Trial Outcomes & Findings for Effect of Dose, Safety, Tolerability of a New Smallpox Vaccine in Adults Without Previous Smallpox Vaccination (NCT NCT00053495)

NCT ID: NCT00053495

Last Updated: 2024-03-18

Results Overview

The severity of each reported adverse event was classified by the investigator according to the following definitions. None - no symptom; Mild - awareness of sign or symptoms, but easily tolerated; Moderate - discomfort enough to cause interference with usual activity; and Severe - incapacitating with inability to work or perform usual activity.

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

353 participants

Primary outcome timeframe

Days 0 to 30 post-vaccination

Results posted on

2024-03-18

Participant Flow

Participants were enrolled from 10 January 2003 to 14 April 2003 in 4 medical centers in the US.

A total of 353 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\^8th 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
101
101
51
49
Overall Study
COMPLETED
51
101
101
51
49
Overall Study
NOT COMPLETED
0
0
0
0
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Effect of Dose, Safety, Tolerability of a New Smallpox Vaccine in Adults Without Previous Smallpox Vaccination

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=101 Participants
Participants received a single dose of ACAM2000 smallpox vaccine, 2.0x10\^8th plaque-forming units/mL on Day 0
ACAM2000 Dose 3
n=101 Participants
Participants received a single dose of ACAM2000 smallpox vaccine, 1.0x10\^7th plaque-forming units/mL on Day 0
ACAM2000 Dose 4
n=51 Participants
Participants received a single dose of ACAM2000 smallpox vaccine, 5.0x10\^6th plaque-forming units/mL on Day 0
Dryvax® Vaccine
n=49 Participants
Participants received a single dose of Dryvax® smallpox vaccine, 1.0x10\^8th plaque-forming units/mL on Day 0
Total
n=353 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=8 Participants
Age, Categorical
Between 18 and 65 years
51 Participants
n=5 Participants
101 Participants
n=7 Participants
101 Participants
n=5 Participants
51 Participants
n=4 Participants
49 Participants
n=21 Participants
353 Participants
n=8 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=8 Participants
Age, Continuous
23 Years
STANDARD_DEVIATION 2.4 • n=5 Participants
22 Years
STANDARD_DEVIATION 3.1 • n=7 Participants
22 Years
STANDARD_DEVIATION 3.2 • n=5 Participants
22 Years
STANDARD_DEVIATION 3.0 • n=4 Participants
22 Years
STANDARD_DEVIATION 3.1 • n=21 Participants
22 Years
STANDARD_DEVIATION 3 • n=8 Participants
Sex: Female, Male
Female
18 Participants
n=5 Participants
36 Participants
n=7 Participants
34 Participants
n=5 Participants
14 Participants
n=4 Participants
13 Participants
n=21 Participants
115 Participants
n=8 Participants
Sex: Female, Male
Male
33 Participants
n=5 Participants
65 Participants
n=7 Participants
67 Participants
n=5 Participants
37 Participants
n=4 Participants
36 Participants
n=21 Participants
238 Participants
n=8 Participants
Region of Enrollment
United States
51 participants
n=5 Participants
101 participants
n=7 Participants
101 participants
n=5 Participants
51 participants
n=4 Participants
49 participants
n=21 Participants
353 participants
n=8 Participants

PRIMARY outcome

Timeframe: Days 0 to 30 post-vaccination

Population: Adverse events were assessed in the safety, intent-to-treat population

The severity of each reported adverse event was classified by the investigator according to the following definitions. None - no symptom; Mild - awareness of sign or symptoms, but easily tolerated; Moderate - discomfort enough to cause interference with usual activity; and Severe - incapacitating with inability to work or perform usual activity.

