Trial Outcomes & Findings for Dose Study of ACAM2000 Smallpox Vaccine in Previously Vaccinated Adults (NCT NCT00053482)

NCT ID: NCT00053482

Last Updated: 2024-03-18

Results Overview

The neutralizing antibody response titers were determined by the Plaque-Reduction Neutralization Test (PRNT50)

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

357 participants

Primary outcome timeframe

Day 30 post-vaccination

Results posted on

2024-03-18

Participant Flow

Participants were enrolled from 07 January 2003 to 31 March 2003 in 3 medical centers in the US.

A total of 357 participants who met the inclusion and exclusion criteria were enrolled and vaccinated.

Participant milestones

Participant milestones
Measure
ACAM2000 Dose 1
Participants received a single dose of ACAM2000 smallpox vaccine, 1.0x10-8th plaque-forming units/mL on Day 0
ACAM2000 Dose 2
Participants received a single dose of ACAM2000 smallpox vaccine, 2.0x10-7th plaque-forming units/mL on Day 0
ACAM2000 Dose 3
Participants received a single dose of ACAM2000 smallpox vaccine, 1.0x10-7th plaque-forming units/mL on Day 0
ACAM2000 Dose 4
Participants received a single dose of ACAM2000 smallpox vaccine, 5.0x10-6th plaque-forming units/mL on Day 0
Dryvax® Vaccine
Participants received a single dose of Dryvax® smallpox vaccine, 1.0x10-8th plaque-forming units/mL on Day 0
Overall Study
STARTED
51
102
102
50
52
Overall Study
COMPLETED
51
102
102
50
52
Overall Study
NOT COMPLETED
0
0
0
0
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Dose Study of ACAM2000 Smallpox Vaccine in Previously Vaccinated Adults

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
ACAM2000 Dose 1
n=51 Participants
Participants received a single dose of ACAM2000 smallpox vaccine, 1.0x10-8th plaque-forming units/mL on Day 0
ACAM2000 Dose 2
n=102 Participants
Participants received a single dose of ACAM2000 smallpox vaccine, 2.0x10-7th plaque-forming units/mL on Day 0
ACAM2000 Dose 3
n=102 Participants
Participants received a single dose of ACAM2000 smallpox vaccine, 1.0x10-7th plaque-forming units/mL on Day 0
ACAM2000 Dose 4
n=50 Participants
Participants received a single dose of ACAM2000 smallpox vaccine, 5.0x10-6th plaque-forming units/mL on Day 0
Dryvax® Vaccine
n=52 Participants
Participants received a single dose of Dryvax® smallpox vaccine, 1.0x10-8th plaque-forming units/mL on Day 0
Total
n=357 Participants
Total of all reporting groups
Age, Categorical
<=18 years
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
0 Participants
n=21 Participants
0 Participants
n=10 Participants
Age, Categorical
Between 18 and 65 years
51 Participants
n=5 Participants
102 Participants
n=7 Participants
102 Participants
n=5 Participants
50 Participants
n=4 Participants
52 Participants
n=21 Participants
357 Participants
n=10 Participants
Age, Categorical
>=65 years
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
0 Participants
n=21 Participants
0 Participants
n=10 Participants
Age, Continuous
48 Years
STANDARD_DEVIATION 9.7 • n=5 Participants
48 Years
STANDARD_DEVIATION 10.1 • n=7 Participants
50 Years
STANDARD_DEVIATION 11.7 • n=5 Participants
47 Years
STANDARD_DEVIATION 9.1 • n=4 Participants
48 Years
STANDARD_DEVIATION 9.2 • n=21 Participants
48 Years
STANDARD_DEVIATION 10.5 • n=10 Participants
Sex: Female, Male
Female
27 Participants
n=5 Participants
57 Participants
n=7 Participants
54 Participants
n=5 Participants
18 Participants
n=4 Participants
19 Participants
n=21 Participants
175 Participants
n=10 Participants
Sex: Female, Male
Male
24 Participants
n=5 Participants
45 Participants
n=7 Participants
48 Participants
n=5 Participants
32 Participants
n=4 Participants
33 Participants
n=21 Participants
182 Participants
n=10 Participants
Region of Enrollment
United States
51 participants
n=5 Participants
102 participants
n=7 Participants
102 participants
n=5 Participants
50 participants
n=4 Participants
52 participants
n=21 Participants
357 participants
n=10 Participants

PRIMARY outcome

Timeframe: Day 30 post-vaccination

Population: The neutralizing antibody response titers were assessed in the antibody evaluable, per-protocol population.

The neutralizing antibody response titers were determined by the Plaque-Reduction Neutralization Test (PRNT50)

