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Norovirus Bivalent VLP Vaccine

Phase 2

Norovirus Prevention | Monoclonal antibody | Other |Takeda Pharmaceutical Company Limited|Last Updated: Aug 21, 2017

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 Trials1
Total Enrollment454
FDA Designations
No designations recorded
Clinical Trials (1)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT02142504Safety and Immunogenicity of Norovirus Bivalent Virus-Like Particle Vaccine in Healthy AdultsPHASE2 COMPLETED 454May 15, 2014Jan 6, 2016Aug 21, 201710 United States
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Study Endpoints
Primary Endpoints
Percentage of Participants With Solicited Local Adverse Events (AEs) at Injection Site After the First Injection
Days 1 through 7

Solicited local AEs at injection site are defined as: pain, erythema, induration, and swelling that occurred within 7 days after the primary injection.

Percentage of Participants With Solicited Systemic Adverse Events (AEs) After the First Injection
Days 1 through 7

Solicited systemic AEs are defined as: headache, fatigue, myalgia, arthralgia, vomiting, and diarrhea that occurred within 7 days after the primary injection.

Percentage of Participants With Elevated Daily Oral Temperature (Fever) After the First Injection
Days 1 through 7

Fever is defined as greater than or equal to 38°C (100.4°F). Oral body temperature measurement was performed using the thermometer provided by the site for 7 days after each injection. The highest body temperature observed each day was recorded on the Diary Card also provided by the site.

Percentage of Participants With Unsolicited Adverse Events (AEs) After the First Injection
Days 1 through 28

Unsolicited AEs are any AEs that are not solicited local or systemic AEs, as defined by this study.

Percentage of Participants With Serious Adverse Events (SAEs) After the First Injection
From first injection (Day 1) to second injection pre-dose (Up to Day 365)

A serious adverse event (SAE) is any untoward medical occurrence or effect that at any dose results in death, is life-threatening, requires inpatient hospitalization or prolongation of existing hospitalization, results in persistent or significant disability / incapacity, is a congenital anomaly / birth defect or is medically important due to other reasons than the above mentioned criteria.

Percentage of Participants With Serious Adverse Events (SAEs) After the Second Injection
From second injection (Day 365) to 6 months after second injection (Up to Day 545)

A serious adverse event (SAE) is any untoward medical occurrence or effect that at any dose results in death, is life-threatening, requires inpatient hospitalization or prolongation of existing hospitalization, results in persistent or significant disability / incapacity, is a congenital anomaly / birth defect or is medically important due to other reasons than the above mentioned criteria.

Percentage of Participants With Adverse Events of Special Interest (AESI) After the First Injection
From first injection (Day 1) to second injection pre-dose (Up to Day 365)

AESIs are AEs that are not solicited local or systemic AEs, they are predefined AEs that required close monitoring and prompt reporting to the sponsor. AESI included protocol specified Cardiac Disorders, Gastrointestinal Disorders, Immune System Disorders, Infections and Infestations, Musculoskeletal and Connective Tissue Diseases, Neuroinflammatory Disorders, Renal and Urinary Disorders, Skin Disorders, Thyroid Disorders, Vascular Disorders and Other Disorders.

Percentage of Participants With Adverse Events of Special Interest (AESI) After the Second Injection
From second injection (Day 365) to 6 months after second injection (Up to Day 545)

AESIs are AEs that are not solicited local or systemic AEs, they are predefined AEs that required close monitoring and prompt reporting to the sponsor. AESI included protocol specified Cardiac Disorders, Gastrointestinal Disorders, Immune System Disorders, Infections and Infestations, Musculoskeletal and Connective Tissue Diseases, Neuroinflammatory Disorders, Renal and Urinary Disorders, Skin Disorders, Thyroid Disorders, Vascular Disorders and Other Disorders.

Percentage of Participants With Any Adverse Event (AE) Leading to Withdrawal From the Study
Unsolicited AEs 28 days after each injection (Days 1 to 28 and Days 365 to 393), and Serious Adverse Events (SAEs) throughout the trial (Up to Day 545)

Withdrawal due to an AE occurred if the participant experienced an AE that required early termination because continued participation imposed an unacceptable risk to the participant's health or the participant was unwilling to continue because of the AE.

Secondary Endpoints
Percentage of Participants With Solicited Local Adverse Events (AEs) at Injection Site After the Second Injection
Days 365 through 371
Percentage of Participants With Solicited Systemic Adverse Events (AEs) After the Second Injection
Days 365 through 371
Percentage of Participants With Elevated Daily Oral Temperature (Fever) After the Second Injection
Days 365 through 371
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Study Design & Arms
AllocationRANDOMIZED
MaskingQUADRUPLE
ModelPARALLEL
PurposePREVENTION
Treatment Arms
ArmTypeDescription
GI.1/GII.4 15/50 μg - MPL 50 μg + GI.1/GII.4 15/15 μg (no MPL)EXPERIMENTALIntramuscular (IM) norovirus bivalent virus like particle (VLP) vaccine (15 µg of GI.1 norovirus VLP and 50 µg GII.4 norovirus VLP) adjuvanted with 50 µg monophosphoryl lipid A (MPL) and 500 µg aluminum hydroxide, on Day 1, followed by IM norovirus bivalent VLP vaccine (15 µg of GI.1 norovirus VLP and 15 µg GII.4 norovirus VLP) adjuvanted with 500 µg aluminum hydroxide (no MPL), on Day 365.
GI.1/GII.4 50/50 μg - MPL 50 μg + GI.1/GII.4 15/15 μg (no MPL)EXPERIMENTALIM norovirus bivalent VLP vaccine (50 µg of GI.1 norovirus VLP and 50 µg GII.4 norovirus VLP) adjuvanted with 50 µg monophosphoryl lipid A (MPL) and 500 µg aluminum hydroxide, on Day 1, followed by IM norovirus bivalent VLP vaccine (15 µg of GI.1 norovirus VLP and 15 µg GII.4 norovirus VLP) adjuvanted with 500 µg aluminum hydroxide (no MPL), on Day 365.
Saline Placebo + GI.1/GII.4 15/15 μg (No MPL)PLACEBO_COMPARATORIM saline placebo on Day 1, followed by IM norovirus bivalent VLP vaccine (15 µg of GI.1 norovirus VLP and 15 µg GII.4 norovirus VLP ) adjuvanted with 500 µg aluminum hydroxide (no MPL), on Day 365.
Interventions
NameTypeDescription
Norovirus Bivalent VLP VaccineBIOLOGICALNorovirus GI.1/GII.4 bivalent VLP vaccine adjuvanted with or without MPL and/or aluminum hydroxide IM injection
Placebo (Saline)DRUGPlacebo-matching norovirus bivalent VLP vaccine
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Eligibility Criteria
Age Range18 Years — 49 Years
SexALL
Healthy VolunteersYes
Study Sites10

Inclusion Criteria: 1. Male and female participants aged 18 to 49 years of age at the time of enrollment. 2. Are in good health at the time of entry into the trial as determined by medical history, physical examination and clinical judgment of the investigator. 3. Participants with a signed informe...

Countries:United States
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