A Study on the Safety, Reactogenicity and Immune Response of a Vaccine Against Influenza in Healthy Younger and Older Adults

Phase
Recruitment status
Participants
Lead sponsor
GlaxoSmithKline
Start date
Number of sites

Summary
The purpose of this first-time-in-human (FTiH) study is to assess the safety, reactogenicity and immunogenicity of GlaxoSmithKline's (GSK) messenger RNA (mRNA)-based monovalent vaccine (GSK4382276A) candidate against influenza in healthy younger adults (YA) and older adults (OA).
Short title
A Study on the Safety, Reactogenicity and Immune Response of a Vaccine Against Influenza in Healthy Younger and Older Adults
Official title
A Phase 1 Randomized, Dose Escalation Study to Evaluate the Safety, Reactogenicity and Immunogenicity of an mRNA-based Monovalent Influenza Vaccine Candidate in Healthy Younger and Older Adults

Control arm
Active comparator
Registry reports results
Listing at source
Recruitment status
Phase
Study type
Interventional

Completion date
First posted
Registry last updated
Primary completion date
Start date

Actual participants
Participants
Participant count basis
Protocol amendments
Number of sites

Data monitoring committee
Registry sponsor category
Lead sponsor
GlaxoSmithKline
Source registry
ClinicalTrials.gov

Registry ID
ClinicalTrials.gov ID
Registry record
Open registry record

Allocation
Randomised
Model
Sequential
Purpose
Prevention
Masking
Quadruple masking
Masking description
Data were collected in an observer-blind manner: participants and site evaluators were blinded, while the sponsor and certain study personnel were aware of treatment assignments. For Dose Levels 1, 2, 5, and 6, data were collected in a single-blind manner-investigators were aware of the intervention, but participants were blinded.
Masked roles
Participants, Care providers, Investigators, Outcome assessors
Sources for study design

  1. Number of Participants Reporting Any Solicited Administration Site Events

    Timeframe: Day 1 to Day 7

    Assessed solicited administration site events included pain, erythema/redness, swelling and Lymphadenopathy (defined as localized axillary, cervical or supraclavicular swelling or tenderness ipsilateral to the injection arm). Any = occurrence of the event regardless of intensity grade.

  2. Number of Participants Reporting Any Solicited Systemic Events

    Timeframe: Day 1 to Day 7

    Assessed solicited systemic events included fever, chills, headache, myalgia, arthralgia and fatigue. Any = occurrence of the symptom regardless of intensity grade.

  3. Number of Participants Reporting Any Unsolicited Adverse Events (AEs)

    Timeframe: Day 1 to Day 28

    An unsolicited AEs is an AEs that was either not included in the list of solicited events or could be included in the list of solicited events but with an onset outside the specified period of follow up for solicited events. Unsolicited AEs must have been communicated by a participant who has signed the informed consent or through his/her caregiver. Unsolicited AEs include both serious and non-serious AEs. Any = occurrence of the symptom regardless of intensity grade or relation to study vaccination.

  4. Number of Participants Reporting Serious Adverse Events (SAEs)

    Timeframe: Day 1 to Day 183

    An SAE is defined as any untoward medical occurrence that resulted in death, was life-threatening, required inpatient hospitalization or prolongation of existing hospitalization, resulted in disability/incapacity, was a congenital anomaly/birth defect in the offspring of a study participant, or resulted in abnormal pregnancy outcomes, or in other situations that were considered serious per medical or scientific judgment.

  5. Number of Participants Reporting AEs of Special Interest (AESIs)

    Timeframe: Day 1 to Day 183

    The following events were considered as AESI in this study: severe hypersensitivity reactions within 24 hours after study intervention administration, myocarditis/pericarditis and potential immune-mediated diseases (pIMDs).

