ClinicalTrials.gg
CompletedNCT00857493Updated Jan 10, 2019Results posted

A Study to Evaluate Safety and Immunogenicity of One and Two Doses of IMVAMUNE® Smallpox Vaccine in 56-80 Year Old Vaccinia-experienced Subjects

A Phase 2 interventional study of IMVAMUNE and IMVAMUNE in Smallpox, sponsored by Bavarian Nordic. Completed at 4 sites in United States. Open to participants aged 56 Years to 80 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2019-01-10.

Sponsored by Bavarian Nordic · Phase 2, Interventional, and Prevention

Phase
Phase 2
Study type
Interventional
Enrollment
120
Allocation
Randomized
Ages
56 Years to 80 Years
Sex
All
01

Study summary

A Randomized, Double-Blind, Placebo-Controlled Phase II Study to Evaluate Safety and Immunogenicity of One and Two Doses of IMVAMUNE® Smallpox Vaccine in 56-80 Year Old Vaccinia-Experienced Subjects

02

Conditions studied

  • Smallpox

Browse trials for

03

In context

Smallpox

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

This study's enrollment of 120 is below the median of 150 across 61 interventional studies indexed under Smallpox.

Browse Smallpox studies →

Lead sponsor

Bavarian Nordic is the lead sponsor of 58 studies on the registry; 2 are open to participants now.

Of its 16 completed or terminated interventional studies of FDA-regulated products, 12 (75%) have results posted.

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

04

Who can participate

Ages eligible
56 Years to 80 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

  • Male and female subjects 56-70 years of age. If no safety concerns are identified upon review of the safety data from the first 30 subjects enrolled, the age range is extended up to 80 years.
  • Time since most current smallpox vaccination > 10 years.
  • The subject has read, signed and dated the Form (ICF), successfully completed (at least 90% correct [no more than 3 attempts allowed]) the test of understanding and has signed the Health Insurance Portability and Accountability Act (HIPAA) authorization form.
  • Women must have a negative serum pregnancy test at screening and negative urine pregnancy test within 24 hours prior to vaccination.
  • Women of (WOCBP) must have used an acceptable method of for 30 days prior to the first vaccination, must agree to use an acceptable method of contraception during the study and must not plan to become pregnant for at least 28 days after the last vaccination. (Acceptable contraception methods are restricted to abstinence, barrier contraceptives, intrauterine contraceptive devices or licensed hormonal products).
  • Weight: ≥ 100 pounds (45.5 kg) and ≤ 330 pounds (150 kg).
  • White blood cells ≥ 2500/mm3 and \< 11,000/mm3.
  • within normal limits.
  • within normal limits.
  • within normal limits.
  • Adequate renal function defined as:

    1. Urine protein ≤ +1 (by dip stick)
    2. Serum creatinine within normal limits
  • Adequate hepatic function defined as:

    1. Total ≤ 1.5 x (ULN) in the absence of other evidence of significant liver disease.
    2. (AST), alanine aminotransferase (ALT) and alkaline phosphatase ≤ 1.5 x ULN.
  • Cardiac troponin I \< 2 x ULN.
  • (ECG) without findings, e.g. any kind of atrioventricular or intraventricular conditions or blocks such as complete left or right bundle branch block, AV node block, or PR prolongation, sustained atrial arrhythmias, sustained ventricular arrhythmia, 2 premature ventricular contractions (PVC) in a row, ST elevation consistent with ischemia.

