Safety and Immunogenicity Study of GSK Biologicals' Seasonal Influenza Candidate Vaccine (GSK2321138A)

Sponsor
GlaxoSmithKline (Industry)
Overall Status
Completed
CT.gov ID
NCT01204671
Collaborator
(none)
4,659
42
5
8
110.9
13.8

Study Details

Study Description

Brief Summary

This study is designed to assess the safety and immunogenicity of a GSK Biologicals' investigational vaccine GSK2321138A in adults 18 years old and older. This study is also designed to assess the lot-to-lot consistency of vaccine GSK2321138A. The blinding will be double blind for all groups except for the GSK2604409A Group which will be open.

Condition or Disease Intervention/Treatment Phase
  • Biological: Influenza vaccine GSK2321138A
  • Biological: FluarixTM
  • Biological: Influenza vaccine GSK2604409A
Phase 3

Study Design

Study Type:
Interventional
Actual Enrollment :
4659 participants
Allocation:
Randomized
Intervention Model:
Parallel Assignment
Masking:
Quadruple (Participant, Care Provider, Investigator, Outcomes Assessor)
Primary Purpose:
Prevention
Official Title:
Partially-blind Immunogenicity and Safety Study of GSK Biologicals' Seasonal Influenza Vaccine GSK2321138A in Adults.
Study Start Date :
Oct 4, 2010
Actual Primary Completion Date :
Jun 6, 2011
Actual Study Completion Date :
Jun 6, 2011

Arms and Interventions

Arm Intervention/Treatment
Experimental: GSK2321138A Lot 1 Group

Subjects received one dose of the GSK2321138A vaccine, Lot 1, at Day 0. The GSK2321138A vaccine was administered as a single dose intramuscularly in the deltoid region of the non-dominant arm.

Biological: Influenza vaccine GSK2321138A
One intramuscular injection

Experimental: GSK2321138A Lot 2 Group

Subjects received one dose of the GSK2321138A vaccine, Lot 2, at Day 0. The GSK2321138A vaccine was administered as a single dose intramuscularly in the deltoid region of the non-dominant arm.

Biological: Influenza vaccine GSK2321138A
One intramuscular injection

Experimental: GSK2321138A Lot 3 Group

Subjects received one dose of the GSK2321138A vaccine, Lot 3, at Day 0. The GSK2321138A vaccine was administered as a single dose intramuscularly in the deltoid region of the non-dominant arm.

Biological: Influenza vaccine GSK2321138A
One intramuscular injection

Active Comparator: Fluarix Group

Subjects received one dose of the Fluarix™ vaccine at Day 0. The Fluarix™ vaccine was administered as a single dose intramuscularly in the deltoid region of the non-dominant arm.

Biological: FluarixTM
One intramuscular injection

Active Comparator: GSK2604409A Group

Subjects received one dose of the GSK2604409A vaccine at Day 0. The GSK2604409A vaccine was administered as a single dose intramuscularly in the deltoid region of the non-dominant arm.

Biological: Influenza vaccine GSK2604409A
One intramuscular injection

Outcome Measures

Primary Outcome Measures

  1. Titers for Hemagglutination Inhibition (HI) Antibodies Against 4 Strains of Influenza Disease [At Day 0 (D 0), and at Day 21 (D 21)]

    Titers are presented as geometric mean titers (GMTs). The reference cut-off value was 1:10. HI antibodies assessed were antibodies against the A/California/7/2009 (H1N1), A/Victoria/210/2009 (H3N2), B/Brisbane/60/2008 (Victoria), and B/Brisbane/3/2007 (Yamagata) flu strains. Subjects receiving the GSK2321138A vaccine were pooled for this outcome measure.

  2. Number of Seroconverted Subjects Against 4 Strains of Influenza Disease [At Day 21 (D 21)]

    A seroconverted subject was a vaccinated subject who had either a pre-vaccination hemagglutination inhibition (HI) antibody titer < 1:10 and a post-vaccination titer above or equal (>=) 1:40, or a pre-vaccination HI antibody titer >= 1:10 and at least a 4-fold increase in post-vaccination HI antibody titer. Antibodies assessed were HI antibodies against the A/California/7/2009 (H1N1), A/Victoria/210/2009 (H3N2), B/Brisbane/60/2008 (Victoria), and B/Brisbane/3/2007 (Yamagata) flu strains. Subjects receiving the GSK2321138A vaccine were pooled for this outcome measure.

Secondary Outcome Measures

  1. Number of Seropositive Subjects Against 4 Strains of Influenza Disease [At Day 0 (D 0), and at Day 21 (D 21)]

    A seropositive subject was a vaccinated subject with hemagglutination inhibition (HI) antibody titer above or equal (>=) the reference cut-off value of 1:10. Antibodies assessed were HI antibodies against the A/California/7/2009 (H1N1), A/Victoria/210/2009 (H3N2), B/Brisbane/60/2008 (Victoria), and B/Brisbane/3/2007 (Yamagata) flu strains. Subjects receiving the GSK2321138A vaccine were pooled for this outcome measure.

  2. Number of Seroprotected Subjects Against 4 Strains of Influenza Disease [At Day 0 (D 0), and at Day 21 (D 21)]

    A seroprotected subject was a vaccinated subject who had hemagglutination inhibition (HI) antibody titer above or equal (>=) 1:40. Antibodies assessed were HI antibodies against the A/California/7/2009 (H1N1), A/Victoria/210/2009 (H3N2), B/Brisbane/60/2008 (Victoria), and B/Brisbane/3/2007 (Yamagata) flu strains. Subjects receiving the GSK2321138A vaccine were pooled for this outcome measure.

  3. Increase in Hemagglutination Inhibition Antibodies Against 4 Strains of Influenza Disease [At Day 21 (D 21)]

    Increase in hemagglutination inhibition (HI) antibodies is presented in terms of mean geometric increase (MGI), defined as the geometric mean of the within subject ratios of the post-vaccination reciprocal HI titer to the Day 0 reciprocal HI titer , expressed using "fold increase" as unit . Antibodies assessed were HI antibodies against the A/California/7/2009 (H1N1), A/Victoria/210/2009 (H3N2), B/Brisbane/60/2008 (Victoria), and B/Brisbane/3/2007 (Yamagata) flu strains. Subjects receiving the GSK2321138A vaccine were pooled for this outcome measure.

  4. Number of Subjects With Any and Grade 3 Solicited Local Symptoms. [Within the 7-day (Days 0-6) follow-up period after vaccination]

    Assessed solicited local symptoms post vaccination were pain, redness and swelling at the injection site. Any = occurrence of a symptom regardless of intensity. Grade 3 pain = significant pain at rest/ that prevented normal every day activities. Grade 3 redness/swelling = redness/swelling spreading beyond 100 millimeters (mm) of injection site.

  5. Number of Days With Solicited Local Symptoms [Within the 7-day (Days 0-6) follow-up period after vaccination]

    Assessed solicited local symptoms post vaccination were pain, redness and swelling at the injection site.

  6. Number of Subjects With Any, Grade 3 and Related Solicited General Symptoms [Within the 7-day (Days 0-6) follow-up period after vaccination]

    Assessed solicited general symptoms post vaccination were fatigue, gastrointestinal symptoms (Gastr.), headache, joint pain at other location (Joint Pain), muscle aches, shivering, and temperature [axillary temperature above or equal to (>=) 37.5 degrees Celsius (°C)]. Any = occurrence of a symptom regardless of intensity or relationship to vaccination. Grade 3 = symptom which prevented normal every day activities. Grade 3 temperature = axillary temperature > 39°C. Related = symptom assessed as causally related to study vaccination.

  7. Number of Days With Solicited General Symptoms [Within the 7-day (Days 0-6) follow-up period after vaccination]

    Assessed solicited general symptoms post vaccination were fatigue, gastrointestinal symptoms (Gastr.), headache, joint pain at other location (Joint Pain), muscle aches, shivering, and temperature [defined as axillary temperature above or equal to (≥) 37.5 degrees Celsius (°C)].

