Immunogenicity & Safety of GSK's Influenza Vaccine 1557484A Given to Adults Aged ≥18 Years

Sponsor
GlaxoSmithKline (Industry)
Overall Status
Completed
CT.gov ID
NCT00616928
Collaborator
(none)
4,561
40
10
13.8
114
8.2

Study Details

Study Description

Brief Summary

The purpose of this Phase 3, observer-blind, placebo-controlled, multi-center study is to characterize the immunogenicity & safety of the investigation vaccination regimen of GSK 1557484A vaccine given to adults aged ≥18 years.

Condition or Disease Intervention/Treatment Phase
  • Biological: Influenza A (H5N1) Virus Monovalent Vaccine, Adjuvanted
  • Biological: Placebo
Phase 3

Study Design

Study Type:
Interventional
Actual Enrollment :
4561 participants
Allocation:
Randomized
Intervention Model:
Parallel Assignment
Masking:
Triple (Participant, Care Provider, Investigator)
Primary Purpose:
Prevention
Official Title:
A Trial to Evaluate the Safety and Immunogenicity of an Investigational Vaccination Regimen in Adults Aged ≥18 Years
Study Start Date :
Jan 23, 2008
Actual Primary Completion Date :
Oct 15, 2008
Actual Study Completion Date :
Mar 19, 2009

Arms and Interventions

Arm Intervention/Treatment
Experimental: Influenza A (H5N1) 18-64Y Group

Subjects aged 18-64 years, who received 2 doses of the Influenza A (H5N1) Virus Monovalent Vaccine, Adjuvanted vaccine formulations A. B, or C in approximately equal proportions, at Days 0 and 21. The first dose was administered in the deltoid region of the non-dominant arm. The second dose was administered in the deltoid region of the dominant arm.

Biological: Influenza A (H5N1) Virus Monovalent Vaccine, Adjuvanted
Two intramuscular injections at Days 0 and 21.

Placebo Comparator: Placebo 18-64Y Group

Subjects aged 18-64 years, who received 2 doses of placebo at Days 0 and 21. The first dose was administered in the deltoid region of the non-dominant arm. The second dose was administered in the deltoid region of the dominant arm.

Biological: Placebo
Two intramuscular injections at Days 0 and 21.

Experimental: Influenza A (H5N1) >64Y Group

Subjects aged > 64 years, who received 2 doses of the Influenza A (H5N1) Virus Monovalent Vaccine, Adjuvanted vaccine formulations A. B, or C in approximately equal proportions, at Days 0 and 21. The first dose was administered in the deltoid region of the non-dominant arm. The second dose was administered in the deltoid region of the dominant arm.

Biological: Influenza A (H5N1) Virus Monovalent Vaccine, Adjuvanted
Two intramuscular injections at Days 0 and 21.

Placebo Comparator: Placebo >64Y Group

Subjects aged > 64 years, who received 2 doses of placebo at Days 0 and 21. The first dose was administered in the deltoid region of the non-dominant arm. The second dose was administered in the deltoid region of the dominant arm.

Biological: Placebo
Two intramuscular injections at Days 0 and 21.

Experimental: Influenza A (H5N1) Group

Pooled group of subjects aged >18 years, who received 2 doses of the Influenza A (H5N1) Virus Monovalent Vaccine, Adjuvanted vaccine formulations A. B, or C in approximately equal proportions, at Days 0 and 21. The first dose was administered in the deltoid region of the non-dominant arm. The second dose was administered in the deltoid region of the dominant arm.

Biological: Influenza A (H5N1) Virus Monovalent Vaccine, Adjuvanted
Two intramuscular injections at Days 0 and 21.

Placebo Comparator: Placebo Group

Pooled group of subjects aged >18 years, who received 2 doses of placebo at Days 0 and 21. The first dose was administered in the deltoid region of the non-dominant arm. The second dose was administered in the deltoid region of the dominant arm.

Biological: Placebo
Two intramuscular injections at Days 0 and 21.

Experimental: Influenza A (H5N1) 18-60Y Group

Subjects aged 18-60 years, who received 2 doses of the Influenza A (H5N1) Virus Monovalent Vaccine, Adjuvanted vaccine formulations A. B, or C in approximately equal proportions, at Days 0 and 21. The first dose was administered in the deltoid region of the non-dominant arm. The second dose was administered in the deltoid region of the dominant arm.

Biological: Influenza A (H5N1) Virus Monovalent Vaccine, Adjuvanted
Two intramuscular injections at Days 0 and 21.

Placebo Comparator: Placebo 18-60Y Group

Subjects aged 18-60 years, who received 2 doses of placebo at Days 0 and 21. The first dose was administered in the deltoid region of the non-dominant arm. The second dose was administered in the deltoid region of the dominant arm.

Biological: Placebo
Two intramuscular injections at Days 0 and 21.

Experimental: Influenza A (H5N1) >60Y Group

Subjects aged >60 years, who received 2 doses of the Influenza A (H5N1) Virus Monovalent Vaccine, Adjuvanted vaccine formulations A. B, or C in approximately equal proportions, at Days 0 and 21. The first dose was administered in the deltoid region of the non-dominant arm. The second dose was administered in the deltoid region of the dominant arm.

Biological: Influenza A (H5N1) Virus Monovalent Vaccine, Adjuvanted
Two intramuscular injections at Days 0 and 21.

Placebo Comparator: Placebo >60Y Group

Subjects aged > 60 years, who received 2 doses of placebo at Days 0 and 21. The first dose was administered in the deltoid region of the non-dominant arm. The second dose was administered in the deltoid region of the dominant arm.

Biological: Placebo
Two intramuscular injections at Days 0 and 21.

Outcome Measures

Primary Outcome Measures

  1. Number of Seroconverted Subjects Against A/Indonesia/5/2005 (H5N1) [At Day 42 post Dose 1 (Day 42 post Dose 1 = Day 21 post Dose 2)]

    A seroconverted subject was defined as a vaccinated subject who had either a pre-vaccination (Day 0) reciprocal HI titer < 1:10 and a post-vaccination (Day 42) reciprocal titer ≥ 1:40, or a pre-vaccination reciprocal HI titer ≥ 1:10 and at least a 4-fold increase in post-vaccination reciprocal titer against A/Indonesia/5/05 virus 21 days after the second dose of Influenza A (H5N1) Virus Monovalent Vaccine, Adjuvanted.

  2. Number of Seroprotected Subjects Against A/Indonesia/5/2005 (H5N1) [At Day 0 and Day 42 post Dose 1 (Day 42 post Dose 1 = Day 21 post Dose 2)]

    A seroprotected subject was defined as a vaccinated subject with serum Hemagglutination Inhibition (HI) titer ≥ 1:40.

  3. Number of Subjects With Any Solicited Local Symptoms. [During a 7-day follow-up period (i.e., day of vaccination and 6 subsequent days) after each vaccine administration]

    Assessed solicited local symptoms were pain, redness and swelling. Any = occurrence of the symptom regardless of intensity grade.

  4. Number of Subjects With Any Solicited General Symptoms. [During a 7-day follow-up period (i.e., day of vaccination and 6 subsequent days) after each vaccine administration]

    Assessed solicited general symptoms were fatigue, headache, joint pain at other locations, muscle aches, shivering, sweating and temperature[defined as axillary temperature equal to or above 37.5 degrees Celsius (°C)]. Any = occurrence of the symptom regardless of intensity grade.

  5. Number of Subjects With Any Unsolicited Adverse Events (AEs). [During a 21-day follow-up period for each vaccine administration, as well as overall (Day 0 through Day 84)]

    An unsolicited AE covers any untoward medical occurrence in a clinical investigation subject temporally associated with the use of a medicinal product, whether or not considered related to the medicinal product and reported in addition to those solicited during the clinical study and any solicited symptom with onset outside the specified period of follow-up for solicited symptoms. Any was defined as the occurrence of any unsolicited AE regardless of intensity grade or relation to vaccination.

  6. Number of Subjects With Serious Adverse Events (SAEs) [From Day 0 through Day 182 and through Day 379.]

    Serious adverse events (SAEs) assessed include medical occurrences that result in death, are life threatening, require hospitalization or prolongation of hospitalization or result in disability/incapacity.

  7. Number of Subjects With Medically Attended Events (MAEs) [From Day 0 through Day 182 and through Day 364.]

Secondary Outcome Measures

  1. Number of Subjects With Serum Reciprocal HI Antibodies Against A/Indonesia/5/2005 Equal to or Above (≥) 1:10 [At Day 42 post Dose 1 (Day 42 post Dose 1 = Day 21 post Dose 2)]

  2. Number of Subjects With A/Indonesia/5/05 Antibody Titers ≥ 1:10 [At Month 6 (Day 182) post Dose 1]

  3. Number of Seroconverted Subjects Against A/Indonesia/5/2005 (H5N1) [At Month 6 (Day 182) after Dose 1]

    A seroconverted subject was defined as a vaccinated subject who had either a pre-vaccination (Day 0) reciprocal HI titer < 1:10 and a post-vaccination (Day 42) reciprocal titer ≥ 1:40, or a pre-vaccination reciprocal HI titer ≥ 1:10 and at least a 4-fold increase in post-vaccination reciprocal titer against A/Indonesia/5/05 virus 21 days after the second dose of Influenza A (H5N1) Virus Monovalent Vaccine, Adjuvanted.

