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rLP2086 vaccine

Phase 3

Meningitis, Meningococcal | Monoclonal antibody | Infectious Disease |Pfizer, Inc.|Last Updated: Sep 27, 2021

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindCONTROLLEDDMC
Total Trials1
Total Enrollment5,715

FDA Designations

No designations recorded

Clinical trial landscape

rLP2086 vaccine · 2 trials · 2 indications

Phase 3 1Phase 2 1
NCT01352793A Global Phase 3 Safety Study of 120 mcg rLP2086 Vaccine in Adolescents and Young Adults Aged 10 to 25 YearsMeningitis, Meningococcal
COMPLETED5,715 Analytics
PHASE3COMPLETED
A Global Phase 3 Safety Study of 120 mcg rLP2086 Vaccine in Adolescents and Young Adults Aged 10 to 25 Years
Meningitis, MeningococcalUnlock trial analytics

Study Endpoints

Primary Endpoints

Percentage of Participants With at Least One Serious Adverse Event (SAE) Throughout the Study
Vaccination 1 up to 6 months after Vaccination 3

An adverse event (AE) was any untoward medical occurrence in a participant who received study vaccine without regard to possibility of causal relationship. SAE was an AE resulting in any of the following outcomes or deemed significant for any other reason: death, initial or prolonged inpatient hospitalization, life-threatening experience (immediate risk of dying), persistent or significant disability or incapacity, congenital anomaly.

Percentage of Participants With at Least One Medically Attended Adverse Event Within 30 Days After Vaccination 1
Within 30 days after Vaccination 1

A medically attended AE was defined as a non-serious AE that required medical attention.

Percentage of Participants With at Least One Medically Attended Adverse Event Within 30 Days After Vaccination 2
Within 30 days after Vaccination 2

A medically attended AE was defined as a non-serious AE that required medical attention.

Percentage of Participants With at Least One Medically Attended Adverse Event Within 30 Days After Vaccination 3
Within 30 days after Vaccination 3

A medically attended AE was defined as a non-serious AE that required medical attention.

Percentage of Participants With Serum Bactericidal Assay Using Human Complement (hSBA) Titers >= Lower Limit of Quantitation (LLOQ) for Each of the 4 Primary Neisseria Meningitidis Serogroup B (MnB) Test Strains 1 Month After Vaccination 3
1 month after Vaccination 3

Percentage of participants achieving hSBA titer \>= LLOQ were computed along with corresponding 2-sided 95 percent (%) confidence interval (CIs). LLOQ was 1:16 for PMB80 (A22) and 1:8 for PMB2001 (A56), PMB2948 (B24) and PMB2707 (B44).

Percentage of Participants Reporting Pre-specified Local Reactions Within 7 Days After Vaccination 1
within 7 Days after Vaccination 1

Local reactions included tenderness at injection site, swelling and redness collected by using an electronic diary (e-diary). Tenderness was graded as: mild (hurted if gently touched), moderate (hurted if gently touched with crying) and severe (caused limitation of limb movement). Redness and swelling were graded as: mild (0.5-2.0 centimeter \[cm\]), moderate (2.5 to 7.0 cm) and severe (\>7.0 cm).

Percentage of Participants Reporting Pre-specified Local Reactions Within 7 Days After Vaccination 2
within 7 Days after Vaccination 2

Local reactions included tenderness at injection site, swelling and redness collected by using an e-diary. Tenderness was graded as: mild (hurted if gently touched), moderate (hurted if gently touched with crying) and severe (caused limitation of limb movement). Redness and swelling were graded as: mild (0.5-2.0 cm), moderate (2.5 to 7.0 cm) and severe (\>7.0 cm).

Percentage of Participants Reporting Pre-specified Local Reactions Within 7 Days After Vaccination 3
within 7 Days after Vaccination 3

Local reactions included tenderness at injection site, swelling and redness collected by using an e-diary. Tenderness was graded as: mild (hurted if gently touched), moderate (hurted if gently touched with crying) and severe (caused limitation of limb movement). Redness and swelling were graded as: mild (0.5-2.0 cm), moderate (2.5 to 7.0 cm) and severe (\>7.0 cm).