  8. Number of Subjects With Any, Grade 3 and Related Unsolicited Adverse Events (AEs) [Within the 21-day (Days 0-20) follow-up period after vaccination]

    Unsolicited AEs cover any AE 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 unsolicited AE = any unsolicited AE regardless of intensity or relationship to vaccination. Grade 3 unsolicited AE = unsolicited AE that prevented normal everyday activity Related unsolicited AE = unsolicited AE assessed by the investigator as related to the vaccination.

  9. Number of Subjects With Any and Related Adverse Events With Medically-attended Events (MAEs) [From the beginning of the study (Day 0) to study end (Day 180)]

    Medically-attended events (MAEs) refer to non-serious and serious events leading to an otherwise unscheduled visit to or from medical personnel for any reason, including emergency room visits. If a MAE was leading to hospitalisation (or met any other serious adverse event criterion), it was reported as serious adverse event. Related MAE = MAE assessed by the investigator as related to the vaccination. Subjects receiving the GSK2321138A vaccine were pooled for this outcome measure.

  10. Number of Subjects With Any and Related Potential Immune-mediated Diseases (pIMDs) [From the beginning of the study (Day 0) to study end (Day 180)]

    Potential immune-mediated diseases (pIMDs) are a subset of adverse events that include both clearly autoimmune diseases and also other inflammatory and/or neurologic disorders which may or may not have an autoimmune etiology. Related pIMD = pIMD assessed by the investigator as related to the vaccination. Subjects receiving the GSK2321138A vaccine were pooled for this outcome measure.

  11. Number of Subjects With Any and Related Serious Adverse Events (SAEs) [From the beginning of the study (Day 0) to study end (Day 180)]

    Serious adverse events (SAEs) assessed include medical occurrences that result in death, are life threatening, require hospitalization or prolongation of hospitalization, result in disability/incapacity or are a congenital anomaly/birth defect in the offspring of a study subject. Any SAE = any SAE regardless of intensity or relationship to vaccination. Related SAE = SAE assessed by the investigator as related to the vaccination.

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 older at the time of the first vaccination

  • Subjects who the investigator believes can and will comply with the requirements of the protocol.

  • Written informed consent obtained from the subject.

  • Healthy subjects or those with chronic well-controlled disease as established by physical examination before entering into the study.

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

  • Female subjects of childbearing potential may be enrolled in the study, if the subject:

    • has practiced adequate contraception for 30 days prior to vaccination,
    • and has a negative urine pregnancy test on the day of vaccination,
  • and has agreed to continue adequate contraception during the entire treatment period and for 2 months after completion of the vaccination series

Exclusion Criteria:
  • Use of any investigational or non-registered product other than the study vaccine within 30 days preceding the dose of the study vaccine or planned use during the study period.

  • Chronic administration of immunosuppressants or other immune-modifying drugs within three months prior to enrolment in this study or planned administration during the study period.

  • Administration of an influenza vaccine during the 6 months preceding entry into the study.

  • Planned administration / administration of a vaccine not foreseen by the study protocol within 30 days before vaccination and up to Day 21.

  • Any contra-indication to intramuscular administration of the influenza vaccines.

  • History of hypersensitivity/anaphylaxis to a previous dose of influenza vaccine, history of any reaction or hypersensitivity likely to be exacerbated by any component of the vaccines.

  • Any administration of a long-acting immune-modifying drug within 3 months before study start, or planned administration during the study period.

  • Any confirmed or suspected immunosuppressive or immunodeficient condition, based on medical history and physical examination.

  • Acute disease and/or fever at the time of enrolment.

  • Acute or chronic, clinically significant pulmonary, cardiovascular, hepatic or renal functional abnormality, as determined by physical examination or laboratory screening tests.

  • History of Guillain-Barré syndrome within 6 weeks of receipt of prior inactivated influenza virus vaccine.

  • Administration of immunoglobulins and/or any blood products within the three months prior to the enrolment in this study, or planned during the study.

  • History of chronic alcohol consumption and/or drug abuse.

  • Any condition which, in the opinion of the investigator, prevents the subject from participating in the study

  • Pregnant or lactating female.

Contacts and Locations

Locations

Site City State Country Postal Code
1 GSK Investigational Site Chandler Arizona United States 85224
2 GSK Investigational Site Miami Florida United States 33143
3 GSK Investigational Site Newton Kansas United States 67114
4 GSK Investigational Site Lexington Kentucky United States 40509
5 GSK Investigational Site Columbia Maryland United States 21045
6 GSK Investigational Site Milford Massachusetts United States 01757
7 GSK Investigational Site Las Vegas Nevada United States 89119
8 GSK Investigational Site Salisbury North Carolina United States 28144
9 GSK Investigational Site Erie Pennsylvania United States 16506
10 GSK Investigational Site Nashville Tennessee United States 37203
11 GSK Investigational Site Tuebingen Baden-Wuerttemberg Germany 72074
12 GSK Investigational Site Augsburg Bayern Germany 86150
13 GSK Investigational Site Haag Bayern Germany 83527
14 GSK Investigational Site Finsterwalde Brandenburg Germany 03238
15 GSK Investigational Site Frankfurt am Main Hessen Germany 60596
16 GSK Investigational Site Mainz Rheinland-Pfalz Germany 55131
17 GSK Investigational Site Dresden Sachsen Germany 01277
18 GSK Investigational Site Dresden Sachsen Germany 01307
19 GSK Investigational Site Dresden Sachsen Germany 01309
20 GSK Investigational Site Freiberg Sachsen Germany 09599
21 GSK Investigational Site Berlin Germany 10367
22 GSK Investigational Site Berlin Germany 13086
23 GSK Investigational Site Guro Gu Korea, Republic of 152703
24 GSK Investigational Site Gyeonggi Korea, Republic of 442-723
25 GSK Investigational Site Incheon Korea, Republic of 400-711
26 GSK Investigational Site Seoul Korea, Republic of 150-719
27 GSK Investigational Site Braila Romania 810384
28 GSK Investigational Site Brasov Romania 500260
29 GSK Investigational Site Bucharest Romania 020142
30 GSK Investigational Site Bucharest Romania 062289
31 GSK Investigational Site Bucharest Romania 077190
32 GSK Investigational Site Galati Romania 800494
33 GSK Investigational Site Galati Romania 800578
34 GSK Investigational Site Pantelimon Romania 77145
35 GSK Investigational Site Ploiesti Romania 100172
36 GSK Investigational Site Balenyà (Barcelona) Spain 08550
37 GSK Investigational Site Barcelona Spain 08035
38 GSK Investigational Site Centelles Spain
39 GSK Investigational Site La Roca Del Valles (Barcelona) Spain 08430
40 GSK Investigational Site Vic/ Barcelona Spain 08500
41 GSK Investigational Site Taichung Taiwan 404
42 GSK Investigational Site Taipei Taiwan

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:
NCT01204671
Other Study ID Numbers:
  • 114269
First Posted:
Sep 17, 2010
Last Update Posted:
Sep 24, 2018
Last Verified:
Feb 1, 2017
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 A total of 4659 subjects (all aged 18 years and older at the time of their first vaccination as part of this study) were enrolled in this study, of which 4656 were vaccinated. The study vaccine dose was not administrated but subject number was allocated for the other 3 subjects.
Pre-assignment Detail Subjects receiving the GSK2321138A and Fluarix™ vaccines were followed in a double-blinded manner throughout the entire study period, from Day 0 to Day 180. Subjects receiving the GSK2604409A vaccine were followed in an open manner until Day 21 only.
Arm/Group Title GSK2321138A Lot 1 Group GSK2321138A Lot 2 Group GSK2321138A Lot 3 Group Fluarix Group GSK2604409A Group
Arm/Group Description Subjects received one dose of the GSK2321138A vaccine, Lot 1, at Day 0. The GSK2321138A vaccine was administered as a single dose intramuscularly in the deltoid region of the non-dominant arm. Subjects received one dose of the GSK2321138A vaccine, Lot 2, at Day 0. The GSK2321138A vaccine was administered as a single dose intramuscularly in the deltoid region of the non-dominant arm. Subjects received one dose of the GSK2321138A vaccine, Lot 3, at Day 0. The GSK2321138A vaccine was administered as a single dose intramuscularly in the deltoid region of the non-dominant arm. Subjects received one dose of the Fluarix™ vaccine at Day 0. The Fluarix™ vaccine was administered as a single dose intramuscularly in the deltoid region of the non-dominant arm. Subjects received one dose of the GSK2604409A vaccine at Day 0. The GSK2604409A vaccine was administered as a single dose intramuscularly in the deltoid region of the non-dominant arm.
Period Title: Overall Study
STARTED 1012 1013 1011 1010 610
COMPLETED 998 998 998 997 606
NOT COMPLETED 14 15 13 13 4

