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V419

Phase 3

Bacterial Infections | Monoclonal antibody | Infectious Disease |Merck & Company, Inc.|Last Updated: Apr 30, 2019

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindACTIVE_CONTROLLED
Total Trials3
Total Enrollment5,531

FDA Designations

No designations recorded

Clinical trial landscape

V419 · 3 trials · 2 indications

Phase 3 3
NCT01341639Safety, Tolerability, and Immunogenicity of V419 in Healthy Infants When Given at 2, 3, 4 and 12 Months (V419-007)Bacterial Infections
COMPLETED1,250 Analytics
NCT01340937A Study of V419 Given Concomitantly With Prevnar 13™ and RotaTeq™ (V419-006)Bacterial Infections
COMPLETED2,808 Analytics
NCT01337167Safety, Tolerability, and Immunogenicity of V419 Given Concomitantly With Prevnar 13™ and RotaTeq™ (V419-005)Bacterial Infections
COMPLETED1,473 Analytics
PHASE3COMPLETED
Safety, Tolerability, and Immunogenicity of V419 in Healthy Infants When Given at 2, 3, 4 and 12 Months (V419-007)
Bacterial InfectionsUnlock trial analytics
PHASE3COMPLETED
A Study of V419 Given Concomitantly With Prevnar 13™ and RotaTeq™ (V419-006)
Bacterial InfectionsUnlock trial analytics
PHASE3COMPLETED
Safety, Tolerability, and Immunogenicity of V419 Given Concomitantly With Prevnar 13™ and RotaTeq™ (V419-005)
Bacterial InfectionsUnlock trial analytics

Study Endpoints

Primary Endpoints

Percentage of Participants Vaccinated With PR5I With Acceptable Antibody (Ab) Response to Haemophilus Influenzae Type b, Diphtheria, Tetanus, and Poliovirus Types 1, 2 & 3, at 5 Months
One month after post-dose 3 of PRI5 (5 months old)

Antibody titres in the PR5I group were measured by Radioimmunoassay (RIA) for Haemophilus influenzae type b (PRP), Micrometabolic inhibition test (MIT) for diphtheria \& poliovirus, and Enzyme-Linked Immunosorbent Assay (ELISA) for tetanus. Percentage of participants with an Ab titre ≥0.15 μg/mL for Haemophilus influenzae type b (Hib) (polyribosylribitol phosphate, PRP); ≥0.01 IU/mL; for diphtheria \& tetanus; ≥8 (1/dil) for inactivated poliovirus types 1, 2 \& 3 (IPV1, 2 \& 3) are reported. 95% confidence interval (CI) were calculated based on the exact binomial method by Clopper and Pearson. The immune response to PR5I vaccine was considered as acceptable if the lower bounds of the 2-sided 95% CI for the response rates were greater than the predetermined lower CI limits for PRP, diphtheria (80%), tetanus (90%), and IPV1, 2 \& 3 (90%).

Percentage of Participants Vaccinated With PR5I With Acceptable Ab Response or Seroresponse Rates to All Antigens Contained in the PR5I Vaccine One Month After the Toddler Dose at 13 Months
One month after Toddler dose of PRI5 (13 months old)

Antibody titres in the PR5I group were measured by RIA for PRP, MIT for diphtheria \& poliovirus, enhanced Chemiluminescence assay (ECi)) for Hepatitis B surface antigen (HBsAg) and ELISA for tetanus, Pertussis toxoid (PT), Filamentous haemagglutinin (FHA), Fimbriae types 2 \& 3 (FIM) \& Pertactin (PRN). Percentage of participants with an Ab titre ≥1.0 μg/mL for Hib (PRP); ≥0.1 IU/mL; for diphtheria \& tetanus; ≥10 mIU/mL HBsAg; ≥8 (1/dil) for IPV1, 2 \& 3, and seroresponse to PT, FHA, FIM and PRN are reported. 95% confidence interval (CI) were calculated based on the exact binomial method by Clopper and Pearson. The immune response to PR5I vaccine was considered as acceptable if the lower bounds of the 2-sided 95% CI for the response rates were greater than the lower CI limits for PRP, PT, FHA, FIM, and PRN (75%); Diphtheria (80%); HBsAG, IPV 1, 2, 3 (90%).

Percentage of Participants Vaccinated With PR5I Compared With INFANRIX™ Hexa With Acceptable Ab Response to Haemophilus Influenzae Type b, Diphtheria, Tetanus, and Poliovirus Types 1, 2 & 3, at 5 Months
One month after post-dose 3 of PRI5 (5 months old)

Antibody titres were measured by RIA for PRP, MIT for diphtheria \& poliovirus, and ELISA for tetanus. Percentage of participants with an Ab titre ≥0.15 μg/mL for Hib) (PRP); ≥0.01 IU/mL; for diphtheria \& tetanus; ≥8 (1/dil) for inactivated poliovirus types 1, 2 \& 3 (IPV1, 2 \& 3) are reported. The estimated response rates are based on the method by Miettinen and Nurminen stratified by country.

