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A Phase 1/2 Study of a Intramuscular Injection of TAK-850 in Healthy Adult Subjects

An Open-label Phase 1/2 Study to Evaluate the Safety and Immunogenicity of a Single Intramuscular Injection of TAK-850 in Healthy Adult Subjects

Status
Completed
Phases
Phase 1Phase 2
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT02111252
Enrollment
55
Registered
2014-04-11
Start date
2014-03-31
Completion date
2014-04-30
Last updated
2015-07-27

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

Conditions

Influenza

Keywords

Drug Therapy

Brief summary

This clinical trial is a phase 1/2 study of a single intramuscular injection of TAK-850 in healthy Japanese adult participants

Detailed description

The primary objective of this study is to evaluate the safety and immunogenicity of a single intramuscular injection of TAK-850 for 22 days in healthy Japanese adults

Interventions

TAK-850 injection

Sponsors

Takeda
Lead SponsorINDUSTRY

Study design

Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
TREATMENT
Masking
NONE

Eligibility

Sex/Gender
ALL
Age
20 Years to 49 Years
Healthy volunteers
Yes

Inclusion criteria

* 1\. In the opinion of the investigator, the participant is capable of understanding and complying with protocol requirements. 2\. The participant signs and dates a written, informed consent form prior to the initiation of any study procedures. 3\. The participant is a healthy Japanese adult male or female. 4. The participant is aged 20 to 49 years, inclusive, at the time of informed consent. 5\. The participant has a body mass index (BMI) between 18.5 and 25.0 kg/m2, inclusive, at the time of eligibility evaluation. 6\. If the participant is a female of childbearing potential who is sexually active with a nonsterilized male partner agrees to use routinely adequate contraception from signing of informed consent throughout the duration of the study.

Exclusion criteria

* 1\. The participant has received any investigational compound within 4 months prior to the initial injection of study vaccine. 2\. The participant has been vaccinated with seasonal influenza vaccine within 6 months prior to the initial injection of study vaccine. 3\. The participant has a history of influenza infection within 6 months prior to the initial injection of study vaccine 4. The participant is a study site employee, an immediate family member of such an employee, or in a dependent relationship with a study site employee who is involved in the conduct of this study (e.g., spouse, parent, child, sibling), or may consent under duress. 5\. The participant has uncontrolled, clinically significant manifestations of neurological, cardiovascular, pulmonary, hepatic, renal, metabolic, gastrointestinal, urologic, endocrine or other disorders, which may impact the ability of the participant to participate or potentially confound the study results. 6\. The participant has an oral temperature ≥37.5°C prior to the initial injection of study vaccine on Day 1. 7\. The participant has any medically diagnosed or suspected immune deficient condition. 8\. The participant has an immune compromising condition or disease, or is currently undergoing a form of treatment or was undergoing a form of treatment that can be expected to influence immune response within 30 days prior to the initial injection of study vaccine. Such treatments include, but is not limited to, systemic or high dose inhaled corticosteroids (\>800 μg/day of beclomethasone dipropionate or equivalent; the use of inhaled and nasal steroids that do not exceed this level will be permitted), radiation treatment or other immunosuppressive or cytotoxic drugs. 9\. The participant has received antipyretics within 4 hours prior to the initial injection of study vaccine. 10\. The participant has a history of Guillain- Barré Syndrome, demyelinating disorders (including acute disseminated encephalomyelitis \[ADEM\] and multiple sclerosis) or convulsions. 11\. The participant has a functional or surgical asplenia. 12. The participant has a rash, other dermatologic conditions or tattoos which may interfere with the evaluation of injection site reaction as determined by the Investigator. 13\. The participant has a history of, or is infected with the Hepatitis B Virus (HBsAgs), Hepatitis C Virus (HCV) or Human Immunodeficiency Virus (HIV). 14\. The participant has a known hypersensitivity to any component of TAK-850. 15. The participant has a history of severe allergic reactions or anaphylaxis. 16. The participant has a history of drug abuse (defined as any illicit drug use) or a history of alcohol abuse within 1 year prior to the initial injection of study vaccine or is unwilling to agree to abstain from alcohol and drugs throughout the study. 17\. The participant has received any blood products (e.g. blood transfusion or immunoglobulin) within 90 days prior to the initial injection of study vaccine. 18\. The participant has received a live vaccine within 4 weeks (28 days) or an inactivated vaccine within 2 weeks (14 days) prior to the initial injection of study vaccine. 19\. If female, the participant is pregnant or lactating or intending to become pregnant before signing informed consent, during, or within 1 month after participating in this study; or intending to donate ova during such time period. 20\. The participant has donated whole blood ?200 mL within 4 weeks (28 days), ≥400 mL within 12 weeks (84 days), ≥800 mL within 52 weeks (364 days), or blood components within 2 weeks (14 days) prior to the initial injection of study vaccine. 21\. The participant has abnormal (clinically significant) electrocardiogram (ECG) at the assessment prior to the initial injection of study vaccine. 22\. The participant has abnormal laboratory values that suggest a clinically significant underlying disease at the assessment prior to the initial injection of study vaccine, or the participant has the following lab abnormalities: alanine aminotransferase (ALT) and/or aspartate aminotransferase (AST) more than 3 times the upper limits of normal. 23\. In the opinion of the investigator or subinvestigator, the participant is unlikely to comply with protocol requirements or is considered ineligible for any other reason.