Baseline Characteristics

Arm/Group Title GSK2321138A Lot 1 Group GSK2321138A Lot 2 Group GSK2321138A Lot 3 Group Fluarix Group GSK2604409A Group Total
Arm/Group Description Subjects received one dose of the GSK2321138A vaccine, Lot 1, at Day 0. The GSK2321138A vaccine was administered as a single dose intramuscularly in the deltoid region of the non-dominant arm. Subjects received one dose of the GSK2321138A vaccine, Lot 2, at Day 0. The GSK2321138A vaccine was administered as a single dose intramuscularly in the deltoid region of the non-dominant arm. Subjects received one dose of the GSK2321138A vaccine, Lot 3, at Day 0. The GSK2321138A vaccine was administered as a single dose intramuscularly in the deltoid region of the non-dominant arm. Subjects received one dose of the Fluarix™ vaccine at Day 0. The Fluarix™ vaccine was administered as a single dose intramuscularly in the deltoid region of the non-dominant arm. Subjects received one dose of the GSK2604409A vaccine at Day 0. The GSK2604409A vaccine was administered as a single dose intramuscularly in the deltoid region of the non-dominant arm. Total of all reporting groups
Overall Participants 1012 1013 1011 1010 610 4656
Age (Years) [Mean (Standard Deviation) ]
Mean (Standard Deviation) [Years]
57.7
(17.90)
58.0
(17.41)
57.9
(17.80)
58.1
(17.83)
58.1
(17.92)
58.0
(17.75)
Sex: Female, Male (Count of Participants)
Female
598
59.1%
578
57.1%
569
56.3%
548
54.3%
343
56.2%
2636
56.6%
Male
414
40.9%
435
42.9%
442
43.7%
462
45.7%
267
43.8%
2020
43.4%

Outcome Measures

1. Primary Outcome
Title Titers for Hemagglutination Inhibition (HI) Antibodies Against 4 Strains of Influenza Disease
Description Titers are presented as geometric mean titers (GMTs). The reference cut-off value was 1:10. HI antibodies assessed were antibodies against the A/California/7/2009 (H1N1), A/Victoria/210/2009 (H3N2), B/Brisbane/60/2008 (Victoria), and B/Brisbane/3/2007 (Yamagata) flu strains. Subjects receiving the GSK2321138A vaccine were pooled for this outcome measure.
Time Frame At Day 0 (D 0), and at Day 21 (D 21)

Outcome Measure Data

Analysis Population Description
The analysis was performed on the According-to-Protocol cohort for Immunogenicity, which included all vaccinated and eligible subjects for whom data concerning immunogenicity outcome measures were available, and for whom assay results were available for antibodies against at least 1 study vaccine antigen component after vaccination.
Arm/Group Title GSK2321138A Group Fluarix Group GSK2604409A Group
Arm/Group Description Subjects received one dose of the GSK2321138A vaccine, Lot 1, 2 or 3, at Day 0. The GSK2321138A vaccine was administered as a single dose intramuscularly in the deltoid region of the non-dominant arm. Subjects received one dose of the Fluarix™ vaccine at Day 0. The Fluarix™ vaccine was administered as a single dose intramuscularly in the deltoid region of the non-dominant arm. Subjects received one dose of the GSK2604409A vaccine at Day 0. The GSK2604409A vaccine was administered as a single dose intramuscularly in the deltoid region of the non-dominant arm.
Measure Participants 1809 608 534
H1N1 Strain - D 0
14.7
15.6
14.4
H1N1 Strain - D 21
201.1
218.4
213.0
H3N2 Strain - D 0
34.0
38.1
35.7
H3N2 Strain - D 21
314.7
298.2
340.4
Victoria Strain - D 0
73.8
73.6
71.7
Victoria Strain - D 21
404.6
393.8
258.5
Yamagata Strain - D 0
101.4
100.9
99.8
Yamagata Strain - D 21
601.8
386.6
582.5
2. Primary Outcome
Title Number of Seroconverted Subjects Against 4 Strains of Influenza Disease
Description A seroconverted subject was a vaccinated subject who had either a pre-vaccination hemagglutination inhibition (HI) antibody titer < 1:10 and a post-vaccination titer above or equal (>=) 1:40, or a pre-vaccination HI antibody titer >= 1:10 and at least a 4-fold increase in post-vaccination HI antibody titer. Antibodies assessed were HI antibodies against the A/California/7/2009 (H1N1), A/Victoria/210/2009 (H3N2), B/Brisbane/60/2008 (Victoria), and B/Brisbane/3/2007 (Yamagata) flu strains. Subjects receiving the GSK2321138A vaccine were pooled for this outcome measure.
Time Frame At Day 21 (D 21)

Outcome Measure Data

Analysis Population Description
The analysis was performed on the According-to-Protocol cohort for Immunogenicity, which included all vaccinated and eligible subjects for whom data concerning immunogenicity outcome measures were available, and for whom assay results were available for antibodies against at least 1 study vaccine antigen component after vaccination.
Arm/Group Title GSK2321138A Group Fluarix Group GSK2604409A Group
Arm/Group Description Subjects received one dose of the GSK2321138A vaccine, Lot 1, 2 or 3, at Day 0. The GSK2321138A vaccine was administered as a single dose intramuscularly in the deltoid region of the non-dominant arm. Subjects received one dose of the Fluarix™ vaccine at Day 0. The Fluarix™ vaccine was administered as a single dose intramuscularly in the deltoid region of the non-dominant arm. Subjects received one dose of the GSK2604409A vaccine at Day 0. The GSK2604409A vaccine was administered as a single dose intramuscularly in the deltoid region of the non-dominant arm.
Measure Participants 1801 605 530
H1N1 Strain - D 21
1396
137.9%
467
46.1%
425
42%
H3N2 Strain - D 21
1287
127.2%
398
39.3%
371
36.7%
Victoria Strain - D 21
1046
103.4%
335
33.1%
252
24.9%
Yamagata Strain - D 21
1112
109.9%
276
27.2%
313
31%
3. Secondary Outcome
Title Number of Seropositive Subjects Against 4 Strains of Influenza Disease
Description A seropositive subject was a vaccinated subject with hemagglutination inhibition (HI) antibody titer above or equal (>=) the reference cut-off value of 1:10. Antibodies assessed were HI antibodies against the A/California/7/2009 (H1N1), A/Victoria/210/2009 (H3N2), B/Brisbane/60/2008 (Victoria), and B/Brisbane/3/2007 (Yamagata) flu strains. Subjects receiving the GSK2321138A vaccine were pooled for this outcome measure.
Time Frame At Day 0 (D 0), and at Day 21 (D 21)

Outcome Measure Data

Analysis Population Description
The analysis was performed on the According-to-Protocol cohort for Immunogenicity, which included all vaccinated and eligible subjects for whom data concerning immunogenicity outcome measures were available, and for whom assay results were available for antibodies against at least 1 study vaccine antigen component after vaccination.
Arm/Group Title GSK2321138A Group Fluarix Group GSK2604409A Group
Arm/Group Description Subjects received one dose of the GSK2321138A vaccine, Lot 1, 2 or 3, at Day 0. The GSK2321138A vaccine was administered as a single dose intramuscularly in the deltoid region of the non-dominant arm. Subjects received one dose of the Fluarix™ vaccine at Day 0. The Fluarix™ vaccine was administered as a single dose intramuscularly in the deltoid region of the non-dominant arm. Subjects received one dose of the GSK2604409A vaccine at Day 0. The GSK2604409A vaccine was administered as a single dose intramuscularly in the deltoid region of the non-dominant arm.
Measure Participants 1809 608 534
H1N1 Strain - D 0
967
95.6%
352
34.7%
291
28.8%
H1N1 Strain - D 21
1738
171.7%
586
57.8%
514
50.8%
H3N2 Strain - D 0
1416
139.9%
488
48.2%
425
42%
H3N2 Strain - D 21
1783
176.2%
594
58.6%
528
52.2%
Victoria Strain - D 0
1541
152.3%
511
50.4%
452
44.7%
Victoria Strain - D 21
1795
177.4%
601
59.3%
518
51.2%
Yamagata Strain - D 0
1554
153.6%
525
51.8%
457
45.2%
Yamagata Strain - D 21
1794
177.3%
597
58.9%
532
52.6%
4. Secondary Outcome
Title Number of Seroprotected Subjects Against 4 Strains of Influenza Disease
Description A seroprotected subject was a vaccinated subject who had hemagglutination inhibition (HI) antibody titer above or equal (>=) 1:40. Antibodies assessed were HI antibodies against the A/California/7/2009 (H1N1), A/Victoria/210/2009 (H3N2), B/Brisbane/60/2008 (Victoria), and B/Brisbane/3/2007 (Yamagata) flu strains. Subjects receiving the GSK2321138A vaccine were pooled for this outcome measure.
Time Frame At Day 0 (D 0), and at Day 21 (D 21)