Exclusion criteria

Exclusion Criteria:

  • History of or active immunodeficiency or immuno-suppression caused by acquired or congenital diseases or caused by treatments such as chronic administration (> 14 days) of systemic, i.e. parenteral or oral, (> 5 mg prednisone [or equivalent] per day), radiation or immune-modifying drugs.
  • Periodic steroid injections, e.g. intraarticular, are not allowed within 30 days prior to the first vaccination and throughout the study until Visit 5 (V5).
  • Post organ transplant subjects whether or not receiving chronic therapy.
  • Uncontrolled serious infection, i.e. not responding to antimicrobial therapy.
  • History of any serious medical condition, which in the opinion of the investigator would compromise the safety of the subject or prevent the subject from complying with study requirements.
  • History of or active disease, e.g. Type I diabetes. Persons with vitiligo or thyroid disease taking thyroid hormone replacement are not excluded.
  • Skin cancer in the past six months. If treatment for skin cancer was successfully completed more than six months ago and the is considered to be cured, the subject may be enrolled. Subjects with history of skin cancer must not be vaccinated at the previous site of cancer.
  • Any other malignancy in the past five years. If treatment for cancer was successfully completed more than 5 years ago and the malignancy is considered to be cured, the subject may be enrolled.
  • hematological, renal, hepatic, pulmonary, central nervous, cardiovascular or gastrointestinal disorders which are not adequately controlled by medical treatment within the last 12 weeks before vaccination as judged by the site's Principal Investigator.
  • History of myocardial infarction, congestive heart failure with marked limitation of activity due to symptoms, e.g. walking short distances [20 100 m] (i.e. > Grade II according to the ), cardiomyopathy and stroke or in the past two years.
  • Uncontrolled high blood pressure defined as systolic blood pressure ≥ 150 mm Hg and/or ≥ diastolic blood pressure ≥ 100 mm Hg within the last six months.
  • Subjects with active coronary heart disease manifested by angina, even if on medication.
  • 25 % or greater risk of developing a myocardial infarction or coronary death within the next 10 years using the National Cholesterol Education Program's Risk Assessment Tool: http://hin.nhlbi.nih.gov/atpiii/calculator.asp
  • Clinically significant mental disorder not adequately controlled by medical treatment.
  • History of chronic alcohol abuse (40 g/day, e.g. 3 glasses of beer or 2 glasses of wine for at least six months) and/or intravenous drug abuse (within the last six months). Subjects with a history of other substance and/or alcohol abuse are also excluded if - in the opinion of the investigator - the abuse could prevent the subject from complying with study requirements.
  • History of allergic disease or reactions likely to be exacerbated by IMVAMUNE® or any component of the vaccine, e.g. tris(hydroxymethyl)-amino methane, chicken embryo fibroblast proteins, aminoglycosides (gentamycin).
  • History of anaphylactic shock or any severe allergic reaction to a vaccine requiring immediate treatment.
  • Subjects undergoing treatment for tuberculosis infection or disease.
  • Having received any vaccinations or planned vaccinations with a within 30 days prior to or after study vaccination.
  • Having received any vaccinations or planned vaccinations with a killed vaccine within 14 days prior to or after study vaccination.
  • Administration or planned administration of immuno-globulins and/or any blood products during a period starting from three months prior to administration of the vaccine and ending at study conclusion.
  • Use of any or non-registered drug or vaccine other than the study vaccine within 30 days preceding the first dose of the study vaccine or planned administration of such a drug during the study period.
  • Temperature ≥ 100.4°F (38.0°C) at the time of enrollment.
  • Any condition which might interfere with study objectives or would limit the subject's ability to complete the study in the opinion of the investigator.
  • Study personnel.
Terms in these criteria, in plain language(20)

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.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

Childbearing potential

Able to become pregnant: from the first period until menopause, unless permanently unable to through surgery (removal of the womb, or of both ovaries or both fallopian tubes).

Criteria for people of childbearing potential usually ask for a negative pregnancy test and for contraception during the study and for a time after it.

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.

Absolute neutrophil count (ANC)

The number of neutrophils, white blood cells that help fight infection, in a given amount of blood. Too few raises the risk of infection.

It is a count, not a percentage of the white cells. Limits are written in units that mean the same: ≥ 1.5 × 10⁹/L is ≥ 1,500 per mm³ (µL). Each lab has its own reference range.

Hemoglobin (Hb)

The protein in red blood cells that carries oxygen. A low level is anaemia, which can cause tiredness and breathlessness. Measured in g/dL or g/L (9 g/dL is 90 g/L).

