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Phase I Intranasal H5N1 Vaccine Shows Safety and Broad Immune Response

Early results point to mucosal priming with cross-clade activity.

Overview

  • In a randomized, controlled Phase I trial, 40 healthy adults received two intranasal doses of a recombinant H5 vaccine with or without BlueWillow’s NanoVax W805EC adjuvant, followed by an intramuscular H5 booster six months later.
  • The intranasal regimen was safe and well tolerated, with adverse events largely limited to mild, transient nasal symptoms.
  • Recipients mounted mucosal and systemic immune responses, and adjuvanted dosing produced higher IgA and IgG levels, more memory immune cells, and stronger antibody-dependent cellular cytotoxicity.
  • Immune responses demonstrated activity against six H5N1 strains, including a currently circulating lineage associated with animal outbreaks and reported human cases in the United States.
  • Investigators propose ADCC and surface plasmon resonance assays plus direct mucosal antibody measurements as biomarker readouts, and note the shelf-stable, potentially dose-sparing formulation now requires validation in larger trials.