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BNT166a

Phase 2

Mpox (Monkeypox) | Monoclonal antibody | Infectious Disease |BioNTech SE|Trials Updated: Sep 15, 2026

BNT166a development status

Highest phase Phase 2
Registered trials 2 across 1 sponsor since Aug 2023

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindPLACEBO_CONTROLLEDDMC
Total Trials2
Total Enrollment406

FDA Designations

No designations recorded

BNT166a clinical trials

BNT166a · 2 trials · 4 indications

Phase 2 1Phase 1 1
NCT07379580A Randomized Clinical Trial Investigating the Safety, Reactogenicity, and Immunogenicity After Immunization With an mRNA-based Mpox Vaccine Candidate in AfricaMpox (Monkeypox)
RECRUITING310 Analytics
PHASE2RECRUITING
A Randomized Clinical Trial Investigating the Safety, Reactogenicity, and Immunogenicity After Immunization With an mRNA-based Mpox Vaccine Candidate in Africa
Mpox (Monkeypox)Unlock trial analytics

Study Endpoints

Primary Endpoints

Number (and percentage) of participants with at least one solicited local reaction (pain, erythema/redness, induration/swelling)
For up to 7 days following each dose

At each dose level of BNT166a in Orthopoxvirus-naïve (Cohort 1) and Orthopoxvirus-experienced (Cohort 2) adults.

Number (and percentage) of participants with at least one solicited systemic reaction (fever, headache, fatigue/tiredness, muscle pain/myalgia, joint pain/arthralgia, chills, diarrhea, vomiting)
For up to 7 days following each dose

At each dose level of BNT166a in Orthopoxvirus-naïve (Cohort 1) and Orthopoxvirus-experienced (Cohort 2) adults.

Number (and percentage) of participants with at least one use of antipyretics/analgesics
For up to 7 days following each dose

At each dose level of BNT166a in Orthopoxvirus-naïve (Cohort 1) and Orthopoxvirus-experienced (Cohort 2) adults.

Number (and percentage) of participants with at least one unsolicited adverse event (AE) (post-Dose 1)
From Dose 1 to 28 days post-Dose 1

At each dose level of BNT166a in Orthopoxvirus-naïve (Cohort 1) and Orthopoxvirus-experienced (Cohort 2) adults.

Number (and percentage) of participants with at least one unsolicited AE (post-Dose 2)
From Dose 2 to 28 days post-Dose 2

At each dose level of BNT166a in Orthopoxvirus-naïve (Cohort 1) and Orthopoxvirus-experienced (Cohort 2) adults.

Number (and percentage) of participants with at least one serious adverse event
From Dose 1 until the end of study, i.e., up to ~14 months

At each dose level of BNT166a in Orthopoxvirus-naïve (Cohort 1) and Orthopoxvirus-experienced (Cohort 2) adults.

Number (and percentage) of participants with at least one AE of special interest
From Dose 1 until the end of study, i.e., up to ~14 months

At each dose level of BNT166a in Orthopoxvirus-naïve (Cohort 1) and Orthopoxvirus-experienced (Cohort 2) adults.

Number (and percentage) of participants with at least one medically attended AE
From Dose 1 until the end of study, i.e., up to ~14 months

At each dose level of BNT166a in Orthopoxvirus-naïve (Cohort 1) and Orthopoxvirus-experienced (Cohort 2) adults.

Number (and percentage) of participants with at least one AE leading to a participant's withdrawal from the study
From Dose 1 until the end of study, i.e., up to ~14 months

At each dose level of BNT166a in Orthopoxvirus-naïve (Cohort 1) and Orthopoxvirus-experienced (Cohort 2) adults.

Number of Participants Reporting Solicited Local Reactions At the Injection Site
Up to 7 days post any vaccination, and up to 7 days post each vaccination dose (that is, post-dose 1 [up to Day 8]) and post-dose 2 [up to Day 38])

All reactogenicity events information recorded via the participant e-diaries or solicited by the investigator were considered as solicited events. Solicited local reactions were: pain at the injection site, erythema/redness, and induration/swelling. Any local reaction indicates participants with any reactions, including reactions that do not qualify for Grade 1 (\<2.5 cm for erythema/redness or induration/swelling). The intensity of local reaction was assessed by the participant and may be confirmed or corrected by the investigator; grades were defined as Grade 1 = Mild; Grade 2 = Moderate; Grade 3 = Severe; Grade 4 = Potentially life-threatening.

