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TerminatedNCT00053508Updated Jan 22, 2014

Dose Safety, Tolerability, and Immunogenicity of a New Smallpox Vaccine in Adults Without Previous Smallpox Vaccination

A Phase 2 interventional study of ACAM1000 and vaccinia virus (calf lymph) smallpox vaccine: Dryvax in Smallpox, sponsored by Sanofi Pasteur, a Sanofi Company. Terminated at 3 sites in United States. Open to participants aged 18 Years to 29 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2014-01-22.

Sponsored by Sanofi Pasteur, a Sanofi Company (part of Sanofi) · Phase 2, Interventional, and Prevention

Why this study was terminated
CDC's decision to down-select vaccine development to single candidate, ACAM2000
Phase
Phase 2
Study type
Interventional
Enrollment
274
Allocation
Randomized
Ages
18 Years to 29 Years
Sex
All
01

Study summary

The purpose of this study is to examine the safety and the effectiveness of a new vaccine for the prevention of the disease, smallpox.

Read the detailed description

In addition to assessment of safety parameters, the objective of this study is to determine the minimum dose of ACAM1000 that is calculated to produce a major cutaneous reaction in at least 90% of a population of healthy adults 18-29 years of age and naïve to smallpox vaccine. Specifically, the objectives of this study are to:

  1. Compare the safety and tolerability of three dose levels of ACAM1000 and a standard dose of Dryvax® in healthy adults 18-29 years of age and naïve to smallpox vaccine. Safety and tolerability will be determined by examination of the local cutaneous reaction, adverse events, physical examinations, vital signs, structured interviews, and laboratory analysis.
  2. Determine the immunogenicity of three dose levels of ACAM1000 and a standard dose of Dryvax® in healthy adults 18-29 years of age by comparing: (a)the proportion of subjects at each dose level who develop a major cutaneous reaction; (b)the proportion of subjects in each treatment group who develop neutralizing antibodies, including the fold-increase in antibody titer between Baseline and Day 30 sera; and the geometric mean vaccinia neutralizing antibody titer on Day 30.
  3. Determine the minimum dose of ACAM1000 that is calculated to produce a major cutaneous reaction in at least 90% of a population of healthy adults 18-29 years of age and naïve to smallpox vaccine.
02

Conditions studied

  • Smallpox

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03

In context

Smallpox

73 studies on the registry are indexed under Smallpox; 5 are open to participants now.

This study's enrollment of 274 is above the median of 150 across 61 interventional studies indexed under Smallpox.

Browse Smallpox studies →

Lead sponsor

Sanofi Pasteur, a Sanofi Company is the lead sponsor of 374 studies on the registry; 4 are open to participants now.

Of its 94 completed or terminated interventional studies of FDA-regulated products, 73 (78%) have results posted.

First submitted before Sanofi Pasteur became part of Sanofi.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years to 29 Years
Sexes eligible
All
Accepts healthy volunteers
Yes

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • in good general health.
  • not pregnant and using effective
  • agreed to participate in entire study and comply with protocol requirements.

Exclusion criteria

Exclusion criteria:

  • military service prior to 1989.
  • no previous smallpox vaccination.
  • no contact with with children 1 year of age or younger
  • immunodeficiency individuals or close contacts who are immunodeficient
  • past history or current renal disease
  • diagnosis or past history of eczema
  • known allergy or past allergic reactions to latex gloves or to some antibiotics (neomycin, streptomycin, chlortetracycline, and polymyxin B).
  • known allergy or past allergic to blood products.
  • known allergy or past allergic reaction to cidofovir or sulfa-containing drugs.
  • transfusion of blood or treatment with any blood product, including intramuscular or intravenous serum globulin within six months of the Screening Visit.
  • serology positive for , or .
  • current diagnosis or history within six months of drug or alcohol abuse disorders, psychiatric illness.
  • inoculation with any other within 30 days of Day 0 or participation in another drug or vaccine trial within 30 days of Day 0.
Terms in these criteria, in plain language(5)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Contraception

Ways of preventing pregnancy. “Highly effective” methods fail less than 1% of the time a year when used correctly — for example an IUD or an implant.

