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ExPEC9V

Phase 3

Invasive Extraintestinal Pathogenic Escherichia Coli Disease (IED) Prevention | Monoclonal antibody | Infectious Disease |Johnson & Johnson|Last Updated: Jul 6, 2026

Success Probability

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Trial Design

RandomizedDouble-BlindCONTROLLEDDMC
Total Trials2
Total Enrollment18,756

FDA Designations

No designations recorded

Clinical trial landscape

ExPEC9V · 2 trials · 1 indication

Phase 3 2
NCT06134804A Study of 9-valent Extraintestinal Pathogenic Escherichia Coli Vaccine (ExPEC9V) and High-dose Quadrivalent Influenza Vaccine, With and Without Co-administration, in Adults Aged 65 Years or OlderInvasive Extraintestinal Pathogenic Escherichia Coli Disease (IED) Prevention
COMPLETED959 Analytics
NCT04899336A Study of Vaccination With 9-valent Extraintestinal Pathogenic Escherichia Coli Vaccine (ExPEC9V) in the Prevention of Invasive Extraintestinal Pathogenic Escherichia Coli Disease in Adults Aged 60 Years And Older With a History of Urinary Tract Infection in the Past 2 YearsInvasive Extraintestinal Pathogenic Escherichia Coli Disease (IED) Prevention
COMPLETED17,797 Analytics
PHASE3COMPLETED
A Study of 9-valent Extraintestinal Pathogenic Escherichia Coli Vaccine (ExPEC9V) and High-dose Quadrivalent Influenza Vaccine, With and Without Co-administration, in Adults Aged 65 Years or Older
Invasive Extraintestinal Pathogenic Escherichia Coli Disease (IED) PreventionUnlock trial analytics
PHASE3COMPLETED
A Study of Vaccination With 9-valent Extraintestinal Pathogenic Escherichia Coli Vaccine (ExPEC9V) in the Prevention of Invasive Extraintestinal Pathogenic Escherichia Coli Disease in Adults Aged 60 Years And Older With a History of Urinary Tract Infection in the Past 2 Years
Invasive Extraintestinal Pathogenic Escherichia Coli Disease (IED) PreventionUnlock trial analytics

Study Endpoints

Primary Endpoints

Hemagglutination Inhibition (HI) Antibody Titers Against H1N1, H3N2, B/Victoria, and B/Yamagata Influenza Vaccine Strains 29 Days After the Administration of High-Dose (HD) Quadrivalent Seasonal Influenza Vaccine
29 days after the administration of HD quadrivalent seasonal influenza vaccine on Day 1 (Day 30)

HI antibody titers against H1N1, H3N2, B/Victoria, and B/Yamagata Influenza vaccine strains 29 days after the administration of HD quadrivalent seasonal influenza vaccine as measured by HI assay were reported.

Antibody Titers to Vaccine O-serotype Antigens as Determined by Multiplex Electrochemiluminescent (ECL)-Based Immunoassay 29 Days After Administration of ExPEC9V
CoAd Group: 29 days after the administration of ExPEC9V on Day 1 (Day 30); Control Group: 29 days after the administration of ExPEC9V on Day 30 (Day 59)

Antibody titers to vaccine O-serotype antigens (O1A, O2, O4, O6A, O15, O16, O18A, O25B, and O75) as determined by ECL based Immunoassay 29 days after administration of ExPEC9V on Day 1 in CoAd group and on Day 30 in Control group were reported.

Number of Participants with First Invasive Extraintestinal Pathogenic E.coli Disease (IED) Event with Microbiological Confirmation in Blood or Other Sterile Sites Caused by 9-valent Extraintestinal Pathogenic E. coli Vaccine (ExPEC9V) O-serotypes
Up to 4 years

Number of participants with first IED event with microbiological confirmation in blood or other sterile sites, excluding IED cases with microbiological confirmation from urine only, caused by ExPEC9V O-serotypes will be reported.

Secondary Endpoints

Percentage of Participants With Seroconversion Against H1N1, H3N2, B/Victoria, and B/Yamagata Influenza Vaccine Strains 29 Days After the Administration of HD Quadrivalent Seasonal Influenza Vaccine
29 days after the administration of HD quadrivalent seasonal influenza vaccine on Day 1 (Day 30)
Percentage of Participants With Seroprotection Against H1N1, H3N2, B/Victoria, and B/Yamagata Influenza Vaccine Strains 29 Days After the Administration of HD Quadrivalent Seasonal Influenza Vaccine
29 days after the administration of HD quadrivalent seasonal influenza vaccine on Day 1 (Day 30)
Percentage of Participants With Solicited Local (Injection Site) Adverse Events (AEs) for 14 Days After Each Vaccination
Up to 14 days post-vaccination 1 on Day 1 (Day 1 up to Day 15) and up to 14 days post-vaccination 2 on Day 30 (Day 30 up to Day 44)
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Study Design & Arms

