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ProQuad

Phase 3

Measles | Monoclonal antibody | Infectious Disease |Merck & Company, Inc.|Last Updated: Aug 13, 2018

Success Probability

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Market & Valuation

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Trial Design

RandomizedACTIVE_CONTROLLED
Total Trials3
Total Enrollment4,820

FDA Designations

No designations recorded

Clinical trial landscape

ProQuad · 4 trials · 10 indications

Phase 3 4
NCT00560755Safety Study of ProQuad® rHA in Infants (V221-037)Measles
COMPLETED3,388 Analytics
NCT00432042Immunogenicity and Safety Study of Proquad® and Infanrix® Hexa When Administered Concomitantly (V221-035)Varicella
COMPLETED955 Analytics
NCT00402831ProQuad® Intramuscular vs SubcutaneousMeasles
COMPLETED405 Analytics
NCT00109343V221 Concomitant Use Study With Pneumococcal Conjugate Vaccine (V221-019)Measles
COMPLETED1,027 Analytics
PHASE3COMPLETED
Safety Study of ProQuad® rHA in Infants (V221-037)
MeaslesUnlock trial analytics
PHASE3COMPLETED
Immunogenicity and Safety Study of Proquad® and Infanrix® Hexa When Administered Concomitantly (V221-035)
VaricellaUnlock trial analytics
PHASE3COMPLETED
ProQuad® Intramuscular vs Subcutaneous
MeaslesUnlock trial analytics
PHASE3COMPLETED
V221 Concomitant Use Study With Pneumococcal Conjugate Vaccine (V221-019)
MeaslesUnlock trial analytics

Study Endpoints

Primary Endpoints

Percentage of Participants Experiencing an Adverse Event (AE) After ProQuad® Dose 2
Up to Day 70 (up to 28 days after ProQuad® Dose 2)

The percentage of participants experiencing an AE(s) for up to 28 days after the second ProQuad® injection was determined.

Percentage of Participants Experiencing a Vaccine-related AE After ProQuad® Dose 2
Up to Day 70 (up to 28 days after ProQuad® Dose 2)

The percentage of participants experiencing a vaccine-related AEs for up to 28 days after the second ProQuad® injection was determined.

Percentage of Participants Experiencing a Solicited Injection-site AE After ProQuad® Dose 2
Up to Day 46 (for 4 days following ProQuad® Dose 2)

The solicited injection-site AEs erythema, swelling, and pain were monitored for 4 days after administration of ProQuad® Dose 2.

Percentage of Participants Experiencing a Unsolicited Injection-site AE After ProQuad® Dose 2
Up to Day 70 (up to 28 days after ProQuad® Dose 2)

The percentage of participants experiencing a unsolicited injection-site AE(s) were monitored for up to 28 days after the second ProQuad® injection.

Percentage of Participants Experiencing a Injection-site Rash of Interest AE After ProQuad® Dose 2
Up to Day 70 (up to 28 days after ProQuad® Dose 2)

Injection-site rashes of interest, including measles-like, rubella-like, and vesicular, were monitored for up to 28 days after the second ProQuad® injection.

Percentage of Participants Experiencing a Systemic AE After ProQuad® Dose 2
Up to Day 70 (up to 28 days after ProQuad® Dose 2)

Systemic AEs were monitored for up to 28 days after the second ProQuad® injection.

Percentage of Participants Experiencing a Vaccine-related Systemic AE After ProQuad® Dose 2
Up to Day 70 (up to 28 days after ProQuad® Dose 2)

Vaccine-related systemic AEs were monitored for up to 28 days after the second ProQuad® injection.

Percentage of Participants Experiencing a Non-injection-site Rash of Interest AE After ProQuad® Dose 2
Up to Day 70 (up to 28 days after ProQuad® Dose 2)

Non-injection-site rashes of interest, including measles-like, rubella-like, varicella-like, and zoster-like rashes, were monitored for up to 28 days after the second ProQuad® injection.

Percentage of Participants Experiencing a Mumps-like Illness After ProQuad® Dose 2
Up to Day 70 (up to 28 days after ProQuad® Dose 2)

The percentage of participants experiencing a mumps-like illness for up to 28 days after the second ProQuad® injection was determined.

Percentage of Participants Experiencing a Serious AE (SAE) After ProQuad® Dose 2
Up to Day 84 (up to 42 days after ProQuad® Dose 2)

Serious AEs ere defined as any untoward consequence that results in death, is life-threatening, requires hospitalization or prolongs existing hospitalization, is a congenital anomaly/birth defect, or is any other medically important event.

