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| Name | Class |
|---|---|
| Biomedical Advanced Research and Development Authority | FED |
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This study is designed to evaluate the lot consistency (using three consecutively manufactured lots), safety, and ability of the AV7909 anthrax vaccine to generate an immune response in healthy adults and compare the response to that induced by the currently licensed vaccine, BioThrax®, (Anthrax Vaccine Adsorbed; AVA) for post-exposure of anthrax disease.
This is a Phase 3, multicenter, randomized, double-blind, parallel-group trial designed to evaluate the lot consistency (using three consecutively manufactured lots), immunogenicity, and safety of AV7909 administered in healthy adults for an indication of postexposure prophylaxis (PEP) of anthrax.
Healthy adults between 18 and 65 years of age (inclusive) will sign and date an informed consent form and then be screened for eligibility for participation in the study 2 to 28 days prior to randomization. Participants meeting the entry criteria will be randomized 2:2:2:1 to one of four study groups on Day 1. Randomization will be stratified by site.
Participants will be evaluated for safety through Day 64 [or the early withdrawal visit (EWV)], as assessed by clinical laboratory tests (hematology, serum chemistry, and urinalysis), monitoring of Adverse Events (AE) including Serious Adverse Events (SAE) and Adverse Events of Special Interest (AESI), vital signs, and physical examinations. Adverse Events of Special Interest are adverse events associated with autoimmune disease as defined by the Center for Biologics Evaluation and Research, and might represent a safety signal for vaccine-associated autoimmunity. Reactogenicity (solicited systemic and injection site reactions) will be assessed daily by the participants using electronic diaries (e-diaries) after each vaccination.
Information on the use of medications will be collected at each study visit. In addition, blood samples for auto-antibody assessment will be taken at Day 1 predose and Day 64 (or Early Withdrawal Visit).
Participants who receive at least one dose of vaccine but who for any reason discontinue vaccinations prematurely will be asked to participate in the further planned study visits up to Day 64 for safety assessment only.
Participants who receive at least one dose of vaccine will also be asked to participate in safety follow-up phone calls occurring on Day 43, Month 4, Month 7, Month 10, and Month 13 (nominally 0.5, 3, 6, 9, and 12 months after the last vaccination) to collect information on AEs, SAEs and any potential AESIs. Based on responses at these phone contacts, participants may be asked to return to the clinic for an unscheduled visit to provide blood samples for auto-antibody testing to investigate reports of potential AESIs.
Independent safety oversight will be provided by a Data Safety Monitoring Board, which will be notified of significant AEs as determined by the Medical Monitor on an ongoing basis.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| AV7909 Lot 1 | Experimental | Participants meeting the entry criteria will be randomized 2:2:2:1 to one of four study groups. Groups 1 to 3 will each receive one of the three consecutively manufactured lots of AV7909, per the study visit schedule. |
|
| AV7909 Lot 2 | Experimental | Participants meeting the entry criteria will be randomized 2:2:2:1 to one of four study groups. Groups 1 to 3 will each receive one of the three consecutively manufactured lots of AV7909, per the study visit schedule. |
|
| AV7909 Lot 3 | Experimental | Participants meeting the entry criteria will be randomized 2:2:2:1 to one of four study groups. Groups 1 to 3 will each receive one of the three consecutively manufactured lots of AV7909, per the study visit schedule. |
|
| BioThrax | Active Comparator | Participants meeting the entry criteria will be randomized 2:2:2:1 to one of four study groups. In Group 4, one lot of BioThrax® vaccine will be administered, per the study visit schedule. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| AV7909 | Biological | AV7909 consists of Anthrax Vaccine Adsorbed (AVA) drug substance and CPG 7909 adjuvant. AVA drug substance in AV7909 is similar in composition and manufactured using the same process as commercial BioThrax® vaccine. BioThrax is licensed for post-exposure prophylaxis of anthrax disease. CPG 7909 is an immunostimulatory synthetic oligodeoxynucleotide that functions as an adjuvant. It is designed to induce an enhanced immune response. |
| Measure | Description | Time Frame |
|---|---|---|
| Geometric Mean Titer (GMT) of Toxin Neutralizing Antibody (TNA) 50% Neutralization Factor (NF50) at Day 64 | GMT of TNA NF50 at Day 64 in AV7909 study groups (Lots 1, 2 and 3) and BioThrax group. The outcome measure in AV7909 study groups was assessed for AV7909 lot-to-lot consistency, which was based on GMT TNA NF50 response at Day 64, wherein the 95% confidence interval (CI) for ratios of geometric mean titer (GMT) of TNA NF50 at Day 64 (seven weeks after second AV7909 vaccination) for each of the three AV7909 lot-to-lot comparisons had to be within equivalence margin of 0.5 and 2.0. | Day 64 (seven weeks after second AV7909 vaccination) |