  4. Number of Seroprotected Subjects Against A/Indonesia/5/2005 (H5N1) [At Month 6 (Day 182) after Dose 1]

  5. Titers for Serum HI Antibodies Against A/Indonesia/5/05 (H5N1) [At Month 6 (Day 182) after Dose 1]

    Titers are presented as geometric mean titers (GMTs). The reference seropositivity cut-off value was ≥ 1:10.

  6. Number of Subjects With a Vaccine Response to the Vaccine-homologous Virus and Drift Variant H5N1 Virus, as Assessed by Microneutralization Assays. [At Day 42 post Dose 1 (Day 42 post Dose 1 = Day 21 post Dose 2)]

    Virus antibody response rates were defined as the number of subjects with antibody titers at Day 42 ≥ 4-fold the pre-vaccination antibody titers. The 2 strains assessed were Flu A/Indonesia/5/05 and Flu A/Vietnam/1194/04.

  7. Titers for Serum Hemagglutination Inhibition (HI) Antibodies Against A/Vietnam/1194/2004 (H5N1) and A/Indonesia/5/2005 (H5N1) as Assessed by Microneutralization Assays [At Day 0 and Day 42 post Dose 1 (Day 42 post Dose 1 = Day 21 post Dose 2)]

    Titers were expressed as Geometric Mean Titers (GMTs).

Eligibility Criteria

Criteria

Ages Eligible for Study:
18 Years and Older
Sexes Eligible for Study:
All
Accepts Healthy Volunteers:
Yes
Inclusion Criteria:
  • A male or female 18 years of age or greater at the time of the first vaccination.

  • Written informed consent obtained from the subject.

  • Among 18 to 49 year old subjects, good general health as established by medical history and clinical examination before entering into the study.

  • Among subjects > 49 years of age, stable health status within 1 month prior to enrollment.

  • Access to a consistent means of telephone contact.

  • Comprehension of the study requirements, ability to comprehend and comply with procedures for collection of short- and long-term safety data, expressed availability for the required study period, and ability and willingness to attend scheduled visits.

Exclusion Criteria:
  • Evidence of substance abuse or of neurological or psychiatric diagnoses which, even if clinically stable, are deemed by the investigator to render the potential subjectunable/unlikely to provide accurate safety reports.

  • Diagnosed with cancer, or treatment for cancer, within 3 years.

  • An oral temperature ≥37.8º C, or acute symptoms greater than "mild" severity on the scheduled date of first vaccination.

  • Any confirmed or suspected immunosuppressive or immunodeficient condition including history of human immunodeficiency virus infection.

  • Receipt of systemic glucocorticoids within 1 month of study enrollment, or any other cytotoxic or immunosuppressive drug within 6 months of study enrollment.

  • Any significant disorder of coagulation or treatment with Coumadin derivatives or heparin.

  • Administration of any vaccines within 30 days before study enrollment.

  • Previous administration of any H5N1 vaccine.

  • Use of any investigational or non-registered product or planned participation in another investigational study within 30 days prior to study enrollment, or during the 364 days following the first test article dose. Use of any investigational or non-registered product with immunosuppressive properties is exclusionary at any time during the trial.

  • Receipt of any immunoglobulins and/or any blood products within 3 months of study enrollment or planned administration of any of these products during the study period.

  • Any known or suspected allergy to any constituent of influenza vaccines; a history of anaphylactic-type reaction to consumption of eggs; or a history of severe adverse reaction to a previous influenza vaccine.

  • Known pregnancy or a positive urine beta-human chorionic gonadotropin test result prior to either vaccination.

  • Lactating or nursing.

  • Women of child bearing potential who lack a history of reliable contraceptive practices. The provision of this history does NOT replace the requirement to perform, and obtain negative results in pregnancy urine tests prior to treatments.

  • Known use of an analgesic or antipyretic medication within 12 hours prior to first treatment.

Contacts and Locations

Locations

Site City State Country Postal Code
1 GSK Investigational Site Huntsville Alabama United States 35802
2 GSK Investigational Site Phoenix Arizona United States 85020
3 GSK Investigational Site Anaheim California United States 92801
4 GSK Investigational Site Jacksonville Florida United States 32216
5 GSK Investigational Site Melbourne Florida United States 32935
6 GSK Investigational Site Miami Florida United States 33143
7 GSK Investigational Site Pembroke Pines Florida United States 33024
8 GSK Investigational Site Stockbridge Georgia United States 30281
9 GSK Investigational Site Chicago Illinois United States 60610
10 GSK Investigational Site Peoria Illinois United States 61602
11 GSK Investigational Site South Bend Indiana United States 46601
12 GSK Investigational Site Lenexa Kansas United States 66219
13 GSK Investigational Site Wichita Kansas United States 67207
14 GSK Investigational Site Metairie Louisiana United States 70006
15 GSK Investigational Site Rockville Maryland United States 20850
16 GSK Investigational Site Saint Louis Missouri United States 63141
17 GSK Investigational Site Missoula Montana United States 59801
18 GSK Investigational Site Las Vegas Nevada United States 89104
19 GSK Investigational Site Edison New Jersey United States 08817
20 GSK Investigational Site Poughkeepsie New York United States 12601
21 GSK Investigational Site Rochester New York United States 14609
22 GSK Investigational Site Raleigh North Carolina United States 27612
23 GSK Investigational Site Cleveland Ohio United States 44122
24 GSK Investigational Site Erie Pennsylvania United States 16506
25 GSK Investigational Site Pittsburgh Pennsylvania United States 15236
26 GSK Investigational Site Spartanburg South Carolina United States 29303
27 GSK Investigational Site Nashville Tennessee United States 37203
28 GSK Investigational Site Austin Texas United States 78705
29 GSK Investigational Site Fort Worth Texas United States 76135
30 GSK Investigational Site San Angelo Texas United States 76904
31 GSK Investigational Site Halifax Nova Scotia Canada B3K 6R8
32 GSK Investigational Site Truro Nova Scotia Canada B2N 1L2
33 GSK Investigational Site London Ontario Canada N5W 6A2
34 GSK Investigational Site Sarnia Ontario Canada N7T 4X3
35 GSK Investigational Site Sudbury Ontario Canada P3E 6C3
36 GSK Investigational Site Woodstock Ontario Canada N4S 4G3
37 GSK Investigational Site Pointe-Claire Quebec Canada H9R 4S3
38 GSK Investigational Site Quebec City Quebec Canada G1E 7G9
39 GSK Investigational Site Sherbrooke Quebec Canada J1H 4J6
40 GSK Investigational Site St-Romuald Quebec Canada G6W 5M6

Sponsors and Collaborators

  • GlaxoSmithKline

Investigators

  • Study Director: GSK Clinical Trials, GlaxoSmithKline

Study Documents (Full-Text)

None provided.

More Information

Additional Information:

Publications

None provided.
Responsible Party:
GlaxoSmithKline
ClinicalTrials.gov Identifier:
NCT00616928
Other Study ID Numbers:
  • 110464
First Posted:
Feb 15, 2008
Last Update Posted:
Jun 8, 2018
Last Verified:
Oct 1, 2016
Individual Participant Data (IPD) Sharing Statement:
Yes
Plan to Share IPD:
Yes
Keywords provided by GlaxoSmithKline
Additional relevant MeSH terms:

Study Results

Participant Flow

Recruitment Details
Pre-assignment Detail
Arm/Group Title Influenza A (H5N1) 18-64Y Group Placebo 18-64Y Group Influenza A (H5N1) >64Y Group Placebo >64Y Group
Arm/Group Description Subjects aged 18-64 years, who received 2 doses of the Influenza A (H5N1) Virus Monovalent Vaccine, Adjuvanted vaccine formulations A. B, or C in approximately equal proportions, at Days 0 and 21. The first dose was administered in the deltoid region of the non-dominant arm. The second dose was administered in the deltoid region of the dominant arm. Subjects aged 18-64 years, who received 2 doses of placebo at Days 0 and 21. The first dose was administered in the deltoid region of the non-dominant arm. The second dose was administered in the deltoid region of the dominant arm. Subjects aged > 64 years, who received 2 doses of the Influenza A (H5N1) Virus Monovalent Vaccine, Adjuvanted vaccine formulations A. B, or C in approximately equal proportions, at Days 0 and 21. The first dose was administered in the deltoid region of the non-dominant arm. The second dose was administered in the deltoid region of the dominant arm. Subjects aged > 64 years, who received 2 doses of placebo at Days 0 and 21. The first dose was administered in the deltoid region of the non-dominant arm. The second dose was administered in the deltoid region of the dominant arm.
Period Title: Overall Study
STARTED 2304 768 1118 371
COMPLETED 2242 750 1101 364
NOT COMPLETED 62 18 17 7

