Trial Outcomes & Findings for Safety, Tolerability and Immunogenicity Study of AV7909 Anthrax Vaccine in Healthy Adults (NCT NCT01263691)

NCT ID: NCT01263691

Last Updated: 2024-03-18

Results Overview

Subjects recorded solicited injection site reactions (ISRs) (redness, swelling, tenderness, pain, itching, arm motion limitation) on diary cards for 7 days following the first injection (Day 0). All local reactions collected by subjects on diary cards were recorded as adverse events. Severity of ISR was assessed using a grading scale based on FDA Guidance "Toxicity Grading Scale for Healthy Adult and Adolescent Volunteers Enrolled in Preventive Vaccine Clinical Trials." Swelling/edema and redness/erythema were graded by the greater of two perpendicular measurements of diameter rated as follows: * Grade 0: none * Grade 1: \<3 cm * Grade 2: 3 to 10 cm * Grade 3: \>10 cm For all other ISRs, the following scale was used: * Grade 0: not present * Grade 1: present with no limitation of activity * Grade 2: interfering with daily activities or requiring non-narcotic treatment * Grade 3: preventing normal daily activities or requiring narcotic analgesia

Recruitment status

COMPLETED

Study phase

PHASE1

Target enrollment

105 participants

Primary outcome timeframe

Days 0-6

Results posted on

2024-03-18

Participant Flow

Participants were enrolled from 27 December 2010 to 08 March 2012 at three medical centers in the U.S.

All 105 enrolled participants who met inclusion and exclusion criteria were dosed.

Participant milestones

Participant milestones
Measure
BioThrax
Participants between 18 and 50 years of age who received two doses of BioThrax (0.5 mL) intramuscularly (IM) on Days 0 and 14
AV7909 Formulation 1
Participants between 18 and 50 years of age who received two doses of AV7909 Formulation 1 (0.5 mL anthrax vaccine adsorbed \[AVA\] + 0.5 mg CPG 7909; total volume 0.5 mL) IM on Days 0 and 14
AV7909 Formulation 2
Participants between 18 and 50 years of age who received two doses of AV7909 Formulation 2 (0.5 mL anthrax vaccine adsorbed \[AVA\] + 0.25 mg CPG 7909; total volume 0.5 mL) IM on Days 0 and 14
AV7909 Formulation 3
Participants between 18 and 50 years of age who received two doses of AV7909 Formulation 3 (0.25 mL anthrax vaccine adsorbed \[AVA\] + 0.5 mg CPG 7909; total volume 0.5 mL) IM on Days 0 and 14
AV7909 Formulation 4
Participants between 18 and 50 years of age who received two doses of AV7909 Formulation 4 (0.25 mL anthrax vaccine adsorbed \[AVA\] + 0.25 mg CPG 7909; total volume 0.5 mL) IM on Days 0 and 14
Saline
Participants between 18 and 50 years of age who received two doses of saline placebo (0.5 mL) IM on Days 0 and 14
Overall Study
STARTED
18
18
17
19
18
15
Overall Study
COMPLETED
15
18
16
18
18
15
Overall Study
NOT COMPLETED
3
0
1
1
0
0

Reasons for withdrawal

Reasons for withdrawal
Measure
BioThrax
Participants between 18 and 50 years of age who received two doses of BioThrax (0.5 mL) intramuscularly (IM) on Days 0 and 14
AV7909 Formulation 1
Participants between 18 and 50 years of age who received two doses of AV7909 Formulation 1 (0.5 mL anthrax vaccine adsorbed \[AVA\] + 0.5 mg CPG 7909; total volume 0.5 mL) IM on Days 0 and 14
AV7909 Formulation 2
Participants between 18 and 50 years of age who received two doses of AV7909 Formulation 2 (0.5 mL anthrax vaccine adsorbed \[AVA\] + 0.25 mg CPG 7909; total volume 0.5 mL) IM on Days 0 and 14
AV7909 Formulation 3
Participants between 18 and 50 years of age who received two doses of AV7909 Formulation 3 (0.25 mL anthrax vaccine adsorbed \[AVA\] + 0.5 mg CPG 7909; total volume 0.5 mL) IM on Days 0 and 14
AV7909 Formulation 4
Participants between 18 and 50 years of age who received two doses of AV7909 Formulation 4 (0.25 mL anthrax vaccine adsorbed \[AVA\] + 0.25 mg CPG 7909; total volume 0.5 mL) IM on Days 0 and 14
Saline
Participants between 18 and 50 years of age who received two doses of saline placebo (0.5 mL) IM on Days 0 and 14
Overall Study
Lost to Follow-up
1
0
1
1
0
0
Overall Study
Withdrawal by Subject
1
0
0
0
0
0
Overall Study
Adverse Event
1
0
0
0
0
0

Baseline Characteristics

Safety, Tolerability and Immunogenicity Study of AV7909 Anthrax Vaccine in Healthy Adults

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
BioThrax
n=18 Participants
Participants between 18 and 50 years of age who received two doses of BioThrax (0.5 mL) intramuscularly (IM) on Days 0 and 14
AV7909 Formulation 1
n=18 Participants
Participants between 18 and 50 years of age who received two doses of AV7909 Formulation 1 (0.5 mL AVA + 0.5 mg CPG 7909; total volume 0.5 mL) IM on Days 0 and 14
AV7909 Formulation 2
n=17 Participants
Participants between 18 and 50 years of age who received two doses of AV7909 Formulation 2 (0.5 mL AVA + 0.25 mg CPG 7909; total volume 0.5 mL) IM on Days 0 and 14
AV7909 Formulation 3
n=19 Participants
Participants between 18 and 50 years of age who received two doses of AV7909 Formulation 3 (0.25 mL AVA + 0.5 mg CPG 7909; total volume 0.5 mL) IM on Days 0 and 14
AV7909 Formulation 4
n=18 Participants
Participants between 18 and 50 years of age who received two doses of AV7909 Formulation 4 (0.25 mL AVA + 0.25 mg CPG 7909; total volume 0.5 mL) IM on Days 0 and 14
Saline
n=15 Participants
Participants between 18 and 50 years of age who received two doses of saline placebo (0.5 mL) IM on Days 0 and 14
Total
n=105 Participants
Total of all reporting groups
Age, Categorical
<=18 years
1 Participants
n=5 Participants
1 Participants
n=7 Participants
2 Participants
n=5 Participants
1 Participants
n=4 Participants
0 Participants
n=21 Participants
0 Participants
n=10 Participants
5 Participants
n=115 Participants
Age, Categorical
Between 18 and 65 years
17 Participants
n=5 Participants
17 Participants
n=7 Participants
15 Participants
n=5 Participants
18 Participants
n=4 Participants
18 Participants
n=21 Participants
15 Participants
n=10 Participants
100 Participants
n=115 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
0 Participants
n=115 Participants
Age, Continuous
31.1 years
STANDARD_DEVIATION 9.27 • n=5 Participants
32.8 years
STANDARD_DEVIATION 10.31 • n=7 Participants
32.4 years
STANDARD_DEVIATION 10.75 • n=5 Participants
32.6 years
STANDARD_DEVIATION 9.15 • n=4 Participants
31.4 years
STANDARD_DEVIATION 10.72 • n=21 Participants
31.4 years
STANDARD_DEVIATION 8.61 • n=10 Participants
32.0 years
STANDARD_DEVIATION 9.64 • n=115 Participants
Sex: Female, Male
Female
9 Participants
n=5 Participants
9 Participants
n=7 Participants
9 Participants
n=5 Participants
8 Participants
n=4 Participants
9 Participants
n=21 Participants
7 Participants
n=10 Participants
51 Participants
n=115 Participants
Sex: Female, Male
Male
9 Participants
n=5 Participants
9 Participants
n=7 Participants
8 Participants
n=5 Participants
11 Participants
n=4 Participants
9 Participants
n=21 Participants
8 Participants
n=10 Participants
54 Participants
n=115 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
4 Participants
n=5 Participants
3 Participants
n=7 Participants
6 Participants
n=5 Participants
6 Participants
n=4 Participants
3 Participants
n=21 Participants
3 Participants
n=10 Participants
25 Participants
n=115 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
14 Participants
n=5 Participants
15 Participants
n=7 Participants
11 Participants
n=5 Participants
13 Participants
n=4 Participants
15 Participants
n=21 Participants
12 Participants
n=10 Participants
80 Participants
n=115 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
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
0 Participants
n=115 Participants
Race (NIH/OMB)
American Indian or Alaska Native
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
0 Participants
n=115 Participants
Race (NIH/OMB)
Asian
1 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
1 Participants
n=115 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
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
0 Participants
n=115 Participants
Race (NIH/OMB)
Black or African American
2 Participants
n=5 Participants
1 Participants
n=7 Participants
1 Participants
n=5 Participants
6 Participants
n=4 Participants
3 Participants
n=21 Participants
2 Participants
n=10 Participants
15 Participants
n=115 Participants
Race (NIH/OMB)
White
15 Participants
n=5 Participants
17 Participants
n=7 Participants
15 Participants
n=5 Participants
12 Participants
n=4 Participants
15 Participants
n=21 Participants
13 Participants
n=10 Participants
87 Participants
n=115 Participants
Race (NIH/OMB)
More than one race
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
0 Participants
n=115 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=7 Participants
1 Participants
n=5 Participants
1 Participants
n=4 Participants
0 Participants
n=21 Participants
0 Participants
n=10 Participants
2 Participants
n=115 Participants
Region of Enrollment
United States
18 participants
n=5 Participants
18 participants
n=7 Participants
17 participants
n=5 Participants
19 participants
n=4 Participants
18 participants
n=21 Participants
15 participants
n=10 Participants
105 participants
n=115 Participants
Weight
80.06 kilograms
STANDARD_DEVIATION 18.799 • n=5 Participants
83.99 kilograms
STANDARD_DEVIATION 16.137 • n=7 Participants
75.75 kilograms
STANDARD_DEVIATION 12.232 • n=5 Participants
78.39 kilograms
STANDARD_DEVIATION 19.021 • n=4 Participants
76.24 kilograms
STANDARD_DEVIATION 15.649 • n=21 Participants
79.74 kilograms
STANDARD_DEVIATION 23.140 • n=10 Participants
79.03 kilograms
STANDARD_DEVIATION 17.487 • n=115 Participants

PRIMARY outcome

Timeframe: Days 0-6

Subjects recorded solicited injection site reactions (ISRs) (redness, swelling, tenderness, pain, itching, arm motion limitation) on diary cards for 7 days following the first injection (Day 0). All local reactions collected by subjects on diary cards were recorded as adverse events. Severity of ISR was assessed using a grading scale based on FDA Guidance "Toxicity Grading Scale for Healthy Adult and Adolescent Volunteers Enrolled in Preventive Vaccine Clinical Trials." Swelling/edema and redness/erythema were graded by the greater of two perpendicular measurements of diameter rated as follows: * Grade 0: none * Grade 1: \<3 cm * Grade 2: 3 to 10 cm * Grade 3: \>10 cm For all other ISRs, the following scale was used: * Grade 0: not present * Grade 1: present with no limitation of activity * Grade 2: interfering with daily activities or requiring non-narcotic treatment * Grade 3: preventing normal daily activities or requiring narcotic analgesia

Outcome measures

Outcome measures
Measure
BioThrax
n=18 Participants
Participants between 18 and 50 years of age who received two doses of BioThrax (0.5 mL) intramuscularly (IM) on Days 0 and 14
AV7909 Formulation 1
n=18 Participants
Participants between 18 and 50 years of age who received two doses of AV7909 Formulation 1 (0.5 mL AVA + 0.5 mg CPG 7909; total volume 0.5 mL) IM on Days 0 and 14
AV7909 Formulation 2
n=17 Participants
Participants between 18 and 50 years of age who received two doses of AV7909 Formulation 2 (0.5 mL AVA + 0.25 mg CPG 7909; total volume 0.5 mL) IM on Days 0 and 14
AV7909 Formulation 3
n=19 Participants
Participants between 18 and 50 years of age who received two doses of AV7909 Formulation 3 (0.25 mL AVA + 0.5 mg CPG 7909; total volume 0.5 mL) IM on Days 0 and 14
AV7909 Formulation 4
n=18 Participants
Participants between 18 and 50 years of age who received two doses of AV7909 Formulation 4 (0.25 mL AVA + 0.25 mg CPG 7909; total volume 0.5 mL) IM on Days 0 and 14
Saline
n=15 Participants
Participants between 18 and 50 years of age who received two doses of saline placebo (0.5 mL) IM on Days 0 and 14
Male BioThrax
Male Participants between 18 and 50 years of age who received two doses of BioThrax (0.5 mL) intramuscularly (IM) on Days 0 and 14 Antibody titers were assessed in the immunogenicity population, which included subjects who received both vaccinations, had immunogenicity data within the allowable window, and had no protocol violations that could affect TNA values (n=100).
Male AV7909 Formulation 1
Male Participants between 18 and 50 years of age who received two doses of AV7909 Formulation 1 (0.5 mL AVA + 0.5 mg CPG 7909; total volume 0.5 mL) IM on Days 0 and 14 Antibody titers were assessed in the immunogenicity population, which included subjects who received both vaccinations, had immunogenicity data within the allowable window, and had no protocol violations that could affect TNA values (n=100).
Male AV7909 Formulation 2
Male Participants between 18 and 50 years of age who received two doses of AV7909 Formulation 2 (0.5 mL AVA + 0.25 mg CPG 7909; total volume 0.5 mL) IM on Days 0 and 14 Antibody titers were assessed in the immunogenicity population, which included subjects who received both vaccinations, had immunogenicity data within the allowable window, and had no protocol violations that could affect TNA values (n=100).
Male AV7909 Formulation 3
Male Participants between 18 and 50 years of age who received two doses of AV7909 Formulation 3 (0.25 mL AVA + 0.5 mg CPG 7909; total volume 0.5 mL) IM on Days 0 and 14 Antibody titers were assessed in the immunogenicity population, which included subjects who received both vaccinations, had immunogenicity data within the allowable window, and had no protocol violations that could affect TNA values (n=100).
Male AV7909 Formulation 4
Male Participants between 18 and 50 years of age who received two doses of AV7909 Formulation 4 (0.25 mL AVA + 0.25 mg CPG 7909; total volume 0.5 mL) IM on Days 0 and 14 Antibody titers were assessed in the immunogenicity population, which included subjects who received both vaccinations, had immunogenicity data within the allowable window, and had no protocol violations that could affect TNA values (n=100).
Male Saline
Male Participants between 18 and 50 years of age who received two doses of saline placebo (0.5 mL) IM on Days 0 and 14 Antibody titers were assessed in the immunogenicity population, which included subjects who received both vaccinations, had immunogenicity data within the allowable window, and had no protocol violations that could affect TNA values (n=100).
Female BioThrax
Female Participants between 18 and 50 years of age who received two doses of BioThrax (0.5 mL) intramuscularly (IM) on Days 0 and 14 Antibody titers were assessed in the immunogenicity population, which included subjects who received both vaccinations, had immunogenicity data within the allowable window, and had no protocol violations that could affect TNA values (n=100).
Female AV7909 Formulation 1
Female Participants between 18 and 50 years of age who received two doses of AV7909 Formulation 1 (0.5 mL AVA + 0.5 mg CPG 7909; total volume 0.5 mL) IM on Days 0 and 14 Antibody titers were assessed in the immunogenicity population, which included subjects who received both vaccinations, had immunogenicity data within the allowable window, and had no protocol violations that could affect TNA values (n=100).
Female AV7909 Formulation 2
Female Participants between 18 and 50 years of age who received two doses of AV7909 Formulation 2 (0.5 mL AVA + 0.25 mg CPG 7909; total volume 0.5 mL) IM on Days 0 and 14 Antibody titers were assessed in the immunogenicity population, which included subjects who received both vaccinations, had immunogenicity data within the allowable window, and had no protocol violations that could affect TNA values (n=100).
Female AV7909 Formulation 3
Female Participants between 18 and 50 years of age who received two doses of AV7909 Formulation 3 (0.25 mL AVA + 0.5 mg CPG 7909; total volume 0.5 mL) IM on Days 0 and 14 Antibody titers were assessed in the immunogenicity population, which included subjects who received both vaccinations, had immunogenicity data within the allowable window, and had no protocol violations that could affect TNA values (n=100).
Female AV7909 Formulation 4
Female Participants between 18 and 50 years of age who received two doses of AV7909 Formulation 4 (0.25 mL AVA + 0.25 mg CPG 7909; total volume 0.5 mL) IM on Days 0 and 14 Antibody titers were assessed in the immunogenicity population, which included subjects who received both vaccinations, had immunogenicity data within the allowable window, and had no protocol violations that could affect TNA values (n=100).
Female Saline
Female Participants between 18 and 50 years of age who received two doses of saline placebo (0.5 mL) IM on Days 0 and 14 Antibody titers were assessed in the immunogenicity population, which included subjects who received both vaccinations, had immunogenicity data within the allowable window, and had no protocol violations that could affect TNA values (n=100).
Incidence of Injection Site Reactions From Subject Diary Cards by Injection and Severity (Mild, Moderate or Severe) Following the First Vaccination (Day 0)
Grade 3 Injection Site Reaction
1 Participants
2 Participants
0 Participants
0 Participants
0 Participants
0 Participants
Incidence of Injection Site Reactions From Subject Diary Cards by Injection and Severity (Mild, Moderate or Severe) Following the First Vaccination (Day 0)
Grade 1 Redness
0 Participants
1 Participants
0 Participants
0 Participants
0 Participants
0 Participants
Incidence of Injection Site Reactions From Subject Diary Cards by Injection and Severity (Mild, Moderate or Severe) Following the First Vaccination (Day 0)
Grade 2 Injection Site Pain
1 Participants
2 Participants
0 Participants
1 Participants
3 Participants
0 Participants
Incidence of Injection Site Reactions From Subject Diary Cards by Injection and Severity (Mild, Moderate or Severe) Following the First Vaccination (Day 0)
Any Injection Site Itching
0 Participants
2 Participants
2 Participants
0 Participants
0 Participants
0 Participants
Incidence of Injection Site Reactions From Subject Diary Cards by Injection and Severity (Mild, Moderate or Severe) Following the First Vaccination (Day 0)
Grade 1 Injection Site Itching
0 Participants
1 Participants
2 Participants
0 Participants
0 Participants
0 Participants
Incidence of Injection Site Reactions From Subject Diary Cards by Injection and Severity (Mild, Moderate or Severe) Following the First Vaccination (Day 0)
Grade 2 Injection Site Itching
0 Participants
1 Participants
0 Participants
0 Participants
0 Participants
0 Participants
Incidence of Injection Site Reactions From Subject Diary Cards by Injection and Severity (Mild, Moderate or Severe) Following the First Vaccination (Day 0)
Any Arm Motion Limitation
8 Participants
13 Participants
8 Participants
9 Participants
10 Participants
0 Participants
Incidence of Injection Site Reactions From Subject Diary Cards by Injection and Severity (Mild, Moderate or Severe) Following the First Vaccination (Day 0)
Grade 1 Arm Motion Limitation
7 Participants
8 Participants
7 Participants
4 Participants
6 Participants
0 Participants
Incidence of Injection Site Reactions From Subject Diary Cards by Injection and Severity (Mild, Moderate or Severe) Following the First Vaccination (Day 0)
Grade 2 Arm Motion Limitation
1 Participants
5 Participants
1 Participants
5 Participants
4 Participants
0 Participants
Incidence of Injection Site Reactions From Subject Diary Cards by Injection and Severity (Mild, Moderate or Severe) Following the First Vaccination (Day 0)
Any Injection Site Reaction
11 Participants
17 Participants
13 Participants
12 Participants
16 Participants
1 Participants
Incidence of Injection Site Reactions From Subject Diary Cards by Injection and Severity (Mild, Moderate or Severe) Following the First Vaccination (Day 0)
Grade 1 Injection Site Reaction
9 Participants
9 Participants
11 Participants
6 Participants
11 Participants
1 Participants
Incidence of Injection Site Reactions From Subject Diary Cards by Injection and Severity (Mild, Moderate or Severe) Following the First Vaccination (Day 0)
Grade 2 Injection Site Reaction
1 Participants
6 Participants
2 Participants
6 Participants
5 Participants
0 Participants
Incidence of Injection Site Reactions From Subject Diary Cards by Injection and Severity (Mild, Moderate or Severe) Following the First Vaccination (Day 0)
Any Redness
0 Participants
2 Participants
1 Participants
2 Participants
1 Participants
0 Participants
Incidence of Injection Site Reactions From Subject Diary Cards by Injection and Severity (Mild, Moderate or Severe) Following the First Vaccination (Day 0)
Grade 2 Redness
0 Participants
1 Participants
1 Participants
2 Participants
1 Participants
0 Participants
Incidence of Injection Site Reactions From Subject Diary Cards by Injection and Severity (Mild, Moderate or Severe) Following the First Vaccination (Day 0)
Any Swelling
1 Participants
4 Participants
1 Participants
1 Participants
2 Participants
0 Participants
Incidence of Injection Site Reactions From Subject Diary Cards by Injection and Severity (Mild, Moderate or Severe) Following the First Vaccination (Day 0)
Grade 1 Swelling
0 Participants
0 Participants
1 Participants
0 Participants
1 Participants
0 Participants
Incidence of Injection Site Reactions From Subject Diary Cards by Injection and Severity (Mild, Moderate or Severe) Following the First Vaccination (Day 0)
Grade 2 Swelling
0 Participants
2 Participants
0 Participants
1 Participants
1 Participants
0 Participants
Incidence of Injection Site Reactions From Subject Diary Cards by Injection and Severity (Mild, Moderate or Severe) Following the First Vaccination (Day 0)
Grade 3 Swelling
1 Participants
2 Participants
0 Participants
0 Participants
0 Participants
0 Participants
Incidence of Injection Site Reactions From Subject Diary Cards by Injection and Severity (Mild, Moderate or Severe) Following the First Vaccination (Day 0)
Any Tenderness
10 Participants
16 Participants
11 Participants
11 Participants
13 Participants
1 Participants
Incidence of Injection Site Reactions From Subject Diary Cards by Injection and Severity (Mild, Moderate or Severe) Following the First Vaccination (Day 0)
Grade 1 Tenderness
9 Participants
13 Participants
10 Participants
10 Participants
11 Participants
1 Participants
Incidence of Injection Site Reactions From Subject Diary Cards by Injection and Severity (Mild, Moderate or Severe) Following the First Vaccination (Day 0)
Grade 2 Tenderness
1 Participants
3 Participants
1 Participants
1 Participants
2 Participants
0 Participants
Incidence of Injection Site Reactions From Subject Diary Cards by Injection and Severity (Mild, Moderate or Severe) Following the First Vaccination (Day 0)
Any Injection Site Pain
5 Participants
14 Participants
12 Participants
8 Participants
11 Participants
0 Participants
Incidence of Injection Site Reactions From Subject Diary Cards by Injection and Severity (Mild, Moderate or Severe) Following the First Vaccination (Day 0)
Grade 1 Injection Site Pain
4 Participants
12 Participants
12 Participants
7 Participants
8 Participants
0 Participants

