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ExPEC10V

Phase 1

Extraintestinal Pathogenic Escherichia Coli Prevention | Monoclonal antibody | Infectious Disease |Johnson & Johnson|Last Updated: Jun 5, 2026

Success Probability

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Trial Design

RandomizedDouble-BlindPLACEBO_CONTROLLEDDMC
Total Trials1
Total Enrollment836

FDA Designations

No designations recorded

Clinical trial landscape

ExPEC10V · 2 trials · 2 indications

Phase 1 2
NCT04306302A Study to Evaluate the Different Doses of VAC52416 (ExPEC10V) in Japanese AdultsHealthy
COMPLETED24 Analytics
NCT03819049A Study of Three Different Doses of VAC52416 (ExPEC10V) in Adults Aged 60 to 85 Years in Stable HealthExtraintestinal Pathogenic Escherichia Coli Prevention
COMPLETED836 Analytics
PHASE1COMPLETED
A Study to Evaluate the Different Doses of VAC52416 (ExPEC10V) in Japanese Adults
HealthyUnlock trial analytics
PHASE1COMPLETED
A Study of Three Different Doses of VAC52416 (ExPEC10V) in Adults Aged 60 to 85 Years in Stable Health
Extraintestinal Pathogenic Escherichia Coli PreventionUnlock trial analytics

Study Endpoints

Primary Endpoints

Number of Participants with Solicited Local Adverse Events (AEs) Collected for 14 days post-Vaccination
14 days post-Vaccination (Up to Day 15)

Number of participants with solicited local AEs will be reported. Solicited local AEs (pain/tenderness, erythema, and swelling at the injection site) and will be noted in the participant diary for 14 days post-vaccination.

Number of Participants with Solicited Systemic AEs Collected for 14 days post-Vaccination
14 days post-Vaccination (Up to Day 15)

Number of participants with solicited systemic AEs will be reported. Solicited systemic AEs (oral body temperature, headache, fatigue, nausea, and myalgia) will be noted in the participant diary for 14 days post-vaccination.

Number of Participants with Unsolicited AEs From the Administration of Study Vaccine until 29 Days post-Vaccination
From the administration of study vaccine until 29 days post-Vaccination (Up to Day 30)

Number of participants with unsolicited AEs will be reported. Unsolicited AEs are all AEs for which the participant is not specifically questioned in the participants diary.

Number of Participants with Serious AEs from the Administration of the Study Vaccine until Day 181
From the administration of study vaccine until 180 days post-Vaccination (Up to Day 181)

Number of participants with SAEs will be reported. A SAE is any AE that results in: death, persistent or significant disability/incapacity, requires inpatient hospitalization or prolongation of existing hospitalization, is life threatening experience, is a congenital anomaly/birth defect, is suspected transmission of any infectious agent via a medicinal product, is medically important, and may jeopardize participant or may require medical or surgical intervention to prevent one of the outcomes listed above.

Cohort 1: Number of Participants With Solicited Local (Injection Site) Adverse Events (AEs) for 14 Days After Vaccination on Day 1
Up to 14 days post vaccination on Day 1 (from Day 1 up to Day 15)

Number of participants with solicited local AEs for 14 days after vaccination on Day 1 were reported. An AE is any untoward medical occurrence in a clinical study participant administered a medicinal (investigational or non-investigational) product. An AE does not necessarily have a causal relationship with the study vaccine. Solicited local AEs were precisely defined events that participants were specifically asked about and which were noted by participants in the diary. Solicited local (injection site) AEs included injection site pain/tenderness, erythema and swelling at the study vaccine injection site, were used to assess the reactogenicity of the study vaccine and were pre-defined local (injection site). All solicited AEs at the injection site (local) were considered related to the study vaccine administration.