Platelets

Blood cells that help blood clot. Too few raises the risk of bleeding and bruising. A usual adult range is about 150–400 × 10⁹/L (150,000–400,000 per µL); each lab has its own reference range.

Bilirubin

A yellow substance made when red blood cells are broken down, which the liver clears. A high level can mean a problem with the liver or the bile ducts.

Criteria often allow more for people with Gilbert’s syndrome, a harmless inherited condition that raises bilirubin.

ULN (upper limit of normal)

The top of the normal range for a blood test, as set by the laboratory that runs it. Each lab prints its own range next to your result.

“≤ 2.5 × ULN” means the result can be up to two and a half times that top value.

ALT and AST (liver enzymes)

Two enzymes measured in a routine blood test of the liver. Higher levels can mean the liver is under strain or damaged. SGPT and SGOT are older names for ALT and AST.

Criteria usually give a limit as a multiple of the upper limit of normal (ULN), often higher when cancer has spread to the liver.

ECG (electrocardiogram)

A recording of the heart’s electrical activity, taken with stickers on the chest, arms and legs. It takes a few minutes and does not hurt.

Clinically significant

Judged by the study doctor to matter for your health or for the study. It is a doctor’s decision, so ask the study team if you are unsure whether something counts.

QT and QTc

On an ECG, the QT interval is the time the heart’s lower chambers take to activate electrically and recover in each beat. QTc is that time adjusted for heart rate (QTcF by Fridericia’s formula, QTcB by Bazett’s). Some medicines lengthen it, and a long QTc can raise the risk of a dangerous heart rhythm.

The study may name a correction formula and a limit in milliseconds, often around 450–480.

Corticosteroids (steroids)

Anti-inflammatory medicines such as prednisone, prednisolone and dexamethasone — not the anabolic steroids used for muscle.

Studies differ in what they allow: check which steroid medicines, routes (tablets, injections, creams, inhalers, eye drops) and doses this study accepts.

Immunosuppression

A weakened immune system. It can come from an illness, such as HIV or some blood cancers, or from medicines that turn the immune system down, for example after an organ transplant or for an autoimmune disease; steroids at higher doses count.

Read whether the line is about a condition or about medicines, and which medicines and doses it means.

Autoimmune disease

A condition in which the immune system attacks the body’s own tissues, such as rheumatoid arthritis, lupus, psoriasis, type 1 diabetes or inflammatory bowel disease.

Immunotherapy studies often leave out active autoimmune disease, and some name exceptions, such as thyroid disease on replacement hormone. Check the exceptions this study lists.

Cancer (malignancy)

Malignancy means cancer. Criteria about another or earlier malignancy ask whether you have had a different cancer, usually within a set number of years.

Some are commonly allowed, such as treated skin cancers other than melanoma and early cancers removed completely — check the exceptions this study lists.

NYHA class (heart failure)

The New York Heart Association’s four classes of how much heart failure limits physical activity.

I
No limits: ordinary activity causes no undue tiredness or breathlessness.
II
Slight limits: comfortable at rest, ordinary activity causes symptoms.
III
Marked limits: comfortable at rest, less than ordinary activity causes symptoms.
IV
Symptoms even at rest; any activity makes them worse.

Studies set their own limit — many outside heart failure leave out class III–IV, while heart failure studies may ask for a particular class. Check the class this study names.

TIA (transient ischaemic attack)

A “mini-stroke”: temporary stroke-like symptoms caused by reduced blood flow to part of the brain, spinal cord or eye, without signs of a new stroke on a scan.

Stroke symptoms need emergency care at once, even if they go away.

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.

Investigational drug or device

A drug or device being studied in a clinical trial.

It may be new, or already approved and being studied for another use, dose or form. Criteria often leave out people who took part in another study of one within a recent period, commonly 30 days or five half-lives.