Outcome measures

Outcome measures
Measure
ACAM2000 Dose 1
n=51 Participants
Participants received a single dose of ACAM2000 smallpox vaccine, 1.0x10-8th plaque-forming units/mL on Day 0
ACAM2000 Dose 2
n=102 Participants
Participants received a single dose of ACAM2000 smallpox vaccine, 2.0x10-7th plaque-forming units/mL on Day 0
ACAM2000 Dose 3
n=102 Participants
Participants received a single dose of ACAM2000 smallpox vaccine, 1.0x10-7th plaque-forming units/mL on Day 0
ACAM2000 Dose 4
n=50 Participants
Participants received a single dose of ACAM2000 smallpox vaccine, 5.0x10-6th plaque-forming units/mL on Day 0
Dryvax® Vaccine
n=52 Participants
Participants received a single dose of Dryvax® smallpox vaccine, 1.0x10-8th plaque-forming units/mL on Day 0
The Neutralizing Antibody Response Titers Post-vaccination With ACAM2000 or Dryvax® Smallpox Vaccine
Baseline
77 PRNT50 Titers
Standard Deviation 119.4
112 PRNT50 Titers
Standard Deviation 280.5
76 PRNT50 Titers
Standard Deviation 108.7
91 PRNT50 Titers
Standard Deviation 145.4
186 PRNT50 Titers
Standard Deviation 709.8
The Neutralizing Antibody Response Titers Post-vaccination With ACAM2000 or Dryvax® Smallpox Vaccine
Day 15
244 PRNT50 Titers
Standard Deviation 485.4
259 PRNT50 Titers
Standard Deviation 449.1
802 PRNT50 Titers
Standard Deviation 4111.6
546 PRNT50 Titers
Standard Deviation 829.9
1287 PRNT50 Titers
Standard Deviation 2198.4

PRIMARY outcome

Timeframe: Day 30 post-vaccination

Outcome measures

Outcome measures
Measure
ACAM2000 Dose 1
n=51 Participants
Participants received a single dose of ACAM2000 smallpox vaccine, 1.0x10-8th plaque-forming units/mL on Day 0
ACAM2000 Dose 2
n=102 Participants
Participants received a single dose of ACAM2000 smallpox vaccine, 2.0x10-7th plaque-forming units/mL on Day 0
ACAM2000 Dose 3
n=102 Participants
Participants received a single dose of ACAM2000 smallpox vaccine, 1.0x10-7th plaque-forming units/mL on Day 0
ACAM2000 Dose 4
n=50 Participants
Participants received a single dose of ACAM2000 smallpox vaccine, 5.0x10-6th plaque-forming units/mL on Day 0
Dryvax® Vaccine
n=52 Participants
Participants received a single dose of Dryvax® smallpox vaccine, 1.0x10-8th plaque-forming units/mL on Day 0
Participants With ≥ 4-fold Increase in Plaque-Reduction Neutralization Test (PRNT50) Titers Post-vaccination With ACAM2000 or Dryvax® Smallpox Vaccine.
13 Participants
31 Participants
41 Participants
38 Participants
39 Participants

PRIMARY outcome

Timeframe: Days 0 to 30 post-vaccination

Population: Post-vaccination adverse events were assessed in the safety, intent-to-treat population.

Outcome measures

Outcome measures
Measure
ACAM2000 Dose 1
n=51 Participants
Participants received a single dose of ACAM2000 smallpox vaccine, 1.0x10-8th plaque-forming units/mL on Day 0
ACAM2000 Dose 2
n=102 Participants
Participants received a single dose of ACAM2000 smallpox vaccine, 2.0x10-7th plaque-forming units/mL on Day 0
ACAM2000 Dose 3
n=102 Participants
Participants received a single dose of ACAM2000 smallpox vaccine, 1.0x10-7th plaque-forming units/mL on Day 0
ACAM2000 Dose 4
n=50 Participants
Participants received a single dose of ACAM2000 smallpox vaccine, 5.0x10-6th plaque-forming units/mL on Day 0
Dryvax® Vaccine
n=52 Participants
Participants received a single dose of Dryvax® smallpox vaccine, 1.0x10-8th plaque-forming units/mL on Day 0
Number of Participants Reporting Adverse Events of Severe Intensity Post-vaccination With ACAM2000 or Dryvax® Smallpox Vaccine
Myalgia
1 Participants
0 Participants
0 Participants
0 Participants
0 Participants
Number of Participants Reporting Adverse Events of Severe Intensity Post-vaccination With ACAM2000 or Dryvax® Smallpox Vaccine
Lymph Node Pain
1 Participants
1 Participants
1 Participants
1 Participants
0 Participants
Number of Participants Reporting Adverse Events of Severe Intensity Post-vaccination With ACAM2000 or Dryvax® Smallpox Vaccine
Lymphadenopathy
0 Participants
0 Participants
1 Participants
0 Participants
0 Participants
Number of Participants Reporting Adverse Events of Severe Intensity Post-vaccination With ACAM2000 or Dryvax® Smallpox Vaccine
Constipation
0 Participants
0 Participants
1 Participants
0 Participants
0 Participants
Number of Participants Reporting Adverse Events of Severe Intensity Post-vaccination With ACAM2000 or Dryvax® Smallpox Vaccine
Toothache
0 Participants
1 Participants
0 Participants
0 Participants
0 Participants
Number of Participants Reporting Adverse Events of Severe Intensity Post-vaccination With ACAM2000 or Dryvax® Smallpox Vaccine
Injection Site Erythema
0 Participants
1 Participants
3 Participants
4 Participants
3 Participants
Number of Participants Reporting Adverse Events of Severe Intensity Post-vaccination With ACAM2000 or Dryvax® Smallpox Vaccine
Injection Site Pruritus
0 Participants
1 Participants
0 Participants
0 Participants
1 Participants
Number of Participants Reporting Adverse Events of Severe Intensity Post-vaccination With ACAM2000 or Dryvax® Smallpox Vaccine
Injection Site Pain
0 Participants
0 Participants
0 Participants
0 Participants
1 Participants
Number of Participants Reporting Adverse Events of Severe Intensity Post-vaccination With ACAM2000 or Dryvax® Smallpox Vaccine
Human Immunodeficiency Virus (HIV) Test Positive
1 Participants
0 Participants
0 Participants
0 Participants
0 Participants
Number of Participants Reporting Adverse Events of Severe Intensity Post-vaccination With ACAM2000 or Dryvax® Smallpox Vaccine
Back Pain
0 Participants
1 Participants
0 Participants
0 Participants
0 Participants
Number of Participants Reporting Adverse Events of Severe Intensity Post-vaccination With ACAM2000 or Dryvax® Smallpox Vaccine
Swelling Not Otherwise Specified
0 Participants
0 Participants
0 Participants
1 Participants
0 Participants
Number of Participants Reporting Adverse Events of Severe Intensity Post-vaccination With ACAM2000 or Dryvax® Smallpox Vaccine
Migraine Not Otherwise Specified
0 Participants
1 Participants
0 Participants
0 Participants
0 Participants
Number of Participants Reporting Adverse Events of Severe Intensity Post-vaccination With ACAM2000 or Dryvax® Smallpox Vaccine
Pregnancy Not Otherwise Specified
0 Participants
1 Participants
0 Participants
0 Participants
0 Participants
Number of Participants Reporting Adverse Events of Severe Intensity Post-vaccination With ACAM2000 or Dryvax® Smallpox Vaccine
Calculus Renal Not Otherwise Specified
0 Participants
1 Participants
0 Participants
0 Participants
0 Participants