Cohort 1: Number of Participants With Solicited Systemic Adverse Events (AEs) Collected for 14 Days After Vaccination on Day 1
Up to 14 days post vaccination on Day 1 (from Day 1 up to Day 15)

Number of participants with solicited systemic AEs 14 days after vaccination on Day 1 were reported. An AE was any untoward medical occurrence in a clinical study administered a medicinal (investigational or non-investigational) product. An AE does not necessarily have a causal relationship with the study vaccine. Solicited systemic AEs included fatigue, headache, nausea, fever and myalgia, for which participants were specifically questioned and which were noted by participants in their participant diary for 14 days post-vaccination (day of vaccination and the subsequent 14 days).

Cohort 1: Number of Participants With Unsolicited Adverse Events (AEs) up to 29 Days After Vaccination on Day 1
Up to 29 days post vaccination on Day 1 (from Day 1 up to Day 30)

Number of participants with unsolicited AEs up to 29 days after vaccination on Day 1 were reported. An AE was any untoward medical occurrence in a clinical study administered a medicinal (investigational or non-investigational) product. An AE does not necessarily have a causal relationship with the study vaccine. Unsolicited AEs were all AEs for which the participant is not specifically questioned in the participant diary.

Cohort 1: Number of Participants With Serious Adverse Events (SAEs) up to Day 181
Day 1 (post vaccination) up to Day 181

Number of participants with SAEs up to Day 181 were reported. An AE was any untoward medical occurrence in a clinical study administered a medicinal (investigational or non-investigational) product. An AE does not necessarily have a causal relationship with the study vaccine. An SAE is an AE resulting in any of the following outcomes or deemed significant for any other reason: death; initial or prolonged inpatient hospitalization; life-threatening experience (immediate risk of dying); persistent or significant disability/incapacity; congenital anomaly/birth defect; suspected transmission of any infectious agent via a medicinal product or medically important.

Cohort 2: Number of Participants With Solicited Local (Injection Site) Adverse Events (AEs) Collected for 14 Days After Vaccination on Day 1
Up to 14 days post vaccination on Day 1 (from Day 1 up to Day 15)

Number of participants with solicited local AEs for 14 days after vaccination on Day 1 were reported. An AE is any untoward medical occurrence in a clinical study participant administered a medicinal (investigational or non-investigational) product. An AE does not necessarily have a causal relationship with the study vaccine. Solicited local AEs were precisely defined events that participants were specifically asked about and which were noted by participants in the diary. Solicited local (injection site) AEs included injection site pain/tenderness, erythema and swelling at the study vaccine injection site, were used to assess the reactogenicity of the study vaccine and were pre-defined local (injection site). All solicited AEs at the injection site (local) were considered related to the study vaccine administration.

Cohort 2: Number of Participants With Solicited Systemic Adverse Events (AEs) Collected for 14 Days After Vaccination on Day 1
Up to 14 days post vaccination on Day 1 (from Day 1 up to Day 15)

Number of participants with solicited systemic AEs 14 days after vaccination on Day 1 were reported. An AE was any untoward medical occurrence in a clinical study administered a medicinal (investigational or non-investigational) product. An AE does not necessarily have a causal relationship with the study vaccine. Solicited systemic AEs included fatigue, headache, nausea, fever and myalgia, for which participants were specifically questioned and which were noted by participants in their participant diary for 14 days post-vaccination (day of vaccination and the subsequent 14 days).

Cohort 2: Number of Participants With Unsolicited Adverse Events (AEs) 29 Days After Vaccination on Day 1
Up to 29 days post vaccination on Day 1 (from Day 1 up to Day 30)

Number of participants with unsolicited AEs up to 29 days after vaccination on Day 1 were reported. An AE was any untoward medical occurrence in a clinical study administered a medicinal (investigational or non-investigational) product. An AE does not necessarily have a causal relationship with the study vaccine. Unsolicited AEs were all AEs for which the participant is not specifically questioned in the participant diary.