Baseline Characteristics

Arm/Group Title Influenza A (H5N1) 18-64Y Group Placebo 18-64Y Group Influenza A (H5N1) >64Y Group Placebo >64Y Group Total
Arm/Group Description Subjects aged 18-64 years, who received 2 doses of the Influenza A (H5N1) Virus Monovalent Vaccine, Adjuvanted, formulations A, B, or C in approximately equal proportions, at Days 0 and 21. The first dose was administered in the deltoid region of the non-dominant arm. The second dose was administered in the deltoid region of the dominant arm. Subjects aged 18-64 years, who received 2 doses of placebo at Days 0 and 21. The first dose was administered in the deltoid region of the non-dominant arm. The second dose was administered in the deltoid region of the dominant arm. Influenza A (H5N1) >64Y Group Subjects aged > 64 years, who received 2 doses of the Influenza A (H5N1) Virus Monovalent Vaccine, Adjuvanted, formulations A, B, or C in approximately equal proportions, at Days 0 and 21. The first dose was administered in the deltoid region of the non-dominant arm. The second dose was administered in the deltoid region of the dominant arm. Subjects aged > 64 years, who received 2 doses of placebo at Days 0 and 21. The first dose was administered in the deltoid region of the non-dominant arm. The second dose was administered in the deltoid region of the dominant arm. Total of all reporting groups
Overall Participants 2304 768 1118 371 4561
Age (Years) [Mean (Standard Deviation) ]
Mean (Standard Deviation) [Years]
38.5
(13.64)
38.7
(13.58)
71.9
(5.49)
72.1
(5.41)
49.5
(19.50)
Sex: Female, Male (Count of Participants)
Female
1328
57.6%
424
55.2%
621
55.5%
196
52.8%
2569
56.3%
Male
976
42.4%
344
44.8%
497
44.5%
175
47.2%
1992
43.7%

Outcome Measures

1. Primary Outcome
Title Number of Seroconverted Subjects Against A/Indonesia/5/2005 (H5N1)
Description A seroconverted subject was defined as a vaccinated subject who had either a pre-vaccination (Day 0) reciprocal HI titer < 1:10 and a post-vaccination (Day 42) reciprocal titer ≥ 1:40, or a pre-vaccination reciprocal HI titer ≥ 1:10 and at least a 4-fold increase in post-vaccination reciprocal titer against A/Indonesia/5/05 virus 21 days after the second dose of Influenza A (H5N1) Virus Monovalent Vaccine, Adjuvanted.
Time Frame At Day 42 post Dose 1 (Day 42 post Dose 1 = Day 21 post Dose 2)

Outcome Measure Data

Analysis Population Description
The analysis was based on the ATP cohort for analysis of immunogenicity, which included all evaluable subjects (meeting all eligibility criteria, complying with the procedures in the protocol, with no elimination criteria during the study) with a complete set of data concerning immunogenicity primary outcome variables available.
Arm/Group Title Influenza A (H5N1) 18-64Y Group Placebo 18-64Y Group Influenza A (H5N1) >64Y Group Placebo >64Y Group
Arm/Group Description Subjects aged 18-64 years, who received 2 doses of the Influenza A (H5N1) Virus Monovalent Vaccine, Adjuvanted, formulations A. B, or C in approximately equal proportions, at Days 0 and 21. The first dose was administered in the deltoid region of the non-dominant arm. The second dose was administered in the deltoid region of the dominant arm. Subjects aged 18-64 years, who received 2 doses of placebo at Days 0 and 21. The first dose was administered in the deltoid region of the non-dominant arm. The second dose was administered in the deltoid region of the dominant arm. Subjects aged > 64 years, who received 2 doses of the Influenza A (H5N1) Virus Monovalent Vaccine, Adjuvanted, formulations A. B, or C in approximately equal proportions, at Days 0 and 21. The first dose was administered in the deltoid region of the non-dominant arm. The second dose was administered in the deltoid region of the dominant arm. Subjects aged > 64 years, who received 2 doses of placebo at Days 0 and 21. The first dose was administered in the deltoid region of the non-dominant arm. The second dose was administered in the deltoid region of the dominant arm.
Measure Participants 1571 76 396 40
Number [Subjects]
1427
1
293
1
2. Primary Outcome
Title Number of Seroprotected Subjects Against A/Indonesia/5/2005 (H5N1)
Description A seroprotected subject was defined as a vaccinated subject with serum Hemagglutination Inhibition (HI) titer ≥ 1:40.
Time Frame At Day 0 and Day 42 post Dose 1 (Day 42 post Dose 1 = Day 21 post Dose 2)

Outcome Measure Data

Analysis Population Description
The analysis was based on the ATP cohort for analysis of immunogenicity, which included all evaluable subjects (meeting all eligibility criteria, complying with the procedures in the protocol, with no elimination criteria during the study) with a complete set of data concerning immunogenicity primary outcome variables available.
Arm/Group Title Influenza A (H5N1) 18-64Y Group Placebo 18-64Y Group Influenza A (H5N1) >64Y Group Placebo >64Y Group
Arm/Group Description Subjects aged 18-64 years, who received 2 doses of the Influenza A (H5N1) Virus Monovalent Vaccine, Adjuvanted, formulations A, B, or C in approximately equal proportions, at Days 0 and 21. The first dose was administered in the deltoid region of the non-dominant arm. The second dose was administered in the deltoid region of the dominant arm Subjects aged 18-64 years, who received 2 doses of placebo at Days 0 and 21. The first dose was administered in the deltoid region of the non-dominant arm. The second dose was administered in the deltoid region of the dominant arm. Subjects aged > 64 years, who received 2 doses of the Influenza A (H5N1) Virus Monovalent Vaccine, Adjuvanted, formulations A, B, or C in approximately equal proportions, at Days 0 and 21. The first dose was administered in the deltoid region of the non-dominant arm. The second dose was administered in the deltoid region of the dominant arm. Subjects aged > 64 years, who received 2 doses of placebo at Days 0 and 21. The first dose was administered in the deltoid region of the non-dominant arm. The second dose was administered in the deltoid region of the dominant arm.
Measure Participants 1571 76 396 40
Day 0
5
0
9
0
Day 42
1467
1
334
1
3. Primary Outcome
Title Number of Subjects With Any Solicited Local Symptoms.
Description Assessed solicited local symptoms were pain, redness and swelling. Any = occurrence of the symptom regardless of intensity grade.
Time Frame During a 7-day follow-up period (i.e., day of vaccination and 6 subsequent days) after each vaccine administration

Outcome Measure Data

Analysis Population Description
The analysis was based on the Total Vaccinated cohort, on subjects with symptom sheets completed.
Arm/Group Title Influenza A (H5N1) 18-64Y Group Placebo 18-64Y Group Influenza A (H5N1) >64Y Group Placebo >64Y Group Influenza A (H5N1) Group Placebo Group
Arm/Group Description Subjects aged 18-64 years, who received 2 doses of the Influenza A (H5N1) Virus Monovalent Vaccine, Adjuvanted, formulations A, B, or C in approximately equal proportions, at Days 0 and 21. The first dose was administered in the deltoid region of the non-dominant arm. The second dose was administered in the deltoid region of the dominant arm Subjects aged 18-64 years, who received 2 doses of placebo at Days 0 and 21. The first dose was administered in the deltoid region of the non-dominant arm. The second dose was administered in the deltoid region of the dominant arm. Subjects aged > 64 years, who received 2 doses of the Influenza A (H5N1) Virus Monovalent Vaccine, Adjuvanted, formulations A, B, or C in approximately equal proportions, at Days 0 and 21. The first dose was administered in the deltoid region of the non-dominant arm. The second dose was administered in the deltoid region of the dominant arm. Subjects aged > 64 years, who received 2 doses of placebo at Days 0 and 21. The first dose was administered in the deltoid region of the non-dominant arm. The second dose was administered in the deltoid region of the dominant arm. Pooled group of subjects aged >18 years, who received 2 doses of the Influenza A (H5N1) Virus Monovalent Vaccine, Adjuvanted, formulations A. B, or C in approximately equal proportions, at Days 0 and 21. The first dose was administered in the deltoid region of the non-dominant arm. The second dose was administered in the deltoid region of the dominant arm. Pooled group of subjects aged >18 years, who received 2 doses of placebo at Days 0 and 21. The first dose was administered in the deltoid region of the non-dominant arm. The second dose was administered in the deltoid region of the dominant arm.
Measure Participants 2267 754 1109 368 3376 1122
Pain
2024
171
784
53
2808
224
Redness
181
7
106
1
287
8
Swelling
241
7
110
1
351
8
4. Primary Outcome
Title Number of Subjects With Any Solicited General Symptoms.
Description Assessed solicited general symptoms were fatigue, headache, joint pain at other locations, muscle aches, shivering, sweating and temperature[defined as axillary temperature equal to or above 37.5 degrees Celsius (°C)]. Any = occurrence of the symptom regardless of intensity grade.
Time Frame During a 7-day follow-up period (i.e., day of vaccination and 6 subsequent days) after each vaccine administration

