Improving Vaccine Protection for Older Adults

Exclusion Criteria29

• Previous vaccination against yellow fever, dengue either with a registered product or from participation in a previous vaccine study.
• Previously received AS01-adjuvanted vaccines (e.g. Recombinant zoster vaccine, RTS,S/AS01, RSVPre-F3-AS01), either with a registered product or from participation in a previous vaccine study.
• Planned administration of a AS01-adjuvanted vaccine or yellow fever vaccine other than the study vaccine during the study.
• Subjects who have been unwell in the last 7 days prior to screening.
• History of documented yellow fever and / or dengue infection.
• Dengue seropositivity upon screening.
• History of smoking within the last 1 year.
• Planned travel to yellow fever endemic countries during the study.
• Known allergy to AS01 and YF17D vaccine or their components (e.g. egg products).
• Diagnosis of diabetes HBA1c > 6.5 according to American Diabetes Association criteria62.
• Any medical condition that in the judgment of the investigator will make intramuscular injection unsafe (e.g. thrombocytopenia with platelet count < 50x10\^9/L, coagulopathy, anti-coagulant therapy).
• Risk factor for live-attenuated vaccines, including any confirmed or suspected primary or acquired immunodeficiency based on history and physical examination:
• History of thymus gland disease
• Haematologic neoplasms including leukaemia, lymphoma, myelodysplastic syndromes
• Diagnosed with cancer or treatment for cancer (except for localised basal cell carcinoma) within 3 years prior to screening
• Post-transplant: solid organ and haematopoietic stem cell transplant
• Immunocompromised due to primary or acquired (including HIV/AIDS) immunodeficiency
• Other significantly immunocompromising conditions
• Administration of anti-inflammatory drugs for the past 7 days (e.g. NSAIDs, Paracetamol, aspirin).
• Use of metformin for the last 1 month.
• Use of corticosteroids within the last 6 months prior to the first vaccine dose (defined as prednisolone > 10 mg / day or equivalent for > 2 weeks, or prednisolone > 40mg / day or > 1 week). Inhaled and topical steroids are allowed.
• Received biologics (such as anti-TNF inhibitors, IL-1 inhibitors, co-stimulation blockers, B-cell depleting therapy) for the last 12 months.
• Any condition (e.g. extensive psoriasis, chronic pain syndrome, severe hearing loss, cognitive impairment, dialysis, autoimmune disorders) that in the opinion of the investigator, would complicate or compromise the study or wellbeing of the subject, or prevent completion of the study.
• Evidence of substance abuse, or previous substance abuse.
• Clinically significant anaemia (Hb < 10 g/dL).
• Blood donation exceeding > 450 ml in the past 3 months.
• Participation in a study involving administration of an investigational or non-investigational compound within the past four months or planned participation during the duration of this study.
• Administration of any licensed vaccine within 30 days before the first study vaccine dose or planned to receive such products within 30 days after the study vaccination.
• Received immunoglobulin or any blood products within the 90 days preceding the first dose of study vaccine or planned to receive such products during the study period.