PRIMARY outcome

Timeframe: Days 0-6

Subjects recorded solicited injection site reactions (ISRs) (redness, swelling, tenderness, pain, itching, arm motion limitation) on diary cards for 7 days following the first injection (Day 0). All local reactions collected by subjects on diary cards were recorded as adverse events. Severity of ISR was assessed using a grading scale based on FDA Guidance "Toxicity Grading Scale for Healthy Adult and Adolescent Volunteers Enrolled in Preventive Vaccine Clinical Trials." Swelling/edema and redness/erythema were graded by the greater of two perpendicular measurements of diameter rated as follows: * Grade 0: none * Grade 1: \<3 cm * Grade 2: 3 to 10 cm * Grade 3: \>10 cm For all other ISRs, the following scale was used: * Grade 0: not present * Grade 1: present with no limitation of activity * Grade 2: interfering with daily activities or requiring non-narcotic treatment * Grade 3: preventing normal daily activities or requiring narcotic analgesia

Outcome measures

Outcome measures
Measure
BioThrax
n=18 Participants
Participants between 18 and 50 years of age who received two doses of BioThrax (0.5 mL) intramuscularly (IM) on Days 0 and 14
AV7909 Formulation 1
n=18 Participants
Participants between 18 and 50 years of age who received two doses of AV7909 Formulation 1 (0.5 mL AVA + 0.5 mg CPG 7909; total volume 0.5 mL) IM on Days 0 and 14
AV7909 Formulation 2
n=17 Participants
Participants between 18 and 50 years of age who received two doses of AV7909 Formulation 2 (0.5 mL AVA + 0.25 mg CPG 7909; total volume 0.5 mL) IM on Days 0 and 14
AV7909 Formulation 3
n=19 Participants
Participants between 18 and 50 years of age who received two doses of AV7909 Formulation 3 (0.25 mL AVA + 0.5 mg CPG 7909; total volume 0.5 mL) IM on Days 0 and 14
AV7909 Formulation 4
n=18 Participants
Participants between 18 and 50 years of age who received two doses of AV7909 Formulation 4 (0.25 mL AVA + 0.25 mg CPG 7909; total volume 0.5 mL) IM on Days 0 and 14
Saline
n=15 Participants
Participants between 18 and 50 years of age who received two doses of saline placebo (0.5 mL) IM on Days 0 and 14
Male BioThrax
Male Participants between 18 and 50 years of age who received two doses of BioThrax (0.5 mL) intramuscularly (IM) on Days 0 and 14 Antibody titers were assessed in the immunogenicity population, which included subjects who received both vaccinations, had immunogenicity data within the allowable window, and had no protocol violations that could affect TNA values (n=100).
Male AV7909 Formulation 1
Male Participants between 18 and 50 years of age who received two doses of AV7909 Formulation 1 (0.5 mL AVA + 0.5 mg CPG 7909; total volume 0.5 mL) IM on Days 0 and 14 Antibody titers were assessed in the immunogenicity population, which included subjects who received both vaccinations, had immunogenicity data within the allowable window, and had no protocol violations that could affect TNA values (n=100).
Male AV7909 Formulation 2
Male Participants between 18 and 50 years of age who received two doses of AV7909 Formulation 2 (0.5 mL AVA + 0.25 mg CPG 7909; total volume 0.5 mL) IM on Days 0 and 14 Antibody titers were assessed in the immunogenicity population, which included subjects who received both vaccinations, had immunogenicity data within the allowable window, and had no protocol violations that could affect TNA values (n=100).
Male AV7909 Formulation 3
Male Participants between 18 and 50 years of age who received two doses of AV7909 Formulation 3 (0.25 mL AVA + 0.5 mg CPG 7909; total volume 0.5 mL) IM on Days 0 and 14 Antibody titers were assessed in the immunogenicity population, which included subjects who received both vaccinations, had immunogenicity data within the allowable window, and had no protocol violations that could affect TNA values (n=100).
Male AV7909 Formulation 4
Male Participants between 18 and 50 years of age who received two doses of AV7909 Formulation 4 (0.25 mL AVA + 0.25 mg CPG 7909; total volume 0.5 mL) IM on Days 0 and 14 Antibody titers were assessed in the immunogenicity population, which included subjects who received both vaccinations, had immunogenicity data within the allowable window, and had no protocol violations that could affect TNA values (n=100).
Male Saline
Male Participants between 18 and 50 years of age who received two doses of saline placebo (0.5 mL) IM on Days 0 and 14 Antibody titers were assessed in the immunogenicity population, which included subjects who received both vaccinations, had immunogenicity data within the allowable window, and had no protocol violations that could affect TNA values (n=100).
Female BioThrax
Female Participants between 18 and 50 years of age who received two doses of BioThrax (0.5 mL) intramuscularly (IM) on Days 0 and 14 Antibody titers were assessed in the immunogenicity population, which included subjects who received both vaccinations, had immunogenicity data within the allowable window, and had no protocol violations that could affect TNA values (n=100).
Female AV7909 Formulation 1
Female Participants between 18 and 50 years of age who received two doses of AV7909 Formulation 1 (0.5 mL AVA + 0.5 mg CPG 7909; total volume 0.5 mL) IM on Days 0 and 14 Antibody titers were assessed in the immunogenicity population, which included subjects who received both vaccinations, had immunogenicity data within the allowable window, and had no protocol violations that could affect TNA values (n=100).
Female AV7909 Formulation 2
Female Participants between 18 and 50 years of age who received two doses of AV7909 Formulation 2 (0.5 mL AVA + 0.25 mg CPG 7909; total volume 0.5 mL) IM on Days 0 and 14 Antibody titers were assessed in the immunogenicity population, which included subjects who received both vaccinations, had immunogenicity data within the allowable window, and had no protocol violations that could affect TNA values (n=100).
Female AV7909 Formulation 3
Female Participants between 18 and 50 years of age who received two doses of AV7909 Formulation 3 (0.25 mL AVA + 0.5 mg CPG 7909; total volume 0.5 mL) IM on Days 0 and 14 Antibody titers were assessed in the immunogenicity population, which included subjects who received both vaccinations, had immunogenicity data within the allowable window, and had no protocol violations that could affect TNA values (n=100).
Female AV7909 Formulation 4
Female Participants between 18 and 50 years of age who received two doses of AV7909 Formulation 4 (0.25 mL AVA + 0.25 mg CPG 7909; total volume 0.5 mL) IM on Days 0 and 14 Antibody titers were assessed in the immunogenicity population, which included subjects who received both vaccinations, had immunogenicity data within the allowable window, and had no protocol violations that could affect TNA values (n=100).
Female Saline
Female Participants between 18 and 50 years of age who received two doses of saline placebo (0.5 mL) IM on Days 0 and 14 Antibody titers were assessed in the immunogenicity population, which included subjects who received both vaccinations, had immunogenicity data within the allowable window, and had no protocol violations that could affect TNA values (n=100).
Percentage of Subjects With Injection Site Reactions From Subject Diary Cards by Injection and Severity (Mild, Moderate or Severe) Following the First Vaccination (Day 0)
Any Injection Site Reaction
61.1 Percentage of Participants
94.4 Percentage of Participants
76.5 Percentage of Participants
63.2 Percentage of Participants
88.9 Percentage of Participants
6.7 Percentage of Participants
Percentage of Subjects With Injection Site Reactions From Subject Diary Cards by Injection and Severity (Mild, Moderate or Severe) Following the First Vaccination (Day 0)
Grade 1 Injection Site Reaction
50.0 Percentage of Participants
50.0 Percentage of Participants
64.7 Percentage of Participants
31.6 Percentage of Participants
61.1 Percentage of Participants
6.7 Percentage of Participants
Percentage of Subjects With Injection Site Reactions From Subject Diary Cards by Injection and Severity (Mild, Moderate or Severe) Following the First Vaccination (Day 0)
Grade 2 Injection Site Reaction
5.6 Percentage of Participants
33.3 Percentage of Participants
11.8 Percentage of Participants
31.6 Percentage of Participants
27.8 Percentage of Participants
0 Percentage of Participants
Percentage of Subjects With Injection Site Reactions From Subject Diary Cards by Injection and Severity (Mild, Moderate or Severe) Following the First Vaccination (Day 0)
Grade 3 Injection Site Reaction
5.6 Percentage of Participants
11.1 Percentage of Participants
0 Percentage of Participants
0 Percentage of Participants
0 Percentage of Participants
0 Percentage of Participants
Percentage of Subjects With Injection Site Reactions From Subject Diary Cards by Injection and Severity (Mild, Moderate or Severe) Following the First Vaccination (Day 0)
Any Redness
0 Percentage of Participants
11.1 Percentage of Participants
5.9 Percentage of Participants
10.5 Percentage of Participants
5.6 Percentage of Participants
0 Percentage of Participants
Percentage of Subjects With Injection Site Reactions From Subject Diary Cards by Injection and Severity (Mild, Moderate or Severe) Following the First Vaccination (Day 0)
Grade 1 Redness
0 Percentage of Participants
5.6 Percentage of Participants
0 Percentage of Participants
0 Percentage of Participants
0 Percentage of Participants
0 Percentage of Participants
Percentage of Subjects With Injection Site Reactions From Subject Diary Cards by Injection and Severity (Mild, Moderate or Severe) Following the First Vaccination (Day 0)
Grade 2 Redness
0 Percentage of Participants
5.6 Percentage of Participants
5.9 Percentage of Participants
10.5 Percentage of Participants
5.6 Percentage of Participants
0 Percentage of Participants
Percentage of Subjects With Injection Site Reactions From Subject Diary Cards by Injection and Severity (Mild, Moderate or Severe) Following the First Vaccination (Day 0)
Any Swelling
5.6 Percentage of Participants
22.2 Percentage of Participants
5.9 Percentage of Participants
5.3 Percentage of Participants
11.1 Percentage of Participants
0 Percentage of Participants
Percentage of Subjects With Injection Site Reactions From Subject Diary Cards by Injection and Severity (Mild, Moderate or Severe) Following the First Vaccination (Day 0)
Grade 1 Swelling
0 Percentage of Participants
0 Percentage of Participants
5.9 Percentage of Participants
0 Percentage of Participants
5.6 Percentage of Participants
0 Percentage of Participants
Percentage of Subjects With Injection Site Reactions From Subject Diary Cards by Injection and Severity (Mild, Moderate or Severe) Following the First Vaccination (Day 0)
Grade 2 Swelling
0 Percentage of Participants
11.1 Percentage of Participants
0 Percentage of Participants
5.3 Percentage of Participants
5.6 Percentage of Participants
0 Percentage of Participants
Percentage of Subjects With Injection Site Reactions From Subject Diary Cards by Injection and Severity (Mild, Moderate or Severe) Following the First Vaccination (Day 0)
Grade 3 Swelling
5.6 Percentage of Participants
11.1 Percentage of Participants
0 Percentage of Participants
0 Percentage of Participants
0 Percentage of Participants
0 Percentage of Participants
Percentage of Subjects With Injection Site Reactions From Subject Diary Cards by Injection and Severity (Mild, Moderate or Severe) Following the First Vaccination (Day 0)
Any Tenderness
55.6 Percentage of Participants
88.9 Percentage of Participants
64.7 Percentage of Participants
57.9 Percentage of Participants
72.2 Percentage of Participants
6.7 Percentage of Participants
Percentage of Subjects With Injection Site Reactions From Subject Diary Cards by Injection and Severity (Mild, Moderate or Severe) Following the First Vaccination (Day 0)
Grade 1 Tenderness
50.0 Percentage of Participants
72.2 Percentage of Participants
58.8 Percentage of Participants
52.6 Percentage of Participants
61.1 Percentage of Participants
6.7 Percentage of Participants
Percentage of Subjects With Injection Site Reactions From Subject Diary Cards by Injection and Severity (Mild, Moderate or Severe) Following the First Vaccination (Day 0)
Grade 2 Tenderness
5.6 Percentage of Participants
16.7 Percentage of Participants
5.9 Percentage of Participants
5.3 Percentage of Participants
11.1 Percentage of Participants
0 Percentage of Participants
Percentage of Subjects With Injection Site Reactions From Subject Diary Cards by Injection and Severity (Mild, Moderate or Severe) Following the First Vaccination (Day 0)
Any Injection Site Pain
27.8 Percentage of Participants
77.8 Percentage of Participants
70.6 Percentage of Participants
42.1 Percentage of Participants
61.1 Percentage of Participants
0 Percentage of Participants
Percentage of Subjects With Injection Site Reactions From Subject Diary Cards by Injection and Severity (Mild, Moderate or Severe) Following the First Vaccination (Day 0)
Grade 1 Injection Site Pain
22.2 Percentage of Participants
66.7 Percentage of Participants
70.6 Percentage of Participants
36.8 Percentage of Participants
44.4 Percentage of Participants
0 Percentage of Participants
Percentage of Subjects With Injection Site Reactions From Subject Diary Cards by Injection and Severity (Mild, Moderate or Severe) Following the First Vaccination (Day 0)
Grade 2 Injection Site Pain
5.6 Percentage of Participants
11.1 Percentage of Participants
0 Percentage of Participants
5.3 Percentage of Participants
16.7 Percentage of Participants
0 Percentage of Participants
Percentage of Subjects With Injection Site Reactions From Subject Diary Cards by Injection and Severity (Mild, Moderate or Severe) Following the First Vaccination (Day 0)
Any Injection Site Itching
0 Percentage of Participants
11.1 Percentage of Participants
11.8 Percentage of Participants
0 Percentage of Participants
0 Percentage of Participants
0 Percentage of Participants
Percentage of Subjects With Injection Site Reactions From Subject Diary Cards by Injection and Severity (Mild, Moderate or Severe) Following the First Vaccination (Day 0)
Grade 1 Injection Site Itching
0 Percentage of Participants
5.6 Percentage of Participants
11.8 Percentage of Participants
0 Percentage of Participants
0 Percentage of Participants
0 Percentage of Participants
Percentage of Subjects With Injection Site Reactions From Subject Diary Cards by Injection and Severity (Mild, Moderate or Severe) Following the First Vaccination (Day 0)
Grade 2 Injection Site Itching
0 Percentage of Participants
5.6 Percentage of Participants
0 Percentage of Participants
0 Percentage of Participants
0 Percentage of Participants
0 Percentage of Participants
Percentage of Subjects With Injection Site Reactions From Subject Diary Cards by Injection and Severity (Mild, Moderate or Severe) Following the First Vaccination (Day 0)
Grade 1 Arm Motion Limitation
38.9 Percentage of Participants
44.4 Percentage of Participants
41.2 Percentage of Participants
21.1 Percentage of Participants
33.3 Percentage of Participants
0 Percentage of Participants
Percentage of Subjects With Injection Site Reactions From Subject Diary Cards by Injection and Severity (Mild, Moderate or Severe) Following the First Vaccination (Day 0)
Any Arm Motion Limitation
44.4 Percentage of Participants
72.2 Percentage of Participants
47.1 Percentage of Participants
47.4 Percentage of Participants
55.6 Percentage of Participants
0 Percentage of Participants
Percentage of Subjects With Injection Site Reactions From Subject Diary Cards by Injection and Severity (Mild, Moderate or Severe) Following the First Vaccination (Day 0)
Grade 2 Arm Motion Limitation
5.6 Percentage of Participants
27.8 Percentage of Participants
5.9 Percentage of Participants
26.3 Percentage of Participants
22.2 Percentage of Participants
0 Percentage of Participants

PRIMARY outcome

Timeframe: Days 14-20

Subjects recorded solicited injection site reactions (ISRs) (redness, swelling, tenderness, pain, itching, arm motion limitation) on diary cards for 7 days following the second injection (Day 14). All local reactions collected by subjects on diary cards were recorded as adverse events. Severity of ISR was assessed using a grading scale based on FDA Guidance "Toxicity Grading Scale for Healthy Adult and Adolescent Volunteers Enrolled in Preventive Vaccine Clinical Trials." Swelling/edema and redness/erythema were graded by the greater of two perpendicular measurements of diameter rated as follows: * Grade 0: none * Grade 1: \<3 cm * Grade 2: 3 to 10 cm * Grade 3: \>10 cm For all other ISRs, the following scale was used: * Grade 0: not present * Grade 1: present with no limitation of activity * Grade 2: interfering with daily activities or requiring non-narcotic treatment * Grade 3: preventing normal daily activities or requiring narcotic analgesia