Number of Participants Reporting Solicited Systemic Events
Up to 7 days post any vaccination, and up to 7 days post each vaccination dose (that is, post Dose 1 [up to Day 8] and post Dose 2 [up to Day 38])

All reactogenicity events information recorded via the participant e-diaries or solicited by the investigator were considered as solicited events. Solicited systemic reactions were: fever, chills, fatigue/tiredness, headache, muscle pain/myalgia, joint pain/arthralgia, vomiting, and diarrhea. Any systemic reaction indicated participants with any Grade \>=1 reactions. The intensity of systemic events was assessed by the participants and may be confirmed or corrected by the investigator; grades were defined as Grade 1 = Mild; Grade 2 = Moderate; Grade 3 = Severe; Grade 4 = Potentially life-threatening.

Number of Participants With At Least One Unsolicited Adverse Event (AE)
Up to 28 days post any vaccination, and up to 28 days post each vaccination dose (that is, post-dose 1 [up to Day 29] and post-Dose 2 [up to Day 59])

An AE was defined as any untoward medical occurrence in a participant administered with a pharmaceutical product, and which did not necessarily have a causal relationship with this treatment. All AE information or safety data including solicited events persisting beyond 7 days that were voluntarily communicated by the participant or collected by the investigator (that is, ECG or laboratory results etc.) were considered unsolicited events. The intensity of AEs was graded by the investigator. Grades were defined as: Grade 1 - Mild; does not interfere with the trial participant's usual function; Grade 2 - Moderate; interferes to some extent with the trial participant's usual function Grade 3 - Severe; interferes significantly with the trial participant's usual function; and Grade 4 - Potentially life-threatening; life-threatening consequences, urgent intervention required.

Number of Participants With At Least One Serious Adverse Event (SAE)
From Dose 1 up to Day 201

An SAE was defined as any untoward medical occurrence that, at any dose, resulted in death and was life-threatening. It also included any event requiring hospitalization or prolongation of existing hospitalization, resulted in persistent disability/incapacity, caused a congenital anomaly or birth defect, or any other event determined as SAE as per medical or scientific judgment.

Number of Participants With At Least One Adverse Event of Special Interest (AESI)
From Dose 1 up to Day 201

An AESI, serious or non-serious, was one of scientific and medical concern specific to the sponsor's product or program, for which monitoring and rapid communication by the investigator to the sponsor was appropriate.

Secondary Endpoints

Geometric mean titers (GMT) of BNT166a antigen-specific (A35, B6, H3, and M1) binding antibody titers
At baseline, 1 month post-Dose 1, and 1 month post- Dose 2
Geometric mean fold rise (GMFR) of BNT166a antigen-specific (A35, B6, H3, and M1) binding antibody titers
At 1 month post-Dose 1 and 1 month post-Dose 2
GMT of MPXV-specific neutralizing antibody titers
At baseline, 1 month post-Dose 1, and 1 month post-Dose 2
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Study Design & Arms

