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V920 Vaccine

Phase 1

Ebola Virus | Monoclonal antibody | Infectious Disease |Merck & Company, Inc.|Last Updated: Feb 5, 2020

Success Probability
Approval Probability 71%
TA Base Rate26%
Adjusted LOA41%
ML RiskLOW_RISK
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Market & Valuation
rNPV $3.2B
Market Size $9.4B
Revenue Basis $1.6B
Competitors 6
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Trial Design
RandomizedDouble-BlindPLACEBO_CONTROLLEDDMCBiomarker
Total Trials2
Total Enrollment552
FDA Designations
No designations recorded
Clinical Trials (2)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT02314923Placebo Controlled, Dose Response, Safety and Immunogenicity Study of Vesicular Stomatitis Virus (VSV) Ebola Vaccine in Healthy Adults (V920-004)PHASE1 COMPLETED 513Dec 5, 2014Jun 23, 2016Feb 5, 2020 -
NCT02269423Vaccine Treatment for Ebola Virus in Healthy Adults (V920-001)PHASE1 COMPLETED 39Oct 13, 2014Aug 25, 2015Oct 23, 2019 -
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Study Endpoints
Primary Endpoints
Percentage of Participants With One or More Solicited Injection-site Adverse Events by Severity
Up to 14 days postvaccination

An AE can be any unfavourable and unintended sign, symptom, or disease temporally associated with the use of study vaccine or protocol-specified procedure, whether or not considered related to the study vaccine or protocol-specified procedure. Any worsening of a preexisting condition that is temporally associated with the use of the study vaccine or protocol-specified procedure is also an adverse event. Injection-site AEs prompted on the Vaccination Report Card (VRC) were erythema, pain, tenderness and swelling. AEs were assessed for severity by the investigator according to a toxicity grading scale based on the FDA Guidance for Industry: Toxicity Grading Scale for Healthy Adult and Adolescent Volunteers Enrolled in Preventive Vaccine Clinical Trials. Grade 1=Mild; Grade 2=Moderate; Grade 3=Severe; Grade 4=Potentially life-threatening. The percentage of participants that experienced at least 1 solicited injection-site AE was summarized by grade.

Percentage of Participants With One or More Solicited Systemic Adverse Events by Severity
Up to 14 days postvaccination

An AE can be any unfavourable and unintended sign, symptom, or disease temporally associated with the use of study vaccine or protocol-specified procedure, whether or not considered related to the study vaccine or protocol-specified procedure. Any worsening of a preexisting condition that is temporally associated with the use of the study vaccine or protocol-specified procedure is also an adverse event. Systemic AEs included subjective and objective fever, shivering/chills, sweats, myalgia, arthralgia, joint swelling, joint tenderness, fatigue, headache, gastrointestinal symptoms (nausea, vomiting, abdominal pain, and diarrhea), mucosal lesion, and skin lesion (including any blisters). AEs were assessed for severity by the investigator as follows: Grade 1=Mild; Grade 2=Moderate; Grade 3=Severe; Grade 4=Potentially life-threatening. The percentage of participants that experienced at least one systemic AE was summarized by grade.

Percentage of Participants With One or More Unsolicited Vaccine-related Adverse Event by Severity
Up to 56 days postvaccination

An AE can be any unfavourable and unintended sign, symptom, or disease temporally associated with the use of study vaccine or protocol-specified procedure, whether or not considered related to the study vaccine or protocol-specified procedure. Any worsening of a preexisting condition that is temporally associated with the use of the study vaccine or protocol-specified procedure is also an adverse event. Unsolicited vaccine-related AEs were those events not specifically listed as either an injection-site (local) or systemic in the VRC and were reported as at least possibly related to the study vaccine or placebo. The AEs were further assessed for severity by the investigator as follows: Grade 1=Mild; Grade 2=Moderate; Grade 3=Severe; Grade 4=Potentially life-threatening. The percentage of participants that experienced at least one unsolicited vaccine-related AE was summarized by grade..

