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Sanofi 2017 H7N9 With/Without AS03 in Adults/Elderly

A Phase II Study in Healthy Adults 19 Years and Older to Assess the Safety, Reactogenicity and Immunogenicity of a Sanofi Pasteur A/H7N9 Inactivated Influenza Vaccine Administered Intramuscularly With or Without AS03 Adjuvant

Status
Completed
Phases
Phase 2
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT03312231
Enrollment
720
Registered
2017-10-17
Start date
2018-02-14
Completion date
2019-09-26
Last updated
2024-09-19

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

Conditions

Avian Influenza, Influenza Immunisation

Keywords

A/H7N9, Immunogenicity, Influenza, Safety, Sanofi Pasteur, Vaccine

Brief summary

This is a randomized, double-blinded, Phase II study in healthy males and non-pregnant females 19 years and older that is designed to assess the safety, reactogenicity, and immunogenicity of a pre-pandemic 2017 monovalent inactivated influenza A/H7N9 virus vaccine (2017 H7N9 IIV) administered at different dosages given with AS03 adjuvant and phosphate buffered saline (PBS) diluent, with AS03 adjuvant only, and without adjuvant. Eligible subjects will be randomized into 5 study groups, stratified by age. The study will enroll up to 420 individuals 19-64 years old and up to 300 individuals who are 65 years old and older. Study duration is approximately 16 months with subject participation duration approximately 13 months. The primary objectives of this study are: 1) to assess the safety and reactogenicity following receipt of two doses of 2017 H7N9 IIV administered intramuscularly at different dosages approximately 21 days apart given with or without AS03 adjuvant; 2) to assess the serum hemagglutination inhibition (HAI) and neutralizing (Neut) antibody responses following receipt of two doses of 2017 H7N9 IIV administered intramuscularly at different dosages approximately 21 days apart with or without AS03 adjuvant, stratified by age of recipient.

Detailed description

This is a randomized, double-blinded, Phase II study in healthy males and non-pregnant females 19 years and older. This clinical trial is designed to assess the safety, reactogenicity, and immunogenicity of a pre-pandemic 2017 monovalent inactivated influenza A/H7N9 virus vaccine (2017 H7N9 IIV) administered at different dosages given with or without adjuvant. 3.75 mcg of HA per dose will be administered with phosphate buffered saline (PBS) diluent and AS03 adjuvant, 7.5 mcg and 15 mcg of HA per dose will be administered with AS03 adjuvant only, and 15 mcg and 45 mcg of HA per dose will be administered without adjuvant. Eligible subjects will be randomized into one of 5 study groups, stratified by age. The study will enroll up to 420 individuals 19-64 years old and up to 300 individuals who are 65 years old and older. The study duration is approximately 16 months with subject participation duration approximately 13 months. The primary objectives of this study are: 1) to assess the safety and reactogenicity following receipt of two doses of 2017 H7N9 IIV administered intramuscularly at different dosages approximately 21 days apart given with or without AS03 adjuvant; 2) to assess the serum hemagglutination inhibition (HAI) and neutralizing (Neut) antibody responses following receipt of two doses of 2017 H7N9 IIV administered intramuscularly at different dosages approximately 21 days apart with or without AS03 adjuvant, stratified by age of recipient. The secondary objectives are: 1) to assess unsolicited non-serious adverse events (AEs) following receipt of two doses of a 2017 H7N9 IIV administered IM at different dosages approximately 21 days apart with or without AS03 adjuvant; 2) to assess medically-attended adverse events (MAAEs) including new-onset chronic medical conditions (NOCMCs), potentially immune-mediated medical conditions (PIMMCs), and all serious adverse events (SAEs) following receipt of two doses of a 2017 H7N9 IIV administered IM at different dosages approximately 21 days apart with or without AS03 adjuvant; 3) to assess the serum HAI and Neut antibody responses approximately 7 and 21 days following receipt of a single dose, and approximately 7 days following receipt of two doses of 2017 H7N9 IIV administered IM at different dosages approximately 21 days apart with or without AS03 adjuvant, stratified by age of recipient.

Interventions

DRUGAS03

Oil-in-water emulsion based adjuvant system.

Monovalent 2017 H7N9 inactivated influenza vaccine

Diluent for 2017 Monovalent Inactivated Influenza A/H7N9 virus vaccine (2017 H7N9 IIV)

Sponsors

National Institute of Allergy and Infectious Diseases (NIAID)
Lead SponsorNIH

Study design

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

Eligibility

Sex/Gender
ALL
Age
19 Years to 99 Years
Healthy volunteers
Yes

Inclusion criteria

1. Provide written informed consent prior to initiation of any study procedures. 2. Are able to understand and comply with planned study procedures and be available for all study visits. 3. Are males or non-pregnant females, 19 years of age and older, inclusive. 4. Are in good health\*. \*As determined by medical history and physical examination to evaluate acute or currently ongoing chronic medical diagnoses or conditions, defined as those that have been present for at least 90 days, which would affect the assessment of the safety of subjects or the immunogenicity of study vaccinations. Chronic medical diagnoses or conditions should be stable for the last 60 days (no hospitalizations, ER, or urgent care for condition and no adverse symptoms that need medical intervention such as medication change/supplemental oxygen). This includes no change in chronic prescription medication, dose, or frequency as a result of deterioration of the chronic medical diagnosis or condition in the 60 days prior to enrollment. Any prescription change that is due to change of health care provider, insurance company, etc., or that is done for financial reasons, as long as in the same class of medication, will not be considered a deviation of this inclusion criterion. Any change in prescription medication due to improvement of a disease outcome, as determined by the site principal investigator or appropriate sub-investigator, will not be considered a deviation of this inclusion criterion. Subjects may be on chronic or as needed (prn) medications if, in the opinion of the site principal investigator or appropriate sub-investigator, they pose no additional risk to subject safety or assessment of reactogenicity and immunogenicity and do not indicate a worsening of medical diagnosis or condition. Similarly, medication changes subsequent to enrollment and study vaccination are acceptable provided there was no deterioration in the subject's chronic medical condition that necessitated a medication change, and there is no additional risk to the subject or interference with the evaluation of responses to study vaccination. Note: Topical, nasal, and inhaled medications (with the exception of inhaled corticosteroids as outlined in the Subject

Exclusion criteria

), herbals, vitamins, and supplements are permitted. 5. Oral temperature is less than 100.0 degrees Fahrenheit. 6. Pulse is 47 to 100 bpm, inclusive. 7. Systolic blood pressure is 85 to 150 mmHg, inclusive (subjects \<65 years of age), 85 to 160 mmHg, inclusive (subjects = / \> 65 years of age). 8. Diastolic blood pressure is 55 to 95 mmHg, inclusive. 9. Erythrocyte sedimentation rate (ESR) is less than 30 mm per hour. 10. Women of childbearing potential\* must use an acceptable contraception method\*\* from 30 days before first study vaccination until 60 days after last study vaccination. \*Not sterilized via tubal ligation, bilateral oophorectomy, salpingectomy, hysterectomy, or successful Essure(R) placement (permanent, non-surgical, non-hormonal sterilization) with documented radiological confirmation test at least 90 days after the procedure, and still menstruating or \<1 year of the last menses if menopausal. \*\*Acceptable contraception includes non-male sexual relationships, abstinence from sexual intercourse with a male partner, monogamous relationship with vasectomized partner who has been vasectomized for 180 days or more prior to the subject receiving the first study vaccination, barrier methods such as condoms or diaphragms with spermicide or foam, effective intrauterine devices, NuvaRing(R), and licensed hormonal methods such as implants, injectables, or oral contraceptives (the pill). 11. Women of childbearing potential must have a negative urine or serum pregnancy test within 24 hours prior to study vaccination.

Design outcomes

Primary

MeasureTime frameDescription
Percentage of Participants Achieving Seroconversion Defined by Neutralizing (Neut) AntibodiesDay 43Blood was collected for the Neutralizing assay conducted with the 2017 H7N9 vaccine virus as the antigen. Each sample was tested at least twice per the laboratory's standard operating procedure, and the geometric mean of the replicate results was calculated as that sample's result. Seroconversion was defined as Neut pre-vaccination titer \<1:10 and post-vaccination titer \>=1:40 or pre-vaccination titer 1:10 or greater and minimum 4-fold rise in post-vaccination antibody titer. 21 days after second dose of H7N9 is Day 43.
Geometric Mean Titers (GMTs) of Serum Hemagglutination Inhibition (HAI) AntibodiesDay 43Blood was collected for HAI assay which was conducted with the 2017 H7N9 vaccine virus as the antigen. Each sample was tested at least twice per the laboratory's standard operating procedure, and the geometric mean of the replicate results was calculated as that sample's result. The geometric mean titer was calculated for each study arm from the available results at 21 days after the second dose of H7N9.
Geometric Mean Titers (GMTs) of Serum Neutralizing (Neut) AntibodiesDay 43Blood was collected for Neutralizing assay which was conducted with the 2017 H7N9 vaccine virus as the antigen. Each sample was tested at least twice per the laboratory's standard operating procedure, and the geometric mean of the replicate results was calculated as that sample's result. The geometric mean titer was calculated for each study arm from the available results at 21 days after the second dose of H7N9.
Number of Participants With Clinical Safety Laboratory Adverse EventsDay 8Laboratory parameters include alanine aminotransferase (ALT), bilirubin, creatinine, hemoglobin, platelets and white blood cells (WBC). Thresholds for adverse events were considered as ALT 44 IU/L or greater (female) or 61 IU/L or greater (male); bilirubin 1.30 mg/dL or greater; creatinine 1.1 mg/dL or greater (female) or 1.4 mg/dL or greater (male); hemoglobin 11.4 g/dL or lower (female) or 12.4 g/dL or lower (male); platelets 139 x10\^3/µL or below or 416 x10\^3/µL or greater; or WBC or 3.9 x10\^3/µL or lower or 10.6 x10\^3/µL or higher.
Number of Participants Reporting Solicited Injection Site EventsDay 1 to Day 8Injection site AEs solicited on a memory aid provided to participants included Pain, Tenderness, Itching/Pruritus, Ecchymosis/Bruising (functional grade based on interference with dailyactivities), Ecchymosis/Bruising (any measured value \>0mm), Erythema/Redness (functional grade), Erythema/ Redness (any measured value \>0mm), Induration/Swelling (functional grade), and Induration/Swelling (any measured value \>0mm). Participants are considered reporting the injection site AE if they reported mild or greater severity at any time during the 8 days at or following the first vaccination.
Number of Participants Reporting Study Vaccine-related Serious Adverse Events (SAEs)Day 1 to Day 387SAEs included any untoward medical occurrence that resulted in death; was life threatening; was a persistent/significant disability/incapacity; required inpatient hospitalization or prolongation or a congenital anomaly/birth defect. Events are included if deemed by the investigator to be related to the study product.
Number of Participants Reporting Systemic Reactogenicity EventsDay 1 to Day 8Systemic AEs solicited on a memory aid provided to participants included Elevated Oral Temperature, Feverishness, Fatigue, Malaise, Myalgia, Arthralgia, Headache, and Nausea. Participants are considered reporting the systemic AE if they reported mild or greater severity at any time during the 8 days at or following the first vaccination.
Percentage of Participants Achieving Hemagglutination Inhibition (HAI) Antibodies Titer of 1:40 or GreaterDay 43Blood was collected for the HAI assay conducted with the 2017 H7N9 vaccine virus as the antigen. Each sample was tested at least twice per the laboratory's standard operating procedure, and the geometric mean of the replicate results was calculated as that sample's result. The percentage of participants with HAI titer \>= 1:40 was calculated for each study group from the available results at 21 days after second dose of H7N9.
Percentage of Participants Achieving Neutralizing (Neut) Antibodies Titer of 1:40 or GreaterDay 43Blood was collected for the Neutralizing assay conducted with the 2017 H7N9 vaccine virus as the antigen. Each sample was tested at least twice per the laboratory's standard operating procedure, and the geometric mean of the replicate results was calculated as that sample's result. The percentage of participants with Neut titer \>= 1:40 was calculated for each study group from the available results at 21 days after second dose of H7N9.
Percentage of Participants Achieving Seroconversion Defined by Hemagglutination Inhibition (HAI) AntibodiesDay 43Blood was collected for the HAI assay conducted with the 2017 H7N9 vaccine virus as the antigen. Each sample was tested at least twice per the laboratory's standard operating procedure, and the geometric mean of the replicate results was calculated as that sample's result. Seroconversion was defined as HAI pre-vaccination titer \<1:10 and post-vaccination titer \>=1:40 or pre-vaccination titer 1:10 or greater and minimum 4-fold rise in post-vaccination antibody titer. 21 days after second dose of H7N9 is Day 43.