Outcome Measure Data

Analysis Population Description
The analysis was performed on the According-to-Protocol cohort for Immunogenicity, which included all vaccinated and eligible subjects for whom data concerning immunogenicity outcome measures were available, and for whom assay results were available for antibodies against at least 1 study vaccine antigen component after vaccination.
Arm/Group Title GSK2321138A Group Fluarix Group GSK2604409A Group
Arm/Group Description Subjects received one dose of the GSK2321138A vaccine, Lot 1, 2 or 3, at Day 0. The GSK2321138A vaccine was administered as a single dose intramuscularly in the deltoid region of the non-dominant arm. Subjects received one dose of the Fluarix™ vaccine at Day 0. The Fluarix™ vaccine was administered as a single dose intramuscularly in the deltoid region of the non-dominant arm. Subjects received one dose of the GSK2604409A vaccine at Day 0. The GSK2604409A vaccine was administered as a single dose intramuscularly in the deltoid region of the non-dominant arm.
Measure Participants 1809 608 534
H1N1 Strain - D 0
514
50.8%
167
16.5%
139
13.7%
H1N1 Strain - D 21
1651
163.1%
558
55.1%
495
49%
H3N2 Strain - D 0
965
95.4%
353
34.8%
285
28.2%
H3N2 Strain - D 21
1751
173%
583
57.6%
517
51.1%
Victoria Strain - D 0
1423
140.6%
477
47.1%
412
40.8%
Victoria Strain - D 21
1788
176.7%
599
59.1%
513
50.7%
Yamagata Strain - D 0
1494
147.6%
497
49.1%
441
43.6%
Yamagata Strain - D 21
1792
177.1%
595
58.7%
532
52.6%
5. Secondary Outcome
Title Increase in Hemagglutination Inhibition Antibodies Against 4 Strains of Influenza Disease
Description Increase in hemagglutination inhibition (HI) antibodies is presented in terms of mean geometric increase (MGI), defined as the geometric mean of the within subject ratios of the post-vaccination reciprocal HI titer to the Day 0 reciprocal HI titer , expressed using "fold increase" as unit . Antibodies assessed were HI antibodies against the A/California/7/2009 (H1N1), A/Victoria/210/2009 (H3N2), B/Brisbane/60/2008 (Victoria), and B/Brisbane/3/2007 (Yamagata) flu strains. Subjects receiving the GSK2321138A vaccine were pooled for this outcome measure.
Time Frame At Day 21 (D 21)

Outcome Measure Data

Analysis Population Description
The analysis was performed on the According-to-Protocol cohort for Immunogenicity, which included all vaccinated and eligible subjects for whom data concerning immunogenicity outcome measures were available, and for whom assay results were available for antibodies against at least 1 study vaccine antigen component after vaccination.
Arm/Group Title GSK2321138A Group Fluarix Group GSK2604409A Group
Arm/Group Description Subjects received one dose of the GSK2321138A vaccine, Lot 1, 2 or 3, at Day 0. The GSK2321138A vaccine was administered as a single dose intramuscularly in the deltoid region of the non-dominant arm. Subjects received one dose of the Fluarix™ vaccine at Day 0. The Fluarix™ vaccine was administered as a single dose intramuscularly in the deltoid region of the non-dominant arm. Subjects received one dose of the GSK2604409A vaccine at Day 0. The GSK2604409A vaccine was administered as a single dose intramuscularly in the deltoid region of the non-dominant arm.
Measure Participants 1801 605 530
H1N1 Strain - D 21
13.69
13.92
14.88
H3N2 Strain - D 21
9.28
7.84
9.52
Victoria Strain - D 21
5.48
5.37
3.60
Yamagata Strain - D 21
5.93
3.84
5.84
6. Secondary Outcome
Title Number of Subjects With Any and Grade 3 Solicited Local Symptoms.
Description Assessed solicited local symptoms post vaccination were pain, redness and swelling at the injection site. Any = occurrence of a symptom regardless of intensity. Grade 3 pain = significant pain at rest/ that prevented normal every day activities. Grade 3 redness/swelling = redness/swelling spreading beyond 100 millimeters (mm) of injection site.
Time Frame Within the 7-day (Days 0-6) follow-up period after vaccination

Outcome Measure Data

Analysis Population Description
The analysis was performed on the Total Vaccinated cohort, which included all vaccinated subjects, solely on subjects with available results.
Arm/Group Title GSK2321138A Lot 1 Group GSK2321138A Lot 2 Group GSK2321138A Lot 3 Group Fluarix Group GSK2604409A Group
Arm/Group Description Subjects received one dose of the GSK2321138A vaccine, Lot 1, at Day 0. The GSK2321138A vaccine was administered as a single dose intramuscularly in the deltoid region of the non-dominant arm. Subjects received one dose of the GSK2321138A vaccine, Lot 2, at Day 0. The GSK2321138A vaccine was administered as a single dose intramuscularly in the deltoid region of the non-dominant arm. Subjects received one dose of the GSK2321138A vaccine, Lot 3, at Day 0. The GSK2321138A vaccine was administered as a single dose intramuscularly in the deltoid region of the non-dominant arm. Subjects received one dose of the Fluarix™ vaccine at Day 0. The Fluarix™ vaccine was administered as a single dose intramuscularly in the deltoid region of the non-dominant arm. Subjects received one dose of the GSK2604409A vaccine at Day 0. The GSK2604409A vaccine was administered as a single dose intramuscularly in the deltoid region of the non-dominant arm.
Measure Participants 1008 1003 1004 1003 607
Any Pain
377
37.3%
362
35.7%
357
35.3%
369
36.5%
190
31.1%
Grade 3 Pain
13
1.3%
6
0.6%
5
0.5%
12
1.2%
3
0.5%
Any Redness
24
2.4%
12
1.2%
22
2.2%
17
1.7%
12
2%
Grade 3 Redness (≥ 100 mm)
0
0%
1
0.1%
0
0%
0
0%
0
0%
Any Swelling
26
2.6%
20
2%
16
1.6%
21
2.1%
8
1.3%
Grade 3 Swelling (≥ 100 mm)
0
0%
0
0%
0
0%
0
0%
0
0%
7. Secondary Outcome
Title Number of Days With Solicited Local Symptoms
Description Assessed solicited local symptoms post vaccination were pain, redness and swelling at the injection site.
Time Frame Within the 7-day (Days 0-6) follow-up period after vaccination

