Recent Updates
Recently added Catalysts

ExPEC9V

Phase 3

Invasive Extraintestinal Pathogenic Escherichia Coli Disease (IED) Prevention | Monoclonal antibody | Gastrointestinal |Johnson & Johnson|Last Updated: Jun 5, 2026

Success Probability
Approval Probability 71%
TA Base Rate26%
Adjusted LOA41%
ML RiskLOW_RISK
Premium
Market & Valuation
rNPV $3.2B
Market Size $9.4B
Revenue Basis $1.6B
Competitors 6
Premium
Trial Design
RandomizedDouble-BlindCONTROLLEDDMCBiomarker
Total Trials2
Total Enrollment18,894
FDA Designations
No designations recorded
Clinical Trials (2)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
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 OlderPHASE3 COMPLETED 959Oct 24, 2023Jul 26, 2024Apr 3, 202641 United States, Belgium +2
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 YearsPHASE3 COMPLETED 17,935Jun 30, 2021Aug 27, 2025Jun 5, 2026374 United States, Australia +19
Unlock Drug Trial Details
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)
Unlock Study Endpoints
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.
Unlock Study Design Details
Eligibility Criteria
Age Range65 Years — 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
Unlock Eligibility Criteria
Recent Changes (Last 90 Days)
LOWJun 5, 2026NCT04899336lastUpdatePostDate: changed
LOWJun 5, 2026NCT04899336lastUpdatePostDate: changed
LOWJun 5, 2026NCT04899336lastUpdatePostDate: changed
LOWJun 5, 2026NCT04899336lastUpdatePostDate: changed