Cohort 2: Number of Participants With Serious Adverse Events (SAEs) up to Day 181
Day 1 (post vaccination) up to Day 181

Number of participants with SAEs up to Day 181 were reported. An AE was any untoward medical occurrence in a clinical study administered a medicinal (investigational or non-investigational) product. An AE does not necessarily have a causal relationship with the study vaccine. An SAE is an AE resulting in any of the following outcomes or deemed significant for any other reason: death; initial or prolonged inpatient hospitalization; life-threatening experience (immediate risk of dying); persistent or significant disability/incapacity; congenital anomaly/birth defect; suspected transmission of any infectious agent via a medicinal product or medically important.

Cohort 1: Geometric Mean Titers (GMTs) of Serotype-specific Total Immunoglobulin G (IgG) Serum Antibodies as Measured by Multiplex Electrochemiluminescent (ECL) Based Immunoassay on Day 15
Day 15

GMTs of serotype-specific total IgG serum antibodies as measured by multiplex ECL based immunoassay were reported. GMTs for each antigen serotypes O1A, O2, O4, O6A, O8, O15, O16, O18A, O25B, O75 and exotoxin protein A (EPA) were determined in serum from collected blood samples. Lower limit of quantification (LLOQ) values for O1A: 69149, O2: 65287, O4: 67356, O6A: 150748, O8: 72196, O15: 66910, O16: 71586, O18A: 70519, O25B: 61990, O75: 133019, and EPA: 66165. Any titer less than LLOQ is replaced by half of LLOQ (0.5\*LLOQ).

Cohort 1: Geometric Mean Ratio (GMR) of Fold Changes From Baseline for Serotype Specific Antibodies as Measured by Multiplex ECL Based Immunoassay on Day 15
Baseline (Day 1, pre-vaccination) and Day 15

GMR of fold changes from baseline for serotype specific antibodies as measured by multiplex ECL based immunoassay on Day 15 were reported. GMR for each antigen serotypes O1A, O2, O4, O6A, O8, O15, O16, O18A, O25B, O75 and EPA were determined in serum from collected blood samples by multiplex ECL based immunoassay. GMR of fold change from baseline was calculated as the ratio of GMTs on Day 15 and pre-vaccination (on Day 1). Any titer less than LLOQ is replaced by value of LLOQ.

Cohort 1: Percentage of Participants With a Greater Than or Equal to (>=) 2-Fold and >=4-Fold Increase From Baseline in Serotype Specific Serum Antibody Titers as Measured by Multiplex ECL Based Immunoassay on Day 15
Baseline (Day 1, pre-vaccination) and Day 15

Percentage of participants with a \>=2-fold and \>=4-fold increase (FI) from baseline in serotype specific serum antibody titers as measured by multiplex ECL based immunoassay on Day 15 was reported. The fold (\>=2-fold and \>=4-fold) increase from baseline to Day 15 for the serotypes O1A, O2, O4, O6A, O8, O15, O16, O18A, O25B, O75 and EPA was calculated as the ratio of titer values of serum antibody on Day 15 and pre-vaccination (on day 1) that is Day 15/Day 1. Any titer less than LLOQ is replaced by value of LLOQ.

Cohort 1: Geometric Mean Titers (GMT) of Serotype-specific Total Immunoglobulin G (IgG) Serum Antibodies as Measured by Multiplex Opsonophagocytic Assay (MOPA) on Day 15
Day 15

GMTs of serotype-specific total IgG serum antibodies as measured by MOPA were reported. GMTs for each antigen serotypes O1A, O2, O4, O6A, O8, O15, O16, O18A, O25B and O75 were determined in serum from collected blood samples. LLOQ values were: O1A: 53, O2: 51, O4: 29, O6A: 47, O8: 196, O15: 37, O16: 54, O18A: 12, O25B: 65, and O75: 37. Any titer less than LLOQ is replaced by half of LLOQ (0.5\*LLOQ).