Percentage of Participants Reporting Systemic Events and Antipyretic Use Within 7 Days After Vaccination 1
within 7 Days after Vaccination 1

Systemic reactions included fever, irritability, drowsiness, loss of or decreased appetite and were recorded by using an e-diary. Fever was graded as 38.0 to 38.4 degree Celsius (C), 38.5 to 38.9 degree C, 39.0 to 39.4 degree C, \>39.5 to 40.0 degree C and \>40.0 degree C. Irritability was graded as mild (easily consolable), moderate (requiring increased attention) and severe (inconsolable). Drowsiness was graded as mild (Increased or prolonged sleeping bouts), moderate (slightly subdued interfering with daily activity) and severe (disabling not interested in usual daily activity). Loss of or decreased appetite was graded as mild (decreased interest in eating), moderate (decreased oral intake) and severe (refusal to feed).

Percentage of Participants Reporting Systemic Events and Antipyretic Use Within 7 Days After Vaccination 2
within 7 Days after Vaccination 2

Systemic reactions included fever, irritability, drowsiness, loss of or decreased appetite and were recorded by using an e-diary. Fever was graded as 38.0 to 38.4 degree C, 38.5 to 38.9 degree C, 39.0 to 39.4 degree C, \>39.5 to 40.0 degree C and \>40.0 degree C. Irritability was graded as mild (easily consolable), moderate (requiring increased attention) and severe (inconsolable). Drowsiness was graded as mild (Increased or prolonged sleeping bouts), moderate (slightly subdued interfering with daily activity) and severe (disabling not interested in usual daily activity). Loss of or decreased appetite was graded as mild (decreased interest in eating), moderate (decreased oral intake) and severe (refusal to feed).

Percentage of Participants Reporting Systemic Events and Antipyretic Use Within 7 Days After Vaccination 3
within 7 Days after Vaccination 3

Systemic reactions included fever, irritability, drowsiness, loss of or decreased appetite and were recorded by using an e-diary. Fever was graded as 38.0 to 38.4 degree C, 38.5 to 38.9 degree C, 39.0 to 39.4 degree C, \>39.5 to 40.0 degree C and \>40.0 degree C. Irritability was graded as mild (easily consolable), moderate (requiring increased attention) and severe (inconsolable). Drowsiness was graded as mild (Increased or prolonged sleeping bouts), moderate (slightly subdued interfering with daily activity) and severe (disabling not interested in usual daily activity). Loss of or decreased appetite was graded as mild (decreased interest in eating), moderate (decreased oral intake) and severe (refusal to feed).

Percentage of Participants With at Least 1 Adverse Event (AE), Serious Adverse Event (SAE), Medically Attended Adverse Event (MAE), Newly Diagnosed Chronic Medical Condition (NDCMC) and Immediate Adverse Event (IAE) Within 30 Days After Vaccination 1
within 30 Days after Vaccination 1

An AE was any untoward medical occurrence in a participant who received investigational product without regard to possibility of causal relationship. SAE was an AE resulting in any of the following outcomes or deemed significant for any other reason: death; initial or prolonged inpatient hospitalization; life-threatening experience (immediate risk of dying); persistent or significant disability/incapacity; congenital anomaly; lack of efficacy in an approved indication; important medical event. A MAE was defined as a non-serious AE that resulted in an evaluation at a medical facility. An NDCMC was defined as a disease or medical condition that was not identified prior to study start and was expected to be persistent or otherwise long-lasting in its effects. Immediate AE was defined as AEs occurring within the first 30 minutes after investigational product administration.

Percentage of Participants With at Least 1 Adverse Event (AE), Serious Adverse Event (SAE), Medically Attended Adverse Event (MAE), Newly Diagnosed Chronic Medical Condition (NDCMC) and Immediate Adverse Event (IAE) Within 30 Days After Vaccination 2
within 30 Days after Vaccination 2

An AE was any untoward medical occurrence in a participant who received investigational product without regard to possibility of causal relationship. SAE was an AE resulting in any of the following outcomes or deemed significant for any other reason: death; initial or prolonged inpatient hospitalization; life-threatening experience (immediate risk of dying); persistent or significant disability/incapacity; congenital anomaly; lack of efficacy in an approved indication; important medical event. A MAE was defined as a non-serious AE that resulted in an evaluation at a medical facility. An NDCMC was defined as a disease or medical condition that was not identified prior to study start and was expected to be persistent or otherwise long-lasting in its effects. Immediate AE was defined as AEs occurring within the first 30 minutes after investigational product administration.