Design outcomes

Primary

MeasureTime frameDescription
Number of Participants With Solicited Injection Site and Systemic Adverse EventsFor 22 daysNumber of participants with injection site and systemic adverse events will be tabulated in its own, and by severity and day of onset. Described if solicited adverse event term is different from the PT.
Percentage of Participants With Seroprotection Rate of Hemagglutination Inhibition [HI] Antibody TiterDay 22Seroprotection rate is measured by HI antibody titer for each of the three strains (A/H1N1 strain, A/H3N2 strain, B strain), 21 days after vaccination. Seroprotection Rate was defined as the percentage of participants with HI antibody titer ≥ 40 for each of the three strains (A/H1N1 strain, A/H3N2 strain, B strain).
Seroconversion Rate of HI AntibodyTiterDay 22Seroconversion rate is measured by HI antibody titer for each of the three strains (A/H1N1 strain, A/H3N2 strain, B strain), 21 days after vaccination. Seroconversion Rate was defined as the perccentage of participants with a baseline HI antibody titer of ≥ 10 achieving a minimal 4-fold increase, or baseline HI antibody titer of \< 10 achieving an HI antibody titer of ≥ 40 for each of the three strains (A/H1N1 strain, A/H3N2 strain, B strain).
Geometric Mean Fold Increase in HI Antibody TiterDay 22Geometric mean fold increase in HI antibody titer for each of the three strains (A/H1N1 strain, A/H3N2 strain, B strain), 21 days after vaccination, as compared to baseline.

Secondary

MeasureTime frameDescription
GMT of Single Radial Hemolysis (SRH) Antibody TiterDay 22GMT of single radial hemolysis (SRH) antibody titer for each of the three strains (A/H1N1 strain, A/H3N2 strain, B strain), 21 days after vaccination.
Seroprotection Rate of SRH Antibody TiterDay 22Seroprotection rate is measured by SRH antibody titer for each of the three strains (A/H1N1 strain, A/H3N2 strain, B strain), 21 days after vaccination.
Geometric Mean Fold Increase in SRH Antibody TiterDay 22Geometric mean fold increase in SRH antibody titer for each of the three strains (A/H1N1 strain, A/H3N2 strain, B strain), 21 days after vaccination, as compared to baseline.
Seroconversion Rate of SRH Antibody TiterDay 22Seroconversion rate as measured by SRH antibody titer for each of the three strains (A/H1N1 strain, A/H3N2 strain, B strain), 21 days after vaccination.
Change From Baseline in Blood PressureDay 1 (Baseline), Day 8, Day 22For continuous variables, summary statistics of measured values and respective changes from baseline will be calculated at each evaluation time point. In addition, figures illustrating individual changes will be created. For discrete variables, shift tables (before and after vaccination) will be created.
Change From Baseline in Safety Electrocardiogram (ECG) ParametersDay 1 and Day 22The ECG data will be analyzed into 3 categories, 'normal', 'abnormal but not clinically significant' and 'abnormal clinically significant'. Using these variables, shift tables (before and after vaccination) will be created by individual participant. . The definitions for the acronyms are as follows: Within Normal Limits (WNL), Not Clinically Significant (NCS), and Clinically Significant (CS).
Geometric Mean Titer (GMT) of HI Antibody TiterDay 22Geometric mean titer (GMT) of HI antibody titer for each of the three strains (A/H1N1 strain, A/H3N2 strain, B strain), 21 days after vaccination

