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rLP2086

Phase 3

Meningococcal Vaccine | Monoclonal antibody | Infectious Disease |Pfizer, Inc.|Last Updated: Oct 27, 2022

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 Enrollment4,349
FDA Designations
No designations recorded
Clinical Trials (2)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT01830855A Trial to Assess the Lot Consistency, Safety, Tolerability and Immunogenicity of Bivalent rLP2086 Vaccine When Given to Healthy Subjects Aged ≥10 to <19 YearsPHASE3 COMPLETED 3,596Apr 1, 2013Apr 1, 2015Jun 14, 201699 United States, Canada +6
NCT01323270A Trial to Assess the Safety, Tolerability and Immunogenicity of Repevax and rLP2086 Vaccine When Given Together in Healthy Subjects Aged >=11 to <19 Years.PHASE2 COMPLETED 753Mar 18, 2011Feb 19, 2013Oct 27, 202236 Finland, Germany +1
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Study Endpoints
Primary Endpoints
Percentage of Participants With >=4 Fold Rise in Serum Bactericidal Assay Using Human Complement (hSBA) for 4 Primary Strains and Composite Response (hSBA >=Lower Limit of Quantification [LLOQ] for All 4 Primary Strains Combined) for Group 1
One month after third bivalent rLP2086 vaccination

Groups 2 and 3 were included for the Lot consistency analysis for primary strains only (hSBA geometric mean titer). The immunogenicity of two MnB strains in lots 1,2,3 were required to test for lot consistency. These data are presented separately in the other endpoints. The data for all the strains in Lot 1 (Group 1) is sufficient to describe the immunogenicity expected with the vaccine. The analytical plan was included in the protocol and agreement was reach with EMA and FDA. Here, N signifies participants with valid and determinate hSBA titers for given strain at specified time point.

hSBA Geometric Mean Titers (GMTs) for Each of the 2 Primary Test Strains Measured 1 Month After the Third Vaccination With Bivalent rLP2086 Vaccine
One month after third bivalent rLP2086 vaccination
Percentage of Participants Reporting Local Reactions (LRs) Within 7 Days After First Vaccination
Within 7 Days after first vaccination
Percentage of Participants Reporting Local Reactions (LRs) Within 7 Days After Second Vaccination
Within 7 Days after second vaccination
Percentage of Participants Reporting Local Reactions (LRs) Within 7 Days After Third Vaccination
Within 7 Days after third vaccination
Percentage of Participants Reporting Systemic Events (SEs) and Antipyretic Use Within 7 Days After First Vaccination
Within 7 Days after first vaccination

Here, N signifies participants with known values reporting specific characteristic.

Percentage of Participants Reporting Systemic Events (SEs) and Antipyretic Use Within 7 Days After Second Vaccination
Within 7 Days after second vaccination

Here, N signifies participants with known values reporting specific characteristic.

Percentage of Participants Reporting Systemic Events (SEs) and Antipyretic Use Within 7 Days After Third Vaccination
Within 7 Days after third vaccination

Here, N signifies participants with known values reporting specific characteristic.