Outcome Measure Data

Analysis Population Description
The analysis was performed on the Total Vaccinated cohort, which included all vaccinated subjects, solely on subjects with available results.
Arm/Group Title GSK2321138A Lot 1 Group GSK2321138A Lot 2 Group GSK2321138A Lot 3 Group Fluarix Group GSK2604409A Group
Arm/Group Description Subjects received one dose of the GSK2321138A vaccine, Lot 1, at Day 0. The GSK2321138A vaccine was administered as a single dose intramuscularly in the deltoid region of the non-dominant arm. Subjects received one dose of the GSK2321138A vaccine, Lot 2, at Day 0. The GSK2321138A vaccine was administered as a single dose intramuscularly in the deltoid region of the non-dominant arm. Subjects received one dose of the GSK2321138A vaccine, Lot 3, at Day 0. The GSK2321138A vaccine was administered as a single dose intramuscularly in the deltoid region of the non-dominant arm. Subjects received one dose of the Fluarix™ vaccine at Day 0. The Fluarix™ vaccine was administered as a single dose intramuscularly in the deltoid region of the non-dominant arm. Subjects received one dose of the GSK2604409A vaccine at Day 0. The GSK2604409A vaccine was administered as a single dose intramuscularly in the deltoid region of the non-dominant arm.
Measure Participants 377 362 357 369 190
Pain
2.0
2.0
2.0
2.0
2.0
Redness
2.0
2.5
2.0
1.0
1.0
Swelling
2.0
2.0
2.0
2.0
2.5
8. Secondary Outcome
Title Number of Subjects With Any, Grade 3 and Related Solicited General Symptoms
Description Assessed solicited general symptoms post vaccination were fatigue, gastrointestinal symptoms (Gastr.), headache, joint pain at other location (Joint Pain), muscle aches, shivering, and temperature [axillary temperature above or equal to (>=) 37.5 degrees Celsius (°C)]. Any = occurrence of a symptom regardless of intensity or relationship to vaccination. Grade 3 = symptom which prevented normal every day activities. Grade 3 temperature = axillary temperature > 39°C. Related = symptom assessed as causally related to study vaccination.
Time Frame Within the 7-day (Days 0-6) follow-up period after vaccination

Outcome Measure Data

Analysis Population Description
The analysis was performed on the Total Vaccinated cohort, which included all vaccinated subjects, solely on subjects with available results.
Arm/Group Title GSK2321138A Lot 1 Group GSK2321138A Lot 2 Group GSK2321138A Lot 3 Group Fluarix Group GSK2604409A Group
Arm/Group Description Subjects received one dose of the GSK2321138A vaccine, Lot 1, at Day 0. The GSK2321138A vaccine was administered as a single dose intramuscularly in the deltoid region of the non-dominant arm. Subjects received one dose of the GSK2321138A vaccine, Lot 2, at Day 0. The GSK2321138A vaccine was administered as a single dose intramuscularly in the deltoid region of the non-dominant arm. Subjects received one dose of the GSK2321138A vaccine, Lot 3, at Day 0. The GSK2321138A vaccine was administered as a single dose intramuscularly in the deltoid region of the non-dominant arm. Subjects received one dose of the Fluarix™ vaccine at Day 0. The Fluarix™ vaccine was administered as a single dose intramuscularly in the deltoid region of the non-dominant arm. Subjects received one dose of the GSK2604409A vaccine at Day 0. The GSK2604409A vaccine was administered as a single dose intramuscularly in the deltoid region of the non-dominant arm.
Measure Participants 1008 1001 1002 1003 607
Any Fatigue
152
15%
154
15.2%
171
16.9%
185
18.3%
90
14.8%
Grade 3 Fatigue
9
0.9%
4
0.4%
8
0.8%
6
0.6%
3
0.5%
Related Fatigue
109
10.8%
107
10.6%
118
11.7%
132
13.1%
64
10.5%
Any Gastr.
64
6.3%
63
6.2%
70
6.9%
65
6.4%
36
5.9%
Grade 3 Gastr.
5
0.5%
3
0.3%
3
0.3%
2
0.2%
2
0.3%
Related Gastr.
37
3.7%
34
3.4%
38
3.8%
35
3.5%
19
3.1%
Any Headache
163
16.1%
162
16%
155
15.3%
164
16.2%
80
13.1%
Grade 3 Headache
10
1%
8
0.8%
8
0.8%
8
0.8%
4
0.7%
Related Headache
87
8.6%
92
9.1%
98
9.7%
97
9.6%
48
7.9%
Any Joint Pain
96
9.5%
84
8.3%
74
7.3%
104
10.3%
57
9.3%
Grade 3 Joint Pain
6
0.6%
5
0.5%
3
0.3%
7
0.7%
2
0.3%
Related Joint Pain
67
6.6%
54
5.3%
51
5%
61
6%
29
4.8%
Any Muscle Aches
165
16.3%
172
17%
156
15.4%
195
19.3%
98
16.1%
Grade 3 Muscle Aches
5
0.5%
2
0.2%
7
0.7%
8
0.8%
3
0.5%
Related Muscle Aches
117
11.6%
130
12.8%
109
10.8%
137
13.6%
61
10%
Any Shivering
45
4.4%
32
3.2%
48
4.7%
50
5%
26
4.3%
Grade 3 Shivering
3
0.3%
2
0.2%
6
0.6%
3
0.3%
1
0.2%
Related Shivering
31
3.1%
19
1.9%
32
3.2%
30
3%
19
3.1%
Any Temperature (≥ 37.5°C)
19
1.9%
21
2.1%
8
0.8%
12
1.2%
9
1.5%
Grade 3 Temperature (> 39.0°C)
0
0%
0
0%
0
0%
0
0%
0
0%
Related Temperature
11
1.1%
16
1.6%
3
0.3%
5
0.5%
6
1%
9. Secondary Outcome
Title Number of Days With Solicited General Symptoms
Description Assessed solicited general symptoms post vaccination were fatigue, gastrointestinal symptoms (Gastr.), headache, joint pain at other location (Joint Pain), muscle aches, shivering, and temperature [defined as axillary temperature above or equal to (≥) 37.5 degrees Celsius (°C)].
Time Frame Within the 7-day (Days 0-6) follow-up period after vaccination

Outcome Measure Data

Analysis Population Description
The analysis was performed on the Total Vaccinated cohort, which included all vaccinated subjects, solely on subjects with available results.
Arm/Group Title GSK2321138A Lot 1 Group GSK2321138A Lot 2 Group GSK2321138A Lot 3 Group Fluarix Group GSK2604409A Group
Arm/Group Description Subjects received one dose of the GSK2321138A vaccine, Lot 1, at Day 0. The GSK2321138A vaccine was administered as a single dose intramuscularly in the deltoid region of the non-dominant arm. Subjects received one dose of the GSK2321138A vaccine, Lot 2, at Day 0. The GSK2321138A vaccine was administered as a single dose intramuscularly in the deltoid region of the non-dominant arm. Subjects received one dose of the GSK2321138A vaccine, Lot 3, at Day 0. The GSK2321138A vaccine was administered as a single dose intramuscularly in the deltoid region of the non-dominant arm. Subjects received one dose of the Fluarix™ vaccine at Day 0. The Fluarix™ vaccine was administered as a single dose intramuscularly in the deltoid region of the non-dominant arm. Subjects received one dose of the GSK2604409A vaccine at Day 0. The GSK2604409A vaccine was administered as a single dose intramuscularly in the deltoid region of the non-dominant arm.
Measure Participants 165 172 171 195 98
Fatigue
2.0
2.0
2.0
2.0
2.0
Gastr.
2.0
2.0
2.0
2.0
2.0
Headache
1.0
2.0
2.0
2.0
1.0
Joint Pain
2.0
2.0
2.0
2.0
2.0
Muscle Aches
2.0
2.0
2.0
2.0
2.0
Shivering
2.0
2.0
2.0
1.0
1.5
Temperature
1.0
1.0
1.0
1.0
2.0
10. Secondary Outcome
Title Number of Subjects With Any, Grade 3 and Related Unsolicited Adverse Events (AEs)
Description Unsolicited AEs cover any AE 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 unsolicited AE = any unsolicited AE regardless of intensity or relationship to vaccination. Grade 3 unsolicited AE = unsolicited AE that prevented normal everyday activity Related unsolicited AE = unsolicited AE assessed by the investigator as related to the vaccination.
Time Frame Within the 21-day (Days 0-20) follow-up period after vaccination

