ClinicalTrials.gg
CompletedNCT05512949Updated Apr 16, 2026Results posted

Trial to Evaluate the Immunogenicity of Dose Reduction Strategies of the MVA-BN Monkeypox Vaccine

A Phase 2 interventional study of JYNNEOS in Monkeypox, sponsored by National Institute of Allergy and Infectious Diseases (NIAID). Completed at 8 sites in United States. Open to participants aged 18 Years to 50 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2026-04-16.

Sponsored by National Institute of Allergy and Infectious Diseases (NIAID) · Phase 2, Interventional, and Prevention

Phase
Phase 2
Study type
Interventional
Enrollment
229
Allocation
Randomized
Ages
18 Years to 50 Years
Sex
All
01

Study summary

This study is a Phase 2 randomized, open-label, non-placebo controlled, multi-site clinical trial that will evaluate two intradermal (ID) regimens for Modified Vaccinia Ankara-Bavarian Nordic (MVA-BN) vaccine compared to the standard subcutaneous (SC) regimen in healthy, vaccinia-naïve adults 18 to 50 years of age, inclusive. At least 210 participants will be enrolled and randomized to one of three study arms. The two dose sparing strategies include one-fifth (2 x 10\^7) and one-tenth (1 x 10\^7) of the standard dose of MVA-BN administered ID on Day 1 and 29 (Arm 1 and 2, respectively). The comparator arm (Arm 3) will be the 2-dose standard (1 x 10\^8) MVA-BN SC regimen.

The study will enroll a 1:1:1 randomization allocation. Participants will not be stratified by clinical trial site, demographic characteristics or human immunodeficiency virus (HIV) infection status; however, these data will be collected during screening and enrollment. Each participant may be screened either in a separate visit in the 7 days prior to Day 1 or on Day 1.

The primary hypothesis involves a two-step hierarchical process. The study will first test non-inferiority of the 2 x 10\^7 ID regimen relative to 1 x 10\^8 SC (standard dose regimen). If the 2 x 10\^7 ID regimen is non-inferior to the standard dose regimen, hypothesis testing will proceed to test non-inferiority of the 1 x 10\^7 ID regimen relative to the standard dose regimen.

The primary objectives are: 1) to determine if peak humoral immune responses following an ID regimen of 2 x 10\^7 50% Tissue Culture Infectious Dose (TCID50) MVA-BN are non-inferior to the licensed regimen of 1 x 10\^8 MVA-BN administered SC; 2) to determine if peak humoral immune responses following an ID regimen of 1 x 10\^7 TCID50 MVA-BN are non-inferior to the licensed regimen of 1 x 10\^8 MVA-BN administered SC.

Read the detailed description

This study is a Phase 2 randomized, open-label, non-placebo controlled, multi-site clinical trial that will evaluate two intradermal (ID) regimens for Modified Vaccinia Ankara-Bavarian Nordic (MVA-BN) vaccine compared to the standard subcutaneous (SC) regimen. This study will enroll healthy, non-pregnant, non-breastfeeding adults 18 to 50 years old inclusive. Participants with stable medical conditions and well-controlled human immunodeficiency virus (HIV) infection can participate. At least 210 participants will be enrolled and randomized to one of three study arms. The two dose sparing strategies include one-fifth (2 x 10\^7) and one-tenth (1 x 10\^7) of the standard dose of MVA-BN administered ID on Day 1 and 29 (Arm 1 and 2, respectively). The comparator arm (Arm 3) will be the 2-dose standard (1 x 10\^8) MVA-BN SC regimen.

The study will enroll a 1:1:1 randomization allocation. Participants will not be stratified by clinical trial site, demographic characteristics or HIV infection status; however, these data will be collected during screening and enrollment. Each participant may be screened either in a separate visit in the 7 days prior to Day 1 or on Day 1.

The primary hypothesis involves a two-step hierarchical process. The study will first test non-inferiority of the 2 x 10\^7 ID regimen relative to 1 x 10\^8 SC (standard dose regimen). If the 2 x 10\^7 ID regimen is non-inferior to the standard dose regimen, hypothesis testing will proceed to test non-inferiority of the 1 x 10\^7 ID regimen relative to the standard dose regimen.