Secondary

MeasureTime frameDescription
Geometric Mean Titers (GMTs) of Serum Hemagglutination Inhibition (HAI) AntibodiesDay 1Blood was collected for HAI assay which was conducted with the 2017 H7N9 vaccine virus as the antigen. Each sample was tested at least twice per the laboratory's standard operating procedure, and the geometric mean of the replicate results was calculated as that sample's result. The geometric mean titer was calculated for each study arm from the available results at baseline.
Geometric Mean Titers (GMTs) of Serum Neutralizing (Neut) AntibodiesDay 1Blood was collected for Neutralizing assay which was conducted with the 2017 H7N9 vaccine virus as the antigen. Each sample was tested at least twice per the laboratory's standard operating procedure, and the geometric mean of the replicate results was calculated as that sample's result. The geometric mean titer was calculated for each study arm from the available results at baseline.
Number of Participants Reporting Serious Adverse Events (SAEs), Regardless of the Assessment of RelatednessDay 1 to Day 387SAEs included any untoward medical occurrence that resulted in death; was life threatening; was a persistent/significant disability/incapacity; required inpatient hospitalization or prolongation or a congenital anomaly/birth defect. All events are included regardless of relationship to the study product.
Number of Participants Reporting Unsolicited Adverse Events (AEs), Regardless of the Assessment of Seriousness or RelatednessDay 1 to Day 43Adverse events were defined as any untoward medical occurrence in a participant administered a pharmaceutical product regardless of its causal relationship to the study treatment. Non-serious AEs were collected from participants at follow up visits through 21 days after each vaccination. Adverse events were MedDRA coded and are summarized by MedDRA System Organ Class (SOC).
Number of Participants Reporting Medically-attended Adverse Events (MAAEs), New-onset Chronic Medical Conditions (NOCMCs), and Potentially Immune-mediated Medical Conditions (PIMMCs)Day 1 to Day 387For each unsolicited AE experienced, the participants were asked if he/she had received medical attention, defined as hospitalization, an emergency room visit, or an otherwise unscheduled visit to or from medical personnel for any reason. AEs characterized by such unscheduled medical care were designated as MAAEs. NOCMCs are defined as any new ICD-10 diagnosis that is applied to the participant during the duration of the study, after receipt of the study agent, that is expected to continue for at least 3 months and requires continued health care intervention. PIMMCs constitute a group of AEs that includes diseases which are clearly autoimmune in etiology and other inflammatory and/or neurologic disorders which may or may not have autoimmune etiologies.
Number of Participants Reporting Study Vaccine-related Unsolicited Non-serious Adverse Events (AEs)Day 1 to Day 43Adverse events were defined as any untoward medical occurrence in a participant administered a pharmaceutical product regardless of its causal relationship to the study treatment. Non-serious AEs were collected from participants at follow up visits through 21 days after each vaccination. The site investigator determined vaccine related as a reasonable possibility that the study product caused the AE. Reasonable possibility means that there is evidence to suggest a causal relationship between the study product and the AE. Adverse events were MedDRA coded and are summarized by MedDRA System Organ Class (SOC).
Percentage of Participants Achieving Hemagglutination Inhibition (HAI) Antibodies Titers of 1:40 or GreaterDay 1Blood was collected for the HAI assay conducted with the 2017 H7N9 vaccine virus as the antigen. Each sample was tested at least twice per the laboratory's standard operating procedure, and the geometric mean of the replicate results was calculated as that sample's result. The percentage of participants with HAI titer \>= 1:40 was calculated for each study group from the available results at baseline.
Percentage of Participants Achieving Neutralizing (Neut) Antibodies Titers of 1:40 or GreaterDay 1Blood was collected for the Neutralizing assay conducted with the 2017 H7N9 vaccine virus as the antigen. Each sample was tested at least twice per the laboratory's standard operating procedure, and the geometric mean of the replicate results was calculated as that sample's result. The percentage of participants with Neut titer \>= 1:40 was calculated for each study group from the available results at baseline.
Percentage of Participants Achieving Seroconversion Defined by Hemagglutination Inhibition (HAI) AntibodiesDay 8Blood was collected for the HAI assay conducted with the 2017 H7N9 vaccine virus as the antigen. Each sample was tested at least twice per the laboratory's standard operating procedure, and the geometric mean of the replicate results was calculated as that sample's result. Seroconversion was defined as HAI pre-vaccination titer \<1:10 and post-vaccination titer \>=1:40 or pre-vaccination titer 1:10 or greater and minimum 4-fold rise in post-vaccination antibody titer. Day 8 is 7 days after the first dose of H7N9.
Percentage of Participants Achieving Seroconversion Defined by Neutralizing (Neut) AntibodiesDay 8Blood was collected for the Neutralizing assay conducted with the 2017 H7N9 vaccine virus as the antigen. Each sample was tested at least twice per the laboratory's standard operating procedure, and the geometric mean of the replicate results was calculated as that sample's result. Seroconversion was defined as Neut pre-vaccination titer \<1:10 and post-vaccination titer \>=1:40 or pre-vaccination titer 1:10 or greater and minimum 4-fold rise in post-vaccination antibody titer. Day 8 is 7 days after the first dose of H7N9.

Countries

United States

Participant flow

Recruitment details

Participants were healthy males and non-pregnant females aged 19 years and older recruited from existing volunteer populations and from the communities at large around the clinical sites. Participants were enrolled between 14FEB2018 and 05SEP2018.

Participants by arm

ArmCount
Group 1
3.75 mcg of H7N9 vaccine plus AS03 adjuvant on days 1 and 22 Inactivated influenza H7N9 vaccine: Monovalent 2017 H7N9 inactivated influenza vaccine AS03: Oil-in-water emulsion based adjuvant system.
183
Group 2
7.5 mcg of H7N9 vaccine plus AS03 adjuvant on days 1 and 22 Inactivated influenza H7N9 vaccine: Monovalent 2017 H7N9 inactivated influenza vaccine AS03: Oil-in-water emulsion based adjuvant system.
175
Group 3
15 mcg of H7N9 vaccine plus AS03 adjuvant on days 1 and 22 Inactivated influenza H7N9 vaccine: Monovalent 2017 H7N9 inactivated influenza vaccine AS03: Oil-in-water emulsion based adjuvant system.
180
Group 4
15 mcg of unadjuvanted H7N9 vaccine on days 1 and 22 Inactivated influenza H7N9 vaccine: Monovalent 2017 H7N9 inactivated influenza vaccine
89
Group 5
45 mcg of unadjuvanted H7N9 vaccine on days 1 and 22 Inactivated influenza H7N9 vaccine: Monovalent 2017 H7N9 inactivated influenza vaccine
90
Total717

Withdrawals & dropouts

PeriodReasonFG000FG001FG002FG003FG004
Overall StudyDeath01100
Overall StudyLost to Follow-up26131
Overall StudyStudy Vaccination not Received11100
Overall StudyWithdrawal by Subject03100

