Phase 2
N=210
Velocity 2: An Anthrax Vaccine and Antibiotics Clinical Study
Anthrax
Bottom Line
View on ClinicalTrials.gov: NCT04067011 ↗Enrolled (actual)
210
Serious AEs
1.1%
Results posted
Jun 2021
Primary outcome: Primary: Ratio of Ciprofloxacin Area Under the Curve From 0 to 12 Hours (AUC0-12h) and Maximum Concentration (Cmax) on Days 8 and 35 — 0.9764; 0.9706 Ratio
Study Design & Population
- Study type
- Interventional
- Phase
- Phase 2
- Interventions
- Ciprofloxacin 500Mg Tablet (Drug); Doxycycline 100Mg Tablet (Drug); AV7909 (Biological)
- Age
- Adult · 18+ yrs
- Sex
- All
- Sponsor
- Emergent BioSolutions
- Primary completion
- Mar 2020
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Ratio of Ciprofloxacin Area Under the Curve From 0 to 12 Hours (AUC0-12h) and Maximum Concentration (Cmax) on Days 8 and 35 |
0.9764; 0.9706 | — |
| PRIMARY Ratio of Doxycycline Area Under the Curve From 0 to 12 Hours (AUC0-12h) and Maximum Concentration (Cmax) on Days 8 and 38 |
0.9173; 0.8974 | — |
| SECONDARY Geometric Mean TNA 50% Neutralizing Factor (NF50) Values Two Weeks After the Second AV7909 Vaccination (Day 37 ± 1 Day). |
1.8; 1.8; 1.6 | — |
Summary
This study is designed to evaluate the pharmacokinetic (PK) profiles of ciprofloxacin or doxycycline when administered orally, prior to, and following, the intramuscular (IM) administration of a two-dose schedule of AV7909 administered two weeks apart.
Eligibility Criteria
Inclusion Criteria
- Written informed consent obtained from the participant (dated, signed, and captured in the medical chart at the site).
- A male or female, aged 18 to 45 years of age, inclusive, at the time of informed consent.
- Healthy condition as established by medical history and clinical examination before entering into the study.
- Body mass index (BMI) less than or equal to 35.0 kg/m^2 at the Screening visit.
- Have adequate venous access for phlebotomies.
- For a woman of childbearing potential (WOCBP), negative pregnancy test at Screening and pre-randomization on Day 1, not currently breastfeeding, and no intention to become pregnant during the study period through 12 months after last receipt of any investigational product (IP). Every female participant is considered to be a WOCBP unless she is surgically sterile (hysterectomy, bilateral salpingectomy or bilateral oophorectomy) OR postmenopausal (defined as >12 consecutive months without menses and screen follicle-stimulating hormone > 30 mIU/mL). Women who are not of childbearing potential are allowed to enroll if they are surgically sterile or postmenopausal as defined above.
Female participants randomized to Groups 1 or 2 must be willing to add a double-barrier method, IUD, or abstinence as back-up forms of birth control since ciprofloxacin and doxycycline may decrease the effectiveness of birth control pills, implantable or injectable contraceptives.
Exclusion Criteria
- A Screening clinical laboratory test result greater than the central laboratory's upper limit of normal (ULN) for aspartate aminotransferase (AST), alanine aminotransferase (ALT), random glucose, total bilirubin, blood urea nitrogen (BUN), or creatinine. Other serum chemistry parameters that are not within the reference range will not be considered exclusionary unless deemed clinically significant by the principal investigator.
- History of allergic reaction or intolerance to quinolone antimicrobials or any medical condition that would contraindicate the use of ciprofloxacin, including and not limited to vascular disorders, tendon disorders, certain genetic connective tissue disorders (e.g., Marfan and Ehlers-Danlos syndrome), prolongation of QT interval, seizures, peripheral neuropathy, increased risk of C. difficile infection.
- History of allergic reaction or intolerance to tetracycline antibiotics or any medical condition that would contraindicate the use of doxycycline including an increased risk of C. difficile infection, increases in BUN or an increased sensitivity to direct sunlight or ultraviolet radiation resulting in erythema.
- Has a need for any of the prohibited medications or requires the medications/foods within the prohibited times.
- Have a tattoo/scar/birthmark or any other skin condition affecting the deltoid area that may interfere with injection site assessments.
- History of anthrax disease, suspected exposure to anthrax, or previous vaccination with any anthrax vaccine.
- Have previously served in the military any time after 1990 or plan to enlist in the military any time from Screening through the final telephone contact.
- Previous anaphylactic reaction, severe systemic response, or serious hypersensitivity to a prior immunization or a known allergy to synthetic ODNs, aluminum, formaldehyde, benzethonium chloride (phemerol).
- Plan to have an elective surgery at any point during the study until after the final safety phone contact.
- Have donated or plan to donate blood within one month prior to enrollment or at any point during the study until after the final safety phone contact.
- Use of any investigational or non-registered product (drug, vaccine or biologic) within 30 days preceding the dose of study vaccine, or planned use during the study until after the final safety phone contact.
- Planned administration of any commercially-available vaccine from one week prior to the first study vaccination through two weeks after the last vaccin
Data sourced from ClinicalTrials.gov (NCT04067011). 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.