiatric diseases.

Design outcomes

Primary

MeasureTime frameDescription
Percentages Of Subjects Achieving Hemagglutinin Inhibition (HI) Titers ≥40 Against A/H5N1 Strain.Three weeks after 2nd vaccination (day 43)The optimal aH5N1c vaccine formulation was evaluated in terms of percentages of subjects achieving HI titers ≥40 against homologous A/H5N1 strain, three weeks after second vaccination with either low dose or high dose of aH5N1c vaccine, according to the Center for Biologics Evaluation and Research (CBER) criterion. CBER criterion for the adult population is met if the lower limit of the two-sided 95% confidence interval (CI) for the percentages of subjects achieving HI titer ≥40 meets or exceeds 70%.
Percentages Of Subjects Achieving Seroconversion Against A/H5N1 Strain.Three weeks after 2nd vaccination (day 43)Immunogenicity was measured in terms of the percentages of subjects achieving seroconversion or significant increase in HI titer against the vaccine strain, three weeks after receiving two injections of low dose or high dose of aH5N1c vaccine according to the CBER criterion. Seroconversion is defined as either a) in subjects with a prevaccination HI titer \<10, a postvaccination titer ≥40; or b) in subjects with prevaccination HI titer ≥10, a minimum four-fold rise in postvaccination HI antibody titer. CBER criterion for the adult population is met if the lower limit of the two-sided 95% CI for the percentages of subjects achieving seroconversion for HI antibody titer meets or exceeds 40%.
Number of Subjects Reporting Solicited Local and Systemic Adverse Events (AE), After Any Vaccination.From day 1 through day 7 after any vaccination.Safety was assessed using the number of subjects who reported solicited local and systemic AEs following vaccination with either low or high dose of aH5N1c vaccine.
Number of Subjects Reporting Unsolicited AEs After Any Vaccination.Any unsolicited AEs - day 1 through day 22 after any vaccination. SAEs, NOCDs. medically attended AEs, AESIs, AEs leading to study withdrawal- day 1 to day 387Safety was assessed using the number of subjects who reported any unsolicited adverse events, adverse events possibly or probably related to study vaccine, serious adverse events (SAEs), new onset of chronic diseases (NOCDs), medically attended AEs, AEs of special interest (AESIs), AEs leading to withdrawal from study following vaccination with either low or high dose of aH5N1c vaccine.

Secondary

MeasureTime frameDescription
Percentages Of Subjects With HI Titers ≥40 Against A/H5N1 Strain.Day 1, day 22, day 43 and day 387Immunogenicity was assessed in terms of percentage of subjects achieving HI titers ≥40, 3 weeks after first vaccination, 3 weeks after second vaccination and 12 months after second vaccination of either low dose or high dose of aH5N1c according to the CHMP criterion. European Licensure (CHMP) criterion is met if the percentage of subjects achieving (at day 43) HI titers ≥40 is \>70%.
Percentages Of Subjects Achieving Seroconversion Against A/H5N1 Strain.Day 22, day 43 and day 387Immunogenicity was assessed in terms of percentages of subjects achieving seroconversion in HI titers, 3 weeks after first vaccination, 3 weeks after second vaccination and 12 months after second vaccination of either low dose or high dose aH5N1c vaccine according to the CHMP criterion. Seroconversion is defined as: a) for subjects with a prevaccination HI titer \<10, a postvaccination titer ≥40; or b) for subjects with prevaccination HI titer ≥10, a minimum four-fold rise in postvaccination HI antibody titer. The criterion is met according to the European (CHMP) guideline if the percentage of subjects achieving seroconversion (at day 43) is \>40%.
Geometric Mean Ratios Against A/H5N1 Strain Following 2-dose Vaccination Schedule of Either Low Dose or High Dose aH5N1c Vaccine.Day 1; day 22; day 43 and day 387Immunogenicity was measured as the geometric mean ratio (GMR). The ratio of postvaccination to prevaccination HI GMTs, 3 weeks after first vaccination, 3 weeks after second vaccination and 12 months after second vaccination of either low dose or high dose of aH5N1c is reported. The criterion is met according to the European Committee for Medicinal Products for Human Use (CHMP) criterion if the geometric mean increase GMR (day 43/day 1) in HI antibody titer is \>2.5 for subjects 18-60 years of age.