Outcome measures

Outcome measures
Measure
BioThrax
n=18 Participants
Participants between 18 and 50 years of age who received two doses of BioThrax (0.5 mL) intramuscularly (IM) on Days 0 and 14
AV7909 Formulation 1
n=18 Participants
Participants between 18 and 50 years of age who received two doses of AV7909 Formulation 1 (0.5 mL AVA + 0.5 mg CPG 7909; total volume 0.5 mL) IM on Days 0 and 14
AV7909 Formulation 2
n=17 Participants
Participants between 18 and 50 years of age who received two doses of AV7909 Formulation 2 (0.5 mL AVA + 0.25 mg CPG 7909; total volume 0.5 mL) IM on Days 0 and 14
AV7909 Formulation 3
n=19 Participants
Participants between 18 and 50 years of age who received two doses of AV7909 Formulation 3 (0.25 mL AVA + 0.5 mg CPG 7909; total volume 0.5 mL) IM on Days 0 and 14
AV7909 Formulation 4
n=18 Participants
Participants between 18 and 50 years of age who received two doses of AV7909 Formulation 4 (0.25 mL AVA + 0.25 mg CPG 7909; total volume 0.5 mL) IM on Days 0 and 14
Saline
n=15 Participants
Participants between 18 and 50 years of age who received two doses of saline placebo (0.5 mL) IM on Days 0 and 14
Male BioThrax
Male Participants between 18 and 50 years of age who received two doses of BioThrax (0.5 mL) intramuscularly (IM) on Days 0 and 14 Antibody titers were assessed in the immunogenicity population, which included subjects who received both vaccinations, had immunogenicity data within the allowable window, and had no protocol violations that could affect TNA values (n=100).
Male AV7909 Formulation 1
Male Participants between 18 and 50 years of age who received two doses of AV7909 Formulation 1 (0.5 mL AVA + 0.5 mg CPG 7909; total volume 0.5 mL) IM on Days 0 and 14 Antibody titers were assessed in the immunogenicity population, which included subjects who received both vaccinations, had immunogenicity data within the allowable window, and had no protocol violations that could affect TNA values (n=100).
Male AV7909 Formulation 2
Male Participants between 18 and 50 years of age who received two doses of AV7909 Formulation 2 (0.5 mL AVA + 0.25 mg CPG 7909; total volume 0.5 mL) IM on Days 0 and 14 Antibody titers were assessed in the immunogenicity population, which included subjects who received both vaccinations, had immunogenicity data within the allowable window, and had no protocol violations that could affect TNA values (n=100).
Male AV7909 Formulation 3
Male Participants between 18 and 50 years of age who received two doses of AV7909 Formulation 3 (0.25 mL AVA + 0.5 mg CPG 7909; total volume 0.5 mL) IM on Days 0 and 14 Antibody titers were assessed in the immunogenicity population, which included subjects who received both vaccinations, had immunogenicity data within the allowable window, and had no protocol violations that could affect TNA values (n=100).
Male AV7909 Formulation 4
Male Participants between 18 and 50 years of age who received two doses of AV7909 Formulation 4 (0.25 mL AVA + 0.25 mg CPG 7909; total volume 0.5 mL) IM on Days 0 and 14 Antibody titers were assessed in the immunogenicity population, which included subjects who received both vaccinations, had immunogenicity data within the allowable window, and had no protocol violations that could affect TNA values (n=100).
Male Saline
Male Participants between 18 and 50 years of age who received two doses of saline placebo (0.5 mL) IM on Days 0 and 14 Antibody titers were assessed in the immunogenicity population, which included subjects who received both vaccinations, had immunogenicity data within the allowable window, and had no protocol violations that could affect TNA values (n=100).
Female BioThrax
Female Participants between 18 and 50 years of age who received two doses of BioThrax (0.5 mL) intramuscularly (IM) on Days 0 and 14 Antibody titers were assessed in the immunogenicity population, which included subjects who received both vaccinations, had immunogenicity data within the allowable window, and had no protocol violations that could affect TNA values (n=100).
Female AV7909 Formulation 1
Female Participants between 18 and 50 years of age who received two doses of AV7909 Formulation 1 (0.5 mL AVA + 0.5 mg CPG 7909; total volume 0.5 mL) IM on Days 0 and 14 Antibody titers were assessed in the immunogenicity population, which included subjects who received both vaccinations, had immunogenicity data within the allowable window, and had no protocol violations that could affect TNA values (n=100).
Female AV7909 Formulation 2
Female Participants between 18 and 50 years of age who received two doses of AV7909 Formulation 2 (0.5 mL AVA + 0.25 mg CPG 7909; total volume 0.5 mL) IM on Days 0 and 14 Antibody titers were assessed in the immunogenicity population, which included subjects who received both vaccinations, had immunogenicity data within the allowable window, and had no protocol violations that could affect TNA values (n=100).
Female AV7909 Formulation 3
Female Participants between 18 and 50 years of age who received two doses of AV7909 Formulation 3 (0.25 mL AVA + 0.5 mg CPG 7909; total volume 0.5 mL) IM on Days 0 and 14 Antibody titers were assessed in the immunogenicity population, which included subjects who received both vaccinations, had immunogenicity data within the allowable window, and had no protocol violations that could affect TNA values (n=100).
Female AV7909 Formulation 4
Female Participants between 18 and 50 years of age who received two doses of AV7909 Formulation 4 (0.25 mL AVA + 0.25 mg CPG 7909; total volume 0.5 mL) IM on Days 0 and 14 Antibody titers were assessed in the immunogenicity population, which included subjects who received both vaccinations, had immunogenicity data within the allowable window, and had no protocol violations that could affect TNA values (n=100).
Female Saline
Female Participants between 18 and 50 years of age who received two doses of saline placebo (0.5 mL) IM on Days 0 and 14 Antibody titers were assessed in the immunogenicity population, which included subjects who received both vaccinations, had immunogenicity data within the allowable window, and had no protocol violations that could affect TNA values (n=100).
Incidence of Injection Site Reactions From Subject Diary Cards by Injection and Severity (Mild, Moderate or Severe) Following the Second Vaccination (Day 14)
Any Tenderness
11 Participants
13 Participants
11 Participants
10 Participants
12 Participants
0 Participants
Incidence of Injection Site Reactions From Subject Diary Cards by Injection and Severity (Mild, Moderate or Severe) Following the Second Vaccination (Day 14)
Grade 3 Tenderness
1 Participants
0 Participants
0 Participants
0 Participants
0 Participants
0 Participants
Incidence of Injection Site Reactions From Subject Diary Cards by Injection and Severity (Mild, Moderate or Severe) Following the Second Vaccination (Day 14)
Grade 3 Injection Site Pain
1 Participants
1 Participants
0 Participants
0 Participants
0 Participants
0 Participants
Incidence of Injection Site Reactions From Subject Diary Cards by Injection and Severity (Mild, Moderate or Severe) Following the Second Vaccination (Day 14)
Any Injection Site Itching
2 Participants
3 Participants
3 Participants
2 Participants
0 Participants
0 Participants
Incidence of Injection Site Reactions From Subject Diary Cards by Injection and Severity (Mild, Moderate or Severe) Following the Second Vaccination (Day 14)
Grade 3 Injection Site Itching
0 Participants
1 Participants
0 Participants
0 Participants
0 Participants
0 Participants
Incidence of Injection Site Reactions From Subject Diary Cards by Injection and Severity (Mild, Moderate or Severe) Following the Second Vaccination (Day 14)
Grade 3 Arm Motion Limitation
1 Participants
1 Participants
0 Participants
1 Participants
0 Participants
0 Participants
Incidence of Injection Site Reactions From Subject Diary Cards by Injection and Severity (Mild, Moderate or Severe) Following the Second Vaccination (Day 14)
Any Injection Site Reaction
11 Participants
16 Participants
12 Participants
11 Participants
13 Participants
0 Participants
Incidence of Injection Site Reactions From Subject Diary Cards by Injection and Severity (Mild, Moderate or Severe) Following the Second Vaccination (Day 14)
Grade 1 Injection Site Reaction
6 Participants
8 Participants
9 Participants
6 Participants
7 Participants
0 Participants
Incidence of Injection Site Reactions From Subject Diary Cards by Injection and Severity (Mild, Moderate or Severe) Following the Second Vaccination (Day 14)
Grade 2 Injection Site Reaction
4 Participants
6 Participants
3 Participants
3 Participants
6 Participants
0 Participants
Incidence of Injection Site Reactions From Subject Diary Cards by Injection and Severity (Mild, Moderate or Severe) Following the Second Vaccination (Day 14)
Grade 3 Injection Site Reaction
1 Participants
2 Participants
0 Participants
2 Participants
0 Participants
0 Participants
Incidence of Injection Site Reactions From Subject Diary Cards by Injection and Severity (Mild, Moderate or Severe) Following the Second Vaccination (Day 14)
Any Redness
1 Participants
3 Participants
2 Participants
3 Participants
0 Participants
0 Participants
Incidence of Injection Site Reactions From Subject Diary Cards by Injection and Severity (Mild, Moderate or Severe) Following the Second Vaccination (Day 14)
Grade 1 Redness
0 Participants
0 Participants
0 Participants
0 Participants
0 Participants
0 Participants
Incidence of Injection Site Reactions From Subject Diary Cards by Injection and Severity (Mild, Moderate or Severe) Following the Second Vaccination (Day 14)
Grade 2 Redness
1 Participants
3 Participants
2 Participants
2 Participants
0 Participants
0 Participants
Incidence of Injection Site Reactions From Subject Diary Cards by Injection and Severity (Mild, Moderate or Severe) Following the Second Vaccination (Day 14)
Grade 3 Redness
0 Participants
0 Participants
0 Participants
1 Participants
0 Participants
0 Participants
Incidence of Injection Site Reactions From Subject Diary Cards by Injection and Severity (Mild, Moderate or Severe) Following the Second Vaccination (Day 14)
Any Swelling
2 Participants
4 Participants
2 Participants
2 Participants
1 Participants
0 Participants
Incidence of Injection Site Reactions From Subject Diary Cards by Injection and Severity (Mild, Moderate or Severe) Following the Second Vaccination (Day 14)
Grade 1 Swelling
0 Participants
0 Participants
0 Participants
0 Participants
1 Participants
0 Participants
Incidence of Injection Site Reactions From Subject Diary Cards by Injection and Severity (Mild, Moderate or Severe) Following the Second Vaccination (Day 14)
Grade 2 Swelling
2 Participants
3 Participants
2 Participants
2 Participants
0 Participants
0 Participants
Incidence of Injection Site Reactions From Subject Diary Cards by Injection and Severity (Mild, Moderate or Severe) Following the Second Vaccination (Day 14)
Grade 3 Swelling
0 Participants
1 Participants
0 Participants
0 Participants
0 Participants
0 Participants
Incidence of Injection Site Reactions From Subject Diary Cards by Injection and Severity (Mild, Moderate or Severe) Following the Second Vaccination (Day 14)
Grade 1 Tenderness
8 Participants
8 Participants
11 Participants
8 Participants
9 Participants
0 Participants
Incidence of Injection Site Reactions From Subject Diary Cards by Injection and Severity (Mild, Moderate or Severe) Following the Second Vaccination (Day 14)
Grade 2 Tenderness
2 Participants
5 Participants
0 Participants
2 Participants
3 Participants
0 Participants
Incidence of Injection Site Reactions From Subject Diary Cards by Injection and Severity (Mild, Moderate or Severe) Following the Second Vaccination (Day 14)
Any Injection Site Pain
6 Participants
13 Participants
10 Participants
8 Participants
6 Participants
0 Participants
Incidence of Injection Site Reactions From Subject Diary Cards by Injection and Severity (Mild, Moderate or Severe) Following the Second Vaccination (Day 14)
Grade 1 Injection Site Pain
2 Participants
10 Participants
10 Participants
6 Participants
3 Participants
0 Participants
Incidence of Injection Site Reactions From Subject Diary Cards by Injection and Severity (Mild, Moderate or Severe) Following the Second Vaccination (Day 14)
Grade 2 Injection Site Pain
3 Participants
2 Participants
0 Participants
2 Participants
3 Participants
0 Participants
Incidence of Injection Site Reactions From Subject Diary Cards by Injection and Severity (Mild, Moderate or Severe) Following the Second Vaccination (Day 14)
Grade 1 Injection Site Itching
2 Participants
2 Participants
3 Participants
2 Participants
0 Participants
0 Participants
Incidence of Injection Site Reactions From Subject Diary Cards by Injection and Severity (Mild, Moderate or Severe) Following the Second Vaccination (Day 14)
Any Arm Motion Limitation
8 Participants
11 Participants
7 Participants
8 Participants
8 Participants
0 Participants
Incidence of Injection Site Reactions From Subject Diary Cards by Injection and Severity (Mild, Moderate or Severe) Following the Second Vaccination (Day 14)
Grade 1 Arm Motion Limitation
4 Participants
6 Participants
6 Participants
4 Participants
3 Participants
0 Participants
Incidence of Injection Site Reactions From Subject Diary Cards by Injection and Severity (Mild, Moderate or Severe) Following the Second Vaccination (Day 14)
Grade 2 Arm Motion Limitation
3 Participants
4 Participants
1 Participants
3 Participants
5 Participants
0 Participants

PRIMARY outcome

Timeframe: Days 14-20

Subjects recorded solicited injection site reactions (ISRs) (redness, swelling, tenderness, pain, itching, arm motion limitation) on diary cards for 7 days following the second injection (Day 14). All local reactions collected by subjects on diary cards were recorded as adverse events. Severity of ISR was assessed using a grading scale based on FDA Guidance "Toxicity Grading Scale for Healthy Adult and Adolescent Volunteers Enrolled in Preventive Vaccine Clinical Trials." Swelling/edema and redness/erythema were graded by the greater of two perpendicular measurements of diameter rated as follows: * Grade 0: none * Grade 1: \<3 cm * Grade 2: 3 to 10 cm * Grade 3: \>10 cm For all other ISRs, the following scale was used: * Grade 0: not present * Grade 1: present with no limitation of activity * Grade 2: interfering with daily activities or requiring non-narcotic treatment * Grade 3: preventing normal daily activities or requiring narcotic analgesia

Outcome measures

Outcome measures
Measure
BioThrax
n=18 Participants
Participants between 18 and 50 years of age who received two doses of BioThrax (0.5 mL) intramuscularly (IM) on Days 0 and 14
AV7909 Formulation 1
n=18 Participants
Participants between 18 and 50 years of age who received two doses of AV7909 Formulation 1 (0.5 mL AVA + 0.5 mg CPG 7909; total volume 0.5 mL) IM on Days 0 and 14
AV7909 Formulation 2
n=17 Participants
Participants between 18 and 50 years of age who received two doses of AV7909 Formulation 2 (0.5 mL AVA + 0.25 mg CPG 7909; total volume 0.5 mL) IM on Days 0 and 14
AV7909 Formulation 3
n=19 Participants
Participants between 18 and 50 years of age who received two doses of AV7909 Formulation 3 (0.25 mL AVA + 0.5 mg CPG 7909; total volume 0.5 mL) IM on Days 0 and 14
AV7909 Formulation 4
n=18 Participants
Participants between 18 and 50 years of age who received two doses of AV7909 Formulation 4 (0.25 mL AVA + 0.25 mg CPG 7909; total volume 0.5 mL) IM on Days 0 and 14
Saline
n=15 Participants
Participants between 18 and 50 years of age who received two doses of saline placebo (0.5 mL) IM on Days 0 and 14
Male BioThrax
Male Participants between 18 and 50 years of age who received two doses of BioThrax (0.5 mL) intramuscularly (IM) on Days 0 and 14 Antibody titers were assessed in the immunogenicity population, which included subjects who received both vaccinations, had immunogenicity data within the allowable window, and had no protocol violations that could affect TNA values (n=100).
Male AV7909 Formulation 1
Male Participants between 18 and 50 years of age who received two doses of AV7909 Formulation 1 (0.5 mL AVA + 0.5 mg CPG 7909; total volume 0.5 mL) IM on Days 0 and 14 Antibody titers were assessed in the immunogenicity population, which included subjects who received both vaccinations, had immunogenicity data within the allowable window, and had no protocol violations that could affect TNA values (n=100).
Male AV7909 Formulation 2
Male Participants between 18 and 50 years of age who received two doses of AV7909 Formulation 2 (0.5 mL AVA + 0.25 mg CPG 7909; total volume 0.5 mL) IM on Days 0 and 14 Antibody titers were assessed in the immunogenicity population, which included subjects who received both vaccinations, had immunogenicity data within the allowable window, and had no protocol violations that could affect TNA values (n=100).
Male AV7909 Formulation 3
Male Participants between 18 and 50 years of age who received two doses of AV7909 Formulation 3 (0.25 mL AVA + 0.5 mg CPG 7909; total volume 0.5 mL) IM on Days 0 and 14 Antibody titers were assessed in the immunogenicity population, which included subjects who received both vaccinations, had immunogenicity data within the allowable window, and had no protocol violations that could affect TNA values (n=100).
Male AV7909 Formulation 4
Male Participants between 18 and 50 years of age who received two doses of AV7909 Formulation 4 (0.25 mL AVA + 0.25 mg CPG 7909; total volume 0.5 mL) IM on Days 0 and 14 Antibody titers were assessed in the immunogenicity population, which included subjects who received both vaccinations, had immunogenicity data within the allowable window, and had no protocol violations that could affect TNA values (n=100).
Male Saline
Male Participants between 18 and 50 years of age who received two doses of saline placebo (0.5 mL) IM on Days 0 and 14 Antibody titers were assessed in the immunogenicity population, which included subjects who received both vaccinations, had immunogenicity data within the allowable window, and had no protocol violations that could affect TNA values (n=100).
Female BioThrax
Female Participants between 18 and 50 years of age who received two doses of BioThrax (0.5 mL) intramuscularly (IM) on Days 0 and 14 Antibody titers were assessed in the immunogenicity population, which included subjects who received both vaccinations, had immunogenicity data within the allowable window, and had no protocol violations that could affect TNA values (n=100).
Female AV7909 Formulation 1
Female Participants between 18 and 50 years of age who received two doses of AV7909 Formulation 1 (0.5 mL AVA + 0.5 mg CPG 7909; total volume 0.5 mL) IM on Days 0 and 14 Antibody titers were assessed in the immunogenicity population, which included subjects who received both vaccinations, had immunogenicity data within the allowable window, and had no protocol violations that could affect TNA values (n=100).
Female AV7909 Formulation 2
Female Participants between 18 and 50 years of age who received two doses of AV7909 Formulation 2 (0.5 mL AVA + 0.25 mg CPG 7909; total volume 0.5 mL) IM on Days 0 and 14 Antibody titers were assessed in the immunogenicity population, which included subjects who received both vaccinations, had immunogenicity data within the allowable window, and had no protocol violations that could affect TNA values (n=100).
Female AV7909 Formulation 3
Female Participants between 18 and 50 years of age who received two doses of AV7909 Formulation 3 (0.25 mL AVA + 0.5 mg CPG 7909; total volume 0.5 mL) IM on Days 0 and 14 Antibody titers were assessed in the immunogenicity population, which included subjects who received both vaccinations, had immunogenicity data within the allowable window, and had no protocol violations that could affect TNA values (n=100).
Female AV7909 Formulation 4
Female Participants between 18 and 50 years of age who received two doses of AV7909 Formulation 4 (0.25 mL AVA + 0.25 mg CPG 7909; total volume 0.5 mL) IM on Days 0 and 14 Antibody titers were assessed in the immunogenicity population, which included subjects who received both vaccinations, had immunogenicity data within the allowable window, and had no protocol violations that could affect TNA values (n=100).
Female Saline
Female Participants between 18 and 50 years of age who received two doses of saline placebo (0.5 mL) IM on Days 0 and 14 Antibody titers were assessed in the immunogenicity population, which included subjects who received both vaccinations, had immunogenicity data within the allowable window, and had no protocol violations that could affect TNA values (n=100).
Percentage of Subjects With Injection Site Reactions From Subject Diary Cards by Injection and Severity (Mild, Moderate or Severe) Following the Second Vaccination (Day 14)
Any Injection Site Reaction
61.1 Percentage of Participants
88.9 Percentage of Participants
70.6 Percentage of Participants
57.9 Percentage of Participants
72.2 Percentage of Participants
0 Percentage of Participants
Percentage of Subjects With Injection Site Reactions From Subject Diary Cards by Injection and Severity (Mild, Moderate or Severe) Following the Second Vaccination (Day 14)
Grade 2 Swelling
11.1 Percentage of Participants
16.7 Percentage of Participants
11.8 Percentage of Participants
10.5 Percentage of Participants
0 Percentage of Participants
0 Percentage of Participants
Percentage of Subjects With Injection Site Reactions From Subject Diary Cards by Injection and Severity (Mild, Moderate or Severe) Following the Second Vaccination (Day 14)
Grade 3 Injection Site Itching
0 Percentage of Participants
5.6 Percentage of Participants
0 Percentage of Participants
0 Percentage of Participants
0 Percentage of Participants
0 Percentage of Participants
Percentage of Subjects With Injection Site Reactions From Subject Diary Cards by Injection and Severity (Mild, Moderate or Severe) Following the Second Vaccination (Day 14)
Any Arm Motion Limitation
44.4 Percentage of Participants
61.1 Percentage of Participants
41.2 Percentage of Participants
42.1 Percentage of Participants
44.4 Percentage of Participants
0 Percentage of Participants
Percentage of Subjects With Injection Site Reactions From Subject Diary Cards by Injection and Severity (Mild, Moderate or Severe) Following the Second Vaccination (Day 14)
Grade 1 Injection Site Reaction
33.3 Percentage of Participants
44.4 Percentage of Participants
52.9 Percentage of Participants
31.6 Percentage of Participants
38.9 Percentage of Participants
0 Percentage of Participants
Percentage of Subjects With Injection Site Reactions From Subject Diary Cards by Injection and Severity (Mild, Moderate or Severe) Following the Second Vaccination (Day 14)
Grade 2 Injection Site Reaction
22.2 Percentage of Participants
33.3 Percentage of Participants
17.6 Percentage of Participants
15.8 Percentage of Participants
33.3 Percentage of Participants
0 Percentage of Participants
Percentage of Subjects With Injection Site Reactions From Subject Diary Cards by Injection and Severity (Mild, Moderate or Severe) Following the Second Vaccination (Day 14)
Grade 3 Injection Site Reaction
5.6 Percentage of Participants
11.1 Percentage of Participants
0 Percentage of Participants
10.5 Percentage of Participants
0 Percentage of Participants
0 Percentage of Participants
Percentage of Subjects With Injection Site Reactions From Subject Diary Cards by Injection and Severity (Mild, Moderate or Severe) Following the Second Vaccination (Day 14)
Any Redness
5.6 Percentage of Participants
16.7 Percentage of Participants
11.8 Percentage of Participants
15.8 Percentage of Participants
0 Percentage of Participants
0 Percentage of Participants
Percentage of Subjects With Injection Site Reactions From Subject Diary Cards by Injection and Severity (Mild, Moderate or Severe) Following the Second Vaccination (Day 14)
Grade 2 Redness
5.6 Percentage of Participants
16.7 Percentage of Participants
11.8 Percentage of Participants
10.5 Percentage of Participants
0 Percentage of Participants
0 Percentage of Participants
Percentage of Subjects With Injection Site Reactions From Subject Diary Cards by Injection and Severity (Mild, Moderate or Severe) Following the Second Vaccination (Day 14)
Grade 3 Redness
0 Percentage of Participants
0 Percentage of Participants
0 Percentage of Participants
5.3 Percentage of Participants
0 Percentage of Participants
0 Percentage of Participants
Percentage of Subjects With Injection Site Reactions From Subject Diary Cards by Injection and Severity (Mild, Moderate or Severe) Following the Second Vaccination (Day 14)
Any Swelling
11.1 Percentage of Participants
22.2 Percentage of Participants
11.8 Percentage of Participants
10.5 Percentage of Participants
5.6 Percentage of Participants
0 Percentage of Participants
Percentage of Subjects With Injection Site Reactions From Subject Diary Cards by Injection and Severity (Mild, Moderate or Severe) Following the Second Vaccination (Day 14)
Grade 1 Swelling
0 Percentage of Participants
0 Percentage of Participants
0 Percentage of Participants
0 Percentage of Participants
5.6 Percentage of Participants
0 Percentage of Participants
Percentage of Subjects With Injection Site Reactions From Subject Diary Cards by Injection and Severity (Mild, Moderate or Severe) Following the Second Vaccination (Day 14)
Grade 1 Arm Motion Limitation
22.2 Percentage of Participants
33.3 Percentage of Participants
35.3 Percentage of Participants
21.1 Percentage of Participants
16.7 Percentage of Participants
0 Percentage of Participants
Percentage of Subjects With Injection Site Reactions From Subject Diary Cards by Injection and Severity (Mild, Moderate or Severe) Following the Second Vaccination (Day 14)
Grade 2 Arm Motion Limitation
16.7 Percentage of Participants
22.2 Percentage of Participants
5.9 Percentage of Participants
15.8 Percentage of Participants
27.8 Percentage of Participants
0 Percentage of Participants
Percentage of Subjects With Injection Site Reactions From Subject Diary Cards by Injection and Severity (Mild, Moderate or Severe) Following the Second Vaccination (Day 14)
Grade 3 Arm Motion Limitation
5.6 Percentage of Participants
5.6 Percentage of Participants
0 Percentage of Participants
5.3 Percentage of Participants
0 Percentage of Participants
0 Percentage of Participants
Percentage of Subjects With Injection Site Reactions From Subject Diary Cards by Injection and Severity (Mild, Moderate or Severe) Following the Second Vaccination (Day 14)
Grade 3 Swelling
0 Percentage of Participants
5.6 Percentage of Participants
0 Percentage of Participants
0 Percentage of Participants
0 Percentage of Participants
0 Percentage of Participants
Percentage of Subjects With Injection Site Reactions From Subject Diary Cards by Injection and Severity (Mild, Moderate or Severe) Following the Second Vaccination (Day 14)
Any Tenderness
61.1 Percentage of Participants
72.2 Percentage of Participants
64.7 Percentage of Participants
52.6 Percentage of Participants
66.7 Percentage of Participants
0 Percentage of Participants
Percentage of Subjects With Injection Site Reactions From Subject Diary Cards by Injection and Severity (Mild, Moderate or Severe) Following the Second Vaccination (Day 14)
Grade 1 Tenderness
44.4 Percentage of Participants
44.14 Percentage of Participants
64.7 Percentage of Participants
42.1 Percentage of Participants
50.0 Percentage of Participants
0 Percentage of Participants
Percentage of Subjects With Injection Site Reactions From Subject Diary Cards by Injection and Severity (Mild, Moderate or Severe) Following the Second Vaccination (Day 14)
Grade 2 Tenderness
11.1 Percentage of Participants
27.8 Percentage of Participants
0 Percentage of Participants
10.5 Percentage of Participants
16.7 Percentage of Participants
0 Percentage of Participants
Percentage of Subjects With Injection Site Reactions From Subject Diary Cards by Injection and Severity (Mild, Moderate or Severe) Following the Second Vaccination (Day 14)
Grade 3 Tenderness
5.6 Percentage of Participants
0 Percentage of Participants
0 Percentage of Participants
0 Percentage of Participants
0 Percentage of Participants
0 Percentage of Participants
Percentage of Subjects With Injection Site Reactions From Subject Diary Cards by Injection and Severity (Mild, Moderate or Severe) Following the Second Vaccination (Day 14)
Any Injection Site Pain
33.3 Percentage of Participants
72.2 Percentage of Participants
58.8 Percentage of Participants
42.1 Percentage of Participants
33.3 Percentage of Participants
0 Percentage of Participants
Percentage of Subjects With Injection Site Reactions From Subject Diary Cards by Injection and Severity (Mild, Moderate or Severe) Following the Second Vaccination (Day 14)
Grade 1 Injection Site Pain
11.1 Percentage of Participants
55.6 Percentage of Participants
58.8 Percentage of Participants
31.6 Percentage of Participants
16.7 Percentage of Participants
0 Percentage of Participants
Percentage of Subjects With Injection Site Reactions From Subject Diary Cards by Injection and Severity (Mild, Moderate or Severe) Following the Second Vaccination (Day 14)
Grade 2 Injection Site Pain
16.7 Percentage of Participants
11.1 Percentage of Participants
0 Percentage of Participants
10.5 Percentage of Participants
16.7 Percentage of Participants
0 Percentage of Participants
Percentage of Subjects With Injection Site Reactions From Subject Diary Cards by Injection and Severity (Mild, Moderate or Severe) Following the Second Vaccination (Day 14)
Grade 3 Injection Site Pain
5.6 Percentage of Participants
5.6 Percentage of Participants
0 Percentage of Participants
0 Percentage of Participants
0 Percentage of Participants
0 Percentage of Participants
Percentage of Subjects With Injection Site Reactions From Subject Diary Cards by Injection and Severity (Mild, Moderate or Severe) Following the Second Vaccination (Day 14)
Any Injection Site Itching
11.1 Percentage of Participants
16.7 Percentage of Participants
17.6 Percentage of Participants
10.5 Percentage of Participants
0 Percentage of Participants
0 Percentage of Participants
Percentage of Subjects With Injection Site Reactions From Subject Diary Cards by Injection and Severity (Mild, Moderate or Severe) Following the Second Vaccination (Day 14)
Grade 1 Injection Site Itching
11.1 Percentage of Participants
11.1 Percentage of Participants
17.6 Percentage of Participants
10.5 Percentage of Participants
0 Percentage of Participants
0 Percentage of Participants