Baseline characteristics

CharacteristicGroup 1Group 2Group 3Group 4Group 5Total
Age, Continuous52.7 years
STANDARD_DEVIATION 20
51.2 years
STANDARD_DEVIATION 20
51.5 years
STANDARD_DEVIATION 20.2
53.2 years
STANDARD_DEVIATION 18.6
51.9 years
STANDARD_DEVIATION 19
52.0 years
STANDARD_DEVIATION 19.7
Body Mass Index (BMI)27.5 kg/m^2
STANDARD_DEVIATION 5.3
28.2 kg/m^2
STANDARD_DEVIATION 6.5
26.8 kg/m^2
STANDARD_DEVIATION 5.4
27.2 kg/m^2
STANDARD_DEVIATION 5.8
27.5 kg/m^2
STANDARD_DEVIATION 4.3
27.5 kg/m^2
STANDARD_DEVIATION 5.6
Ethnicity (NIH/OMB)
Hispanic or Latino
4 Participants4 Participants9 Participants7 Participants6 Participants30 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
179 Participants169 Participants170 Participants82 Participants84 Participants684 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants2 Participants1 Participants0 Participants0 Participants3 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants0 Participants0 Participants1 Participants1 Participants2 Participants
Race (NIH/OMB)
Asian
7 Participants8 Participants14 Participants1 Participants3 Participants33 Participants
Race (NIH/OMB)
Black or African American
19 Participants22 Participants25 Participants13 Participants10 Participants89 Participants
Race (NIH/OMB)
More than one race
6 Participants5 Participants7 Participants4 Participants2 Participants24 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants
Race (NIH/OMB)
Unknown or Not Reported
2 Participants3 Participants4 Participants1 Participants1 Participants11 Participants
Race (NIH/OMB)
White
149 Participants137 Participants130 Participants69 Participants73 Participants558 Participants
Region of Enrollment
United States
183 participants175 participants180 participants89 participants90 participants717 participants
Sex: Female, Male
Female
94 Participants99 Participants81 Participants47 Participants50 Participants371 Participants
Sex: Female, Male
Male
89 Participants76 Participants99 Participants42 Participants40 Participants346 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
EG002
affected / at risk
EG003
affected / at risk
EG004
affected / at risk
deaths
Total, all-cause mortality
1 / 1831 / 1751 / 1800 / 890 / 90
other
Total, other adverse events
172 / 183170 / 175167 / 18070 / 8973 / 90
serious
Total, serious adverse events
4 / 1839 / 1754 / 1803 / 891 / 90

Outcome results

Primary

Geometric Mean Titers (GMTs) of Serum Hemagglutination Inhibition (HAI) Antibodies

Blood was collected for HAI assay which was conducted with the 2017 H7N9 vaccine virus as the antigen. Each sample was tested at least twice per the laboratory's standard operating procedure, and the geometric mean of the replicate results was calculated as that sample's result. The geometric mean titer was calculated for each study arm from the available results at 21 days after the second dose of H7N9.

Time frame: Day 43

Population: The modified intent-to-treat (mITT) population includes all participants who received at least one study vaccination and contributed both pre- and at least one post-study vaccination venous blood samples for HAI antibody assays for which valid results were reported.

ArmMeasureValue (GEOMETRIC_MEAN)
Group 1Geometric Mean Titers (GMTs) of Serum Hemagglutination Inhibition (HAI) Antibodies33.6 titer
Group 2Geometric Mean Titers (GMTs) of Serum Hemagglutination Inhibition (HAI) Antibodies33.5 titer
Group 3Geometric Mean Titers (GMTs) of Serum Hemagglutination Inhibition (HAI) Antibodies39.2 titer
Group 4Geometric Mean Titers (GMTs) of Serum Hemagglutination Inhibition (HAI) Antibodies5.5 titer
Group 5Geometric Mean Titers (GMTs) of Serum Hemagglutination Inhibition (HAI) Antibodies6.3 titer
Primary

Geometric Mean Titers (GMTs) of Serum Neutralizing (Neut) Antibodies

Blood was collected for Neutralizing assay which was conducted with the 2017 H7N9 vaccine virus as the antigen. Each sample was tested at least twice per the laboratory's standard operating procedure, and the geometric mean of the replicate results was calculated as that sample's result. The geometric mean titer was calculated for each study arm from the available results at 21 days after the second dose of H7N9.

Time frame: Day 43

Population: The modified intent-to-treat (mITT) population includes all participants who received at least one study vaccination and contributed both pre- and at least one post-study vaccination venous blood samples for Neut antibody assays for which valid results were reported.

ArmMeasureValue (GEOMETRIC_MEAN)
Group 1Geometric Mean Titers (GMTs) of Serum Neutralizing (Neut) Antibodies45.2 titer
Group 2Geometric Mean Titers (GMTs) of Serum Neutralizing (Neut) Antibodies46.1 titer
Group 3Geometric Mean Titers (GMTs) of Serum Neutralizing (Neut) Antibodies49.7 titer
Group 4Geometric Mean Titers (GMTs) of Serum Neutralizing (Neut) Antibodies6.2 titer
Group 5Geometric Mean Titers (GMTs) of Serum Neutralizing (Neut) Antibodies7.8 titer
Primary

Number of Participants Reporting Solicited Injection Site Events

Injection site AEs solicited on a memory aid provided to participants included Pain, Tenderness, Itching/Pruritus, Ecchymosis/Bruising (functional grade based on interference with dailyactivities), Ecchymosis/Bruising (any measured value \>0mm), Erythema/Redness (functional grade), Erythema/ Redness (any measured value \>0mm), Induration/Swelling (functional grade), and Induration/Swelling (any measured value \>0mm). Participants are considered reporting the injection site AE if they reported mild or greater severity at any time during the 8 days at or following the second vaccination.

Time frame: Day 22 to Day 29

Population: The Safety Analysis population includes all participants who received at least one dose of study vaccine.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
Group 1Number of Participants Reporting Solicited Injection Site Events122 Participants
Group 2Number of Participants Reporting Solicited Injection Site Events116 Participants
Group 3Number of Participants Reporting Solicited Injection Site Events140 Participants
Group 4Number of Participants Reporting Solicited Injection Site Events35 Participants
Group 5Number of Participants Reporting Solicited Injection Site Events33 Participants
Primary

Number of Participants Reporting Solicited Injection Site Events

Injection site AEs solicited on a memory aid provided to participants included Pain, Tenderness, Itching/Pruritus, Ecchymosis/Bruising (functional grade based on interference with dailyactivities), Ecchymosis/Bruising (any measured value \>0mm), Erythema/Redness (functional grade), Erythema/ Redness (any measured value \>0mm), Induration/Swelling (functional grade), and Induration/Swelling (any measured value \>0mm). Participants are considered reporting the injection site AE if they reported mild or greater severity at any time during the 8 days at or following the first vaccination.

Time frame: Day 1 to Day 8

Population: The Safety Analysis population includes all participants who received at least one dose of study vaccine.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
Group 1Number of Participants Reporting Solicited Injection Site Events145 Participants
Group 2Number of Participants Reporting Solicited Injection Site Events153 Participants
Group 3Number of Participants Reporting Solicited Injection Site Events154 Participants
Group 4Number of Participants Reporting Solicited Injection Site Events36 Participants
Group 5Number of Participants Reporting Solicited Injection Site Events46 Participants
Primary

Number of Participants Reporting Study Vaccine-related Serious Adverse Events (SAEs)

SAEs included any untoward medical occurrence that resulted in death; was life threatening; was a persistent/significant disability/incapacity; required inpatient hospitalization or prolongation or a congenital anomaly/birth defect. Events are included if deemed by the investigator to be related to the study product.

Time frame: Day 1 to Day 387

Population: The Safety Analysis population includes all participants who received at least one dose of study vaccine.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
Group 1Number of Participants Reporting Study Vaccine-related Serious Adverse Events (SAEs)0 Participants
Group 2Number of Participants Reporting Study Vaccine-related Serious Adverse Events (SAEs)0 Participants
Group 3Number of Participants Reporting Study Vaccine-related Serious Adverse Events (SAEs)0 Participants
Group 4Number of Participants Reporting Study Vaccine-related Serious Adverse Events (SAEs)0 Participants
Group 5Number of Participants Reporting Study Vaccine-related Serious Adverse Events (SAEs)0 Participants
Primary

Number of Participants Reporting Systemic Reactogenicity Events

Systemic AEs solicited on a memory aid provided to participants included Elevated Oral Temperature, Feverishness, Fatigue, Malaise, Myalgia, Arthralgia, Headache, and Nausea. Participants are considered reporting the systemic AE if they reported mild or greater severity at any time during the 8 days at or following the second vaccination.

Time frame: Day 22 to Day 29

Population: The Safety Analysis population includes all participants who received at least one dose of study vaccine.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
Group 1Number of Participants Reporting Systemic Reactogenicity Events75 Participants
Group 2Number of Participants Reporting Systemic Reactogenicity Events64 Participants
Group 3Number of Participants Reporting Systemic Reactogenicity Events72 Participants
Group 4Number of Participants Reporting Systemic Reactogenicity Events19 Participants
Group 5Number of Participants Reporting Systemic Reactogenicity Events17 Participants
Primary

Number of Participants Reporting Systemic Reactogenicity Events

Systemic AEs solicited on a memory aid provided to participants included Elevated Oral Temperature, Feverishness, Fatigue, Malaise, Myalgia, Arthralgia, Headache, and Nausea. Participants are considered reporting the systemic AE if they reported mild or greater severity at any time during the 8 days at or following the first vaccination.

Time frame: Day 1 to Day 8

Population: The Safety Analysis population includes all participants who received at least one dose of study vaccine.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
Group 1Number of Participants Reporting Systemic Reactogenicity Events76 Participants
Group 2Number of Participants Reporting Systemic Reactogenicity Events81 Participants
Group 3Number of Participants Reporting Systemic Reactogenicity Events72 Participants
Group 4Number of Participants Reporting Systemic Reactogenicity Events27 Participants
Group 5Number of Participants Reporting Systemic Reactogenicity Events31 Participants
Primary

Number of Participants With Clinical Safety Laboratory Adverse Events

Laboratory parameters include alanine aminotransferase (ALT), bilirubin, creatinine, hemoglobin, platelets and white blood cells (WBC). Thresholds for adverse events were considered as ALT 44 IU/L or greater (female) or 61 IU/L or greater (male); bilirubin 1.30 mg/dL or greater; creatinine 1.1 mg/dL or greater (female) or 1.4 mg/dL or greater (male); hemoglobin 11.4 g/dL or lower (female) or 12.4 g/dL or lower (male); platelets 139 x10\^3/µL or below or 416 x10\^3/µL or greater; or WBC or 3.9 x10\^3/µL or lower or 10.6 x10\^3/µL or higher.

Time frame: Day 29

Population: The Safety Analysis population includes all participants who received at least one dose of study vaccine. Participants who completed Day 29 visit were included for this outcome measure.