The primary objectives are: 1) to determine if peak humoral immune responses following an ID regimen of 2 x 10\^7 50% Tissue Culture Infectious Dose (TCID50) MVA-BN are non-inferior to the licensed regimen of 1 x 10\^8 MVA-BN administered SC; 2) to determine if peak humoral immune responses following an ID regimen of 1 x 10\^7 TCID50 MVA-BN are non-inferior to the licensed regimen of 1 x 10\^8 MVA-BN administered SC.

The secondary objectives are: 1) to determine if individual peak humoral immune responses following each ID regimen are non-inferior to the licensed regimen administered SC; 2) to evaluate humoral immune responses of each ID regimen (separately) compared to licensed SC regimen each study day; 3) to evaluate the kinetics of the humoral immune responses of each ID regimen (separately) compared to licensed SC regimen through Day 365; 4) To compare relative safety among study arms as assessed by systemic and local reactogenicity for 14 days after each vaccination, unsolicited adverse events for 28 days after each vaccination, and serious adverse events (SAE) and medically attended events (MAAE) from Day 1 through Day 57, and related SAE/MAAEs through Day 181.

02

Conditions studied

  • Monkeypox

Browse trials for

Keywords

  • Dose Reduction
  • Immunogenicity
  • JYNNEOS
  • Monkeypox
  • MVA-BN
  • Open-Label
  • Randomized
  • Vaccine
03

In context

Mpox, Monkeypox

72 studies on the registry are indexed under Mpox, Monkeypox; 30 are open to participants now.

This study's enrollment of 229 is below the median of 305 across 36 interventional studies indexed under Mpox, Monkeypox.

Browse Mpox, Monkeypox studies →

Lead sponsor

National Institute of Allergy and Infectious Diseases (NIAID) is the lead sponsor of 2,446 studies on the registry; 179 are open to participants now.

Of its 405 completed or terminated interventional studies of FDA-regulated products, 302 (75%) have results posted.

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

04

Who can participate

Ages eligible
18 Years to 50 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. Individuals 18 - 50 years of age inclusive at the time of consent.
  2. Able to read the written , states willingness to comply with all study procedures, and is anticipated to be available for all study visits.
  3. Agreement to adhere to Lifestyle Considerations during the study.
  4. Females of who have sexual intercourse with males must agree to use highly effective for at least 1 month prior to signing ICF and through Day 57.
  5. In good general health as evidenced by medical history, physical examination, and clinical judgement of the investigator to be in stable state of health.

    *Participants with pre-existing stable chronic medical conditions defined as conditions not requiring significant change in therapy or hospitalization for worsening disease in the 4 weeks prior to enrollment can be included at the discretion of the investigator. This includes stable, well-controlled positive individuals.

  6. If HIV infected individual, they must be on suppressive Antiretroviral therapy (ART) for at least 6 months, report a cluster of differentiation 4 (CD4) count of greater than 350 cells/uL and no Acquired Immune Deficiency Syndrome (AIDS)-defining illness in the last year.

Exclusion criteria

Exclusion Criteria:

  1. Ever received a licensed or an smallpox or monkeypox vaccine.

    *This includes Dryvax, Acam2000, LC 16 m8, Modified Vaccinia Ankara (MVA)-based vaccine candidate or licensed vaccines, and Jynneos, Imvamune or Imvanex).

  2. Any history of monkeypox, cowpox, or vaccinia infection.
  3. Close contact of anyone known to have monkeypox in the 3 weeks prior to signing Form (ICF).
  4. as determined by the investigator.
  5. Recent or current use of any immunosuppressing medications in the 4 weeks prior to signing ICF.

    **Topical, ophthalmic, inhaled, intranasal and intraarticular are acceptable, but receipt of >/= 20 mg/day of prednisone or equivalent for >/= 14 consecutive days in the 4 weeks prior to signing ICF is exclusionary.

  6. Pregnant or breast feeding.
  7. Received or plans to receive a in the 4 weeks prior to signing ICF and 4 weeks after each vaccination.
  8. Received or plans to receive any other vaccine in the 2 weeks prior to signing ICF through Day 43.
  9. Received experimental therapeutic agent or vaccine in the 3 months prior to signing ICF.
  10. Has known allergy or history of anaphylaxis or other serious adverse reaction to a vaccine or vaccine products.