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=101 Participants
Participants received a single dose of ACAM2000 smallpox vaccine, 2.0x10\^8th plaque-forming units/mL on Day 0
ACAM2000 Dose 3
n=101 Participants
Participants received a single dose of ACAM2000 smallpox vaccine, 1.0x10\^7th plaque-forming units/mL on Day 0
ACAM2000 Dose 4
n=51 Participants
Participants received a single dose of ACAM2000 smallpox vaccine, 5.0x10\^6th plaque-forming units/mL on Day 0
Dryvax® Vaccine
n=49 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
Lymph Node Pain
2 Participants
4 Participants
3 Participants
4 Participants
2 Participants
Number of Participants Reporting Adverse Events of Severe Intensity Post-vaccination With ACAM2000 or Dryvax® Smallpox Vaccine
Lymphadenopathy
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
Diarrhea Not Otherwise Specified
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
Nausea
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
Vomiting Not Otherwise Specified
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
Injection Site Erythema
1 Participants
6 Participants
14 Participants
11 Participants
15 Participants
Number of Participants Reporting Adverse Events of Severe Intensity Post-vaccination With ACAM2000 or Dryvax® Smallpox Vaccine
Injection Site Swelling
0 Participants
0 Participants
1 Participants
1 Participants
0 Participants
Number of Participants Reporting Adverse Events of Severe Intensity Post-vaccination With ACAM2000 or Dryvax® Smallpox Vaccine
Injection Site Pruritus
0 Participants
0 Participants
1 Participants
0 Participants
1 Participants
Number of Participants Reporting Adverse Events of Severe Intensity Post-vaccination With ACAM2000 or Dryvax® Smallpox Vaccine
Fatigue
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
Injection Site Pain
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
Dehydration
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
Myalgia
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
Headache Not Otherwise Specified
1 Participants
0 Participants
4 Participants
1 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
1 Participants
0 Participants
Number of Participants Reporting Adverse Events of Severe Intensity Post-vaccination With ACAM2000 or Dryvax® Smallpox Vaccine
Dysuria
1 Participants
0 Participants
0 Participants
0 Participants
0 Participants

PRIMARY outcome

Timeframe: Day 30 post-vaccination

Population: Neutralizing antibody response titers were evaluated in the antibody evaluable, per-protocol 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=100 Participants
Participants received a single dose of ACAM2000 smallpox vaccine, 2.0x10\^8th plaque-forming units/mL on Day 0
ACAM2000 Dose 3
n=100 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=49 Participants
Participants received a single dose of Dryvax® smallpox vaccine, 1.0x10\^8th plaque-forming units/mL on Day 0
Neutralizing Antibody Response Titers Post-vaccination With ACAM2000 or Dryvax® Smallpox Vaccine.
212 PRNT50 Titers
Standard Deviation 536.4
278 PRNT50 Titers
Standard Deviation 581.6
425 PRNT50 Titers
Standard Deviation 947.4
582 PRNT50 Titers
Standard Deviation 1129.3
1515 PRNT50 Titers
Standard Deviation 6019.4

PRIMARY outcome

Timeframe: Day 30 post-vaccination

Population: Plaque-reduction neutralization test (PRNT50) titers were determined in the antibody evaluable, per-protocol population

