ClinicalTrials.gg
WithdrawnNCT01940315rBV A/BUpdated Dec 4, 2018

Phase 3, Randomized, Safety, Lot Consistency and Clinical Benefit Study of Recombinant Botulinum Vaccine A/B

A Phase 3 interventional study of rBV A/B and Placebo (USP sterile saline for injection) in Botulism, sponsored by DynPort Vaccine Company LLC, A GDIT Company. Withdrawn. Open to participants aged 18 Years to 55 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2018-12-04.

Sponsored by DynPort Vaccine Company LLC, A GDIT Company · Phase 3, Interventional, and Prevention

Why this study was withdrawn
Sponsor decision due to product manufacturing and redesign of clinical trial.
Phase
Phase 3
Study type
Interventional
Enrollment
0
Allocation
Randomized
Ages
18 Years to 55 Years
Sex
All
01

Study summary

This Phase 3 clinical trial is a double blind, placebo-controlled, randomized, multicenter investigation of rBV A/B in male and female healthy adults 18 to 55 years of age.

Read the detailed description

Currently, there are no licensed vaccines or pre-exposure prophylactic medical countermeasures available to provide protection against botulism. The rBV A/B is under development to provide protection of adults 18 to 55 years of age from fatal botulism caused by inhalational intoxication with botulinum neurotoxin complex (BoNT) serotype A, subtype A1 (BoNT/A1) and botulinum neurotoxin complex serotype B, subtype B1 (BoNT/B1). Volunteers will not be exposed to botulism. Protective antibody titers will be measured in serum after vaccination.

02

Conditions studied

  • Botulism

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Keywords

  • Defender Study
  • experimental vaccine
  • inhalational intoxication
03

In context

Botulism

20 studies on the registry are indexed under Botulism; 3 are open to participants now.

Browse Botulism studies →

Lead sponsor

DynPort Vaccine Company LLC, A GDIT Company is the lead sponsor of 9 studies on the registry; none are open to participants now.

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

04

Who can participate

Ages eligible
18 Years to 55 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

  1. The volunteer is a U.S. citizen or permanent resident alien of the U.S.
  2. The volunteer has signed the form.
  3. The volunteer is 18 to 55 years of age.
  4. The volunteer agrees not to donate blood or blood product for therapeutic or research purposes.
  5. The volunteer is willing to comply with the requirements of the protocol through the last scheduled visit.
  6. The volunteer is accessible by telephone or electronic mail to receive reminders from the investigative site.
  7. Female volunteers of must not be pregnant or lactating and agree to use two types of an acceptable form of FDA-approved through end of study.
  8. The volunteer is in good health.
  9. The volunteer has clinical laboratory tests within acceptable ranges listed in the protocol.

Exclusion criteria

Exclusion Criteria:

  1. The volunteer has a history of botulism or prior receipt of any botulinum vaccine, toxoid or antitoxin.
  2. The volunteer has previously been treated or expects to be treated with any therapeutic products containing BoNTs such as Botox®, Myobloc®/Neurobloc™ and Botox® Cosmetic.
  3. The volunteer has a history of or significant adverse reaction to other vaccines, aluminum compounds or yeast.
  4. The volunteer has a history of severe allergic reactions or anaphylaxis.
  5. The volunteer has donated one or more units of blood (≥ 450 mL) or undergone plasmapheresis within the past 28 days prior to receiving first administration of study product.
  6. The volunteer received any blood product or immunoglobulin in the previous 6 months prior to receiving first vaccination or plans to receive such products during the clinical trial.
  7. The volunteer received any vaccine in the previous 6 months.
  8. The volunteer received or intends to receive any licensed nonliving vaccine within 14 days before or after a scheduled administration of study product.
  9. The volunteer received or intends to receive any licensed , including FluMist® within 60 days before or after a scheduled administration of study product.
  10. Vaccination with commercially available inactivated or non-living influenza vaccine preparations (other than FluMist®) if received 14 days before and after a scheduled administration of study product.
  11. The volunteer received any investigational drug therapy within 30 days before the first vaccination or before the last scheduled visit.
  12. The volunteer received therapy with agents, including use of moderate to high-dose oral inhaled or systemic (prednisone-equivalent dose of ≥ 20 mg/day).
  13. The volunteer has or develops medically diagnosed chronic migraine headaches (persistent and recurrent) or a neurological condition associated with a cranial nerve or spasticity or abnormal muscle contraction, demyelination, other abnormalities of smooth or skeletal muscle function or hyperhidrosis.
  14. The volunteer had systemic or recurrent disease or condition that would place the volunteer at an unacceptable risk of injury or requires frequent or continuous medical intervention for treatment, has required hospitalization, or is likely to require surgical intervention during the course of the study.
  15. The volunteer has current active mental illness, history of mental illness or hospitalization for mental illness within the past 12 months prior to first of administration of study product is exclusionary.
  16. The volunteer has a history of immunodeficiency or disease.
  17. The volunteer has a systemic medical condition that is ongoing or has required hospitalization or administration of antimicrobial agents within 6 months before screening.
  18. The volunteer has a history of or active rheumatoid arthritis or any autoimmune mediated arthritis.
  19. The volunteer has an acute self-limited illness that has not resolved by the time of first vaccination including oral temperature greater than 99.5 °F.
  20. The volunteer has a history of abuse of alcohol or drugs within the 12 months before clinical trial screening.
  21. The volunteer has occupational or other responsibilities that would prevent completion of participation in the clinical trial in the opinion of the Investigator.
  22. The volunteer has a (BMI) ≥ 35 kg/m2.
  23. The volunteer is a member of the team conducting this clinical trial or is in a dependent relationship with the clinical trial investigator.
  24. The volunteer has a confirmed positive result on a urine drug screen that tests for common substances of abuse such as amphetamines, barbiturates, benzodiazepines, cocaine, opiates and cannabinoids.
  25. The volunteer was seropositive on screening tests for human , virus or surface antigen.
Terms in these criteria, in plain language(13)