Countries

Australia, Thailand, United States

Participant flow

Recruitment details

Subjects were enrolled at 4 centers in the US, 3 centers in Australia and 1 center in Thailand.

Pre-assignment details

All enrolled subjects were included in the trial.

Participants by arm

ArmCount
High Dose
Subjects received 2 injections of a high dose MF59 adjuvanted cell-culture derived monovalent H5N1 vaccine three weeks apart.
488
Low Dose
Subjects received 2 injections of a low dose MF59 adjuvanted cell-culture derived monovalent H5N1 vaccine three weeks apart.
491
Total979

Withdrawals & dropouts

PeriodReasonFG000FG001
Overall StudyAdministrative Reason62
Overall StudyDeath40
Overall StudyLost to Follow-up2748
Overall StudyProtocol Violation21
Overall StudyUnclassified54
Overall StudyWithdrawal by Subject1220

Baseline characteristics

CharacteristicHigh DoseLow DoseTotal
Age, Continuous39.0 years
STANDARD_DEVIATION 13.7
38.4 years
STANDARD_DEVIATION 14.2
38.7 years
STANDARD_DEVIATION 14
Sex: Female, Male
Female
285 Participants259 Participants544 Participants
Sex: Female, Male
Male
203 Participants232 Participants435 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
EG002
affected / at risk
deaths
Total, all-cause mortality
— / —— / —— / —
other
Total, other adverse events
371 / 485324 / 490695 / 975
serious
Total, serious adverse events
20 / 4858 / 49028 / 975

Outcome results

Primary

Number of Subjects Reporting Solicited Local and Systemic Adverse Events (AE), After Any Vaccination.

Safety was assessed using the number of subjects who reported solicited local and systemic AEs following vaccination with either low or high dose of aH5N1c vaccine.

Time frame: From day 1 through day 7 after any vaccination.

Population: Analysis was done on the safety dataset, i.e. the subjects in the exposed population who provided postvaccination safety data.

