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PXVX0200

Phase 3

Cholera | Monoclonal antibody | Other |Emergent BioSolutions Inc.|Last Updated: Jun 28, 2023

Success Probability
Approval Probability 71%
TA Base Rate26%
Adjusted LOA41%
ML RiskLOW_RISK
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Market & Valuation
rNPV $3.2B
Market Size $9.4B
Revenue Basis $1.6B
Competitors 6
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Trial Design
RandomizedDouble-BlindPLACEBO_CONTROLLEDDMCBiomarker
Total Trials3
Total Enrollment661
FDA Designations
No designations recorded
Clinical Trials (3)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT02100631A Study of Live Oral Cholera Vaccine, PXVX200 in Healthy Older AdultsPHASE3 COMPLETED 398May 1, 2014Jun 1, 2015Jun 28, 202316 United States
NCT01895855Safety and Efficacy Challenge Study of Live Oral Cholera Vaccine Candidate,PXVX0200, to Prevent CholeraPHASE3 COMPLETED 197Sep 1, 2013Nov 1, 2014Jun 28, 20233 United States
NCT01585181Safety and Immunogenicity of the Live Oral Cholera Vaccine Candidate PXVX0200PHASE1 COMPLETED 66Apr 1, 2012Jan 1, 2013Jun 27, 20232 United States
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Study Endpoints
Primary Endpoints
Seroconversion Rate at Day 11
Day 11

The seroconversion rate is defined as the percentage of subjects with a 4-fold or greater rise over baseline Day 1 Serum Vibriocidal Antibody (SVA) titer against the classical Inaba biotype of V. cholerae at Day 11 following one dose of Vaxchora vaccine. The hypothesis was that the seroconversion rate would be non-inferior to the seroconversion rate at Day 11 in adults between the ages of 18 and 45 years.

% of Participants With Moderate to Severe Diarrhea
Ten days after vaccination

Determine whether a single dose of PXVX0200 provides significantly greater protection than placebo against a challenge with virulent V. cholerae O1 El Tor Inaba at 10 days after vaccination. The primary endpoint was the occurrence of moderate or severe (\>/= 3 liters) diarrhea.

Safety
Day 0-180

Safety defined as frequency and severity of vaccine-related reactogenicity events and reported AEs

Immunogenicity
Day 0-28

Immunogenicity as defined as rate of seroconversion (4-fold rise) of serum Inaba vibriocidal antibody and initial estimates of between subject variability of vibriocidal antibody response

Secondary Endpoints
Geometric Mean Titer (GMT)
Day 11
Total Weight of Diarrheal Stools Following the 10 Day Cholera Challenge
Through 10 Days following challenge
Total Weight of Diarrheal Stools Following the 90 Day Cholera Challenge
Through 10 Days following challenge
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Study Design & Arms
AllocationRANDOMIZED
MaskingQUADRUPLE
ModelPARALLEL
PurposePREVENTION
Treatment Arms
ArmTypeDescription
PXVX0200 in Older AdultsEXPERIMENTALPXVX0200 Single dose; liquid suspension after reconstitution with buffer; \> 2x10\^8 CFU in a liquid suspension
Placebo in Older AdultsPLACEBO_COMPARATORPlacebo physiological saline
Historical Control: Adults Aged 18-45OTHERThis arm consists of historical data from subjects who received a single dose of PXVX0200 in study PXVX-VC-200-004. The data was included in study PXVX-VC-200-005 as a comparator bridging population for the Day 11 seroconversion. NCT02094586 PubMed ID:29317118
PXVX0200EXPERIMENTALBiological: PXVX0200 Single dose; liquid suspension after reconstitution with buffer; 5x10\^8 CFU
PlaceboPLACEBO_COMPARATORBiological: Placebo physiological saline
Interventions
NameTypeDescription
PXVX0200BIOLOGICAL -
PlaceboBIOLOGICAL -
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Eligibility Criteria
Age Range46 Years — 64 Years
SexALL
Healthy VolunteersYes
Study Sites16

Inclusion Criteria: 1. Able to understand the study and give written consent. 2. Healthy male and female adults, age 46-64 years (inclusive) without significant medical history, physical, or abnormal screening laboratory test results at screening. 3. Women of childbearing potential must have had a ...

Countries:United States
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