Criteria usually say which methods count and how long to keep using them after the last dose, sometimes for male participants too. Some studies accept a partner’s vasectomy if it was confirmed successful and that person is the participant’s only sexual partner.

HIV

The human immunodeficiency virus, which weakens the immune system.

Many studies now accept people whose HIV is controlled on treatment, judged by the viral load and the CD4 count. Check the limits this study sets.

Hepatitis B tests

Hepatitis B is a virus that infects the liver. These are separate tests: HBsAg positive usually means a current infection (a recent vaccination can briefly cause it too); total anti-HBc (HBcAb) positive means an infection now or in the past; HBV DNA measures how much virus is in the blood.

Some studies accept a past infection if HBV DNA is undetectable, sometimes with antiviral medicine during the study. Check what this study allows.

Hepatitis C tests

Hepatitis C is a virus that infects the liver. An HCV antibody test can stay positive after an infection has cleared (and is occasionally positive without one); an HCV RNA test shows whether the virus is there now.

After treatment, hepatitis C counts as cured when HCV RNA is still undetectable 12 weeks or more after the treatment ended. Studies often accept people cured this way.

Live vaccines

Vaccines made with a weakened form of the germ, such as measles–mumps–rubella (MMR), chickenpox and yellow fever. They can be risky when the immune system is weakened. Flu injections are not live; the nasal flu spray is.

05

Study design

Phase
Phase 2
Primary purpose
Prevention
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
274 participants (actual)

Study arms

  • Experimental
    Group 1

    ACAM1000

    Biological: ACAM1000

  • Experimental
    Group 2

    ACAM1000

    Biological: ACAM1000

  • Experimental
    Group 3

    ACAM1000

    Biological: ACAM1000

  • Active comparator
    Group 4

    Dryvax

    Biological: vaccinia virus (calf lymph) smallpox vaccine: Dryvax

Interventions

  • BiologicalACAM1000

    Group 1 dose: 1.4 x 10-8th PFU/ml (350,000 PFU) Group 2 dose: 2.8 x 10-7th PFU/ml (70,000 PFU) Group 3 dose: 5.6 x 10-6th PFU/ml (14,000 PFU)

  • Biologicalvaccinia virus (calf lymph) smallpox vaccine: Dryvax

    group 4 dose: 1.6 x 10-8th PFU/ml (250,000 PFU)

    Also known as: brand name = Dryvax

06

What researchers measure

Primary outcomes

  1. The proportion of subjects in each treatment group who develop a major cutaneous reaction on Day 7, Day 10, and/or Day 15.

    Time frame: Day 7, Day 10, and/or Day 15

Secondary outcomes

  1. 1.The comparison of treatment groups for the proportion of subjects developing a >fourfold rise in neutralizing antibodies. 2. neutralizing antibody response. 3. geometric mean neutralizing titer on day 31 will be compared between treatment groups.

    Time frame: days 0 and 30, day 31

07

Study locations

3 sites
  • Orlando Clinical Research Center
    Orlando, Florida 32806, United States
  • Mayo Vaccine Research Group
    Rochester, Minnesota 55905, United States
  • Radiant Research
    Cincinnati, Ohio 45236, United States
08

References and documents

Related links

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jan 22, 2014, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT00053508
Responsible party
Sponsor
First posted
Jan 31, 2003
Start date
Sep 2002
Primary completion
Mar 2003
Completion
Sep 2003
Last update
Jan 22, 2014

Study contacts

Medical Director
study director · Sanofi Pasteur Inc

Oversight

Data monitoring committee
Yes
View the source record on ClinicalTrials.gov ↗

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This study is terminated, as verified in Jan 2014. You cannot join it, but the record below documents what was studied.

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