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Vaccinia virus: ACAM2000 smallpox vaccine

Phase 2

Smallpox | Monoclonal antibody | Other |Emergent BioSolutions Inc.|Last Updated: Mar 18, 2024

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-BlindACTIVE_CONTROLLEDDMC
Total Trials1
Total Enrollment353
FDA Designations
No designations recorded
Clinical Trials (1)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT00053495Effect of Dose, Safety, Tolerability of a New Smallpox Vaccine in Adults Without Previous Smallpox VaccinationPHASE2 COMPLETED 353Jan 1, 2003Nov 1, 2003Mar 18, 20244 United States
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Study Endpoints
Primary Endpoints
Number of Participants Reporting Adverse Events of Severe Intensity Post-vaccination With ACAM2000 or Dryvax® Smallpox Vaccine
Days 0 to 30 post-vaccination

The severity of each reported adverse event was classified by the investigator according to the following definitions. None - no symptom; Mild - awareness of sign or symptoms, but easily tolerated; Moderate - discomfort enough to cause interference with usual activity; and Severe - incapacitating with inability to work or perform usual activity.

Neutralizing Antibody Response Titers Post-vaccination With ACAM2000 or Dryvax® Smallpox Vaccine.
Day 30 post-vaccination
Participants With ≥ 4-fold Increase in Plaque-Reduction Neutralization Test (PRNT50) Titers Post-vaccination With ACAM2000 or Dryvax® Smallpox Vaccine.
Day 30 post-vaccination
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Study Design & Arms
AllocationRANDOMIZED
MaskingQUADRUPLE
ModelPARALLEL
PurposePREVENTION
Treatment Arms
ArmTypeDescription
Group 1: ACAM2000 Dose 1EXPERIMENTALParticipants will receive a single dose of ACAM2000 smallpox vaccine, 1.0x10-8th plaque-forming units (PFU)/mL on Day 0.
Group 2: ACAM2000 Dose 2EXPERIMENTALParticipants will receive a single dose of ACAM2000 smallpox vaccine, 2.0x10-8th plaque-forming units/mL on Day 0.
Group 3: ACAM2000 Dose 3EXPERIMENTALParticipants will receive a single dose of ACAM2000 smallpox vaccine, 1.0x10-7th plaque-forming units/mL on Day 0
Group 4: ACAM2000 Dose 4EXPERIMENTALParticipants received a single dose of ACAM2000 smallpox vaccine, 5.0x10-6th plaque-forming units/mL on Day 0
Group 5: Dryvax® VaccineACTIVE_COMPARATORParticipants will receive a single dose of Dryvax® smallpox vaccine, 1.0x10-8th plaque-forming units/mL on Day 0
Interventions
NameTypeDescription
Vaccinia virus: ACAM2000 smallpox vaccineBIOLOGICALGroup 1 dose: 1.0x10-8th PFU/ml Group 2 dose: 2.0x10-8th PFU/ml Group 3 dose: 1.0x10-7th PFU/ml Group 4 dose: 5.0x10-6th PFU/ml
vaccinia virus (calf lymph): DryvaxBIOLOGICALGroup 5 dose: 1.0x10-8th PFU/ml
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Eligibility Criteria
Age Range18 Years — 29 Years
SexALL
Healthy VolunteersYes
Study Sites4

Inclusion criteria: * females must not be pregnant, lactating and must agree to use an effective form of birth control for the 30 days following vaccination or unable to bear children. * agree to be available for the entire study and agree to comply with all requirements. Exclusion criteria: * mi...

Countries:United States
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