Outcome Measure Data

Analysis Population Description
The analysis was based on the Total Vaccinated cohort, on subjects with symptom sheets completed.
Arm/Group Title Influenza A (H5N1) 18-64Y Group Placebo 18-64Y Group Influenza A (H5N1) >64Y Group Placebo >64Y Group Influenza A (H5N1) Group Placebo Group
Arm/Group Description Subjects aged 18-64 years, who received 2 doses of the Influenza A (H5N1) Virus Monovalent Vaccine, Adjuvanted, formulations A, B, or C in approximately equal proportions, at Days 0 and 21. The first dose was administered in the deltoid region of the non-dominant arm. The second dose was administered in the deltoid region of the dominant arm. Subjects aged 18-64 years, who received 2 doses of placebo at Days 0 and 21. The first dose was administered in the deltoid region of the non-dominant arm. The second dose was administered in the deltoid region of the dominant arm. Subjects aged > 64 years, who received 2 doses of the Influenza A (H5N1) Virus Monovalent Vaccine, Adjuvanted, formulations A, B, or C in approximately equal proportions, at Days 0 and 21. The first dose was administered in the deltoid region of the non-dominant arm. The second dose was administered in the deltoid region of the dominant arm. Subjects aged > 64 years, who received 2 doses of placebo at Days 0 and 21. The first dose was administered in the deltoid region of the non-dominant arm. The second dose was administered in the deltoid region of the dominant arm. Pooled group of subjects aged >18 years, who received 2 doses of the Influenza A (H5N1) Virus Monovalent Vaccine, Adjuvanted, formulations A. B, or C in approximately equal proportions, at Days 0 and 21. The first dose was administered in the deltoid region of the non-dominant arm. The second dose was administered in the deltoid region of the dominant arm. Pooled group of subjects aged >18 years, who received 2 doses of placebo at Days 0 and 21. The first dose was administered in the deltoid region of the non-dominant arm. The second dose was administered in the deltoid region of the dominant arm.
Measure Participants 2266 755 1109 368 3375 1123
Fatigue
890
189
258
64
1148
253
Headache
932
249
247
63
1179
312
Joint pain at other location
645
97
208
39
853
136
Muscle aches
1188
175
338
56
1526
231
Shivering
456
87
107
22
563
109
Sweating
314
67
48
15
362
109
Temperature
121
32
35
6
156
109
5. Primary Outcome
Title Number of Subjects With Any Unsolicited Adverse Events (AEs).
Description An unsolicited AE covers any untoward medical occurrence in a clinical investigation subject temporally associated with the use of a medicinal product, whether or not considered related to the medicinal product and reported in addition to those solicited during the clinical study and any solicited symptom with onset outside the specified period of follow-up for solicited symptoms. Any was defined as the occurrence of any unsolicited AE regardless of intensity grade or relation to vaccination.
Time Frame During a 21-day follow-up period for each vaccine administration, as well as overall (Day 0 through Day 84)

Outcome Measure Data

Analysis Population Description
[Not Specified]
Arm/Group Title Influenza A (H5N1) 18-64Y Group Placebo 18-64Y Group Influenza A (H5N1) >64Y Group Placebo >64Y Group
Arm/Group Description Subjects aged 18-64 years, who received 2 doses of the Influenza A (H5N1) Virus Monovalent Vaccine, Adjuvanted, formulations A, B, or C in approximately equal proportions, at Days 0 and 21. The first dose was administered in the deltoid region of the non-dominant arm. The second dose was administered in the deltoid region of the dominant arm. Subjects aged 18-64 years, who received 2 doses of placebo at Days 0 and 21. The first dose was administered in the deltoid region of the non-dominant arm. The second dose was administered in the deltoid region of the dominant arm. Subjects aged > 64 years, who received 2 doses of the Influenza A (H5N1) Virus Monovalent Vaccine, Adjuvanted, formulations A, B, or C in approximately equal proportions, at Days 0 and 21. The first dose was administered in the deltoid region of the non-dominant arm. The second dose was administered in the deltoid region of the dominant arm. Subjects aged > 64 years, who received 2 doses of placebo at Days 0 and 21. The first dose was administered in the deltoid region of the non-dominant arm. The second dose was administered in the deltoid region of the dominant arm.
Measure Participants 2304 768 1118 371
Unsolicited AEs Days 0-21
914
289
399
113
Unsolicited AEs Days 0-84
1017
321
467
130
6. Primary Outcome
Title Number of Subjects With Serious Adverse Events (SAEs)
Description Serious adverse events (SAEs) assessed include medical occurrences that result in death, are life threatening, require hospitalization or prolongation of hospitalization or result in disability/incapacity.
Time Frame From Day 0 through Day 182 and through Day 379.

Outcome Measure Data

Analysis Population Description
[Not Specified]
Arm/Group Title Influenza A (H5N1) 18-64Y Group Placebo 18-64Y Group Influenza A (H5N1) >64Y Group Placebo >64Y Group
Arm/Group Description Subjects aged 18-64 years, who received 2 doses of the Influenza A (H5N1) Virus Monovalent Vaccine, Adjuvanted, formulations A, B, or C in approximately equal proportions, at Days 0 and 21. The first dose was administered in the deltoid region of the non-dominant arm. The second dose was administered in the deltoid region of the dominant arm. Subjects aged 18-64 years, who received 2 doses of placebo at Days 0 and 21. The first dose was administered in the deltoid region of the non-dominant arm. The second dose was administered in the deltoid region of the dominant arm. Subjects aged > 64 years, who received 2 doses of the Influenza A (H5N1) Virus Monovalent Vaccine, Adjuvanted, formulations A, B, or C in approximately equal proportions, at Days 0 and 21. The first dose was administered in the deltoid region of the non-dominant arm. The second dose was administered in the deltoid region of the dominant arm. Subjects aged > 64 years, who received 2 doses of placebo at Days 0 and 21. The first dose was administered in the deltoid region of the non-dominant arm. The second dose was administered in the deltoid region of the dominant arm.
Measure Participants 2304 768 1118 371
Subjects with SAEs Days 0-182
24
7
43
14
Subjects with SAEs Days 0-379
46
15
65
30
7. Primary Outcome
Title Number of Subjects With Medically Attended Events (MAEs)
Description
Time Frame From Day 0 through Day 182 and through Day 364.

Outcome Measure Data

Analysis Population Description
[Not Specified]
Arm/Group Title Influenza A (H5N1) 18-64Y Group Placebo 18-64Y Group Influenza A (H5N1) >64Y Group Placebo >64Y Group
Arm/Group Description Subjects aged 18-64 years, who received 2 doses of the Influenza A (H5N1) Virus Monovalent Vaccine, Adjuvanted, formulations A, B, or C in approximately equal proportions, at Days 0 and 21. The first dose was administered in the deltoid region of the non-dominant arm. The second dose was administered in the deltoid region of the dominant arm. Subjects aged 18-64 years, who received 2 doses of placebo at Days 0 and 21. The first dose was administered in the deltoid region of the non-dominant arm. The second dose was administered in the deltoid region of the dominant arm. Subjects aged > 64 years, who received 2 doses of the Influenza A (H5N1) Virus Monovalent Vaccine, Adjuvanted, formulations A, B, or C in approximately equal proportions, at Days 0 and 21. The first dose was administered in the deltoid region of the non-dominant arm. The second dose was administered in the deltoid region of the dominant arm. Subjects aged > 64 years, who received 2 doses of placebo at Days 0 and 21. The first dose was administered in the deltoid region of the non-dominant arm. The second dose was administered in the deltoid region of the dominant arm.
Measure Participants 2304 768 1118 371
Subjects with MAEs Days 0-182
480
154
298
92
Subjects with MAEs Days 0-379
627
212
400
134
8. Secondary Outcome
Title Number of Subjects With Serum Reciprocal HI Antibodies Against A/Indonesia/5/2005 Equal to or Above (≥) 1:10
Description
Time Frame At Day 42 post Dose 1 (Day 42 post Dose 1 = Day 21 post Dose 2)