| Percentage of Participants in AV7909 Lot 1, Lot 2 and Lot 3 Groups Achieving a TNA NF50 ≥0.56 on Day 64 | Proportion of participants with TNA NF50 ≥0.56 at Day 64 in each AV7909 study groups (Lot 1, Lot 2, Lot 3). The assessment of the immune response in each study group was pre-defined as the lower bound of the two-sided 95% CI to be ≥40% for the percentage of AV7909 participants in each of the three lots achieving a TNA NF50 ≥0.56 at seven weeks after second AV7909 vaccination (Day 64). | Day 64 (seven weeks after second AV7909 vaccination) |
| Percentage of AV7909 Participants Achieving a TNA NF50 ≥0.56 on Day 64 | Percentage of AV7909 participants (from all three AV7909 study groups pooled) achieving a TNA NF50 ≥0.56 on Day 64 (seven weeks after second AV7909 vaccination). The assessment of the immune response in AV7909 participants was pre-defined as the lower bound of the two-sided 95% CI for proportion of AV7909 participants with TNA NF50 ≥0.56 at Day 64 ≥40%. | Day 64 (seven weeks after second AV7909 vaccination) |
| Percentage of AV7909 Participants and BioThrax Participants With TNA NF50 ≥0.29 at Day 64 | Proportion of AV7909 participants (in each AV7909 study groups) and BioThrax participants who achieved TNA NF50 ≥0.29 at Day 64. Non-inferiority of AV7909 vaccine to BioThrax vaccine at Day 64 was assessed as determined by the two-sided lower bound for the 95% CI of the difference in the percentage of AV7909 participants (three lots pooled) with a TNA NF50 ≥0.29 and the percentage of BioThrax participants with a TNA NF50 ≥0.29 being greater than -15%. |
| Measure | Description | Time Frame |
|---|---|---|
| Percentage of AV7909 Participants Achieving a TNA NF50 ≥0.15 on Day 29. | Proportion of AV7909 participants (in each AV7909 study group) who achieved TNA NF50 ≥0.15 at Day 29 (two weeks after second AV7909 vaccination). Assessment of the lower bound of the two-sided 95% CI to be ≥67% for the percentage of AV7909 participants in AV7909 study groups 1-3 (Pooled AV7909) achieving a TNA NF50 ≥0.15 on Day 29 was performed. |
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Inclusion Criteria:
Exclusion Criteria:
Use of any investigational or nonregistered product (drug, vaccine, device, or combination product) within 30 days preceding the dose of study vaccine, or planned use during the study through Month 13.
Positive test result on urine drug screen, any evidence of ongoing drug abuse or dependence (including alcohol), or recent history (over the past five years) of treatment for alcohol or drug abuse.
Chronic administration (defined as >14 days) of immunosuppressants or other immune-modifying drugs (includes oral or parenteral corticosteroids, for example, a glucocorticoid dose exceeding 10 mg/day prednisone or equivalent) within six months prior to the vaccine dose; inhalation use (for example, for seasonal allergies) is permitted.
Planned administration of any commercially-available vaccine from seven days prior to the first study vaccination through two weeks after the last vaccination.
Previous anaphylactic reaction, severe systemic response, or serious hypersensitivity to a prior immunization or a known allergy to synthetic Oligodeoxynucleotides, aluminum, formaldehyde, benzethonium chloride (phemerol), or latex.
History of anthrax disease, suspected exposure to anthrax, or previous vaccination with any anthrax vaccine.
Have a tattoo/scar/birthmark or any other skin condition affecting the deltoid area that may interfere with injection site assessments.
A positive blood test for hepatitis B surface antigen, hepatitis C antibody, or human immunodeficiency virus (HIV) HIV-1 or HIV-2 antibodies.
Any confirmed or suspected immunodeficiency condition (congenital or secondary) or autoimmune disease based on medical history and Physical Exam, for example, Guillain-Barré.
A family history of congenital or hereditary immunodeficiency.
Major congenital defects or serious chronic illness, including any cancer other than the following: a) any non-metastatic cancer (excluding hematologic malignancies) or melanoma of which the participant has been disease-free for at least five years and b) localized skin cancer, resected (including squamous cell and basal cell carcinomas).
Acute disease at the time of enrollment. Note that screening lab tests may be delayed to allow the resolution of a transient acute condition or the subject may be rescreened.
Any medical condition that, in the opinion of the investigator, could adversely impact the participant's participation or the conduct of the study.
Any planned elective surgery during the study through 12 months after the last vaccination.
Planned receipt of immunoglobulins and/or any blood products within the three months preceding study enrollment or at any point during the study period until after the final safety phone contact.
Woman of childbearing potential refusing to practice an adequate method of contraception from at least one month before Day 1 and continuing through Month 13.
