A phase I prospective, randomized study in healthy adult subjects at a single center. Adult subjects age 18 to 47 years and meeting all enrollment criteria will choose to participate as subjects who receive inactivated vaccine followed by a live vaccine boost at 4 weeks (Group 1), 12 weeks (Group 2), or 24 weeks (Group 3), or to be in an observational group (Group 4) which will not be scheduled for a booster dose but may serve as a roll-over group for subjects who withdraw prior to the second vaccination but agree to remain in follow-up. A fifth group will receive two intramuscular doses of adjuvanted H7N9 pIIV separated by four weeks. The primary objectives of this study are to (1) assess the safety of H7N9 pLAIV administered to individuals who have previously received MF59-adjuvanted or unadjuvanted H7N9 pIIV, (2) evaluate the ability of a single dose of unadjuvanted H7N9 pIIV to prime for enhanced immunogenicity (booster response) to subsequent administration of antigenically-matched H7N9 pLAIV vaccine, and to (3) evaluate the ability of a single dose of MF59-adjuvanted H7N9 pIIV to prime for enhanced immunogenicity (booster response) to subsequent administration of antigenically-matched H7N9 pLAIV vaccine.
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Geometric mean titers determined by neuraminidase inhibiting antibody by enzyme-linked lectin assay (ELLA)
Timeframe: Day 29
Geometric mean titers determined by neuraminidase inhibiting antibody by enzyme-linked lectin assay (ELLA) for Group 2
Timeframe: Day 113
Geometric mean titers determined by neuraminidase inhibiting antibody by enzyme-linked lectin assay (ELLA) for Group 3
Timeframe: Day 197
Geometric mean titers determined by neuraminidase inhibiting antibody by enzyme-linked lectin assay (ELLA) for Groups 1, 5
Timeframe: Day 57
Occurrence of respiratory reactogenicity following pLAIV vaccination for Group 1
Timeframe: Day 29 through Day 39
Occurrence of respiratory reactogenicity following pLAIV vaccination for Group 2
Timeframe: Day 85 through Day 95
Occurrence of respiratory reactogenicity following pLAIV vaccination for Group 3
Timeframe: Day 169 through Day 179
Occurrence of solicited systemic reactogenicity following pLAIV vaccination for Group 1
Timeframe: Day 29 through Day 39
Occurrence of solicited systemic reactogenicity following pLAIV vaccination for Group 2
Timeframe: Day 85 through Day 95
Occurrence of solicited systemic reactogenicity following pLAIV vaccination for Group 3
Timeframe: Day 169 through Day 179
Occurrence of study vaccine-related serious adverse events following pLAIV vaccination for Group 1
Timeframe: Day 29 through Day 209
Occurrence of study vaccine-related serious adverse events following pLAIV vaccination for Group 2
Timeframe: Day 85 through Day 265
Occurrence of study vaccine-related serious adverse events following pLAIV vaccination for Group 3
Timeframe: Day 169 through Day 349
Occurrence of study vaccine-related unsolicited non-serious adverse events following pLAIV vaccination for Group 1
Timeframe: Day 29 through Day 57
Occurrence of study vaccine-related unsolicited non-serious adverse events following pLAIV vaccination for Group 2
Timeframe: Day 85 through 113
Occurrence of study vaccine-related unsolicited non-serious adverse events following pLAIV vaccination for Group 3
Timeframe: Day 169 through 197
Percentage of subjects achieving a serum HAI antibody titer of 1:40 or greater against the H7N9 antigen contained in the study vaccines for Group 2
Timeframe: Day 113
Percentage of subjects achieving a serum HAI antibody titer of 1:40 or greater against the H7N9 antigen contained in the study vaccines for Group 3
Timeframe: Day 197
Percentage of subjects achieving a serum HAI antibody titer of 1:40 or greater against the H7N9 antigen contained in the study vaccines for Groups 1, 5
Timeframe: Day 57
Percentage of subjects achieving seroconversion (a pre-vaccination HAI titer <1:10 and a post-vaccination HAI titer = / > 1:40 or a pre-vaccination HAI titer = / > 1:10 and a minimum four-fold rise in post-vaccination HAI antibody titer) for Group 2
Timeframe: Day 113
Percentage of subjects achieving seroconversion (a pre-vaccination HAI titer <1:10 and a post-vaccination HAI titer = / > 1:40 or a pre-vaccination HAI titer = / > 1:10 and a minimum four-fold rise in post-vaccination HAI antibody titer) for Group 3
Timeframe: Day 197
Percentage of subjects achieving seroconversion (a pre-vaccination HAI titer <1:10 and a post-vaccination HAI titer = / > 1:40 or a pre-vaccination HAI titer = / > 1:10 and a minimum four-fold rise in post-vaccination HAI antibody titer) for Groups 1,5
Timeframe: Day 57
Percentage of subjects shedding vaccine virus as detected by rRT-PCR following pLAIV vaccination for Group 1
Timeframe: Day 29 through Day 36
Percentage of subjects shedding vaccine virus as detected by rRT-PCR following pLAIV vaccination for Group 2
Timeframe: Day 85 through Day 92
Percentage of subjects shedding vaccine virus as detected by rRT-PCR following pLAIV vaccination for Group 3
Timeframe: Day 169 through Day 176
Percentage of subjects with positive B cell responses by plasmablast assays on peripheral blood mononuclear cells
Timeframe: Day 29
Percentage of subjects with positive B cell responses by plasmablast assays on peripheral blood mononuclear cells for Group 2
Timeframe: Day 113
Percentage of subjects with positive B cell responses by plasmablast assays on peripheral blood mononuclear cells for Group 2
Timeframe: Day 141
Percentage of subjects with positive B cell responses by plasmablast assays on peripheral blood mononuclear cells for Group 2
Timeframe: Day 265
Percentage of subjects with positive B cell responses by plasmablast assays on peripheral blood mononuclear cells for Group 3
Timeframe: Day 197
Percentage of subjects with positive B cell responses by plasmablast assays on peripheral blood mononuclear cells for Group 3
Timeframe: Day 225
Percentage of subjects with positive B cell responses by plasmablast assays on peripheral blood mononuclear cells for Group 3
Timeframe: Day 349
Percentage of subjects with positive B cell responses by plasmablast assays on peripheral blood mononuclear cells for Groups 1, 5
Timeframe: Day 209
Percentage of subjects with positive B cell responses by plasmablast assays on peripheral blood mononuclear cells for Groups 1, 5
Timeframe: Day 57
Percentage of subjects with positive B cell responses by plasmablast assays on peripheral blood mononuclear cells for Groups 1, 5
Timeframe: Day 85