Evidence map›Paper›PMID 32579785›Full record

Trial reportInfluenza and other respiratory viruses2020

Clinical phase II and III studies of an AS03-adjuvanted H5N1 influenza vaccine produced in an EB66

Masafumi Endo, Mitsuyoshi Tanishima, Kayo Ibaragi, Kenshi Hayashida, Tadashi Fukuda, Tetsuro Tanabe, Takeshi Naruse, Yoichiro Kino, Kohji Ueda

Abstract readClinical Trial, Phase IIClinical Trial, Phase IIIRandomized Controlled Trial
In one paragraph

Trial report in Influenza and other respiratory viruses, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed.

  1. Trial
  2. Review
  3. Review
  4. Review
  5. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Masafumi EndoKM Biologics Co., Ltd. (KM Biologics), Kumamoto, Japan.
Mitsuyoshi TanishimaKM Biologics Co., Ltd. (KM Biologics), Kumamoto, Japan.ORCID 0000-0003-3289-0127
Kayo IbaragiKM Biologics Co., Ltd. (KM Biologics), Kumamoto, Japan.
Kenshi HayashidaKM Biologics Co., Ltd. (KM Biologics), Kumamoto, Japan.
Tadashi FukudaKM Biologics Co., Ltd. (KM Biologics), Kumamoto, Japan.
Tetsuro TanabeKM Biologics Co., Ltd. (KM Biologics), Kumamoto, Japan.
Takeshi NaruseKM Biologics Co., Ltd. (KM Biologics), Kumamoto, Japan.
Yoichiro KinoKino Consulting, Kumamoto, Japan.
Kohji UedaKyushu University, Fukuoka, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundWe have developed an AS03-adjuvanted H5N1 influenza vaccine produced in an EB66

objectivesIn accordance with Japanese guidelines for development of pandemic prototype vaccines, the phase II study was conducted in a double-blind, randomized, parallel-group comparison study and the phase III study was conducted in an open-label, non-randomized, uncontrolled study.

methodsHealthy adult volunteers aged 20 - 64 years enrolled in the phase II and III studies (N = 248 and N = 369) received KD-295 intramuscularly twice with a 21-day interval. After administration, immune response and adverse events were evaluated. In the phase II study, four different vaccine formulations were compared: MA (3.75 μg hemagglutinin [HA] antigen + AS03 adjuvant system), MB (3.75 μg HA + 1/2AS03), HA (7.5 μg HA + AS03), and HB (7.5 μg HA + 1/2AS03). In the phase III study, the MA formulation was further evaluated.

resultsIn the phase II study, all four vaccine formulations were well-tolerated and no SAE related to vaccination were observed. The MA formulation was slightly more immunogenic and less reactogenic among the vaccine formulations. Therefore, the MA formulation was selected for the phase III study, and it was well-tolerated and no serious adverse drug reactions were observed. The vaccine fulfilled the three immunogenicity criteria described in the Japanese guidelines.

conclusionsThese data indicate that the MA formulation of KD-295 was well-tolerated and highly immunogenic and it can be considered a useful pandemic and pre-pandemic influenza vaccine.

Indexed as

Immunogenicity, VaccineAdultalpha-TocopherolAntibodies, ViralCell Culture TechniquesDouble-Blind MethodDrug CombinationsFemaleHumansInfluenza A Virus, H5N1 SubtypeInfluenza, HumanInfluenza VaccinesInjections, IntramuscularMaleMiddle AgedPolysorbatesalpha-TocopherolAntibodies, ViralAS03 adjuvantDrug CombinationsInfluenza VaccinesPolysorbatesSqualeneAS03EB66® cellsH5N1 influenza

Identifiers

PMID32579785
PMCPMC7431644

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.