Percentage of Participants With One or More Serious Adverse Event (SAE) by Severity
Up to 360 days postvaccination

An adverse event is defined as any untoward medical occurrence in a participant which does not necessarily have a causal relationship with study vaccine. An SAE is an AE that results in death, is life-threatening, results in a persistent or significant disability or incapacity, results in or prolongs an existing hospitalization, is a congenital anomaly or birth defect, or is another important medical event. SAEs were assessed for severity by the investigator as follows: Grade 1=Mild; Grade 2=Moderate; Grade 3=Severe; Grade 4=Potentially life-threatening; 5=Fatal. The percentage of participants that experienced at least 1 SAE was summarized by grade.

Geometric Mean Titers (GMTs) of Zaire Ebola Virus- (ZEBOV)-Specific Immunoglobulin-G (IgG) Antibody
28 days postvaccination

Blood was drawn on Day 28 to assess the GMTs of ZEBOV-specific IgG antibodies as determined by Enzyme-linked immunosorbent assay (ELISA).

Optimum Dose for General Use Prophylaxis With V920
Day 360

The optimum dose for general use prophylaxis with V920 was determined following the review of all immunogenicity and safety data.

Number of Participants With One or More Solicited Local Treatment-Emergent Adverse Events (TEAE)
Up to 14 days postvaccination

An adverse event (AE) is defined as any untoward medical occurrence in a participant which does not necessarily have a causal relationship with study vaccine. A treatment-emergent adverse event (TEAE) is defined as an AE that starts or worsens on or after the date and time of the study vaccination. Local reactogenicity signs and symptoms include pain, erythema (redness), and induration (swelling). The number of participants that experienced at least one solicited local TEAE was assessed. Solicited TEAEs occurred from the time of each injection through 14 days following the procedure, facilitated with the use of a memory aid to record participant observations.

Number of Participants With One or More Solicited Local Treatment-Emergent Adverse Events (TEAE) by Severity
Up to 14 days postvaccination

An AE is defined as any untoward medical occurrence in a participant which does not necessarily have a causal relationship with study vaccine. A TEAE is defined as an AE that starts or worsens on or after the date and time of the study vaccination. Local reactogenicity signs and symptoms include pain, erythema (redness), and induration (swelling). AEs were assessed for severity by the investigator according to a toxicity grading scale based on the FDA's Guidance for Industry "Toxicity Grading Scale for Healthy Adult and Adolescent Volunteers Enrolled in Preventive Vaccine Clinical Trials": Grade 1=Mild; Grade 2=Moderate; Grade 3=Severe; Grade 4=Potentially life-threatening. The number of participants that experienced at least one solicited local TEAE was summarized by grade. Solicited TEAEs occurred from the time of each injection through 14 days following the procedure, facilitated with the use of a memory aid to record participant observations.

Number of Participants With One or More Solicited Systemic Treatment-Emergent Adverse Events (TEAE)
Up to 14 days postvaccination

An adverse event (AE) is defined as any untoward medical occurrence in a participant which does not necessarily have a causal relationship with study vaccine. A treatment-emergent adverse event is defined as an AE that starts or worsens on or after the date and time of the study vaccination. Systemic reactogenicity signs and symptoms include pyrexia (subjective and objective fever), chills, hyperhidrosis (sweats), myalgia, arthralgia, fatigue, headache, and gastrointestinal symptoms including nausea, vomiting, abdominal pain, and/or diarrhea. The number of participants that experienced at least one solicited systemic TEAE was assessed. Solicited TEAEs occurred from the time of each injection through 14 days following the procedure, facilitated with the use of a memory aid to record participant observations.