Countries

Japan

Participant flow

Recruitment details

Participants took part in the study at 1 investigative site in Japan from 23 March 2014 to 15 April 2014.

Pre-assignment details

Informed consent for the study was obtained from 64 subjects in total. All subjects who gave informed consent were screened for eligibility, and 55 of these subjects were enrolled.

Participants by arm

ArmCount
TAK-850 0.5 mL
A single dose of 0.5 mL TAK-850 (15 µg of hemagglutinin \[HA\] antigen per strain) is injected into the deltoid muscle.
55
Total55

Baseline characteristics

CharacteristicTAK-850 0.5 mL
Age, Continuous33.2 years
STANDARD_DEVIATION 8.75
Body Mass index (BMI)21.66 kg/m^2
STANDARD_DEVIATION 1.563
Height164.8 cm
STANDARD_DEVIATION 7.82
Influenza Vaccination History Within 1 Year
No
55 Number of participants
Influenza Vaccination History Within 1 Year
Yes
0 Number of participants
Sex: Female, Male
Female
25 Participants
Sex: Female, Male
Male
30 Participants
Weight58.95 kg
STANDARD_DEVIATION 7.185

Adverse events

Event typeEG000
affected / at risk
deaths
Total, all-cause mortality
— / —
other
Total, other adverse events
30 / 55
serious
Total, serious adverse events
0 / 55

Outcome results

Primary

Geometric Mean Fold Increase in HI Antibody Titer

Geometric mean fold increase in HI antibody titer for each of the three strains (A/H1N1 strain, A/H3N2 strain, B strain), 21 days after vaccination, as compared to baseline.

Time frame: Day 22

Population: The full analysis set was used.

ArmMeasureGroupValue (GEOMETRIC_MEAN)Dispersion
TAK-850 0.5 mLGeometric Mean Fold Increase in HI Antibody TiterA/H1N1 strain14.74 Fold Change95% Confidence Interval 7.412
TAK-850 0.5 mLGeometric Mean Fold Increase in HI Antibody TiterB strain7.147.14 Fold Change95% Confidence Interval 5.123
TAK-850 0.5 mLGeometric Mean Fold Increase in HI Antibody TiterA/H3N2 strain6.71 Fold Change95% Confidence Interval 6.783
Primary

Number of Participants With Solicited Injection Site and Systemic Adverse Events

Number of participants with injection site and systemic adverse events will be tabulated in its own, and by severity and day of onset. Described if solicited adverse event term is different from the PT.

Time frame: For 22 days

Population: The safety analysis set, comprised the volunteers who received a single dose of 0.5 mL TAK-850, was used.

ArmMeasureGroupValue (NUMBER)
TAK-850 0.5 mLNumber of Participants With Solicited Injection Site and Systemic Adverse EventsArthralgia1 participants
TAK-850 0.5 mLNumber of Participants With Solicited Injection Site and Systemic Adverse EventsChills2 participants
TAK-850 0.5 mLNumber of Participants With Solicited Injection Site and Systemic Adverse EventsFatigue1 participants
TAK-850 0.5 mLNumber of Participants With Solicited Injection Site and Systemic Adverse EventsHeadache3 participants
TAK-850 0.5 mLNumber of Participants With Solicited Injection Site and Systemic Adverse EventsInjection site pain9 participants
TAK-850 0.5 mLNumber of Participants With Solicited Injection Site and Systemic Adverse EventsInjection site tenderness (Injection site pain)18 participants
TAK-850 0.5 mLNumber of Participants With Solicited Injection Site and Systemic Adverse EventsMalaise9 participants
TAK-850 0.5 mLNumber of Participants With Solicited Injection Site and Systemic Adverse EventsInjection site ecchymosis (haemorrhage)1 participants
TAK-850 0.5 mLNumber of Participants With Solicited Injection Site and Systemic Adverse EventsMyalgia2 participants
TAK-850 0.5 mLNumber of Participants With Solicited Injection Site and Systemic Adverse EventsPyrexia1 participants
TAK-850 0.5 mLNumber of Participants With Solicited Injection Site and Systemic Adverse EventsSweaty (Hyperhidrosis)1 participants
Primary