05

Study design

Phase
Phase 2
Primary purpose
Prevention
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Double (Participant, Investigator)
Enrollment
120 participants (actual)

Study arms

  • Experimental
    Group 1

    Biological: IMVAMUNE

  • Experimental
    Group 2

    Biological: IMVAMUNE

Interventions

  • BiologicalIMVAMUNE

    Two s.c. vaccinations with 0.5 ml IMVAMUNE® vaccine containing 1 x 10E8 TCID50 / dose

  • BiologicalIMVAMUNE

    One s.c. vaccination with placebo (0.5 ml saline), followed by a second s.c. vaccination with 0.5 ml IMVAMUNE® vaccine containing 1 x 10E8 TCID50

06

What researchers measure

Primary outcomes

  1. Related Serious Adverse Events

    Incidence of Serious Adverse Events (SAEs) probably, possibly or definitely related to the trial vaccine

    Time frame: within 8 weeks

Secondary outcomes

  1. Unsolicited Non-serious AEs: Intensity

    Occurrence of unsolicited non-serious AEs by Intensity

    Time frame: within 29 days after any vaccination

  2. Unsolicited Non-serious AEs: Relationship to Vaccination

    Occurrence of unsolicited non-serious AEs by relationship to study vaccine

    Time frame: within 29 days after any vaccination

  3. Related Grade >=3 Adverse Events

    Incidence of any Grade \>=3 Adverse Events probably, possibly or definitely related to the trial vaccine. Pooled solicited (general) and unsolicited AEs

    Time frame: within 29 days after any vaccination

  4. Cardiac Signs or Symptoms

    Incidence, relationship and intensity of any cardiac sign or symptom indicating a case of myo-/pericarditis (AESI). AESIs were defined as any cardiac symptoms and ECG changes determined to be clinically significant or cardiac enzymes elevated above 2 x upper limit of normal range (ULN).

    Time frame: within 32 weeks

  5. Solicited Local Adverse Events

    Incidence and intensity of solicited local AEs (pain, erythema, swelling, induration, and pruritus). Percentages based on subjects with at least one completed diary card.

    Time frame: within 8 days after any vaccination

  6. Solicited General Adverse Events

    Incidence of solicited general AEs (body temperature increased, headache, myalgia, chills, nausea, and fatigue): Intensity and relationship tovaccination. Percentages based on subjects with at least one completed diary card.

    Time frame: within 8 days after any vaccination

  7. ELISA Response Rate

    Response rate based on vaccinia-specific Enzyme-linked Immunosorbent Assay (ELISA). Response is defined as the appearance of antibody titers ≥ detection limit (50) for initially seronegative subjects, or an increase of the antibody titer compared to Baseline titer for initially seropositive subjects. Individual peak response rate is based on the maximum post-Baseline antibody titer within 8 weeks (end of active trial phase). Percentages based on number of subjects with data available.

    Time frame: within 32 weeks

  8. ELISA Seroconversion Rate

    Seroconversion rate based on vaccinia-specific Enzyme-linked Immunosorbent Assay (ELISA). Seroconversion is defined as the appearance of antibody titers ≥ detection limit (50) for initially seronegative subjects, or a doubling or more of the antibody titer compared to Baseline titer for initially seropositive subjects. Individual peak seroconversion rate is based on the maximum post-Baseline antibody titer within 8 weeks (end of active trial phase). Percentages based on number of subjects with data available.

    Time frame: within 32 weeks

  9. ELISA GMT

    Geometric Mean Titers (GMT) based on vaccinia-specific Enzyme-linked Immunosorbent Assay (ELISA). Individual peak is defined as the maximum post-Baseline antibody titer within 8 weeks (end of active trial phase). Titers below the detection limit are included with a value of '1'.

    Time frame: within 32 weeks

  10. PRNT Response Rate

    Response rate based on vaccinia-specific Plaque Reduction Neutralization Test (PRNT). Response is defined as the appearance of antibody titers ≥ detection limit (15) for initially seronegative subjects, or an increase of the antibody titer compared to Baseline titer for initially seropositive subjects. Individual peak response rate is based on the maximum post-Baseline antibody titer within 8 weeks (end of active trial phase). Percentages based on number of subjects with data available.