    ***This includes individuals with history of severe allergic reaction to gentamicin, ciprofloxacin, chicken or egg protein.

  11. Has tattoos, scars, or other marks which would, in the opinion of the investigator, interfere with assessment of the vaccination site.
  12. Has any medical disease or condition that, in the opinion of the participating site Principal Investigator (PI) or appropriate sub-investigator, precludes study participation.

    • This includes acute, subacute, intermittent, or chronic medical disease or condition that would place the participant at an unacceptable risk of injury, render the participant unable to meet the requirements of the protocol, or may interfere with the evaluation of responses or the participant's successful completion of this trial.
Terms in these criteria, in plain language(8)

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.

Reproductive potential

Able to have children. For women this usually means from the first period until menopause, unless permanently unable to through surgery; for men, unless permanently sterile. Read who the line is about — participants, women, men, or their partners.

Criteria about it usually ask 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.

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.

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.

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.

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
None (open label)
Enrollment
229 participants (actual)

Study arms

  • Experimental
    Arm 1

    0.1 mL of 2 x 10\^7 (50% Tissue Culture Infectious Dose (TCID50) JYNNEOS (Modified Vaccinia Ankara-Bavarian Nordic (MVA-BN)) administered intradermally on Days 1 and 29. N=70

    Biological: JYNNEOS

  • Experimental
    Arm 2

    0.05 mL of 1 x 10\^7 (50% Tissue Culture Infectious Dose (TCID50) JYNNEOS (Modified Vaccinia Ankara-Bavarian Nordic (MVA-BN)) administered intradermally on Days 1 and 29. N=70

    Biological: JYNNEOS

  • Active comparator
    Arm 3

    0.5 mL of 1 x 10\^8 (50% Tissue Culture Infectious Dose (TCID50) JYNNEOS (Modified Vaccinia Ankara-Bavarian Nordic (MVA-BN)) administered subcutaneously on Days 1 and 29. N=70

    Biological: JYNNEOS

Interventions

  • BiologicalJYNNEOS

    JYNNEOS is FDA-approved and licensed as a smallpox and monkeypox vaccine in the United States. JYNNEOS is a live vaccine produced from the strain Modified Vaccinia Ankara-Bavarian Nordic (MVA-BN), an attenuated, non-replicating orthopoxvirus. Each 0.5 mL dose is formulated to contain 0.5 x 10\^8 to 3.95 x 10\^8 infectious units of MVA-BN live virus in 10 mM Tris (tromethamine), 140 mM sodium chloride at pH 7.7. Subcutaneous is administered in the deltoid region, intradermal is administered in the volar aspect (inner side) of the forearm.

06

What researchers measure

Primary outcomes

  1. Vaccinia Virus Specific Plaque Reduction Neutralization Test (PRNT) Geometric Mean Titer (GMT) at Day 43

    Venous blood was collected at Study Day 43 and the serum was analyzed via the PRNT assay to determine if GMT of the intradermal regimen of 2 x 10\^7 TCID50 MVA-BN and 1 x 10\^7 TCID50 MVA- BN were non-inferior to that of the licensed regimen of 1 x 10\^8 TCID50 MVA-BN administered subcutaneously.

    Time frame: Day 43

Secondary outcomes

  1. Individual Peak GMT Through Day 365

    Blood was collected at baseline and multiple timepoints post vaccination for evaluation in a vaccinia virus Western Reserve PRNT assay. For each participant, the highest assessment post vaccination was determined as their peak response. For each arm, the geometric mean of peak responses was determined.

    Time frame: Day 1 through Day 365

  2. Vaccinia Virus Specific PRNT GMT at Study Day 1, 15, 29, 43, 57, 90, 181, and 365

    Blood was collected at baseline and multiple timepoints post vaccination for evaluation in a vaccinia virus Western Reserve PRNT assay. Geometric means were determined for each timepoint.