OTHER_PRE_SPECIFIED outcome

Timeframe: Days 0 to 30 post-vaccination

Population: Treatment-emergent rash events were assessed in the safety intent-to-treat population.

Outcome measures

Outcome measures
Measure
ACAM2000 Dose 1
n=51 Participants
Participants received a single dose of ACAM2000 smallpox vaccine, 1.0x10-8th plaque-forming units/mL on Day 0
ACAM2000 Dose 2
n=102 Participants
Participants received a single dose of ACAM2000 smallpox vaccine, 2.0x10-7th plaque-forming units/mL on Day 0
ACAM2000 Dose 3
n=102 Participants
Participants received a single dose of ACAM2000 smallpox vaccine, 1.0x10-7th plaque-forming units/mL on Day 0
ACAM2000 Dose 4
n=50 Participants
Participants received a single dose of ACAM2000 smallpox vaccine, 5.0x10-6th plaque-forming units/mL on Day 0
Dryvax® Vaccine
n=52 Participants
Participants received a single dose of Dryvax® smallpox vaccine, 1.0x10-8th plaque-forming units/mL on Day 0
Number of Participants With Treatment-Emergent Rash Events Post-vaccination With ACAM2000 or Dryvax® Smallpox Vaccine
Rash Macular
0 Participants
0 Participants
0 Participants
1 Participants
0 Participants
Number of Participants With Treatment-Emergent Rash Events Post-vaccination With ACAM2000 or Dryvax® Smallpox Vaccine
Rash Not Otherwise Specified
2 Participants
5 Participants
5 Participants
5 Participants
3 Participants
Number of Participants With Treatment-Emergent Rash Events Post-vaccination With ACAM2000 or Dryvax® Smallpox Vaccine
Rash Papular
0 Participants
0 Participants
1 Participants
0 Participants
0 Participants
Number of Participants With Treatment-Emergent Rash Events Post-vaccination With ACAM2000 or Dryvax® Smallpox Vaccine
Application Site Rash
0 Participants
0 Participants
1 Participants
1 Participants
2 Participants
Number of Participants With Treatment-Emergent Rash Events Post-vaccination With ACAM2000 or Dryvax® Smallpox Vaccine
Injection Site Rash
1 Participants
0 Participants
1 Participants
0 Participants
2 Participants
Number of Participants With Treatment-Emergent Rash Events Post-vaccination With ACAM2000 or Dryvax® Smallpox Vaccine
Any Rash
3 Participants
5 Participants
8 Participants
7 Participants
5 Participants

OTHER_PRE_SPECIFIED outcome

Timeframe: Days 0 (Baseline) and 15 post-vaccination

Population: The hematology parameters were assessed in the intent-to-treat safety population.