Percentage of Participants With at Least 1 Serious Adverse Event (SAE) Within 30 Days After First Vaccination
Within 30 days after first vaccination
Percentage of Participants With at Least 1 Serious Adverse Event (SAE) Within 30 Days After Second Vaccination
Within 30 days after second vaccination
Percentage of Participants With at Least 1 Serious Adverse Event (SAE) Within 30 Days After Third Vaccination
Within 30 days after third vaccination
Percentage of Participants With at Least 1 Serious Adverse Event (SAE) Within 30 Days After Any Vaccination
Within 30 days after any vaccination
Percentage of Participants With at Least 1 Serious Adverse Event (SAE) During the Vaccination Phase
From the first vaccination up to 1 month after the third vaccination
Percentage of Participants With at Least 1 Serious Adverse Event (SAE) During the Follow-Up Phase
From 1 month after third vaccination up to 6 months after the third vaccination
Percentage of Participants With at Least 1 Serious Adverse Event (SAE) Throughout the Study Period
From the first vaccination up to 6 month after the third vaccination
Percentage of Participants With at Least 1 Medically Attended AE Within 30 Days After First Vaccination
Within 30 days after first vaccination
Percentage of Participants With at Least 1 Medically Attended AE Within 30 Days After Second Vaccination
Within 30 days after second vaccination
Percentage of Participants With at Least 1 Medically Attended AE Within 30 Days After Third Vaccination
Within 30 days after third vaccination
Percentage of Participants With at Least 1 Medically Attended AE Within 30 Days After Any Vaccination
Within 30 days after any vaccination
Percentage of Participants With at Least 1 Medically Attended AE During the Vaccination Phase
From the first vaccination up to 1 month after the third vaccination
Percentage of Participants With at Least 1 Medically Attended AE During the Follow-Up Phase
From 1 month after third vaccination up to 6 months after the third vaccination
Percentage of Participants With at Least 1 Medically Attended AE Throughout the Study Period
From the first vaccination up to 6 month after the third vaccination
Percentage of Participants With at Least 1 Newly Diagnosed Chronic Medical Condition Within 30 Days After First Vaccination
Within 30 days after first vaccination
Percentage of Participants With at Least 1 Newly Diagnosed Chronic Medical Condition Within 30 Days After Second Vaccination
30 days after second vaccination
Percentage of Participants With at Least 1 Newly Diagnosed Chronic Medical Condition Within 30 Days After Third Vaccination
Within 30 days after third vaccination
Percentage of Participants With at Least 1 Newly Diagnosed Chronic Medical Condition Within 30 Days After Any Vaccination
Within 30 Days After any Vaccination
Percentage of Participants With at Least 1 Newly Diagnosed Chronic Medical Condition During the Vaccination Phase
From the first vaccination up to 1 month after the third vaccination
Percentage of Participants With at Least 1 Newly Diagnosed Chronic Medical Condition During the Follow-Up Phase
From 1 month after third vaccination up to 6 months after the third vaccination
Percentage of Participants With at Least 1 Newly Diagnosed Chronic Medical Condition Throughout the Study Period
From the first vaccination up to 6 month after the third vaccination
Percentage of Participants With at Least 1 Adverse Event (AE) WIthin 30 Days After First Vaccination
Within 30 days after first vaccination
Percentage of Participants With at Least 1 Adverse Event (AE) Within 30 Days After Second Vaccination
Within 30 days after second vaccination
Percentage of Participants With at Least 1 Adverse Event (AE) Within 30 Days After Third Vaccination
Within 30 days after third vaccination
Percentage of Participants With at Least 1 Adverse Event Within 30 Days After Any Vaccination
Within 30 Days after any vaccination
Percentage of Participants With at Least 1 Adverse Event During the Vaccination Phase
From the first vaccination up to 1 month after the third vaccination
Percentage of Participants Reporting at Least 1 Immediate AE After First Vaccination
Within 30 minutes after first vaccination
Percentage of Participants Reporting at Least 1 Immediate AE After Second Vaccination
Within 30 minutes after second vaccination
Percentage of Participants Reporting at Least 1 Immediate AE After Third Vaccination
Within 30 minutes after third vaccination
Number of Days Participant's Missed School or Work Due to AE During the Vaccination Phase
From the first vaccination up to 1 month after the third vaccination
Percentage of Participants Achieving Prespecified Criteria for the Concomitant Antigen
1 month after Vaccination 1
Percentage of Participants With at Least One Adverse Event (AE)
Vaccination 1 up to 1 month after Vaccination 3
Secondary Endpoints
Percentage of Participants With hSBA Titers >=LLOQ for 10 Secondary Strains Before First Vaccination and 1 Month After Third Bivalent rLP2086 Vaccination for Group 1
Before first vaccination, 1 month after third vaccination
Percentage of Participants With hSBA Titers >=1:4, >=1:8, >=1:16, >=1:32, >=1:64, >=1:128 for Each of the 10 Secondary Strains, Before Vaccination 1 and 1 Month After the Third Bivalent rLP2086 Vaccination for Group 1
Before first vaccination, 1 month after third vaccination (Vac)
hSBA Geometric Mean Titers (GMTs) for Each of the 10 Secondary Strains Before First Vaccination and 1 Month After the Third Bivalent rLP2086 Vaccination for Group 1
Before first vaccination, 1 month after third vaccination
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Study Design & Arms
AllocationRANDOMIZED
MaskingQUADRUPLE
ModelPARALLEL
PurposePREVENTION
Treatment Arms
ArmTypeDescription
rLP2086 lot 1EXPERIMENTAL -
rLP2086 lot 2EXPERIMENTAL -
rLP2086 lot 3EXPERIMENTAL -
ControlACTIVE_COMPARATORHavrix (HAV) and Saline
rLP2086EXPERIMENTALrLP2086 and Repevax
Saline and RepevaxPLACEBO_COMPARATORSaline and Repevax
Interventions
NameTypeDescription
rLP2086BIOLOGICAL0.5 mL dose, given at 0, 2 and 6 months (lot 1)
Havrix (HAV)BIOLOGICAL0.5 mL dose or 1.0 mL dose dependent on age given at month 0 and 6.
SalineBIOLOGICAL0.5 mL dose of sterile normal saline for injection.
RepevaxBIOLOGICAL0.5 mL dose, given at 0 months.
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Eligibility Criteria
Age Range10 Years — 18 Years
SexALL
Healthy VolunteersYes
Study Sites99

Inclusion Criteria: 1. Male or female subject aged \>=10 and \<19 years at the time of enrollment. 2. Healthy subject as determined by medical history, physical examination, and judgment of the investigator. 3. Negative urine pregnancy test for all female subjects. Exclusion Criteria: 1. Previous...

Countries:United StatesCanadaCzechiaFinlandGermanyItalyPolandUnited Kingdom
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