Cohort 1: Geometric Mean Ratio (GMR) of Fold Changes From Baseline for Serotype Specific Antibodies as Measured by MOPA on Day 15
Baseline (Day 1, pre-vaccination), Day 15

GMR of fold changes from baseline for serotype specific antibodies as measured by MOPA on Day 15 were reported. GMR for each antigen serotypes O1A, O2, O4, O6A, O8, O15, O16, O18A, O25B and O75 were determined in serum from collected blood samples by MOPA. GMR of fold change from baseline was calculated as the ratio of GMTs on Day 15 and pre-vaccination (on Day 1). Any titer less than LLOQ is replaced by value of LLOQ.

Cohort 1: Percentage of Participants With a >= 2-Fold and >=4-Fold Increase in Serotype-specific Serum Antibody Titers Measured by MOPA on Day 15
Baseline (Day 1, pre-vaccination) and Day 15

Percentage of participants with a \>=2-fold and \>=4-fold increase from baseline in serotype specific serum antibody titers as measured by MOPA on Day 15 was reported. The fold (\>=2-fold and \>=4-fold) increase from baseline to Day 15 for the serotypes O1A, O2, O4, O6A, O8, O15, O16, O18A, O25B, and O75 was calculated as the ratio of titer values of serum antibody on Day 15 and pre-vaccination (on day 1) that is, Day 15/Day 1. Any titer less than LLOQ is replaced by value of LLOQ.

Cohort 2: Geometric Mean Titers (GMTs) of Serotype-specific Total Immunoglobulin G (IgG) Serum Antibodies as Measured by Multiplex ECL Based Immunoassay on Day 30
At Day 30

GMTs of serotype-specific total IgG serum antibodies as measured by multiplex ECL based immunoassay were reported. GMTs for each antigen serotypes O1A, O2, O4, O6A, O8, O15, O16, O18A, O25B, O75 and EPA were determined in serum from collected blood samples. LLOQ values for O1A: 69149, O2: 65287, O4: 67356, O6A: 150748, O8: 72196, O15: 66910, O16: 71586, O18A: 70519, O25B: 61990, O75: 133019, and EPA: 66165. Any titer less than LLOQ is replaced by half of LLOQ (0.5\*LLOQ).

Cohort 2: Geometric Mean Ratio (GMR) of Fold Changes From Baseline For Serotype-specific Antibodies Measured by Multiplex ECL Based Immunoassay on Day 30
Baseline (Day 1, pre-vaccination) and Day 30

GMR of fold changes from baseline for serotype-specific antibodies as measured by multiplex ECL based immunoassay on Day 30 were reported. GMR for each antigen serotypes O1A, O2, O4, O6A, O8, O15, O16, O18A, O25B, O75 and EPA were determined in serum from collected blood samples by multiplex ECL based immunoassay. GMR of fold change from baseline was calculated as the ratio of GMTs on Day 30 and pre-vaccination (on Day 1). Any titer less than LLOQ is replaced by value of LLOQ.

Cohort 2: Percentage of Participants With a >=2-Fold and >=4-Fold Increase From Baseline in Serotype Specific Serum Antibody Titers as Measured by Multiplex ECL Based Immunoassay on Day 30
Baseline (Day 1, pre-vaccination) and Day 30

Percentage of participants with a \>=2-fold and \>=4-fold increase from baseline in serotype specific serum antibody titers as measured by multiplex ECL based immunoassay on Day 30 was reported. The fold (\>=2-fold and \>=4-fold) increase from baseline to Day 30 for the serotypes O1A, O2, O4, O6A, O8, O15, O16, O18A, O25B, O75 and EPA was calculated as the ratio of titer values of serum antibody on Day 30 and pre-vaccination (on day 1) that is, Day 30/Day 1. Any titer less than LLOQ is replaced by value of LLOQ.