Percentage of Participants With Seroprotection Rate of Hemagglutination Inhibition [HI] Antibody Titer

Seroprotection rate is measured by HI antibody titer for each of the three strains (A/H1N1 strain, A/H3N2 strain, B strain), 21 days after vaccination. Seroprotection Rate was defined as the percentage of participants with HI antibody titer ≥ 40 for each of the three strains (A/H1N1 strain, A/H3N2 strain, B strain).

Time frame: Day 22

Population: The full analysis set was used.

ArmMeasureGroupValue (NUMBER)
TAK-850 0.5 mLPercentage of Participants With Seroprotection Rate of Hemagglutination Inhibition [HI] Antibody TiterA/H1N1 strain Pre-vaccination (Day 1)34.5 Percentage of participants
TAK-850 0.5 mLPercentage of Participants With Seroprotection Rate of Hemagglutination Inhibition [HI] Antibody TiterA/H1N1 strain 21 Days Post-vaccination (Day 22)81.8 Percentage of participants
TAK-850 0.5 mLPercentage of Participants With Seroprotection Rate of Hemagglutination Inhibition [HI] Antibody TiterA/H3N2 strain Pre-vaccination (Day 1)63.6 Percentage of participants
TAK-850 0.5 mLPercentage of Participants With Seroprotection Rate of Hemagglutination Inhibition [HI] Antibody TiterA/H3N2 strain 21 Days Post-vaccination (Day 22)87.3 Percentage of participants
TAK-850 0.5 mLPercentage of Participants With Seroprotection Rate of Hemagglutination Inhibition [HI] Antibody TiterB strain Pre-vaccination (Day 1)20.0 Percentage of participants
TAK-850 0.5 mLPercentage of Participants With Seroprotection Rate of Hemagglutination Inhibition [HI] Antibody TiterB strain 21 Days Post-vaccination (Day 22)76.4 Percentage of participants
Primary

Seroconversion Rate of HI AntibodyTiter

Seroconversion rate is measured by HI antibody titer for each of the three strains (A/H1N1 strain, A/H3N2 strain, B strain), 21 days after vaccination. Seroconversion Rate was defined as the perccentage of participants with a baseline HI antibody titer of ≥ 10 achieving a minimal 4-fold increase, or baseline HI antibody titer of \< 10 achieving an HI antibody titer of ≥ 40 for each of the three strains (A/H1N1 strain, A/H3N2 strain, B strain).

Time frame: Day 22

ArmMeasureGroupValue (NUMBER)
TAK-850 0.5 mLSeroconversion Rate of HI AntibodyTiterA/H1N1 strain70.9 Percentage of participants
TAK-850 0.5 mLSeroconversion Rate of HI AntibodyTiterA/H3N2 strain52.7 Percentage of participants
TAK-850 0.5 mLSeroconversion Rate of HI AntibodyTiterB strain61.8 Percentage of participants
Secondary

Change From Baseline in Blood Pressure

For continuous variables, summary statistics of measured values and respective changes from baseline will be calculated at each evaluation time point. In addition, figures illustrating individual changes will be created. For discrete variables, shift tables (before and after vaccination) will be created.