Outcome measures

Outcome measures
Measure
ACAM2000 Dose 1
n=50 Participants
Participants received a single dose of ACAM2000 smallpox vaccine, 1.0x10\^8th plaque-forming units/mL on Day 0
ACAM2000 Dose 2
n=100 Participants
Participants received a single dose of ACAM2000 smallpox vaccine, 2.0x10\^8th plaque-forming units/mL on Day 0
ACAM2000 Dose 3
n=100 Participants
Participants received a single dose of ACAM2000 smallpox vaccine, 1.0x10\^7th plaque-forming units/mL on Day 0
ACAM2000 Dose 4
n=51 Participants
Participants received a single dose of ACAM2000 smallpox vaccine, 5.0x10\^6th plaque-forming units/mL on Day 0
Dryvax® Vaccine
n=49 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.
28 Participants
73 Participants
84 Participants
48 Participants
47 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=101 Participants
Participants received a single dose of ACAM2000 smallpox vaccine, 2.0x10\^8th plaque-forming units/mL on Day 0
ACAM2000 Dose 3
n=101 Participants
Participants received a single dose of ACAM2000 smallpox vaccine, 1.0x10\^7th plaque-forming units/mL on Day 0
ACAM2000 Dose 4
n=51 Participants
Participants received a single dose of ACAM2000 smallpox vaccine, 5.0x10\^6th plaque-forming units/mL on Day 0
Dryvax® Vaccine
n=49 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 Not Otherwise Specified
3 Participants
10 Participants
9 Participants
5 Participants
7 Participants
Number of Participants With Treatment-Emergent Rash Events Post-vaccination With ACAM2000 or Dryvax® Smallpox Vaccine.
Rash Pruritic
0 Participants
1 Participants
0 Participants
0 Participants
0 Participants
Number of Participants With Treatment-Emergent Rash Events Post-vaccination With ACAM2000 or Dryvax® Smallpox Vaccine.
Rash Pustular
0 Participants
1 Participants
0 Participants
0 Participants
1 Participants
Number of Participants With Treatment-Emergent Rash Events Post-vaccination With ACAM2000 or Dryvax® Smallpox Vaccine.
Application Site Rash
0 Participants
1 Participants
1 Participants
3 Participants
2 Participants
Number of Participants With Treatment-Emergent Rash Events Post-vaccination With ACAM2000 or Dryvax® Smallpox Vaccine.
Injection Site Rash
0 Participants
0 Participants
1 Participants
0 Participants
1 Participants
Number of Participants With Treatment-Emergent Rash Events Post-vaccination With ACAM2000 or Dryvax® Smallpox Vaccine.
Any Rash Event
3 Participants
11 Participants
10 Participants
7 Participants
10 Participants

OTHER_PRE_SPECIFIED outcome

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

Population: Clinical chemistry parameters were assessed in 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=101 Participants
Participants received a single dose of ACAM2000 smallpox vaccine, 2.0x10\^8th plaque-forming units/mL on Day 0
ACAM2000 Dose 3
n=101 Participants
Participants received a single dose of ACAM2000 smallpox vaccine, 1.0x10\^7th plaque-forming units/mL on Day 0
ACAM2000 Dose 4
n=51 Participants
Participants received a single dose of ACAM2000 smallpox vaccine, 5.0x10\^6th plaque-forming units/mL on Day 0
Dryvax® Vaccine
n=49 Participants
Participants received a single dose of Dryvax® smallpox vaccine, 1.0x10\^8th plaque-forming units/mL on Day 0
Clinical Chemistry Parameters (Aspartate Aminotransaminase and Alanine Aminotransferase) at Baseline and Day 15 Post-vaccination With ACAM2000 or Dryvax® Smallpox Vaccine
Aspartate Aminotransferase (Baseline)
21 IU/L
Standard Deviation 7.4
21 IU/L
Standard Deviation 5.9
22 IU/L
Standard Deviation 7.1
23 IU/L
Standard Deviation 7.1
20 IU/L
Standard Deviation 5.8
Clinical Chemistry Parameters (Aspartate Aminotransaminase and Alanine Aminotransferase) at Baseline and Day 15 Post-vaccination With ACAM2000 or Dryvax® Smallpox Vaccine
Aspartate Aminotransferase (Day 15)
23 IU/L
Standard Deviation 10.5
21 IU/L
Standard Deviation 7.7
22 IU/L
Standard Deviation 7.5
21 IU/L
Standard Deviation 6.3
22 IU/L
Standard Deviation 6.8
Clinical Chemistry Parameters (Aspartate Aminotransaminase and Alanine Aminotransferase) at Baseline and Day 15 Post-vaccination With ACAM2000 or Dryvax® Smallpox Vaccine
Alanine Aminotransferase (Baseline)
32 IU/L
Standard Deviation 15.0
32 IU/L
Standard Deviation 16.2
33 IU/L
Standard Deviation 17.4
36 IU/L
Standard Deviation 18.5
31 IU/L
Standard Deviation 16.8
Clinical Chemistry Parameters (Aspartate Aminotransaminase and Alanine Aminotransferase) at Baseline and Day 15 Post-vaccination With ACAM2000 or Dryvax® Smallpox Vaccine
Alanine Aminotransferase (Day 15)
33 IU/L
Standard Deviation 15.4
32 IU/L
Standard Deviation 17.5
33 IU/L
Standard Deviation 16.6
34 IU/L
Standard Deviation 16.2
33 IU/L
Standard Deviation 17.9

