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PXVX0200

Phase 3

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

Success Probability

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Trial Design

RandomizedDouble-BlindPLACEBO_CONTROLLEDDMCBiomarker
Total Trials3
Total Enrollment661

FDA Designations

No designations recorded

Clinical trial landscape

PXVX0200 · 3 trials · 1 indication

Phase 3 2Phase 1 1
NCT02100631A Study of Live Oral Cholera Vaccine, PXVX200 in Healthy Older AdultsCholera
COMPLETED398 Analytics
NCT01895855Safety and Efficacy Challenge Study of Live Oral Cholera Vaccine Candidate,PXVX0200, to Prevent CholeraCholera
COMPLETED197 Analytics
PHASE3COMPLETED
A Study of Live Oral Cholera Vaccine, PXVX200 in Healthy Older Adults
CholeraUnlock trial analytics
PHASE3COMPLETED
Safety and Efficacy Challenge Study of Live Oral Cholera Vaccine Candidate,PXVX0200, to Prevent Cholera
CholeraUnlock trial analytics

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 to 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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Frequently asked questions about PXVX0200

What is PXVX0200 used for?

PXVX0200 is an investigational live oral cholera vaccine being developed for the prevention of cholera. It is currently in Phase 3 clinical development and has completed three trials in the United States, including a Phase 3 challenge study and a Phase 3 study in healthy older adults.

Who makes PXVX0200?

PXVX0200 is being developed by Emergent BioSolutions Inc., a biopharmaceutical company traded on the New York Stock Exchange under the ticker symbol EBS. The company is conducting clinical trials to evaluate the vaccine's safety and efficacy in preventing cholera.

What phase is PXVX0200 in?

PXVX0200 is in Phase 3 clinical development. It has completed three trials, including two Phase 3 studies and one Phase 1 study, all conducted in the United States. The vaccine is investigational and has not been approved by regulatory authorities.

What clinical trials is PXVX0200 in?

PXVX0200 has completed three clinical trials: NCT01585181, a Phase 1 safety and immunogenicity study; NCT01895855, a Phase 3 safety and efficacy challenge study; and NCT02100631, a Phase 3 study in healthy older adults. All trials were conducted in the United States.

Is PXVX0200 FDA approved?

PXVX0200 is not FDA approved. It is an investigational live oral cholera vaccine currently in Phase 3 clinical development. The completed trials have evaluated its safety and efficacy, but regulatory approval has not been granted.