AllocationRANDOMIZED
MaskingQUADRUPLE
ModelPARALLEL
PurposePREVENTION

Treatment Arms

ArmTypeDescription
Cohort 1 - BNT166a Dose Level (DL) 1 (Orthopoxvirus-naïve participants, aged 18-45 years)EXPERIMENTALTwo doses of investigational medicinal product (IMP).
Cohort 1 - BNT166a DL 2 (Orthopoxvirus-naïve participants, aged 18-45 years)EXPERIMENTALTwo doses of IMP.
Cohort 1 - Placebo (Orthopoxvirus-naïve participants, aged 18-45 years)PLACEBO_COMPARATOR0.9% sodium chloride solution. Two doses of IMP.
Cohort 2 - BNT166a DL 1 (Orthopoxvirus-experienced participants, aged 18-64 years)EXPERIMENTALTwo doses of IMP.
Cohort 2 - BNT166a DL 2 (Orthopoxvirus-experienced participants, aged 18-64 years)EXPERIMENTALTwo doses of IMP.
Cohort 2 - Placebo (Orthopoxvirus-experienced participants, aged 18-64 years)PLACEBO_COMPARATOR0.9% sodium chloride solution. Two doses of IMP.
BNT166a SSA: 10 mcgEXPERIMENTALParticipants received two intramuscular doses of the multivalent RNA-based vaccine BNT166a at Visit 1 (Day 1) and at Visit 5 (Day 31) for active immunization against monkeypox.
SSA: BNT166a 30 mcgEXPERIMENTALParticipants received two intramuscular doses of the multivalent RNA-based vaccine BNT166a at Visit 1 (Day 1) and at Visit 5 (Day 31) for active immunization against monkeypox.
SSA: BNT166a 60 mcgEXPERIMENTALParticipants received two intramuscular doses of the multivalent RNA-based vaccine BNT166a at Visit 1 (Day 1) and at Visit 5 (Day 31) for active immunization against monkeypox.
SSB: BNT166a 30 mcgEXPERIMENTALParticipants received two intramuscular doses of the multivalent RNA-based vaccine BNT166a at Visit 1 (Day 1) and at Visit 5 (Day 31) for active immunization against monkeypox.
SSD: BNT166a 60 mcgEXPERIMENTALParticipants received two intramuscular doses of the multivalent RNA-based vaccine BNT166a at Visit 1 (Day 1) and at Visit 6 (Day 31) for active immunization against monkeypox.

Interventions

NameTypeDescription
BNT166aBIOLOGICALIntramuscular injection. Injections should be given in the deltoid muscle, using the same non-dominant arm for all IMP doses.
PlaceboOTHERIntramuscular injection. Injections should be given in the deltoid muscle, using the same non-dominant arm for all IMP doses.
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Eligibility Criteria

Age Range18 Years to 64 Years
SexALL
Healthy VolunteersYes
Study Sites6

Key Inclusion Criteria (applicable to all participants unless otherwise specified): * Are male or female individuals ≥18 years of age at the time of giving informed consent: * Cohort 1: ≥18 to ≤45 years of age * Cohort 2: ≥18 to ≤64 years of age * Cohort 1: Participants must be Orthopoxvirus-n...

Countries:Democratic Republic of the CongoSouth AfricaUnited StatesUnited Kingdom
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Recent Changes (Last 90 Days)

MEDIUMOct 16, 2026NCT05988203TRIAL_REMOVED: changed
MEDIUMOct 16, 2026NCT05988203TRIAL_REMOVED: changed
MEDIUMOct 16, 2026NCT05988203TRIAL_REMOVED: changed
MEDIUMOct 16, 2026NCT05988203TRIAL_REMOVED: changed
LOWAug 11, 2026NCT07379580lastUpdatePostDate: changed
LOWAug 11, 2026NCT07379580lastUpdatePostDate: changed

Frequently asked questions about BNT166a

What is BNT166a used for?

BNT166a is an investigational mRNA-based vaccine candidate being developed for the prevention of Mpox (monkeypox) and related Orthopoxvirus infections. It is designed to elicit immune responses against the virus. The vaccine is currently in clinical development and is not yet approved by regulatory authorities.

Who makes BNT166a?

BNT166a is being developed by BioNTech SE, a biotechnology company traded on the Nasdaq under the ticker symbol BNTX. BioNTech is conducting clinical trials to evaluate the safety and immunogenicity of this vaccine candidate in healthy adult volunteers.

What phase is BNT166a in?

BNT166a is in clinical development, with a completed Phase 1 trial and an ongoing Phase 2 trial. The Phase 2 study is currently recruiting participants in Africa. BNT166a remains investigational and has not received FDA approval or any other regulatory approval.

What clinical trials is BNT166a in?

BNT166a has been studied in two clinical trials. NCT05988203 was a completed Phase 1 study in the United States and United Kingdom. NCT07379580 is an ongoing Phase 2 trial recruiting in the Democratic Republic of the Congo and South Africa, with an enrollment target of 310 participants.

How does BNT166a work?

BNT166a is an mRNA-based vaccine candidate. It works by delivering genetic instructions that encode for viral antigens, prompting the body's cells to produce these proteins and stimulate an immune response against the Mpox virus. This approach aims to generate protective immunity without using live virus.