An adequate method of contraception is defined as abstinence from sexual intercourse; prior bilateral tubal ligation; monogamous relationship with a vasectomized partner (vasectomy performed at least six months prior to the participant's screening visit); or any of these forms of birth control: pill, intrauterine device (IUD), implantable or injectable contraceptive (for example, Norplant® or Depo-Provera®), removable device (for example, NuvaRing® or Evra® patch), or double-barrier method (condom with spermicide, diaphragm with spermicide). The Principal Investigator and/or designee will discuss with the participant the need to use adequate contraception consistently and correctly and document such conversation in the participant's chart. In addition, the Principal Investigator and/or designee will instruct the participant to call immediately if the selected contraception method is discontinued or if pregnancy is known or suspected.
Member or family member of the investigator site team.
Previously served in the military any time after 1990 and/or plan to enlist in the military at any time from screening through the final telephone contact.
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| Name | Affiliation | Role |
|---|---|---|
| Gideon Akintunde, MD | Emergent BioSolutions | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Achieve Clinical Research, LLC | Birmingham | Alabama | 35216 | United States | ||
| Optimal Research, LLC |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 41401704 | Derived | Drobic B, Akintunde G, Kim J, Mirceta M, Beach M, Komlenovic V. Immunogenicity, safety, and lot consistency of the anthrax vaccine adsorbed, adjuvanted for post-exposure prophylaxis of anthrax in healthy adults: A phase 3, randomized, double-blind trial. Vaccine. 2026 Feb 6;72:128068. doi: 10.1016/j.vaccine.2025.128068. Epub 2025 Dec 15. |
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| ID | Title | Description |
|---|---|---|
| FG000 | AV7909 Lot 1 | Eligible participants randomized to receive AV7909 Lot 1. AV7909: AV7909 consists of Anthrax Vaccine Adsorbed (AVA) drug substance and CPG 7909 adjuvant. AVA drug substance in AV7909 is similar in composition and manufactured using the same process as commercial BioThrax® vaccine. CPG 7909 is an immunostimulatory synthetic oligodeoxynucleotide that functions as an adjuvant. |
| Title | Milestones | Reasons Not Completed | |||||
|---|---|---|---|---|---|---|---|
| Overall Study |
|
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| Type | Includes Protocol | Includes SAP | Includes ICF | Document Label | Document Date | Document Uploaded Date | Document File Name |
|---|---|---|---|---|---|---|---|
| Prot | Yes | No | No | Study Protocol | Mar 14, 2019 | Jul 7, 2021 |
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|
| BioThrax | Biological | BioThrax vaccine (Anthrax Vaccine Adsorbed; AVA) is licensed for post-exposure prophylaxis of anthrax disease. |
|
| Day 64 (seven weeks after second AV7909 vaccination; five weeks after third BioThrax vaccination) |
| Incidence of Serious Adverse Events | Number of AV7909 participants or BioThrax participants who received at least one vaccination and reported serious adverse event(s) (SAEs) from the time of the first vaccination on Day 1 through Day 394. | Day 1 though Day 394 |
| Day 29 (two weeks after second AV7909 vaccination) |
| Incidence of Adverse Events | Number of AV7909 or BioThrax participants who received at least one vaccination and had at least one treatment-emergent adverse event reported from the time of the first vaccination on Day 1 through Day 64. | Day 1 through Day 64 |
| Incidence of Adverse Events of Special Interest (Events of Autoimmune Etiology) | Incidence of adverse events of special interest (AESIs; events of autoimmune etiology) from the time of the first vaccination on Day 1 through Day 394 in participants who received at least one dose of AV7909 (Lot 1, Lot 2 or Lot 3) or BioThrax vaccines. | Day 1 through Day 394 |
| Incidence of Solicited Systemic Reactogenicity Events | Incidence of any solicited systemic reactogenicity reaction after any AV7909 or BioThrax vaccination. | Day 1-7, Day 15-21, Day 29-35 (within 7 days after each vaccination, inclusive of the vaccination day) |
| Incidences of Solicited Injection Site Reactogenicity Events | Incidence of any solicited injection site reactogenicity reaction after any AV7909 (Lots 1, 2 or 3) or BioThrax vaccination. | Day 1-7, Day 15-21, Day 29-35 (within 7 days after each vaccination, inclusive of the vaccination day) |
| Huntsville |
| Alabama |
| 35802 |
| United States |
| Coastal Clinical Research, an AMR company | Mobile | Alabama | 36608 | United States |
| Central Phoenix Medical Clinic, LLC | Phoenix | Arizona | 85020 | United States |
| Clinical Research Consortium, an AMR company | Tempe | Arizona | 85283 | United States |
| California Research Foundation | San Diego | California | 92103 | United States |