PRIMARY outcome

Timeframe: Days 0-6

Subjects recorded solicited systemic reactions (fever, fatigue, muscle aching, headache, nausea/GI upset) on diary cards for 7 days following each of two injections (Days 0 and 14) All systemic reactions collected by subjects on diary cards were recorded as adverse events. Severity of systemic reactions was assessed using a grading scale based on FDA Guidance titled "Toxicity Grading Scale for Healthy Adult and Adolescent Volunteers Enrolled in Preventive Vaccine Clinical Trials." Toxicity grades for fever were derived from body temperature using the following scale: * Grade 0: \<100°F * Grade 1: 100.0 - 101.5°F * Grade 2: 101.6 - 102.9°F ; * Grade 3: 103.0 - 105.0°F For all other systemic reactions, the following scale was used: * Grade 0: not present * Grade 1: present with no limitation of activity * Grade 2: interfering with daily activities or requiring non-narcotic treatment * Grade 3: preventing normal daily activities or requiring narcotic analgesia

Outcome measures

Outcome measures
Measure
BioThrax
n=18 Participants
Participants between 18 and 50 years of age who received two doses of BioThrax (0.5 mL) intramuscularly (IM) on Days 0 and 14
AV7909 Formulation 1
n=18 Participants
Participants between 18 and 50 years of age who received two doses of AV7909 Formulation 1 (0.5 mL AVA + 0.5 mg CPG 7909; total volume 0.5 mL) IM on Days 0 and 14
AV7909 Formulation 2
n=17 Participants
Participants between 18 and 50 years of age who received two doses of AV7909 Formulation 2 (0.5 mL AVA + 0.25 mg CPG 7909; total volume 0.5 mL) IM on Days 0 and 14
AV7909 Formulation 3
n=19 Participants
Participants between 18 and 50 years of age who received two doses of AV7909 Formulation 3 (0.25 mL AVA + 0.5 mg CPG 7909; total volume 0.5 mL) IM on Days 0 and 14
AV7909 Formulation 4
n=18 Participants
Participants between 18 and 50 years of age who received two doses of AV7909 Formulation 4 (0.25 mL AVA + 0.25 mg CPG 7909; total volume 0.5 mL) IM on Days 0 and 14
Saline
n=15 Participants
Participants between 18 and 50 years of age who received two doses of saline placebo (0.5 mL) IM on Days 0 and 14
Male BioThrax
Male Participants between 18 and 50 years of age who received two doses of BioThrax (0.5 mL) intramuscularly (IM) on Days 0 and 14 Antibody titers were assessed in the immunogenicity population, which included subjects who received both vaccinations, had immunogenicity data within the allowable window, and had no protocol violations that could affect TNA values (n=100).
Male AV7909 Formulation 1
Male Participants between 18 and 50 years of age who received two doses of AV7909 Formulation 1 (0.5 mL AVA + 0.5 mg CPG 7909; total volume 0.5 mL) IM on Days 0 and 14 Antibody titers were assessed in the immunogenicity population, which included subjects who received both vaccinations, had immunogenicity data within the allowable window, and had no protocol violations that could affect TNA values (n=100).
Male AV7909 Formulation 2
Male Participants between 18 and 50 years of age who received two doses of AV7909 Formulation 2 (0.5 mL AVA + 0.25 mg CPG 7909; total volume 0.5 mL) IM on Days 0 and 14 Antibody titers were assessed in the immunogenicity population, which included subjects who received both vaccinations, had immunogenicity data within the allowable window, and had no protocol violations that could affect TNA values (n=100).
Male AV7909 Formulation 3
Male Participants between 18 and 50 years of age who received two doses of AV7909 Formulation 3 (0.25 mL AVA + 0.5 mg CPG 7909; total volume 0.5 mL) IM on Days 0 and 14 Antibody titers were assessed in the immunogenicity population, which included subjects who received both vaccinations, had immunogenicity data within the allowable window, and had no protocol violations that could affect TNA values (n=100).
Male AV7909 Formulation 4
Male Participants between 18 and 50 years of age who received two doses of AV7909 Formulation 4 (0.25 mL AVA + 0.25 mg CPG 7909; total volume 0.5 mL) IM on Days 0 and 14 Antibody titers were assessed in the immunogenicity population, which included subjects who received both vaccinations, had immunogenicity data within the allowable window, and had no protocol violations that could affect TNA values (n=100).
Male Saline
Male Participants between 18 and 50 years of age who received two doses of saline placebo (0.5 mL) IM on Days 0 and 14 Antibody titers were assessed in the immunogenicity population, which included subjects who received both vaccinations, had immunogenicity data within the allowable window, and had no protocol violations that could affect TNA values (n=100).
Female BioThrax
Female Participants between 18 and 50 years of age who received two doses of BioThrax (0.5 mL) intramuscularly (IM) on Days 0 and 14 Antibody titers were assessed in the immunogenicity population, which included subjects who received both vaccinations, had immunogenicity data within the allowable window, and had no protocol violations that could affect TNA values (n=100).
Female AV7909 Formulation 1
Female Participants between 18 and 50 years of age who received two doses of AV7909 Formulation 1 (0.5 mL AVA + 0.5 mg CPG 7909; total volume 0.5 mL) IM on Days 0 and 14 Antibody titers were assessed in the immunogenicity population, which included subjects who received both vaccinations, had immunogenicity data within the allowable window, and had no protocol violations that could affect TNA values (n=100).
Female AV7909 Formulation 2
Female Participants between 18 and 50 years of age who received two doses of AV7909 Formulation 2 (0.5 mL AVA + 0.25 mg CPG 7909; total volume 0.5 mL) IM on Days 0 and 14 Antibody titers were assessed in the immunogenicity population, which included subjects who received both vaccinations, had immunogenicity data within the allowable window, and had no protocol violations that could affect TNA values (n=100).
Female AV7909 Formulation 3
Female Participants between 18 and 50 years of age who received two doses of AV7909 Formulation 3 (0.25 mL AVA + 0.5 mg CPG 7909; total volume 0.5 mL) IM on Days 0 and 14 Antibody titers were assessed in the immunogenicity population, which included subjects who received both vaccinations, had immunogenicity data within the allowable window, and had no protocol violations that could affect TNA values (n=100).
Female AV7909 Formulation 4
Female Participants between 18 and 50 years of age who received two doses of AV7909 Formulation 4 (0.25 mL AVA + 0.25 mg CPG 7909; total volume 0.5 mL) IM on Days 0 and 14 Antibody titers were assessed in the immunogenicity population, which included subjects who received both vaccinations, had immunogenicity data within the allowable window, and had no protocol violations that could affect TNA values (n=100).
Female Saline
Female Participants between 18 and 50 years of age who received two doses of saline placebo (0.5 mL) IM on Days 0 and 14 Antibody titers were assessed in the immunogenicity population, which included subjects who received both vaccinations, had immunogenicity data within the allowable window, and had no protocol violations that could affect TNA values (n=100).
Incidence of Systemic Reactions From Subject Diary Cards by Injection and Severity (Mild, Moderate or Severe) Following the First Injection (Day 0)
Any Fever
0 Participants
2 Participants
1 Participants
0 Participants
0 Participants
2 Participants
Incidence of Systemic Reactions From Subject Diary Cards by Injection and Severity (Mild, Moderate or Severe) Following the First Injection (Day 0)
Grade 1 Fever
0 Participants
2 Participants
1 Participants
0 Participants
0 Participants
2 Participants
Incidence of Systemic Reactions From Subject Diary Cards by Injection and Severity (Mild, Moderate or Severe) Following the First Injection (Day 0)
Grade 1 Systemic Reaction
8 Participants
5 Participants
5 Participants
3 Participants
2 Participants
4 Participants
Incidence of Systemic Reactions From Subject Diary Cards by Injection and Severity (Mild, Moderate or Severe) Following the First Injection (Day 0)
Any Fatigue
6 Participants
9 Participants
3 Participants
3 Participants
4 Participants
2 Participants
Incidence of Systemic Reactions From Subject Diary Cards by Injection and Severity (Mild, Moderate or Severe) Following the First Injection (Day 0)
Grade 2 Fatigue
1 Participants
5 Participants
2 Participants
0 Participants
2 Participants
0 Participants
Incidence of Systemic Reactions From Subject Diary Cards by Injection and Severity (Mild, Moderate or Severe) Following the First Injection (Day 0)
Any Nausea / GI Upset
1 Participants
4 Participants
2 Participants
2 Participants
2 Participants
2 Participants
Incidence of Systemic Reactions From Subject Diary Cards by Injection and Severity (Mild, Moderate or Severe) Following the First Injection (Day 0)
Grade 1 Nausea / GI Upset
0 Participants
1 Participants
2 Participants
2 Participants
2 Participants
1 Participants
Incidence of Systemic Reactions From Subject Diary Cards by Injection and Severity (Mild, Moderate or Severe) Following the First Injection (Day 0)
Any Systemic Reaction
10 Participants
12 Participants
7 Participants
3 Participants
7 Participants
5 Participants
Incidence of Systemic Reactions From Subject Diary Cards by Injection and Severity (Mild, Moderate or Severe) Following the First Injection (Day 0)
Grade 2 Systemic Reaction
2 Participants
7 Participants
2 Participants
0 Participants
4 Participants
1 Participants
Incidence of Systemic Reactions From Subject Diary Cards by Injection and Severity (Mild, Moderate or Severe) Following the First Injection (Day 0)
Grade 3 Systemic Reaction
0 Participants
0 Participants
0 Participants
0 Participants
1 Participants
0 Participants
Incidence of Systemic Reactions From Subject Diary Cards by Injection and Severity (Mild, Moderate or Severe) Following the First Injection (Day 0)
Grade 1 Fatigue
5 Participants
4 Participants
1 Participants
3 Participants
2 Participants
2 Participants
Incidence of Systemic Reactions From Subject Diary Cards by Injection and Severity (Mild, Moderate or Severe) Following the First Injection (Day 0)
Any Muscle Ache
4 Participants
8 Participants
3 Participants
0 Participants
2 Participants
2 Participants
Incidence of Systemic Reactions From Subject Diary Cards by Injection and Severity (Mild, Moderate or Severe) Following the First Injection (Day 0)
Grade 1 Muscle Ache
4 Participants
6 Participants
1 Participants
0 Participants
2 Participants
1 Participants
Incidence of Systemic Reactions From Subject Diary Cards by Injection and Severity (Mild, Moderate or Severe) Following the First Injection (Day 0)
Grade 2 Muscle Ache
0 Participants
2 Participants
2 Participants
0 Participants
0 Participants
1 Participants
Incidence of Systemic Reactions From Subject Diary Cards by Injection and Severity (Mild, Moderate or Severe) Following the First Injection (Day 0)
Any Headache
6 Participants
11 Participants
5 Participants
1 Participants
5 Participants
2 Participants
Incidence of Systemic Reactions From Subject Diary Cards by Injection and Severity (Mild, Moderate or Severe) Following the First Injection (Day 0)
Grade 1 Headache
6 Participants
4 Participants
3 Participants
1 Participants
1 Participants
1 Participants
Incidence of Systemic Reactions From Subject Diary Cards by Injection and Severity (Mild, Moderate or Severe) Following the First Injection (Day 0)
Grade 2 Headache
0 Participants
7 Participants
2 Participants
0 Participants
3 Participants
1 Participants
Incidence of Systemic Reactions From Subject Diary Cards by Injection and Severity (Mild, Moderate or Severe) Following the First Injection (Day 0)
Grade 3 Headache
0 Participants
0 Participants
0 Participants
0 Participants
1 Participants
0 Participants
Incidence of Systemic Reactions From Subject Diary Cards by Injection and Severity (Mild, Moderate or Severe) Following the First Injection (Day 0)
Grade 2 Nausea / GI Upset
1 Participants
3 Participants
0 Participants
0 Participants
0 Participants
1 Participants

PRIMARY outcome

Timeframe: Days 0-6

Subjects recorded solicited systemic reactions (fever, fatigue, muscle aching, headache, nausea/GI upset) on diary cards for 7 days following each of two injections (Days 0 and 14) All systemic reactions collected by subjects on diary cards were recorded as adverse events. Severity of systemic reactions was assessed using a grading scale based on FDA Guidance titled "Toxicity Grading Scale for Healthy Adult and Adolescent Volunteers Enrolled in Preventive Vaccine Clinical Trials." Toxicity grades for fever were derived from body temperature using the following scale: * Grade 0: \<100°F * Grade 1: 100.0 - 101.5°F * Grade 2: 101.6 - 102.9°F ; * Grade 3: 103.0 - 105.0°F For all other systemic reactions, the following scale was used: * Grade 0: not present * Grade 1: present with no limitation of activity * Grade 2: interfering with daily activities or requiring non-narcotic treatment * Grade 3: preventing normal daily activities or requiring narcotic analgesia