Cohort 2: Geometric Mean Titer (GMT) of Serotype-specific Total Immunoglobulin G (IgG) Serum Antibodies as Measured by Multiplex Opsonophagocytic Assay (MOPA) on Day 30
At Day 30

GMTs of serotype-specific total IgG serum antibodies as measured by MOPA were reported. GMTs for each antigen serotypes O1A, O2, O4, O6A, O15, O16, O18A, O25B, and O75 were determined in serum from collected blood samples. For serotype O8 functional IgG serum antibodies were not evaluated as the assay was not able to detect vaccine-induced functional antibodies against the O8 serotype. LLOQ values were O1A: 33, O2: 42, O4: 12, O6A: 62, O15: 75, O16: 17, O18A: 44, O25B: 58, O75: 14. Any titer less than LLOQ is replaced by half of LLOQ (0.5\*LLOQ).

Cohort 2: Geometric Mean Ratio (GMR) of Fold Changes From Baseline for Serotype Specific Antibodies as Measured by MOPA on Day 30
Baseline (Day 1, pre-vaccination) and Day 30

GMR of fold changes from baseline for serotype specific antibodies as measured by MOPA on Day 30 were reported. GMR for each antigen serotypes O1A, O2, O4, O6A, O15, O16, O18A, O25B and O75 were determined in serum from collected blood samples by MOPA. GMR of fold change from baseline was calculated as the ratio of GMTs on Day 30 and pre-vaccination (on Day 1). For serotype O8 functional IgG serum antibodies were not evaluated as the assay was not able to detect vaccine-induced functional antibodies against the O8 serotype. Any titer less than LLOQ is replaced by value of LLOQ.

Cohort 2: Percentage of Participants With a >= 2-Fold and >=4-Fold Increase in Serotype-specific Serum Antibodies Titers Measured by MOPA on Day 30
Baseline (Day 1, pre-vaccination) and Day 30

Percentage of participants with a \>=2-fold and \>=4-fold increase from baseline in serotype specific serum antibodies titers as measured by MOPA on Day 30 was reported. The fold (\>=2-fold and \>=4-fold increase from baseline to Day 30 for the serotypes O1A, O2, O4, O6A, O15, O16, O18A, O25B and O75 was calculated as the ratio of titer values of serum antibodies on Day 30 and pre-vaccination (on day 1 that is, Day 30/Day 1. For serotype O8 functional IgG serum antibodies were not evaluated as the assay was not able to detect vaccine-induced functional antibodies against the O8 serotype. Any titer less than LLOQ is replaced by value of LLOQ.

Secondary Endpoints

Antibody Titers for ExPEC10V as Determined by Multiplex ECL-based Immunoassay
Days 15 and 30
Antibody Titers for ExPEC10V as Determined by Multiplex Opsonophagocytic Assay (MOPA)
Day 15 and 30
Cohort 1: Correlation Between the Multiplex ECL-Based Immunoassay and the MOPA Functional Titers by Serotypes on Day 15
Day 15
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Study Design & Arms