Time frame: Day 1 (Baseline), Day 8, Day 22

ArmMeasureGroupValue (MEAN)Dispersion
TAK-850 0.5 mLChange From Baseline in Blood PressureSystolic blood pressure Day 1-1.2 mmHgStandard Deviation 8.37
TAK-850 0.5 mLChange From Baseline in Blood PressureSystolic blood pressure Day 8-2.1 mmHgStandard Deviation 9.23
TAK-850 0.5 mLChange From Baseline in Blood PressureSystolic blood pressure Day 220.7 mmHgStandard Deviation 10.62
TAK-850 0.5 mLChange From Baseline in Blood PressureDiastolic blood pressure Day 1-2.0 mmHgStandard Deviation 6.95
TAK-850 0.5 mLChange From Baseline in Blood PressureDiastolic blood pressure Day 8-2.7 mmHgStandard Deviation 6.79
TAK-850 0.5 mLChange From Baseline in Blood PressureDiastolic blood pressure Day 22-2.4 mmHgStandard Deviation 7.3
Secondary

Change From Baseline in Safety Electrocardiogram (ECG) Parameters

The ECG data will be analyzed into 3 categories, 'normal', 'abnormal but not clinically significant' and 'abnormal clinically significant'. Using these variables, shift tables (before and after vaccination) will be created by individual participant. . The definitions for the acronyms are as follows: Within Normal Limits (WNL), Not Clinically Significant (NCS), and Clinically Significant (CS).

Time frame: Day 1 and Day 22

ArmMeasureGroupValue (NUMBER)
TAK-850 0.5 mLChange From Baseline in Safety Electrocardiogram (ECG) ParametersWNL at Day 1 and WNL at Day 2255 participants
TAK-850 0.5 mLChange From Baseline in Safety Electrocardiogram (ECG) ParametersWNL ay Day 1 and Abnormal, NCS at Day 220 participants
TAK-850 0.5 mLChange From Baseline in Safety Electrocardiogram (ECG) ParametersWNL at Day 1 and Abnormal, CS at Day 220 participants
TAK-850 0.5 mLChange From Baseline in Safety Electrocardiogram (ECG) ParametersAbnormal, NCS at Day 1 and Abnormal NCS at Day 220 participants
TAK-850 0.5 mLChange From Baseline in Safety Electrocardiogram (ECG) ParametersAbnormal, NCS at Day 1 and Abnormal, CS at Day 220 participants
TAK-850 0.5 mLChange From Baseline in Safety Electrocardiogram (ECG) ParametersAbnormal, CS at Day WNL at Day 220 participants
TAK-850 0.5 mLChange From Baseline in Safety Electrocardiogram (ECG) ParametersAbnormal, CS at Day 1 and Abnormal, NCS at Day 220 participants
TAK-850 0.5 mLChange From Baseline in Safety Electrocardiogram (ECG) ParametersAbnormal, NCS at Day 1 and WNL at Day 220 participants
TAK-850 0.5 mLChange From Baseline in Safety Electrocardiogram (ECG) ParametersAbnormal, CS at Day 1 and Abnormal, CS at Day 220 participants
Secondary

Geometric Mean Fold Increase in SRH Antibody Titer

Geometric mean fold increase in SRH antibody titer for each of the three strains (A/H1N1 strain, A/H3N2 strain, B strain), 21 days after vaccination, as compared to baseline.

Time frame: Day 22

ArmMeasureGroupValue (GEOMETRIC_MEAN)Dispersion
TAK-850 0.5 mLGeometric Mean Fold Increase in SRH Antibody TiterA/H1N1 strain3.9106 Fold Change95% Confidence Interval 2.98684
TAK-850 0.5 mLGeometric Mean Fold Increase in SRH Antibody TiterA/H3N2 strain3.9301 Fold Change95% Confidence Interval 2.75769
TAK-850 0.5 mLGeometric Mean Fold Increase in SRH Antibody TiterB strain3.0851 Fold Change95% Confidence Interval 2.82759
Secondary

Geometric Mean Titer (GMT) of HI Antibody Titer

Geometric mean titer (GMT) of HI antibody titer for each of the three strains (A/H1N1 strain, A/H3N2 strain, B strain), 21 days after vaccination

Time frame: Day 22

Population: The full analysis set was used.