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
Group 1Number of Participants With Clinical Safety Laboratory Adverse EventsWBC10 Participants
Group 1Number of Participants With Clinical Safety Laboratory Adverse EventsHemoglobin7 Participants
Group 1Number of Participants With Clinical Safety Laboratory Adverse EventsPlatelets3 Participants
Group 1Number of Participants With Clinical Safety Laboratory Adverse EventsALT2 Participants
Group 1Number of Participants With Clinical Safety Laboratory Adverse EventsTotal Bilirubin2 Participants
Group 1Number of Participants With Clinical Safety Laboratory Adverse EventsCreatinine2 Participants
Group 2Number of Participants With Clinical Safety Laboratory Adverse EventsTotal Bilirubin5 Participants
Group 2Number of Participants With Clinical Safety Laboratory Adverse EventsCreatinine4 Participants
Group 2Number of Participants With Clinical Safety Laboratory Adverse EventsWBC14 Participants
Group 2Number of Participants With Clinical Safety Laboratory Adverse EventsPlatelets2 Participants
Group 2Number of Participants With Clinical Safety Laboratory Adverse EventsALT3 Participants
Group 2Number of Participants With Clinical Safety Laboratory Adverse EventsHemoglobin8 Participants
Group 3Number of Participants With Clinical Safety Laboratory Adverse EventsALT2 Participants
Group 3Number of Participants With Clinical Safety Laboratory Adverse EventsTotal Bilirubin2 Participants
Group 3Number of Participants With Clinical Safety Laboratory Adverse EventsWBC14 Participants
Group 3Number of Participants With Clinical Safety Laboratory Adverse EventsPlatelets2 Participants
Group 3Number of Participants With Clinical Safety Laboratory Adverse EventsHemoglobin5 Participants
Group 3Number of Participants With Clinical Safety Laboratory Adverse EventsCreatinine3 Participants
Group 4Number of Participants With Clinical Safety Laboratory Adverse EventsALT1 Participants
Group 4Number of Participants With Clinical Safety Laboratory Adverse EventsHemoglobin6 Participants
Group 4Number of Participants With Clinical Safety Laboratory Adverse EventsPlatelets1 Participants
Group 4Number of Participants With Clinical Safety Laboratory Adverse EventsCreatinine2 Participants
Group 4Number of Participants With Clinical Safety Laboratory Adverse EventsTotal Bilirubin0 Participants
Group 4Number of Participants With Clinical Safety Laboratory Adverse EventsWBC7 Participants
Group 5Number of Participants With Clinical Safety Laboratory Adverse EventsTotal Bilirubin1 Participants
Group 5Number of Participants With Clinical Safety Laboratory Adverse EventsPlatelets3 Participants
Group 5Number of Participants With Clinical Safety Laboratory Adverse EventsHemoglobin3 Participants
Group 5Number of Participants With Clinical Safety Laboratory Adverse EventsCreatinine3 Participants
Group 5Number of Participants With Clinical Safety Laboratory Adverse EventsALT0 Participants
Group 5Number of Participants With Clinical Safety Laboratory Adverse EventsWBC4 Participants
Primary

Number of Participants With Clinical Safety Laboratory Adverse Events

Laboratory parameters include alanine aminotransferase (ALT), bilirubin, creatinine, hemoglobin, platelets and white blood cells (WBC). Thresholds for adverse events were considered as ALT 44 IU/L or greater (female) or 61 IU/L or greater (male); bilirubin 1.30 mg/dL or greater; creatinine 1.1 mg/dL or greater (female) or 1.4 mg/dL or greater (male); hemoglobin 11.4 g/dL or lower (female) or 12.4 g/dL or lower (male); platelets 139 x10\^3/µL or below or 416 x10\^3/µL or greater; or WBC or 3.9 x10\^3/µL or lower or 10.6 x10\^3/µL or higher.

Time frame: Day 8

Population: The Safety Analysis population includes all participants who received at least one dose of study vaccine. Participants who completed Day 8 visit were included for this outcome measure.

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
Group 1Number of Participants With Clinical Safety Laboratory Adverse EventsWBC8 Participants
Group 1Number of Participants With Clinical Safety Laboratory Adverse EventsHemoglobin4 Participants
Group 1Number of Participants With Clinical Safety Laboratory Adverse EventsPlatelets4 Participants
Group 1Number of Participants With Clinical Safety Laboratory Adverse EventsALT3 Participants
Group 1Number of Participants With Clinical Safety Laboratory Adverse EventsTotal Bilirubin0 Participants
Group 1Number of Participants With Clinical Safety Laboratory Adverse EventsCreatinine2 Participants
Group 2Number of Participants With Clinical Safety Laboratory Adverse EventsTotal Bilirubin3 Participants
Group 2Number of Participants With Clinical Safety Laboratory Adverse EventsCreatinine5 Participants
Group 2Number of Participants With Clinical Safety Laboratory Adverse EventsWBC18 Participants
Group 2Number of Participants With Clinical Safety Laboratory Adverse EventsPlatelets7 Participants
Group 2Number of Participants With Clinical Safety Laboratory Adverse EventsALT5 Participants
Group 2Number of Participants With Clinical Safety Laboratory Adverse EventsHemoglobin5 Participants
Group 3Number of Participants With Clinical Safety Laboratory Adverse EventsALT3 Participants
Group 3Number of Participants With Clinical Safety Laboratory Adverse EventsTotal Bilirubin2 Participants
Group 3Number of Participants With Clinical Safety Laboratory Adverse EventsWBC16 Participants
Group 3Number of Participants With Clinical Safety Laboratory Adverse EventsPlatelets1 Participants
Group 3Number of Participants With Clinical Safety Laboratory Adverse EventsHemoglobin3 Participants
Group 3Number of Participants With Clinical Safety Laboratory Adverse EventsCreatinine4 Participants
Group 4Number of Participants With Clinical Safety Laboratory Adverse EventsALT1 Participants
Group 4Number of Participants With Clinical Safety Laboratory Adverse EventsHemoglobin8 Participants
Group 4Number of Participants With Clinical Safety Laboratory Adverse EventsPlatelets2 Participants
Group 4Number of Participants With Clinical Safety Laboratory Adverse EventsCreatinine2 Participants
Group 4Number of Participants With Clinical Safety Laboratory Adverse EventsTotal Bilirubin4 Participants
Group 4Number of Participants With Clinical Safety Laboratory Adverse EventsWBC6 Participants
Group 5Number of Participants With Clinical Safety Laboratory Adverse EventsTotal Bilirubin1 Participants
Group 5Number of Participants With Clinical Safety Laboratory Adverse EventsPlatelets3 Participants
Group 5Number of Participants With Clinical Safety Laboratory Adverse EventsHemoglobin5 Participants
Group 5Number of Participants With Clinical Safety Laboratory Adverse EventsCreatinine3 Participants
Group 5Number of Participants With Clinical Safety Laboratory Adverse EventsALT1 Participants
Group 5Number of Participants With Clinical Safety Laboratory Adverse EventsWBC5 Participants
Primary

Percentage of Participants Achieving Hemagglutination Inhibition (HAI) Antibodies Titer of 1:40 or Greater

Blood was collected for the HAI assay conducted with the 2017 H7N9 vaccine virus as the antigen. Each sample was tested at least twice per the laboratory's standard operating procedure, and the geometric mean of the replicate results was calculated as that sample's result. The percentage of participants with HAI titer \>= 1:40 was calculated for each study group from the available results at 21 days after second dose of H7N9.

Time frame: Day 43

Population: The modified intent-to-treat (mITT) population includes all participants who received at least one study vaccination and contributed both pre- and at least one post-study vaccination venous blood samples for HAI antibody assays for which valid results were reported.

ArmMeasureValue (NUMBER)
Group 1Percentage of Participants Achieving Hemagglutination Inhibition (HAI) Antibodies Titer of 1:40 or Greater57 percentage of participants
Group 2Percentage of Participants Achieving Hemagglutination Inhibition (HAI) Antibodies Titer of 1:40 or Greater56 percentage of participants
Group 3Percentage of Participants Achieving Hemagglutination Inhibition (HAI) Antibodies Titer of 1:40 or Greater61 percentage of participants
Group 4Percentage of Participants Achieving Hemagglutination Inhibition (HAI) Antibodies Titer of 1:40 or Greater0 percentage of participants
Group 5Percentage of Participants Achieving Hemagglutination Inhibition (HAI) Antibodies Titer of 1:40 or Greater2 percentage of participants
Primary

Percentage of Participants Achieving Neutralizing (Neut) Antibodies Titer of 1:40 or Greater

Blood was collected for the Neutralizing assay conducted with the 2017 H7N9 vaccine virus as the antigen. Each sample was tested at least twice per the laboratory's standard operating procedure, and the geometric mean of the replicate results was calculated as that sample's result. The percentage of participants with Neut titer \>= 1:40 was calculated for each study group from the available results at 21 days after second dose of H7N9.

Time frame: Day 43

Population: The modified intent-to-treat (mITT) population includes all participants who received at least one study vaccination and contributed both pre- and at least one post-study vaccination venous blood samples for Neut antibody assays for which valid results were reported.

ArmMeasureValue (NUMBER)
Group 1Percentage of Participants Achieving Neutralizing (Neut) Antibodies Titer of 1:40 or Greater64 proportion of participants
Group 2Percentage of Participants Achieving Neutralizing (Neut) Antibodies Titer of 1:40 or Greater65 proportion of participants
Group 3Percentage of Participants Achieving Neutralizing (Neut) Antibodies Titer of 1:40 or Greater68 proportion of participants
Group 4Percentage of Participants Achieving Neutralizing (Neut) Antibodies Titer of 1:40 or Greater0 proportion of participants
Group 5Percentage of Participants Achieving Neutralizing (Neut) Antibodies Titer of 1:40 or Greater3 proportion of participants
Primary

Percentage of Participants Achieving Seroconversion Defined by Hemagglutination Inhibition (HAI) Antibodies

Blood was collected for the HAI assay conducted with the 2017 H7N9 vaccine virus as the antigen. Each sample was tested at least twice per the laboratory's standard operating procedure, and the geometric mean of the replicate results was calculated as that sample's result. Seroconversion was defined as HAI pre-vaccination titer \<1:10 and post-vaccination titer \>=1:40 or pre-vaccination titer 1:10 or greater and minimum 4-fold rise in post-vaccination antibody titer. 21 days after second dose of H7N9 is Day 43.

Time frame: Day 43

Population: The modified intent-to-treat (mITT) population includes all participants who received at least one study vaccination and contributed both pre- and at least one post-study vaccination venous blood samples for HAI antibody assays for which valid results were reported.