ArmMeasureGroupValue (NUMBER)
High DoseNumber of Subjects Reporting Solicited Local and Systemic Adverse Events (AE), After Any Vaccination.Prevention of pain and (or) fever(N=471,470)7 Number of subjects
High DoseNumber of Subjects Reporting Solicited Local and Systemic Adverse Events (AE), After Any Vaccination.Arthralgia(N=471,467)70 Number of subjects
High DoseNumber of Subjects Reporting Solicited Local and Systemic Adverse Events (AE), After Any Vaccination.Loss of Appetite(N=472,469)53 Number of subjects
High DoseNumber of Subjects Reporting Solicited Local and Systemic Adverse Events (AE), After Any Vaccination.Fever (≥40°C)(N=472,469)1 Number of subjects
High DoseNumber of Subjects Reporting Solicited Local and Systemic Adverse Events (AE), After Any Vaccination.Any Local322 Number of subjects
High DoseNumber of Subjects Reporting Solicited Local and Systemic Adverse Events (AE), After Any Vaccination.Injection site Erythema(N=471,471)4 Number of subjects
High DoseNumber of Subjects Reporting Solicited Local and Systemic Adverse Events (AE), After Any Vaccination.Injection site Induration(N=471,471)54 Number of subjects
High DoseNumber of Subjects Reporting Solicited Local and Systemic Adverse Events (AE), After Any Vaccination.Injection site Ecchymosis(N=472,471)9 Number of subjects
High DoseNumber of Subjects Reporting Solicited Local and Systemic Adverse Events (AE), After Any Vaccination.Injection site Pain(N=471,470)318 Number of subjects
High DoseNumber of Subjects Reporting Solicited Local and Systemic Adverse Events (AE), After Any Vaccination.Any Systemic223 Number of subjects
High DoseNumber of Subjects Reporting Solicited Local and Systemic Adverse Events (AE), After Any Vaccination.Nausea(N=472,471)54 Number of subjects
High DoseNumber of Subjects Reporting Solicited Local and Systemic Adverse Events (AE), After Any Vaccination.Headache(N=471,469)126 Number of subjects
High DoseNumber of Subjects Reporting Solicited Local and Systemic Adverse Events (AE), After Any Vaccination.Fatigue(N=471,469)125 Number of subjects
High DoseNumber of Subjects Reporting Solicited Local and Systemic Adverse Events (AE), After Any Vaccination.Malaise(N=472,467)117 Number of subjects
High DoseNumber of Subjects Reporting Solicited Local and Systemic Adverse Events (AE), After Any Vaccination.Fever (≥38°C)(N=472,469)11 Number of subjects
High DoseNumber of Subjects Reporting Solicited Local and Systemic Adverse Events (AE), After Any Vaccination.Treatment of pain and (or) fever(N=471,470)40 Number of subjects
High DoseNumber of Subjects Reporting Solicited Local and Systemic Adverse Events (AE), After Any Vaccination.Myalgia(N=472,469)108 Number of subjects
Low DoseNumber of Subjects Reporting Solicited Local and Systemic Adverse Events (AE), After Any Vaccination.Loss of Appetite(N=472,469)38 Number of subjects
Low DoseNumber of Subjects Reporting Solicited Local and Systemic Adverse Events (AE), After Any Vaccination.Any Systemic209 Number of subjects
Low DoseNumber of Subjects Reporting Solicited Local and Systemic Adverse Events (AE), After Any Vaccination.Fatigue(N=471,469)108 Number of subjects
Low DoseNumber of Subjects Reporting Solicited Local and Systemic Adverse Events (AE), After Any Vaccination.Fever (≥38°C)(N=472,469)9 Number of subjects
Low DoseNumber of Subjects Reporting Solicited Local and Systemic Adverse Events (AE), After Any Vaccination.Prevention of pain and (or) fever(N=471,470)14 Number of subjects
Low DoseNumber of Subjects Reporting Solicited Local and Systemic Adverse Events (AE), After Any Vaccination.Nausea(N=472,471)48 Number of subjects
Low DoseNumber of Subjects Reporting Solicited Local and Systemic Adverse Events (AE), After Any Vaccination.Fever (≥40°C)(N=472,469)0 Number of subjects
Low DoseNumber of Subjects Reporting Solicited Local and Systemic Adverse Events (AE), After Any Vaccination.Myalgia(N=472,469)78 Number of subjects
Low DoseNumber of Subjects Reporting Solicited Local and Systemic Adverse Events (AE), After Any Vaccination.Any Local236 Number of subjects
Low DoseNumber of Subjects Reporting Solicited Local and Systemic Adverse Events (AE), After Any Vaccination.Arthralgia(N=471,467)52 Number of subjects
Low DoseNumber of Subjects Reporting Solicited Local and Systemic Adverse Events (AE), After Any Vaccination.Injection site Erythema(N=471,471)0 Number of subjects
Low DoseNumber of Subjects Reporting Solicited Local and Systemic Adverse Events (AE), After Any Vaccination.Malaise(N=472,467)97 Number of subjects
Low DoseNumber of Subjects Reporting Solicited Local and Systemic Adverse Events (AE), After Any Vaccination.Injection site Induration(N=471,471)35 Number of subjects
Low DoseNumber of Subjects Reporting Solicited Local and Systemic Adverse Events (AE), After Any Vaccination.Headache(N=471,469)114 Number of subjects
Low DoseNumber of Subjects Reporting Solicited Local and Systemic Adverse Events (AE), After Any Vaccination.Injection site Ecchymosis(N=472,471)6 Number of subjects
Low DoseNumber of Subjects Reporting Solicited Local and Systemic Adverse Events (AE), After Any Vaccination.Treatment of pain and (or) fever(N=471,470)31 Number of subjects
Low DoseNumber of Subjects Reporting Solicited Local and Systemic Adverse Events (AE), After Any Vaccination.Injection site Pain(N=471,470)235 Number of subjects
Primary

Number of Subjects Reporting Unsolicited AEs After Any Vaccination.