| Optimal Research, LLC | San Diego | California | 92108 | United States |
| Research Centers of America | Hollywood | Florida | 33024 | United States |
| Optimal Research, LLC | Melbourne | Florida | 32934 | United States |
| New Horizon Research Center, Inc | Miami | Florida | 33175 | United States |
| Meridian Clinical Research, LLC | Savannah | Georgia | 31406 | United States |
| Advanced Clinical Research | Boise | Idaho | 83642 | United States |
| Christie Clinic, LLC | Champaign | Illinois | 61820 | United States |
| Optimal Research, LLC | Peoria | Illinois | 61614 | United States |
| The Iowa Clinic, PC | West Des Moines | Iowa | 50266 | United States |
| Heartland Research Associates, LLC | Augusta | Kansas | 67010 | United States |
| Hutchinson Clinic | Hutchinson | Kansas | 67502 | United States |
| Johnson County Clin-Trials, LLC | Lenexa | Kansas | 66219 | United States |
| Heartland Research Associates, LLC | Wichita | Kansas | 67205 | United States |
| Benchmark Research New Orleans | Metairie | Louisiana | 70006 | United States |
| Optimal Research, LLC | Rockville | Maryland | 20850 | United States |
| The Center for Pharmaceutical Research, an AMR company | Kansas City | Missouri | 64114 | United States |
| Meridian Clinical Research, LLC | Omaha | Nebraska | 68134 | United States |
| Clinical Research Center of Nevada LLC | Las Vegas | Nevada | 89104 | United States |
| Rapid Medical Research, Inc. | Cleveland | Ohio | 44122 | United States |
| Aventiv Research Inc. | Grove City | Ohio | 43123 | United States |
| Lynn Institute of Norman | Norman | Oklahoma | 73072 | United States |
| Coastal Carolina Research Center, Inc | Mt. Pleasant | South Carolina | 29464 | United States |
| Spartanburg Medical Research | Spartanburg | South Carolina | 29303 | United States |
| Clinical Research Associates, Inc. | Nashville | Tennessee | 37203 | United States |
| Tekton Research | Austin | Texas | 78745 | United States |
| Benchmark Research | Fort Worth | Texas | 76135 | United States |
| Benchmark Research San Angelo | San Angelo | Texas | 76904 | United States |
| Martin Diagnostic Clinic | Tomball | Texas | 77375 | United States |
| Advanced Clinical Research | West Jordan | Utah | 84088 | United States |
| FG001 | AV7909 Lot 2 | Eligible participants randomized to receive AV7909 Lot 2. AV7909: AV7909 consists of Anthrax Vaccine Adsorbed (AVA) drug substance and CPG 7909 adjuvant. AVA drug substance in AV7909 is similar in composition and manufactured using the same process as commercial BioThrax vaccine. CPG 7909 is an immunostimulatory synthetic oligodeoxynucleotide that functions as an adjuvant. |
| FG002 | AV7909 Lot 3 | Eligible participants randomized to receive AV7909 Lot 3. AV7909: AV7909 consists of Anthrax Vaccine Adsorbed (AVA) drug substance and CPG 7909 adjuvant. AVA drug substance in AV7909 is similar in composition and manufactured using the same process as commercial BioThrax vaccine. CPG 7909 is an immunostimulatory synthetic oligodeoxynucleotide that functions as an adjuvant. |
| FG003 | BioThrax | Eligible participants randomized to receive BioThrax vaccine. BioThrax vaccine (Anthrax Vaccine Adsorbed; AVA) is licensed for post-exposure prophylaxis of anthrax disease. |
| Received at Least One Study Vaccination |
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| Did Not Receive Any Study Vaccination |
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| COMPLETED | Number of participants who completed 12-month follow-up after last study vaccination |
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| NOT COMPLETED |
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Intent-to-Treat Population (i.e., number of randomized participants) is used for baseline analysis.
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| ID | Title | Description |
|---|---|---|
| BG000 | AV7909 Lot 1 | Eligible participants randomized to receive AV7909 Lot 1. |
| BG001 | AV7909 Lot 2 | Eligible participants randomized to receive AV7909 Lot 2. |
| BG002 | AV7909 Lot 3 | Eligible participants randomized to receive AV7909 Lot 3. |
| BG003 | BioThrax | Eligible participants randomized to receive BioThrax vaccine. |
| BG004 | Total | Total of all reporting groups |
| Units | Counts |
|---|---|
| Participants |
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| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes | ||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Age, Continuous | Mean | Standard Deviation | years |
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| Age, Customized | Count of Participants | Participants |
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| Sex: Female, Male | Count of Participants | Participants |
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| Race/Ethnicity, Customized | Count of Participants | Participants |
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| Region of Enrollment | Count of Participants | Participants |
