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    Summary
    EudraCT Number:2012-001683-29
    Sponsor's Protocol Code Number:114464
    Clinical Trial Type:Outside EU/EEA
    Date on which this record was first entered in the EudraCT database:2015-06-03
    Trial results View results
    Index
    A. PROTOCOL INFORMATION
    B. SPONSOR INFORMATION
    C. APPLICANT IDENTIFICATION
    D. IMP IDENTIFICATION
    D.8 INFORMATION ON PLACEBO
    E. GENERAL INFORMATION ON THE TRIAL
    F. POPULATION OF TRIAL SUBJECTS
    G. INVESTIGATOR NETWORKS TO BE INVOLVED IN THE TRIAL
    H.4 THIRD COUNTRY IN WHICH THE TRIAL WAS FIRST AUTHORISED
    Expand All   Collapse All
    A. Protocol Information
    A.2EudraCT number2012-001683-29
    A.3Full title of the trial
    A Phase 2/3, randomized, controlled, observer-blind, multi-center trial to evaluate the safety and immunogenicity of a two-dose primary vaccination series of monovalent A/Indonesia/5/2005 (H5N1) vaccine antigen adjuvanted with AS03 in children aged 6 months to < 18 years of age.
    A.3.1Title of the trial for lay people, in easily understood, i.e. non-technical, language
    Safety and immunogenicity of GlaxoSmithKline (GSK) Biologicals' monovalent H5N1 vaccine (GSK1557484A) in children 6 months to < 18 years of age.
    A.3.2Name or abbreviated title of the trial where available
    FLU Q-PAN H5N1-AS03-021
    A.4.1Sponsor's protocol code number114464
    A.5.2US NCT (ClinicalTrials.gov registry) numberNCT01310413
    A.5.4Other Identifiers
    Name:HHS O100200700029CNumber:HHS/BARDA Contract Number
    A.7Trial is part of a Paediatric Investigation Plan No
    A.8EMA Decision number of Paediatric Investigation Plan
    B. Sponsor Information
    B.Sponsor: 1
    B.1.1Name of SponsorGlaxoSmithKline Biologicals
    B.1.3.4CountryUnited States
    B.3.1 and B.3.2Status of the sponsorCommercial
    B.4 Source(s) of Monetary or Material Support for the clinical trial:
    B.4.1Name of organisation providing supportGlaxoSmithKline Biologicals
    B.4.2CountryUnited States
    B.4.1Name of organisation providing supportGlaxoSmithKline Biologicals
    B.4.2CountryBelgium
    B.5 Contact point designated by the sponsor for further information on the trial
    B.5.1Name of organisationGlaxoSmithKline Biologicals
    B.5.2Functional name of contact pointClinical Disclosure Advisor
    B.5.3 Address:
    B.5.3.1Street Address2301 Renaissance Blvd
    B.5.3.2Town/ cityKing of Prussia
    B.5.3.3Post codePA 19406
    B.5.3.4CountryUnited States
    B.5.4Telephone number442089904466
    B.5.6E-mailGSKClinicalSupportHD@gsk.com
    D. IMP Identification
    D.IMP: 1
    D.1.2 and D.1.3IMP RoleTest
    D.2 Status of the IMP to be used in the clinical trial
    D.2.1IMP to be used in the trial has a marketing authorisation No
    D.2.5The IMP has been designated in this indication as an orphan drug in the Community No
    D.2.5.1Orphan drug designation number
    D.3 Description of the IMP
    D.3.1Product nameQ-PAN H5N1
    D.3.2Product code GSK1557484A
    D.3.4Pharmaceutical form Emulsion for injection
    D.3.4.1Specific paediatric formulation No
    D.3.7Routes of administration for this IMPIntramuscular use
    D.3.8 to D.3.10 IMP Identification Details (Active Substances)
    D.3.8INN - Proposed INN-
    D.3.9.3Other descriptive nameQuebec manufactured A/Indonesia/5/2005 influenza A (H5N1) virus
    D.3.10 Strength
    D.3.10.1Concentration unit µg microgram(s)
    D.3.10.2Concentration typeequal
    D.3.10.3Concentration number1.9
    D.3.11 The IMP contains an:
