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Adjuvanted H5N1 pandemic influenza vaccine

Phase 2

Pandemic H5N1 Influenza | Monoclonal antibody | Infectious Disease |Novartis AG|Last Updated: Jan 30, 2019

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindCONTROLLED
Total Trials3
Total Enrollment3,034

FDA Designations

No designations recorded

Clinical trial landscape

Adjuvanted H5N1 pandemic influenza vaccine · 3 trials · 1 indication

Phase 2 3
NCT01766921Safety and Immunogenicity of Two Doses of H5N1 Influenza Vaccine in Elderly SubjectsPandemic H5N1 Influenza
COMPLETED1,393 Analytics
NCT01776541Safety and Immunogenicity of Two Doses of H5N1 Influenza Vaccine in Healthy AdultsPandemic H5N1 Influenza
COMPLETED979 Analytics
NCT01776554Safety and Immunogenicity of Two Doses of H5N1 Influenza Vaccine in ChildrenPandemic H5N1 Influenza
COMPLETED662 Analytics
PHASE2COMPLETED
Safety and Immunogenicity of Two Doses of H5N1 Influenza Vaccine in Elderly Subjects
Pandemic H5N1 InfluenzaUnlock trial analytics
PHASE2COMPLETED
Safety and Immunogenicity of Two Doses of H5N1 Influenza Vaccine in Healthy Adults
Pandemic H5N1 InfluenzaUnlock trial analytics
PHASE2COMPLETED
Safety and Immunogenicity of Two Doses of H5N1 Influenza Vaccine in Children
Pandemic H5N1 InfluenzaUnlock trial analytics

Study Endpoints

Primary Endpoints

The Percentages Of Subjects Achieving Hemagglutination Inhibition (HI) Titers ≥40 Against A/H5N1 Strain.
Baseline (day 1) and Three weeks after 2nd vaccination (day 43)

The optimal aH5N1c vaccine formulation was evaluated in terms of percentages of subjects achieving HI titers ≥40 against homologous A/H5N1 strain, three weeks after second vaccination with either low dose or high dose of aH5N1c vaccine, according to the Center for Biologics Evaluation and Research (CBER) criterion. The CBER criterion for the elderly population is met if the lower limit of the two-sided 95% confidence interval (CI) for the percentages of subjects achieving HI titer ≥40 meets or exceeds 60%.

The Percentages Of Subjects Achieving Seroconversion Against A/H5N1 Strain.
Three weeks after 2nd vaccination (day 43)

Immunogenicity was measured in terms of the percentages of subjects achieving seroconversion or significant increase in HI titer against the vaccine strain, three weeks after receiving two injections of low dose or high dose of aH5N1c vaccine according to the CBER criterion. Seroconversion is defined as, a postvaccination titer ≥40 in subjects with a prevaccination HI titer \<10; or in subjects with prevaccination HI titer ≥10, a minimum four-fold rise in postvaccination HI antibody titer. The CBER criterion for the elderly population is met if the lower limit of the two-sided 95% CI for the percentages of subjects achieving seroconversion for HI antibody titer meets or exceeds 30%.

Number of Subjects Reporting Solicited Local and Systemic Adverse Events, After Any Vaccination.
From day 1 through day 7 after any vaccination.

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

Number of Subjects Reporting Unsolicited Adverse Events After Any Vaccination.
Day 1 through day 387 after any vaccination

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

Percentages Of Subjects Achieving Hemagglutinin Inhibition (HI) Titers ≥40 Against A/H5N1 Strain.
Three weeks after 2nd vaccination (day 43)

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

Percentages Of Subjects Achieving Seroconversion Against A/H5N1 Strain.
Three weeks after 2nd vaccination (day 43)

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

Number of Subjects Reporting Solicited Local and Systemic Adverse Events (AE), After Any Vaccination.
From day 1 through day 7 after any vaccination.

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

Number of Subjects Reporting Unsolicited AEs After Any Vaccination.
Any unsolicited AEs - day 1 through day 22 after any vaccination. SAEs, NOCDs. medically attended AEs, AESIs, AEs leading to study withdrawal- day 1 to day 387

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

The Percentages Of Subjects Aged 6 to <36 Months, Achieving Hemagglutination Inhibition (HI) Titers ≥40 Against A/H5N1 Strain
Three weeks after 2nd vaccination (day 43)

The optimal aH5N1c vaccine formulation was evaluated in terms of percentages of subjects aged 6 to \<36 months, achieving HI titers ≥40 against homologous A/H5N1 strain, three weeks after second vaccination with either low dose or high dose of aH5N1c vaccine, according to the Center for Biologics Evaluation and Research (CBER) criterion. As there is no CBER criteria defined for children, immunogenicity was evaluated using CBER criterion applicable for adults (18-64 years). CBER criterion is met if the lower limit of the two-sided 95% confidence interval (CI) for the percentages of subjects achieving HI titer ≥40 meets or exceeds 70%.