OTHER_PRE_SPECIFIED outcome

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

Population: Clinical chemistry parameters were assessed in 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=101 Participants
Participants received a single dose of ACAM2000 smallpox vaccine, 2.0x10\^8th plaque-forming units/mL on Day 0
ACAM2000 Dose 3
n=101 Participants
Participants received a single dose of ACAM2000 smallpox vaccine, 1.0x10\^7th plaque-forming units/mL on Day 0
ACAM2000 Dose 4
n=51 Participants
Participants received a single dose of ACAM2000 smallpox vaccine, 5.0x10\^6th plaque-forming units/mL on Day 0
Dryvax® Vaccine
n=49 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)
0.97 mg/dL
Standard Deviation 0.147
0.96 mg/dL
Standard Deviation 0.153
0.98 mg/dL
Standard Deviation 0.181
0.97 mg/dL
Standard Deviation 0.171
0.97 mg/dL
Standard Deviation 0.158
Clinical Chemistry Parameters (Creatinine and Glucose) at Baseline and Day 15 Post-vaccination With ACAM2000 or Dryvax® Smallpox Vaccine
Creatinine (Day 15)
0.98 mg/dL
Standard Deviation 0.149
0.98 mg/dL
Standard Deviation 0.142
0.98 mg/dL
Standard Deviation 0.169
1.00 mg/dL
Standard Deviation 0.144
1.00 mg/dL
Standard Deviation 0.163
Clinical Chemistry Parameters (Creatinine and Glucose) at Baseline and Day 15 Post-vaccination With ACAM2000 or Dryvax® Smallpox Vaccine
Glucose (Baseline)
85 mg/dL
Standard Deviation 7.3
84 mg/dL
Standard Deviation 9.8
86 mg/dL
Standard Deviation 7.4
86 mg/dL
Standard Deviation 8.3
87 mg/dL
Standard Deviation 18.6
Clinical Chemistry Parameters (Creatinine and Glucose) at Baseline and Day 15 Post-vaccination With ACAM2000 or Dryvax® Smallpox Vaccine
Glucose (Day 15)
83 mg/dL
Standard Deviation 14.2
86 mg/dL
Standard Deviation 14.6
86 mg/dL
Standard Deviation 10.6
87 mg/dL
Standard Deviation 13.2
88 mg/dL
Standard Deviation 21.4