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| Body Mass Index | Mean | Standard Deviation | kg/m^2 |
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| Type | Title | Description | Population Description | Reporting Status | Anticipated Posting Date | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Time Frame | Units Analyzed | Denominator Units Selected | Arm/Group Information | Denominators | Classes | Analyses | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Primary | Geometric Mean Titer (GMT) of Toxin Neutralizing Antibody (TNA) 50% Neutralization Factor (NF50) at Day 64 | GMT of TNA NF50 at Day 64 in AV7909 study groups (Lots 1, 2 and 3) and BioThrax group. The outcome measure in AV7909 study groups was assessed for AV7909 lot-to-lot consistency, which was based on GMT TNA NF50 response at Day 64, wherein the 95% confidence interval (CI) for ratios of geometric mean titer (GMT) of TNA NF50 at Day 64 (seven weeks after second AV7909 vaccination) for each of the three AV7909 lot-to-lot comparisons had to be within equivalence margin of 0.5 and 2.0. | Participants that met protocol-defined immunogenicity criteria from AV7909 Lot 1 group (n=835), AV7909 Lot 2 group (n=854), AV7909 Lot 3 group (n=854) and BioThrax group (n=430) are included. | Posted | Geometric Mean | 95% Confidence Interval | Titer (TNA NF50) | Day 64 (seven weeks after second AV7909 vaccination) |
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| Primary | Percentage of Participants in AV7909 Lot 1, Lot 2 and Lot 3 Groups Achieving a TNA NF50 ≥0.56 on Day 64 | Proportion of participants with TNA NF50 ≥0.56 at Day 64 in each AV7909 study groups (Lot 1, Lot 2, Lot 3). The assessment of the immune response in each study group was pre-defined as the lower bound of the two-sided 95% CI to be ≥40% for the percentage of AV7909 participants in each of the three lots achieving a TNA NF50 ≥0.56 at seven weeks after second AV7909 vaccination (Day 64). | Data from participants that met protocol-defined criteria for inclusion in the immunogenicity population are included in the analysis; i.e., AV7909 Lot 1 n=835; AV7909 Lot 2 n=854; AV7909 Lot 3 n=854. Pre-defined success criteria (lower bound of the two-sided 95% CI to be ≥40% for the percentage of participants achieving a TNA NF50 ≥0.56 at Day 64) was only applicable for AV7909 study groups and not for BioThrax group; therefore, BioThrax group is not included. | Posted | Number | 95% Confidence Interval | percentage of participants | Day 64 (seven weeks after second AV7909 vaccination) |
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| Primary | Percentage of AV7909 Participants Achieving a TNA NF50 ≥0.56 on Day 64 | Percentage of AV7909 participants (from all three AV7909 study groups pooled) achieving a TNA NF50 ≥0.56 on Day 64 (seven weeks after second AV7909 vaccination). The assessment of the immune response in AV7909 participants was pre-defined as the lower bound of the two-sided 95% CI for proportion of AV7909 participants with TNA NF50 ≥0.56 at Day 64 ≥40%. | Data from participants who met protocol-defined criteria for inclusion in the immunogenicity population from all three AV7909 study groups (i.e., pooled AV7909; n=2543) were used for the analysis. The pre-defined success criteria (lower bound of the two-sided 95% CI to be ≥40% for the percentage of participants achieving a TNA NF50 ≥0.56 on Day 64) was not applicable for BioThrax participants, therefore BioThrax group was not included. | Posted | Number | 95% Confidence Interval | percentage of participants | Day 64 (seven weeks after second AV7909 vaccination) |
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| Primary | Percentage of AV7909 Participants and BioThrax Participants With TNA NF50 ≥0.29 at Day 64 | Proportion of AV7909 participants (in each AV7909 study groups) and BioThrax participants who achieved TNA NF50 ≥0.29 at Day 64. Non-inferiority of AV7909 vaccine to BioThrax vaccine at Day 64 was assessed as determined by the two-sided lower bound for the 95% CI of the difference in the percentage of AV7909 participants (three lots pooled) with a TNA NF50 ≥0.29 and the percentage of BioThrax participants with a TNA NF50 ≥0.29 being greater than -15%. | Data from participants who met protocol-defined criteria for inclusion in the immunogenicity population from each AV7909 study group (Lot 1 n=835; Lot 2 n=854; Lot 3 n=854) and BioThrax group (n=430) were used in the analysis. For the non-inferiority assessment, participants who met pre-defined criteria (achievement of TNA NF50 ≥0.29 at Day 64) from the pooled AV7909 study groups 1-3 (AV7909 Lot 1, Lot 2, Lot 3; i.e., Pooled AV7909) and BioThrax group were included. | Posted | Number | 95% Confidence Interval | percentage of participants | Day 64 (seven weeks after second AV7909 vaccination; five weeks after third BioThrax vaccination) |