Outcome Measure Data

Analysis Population Description
The analysis was based on the ATP cohort for analysis of immunogenicity, which included all evaluable subjects (meeting all eligibility criteria, complying with the procedures in the protocol, with no elimination criteria during the study) with a complete set of data concerning immunogenicity primary outcome variables available.
Arm/Group Title Influenza A (H5N1) 18-60Y Group Placebo 18-60Y Group Influenza A (H5N1) >60Y Group Placebo >60Y Group
Arm/Group Description Subjects aged 18-60 years, who received 2 doses of the Influenza A (H5N1) Virus Monovalent Vaccine, Adjuvanted, formulations A, B, or C in approximately equal proportions, at Days 0 and 21. The first dose was administered in the deltoid region of the non-dominant arm. The second dose was administered in the deltoid region of the dominant arm. Subjects aged 18-60 years, who received 2 doses of placebo at Days 0 and 21. The first dose was administered in the deltoid region of the non-dominant arm. The second dose was administered in the deltoid region of the dominant arm. Subjects aged >60 years, who received 2 doses of the Influenza A (H5N1) Virus Monovalent Vaccine, Adjuvanted, formulations A. B, or C in approximately equal proportions, at Days 0 and 21. The first dose was administered in the deltoid region of the non-dominant arm. The second dose was administered in the deltoid region of the dominant arm. Subjects aged > 60 years, who received 2 doses of placebo at Days 0 and 21. The first dose was administered in the deltoid region of the non-dominant arm. The second dose was administered in the deltoid region of the dominant arm.
Measure Participants 1488 68 479 48
Number [Subjects]
1391
1
410
1
9. Secondary Outcome
Title Number of Subjects With A/Indonesia/5/05 Antibody Titers ≥ 1:10
Description
Time Frame At Month 6 (Day 182) post Dose 1

Outcome Measure Data

Analysis Population Description
The analysis was based on the ATP cohort for analysis of immunogenicity - Month 6, which included all evaluable subjects (meeting all eligibility criteria, complying with the procedures in the protocol, with no elimination criteria during the study) with a complete set of data concerning immunogenicity primary outcome variables available at Month 6
Arm/Group Title Influenza A (H5N1) 18-64Y Group Placebo 18-64Y Group Influenza A (H5N1) >64Y Group Placebo ˃ 64Y Group
Arm/Group Description Subjects aged 18-64 years, who received 2 doses of the Influenza A (H5N1) Virus Monovalent Vaccine, Adjuvanted, formulations A, B, or C in approximately equal proportions, at Days 0 and 21. The first dose was administered in the deltoid region of the non-dominant arm. The second dose was administered in the deltoid region of the dominant arm. Subjects aged 18-64 years, who received 2 doses of placebo at Days 0 and 21. The first dose was administered in the deltoid region of the non-dominant arm. The second dose was administered in the deltoid region of the dominant arm. Subjects aged > 64 years, who received 2 doses of the Influenza A (H5N1) Virus Monovalent Vaccine, Adjuvanted, formulations A, B, or C in approximately equal proportions, at Days 0 and 21. The first dose was administered in the deltoid region of the non-dominant arm. The second dose was administered in the deltoid region of the dominant arm. Subjects aged > 64 years, who received 2 doses of placebo at Days 0 and 21. The first dose was administered in the deltoid region of the non-dominant arm. The second dose was administered in the deltoid region of the dominant arm.
Measure Participants 366 37 91 19
Number [Subjects]
258
2
77
1
10. Secondary Outcome
Title Number of Seroconverted Subjects Against A/Indonesia/5/2005 (H5N1)
Description A seroconverted subject was defined as a vaccinated subject who had either a pre-vaccination (Day 0) reciprocal HI titer < 1:10 and a post-vaccination (Day 42) reciprocal titer ≥ 1:40, or a pre-vaccination reciprocal HI titer ≥ 1:10 and at least a 4-fold increase in post-vaccination reciprocal titer against A/Indonesia/5/05 virus 21 days after the second dose of Influenza A (H5N1) Virus Monovalent Vaccine, Adjuvanted.
Time Frame At Month 6 (Day 182) after Dose 1

Outcome Measure Data

Analysis Population Description
The analysis was based on the ATP cohort for analysis of immunogenicity - Month 6, which included all evaluable subjects (meeting all eligibility criteria, complying with the procedures in the protocol, with no elimination criteria during the study) with a complete set of data concerning immunogenicity primary outcome variables available at Month 6
Arm/Group Title Influenza A (H5N1) 18-64Y Group Placebo 18-64Y Group Influenza A (H5N1) >64Y Group Placebo >64Y Group
Arm/Group Description Subjects aged 18-64 years, who received 2 doses of the Influenza A (H5N1) Virus Monovalent Vaccine, Adjuvanted, formulations A, B, or C in approximately equal proportions, at Days 0 and 21. The first dose was administered in the deltoid region of the non-dominant arm. The second dose was administered in the deltoid region of the dominant arm. Subjects aged 18-64 years, who received 2 doses of placebo at Days 0 and 21. The first dose was administered in the deltoid region of the non-dominant arm. The second dose was administered in the deltoid region of the dominant arm. Subjects aged > 64 years, who received 2 doses of the Influenza A (H5N1) Virus Monovalent Vaccine, Adjuvanted, formulations A, B, or C in approximately equal proportions, at Days 0 and 21. The first dose was administered in the deltoid region of the non-dominant arm. The second dose was administered in the deltoid region of the dominant arm. Subjects aged > 64 years, who received 2 doses of placebo at Days 0 and 21. The first dose was administered in the deltoid region of the non-dominant arm. The second dose was administered in the deltoid region of the dominant arm.
Measure Participants 366 37 91 19
Number [Subjects]
225
1
59
0
11. Secondary Outcome
Title Number of Seroprotected Subjects Against A/Indonesia/5/2005 (H5N1)
Description
Time Frame At Month 6 (Day 182) after Dose 1

Outcome Measure Data

Analysis Population Description
The analysis was based on the ATP cohort for analysis of immunogenicity - Month 6, which included all evaluable subjects (meeting all eligibility criteria, complying with the procedures in the protocol, with no elimination criteria during the study) with a complete set of data concerning immunogenicity primary outcome variables available at Month 6
Arm/Group Title Influenza A (H5N1) 18-64Y Group Placebo 18-64Y Group Influenza A (H5N1) >64Y Group Placebo >64Y Group
Arm/Group Description Subjects aged 18-64 years, who received 2 doses of the Influenza A (H5N1) Virus Monovalent Vaccine, Adjuvanted, formulations A, B, or C in approximately equal proportions, at Days 0 and 21. The first dose was administered in the deltoid region of the non-dominant arm. The second dose was administered in the deltoid region of the dominant arm. Subjects aged 18-64 years, who received 2 doses of placebo at Days 0 and 21. The first dose was administered in the deltoid region of the non-dominant arm. The second dose was administered in the deltoid region of the dominant arm. Subjects aged > 64 years, who received 2 doses of the Influenza A (H5N1) Virus Monovalent Vaccine, Adjuvanted, formulations A, B, or C in approximately equal proportions, at Days 0 and 21. The first dose was administered in the deltoid region of the non-dominant arm. The second dose was administered in the deltoid region of the dominant arm. Subjects aged >64 years, who received 2 doses of placebo at Days 0 and 21. The first dose was administered in the deltoid region of the non-dominant arm. The second dose was administered in the deltoid region of the dominant arm.
Measure Participants 366 37 91 19
Number [Subjects]
225
1
60
0
12. Secondary Outcome
Title Titers for Serum HI Antibodies Against A/Indonesia/5/05 (H5N1)
Description Titers are presented as geometric mean titers (GMTs). The reference seropositivity cut-off value was ≥ 1:10.
Time Frame At Month 6 (Day 182) after Dose 1

Outcome Measure Data

Analysis Population Description
The analysis was based on the ATP cohort for analysis of immunogenicity - Month 6, which included all evaluable subjects (meeting all eligibility criteria, complying with the procedures in the protocol, with no elimination criteria during the study) with a complete set of data concerning immunogenicity primary outcome variables at Month 6.
Arm/Group Title Influenza A (H5N1) 18-64Y Group Placebo 18-64Y Group Influenza A (H5N1) >64Y Group Placebo ˃ 64Y Group
Arm/Group Description Subjects aged 18-64 years, who received 2 doses of the Influenza A (H5N1) Virus Monovalent Vaccine, Adjuvanted, formulations A, B, or C in approximately equal proportions, at Days 0 and 21. The first dose was administered in the deltoid region of the non-dominant arm. The second dose was administered in the deltoid region of the dominant arm. Subjects aged 18-64 years, who received 2 doses of placebo at Days 0 and 21. The first dose was administered in the deltoid region of the non-dominant arm. The second dose was administered in the deltoid region of the dominant arm. Subjects aged > 64 years, who received 2 doses of the Influenza A (H5N1) Virus Monovalent Vaccine, Adjuvanted, formulations A, B, or C in approximately equal proportions, at Days 0 and 21. The first dose was administered in the deltoid region of the non-dominant arm. The second dose was administered in the deltoid region of the dominant arm. Subjects aged > 64 years, who received 2 doses of placebo at Days 0 and 21. The first dose was administered in the deltoid region of the non-dominant arm. The second dose was administered in the deltoid region of the dominant arm.
Measure Participants 366 37 40 19
Geometric Mean (95% Confidence Interval) [Titers]
36.2
5.5
44.8
5.4
13. Secondary Outcome
Title Number of Subjects With a Vaccine Response to the Vaccine-homologous Virus and Drift Variant H5N1 Virus, as Assessed by Microneutralization Assays.
Description Virus antibody response rates were defined as the number of subjects with antibody titers at Day 42 ≥ 4-fold the pre-vaccination antibody titers. The 2 strains assessed were Flu A/Indonesia/5/05 and Flu A/Vietnam/1194/04.
Time Frame At Day 42 post Dose 1 (Day 42 post Dose 1 = Day 21 post Dose 2)