    Time frame: Day 1 through Day 365

  3. Vaccinia Virus Specific PRNT Half-life (t ½)

    Half-life, defined as the time from expected peak response (Day 43) to 50% maximal response, was estimated using the first participant visit with titer results less than or equal to half the titer results at Day 43.

    Time frame: Day 43 through Day 365

  4. Number of Participants Reporting Solicited Systemic AEs Through 14 Days After Each Study Vaccination

    Systemic AEs solicited on a memory aid provided to participants included fever, chills, nausea, headache, fatigue, change in appetite, myalgia, and arthralgia. Participants are considered reporting the systemic AE if they reported mild or greater severity at any time through 14 days after each study vaccination (Day 1 through Day 15 for Dose 1 and Day 29-43 for Dose 2).

    Time frame: Day 1 through Day 43

  5. Number of Participants Reporting Solicited Local AEs Through 14 Days After Each Study Vaccination

    Local AEs solicited on a memory aid provided to participants included pain at injection site, erythema/redness, induration/swelling (functional grade based on interference with daily activity and any measure value greater than 2.5 cm) and pruritis at injection site. Participants are considered reporting the local AE if they reported mild or greater severity at any time through 14 days after each study vaccination (Day 1 through Day 15 for Dose 1 and Day 29 through 43 for Dose 2).

    Time frame: Day 1 through Day 43

  6. Number of Participants Reporting Unsolicited Related and Unrelated Adverse Events (AEs) Through 28 Days After Each Vaccination

    Frequency of all unsolicited non-serious AEs from day of each study vaccination through 28 days after each vaccination (Day 1 through Day 29 for Dose 1 and Day 29 through Day 57 for Dose 2).

    Time frame: Day 1 through Day 57

  7. Number of Participants Reporting Related and Unrelated Medically Attended Adverse Events (MAAEs)

    An MAAE is an unsolicited AE that results in unscheduled medical attention such as a hospitalization for less than 24 hours, an emergency room visit, or an otherwise unscheduled healthcare visit for any reason. All MAAEs were collected from Study Day 1 through Study Day 57, and all MAAEs deemed related to the vaccine were collected through Study Day 181.

    Time frame: Day 1 through Day 181

  8. Number of Participants Reporting Related and Unrelated Serious Adverse Events (SAEs)

    SAEs included any untoward medical occurrence that resulted in death, a life-threatening adverse event, inpatient hospitalization or prolongation of existing hospitalization, a persistent or significant incapacity or substantial disruption of the ability to conduct normal life functions, or a congenital anomaly/birth defect. All SAEs were collected from Study Day 1 through Study Day 57, and all SAEs deemed related to the vaccine were collected through Study Day 181.

    Time frame: Day 1 through Day 181

  9. Number of Participants Who Withdrew or Discontinued Vaccination

    Participants could voluntarily withdraw their consent for study participation for any reason at any time. Primary reason for withdrawal was recorded and early termination visits were attempted. Participants who received the first vaccination could choose to discontinue receipt of study vaccine for any reason and could choose to remain in the study (i.e., not withdraw from study). In addition, a participant could be discontinued from receipt of the second vaccination. Discontinuation from vaccination did not mean automatic withdrawal from the study, and participants were monitored for safety and immunogenicity if the participant consented.

    Time frame: Day 1 through Day 365

07

Results

Posted Jan 9, 2024

Participant flow

Participants were healthy, non-pregnant, non-breastfeeding adults 18 to 50 years old recruited from the communities at large surrounding 8 clinical sites throughout the U.S. The enrollment period occurred between 09SEP2022 and 12OCT2022.

Participant flow — Overall Study
Milestone2 x 10^7 ID MVA-BN1 x 10^7 ID MVA-BN1 x 10^8 SC MVA-BN
Started757876
Completed696871
Not completed6105
Withdrew: Lost to follow-up462
Withdrew: Protocol violation001
Withdrew: Withdrawal by subject112
Withdrew: Completion status unknown130

Outcome measures

PrimaryVaccinia Virus Specific Plaque Reduction Neutralization Test (PRNT) Geometric Mean Titer (GMT) at Day 43

Venous blood was collected at Study Day 43 and the serum was analyzed via the PRNT assay to determine if GMT of the intradermal regimen of 2 x 10\^7 TCID50 MVA-BN and 1 x 10\^7 TCID50 MVA- BN were non-inferior to that of the licensed regimen of 1 x 10\^8 TCID50 MVA-BN administered subcutaneously.