AllocationRANDOMIZED
MaskingDOUBLE
ModelPARALLEL
PurposePREVENTION

Treatment Arms

ArmTypeDescription
Group 1: Coadministration (CoAd) GroupEXPERIMENTALParticipants will receive intramuscular (IM) injection of 9-valent extraintestinal pathogenic Escherichia coli vaccine (ExPEC9V) along with high-dose (HD) quadrivalent influenza vaccine, concomitantly, on Day 1 and placebo on Day 30.
Group 2: Control GroupEXPERIMENTALParticipants will receive IM injection of matching placebo along with HD quadrivalent influenza vaccine, concomitantly, on Day 1 and ExPEC9V on Day 30.
ExPEC9VEXPERIMENTALParticipants will receive a single intramuscular (IM) injection of 9-valent extraintestinal pathogenic Escherichia coli vaccine (ExPEC9V) on Day 1.
PlaceboPLACEBO_COMPARATORParticipants will receive a single IM injection of matching placebo on Day 1.

Interventions

NameTypeDescription
ExPEC9VBIOLOGICALExPEC9V will be administered as an IM injection.
PlaceboBIOLOGICALPlacebo will be administered as an IM injection.
HD quadrivalent influenza vaccineBIOLOGICALHD quadrivalent influenza vaccine will be administered as IM injection.
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Eligibility Criteria

Age Range65 Years to N/A
SexALL
Healthy VolunteersYes
Study Sites41

Inclusion Criteria: * Must be medically stable at the time of vaccination such that, according to the judgment of the investigator, hospitalization within the study period is not anticipated and the participant appears likely to be able to remain on study through the end of protocol specified follo...

Countries:United StatesBelgiumCanadaPolandAustraliaChinaColombiaCzechiaDenmarkFranceGermanyIndiaIsraelItalyJapanNetherlandsNew ZealandSouth KoreaSpainSwedenTaiwanThailandUnited Kingdom
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Recent Changes (Last 90 Days)

MEDIUMAug 6, 2026NCT04899336TRIAL_REMOVED: changed
MEDIUMAug 6, 2026NCT04899336TRIAL_REMOVED: changed
MEDIUMAug 6, 2026NCT04899336TRIAL_REMOVED: changed
LOWJul 6, 2026NCT04899336Enrollment: 17935 → 17797
LOWJul 6, 2026NCT04899336Enrollment: 17935 → 17797
MEDIUMJul 6, 2026NCT04899336TRIAL_REMOVED: changed

Frequently asked questions about ExPEC9V

What is ExPEC9V used for?

ExPEC9V is an investigational 9-valent vaccine being studied for the prevention of Invasive Extraintestinal Pathogenic Escherichia Coli Disease (IED), a serious infection caused by E. coli. It is being evaluated in adults aged 60 years and older with a history of urinary tract infection in the past 2 years, as well as in adults aged 65 years or older.

Who makes ExPEC9V?

ExPEC9V is being developed by Johnson & Johnson, a company traded on the New York Stock Exchange under the ticker JNJ. The vaccine is currently in Phase 3 clinical development for the prevention of Invasive Extraintestinal Pathogenic Escherichia Coli Disease (IED).

What phase is ExPEC9V in?

ExPEC9V is in Phase 3 clinical development. It is an investigational vaccine and has not been approved by regulatory authorities. Two Phase 3 trials have been completed, evaluating the vaccine's safety and efficacy in preventing Invasive Extraintestinal Pathogenic Escherichia Coli Disease (IED) in older adult populations.

What clinical trials is ExPEC9V in?

ExPEC9V has completed two Phase 3 clinical trials. The first, NCT04899336, enrolled 17,797 adults aged 60 years and older with a history of urinary tract infection. The second, NCT06134804, enrolled 959 adults aged 65 years or older and studied co-administration with a high-dose quadrivalent influenza vaccine. Both trials were randomized, double-blind, and controlled.

How does ExPEC9V work?

ExPEC9V is a 9-valent vaccine designed to target multiple strains of Extraintestinal Pathogenic Escherichia Coli (ExPEC). By presenting nine different E. coli antigens to the immune system, it aims to stimulate a protective immune response against the bacteria that cause Invasive Extraintestinal Pathogenic Escherichia Coli Disease (IED).

Is ExPEC9V the same as a monoclonal antibody?

No, ExPEC9V is a vaccine, not a monoclonal antibody. It is classified as a 9-valent vaccine, meaning it contains components from nine different E. coli strains to elicit an immune response. This distinguishes it from monoclonal antibody therapies, which are laboratory-made proteins that target specific antigens.