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Phase 4 N=573 Randomized Treatment

Effect of Raxibacumab on Immunogenicity of Anthrax Vaccine Adsorbed

Infections, Bacterial

Enrolled (actual)
573
Serious AEs
1.4%
Results posted
Jan 2018
Primary outcome: Primary: Ratio of Geometric Mean Concentrations (GMC) of Anti-protective Antigen (PA) Antibody (Ab) at 4 Weeks (Day 29) After the First AVA Dose (Prior to the Third AVA Dose), Between the AVA Alone and the AVA With Raxibacumab Treatment Groups — 26.516; 22.477 Microgram/milliliter (µg/mL) — p=0.0016

Study Design & Population

Study type
Interventional
Phase
Phase 4
Interventions
AVA (Biological); Raxibacumab (Biological); Diphenhydramine (Drug)
Age
Adult, Older Adult · 18+ yrs
Sex
All
Sponsor
Emergent BioSolutions
Primary completion
Jan 2017

Outcome Measures

OutcomeResultp-value
PRIMARY
Ratio of Geometric Mean Concentrations (GMC) of Anti-protective Antigen (PA) Antibody (Ab) at 4 Weeks (Day 29) After the First AVA Dose (Prior to the Third AVA Dose), Between the AVA Alone and the AVA With Raxibacumab Treatment Groups
26.516; 22.477 0.0016 sig
SECONDARY
Ratio of GMC of Anti-PA Ab at Weeks 8 and 26 (Days 57 and 183) After the First AVA Dose, Between the AVA Alone and AVA With Raxibacumab Treatment Groups
50.470; 46.095; 10.007; 10.231 <0.0001 sig
SECONDARY
Percentage of Participants Who Seroconvert, at Weeks 4, 8, and 26 (Days 29, 57 and 183) After the First AVA Dose, Between the AVA Alone and the AVA With Raxibacumab Treatment Groups
76.4; 99.3; 95.3; 98.1; 31.9; 32.0
SECONDARY
Number of Participants With Any Serious Adverse Event (SAE) and Any Non-serious Adverse Event (AE)
85; 80; 5; 3
SECONDARY
Change From Baseline in Systolic Blood Pressure (SBP) and Diastolic Blood Pressure (DBP) at Indicated Time Points
-3.4; -3.8; 0.6; 1.9; 1.8; 2.2
SECONDARY
Change From Baseline in Heart Rate at Indicated Time Points
-0.3; -0.8; -0.4; -0.4; -1.2; -0.9
SECONDARY
Change From Baseline in Respiratory Rate at Indicated Time Points
-0.4; -0.3; -0.1; -0.1; -0.1; -0.1
SECONDARY
Change From Baseline in Temperature at Indicated Time Points
-0.04; 0.02; -0.04; -0.03; -0.05; -0.02
SECONDARY
Number of Participants With Hematology Parameters Outside Normal Range
0; 0; 4; 6; 0; 0
SECONDARY
Number of Participants With Clinical Chemistry Parameters Outside Normal Range
6; 2; 1; 0; 2; 1
SECONDARY
Number of Participants With Urinalysis Parameters
1; 5; 7; 1; 0; 3

Summary

This study, as a post-marketing commitment to the Food and Drug Administration, is designed to detect the effect of raxibacumab on anthrax vaccine adsorbed (AVA) immunogenicity in a healthy volunteer population. This is a randomized, open-label, parallel group, two arm study to compare the immunogenicity of AVA at 4 weeks after the first AVA dose, when AVA is administered alone or concomitantly with raxibacumab. The study is planned to enroll approximately 30 to 534 subjects in up to 3 cohorts. The total duration of the study will be approximately 26 weeks. The dates reflect cohort 1.

Eligibility Criteria

Inclusion Criteria

  • Healthy as determined by the Investigator or medically qualified designee based on a medical evaluation including medical history, physical examination and laboratory tests
  • Men and women between 18 to 65 years of age
  • Willing and able to adhere to the procedures stated in the protocol.
  • Female subject is eligible to participate if she is not pregnant (as confirmed by a negative serum or urine human chorionic gonadotrophin (hCG) test), not lactating, and at least one of the following conditions applies:

Non-reproductive potential defined as:

Pre-menopausal females with one of the following: Documented tubal ligation, Documented hysteroscopic tubal occlusion procedure with follow-up confirmation of bilateral tubal occlusion, Hysterectomy, Documented Bilateral Oophorectomy Postmenopausal defined as 12 months of spontaneous amenorrhea. Females on hormone replacement therapy (HRT) and whose menopausal status is in doubt will be required to use one of the highly effective contraception methods if they wish to continue their HRT during the study. Otherwise, they must discontinue HRT to allow confirmation of post-menopausal status prior to study enrollment.

Reproductive potential and agrees to follow one of the options listed in the GSK Modified List of Highly Effective Methods for Avoiding Pregnancy in Females of Reproductive Potential (FRP), from 30 days prior to the first dose of study medication and until after the last dose of study medication and completion of the follow-up visit at Day 183 (at least five terminal half-lives for raxibacumab).

Exclusion Criteria

  • Concurrently participating in another clinical study, at any time during the study period, in which the subject has been or will be exposed to an investigational or non-investigational study vaccine/product (pharmaceutical product or device).
  • Be a member of the military, a laboratory worker, first responder, health care worker, or otherwise be at higher risk of exposure to anthrax.
  • History of regular alcohol consumption within 1 month of the study defined as:

An average weekly intake of >14 drinks for males or >7 drinks for females. One drink is equivalent to 12 g of alcohol: 12 ounces (360 milliliter [mL]) of beer, 5 ounces (150 mL) of wine or 1.5 ounces (45 mL) of 80 proof distilled spirits.

  • Female planning to become pregnant or planning to discontinue contraceptive precautions before the Day 183 study visit.
  • Pregnant (confirmed by a serum or urine hCG test) or lactating female.
  • Alanine aminotransferase (ALT) and bilirubin >1.5 x upper limit of normal (ULN) (isolated bilirubin >1.5 x ULN is acceptable if bilirubin is fractionated and direct bilirubin 2 times the lower limit of quantitation at screening.
  • Administration of immunoglobulins not included in this trial and/or any blood products within the 3 months preceding the first dose of study vaccine or planned administration during the study period.
  • Administration of long-acting immune-modifying drugs (e.g. infliximab) within six months prior to the first vaccine dose or expected administration at any time during the study period.
  • Chronic administration (defined as more than 14 consecutive days) of systemic immunosupressants or other immune-modifying drugs within six months prior to the first vaccine dose. Inhaled, topical and intra-articular corticosteroids are allowed.
  • Administration or planned administration of a vaccine not foreseen by the study protocol within the period starting 35 days before the first dose of study vaccine(s) and ending 30 days after the last dose of study vaccine. This includes any type of vaccine such as (but not limited to) live, inactivated, and subunit vaccines. Influenza vaccines are permitted after Week 8.
  • Subjects must abstain from taking prescription or non-prescription drugs (including vitamins and dietary or herbal supplements), within 7 days (or 14 days if the drug is a potential enzyme inducer) or 5 half-lives (whichever is lo
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT02339155). 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.

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