ArmMeasureValue (NUMBER)
Group 1Percentage of Participants Achieving Seroconversion Defined by Hemagglutination Inhibition (HAI) Antibodies56 percentage of participants
Group 2Percentage of Participants Achieving Seroconversion Defined by Hemagglutination Inhibition (HAI) Antibodies56 percentage of participants
Group 3Percentage of Participants Achieving Seroconversion Defined by Hemagglutination Inhibition (HAI) Antibodies61 percentage of participants
Group 4Percentage of Participants Achieving Seroconversion Defined by Hemagglutination Inhibition (HAI) Antibodies0 percentage of participants
Group 5Percentage of Participants Achieving Seroconversion Defined by Hemagglutination Inhibition (HAI) Antibodies2 percentage of participants
Primary

Percentage of Participants Achieving Seroconversion Defined by Neutralizing (Neut) Antibodies

Blood was collected for the Neutralizing assay conducted with the 2017 H7N9 vaccine virus as the antigen. Each sample was tested at least twice per the laboratory's standard operating procedure, and the geometric mean of the replicate results was calculated as that sample's result. Seroconversion was defined as Neut pre-vaccination titer \<1:10 and post-vaccination titer \>=1:40 or pre-vaccination titer 1:10 or greater and minimum 4-fold rise in post-vaccination antibody titer. 21 days after second dose of H7N9 is Day 43.

Time frame: Day 43

Population: The modified intent-to-treat (mITT) population includes all participants who received at least one study vaccination and contributed both pre- and at least one post-study vaccination venous blood samples for Neut antibody assays for which valid results were reported.

ArmMeasureValue (NUMBER)
Group 1Percentage of Participants Achieving Seroconversion Defined by Neutralizing (Neut) Antibodies64 percentage of participants
Group 2Percentage of Participants Achieving Seroconversion Defined by Neutralizing (Neut) Antibodies64 percentage of participants
Group 3Percentage of Participants Achieving Seroconversion Defined by Neutralizing (Neut) Antibodies67 percentage of participants
Group 4Percentage of Participants Achieving Seroconversion Defined by Neutralizing (Neut) Antibodies0 percentage of participants
Group 5Percentage of Participants Achieving Seroconversion Defined by Neutralizing (Neut) Antibodies2 percentage of participants
Secondary

Geometric Mean Titers (GMTs) of Serum Hemagglutination Inhibition (HAI) Antibodies

Blood was collected for HAI assay which was conducted with the 2017 H7N9 vaccine virus as the antigen. Each sample was tested at least twice per the laboratory's standard operating procedure, and the geometric mean of the replicate results was calculated as that sample's result. The geometric mean titer was calculated for each study arm from the available results at baseline.

Time frame: Day 1

Population: The modified intent-to-treat (mITT) population includes all participants who received at least one study vaccination and contributed both pre- and at least one post-study vaccination venous blood samples for HAI antibody assays for which valid results were reported.

ArmMeasureValue (GEOMETRIC_MEAN)
Group 1Geometric Mean Titers (GMTs) of Serum Hemagglutination Inhibition (HAI) Antibodies5.2 titer
Group 2Geometric Mean Titers (GMTs) of Serum Hemagglutination Inhibition (HAI) Antibodies5.2 titer
Group 3Geometric Mean Titers (GMTs) of Serum Hemagglutination Inhibition (HAI) Antibodies5.2 titer
Group 4Geometric Mean Titers (GMTs) of Serum Hemagglutination Inhibition (HAI) Antibodies5.3 titer
Group 5Geometric Mean Titers (GMTs) of Serum Hemagglutination Inhibition (HAI) Antibodies5.4 titer
Secondary

Geometric Mean Titers (GMTs) of Serum Hemagglutination Inhibition (HAI) Antibodies

Blood was collected for HAI assay which was conducted with the 2017 H7N9 vaccine virus as the antigen. Each sample was tested at least twice per the laboratory's standard operating procedure, and the geometric mean of the replicate results was calculated as that sample's result. The geometric mean titer was calculated for each study arm from the available results at 7 days post first vaccination.

Time frame: Day 8

Population: The modified intent-to-treat (mITT) population includes all participants who received at least one study vaccination and contributed both pre- and at least one post-study vaccination venous blood samples for HAI antibody assays for which valid results were reported.

ArmMeasureValue (GEOMETRIC_MEAN)
Group 1Geometric Mean Titers (GMTs) of Serum Hemagglutination Inhibition (HAI) Antibodies5.3 titer
Group 2Geometric Mean Titers (GMTs) of Serum Hemagglutination Inhibition (HAI) Antibodies5.6 titer
Group 3Geometric Mean Titers (GMTs) of Serum Hemagglutination Inhibition (HAI) Antibodies5.8 titer
Group 4Geometric Mean Titers (GMTs) of Serum Hemagglutination Inhibition (HAI) Antibodies5.3 titer
Group 5Geometric Mean Titers (GMTs) of Serum Hemagglutination Inhibition (HAI) Antibodies6.0 titer
Secondary

Geometric Mean Titers (GMTs) of Serum Hemagglutination Inhibition (HAI) Antibodies

Blood was collected for HAI assay which was conducted with the 2017 H7N9 vaccine virus as the antigen. Each sample was tested at least twice per the laboratory's standard operating procedure, and the geometric mean of the replicate results was calculated as that sample's result. The geometric mean titer was calculated for each study arm from the available results at 21 days post first vaccination.

Time frame: Day 22

Population: The modified intent-to-treat (mITT) population includes all participants who received at least one study vaccination and contributed both pre- and at least one post-study vaccination venous blood samples for HAI antibody assays for which valid results were reported.

ArmMeasureValue (GEOMETRIC_MEAN)
Group 1Geometric Mean Titers (GMTs) of Serum Hemagglutination Inhibition (HAI) Antibodies6.7 titer
Group 2Geometric Mean Titers (GMTs) of Serum Hemagglutination Inhibition (HAI) Antibodies7.0 titer
Group 3Geometric Mean Titers (GMTs) of Serum Hemagglutination Inhibition (HAI) Antibodies7.6 titer
Group 4Geometric Mean Titers (GMTs) of Serum Hemagglutination Inhibition (HAI) Antibodies5.5 titer
Group 5Geometric Mean Titers (GMTs) of Serum Hemagglutination Inhibition (HAI) Antibodies6.0 titer
Secondary

Geometric Mean Titers (GMTs) of Serum Hemagglutination Inhibition (HAI) Antibodies

Blood was collected for HAI assay which was conducted with the 2017 H7N9 vaccine virus as the antigen. Each sample was tested at least twice per the laboratory's standard operating procedure, and the geometric mean of the replicate results was calculated as that sample's result. The geometric mean titer was calculated for each study arm from the available results at 7 days post second vaccination.

Time frame: Day 29

Population: The modified intent-to-treat (mITT) population includes all participants who received at least one study vaccination and contributed both pre- and at least one post-study vaccination venous blood samples for HAI antibody assays for which valid results were reported.

ArmMeasureValue (GEOMETRIC_MEAN)
Group 1Geometric Mean Titers (GMTs) of Serum Hemagglutination Inhibition (HAI) Antibodies36.7 titer
Group 2Geometric Mean Titers (GMTs) of Serum Hemagglutination Inhibition (HAI) Antibodies45.1 titer
Group 3Geometric Mean Titers (GMTs) of Serum Hemagglutination Inhibition (HAI) Antibodies45.7 titer
Group 4Geometric Mean Titers (GMTs) of Serum Hemagglutination Inhibition (HAI) Antibodies5.4 titer
Group 5Geometric Mean Titers (GMTs) of Serum Hemagglutination Inhibition (HAI) Antibodies6.8 titer
Secondary

Geometric Mean Titers (GMTs) of Serum Neutralizing (Neut) Antibodies

Blood was collected for Neutralizing assay which was conducted with the 2017 H7N9 vaccine virus as the antigen. Each sample was tested at least twice per the laboratory's standard operating procedure, and the geometric mean of the replicate results was calculated as that sample's result. The geometric mean titer was calculated for each study arm from the available results at 21 days post first vaccination.

Time frame: Day 22

Population: The modified intent-to-treat (mITT) population includes all participants who received at least one study vaccination and contributed both pre- and at least one post-study vaccination venous blood samples for Neut antibody assays for which valid results were reported.

ArmMeasureValue (GEOMETRIC_MEAN)
Group 1Geometric Mean Titers (GMTs) of Serum Neutralizing (Neut) Antibodies8.4 titer
Group 2Geometric Mean Titers (GMTs) of Serum Neutralizing (Neut) Antibodies9.1 titer
Group 3Geometric Mean Titers (GMTs) of Serum Neutralizing (Neut) Antibodies9.9 titer
Group 4Geometric Mean Titers (GMTs) of Serum Neutralizing (Neut) Antibodies5.4 titer
Group 5Geometric Mean Titers (GMTs) of Serum Neutralizing (Neut) Antibodies6.9 titer
Secondary

Geometric Mean Titers (GMTs) of Serum Neutralizing (Neut) Antibodies

Blood was collected for Neutralizing assay which was conducted with the 2017 H7N9 vaccine virus as the antigen. Each sample was tested at least twice per the laboratory's standard operating procedure, and the geometric mean of the replicate results was calculated as that sample's result. The geometric mean titer was calculated for each study arm from the available results at baseline.

Time frame: Day 1

Population: The modified intent-to-treat (mITT) population includes all participants who received at least one study vaccination and contributed both pre- and at least one post-study vaccination venous blood samples for Neut antibody assays for which valid results were reported.

ArmMeasureValue (GEOMETRIC_MEAN)
Group 1Geometric Mean Titers (GMTs) of Serum Neutralizing (Neut) Antibodies5.2 titer
Group 2Geometric Mean Titers (GMTs) of Serum Neutralizing (Neut) Antibodies5.3 titer
Group 3Geometric Mean Titers (GMTs) of Serum Neutralizing (Neut) Antibodies5.3 titer
Group 4Geometric Mean Titers (GMTs) of Serum Neutralizing (Neut) Antibodies5.3 titer
Group 5Geometric Mean Titers (GMTs) of Serum Neutralizing (Neut) Antibodies5.5 titer
Secondary

Geometric Mean Titers (GMTs) of Serum Neutralizing (Neut) Antibodies

Blood was collected for Neutralizing assay which was conducted with the 2017 H7N9 vaccine virus as the antigen. Each sample was tested at least twice per the laboratory's standard operating procedure, and the geometric mean of the replicate results was calculated as that sample's result. The geometric mean titer was calculated for each study arm from the available results at 7 days post first vaccination.