OTHER_PRE_SPECIFIED outcome

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

Population: Hematology parameters were evaluated 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=101 Participants
Participants received a single dose of ACAM2000 smallpox vaccine, 2.0x10\^8th plaque-forming units/mL on Day 0
ACAM2000 Dose 3
n=101 Participants
Participants received a single dose of ACAM2000 smallpox vaccine, 1.0x10\^7th plaque-forming units/mL on Day 0
ACAM2000 Dose 4
n=51 Participants
Participants received a single dose of ACAM2000 smallpox vaccine, 5.0x10\^6th plaque-forming units/mL on Day 0
Dryvax® Vaccine
n=49 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 on Day 15 in Participants Vaccinated With ACAM2000 or Dryvax® Smallpox Vaccine.
Hematocrit (Baseline)
43.7 Percentage (%)
Standard Deviation 4.20
43.2 Percentage (%)
Standard Deviation 3.71
43.2 Percentage (%)
Standard Deviation 4.44
44.2 Percentage (%)
Standard Deviation 3.29
44.1 Percentage (%)
Standard Deviation 3.54
Selected Hematology Parameters (Hematocrit, Lymphocyte, and Eosinophil) at Baseline and on Day 15 in Participants Vaccinated With ACAM2000 or Dryvax® Smallpox Vaccine.
Hematocrit (Day 15)
42.8 Percentage (%)
Standard Deviation 3.74
42.3 Percentage (%)
Standard Deviation 3.59
42.7 Percentage (%)
Standard Deviation 3.21
43.2 Percentage (%)
Standard Deviation 2.55
43.1 Percentage (%)
Standard Deviation 3.13
Selected Hematology Parameters (Hematocrit, Lymphocyte, and Eosinophil) at Baseline and on Day 15 in Participants Vaccinated With ACAM2000 or Dryvax® Smallpox Vaccine.
Lymphocytes (Baseline)
30.6 Percentage (%)
Standard Deviation 8.26
31.5 Percentage (%)
Standard Deviation 8.33
30.7 Percentage (%)
Standard Deviation 7.00
29.6 Percentage (%)
Standard Deviation 7.45
31.6 Percentage (%)
Standard Deviation 7.99
Selected Hematology Parameters (Hematocrit, Lymphocyte, and Eosinophil) at Baseline and on Day 15 in Participants Vaccinated With ACAM2000 or Dryvax® Smallpox Vaccine.
Lymphocytes (Day 15)
33.9 Percentage (%)
Standard Deviation 8.62
34.0 Percentage (%)
Standard Deviation 7.41
34.7 Percentage (%)
Standard Deviation 7.93
33.9 Percentage (%)
Standard Deviation 6.83
33.8 Percentage (%)
Standard Deviation 7.58
Selected Hematology Parameters (Hematocrit, Lymphocyte, and Eosinophil) at Baseline and on Day 15 in Participants Vaccinated With ACAM2000 or Dryvax® Smallpox Vaccine.
Eosinophils (Baseline)
2.5 Percentage (%)
Standard Deviation 1.61
2.5 Percentage (%)
Standard Deviation 1.95
2.4 Percentage (%)
Standard Deviation 1.69
2.3 Percentage (%)
Standard Deviation 1.42
2.4 Percentage (%)
Standard Deviation 1.72