Percentage of Participants With at Least 1 Adverse Event (AE), Serious Adverse Event (SAE), Medically Attended Adverse Event (MAE), Newly Diagnosed Chronic Medical Condition (NDCMC) and Immediate Adverse Event (IAE) Within 30 Days After Vaccination 3
within 30 Days after Vaccination 3

An AE was any untoward medical occurrence in a participant who received investigational product without regard to possibility of causal relationship. SAE was an AE resulting in any of the following outcomes or deemed significant for any other reason: death; initial or prolonged inpatient hospitalization; life-threatening experience (immediate risk of dying); persistent or significant disability/incapacity; congenital anomaly; lack of efficacy in an approved indication; important medical event. A MAE was defined as a non-serious AE that resulted in an evaluation at a medical facility. An NDCMC was defined as a disease or medical condition that was not identified prior to study start and was expected to be persistent or otherwise long-lasting in its effects. Immediate AE was defined as AEs occurring within the first 30 minutes after investigational product administration.

Percentage of Participants With at Least 1 Adverse Event (AE), Serious Adverse Event (SAE), Medically Attended Adverse Event (MAE) and Newly Diagnosed Chronic Medical Condition (NDCMC) Within 30 Days After Any Vaccination
within 30 Days after any Vaccination

An AE was any untoward medical occurrence in a participant who received investigational product without regard to possibility of causal relationship. SAE was an AE resulting in any of the following outcomes or deemed significant for any other reason: death; initial or prolonged inpatient hospitalization; life-threatening experience (immediate risk of dying); persistent or significant disability/incapacity; congenital anomaly; lack of efficacy in an approved indication; important medical event. A MAE was defined as a non-serious AE that resulted in an evaluation at a medical facility. An NDCMC was defined as a disease or medical condition that was not identified prior to study start and was expected to be persistent or otherwise long-lasting in its effects.

Percentage of Participants With at Least 1 Adverse Event (AE), Serious Adverse Event (SAE), Medically Attended Adverse Event (MAE) and Newly Diagnosed Chronic Medical Condition (NDCMC) During the Vaccination Phase
From the Vaccination 1 up to 1 month after Vaccination 3

An AE was any untoward medical occurrence in a participant who received investigational product without regard to possibility of causal relationship. SAE was an AE resulting in any of the following outcomes or deemed significant for any other reason: death; initial or prolonged inpatient hospitalization; life-threatening experience (immediate risk of dying); persistent or significant disability/incapacity; congenital anomaly; lack of efficacy in an approved indication; important medical event. A MAE was defined as a non-serious AE that resulted in an evaluation at a medical facility. An NDCMC was defined as a disease or medical condition that was not identified prior to study start and was expected to be persistent or otherwise long-lasting in its effects.

Percentage of Participants With at Least 1 Serious Adverse Event (SAE), Medically Attended Adverse Event (MAE) and Newly Diagnosed Chronic Medical Condition (NDCMC) During the Follow up Phase
From 1 month after Vaccination 3 up to 6 months after Vaccination 3

An AE was any untoward medical occurrence in a participant who received investigational product without regard to possibility of causal relationship. SAE was an AE resulting in any of the following outcomes or deemed significant for any other reason: death; initial or prolonged inpatient hospitalization; life-threatening experience (immediate risk of dying); persistent or significant disability/incapacity; congenital anomaly; lack of efficacy in an approved indication; important medical event. A MAE was defined as a non-serious AE that resulted in an evaluation at a medical facility. An NDCMC was defined as a disease or medical condition that was not identified prior to study start and was expected to be persistent or otherwise long-lasting in its effects.

Percentage of Participants With at Least 1 Serious Adverse Event (SAE), Medically Attended Adverse Event (MAE) and Newly Diagnosed Chronic Medical Condition (NDCMC) From Vaccination 1 up to 6 Months After Vaccination 3
From Vaccination 1 up to 6 months after Vaccination 3

An AE was any untoward medical occurrence in a participant who received investigational product without regard to possibility of causal relationship. SAE was an AE resulting in any of the following outcomes or deemed significant for any other reason: death; initial or prolonged inpatient hospitalization; life-threatening experience (immediate risk of dying); persistent or significant disability/incapacity; congenital anomaly; lack of efficacy in an approved indication; important medical event. A MAE was defined as a non-serious AE that resulted in an evaluation at a medical facility. An NDCMC was defined as a disease or medical condition that was not identified prior to study start and was expected to be persistent or otherwise long-lasting in its effects.