    D.3.11.1Active substance of chemical origin No
    D.3.11.2Active substance of biological/ biotechnological origin (other than Advanced Therapy IMP (ATIMP) Yes
    The IMP is a:
    D.3.11.3Advanced Therapy IMP (ATIMP) No
    D.3.11.3.1Somatic cell therapy medicinal product No
    D.3.11.3.2Gene therapy medical product No
    D.3.11.3.3Tissue Engineered Product No
    D.3.11.3.4Combination ATIMP (i.e. one involving a medical device) No
    D.3.11.3.5Committee on Advanced therapies (CAT) has issued a classification for this product No
    D.3.11.4Combination product that includes a device, but does not involve an Advanced Therapy No
    D.3.11.5Radiopharmaceutical medicinal product No
    D.3.11.6Immunological medicinal product (such as vaccine, allergen, immune serum) Yes
    D.3.11.7Plasma derived medicinal product No
    D.3.11.8Extractive medicinal product No
    D.3.11.9Recombinant medicinal product No
    D.3.11.10Medicinal product containing genetically modified organisms No
    D.3.11.11Herbal medicinal product No
    D.3.11.12Homeopathic medicinal product No
    D.3.11.13Another type of medicinal product No
    D.8 Information on Placebo
    D.8 Placebo: 1
    D.8.1Is a Placebo used in this Trial?Yes
    D.8.3Pharmaceutical form of the placeboSolution for injection
    D.8.4Route of administration of the placeboIntramuscular use
    E. General Information on the Trial
    E.1 Medical condition or disease under investigation
    E.1.1Medical condition(s) being investigated
    Healthy volunteers (immunization against avian influenza virus A (H5N1) infection)
    E.1.1.1Medical condition in easily understood language
    Bird Flu
    E.1.1.2Therapeutic area Diseases [C] - Virus Diseases [C02]
    MedDRA Classification
    E.1.2 Medical condition or disease under investigation
    E.1.2Version 18.0
    E.1.2Level LLT
    E.1.2Classification code 10073988
    E.1.2Term Bird flu
    E.1.2System Organ Class 100000004862
    E.1.2 Medical condition or disease under investigation
    E.1.2Version 18.0
    E.1.2Level LLT
    E.1.2Classification code 10021433
    E.1.2Term Immunization
    E.1.2System Organ Class 100000004865
    E.1.3Condition being studied is a rare disease No
    E.2 Objective of the trial
    E.2.1Main objective of the trial
    To assess whether two doses of H5N1 antigen in association with AS03 adjuvant elicits an immune response, measured by postimmunization vaccine-homologous virus hemagglutination inhibition (HI) titers, that meets or exceeds Center for Biologics Evaluation and Research (CBER)/ Committee for Medicinal Products for Human Use (CHMP) young adult targets for proportion of subjects attaining postimmunization reciprocal HI titres ≥ 40 against A/Indonesia/5/2005
    virus (abbreviated seroprotection rate [SPR].
    E.2.2Secondary objectives of the trial
    - To assess if the SPR (21 days post dose 1) and SCR (21 days post dose 1 & 2) meets or exceeds CBER/CHMP guidance targets in active treatment groups.
    - To assess if H5N1 antigen in association with AS03 elicits an immune response, measured by post-immunization vaccine-homologous virus HI titers, that meets or exceeds the CHMP guideline target for GMI in young adults (>2.5) in active treatment groups at Days 21 & 42.
    - Immunogenicity of the vaccine in terms of seropositivity rate, GMT, SCR, SPR, & GMI in terms of point estimates & 95% CI, 182 days & 385 days postdose 1 of vaccine.
    - Immunogenicity of the vaccine regimen in 3 age strata in terms of MN titres specific for the vaccine-homologous virus & for 1 or more drift-variant viruses.