Selected Hematology Parameters (Hematocrit, Lymphocyte, and Eosinophil) at Baseline and on Day 15 in Participants Vaccinated With ACAM2000 or Dryvax® Smallpox Vaccine.
Eosinophils (Day 15)
2.8 Percentage (%)
Standard Deviation 2.07
2.8 Percentage (%)
Standard Deviation 2.11
2.6 Percentage (%)
Standard Deviation 1.65
2.7 Percentage (%)
Standard Deviation 1.42
2.7 Percentage (%)
Standard Deviation 1.61

OTHER_PRE_SPECIFIED outcome

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

Population: Hematology parameters were evaluated 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=101 Participants
Participants received a single dose of ACAM2000 smallpox vaccine, 2.0x10\^8th plaque-forming units/mL on Day 0
ACAM2000 Dose 3
n=101 Participants
Participants received a single dose of ACAM2000 smallpox vaccine, 1.0x10\^7th plaque-forming units/mL on Day 0
ACAM2000 Dose 4
n=51 Participants
Participants received a single dose of ACAM2000 smallpox vaccine, 5.0x10\^6th plaque-forming units/mL on Day 0
Dryvax® Vaccine
n=49 Participants
Participants received a single dose of Dryvax® smallpox vaccine, 1.0x10\^8th plaque-forming units/mL on Day 0
Selected Hematology Parameters (Red Blood Count and Platelets) at Baseline and on Day 15 in Participants Vaccinated With ACAM2000 or Dryvax® Smallpox Vaccine.
Red Blood Cell Count (Baseline)
5.1 x10-6th/μL
Standard Deviation 0.53
5.0 x10-6th/μL
Standard Deviation 0.47
5.1 x10-6th/μL
Standard Deviation 0.44
5.1 x10-6th/μL
Standard Deviation 0.45
5.1 x10-6th/μL
Standard Deviation 0.44
Selected Hematology Parameters (Red Blood Count and Platelets) at Baseline and on Day 15 in Participants Vaccinated With ACAM2000 or Dryvax® Smallpox Vaccine.
Red Blood Cell Count (Day 15)
5.0 x10-6th/μL
Standard Deviation 0.50
4.9 x10-6th/μL
Standard Deviation 0.44
5.0 x10-6th/μL
Standard Deviation 0.39
5.0 x10-6th/μL
Standard Deviation 0.37
5.0 x10-6th/μL
Standard Deviation 0.38
Selected Hematology Parameters (Red Blood Count and Platelets) at Baseline and on Day 15 in Participants Vaccinated With ACAM2000 or Dryvax® Smallpox Vaccine.
Platelets (Baseline)
274 x10-6th/μL
Standard Deviation 64.0
282 x10-6th/μL
Standard Deviation 60.1
281 x10-6th/μL
Standard Deviation 68.1
274 x10-6th/μL
Standard Deviation 52.4
267 x10-6th/μL
Standard Deviation 51.6
Selected Hematology Parameters (Red Blood Count and Platelets) at Baseline and on Day 15 in Participants Vaccinated With ACAM2000 or Dryvax® Smallpox Vaccine.
Platelets (Day 15)
284 x10-6th/μL
Standard Deviation 58.6
280 x10-6th/μL
Standard Deviation 57.7
281 x10-6th/μL
Standard Deviation 65.1
284 x10-6th/μL
Standard Deviation 59.3
285 x10-6th/μL
Standard Deviation 52.1