Outcome measures

Outcome measures
Measure
BioThrax
n=18 Participants
Participants between 18 and 50 years of age who received two doses of BioThrax (0.5 mL) intramuscularly (IM) on Days 0 and 14
AV7909 Formulation 1
n=18 Participants
Participants between 18 and 50 years of age who received two doses of AV7909 Formulation 1 (0.5 mL AVA + 0.5 mg CPG 7909; total volume 0.5 mL) IM on Days 0 and 14
AV7909 Formulation 2
n=17 Participants
Participants between 18 and 50 years of age who received two doses of AV7909 Formulation 2 (0.5 mL AVA + 0.25 mg CPG 7909; total volume 0.5 mL) IM on Days 0 and 14
AV7909 Formulation 3
n=19 Participants
Participants between 18 and 50 years of age who received two doses of AV7909 Formulation 3 (0.25 mL AVA + 0.5 mg CPG 7909; total volume 0.5 mL) IM on Days 0 and 14
AV7909 Formulation 4
n=18 Participants
Participants between 18 and 50 years of age who received two doses of AV7909 Formulation 4 (0.25 mL AVA + 0.25 mg CPG 7909; total volume 0.5 mL) IM on Days 0 and 14
Saline
n=15 Participants
Participants between 18 and 50 years of age who received two doses of saline placebo (0.5 mL) IM on Days 0 and 14
Male BioThrax
Male Participants between 18 and 50 years of age who received two doses of BioThrax (0.5 mL) intramuscularly (IM) on Days 0 and 14 Antibody titers were assessed in the immunogenicity population, which included subjects who received both vaccinations, had immunogenicity data within the allowable window, and had no protocol violations that could affect TNA values (n=100).
Male AV7909 Formulation 1
Male Participants between 18 and 50 years of age who received two doses of AV7909 Formulation 1 (0.5 mL AVA + 0.5 mg CPG 7909; total volume 0.5 mL) IM on Days 0 and 14 Antibody titers were assessed in the immunogenicity population, which included subjects who received both vaccinations, had immunogenicity data within the allowable window, and had no protocol violations that could affect TNA values (n=100).
Male AV7909 Formulation 2
Male Participants between 18 and 50 years of age who received two doses of AV7909 Formulation 2 (0.5 mL AVA + 0.25 mg CPG 7909; total volume 0.5 mL) IM on Days 0 and 14 Antibody titers were assessed in the immunogenicity population, which included subjects who received both vaccinations, had immunogenicity data within the allowable window, and had no protocol violations that could affect TNA values (n=100).
Male AV7909 Formulation 3
Male Participants between 18 and 50 years of age who received two doses of AV7909 Formulation 3 (0.25 mL AVA + 0.5 mg CPG 7909; total volume 0.5 mL) IM on Days 0 and 14 Antibody titers were assessed in the immunogenicity population, which included subjects who received both vaccinations, had immunogenicity data within the allowable window, and had no protocol violations that could affect TNA values (n=100).
Male AV7909 Formulation 4
Male Participants between 18 and 50 years of age who received two doses of AV7909 Formulation 4 (0.25 mL AVA + 0.25 mg CPG 7909; total volume 0.5 mL) IM on Days 0 and 14 Antibody titers were assessed in the immunogenicity population, which included subjects who received both vaccinations, had immunogenicity data within the allowable window, and had no protocol violations that could affect TNA values (n=100).
Male Saline
Male Participants between 18 and 50 years of age who received two doses of saline placebo (0.5 mL) IM on Days 0 and 14 Antibody titers were assessed in the immunogenicity population, which included subjects who received both vaccinations, had immunogenicity data within the allowable window, and had no protocol violations that could affect TNA values (n=100).
Female BioThrax
Female Participants between 18 and 50 years of age who received two doses of BioThrax (0.5 mL) intramuscularly (IM) on Days 0 and 14 Antibody titers were assessed in the immunogenicity population, which included subjects who received both vaccinations, had immunogenicity data within the allowable window, and had no protocol violations that could affect TNA values (n=100).
Female AV7909 Formulation 1
Female Participants between 18 and 50 years of age who received two doses of AV7909 Formulation 1 (0.5 mL AVA + 0.5 mg CPG 7909; total volume 0.5 mL) IM on Days 0 and 14 Antibody titers were assessed in the immunogenicity population, which included subjects who received both vaccinations, had immunogenicity data within the allowable window, and had no protocol violations that could affect TNA values (n=100).
Female AV7909 Formulation 2
Female Participants between 18 and 50 years of age who received two doses of AV7909 Formulation 2 (0.5 mL AVA + 0.25 mg CPG 7909; total volume 0.5 mL) IM on Days 0 and 14 Antibody titers were assessed in the immunogenicity population, which included subjects who received both vaccinations, had immunogenicity data within the allowable window, and had no protocol violations that could affect TNA values (n=100).
Female AV7909 Formulation 3
Female Participants between 18 and 50 years of age who received two doses of AV7909 Formulation 3 (0.25 mL AVA + 0.5 mg CPG 7909; total volume 0.5 mL) IM on Days 0 and 14 Antibody titers were assessed in the immunogenicity population, which included subjects who received both vaccinations, had immunogenicity data within the allowable window, and had no protocol violations that could affect TNA values (n=100).
Female AV7909 Formulation 4
Female Participants between 18 and 50 years of age who received two doses of AV7909 Formulation 4 (0.25 mL AVA + 0.25 mg CPG 7909; total volume 0.5 mL) IM on Days 0 and 14 Antibody titers were assessed in the immunogenicity population, which included subjects who received both vaccinations, had immunogenicity data within the allowable window, and had no protocol violations that could affect TNA values (n=100).
Female Saline
Female Participants between 18 and 50 years of age who received two doses of saline placebo (0.5 mL) IM on Days 0 and 14 Antibody titers were assessed in the immunogenicity population, which included subjects who received both vaccinations, had immunogenicity data within the allowable window, and had no protocol violations that could affect TNA values (n=100).
Percentage of Subjects With Systemic Reactions From Subject Diary Cards by Injection and Severity (Mild, Moderate or Severe) Following the First Injection (Day 0)
Grade 1 Muscle Ache
22.2 percentage of participants
33.3 percentage of participants
5.9 percentage of participants
0 percentage of participants
11.1 percentage of participants
6.7 percentage of participants
Percentage of Subjects With Systemic Reactions From Subject Diary Cards by Injection and Severity (Mild, Moderate or Severe) Following the First Injection (Day 0)
Grade 1 Headache
33.3 percentage of participants
22.2 percentage of participants
17.6 percentage of participants
5.3 percentage of participants
5.6 percentage of participants
6.7 percentage of participants
Percentage of Subjects With Systemic Reactions From Subject Diary Cards by Injection and Severity (Mild, Moderate or Severe) Following the First Injection (Day 0)
Grade 2 Headache
0 percentage of participants
8.9 percentage of participants
11.8 percentage of participants
0 percentage of participants
16.47 percentage of participants
6.7 percentage of participants
Percentage of Subjects With Systemic Reactions From Subject Diary Cards by Injection and Severity (Mild, Moderate or Severe) Following the First Injection (Day 0)
Grade 3 Headache
0 percentage of participants
0 percentage of participants
0 percentage of participants
0 percentage of participants
5.6 percentage of participants
0 percentage of participants
Percentage of Subjects With Systemic Reactions From Subject Diary Cards by Injection and Severity (Mild, Moderate or Severe) Following the First Injection (Day 0)
Any Nausea / GI Upset
5.6 percentage of participants
22.2 percentage of participants
11.8 percentage of participants
10.5 percentage of participants
11.1 percentage of participants
13.3 percentage of participants
Percentage of Subjects With Systemic Reactions From Subject Diary Cards by Injection and Severity (Mild, Moderate or Severe) Following the First Injection (Day 0)
Grade 1 Nausea / GI Upset
0 percentage of participants
5.6 percentage of participants
11.8 percentage of participants
10.5 percentage of participants
11.1 percentage of participants
6.7 percentage of participants
Percentage of Subjects With Systemic Reactions From Subject Diary Cards by Injection and Severity (Mild, Moderate or Severe) Following the First Injection (Day 0)
Grade 2 Nausea / GI Upset
5.6 percentage of participants
16.7 percentage of participants
0 percentage of participants
0 percentage of participants
0 percentage of participants
6.7 percentage of participants
Percentage of Subjects With Systemic Reactions From Subject Diary Cards by Injection and Severity (Mild, Moderate or Severe) Following the First Injection (Day 0)
Any Systemic Reaction
55.6 percentage of participants
66.7 percentage of participants
41.2 percentage of participants
15.8 percentage of participants
38.9 percentage of participants
33.3 percentage of participants
Percentage of Subjects With Systemic Reactions From Subject Diary Cards by Injection and Severity (Mild, Moderate or Severe) Following the First Injection (Day 0)
Grade 1 Systemic Reaction
44.4 percentage of participants
27.8 percentage of participants
29.4 percentage of participants
15.8 percentage of participants
11.1 percentage of participants
26.7 percentage of participants
Percentage of Subjects With Systemic Reactions From Subject Diary Cards by Injection and Severity (Mild, Moderate or Severe) Following the First Injection (Day 0)
Grade 2 Systemic Reactions
11.1 percentage of participants
38.9 percentage of participants
11.8 percentage of participants
0 percentage of participants
22.2 percentage of participants
6.7 percentage of participants
Percentage of Subjects With Systemic Reactions From Subject Diary Cards by Injection and Severity (Mild, Moderate or Severe) Following the First Injection (Day 0)
Grade 3 Systemic Reaction
0 percentage of participants
0 percentage of participants
0 percentage of participants
0 percentage of participants
5.6 percentage of participants
0 percentage of participants
Percentage of Subjects With Systemic Reactions From Subject Diary Cards by Injection and Severity (Mild, Moderate or Severe) Following the First Injection (Day 0)
Any Fever
0 percentage of participants
11.1 percentage of participants
5.9 percentage of participants
0 percentage of participants
0 percentage of participants
13.3 percentage of participants
Percentage of Subjects With Systemic Reactions From Subject Diary Cards by Injection and Severity (Mild, Moderate or Severe) Following the First Injection (Day 0)
Grade 1 Fever
0 percentage of participants
11.1 percentage of participants
5.9 percentage of participants
0 percentage of participants
0 percentage of participants
13.3 percentage of participants
Percentage of Subjects With Systemic Reactions From Subject Diary Cards by Injection and Severity (Mild, Moderate or Severe) Following the First Injection (Day 0)
Any Fatigue
33.3 percentage of participants
50.0 percentage of participants
17.6 percentage of participants
15.8 percentage of participants
22.2 percentage of participants
13.3 percentage of participants
Percentage of Subjects With Systemic Reactions From Subject Diary Cards by Injection and Severity (Mild, Moderate or Severe) Following the First Injection (Day 0)
Grade 1 Fatigue
27.8 percentage of participants
22.2 percentage of participants
5.9 percentage of participants
15.8 percentage of participants
11.1 percentage of participants
13.3 percentage of participants
Percentage of Subjects With Systemic Reactions From Subject Diary Cards by Injection and Severity (Mild, Moderate or Severe) Following the First Injection (Day 0)
Grade 2 Fatigue
5.6 percentage of participants
27.8 percentage of participants
11.8 percentage of participants
0 percentage of participants
11.1 percentage of participants
0 percentage of participants
Percentage of Subjects With Systemic Reactions From Subject Diary Cards by Injection and Severity (Mild, Moderate or Severe) Following the First Injection (Day 0)
Any Muscle Ache
22.2 percentage of participants
44.4 percentage of participants
17.6 percentage of participants
0 percentage of participants
11.1 percentage of participants
13.3 percentage of participants
Percentage of Subjects With Systemic Reactions From Subject Diary Cards by Injection and Severity (Mild, Moderate or Severe) Following the First Injection (Day 0)
Grade 2 Muscle Ache
0 percentage of participants
11.1 percentage of participants
11.8 percentage of participants
0 percentage of participants
0 percentage of participants
6.7 percentage of participants
Percentage of Subjects With Systemic Reactions From Subject Diary Cards by Injection and Severity (Mild, Moderate or Severe) Following the First Injection (Day 0)
Any Headache
33.3 percentage of participants
61.1 percentage of participants
29.4 percentage of participants
5.3 percentage of participants
27.8 percentage of participants
13.3 percentage of participants

PRIMARY outcome

Timeframe: Days 14-20

Subjects recorded solicited systemic reactions (fever, fatigue, muscle aching, headache, nausea/GI upset) on diary cards for 7 days following each of two injections (Days 0 and 14) All systemic reactions collected by subjects on diary cards were recorded as adverse events. Severity of systemic reactions was assessed using a grading scale based on FDA Guidance titled "Toxicity Grading Scale for Healthy Adult and Adolescent Volunteers Enrolled in Preventive Vaccine Clinical Trials." Toxicity grades for fever were derived from body temperature using the following scale: * Grade 0: \<100°F * Grade 1: 100.0 - 101.5°F * Grade 2: 101.6 - 102.9°F ; * Grade 3: 103.0 - 105.0°F For all other systemic reactions, the following scale was used: * Grade 0: not present * Grade 1: present with no limitation of activity * Grade 2: interfering with daily activities or requiring non-narcotic treatment * Grade 3: preventing normal daily activities or requiring narcotic analgesia

Outcome measures

Outcome measures
Measure
BioThrax
n=18 Participants
Participants between 18 and 50 years of age who received two doses of BioThrax (0.5 mL) intramuscularly (IM) on Days 0 and 14
AV7909 Formulation 1
n=18 Participants
Participants between 18 and 50 years of age who received two doses of AV7909 Formulation 1 (0.5 mL AVA + 0.5 mg CPG 7909; total volume 0.5 mL) IM on Days 0 and 14
AV7909 Formulation 2
n=17 Participants
Participants between 18 and 50 years of age who received two doses of AV7909 Formulation 2 (0.5 mL AVA + 0.25 mg CPG 7909; total volume 0.5 mL) IM on Days 0 and 14
AV7909 Formulation 3
n=19 Participants
Participants between 18 and 50 years of age who received two doses of AV7909 Formulation 3 (0.25 mL AVA + 0.5 mg CPG 7909; total volume 0.5 mL) IM on Days 0 and 14
AV7909 Formulation 4
n=18 Participants
Participants between 18 and 50 years of age who received two doses of AV7909 Formulation 4 (0.25 mL AVA + 0.25 mg CPG 7909; total volume 0.5 mL) IM on Days 0 and 14
Saline
n=15 Participants
Participants between 18 and 50 years of age who received two doses of saline placebo (0.5 mL) IM on Days 0 and 14
Male BioThrax
Male Participants between 18 and 50 years of age who received two doses of BioThrax (0.5 mL) intramuscularly (IM) on Days 0 and 14 Antibody titers were assessed in the immunogenicity population, which included subjects who received both vaccinations, had immunogenicity data within the allowable window, and had no protocol violations that could affect TNA values (n=100).
Male AV7909 Formulation 1
Male Participants between 18 and 50 years of age who received two doses of AV7909 Formulation 1 (0.5 mL AVA + 0.5 mg CPG 7909; total volume 0.5 mL) IM on Days 0 and 14 Antibody titers were assessed in the immunogenicity population, which included subjects who received both vaccinations, had immunogenicity data within the allowable window, and had no protocol violations that could affect TNA values (n=100).
Male AV7909 Formulation 2
Male Participants between 18 and 50 years of age who received two doses of AV7909 Formulation 2 (0.5 mL AVA + 0.25 mg CPG 7909; total volume 0.5 mL) IM on Days 0 and 14 Antibody titers were assessed in the immunogenicity population, which included subjects who received both vaccinations, had immunogenicity data within the allowable window, and had no protocol violations that could affect TNA values (n=100).
Male AV7909 Formulation 3
Male Participants between 18 and 50 years of age who received two doses of AV7909 Formulation 3 (0.25 mL AVA + 0.5 mg CPG 7909; total volume 0.5 mL) IM on Days 0 and 14 Antibody titers were assessed in the immunogenicity population, which included subjects who received both vaccinations, had immunogenicity data within the allowable window, and had no protocol violations that could affect TNA values (n=100).
Male AV7909 Formulation 4
Male Participants between 18 and 50 years of age who received two doses of AV7909 Formulation 4 (0.25 mL AVA + 0.25 mg CPG 7909; total volume 0.5 mL) IM on Days 0 and 14 Antibody titers were assessed in the immunogenicity population, which included subjects who received both vaccinations, had immunogenicity data within the allowable window, and had no protocol violations that could affect TNA values (n=100).
Male Saline
Male Participants between 18 and 50 years of age who received two doses of saline placebo (0.5 mL) IM on Days 0 and 14 Antibody titers were assessed in the immunogenicity population, which included subjects who received both vaccinations, had immunogenicity data within the allowable window, and had no protocol violations that could affect TNA values (n=100).
Female BioThrax
Female Participants between 18 and 50 years of age who received two doses of BioThrax (0.5 mL) intramuscularly (IM) on Days 0 and 14 Antibody titers were assessed in the immunogenicity population, which included subjects who received both vaccinations, had immunogenicity data within the allowable window, and had no protocol violations that could affect TNA values (n=100).
Female AV7909 Formulation 1
Female Participants between 18 and 50 years of age who received two doses of AV7909 Formulation 1 (0.5 mL AVA + 0.5 mg CPG 7909; total volume 0.5 mL) IM on Days 0 and 14 Antibody titers were assessed in the immunogenicity population, which included subjects who received both vaccinations, had immunogenicity data within the allowable window, and had no protocol violations that could affect TNA values (n=100).
Female AV7909 Formulation 2
Female Participants between 18 and 50 years of age who received two doses of AV7909 Formulation 2 (0.5 mL AVA + 0.25 mg CPG 7909; total volume 0.5 mL) IM on Days 0 and 14 Antibody titers were assessed in the immunogenicity population, which included subjects who received both vaccinations, had immunogenicity data within the allowable window, and had no protocol violations that could affect TNA values (n=100).
Female AV7909 Formulation 3
Female Participants between 18 and 50 years of age who received two doses of AV7909 Formulation 3 (0.25 mL AVA + 0.5 mg CPG 7909; total volume 0.5 mL) IM on Days 0 and 14 Antibody titers were assessed in the immunogenicity population, which included subjects who received both vaccinations, had immunogenicity data within the allowable window, and had no protocol violations that could affect TNA values (n=100).
Female AV7909 Formulation 4
Female Participants between 18 and 50 years of age who received two doses of AV7909 Formulation 4 (0.25 mL AVA + 0.25 mg CPG 7909; total volume 0.5 mL) IM on Days 0 and 14 Antibody titers were assessed in the immunogenicity population, which included subjects who received both vaccinations, had immunogenicity data within the allowable window, and had no protocol violations that could affect TNA values (n=100).
Female Saline
Female Participants between 18 and 50 years of age who received two doses of saline placebo (0.5 mL) IM on Days 0 and 14 Antibody titers were assessed in the immunogenicity population, which included subjects who received both vaccinations, had immunogenicity data within the allowable window, and had no protocol violations that could affect TNA values (n=100).
Incidence of Systemic Reactions From Subject Diary Cards by Injection and Severity (Mild, Moderate or Severe) Following the Second Injection (Day 14)
Grade 3 Muscle Ache
1 participants
1 participants
0 participants
0 participants
0 participants
0 participants
Incidence of Systemic Reactions From Subject Diary Cards by Injection and Severity (Mild, Moderate or Severe) Following the Second Injection (Day 14)
Any Nausea / GI Upset
1 participants
3 participants
0 participants
0 participants
3 participants
0 participants
Incidence of Systemic Reactions From Subject Diary Cards by Injection and Severity (Mild, Moderate or Severe) Following the Second Injection (Day 14)
Any Systemic Reaction
7 participants
14 participants
7 participants
4 participants
9 participants
2 participants
Incidence of Systemic Reactions From Subject Diary Cards by Injection and Severity (Mild, Moderate or Severe) Following the Second Injection (Day 14)
Grade 1 Systemic Reaction
3 participants
8 participants
6 participants
2 participants
4 participants
1 participants
Incidence of Systemic Reactions From Subject Diary Cards by Injection and Severity (Mild, Moderate or Severe) Following the Second Injection (Day 14)
Grade 2 Systemic Reactions
3 participants
5 participants
1 participants
2 participants
5 participants
1 participants
Incidence of Systemic Reactions From Subject Diary Cards by Injection and Severity (Mild, Moderate or Severe) Following the Second Injection (Day 14)
Grade 3 Systemic Reaction
1 participants
1 participants
0 participants
0 participants
0 participants
0 participants
Incidence of Systemic Reactions From Subject Diary Cards by Injection and Severity (Mild, Moderate or Severe) Following the Second Injection (Day 14)
Any Fever
0 participants
0 participants
0 participants
0 participants
1 participants
0 participants
Incidence of Systemic Reactions From Subject Diary Cards by Injection and Severity (Mild, Moderate or Severe) Following the Second Injection (Day 14)
Grade 1 Fever
0 participants
0 participants
0 participants
0 participants
1 participants
0 participants
Incidence of Systemic Reactions From Subject Diary Cards by Injection and Severity (Mild, Moderate or Severe) Following the Second Injection (Day 14)
Any Fatigue
4 participants
8 participants
4 participants
3 participants
7 participants
1 participants
Incidence of Systemic Reactions From Subject Diary Cards by Injection and Severity (Mild, Moderate or Severe) Following the Second Injection (Day 14)
Grade 1 Fatigue
3 participants
5 participants
3 participants
1 participants
4 participants
1 participants
Incidence of Systemic Reactions From Subject Diary Cards by Injection and Severity (Mild, Moderate or Severe) Following the Second Injection (Day 14)
Grade 2 Fatigue
1 participants
2 participants
1 participants
2 participants
3 participants
0 participants
Incidence of Systemic Reactions From Subject Diary Cards by Injection and Severity (Mild, Moderate or Severe) Following the Second Injection (Day 14)
Grade 3 Fatigue
0 participants
1 participants
0 participants
0 participants
0 participants
0 participants
Incidence of Systemic Reactions From Subject Diary Cards by Injection and Severity (Mild, Moderate or Severe) Following the Second Injection (Day 14)
Any Muscle Ache
5 participants
9 participants
3 participants
2 participants
7 participants
0 participants
Incidence of Systemic Reactions From Subject Diary Cards by Injection and Severity (Mild, Moderate or Severe) Following the Second Injection (Day 14)
Grade 1 Muscle Ache
3 participants
5 participants
2 participants
1 participants
4 participants
0 participants
Incidence of Systemic Reactions From Subject Diary Cards by Injection and Severity (Mild, Moderate or Severe) Following the Second Injection (Day 14)
Grade 2 Muscle Ache
1 participants
3 participants
1 participants
1 participants
3 participants
0 participants
Incidence of Systemic Reactions From Subject Diary Cards by Injection and Severity (Mild, Moderate or Severe) Following the Second Injection (Day 14)
Any Headache
5 participants
7 participants
3 participants
3 participants
7 participants
1 participants
Incidence of Systemic Reactions From Subject Diary Cards by Injection and Severity (Mild, Moderate or Severe) Following the Second Injection (Day 14)
Grade 1 Headache
2 participants
5 participants
3 participants
2 participants
3 participants
0 participants
Incidence of Systemic Reactions From Subject Diary Cards by Injection and Severity (Mild, Moderate or Severe) Following the Second Injection (Day 14)
Grade 2 Headache
2 participants
2 participants
0 participants
1 participants
4 participants
1 participants
Incidence of Systemic Reactions From Subject Diary Cards by Injection and Severity (Mild, Moderate or Severe) Following the Second Injection (Day 14)
Grade 3 Headache
1 participants
0 participants
0 participants
0 participants
0 participants
0 participants
Incidence of Systemic Reactions From Subject Diary Cards by Injection and Severity (Mild, Moderate or Severe) Following the Second Injection (Day 14)
Grade 1 Nausea / GI Upset
1 participants
2 participants
0 participants
0 participants
2 participants
0 participants
Incidence of Systemic Reactions From Subject Diary Cards by Injection and Severity (Mild, Moderate or Severe) Following the Second Injection (Day 14)
Grade 2 Nausea / GI Upset
0 participants
1 participants
0 participants
0 participants
1 participants
0 participants

PRIMARY outcome

Timeframe: Days 14-20

Subjects recorded solicited systemic reactions (fever, fatigue, muscle aching, headache, nausea/GI upset) on diary cards for 7 days following each of two injections (Days 0 and 14) All systemic reactions collected by subjects on diary cards were recorded as adverse events. Severity of systemic reactions was assessed using a grading scale based on FDA Guidance titled "Toxicity Grading Scale for Healthy Adult and Adolescent Volunteers Enrolled in Preventive Vaccine Clinical Trials." Toxicity grades for fever were derived from body temperature using the following scale: * Grade 0: \<100°F * Grade 1: 100.0 - 101.5°F * Grade 2: 101.6 - 102.9°F ; * Grade 3: 103.0 - 105.0°F For all other systemic reactions, the following scale was used: * Grade 0: not present * Grade 1: present with no limitation of activity * Grade 2: interfering with daily activities or requiring non-narcotic treatment * Grade 3: preventing normal daily activities or requiring narcotic analgesia