Outcome Measure Data

Analysis Population Description
The analysis was performed on the Total Vaccinated cohort, which included all vaccinated subjects.
Arm/Group Title GSK2321138A Lot 1 Group GSK2321138A Lot 2 Group GSK2321138A Lot 3 Group Fluarix Group GSK2604409A Group
Arm/Group Description Subjects received one dose of the GSK2321138A vaccine, Lot 1, at Day 0. The GSK2321138A vaccine was administered as a single dose intramuscularly in the deltoid region of the non-dominant arm. Subjects received one dose of the GSK2321138A vaccine, Lot 2, at Day 0. The GSK2321138A vaccine was administered as a single dose intramuscularly in the deltoid region of the non-dominant arm. Subjects received one dose of the GSK2321138A vaccine, Lot 3, at Day 0. The GSK2321138A vaccine was administered as a single dose intramuscularly in the deltoid region of the non-dominant arm. Subjects received one dose of the Fluarix™ vaccine at Day 0. The Fluarix™ vaccine was administered as a single dose intramuscularly in the deltoid region of the non-dominant arm. Subjects received one dose of the GSK2604409A vaccine at Day 0. The GSK2604409A vaccine was administered as a single dose intramuscularly in the deltoid region of the non-dominant arm.
Measure Participants 1012 1013 1011 1010 610
Any Unsolicited AE(s)
125
12.4%
120
11.8%
134
13.3%
138
13.7%
92
15.1%
Grade 3 Unsolicited AE(s)
11
1.1%
12
1.2%
16
1.6%
7
0.7%
2
0.3%
Related Unsolicited AE(s)
17
1.7%
20
2%
27
2.7%
26
2.6%
14
2.3%
11. Secondary Outcome
Title Number of Subjects With Any and Related Adverse Events With Medically-attended Events (MAEs)
Description Medically-attended events (MAEs) refer to non-serious and serious events leading to an otherwise unscheduled visit to or from medical personnel for any reason, including emergency room visits. If a MAE was leading to hospitalisation (or met any other serious adverse event criterion), it was reported as serious adverse event. Related MAE = MAE assessed by the investigator as related to the vaccination. Subjects receiving the GSK2321138A vaccine were pooled for this outcome measure.
Time Frame From the beginning of the study (Day 0) to study end (Day 180)

Outcome Measure Data

Analysis Population Description
The analysis was performed on the Total Vaccinated cohort, which included all vaccinated subjects.
Arm/Group Title GSK2321138A Group Fluarix Group GSK2604409A Group
Arm/Group Description Subjects received one dose of the GSK2321138A vaccine, Lot 1, 2 or 3, at Day 0. The GSK2321138A vaccine was administered as a single dose intramuscularly in the deltoid region of the non-dominant arm. Subjects received one dose of the Fluarix™ vaccine at Day 0. The Fluarix™ vaccine was administered intramuscularly in the deltoid region of the non-dominant arm. Subjects received one dose of the GSK2604409A vaccine at Day 0. The GSK2604409A vaccine was administered as a single dose intramuscularly in the deltoid region of the non-dominant arm.
Measure Participants 3036 1010 610
Any MAE(s)
688
68%
216
21.3%
52
5.1%
Related MAE(s)
11
1.1%
4
0.4%
5
0.5%
12. Secondary Outcome
Title Number of Subjects With Any and Related Potential Immune-mediated Diseases (pIMDs)
Description Potential immune-mediated diseases (pIMDs) are a subset of adverse events that include both clearly autoimmune diseases and also other inflammatory and/or neurologic disorders which may or may not have an autoimmune etiology. Related pIMD = pIMD assessed by the investigator as related to the vaccination. Subjects receiving the GSK2321138A vaccine were pooled for this outcome measure.
Time Frame From the beginning of the study (Day 0) to study end (Day 180)

Outcome Measure Data

Analysis Population Description
The analysis was performed on the Total Vaccinated cohort, which included all vaccinated subjects.
Arm/Group Title GSK2321138A Group Fluarix Group GSK2604409A Group
Arm/Group Description Subjects received one dose of the GSK2321138A vaccine, Lot 1, 2 or 3, at Day 0. The GSK2321138A vaccine was administered as a single dose intramuscularly in the deltoid region of the non-dominant arm. Subjects received one dose of the Fluarix™ vaccine at Day 0. The Fluarix™ vaccine was administered as a single dose intramuscularly in the deltoid region of the non-dominant arm. Subjects received one dose of the GSK2604409A vaccine at Day 0. The GSK2604409A vaccine was administered as a single dose intramuscularly in the deltoid region of the non-dominant arm.
Measure Participants 3036 1010 610
Any pIMD(s)
1
0.1%
1
0.1%
0
0%
Related pIMD(s)
0
0%
0
0%
0
0%
13. Secondary Outcome
Title Number of Subjects With Any and Related 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, result in disability/incapacity or are a congenital anomaly/birth defect in the offspring of a study subject. Any SAE = any SAE regardless of intensity or relationship to vaccination. Related SAE = SAE assessed by the investigator as related to the vaccination.
Time Frame From the beginning of the study (Day 0) to study end (Day 180)

Outcome Measure Data

Analysis Population Description
The analysis was performed on the Total Vaccinated cohort, which included all vaccinated subjects.
Arm/Group Title GSK2321138A Lot 1 Group GSK2321138A Lot 2 Group GSK2321138A Lot 3 Group Fluarix Group GSK2604409A Group
Arm/Group Description Subjects received one dose of the GSK2321138A vaccine, Lot 1, at Day 0. The GSK2321138A vaccine was administered as a single dose intramuscularly in the deltoid region of the non-dominant arm. Subjects received one dose of the GSK2321138A vaccine, Lot 2, at Day 0. The GSK2321138A vaccine was administered as a single dose intramuscularly in the deltoid region of the non-dominant arm. Subjects received one dose of the GSK2321138A vaccine, Lot 3, at Day 0. The GSK2321138A vaccine was administered as a single dose intramuscularly in the deltoid region of the non-dominant arm. Subjects received one dose of the Fluarix™ vaccine at Day 0. The Fluarix™ vaccine was administered as a single dose intramuscularly in the deltoid region of the non-dominant arm. Subjects received one dose of the GSK2604409A vaccine at Day 0. The GSK2604409A vaccine was administered as a single dose intramuscularly in the deltoid region of the non-dominant arm.
Measure Participants 1012 1013 1011 1010 610
Any SAE(s)
28
2.8%
20
2%
22
2.2%
26
2.6%
1
0.2%
Related SAE(s)
0
0%
0
0%
0
0%
0
0%
0
0%