  6. Number of Participants Reporting Shift From Abnormal Non-clinically Significant and Normal or Missing Laboratory Value on Day 1 to Clinically Significant Abnormal Laboratory Value on Day 8 for Hematology, Clinical Chemistry, Coagulation and Urine Analysis

    Timeframe: At Day 8 compared to baseline (Day 1)

    Clinically significant abnormal laboratory findings are those which are not associated with an underlying disease, unless judged by the investigator to be more severe than expected for the participants condition. Normal or missing values refer to laboratory values that were within normal range or missing at baseline.

  7. Number of Participants Reporting Shift From Abnormal Non-clinically Significant and Normal or Missing Laboratory Value on Day 1 to Clinically Significant Abnormal Laboratory Value on Day 29 for Hematology,Clinical Chemistry, Coagulation and Urine Analysis

    Timeframe: At Day 29 compared to baseline (Day 1)

    Clinically significant abnormal laboratory findings are those which are not associated with an underlying disease, unless judged by the investigator to be more severe than expected for the participants condition. Normal or missing values refer to laboratory values that were within normal range or missing at baseline.

  8. Geometric Mean Titers (GMT) of Anti-vaccine Antibody Titers

    Timeframe: At Day 1

  9. GMT of Anti-vaccine Antibody Titers

    Timeframe: At Day 22

  10. Geometric Mean Increase (GMI) of Anti-vaccine Antibody Titers From Day 1 (Baseline) to Day 22

    Timeframe: From Day 1 to Day 22

    GMI is defined as the geometric mean of the ratios of the post-dose anti-vaccine antibody titers over the Day 1 anti-vaccine antibody titers.

  11. Percentage of Participants With Anti-vaccine Antibody Seroconversion Rate (SCR)

    Timeframe: From Day 1 to Day 22

    SCR is defined as the percentage of dosed participants who have either an anti-vaccine antibody pre-dose titer \< 1:10 and a post-dose anti-vaccine antibody titer ≥ 1:40 or a pre-dose anti-vaccine antibody titer ≥ 1:10 and at least a 4-fold increase in post-dose anti-vaccine antibody titer.

  12. Percentage of Participants With Anti-vaccine Antibody Seroprotection Rate (SPR)

    Timeframe: At Day 22

    SPR is defined as the percentage of dosed participants with a anti-vaccine antibody titer ≥ 1:40.

  1. GMT of Anti-vaccine Antibody Titers

    Timeframe: At Day 62 and Day 183

  2. GMI of Anti-vaccine Antibody Titers From Day 1 (Baseline) to Day 62

    Timeframe: From Day 1 to Day 62

    GMI is defined as the geometric mean of the ratios of the post-dose anti-vaccine antibody titer over the Day 1 anti-vaccine antibody titer.

  3. GMI of Anti-vaccine Antibody Titers From Day 1 (Baseline) to Day 183

    Timeframe: From Day 1 to Day 183

    GMI is defined as the geometric mean of the ratios of the post-dose anti-vaccine antibody titer over the Day 1 anti-vaccine antibody titer.

  4. Percentage of Participants With Anti-vaccine Antibody SPR

    Timeframe: At Day 62 and Day 183

    SPR is defined as the percentage of dosed participants with a anti-vaccine antibody titers ≥ 1:40.

Sources for outcomes

Sex
All
Age groups
Adults, Older adults
Minimum age
18 Years
Maximum age
80 Years
Healthy volunteers
Yes

  • A male or female between and including 18 and 45 years of age (YAs) or between and including 60 and 80 years of age (OAs) at the time of the study intervention administration. The age of sentinel participants in OA category will be limited to maximum 70 years.

  • Healthy or medically stable participants as established by medical history, safety laboratory assessments and clinical examination.

  • Body mass index >= 18 kg/m^2 and <= 32 kg/m^2.

  • Participants who, in the opinion of the investigator, can and will comply with the requirements of the protocol.

  • Written informed consent obtained from the participant prior to performing any study-specific procedure.

  • Female participants of non-childbearing potential may be enrolled in the study.

  • Female participants of childbearing potential may be enrolled in the study if the participant:

    • has practiced adequate contraception for 28 days prior to study intervention administration, and
    • has a negative pregnancy test on the day of study intervention administration, and
    • has agreed to continue adequate contraception for at least 1 month after study intervention administration.

