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Sponsor decision due to product manufacturing and redesign of clinical trial.
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This Phase 3 clinical trial is a double blind, placebo-controlled, randomized, multicenter investigation of rBV A/B in male and female healthy adults 18 to 55 years of age.
Currently, there are no licensed vaccines or pre-exposure prophylactic medical countermeasures available to provide protection against botulism. The rBV A/B is under development to provide protection of adults 18 to 55 years of age from fatal botulism caused by inhalational intoxication with botulinum neurotoxin complex (BoNT) serotype A, subtype A1 (BoNT/A1) and botulinum neurotoxin complex serotype B, subtype B1 (BoNT/B1). Volunteers will not be exposed to botulism. Protective antibody titers will be measured in serum after vaccination.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| rBV A/B | Active Comparator | 0.5 mL dose of rBV A/B (40 µg) will be administered intramuscularly (IM) in a three-dose dosing schedule given at Days 0, 28 ± 5 days, and 182 ± 9 days |
|
| Placebo | Placebo Comparator | 0.5 mL dose of placebo will be administered intramuscularly (IM) given at Days 0, 28 ± 5 days, and 182 ± 9 days |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| rBV A/B | Biological | 0.5 mL dose of rBV A/B (40 µg) given at Days 0, 28 ± 5 days, and 182 ± 9 days |
|
| Measure | Description | Time Frame |
|---|---|---|
| The primary safety objective is to demonstrate the safety of rBV A/B through Day 365. | The primary safety endpoints are the incidence, severity and relationship to treatment of solicited local, systemic and neuromuscular adverse events (AEs) with onset on the day of and for 7 days after each administration of study product; treatment-emergent AEs (TEAEs) with onset within 28 days after each administration of study product; and medically-attended AEs (MAEs), neuromuscular AEs and serious AEs (SAEs) from the time of first dose (Day 0) through 6 months after the last dose (Day 365). | 1 year after first dose [Dose 1] / 6 months after the last dose [Dose 3] |
| The primary immunogenicity objectives are to demonstrate lot consistency for three lots of rBV A/B and to infer clinical benefit of rBV A/B. |
| Study Day 210, approximately 28 days after the last dose [Dose 3] |
| Measure | Description | Time Frame |
|---|---|---|
| The secondary safety objective is to demonstrate the safety of rBV A/B from Day 365 through Day 547. | The secondary safety endpoints are the incidence, severity and relationship to treatment of MAEs, neuromuscular AEs and SAEs. | 1 year after last dose [Dose 3] in a subset of volunteers |
| The secondary immunogenicity endpoints is duration of protection through Day 547. |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| George A Saviolakis, M.D., Ph.D. | DynPort Vaccine Company LLC, A GDIT Company | Study Director |
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| ID | Term |
|---|---|
| D001906 | Botulism |
| ID | Term |
|---|---|
| D003015 | Clostridium Infections |
| D016908 | Gram-Positive Bacterial Infections |
| D001424 | Bacterial Infections |
| D001423 | Bacterial Infections and Mycoses |
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| ID | Term |
|---|---|
| D007267 | Injections |
| ID | Term |
|---|---|
| D004333 | Drug Administration Routes |
| D004358 | Drug Therapy |
| D013812 | Therapeutics |
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| Placebo (USP sterile saline for injection) | Biological | 0.5 mL dose of Placebo will be given at Days 0, 28 ± 5 days, and 182 ± 9 days |
|
The criterion to demonstrate duration of protection is the proportion of volunteers with NAC values at or above the putative protective levels for anti-BoNT/A1 and anti-BoNT/B1 simultaneously. |
| Evalution through Study Days 365 and 547 (6 months and 1 year after last dose [Dose 3]) |
| D007239 | Infections |
| D020511 | Neuromuscular Junction Diseases |
| D009468 | Neuromuscular Diseases |
| D009422 | Nervous System Diseases |
| D020258 | Neurotoxicity Syndromes |
| D005517 | Foodborne Diseases |
| D011041 | Poisoning |
| D064419 | Chemically-Induced Disorders |