Time frame:
Day 43
Reported as:
Geometric mean · titer
Vaccinia Virus Specific Plaque Reduction Neutralization Test (PRNT) Geometric Mean Titer (GMT) at Day 43
titer2 x 10^7 ID MVA-BN1 x 10^7 ID MVA-BN1 x 10^8 SC MVA-BN
Vaccinia Virus Specific Plaque Reduction Neutralization Test (PRNT) Geometric Mean Titer (GMT) at Day 43203.2 (164.5 to 250.9)113.2 (90.3 to 141.9)288.9 (222.4 to 375.2)
Statistical analysis
  • 2 x 10^7 ID MVA-BN vs 1 x 10^8 SC MVA-BN · t-test, 2 sided · p = 0.045 (Significance can be considered if P \<0.05. Not adjusted for multiple comparisons.) · Geometric mean titer ratio (gmtr): 0.7 · 95% CI 0.5 to 1.0Two-sample t-test with unequal variance, noninferiority (NI) margin of 0.5 and two-sided type I error rate of 0.05.
  • 1 x 10^7 ID MVA-BN vs 1 x 10^8 SC MVA-BN · t-test, 2 sided · p = 0.162 (Significance can be considered if P \<0.05. Not adjusted for multiple comparisons.) · Geometric mean titer ratio (gmtr): 0.4 · 95% CI 0.3 to 0.6Two-sample t-test with unequal variance, noninferiority (NI) margin of 0.5 and two-sided type I error rate of 0.05.
SecondaryIndividual Peak GMT Through Day 365

Blood was collected at baseline and multiple timepoints post vaccination for evaluation in a vaccinia virus Western Reserve PRNT assay. For each participant, the highest assessment post vaccination was determined as their peak response. For each arm, the geometric mean of peak responses was determined.

Time frame:
Day 1 through Day 365
Reported as:
Geometric mean · Titer
Individual Peak GMT Through Day 365
Titer2 x 10^7 ID MVA-BN1 x 10^7 ID MVA-BN1 x 10^8 SC MVA-BN
Individual Peak GMT Through Day 365215.8 (174.8 to 266.2)127.0 (100.1 to 161.1)312.0 (238.5 to 408.2)
SecondaryVaccinia Virus Specific PRNT GMT at Study Day 1, 15, 29, 43, 57, 90, 181, and 365

Blood was collected at baseline and multiple timepoints post vaccination for evaluation in a vaccinia virus Western Reserve PRNT assay. Geometric means were determined for each timepoint.

Time frame:
Day 1 through Day 365
Reported as:
Geometric mean · Titer
Vaccinia Virus Specific PRNT GMT at Study Day 1, 15, 29, 43, 57, 90, 181, and 365
Titer2 x 10^7 ID MVA-BN1 x 10^7 ID MVA-BN1 x 10^8 SC MVA-BN
Day 110.2 (9.8 to 10.5)10.4 (9.8 to 11.1)11.2 (9.8 to 12.8)
Day 1538.6 (29.9 to 50.0)20.8 (16.8 to 25.8)39.7 (29.0 to 54.3)
Day 2943.7 (33.8 to 56.4)24.4 (19.8 to 30.0)42.3 (31.0 to 57.6)
Day 43203.2 (164.5 to 250.9)113.2 (90.3 to 141.9)288.9 (222.4 to 375.2)
Day 57115.5 (92.2 to 144.7)75.6 (61.0 to 93.6)175.3 (135.1 to 227.5)
Day 9060.2 (48.7 to 74.5)36.8 (29.3 to 46.1)91.3 (69.0 to 120.8)
Day 18125.1 (20.4 to 30.9)17.3 (14.2 to 21.1)39.7 (28.8 to 54.6)
Day 36525.4 (20.2 to 31.9)21.7 (16.6 to 28.4)41.2 (30.3 to 55.9)
SecondaryVaccinia Virus Specific PRNT Half-life (t ½)

Half-life, defined as the time from expected peak response (Day 43) to 50% maximal response, was estimated using the first participant visit with titer results less than or equal to half the titer results at Day 43.