Outcome Measure Data

Analysis Population Description
The analysis was based on the ATP cohort for analysis of immunogenicity, which included all evaluable subjects (meeting all eligibility criteria, complying with the procedures in the protocol, with no elimination criteria during the study) with available data.
Arm/Group Title Influenza A (H5N1) 18-64Y Group Influenza A (H5N1) >64Y Group
Arm/Group Description Subjects aged 18-64 years, who received 2 doses of the Influenza A (H5N1) Virus Monovalent Vaccine, Adjuvanted, formulations A, B, or C in approximately equal proportions, at Days 0 and 21. The first dose was administered in the deltoid region of the non-dominant arm. The second dose was administered in the deltoid region of the dominant arm. Subjects aged > 64 years, who received 2 doses of the Influenza A (H5N1) Virus Monovalent Vaccine, Adjuvanted, formulations A, B, or C in approximately equal proportions, at Days 0 and 21. The first dose was administered in the deltoid region of the non-dominant arm. The second dose was administered in the deltoid region of the dominant arm.
Measure Participants 188 46
A/Indonesia/5/05
177
36
A/Vietnam/1194/04
113
12
14. Secondary Outcome
Title Titers for Serum Hemagglutination Inhibition (HI) Antibodies Against A/Vietnam/1194/2004 (H5N1) and A/Indonesia/5/2005 (H5N1) as Assessed by Microneutralization Assays
Description Titers were expressed as Geometric Mean Titers (GMTs).
Time Frame At Day 0 and Day 42 post Dose 1 (Day 42 post Dose 1 = Day 21 post Dose 2)

Outcome Measure Data

Analysis Population Description
The analysis was based on the ATP cohort for analysis of immunogenicity, which included all evaluable subjects (meeting all eligibility criteria, complying with the procedures in the protocol, with no elimination criteria during the study) with available data.
Arm/Group Title Influenza A (H5N1) 18-64Y Group Influenza A (H5N1) >64Y Group
Arm/Group Description Subjects aged 18-64 years, who received 2 doses of the Influenza A (H5N1) Virus Monovalent Vaccine, Adjuvanted, formulations A, B, or C in approximately equal proportions, at Days 0 and 21. The first dose was administered in the deltoid region of the non-dominant arm. The second dose was administered in the deltoid region of the dominant arm. Subjects aged > 64 years, who received 2 doses of the Influenza A (H5N1) Virus Monovalent Vaccine, Adjuvanted, formulations A, B, or C in approximately equal proportions, at Days 0 and 21. The first dose was administered in the deltoid region of the non-dominant arm. The second dose was administered in the deltoid region of the dominant arm.
Measure Participants 188 46
A/Indonesia/5/05, Day 0
22.4
52.4
A/Indonesia/5/05, Day 42
1450.6
631.1
A/Vietnam/1194/04, Day 0
29.9
94.4
A/Vietnam/1194/04, Day 42
163.1
213.4