    Time frame: within 32 weeks

  11. PRNT Seroconversion Rate

    Seroconversion rate based on vaccinia-specific Plaque Reduction Neutralization Test (PRNT). Seroconversion is defined as the appearance of antibody titers ≥ detection limit (15) for initially seronegative subjects, or a doubling or more of the antibody titer compared to Baseline titer for initially seropositive subjects. Individual peak seroconversion rate is based on the maximum post-Baseline antibody titer within 8 weeks (end of active trial phase). Percentages based on number of subjects with data available.

    Time frame: within 32 weeks

  12. PRNT GMT

    Geometric Mean Titers (GMT) based on vaccinia-specific Plaque Reduction Neutralization Test (PRNT). Individual peak is defined as the maximum post-Baseline antibody titer within 8 weeks (end of active trial phase). Titers below the detection limit are included with a value of '1'.

    Time frame: within 32 weeks

  13. Correlation PRNT vs ELISA Titers

    Pearson Correlation Coefficient between the log10 transformed PRNT titers and the log10 transformed ELISA titers

    Time frame: within 32 weeks

07

Results

Posted Jan 10, 2019

Participant flow

Participant flow — Overall Study
MilestoneGroup 1Group 2
Started6258
Completed5958
Not completed30

Outcome measures

PrimaryRelated Serious Adverse Events

Incidence of Serious Adverse Events (SAEs) probably, possibly or definitely related to the trial vaccine

Time frame:
within 8 weeks
Reported as:
Count of participants · Participants
Related Serious Adverse Events
ParticipantsGroup 1Group 2
Related Serious Adverse Events00
SecondaryUnsolicited Non-serious AEs: Intensity

Occurrence of unsolicited non-serious AEs by Intensity

Time frame:
within 29 days after any vaccination
Reported as:
Number · events
Unsolicited Non-serious AEs: Intensity
eventsGroup 1Group 2
Total7358
Grade 16050
Grade 297
Grade 341
Grade 400
Missing00
SecondaryUnsolicited Non-serious AEs: Relationship to Vaccination

Occurrence of unsolicited non-serious AEs by relationship to study vaccine

Time frame:
within 29 days after any vaccination
Reported as:
Number · events
Unsolicited Non-serious AEs: Relationship to Vaccination
eventsGroup 1Group 2
Unrelated/None3226
Unlikely62
Possible2013
Probable85
Definite712
Missing00
Total7358
SecondaryRelated Grade >=3 Adverse Events

Incidence of any Grade \>=3 Adverse Events probably, possibly or definitely related to the trial vaccine. Pooled solicited (general) and unsolicited AEs

Time frame:
within 29 days after any vaccination
Reported as:
Count of participants · Participants
Related Grade >=3 Adverse Events
ParticipantsGroup 1Group 2
Related Grade >=3 Adverse Events31
SecondaryCardiac Signs or Symptoms

Incidence, relationship and intensity of any cardiac sign or symptom indicating a case of myo-/pericarditis (AESI). AESIs were defined as any cardiac symptoms and ECG changes determined to be clinically significant or cardiac enzymes elevated above 2 x upper limit of normal range (ULN).

Time frame:
within 32 weeks
Reported as:
Count of participants · Participants
Cardiac Signs or Symptoms
ParticipantsGroup 1Group 2
Any AESI50
Any AESI with intensity >= Grade 300
Any AESI assessed as related to vaccine00
SecondarySolicited Local Adverse Events

Incidence and intensity of solicited local AEs (pain, erythema, swelling, induration, and pruritus). Percentages based on subjects with at least one completed diary card.

Time frame:
within 8 days after any vaccination
Reported as:
Count of participants · Participants
Solicited Local Adverse Events
ParticipantsGroup 1Group 2
Pain: Any4636
Pain: Grade >=341
Erythema: Any4937
Erythema: Grade >=331
Swelling: Any3927
Swelling: Grade >=300
Induration: Any3117
Induration: Grade >=300
Pruritis: Any2722
Pruritis: Grade >=300
SecondarySolicited General Adverse Events

Incidence of solicited general AEs (body temperature increased, headache, myalgia, chills, nausea, and fatigue): Intensity and relationship tovaccination. Percentages based on subjects with at least one completed diary card.