Adverse Events

ACAM2000 Dose 1

Serious events: 1 serious events
Other events: 51 other events
Deaths: 0 deaths

ACAM2000 Dose 2

Serious events: 1 serious events
Other events: 99 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: 1 serious events
Other events: 51 other events
Deaths: 0 deaths

Dryvax® Vaccine

Serious events: 0 serious events
Other events: 49 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=101 participants at risk
Participants received a single dose of ACAM2000 smallpox vaccine, 2.0x10\^8th plaque-forming units/mL on Day 0
ACAM2000 Dose 3
n=101 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=51 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=49 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
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.
0.99%
1/101 • Number of events 1 • Adverse events data were collected from the day of vaccination for up to 6 months post-vaccination.
0.00%
0/101 • Adverse events data were collected from the day of vaccination for up to 6 months post-vaccination.
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%
0/49 • 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=101 participants at risk
Participants received a single dose of ACAM2000 smallpox vaccine, 2.0x10\^8th plaque-forming units/mL on Day 0
ACAM2000 Dose 3
n=101 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=51 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=49 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
43.1%
22/51 • Adverse events data were collected from the day of vaccination for up to 6 months post-vaccination.
58.4%
59/101 • Adverse events data were collected from the day of vaccination for up to 6 months post-vaccination.
60.4%
61/101 • Adverse events data were collected from the day of vaccination for up to 6 months post-vaccination.
76.5%
39/51 • Adverse events data were collected from the day of vaccination for up to 6 months post-vaccination.
89.8%
44/49 • Adverse events data were collected from the day of vaccination for up to 6 months post-vaccination.
Blood and lymphatic system disorders
Lymphadenopathy
21.6%
11/51 • Adverse events data were collected from the day of vaccination for up to 6 months post-vaccination.
25.7%
26/101 • Adverse events data were collected from the day of vaccination for up to 6 months post-vaccination.
24.8%
25/101 • Adverse events data were collected from the day of vaccination for up to 6 months post-vaccination.
37.3%
19/51 • Adverse events data were collected from the day of vaccination for up to 6 months post-vaccination.
34.7%
17/49 • Adverse events data were collected from the day of vaccination for up to 6 months post-vaccination.
Gastrointestinal disorders
Nausea
25.5%
13/51 • Adverse events data were collected from the day of vaccination for up to 6 months post-vaccination.
20.8%
21/101 • Adverse events data were collected from the day of vaccination for up to 6 months post-vaccination.
20.8%
21/101 • Adverse events data were collected from the day of vaccination for up to 6 months post-vaccination.
21.6%
11/51 • Adverse events data were collected from the day of vaccination for up to 6 months post-vaccination.
28.6%
14/49 • Adverse events data were collected from the day of vaccination for up to 6 months post-vaccination.
Gastrointestinal disorders
Diarrhea Not Otherwise Specified
17.6%
9/51 • Adverse events data were collected from the day of vaccination for up to 6 months post-vaccination.
12.9%
13/101 • Adverse events data were collected from the day of vaccination for up to 6 months post-vaccination.
20.8%
21/101 • Adverse events data were collected from the day of vaccination for up to 6 months post-vaccination.
9.8%
5/51 • Adverse events data were collected from the day of vaccination for up to 6 months post-vaccination.
14.3%
7/49 • Adverse events data were collected from the day of vaccination for up to 6 months post-vaccination.
Gastrointestinal disorders
Vomiting Not Otherwise Specified
9.8%
5/51 • Adverse events data were collected from the day of vaccination for up to 6 months post-vaccination.
2.0%
2/101 • Adverse events data were collected from the day of vaccination for up to 6 months post-vaccination.
9.9%
10/101 • Adverse events data were collected from the day of vaccination for up to 6 months post-vaccination.
7.8%
4/51 • Adverse events data were collected from the day of vaccination for up to 6 months post-vaccination.
6.1%
3/49 • Adverse events data were collected from the day of vaccination for up to 6 months post-vaccination.
General disorders
Injection Site Pruritus
84.3%
43/51 • Adverse events data were collected from the day of vaccination for up to 6 months post-vaccination.
88.1%
89/101 • Adverse events data were collected from the day of vaccination for up to 6 months post-vaccination.
81.2%
82/101 • Adverse events data were collected from the day of vaccination for up to 6 months post-vaccination.
100.0%
51/51 • Adverse events data were collected from the day of vaccination for up to 6 months post-vaccination.
100.0%
49/49 • Adverse events data were collected from the day of vaccination for up to 6 months post-vaccination.
General disorders
Injection Site Erythema
52.9%
27/51 • Adverse events data were collected from the day of vaccination for up to 6 months post-vaccination.
64.4%
65/101 • Adverse events data were collected from the day of vaccination for up to 6 months post-vaccination.
63.4%
64/101 • Adverse events data were collected from the day of vaccination for up to 6 months post-vaccination.
72.5%
37/51 • Adverse events data were collected from the day of vaccination for up to 6 months post-vaccination.
75.5%
37/49 • Adverse events data were collected from the day of vaccination for up to 6 months post-vaccination.
General disorders
Injection Site Pain
43.1%