Adverse Events

Time Frame SAEs were collected up to Day 182 and up to study end at Day 379. Unsolicited AEs were collected up to Day 20 and up to Day 84. Systematically-assessed symptoms were collected up to Day 6 post vaccination.
Adverse Event Reporting Description
Arm/Group Title Influenza A (H5N1) 18-64Y Group Placebo 18-64Y Group Influenza A (H5N1) >64Y Group Placebo >64Y Group
Arm/Group Description Subjects aged 18-64 years, who received 2 doses of the Influenza A (H5N1) Virus Monovalent Vaccine, Adjuvanted, formulations A, B, or C in approximately equal proportions, at Days 0 and 21. The first dose was administered in the deltoid region of the non-dominant arm. The second dose was administered in the deltoid region of the dominant arm. Subjects aged 18-64 years, who received 2 doses of placebo at Days 0 and 21. The first dose was administered in the deltoid region of the non-dominant arm. The second dose was administered in the deltoid region of the dominant arm. Subjects aged > 64 years, who received 2 doses of the Influenza A (H5N1) Virus Monovalent Vaccine, Adjuvanted, formulations A, B, or C in approximately equal proportions, at Days 0 and 21. The first dose was administered in the deltoid region of the non-dominant arm. The second dose was administered in the deltoid region of the dominant arm. Subjects aged > 64 years, who received 2 doses of placebo at Days 0 and 21. The first dose was administered in the deltoid region of the non-dominant arm. The second dose was administered in the deltoid region of the dominant arm.
All Cause Mortality
Influenza A (H5N1) 18-64Y Group Placebo 18-64Y Group Influenza A (H5N1) >64Y Group Placebo >64Y Group
Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events
Total / (NaN) / (NaN) / (NaN) / (NaN)
Serious Adverse Events
Influenza A (H5N1) 18-64Y Group Placebo 18-64Y Group Influenza A (H5N1) >64Y Group Placebo >64Y Group
Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events
Total 24/2304 (1%) 7/768 (0.9%) 43/1118 (3.8%) 14/371 (3.8%)
Blood and lymphatic system disorders
Febrile neutropenia 0/2304 (0%) 0/768 (0%) 0/1118 (0%) 1/371 (0.3%)
Lymphoma 0/2304 (0%) 0/768 (0%) 1/1118 (0.1%) 0/371 (0%)
Cardiac disorders
Myocardial infarction 1/2304 (0%) 0/768 (0%) 3/1118 (0.3%) 2/371 (0.5%)
Atrial fibrillation 1/2304 (0%) 0/768 (0%) 2/1118 (0.2%) 1/371 (0.3%)
Coronary artery disease 0/2304 (0%) 1/768 (0.1%) 1/1118 (0.1%) 1/371 (0.3%)
Acute coronary syndrome 0/2304 (0%) 0/768 (0%) 0/1118 (0%) 2/371 (0.5%)
Angina unstable 0/2304 (0%) 0/768 (0%) 1/1118 (0.1%) 1/371 (0.3%)
Coronary artery stenosis 0/2304 (0%) 0/768 (0%) 0/1118 (0%) 2/371 (0.5%)
Diastolic dysfunction 0/2304 (0%) 0/768 (0%) 1/1118 (0.1%) 1/371 (0.3%)
Acute myocardial infarction 0/2304 (0%) 0/768 (0%) 1/1118 (0.1%) 0/371 (0%)
Cardiac disorder 0/2304 (0%) 0/768 (0%) 0/1118 (0%) 1/371 (0.3%)
Cardiac failure congestive 0/2304 (0%) 0/768 (0%) 0/1118 (0%) 1/371 (0.3%)
Cholangitis suppurative 0/2304 (0%) 0/768 (0%) 1/1118 (0.1%) 0/371 (0%)
Hypertrophic cardiomyopathy 1/2304 (0%) 0/768 (0%) 0/1118 (0%) 0/371 (0%)
Hypotension 0/2304 (0%) 0/768 (0%) 1/1118 (0.1%) 0/371 (0%)
Left atrial dilatation 0/2304 (0%) 0/768 (0%) 1/1118 (0.1%) 0/371 (0%)
Sick sinus syndrome 0/2304 (0%) 0/768 (0%) 1/1118 (0.1%) 0/371 (0%)
Congenital, familial and genetic disorders
Atrial septal defect 0/2304 (0%) 1/768 (0.1%) 0/1118 (0%) 0/371 (0%)
Cardiomegaly 0/2304 (0%) 1/768 (0.1%) 0/1118 (0%) 0/371 (0%)
Endocrine disorders
Hyperthyroidism 1/2304 (0%) 0/768 (0%) 0/1118 (0%) 0/371 (0%)
Gastrointestinal disorders
Abdominal hernia 2/2304 (0.1%) 0/768 (0%) 0/1118 (0%) 0/371 (0%)
Intestinal obstruction 0/2304 (0%) 0/768 (0%) 2/1118 (0.2%) 0/371 (0%)
Large intestine perforation 0/2304 (0%) 0/768 (0%) 1/1118 (0.1%) 1/371 (0.3%)
Small intestinal obstruction 1/2304 (0%) 0/768 (0%) 1/1118 (0.1%) 0/371 (0%)
Abdominal pain 0/2304 (0%) 0/768 (0%) 1/1118 (0.1%) 0/371 (0%)
Caecitis 1/2304 (0%) 0/768 (0%) 0/1118 (0%) 0/371 (0%)
Colitis 0/2304 (0%) 0/768 (0%) 1/1118 (0.1%) 0/371 (0%)
Diarrhoea 1/2304 (0%) 0/768 (0%) 0/1118 (0%) 0/371 (0%)
Dyspepsia 1/2304 (0%) 0/768 (0%) 0/1118 (0%) 0/371 (0%)
Gallbladder disorder 0/2304 (0%) 1/768 (0.1%) 0/1118 (0%) 0/371 (0%)
Gastritis 0/2304 (0%) 0/768 (0%) 1/1118 (0.1%) 0/371 (0%)
Gastrointestinal haemorrhage 0/2304 (0%) 0/768 (0%) 0/1118 (0%) 1/371 (0.3%)
Gastrooesophageal reflux disease 0/2304 (0%) 0/768 (0%) 1/1118 (0.1%) 0/371 (0%)
Ileus 0/2304 (0%) 0/768 (0%) 1/1118 (0.1%) 0/371 (0%)
Lower gastrointestinal haemorrhage 0/2304 (0%) 0/768 (0%) 1/1118 (0.1%) 0/371 (0%)
General disorders
Chest pain 3/2304 (0.1%) 0/768 (0%) 2/1118 (0.2%) 0/371 (0%)
Mountain sickness acute 0/2304 (0%) 0/768 (0%) 1/1118 (0.1%) 0/371 (0%)
Non-cardiac chest pain 1/2304 (0%) 0/768 (0%) 0/1118 (0%) 0/371 (0%)
Syncope 1/2304 (0%) 0/768 (0%) 0/1118 (0%) 0/371 (0%)
Transplant rejection 1/2304 (0%) 0/768 (0%) 0/1118 (0%) 0/371 (0%)
Hepatobiliary disorders
Biliary dyskinesia 0/2304 (0%) 1/768 (0.1%) 0/1118 (0%) 0/371 (0%)
Cholelithiasis 1/2304 (0%) 0/768 (0%) 0/1118 (0%) 0/371 (0%)
Liver disorder 1/2304 (0%) 0/768 (0%) 0/1118 (0%) 0/371 (0%)
Immune system disorders
Anaphylactic reaction 1/2304 (0%) 0/768 (0%) 0/1118 (0%) 0/371 (0%)
Infections and infestations
Pneumonia 1/2304 (0%) 0/768 (0%) 4/1118 (0.4%) 2/371 (0.5%)
Cellulitis 1/2304 (0%) 1/768 (0.1%) 1/1118 (0.1%) 0/371 (0%)
Appendicitis 0/2304 (0%) 0/768 (0%) 2/1118 (0.2%) 0/371 (0%)
Diverticulitis 0/2304 (0%) 0/768 (0%) 2/1118 (0.2%) 0/371 (0%)
Sepsis 1/2304 (0%) 0/768 (0%) 1/1118 (0.1%) 0/371 (0%)
Staphylococcal infection 1/2304 (0%) 0/768 (0%) 0/1118 (0%) 1/371 (0.3%)
Arthritis bacterial 0/2304 (0%) 0/768 (0%) 1/1118 (0.1%) 0/371 (0%)
Cholecystitis 1/2304 (0%) 0/768 (0%) 0/1118 (0%) 0/371 (0%)
Colitis ischaemic 0/2304 (0%) 0/768 (0%) 0/1118 (0%) 1/371 (0.3%)
Diarrhoea infectious 0/2304 (0%) 1/768 (0.1%) 0/1118 (0%) 0/371 (0%)
Enteritis 0/2304 (0%) 0/768 (0%) 0/1118 (0%) 1/371 (0.3%)
HIV test positive 0/2304 (0%) 1/768 (0.1%) 0/1118 (0%) 0/371 (0%)
Hepatitis 0/2304 (0%) 0/768 (0%) 1/1118 (0.1%) 0/371 (0%)
Herpes zoster 0/2304 (0%) 0/768 (0%) 1/1118 (0.1%) 0/371 (0%)
Pneumonia bacterial 0/2304 (0%) 1/768 (0.1%) 0/1118 (0%) 0/371 (0%)
Pneumonia pneumococcal 0/2304 (0%) 1/768 (0.1%) 0/1118 (0%) 0/371 (0%)
Subcutaneous abscess 0/2304 (0%) 0/768 (0%) 1/1118 (0.1%) 0/371 (0%)
Viral infection 0/2304 (0%) 0/768 (0%) 1/1118 (0.1%) 0/371 (0%)
Injury, poisoning and procedural complications
Ankle fracture 1/2304 (0%) 0/768 (0%) 0/1118 (0%) 0/371 (0%)
Contusion 1/2304 (0%) 0/768 (0%) 0/1118 (0%) 0/371 (0%)
Fibula fracture 1/2304 (0%) 0/768 (0%) 0/1118 (0%) 0/371 (0%)
Forearm fracture 0/2304 (0%) 0/768 (0%) 0/1118 (0%) 1/371 (0.3%)
Hip fracture 0/2304 (0%) 0/768 (0%) 0/1118 (0%) 1/371 (0.3%)
Humerus fracture 0/2304 (0%) 0/768 (0%) 0/1118 (0%) 1/371 (0.3%)
Meniscus lesion 0/2304 (0%) 0/768 (0%) 1/1118 (0.1%) 0/371 (0%)
Rib fracture 0/2304 (0%) 0/768 (0%) 1/1118 (0.1%) 0/371 (0%)
Spinal compression fracture 0/2304 (0%) 0/768 (0%) 0/1118 (0%) 1/371 (0.3%)
Spinal cord compression 0/2304 (0%) 0/768 (0%) 1/1118 (0.1%) 0/371 (0%)
Tibia fracture 0/2304 (0%) 0/768 (0%) 1/1118 (0.1%) 0/371 (0%)
Ulna fracture 0/2304 (0%) 0/768 (0%) 0/1118 (0%) 1/371 (0.3%)