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| Primary | Incidence of Serious Adverse Events | Number of AV7909 participants or BioThrax participants who received at least one vaccination and reported serious adverse event(s) (SAEs) from the time of the first vaccination on Day 1 through Day 394. | For the relative risk of SAE incidence analysis, participants from all three AV7909 study groups (Lot 1, Lot 2, Lot 3) since AV7909 lots 1, 2 and 3 were considered the same product (consecutively manufactured, and released with the same product specifications); hence, it was pre-defined to combine SAE data from participants across the three AV7909 lots for SAE relative risk analysis. | Posted | Count of Participants | Participants | Day 1 though Day 394 |
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| Secondary | Percentage of AV7909 Participants Achieving a TNA NF50 ≥0.15 on Day 29. | Proportion of AV7909 participants (in each AV7909 study group) who achieved TNA NF50 ≥0.15 at Day 29 (two weeks after second AV7909 vaccination). Assessment of the lower bound of the two-sided 95% CI to be ≥67% for the percentage of AV7909 participants in AV7909 study groups 1-3 (Pooled AV7909) achieving a TNA NF50 ≥0.15 on Day 29 was performed. | Data from participants who met protocol-defined criteria for inclusion in the immunogenicity population (AV7909 study groups 1-3) were used in the analysis. The pre-defined success criteria (lower bound of the two-sided 95% CI to be ≥67% for the percentage of participants achieving a TNA NF50 ≥0.15 on Day 29) was not applicable for BioThrax, therefore BioThrax group was not included. | Posted | Number | 95% Confidence Interval | percentage of participants | Day 29 (two weeks after second AV7909 vaccination) |
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| Secondary | Incidence of Adverse Events | Number of AV7909 or BioThrax participants who received at least one vaccination and had at least one treatment-emergent adverse event reported from the time of the first vaccination on Day 1 through Day 64. | Data from participants who received at least one dose of AV7909 vaccine Lot 1 (n=1050), Lot 2 (n=1053) or Lot 3 (n=1048) or BioThrax vaccine (n=533) are included in the analysis. | Posted | Count of Participants | Participants | Day 1 through Day 64 |
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| Secondary | Incidence of Adverse Events of Special Interest (Events of Autoimmune Etiology) | Incidence of adverse events of special interest (AESIs; events of autoimmune etiology) from the time of the first vaccination on Day 1 through Day 394 in participants who received at least one dose of AV7909 (Lot 1, Lot 2 or Lot 3) or BioThrax vaccines. | Data from participants who received at least one dose of AV7909 vaccine (Lot 1, Lot 2 or Lot 3) or BioThrax vaccine are used in the analysis. Since AV7909 lots 1, 2 and 3 were considered the same product (consecutively manufactured, and released with the same product specifications), it was pre-defined to combine AESI data from participants across the three AV7909 lots for AESI relative risk analysis. | Posted | Count of Participants | Participants | Day 1 through Day 394 |
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| Secondary | Incidence of Solicited Systemic Reactogenicity Events | Incidence of any solicited systemic reactogenicity reaction after any AV7909 or BioThrax vaccination. | Data from participants (solicited systemic reactogenicity events after any vaccination) who received at least one dose of AV7909 vaccine or BioThrax vaccine are included in the analysis. | Posted | Count of Participants | Participants | Day 1-7, Day 15-21, Day 29-35 (within 7 days after each vaccination, inclusive of the vaccination day) |
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| Secondary | Incidences of Solicited Injection Site Reactogenicity Events | Incidence of any solicited injection site reactogenicity reaction after any AV7909 (Lots 1, 2 or 3) or BioThrax vaccination. | Data from participants who received at least one dose of AV7909 or BioThrax dose are included in the analysis. | Posted | Count of Participants | Participants | Day 1-7, Day 15-21, Day 29-35 (within 7 days after each vaccination, inclusive of the vaccination day) |
|
Day 1 through Day 394.
Adverse events, serious adverse events and adverse events of special interest (events of autoimmune etiology) were collected from Day 1 through Day 394. Local and systemic reactogenicity were solicited for seven days after each vaccination.
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| ID | Title | Description | Deaths (Affected) | Deaths (At Risk) | Serious Events (Affected) | Serious Events (At Risk) | Other Events (Affected) | Other Events (At Risk) |
|---|---|---|---|---|---|---|---|---|
| EG000 | AV7909 Lot 1 | Eligible participants who received at least one dose of AV7909 Lot 1. | 2 | 1,050 | 21 | 1,050 | 194 | 1,050 |
| EG001 | AV7909 Lot 2 | Eligible participants who received at least one dose of AV7909 Lot 2. | 2 | 1,053 | 16 | 1,053 | 199 | 1,053 |
| EG002 | AV7909 Lot 3 | Eligible participants who received at least one dose of AV7909 Lot 3. | 2 | 1,048 | 21 | 1,048 | 204 | 1,048 |