Outcome measures

Outcome measures
Measure
ACAM2000 Dose 1
n=51 Participants
Participants received a single dose of ACAM2000 smallpox vaccine, 1.0x10-8th plaque-forming units/mL on Day 0
ACAM2000 Dose 2
n=102 Participants
Participants received a single dose of ACAM2000 smallpox vaccine, 2.0x10-7th plaque-forming units/mL on Day 0
ACAM2000 Dose 3
n=102 Participants
Participants received a single dose of ACAM2000 smallpox vaccine, 1.0x10-7th plaque-forming units/mL on Day 0
ACAM2000 Dose 4
n=50 Participants
Participants received a single dose of ACAM2000 smallpox vaccine, 5.0x10-6th plaque-forming units/mL on Day 0
Dryvax® Vaccine
n=52 Participants
Participants received a single dose of Dryvax® smallpox vaccine, 1.0x10-8th plaque-forming units/mL on Day 0
Selected Hematology Parameters (Hematocrit, Lymphocyte, and Eosinophil) at Baseline and Day 15 Post-vaccination With ACAM2000 or Dryvax® Smallpox Vaccine
Hematocrit (Baseline)
41.7 Percentage (%)
Standard Deviation 3.58
42.4 Percentage (%)
Standard Deviation 3.87
42.2 Percentage (%)
Standard Deviation 3.66
42.8 Percentage (%)
Standard Deviation 3.69
43.3 Percentage (%)
Standard Deviation 3.62
Selected Hematology Parameters (Hematocrit, Lymphocyte, and Eosinophil) at Baseline and Day 15 Post-vaccination With ACAM2000 or Dryvax® Smallpox Vaccine
Hematocrit (Day15)
41.2 Percentage (%)
Standard Deviation 3.53
41.6 Percentage (%)
Standard Deviation 3.86
41.5 Percentage (%)
Standard Deviation 3.68
42.1 Percentage (%)
Standard Deviation 3.30
42.8 Percentage (%)
Standard Deviation 3.27
Selected Hematology Parameters (Hematocrit, Lymphocyte, and Eosinophil) at Baseline and Day 15 Post-vaccination With ACAM2000 or Dryvax® Smallpox Vaccine
Lymphocytes (Baseline)
31.8 Percentage (%)
Standard Deviation 7.27
30.8 Percentage (%)
Standard Deviation 6.68
30.6 Percentage (%)
Standard Deviation 7.87
30.4 Percentage (%)
Standard Deviation 6.98
30.9 Percentage (%)
Standard Deviation 6.27
Selected Hematology Parameters (Hematocrit, Lymphocyte, and Eosinophil) at Baseline and Day 15 Post-vaccination With ACAM2000 or Dryvax® Smallpox Vaccine
Lymphocytes (Day15)
32.4 Percentage (%)
Standard Deviation 6.88
30.8 Percentage (%)
Standard Deviation 7.19
31.3 Percentage (%)
Standard Deviation 8.26
31.2 Percentage (%)
Standard Deviation 7.36
33.4 Percentage (%)
Standard Deviation 7.00
Selected Hematology Parameters (Hematocrit, Lymphocyte, and Eosinophil) at Baseline and Day 15 Post-vaccination With ACAM2000 or Dryvax® Smallpox Vaccine
Eosinophils (Baseline)
2.8 Percentage (%)
Standard Deviation 1.89
2.5 Percentage (%)
Standard Deviation 2.09
2.5 Percentage (%)
Standard Deviation 1.50
2.3 Percentage (%)
Standard Deviation 1.37
2.8 Percentage (%)
Standard Deviation 1.84
Selected Hematology Parameters (Hematocrit, Lymphocyte, and Eosinophil) at Baseline and Day 15 Post-vaccination With ACAM2000 or Dryvax® Smallpox Vaccine
Eosinophils (Day15)
2.5 Percentage (%)
Standard Deviation 1.43
2.5 Percentage (%)
Standard Deviation 2.02
2.6 Percentage (%)
Standard Deviation 1.66
2.5 Percentage (%)
Standard Deviation 1.55
3.1 Percentage (%)
Standard Deviation 2.2

OTHER_PRE_SPECIFIED outcome

Timeframe: Days 0 (Baseline) and 15 post-vaccination

Population: The hematology parameters were assessed in the intent-to-treat safety population.

Outcome measures

Outcome measures
Measure
ACAM2000 Dose 1
n=51 Participants
Participants received a single dose of ACAM2000 smallpox vaccine, 1.0x10-8th plaque-forming units/mL on Day 0
ACAM2000 Dose 2
n=102 Participants
Participants received a single dose of ACAM2000 smallpox vaccine, 2.0x10-7th plaque-forming units/mL on Day 0
ACAM2000 Dose 3
n=102 Participants
Participants received a single dose of ACAM2000 smallpox vaccine, 1.0x10-7th plaque-forming units/mL on Day 0
ACAM2000 Dose 4
n=50 Participants
Participants received a single dose of ACAM2000 smallpox vaccine, 5.0x10-6th plaque-forming units/mL on Day 0
Dryvax® Vaccine
n=52 Participants
Participants received a single dose of Dryvax® smallpox vaccine, 1.0x10-8th plaque-forming units/mL on Day 0
Selected Hematology Parameters (Red Bood Cell and Platelets) at Baseline and Day 15 Post-vaccination With ACAM2000 or Dryvax® Smallpox Vaccine
Red Blood Cell count (Day15)
4.7 x10^6th/µL
Standard Deviation 0.36
4.7 x10^6th/µL
Standard Deviation 0.50
4.7 x10^6th/µL
Standard Deviation 0.50
4.8 x10^6th/µL
Standard Deviation 0.36
4.8 x10^6th/µL
Standard Deviation 0.41
Selected Hematology Parameters (Red Bood Cell and Platelets) at Baseline and Day 15 Post-vaccination With ACAM2000 or Dryvax® Smallpox Vaccine
Red Blood Cell count (Baseline)
4.7 x10^6th/µL
Standard Deviation 0.35
4.8 x10^6th/µL
Standard Deviation 0.47
4.8 x10^6th/µL
Standard Deviation 0.46
4.9 x10^6th/µL
Standard Deviation 0.40
4.9 x10^6th/µL
Standard Deviation 0.45
Selected Hematology Parameters (Red Bood Cell and Platelets) at Baseline and Day 15 Post-vaccination With ACAM2000 or Dryvax® Smallpox Vaccine
Platelets (Baseline)
279 x10^6th/µL
Standard Deviation 69.7
276 x10^6th/µL
Standard Deviation 54.5
277 x10^6th/µL
Standard Deviation 71.5
285 x10^6th/µL
Standard Deviation 58.4
280 x10^6th/µL
Standard Deviation 75.7
Selected Hematology Parameters (Red Bood Cell and Platelets) at Baseline and Day 15 Post-vaccination With ACAM2000 or Dryvax® Smallpox Vaccine
Platelets (Day15)
286 x10^6th/µL
Standard Deviation 66.7
281 x10^6th/µL
Standard Deviation 61.3
276 x10^6th/µL
Standard Deviation 67.2
284 x10^6th/µL
Standard Deviation 63.2
284 x10^6th/µL
Standard Deviation 77.0