Metabolism and nutrition disorders
Diabetes mellitus 1/2304 (0%) 0/768 (0%) 1/1118 (0.1%) 0/371 (0%)
Diabetic complication 0/2304 (0%) 1/768 (0.1%) 0/1118 (0%) 0/371 (0%)
Diabetic ketoacidosis 1/2304 (0%) 0/768 (0%) 0/1118 (0%) 0/371 (0%)
Gout 0/2304 (0%) 0/768 (0%) 1/1118 (0.1%) 0/371 (0%)
Pancreatitis 0/2304 (0%) 0/768 (0%) 1/1118 (0.1%) 0/371 (0%)
Musculoskeletal and connective tissue disorders
Osteoarthritis 0/2304 (0%) 1/768 (0.1%) 3/1118 (0.3%) 1/371 (0.3%)
Back pain 0/2304 (0%) 0/768 (0%) 2/1118 (0.2%) 0/371 (0%)
Intervertebral disc protrusion 2/2304 (0.1%) 0/768 (0%) 0/1118 (0%) 0/371 (0%)
Arthralgia 0/2304 (0%) 0/768 (0%) 1/1118 (0.1%) 0/371 (0%)
Hiatus hernia 0/2304 (0%) 0/768 (0%) 0/1118 (0%) 1/371 (0.3%)
Muscle strain 1/2304 (0%) 0/768 (0%) 0/1118 (0%) 0/371 (0%)
Musculoskeletal pain 0/2304 (0%) 0/768 (0%) 0/1118 (0%) 1/371 (0.3%)
Nasal septum deviation 0/2304 (0%) 0/768 (0%) 0/1118 (0%) 1/371 (0.3%)
Rotator cuff syndrome 0/2304 (0%) 0/768 (0%) 1/1118 (0.1%) 0/371 (0%)
Spinal column stenosis 0/2304 (0%) 1/768 (0.1%) 0/1118 (0%) 0/371 (0%)
Spondylolisthesis 0/2304 (0%) 0/768 (0%) 1/1118 (0.1%) 0/371 (0%)
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Thyroid cancer 1/2304 (0%) 0/768 (0%) 2/1118 (0.2%) 0/371 (0%)
Breast cancer 1/2304 (0%) 0/768 (0%) 1/1118 (0.1%) 0/371 (0%)
Lung neoplasm malignant 0/2304 (0%) 0/768 (0%) 1/1118 (0.1%) 1/371 (0.3%)
Brain neoplasm malignant 0/2304 (0%) 0/768 (0%) 0/1118 (0%) 1/371 (0.3%)
Breast cancer recurrent 1/2304 (0%) 0/768 (0%) 0/1118 (0%) 0/371 (0%)
Colon cancer 1/2304 (0%) 0/768 (0%) 0/1118 (0%) 0/371 (0%)
Hamartoma 0/2304 (0%) 0/768 (0%) 1/1118 (0.1%) 0/371 (0%)
Lymph node cancer metastatic 1/2304 (0%) 0/768 (0%) 0/1118 (0%) 0/371 (0%)
Melaena 0/2304 (0%) 0/768 (0%) 1/1118 (0.1%) 0/371 (0%)
Metastases to liver 0/2304 (0%) 0/768 (0%) 1/1118 (0.1%) 0/371 (0%)
Neoplasm malignant 0/2304 (0%) 0/768 (0%) 1/1118 (0.1%) 0/371 (0%)
Ovarian cancer metastatic 0/2304 (0%) 0/768 (0%) 1/1118 (0.1%) 0/371 (0%)
Rectal cancer stage 0 0/2304 (0%) 0/768 (0%) 1/1118 (0.1%) 0/371 (0%)
Renal cancer 0/2304 (0%) 0/768 (0%) 0/1118 (0%) 1/371 (0.3%)
Seminoma 0/2304 (0%) 1/768 (0.1%) 0/1118 (0%) 0/371 (0%)
Tongue carcinoma stage I 1/2304 (0%) 0/768 (0%) 0/1118 (0%) 0/371 (0%)
Tongue neoplasm malignant stage unspecified 0/2304 (0%) 0/768 (0%) 0/1118 (0%) 1/371 (0.3%)
Toxic nodular goitre 0/2304 (0%) 1/768 (0.1%) 0/1118 (0%) 0/371 (0%)
Nervous system disorders
Cerebrovascular accident 0/2304 (0%) 1/768 (0.1%) 3/1118 (0.3%) 0/371 (0%)
Convulsion 2/2304 (0.1%) 0/768 (0%) 1/1118 (0.1%) 0/371 (0%)
Transient ischaemic attack 0/2304 (0%) 0/768 (0%) 1/1118 (0.1%) 1/371 (0.3%)
Carotid artery dissection 0/2304 (0%) 1/768 (0.1%) 0/1118 (0%) 0/371 (0%)
Migraine 1/2304 (0%) 0/768 (0%) 0/1118 (0%) 0/371 (0%)
Radiculitis 0/2304 (0%) 0/768 (0%) 1/1118 (0.1%) 0/371 (0%)
Pregnancy, puerperium and perinatal conditions
Abortion spontaneous 2/2304 (0.1%) 0/768 (0%) 0/1118 (0%) 0/371 (0%)
Psychiatric disorders
Affective disorder 1/2304 (0%) 0/768 (0%) 0/1118 (0%) 0/371 (0%)
Depression 1/2304 (0%) 0/768 (0%) 0/1118 (0%) 0/371 (0%)
Hypersensitivity 0/2304 (0%) 0/768 (0%) 0/1118 (0%) 1/371 (0.3%)
Major depression 1/2304 (0%) 0/768 (0%) 0/1118 (0%) 0/371 (0%)
Mania 1/2304 (0%) 0/768 (0%) 0/1118 (0%) 0/371 (0%)
Mental disorder 1/2304 (0%) 0/768 (0%) 0/1118 (0%) 0/371 (0%)
Mental status changes 0/2304 (0%) 0/768 (0%) 0/1118 (0%) 1/371 (0.3%)
Renal and urinary disorders
Calculus bladder 1/2304 (0%) 0/768 (0%) 1/1118 (0.1%) 0/371 (0%)
Nephrolithiasis 0/2304 (0%) 0/768 (0%) 2/1118 (0.2%) 0/371 (0%)
Pyelonephritis 1/2304 (0%) 0/768 (0%) 0/1118 (0%) 0/371 (0%)
Renal failure 0/2304 (0%) 0/768 (0%) 0/1118 (0%) 1/371 (0.3%)
Renal failure acute 0/2304 (0%) 1/768 (0.1%) 0/1118 (0%) 0/371 (0%)
Renal tubular acidosis 0/2304 (0%) 0/768 (0%) 1/1118 (0.1%) 0/371 (0%)
Renal vessel disorder 0/2304 (0%) 0/768 (0%) 1/1118 (0.1%) 0/371 (0%)
Urinary retention postoperative 0/2304 (0%) 0/768 (0%) 1/1118 (0.1%) 0/371 (0%)
Urinary tract infection 0/2304 (0%) 0/768 (0%) 0/1118 (0%) 1/371 (0.3%)
Respiratory, thoracic and mediastinal disorders
Pulmonary embolism 1/2304 (0%) 0/768 (0%) 2/1118 (0.2%) 0/371 (0%)
Bronchitis 0/2304 (0%) 0/768 (0%) 1/1118 (0.1%) 0/371 (0%)
Chronic obstructive pulmonary disease 0/2304 (0%) 0/768 (0%) 1/1118 (0.1%) 0/371 (0%)
Neonatal respiratory failure 0/2304 (0%) 1/768 (0.1%) 0/1118 (0%) 0/371 (0%)
Tracheobronchitis 0/2304 (0%) 1/768 (0.1%) 0/1118 (0%) 0/371 (0%)
Skin and subcutaneous tissue disorders
Synovial cyst 0/2304 (0%) 0/768 (0%) 1/1118 (0.1%) 0/371 (0%)
Surgical and medical procedures
Biopsy liver normal 0/2304 (0%) 0/768 (0%) 1/1118 (0.1%) 0/371 (0%)
Vascular disorders
Deep vein thrombosis 0/2304 (0%) 0/768 (0%) 2/1118 (0.2%) 0/371 (0%)
Aneurysm 0/2304 (0%) 0/768 (0%) 1/1118 (0.1%) 0/371 (0%)
Aortic aneurysm 0/2304 (0%) 0/768 (0%) 1/1118 (0.1%) 0/371 (0%)
Carotid artery stenosis 0/2304 (0%) 0/768 (0%) 1/1118 (0.1%) 0/371 (0%)
Coronary artery occlusion 0/2304 (0%) 0/768 (0%) 0/1118 (0%) 1/371 (0.3%)
Ischaemic stroke 1/2304 (0%) 0/768 (0%) 0/1118 (0%) 0/371 (0%)
Peripheral vascular disorder 1/2304 (0%) 0/768 (0%) 0/1118 (0%) 0/371 (0%)
Other (Not Including Serious) Adverse Events
Influenza A (H5N1) 18-64Y Group Placebo 18-64Y Group Influenza A (H5N1) >64Y Group Placebo >64Y Group
Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events
Total 2087/2304 (90.6%) 405/768 (52.7%) 866/1118 (77.5%) 141/371 (38%)
General disorders
Pain 2024/2267 (89.3%) 171/754 (22.7%) 784/1109 (70.7%) 53/368 (14.4%)
Redness 181/2267 (8%) 7/754 (0.9%) 106/1109 (9.6%) 1/368 (0.3%)
Swelling 241/2267 (10.6%) 7/754 (0.9%) 110/1109 (9.9%) 1/368 (0.3%)
Fatigue 890/2266 (39.3%) 189/755 (25%) 258/1109 (23.3%) 64/371 (17.3%)
Headache 932/2266 (41.1%) 249/755 (33%) 247/1109 (22.3%) 63/371 (17%)
Joint pain at other location 645/2266 (28.5%) 97/755 (12.8%) 208/1109 (18.8%) 39/371 (10.5%)
Muscle aches 1188/2266 (52.4%) 175/755 (23.2%) 338/1109 (30.5%) 56/371 (15.1%)
Shivering 456/2266 (20.1%) 87/755 (11.5%) 107/1109 (9.6%) 22/371 (5.9%)
Sweating 314/2266 (13.9%) 67/755 (8.9%) 48/1109 (4.3%) 15/371 (4%)
Temperature (Oral) 121/2266 (5.3%) 32/755 (4.2%) 35/1109 (3.2%) 6/371 (1.6%)
Infections and infestations
Nasopharyngitis 116/2304 (5%) 29/768 (3.8%) 40/1118 (3.6%) 11/371 (3%)
Respiratory, thoracic and mediastinal disorders
Oropharyngeal pain 91/2304 (3.9%) 39/768 (5.1%) 34/1118 (3%) 12/371 (3.2%)

Limitations/Caveats

[Not Specified]

More Information

Certain Agreements

Principal Investigators are NOT employed by the organization sponsoring the study.

GSK agreements may vary with individual investigators, but will not prohibit any investigator from publishing. GSK supports the publication of results from all centers of a multi-center trial but requests that reports based on single-site data not precede the primary publication of the entire clinical trial.

Results Point of Contact

Name/Title GSK Response Center
Organization GlaxoSmithKline
Phone 866-435-7343
Email
Responsible Party:
GlaxoSmithKline
ClinicalTrials.gov Identifier:
NCT00616928
Other Study ID Numbers:
  • 110464
First Posted:
Feb 15, 2008
Last Update Posted:
Jun 8, 2018
Last Verified:
Oct 1, 2016