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AV7909 Full Dose

Phase 2

Anthrax | Monoclonal antibody | Other |Icon Plc|Last Updated: Feb 24, 2026

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-BlindCONTROLLEDDMCBiomarker
Total Trials1
Total Enrollment220
FDA Designations
No designations recorded
Clinical Trials (1)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT05997264Anthrax AV7909 Boost Evaluation StudyPHASE2 ACTIVE NOT_RECRUITING 220Dec 5, 2023Aug 1, 2026Feb 24, 20267 United States
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Study Endpoints
Primary Endpoints
All solicited local and systemic reactogenicity symptoms with onset within 7 days after each investigational product (IP) administration day.
Within 7 days after each IP administration.
Geometric mean titer (GMT) as measured by toxin-neutralizing antibody (TNA) 50% neutralization
Day 64
Secondary Endpoints
Unsolicited treatment-emergent adverse events (TEAEs) with onset within 30 days after each IP administration day.
Within 30 days after each IP administration.
Treatment-emergent serious adverse events (SAEs) up to 1 year after the last IP administration day.
Within 1 year after the last IP administration.
Treatment-emergent potentially immune-mediated medical conditions (PIMMCs) up to 1 year after the last IP administration day.
Within 1 year after the last IP administration.
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Study Design & Arms
AllocationRANDOMIZED
MaskingQUADRUPLE
ModelPARALLEL
PurposeOTHER
Treatment Arms
ArmTypeDescription
Full Dose Schedule 1EXPERIMENTALThis study group will receive full dose AV7909 (0.5mL) at study days 1, 15, 181 and 366. A placebo full dose (0.5 mL) will be administered between the second and third dose of AV7909 at study day 29. Update: Enrollment to this treatment arm was closed on 13 May 2024.
Full Dose Schedule 2EXPERIMENTALThis study group will receive of AV7909 full dose (0.5 mL) at study days 1, 29, 181 and 366. A placebo full dose (0.5 mL) will be administered between the first and second dose of AV7909 at study day 15. Update: Enrollment to this treatment arm was closed on 13 May 2024.
Half Dose Schedule 1EXPERIMENTALThis study group will receive of AV7909 half dose (0.25 mL) at study days 1, 15, 181 and 366. A placebo half dose (0.25 mL) will be administered between the second and third dose of AV7909 at study day 29.
Half Dose Schedule 2EXPERIMENTALThis study group will receive of AV7909 half dose (0.25 mL) at study days 1, 29, 181 and 366. A placebo full dose (0.25 mL) will be administered between the first and second dose of AV7909 at study day 15.
Interventions
NameTypeDescription
AV7909 Full Dose (0.5 mL)BIOLOGICALAV7909 Anthrax Vaccine is being developed by Emergent Product Development Gaithersburg Inc. (Emergent) for post-exposure prophylaxis (PEP) of disease in persons 18 through 65 years of age following suspected or confirmed B. anthracis exposure when administered in conjunction with the recommended antibacterial regimen. AV7909 is a combination product containing BioThrax and CPG 7909, a synthetic immunostimulatory oligodeoxynucleotide that has been shown to be a potent vaccine adjuvant. CPG 7909 is a Toll-like receptor 9 agonist designed to induce both an enhanced antigen-specific antibody response and a natural killer T-cell immune response when used in combination with prophylactic (preventative) or therapeutic vaccines.
AV7909 Half Dose (0.25 mL)BIOLOGICALAV7909 Anthrax Vaccine is being developed by Emergent Product Development Gaithersburg Inc. (Emergent) for PEP of disease in persons 18 through 65 years of age following suspected or confirmed B. anthracis exposure when administered in conjunction with the recommended antibacterial regimen. AV7909 is a combination product containing BioThrax and CPG 7909, a synthetic immunostimulatory oligodeoxynucleotide that has been shown to be a potent vaccine adjuvant. CPG 7909 is a Toll-like receptor 9 agonist designed to induce both an enhanced antigen-specific antibody response and a natural killer T-cell immune response when used in combination with prophylactic (preventative) or therapeutic vaccines.
Placebo: Sodium Chloride Injection, USP 0.9% (0.5 mL)BIOLOGICALSodium chloride 9 mg water for injection Quantum satis (q.s.). It contains no bacteriostat, antimicrobial agent, or added buffer. The solution may contain hydrochloric acid and/or sodium hydroxide for pH adjustment (pH 4.5-7.0).
Placebo: Sodium Chloride Injection, USP 0.9% (0.25 mL)BIOLOGICALSodium chloride 9 mg water for injection Quantum satis (q.s.). It contains no bacteriostat, antimicrobial agent, or added buffer. The solution may contain hydrochloric acid and/or sodium hydroxide for pH adjustment (pH 4.5-7.0).
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Eligibility Criteria
Age Range18 Years — 65 Years
SexALL
Healthy VolunteersYes
Study Sites7

Inclusion Criteria: 1. Male or non-pregnant females, 18 through 65 years of age, inclusive. 2. Willing and able to provide written informed consent prior to initiation of study procedures. 3. In relatively stable health, as determined by medical history and physical examination. Any chronic medical...

Countries:United States
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Recent Changes (Last 90 Days)
LOWMay 26, 2026NCT05997264primaryCompletionDate: changed
LOWMay 24, 2026NCT05997264studyFirstPostDate: changed