Time frame:
Day 43 through Day 365
Reported as:
Median · days
Vaccinia Virus Specific PRNT Half-life (t ½)
days2 x 10^7 ID MVA-BN1 x 10^7 ID MVA-BN1 x 10^8 SC MVA-BN
Vaccinia Virus Specific PRNT Half-life (t ½)44 (11 to 326)43 (12 to 322)43 (9 to 352)
Statistical analysis
  • 2 x 10^7 ID MVA-BN vs 1 x 10^8 SC MVA-BN · Wilcoxon (Mann-Whitney) · p = 0.888
  • 1 x 10^7 ID MVA-BN vs 1 x 10^8 SC MVA-BN · Wilcoxon (Mann-Whitney) · p = 0.708
SecondaryNumber of Participants Reporting Solicited Systemic AEs Through 14 Days After Each Study Vaccination

Systemic AEs solicited on a memory aid provided to participants included fever, chills, nausea, headache, fatigue, change in appetite, myalgia, and arthralgia. Participants are considered reporting the systemic AE if they reported mild or greater severity at any time through 14 days after each study vaccination (Day 1 through Day 15 for Dose 1 and Day 29-43 for Dose 2).

Time frame:
Day 1 through Day 43
Reported as:
Count of participants · Participants
Number of Participants Reporting Solicited Systemic AEs Through 14 Days After Each Study Vaccination
Participants2 x 10^7 ID MVA-BN1 x 10^7 ID MVA-BN1 x 10^8 SC MVA-BN
Number of Participants Reporting Solicited Systemic AEs Through 14 Days After Each Study Vaccination595562
SecondaryNumber of Participants Reporting Solicited Local AEs Through 14 Days After Each Study Vaccination

Local AEs solicited on a memory aid provided to participants included pain at injection site, erythema/redness, induration/swelling (functional grade based on interference with daily activity and any measure value greater than 2.5 cm) and pruritis at injection site. Participants are considered reporting the local AE if they reported mild or greater severity at any time through 14 days after each study vaccination (Day 1 through Day 15 for Dose 1 and Day 29 through 43 for Dose 2).

Time frame:
Day 1 through Day 43
Reported as:
Count of participants · Participants
Number of Participants Reporting Solicited Local AEs Through 14 Days After Each Study Vaccination
Participants2 x 10^7 ID MVA-BN1 x 10^7 ID MVA-BN1 x 10^8 SC MVA-BN
Number of Participants Reporting Solicited Local AEs Through 14 Days After Each Study Vaccination737570
SecondaryNumber of Participants Reporting Unsolicited Related and Unrelated Adverse Events (AEs) Through 28 Days After Each Vaccination

Frequency of all unsolicited non-serious AEs from day of each study vaccination through 28 days after each vaccination (Day 1 through Day 29 for Dose 1 and Day 29 through Day 57 for Dose 2).

Time frame:
Day 1 through Day 57
Reported as:
Count of participants · Participants
Number of Participants Reporting Unsolicited Related and Unrelated Adverse Events (AEs) Through 28 Days After Each Vaccination
Participants2 x 10^7 ID MVA-BN1 x 10^7 ID MVA-BN1 x 10^8 SC MVA-BN
Related AEs646237
Unrelated AEs312618
SecondaryNumber of Participants Reporting Related and Unrelated Medically Attended Adverse Events (MAAEs)

An MAAE is an unsolicited AE that results in unscheduled medical attention such as a hospitalization for less than 24 hours, an emergency room visit, or an otherwise unscheduled healthcare visit for any reason. All MAAEs were collected from Study Day 1 through Study Day 57, and all MAAEs deemed related to the vaccine were collected through Study Day 181.