Safety was assessed using the number of subjects who reported any unsolicited adverse events, adverse events possibly or probably related to study vaccine, serious adverse events (SAEs), new onset of chronic diseases (NOCDs), medically attended AEs, AEs of special interest (AESIs), AEs leading to withdrawal from study following vaccination with either low or high dose of aH5N1c vaccine.

Time frame: Any unsolicited AEs - day 1 through day 22 after any vaccination. SAEs, NOCDs. medically attended AEs, AESIs, AEs leading to study withdrawal- day 1 to day 387

Population: Analysis was done on the safety dataset, i.e. the subjects in the exposed population who provided postvaccination safety data.

ArmMeasureGroupValue (NUMBER)
High DoseNumber of Subjects Reporting Unsolicited AEs After Any Vaccination.Any AEs94 Number of subjects
High DoseNumber of Subjects Reporting Unsolicited AEs After Any Vaccination.At least possibly related AEs39 Number of subjects
High DoseNumber of Subjects Reporting Unsolicited AEs After Any Vaccination.Any SAEs20 Number of subjects
High DoseNumber of Subjects Reporting Unsolicited AEs After Any Vaccination.Deaths4 Number of subjects
High DoseNumber of Subjects Reporting Unsolicited AEs After Any Vaccination.Medically attended AEs171 Number of subjects
High DoseNumber of Subjects Reporting Unsolicited AEs After Any Vaccination.AEs resulting in premature withdrawal from study4 Number of subjects
High DoseNumber of Subjects Reporting Unsolicited AEs After Any Vaccination.AEs of Special Interest1 Number of subjects
High DoseNumber of Subjects Reporting Unsolicited AEs After Any Vaccination.AEs leading to New Onset of Chronic Disease11 Number of subjects
Low DoseNumber of Subjects Reporting Unsolicited AEs After Any Vaccination.AEs leading to New Onset of Chronic Disease14 Number of subjects
Low DoseNumber of Subjects Reporting Unsolicited AEs After Any Vaccination.Any AEs92 Number of subjects
Low DoseNumber of Subjects Reporting Unsolicited AEs After Any Vaccination.Medically attended AEs153 Number of subjects
Low DoseNumber of Subjects Reporting Unsolicited AEs After Any Vaccination.At least possibly related AEs31 Number of subjects
Low DoseNumber of Subjects Reporting Unsolicited AEs After Any Vaccination.AEs of Special Interest0 Number of subjects
Low DoseNumber of Subjects Reporting Unsolicited AEs After Any Vaccination.Any SAEs8 Number of subjects
Low DoseNumber of Subjects Reporting Unsolicited AEs After Any Vaccination.AEs resulting in premature withdrawal from study0 Number of subjects
Low DoseNumber of Subjects Reporting Unsolicited AEs After Any Vaccination.Deaths0 Number of subjects
Primary

Percentages Of Subjects Achieving Hemagglutinin Inhibition (HI) Titers ≥40 Against A/H5N1 Strain.

The optimal aH5N1c vaccine formulation was evaluated in terms of percentages of subjects achieving HI titers ≥40 against homologous A/H5N1 strain, three weeks after second vaccination with either low dose or high dose of aH5N1c vaccine, according to the Center for Biologics Evaluation and Research (CBER) criterion. CBER criterion for the adult population is met if the lower limit of the two-sided 95% confidence interval (CI) for the percentages of subjects achieving HI titer ≥40 meets or exceeds 70%.