| EG003 | BioThrax | Eligible participants who received at least one dose of BioThrax vaccine. | 0 | 533 | 4 | 533 | 171 | 533 |
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Lymphadenitis | Blood and lymphatic system disorders | Systematic Assessment |
| ||
| Acute myocardial infarction | Cardiac disorders | Systematic Assessment |
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| Atrial flutter | Cardiac disorders | Systematic Assessment |
| ||
| Coronary artery disease | Cardiac disorders | Systematic Assessment |
| ||
| Myocardial infarction | Cardiac disorders | Systematic Assessment |
| ||
| Abdominal pain | Gastrointestinal disorders | Systematic Assessment |
| ||
| Colitis | Gastrointestinal disorders | Systematic Assessment |
| ||
| Haematemesis | Gastrointestinal disorders | Systematic Assessment |
| ||
| Pancreatitis acute | Gastrointestinal disorders | Systematic Assessment |
| ||
| Rectal prolapse | Gastrointestinal disorders | Systematic Assessment |
| ||
| Small intestinal obstruction | Gastrointestinal disorders | Systematic Assessment |
| ||
| Death | General disorders | Systematic Assessment |
| ||
| Gait disturbance | General disorders | Systematic Assessment |
| ||
| Non-cardiac chest pain | General disorders | Systematic Assessment |
| ||
| Treatment noncompliance | General disorders | Systematic Assessment |
| ||
| Cholecystitis | Hepatobiliary disorders | Systematic Assessment |
| ||
| Cholecystitis acute | Hepatobiliary disorders | Systematic Assessment |
| ||
| Appendicitis | Infections and infestations | Systematic Assessment |
| ||
| Abdominal abscess | Infections and infestations | Systematic Assessment |
| ||
| Cellulitis | Infections and infestations | Systematic Assessment |
| ||
| Corona virus infection | Infections and infestations | Systematic Assessment |
| ||
| Pneumonia | Infections and infestations | Systematic Assessment |
| ||
| Pyelonephritis | Infections and infestations | Systematic Assessment |
| ||
| Sepsis | Infections and infestations | Systematic Assessment |
| ||
| Vulval abscess | Infections and infestations | Systematic Assessment |
| ||
| Sialoadenitis | Infections and infestations | Systematic Assessment |
| ||
| Toxicity to various agents | Injury, poisoning and procedural complications | Systematic Assessment |
| ||
| Ankle fracture | Injury, poisoning and procedural complications | Systematic Assessment |
| ||
| Eye injury | Injury, poisoning and procedural complications | Systematic Assessment |
| ||
| Gun shot wound | Injury, poisoning and procedural complications | Systematic Assessment |
| ||
| Joint injury | Injury, poisoning and procedural complications | Systematic Assessment |
| ||
| Lower limb fracture | Injury, poisoning and procedural complications | Systematic Assessment |
| ||
| Multiple fractures | Injury, poisoning and procedural complications | Systematic Assessment |
| ||
| Multiple injuries | Injury, poisoning and procedural complications | Systematic Assessment |
| ||
| Overdose | Injury, poisoning and procedural complications | Systematic Assessment |
| ||
| Radius fracture | Injury, poisoning and procedural complications | Systematic Assessment |
| ||
| Rib fracture | Injury, poisoning and procedural complications | Systematic Assessment |
| ||
| Skin laceration | Injury, poisoning and procedural complications | Systematic Assessment |
| ||
| Lumbar spinal stenosis | Musculoskeletal and connective tissue disorders | Systematic Assessment |
| ||
| Intervertebral disc protrusion | Musculoskeletal and connective tissue disorders | Systematic Assessment |
| ||
| Mobility decreased | Musculoskeletal and connective tissue disorders | Systematic Assessment |
| ||
| Musculoskeletal chest pain | Musculoskeletal and connective tissue disorders | Systematic Assessment |
| ||
| Systemic lupus erythematosus | Musculoskeletal and connective tissue disorders | Systematic Assessment |
| ||
| Thyroid cancer | Neoplasms benign, malignant and unspecified (incl cysts and polyps) | Systematic Assessment |
| ||
| Colon cancer metastatic | Neoplasms benign, malignant and unspecified (incl cysts and polyps) | Systematic Assessment |
| ||
| Intraductal proliferative breast lesion | Neoplasms benign, malignant and unspecified (incl cysts and polyps) | Systematic Assessment |
| ||
| Invasive ductal breast carcinoma | Neoplasms benign, malignant and unspecified (incl cysts and polyps) | Systematic Assessment |
| ||
| Rectal cancer | Neoplasms benign, malignant and unspecified (incl cysts and polyps) | Systematic Assessment |
| ||
| Uterine leiomyoma | Neoplasms benign, malignant and unspecified (incl cysts and polyps) | Systematic Assessment |
| ||
| Headache | Nervous system disorders | Systematic Assessment |
| ||
| Syncope | Nervous system disorders | Systematic Assessment |
| ||
| Toxic encephalopathy | Nervous system disorders | Systematic Assessment |
| ||
| Abortion spontaneous | Pregnancy, puerperium and perinatal conditions | Systematic Assessment |
