ClinicalTrials.gg
Not yet recruitingNCT02177721Updated Feb 6, 2026

Clinical Benefit and Safety of Raxibacumab in Patients With Symptomatic Inhalational Anthrax in a Mass Exposure Scenario

A Phase 4 interventional study of Sample Collection in Infections, Bacterial, sponsored by Emergent BioSolutions. Not yet recruiting. Per ClinicalTrials.gov, last updated 2026-02-06.

Primary conditionAnthraxRegistry: Bacterial InfectionsReclassifiedWhy we changed it
Registry
Bacterial Infections — the first condition term the registry derived for this study.
ClinicalTrials.gg
Anthrax
Why
  1. The study's title name Anthrax, a narrower term within Bacterial Infections.
Confidence
High: the new condition is named in the study's own title. Of 46 hand-checked studies reclassified this way, 72% were exactly right and 89% in the right disease family; the registry's first term was right for 4% (measured 2026-10-21). How we classify →
Wrong?
Tell us the study's main condition →

Sponsored by Emergent BioSolutions · Phase 4, Interventional, and Treatment

Phase
Phase 4
Study type
Interventional
Enrollment
100
Allocation
Not applicable
Sex
All
01

Study summary

This field study is designed such that it may be implemented for any individual with symptomatic inhalational anthrax who has been administered raxibacumab for treatment of anthrax following a mass exposure scenario. This study is designed to describe the clinical effectiveness (including course of illness and survival) and safety profile from patients who are treated with raxibacumab as part of their clinical care following exposure to B. anthracis. Study data and other investigational research will be collected prospectively to the extent possible at pre-specified time points. However, because of the logistical complexities that would likely accompany a mass anthrax event, most data in this study is anticipated to be collected retrospectively. During such a mass anthrax event, scavenged blood samples will be utilized where possible to maximize sample analyses and other investigational parameters. Therefore, both retrospective and prospective data collection are allowed in this protocol in order to maximize the amount of information obtained in subjects who have been administered raxibacumab. This field study will be the first opportunity to collect data on B. anthracis-exposed patients treated with raxibacumab, to better understand the clinical benefit and safety of the drug and to further inform patient care and treatment choices for management of anthrax.

Read the detailed description

The protocol is a post-marketing requirement from the FDA to evaluate the clinical benefit and safety of raxibacumab administered to patients with symptomatic inhalational anthrax as part of their medical care following a mass exposure scenario to Bacillus anthracis.

02

Conditions studied

  • Infections, Bacterial

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Keywords

  • Raxibacumab
  • anthrax
  • anti-toxin
03

In context

Anthrax Reclassified

75 studies on the registry are indexed under Anthrax; 12 are open to participants now.

This study's planned enrollment of 100 is close to the median of 100 across 57 interventional studies indexed under Anthrax.

Browse Anthrax studies →

Lead sponsor

Emergent BioSolutions is the lead sponsor of 47 studies on the registry; 7 are open to participants now.

Of its 11 completed or terminated interventional studies of FDA-regulated products, 7 (64%) have results posted.

Compared within Anthrax, this study's primary condition as ClinicalTrials.gg classifies it; the registry's first condition term is Bacterial Infections. The counts are of registry records indexed under each term, refreshed daily. How we classify →

04

Who can participate

Ages eligible
Child (0–17), Adult (18–64), Older adult (65+)
Sexes eligible
All
Accepts healthy volunteers
No

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

  • Symptomatic inhalational anthrax linked to an identified mass exposure to B. anthracis.
  • Women, including pregnant and lactating women, men, and children of all ages who receive a dose of raxibacumab from the Strategic National Stockpile (SNS) as part of their clinical care for symptomatic inhalational anthrax will be eligible to enroll in this study.
  • Patients willing and able to adhere to the procedures stated in the protocol.
  • Patients (or legally acceptable representative of minors and unconscious adults) willing and able to give written /assent (as applicable) to participate in the study.

Exclusion criteria

Exclusion Criteria:

  • There are no exclusion criteria for patients enrolling in this study.
Terms in these criteria, in plain language(1)

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.

05

Study design

Phase
Phase 4
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
100 participants (estimated)

Study arms

  • Experimental
    Raxibacumab arm

    This is an open-label, single arm study. The study will be implemented for subjects with symptomatic inhalational anthrax who receive FDA-approved raxibacumab as part of medical treatment of anthrax following a mass exposure scenario. Intervention: Sampling of subjects or use of subjects salvaged standard of care samples may be considered for the following assessments (if available/applicable): analysis of antibodies to PA (anti-PA), protective antigen (PA), and lethal factor (LF).

    Biological: Sample Collection

Interventions

  • BiologicalSample Collection

    Whenever possible serum samples will be collected from all subjects to determine serum raxibacumab concentrations pre-infusion, and at specific timepoints post-infusion. In the event cerebrospinal fluid (CSF), pleural, ascites, or bronchoalveolar lavage (BAL) fluid are collected for ad hoc clinical laboratory testing, any remaining excess sample will be provided to Sponsor for determination of raxibacumab concentrations. Any available serum remaining from ad hoc clinical laboratory specimen collections prior to raxibacumab administration will be provided to Sponsor for measurement of serum PA concentrations. In addition, remaining post raxibacumab dose serum specimens may also be analyzed for lethal factor (LF) levels.

06

What researchers measure

Primary outcomes

  1. Evaluate Clinical Benefit of Raxibacumab for Patients with Symptomatic Inhalational Anthrax

    Evaluate the clinical benefit of raxibacumab for the treatment of inhalational anthrax disease in a mass exposure scenario such as intentional B. anthracis release during a bioterrorist attack.

    Time frame: Up to Day 29

Secondary outcomes

  1. Evaluate Safety of Raxibacumab for Patients with Symptomatic Inhalational Anthrax

    Evaluate the safety of raxibacumab for the treatment of inhalational anthrax disease in a mass exposure scenario such as intentional B. anthracis release during a bioterrorist attack.

    Time frame: Up to Day 29

Other outcomes

  1. Evaluate the Clinical Course of Disease

    To evaluate the clinical course of the disease in patients with inhalational anthrax disease.

    Time frame: Up to Day 29

07

Study locations

No study locations are listed for this record.

08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Feb 6, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT02177721
Collaborators
Centers for Disease Control and Prevention, Biomedical Advanced Research and Development Authority
Responsible party
Sponsor
First posted
Jun 30, 2014
Start date
Jan 2027 (estimated)
Primary completion
May 2035 (estimated)
Completion
Dec 2035 (estimated)
Last update
Feb 6, 2026

Study contacts

Clinical Development Representative
Contact
ct.gov@ebsi.com
(204) 275-4196
Bojan Drobic, PhD
study director · Emergent BioSolutions

Oversight

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

Not currently enrolling

This study is not yet recruiting, as verified in Feb 2026. You cannot join it, but the record below documents what was studied.

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Discussion

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