Time frame: Three weeks after 2nd vaccination (day 43)

Population: Analysis was done on the Full Analysis Set (FAS) i.e., the subjects who actually receive at least one dose of study vaccination and provide at least one evaluable serum sample both before (baseline) and after vaccination.

ArmMeasureGroupValue (NUMBER)
High DosePercentages Of Subjects Achieving Hemagglutinin Inhibition (HI) Titers ≥40 Against A/H5N1 Strain.Day 14 Percentages of subjects
High DosePercentages Of Subjects Achieving Hemagglutinin Inhibition (HI) Titers ≥40 Against A/H5N1 Strain.Day 43 (N=451,440)85 Percentages of subjects
Low DosePercentages Of Subjects Achieving Hemagglutinin Inhibition (HI) Titers ≥40 Against A/H5N1 Strain.Day 14 Percentages of subjects
Low DosePercentages Of Subjects Achieving Hemagglutinin Inhibition (HI) Titers ≥40 Against A/H5N1 Strain.Day 43 (N=451,440)63 Percentages of subjects
Primary

Percentages Of Subjects Achieving Seroconversion Against A/H5N1 Strain.

Immunogenicity was measured in terms of the percentages of subjects achieving seroconversion or significant increase in HI titer against the vaccine strain, three weeks after receiving two injections of low dose or high dose of aH5N1c vaccine according to the CBER criterion. Seroconversion is defined as either a) in subjects with a prevaccination HI titer \<10, a postvaccination titer ≥40; or b) in subjects with prevaccination HI titer ≥10, a minimum four-fold rise in postvaccination HI antibody titer. CBER criterion for the adult population is met if the lower limit of the two-sided 95% CI for the percentages of subjects achieving seroconversion for HI antibody titer meets or exceeds 40%.

Time frame: Three weeks after 2nd vaccination (day 43)

Population: This analysis was done on the FAS population.

ArmMeasureValue (NUMBER)
High DosePercentages Of Subjects Achieving Seroconversion Against A/H5N1 Strain.83 Percentages of subjects
Low DosePercentages Of Subjects Achieving Seroconversion Against A/H5N1 Strain.61 Percentages of subjects
Secondary

Geometric Mean Ratios Against A/H5N1 Strain Following 2-dose Vaccination Schedule of Either Low Dose or High Dose aH5N1c Vaccine.

Immunogenicity was measured as the geometric mean ratio (GMR). The ratio of postvaccination to prevaccination HI GMTs, 3 weeks after first vaccination, 3 weeks after second vaccination and 12 months after second vaccination of either low dose or high dose of aH5N1c is reported. The criterion is met according to the European Committee for Medicinal Products for Human Use (CHMP) criterion if the geometric mean increase GMR (day 43/day 1) in HI antibody titer is \>2.5 for subjects 18-60 years of age.

Time frame: Day 1; day 22; day 43 and day 387

Population: Analysis was done on the FAS set.

ArmMeasureGroupValue (GEOMETRIC_MEAN)
High DoseGeometric Mean Ratios Against A/H5N1 Strain Following 2-dose Vaccination Schedule of Either Low Dose or High Dose aH5N1c Vaccine.Day22/Day15.37 Ratio
High DoseGeometric Mean Ratios Against A/H5N1 Strain Following 2-dose Vaccination Schedule of Either Low Dose or High Dose aH5N1c Vaccine.Day43/Day1 (N=451,440)41 Ratio
High DoseGeometric Mean Ratios Against A/H5N1 Strain Following 2-dose Vaccination Schedule of Either Low Dose or High Dose aH5N1c Vaccine.Day387/Day1 (N=411,395)1.95 Ratio
Low DoseGeometric Mean Ratios Against A/H5N1 Strain Following 2-dose Vaccination Schedule of Either Low Dose or High Dose aH5N1c Vaccine.Day22/Day12.43 Ratio
Low DoseGeometric Mean Ratios Against A/H5N1 Strain Following 2-dose Vaccination Schedule of Either Low Dose or High Dose aH5N1c Vaccine.Day43/Day1 (N=451,440)11 Ratio
Low DoseGeometric Mean Ratios Against A/H5N1 Strain Following 2-dose Vaccination Schedule of Either Low Dose or High Dose aH5N1c Vaccine.Day387/Day1 (N=411,395)1.24 Ratio
Secondary

Percentages Of Subjects Achieving Seroconversion Against A/H5N1 Strain.

