Phase 4
N=328
Assessment of the Immunogenicity and Safety of a Dose-Sparing BioThrax® AVA Schedule
Bacillus Anthracis (Anthrax)
Bottom Line
View on ClinicalTrials.gov: NCT01641991 ↗Enrolled (actual)
328
Serious AEs
0.9%
Results posted
May 2014
Primary outcome: Primary: Number of Participants With a Four-fold or Greater Increase From Baseline in Toxin Neutralization Antibody Assay (TNA) 50 Percent Neutralization Factor ( NF50 ) Antibody Titer — 1; 0; 1; 0 participants
Study Design & Population
- Study type
- Interventional
- Phase
- Phase 4
- Interventions
- BioThrax® (Biological)
- Age
- Adult, Older Adult · 18+ yrs
- Sex
- All
- Sponsor
- National Institute of Allergy and Infectious Diseases (NIAID)
- Primary completion
- Mar 2013
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Number of Participants With a Four-fold or Greater Increase From Baseline in Toxin Neutralization Antibody Assay (TNA) 50 Percent Neutralization Factor ( NF50 ) Antibody Titer |
1; 0; 1; 0; 4; 1 | — |
| SECONDARY Geometric Mean Concentration (GMC) of Enzyme-linked Immunosorbent Assay (ELISA) Antibody Against the Protective Antigen (Anti-PA IgG) |
4.64; 4.64; 4.64; 4.64; 5.01; 4.71 | — |
| SECONDARY Number of Participants Reporting Solicited Injection Site Reactogenicity Symptoms in the Eight Days Following Vaccination at Day 0 by Maximum Severity |
0; 0; 0; 0; 17; 12 | — |
| SECONDARY Number of Participants Reporting Solicited Injection Site Reactogenicity Symptoms in the Eight Days Following Vaccination at Day 14 by Maximum Severity |
0; 0; 0; 13; 12; 4 | — |
| SECONDARY Number of Participants Reporting Solicited Injection Site Reactogenicity Symptoms in the Eight Days Following Vaccination at Day 28 by Maximum Severity |
0; 0; 0; 11; 3; 2 | — |
| SECONDARY Number of Participants Reporting Solicited Injection Site Reactogenicity Symptoms in the Eight Days Following the 6-month Boost by Maximum Severity |
0; 1; 0; 1; 20; 9 | — |
| SECONDARY Number of Participants With Injection Site Edema and Erythema With a Size of Greater Than 120 Millimeters (mm) |
1; 1; 1; 0; 1; 1 | — |
| SECONDARY TNA NF50 Geometric Mean Titers (GMT) at Days 0, 7, 14, 21, 28, 35, 42, 49, 56, 63, 70, 84 and 100. |
0.03; 0.03; 0.03; 0.03; 0.03; 0.03 | — |
| SECONDARY Peak Geometric Mean Concentration (GMC) of ELISA Anti-PA IgG Antibody Through Day 100 |
102.32; 265.08; 182.42; 114.42 | — |
| SECONDARY Number of Participants Reporting Solicited Subjective Systemic Symptoms for Eight Days After Vaccination at Day 0 by Maximum Severity. |
0; 0; 0; 0; 6; 6 | — |
| SECONDARY Number of Participants Reporting Solicited Subjective Systemic Symptoms for Eight Days After Vaccination at Day 14 by Maximum Severity. |
0; 0; 0; 7; 3; 5 | — |
| SECONDARY Number of Participants Reporting Solicited Subjective Systemic Symptoms for Eight Days After Vaccination at Day 28 by Maximum Severity. |
0; 0; 1; 2; 2; 0 | — |
| SECONDARY Number of Participants Reporting Solicited Subjective Systemic Symptoms for Eight Days After the 6-month Boost Vaccination by Maximum Severity. |
0; 0; 0; 0; 6; 2 | — |
| SECONDARY Number of Participants Reporting Fever in the Eight Days After Vaccination at Day 0 by Maximum Severity |
0; 0; 0; 0; 0; 0 | — |
| SECONDARY Number of Participants Reporting Fever in the Eight Days After Vaccination at Day 14 by Maximum Severity |
0; 0; 0; 0; 0; 0 | — |
| SECONDARY Number of Participants Reporting Fever in the Eight Days After Vaccination at Day 28 by Maximum Severity |
0; 0; 0; 0; 0; 0 | — |
| SECONDARY Number of Participants Reporting Fever in the Eight Days After the 6-month Boost Vaccination by Maximum Severity |
0; 0; 1; 0; 0; 0 | — |
| SECONDARY Number of Subjects With a Four-fold or Greater Increase From Baseline in Enzyme-linked Immunosorbent Assay (ELISA) Antibody Concentration Against the Protective Antigen (Anti-PA IgG) |
1; 0; 1; 0; 4; 2 | — |
| SECONDARY TNA NF50 Peak Geometric Mean Titer (GMT) Antibody Response Through Day 100 |
0.74; 2.99; 1.48; 1.00 | — |
Summary
A Phase IV, randomized, multicenter trial to assess the immunogenicity and safety of BioThrax® in varying dose regimens with the primary objective of obtaining information on possible dose-sparing strategies in the event of a major biothreat.
