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PXVX0200 Lot A

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_CONTROLLED
Total Trials1
Total Enrollment3,146
FDA Designations
No designations recorded
Clinical Trials (1)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT02094586A Phase 3 Lot to Lot Consistency Study of Live Oral Cholera Vaccine, PXVX0200 in Healthy AdultsPHASE3 COMPLETED 3,146May 1, 2014Jun 1, 2015Jun 28, 202325 United States, Australia
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Study Endpoints
Primary Endpoints
Geometric Mean Ratio (GMR) at Day 11 for Vaccine Lots A and B
Day 11

The primary analysis consisted of three between-lot equivalence tests of serum vibriocidal antibody titer measured at Day 11. The GMT of each lot - µA, µB, and µC - was calculated by first log-transforming (base 10) the serum vibriocidal antibody titers, computing the means of the transformed data by lot, and then exponentiating the log-scale means to return to the original, untransformed scale. The resulting GMTs were combined to form three geometric mean ratios: µA/µB, µA/µC, and µB/µC.The ratios were required to be within +/- 50% of each other lot with 95% confidence, which implied that the limits of the 95% confidence interval on each pairwise GMR had to be within 0.67 - 1.5. Placebo GMT values were not included in the primary analysis.

Geometric Mean Ratio (GMR) at Day 11 for Vaccine Lots B and C
Day 11

The primary analysis consisted of three between-lot equivalence tests of serum vibriocidal antibody titer measured at Day 11. The GMT of each lot - µA, µB, and µC - was calculated by first log-transforming (base 10) the serum vibriocidal antibody titers, computing the means of the transformed data by lot, and then exponentiating the log-scale means to return to the original, untransformed scale. The resulting GMTs were combined to form three geometric mean ratios: µA/µB, µA/µC, and µB/µC.The ratios were required to be within +/- 50% of each other lot with 95% confidence, which implied that the limits of the 95% confidence interval on each pairwise GMR had to be within 0.67 - 1.5.

Geometric Mean Ratio (GMR) at Day 11 for Vaccine Lots A and C
Day 11

The primary analysis consisted of three between-lot equivalence tests of serum vibriocidal antibody titer measured at Day 11. The GMT of each lot - µA, µB, and µC - was calculated by first log-transforming (base 10) the serum vibriocidal antibody titers, computing the means of the transformed data by lot, and then exponentiating the log-scale means to return to the original, untransformed scale. The resulting GMTs were combined to form three geometric mean ratios: µA/µB, µA/µC, and µB/µC.The ratios were required to be within +/- 50% of each other lot with 95% confidence, which implied that the limits of the 95% confidence interval on each pairwise GMR had to be within 0.67 - 1.5.

Secondary Endpoints
SVA Seroconversion at Day 11
Day 11
SVA and Anti-CT IgG GMT at Day 1, 11, 29, 91 and 181
Day 1 - 181
SVA and Anti-CT IgG Seroconversion at Day 1, 11, 29, 91 & 181
Day 1 - 181
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Study Design & Arms
AllocationRANDOMIZED
MaskingQUADRUPLE
ModelPARALLEL
PurposePREVENTION
Treatment Arms
ArmTypeDescription
PXVX0200 Lot AEXPERIMENTALPXVX0200 (Lot P700-1CA03) Single dose; liquid suspension after reconstitution with buffer; \> 2x10\^8 CFU in a liquid suspension
PXVX0200 Lot BEXPERIMENTALPXVX0200 (Lot P700-3CA03) Single dose; liquid suspension after reconstitution with buffer; \> 2x10\^8 CFU in a liquid suspension
PXVX0200 Lot CEXPERIMENTALPXVX0200 (Lot P700-6BA03) Single dose; liquid suspension after reconstitution with buffer; \> 2x10\^8 CFU in a liquid suspension
PlaceboPLACEBO_COMPARATORPlacebo physiological saline
Interventions
NameTypeDescription
PXVX0200 Lot ABIOLOGICALLot P700-1CA03
PXVX0200 Lot BBIOLOGICALLot P700-3CA03
PXVX0200 Lot CBIOLOGICALLot P700-6BA03
PlaceboBIOLOGICALPlacebo
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Eligibility Criteria
Age Range18 Years — 45 Years
SexALL
Healthy VolunteersYes
Study Sites25

Inclusion Criteria: * healthy men or women, * age 18 to 45 years inclusive; * normal medical history and physical examination * Women must have a negative pregnancy test. Exclusion Criteria: * travel to a cholera endemic area in the previous 5 years; * abnormal stool pattern or regular use of lax...

Countries:United StatesAustralia
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