OTHER_PRE_SPECIFIED outcome

Timeframe: Days 0 (Baseline) and 15 post-vaccination

Population: Clinical chemistry parameters were assessed in the intent-to-treat safety population

Outcome measures

Outcome measures
Measure
ACAM2000 Dose 1
n=51 Participants
Participants received a single dose of ACAM2000 smallpox vaccine, 1.0x10-8th plaque-forming units/mL on Day 0
ACAM2000 Dose 2
n=102 Participants
Participants received a single dose of ACAM2000 smallpox vaccine, 2.0x10-7th plaque-forming units/mL on Day 0
ACAM2000 Dose 3
n=102 Participants
Participants received a single dose of ACAM2000 smallpox vaccine, 1.0x10-7th plaque-forming units/mL on Day 0
ACAM2000 Dose 4
n=50 Participants
Participants received a single dose of ACAM2000 smallpox vaccine, 5.0x10-6th plaque-forming units/mL on Day 0
Dryvax® Vaccine
n=52 Participants
Participants received a single dose of Dryvax® smallpox vaccine, 1.0x10-8th plaque-forming units/mL on Day 0
Clinical Chemistry Parameters (Creatinine and Glucose) at Baseline and Day 15 Post-vaccination With ACAM2000 or Dryvax® Smallpox Vaccine
Creatinine (Baseline)
0.90 mg/dL
Standard Deviation 0.122
0.94 mg/dL
Standard Deviation 0.167
0.92 mg/dL
Standard Deviation 0.187
0.94 mg/dL
Standard Deviation 0.184
0.97 mg/dL
Standard Deviation 0.156
Clinical Chemistry Parameters (Creatinine and Glucose) at Baseline and Day 15 Post-vaccination With ACAM2000 or Dryvax® Smallpox Vaccine
Creatinine (Day 15)
0.91 mg/dL
Standard Deviation 0.145
0.96 mg/dL
Standard Deviation 0.181
0.95 mg/dL
Standard Deviation 0.184
0.96 mg/dL
Standard Deviation 0.184
0.98 mg/dL
Standard Deviation 0.138
Clinical Chemistry Parameters (Creatinine and Glucose) at Baseline and Day 15 Post-vaccination With ACAM2000 or Dryvax® Smallpox Vaccine
Glucose (Baseline)
91 mg/dL
Standard Deviation 11.7
87 mg/dL
Standard Deviation 8.7
92 mg/dL
Standard Deviation 15.3
92 mg/dL
Standard Deviation 13.4
88 mg/dL
Standard Deviation 10.7
Clinical Chemistry Parameters (Creatinine and Glucose) at Baseline and Day 15 Post-vaccination With ACAM2000 or Dryvax® Smallpox Vaccine
Glucose (Day 15)
94 mg/dL
Standard Deviation 22.6
90 mg/dL
Standard Deviation 18.9
90 mg/dL
Standard Deviation 16.3
94 mg/dL
Standard Deviation 28.4
95 mg/dL
Standard Deviation 27.3

OTHER_PRE_SPECIFIED outcome

Timeframe: Days 0 (Baseline) and 15 post-vaccination

Population: Clinical chemistry parameters were assessed in the intent-to-treat safety population

Outcome measures

Outcome measures
Measure
ACAM2000 Dose 1
n=51 Participants
Participants received a single dose of ACAM2000 smallpox vaccine, 1.0x10-8th plaque-forming units/mL on Day 0
ACAM2000 Dose 2
n=102 Participants
Participants received a single dose of ACAM2000 smallpox vaccine, 2.0x10-7th plaque-forming units/mL on Day 0
ACAM2000 Dose 3
n=102 Participants
Participants received a single dose of ACAM2000 smallpox vaccine, 1.0x10-7th plaque-forming units/mL on Day 0
ACAM2000 Dose 4
n=50 Participants
Participants received a single dose of ACAM2000 smallpox vaccine, 5.0x10-6th plaque-forming units/mL on Day 0
Dryvax® Vaccine
n=52 Participants
Participants received a single dose of Dryvax® smallpox vaccine, 1.0x10-8th plaque-forming units/mL on Day 0
Clinical Chemistry Parameters (Aspartate Transaminase and Alanine Transaminase) at Baseline and Day 15 Post-vaccination With ACAM2000 or Dryvax® Smallpox Vaccine
Aspartate transaminase (Baseline)
27 IU/L
Standard Deviation 13.2
24 IU/L
Standard Deviation 9.9
23 IU/L
Standard Deviation 10.3
22 IU/L
Standard Deviation 6.9
22 IU/L
Standard Deviation 6.2
Clinical Chemistry Parameters (Aspartate Transaminase and Alanine Transaminase) at Baseline and Day 15 Post-vaccination With ACAM2000 or Dryvax® Smallpox Vaccine
Aspartate transaminase (Day 15)
24 IU/L
Standard Deviation 11.5
23 IU/L
Standard Deviation 8.7
24 IU/L
Standard Deviation 10.7
21 IU/L
Standard Deviation 10.4
21 IU/L
Standard Deviation 5.8
Clinical Chemistry Parameters (Aspartate Transaminase and Alanine Transaminase) at Baseline and Day 15 Post-vaccination With ACAM2000 or Dryvax® Smallpox Vaccine
Alanine transaminase (Baseline)
39 IU/L
Standard Deviation 16.3
39 IU/L
Standard Deviation 19.5
37 IU/L
Standard Deviation 17.3
37 IU/L
Standard Deviation 15.7
36 IU/L
Standard Deviation 12.9
Clinical Chemistry Parameters (Aspartate Transaminase and Alanine Transaminase) at Baseline and Day 15 Post-vaccination With ACAM2000 or Dryvax® Smallpox Vaccine
Alanine transaminase (Day 15)
39 IU/L
Standard Deviation 20.1
38 IU/L
Standard Deviation 20.4
37 IU/L
Standard Deviation 19.2
37 IU/L
Standard Deviation 16.0
34 IU/L
Standard Deviation 13.8