Number of Participants With One or More Solicited Systemic Treatment-Emergent Adverse Events (TEAE) by Severity
Up to 14 days postvaccination

An AE is defined as any untoward medical occurrence in a participant which does not necessarily have a causal relationship with study vaccine. A TEAE is defined as an AE that starts or worsens on or after the date and time of the study vaccination. Systemic reactogenicity signs and symptoms include pyrexia (subjective and objective fever), chills, hyperhidrosis (sweats), myalgia, arthralgia, fatigue, headache, and gastrointestinal symptoms including nausea, vomiting, abdominal pain, and/or diarrhea. AEs were assessed for severity by the investigator as follows: Grade 1=Mild; Grade 2=Moderate; Grade 3=Severe; Grade 4=Potentially life-threatening. The number of participants that experienced at least 1 solicited systemic TEAE was summarized by grade. Solicited TEAEs occurred from the time of each injection through 14 days following the procedure, facilitated with the use of a memory aid to record participant observations.

Number of Participants With One or More Unsolicited Treatment-Emergent Adverse Events (TEAE)
Up to 28 days postvaccination

An adverse event (AE) is defined as any untoward medical occurrence in a participant which does not necessarily have a causal relationship with study vaccine. A treatment-emergent adverse event is defined as an AE that starts or worsens on or after the date and time of the study vaccination. The number of participants that experienced at least one unsolicited TEAE was assessed. Unsolicited AEs occurred from the time of injection through 28 days following injection.

Number of Participants With One or More Vaccination-Related Unsolicited Treatment-Emergent Adverse Events (TEAE)
Up to 28 days postvaccination

An adverse event (AE) is defined as any untoward medical occurrence in a participant which does not necessarily have a causal relationship with study vaccine. A treatment-emergent adverse event is defined as an AE that starts or worsens on or after the date and time of the study vaccination. A related TEAE is defined as a TEAE that was possibly, probably, or definitely related to the vaccination as assessed by the investigator. The number of participants that experienced at least one unsolicited TEAE related to study vaccination was assessed.

Number of Participants With One or More Vaccination-Related Unsolicited Treatment-Emergent Adverse Events (TEAE) by Severity
Up to 28 days postvaccination

An adverse event (AE) is defined as any untoward medical occurrence in a participant which does not necessarily have a causal relationship with study vaccine. A treatment-emergent adverse event is defined as an AE that starts or worsens on or after the date and time of the study vaccination. A related TEAE is defined as a TEAE that was possibly, probably, or definitely related to the vaccination as assessed by the investigator. AEs were assessed for severity by the investigator according to a toxicity grading scale based on the FDA's Guidance for Industry "Toxicity Grading Scale for Healthy Adult and Adolescent Volunteers Enrolled in Preventive Vaccine Clinical Trials": Grade 1=Mild; Grade 2=Moderate; Grade 3=Severe; Grade 4=Potentially life-threatening. The number of participants that experienced at least one unsolicited TEAE related to study vaccination was summarized by grade.

Number of Participants With Early Study Discontinuation Due to an Adverse Event
Up to 28 days postvaccination

An adverse event (AE) is defined as any untoward medical occurrence in a participant which does not necessarily have a causal relationship with study vaccine. The number of participants prematurely withdrawing from the study due to an AE was assessed.

Number of Participants With One or More Serious Adverse Event
Up to 180 days postvaccination

An adverse event is defined as any untoward medical occurrence in a participant which does not necessarily have a causal relationship with study vaccine. A serious adverse event (SAE) is an AE that results in death, is life-threatening, results in a persistent or significant disability or incapacity, results in or prolongs an existing hospitalization, is a congenital anomaly or birth defect, or is another important medical event. The number of participants that experienced one or more SAE was summarized.