Percentage of Participants Vaccinated With PR5I Compared With INFANRIX™ Hexa With Acceptable Ab Response Rates to Hepatitis B and Seroresponse to Pertussis Antigens Pt, FHA and PRN One Month After the Toddler Dose at 13 Months Old
One month after Toddler dose of PRI5 (13 months old)

Antibody titres were measured by ECi for HBsAg and ELISA for PT, FHA, \& PRN. Percentage of participants with an Ab titre ≥10 mIU/mL HBsAg; ≥8 (1/dil) for IPV1, 2 \& 3, and seroresponse to PT, FHA, and PRN are reported. The estimated response rates are based on the method by Miettinen and Nurminen stratified by country.

Geometric Mean Concentration of Antibodies to Polyribosylribitol Phosphate Antigen
Postdose 3 (Month 7)

Participant serum samples were collected for testing with a radioimmunoassay for antibodies to Haemophilus influenza type b capsular polysaccharide polyribosylribitol phosphate.

Geometric Mean Concentration of Antibodies to Hepatitis B Surface Antigen
Postdose 3 (Month 7)

Participant serum samples were collected for testing with an enhanced chemiluminescence assay for antibodies to Hepatitis B Surface Antigen. The unit of measure is milli International Units/mL (mIU/mL).

Geometric Mean Concentration of Antibodies to Diphtheria Toxin
Postdose 3 (Month 7)

Participant serum samples were collected for testing with a Micrometabolic Inhibition Test for neutralizing antibodies to diphtheria toxin. The unit of measure is International Units/mL (IU/mL).

Geometric Mean Concentration of Antibodies to Tetanus Toxin
Postdose 3 (Month 7)

Participant serum samples were collected for testing with an Enzyme-linked Immunosorbent Assay (ELISA) for anti-tetanus antibodies.

Geometric Mean Concentration of Antibodies to Pertussis Toxin
Postdose 3 (Month 7)

Participant serum samples were collected for testing with an ELISA for antibodies to pertussis toxin. The unit of measure is ELISA units/mL (EU/mL).

Geometric Mean Concentration of Antibodies to Pertussis Filamentous Hemagglutinin
Postdose 3 (Month 7)

Participant serum samples were collected for testing with an ELISA for antibodies to pertussis filamentous hemagglutinin.

Geometric Mean Concentration of Antibodies to Pertussis Pertactin
Postdose 3 (Month 7)

Participant serum samples were collected for testing with an ELISA for antibodies to pertussis pertactin.

Geometric Mean Concentration of Antibodies to Pertussis Fimbriae
Postdose 3 (Month 7)

Participant serum samples were collected for testing with an ELISA for antibodies to pertussis fimbriae.

Geometric Mean Titer for Antibodies to Poliovirus Type 1
Postdose 3 (Month 7)

Participant serum samples were collected for testing with a Micrometabolic Inhibition Test for neutralizing antibodies to Poliovirus Type 1. The unit of measure is titer (reciprocal of highest dilution with neutralizing activity).

Geometric Mean Titer for Antibodies to Poliovirus Type 2
Postdose 3 (Month 7)

Participant serum samples were collected for testing with a Micrometabolic Inhibition Test for neutralizing antibodies to Poliovirus Type 2.

Geometric Mean Titer for Antibodies to Poliovirus Type 3
Postdose 3 (Month 7)

Participant serum samples were collected for testing with a Micrometabolic Inhibition Test for neutralizing antibodies to Poliovirus Type 3.

Percentage of Participants Responding to Polyribosylribitol Phosphate Antigen
Postdose 3 (Month 7)

Participant serum samples were collected for testing with a radioimmunoassay for antibodies to Haemophilus influenza type b capsular polysaccharide polyribosylribitol phosphate. Response was evaluated for titer \>=0.15 μg/mL and \>=1.0 μg/mL.

Percentage of Participants Responding to Hepatitis B Surface Antigen
Postdose 3 (Month 7)

Participant serum samples were collected for testing with an enhanced chemiluminescence assay for antibodies to Hepatitis B Surface Antigen. Response was defined as a titer \>=10 milli International units (mIU)/mL.

Percentage of Participants Responding to Diphtheria Toxin
Postdose 3 (Month 7)

Participant serum samples were collected for testing with a Micrometabolic Inhibition Test for neutralizing antibodies to diphtheria toxin. Response was defined as a titer \>=0.1 International unit (IU)/mL.