Time frame:
within 8 days after any vaccination
Reported as:
Count of participants · Participants
Solicited General Adverse Events
ParticipantsGroup 1Group 2
Increased body temperature: Any21
Increased body temperature: Related20
Increased body temperature: Grade >=300
Headache: Any1922
Headache: Related1514
Headache: Grade >=310
Myalgia: Any1914
Myalgia: Related1412
Myalgia: Grade >=321
Chills: Any54
Chills: Related51
Chills: Grade >=300
Nausea: Any75
Nausea: Related44
Nausea: Grade >=300
Fatigue: Any2118
Fatigue: Related1815
Fatigue: Grade >=310
SecondaryELISA Response Rate

Response rate based on vaccinia-specific Enzyme-linked Immunosorbent Assay (ELISA). Response is defined as the appearance of antibody titers ≥ detection limit (50) for initially seronegative subjects, or an increase of the antibody titer compared to Baseline titer for initially seropositive subjects. Individual peak response rate is based on the maximum post-Baseline antibody titer within 8 weeks (end of active trial phase). Percentages based on number of subjects with data available.

Time frame:
within 32 weeks
Reported as:
Number · percentage of subjects
ELISA Response Rate
percentage of subjectsGroup 1Group 2
Week 298.4 (91.2 to 100.0)19.0 (9.9 to 31.4)
Week 496.6 (88.3 to 99.6)19.0 (9.9 to 31.4)
Week 698.3 (91.1 to 100.0)96.6 (88.1 to 99.6)
Week 8100.0 (93.9 to 100.0)100.0 (93.8 to 100.0)
Individual Peak100.0 (94.1 to 100.0)100.0 (93.8 to 100.0)
Week 3294.9 (85.9 to 98.9)82.8 (70.6 to 91.4)
SecondaryELISA Seroconversion Rate

Seroconversion rate based on vaccinia-specific Enzyme-linked Immunosorbent Assay (ELISA). Seroconversion is defined as the appearance of antibody titers ≥ detection limit (50) for initially seronegative subjects, or a doubling or more of the antibody titer compared to Baseline titer for initially seropositive subjects. Individual peak seroconversion rate is based on the maximum post-Baseline antibody titer within 8 weeks (end of active trial phase). Percentages based on number of subjects with data available.

Time frame:
within 32 weeks
Reported as:
Number · percentage of subjects
ELISA Seroconversion Rate
percentage of subjectsGroup 1Group 2
Week 283.6 (71.9 to 91.8)1.7 (0.0 to 9.2)
Week 479.7 (67.2 to 89.0)3.4 (0.4 to 11.9)
Week 683.3 (71.5 to 91.7)82.8 (70.6 to 91.4)
Week 883.1 (71.0 to 91.6)77.6 (64.7 to 87.5)
Individual Peak90.2 (79.8 to 96.3)84.5 (72.6 to 92.7)
Week 3259.3 (45.7 to 71.9)58.6 (44.9 to 71.4)
SecondaryELISA GMT

Geometric Mean Titers (GMT) based on vaccinia-specific Enzyme-linked Immunosorbent Assay (ELISA). Individual peak is defined as the maximum post-Baseline antibody titer within 8 weeks (end of active trial phase). Titers below the detection limit are included with a value of '1'.

Time frame:
within 32 weeks
Reported as:
Geometric mean · Titer
ELISA GMT
TiterGroup 1Group 2
Week 0129.0 (100.3 to 165.8)105.3 (71.8 to 154.5)
Week 2622.5 (491.2 to 788.9)98.5 (64.8 to 150.0)
Week 4501.2 (406.4 to 617.9)101.0 (66.5 to 153.3)
Week 6804.1 (636.3 to 1016.0)605.8 (479.6 to 765.2)
Week 8720.2 (577.9 to 897.6)505.0 (398.2 to 640.3)
Individual Peak992.4 (769.2 to 1280.3)645.2 (505.0 to 824.3)
Week 32344.6 (288.9 to 411.1)258.1 (202.5 to 328.9)
SecondaryPRNT Response Rate

Response rate based on vaccinia-specific Plaque Reduction Neutralization Test (PRNT). Response is defined as the appearance of antibody titers ≥ detection limit (15) for initially seronegative subjects, or an increase of the antibody titer compared to Baseline titer for initially seropositive subjects. Individual peak response rate is based on the maximum post-Baseline antibody titer within 8 weeks (end of active trial phase). Percentages based on number of subjects with data available.