Outcome measures

Outcome measures
Measure
BioThrax
n=18 Participants
Participants between 18 and 50 years of age who received two doses of BioThrax (0.5 mL) intramuscularly (IM) on Days 0 and 14
AV7909 Formulation 1
n=18 Participants
Participants between 18 and 50 years of age who received two doses of AV7909 Formulation 1 (0.5 mL AVA + 0.5 mg CPG 7909; total volume 0.5 mL) IM on Days 0 and 14
AV7909 Formulation 2
n=17 Participants
Participants between 18 and 50 years of age who received two doses of AV7909 Formulation 2 (0.5 mL AVA + 0.25 mg CPG 7909; total volume 0.5 mL) IM on Days 0 and 14
AV7909 Formulation 3
n=19 Participants
Participants between 18 and 50 years of age who received two doses of AV7909 Formulation 3 (0.25 mL AVA + 0.5 mg CPG 7909; total volume 0.5 mL) IM on Days 0 and 14
AV7909 Formulation 4
n=18 Participants
Participants between 18 and 50 years of age who received two doses of AV7909 Formulation 4 (0.25 mL AVA + 0.25 mg CPG 7909; total volume 0.5 mL) IM on Days 0 and 14
Saline
n=15 Participants
Participants between 18 and 50 years of age who received two doses of saline placebo (0.5 mL) IM on Days 0 and 14
Male BioThrax
Male Participants between 18 and 50 years of age who received two doses of BioThrax (0.5 mL) intramuscularly (IM) on Days 0 and 14 Antibody titers were assessed in the immunogenicity population, which included subjects who received both vaccinations, had immunogenicity data within the allowable window, and had no protocol violations that could affect TNA values (n=100).
Male AV7909 Formulation 1
Male Participants between 18 and 50 years of age who received two doses of AV7909 Formulation 1 (0.5 mL AVA + 0.5 mg CPG 7909; total volume 0.5 mL) IM on Days 0 and 14 Antibody titers were assessed in the immunogenicity population, which included subjects who received both vaccinations, had immunogenicity data within the allowable window, and had no protocol violations that could affect TNA values (n=100).
Male AV7909 Formulation 2
Male Participants between 18 and 50 years of age who received two doses of AV7909 Formulation 2 (0.5 mL AVA + 0.25 mg CPG 7909; total volume 0.5 mL) IM on Days 0 and 14 Antibody titers were assessed in the immunogenicity population, which included subjects who received both vaccinations, had immunogenicity data within the allowable window, and had no protocol violations that could affect TNA values (n=100).
Male AV7909 Formulation 3
Male Participants between 18 and 50 years of age who received two doses of AV7909 Formulation 3 (0.25 mL AVA + 0.5 mg CPG 7909; total volume 0.5 mL) IM on Days 0 and 14 Antibody titers were assessed in the immunogenicity population, which included subjects who received both vaccinations, had immunogenicity data within the allowable window, and had no protocol violations that could affect TNA values (n=100).
Male AV7909 Formulation 4
Male Participants between 18 and 50 years of age who received two doses of AV7909 Formulation 4 (0.25 mL AVA + 0.25 mg CPG 7909; total volume 0.5 mL) IM on Days 0 and 14 Antibody titers were assessed in the immunogenicity population, which included subjects who received both vaccinations, had immunogenicity data within the allowable window, and had no protocol violations that could affect TNA values (n=100).
Male Saline
Male Participants between 18 and 50 years of age who received two doses of saline placebo (0.5 mL) IM on Days 0 and 14 Antibody titers were assessed in the immunogenicity population, which included subjects who received both vaccinations, had immunogenicity data within the allowable window, and had no protocol violations that could affect TNA values (n=100).
Female BioThrax
Female Participants between 18 and 50 years of age who received two doses of BioThrax (0.5 mL) intramuscularly (IM) on Days 0 and 14 Antibody titers were assessed in the immunogenicity population, which included subjects who received both vaccinations, had immunogenicity data within the allowable window, and had no protocol violations that could affect TNA values (n=100).
Female AV7909 Formulation 1
Female Participants between 18 and 50 years of age who received two doses of AV7909 Formulation 1 (0.5 mL AVA + 0.5 mg CPG 7909; total volume 0.5 mL) IM on Days 0 and 14 Antibody titers were assessed in the immunogenicity population, which included subjects who received both vaccinations, had immunogenicity data within the allowable window, and had no protocol violations that could affect TNA values (n=100).
Female AV7909 Formulation 2
Female Participants between 18 and 50 years of age who received two doses of AV7909 Formulation 2 (0.5 mL AVA + 0.25 mg CPG 7909; total volume 0.5 mL) IM on Days 0 and 14 Antibody titers were assessed in the immunogenicity population, which included subjects who received both vaccinations, had immunogenicity data within the allowable window, and had no protocol violations that could affect TNA values (n=100).
Female AV7909 Formulation 3
Female Participants between 18 and 50 years of age who received two doses of AV7909 Formulation 3 (0.25 mL AVA + 0.5 mg CPG 7909; total volume 0.5 mL) IM on Days 0 and 14 Antibody titers were assessed in the immunogenicity population, which included subjects who received both vaccinations, had immunogenicity data within the allowable window, and had no protocol violations that could affect TNA values (n=100).
Female AV7909 Formulation 4
Female Participants between 18 and 50 years of age who received two doses of AV7909 Formulation 4 (0.25 mL AVA + 0.25 mg CPG 7909; total volume 0.5 mL) IM on Days 0 and 14 Antibody titers were assessed in the immunogenicity population, which included subjects who received both vaccinations, had immunogenicity data within the allowable window, and had no protocol violations that could affect TNA values (n=100).
Female Saline
Female Participants between 18 and 50 years of age who received two doses of saline placebo (0.5 mL) IM on Days 0 and 14 Antibody titers were assessed in the immunogenicity population, which included subjects who received both vaccinations, had immunogenicity data within the allowable window, and had no protocol violations that could affect TNA values (n=100).
Percentage of Subjects With Systemic Reactions From Subject Diary Cards by Injection and Severity (Mild, Moderate or Severe) Following the Second Injection (Day 14)
Grade 1 Systemic Reaction
16.7 percentage of participants
44.14 percentage of participants
35.3 percentage of participants
10.5 percentage of participants
22.2 percentage of participants
6.7 percentage of participants
Percentage of Subjects With Systemic Reactions From Subject Diary Cards by Injection and Severity (Mild, Moderate or Severe) Following the Second Injection (Day 14)
Grade 2 Systemic Reactions
16.7 percentage of participants
27.8 percentage of participants
5.9 percentage of participants
10.5 percentage of participants
27.8 percentage of participants
6.7 percentage of participants
Percentage of Subjects With Systemic Reactions From Subject Diary Cards by Injection and Severity (Mild, Moderate or Severe) Following the Second Injection (Day 14)
Grade 3 Fatigue
0 percentage of participants
5.6 percentage of participants
0 percentage of participants
0 percentage of participants
0 percentage of participants
0 percentage of participants
Percentage of Subjects With Systemic Reactions From Subject Diary Cards by Injection and Severity (Mild, Moderate or Severe) Following the Second Injection (Day 14)
Grade 3 Muscle Ache
5.6 percentage of participants
5.6 percentage of participants
0 percentage of participants
0 percentage of participants
0 percentage of participants
0 percentage of participants
Percentage of Subjects With Systemic Reactions From Subject Diary Cards by Injection and Severity (Mild, Moderate or Severe) Following the Second Injection (Day 14)
Any Headache
27.8 percentage of participants
38.9 percentage of participants
17.6 percentage of participants
15.8 percentage of participants
38.9 percentage of participants
6.7 percentage of participants
Percentage of Subjects With Systemic Reactions From Subject Diary Cards by Injection and Severity (Mild, Moderate or Severe) Following the Second Injection (Day 14)
Any Nausea / GI Upset
5.6 percentage of participants
16.7 percentage of participants
0 percentage of participants
0 percentage of participants
16.7 percentage of participants
0 percentage of participants
Percentage of Subjects With Systemic Reactions From Subject Diary Cards by Injection and Severity (Mild, Moderate or Severe) Following the Second Injection (Day 14)
Any Systemic Reaction
38.9 percentage of participants
77.8 percentage of participants
41.2 percentage of participants
21.1 percentage of participants
50.0 percentage of participants
13.3 percentage of participants
Percentage of Subjects With Systemic Reactions From Subject Diary Cards by Injection and Severity (Mild, Moderate or Severe) Following the Second Injection (Day 14)
Grade 3 Systemic Reaction
5.6 percentage of participants
5.6 percentage of participants
0 percentage of participants
0 percentage of participants
0 percentage of participants
0 percentage of participants
Percentage of Subjects With Systemic Reactions From Subject Diary Cards by Injection and Severity (Mild, Moderate or Severe) Following the Second Injection (Day 14)
Any Fever
0 percentage of participants
0 percentage of participants
0 percentage of participants
0 percentage of participants
5.6 percentage of participants
0 percentage of participants
Percentage of Subjects With Systemic Reactions From Subject Diary Cards by Injection and Severity (Mild, Moderate or Severe) Following the Second Injection (Day 14)
Grade 1 Fever
0 percentage of participants
0 percentage of participants
0 percentage of participants
0 percentage of participants
5.6 percentage of participants
0 percentage of participants
Percentage of Subjects With Systemic Reactions From Subject Diary Cards by Injection and Severity (Mild, Moderate or Severe) Following the Second Injection (Day 14)
Any Fatigue
22.2 percentage of participants
44.4 percentage of participants
23.5 percentage of participants
15.8 percentage of participants
38.9 percentage of participants
6.7 percentage of participants
Percentage of Subjects With Systemic Reactions From Subject Diary Cards by Injection and Severity (Mild, Moderate or Severe) Following the Second Injection (Day 14)
Grade 1 Fatigue
16.7 percentage of participants
27.8 percentage of participants
17.6 percentage of participants
5.3 percentage of participants
22.2 percentage of participants
6.7 percentage of participants
Percentage of Subjects With Systemic Reactions From Subject Diary Cards by Injection and Severity (Mild, Moderate or Severe) Following the Second Injection (Day 14)
Grade 2 Fatigue
5.6 percentage of participants
11.1 percentage of participants
5.9 percentage of participants
10.5 percentage of participants
16.7 percentage of participants
0 percentage of participants
Percentage of Subjects With Systemic Reactions From Subject Diary Cards by Injection and Severity (Mild, Moderate or Severe) Following the Second Injection (Day 14)
Any Muscle Ache
27.8 percentage of participants
50.0 percentage of participants
17.6 percentage of participants
10.5 percentage of participants
38.9 percentage of participants
0 percentage of participants
Percentage of Subjects With Systemic Reactions From Subject Diary Cards by Injection and Severity (Mild, Moderate or Severe) Following the Second Injection (Day 14)
Grade 1 Muscle Ache
16.7 percentage of participants
27.8 percentage of participants
11.8 percentage of participants
5.3 percentage of participants
22.2 percentage of participants
0 percentage of participants
Percentage of Subjects With Systemic Reactions From Subject Diary Cards by Injection and Severity (Mild, Moderate or Severe) Following the Second Injection (Day 14)
Grade 2 Muscle Ache
5.6 percentage of participants
16.7 percentage of participants
5.9 percentage of participants
5.3 percentage of participants
16.7 percentage of participants
0 percentage of participants
Percentage of Subjects With Systemic Reactions From Subject Diary Cards by Injection and Severity (Mild, Moderate or Severe) Following the Second Injection (Day 14)
Grade 1 Headache
11.1 percentage of participants
27.8 percentage of participants
17.6 percentage of participants
10.5 percentage of participants
16.7 percentage of participants
0 percentage of participants
Percentage of Subjects With Systemic Reactions From Subject Diary Cards by Injection and Severity (Mild, Moderate or Severe) Following the Second Injection (Day 14)
Grade 2 Headache
11.1 percentage of participants
11.1 percentage of participants
0 percentage of participants
5.3 percentage of participants
22.2 percentage of participants
6.7 percentage of participants
Percentage of Subjects With Systemic Reactions From Subject Diary Cards by Injection and Severity (Mild, Moderate or Severe) Following the Second Injection (Day 14)
Grade 3 Headache
5.6 percentage of participants
0 percentage of participants
0 percentage of participants
0 percentage of participants
0 percentage of participants
0 percentage of participants
Percentage of Subjects With Systemic Reactions From Subject Diary Cards by Injection and Severity (Mild, Moderate or Severe) Following the Second Injection (Day 14)
Grade 1 Nausea / GI Upset
5.6 percentage of participants
11.1 percentage of participants
0 percentage of participants
0 percentage of participants
11.1 percentage of participants
0 percentage of participants
Percentage of Subjects With Systemic Reactions From Subject Diary Cards by Injection and Severity (Mild, Moderate or Severe) Following the Second Injection (Day 14)
Grade 2 Nausea / GI Upset
0 percentage of participants
5.6 percentage of participants
0 percentage of participants
0 percentage of participants
5.6 percentage of participants
0 percentage of participants

PRIMARY outcome

Timeframe: Days 0-56

Hematology test included hemoglobin, hematocrit, white blood cell count, absolute lymphocyte count, absolute neutrophil count, absolute eosinophil count, and platelet count. Serum chemistry test included albumin, alkaline phosphatase, total bilirubin, blood urea nitrogen, creatinine, glucose, calcium, potassium, alanine aminotransferase, aspartate aminotransferase, and lactate dehydrogenase. Urinalysis included appearance, color, pH, specific gravity, ketones, protein, glucose, bilirubin, nitrite, urobilinogen, and occult blood. Hematology tests were done on Days 0, 1, 2, 7, 28, and 56. Serum chemistry tests and urinalysis were done on Days 0, 7, 28, and 56.

Outcome measures

Outcome measures
Measure
BioThrax
n=18 Participants
Participants between 18 and 50 years of age who received two doses of BioThrax (0.5 mL) intramuscularly (IM) on Days 0 and 14
AV7909 Formulation 1
n=18 Participants
Participants between 18 and 50 years of age who received two doses of AV7909 Formulation 1 (0.5 mL AVA + 0.5 mg CPG 7909; total volume 0.5 mL) IM on Days 0 and 14
AV7909 Formulation 2
n=17 Participants
Participants between 18 and 50 years of age who received two doses of AV7909 Formulation 2 (0.5 mL AVA + 0.25 mg CPG 7909; total volume 0.5 mL) IM on Days 0 and 14
AV7909 Formulation 3
n=19 Participants
Participants between 18 and 50 years of age who received two doses of AV7909 Formulation 3 (0.25 mL AVA + 0.5 mg CPG 7909; total volume 0.5 mL) IM on Days 0 and 14
AV7909 Formulation 4
n=18 Participants
Participants between 18 and 50 years of age who received two doses of AV7909 Formulation 4 (0.25 mL AVA + 0.25 mg CPG 7909; total volume 0.5 mL) IM on Days 0 and 14
Saline
n=15 Participants
Participants between 18 and 50 years of age who received two doses of saline placebo (0.5 mL) IM on Days 0 and 14
Male BioThrax
Male Participants between 18 and 50 years of age who received two doses of BioThrax (0.5 mL) intramuscularly (IM) on Days 0 and 14 Antibody titers were assessed in the immunogenicity population, which included subjects who received both vaccinations, had immunogenicity data within the allowable window, and had no protocol violations that could affect TNA values (n=100).
Male AV7909 Formulation 1
Male Participants between 18 and 50 years of age who received two doses of AV7909 Formulation 1 (0.5 mL AVA + 0.5 mg CPG 7909; total volume 0.5 mL) IM on Days 0 and 14 Antibody titers were assessed in the immunogenicity population, which included subjects who received both vaccinations, had immunogenicity data within the allowable window, and had no protocol violations that could affect TNA values (n=100).
Male AV7909 Formulation 2
Male Participants between 18 and 50 years of age who received two doses of AV7909 Formulation 2 (0.5 mL AVA + 0.25 mg CPG 7909; total volume 0.5 mL) IM on Days 0 and 14 Antibody titers were assessed in the immunogenicity population, which included subjects who received both vaccinations, had immunogenicity data within the allowable window, and had no protocol violations that could affect TNA values (n=100).
Male AV7909 Formulation 3
Male Participants between 18 and 50 years of age who received two doses of AV7909 Formulation 3 (0.25 mL AVA + 0.5 mg CPG 7909; total volume 0.5 mL) IM on Days 0 and 14 Antibody titers were assessed in the immunogenicity population, which included subjects who received both vaccinations, had immunogenicity data within the allowable window, and had no protocol violations that could affect TNA values (n=100).
Male AV7909 Formulation 4
Male Participants between 18 and 50 years of age who received two doses of AV7909 Formulation 4 (0.25 mL AVA + 0.25 mg CPG 7909; total volume 0.5 mL) IM on Days 0 and 14 Antibody titers were assessed in the immunogenicity population, which included subjects who received both vaccinations, had immunogenicity data within the allowable window, and had no protocol violations that could affect TNA values (n=100).
Male Saline
Male Participants between 18 and 50 years of age who received two doses of saline placebo (0.5 mL) IM on Days 0 and 14 Antibody titers were assessed in the immunogenicity population, which included subjects who received both vaccinations, had immunogenicity data within the allowable window, and had no protocol violations that could affect TNA values (n=100).
Female BioThrax
Female Participants between 18 and 50 years of age who received two doses of BioThrax (0.5 mL) intramuscularly (IM) on Days 0 and 14 Antibody titers were assessed in the immunogenicity population, which included subjects who received both vaccinations, had immunogenicity data within the allowable window, and had no protocol violations that could affect TNA values (n=100).
Female AV7909 Formulation 1
Female Participants between 18 and 50 years of age who received two doses of AV7909 Formulation 1 (0.5 mL AVA + 0.5 mg CPG 7909; total volume 0.5 mL) IM on Days 0 and 14 Antibody titers were assessed in the immunogenicity population, which included subjects who received both vaccinations, had immunogenicity data within the allowable window, and had no protocol violations that could affect TNA values (n=100).
Female AV7909 Formulation 2
Female Participants between 18 and 50 years of age who received two doses of AV7909 Formulation 2 (0.5 mL AVA + 0.25 mg CPG 7909; total volume 0.5 mL) IM on Days 0 and 14 Antibody titers were assessed in the immunogenicity population, which included subjects who received both vaccinations, had immunogenicity data within the allowable window, and had no protocol violations that could affect TNA values (n=100).
Female AV7909 Formulation 3
Female Participants between 18 and 50 years of age who received two doses of AV7909 Formulation 3 (0.25 mL AVA + 0.5 mg CPG 7909; total volume 0.5 mL) IM on Days 0 and 14 Antibody titers were assessed in the immunogenicity population, which included subjects who received both vaccinations, had immunogenicity data within the allowable window, and had no protocol violations that could affect TNA values (n=100).
Female AV7909 Formulation 4
Female Participants between 18 and 50 years of age who received two doses of AV7909 Formulation 4 (0.25 mL AVA + 0.25 mg CPG 7909; total volume 0.5 mL) IM on Days 0 and 14 Antibody titers were assessed in the immunogenicity population, which included subjects who received both vaccinations, had immunogenicity data within the allowable window, and had no protocol violations that could affect TNA values (n=100).
Female Saline
Female Participants between 18 and 50 years of age who received two doses of saline placebo (0.5 mL) IM on Days 0 and 14 Antibody titers were assessed in the immunogenicity population, which included subjects who received both vaccinations, had immunogenicity data within the allowable window, and had no protocol violations that could affect TNA values (n=100).
Incidence of Hematology, Serum Chemistry, and Urinalysis Abnormalities Reported as Adverse Events
Alanine aminotransferase increased
0 participants
0 participants
1 participants
0 participants
1 participants
1 participants
Incidence of Hematology, Serum Chemistry, and Urinalysis Abnormalities Reported as Adverse Events
Blood urea increased
0 participants
1 participants
0 participants
0 participants
0 participants
0 participants
Incidence of Hematology, Serum Chemistry, and Urinalysis Abnormalities Reported as Adverse Events
White blood cell count increased
0 participants
1 participants
0 participants
0 participants
0 participants
0 participants
Incidence of Hematology, Serum Chemistry, and Urinalysis Abnormalities Reported as Adverse Events
Aspartate aminotransferase increased
0 participants
0 participants
0 participants
0 participants
2 participants
0 participants
Incidence of Hematology, Serum Chemistry, and Urinalysis Abnormalities Reported as Adverse Events
Blood creatinine increased
0 participants
0 participants
1 participants
0 participants
0 participants
0 participants
Incidence of Hematology, Serum Chemistry, and Urinalysis Abnormalities Reported as Adverse Events
Blood lactate dehydrogenase increased
0 participants
0 participants
0 participants
0 participants
0 participants
1 participants
Incidence of Hematology, Serum Chemistry, and Urinalysis Abnormalities Reported as Adverse Events
Hepatic enzyme increased
0 participants
0 participants
0 participants
0 participants
0 participants
1 participants
Incidence of Hematology, Serum Chemistry, and Urinalysis Abnormalities Reported as Adverse Events
Hyperkalemia
0 participants
1 participants
0 participants
0 participants
0 participants
0 participants
Incidence of Hematology, Serum Chemistry, and Urinalysis Abnormalities Reported as Adverse Events
Hypoglycemia
0 participants
1 participants
0 participants
2 participants
0 participants
0 participants
Incidence of Hematology, Serum Chemistry, and Urinalysis Abnormalities Reported as Adverse Events
Hypokalemia
0 participants
0 participants
1 participants
1 participants
0 participants
0 participants
Incidence of Hematology, Serum Chemistry, and Urinalysis Abnormalities Reported as Adverse Events
Hypomagnesemia
0 participants
0 participants
0 participants
1 participants
0 participants
0 participants
Incidence of Hematology, Serum Chemistry, and Urinalysis Abnormalities Reported as Adverse Events
Lymphocyte count decreased
0 participants
6 participants
3 participants
1 participants
4 participants
0 participants
Incidence of Hematology, Serum Chemistry, and Urinalysis Abnormalities Reported as Adverse Events
Neutropenia
1 participants
1 participants
0 participants
0 participants
0 participants
0 participants
Incidence of Hematology, Serum Chemistry, and Urinalysis Abnormalities Reported as Adverse Events
Neutrophil count decreased
0 participants
1 participants
0 participants
0 participants
0 participants
0 participants
Incidence of Hematology, Serum Chemistry, and Urinalysis Abnormalities Reported as Adverse Events
Protein urine
0 participants
1 participants
0 participants
1 participants
1 participants
1 participants
Incidence of Hematology, Serum Chemistry, and Urinalysis Abnormalities Reported as Adverse Events
Red blood cells urine positive
0 participants
0 participants
1 participants
0 participants
0 participants
0 participants
Incidence of Hematology, Serum Chemistry, and Urinalysis Abnormalities Reported as Adverse Events
White blood cell count decreased
2 participants
5 participants
4 participants
0 participants
2 participants
1 participants
Incidence of Hematology, Serum Chemistry, and Urinalysis Abnormalities Reported as Adverse Events
White blood cells urine positive
0 participants
0 participants
1 participants
0 participants
0 participants
0 participants

PRIMARY outcome

Timeframe: Days 0-56

Hematology test included hemoglobin, hematocrit, white blood cell count, absolute lymphocyte count, absolute neutrophil count, absolute eosinophil count, and platelet count. Serum chemistry test included albumin, alkaline phosphatase, total bilirubin, blood urea nitrogen, creatinine, glucose, calcium, potassium, alanine aminotransferase, aspartate aminotransferase, and lactate dehydrogenase. Urinalysis included appearance, color, pH, specific gravity, ketones, protein, glucose, bilirubin, nitrite, urobilinogen, and occult blood. Hematology tests were done on Days 0, 1, 2, 7, 28, and 56. Serum chemistry tests and urinalysis were done on Days 0, 7, 28, and 56.