Immunogenicity was assessed in terms of percentages of subjects achieving seroconversion in HI titers, 3 weeks after first vaccination, 3 weeks after second vaccination and 12 months after second vaccination of either low dose or high dose aH5N1c vaccine according to the CHMP criterion. Seroconversion is defined as: a) for subjects with a prevaccination HI titer \<10, a postvaccination titer ≥40; or b) for subjects with prevaccination HI titer ≥10, a minimum four-fold rise in postvaccination HI antibody titer. The criterion is met according to the European (CHMP) guideline if the percentage of subjects achieving seroconversion (at day 43) is \>40%.

Time frame: Day 22, day 43 and day 387

Population: Analysis was done on the FAS set.

ArmMeasureGroupValue (NUMBER)
High DosePercentages Of Subjects Achieving Seroconversion Against A/H5N1 Strain.Day 2248 Percentages of subjects
High DosePercentages Of Subjects Achieving Seroconversion Against A/H5N1 Strain.Day 43 (N=451,440)83 Percentages of subjects
High DosePercentages Of Subjects Achieving Seroconversion Against A/H5N1 Strain.Day 387 (N=411,395)22 Percentages of subjects
Low DosePercentages Of Subjects Achieving Seroconversion Against A/H5N1 Strain.Day 2227 Percentages of subjects
Low DosePercentages Of Subjects Achieving Seroconversion Against A/H5N1 Strain.Day 43 (N=451,440)61 Percentages of subjects
Low DosePercentages Of Subjects Achieving Seroconversion Against A/H5N1 Strain.Day 387 (N=411,395)9 Percentages of subjects
Secondary

Percentages Of Subjects With HI Titers ≥40 Against A/H5N1 Strain.

Immunogenicity was assessed in terms of percentage of subjects achieving HI titers ≥40, 3 weeks after first vaccination, 3 weeks after second vaccination and 12 months after second vaccination of either low dose or high dose of aH5N1c according to the CHMP criterion. European Licensure (CHMP) criterion is met if the percentage of subjects achieving (at day 43) HI titers ≥40 is \>70%.

Time frame: Day 1, day 22, day 43 and day 387

Population: Analysis was done on the FAS set.

ArmMeasureGroupValue (NUMBER)
High DosePercentages Of Subjects With HI Titers ≥40 Against A/H5N1 Strain.Day 14 Percentages of subjects
High DosePercentages Of Subjects With HI Titers ≥40 Against A/H5N1 Strain.Day 43 (N=451,440)85 Percentages of subjects
High DosePercentages Of Subjects With HI Titers ≥40 Against A/H5N1 Strain.Day 22 (N=464,461)52 Percentages of subjects
High DosePercentages Of Subjects With HI Titers ≥40 Against A/H5N1 Strain.Day 387 (N=411,395)27 Percentages of subjects
Low DosePercentages Of Subjects With HI Titers ≥40 Against A/H5N1 Strain.Day 22 (N=464,461)30 Percentages of subjects
Low DosePercentages Of Subjects With HI Titers ≥40 Against A/H5N1 Strain.Day 14 Percentages of subjects
Low DosePercentages Of Subjects With HI Titers ≥40 Against A/H5N1 Strain.Day 387 (N=411,395)11 Percentages of subjects
Low DosePercentages Of Subjects With HI Titers ≥40 Against A/H5N1 Strain.Day 43 (N=451,440)63 Percentages of subjects

Source: ClinicalTrials.gov · Data processed: Mar 3, 2026