Time frame:
Day 1 through Day 181
Reported as:
Count of participants · Participants
Number of Participants Reporting Related and Unrelated Medically Attended Adverse Events (MAAEs)
Participants2 x 10^7 ID MVA-BN1 x 10^7 ID MVA-BN1 x 10^8 SC MVA-BN
Related MAAEs100
Unrelated MAAEs1194
SecondaryNumber of Participants Reporting Related and Unrelated Serious Adverse Events (SAEs)

SAEs included any untoward medical occurrence that resulted in death, a life-threatening adverse event, inpatient hospitalization or prolongation of existing hospitalization, a persistent or significant incapacity or substantial disruption of the ability to conduct normal life functions, or a congenital anomaly/birth defect. All SAEs were collected from Study Day 1 through Study Day 57, and all SAEs deemed related to the vaccine were collected through Study Day 181.

Time frame:
Day 1 through Day 181
Reported as:
Count of participants · Participants
Number of Participants Reporting Related and Unrelated Serious Adverse Events (SAEs)
Participants2 x 10^7 ID MVA-BN1 x 10^7 ID MVA-BN1 x 10^8 SC MVA-BN
Related SAEs000
Unrelated SAEs011
SecondaryNumber of Participants Who Withdrew or Discontinued Vaccination

Participants could voluntarily withdraw their consent for study participation for any reason at any time. Primary reason for withdrawal was recorded and early termination visits were attempted. Participants who received the first vaccination could choose to discontinue receipt of study vaccine for any reason and could choose to remain in the study (i.e., not withdraw from study). In addition, a participant could be discontinued from receipt of the second vaccination. Discontinuation from vaccination did not mean automatic withdrawal from the study, and participants were monitored for safety and immunogenicity if the participant consented.

Time frame:
Day 1 through Day 365
Reported as:
Number · participants
Number of Participants Who Withdrew or Discontinued Vaccination
participants2 x 10^7 ID MVA-BN1 x 10^7 ID MVA-BN1 x 10^8 SC MVA-BN
Withdrew695
Discontinued Vaccination110

Adverse events

Collected over Solicited events, including local and systemic AEs, were collected from the time of each study vaccination through 14 days after each study vaccination. Unsolicited, non-serious AEs, all SAEs, and all MAAEs were collected from the time of first study vaccination through Study Day 57. All related SAEs and MAAEs were collected from the time of each study vaccination through Study Day 181.. Non-serious events are listed at a 5% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
2 x 10^7 ID MVA-BN0/75 (0%)0/75 (0%)75/75 (100%)
1 x 10^7 ID MVA-BN0/78 (0%)1/78 (1.3%)78/78 (100%)
1 x 10^8 SC MVA-BN0/76 (0%)1/76 (1.3%)75/76 (98.7%)
Most frequent serious events
Most frequent serious events
Event2 x 10^7 ID MVA-BN1 x 10^7 ID MVA-BN1 x 10^8 SC MVA-BN
Euglycaemic diabetic ketoacidosisMetabolism and nutrition disorders0/750/781/76
CystitisInfections and infestations0/751/780/76
Most frequent other events
Showing 10 of 16
Most frequent other events
Event2 x 10^7 ID MVA-BN1 x 10^7 ID MVA-BN1 x 10^8 SC MVA-BN
Injection site indurationGeneral disorders68/7575/7850/76
Injection site pruritusGeneral disorders64/7573/7842/76
Injection site painGeneral disorders49/7544/7867/76
Injection site erythemaGeneral disorders62/7556/7840/76
Injection site discolourationGeneral disorders58/7560/789/76
FatigueGeneral disorders43/7543/7853/76
Injection site noduleGeneral disorders51/7546/7834/76
HeadacheNervous system disorders36/7537/7843/76
Injection site indurationGeneral disorders37/7533/7840/76
MyalgiaMusculoskeletal and connective tissue disorders24/7519/7833/76