Outcome measures

Outcome measures
Measure
BioThrax
n=18 Participants
Participants between 18 and 50 years of age who received two doses of BioThrax (0.5 mL) intramuscularly (IM) on Days 0 and 14
AV7909 Formulation 1
n=18 Participants
Participants between 18 and 50 years of age who received two doses of AV7909 Formulation 1 (0.5 mL AVA + 0.5 mg CPG 7909; total volume 0.5 mL) IM on Days 0 and 14
AV7909 Formulation 2
n=17 Participants
Participants between 18 and 50 years of age who received two doses of AV7909 Formulation 2 (0.5 mL AVA + 0.25 mg CPG 7909; total volume 0.5 mL) IM on Days 0 and 14
AV7909 Formulation 3
n=19 Participants
Participants between 18 and 50 years of age who received two doses of AV7909 Formulation 3 (0.25 mL AVA + 0.5 mg CPG 7909; total volume 0.5 mL) IM on Days 0 and 14
AV7909 Formulation 4
n=18 Participants
Participants between 18 and 50 years of age who received two doses of AV7909 Formulation 4 (0.25 mL AVA + 0.25 mg CPG 7909; total volume 0.5 mL) IM on Days 0 and 14
Saline
n=15 Participants
Participants between 18 and 50 years of age who received two doses of saline placebo (0.5 mL) IM on Days 0 and 14
Male BioThrax
Male Participants between 18 and 50 years of age who received two doses of BioThrax (0.5 mL) intramuscularly (IM) on Days 0 and 14 Antibody titers were assessed in the immunogenicity population, which included subjects who received both vaccinations, had immunogenicity data within the allowable window, and had no protocol violations that could affect TNA values (n=100).
Male AV7909 Formulation 1
Male Participants between 18 and 50 years of age who received two doses of AV7909 Formulation 1 (0.5 mL AVA + 0.5 mg CPG 7909; total volume 0.5 mL) IM on Days 0 and 14 Antibody titers were assessed in the immunogenicity population, which included subjects who received both vaccinations, had immunogenicity data within the allowable window, and had no protocol violations that could affect TNA values (n=100).
Male AV7909 Formulation 2
Male Participants between 18 and 50 years of age who received two doses of AV7909 Formulation 2 (0.5 mL AVA + 0.25 mg CPG 7909; total volume 0.5 mL) IM on Days 0 and 14 Antibody titers were assessed in the immunogenicity population, which included subjects who received both vaccinations, had immunogenicity data within the allowable window, and had no protocol violations that could affect TNA values (n=100).
Male AV7909 Formulation 3
Male Participants between 18 and 50 years of age who received two doses of AV7909 Formulation 3 (0.25 mL AVA + 0.5 mg CPG 7909; total volume 0.5 mL) IM on Days 0 and 14 Antibody titers were assessed in the immunogenicity population, which included subjects who received both vaccinations, had immunogenicity data within the allowable window, and had no protocol violations that could affect TNA values (n=100).
Male AV7909 Formulation 4
Male Participants between 18 and 50 years of age who received two doses of AV7909 Formulation 4 (0.25 mL AVA + 0.25 mg CPG 7909; total volume 0.5 mL) IM on Days 0 and 14 Antibody titers were assessed in the immunogenicity population, which included subjects who received both vaccinations, had immunogenicity data within the allowable window, and had no protocol violations that could affect TNA values (n=100).
Male Saline
Male Participants between 18 and 50 years of age who received two doses of saline placebo (0.5 mL) IM on Days 0 and 14 Antibody titers were assessed in the immunogenicity population, which included subjects who received both vaccinations, had immunogenicity data within the allowable window, and had no protocol violations that could affect TNA values (n=100).
Female BioThrax
Female Participants between 18 and 50 years of age who received two doses of BioThrax (0.5 mL) intramuscularly (IM) on Days 0 and 14 Antibody titers were assessed in the immunogenicity population, which included subjects who received both vaccinations, had immunogenicity data within the allowable window, and had no protocol violations that could affect TNA values (n=100).
Female AV7909 Formulation 1
Female Participants between 18 and 50 years of age who received two doses of AV7909 Formulation 1 (0.5 mL AVA + 0.5 mg CPG 7909; total volume 0.5 mL) IM on Days 0 and 14 Antibody titers were assessed in the immunogenicity population, which included subjects who received both vaccinations, had immunogenicity data within the allowable window, and had no protocol violations that could affect TNA values (n=100).
Female AV7909 Formulation 2
Female Participants between 18 and 50 years of age who received two doses of AV7909 Formulation 2 (0.5 mL AVA + 0.25 mg CPG 7909; total volume 0.5 mL) IM on Days 0 and 14 Antibody titers were assessed in the immunogenicity population, which included subjects who received both vaccinations, had immunogenicity data within the allowable window, and had no protocol violations that could affect TNA values (n=100).
Female AV7909 Formulation 3
Female Participants between 18 and 50 years of age who received two doses of AV7909 Formulation 3 (0.25 mL AVA + 0.5 mg CPG 7909; total volume 0.5 mL) IM on Days 0 and 14 Antibody titers were assessed in the immunogenicity population, which included subjects who received both vaccinations, had immunogenicity data within the allowable window, and had no protocol violations that could affect TNA values (n=100).
Female AV7909 Formulation 4
Female Participants between 18 and 50 years of age who received two doses of AV7909 Formulation 4 (0.25 mL AVA + 0.25 mg CPG 7909; total volume 0.5 mL) IM on Days 0 and 14 Antibody titers were assessed in the immunogenicity population, which included subjects who received both vaccinations, had immunogenicity data within the allowable window, and had no protocol violations that could affect TNA values (n=100).
Female Saline
Female Participants between 18 and 50 years of age who received two doses of saline placebo (0.5 mL) IM on Days 0 and 14 Antibody titers were assessed in the immunogenicity population, which included subjects who received both vaccinations, had immunogenicity data within the allowable window, and had no protocol violations that could affect TNA values (n=100).
Percentage of Subjects With Hematology, Serum Chemistry, and Urinalysis Abnormalities Reported as Adverse Events
Hypokalemia
0 percentage of participants
0 percentage of participants
5.9 percentage of participants
5.3 percentage of participants
0 percentage of participants
0 percentage of participants
Percentage of Subjects With Hematology, Serum Chemistry, and Urinalysis Abnormalities Reported as Adverse Events
Alanine aminotransferase increased
0 percentage of participants
0 percentage of participants
5.9 percentage of participants
0 percentage of participants
5.6 percentage of participants
6.7 percentage of participants
Percentage of Subjects With Hematology, Serum Chemistry, and Urinalysis Abnormalities Reported as Adverse Events
Hepatic enzyme increased
0 percentage of participants
0 percentage of participants
0 percentage of participants
0 percentage of participants
0 percentage of participants
6.7 percentage of participants
Percentage of Subjects With Hematology, Serum Chemistry, and Urinalysis Abnormalities Reported as Adverse Events
Hyperkalemia
0 percentage of participants
5.6 percentage of participants
0 percentage of participants
0 percentage of participants
0 percentage of participants
0 percentage of participants
Percentage of Subjects With Hematology, Serum Chemistry, and Urinalysis Abnormalities Reported as Adverse Events
Hypoglycemia
0 percentage of participants
5.6 percentage of participants
0 percentage of participants
10.5 percentage of participants
0 percentage of participants
0 percentage of participants
Percentage of Subjects With Hematology, Serum Chemistry, and Urinalysis Abnormalities Reported as Adverse Events
Neutropenia
5.6 percentage of participants
5.6 percentage of participants
0 percentage of participants
0 percentage of participants
0 percentage of participants
0 percentage of participants
Percentage of Subjects With Hematology, Serum Chemistry, and Urinalysis Abnormalities Reported as Adverse Events
Protein urine
0 percentage of participants
5.6 percentage of participants
0 percentage of participants
5.3 percentage of participants
5.6 percentage of participants
6.7 percentage of participants
Percentage of Subjects With Hematology, Serum Chemistry, and Urinalysis Abnormalities Reported as Adverse Events
Aspartate aminotransferase increased
0 percentage of participants
0 percentage of participants
0 percentage of participants
0 percentage of participants
11.1 percentage of participants
0 percentage of participants
Percentage of Subjects With Hematology, Serum Chemistry, and Urinalysis Abnormalities Reported as Adverse Events
Blood creatinine increased
0 percentage of participants
0 percentage of participants
5.9 percentage of participants
0 percentage of participants
0 percentage of participants
0 percentage of participants
Percentage of Subjects With Hematology, Serum Chemistry, and Urinalysis Abnormalities Reported as Adverse Events
Blood lactate dehydrogenase increased
0 percentage of participants
0 percentage of participants
0 percentage of participants
0 percentage of participants
0 percentage of participants
6.7 percentage of participants
Percentage of Subjects With Hematology, Serum Chemistry, and Urinalysis Abnormalities Reported as Adverse Events
Blood urea increased
0 percentage of participants
5.6 percentage of participants
0 percentage of participants
0 percentage of participants
0 percentage of participants
0 percentage of participants
Percentage of Subjects With Hematology, Serum Chemistry, and Urinalysis Abnormalities Reported as Adverse Events
Hypomagnesemia
0 percentage of participants
0 percentage of participants
0 percentage of participants
5.3 percentage of participants
0 percentage of participants
0 percentage of participants
Percentage of Subjects With Hematology, Serum Chemistry, and Urinalysis Abnormalities Reported as Adverse Events
Lymphocyte count decreased
0 percentage of participants
33.3 percentage of participants
17.6 percentage of participants
5.3 percentage of participants
22.2 percentage of participants
0 percentage of participants
Percentage of Subjects With Hematology, Serum Chemistry, and Urinalysis Abnormalities Reported as Adverse Events
Neutrophil count decreased
0 percentage of participants
5.6 percentage of participants
0 percentage of participants
0 percentage of participants
0 percentage of participants
0 percentage of participants
Percentage of Subjects With Hematology, Serum Chemistry, and Urinalysis Abnormalities Reported as Adverse Events
Red blood cells urine positive
0 percentage of participants
0 percentage of participants
5.9 percentage of participants
0 percentage of participants
0 percentage of participants
0 percentage of participants
Percentage of Subjects With Hematology, Serum Chemistry, and Urinalysis Abnormalities Reported as Adverse Events
White blood cell count decreased
11.1 percentage of participants
27.8 percentage of participants
23.5 percentage of participants
0 percentage of participants
11.1 percentage of participants
6.7 percentage of participants
Percentage of Subjects With Hematology, Serum Chemistry, and Urinalysis Abnormalities Reported as Adverse Events
White blood cell count increased
0 percentage of participants
5.6 percentage of participants
0 percentage of participants
0 percentage of participants
0 percentage of participants
0 percentage of participants
Percentage of Subjects With Hematology, Serum Chemistry, and Urinalysis Abnormalities Reported as Adverse Events
White blood cells urine positive
0 percentage of participants
0 percentage of participants
5.9 percentage of participants
0 percentage of participants
0 percentage of participants
0 percentage of participants

SECONDARY outcome

Timeframe: Day 0 (pre-dose), 7, 14 (pre-dose), 21, 28, 35, 42, 56, 70, and 84.

Population: Participants 18 and 50 years of age who received two doses of saline placebo (0.5 mL) IM on Days 0 and 14 Antibody titers were assessed in the immunogenicity population, which included subjects who received both vaccinations, had immunogenicity data within the allowable window, and had no protocol violations that could affect TNA values (n=100).

Toxin neutralizing antibody (TNA) levels in blinded serum samples were measured using a validated anthrax lethal toxin neutralization assay. The primary assay endpoint was the 50% neutralization factor (TNA NF50). TNA NF50 is calculated as the ratio of the 50% effective dose (ED50) of the test sample to the ED50 of a reference serum. Values below the lower limit of quantitation (LLOQ) of the assay (ED50 of 33) were replaced with one-half the LLOQ (ED50 of 16.5) for calculation of geometric mean titer (GMT) and statistical analysis. GMT is based on log transformation.

Outcome measures

Outcome measures
Measure
BioThrax
n=16 Participants
Participants between 18 and 50 years of age who received two doses of BioThrax (0.5 mL) intramuscularly (IM) on Days 0 and 14
AV7909 Formulation 1
n=17 Participants
Participants between 18 and 50 years of age who received two doses of AV7909 Formulation 1 (0.5 mL AVA + 0.5 mg CPG 7909; total volume 0.5 mL) IM on Days 0 and 14
AV7909 Formulation 2
n=16 Participants
Participants between 18 and 50 years of age who received two doses of AV7909 Formulation 2 (0.5 mL AVA + 0.25 mg CPG 7909; total volume 0.5 mL) IM on Days 0 and 14
AV7909 Formulation 3
n=18 Participants
Participants between 18 and 50 years of age who received two doses of AV7909 Formulation 3 (0.25 mL AVA + 0.5 mg CPG 7909; total volume 0.5 mL) IM on Days 0 and 14
AV7909 Formulation 4
n=18 Participants
Participants between 18 and 50 years of age who received two doses of AV7909 Formulation 4 (0.25 mL AVA + 0.25 mg CPG 7909; total volume 0.5 mL) IM on Days 0 and 14
Saline
n=15 Participants
Participants between 18 and 50 years of age who received two doses of saline placebo (0.5 mL) IM on Days 0 and 14
Male BioThrax
n=8 Participants
Male Participants between 18 and 50 years of age who received two doses of BioThrax (0.5 mL) intramuscularly (IM) on Days 0 and 14 Antibody titers were assessed in the immunogenicity population, which included subjects who received both vaccinations, had immunogenicity data within the allowable window, and had no protocol violations that could affect TNA values (n=100).
Male AV7909 Formulation 1
n=9 Participants
Male Participants between 18 and 50 years of age who received two doses of AV7909 Formulation 1 (0.5 mL AVA + 0.5 mg CPG 7909; total volume 0.5 mL) IM on Days 0 and 14 Antibody titers were assessed in the immunogenicity population, which included subjects who received both vaccinations, had immunogenicity data within the allowable window, and had no protocol violations that could affect TNA values (n=100).
Male AV7909 Formulation 2
n=8 Participants
Male Participants between 18 and 50 years of age who received two doses of AV7909 Formulation 2 (0.5 mL AVA + 0.25 mg CPG 7909; total volume 0.5 mL) IM on Days 0 and 14 Antibody titers were assessed in the immunogenicity population, which included subjects who received both vaccinations, had immunogenicity data within the allowable window, and had no protocol violations that could affect TNA values (n=100).
Male AV7909 Formulation 3
n=8 Participants
Male Participants between 18 and 50 years of age who received two doses of AV7909 Formulation 3 (0.25 mL AVA + 0.5 mg CPG 7909; total volume 0.5 mL) IM on Days 0 and 14 Antibody titers were assessed in the immunogenicity population, which included subjects who received both vaccinations, had immunogenicity data within the allowable window, and had no protocol violations that could affect TNA values (n=100).
Male AV7909 Formulation 4
n=9 Participants
Male Participants between 18 and 50 years of age who received two doses of AV7909 Formulation 4 (0.25 mL AVA + 0.25 mg CPG 7909; total volume 0.5 mL) IM on Days 0 and 14 Antibody titers were assessed in the immunogenicity population, which included subjects who received both vaccinations, had immunogenicity data within the allowable window, and had no protocol violations that could affect TNA values (n=100).
Male Saline
n=7 Participants
Male Participants between 18 and 50 years of age who received two doses of saline placebo (0.5 mL) IM on Days 0 and 14 Antibody titers were assessed in the immunogenicity population, which included subjects who received both vaccinations, had immunogenicity data within the allowable window, and had no protocol violations that could affect TNA values (n=100).
Female BioThrax
n=8 Participants
Female Participants between 18 and 50 years of age who received two doses of BioThrax (0.5 mL) intramuscularly (IM) on Days 0 and 14 Antibody titers were assessed in the immunogenicity population, which included subjects who received both vaccinations, had immunogenicity data within the allowable window, and had no protocol violations that could affect TNA values (n=100).
Female AV7909 Formulation 1
n=8 Participants
Female Participants between 18 and 50 years of age who received two doses of AV7909 Formulation 1 (0.5 mL AVA + 0.5 mg CPG 7909; total volume 0.5 mL) IM on Days 0 and 14 Antibody titers were assessed in the immunogenicity population, which included subjects who received both vaccinations, had immunogenicity data within the allowable window, and had no protocol violations that could affect TNA values (n=100).
Female AV7909 Formulation 2
n=8 Participants
Female Participants between 18 and 50 years of age who received two doses of AV7909 Formulation 2 (0.5 mL AVA + 0.25 mg CPG 7909; total volume 0.5 mL) IM on Days 0 and 14 Antibody titers were assessed in the immunogenicity population, which included subjects who received both vaccinations, had immunogenicity data within the allowable window, and had no protocol violations that could affect TNA values (n=100).
Female AV7909 Formulation 3
n=10 Participants
Female Participants between 18 and 50 years of age who received two doses of AV7909 Formulation 3 (0.25 mL AVA + 0.5 mg CPG 7909; total volume 0.5 mL) IM on Days 0 and 14 Antibody titers were assessed in the immunogenicity population, which included subjects who received both vaccinations, had immunogenicity data within the allowable window, and had no protocol violations that could affect TNA values (n=100).
Female AV7909 Formulation 4
n=9 Participants
Female Participants between 18 and 50 years of age who received two doses of AV7909 Formulation 4 (0.25 mL AVA + 0.25 mg CPG 7909; total volume 0.5 mL) IM on Days 0 and 14 Antibody titers were assessed in the immunogenicity population, which included subjects who received both vaccinations, had immunogenicity data within the allowable window, and had no protocol violations that could affect TNA values (n=100).
Female Saline
n=8 Participants
Female Participants between 18 and 50 years of age who received two doses of saline placebo (0.5 mL) IM on Days 0 and 14 Antibody titers were assessed in the immunogenicity population, which included subjects who received both vaccinations, had immunogenicity data within the allowable window, and had no protocol violations that could affect TNA values (n=100).
Peak TNA NF50 GMT for All Subjects in the Immunogenicity Population and by Gender After IM Administration of Investigational Product on Days 0 and 14.
0.15 geometric mean titer
Interval 0.07 to 0.3
3.40 geometric mean titer
Interval 2.33 to 4.94
4.02 geometric mean titer
Interval 2.46 to 6.57
2.81 geometric mean titer
Interval 1.5 to 5.26
1.93 geometric mean titer
Interval 0.85 to 4.43
0.04 geometric mean titer
Interval 0.02 to 0.08
0.19 geometric mean titer
Interval 0.06 to 0.62
3.44 geometric mean titer
Interval 1.84 to 6.43
4.19 geometric mean titer
Interval 2.19 to 7.98
2.99 geometric mean titer
Interval 1.32 to 6.78
2.45 geometric mean titer
Interval 0.54 to 11.12
0.03 geometric mean titer
All values were equal and below the lower limit of quantitation
0.11 geometric mean titer
Interval 0.04 to 0.36
3.35 geometric mean titer
Interval 1.91 to 5.88
3.87 geometric mean titer
Interval 1.54 to 9.71
2.68 geometric mean titer
Interval 0.92 to 7.8
1.53 geometric mean titer
Interval 0.53 to 4.39
0.06 geometric mean titer
Interval 0.01 to 0.21

SECONDARY outcome

Timeframe: Day 0 (pre-dose), 7, 14 (pre-dose), 21, 28, 35, 42, 56, 70, and 84.

Population: Participants 18 and 50 years of age who received two doses of saline placebo (0.5 mL) IM on Days 0 and 14 Antibody titers were assessed in the immunogenicity population, which included subjects who received both vaccinations, had immunogenicity data within the allowable window, and had no protocol violations that could affect TNA values (n=100).

Toxin neutralizing antibody (TNA) levels in blinded serum samples were measured using a validated anthrax lethal toxin neutralization assay. The primary assay endpoint was the 50% neutralization factor (TNA NF50). TNA NF50 is calculated as the ratio of the 50% effective dose (ED50) of the test sample to the ED50 of a reference serum. Values below the LLOQ of the assay (ED50 of 33) were replaced with one-half the LLOQ (ED50 of 16.5) for calculation of geometric mean titer (GMT) and statistical analysis. GMT is based on log transformation.