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.

Hypersensitivity

An allergy, or another reaction of the immune system, to a substance. “Hypersensitivity to the study drug” means a known allergic reaction to it — not every side effect a medicine can have.

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.

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.

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.

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.

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.

BMI (body mass index)

Weight in kilograms divided by height in metres squared. Example: 70 kg and 1.75 m gives 70 ÷ (1.75 × 1.75) ≈ 22.9.

What counts as overweight or obesity differs between countries (some use lower cut-offs), so go by the range the study states.

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 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.

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.

05

Study design

Phase
Phase 3
Primary purpose
Prevention
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
0 participants (actual)

Study arms

  • Active comparator
    rBV A/B

    0.5 mL dose of rBV A/B (40 µg) will be administered intramuscularly (IM) in a three-dose dosing schedule given at Days 0, 28 ± 5 days, and 182 ± 9 days

    Biological: rBV A/B

  • Placebo comparator
    Placebo

    0.5 mL dose of placebo will be administered intramuscularly (IM) given at Days 0, 28 ± 5 days, and 182 ± 9 days

    Biological: Placebo (USP sterile saline for injection)

Interventions

  • BiologicalrBV A/B

    Drug page: Recombinant botulinum vaccine A/B

    0.5 mL dose of rBV A/B (40 µg) given at Days 0, 28 ± 5 days, and 182 ± 9 days

  • BiologicalPlacebo (USP sterile saline for injection)

    0.5 mL dose of Placebo will be given at Days 0, 28 ± 5 days, and 182 ± 9 days

06

What researchers measure

Primary outcomes

  1. The primary safety objective is to demonstrate the safety of rBV A/B through Day 365.

    The primary safety endpoints are the incidence, severity and relationship to treatment of solicited local, systemic and neuromuscular adverse events (AEs) with onset on the day of and for 7 days after each administration of study product; treatment-emergent AEs (TEAEs) with onset within 28 days after each administration of study product; and medically-attended AEs (MAEs), neuromuscular AEs and serious AEs (SAEs) from the time of first dose (Day 0) through 6 months after the last dose (Day 365).

    Time frame: 1 year after first dose [Dose 1] / 6 months after the last dose [Dose 3]

  2. The primary immunogenicity objectives are to demonstrate lot consistency for three lots of rBV A/B and to infer clinical benefit of rBV A/B.

    * The criterion to demonstrate lot consistency will be based on the geometric mean ratios of neutrailzing antibodies concentrations (NAC) to vaccine antigens BoNT/A1 and BoNT/B1. * The criterion to demonstrate clinical benefit is the proportion of volunteers with NAC values at or above the putative protective levels for anti-BoNT/A1 and anti-BoNT/B1 simultaneously.

    Time frame: Study Day 210, approximately 28 days after the last dose [Dose 3]

Secondary outcomes

  1. The secondary safety objective is to demonstrate the safety of rBV A/B from Day 365 through Day 547.

    The secondary safety endpoints are the incidence, severity and relationship to treatment of MAEs, neuromuscular AEs and SAEs.

    Time frame: 1 year after last dose [Dose 3] in a subset of volunteers

  2. The secondary immunogenicity endpoints is duration of protection through Day 547.

    The criterion to demonstrate duration of protection is the proportion of volunteers with NAC values at or above the putative protective levels for anti-BoNT/A1 and anti-BoNT/B1 simultaneously.

    Time frame: Evalution through Study Days 365 and 547 (6 months and 1 year after last dose [Dose 3])

07

Study locations

No study locations are listed for this record.

08

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Dec 4, 2018, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT01940315
Lead sponsor
DynPort Vaccine Company LLC, A GDIT Company
Responsible party
Sponsor
First posted
Sep 12, 2013
Start date
Oct 2017 (estimated)
Primary completion
Mar 2019 (estimated)
Completion
Sep 2019 (estimated)
Last update
Dec 4, 2018

Study contacts

George A Saviolakis, M.D., Ph.D.
study director · DynPort Vaccine Company LLC, A GDIT Company

Oversight

Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is withdrawn, as verified in Nov 2018. 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: Recombinant botulinum vaccine A/B

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