    - Safety of H5N1 vaccine in terms of solicited local & general adverse events (AEs), clinical laboratory abnormalities, unsolicited AEs, MAEs, pIMDs & SAEs compared with placebo in subjects 6 months to <18 years of age.
    E.2.3Trial contains a sub-study No
    E.3Principal inclusion criteria
    •A male or female child >= 6 months and < 18 years of age at the time of first vaccination.
    •Written informed consent obtained from the subject’s parent/guardian.
    •Documentation of assent for children 9 to < 18 years of age.
    •Satisfactory baseline medical assessment by history and physical examination
    •Parent/guardian and subject access to a consistent means of telephone contact, land line or mobile, but NOT a pay phone or other multiple-user device.
    •Parents/guardians and subjects who the investigator believes understand the requirements of the protocol and can and will comply with them.
    •Female subjects of non-childbearing potential may be enrolled in the study.
    •Female subjects of childbearing potential must
    -have practiced adequate contraception for 30 days prior to vaccination, and
    -have a negative pregnancy test on the day of each vaccination, and
    -have agreed to continue adequate contraception for 2 months after completion of the vaccination series
    E.4Principal exclusion criteria
    •Medical history of physician-confirmed infection with an H5N1 virus.
    •Previous vaccination at any time with an H5N1 vaccine.
    •Use of any investigational or non-registered product other than the study vaccine within 30 days preceding the first dose of study vaccine/product, or planned use during the study period.
    •Presence of significant acute or chronic, uncontrolled medical or psychiatric illness.
    •Presence of neurological or psychiatric diagnoses which, although stable, are deemed by the investigator to render the potential subject or parent/guardian unable/unlikely to provide accurate safety reports.
    •Evidence of current subject or parent/guardian substance abuse, including alcohol, by medical history.
    •Presence of a temperature ≥ 38.0ºC by any method, or acute symptoms greater than “mild” severity on the scheduled date of first dose.
    •Diagnosed with cancer, or treatment for cancer, within 3 years.
    •Any confirmed or suspected immunosuppressive or immunodeficient condition, based on medical history and physical examination.
    •Receipt of systemic glucocorticoids within 1 month prior to first dose of test article or any other cytotoxic or immunosuppressive drug within 6 months prior to first dose of test article. Receipt of any immunoglobulins and/or any blood products within 3 months of first test article administration or planned administration of any of these products during the study period.
    •Any significant disorder of coagulation or treatment with warfarin derivatives or heparin.
    •An acute evolving neurological disorder or history of Guillain-Barré syndrome within 6 weeks of receipt of seasonal influenza vaccine.
    •Administration of an inactivated seasonal influenza vaccine within 14 days, or of a live, attenuated seasonal influenza vaccine within 30 days before the first test article dose, or of any other vaccine(s) not foreseen by the study protocol within 30 days before the first test article dose.
    •Planned administration of any vaccine(s) not foreseen by the study protocol through completion of the Day 42 visit.
    •Any known or suspected allergy to any constituent of influenza vaccines or history of severe reaction to any previous influenza vaccination.
    •Known pregnancy, or a positive urine pregnancy test result prior to each test article dose.
    •Lactating or nursing.
    •Child in care.