Percentage of Participants Experiencing a Vaccine-related SAE After ProQuad® Dose 2
Up to Day 84 (up to 42 days after ProQuad® Dose 2)

Vaccine-related SAEs were defined as any untoward consequence that results in death, is life-threatening, requires hospitalization or prolongs existing hospitalization, is a congenital anomaly/birth defect, or is any other medically important event.

Percentage of Participants Meeting Antibody Response Rate Criteria to Measles, Mumps, Rubella, and Varicella
Day 42

The percentage of participants with seronegative baseline values who met antibody response criteria in Arm 1: ProQuad® + Infanrix® hexa and Arm 2: ProQuad® was determined. Post-vaccination antibody response and baseline seronegativity criteria were as follows: measles antibody titre ≥255 mIU/mL in participants with baseline titre \<255 mIU/mL; mumps antibody titre ≥10 ELISA Ab units/mL in participants with baseline titre \<10 ELISA Ab units mL; rubella antibody titre ≥10 IU/mL in participants with baseline titre \<10 IU/mL; varicella antibody titre ≥5 gpELISA units/mL in participants with baseline titre \<1.25 gpELISA units/mL. Measles, mumps and rubella antibody levels were determined using enzyme-linked immunosorbent assay (ELISA) and varicella antibody levels were determined with glycoprotein-based ELISA (gpELISA).

Percentage of Participants Meeting Post-vaccination Antibody Response Rates to Hepatitis B and Haemophilus Influenzae Type B
Day 42

The percentage of participants with seronegative baseline values who met antibody response criteria in Arm 1: ProQuad® + Infanrix® hexa and Arm 3: Infanrix® hexa was determined. Post-vaccination antibody response and baseline seronegativity criteria were as follows: Hepatitis B antibody titre ≥10 IU/mL and Haemophilus Influenzae Type b antibody titre ≥1 ug/mL. Hepatitis B antibody levels were determined using anti-HBs ORTHO ECi Immunodiagnostic Assay. Haemophilus Influenzae Type b antibody (anti-polyribosylribitol phosphate \[PRP\]) levels were determined with radioimmunoassay (RIA) or with enzyme immunoassay (EIA).

Post-vaccination Geometric Mean Titres (GMT) to Pertussis
Day 42

The GMT to pertussis were compared in Arm1: ProQuad® + Infanrix® hexa and Arm 3: Infanrix® hexa. Anti-pertussis toxin (anti-PT), anti-filamentous hemagglutinin (anti-FHA), and anti-pertactin (anti-PRN) were determined using ELISA on solid phase based on sandwich principle.

Percentage of Participants Meeting Antibody Response Rate Criteria Six Weeks After Completing ProQuad® Treatment
Week 10 (6 weeks after Dose 2 on Week 4)

Antibody response rates were determined 6 weeks after the second dose of IM or SC ProQuad®. Measles, mumps and rubella antibody levels were determined using enzyme-linked immunosorbent assay (ELISA) and varicella antibody levels were determined with glycoprotein-based ELISA (gpELISA). Response rates were determined as follows: measles antibody titre ≥255 mIU/mL in participants with baseline titre \<255 mIU/mL; mumps antibody titre ≥10 ELISA Ab units/mL in participants with baseline titre \<10 ELISA Ab units mL; rubella antibody titre ≥10 IU/mL in participants with baseline titre \<10 IU/mL; varicella antibody titre ≥5 gpELISA units/mL in participants with baseline titre \<1.25 gpELISA units/mL.

Number of Participants With Postvaccination Measles Enzyme-Linked Immunosorbent Assay (ELISA) Antibody Titer ≥255 mIU/mL
6 weeks Postvaccination in subjects receiving ProQuad™ concomitantly with a fourth dose of Prevnar™ and in subjects receiving ProQuad™ alone

Antibody Response to Measles at 6 Weeks Postvaccination for Subjects Initially Seronegative (a titer \<255 mIU/mL) to Measles at Baseline.

Number of Participants With Postvaccination Mumps ELISA Antibody Titer ≥10 Ab Units/mL
6 weeks Postvaccination in subjects receiving ProQuad™ concomitantly with a fourth dose of Prevnar™ and in subjects receiving ProQuad™ alone

Antibody Response to Mumps at 6 Weeks Postvaccination for Subjects Initially Seronegative (a titer \<10 ELISA Ab units/mL) to Mumps at Baseline.