Adverse Events

ACAM2000 Dose 1

Serious events: 1 serious events
Other events: 48 other events
Deaths: 0 deaths

ACAM2000 Dose 2

Serious events: 1 serious events
Other events: 93 other events
Deaths: 0 deaths

ACAM2000 Dose 3

Serious events: 0 serious events
Other events: 98 other events
Deaths: 0 deaths

ACAM2000 Dose 4

Serious events: 0 serious events
Other events: 49 other events
Deaths: 0 deaths

Dryvax® Vaccine

Serious events: 0 serious events
Other events: 51 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
ACAM2000 Dose 1
n=51 participants at risk
Participants received a single dose of ACAM2000 smallpox vaccine, 1.0x10-8th plaque-forming units/mL on Day 0
ACAM2000 Dose 2
n=102 participants at risk
Participants received a single dose of ACAM2000 smallpox vaccine, 2.0x10-7th plaque-forming units/mL on Day 0
ACAM2000 Dose 3
n=102 participants at risk
Participants received a single dose of ACAM2000 smallpox vaccine, 1.0x10-7th plaque-forming units/mL on Day 0
ACAM2000 Dose 4
n=50 participants at risk
Participants received a single dose of ACAM2000 smallpox vaccine, 5.0x10-6th plaque-forming units/mL on Day 0
Dryvax® Vaccine
n=52 participants at risk
Participants received a single dose of Dryvax® smallpox vaccine, 1.0x10-8th plaque-forming units/mL on Day 0
Pregnancy, puerperium and perinatal conditions
Pregnancy Not Otherwise Specified
0.00%
0/51 • Adverse events data were collected from the day of vaccination for up to 6 months post-vaccination.
0.98%
1/102 • Number of events 1 • Adverse events data were collected from the day of vaccination for up to 6 months post-vaccination.
0.00%
0/102 • Adverse events data were collected from the day of vaccination for up to 6 months post-vaccination.
0.00%
0/50 • Adverse events data were collected from the day of vaccination for up to 6 months post-vaccination.
0.00%
0/52 • Adverse events data were collected from the day of vaccination for up to 6 months post-vaccination.
Investigations
HIV test positive
2.0%
1/51 • Number of events 1 • Adverse events data were collected from the day of vaccination for up to 6 months post-vaccination.
0.00%
0/102 • Adverse events data were collected from the day of vaccination for up to 6 months post-vaccination.
0.00%
0/102 • Adverse events data were collected from the day of vaccination for up to 6 months post-vaccination.
0.00%
0/50 • Adverse events data were collected from the day of vaccination for up to 6 months post-vaccination.
0.00%
0/52 • Adverse events data were collected from the day of vaccination for up to 6 months post-vaccination.