The Percentages Of Subjects Aged 3 to <9 Years, Achieving HI Titers ≥40 Against A/H5N1 Strain
Three weeks after 2nd vaccination (day 43)

The optimal aH5N1c vaccine formulation was evaluated in terms of percentages of subjects aged 3 to \<9 years, achieving HI titers ≥40 against homologous A/H5N1 strain, three weeks after second vaccination with either low dose or high dose of aH5N1c vaccine, according to the CBER criterion. As there is no CBER criteria defined for children, immunogenicity was evaluated using CBER criterion applicable for adults (18-64 years). CBER criterion is met if the lower limit of the two-sided 95% CI for the percentages of subjects achieving HI titer ≥40 meets or exceeds 70%.

The Percentages Of Subjects Aged 9 to <18 Years, Achieving HI Titers ≥40 Against A/H5N1 Strain
Three weeks after 2nd vaccination (day 43)

The optimal aH5N1c vaccine formulation was evaluated in terms of percentages of subjects aged 9 to \<18 years, achieving HI titers ≥40 against homologous A/H5N1 strain, three weeks after second vaccination with either low dose or high dose of aH5N1c vaccine, according to the CBER criterion. As there is no CBER criteria defined for children, immunogenicity was evaluated using CBER criterion applicable for adults (18-64 years). CBER criterion is met if the lower limit of the two-sided 95% CI for the percentages of subjects achieving HI titer ≥40 meets or exceeds 70%.

The Percentages Of Subjects Aged 6 to <36 Months, Achieving Seroconversion Against A/H5N1 Strain
Three weeks after 2nd vaccination (day 43)

Immunogenicity was measured in terms of the percentages of subjects aged 6 to \<36 months, achieving seroconversion or significant increase in HI titer against the vaccine strain, three weeks after receiving two injections of low dose or high dose of aH5N1c vaccine according to the CBER criteria. Seroconversion is defined as the percentages of subjects with a prevaccination HI titer \<10, a postvaccination titer ≥40; or in subjects with prevaccination HI titer ≥10, and a minimum four-fold rise in postvaccination HI antibody titer. CBER criterion is met if the lower limit of the two-sided 95% CI for the percentages of subjects achieving seroconversion for HI antibody titer meets or exceeds 40%.

The Percentages Of Subjects Aged 3 to <9 Years, Achieving Seroconversion Against A/H5N1 Strain
Three weeks after 2nd vaccination (day 43)

Immunogenicity was measured in terms of the percentages of subjects aged 3 to \<9 years, achieving seroconversion or significant increase in HI titer against the vaccine strain, three weeks after receiving two injections of low dose or high dose of aH5N1c vaccine according to the CBER criteria. Seroconversion is defined as the percentages of subjects with a prevaccination HI titer \<10, a postvaccination titer ≥40; or subjects with prevaccination HI titer ≥10, and a minimum four-fold rise in postvaccination HI antibody titer. CBER criterion is met if the lower limit of the two-sided 95% CI for the percentages of subjects achieving seroconversion for HI antibody titer meets or exceeds 40%.

The Percentages Of Subjects Aged 9 to <18 Years, Achieving Seroconversion Against A/H5N1 Strain
Three weeks after 2nd vaccination (day 43)

Immunogenicity was measured in terms of the percentages of subjects aged 9 to \<18 years, achieving seroconversion or significant increase in HI titer against the vaccine strain, three weeks after receiving two injections of low dose or high dose of aH5N1c vaccine according to the CBER criteria. Seroconversion is defined as the percentages of subjects with a prevaccination HI titer \<10, a postvaccination titer ≥40; or in subjects with prevaccination HI titer ≥10, and a minimum four-fold rise in postvaccination HI antibody titer. CBER criterion is met if the lower limit of the two-sided 95% CI for the percentages of subjects achieving seroconversion for HI antibody titer meets or exceeds 40%.

Number of Subjects (6 Month - <6 Years) Reporting Solicited Local and Systemic Adverse Events, After Any Vaccination
From day 1 through day 7 after each vaccination.