    E.5 End points
    E.5.1Primary end point(s)
    Immunogenicity with respect to components of the investigational vaccine
    E.5.1.1Timepoint(s) of evaluation of this end point
    Day 42
    E.5.2Secondary end point(s)
    - Occurrence of each solicited local symptom
    - Occurrence of each solicited general symptom
    - Occurrence of unsolicited adverse events (AEs)
    - Occurrence of AEs with medically attended visits (MAEs), (potential) immune mediated diseases (pIMDs) and serious adverse events (SAEs)
    E.5.2.1Timepoint(s) of evaluation of this end point
    Day 0, 7, 21 and 385
    E.6 and E.7 Scope of the trial
    E.6Scope of the trial
    E.6.1Diagnosis No
    E.6.2Prophylaxis Yes
    E.6.3Therapy No
    E.6.4Safety Yes
    E.6.5Efficacy Yes
    E.6.6Pharmacokinetic No
    E.6.7Pharmacodynamic No
    E.6.8Bioequivalence No
    E.6.9Dose response No
    E.6.10Pharmacogenetic No
    E.6.11Pharmacogenomic No
    E.6.12Pharmacoeconomic No
    E.6.13Others No
    E.7Trial type and phase
    E.7.1Human pharmacology (Phase I) No
    E.7.1.1First administration to humans No
    E.7.1.2Bioequivalence study No
    E.7.1.3Other No
    E.7.1.3.1Other trial type description
    E.7.2Therapeutic exploratory (Phase II) Yes
    E.7.3Therapeutic confirmatory (Phase III) Yes
    E.7.4Therapeutic use (Phase IV) No
    E.8 Design of the trial
    E.8.1Controlled Yes
    E.8.1.1Randomised Yes
    E.8.1.2Open No
    E.8.1.3Single blind No
    E.8.1.4Double blind Yes
    E.8.1.5Parallel group No
    E.8.1.6Cross over No
    E.8.1.7Other No
    E.8.2 Comparator of controlled trial
    E.8.2.1Other medicinal product(s) No
    E.8.2.2Placebo Yes
    E.8.2.3Other No
    E.8.2.4Number of treatment arms in the trial2
    E.8.3 Will this trial be conducted at a single site globally? No
    E.8.4 Will this trial be conducted at multiple sites globally? Yes
    E.8.6 Trial involving sites outside the EEA
    E.8.6.2Trial being conducted completely outside of the EEA Yes
    E.8.6.3Specify the countries outside of the EEA in which trial sites are planned
    Canada
    Thailand
    United States
    E.8.7Trial has a data monitoring committee No
    E.8.8 Definition of the end of the trial and justification where it is not the last visit of the last subject undergoing the trial
    LSLV
    E.8.9 Initial estimate of the duration of the trial
    E.8.9.2In all countries concerned by the trial years1
    E.8.9.2In all countries concerned by the trial months0
    E.8.9.2In all countries concerned by the trial days0
    F. Population of Trial Subjects
    F.1 Age Range
    F.1.1Trial has subjects under 18 Yes
    F.1.1Number of subjects for this age range: 838
    F.1.1.1In Utero No
    F.1.1.2Preterm newborn infants (up to gestational age < 37 weeks) No
    F.1.1.3Newborns (0-27 days) Yes
    F.1.1.3.1Number of subjects for this age range: 165
    F.1.1.4Infants and toddlers (28 days-23 months) Yes
    F.1.1.4.1Number of subjects for this age range: 373
    F.1.1.5Children (2-11years) Yes
    F.1.1.5.1Number of subjects for this age range: 300
    F.1.1.6Adolescents (12-17 years) No
    F.1.2Adults (18-64 years) No
    F.1.3Elderly (>=65 years) No
    F.2 Gender
    F.2.1Female Yes
    F.2.2Male Yes
    F.3 Group of trial subjects
    F.3.1Healthy volunteers Yes
    F.3.2Patients No
    F.3.3Specific vulnerable populations Yes
    F.3.3.1Women of childbearing potential not using contraception No
    F.3.3.2Women of child-bearing potential using contraception Yes
    F.3.3.3Pregnant women No
    F.3.3.4Nursing women No
    F.3.3.5Emergency situation No
    F.3.3.6Subjects incapable of giving consent personally No
    F.3.3.7Others No
    F.4 Planned number of subjects to be included
    F.4.2 For a multinational trial
    F.4.2.2In the whole clinical trial 838
    F.5 Plans for treatment or care after the subject has ended the participation in the trial (if it is different from the expected normal treatment of that condition)
    None
    G. Investigator Networks to be involved in the Trial
    H.4 Third Country in which the Trial was first authorised
    H.4.1Third Country in which the trial was first authorised: United States
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