Time frame:
within 32 weeks
Reported as:
Number · percentage of subjects
PRNT Response Rate
percentage of subjectsGroup 1Group 2
Week 283.6 (71.9 to 91.8)15.5 (7.3 to 27.4)
Week 481.4 (69.1 to 90.3)10.3 (3.9 to 21.2)
Week 696.7 (88.5 to 99.6)82.8 (70.6 to 91.4)
Week 889.8 (79.2 to 96.2)79.3 (66.6 to 88.8)
Individual Peak96.7 (88.7 to 99.6)84.5 (72.6 to 92.7)
Week 3266.1 (52.6 to 77.9)50.0 (36.6 to 63.4)
SecondaryPRNT Seroconversion Rate

Seroconversion rate based on vaccinia-specific Plaque Reduction Neutralization Test (PRNT). Seroconversion is defined as the appearance of antibody titers ≥ detection limit (15) for initially seronegative subjects, or a doubling or more of the antibody titer compared to Baseline titer for initially seropositive subjects. Individual peak seroconversion rate is based on the maximum post-Baseline antibody titer within 8 weeks (end of active trial phase). Percentages based on number of subjects with data available.

Time frame:
within 32 weeks
Reported as:
Number · percentage of subjects
PRNT Seroconversion Rate
percentage of subjectsGroup 1Group 2
Week 273.8 (60.9 to 84.2)10.3 (3.9 to 21.2)
Week 471.2 (57.9 to 82.2)8.6 (2.9 to 19.0)
Week 690.0 (79.5 to 96.2)77.6 (64.7 to 87.5)
Week 886.4 (75.0 to 94.0)74.1 (61.0 to 84.7)
Individual Peak95.1 (86.3 to 99.0)77.6 (64.7 to 87.5)
Week 3255.9 (42.4 to 68.8)41.4 (28.6 to 55.1)
SecondaryPRNT GMT

Geometric Mean Titers (GMT) based on vaccinia-specific Plaque Reduction Neutralization Test (PRNT). Individual peak is defined as the maximum post-Baseline antibody titer within 8 weeks (end of active trial phase). Titers below the detection limit are included with a value of '1'.

Time frame:
within 32 weeks
Reported as:
Geometric mean · Titer
PRNT GMT
TiterGroup 1Group 2
Week 011.9 (7.4 to 19.1)11.3 (6.5 to 19.4)
Week 2111.4 (72.0 to 172.2)9.2 (5.3 to 15.8)
Week 479.5 (52.1 to 121.3)11.3 (6.8 to 18.7)
Week 6210.3 (146.1 to 302.7)126.7 (82.4 to 194.8)
Week 8144.9 (96.1 to 218.6)99.5 (63.8 to 155.1)
Individual Peak257.6 (178.6 to 371.5)139.6 (89.2 to 218.5)
Week 3247.0 (31.1 to 71.1)27.6 (17.0 to 44.8)
SecondaryCorrelation PRNT vs ELISA Titers

Pearson Correlation Coefficient between the log10 transformed PRNT titers and the log10 transformed ELISA titers

Time frame:
within 32 weeks
Reported as:
Number · Pearson correlation coefficient
Correlation PRNT vs ELISA Titers
Pearson correlation coefficientGroup 1Group 2
Week 20.704 (0.546 to 0.810)0.489 (0.261 to 0.661)
Week 40.569 (0.362 to 0.718)0.492 (0.264 to 0.664)
Week 60.660 (0.484 to 0.781)0.697 (0.531 to 0.808)
Week 80.600 (0.402 to 0.740)0.616 (0.421 to 0.752)
Week 320.500 (0.276 to 0.668)0.654 (0.472 to 0.778)