Other adverse events

Other adverse events
Measure
ACAM2000 Dose 1
n=51 participants at risk
Participants received a single dose of ACAM2000 smallpox vaccine, 1.0x10-8th plaque-forming units/mL on Day 0
ACAM2000 Dose 2
n=102 participants at risk
Participants received a single dose of ACAM2000 smallpox vaccine, 2.0x10-7th plaque-forming units/mL on Day 0
ACAM2000 Dose 3
n=102 participants at risk
Participants received a single dose of ACAM2000 smallpox vaccine, 1.0x10-7th plaque-forming units/mL on Day 0
ACAM2000 Dose 4
n=50 participants at risk
Participants received a single dose of ACAM2000 smallpox vaccine, 5.0x10-6th plaque-forming units/mL on Day 0
Dryvax® Vaccine
n=52 participants at risk
Participants received a single dose of Dryvax® smallpox vaccine, 1.0x10-8th plaque-forming units/mL on Day 0
Blood and lymphatic system disorders
Lymph Node Pain
9.8%
5/51 • Adverse events data were collected from the day of vaccination for up to 6 months post-vaccination.
7.8%
8/102 • Adverse events data were collected from the day of vaccination for up to 6 months post-vaccination.
19.6%
20/102 • Adverse events data were collected from the day of vaccination for up to 6 months post-vaccination.
28.0%
14/50 • Adverse events data were collected from the day of vaccination for up to 6 months post-vaccination.
23.1%
12/52 • Adverse events data were collected from the day of vaccination for up to 6 months post-vaccination.
Blood and lymphatic system disorders
Lymphadenopathy
5.9%
3/51 • Adverse events data were collected from the day of vaccination for up to 6 months post-vaccination.
4.9%
5/102 • Adverse events data were collected from the day of vaccination for up to 6 months post-vaccination.
5.9%
6/102 • Adverse events data were collected from the day of vaccination for up to 6 months post-vaccination.
2.0%
1/50 • Adverse events data were collected from the day of vaccination for up to 6 months post-vaccination.
9.6%
5/52 • Adverse events data were collected from the day of vaccination for up to 6 months post-vaccination.
Gastrointestinal disorders
Diarrhea Not Otherwise Specified
15.7%
8/51 • Adverse events data were collected from the day of vaccination for up to 6 months post-vaccination.
16.7%
17/102 • Adverse events data were collected from the day of vaccination for up to 6 months post-vaccination.
10.8%
11/102 • Adverse events data were collected from the day of vaccination for up to 6 months post-vaccination.
24.0%
12/50 • Adverse events data were collected from the day of vaccination for up to 6 months post-vaccination.
17.3%
9/52 • Adverse events data were collected from the day of vaccination for up to 6 months post-vaccination.
Gastrointestinal disorders
Nausea
13.7%
7/51 • Adverse events data were collected from the day of vaccination for up to 6 months post-vaccination.
7.8%
8/102 • Adverse events data were collected from the day of vaccination for up to 6 months post-vaccination.
10.8%
11/102 • Adverse events data were collected from the day of vaccination for up to 6 months post-vaccination.
16.0%
8/50 • Adverse events data were collected from the day of vaccination for up to 6 months post-vaccination.
9.6%
5/52 • Adverse events data were collected from the day of vaccination for up to 6 months post-vaccination.
Gastrointestinal disorders
Constipation
7.8%
4/51 • Adverse events data were collected from the day of vaccination for up to 6 months post-vaccination.
4.9%
5/102 • Adverse events data were collected from the day of vaccination for up to 6 months post-vaccination.
8.8%
9/102 • Adverse events data were collected from the day of vaccination for up to 6 months post-vaccination.
6.0%
3/50 • Adverse events data were collected from the day of vaccination for up to 6 months post-vaccination.
5.8%
3/52 • Adverse events data were collected from the day of vaccination for up to 6 months post-vaccination.
General disorders
Injection Site Pruritus
56.9%
29/51 • Adverse events data were collected from the day of vaccination for up to 6 months post-vaccination.
57.8%
59/102 • Adverse events data were collected from the day of vaccination for up to 6 months post-vaccination.
75.5%
77/102 • Adverse events data were collected from the day of vaccination for up to 6 months post-vaccination.
76.0%
38/50 • Adverse events data were collected from the day of vaccination for up to 6 months post-vaccination.
82.7%
43/52 • Adverse events data were collected from the day of vaccination for up to 6 months post-vaccination.
General disorders
Injection Site Erythema
39.2%
20/51 • Adverse events data were collected from the day of vaccination for up to 6 months post-vaccination.
41.2%
42/102 • Adverse events data were collected from the day of vaccination for up to 6 months post-vaccination.
47.1%
48/102 • Adverse events data were collected from the day of vaccination for up to 6 months post-vaccination.
48.0%
24/50 • Adverse events data were collected from the day of vaccination for up to 6 months post-vaccination.
57.7%
30/52 • Adverse events data were collected from the day of vaccination for up to 6 months post-vaccination.
General disorders
Fatigue
29.4%
15/51 • Adverse events data were collected from the day of vaccination for up to 6 months post-vaccination.
27.5%
28/102 • Adverse events data were collected from the day of vaccination for up to 6 months post-vaccination.
40.2%
41/102 • Adverse events data were collected from the day of vaccination for up to 6 months post-vaccination.
36.0%
18/50 • Adverse events data were collected from the day of vaccination for up to 6 months post-vaccination.
34.6%
18/52 • Adverse events data were collected from the day of vaccination for up to 6 months post-vaccination.
General disorders
Malaise
33.3%
17/51 • Adverse events data were collected from the day of vaccination for up to 6 months post-vaccination.
19.6%
20/102 • Adverse events data were collected from the day of vaccination for up to 6 months post-vaccination.
28.4%
29/102 • Adverse events data were collected from the day of vaccination for up to 6 months post-vaccination.
36.0%
18/50 • Adverse events data were collected from the day of vaccination for up to 6 months post-vaccination.
28.8%
15/52 • Adverse events data were collected from the day of vaccination for up to 6 months post-vaccination.
General disorders
Feeling Hot
23.5%
12/51 • Adverse events data were collected from the day of vaccination for up to 6 months post-vaccination.
14.7%
15/102 • Adverse events data were collected from the day of vaccination for up to 6 months post-vaccination.