Adverse Events

Time Frame Solicited symptoms: Within the 7-day (Days 0-6) follow-up period after vaccination. Unsolicited adverse events: Within the 21-day (Days 0-20) follow-up period after vaccination. Serious adverse events: Throughout the study period (Days 0 to 180)
Adverse Event Reporting Description Analysis for unsolicited AEs and SAEs was performed on all vaccinated subjects, and analysis for solicited symptoms was performed solely on vaccinated subjects for whom results were available.
Arm/Group Title GSK2321138A Lot 1 Group GSK2321138A Lot 2 Group GSK2321138A Lot 3 Group Fluarix Group GSK2604409A Group
Arm/Group Description Subjects received one dose of the GSK2321138A vaccine, Lot 1, at Day 0. The GSK2321138A vaccine was administered as a single dose intramuscularly in the deltoid region of the non-dominant arm. Subjects received one dose of the GSK2321138A vaccine, Lot 2, at Day 0. The GSK2321138A vaccine was administered as a single dose intramuscularly in the deltoid region of the non-dominant arm. Subjects received one dose of the GSK2321138A vaccine, Lot 3, at Day 0. The GSK2321138A vaccine was administered as a single dose intramuscularly in the deltoid region of the non-dominant arm. Subjects received one dose of the 1 dose of the Fluarix™ vaccine at Day 0. The Fluarix™ vaccine was administered as a single dose intramuscularly in the deltoid region of the non-dominant arm. Subjects received one dose of the GSK2604409A vaccine at Day 0. The GSK2604409A vaccine was administered as a single dose intramuscularly in the deltoid region of the non-dominant arm.
All Cause Mortality
GSK2321138A Lot 1 Group GSK2321138A Lot 2 Group GSK2321138A Lot 3 Group Fluarix Group GSK2604409A Group
Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events
Total / (NaN) / (NaN) / (NaN) / (NaN) / (NaN)
Serious Adverse Events
GSK2321138A Lot 1 Group GSK2321138A Lot 2 Group GSK2321138A Lot 3 Group Fluarix Group GSK2604409A Group
Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events
Total 28/1012 (2.8%) 20/1013 (2%) 22/1011 (2.2%) 26/1010 (2.6%) 1/610 (0.2%)
Blood and lymphatic system disorders
Anaemia 0/1012 (0%) 1/1013 (0.1%) 0/1011 (0%) 0/1010 (0%) 0/610 (0%)
Cardiac disorders
Acute myocardial infarction 0/1012 (0%) 0/1013 (0%) 1/1011 (0.1%) 0/1010 (0%) 0/610 (0%)
Arteriosclerosis coronary artery 0/1012 (0%) 0/1013 (0%) 1/1011 (0.1%) 0/1010 (0%) 0/610 (0%)
Atrial fibrillation 0/1012 (0%) 0/1013 (0%) 0/1011 (0%) 1/1010 (0.1%) 0/610 (0%)
Cardiac arrest 0/1012 (0%) 0/1013 (0%) 0/1011 (0%) 1/1010 (0.1%) 0/610 (0%)
Cardiac disorder 0/1012 (0%) 0/1013 (0%) 0/1011 (0%) 1/1010 (0.1%) 0/610 (0%)
Cardiac failure 2/1012 (0.2%) 0/1013 (0%) 0/1011 (0%) 0/1010 (0%) 0/610 (0%)
Cardiac failure congestive 1/1012 (0.1%) 1/1013 (0.1%) 1/1011 (0.1%) 0/1010 (0%) 0/610 (0%)
Cardio-respiratory arrest 0/1012 (0%) 0/1013 (0%) 0/1011 (0%) 1/1010 (0.1%) 0/610 (0%)
Cardiopulmonary failure 1/1012 (0.1%) 0/1013 (0%) 0/1011 (0%) 0/1010 (0%) 0/610 (0%)
Coronary artery disease 0/1012 (0%) 0/1013 (0%) 0/1011 (0%) 1/1010 (0.1%) 0/610 (0%)
Myocardial infarction 1/1012 (0.1%) 2/1013 (0.2%) 2/1011 (0.2%) 1/1010 (0.1%) 0/610 (0%)
Myocardial ischaemia 1/1012 (0.1%) 0/1013 (0%) 0/1011 (0%) 0/1010 (0%) 0/610 (0%)
Ear and labyrinth disorders
Vertigo 0/1012 (0%) 1/1013 (0.1%) 0/1011 (0%) 1/1010 (0.1%) 0/610 (0%)
Vestibular disorder 0/1012 (0%) 0/1013 (0%) 1/1011 (0.1%) 0/1010 (0%) 0/610 (0%)
Eye disorders
Diplopia 0/1012 (0%) 1/1013 (0.1%) 0/1011 (0%) 0/1010 (0%) 0/610 (0%)
Gastrointestinal disorders
Abdominal hernia 0/1012 (0%) 0/1013 (0%) 0/1011 (0%) 1/1010 (0.1%) 0/610 (0%)
Acute abdomen 0/1012 (0%) 0/1013 (0%) 0/1011 (0%) 1/1010 (0.1%) 0/610 (0%)
Gastric ulcer 0/1012 (0%) 1/1013 (0.1%) 0/1011 (0%) 0/1010 (0%) 0/610 (0%)
Gastric ulcer haemorrhage 1/1012 (0.1%) 0/1013 (0%) 1/1011 (0.1%) 0/1010 (0%) 0/610 (0%)
Inguinal hernia 0/1012 (0%) 0/1013 (0%) 1/1011 (0.1%) 1/1010 (0.1%) 0/610 (0%)
Intestinal infarction 1/1012 (0.1%) 0/1013 (0%) 0/1011 (0%) 0/1010 (0%) 0/610 (0%)
Oesophagitis 1/1012 (0.1%) 0/1013 (0%) 0/1011 (0%) 0/1010 (0%) 0/610 (0%)
Upper gastrointestinal haemorrhage 0/1012 (0%) 0/1013 (0%) 0/1011 (0%) 1/1010 (0.1%) 0/610 (0%)
General disorders
Death 1/1012 (0.1%) 0/1013 (0%) 0/1011 (0%) 0/1010 (0%) 0/610 (0%)
Non-cardiac chest pain 0/1012 (0%) 0/1013 (0%) 1/1011 (0.1%) 0/1010 (0%) 0/610 (0%)
Sudden death 1/1012 (0.1%) 0/1013 (0%) 0/1011 (0%) 0/1010 (0%) 0/610 (0%)
Hepatobiliary disorders
Cholelithiasis 1/1012 (0.1%) 1/1013 (0.1%) 0/1011 (0%) 0/1010 (0%) 0/610 (0%)
Jaundice 1/1012 (0.1%) 0/1013 (0%) 0/1011 (0%) 0/1010 (0%) 0/610 (0%)
Infections and infestations
Bronchiolitis 0/1012 (0%) 0/1013 (0%) 1/1011 (0.1%) 1/1010 (0.1%) 0/610 (0%)
Central nervous system infection 1/1012 (0.1%) 0/1013 (0%) 0/1011 (0%) 0/1010 (0%) 0/610 (0%)
Device related infection 1/1012 (0.1%) 0/1013 (0%) 0/1011 (0%) 0/1010 (0%) 0/610 (0%)
Erysipelas 1/1012 (0.1%) 0/1013 (0%) 0/1011 (0%) 0/1010 (0%) 0/610 (0%)
Gastroenteritis 1/1012 (0.1%) 0/1013 (0%) 0/1011 (0%) 1/1010 (0.1%) 0/610 (0%)
Groin abscess 0/1012 (0%) 0/1013 (0%) 0/1011 (0%) 1/1010 (0.1%) 0/610 (0%)
Osteomyelitis 0/1012 (0%) 0/1013 (0%) 0/1011 (0%) 1/1010 (0.1%) 0/610 (0%)
Pneumonia 0/1012 (0%) 0/1013 (0%) 3/1011 (0.3%) 2/1010 (0.2%) 0/610 (0%)
Pyelonephritis acute 0/1012 (0%) 1/1013 (0.1%) 0/1011 (0%) 0/1010 (0%) 0/610 (0%)
Respiratory tract infection 0/1012 (0%) 1/1013 (0.1%) 1/1011 (0.1%) 0/1010 (0%) 0/610 (0%)
Tooth abscess 1/1012 (0.1%) 0/1013 (0%) 0/1011 (0%) 0/1010 (0%) 0/610 (0%)
Urinary tract infection 2/1012 (0.2%) 0/1013 (0%) 0/1011 (0%) 0/1010 (0%) 0/610 (0%)
Injury, poisoning and procedural complications
Foot fracture 0/1012 (0%) 0/1013 (0%) 0/1011 (0%) 1/1010 (0.1%) 0/610 (0%)