Secondary Endpoints

Percentage of Participants With at Least One Serious Adverse Event (SAE) During Pre-specified Time Periods
Within 30 days after Vaccination 1, 2, 3, any vaccination; vaccination phase (Vaccination 1 up to 1 month after Vaccination 3); follow-up phase (1 month up to 6 months after Vaccination 3)
Percentage of Participants With at Least One Medically Attended Adverse Event During Pre-specified Time Periods
Within 30 days after any vaccination; vaccination phase (Vaccination 1 up to 1 month after Vaccination 3); follow-up phase (1 month up to 6 months after Vaccination 3); throughout study (Vaccination 1 up to 6 months after Vaccination 3)
Percentage of Participants With at Least One Newly Diagnosed Chronic Medical Condition During Pre-specified Time Periods
Within 30 days after Vaccination 1, 2, 3, any vaccination; vaccination phase(Vaccination 1 up to 1 month after Vaccination 3); follow-up phase(1 month up to 6 months after Vaccination 3); throughout study(Vaccination 1 up to 6 months after Vaccination 3)
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Study Design & Arms

AllocationRANDOMIZED
MaskingQUADRUPLE
ModelPARALLEL
PurposePREVENTION

Treatment Arms

ArmTypeDescription
rLP2086 vaccineEXPERIMENTALrLP2086 vaccine
controlOTHERThe control treatment will be HAVRIX vaccine at month 0 and 6 and a normal saline injection at month 2.

Interventions

NameTypeDescription
rLP2086 vaccineBIOLOGICAL120 mcg, 3 doses, at month 0, 2, and 6.
controlBIOLOGICALHAVRIX: 720 EL.U. or 1440 EL.Ul, 2 doses, at month 0 and 6. Placebo: normal saline injection, 1 dose, at month 2.
Pediatric HAV vaccineBIOLOGICAL0.5-mL dose at months 0 and 6. Normal saline at month 2.
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Eligibility Criteria

Age Range10 Years to 25 Years
SexALL
Healthy VolunteersYes
Study Sites86

Inclusion Criteria: * Healthy subjects aged 10 to 25 years. Exclusion Criteria: * Previous vaccination with Hepatitis A virus vaccine * Previous vaccination with investigational meningococcal B vaccine * History of culture-proven N. meningitidis serogroup B disease * Any neuroinflammatory or auto...

Countries:United StatesAustraliaChileCzechiaDenmarkEstoniaFinlandGermanyLithuaniaPolandSpainSweden
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Frequently asked questions about rLP2086 vaccine

What is rLP2086 used for?

rLP2086 is an investigational vaccine being developed to prevent meningococcal disease caused by Neisseria meningitidis serogroup B. It is being studied in healthy individuals ranging from toddlers to adults, with clinical trials evaluating its use in adolescents, young adults, and laboratory workers at risk of exposure.

Who makes rLP2086?

rLP2086 is being developed by Pfizer, Inc., a biopharmaceutical company traded on the New York Stock Exchange under the ticker symbol PFE. Pfizer is conducting clinical trials to assess the safety, tolerability, and immunogenicity of this investigational vaccine.

What phase is rLP2086 in?

rLP2086 has completed Phase 3 clinical development. A global Phase 3 safety study of the 120 mcg dose in adolescents and young adults aged 10 to 25 years has been completed, along with several Phase 2 trials. The vaccine remains investigational and is not yet approved.

What clinical trials is rLP2086 in?

rLP2086 has been studied in several completed trials, including NCT01323270, a Phase 2 trial in healthy subjects aged 11 to 19 years; NCT01352793, a Phase 3 safety study in 5,715 adolescents and young adults; NCT01768117, a Phase 2 trial in laboratory workers; and NCT02534935, a Phase 2 trial in healthy toddlers.

How does rLP2086 work?

rLP2086 is a bivalent recombinant lipoprotein 2086 vaccine designed to target Neisseria meningitidis serogroup B. It contains two variants of the factor H binding protein, a surface protein of the bacteria, to elicit an immune response that protects against meningococcal B disease.

Is rLP2086 the same as Trumenba?

rLP2086 is also known as bivalent rLP2086 and is the same vaccine marketed under the brand name Trumenba. Pfizer developed this vaccine to protect against meningococcal serogroup B disease, and it has been studied across multiple age groups in clinical trials.