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A/H5N1

Phase 2

Pandemic Influenza | Monoclonal antibody | Infectious Disease |Valneva SE|Last Updated: Dec 10, 2021

Development status

Highest phase Phase 2
Registered trials 2 across 1 sponsor since Sep 2007

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindPLACEBO_CONTROLLEDDMCBiomarker
Total Trials2
Total Enrollment1,001

FDA Designations

FAST_TRACK

Clinical trial landscape

A/H5N1 · 3 trials · 2 indications

Phase 2 1Phase 1 2
NCT00908687A/H5N1/LT Dose Ranging StudyPandemic Influenza
COMPLETED500 Analytics
PHASE2COMPLETED
A/H5N1/LT Dose Ranging Study
Pandemic InfluenzaUnlock trial analytics

Study Endpoints

Primary Endpoints

Assess the Proportion of Subjects in Each Dose Group Achieving Seroconversion and Seroprotection for HI Antibody Titer Through Day 28.
Day 28

Seroconversion is defined as either 1) baseline HI titer \< 1:10 and a post-vaccination HI titer ≥ 1:40, or 2) baseline HI titer ≥ 1:10 and a minimum four-fold rise. Seroprotection is defined as a post-vaccination HI antibody titer ≥ 1:40. FDA/EMEA criterion for seroconversion was to meet or exceed 40%. FDA/EMEA criterion for seroprotection was to meet or exceed 70%.

Evaluate hemagglutination inhibition (HI) immune responses
Day 42

Evaluate hemagglutination inhibition (HI) immune responses to two doses of 15μg A/H5N1 achieved in the antigen plus VEP group versus the antigen alone group (Group 3 vs. Group 2) at Day 42 using standard serological parameters (Geometric Mean Titer \[GMT\], Geometric Mean Fold Ratio \[GMFR\], seroconversion and seroprotection).

Safety of Intramuscular A/H5N1 with and without the LT adjuvant patch
6 months

Secondary Endpoints

Safety of A/H5N1 Vaccine IM Injection With and Without an LT Adjuvant Patch
6 months
Evaluate Treatment Group HI Responses Against US FDA Guidance for Industry: Clinical Data Needed to Support the Licensure of Pandemic Influenza Vaccines (May 2007) and EMA CPMP/BWP/214/96 Criteria for Immunogenicity
Day 28
Safety of 15µg and 30µg IM A/H5N1 antigen administered with the 50µg VEP
8 months
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Study Design & Arms

AllocationRANDOMIZED
MaskingTRIPLE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
Group 1: 30 µg HA, no LT patchEXPERIMENTALA/H5N1 Vaccine 30 µg HA i.m. on Day 0
Group 2: 30 µg HA + 50 µg LT patchEXPERIMENTALA/H5N1 Vaccine 30 µg HA i.m. + LT adjuvant patch containing 50 µg of LT on Day 0
Group 3: 30 µg HA + 100 µg LT patchEXPERIMENTALA/H5N1 Vaccine 30 µg HA i.m. + LT adjuvant patch containing 100 µg of LT on Day 0
Group 4: 45 µg HA, no LT patchEXPERIMENTALA/H5N1 Vaccine 45 µg HA i.m. on Day 0
Group 5: 45 µg HA + 50 µg LT patchEXPERIMENTALA/H5N1 Vaccine 45 µg HA i.m. + LT adjuvant patch containing 50 µg of LT on Day 0
Group 6: 45 µg HA + 100 µg LT patchEXPERIMENTALA/H5N1 Vaccine 45 µg HA i.m. + LT adjuvant patch containing 100 µg of LT on Day 0
Group 1EXPERIMENTAL3.8 mcg with AS03 adjuvant at D0 and 21
Group 2EXPERIMENTAL15 mcg at D0 and 21
Group 3EXPERIMENTAL15 mcg + 50 mcg VEP at D0 and 21
Group 4EXPERIMENTAL30 mcg + 50 mcg VEP at D0
Group 5EXPERIMENTAL -
Group 6EXPERIMENTAL -
Group 7EXPERIMENTAL -
Group 8EXPERIMENTAL -
Group 9EXPERIMENTAL -
Group 10PLACEBO_COMPARATOR -

Interventions

NameTypeDescription
A/H5N1BIOLOGICALA/H5N1 Low Dose
LT Adjuvant PatchBIOLOGICALLT Adjuvant Patch Low Dose
A/H5N1 AntigenBIOLOGICALA/H5N1 Antigen
Vaccine Enhancement PatchDRUGVaccine Enhancement Patch
PlaceboBIOLOGICALPlacebo (0.5ml); Route IM - Day 0 and Day 21; no LT patch on Day 0 or Day 21
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Eligibility Criteria

Age Range18 Years to 49 Years
SexALL
Healthy VolunteersYes
Study Sites6

Inclusion Criteria: * Healthy adult male or females 18 to 49 years of age (inclusive) * Signed Informed Consent * Women who are not post-menopausal or surgically sterile must have a negative serum or urine pregnancy test at screening and within 24 hours of vaccination with understanding (through in...

Countries:United StatesAustriaBelgium
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Frequently asked questions about A/H5N1

What is A/H5N1 used for?

A/H5N1 is an investigational monoclonal antibody developed by Valneva SE for pandemic influenza and for use in healthy volunteers. It is being studied as a countermeasure against H5N1 influenza, the avian influenza strain that public health authorities consider a pandemic threat. It has not been approved for any indication.

Who makes A/H5N1?

A/H5N1 is developed by Valneva SE, a biopharmaceutical company listed under the ticker VALN. Valneva has sponsored the clinical studies of the asset, including the dose ranging and vaccine enhancement patch trials conducted in the United States, Austria, and Belgium.

What phase is A/H5N1 in?

A/H5N1 is in Phase 1 development. The program has completed two clinical trials, and no trials are currently active. The asset holds a FAST_TRACK designation from the FDA, which is intended to expedite review of drugs addressing serious conditions and unmet medical needs.

What clinical trials is A/H5N1 in?

A/H5N1 has been studied in completed trials including NCT01353534, an open-label Phase 1 study of a vaccine enhancement patch given with two doses of H5N1 vaccine in 276 healthy adults in Austria and Belgium, and NCT00908687, a Phase 2 dose ranging study in 500 adults with pandemic influenza in the United States.

How many patients have been enrolled in A/H5N1 trials?

Across its completed clinical program, A/H5N1 has enrolled a total of 1,001 participants. The studies were randomized and controlled, with participants aged 18 years and older, and included healthy volunteers. The trials took place in the United States, Austria, and Belgium.