Head injury 0/1012 (0%) 0/1013 (0%) 0/1011 (0%) 1/1010 (0.1%) 0/610 (0%)
Hip fracture 1/1012 (0.1%) 0/1013 (0%) 0/1011 (0%) 0/1010 (0%) 0/610 (0%)
Joint dislocation 0/1012 (0%) 1/1013 (0.1%) 0/1011 (0%) 0/1010 (0%) 0/610 (0%)
Ligament rupture 0/1012 (0%) 1/1013 (0.1%) 0/1011 (0%) 0/1010 (0%) 0/610 (0%)
Lumbar vertebral fracture 0/1012 (0%) 0/1013 (0%) 1/1011 (0.1%) 0/1010 (0%) 0/610 (0%)
Pelvic fracture 1/1012 (0.1%) 0/1013 (0%) 0/1011 (0%) 0/1010 (0%) 0/610 (0%)
Radius fracture 1/1012 (0.1%) 0/1013 (0%) 0/1011 (0%) 0/1010 (0%) 0/610 (0%)
Tendon rupture 0/1012 (0%) 1/1013 (0.1%) 0/1011 (0%) 0/1010 (0%) 0/610 (0%)
Investigations
Ammonia increased 0/1012 (0%) 0/1013 (0%) 1/1011 (0.1%) 0/1010 (0%) 0/610 (0%)
Metabolism and nutrition disorders
Dehydration 0/1012 (0%) 1/1013 (0.1%) 0/1011 (0%) 0/1010 (0%) 0/610 (0%)
Diabetes mellitus 0/1012 (0%) 0/1013 (0%) 0/1011 (0%) 1/1010 (0.1%) 0/610 (0%)
Musculoskeletal and connective tissue disorders
Arthralgia 1/1012 (0.1%) 0/1013 (0%) 0/1011 (0%) 0/1010 (0%) 0/610 (0%)
Intervertebral disc disorder 0/1012 (0%) 0/1013 (0%) 1/1011 (0.1%) 0/1010 (0%) 0/610 (0%)
Intervertebral disc protrusion 0/1012 (0%) 0/1013 (0%) 2/1011 (0.2%) 0/1010 (0%) 0/610 (0%)
Muscular weakness 0/1012 (0%) 0/1013 (0%) 1/1011 (0.1%) 0/1010 (0%) 0/610 (0%)
Rotator cuff syndrome 0/1012 (0%) 0/1013 (0%) 0/1011 (0%) 1/1010 (0.1%) 0/610 (0%)
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Breast cancer 1/1012 (0.1%) 0/1013 (0%) 1/1011 (0.1%) 0/1010 (0%) 0/610 (0%)
Colon cancer 0/1012 (0%) 1/1013 (0.1%) 0/1011 (0%) 0/1010 (0%) 0/610 (0%)
Gastric adenoma 2/1012 (0.2%) 0/1013 (0%) 1/1011 (0.1%) 0/1010 (0%) 0/610 (0%)
Gastric cancer 0/1012 (0%) 0/1013 (0%) 0/1011 (0%) 1/1010 (0.1%) 0/610 (0%)
Hepatic neoplasm malignant 1/1012 (0.1%) 0/1013 (0%) 0/1011 (0%) 0/1010 (0%) 0/610 (0%)
Rectal cancer ( 0/1012 (0%) 1/1013 (0.1%) 0/1011 (0%) 0/1010 (0%) 0/610 (0%)
Renal cell carcinoma 0/1012 (0%) 1/1013 (0.1%) 0/1011 (0%) 0/1010 (0%) 0/610 (0%)
Small cell lung cancer stage unspecified 0/1012 (0%) 0/1013 (0%) 1/1011 (0.1%) 0/1010 (0%) 0/610 (0%)
Thyroid cancer 0/1012 (0%) 1/1013 (0.1%) 0/1011 (0%) 0/1010 (0%) 0/610 (0%)
Nervous system disorders
Carotid artery stenosis 1/1012 (0.1%) 0/1013 (0%) 0/1011 (0%) 0/1010 (0%) 0/610 (0%)
Cerebrovascular accident 3/1012 (0.3%) 0/1013 (0%) 2/1011 (0.2%) 2/1010 (0.2%) 0/610 (0%)
Coma hepatic 0/1012 (0%) 0/1013 (0%) 1/1011 (0.1%) 0/1010 (0%) 0/610 (0%)
Depressed level of consciousness 0/1012 (0%) 0/1013 (0%) 1/1011 (0.1%) 0/1010 (0%) 0/610 (0%)
Dizziness 1/1012 (0.1%) 0/1013 (0%) 0/1011 (0%) 0/1010 (0%) 0/610 (0%)
Headache 0/1012 (0%) 1/1013 (0.1%) 0/1011 (0%) 0/1010 (0%) 0/610 (0%)
Intracranial aneurysm 1/1012 (0.1%) 0/1013 (0%) 0/1011 (0%) 0/1010 (0%) 0/610 (0%)
Ischaemic stroke 0/1012 (0%) 1/1013 (0.1%) 0/1011 (0%) 0/1010 (0%) 0/610 (0%)
Subarachnoid haemorrhage 1/1012 (0.1%) 0/1013 (0%) 0/1011 (0%) 0/1010 (0%) 0/610 (0%)
Transient ischaemic attack 1/1012 (0.1%) 0/1013 (0%) 0/1011 (0%) 0/1010 (0%) 0/610 (0%)
Psychiatric disorders
Confusional state 0/1012 (0%) 0/1013 (0%) 1/1011 (0.1%) 0/1010 (0%) 0/610 (0%)
Renal and urinary disorders
Nephrolithiasis 0/1012 (0%) 0/1013 (0%) 0/1011 (0%) 2/1010 (0.2%) 0/610 (0%)
Ureteric stenosis 0/1012 (0%) 1/1013 (0.1%) 0/1011 (0%) 0/1010 (0%) 0/610 (0%)
Urinary incontinence 1/1012 (0.1%) 0/1013 (0%) 0/1011 (0%) 0/1010 (0%) 0/610 (0%)
Reproductive system and breast disorders
Benign prostatic hyperplasia 0/1012 (0%) 1/1013 (0.1%) 0/1011 (0%) 0/1010 (0%) 0/610 (0%)
Respiratory, thoracic and mediastinal disorders
Acute respiratory failure 0/1012 (0%) 1/1013 (0.1%) 0/1011 (0%) 0/1010 (0%) 0/610 (0%)
Asthma 0/1012 (0%) 1/1013 (0.1%) 0/1011 (0%) 1/1010 (0.1%) 0/610 (0%)
Atelectasis 0/1012 (0%) 1/1013 (0.1%) 0/1011 (0%) 0/1010 (0%) 0/610 (0%)
Bronchospasm 0/1012 (0%) 0/1013 (0%) 1/1011 (0.1%) 0/1010 (0%) 0/610 (0%)
Pleurisy 0/1012 (0%) 0/1013 (0%) 1/1011 (0.1%) 0/1010 (0%) 0/610 (0%)
Pneumonia aspiration 0/1012 (0%) 1/1013 (0.1%) 0/1011 (0%) 0/1010 (0%) 0/610 (0%)
Pulmonary hypertension 0/1012 (0%) 1/1013 (0.1%) 0/1011 (0%) 0/1010 (0%) 0/610 (0%)
Respiratory failure 0/1012 (0%) 0/1013 (0%) 1/1011 (0.1%) 0/1010 (0%) 0/610 (0%)
Skin and subcutaneous tissue disorders
Pruritus 1/1012 (0.1%) 0/1013 (0%) 0/1011 (0%) 0/1010 (0%) 0/610 (0%)
Vascular disorders
Aortic aneurysm 0/1012 (0%) 1/1013 (0.1%) 0/1011 (0%) 0/1010 (0%) 0/610 (0%)
Arteriosclerosis 0/1012 (0%) 0/1013 (0%) 0/1011 (0%) 0/1010 (0%) 1/610 (0.2%)
Other (Not Including Serious) Adverse Events
GSK2321138A Lot 1 Group GSK2321138A Lot 2 Group GSK2321138A Lot 3 Group Fluarix Group GSK2604409A Group
Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events
Total 485/1008 (48.1%) 472/1003 (47.1%) 482/1004 (48%) 500/1003 (49.9%) 275/607 (45.3%)
General disorders
Pain 377/1008 (37.4%) 362/1003 (36.1%) 357/1004 (35.6%) 369/1003 (36.8%) 190/607 (31.3%)
Fatigue 152/1008 (15.1%) 154/1003 (15.4%) 171/1004 (17%) 185/1003 (18.4%) 90/607 (14.8%)
Gastrointestinal symptoms 64/1008 (6.3%) 63/1003 (6.3%) 70/1004 (7%) 65/1003 (6.5%) 36/607 (5.9%)
Headache 163/1008 (16.2%) 162/1003 (16.2%) 155/1004 (15.4%) 164/1003 (16.4%) 80/607 (13.2%)
Joint pain 96/1008 (9.5%) 84/1003 (8.4%) 74/1004 (7.4%) 104/1003 (10.4%) 57/607 (9.4%)
Muscle aches 165/1008 (16.4%) 172/1003 (17.1%) 156/1004 (15.5%) 195/1003 (19.4%) 98/607 (16.1%)

Limitations/Caveats

Concerns arose about data integrity for a Romanian site (102 subjects) after completion of analysis. These data were not excluded from this reporting as they did not reveal irregularities and GSK does not plan to use them towards regulatory filing.

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:
NCT01204671
Other Study ID Numbers:
  • 114269
First Posted:
Sep 17, 2010
Last Update Posted:
Sep 24, 2018
Last Verified:
Feb 1, 2017