Percentage of Participants Responding to Tetanus Toxin
Postdose 3 (Month 7)

Participant serum samples were collected for testing with an ELISA for anti-tetanus antibodies. Response was defined as a titer \>=0.1 IU/mL.

Percentage of Participants Responding to Pertussis Toxin
Postdose 3 (Month 7)

Participant serum samples were collected for testing with an Enzyme-linked Immunosorbent Assay (ELISA) for antibodies to pertussis toxin. Response was defined as follows: 1) if the predose titer was \<4 times the lower limit of quantitation (4X LLOQ) then the postdose titer was \>=4X LLOQ; 2) if the predose titer was \>=4X LLOQ then the postdose titer was \>= the predose titer.

Percentage of Participants Responding to Pertussis Filamentous Hemagglutinin
Postdose 3 (Month 7)

Participant serum samples were collected for testing with an ELISA for antibodies to pertussis filamentous hemagglutinin. Response was defined as follows: 1) if the predose titer was \<4X LLOQ then the postdose titer was \>=4X LLOQ; 2) if the predose titer was \>=4X LLOQ then the postdose titer was \>= the predose titer.

Percentage of Participants Responding to Pertussis Pertactin
Postdose 3 (Month 7)

Participant serum samples were collected for testing with an ELISA for antibodies to pertussis pertactin. Response was defined as follows: 1) if the predose titer was \<4X LLOQ then the postdose titer was \>=4X LLOQ; 2) if the predose titer was \>=4X LLOQ then the postdose titer was \>= the predose titer.

Percentage of Participants Responding to Pertussis Fimbriae
Postdose 3 (Month 7)

Participant serum samples were collected for testing with an ELISA for antibodies to pertussis fimbriae. Response was defined as follows: 1) if the predose titer was \<4X LLOQ then the postdose titer was \>=4X LLOQ; 2) if the predose titer was \>=4X LLOQ then the postdose titer was \>= the predose titer.

Percentage of Participants Responding to Poliovirus Type 1
Postdose 3 (Month 7)

Participant serum samples were collected for testing with a Micrometabolic Inhibition Test for neutralizing antibodies to Poliovirus Type 1. Response is defined as a titer \>=8.

Percentage of Participants Responding to Poliovirus Type 2
Postdose 3 (Month 7)

Participant serum samples were collected for testing with a Micrometabolic Inhibition Test for neutralizing antibodies to Poliovirus Type 2. Response is defined as a titer \>=8.

Percentage of Participants Responding to Poliovirus Type 3
Postdose 3 (Month 7)

Participant serum samples were collected for testing with a Micrometabolic Inhibition Test for neutralizing antibodies to Poliovirus Type 3. Response is defined as a titer \>=8.

Secondary Endpoints

Percentage of Participants Vaccinated With PR5I With Acceptable Ab Response to Measles, Mumps, Rubella and Varicella One Month After the Toddler Dose of ProQuad at 13 Months Old
One month after Toddler dose of PRI5 (13 months old)
Percentage of Participants Vaccinated With PR5I Compared With INFANRIX™ Hexa With Acceptable Ab Response to Measles, Mumps, Rubella and Varicella One Month After the Toddler Dose of ProQuad at 13 Months Old
One month after Toddler dose of PRI5 (13 months old)
Percentage of Participants With Injection-site and Systemic Adverse Events (AEs) From Day 1 to Day 15 After Any Vaccination
Day 1 to Day 15 after any vaccination
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Study Design & Arms