| ||
| Abortion missed | Pregnancy, puerperium and perinatal conditions | Systematic Assessment |
| ||
| Premature rupture of membranes | Pregnancy, puerperium and perinatal conditions | Systematic Assessment |
| ||
| Completed suicide | Psychiatric disorders | Systematic Assessment |
| ||
| Anxiety | Psychiatric disorders | Systematic Assessment |
| ||
| Dysphemia | Psychiatric disorders | Systematic Assessment |
| ||
| Post-traumatic stress disorder | Psychiatric disorders | Systematic Assessment |
| ||
| Uterine haemorrhage | Reproductive system and breast disorders | Systematic Assessment |
| ||
| Pulmonary embolism | Respiratory, thoracic and mediastinal disorders | Systematic Assessment |
| ||
| Vascular disorders | Respiratory, thoracic and mediastinal disorders | Systematic Assessment |
| ||
| Thrombosis | Respiratory, thoracic and mediastinal disorders | Systematic Assessment |
|
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Injection site pain | General disorders | Systematic Assessment |
| ||
| Injection site erythema | General disorders | Systematic Assessment |
| ||
| Injection site induration | General disorders | Systematic Assessment |
| ||
| Injection site swelling | General disorders | Systematic Assessment |
| ||
| Injection site warmth | General disorders | Systematic Assessment |
| ||
| Injection site bruising | General disorders | Systematic Assessment |
| ||
| Injection site pruritus | General disorders | Systematic Assessment |
| ||
| Injection site mass | General disorders | Systematic Assessment |
| ||
| Upper respiratory tract infection | Infections and infestations | Systematic Assessment |
| ||
| Urinary tract infection | Infections and infestations | Systematic Assessment |
| ||
| Nasopharyngitis | Infections and infestations | Systematic Assessment |
| ||
| Vaccination complication | Injury, poisoning and procedural complications | Systematic Assessment |
| ||
| Procedural headache | Injury, poisoning and procedural complications | Systematic Assessment |
| ||
| Musculoskeletal procedural complication | Injury, poisoning and procedural complications | Systematic Assessment |
| ||
| Back pain | Musculoskeletal and connective tissue disorders | Systematic Assessment |
| ||
| Headache | Nervous system disorders | Systematic Assessment |
| ||
| Nausea | Gastrointestinal disorders | Systematic Assessment |
| ||
| Hypertension | Vascular disorders | Systematic Assessment |
| ||
| Cough | Respiratory, thoracic and mediastinal disorders | Systematic Assessment |
| ||
| Anxiety | Psychiatric disorders | Systematic Assessment |
| ||
| Arthralgia | Musculoskeletal and connective tissue disorders | Systematic Assessment |
|
Not provided
Not provided
| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Bojan Drobic, Director, Clinical Research | Emergent BioSolutions Inc. | 204 275 4196 | bdrobic@ebsi.com |
| Prot_000.pdf |
| SAP | No | Yes | No | Statistical Analysis Plan | Sep 15, 2020 | Jul 6, 2021 | SAP_001.pdf |
| ICF | No | No | Yes | Informed Consent Form | Jan 29, 2019 | Aug 4, 2021 | ICF_003.pdf |
Not provided
| ID | Term |
|---|---|
| D000881 | Anthrax |
| ID | Term |
|---|---|
| D016863 | Bacillaceae Infections |
| D016908 | Gram-Positive Bacterial Infections |
| D001424 | Bacterial Infections |
| D001423 | Bacterial Infections and Mycoses |
| D007239 | Infections |
Not provided
Not provided
| ID | Term |
|---|---|
| C493276 | Biothrax |
Not provided
Not provided
Not provided
| 31-50 years |
|
| 51-65 years |
|
| Male |
|
| Race : Asian |
|
| Race : Black or African American |
|
| Race : Native Hawaiian or Other Pacific Islander |
|
| Race : White |
|
| Race : More than One Race |
|
| Race : Other |
|
| Race : Unknown |
|
| Ethnicity: Not Hispanic or Latino |
|
| Ethnicity: Hispanic or Latino |
|
| Ethnicity: Unknown |
|
| Ethnicity: Not Reported |
|
| Ratio |
| 1.05 |
| 2-Sided |
| 95 |
| 0.96 |
| 1.14 |
| Equivalence |
The 95% CIs for the Day 64 TNA NF50 GMT ratios between AV7909 Lot 1 and Lot 3 had to be within 0.5 to 2.0 equivalence margin. |
| Ratio | 1.04 | 2-Sided | 95 | 0.95 | 1.13 | Equivalence | The 95% CIs for the Day 64 TNA NF50 GMT ratios between AV7909 Lot 2 and Lot 3 had to be within 0.5 to 2.0 equivalence margin. |
Eligible participants who received AV7909 vaccine lot 3. |
|
|
|
|
| OG002 | AV7909 Lot 3 | Eligible participants who received AV7909 vaccine lot 3 and achieved TNA NF50 ≥0.29 at Day 64. |
| OG003 | BioThrax | Eligible participants who received BioThrax vaccine and achieved TNA NF50 ≥0.29 at Day 64. |
|
|
|
Eligible participants who received at least one dose of BioThrax vaccine. |
|
|
|
Eligible participants who received AV7909 vaccine lot 3 and achieved TNA NF50 ≥0.15 at Day 29.
|
|
|
| Units | Counts |
|---|---|
| Participants |
|
|
| OG003 |
| BioThrax |
Eligible participants randomized to receive BioThrax vaccine. |
|
|
|
| Units | Counts |
|---|---|
| Participants |
|
|
| Units | Counts |
|---|---|
| Participants |
|
|