ArmMeasureGroupValue (GEOMETRIC_MEAN)
TAK-850 0.5 mLGeometric Mean Titer (GMT) of HI Antibody TiterA/H1N1 strain Pre-vaccination (Day 1)17.86 titer
TAK-850 0.5 mLGeometric Mean Titer (GMT) of HI Antibody TiterA/H1N1 strain 21 Days Post-vaccination (Day 22)263.22 titer
TAK-850 0.5 mLGeometric Mean Titer (GMT) of HI Antibody TiterA/H3N2 strain Pre-vaccination (Day 1)76.07 titer
TAK-850 0.5 mLGeometric Mean Titer (GMT) of HI Antibody TiterA/H3N2 strain 21 Days Post-vaccination (Day 22)510.11 titer
TAK-850 0.5 mLGeometric Mean Titer (GMT) of HI Antibody TiterB strain Pre-vaccination (Day 1)8.33 titer
TAK-850 0.5 mLGeometric Mean Titer (GMT) of HI Antibody TiterB 21 Days Post-vaccination (Day 22)59.49 titer
Secondary

GMT of Single Radial Hemolysis (SRH) Antibody Titer

GMT of single radial hemolysis (SRH) antibody titer for each of the three strains (A/H1N1 strain, A/H3N2 strain, B strain), 21 days after vaccination.

Time frame: Day 22

Population: The full analysis set was used.

ArmMeasureGroupValue (GEOMETRIC_MEAN)
TAK-850 0.5 mLGMT of Single Radial Hemolysis (SRH) Antibody TiterA/H1N1 strain 21 Days Post-vaccination (Day 22)71.0170 mm^2
TAK-850 0.5 mLGMT of Single Radial Hemolysis (SRH) Antibody TiterA/H3N2 strain Pre-vaccination (Day 1)7.8348 mm^2
TAK-850 0.5 mLGMT of Single Radial Hemolysis (SRH) Antibody TiterA/H3N2 strain 21 Days Post-vaccination (Day 22)30.7917 mm^2
TAK-850 0.5 mLGMT of Single Radial Hemolysis (SRH) Antibody TiterB strain Pre-vaccination (Day 1)32.8363 mm^2
TAK-850 0.5 mLGMT of Single Radial Hemolysis (SRH) Antibody TiterB strain 21 Days Post-vaccination (Day 22)101.3016 mm^2
TAK-850 0.5 mLGMT of Single Radial Hemolysis (SRH) Antibody TiterA/H1N1 strain Pre-vaccination (Day 1)18.1601 mm^2
Secondary

Seroconversion Rate of SRH Antibody Titer

Seroconversion rate as measured by SRH antibody titer for each of the three strains (A/H1N1 strain, A/H3N2 strain, B strain), 21 days after vaccination.

Time frame: Day 22

ArmMeasureGroupValue (NUMBER)
TAK-850 0.5 mLSeroconversion Rate of SRH Antibody TiterA/H1N1 strain81.8 percentage of participants
TAK-850 0.5 mLSeroconversion Rate of SRH Antibody TiterA/H3N2 strain74.5 percentage of participants
TAK-850 0.5 mLSeroconversion Rate of SRH Antibody TiterB strain78.2 percentage of participants
Secondary

Seroprotection Rate of SRH Antibody Titer

Seroprotection rate is measured by SRH antibody titer for each of the three strains (A/H1N1 strain, A/H3N2 strain, B strain), 21 days after vaccination.

Time frame: Day 22

Population: The full analysis set was used.

ArmMeasureGroupValue (NUMBER)
TAK-850 0.5 mLSeroprotection Rate of SRH Antibody TiterA/H1N1 strain Pre-vaccination (Day 1)50.9 percentage of participants
TAK-850 0.5 mLSeroprotection Rate of SRH Antibody TiterA/H1N1 strain 21 Days Post-vaccination (Day 22)92.7 percentage of participants
TAK-850 0.5 mLSeroprotection Rate of SRH Antibody TiterA/H3N2 strain Pre-vaccination (Day 1)16.4 percentage of participants
TAK-850 0.5 mLSeroprotection Rate of SRH Antibody TiterA/H3N2 strain 21 Days Post-vaccination (Day 22)81.8 percentage of participants
TAK-850 0.5 mLSeroprotection Rate of SRH Antibody TiterB strain Pre-vaccination (Day 1)72.7 percentage of participants
TAK-850 0.5 mLSeroprotection Rate of SRH Antibody TiterB strain 21 Days Post-vaccination (Day 22)100.0 percentage of participants

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026