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

Number of Subjects (≥6 Years - 17 Years) Reporting Solicited Local and Systemic Adverse Events, After Any Vaccination
From day 1 through day 7 after any vaccination.

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

Number of Subjects Reporting Unsolicited Adverse Events After Any Vaccination
Any unsolicited AEs - day 1 through day 22 after any vaccination; SAEs, NOCDs. medically attended AEs, AESIs, AEs leading to study withdrawal- day 1 to day 387

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

Secondary Endpoints

Geometric Mean Ratios (GMR) Against A/H5N1 Strain Following 2-dose Vaccination Schedule of Either Low Dose or High Dose aH5N1c Vaccine.
Day 1; day 22; day 43 and day 387
Percentages Of Subjects With HI Titers ≥40 Against A/H5N1 Strain
Day 1, day 22, day 43 and day 387.
The Percentages Of Subjects Achieving Seroconversion Against A/H5N1 Strain
Day 22, day 43 and day 387
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Study Design & Arms

AllocationRANDOMIZED
MaskingDOUBLE
ModelPARALLEL
PurposePREVENTION

Treatment Arms

ArmTypeDescription
aH5N1c - High doseEXPERIMENTAL -
aH5N1c - Low doseEXPERIMENTAL -
aH5N1c-High DoseEXPERIMENTALSubjects received 2 injections of a high dose of cell culture-derived adjuvanted monovalent inactivated subunit H5N1 vaccine three weeks apart.
aH5N1c-Low doseEXPERIMENTALSubjects received 2 injections of a low dose of cell culture-derived adjuvanted monovalent inactivated subunit H5N1 vaccine three weeks apart.

Interventions

NameTypeDescription
Adjuvanted H5N1 pandemic influenza vaccineBIOLOGICALComparison of two doses of aH5N1c vaccine
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Eligibility Criteria

Age Range65 Years to N/A
SexALL
Healthy VolunteersYes
Study Sites23

Inclusion Criteria: 1. Healthy elderly subjects ≥65 years, 2. Individuals willing to provide written informed consent, 3. Individuals in good health, 4. Individuals willing to allow for their serum samples to be stored beyond the study period. Exclusion Criteria: 1. Individuals not able to unders...

Countries:United StatesAustraliaNew ZealandThailand
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Frequently asked questions about Adjuvanted H5N1 pandemic influenza vaccine

What is Adjuvanted H5N1 pandemic influenza vaccine used for?

Adjuvanted H5N1 pandemic influenza vaccine is used for pandemic H5N1 influenza. It is an investigational vaccine being developed by Novartis AG (NVS) and is currently in Phase 2 clinical development. The vaccine is designed to protect against the H5N1 influenza strain, which has pandemic potential.

Who makes Adjuvanted H5N1 pandemic influenza vaccine?

Adjuvanted H5N1 pandemic influenza vaccine is being developed by Novartis AG, which trades under the ticker NVS. The vaccine is currently in Phase 2 clinical development for pandemic H5N1 influenza. Novartis has conducted three completed clinical trials for this vaccine.

What phase is Adjuvanted H5N1 pandemic influenza vaccine in?

Adjuvanted H5N1 pandemic influenza vaccine is in Phase 2 clinical development. It is an investigational vaccine for pandemic H5N1 influenza and has not been approved by regulatory authorities. Three Phase 2 trials have been completed, with no active trials currently ongoing.

What clinical trials is Adjuvanted H5N1 pandemic influenza vaccine in?

Adjuvanted H5N1 pandemic influenza vaccine has completed three Phase 2 trials: NCT01766921 in elderly subjects aged 65 years and older, NCT01776541 in healthy adults aged 18 years and older, and NCT01776554 in children aged 6 months and older. These trials assessed safety and immunogenicity of two vaccine doses.

How does Adjuvanted H5N1 pandemic influenza vaccine work?

Adjuvanted H5N1 pandemic influenza vaccine is a monoclonal antibody modality designed to target pandemic H5N1 influenza. It is formulated with an adjuvant to enhance the immune response. The vaccine is intended to stimulate the body's immune system to produce antibodies against the H5N1 influenza virus.

Is Adjuvanted H5N1 pandemic influenza vaccine the same as H5N1 influenza vaccine?

Adjuvanted H5N1 pandemic influenza vaccine is a specific formulation of an H5N1 influenza vaccine that includes an adjuvant. It is being developed by Novartis AG for pandemic H5N1 influenza. The vaccine is currently in Phase 2 clinical development and has been studied in three completed trials.