Time frame: Day 8

Population: The modified intent-to-treat (mITT) population includes all participants who received at least one study vaccination and contributed both pre- and at least one post-study vaccination venous blood samples for Neut antibody assays for which valid results were reported.

ArmMeasureValue (GEOMETRIC_MEAN)
Group 1Geometric Mean Titers (GMTs) of Serum Neutralizing (Neut) Antibodies5.6 titer
Group 2Geometric Mean Titers (GMTs) of Serum Neutralizing (Neut) Antibodies6.4 titer
Group 3Geometric Mean Titers (GMTs) of Serum Neutralizing (Neut) Antibodies6.6 titer
Group 4Geometric Mean Titers (GMTs) of Serum Neutralizing (Neut) Antibodies5.5 titer
Group 5Geometric Mean Titers (GMTs) of Serum Neutralizing (Neut) Antibodies6.3 titer
Secondary

Geometric Mean Titers (GMTs) of Serum Neutralizing (Neut) Antibodies

Blood was collected for Neutralizing assay which was conducted with the 2017 H7N9 vaccine virus as the antigen. Each sample was tested at least twice per the laboratory's standard operating procedure, and the geometric mean of the replicate results was calculated as that sample's result. The geometric mean titer was calculated for each study arm from the available results at 7 days post second vaccination.

Time frame: Day 29

Population: The modified intent-to-treat (mITT) population includes all participants who received at least one study vaccination and contributed both pre- and at least one post-study vaccination venous blood samples for Neut antibody assays for which valid results were reported.

ArmMeasureValue (GEOMETRIC_MEAN)
Group 1Geometric Mean Titers (GMTs) of Serum Neutralizing (Neut) Antibodies43.6 titer
Group 2Geometric Mean Titers (GMTs) of Serum Neutralizing (Neut) Antibodies53.9 titer
Group 3Geometric Mean Titers (GMTs) of Serum Neutralizing (Neut) Antibodies54.7 titer
Group 4Geometric Mean Titers (GMTs) of Serum Neutralizing (Neut) Antibodies6.1 titer
Group 5Geometric Mean Titers (GMTs) of Serum Neutralizing (Neut) Antibodies8.1 titer
Secondary

Number of Participants Reporting Medically-attended Adverse Events (MAAEs), New-onset Chronic Medical Conditions (NOCMCs), and Potentially Immune-mediated Medical Conditions (PIMMCs)

For each unsolicited AE experienced, the participants were asked if he/she had received medical attention, defined as hospitalization, an emergency room visit, or an otherwise unscheduled visit to or from medical personnel for any reason. AEs characterized by such unscheduled medical care were designated as MAAEs. NOCMCs are defined as any new ICD-10 diagnosis that is applied to the participant during the duration of the study, after receipt of the study agent, that is expected to continue for at least 3 months and requires continued health care intervention. PIMMCs constitute a group of AEs that includes diseases which are clearly autoimmune in etiology and other inflammatory and/or neurologic disorders which may or may not have autoimmune etiologies.

Time frame: Day 1 to Day 387

Population: The Safety Analysis population includes all participants who received at least one dose of study vaccine.

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
Group 1Number of Participants Reporting Medically-attended Adverse Events (MAAEs), New-onset Chronic Medical Conditions (NOCMCs), and Potentially Immune-mediated Medical Conditions (PIMMCs)Medically-Attended Adverse Events69 Participants
Group 1Number of Participants Reporting Medically-attended Adverse Events (MAAEs), New-onset Chronic Medical Conditions (NOCMCs), and Potentially Immune-mediated Medical Conditions (PIMMCs)Potentially Immune-Mediated Medical Conditions2 Participants
Group 1Number of Participants Reporting Medically-attended Adverse Events (MAAEs), New-onset Chronic Medical Conditions (NOCMCs), and Potentially Immune-mediated Medical Conditions (PIMMCs)New-Onset Chronic Medical Conditions17 Participants
Group 2Number of Participants Reporting Medically-attended Adverse Events (MAAEs), New-onset Chronic Medical Conditions (NOCMCs), and Potentially Immune-mediated Medical Conditions (PIMMCs)New-Onset Chronic Medical Conditions7 Participants
Group 2Number of Participants Reporting Medically-attended Adverse Events (MAAEs), New-onset Chronic Medical Conditions (NOCMCs), and Potentially Immune-mediated Medical Conditions (PIMMCs)Medically-Attended Adverse Events59 Participants
Group 2Number of Participants Reporting Medically-attended Adverse Events (MAAEs), New-onset Chronic Medical Conditions (NOCMCs), and Potentially Immune-mediated Medical Conditions (PIMMCs)Potentially Immune-Mediated Medical Conditions0 Participants
Group 3Number of Participants Reporting Medically-attended Adverse Events (MAAEs), New-onset Chronic Medical Conditions (NOCMCs), and Potentially Immune-mediated Medical Conditions (PIMMCs)New-Onset Chronic Medical Conditions7 Participants
Group 3Number of Participants Reporting Medically-attended Adverse Events (MAAEs), New-onset Chronic Medical Conditions (NOCMCs), and Potentially Immune-mediated Medical Conditions (PIMMCs)Medically-Attended Adverse Events65 Participants
Group 3Number of Participants Reporting Medically-attended Adverse Events (MAAEs), New-onset Chronic Medical Conditions (NOCMCs), and Potentially Immune-mediated Medical Conditions (PIMMCs)Potentially Immune-Mediated Medical Conditions0 Participants
Group 4Number of Participants Reporting Medically-attended Adverse Events (MAAEs), New-onset Chronic Medical Conditions (NOCMCs), and Potentially Immune-mediated Medical Conditions (PIMMCs)Medically-Attended Adverse Events33 Participants
Group 4Number of Participants Reporting Medically-attended Adverse Events (MAAEs), New-onset Chronic Medical Conditions (NOCMCs), and Potentially Immune-mediated Medical Conditions (PIMMCs)Potentially Immune-Mediated Medical Conditions0 Participants
Group 4Number of Participants Reporting Medically-attended Adverse Events (MAAEs), New-onset Chronic Medical Conditions (NOCMCs), and Potentially Immune-mediated Medical Conditions (PIMMCs)New-Onset Chronic Medical Conditions7 Participants
Group 5Number of Participants Reporting Medically-attended Adverse Events (MAAEs), New-onset Chronic Medical Conditions (NOCMCs), and Potentially Immune-mediated Medical Conditions (PIMMCs)New-Onset Chronic Medical Conditions4 Participants
Group 5Number of Participants Reporting Medically-attended Adverse Events (MAAEs), New-onset Chronic Medical Conditions (NOCMCs), and Potentially Immune-mediated Medical Conditions (PIMMCs)Medically-Attended Adverse Events25 Participants
Group 5Number of Participants Reporting Medically-attended Adverse Events (MAAEs), New-onset Chronic Medical Conditions (NOCMCs), and Potentially Immune-mediated Medical Conditions (PIMMCs)Potentially Immune-Mediated Medical Conditions0 Participants
Secondary

Number of Participants Reporting Serious Adverse Events (SAEs), Regardless of the Assessment of Relatedness

SAEs included any untoward medical occurrence that resulted in death; was life threatening; was a persistent/significant disability/incapacity; required inpatient hospitalization or prolongation or a congenital anomaly/birth defect. All events are included regardless of relationship to the study product.

Time frame: Day 1 to Day 387

Population: The Safety Analysis population includes all participants who received at least one dose of study vaccine.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
Group 1Number of Participants Reporting Serious Adverse Events (SAEs), Regardless of the Assessment of Relatedness4 Participants
Group 2Number of Participants Reporting Serious Adverse Events (SAEs), Regardless of the Assessment of Relatedness9 Participants
Group 3Number of Participants Reporting Serious Adverse Events (SAEs), Regardless of the Assessment of Relatedness4 Participants
Group 4Number of Participants Reporting Serious Adverse Events (SAEs), Regardless of the Assessment of Relatedness3 Participants
Group 5Number of Participants Reporting Serious Adverse Events (SAEs), Regardless of the Assessment of Relatedness1 Participants
Secondary

Number of Participants Reporting Study Vaccine-related Unsolicited Non-serious Adverse Events (AEs)

Adverse events were defined as any untoward medical occurrence in a participant administered a pharmaceutical product regardless of its causal relationship to the study treatment. Non-serious AEs were collected from participants at follow up visits through 21 days after each vaccination. The site investigator determined vaccine related as a reasonable possibility that the study product caused the AE. Reasonable possibility means that there is evidence to suggest a causal relationship between the study product and the AE. Adverse events were MedDRA coded and are summarized by MedDRA System Organ Class (SOC).

Time frame: Day 1 to Day 43

Population: The Safety Analysis population includes all participants who received at least one dose of study vaccine.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
Group 1Number of Participants Reporting Study Vaccine-related Unsolicited Non-serious Adverse Events (AEs)19 Participants
Group 2Number of Participants Reporting Study Vaccine-related Unsolicited Non-serious Adverse Events (AEs)14 Participants
Group 3Number of Participants Reporting Study Vaccine-related Unsolicited Non-serious Adverse Events (AEs)12 Participants
Group 4Number of Participants Reporting Study Vaccine-related Unsolicited Non-serious Adverse Events (AEs)4 Participants
Group 5Number of Participants Reporting Study Vaccine-related Unsolicited Non-serious Adverse Events (AEs)4 Participants
Secondary

Number of Participants Reporting Unsolicited Adverse Events (AEs), Regardless of the Assessment of Seriousness or Relatedness

Adverse events were defined as any untoward medical occurrence in a participant administered a pharmaceutical product regardless of its causal relationship to the study treatment. Non-serious AEs were collected from participants at follow up visits through 21 days after each vaccination. Adverse events were MedDRA coded and are summarized by MedDRA System Organ Class (SOC).

Time frame: Day 1 to Day 43

Population: The Safety Analysis population includes all participants who received at least one dose of study vaccine.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
Group 1Number of Participants Reporting Unsolicited Adverse Events (AEs), Regardless of the Assessment of Seriousness or Relatedness72 Participants
Group 2Number of Participants Reporting Unsolicited Adverse Events (AEs), Regardless of the Assessment of Seriousness or Relatedness62 Participants
Group 3Number of Participants Reporting Unsolicited Adverse Events (AEs), Regardless of the Assessment of Seriousness or Relatedness67 Participants
Group 4Number of Participants Reporting Unsolicited Adverse Events (AEs), Regardless of the Assessment of Seriousness or Relatedness23 Participants
Group 5Number of Participants Reporting Unsolicited Adverse Events (AEs), Regardless of the Assessment of Seriousness or Relatedness27 Participants
Secondary

Percentage of Participants Achieving Hemagglutination Inhibition (HAI) Antibodies Titers of 1:40 or Greater

Blood was collected for the HAI assay conducted with the 2017 H7N9 vaccine virus as the antigen. Each sample was tested at least twice per the laboratory's standard operating procedure, and the geometric mean of the replicate results was calculated as that sample's result. The percentage of participants with HAI titer \>= 1:40 was calculated for each study group from the available results at 7 days post second vaccination.