Adverse events

Non-serious events are listed at a 2% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Group 10/62 (0%)2/62 (3.2%)21/62 (33.9%)
Group 20/58 (0%)2/58 (3.4%)21/58 (36.2%)
Most frequent serious events
Most frequent serious events
EventGroup 1Group 2
Prostate cancerNeoplasms benign, malignant and unspecified (incl cysts and polyps)0/622/58
CellulitisInfections and infestations1/620/58
Non-cardiac chest painGeneral disorders1/620/58
Most frequent other events
Showing 10 of 14
Most frequent other events
EventGroup 1Group 2
Injection site haematomaGeneral disorders1/625/58
Neutrophil count decreasedInvestigations1/624/58
Injection site noduleGeneral disorders4/622/58
DiarrhoeaGastrointestinal disorders1/623/58
Application site haematomaGeneral disorders0/623/58
SinusitisInfections and infestations3/620/58
Upper respiratory tract infectionInfections and infestations3/622/58
DizzinessNervous system disorders3/621/58
ContusionInjury, poisoning and procedural complications0/622/58
ArthralgiaMusculoskeletal and connective tissue disorders1/622/58

Baseline characteristics

Safety Analysis Set

Age, Continuous
Age, Continuous(years)Group 1Group 2Total
Mean64.6 ± 5.4162.6 ± 5.8563.7 ± 5.70
Sex: Female, Male
Sex: Female, Male(Participants)Group 1Group 2Total
Female374077
Male251843
08

Study locations

4 sites
  • Orlando Clinical Research Center
    Orlando, Florida 32809, United States
  • University of Iowa
    Iowa City, Iowa 52242, United States
  • University of Kentucky, School of Medicine, Department of Medicine
    Lexington, Kentucky 40536-0084, United States
  • University of Rochester, Medical Center
    Rochester, New York 16462, United States
09

References and documents

Publications

  • Greenberg RN, Hay CM, Stapleton JT, Marbury TC, Wagner E, Kreitmeir E, Roesch S, von Krempelhuber A, Young P, Nichols R, Meyer TP, Schmidt D, Weigl J, Virgin G, Arndtz-Wiedemann N, Chaplin P. A Randomized, Double-Blind, Placebo-Controlled Phase II Trial Investigating the Safety and Immunogenicity of Modified Vaccinia Ankara Smallpox Vaccine (MVA-BN(R)) in 56-80-Year-Old Subjects. PLoS One. 2016 Jun 21;11(6):e0157335. doi: 10.1371/journal.pone.0157335. eCollection 2016. PubMed 27327616 ↗
10

Timeline

Tracking since Sep 25, 2026
Not marked actual or estimatedDates not marked actual or estimated

The record gives a start of Jun 2009, a primary completion of Aug 2010 and a completion of Aug 2010. It does not say whether these dates are actual or estimated.

Results were first posted in Jan 2019, 8 years 5 months after primary completion.

How these figures are worked out, and which studies are left out of them.

Registered
Mar 5, 2009
First posted
Mar 6, 2009
Start
Jun 2009
Primary completionActual
Aug 2010
CompletionActual
Aug 2010
Results first posted
Jan 10, 2019
Last update
Jan 10, 2019
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Jan 10, 2019, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT00857493
Lead sponsor
Bavarian Nordic
Responsible party
Sponsor
First posted
Mar 6, 2009
Start date
Jun 2009
Primary completion
Aug 2010
Completion
Aug 2010
Results posted
Jan 10, 2019
Last update
Jan 10, 2019

Study contacts

Richard N Greenberg, MD
principal investigator · University of Kentucky

Oversight

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

Not currently enrolling

This study is completed, as verified in Jan 2019. You cannot join it, but the record below documents what was studied.

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Discussion

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Studies of the drug tested here: MVA-BN smallpox vaccine

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