AllocationRANDOMIZED
MaskingDOUBLE
ModelPARALLEL
PurposePREVENTION

Treatment Arms

ArmTypeDescription
PR5IEXPERIMENTALV419 + RotaTeq + Prevenar 13 + ProQuad
INFANRIX™ hexaACTIVE_COMPARATORINFANRIX™ hexa + RotaTeq + Prevenar 13 + ProQuad
V419 Lot AEXPERIMENTALV419 (Lot A) 0.5 mL intramuscular injection (IM) at 2, 4, and 6 months of age; Pentacel™ 0.5 mL IM at 15 month of age; Prevnar 13™ 0.5 mL IM at 2, 4, 6, and 15 months of age; and RotaTeq™ 2 mL oral dose at 2, 4, and 6 months of age
V419 Lot BEXPERIMENTALV419 (Lot B) 0.5 mL IM at 2, 4, and 6 months of age; Pentacel™ 0.5 mL IM at 15 month of age; Prevnar 13™ 0.5 mL IM at 2, 4, 6, and 15 months of age; and RotaTeq™ 2 mL oral dose at 2, 4, and 6 months of age
V419 Lot CEXPERIMENTALV419 (Lot C) 0.5 mL IM at 2, 4, and 6 months of age; Pentacel™ 0.5 mL IM at 15 month of age; Prevnar 13™ 0.5 mL IM at 2, 4, 6, and 15 months of age; and RotaTeq™ 2 mL oral dose at 2, 4, and 6 months of age
ControlACTIVE_COMPARATORPentacel™ 0.5 mL IM at 2, 4, 6, and 15 months of age; Prevnar 13™ 0.5 mL IM at 2, 4, 6, and 15 months of age; RotaTeq™ 2 mL oral dose at 2, 4, and 6 months of age; and Recombivax HB vaccine 0.5 mL IM at 2 and 6 months of age
V419EXPERIMENTALV419 0.5 mL intramuscular injection (IM) at 2, 4, and 6 months of age; Daptacel™ 0.5 mL IM at 15 months of age; PedvaxHIB™ 0.5 mL IM at 15 months of age; Prevnar 13™ 0.5 mL IM at 2, 4, 6, and 15 months of age; and RotaTeq™ 2 mL oral dose at 2, 4, and 6 months of age.

Interventions

NameTypeDescription
V419BIOLOGICALV419 (Diphtheria and Tetanus Toxoids and Acellular Pertussis Adsorbed, Inactivated Poliovirus, Haemophilus b Conjugate \[Meningococcal Outer Membrane Protein Complex\], and Hepatitis B \[Recombinant\] Vaccine) 0.5 mL intramuscular injection at 2, 3, 4, and 12 months of age.
INFANRIX™ hexaBIOLOGICALINFANRIX™ hexa 0.5 mL intramuscular injection at 2, 3, 4, and 12 months of age.
RotaTeqBIOLOGICALRotaTeq (pentavalent combination live vaccine of 5 human-bovine reassortant rotavirus strains) 2 mL oral dose at 2, 3, and 4 months of age
Prevenar 13BIOLOGICALPrevenar 13 0.5 mL intramuscular injection at 2, 3, 4,and 13 months of age
ProQuad™BIOLOGICALProQuad™ 0.5 mL subcutaneous injection at 12 and 13 months of age
PENTACEL™BIOLOGICALPENTACEL™ 0.5 mL intramuscular injection at 15 months of age in the V419 groups and at 2, 4, 6, and 15 months of age in the control group
Prevnar 13™BIOLOGICALPrevnar 13™ 0.5 mL intramuscular injection at 2, 4, 6, and 15 months of age
RotaTeq™BIOLOGICALRotaTeq™ 2 mL oral dose at 2, 4, and 6 months of age
Recombivax HB vaccineBIOLOGICALRecombivax HB vaccine 0.5 mL intramuscular injection at 2 and 6 months of age
DAPTACEL™BIOLOGICALDAPTACEL™ 0.5 mL intramuscular injection at 15 months of age
PedvaxHIB™BIOLOGICALPedvaxHIB™ 0.5 mL intramuscular injection at 15 months of age
ActHIB™BIOLOGICALActHIB™ 0.5 mL intramuscular injection at 15 months of age
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Eligibility Criteria

Age Range46 Days to 74 Days
SexALL
Healthy VolunteersYes

Inclusion Criteria * Healthy infants able to attend all study visits * Parent(s)/legal representative able to read, understand, and complete study questionnaires Exclusion Criteria * History of congenital or acquired immunodeficiency * Received or is expected to receive immunosuppressive agents o...

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Frequently asked questions about V419

What is V419 used for?

V419 is an investigational monoclonal antibody being developed for bacterial infections. It is being studied in healthy infants, with clinical trials evaluating its safety, tolerability, and immunogenicity when given alone or with other vaccines. The drug is in Phase 3 clinical development.

Who makes V419?

V419 is being developed by Merck & Company, Inc. (NYSE: MRK). The company is conducting Phase 3 clinical trials of the drug in healthy infants for bacterial infections.

What phase is V419 in?

V419 is in Phase 3 clinical development. All three completed trials for the drug are Phase 3 studies, though the drug remains investigational and is not yet approved.

What clinical trials is V419 in?

V419 has three completed Phase 3 trials: NCT01337167 (1,473 participants), NCT01340937 (2,808 participants), and NCT01341639 (1,250 participants). These studies evaluated the drug in healthy infants, including when given with Prevnar 13 and RotaTeq.

How does V419 work?

V419 is a monoclonal antibody, a type of biologic drug that uses laboratory-made antibodies to target specific components of the immune system. However, its specific molecular target has not been disclosed in the available clinical trial information.