Number of Participants With Postvaccination Rubella ELISA Antibody Titer ≥10 IU/mL
6 weeks Postvaccination in subjects receiving ProQuad™ concomitantly with a fourth dose of Prevnar™ and in subjects receiving ProQuad™ alone

Antibody Response to Rubella at 6 Weeks Postvaccination for Subjects Initially Seronegative (a titer \<10 IU/mL) to Rubella at Baseline.

Number of Participants With Postvaccination Varicella Antibody Titer ≥1.25 Glycoprotein Enzyme-Linked Immunosorbent Assay (gpELISA) Units/mL and ≥5 gpELISA Units/mL
6 weeks Postvaccination in subjects receiving ProQuad™ concomitantly with a fourth dose of Prevnar™ and in subjects receiving ProQuad™ alone

Antibody Response to Varicella at 6 Weeks Postvaccination for Subjects Initially With Varicella Antibody Titer \<1.25 gpELISA units/mL at Baseline

Antibody Response to S. Pneumoniae Serotype 4 - Geometric Mean Titer
6 weeks Postvaccination in subjects receiving ProQuad™ concomitantly with a fourth dose of Prevnar™ and in subjects receiving a fourth dose of Prevnar™ alone

Postvaccination observed Geometric Mean Titer of antibody to S. Pneumoniae serotype 4

Antibody Response to S. Pneumoniae Serotype 6B - Geometric Mean Titer
6 weeks Postvaccination in subjects receiving ProQuad™ concomitantly with a fourth dose of Prevnar™ and in subjects receiving a fourth dose of Prevnar™ alone.

Postvaccination observed Geometric Mean Titer of antibody to S. Pneumoniae serotype 6B

Antibody Response to S. Pneumoniae Serotype 9V - Geometric Mean Titer
6 weeks Postvaccination in subjects receiving ProQuad™ concomitantly with a fourth dose of Prevnar™ and in subjects receiving a fourth dose of Prevnar™ alone

Postvaccination observed Geometric Mean Titer of antibody to S. Pneumoniae serotype 9V

Antibody Response to S. Pneumoniae Serotype 14 - Geometric Mean Titer
6 weeks Postvaccination in subjects receiving ProQuad™ concomitantly with a fourth dose of Prevnar™ and in subjects receiving a fourth dose of Prevnar™ alone

Postvaccination observed Geometric Mean Titer of antibody to S. Pneumoniae serotype 14

Antibody Response to S. Pneumoniae Serotype 18C - Geometric Mean Titer
6 weeks Postvaccination in subjects receiving ProQuad™ concomitantly with a fourth dose of Prevnar™ and in subjects receiving a fourth dose of Prevnar™ alone

Postvaccination observed Geometric Mean Titer of antibody to S. Pneumoniae serotype 18C

Antibody Response to S. Pneumoniae Serotype 19F - Geometric Mean Titer
6 weeks Postvaccination in subjects receiving ProQuad™ concomitantly with a fourth dose of Prevnar™ and in subjects receiving a fourth dose of Prevnar™ alone

Postvaccination observed Geometric Mean Titer of antibody to S. Pneumoniae serotype 19F

Antibody Response to S. Pneumoniae Serotype 23F - Geometric Mean Titer
6 weeks Postvaccination in subjects receiving ProQuad™ concomitantly with a fourth dose of Prevnar™ and in subjects receiving a fourth dose of Prevnar™ alone

Postvaccination observed Geometric Mean Titer of antibody to S. Pneumoniae serotype 23F

Secondary Endpoints

Percentage of Participants Experiencing a Solicited Injection-site AE After ProQuad® Dose 1
From Day 1 to Day 4 (for 4 days following ProQuad® Dose 1)
Percentage of Participants Experiencing a Unsolicited Injection-site AE After ProQuad® Dose 1
Up to Day 28 (28 days after ProQuad® Dose 1)
Percentage of Participants With ≥ 1 Rectal Temperature Reading ≥ 38.0° C After ProQuad® Dose 1
Up to Day 28 (28 days after ProQuad® Dose 1)
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Study Design & Arms