Medical conditions

  • Acute or chronic clinically significant pulmonary, cardiovascular, hepatic or renal functional abnormality, as determined by physical examination or review of the participant's medical record.

  • Any clinically significant hematological coagulation or urine analysis laboratory abnormality.

    * The investigator should use his/her clinical judgement to decide which abnormalities are clinically significant.

  • Current or past malignancy, unless completely resolved without sequelae for >5 years.

  • Any confirmed or suspected immunosuppressive or immunodeficient condition, including HIV infection, based on medical history and physical examination (no laboratory testing required).

  • History of any reaction or hypersensitivity likely to be exacerbated by any component of the study intervention (including latex, poly-ethylene-glycol, egg protein and aminoglycoside antibiotics).

  • Recurrent history or uncontrolled neurological disorders or seizures, including Guillain-Barré syndrome and Bell's palsy, with the exception of febrile seizures during childhood.

  • Any medical condition that in the judgment of the investigator would make intramuscular injection unsafe.

  • Any other clinical condition that, in the opinion of the investigator, might pose additional risk to the participant due to participation in the study.

  • Significant exposure to persons with influenza or laboratory-confirmed SARS-CoV-2 within 7 days prior to Visit 1 (Day 1) and for whom a SARS-CoV-2 PCR test has not (yet) been confirmed as negative.

Prior/Concomitant therapy

  • Administration of seasonal influenza vaccine within 180 days before enrollment or planned administration up to Visit 4 (Day 29).

  • Administration of a vaccine not foreseen by the study protocol in the period starting 28 days before the study intervention administration, or planned administration within 28 days after the study intervention administration*, with the exception of vaccines authorized or approved for the prevention of COVID-19 (regardless of the type of vaccine).

    *In case emergency mass vaccination for an unforeseen public health threat is organized by public health authorities outside the routine immunization program, the time period described above can be reduced to 7 days, if necessary, for that mass vaccination vaccine, provided it is used according to the local governmental recommendations and that the Sponsor is notified accordingly.

  • Use of any investigational or non-registered product (drug, vaccine or invasive medical device) other than the study intervention during the period beginning 30 days before the study intervention administration, or their planned use during the study period.

  • Administration of long-acting immune-modifying drugs within 90 days before enrollment or planned use at any time during the study period.

  • Administration of immunoglobulins and/or any blood products or plasma derivatives during the period starting 90 days before the study intervention administration, or planned administration during the study period. Administration of monoclonal antibodies specifically directed against the spike protein of SARS-CoV-2 virus, for treatment of COVID-19 disease is allowed.

  • Chronic administration (defined as more than 14 days in total) of immunosuppressants or other immune-modifying drugs during the period starting 3 months prior to the study intervention administration. For corticosteroids, this will mean prednisone equivalent ≥ 20 mg/day. Inhaled, topical and intraarticular steroids are allowed.

  • Previous enrolment in this study.

Other exclusions

  • Pregnant or lactating female.
  • Female planning to become pregnant or planning to discontinue contraceptive precautions within the 1-month post-dosing period.
  • History of abusive alcohol and/or drug consumption in the past 5 years.
  • Any study personnel or their immediate dependents, family, or household members.
  • Participants with extensive tattoos covering deltoid region on both arms that would preclude the assessment of local reactogenicity.
  • Previous enrollment in this study.
Sources for eligibility

  • GSK Investigational SiteEdegem, Belgium
  • GSK Investigational SiteGhent, Belgium
  • GSK Investigational SiteHalifax, Canada
  • GSK Investigational SiteSherbrooke, Canada
  • GSK Investigational SiteMadrid, Spain
  • GSK Investigational SiteMadrid, Spain
  • GSK Investigational SiteMadrid, Spain
Sources for sites

Other registry identifiers

  • 2022-000489-17
Sources for references

Related records

Drugs (2)

Collaborators (1)

Lead sponsors (1)

Conditions (1)

Targets (1)