Eligibility Criteria
Inclusion Criteria
- Subject able to provide informed consent;
- Female or male, 18 through 65 years of age, inclusive;
- If the subject is female and of childbearing potential, she agrees to practice abstinence from sexual intercourse with men (vaginal penetration by a penis, coitus) or use acceptable contraception, initiated at least 30 days prior to the first study vaccination through 56 days after the 6 month boost vaccination in order to avoid pregnancy:
- A woman is considered of childbearing potential unless post-menopausal (>/= 1 year without menses) or surgically sterilized (tubal ligation, bilateral oophorectomy, or hysterectomy)
- Acceptable contraception methods are restricted to effective devices (IUDs, NuvaRing®) or licensed hormonal products with use of method for a minimum of 30 days prior to vaccination, condoms with spermicidal agents, monogamous relationship with a vasectomized partner who has been vasectomized for 6 months or more prior to study entry, or successful Essure placement with documented confirmation test at least 3 months after the procedure, and any other Food and Drug Administration (FDA)-approved contraceptive method
- Be willing and able to return for all visits and blood collections for the duration of the study;
- Be able to understand and comply with planned study procedures;
- Agree to complete the memory aid and to report concomitant medications and Adverse Events during the study period.
Further clarification of inclusion/exclusion criteria:
Provided a subject meets all study inclusion criteria and none of the study exclusion criteria, the following conditions will not exclude the subject from study participation:
- History of gestational diabetes;
- Type II diabetes controlled with diet or oral hypoglycemic medications;
- Treated, controlled, uncomplicated hypertension;
- History of coronary artery disease, asymptomatic (New York Heart Association [NYHA] Function Class I), on a stable medical regimen. Persons meeting these criteria must be at least two years post-myocardial infarction, cardiac bypass surgery and/or percutaneous coronary interventions (e.g., angioplasty, stent placement) in order to qualify. Persons with a history of cardiac disease must be under the care of a physician;
- Cured, non-metastatic cancer (excluding hematologic malignancies), disease-free for five years;
- Localized skin cancer, resected (including squamous cell and basal cell carcinomas). Participants with a history of melanoma must be disease-free for five years;
- Exercise-induced bronchospasm controlled with inhaled medication(s) only;
- Mild asthma: Subjects who have not been hospitalized for asthma in the past two years and use only inhalers to control their symptoms will be eligible. Only low to medium doses of inhaled steroids, defined as 100.4 F within 3 days prior to vaccination;
- Have a blood pressure, heart rate or respiratory rate of Grade 2 or higher;
- Have any chronic condition that, in the opinion of the Investigator, would render vaccination unsafe or would interfere with study evaluations or completion of the study;
- Have a total White Blood Cell (WBC) count, Absolute Neutrophil Count (ANC), hemoglobin or platelet count that is Grade 2 or higher;
- Have a creatinine higher than the normal range;
- Have an Alanine Aminotransferase (ALT) of >/= 1.2 x Upper Limit of Normal;
- Have a value higher than trace for glucose and/or protein on urinalysis;
- Have a history of hospitalization for psychiatric illness, suicide attempt, or confinement for danger to self or others, within the past 10 years. (Subjects with a psychiatric disorder [not meeting exclusion criteria, e.g. attention-deficit hyperactivity disorder] that is controlled for a minimum of 3 months and the investigator has determined that the subject's mental status will not compromise the subject's ability to comply with protocol requirements may be enrolled);
- Be taking any of the following psychiatric drugs: aripiprazole,
Data sourced from ClinicalTrials.gov (NCT01641991). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.