Baseline characteristics

Age, Categorical
Age, Categorical(Participants)2 x 10^7 ID MVA-BN1 x 10^7 ID MVA-BN1 x 10^8 SC MVA-BNTotal
<=18 years0000
Between 18 and 65 years757876229
>=65 years0000
Age, Continuous
Age, Continuous(years)2 x 10^7 ID MVA-BN1 x 10^7 ID MVA-BN1 x 10^8 SC MVA-BNTotal
Mean32.2 ± 8.931.6 ± 8.932.7 ± 9.132.2 ± 8.9
Sex/Gender, Customized
Sex/Gender, Customized(Participants)2 x 10^7 ID MVA-BN1 x 10^7 ID MVA-BN1 x 10^8 SC MVA-BNTotal
Cisgender Man403636112
Cisgender Woman294137107
Genderqueer1001
Gender Non-binary3115
Gender Non-conforming0011
Transgender Man/Trans Man1001
Transgender Woman/Trans Woman1001
Other0000
Decline to state0011
Sex: Female, Male
Sex: Female, Male(Participants)2 x 10^7 ID MVA-BN1 x 10^7 ID MVA-BN1 x 10^8 SC MVA-BNTotal
Female334237112
Male423639117
Ethnicity (NIH/OMB)
Ethnicity (NIH/OMB)(Participants)2 x 10^7 ID MVA-BN1 x 10^7 ID MVA-BN1 x 10^8 SC MVA-BNTotal
Hispanic or Latino10152247
Not Hispanic or Latino656354182
Unknown or Not Reported0000
Race (NIH/OMB)
Race (NIH/OMB)(Participants)2 x 10^7 ID MVA-BN1 x 10^7 ID MVA-BN1 x 10^8 SC MVA-BNTotal
American Indian or Alaska Native0011
Asian119727
Native Hawaiian or Other Pacific Islander0000
Black or African American11131438
White505147148
More than one race24410
Unknown or Not Reported1135
Region of Enrollment
Region of Enrollment(participants)2 x 10^7 ID MVA-BN1 x 10^7 ID MVA-BN1 x 10^8 SC MVA-BNTotal
United States757876229
HIV Status
HIV Status(Participants)2 x 10^7 ID MVA-BN1 x 10^7 ID MVA-BN1 x 10^8 SC MVA-BNTotal
HIV Negative737573221
HIV Positive2338

1 further baseline measures are reported on the registry.

08

Study locations

8 sites
  • University of California, San Diego (UCSD) - Antiviral Research Center (AVRC)
    San Diego, California 92103-8208, United States
  • George Washington University Medical Faculty Associates
    Washington D.C., District of Columbia 20037, United States
  • The Hope Clinic of Emory University
    Decatur, Georgia 30030, United States
  • NIH Clinical Research Center, Investigational Drug Management and Research Section
    Bethesda, Maryland 20892-1504, United States
  • Brigham and Women's Hospital
    Boston, Massachusetts 02115-6110, United States
  • Saint Louis University Center for Vaccine Development
    St Louis, Missouri 63104-1015, United States
  • Vanderbilt University Medical Center
    Nashville, Tennessee 37212, United States
  • Baylor College of Medicine
    Houston, Texas 77030-3411, United States
09

References and documents

Publications

  • Frey SE, Baden LR, El Sahly HM, Davey RT, Rebolledo PA, Diemert DJ, Little SJ, Creech CB, Oikonomopoulou Z, Sherman AC, Whitaker JA, Rouphael NG, Desrosiers A, Martin TCS, Rolsma SL, Hoet B, Watanabe A, Jaunarajs A, Moss B, Tomashek KM, Lerner A, Beigel JH; DMID 22-0020 Study Group. Evaluation of the safety and immunogenicity of two fractional intradermal regimens of MVA-BN compared to standard dose vaccination. Vaccine. 2026 Jan 1;69:127959. doi: 10.1016/j.vaccine.2025.127959. Epub 2025 Nov 29. PubMed 41319397 ↗

Study documents

PDFs hosted by the registry, ClinicalTrials.gov.

10

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Apr 16, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT05512949
Responsible party
Sponsor
First posted
Aug 23, 2022
Start date
Sep 9, 2022
Primary completion
Oct 12, 2023
Completion
Feb 24, 2025
Results posted
Jan 9, 2024
Last update
Apr 16, 2026

Oversight

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

Not currently enrolling

This study is completed, as verified in Mar 2026. You cannot join it, but the record below documents what was studied.

Follow this study

Get an email when the registry record changes — status, dates, results — or when someone posts here.

Sign in to follow

Discussion

Questions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.

Sign in to join the discussion. Reading takes no account; posting does. You choose a display name, and a pseudonym is the default.

Nothing here yet. If you are running this trial, taking part in it, or weighing whether to, this is the place to say so.

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

Start the discussion