Time frame: Day 29

Population: The modified intent-to-treat (mITT) population includes all participants who received at least one study vaccination and contributed both pre- and at least one post-study vaccination venous blood samples for HAI antibody assays for which valid results were reported.

ArmMeasureValue (NUMBER)
Group 1Percentage of Participants Achieving Hemagglutination Inhibition (HAI) Antibodies Titers of 1:40 or Greater57 percentage of participants
Group 2Percentage of Participants Achieving Hemagglutination Inhibition (HAI) Antibodies Titers of 1:40 or Greater65 percentage of participants
Group 3Percentage of Participants Achieving Hemagglutination Inhibition (HAI) Antibodies Titers of 1:40 or Greater64 percentage of participants
Group 4Percentage of Participants Achieving Hemagglutination Inhibition (HAI) Antibodies Titers of 1:40 or Greater0 percentage of participants
Group 5Percentage of Participants Achieving Hemagglutination Inhibition (HAI) Antibodies Titers of 1:40 or Greater5 percentage of participants
Secondary

Percentage of Participants Achieving Hemagglutination Inhibition (HAI) Antibodies Titers of 1:40 or Greater

Blood was collected for the HAI assay conducted with the 2017 H7N9 vaccine virus as the antigen. Each sample was tested at least twice per the laboratory's standard operating procedure, and the geometric mean of the replicate results was calculated as that sample's result. The percentage of participants with HAI titer \>= 1:40 was calculated for each study group from the available results at baseline.

Time frame: Day 1

Population: The modified intent-to-treat (mITT) population includes all participants who received at least one study vaccination and contributed both pre- and at least one post-study vaccination venous blood samples for HAI antibody assays for which valid results were reported.

ArmMeasureValue (NUMBER)
Group 1Percentage of Participants Achieving Hemagglutination Inhibition (HAI) Antibodies Titers of 1:40 or Greater0 percentage of participants
Group 2Percentage of Participants Achieving Hemagglutination Inhibition (HAI) Antibodies Titers of 1:40 or Greater0 percentage of participants
Group 3Percentage of Participants Achieving Hemagglutination Inhibition (HAI) Antibodies Titers of 1:40 or Greater0 percentage of participants
Group 4Percentage of Participants Achieving Hemagglutination Inhibition (HAI) Antibodies Titers of 1:40 or Greater0 percentage of participants
Group 5Percentage of Participants Achieving Hemagglutination Inhibition (HAI) Antibodies Titers of 1:40 or Greater0 percentage of participants
Secondary

Percentage of Participants Achieving Hemagglutination Inhibition (HAI) Antibodies Titers of 1:40 or Greater

Blood was collected for the HAI assay conducted with the 2017 H7N9 vaccine virus as the antigen. Each sample was tested at least twice per the laboratory's standard operating procedure, and the geometric mean of the replicate results was calculated as that sample's result. The percentage of participants with HAI titer \>= 1:40 was calculated for each study group from the available results at 7 days post first vaccination.

Time frame: Day 8

Population: The modified intent-to-treat (mITT) population includes all participants who received at least one study vaccination and contributed both pre- and at least one post-study vaccination venous blood samples for HAI antibody assays for which valid results were reported.

ArmMeasureValue (NUMBER)
Group 1Percentage of Participants Achieving Hemagglutination Inhibition (HAI) Antibodies Titers of 1:40 or Greater1 percentage of participants
Group 2Percentage of Participants Achieving Hemagglutination Inhibition (HAI) Antibodies Titers of 1:40 or Greater2 percentage of participants
Group 3Percentage of Participants Achieving Hemagglutination Inhibition (HAI) Antibodies Titers of 1:40 or Greater2 percentage of participants
Group 4Percentage of Participants Achieving Hemagglutination Inhibition (HAI) Antibodies Titers of 1:40 or Greater0 percentage of participants
Group 5Percentage of Participants Achieving Hemagglutination Inhibition (HAI) Antibodies Titers of 1:40 or Greater2 percentage of participants
Secondary

Percentage of Participants Achieving Hemagglutination Inhibition (HAI) Antibodies Titers of 1:40 or Greater

Blood was collected for the HAI assay conducted with the 2017 H7N9 vaccine virus as the antigen. Each sample was tested at least twice per the laboratory's standard operating procedure, and the geometric mean of the replicate results was calculated as that sample's result. The percentage of participants with HAI titer \>= 1:40 was calculated for each study group from the available results at 21 days post first vaccination.

Time frame: Day 22

Population: The modified intent-to-treat (mITT) population includes all participants who received at least one study vaccination and contributed both pre- and at least one post-study vaccination venous blood samples for HAI antibody assays for which valid results were reported.

ArmMeasureValue (NUMBER)
Group 1Percentage of Participants Achieving Hemagglutination Inhibition (HAI) Antibodies Titers of 1:40 or Greater3 percentage of participants
Group 2Percentage of Participants Achieving Hemagglutination Inhibition (HAI) Antibodies Titers of 1:40 or Greater5 percentage of participants
Group 3Percentage of Participants Achieving Hemagglutination Inhibition (HAI) Antibodies Titers of 1:40 or Greater7 percentage of participants
Group 4Percentage of Participants Achieving Hemagglutination Inhibition (HAI) Antibodies Titers of 1:40 or Greater1 percentage of participants
Group 5Percentage of Participants Achieving Hemagglutination Inhibition (HAI) Antibodies Titers of 1:40 or Greater2 percentage of participants
Secondary

Percentage of Participants Achieving Neutralizing (Neut) Antibodies Titers of 1:40 or Greater

Blood was collected for the HAI assay conducted with the 2017 H7N9 vaccine virus as the antigen. Each sample was tested at least twice per the laboratory's standard operating procedure, and the geometric mean of the replicate results was calculated as that sample's result. The percentage of participants with HAI titer \>= 1:40 was calculated for each study group from the available results at 7 days post first vaccination.

Time frame: Day 8

Population: The modified intent-to-treat (mITT) population includes all participants who received at least one study vaccination and contributed both pre- and at least one post-study vaccination venous blood samples for Neut antibody assays for which valid results were reported.

ArmMeasureValue (NUMBER)
Group 1Percentage of Participants Achieving Neutralizing (Neut) Antibodies Titers of 1:40 or Greater0 percentage of participants
Group 2Percentage of Participants Achieving Neutralizing (Neut) Antibodies Titers of 1:40 or Greater3 percentage of participants
Group 3Percentage of Participants Achieving Neutralizing (Neut) Antibodies Titers of 1:40 or Greater2 percentage of participants
Group 4Percentage of Participants Achieving Neutralizing (Neut) Antibodies Titers of 1:40 or Greater0 percentage of participants
Group 5Percentage of Participants Achieving Neutralizing (Neut) Antibodies Titers of 1:40 or Greater3 percentage of participants
Secondary

Percentage of Participants Achieving Neutralizing (Neut) Antibodies Titers of 1:40 or Greater

Blood was collected for the Neutralizing assay conducted with the 2017 H7N9 vaccine virus as the antigen. Each sample was tested at least twice per the laboratory's standard operating procedure, and the geometric mean of the replicate results was calculated as that sample's result. The percentage of participants with Neut titer \>= 1:40 was calculated for each study group from the available results at baseline.

Time frame: Day 1

Population: The modified intent-to-treat (mITT) population includes all participants who received at least one study vaccination and contributed both pre- and at least one post-study vaccination venous blood samples for Neut antibody assays for which valid results were reported.

ArmMeasureValue (NUMBER)
Group 1Percentage of Participants Achieving Neutralizing (Neut) Antibodies Titers of 1:40 or Greater0 percentage of participants
Group 2Percentage of Participants Achieving Neutralizing (Neut) Antibodies Titers of 1:40 or Greater1 percentage of participants
Group 3Percentage of Participants Achieving Neutralizing (Neut) Antibodies Titers of 1:40 or Greater0 percentage of participants
Group 4Percentage of Participants Achieving Neutralizing (Neut) Antibodies Titers of 1:40 or Greater0 percentage of participants
Group 5Percentage of Participants Achieving Neutralizing (Neut) Antibodies Titers of 1:40 or Greater1 percentage of participants
Secondary

Percentage of Participants Achieving Neutralizing (Neut) Antibodies Titers of 1:40 or Greater

Blood was collected for the Neutralizing assay conducted with the 2017 H7N9 vaccine virus as the antigen. Each sample was tested at least twice per the laboratory's standard operating procedure, and the geometric mean of the replicate results was calculated as that sample's result. The percentage of participants with Neut titer \>= 1:40 was calculated for each study group from the available results at 21 days post first vaccination.

Time frame: Day 22

Population: The modified intent-to-treat (mITT) population includes all participants who received at least one study vaccination and contributed both pre- and at least one post-study vaccination venous blood samples for Neut antibody assays for which valid results were reported.

ArmMeasureValue (NUMBER)
Group 1Percentage of Participants Achieving Neutralizing (Neut) Antibodies Titers of 1:40 or Greater2 percentage of participants
Group 2Percentage of Participants Achieving Neutralizing (Neut) Antibodies Titers of 1:40 or Greater5 percentage of participants
Group 3Percentage of Participants Achieving Neutralizing (Neut) Antibodies Titers of 1:40 or Greater6 percentage of participants
Group 4Percentage of Participants Achieving Neutralizing (Neut) Antibodies Titers of 1:40 or Greater0 percentage of participants
Group 5Percentage of Participants Achieving Neutralizing (Neut) Antibodies Titers of 1:40 or Greater3 percentage of participants
Secondary

Percentage of Participants Achieving Neutralizing (Neut) Antibodies Titers of 1:40 or Greater

Blood was collected for the Neutralizing assay conducted with the 2017 H7N9 vaccine virus as the antigen. Each sample was tested at least twice per the laboratory's standard operating procedure, and the geometric mean of the replicate results was calculated as that sample's result. The percentage of participants with Neut titer \>= 1:40 was calculated for each study group from the available results at 7 days post second vaccination.