13.7%
14/102 • Adverse events data were collected from the day of vaccination for up to 6 months post-vaccination.
26.0%
13/50 • Adverse events data were collected from the day of vaccination for up to 6 months post-vaccination.
11.5%
6/52 • Adverse events data were collected from the day of vaccination for up to 6 months post-vaccination.
General disorders
Rigors
17.6%
9/51 • Adverse events data were collected from the day of vaccination for up to 6 months post-vaccination.
10.8%
11/102 • Adverse events data were collected from the day of vaccination for up to 6 months post-vaccination.
12.7%
13/102 • Adverse events data were collected from the day of vaccination for up to 6 months post-vaccination.
20.0%
10/50 • Adverse events data were collected from the day of vaccination for up to 6 months post-vaccination.
15.4%
8/52 • Adverse events data were collected from the day of vaccination for up to 6 months post-vaccination.
General disorders
Injection Site Inflammation
0.00%
0/51 • Adverse events data were collected from the day of vaccination for up to 6 months post-vaccination.
2.9%
3/102 • Adverse events data were collected from the day of vaccination for up to 6 months post-vaccination.
6.9%
7/102 • Adverse events data were collected from the day of vaccination for up to 6 months post-vaccination.
14.0%
7/50 • Adverse events data were collected from the day of vaccination for up to 6 months post-vaccination.
21.2%
11/52 • Adverse events data were collected from the day of vaccination for up to 6 months post-vaccination.
General disorders
Injection Site Pain
25.5%
13/51 • Adverse events data were collected from the day of vaccination for up to 6 months post-vaccination.
26.5%
27/102 • Adverse events data were collected from the day of vaccination for up to 6 months post-vaccination.
35.3%
36/102 • Adverse events data were collected from the day of vaccination for up to 6 months post-vaccination.
32.0%
16/50 • Adverse events data were collected from the day of vaccination for up to 6 months post-vaccination.
36.5%
19/52 • Adverse events data were collected from the day of vaccination for up to 6 months post-vaccination.
Musculoskeletal and connective tissue disorders
Myalgia
27.5%
14/51 • Adverse events data were collected from the day of vaccination for up to 6 months post-vaccination.
32.4%
33/102 • Adverse events data were collected from the day of vaccination for up to 6 months post-vaccination.
29.4%
30/102 • Adverse events data were collected from the day of vaccination for up to 6 months post-vaccination.
30.0%
15/50 • Adverse events data were collected from the day of vaccination for up to 6 months post-vaccination.
13.5%
7/52 • Adverse events data were collected from the day of vaccination for up to 6 months post-vaccination.
Musculoskeletal and connective tissue disorders
Back Pain
5.9%
3/51 • Adverse events data were collected from the day of vaccination for up to 6 months post-vaccination.
5.9%
6/102 • Adverse events data were collected from the day of vaccination for up to 6 months post-vaccination.
3.9%
4/102 • Adverse events data were collected from the day of vaccination for up to 6 months post-vaccination.
2.0%
1/50 • Adverse events data were collected from the day of vaccination for up to 6 months post-vaccination.
7.7%
4/52 • Adverse events data were collected from the day of vaccination for up to 6 months post-vaccination.
Nervous system disorders
Headache Not Otherwise Specified
47.1%
24/51 • Adverse events data were collected from the day of vaccination for up to 6 months post-vaccination.
38.2%
39/102 • Adverse events data were collected from the day of vaccination for up to 6 months post-vaccination.
45.1%
46/102 • Adverse events data were collected from the day of vaccination for up to 6 months post-vaccination.
50.0%
25/50 • Adverse events data were collected from the day of vaccination for up to 6 months post-vaccination.
40.4%
21/52 • Adverse events data were collected from the day of vaccination for up to 6 months post-vaccination.
Respiratory, thoracic and mediastinal disorders
Pharyngitis
5.9%
3/51 • Adverse events data were collected from the day of vaccination for up to 6 months post-vaccination.
4.9%
5/102 • Adverse events data were collected from the day of vaccination for up to 6 months post-vaccination.
6.9%
7/102 • Adverse events data were collected from the day of vaccination for up to 6 months post-vaccination.
4.0%
2/50 • Adverse events data were collected from the day of vaccination for up to 6 months post-vaccination.
3.8%
2/52 • Adverse events data were collected from the day of vaccination for up to 6 months post-vaccination.
Infections and infestations
Nasopharyngitis
2.0%
1/51 • Adverse events data were collected from the day of vaccination for up to 6 months post-vaccination.
0.98%
1/102 • Adverse events data were collected from the day of vaccination for up to 6 months post-vaccination.
10.8%
11/102 • Adverse events data were collected from the day of vaccination for up to 6 months post-vaccination.
14.0%
7/50 • Adverse events data were collected from the day of vaccination for up to 6 months post-vaccination.
5.8%
3/52 • Adverse events data were collected from the day of vaccination for up to 6 months post-vaccination.
Skin and subcutaneous tissue disorders
Rash Not Otherwise Specified
3.9%
2/51 • Adverse events data were collected from the day of vaccination for up to 6 months post-vaccination.
4.9%
5/102 • Adverse events data were collected from the day of vaccination for up to 6 months post-vaccination.
4.9%
5/102 • Adverse events data were collected from the day of vaccination for up to 6 months post-vaccination.
10.0%
5/50 • Adverse events data were collected from the day of vaccination for up to 6 months post-vaccination.
5.8%
3/52 • Adverse events data were collected from the day of vaccination for up to 6 months post-vaccination.

Additional Information

Eddie Darton, Medical Director

Emergent BioSolutions

Phone: 240-631-3688

Results disclosure agreements

  • Principal investigator is a sponsor employee Sponsor must have the opportunity to review at least 60 days prior to submission for publication or presentation. If review indicates that potentially patentable subject matter would be disclosed, publication or public disclosure may be delayed for a maximum of an additional 60 days to allow for filing the necessary patent applications
  • Publication restrictions are in place

Restriction type: OTHER