AllocationRANDOMIZED
MaskingDOUBLE
ModelSEQUENTIAL
PurposePREVENTION

Treatment Arms

ArmTypeDescription
Medium-dose ExPEC10V or Placebo: Group 1EXPERIMENTALParticipants will be randomized to receive a single intramuscular (IM) injection of medium dose of ExPEC10V or Placebo on Day 1.
High-dose ExPEC10V or Placebo: Group 2EXPERIMENTALParticipants will be randomized to receive a single IM injection of high dose (based on safety assessment through Day 15 postvaccination of medium dose) of ExPEC10V or Placebo on Day 1.
Cohort 1: ExPEC10V (Low Dose)EXPERIMENTALParticipants will be randomized to receive a single intramuscular (IM) injection of low dose ExPEC10V on Day 1.
Cohort 1: ExPEC10V (Medium dose)EXPERIMENTALParticipants will be randomized to receive a single IM injection of medium dose ExPEC10V on Day 1.
Cohort 1: ExPEC10V (High dose)EXPERIMENTALParticipants will be randomized to receive a single IM injection of high dose ExPEC10V on Day 1.
Cohort 1: ExPEC4VEXPERIMENTALParticipants will be randomized to receive a single IM injection of ExPEC4V on Day 1.
Cohort 1: Prevnar 13EXPERIMENTALParticipants will be randomized to receive a single IM injection of Prevnar 13 on Day 1.
Cohort 2: ExPEC10VEXPERIMENTALParticipants will be randomized to receive a single IM injection of selected dose of ExPEC10V on Day 1. The ExPEC10V dose used in Cohort 2 will be based on the primary analysis (Day 30) results of Cohort 1.
Cohort 2: PlaceboPLACEBO_COMPARATORParticipants will be randomized to receive a single IM injection of matching placebo on Day 1.

Interventions

NameTypeDescription
ExPEC10VBIOLOGICALParticipants will receive a single IM injection of ExPEC10V.
PlaceboBIOLOGICALParticipants will receive single IM injection of matching placebo.
ExPEC4VBIOLOGICALParticipants will receive a single IM injection of ExPEC4V on Day 1.
Prevnar 13BIOLOGICALParticipants will receive a single IM injection of Prevnar 13 on Day 1.
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Eligibility Criteria

Age Range60 Years to 85 Years
SexALL
Healthy VolunteersYes
Study Sites1

Inclusion Criteria: * Participant must be Japanese as determined by participant's verbal report * Must be healthy or medically stable, in the investigator's clinical judgment, as confirmed by medical history, physical examination, vital signs, 12-lead electrocardiogram (ECG), and clinical laborator...

Countries:JapanUnited StatesBelgiumFranceNetherlandsSpain
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Recent Changes (Last 90 Days)

MEDIUMJul 6, 2026NCT03819049TRIAL_REMOVED: changed
MEDIUMJul 6, 2026NCT03819049TRIAL_REMOVED: changed
MEDIUMJul 6, 2026NCT03819049TRIAL_REMOVED: changed

Frequently asked questions about ExPEC10V

What is ExPEC10V used for?

ExPEC10V is an investigational monoclonal antibody being developed for the prevention of extraintestinal pathogenic Escherichia coli (ExPEC) disease. It is also being studied in healthy adults. The drug is currently in Phase 1 clinical development and has not been approved by regulatory authorities.

Who makes ExPEC10V?

ExPEC10V is being developed by Johnson & Johnson, a company listed on the New York Stock Exchange under the ticker JNJ. The drug is currently in Phase 1 clinical trials for the prevention of extraintestinal pathogenic Escherichia coli disease.

What phase is ExPEC10V in?

ExPEC10V is in Phase 1 clinical development. It is an investigational drug and has not been approved by the FDA or any other regulatory agency. Two Phase 1 trials have been completed, one in adults aged 60 to 85 years and another in Japanese adults.

What clinical trials is ExPEC10V in?

ExPEC10V has been studied in two completed Phase 1 trials. NCT03819049 evaluated three different doses in adults aged 60 to 85 years in stable health, enrolling 836 participants across the United States, Belgium, France, Netherlands, and Spain. NCT04306302 evaluated different doses in Japanese adults, enrolling 24 participants in Japan.

Is ExPEC10V the same as VAC52416?

Yes, ExPEC10V is also known as VAC52416. Both names refer to the same investigational monoclonal antibody being developed by Johnson & Johnson for the prevention of extraintestinal pathogenic Escherichia coli disease. Clinical trial records use the name VAC52416.

How does ExPEC10V work?

ExPEC10V is a monoclonal antibody designed to target extraintestinal pathogenic Escherichia coli. It is being studied for its ability to prevent disease caused by this bacterium. The drug is administered to healthy adults to evaluate its safety and immunogenicity in Phase 1 trials.