22/51 • Adverse events data were collected from the day of vaccination for up to 6 months post-vaccination.
58.4%
59/101 • Adverse events data were collected from the day of vaccination for up to 6 months post-vaccination.
57.4%
58/101 • Adverse events data were collected from the day of vaccination for up to 6 months post-vaccination.
68.6%
35/51 • Adverse events data were collected from the day of vaccination for up to 6 months post-vaccination.
71.4%
35/49 • Adverse events data were collected from the day of vaccination for up to 6 months post-vaccination.
General disorders
Fatigue
45.1%
23/51 • Adverse events data were collected from the day of vaccination for up to 6 months post-vaccination.
40.6%
41/101 • Adverse events data were collected from the day of vaccination for up to 6 months post-vaccination.
54.5%
55/101 • Adverse events data were collected from the day of vaccination for up to 6 months post-vaccination.
56.9%
29/51 • Adverse events data were collected from the day of vaccination for up to 6 months post-vaccination.
57.1%
28/49 • Adverse events data were collected from the day of vaccination for up to 6 months post-vaccination.
General disorders
Malaise
35.3%
18/51 • Adverse events data were collected from the day of vaccination for up to 6 months post-vaccination.
26.7%
27/101 • Adverse events data were collected from the day of vaccination for up to 6 months post-vaccination.
28.7%
29/101 • Adverse events data were collected from the day of vaccination for up to 6 months post-vaccination.
35.3%
18/51 • Adverse events data were collected from the day of vaccination for up to 6 months post-vaccination.
46.9%
23/49 • Adverse events data were collected from the day of vaccination for up to 6 months post-vaccination.
General disorders
Feeling Hot
27.5%
14/51 • Adverse events data were collected from the day of vaccination for up to 6 months post-vaccination.
25.7%
26/101 • Adverse events data were collected from the day of vaccination for up to 6 months post-vaccination.
23.8%
24/101 • Adverse events data were collected from the day of vaccination for up to 6 months post-vaccination.
25.5%
13/51 • Adverse events data were collected from the day of vaccination for up to 6 months post-vaccination.
38.8%
19/49 • Adverse events data were collected from the day of vaccination for up to 6 months post-vaccination.
General disorders
Rigors
13.7%
7/51 • Adverse events data were collected from the day of vaccination for up to 6 months post-vaccination.
13.9%
14/101 • Adverse events data were collected from the day of vaccination for up to 6 months post-vaccination.
18.8%
19/101 • Adverse events data were collected from the day of vaccination for up to 6 months post-vaccination.
25.5%
13/51 • Adverse events data were collected from the day of vaccination for up to 6 months post-vaccination.
28.6%
14/49 • Adverse events data were collected from the day of vaccination for up to 6 months post-vaccination.
General disorders
Injection Site Swelling
5.9%
3/51 • Adverse events data were collected from the day of vaccination for up to 6 months post-vaccination.
5.9%
6/101 • Adverse events data were collected from the day of vaccination for up to 6 months post-vaccination.
5.9%
6/101 • Adverse events data were collected from the day of vaccination for up to 6 months post-vaccination.
9.8%
5/51 • Adverse events data were collected from the day of vaccination for up to 6 months post-vaccination.
4.1%
2/49 • Adverse events data were collected from the day of vaccination for up to 6 months post-vaccination.
Musculoskeletal and connective tissue disorders
Myalgia
41.2%
21/51 • Adverse events data were collected from the day of vaccination for up to 6 months post-vaccination.
39.6%
40/101 • Adverse events data were collected from the day of vaccination for up to 6 months post-vaccination.
46.5%
47/101 • Adverse events data were collected from the day of vaccination for up to 6 months post-vaccination.
51.0%
26/51 • Adverse events data were collected from the day of vaccination for up to 6 months post-vaccination.
55.1%
27/49 • Adverse events data were collected from the day of vaccination for up to 6 months post-vaccination.
Nervous system disorders
Headache Not Otherwise Specified
58.8%
30/51 • Adverse events data were collected from the day of vaccination for up to 6 months post-vaccination.
50.5%
51/101 • Adverse events data were collected from the day of vaccination for up to 6 months post-vaccination.
48.5%
49/101 • Adverse events data were collected from the day of vaccination for up to 6 months post-vaccination.
47.1%
24/51 • Adverse events data were collected from the day of vaccination for up to 6 months post-vaccination.
57.1%
28/49 • Adverse events data were collected from the day of vaccination for up to 6 months post-vaccination.
Respiratory, thoracic and mediastinal disorders
Pharyngitis
2.0%
1/51 • Adverse events data were collected from the day of vaccination for up to 6 months post-vaccination.
10.9%
11/101 • Adverse events data were collected from the day of vaccination for up to 6 months post-vaccination.
7.9%
8/101 • Adverse events data were collected from the day of vaccination for up to 6 months post-vaccination.
3.9%
2/51 • Adverse events data were collected from the day of vaccination for up to 6 months post-vaccination.
2.0%
1/49 • 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
5.9%
3/51 • Adverse events data were collected from the day of vaccination for up to 6 months post-vaccination.
9.9%
10/101 • Adverse events data were collected from the day of vaccination for up to 6 months post-vaccination.
8.9%
9/101 • Adverse events data were collected from the day of vaccination for up to 6 months post-vaccination.
9.8%
5/51 • Adverse events data were collected from the day of vaccination for up to 6 months post-vaccination.
14.3%
7/49 • 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