AllocationNA
MaskingNONE
ModelSINGLE_GROUP
PurposePREVENTION

Treatment Arms

ArmTypeDescription
ProQuad®EXPERIMENTALHealthy infants (12 to 22 months of age) received 2 doses of ProQuad® (Dose 1 on Day 1 and Dose 2 on Day 28 to 42) via subcutaneous injection into the deltoid muscle.
ProQuad® + Infanrix® hexaEXPERIMENTALPediatric (12 to 23 months of age) participants received ProQuad® and Infanrix® hexa (booster dose) concomitantly on Visit 1 (Day 0). Blood samples were taken on Visit 1 and Visit 2 (Day 42).
Infanrix® hexaACTIVE_COMPARATORPediatric (12 to 23 months of age) participants received Infanrix® hexa (booster dose) on Visit 1 (Day 0). Blood samples were taken on Visit 1 and Visit 2 (Day 42).
Intramuscular ProQuad®EXPERIMENTALParticipants will receive doses of ProQuad® by IM injection on Day 1 and Day 30 into the deltoid muscle perpendicular to the skin, with the first dose in the right arm and the second dose in the left arm.
Subcutaneous ProQuad®ACTIVE_COMPARATORParticipants will receive doses of ProQuad® by SC injection on Day 1 and Day 30 in the deltoid area at a 45° angle to the skin, with the first dose in the right arm and second dose in the left arm.
1EXPERIMENTALGroup 1: ProQuad™ (V221) + PREVNAR™ (pneumococcal 7-valent conjugate vaccine) followed by ProQuad™ (Day 91)
2EXPERIMENTALGroup 2: PREVNAR™ followed by ProQuad™ (Day 43) followed by ProQuad™ (Day 133)
3EXPERIMENTALGroup 3: ProQuad™ followed by PREVNAR™ (Day 43), followed by ProQuad™ (Day 91)

Interventions

NameTypeDescription
ProQuad®BIOLOGICALProQuad® manufactured with recombinant human albumin (rHA) is an investigational combined attenuated live virus vaccine for vaccination against measles, mumps, rubella and varicella viruses.
Infanrix® hexaBIOLOGICALParticipants received a 0.5 mL intramuscular injection of Infanrix® hexa containing the following: diphtheria toxoid (≥30 IU), tetanus toxoid (≥40 IU), 3-component acellular pertussis (pertussis taxoid, filamentous haemagglutinin, and pertactin) (25 ug), Hepatitis B surface antigen recombinant (S protein) (10 ug), inactivated poliovirus types 1-3 (type 1: 40 D-antigen units; type 2: 8 D-antigen units; type 3: 32 D-antigen units), and Haemophilus influenzae type B (Hib) polysaccharide conjugate to tetanus toxoid (20-40 ug).
Comparator: ProQuad™ (V221)BIOLOGICAL0.5-mL subcutaneous injection of measles, mumps, rubella, varicella virus vaccine live (MMRV)
Comparator: PREVNAR™ (pneumococcal 7-valent conjugate vaccine)BIOLOGICAL0.5-mL intramuscular injection of pneumococcal 7-valent conjugate vaccine
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Eligibility Criteria

Age Range12 Months to 22 Months
SexALL
Healthy VolunteersYes

Inclusion Criteria: * Healthy subject of either gender, * Age from 12 to 22 months, * Negative clinical history of infection with measles, mumps, rubella, varicella or zoster, * Informed consent form signed by the parent(s) or by legal representative * Parent(s) or legal representative able to atte...

Countries:GermanyItaly
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Frequently asked questions about ProQuad

What is ProQuad used for?

ProQuad is a vaccine used for measles and varicella (chickenpox). It is being studied in healthy infants aged 12 months and older for the prevention of these infectious diseases. The drug is currently in Phase 3 clinical development and is not yet approved by the FDA.

Who makes ProQuad?

ProQuad is being developed by Merck & Company, Inc., which trades under the ticker symbol MRK. The company is conducting Phase 3 clinical trials to evaluate the vaccine's safety and immunogenicity in pediatric populations.

What phase is ProQuad in?

ProQuad is in Phase 3 clinical development. All three completed trials were Phase 3 studies, with a total enrollment of 4,820 participants. The vaccine is investigational and has not received FDA approval.

What clinical trials is ProQuad in?

ProQuad has three completed Phase 3 trials: NCT00109343, a concomitant use study with pneumococcal conjugate vaccine; NCT00402831, comparing intramuscular vs subcutaneous administration; and NCT00560755, a safety study of ProQuad rHA in infants. All trials enrolled healthy infants aged 12 months and older.

Is ProQuad the same as MMRV vaccine?

ProQuad is a vaccine that covers measles, mumps, rubella, and varicella (MMRV). Clinical trials for ProQuad list conditions including measles, mumps, rubella, and varicella, indicating it is a combination vaccine for these four diseases.