Secondary Endpoints
Mean Copies of Vector Ribonucleic Acid (RNA) for Participants With a V920 Polymerase Chain Reaction (PCR) Result ≥ Lower Limit of Quantification (LLOQ)
Days 1, 2, 3, 4, 7, 14 and 28 post-vaccination
Percentage of Participants With Seroconversion for ZEBOV-specific IgG
7, 14, 28, 56, 84 (Cohort 1 only), 180, and 360 days postvaccination
Percentage of Participants With Seroconversion for ZEBOV Neutralizing Antibodies
7, 14, 28, 56, 84 (Cohort 1 only), 180, and 360 days postvaccination
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Study Design & Arms
AllocationRANDOMIZED
MaskingTRIPLE
ModelPARALLEL
PurposePREVENTION
Treatment Arms
ArmTypeDescription
3x10^3 pfu Vaccine Cohort 1EXPERIMENTALParticipants will receive a 1-mL intramuscular injection of V920 3x10\^3 pfu in the deltoid on Day 0.
3x10^4 pfu Vaccine Cohort 1EXPERIMENTALParticipants will receive a 1-mL intramuscular injection of V920 3x10\^4 pfu in the deltoid on Day 0.
3x10^5 pfu Vaccine Cohort 1EXPERIMENTALParticipants will receive a 1-mL intramuscular injection of V920 3x10\^5 pfu in the deltoid on Day 0.
3x10^6 pfu Vaccine Cohort 1EXPERIMENTALParticipants will receive a 1-mL intramuscular injection of V920 3x10\^6 pfu in the deltoid on Day 0.
9x10^6 pfu Vaccine Cohort 2EXPERIMENTALParticipants will receive a 1-mL intramuscular injection of V920 9x10\^6 pfu in the deltoid on Day 0.
2x10^7 pfu Vaccine Cohort 2EXPERIMENTALParticipants will receive a 1-mL intramuscular injection of V920 2x10\^7 pfu in the deltoid on Day 0.
1x10^8 pfu Vaccine Cohort 2EXPERIMENTALParticipants will receive a 1-mL intramuscular injection of V920 1x10\^8 pfu in the deltoid on Day 0.
Placebo Cohort 1PLACEBO_COMPARATORParticipants will receive a 1-mL intramuscular injection of placebo in the deltoid on Day 0.
3x10^6 pfu Vaccine Cohort 2EXPERIMENTALParticipants will receive a 1-mL intramuscular injection of V920 3x10\^3 pfu in the deltoid on Day 0.
Placebo Cohort 2PLACEBO_COMPARATORParticipants will receive a 1-mL intramuscular injection of placebo in the deltoid on Day 0.
3x10^6 plaque-forming units (pfu) Vaccine CohortEXPERIMENTALParticipants will receive a 1-mL intramuscular injection of V920 3x10\^6 pfu in one deltoid and a 1-mL intramuscular injection of placebo in the contralateral deltoid on Day 0.
2x10^7 pfu Vaccine CohortEXPERIMENTALParticipants will receive a 1-mL intramuscular injection of V920 2x10\^7 pfu in one deltoid and a 1-mL intramuscular injection of placebo in the contralateral deltoid on Day 0.
1x10^8 pfu Vaccine CohortEXPERIMENTALParticipants will receive a 1-mL intramuscular injection of V920 1x10\^8 pfu in one deltoid and a 1-mL intramuscular injection of placebo in the contralateral deltoid on Day 0.
Placebo CohortPLACEBO_COMPARATORParticipants will receive a 1-mL intramuscular injection of placebo in each deltoid on Day 0.
Interventions
NameTypeDescription
V920 VaccineBIOLOGICALVesicular Stomatitis Virus (VSV)-based vaccine 1-mL injection containing 3x10\^3, 3x10\^4, 3x10\^5, 3x10\^6, 9x10\^6, 2x10\^7, or 1x10\^8 pfu.
PlaceboOTHER0.9% Saline
V920BIOLOGICALVesicular Stomatitis Virus (VSV)-based vaccine 1-mL injection containing 3x10\^6, 2x10\^7, or 1x10\^8 pfu.
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Eligibility Criteria
Age Range18 Years — 60 Years
SexALL
Healthy VolunteersYes

Inclusion Criteria: 1. Healthy adult male or non-pregnant, non-lactating adult female, ages 18 to 60 (inclusive) at the time of screening 2. Have provided written informed consent prior to screening procedures 3. Free of clinically significant health problems, as determined by pertinent medical his...

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