Time frame: Day 29

Population: The modified intent-to-treat (mITT) population includes all participants who received at least one study vaccination and contributed both pre- and at least one post-study vaccination venous blood samples for Neut antibody assays for which valid results were reported.

ArmMeasureValue (NUMBER)
Group 1Percentage of Participants Achieving Neutralizing (Neut) Antibodies Titers of 1:40 or Greater61 percentage of participants
Group 2Percentage of Participants Achieving Neutralizing (Neut) Antibodies Titers of 1:40 or Greater71 percentage of participants
Group 3Percentage of Participants Achieving Neutralizing (Neut) Antibodies Titers of 1:40 or Greater67 percentage of participants
Group 4Percentage of Participants Achieving Neutralizing (Neut) Antibodies Titers of 1:40 or Greater0 percentage of participants
Group 5Percentage of Participants Achieving Neutralizing (Neut) Antibodies Titers of 1:40 or Greater6 percentage of participants
Secondary

Percentage of Participants Achieving Seroconversion Defined by Hemagglutination Inhibition (HAI) Antibodies

Blood was collected for the HAI assay conducted with the 2017 H7N9 vaccine virus as the antigen. Each sample was tested at least twice per the laboratory's standard operating procedure, and the geometric mean of the replicate results was calculated as that sample's result. Seroconversion was defined as HAI pre-vaccination titer \<1:10 and post-vaccination titer \>=1:40 or pre-vaccination titer 1:10 or greater and minimum 4-fold rise in post-vaccination antibody titer. Day 8 is 7 days after the first dose of H7N9.

Time frame: Day 8

Population: The modified intent-to-treat (mITT) population includes all participants who received at least one study vaccination and contributed both pre- and at least one post-study vaccination venous blood samples for HAI antibody assays for which valid results were reported.

ArmMeasureValue (NUMBER)
Group 1Percentage of Participants Achieving Seroconversion Defined by Hemagglutination Inhibition (HAI) Antibodies0 percentage of participants
Group 2Percentage of Participants Achieving Seroconversion Defined by Hemagglutination Inhibition (HAI) Antibodies1 percentage of participants
Group 3Percentage of Participants Achieving Seroconversion Defined by Hemagglutination Inhibition (HAI) Antibodies2 percentage of participants
Group 4Percentage of Participants Achieving Seroconversion Defined by Hemagglutination Inhibition (HAI) Antibodies0 percentage of participants
Group 5Percentage of Participants Achieving Seroconversion Defined by Hemagglutination Inhibition (HAI) Antibodies2 percentage of participants
Secondary

Percentage of Participants Achieving Seroconversion Defined by Hemagglutination Inhibition (HAI) Antibodies

Blood was collected for the HAI assay conducted with the 2017 H7N9 vaccine virus as the antigen. Each sample was tested at least twice per the laboratory's standard operating procedure, and the geometric mean of the replicate results was calculated as that sample's result. Seroconversion was defined as HAI pre-vaccination titer \<1:10 and post-vaccination titer \>=1:40 or pre-vaccination titer 1:10 or greater and minimum 4-fold rise in post-vaccination antibody titer. Day 22 is 21 days after the first dose of H7N9.

Time frame: Day 22

Population: The modified intent-to-treat (mITT) population includes all participants who received at least one study vaccination and contributed both pre- and at least one post-study vaccination venous blood samples for HAI antibody assays for which valid results were reported.

ArmMeasureValue (NUMBER)
Group 1Percentage of Participants Achieving Seroconversion Defined by Hemagglutination Inhibition (HAI) Antibodies3 percentage of participants
Group 2Percentage of Participants Achieving Seroconversion Defined by Hemagglutination Inhibition (HAI) Antibodies5 percentage of participants
Group 3Percentage of Participants Achieving Seroconversion Defined by Hemagglutination Inhibition (HAI) Antibodies7 percentage of participants
Group 4Percentage of Participants Achieving Seroconversion Defined by Hemagglutination Inhibition (HAI) Antibodies1 percentage of participants
Group 5Percentage of Participants Achieving Seroconversion Defined by Hemagglutination Inhibition (HAI) Antibodies2 percentage of participants
Secondary

Percentage of Participants Achieving Seroconversion Defined by Hemagglutination Inhibition (HAI) Antibodies

Blood was collected for the HAI assay conducted with the 2017 H7N9 vaccine virus as the antigen. Each sample was tested at least twice per the laboratory's standard operating procedure, and the geometric mean of the replicate results was calculated as that sample's result. Seroconversion was defined as HAI pre-vaccination titer \<1:10 and post-vaccination titer \>=1:40 or pre-vaccination titer 1:10 or greater and minimum 4-fold rise in post-vaccination antibody titer. Day 29 is 7 days after the second dose of H7N9.

Time frame: Day 29

Population: The modified intent-to-treat (mITT) population includes all participants who received at least one study vaccination and contributed both pre- and at least one post-study vaccination venous blood samples for HAI antibody assays for which valid results were reported.

ArmMeasureValue (NUMBER)
Group 1Percentage of Participants Achieving Seroconversion Defined by Hemagglutination Inhibition (HAI) Antibodies56 percentage of participants
Group 2Percentage of Participants Achieving Seroconversion Defined by Hemagglutination Inhibition (HAI) Antibodies65 percentage of participants
Group 3Percentage of Participants Achieving Seroconversion Defined by Hemagglutination Inhibition (HAI) Antibodies64 percentage of participants
Group 4Percentage of Participants Achieving Seroconversion Defined by Hemagglutination Inhibition (HAI) Antibodies0 percentage of participants
Group 5Percentage of Participants Achieving Seroconversion Defined by Hemagglutination Inhibition (HAI) Antibodies5 percentage of participants
Secondary

Percentage of Participants Achieving Seroconversion Defined by Neutralizing (Neut) Antibodies

Blood was collected for the Neutralizing assay conducted with the 2017 H7N9 vaccine virus as the antigen. Each sample was tested at least twice per the laboratory's standard operating procedure, and the geometric mean of the replicate results was calculated as that sample's result. Seroconversion was defined as Neut pre-vaccination titer \<1:10 and post-vaccination titer \>=1:40 or pre-vaccination titer 1:10 or greater and minimum 4-fold rise in post-vaccination antibody titer. Day 8 is 7 days after the first dose of H7N9.

Time frame: Day 8

Population: The modified intent-to-treat (mITT) population includes all participants who received at least one study vaccination and contributed both pre- and at least one post-study vaccination venous blood samples for Neut antibody assays for which valid results were reported.

ArmMeasureValue (NUMBER)
Group 1Percentage of Participants Achieving Seroconversion Defined by Neutralizing (Neut) Antibodies0 percentage of participants
Group 2Percentage of Participants Achieving Seroconversion Defined by Neutralizing (Neut) Antibodies2 percentage of participants
Group 3Percentage of Participants Achieving Seroconversion Defined by Neutralizing (Neut) Antibodies2 percentage of participants
Group 4Percentage of Participants Achieving Seroconversion Defined by Neutralizing (Neut) Antibodies0 percentage of participants
Group 5Percentage of Participants Achieving Seroconversion Defined by Neutralizing (Neut) Antibodies2 percentage of participants
Secondary

Percentage of Participants Achieving Seroconversion Defined by Neutralizing (Neut) Antibodies

Blood was collected for the Neutralizing assay conducted with the 2017 H7N9 vaccine virus as the antigen. Each sample was tested at least twice per the laboratory's standard operating procedure, and the geometric mean of the replicate results was calculated as that sample's result. Seroconversion was defined as Neut pre-vaccination titer \<1:10 and post-vaccination titer \>=1:40 or pre-vaccination titer 1:10 or greater and minimum 4-fold rise in post-vaccination antibody titer. Day 22 is 21 days after the first dose of H7N9.

Time frame: Day 22

Population: The modified intent-to-treat (mITT) population includes all participants who received at least one study vaccination and contributed both pre- and at least one post-study vaccination venous blood samples for Neut antibody assays for which valid results were reported.

ArmMeasureValue (NUMBER)
Group 1Percentage of Participants Achieving Seroconversion Defined by Neutralizing (Neut) Antibodies2 percentage of participants
Group 2Percentage of Participants Achieving Seroconversion Defined by Neutralizing (Neut) Antibodies5 percentage of participants
Group 3Percentage of Participants Achieving Seroconversion Defined by Neutralizing (Neut) Antibodies6 percentage of participants
Group 4Percentage of Participants Achieving Seroconversion Defined by Neutralizing (Neut) Antibodies0 percentage of participants
Group 5Percentage of Participants Achieving Seroconversion Defined by Neutralizing (Neut) Antibodies2 percentage of participants
Secondary

Percentage of Participants Achieving Seroconversion Defined by Neutralizing (Neut) Antibodies

Blood was collected for the Neutralizing assay conducted with the 2017 H7N9 vaccine virus as the antigen. Each sample was tested at least twice per the laboratory's standard operating procedure, and the geometric mean of the replicate results was calculated as that sample's result. Seroconversion was defined as Neut pre-vaccination titer \<1:10 and post-vaccination titer \>=1:40 or pre-vaccination titer 1:10 or greater and minimum 4-fold rise in post-vaccination antibody titer. Day 29 is 7 days after the second dose of H7N9.

Time frame: Day 29

Population: The modified intent-to-treat (mITT) population includes all participants who received at least one study vaccination and contributed both pre- and at least one post-study vaccination venous blood samples for Neut antibody assays for which valid results were reported.

ArmMeasureValue (NUMBER)
Group 1Percentage of Participants Achieving Seroconversion Defined by Neutralizing (Neut) Antibodies60 percentage of participants
Group 2Percentage of Participants Achieving Seroconversion Defined by Neutralizing (Neut) Antibodies70 percentage of participants
Group 3Percentage of Participants Achieving Seroconversion Defined by Neutralizing (Neut) Antibodies67 percentage of participants
Group 4Percentage of Participants Achieving Seroconversion Defined by Neutralizing (Neut) Antibodies0 percentage of participants
Group 5Percentage of Participants Achieving Seroconversion Defined by Neutralizing (Neut) Antibodies6 percentage of participants

Source: ClinicalTrials.gov · Data processed: Feb 27, 2026