Outcome measures

Outcome measures
Measure
BioThrax
n=16 Participants
Participants between 18 and 50 years of age who received two doses of BioThrax (0.5 mL) intramuscularly (IM) on Days 0 and 14
AV7909 Formulation 1
n=17 Participants
Participants between 18 and 50 years of age who received two doses of AV7909 Formulation 1 (0.5 mL AVA + 0.5 mg CPG 7909; total volume 0.5 mL) IM on Days 0 and 14
AV7909 Formulation 2
n=16 Participants
Participants between 18 and 50 years of age who received two doses of AV7909 Formulation 2 (0.5 mL AVA + 0.25 mg CPG 7909; total volume 0.5 mL) IM on Days 0 and 14
AV7909 Formulation 3
n=18 Participants
Participants between 18 and 50 years of age who received two doses of AV7909 Formulation 3 (0.25 mL AVA + 0.5 mg CPG 7909; total volume 0.5 mL) IM on Days 0 and 14
AV7909 Formulation 4
n=18 Participants
Participants between 18 and 50 years of age who received two doses of AV7909 Formulation 4 (0.25 mL AVA + 0.25 mg CPG 7909; total volume 0.5 mL) IM on Days 0 and 14
Saline
n=15 Participants
Participants between 18 and 50 years of age who received two doses of saline placebo (0.5 mL) IM on Days 0 and 14
Male BioThrax
n=8 Participants
Male Participants between 18 and 50 years of age who received two doses of BioThrax (0.5 mL) intramuscularly (IM) on Days 0 and 14 Antibody titers were assessed in the immunogenicity population, which included subjects who received both vaccinations, had immunogenicity data within the allowable window, and had no protocol violations that could affect TNA values (n=100).
Male AV7909 Formulation 1
n=9 Participants
Male Participants between 18 and 50 years of age who received two doses of AV7909 Formulation 1 (0.5 mL AVA + 0.5 mg CPG 7909; total volume 0.5 mL) IM on Days 0 and 14 Antibody titers were assessed in the immunogenicity population, which included subjects who received both vaccinations, had immunogenicity data within the allowable window, and had no protocol violations that could affect TNA values (n=100).
Male AV7909 Formulation 2
n=8 Participants
Male Participants between 18 and 50 years of age who received two doses of AV7909 Formulation 2 (0.5 mL AVA + 0.25 mg CPG 7909; total volume 0.5 mL) IM on Days 0 and 14 Antibody titers were assessed in the immunogenicity population, which included subjects who received both vaccinations, had immunogenicity data within the allowable window, and had no protocol violations that could affect TNA values (n=100).
Male AV7909 Formulation 3
n=8 Participants
Male Participants between 18 and 50 years of age who received two doses of AV7909 Formulation 3 (0.25 mL AVA + 0.5 mg CPG 7909; total volume 0.5 mL) IM on Days 0 and 14 Antibody titers were assessed in the immunogenicity population, which included subjects who received both vaccinations, had immunogenicity data within the allowable window, and had no protocol violations that could affect TNA values (n=100).
Male AV7909 Formulation 4
n=9 Participants
Male Participants between 18 and 50 years of age who received two doses of AV7909 Formulation 4 (0.25 mL AVA + 0.25 mg CPG 7909; total volume 0.5 mL) IM on Days 0 and 14 Antibody titers were assessed in the immunogenicity population, which included subjects who received both vaccinations, had immunogenicity data within the allowable window, and had no protocol violations that could affect TNA values (n=100).
Male Saline
n=7 Participants
Male Participants between 18 and 50 years of age who received two doses of saline placebo (0.5 mL) IM on Days 0 and 14 Antibody titers were assessed in the immunogenicity population, which included subjects who received both vaccinations, had immunogenicity data within the allowable window, and had no protocol violations that could affect TNA values (n=100).
Female BioThrax
n=8 Participants
Female Participants between 18 and 50 years of age who received two doses of BioThrax (0.5 mL) intramuscularly (IM) on Days 0 and 14 Antibody titers were assessed in the immunogenicity population, which included subjects who received both vaccinations, had immunogenicity data within the allowable window, and had no protocol violations that could affect TNA values (n=100).
Female AV7909 Formulation 1
n=8 Participants
Female Participants between 18 and 50 years of age who received two doses of AV7909 Formulation 1 (0.5 mL AVA + 0.5 mg CPG 7909; total volume 0.5 mL) IM on Days 0 and 14 Antibody titers were assessed in the immunogenicity population, which included subjects who received both vaccinations, had immunogenicity data within the allowable window, and had no protocol violations that could affect TNA values (n=100).
Female AV7909 Formulation 2
n=8 Participants
Female Participants between 18 and 50 years of age who received two doses of AV7909 Formulation 2 (0.5 mL AVA + 0.25 mg CPG 7909; total volume 0.5 mL) IM on Days 0 and 14 Antibody titers were assessed in the immunogenicity population, which included subjects who received both vaccinations, had immunogenicity data within the allowable window, and had no protocol violations that could affect TNA values (n=100).
Female AV7909 Formulation 3
n=10 Participants
Female Participants between 18 and 50 years of age who received two doses of AV7909 Formulation 3 (0.25 mL AVA + 0.5 mg CPG 7909; total volume 0.5 mL) IM on Days 0 and 14 Antibody titers were assessed in the immunogenicity population, which included subjects who received both vaccinations, had immunogenicity data within the allowable window, and had no protocol violations that could affect TNA values (n=100).
Female AV7909 Formulation 4
n=9 Participants
Female Participants between 18 and 50 years of age who received two doses of AV7909 Formulation 4 (0.25 mL AVA + 0.25 mg CPG 7909; total volume 0.5 mL) IM on Days 0 and 14 Antibody titers were assessed in the immunogenicity population, which included subjects who received both vaccinations, had immunogenicity data within the allowable window, and had no protocol violations that could affect TNA values (n=100).
Female Saline
n=8 Participants
Female Participants between 18 and 50 years of age who received two doses of saline placebo (0.5 mL) IM on Days 0 and 14 Antibody titers were assessed in the immunogenicity population, which included subjects who received both vaccinations, had immunogenicity data within the allowable window, and had no protocol violations that could affect TNA values (n=100).
Median Time to Peak TNA NF50 GMT for All Subjects in the Immunogenicity Population and by Gender After IM Administration of Investigational Product on Days 0 and 14.
28.0 days
Interval 7.0 to 42.0
29.0 days
Interval 21.0 to 42.0
28.0 days
Interval 22.0 to 35.0
28.5 days
Interval 27.0 to 42.0
29.0 days
Interval 7.0 to 42.0
7.0 days
Interval 6.0 to 70.0
28.0 days
Interval 7.0 to 35.0
28.0 days
Interval 21.0 to 42.0
28.0 days
Interval 22.0 to 35.0
28.0 days
Interval 28.0 to 39.0
28.0 days
Interval 7.0 to 35.0
7.0 days
Interval 7.0 to 8.0
18.5 days
Interval 7.0 to 42.0
32.0 days
Interval 28.0 to 36.0
28.0 days
Interval 22.0 to 30.0
29.0 days
Interval 27.0 to 42.0
35.0 days
Interval 21.0 to 42.0
7.0 days
Interval 6.0 to 70.0

SECONDARY outcome

Timeframe: Day 0 (pre-dose), 7, 14 (pre-dose), 21, 28, 35, 42, 56, 70, and 84.

Population: Participants 18 and 50 years of age who received two doses of saline placebo (0.5 mL) IM on Days 0 and 14 Antibody titers were assessed in the immunogenicity population, which included subjects who received both vaccinations, had immunogenicity data within the allowable window, and had no protocol violations that could affect TNA values (n=100).

Toxin neutralizing antibody (TNA) levels in blinded serum samples were measured using a validated anthrax lethal toxin neutralization assay. The primary assay endpoint was the 50% neutralization factor (TNA NF50). TNA NF50 is calculated as the ratio of the 50% effective dose (ED50) of the test sample to the ED50 of a reference serum. Values below the LLOQ of the assay (ED50 of 33) were replaced with one-half the LLOQ (ED50 of 16.5) for calculation of geometric mean titer (GMT) and statistical analysis. GMT is based on log transformation.

Outcome measures

Outcome measures
Measure
BioThrax
n=16 Participants
Participants between 18 and 50 years of age who received two doses of BioThrax (0.5 mL) intramuscularly (IM) on Days 0 and 14
AV7909 Formulation 1
n=17 Participants
Participants between 18 and 50 years of age who received two doses of AV7909 Formulation 1 (0.5 mL AVA + 0.5 mg CPG 7909; total volume 0.5 mL) IM on Days 0 and 14
AV7909 Formulation 2
n=16 Participants
Participants between 18 and 50 years of age who received two doses of AV7909 Formulation 2 (0.5 mL AVA + 0.25 mg CPG 7909; total volume 0.5 mL) IM on Days 0 and 14
AV7909 Formulation 3
n=18 Participants
Participants between 18 and 50 years of age who received two doses of AV7909 Formulation 3 (0.25 mL AVA + 0.5 mg CPG 7909; total volume 0.5 mL) IM on Days 0 and 14
AV7909 Formulation 4
n=18 Participants
Participants between 18 and 50 years of age who received two doses of AV7909 Formulation 4 (0.25 mL AVA + 0.25 mg CPG 7909; total volume 0.5 mL) IM on Days 0 and 14
Saline
n=15 Participants
Participants between 18 and 50 years of age who received two doses of saline placebo (0.5 mL) IM on Days 0 and 14
Male BioThrax
Male Participants between 18 and 50 years of age who received two doses of BioThrax (0.5 mL) intramuscularly (IM) on Days 0 and 14 Antibody titers were assessed in the immunogenicity population, which included subjects who received both vaccinations, had immunogenicity data within the allowable window, and had no protocol violations that could affect TNA values (n=100).
Male AV7909 Formulation 1
Male Participants between 18 and 50 years of age who received two doses of AV7909 Formulation 1 (0.5 mL AVA + 0.5 mg CPG 7909; total volume 0.5 mL) IM on Days 0 and 14 Antibody titers were assessed in the immunogenicity population, which included subjects who received both vaccinations, had immunogenicity data within the allowable window, and had no protocol violations that could affect TNA values (n=100).
Male AV7909 Formulation 2
Male Participants between 18 and 50 years of age who received two doses of AV7909 Formulation 2 (0.5 mL AVA + 0.25 mg CPG 7909; total volume 0.5 mL) IM on Days 0 and 14 Antibody titers were assessed in the immunogenicity population, which included subjects who received both vaccinations, had immunogenicity data within the allowable window, and had no protocol violations that could affect TNA values (n=100).
Male AV7909 Formulation 3
Male Participants between 18 and 50 years of age who received two doses of AV7909 Formulation 3 (0.25 mL AVA + 0.5 mg CPG 7909; total volume 0.5 mL) IM on Days 0 and 14 Antibody titers were assessed in the immunogenicity population, which included subjects who received both vaccinations, had immunogenicity data within the allowable window, and had no protocol violations that could affect TNA values (n=100).
Male AV7909 Formulation 4
Male Participants between 18 and 50 years of age who received two doses of AV7909 Formulation 4 (0.25 mL AVA + 0.25 mg CPG 7909; total volume 0.5 mL) IM on Days 0 and 14 Antibody titers were assessed in the immunogenicity population, which included subjects who received both vaccinations, had immunogenicity data within the allowable window, and had no protocol violations that could affect TNA values (n=100).
Male Saline
Male Participants between 18 and 50 years of age who received two doses of saline placebo (0.5 mL) IM on Days 0 and 14 Antibody titers were assessed in the immunogenicity population, which included subjects who received both vaccinations, had immunogenicity data within the allowable window, and had no protocol violations that could affect TNA values (n=100).
Female BioThrax
Female Participants between 18 and 50 years of age who received two doses of BioThrax (0.5 mL) intramuscularly (IM) on Days 0 and 14 Antibody titers were assessed in the immunogenicity population, which included subjects who received both vaccinations, had immunogenicity data within the allowable window, and had no protocol violations that could affect TNA values (n=100).
Female AV7909 Formulation 1
Female Participants between 18 and 50 years of age who received two doses of AV7909 Formulation 1 (0.5 mL AVA + 0.5 mg CPG 7909; total volume 0.5 mL) IM on Days 0 and 14 Antibody titers were assessed in the immunogenicity population, which included subjects who received both vaccinations, had immunogenicity data within the allowable window, and had no protocol violations that could affect TNA values (n=100).
Female AV7909 Formulation 2
Female Participants between 18 and 50 years of age who received two doses of AV7909 Formulation 2 (0.5 mL AVA + 0.25 mg CPG 7909; total volume 0.5 mL) IM on Days 0 and 14 Antibody titers were assessed in the immunogenicity population, which included subjects who received both vaccinations, had immunogenicity data within the allowable window, and had no protocol violations that could affect TNA values (n=100).
Female AV7909 Formulation 3
Female Participants between 18 and 50 years of age who received two doses of AV7909 Formulation 3 (0.25 mL AVA + 0.5 mg CPG 7909; total volume 0.5 mL) IM on Days 0 and 14 Antibody titers were assessed in the immunogenicity population, which included subjects who received both vaccinations, had immunogenicity data within the allowable window, and had no protocol violations that could affect TNA values (n=100).
Female AV7909 Formulation 4
Female Participants between 18 and 50 years of age who received two doses of AV7909 Formulation 4 (0.25 mL AVA + 0.25 mg CPG 7909; total volume 0.5 mL) IM on Days 0 and 14 Antibody titers were assessed in the immunogenicity population, which included subjects who received both vaccinations, had immunogenicity data within the allowable window, and had no protocol violations that could affect TNA values (n=100).
Female Saline
Female Participants between 18 and 50 years of age who received two doses of saline placebo (0.5 mL) IM on Days 0 and 14 Antibody titers were assessed in the immunogenicity population, which included subjects who received both vaccinations, had immunogenicity data within the allowable window, and had no protocol violations that could affect TNA values (n=100).
TNA NF50 GMTs Across Study Days After IM Administration of Investigational Product on Days 0 and 14.
Day 28
0.13 geometric mean titer
Interval 0.06 to 0.28
3.05 geometric mean titer
Interval 2.07 to 4.52
3.85 geometric mean titer
Interval 2.4 to 6.2
2.54 geometric mean titer
Interval 1.26 to 5.12
1.73 geometric mean titer
Interval 0.77 to 3.89
0.03 geometric mean titer
All values were below the LLOQ for the assay
TNA NF50 GMTs Across Study Days After IM Administration of Investigational Product on Days 0 and 14.
Day 0
0.03 geometric mean titer
All values were below the LLOQ for the assay
0.03 geometric mean titer
All values were below the LLOQ for the assay
0.03 geometric mean titer
All values were below the LLOQ for the assay
0.03 geometric mean titer
All values were below the LLOQ for the assay
0.03 geometric mean titer
All values were below the LLOQ for the assay
0.03 geometric mean titer
All values were below the LLOQ for the assay
TNA NF50 GMTs Across Study Days After IM Administration of Investigational Product on Days 0 and 14.
Day 14
0.03 geometric mean titer
All values were below the LLOQ for the assay
0.03 geometric mean titer
All values were below the LLOQ for the assay
0.04 geometric mean titer
Interval 0.03 to 0.05
0.04 geometric mean titer
Interval 0.03 to 0.06
0.04 geometric mean titer
Interval 0.03 to 0.05
0.03 geometric mean titer
All values were below the LLOQ for the assay
TNA NF50 GMTs Across Study Days After IM Administration of Investigational Product on Days 0 and 14.
Day 56
0.09 geometric mean titer
Interval 0.05 to 0.16
1.18 geometric mean titer
Interval 0.81 to 1.71
1.52 geometric mean titer
Interval 0.97 to 2.36
1.09 geometric mean titer
Interval 0.58 to 2.07
0.76 geometric mean titer
Interval 0.37 to 1.61
0.03 geometric mean titer
All values were below the LLOQ for the assay
TNA NF50 GMTs Across Study Days After IM Administration of Investigational Product on Days 0 and 14.
Day 84
0.05 geometric mean titer
Interval 0.04 to 0.08
0.67 geometric mean titer
Interval 0.42 to 1.08
0.69 geometric mean titer
Interval 0.44 to 1.1
0.55 geometric mean titer
Interval 0.32 to 0.94
0.39 geometric mean titer
Interval 0.2 to 0.77
0.03 geometric mean titer
All values were below the LLOQ for the assay
TNA NF50 GMTs Across Study Days After IM Administration of Investigational Product on Days 0 and 14.
Day 7
0.03 geometric mean titer
All values were below the LLOQ for the assay
0.03 geometric mean titer
All values were below the LLOQ for the assay
0.03 geometric mean titer
All values were below the LLOQ for the assay
0.03 geometric mean titer
All values were below the LLOQ for the assay
0.03 geometric mean titer
All values were below the LLOQ for the assay
0.03 geometric mean titer
All values were below the LLOQ for the assay
TNA NF50 GMTs Across Study Days After IM Administration of Investigational Product on Days 0 and 14.
Day 21
0.04 geometric mean titer
Interval 0.0276 to 0.0651
1.27 geometric mean titer
Interval 0.78 to 2.07
0.77 geometric mean titer
Interval 0.32 to 1.83
0.90 geometric mean titer
Interval 0.46 to 1.75
0.44 geometric mean titer
Interval 0.17 to 1.1
0.03 geometric mean titer
All values were below the LLOQ for the assay
TNA NF50 GMTs Across Study Days After IM Administration of Investigational Product on Days 0 and 14.
Day 35
0.15 geometric mean titer
Interval 0.07 to 0.32
2.61 geometric mean titer
Interval 1.82 to 3.75
2.89 geometric mean titer
Interval 1.8 to 4.61
2.23 geometric mean titer
Interval 1.11 to 4.45
1.56 geometric mean titer
Interval 0.68 to 3.59
0.03 geometric mean titer
All values were below the LLOQ for the assay
TNA NF50 GMTs Across Study Days After IM Administration of Investigational Product on Days 0 and 14.
Day 42
0.13 geometric mean titer
Interval 0.07 to 0.24
2.01 geometric mean titer
Interval 1.37 to 2.95
2.03 geometric mean titer
Interval 1.32 to 3.12
1.78 geometric mean titer
Interval 0.95 to 3.34
1.17 geometric mean titer
Interval 0.53 to 2.59
0.03 geometric mean titer
All values were below the LLOQ for the assay
TNA NF50 GMTs Across Study Days After IM Administration of Investigational Product on Days 0 and 14.
Day 70
0.06 geometric mean titer
Interval 0.04 to 0.1
0.85 geometric mean titer
Interval 0.56 to 1.29
0.91 geometric mean titer
Interval 0.58 to 1.41
0.71 geometric mean titer
Interval 0.4 to 1.25
0.55 geometric mean titer
Interval 0.26 to 1.16
0.04 geometric mean titer
Interval 0.02 to 0.08

Adverse Events

BioThrax

Serious events: 0 serious events
Other events: 16 other events
Deaths: 0 deaths

AV7909 Formulation 1

Serious events: 1 serious events
Other events: 18 other events
Deaths: 0 deaths

AV7909 Formulation 2

Serious events: 1 serious events
Other events: 14 other events
Deaths: 0 deaths

AV7909 Formulation 3

Serious events: 0 serious events
Other events: 14 other events
Deaths: 0 deaths

AV7909 Formulation 4

Serious events: 0 serious events
Other events: 18 other events
Deaths: 0 deaths

Saline

Serious events: 1 serious events
Other events: 9 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
BioThrax
n=18 participants at risk
Participants between 18 and 50 years of age who received two doses of BioThrax (0.5 mL) intramuscularly (IM) on Days 0 and 14
AV7909 Formulation 1
n=18 participants at risk
Participants between 18 and 50 years of age who received two doses of AV7909 Formulation 1 (0.5 mL AVA + 0.5 mg CPG 7909; total volume 0.5 mL) IM on Days 0 and 14
AV7909 Formulation 2
n=17 participants at risk
Participants between 18 and 50 years of age who received two doses of AV7909 Formulation 2 (0.5 mL AVA + 0.25 mg CPG 7909; total volume 0.5 mL) IM on Days 0 and 14
AV7909 Formulation 3
n=19 participants at risk
Participants between 18 and 50 years of age who received two doses of AV7909 Formulation 3 (0.25 mL AVA + 0.5 mg CPG 7909; total volume 0.5 mL) IM on Days 0 and 14
AV7909 Formulation 4
n=18 participants at risk
Participants between 18 and 50 years of age who received two doses of AV7909 Formulation 4 (0.25 mL AVA + 0.25 mg CPG 7909; total volume 0.5 mL) IM on Days 0 and 14
Saline
n=15 participants at risk
Participants between 18 and 50 years of age who received two doses of saline placebo (0.5 mL) IM on Days 0 and 14
Investigations
Elevated hepatic enzymes
0.00%
0/18 • Serious adverse event data were collected at study visits from Day 0 to Day 84 and during safety follow-up telephone calls at 6 and 12 months.
Serious adverse events were coded using Medical Dictionary for Regulatory Activities (MedDRA®) Version 14.0. Severity of laboratory toxicities were assessed using the Toxicity Grading Scale in the protocol. For determination of Other Adverse Events frequency, all study Arms were combined.
0.00%
0/18 • Serious adverse event data were collected at study visits from Day 0 to Day 84 and during safety follow-up telephone calls at 6 and 12 months.
Serious adverse events were coded using Medical Dictionary for Regulatory Activities (MedDRA®) Version 14.0. Severity of laboratory toxicities were assessed using the Toxicity Grading Scale in the protocol. For determination of Other Adverse Events frequency, all study Arms were combined.
0.00%
0/17 • Serious adverse event data were collected at study visits from Day 0 to Day 84 and during safety follow-up telephone calls at 6 and 12 months.
Serious adverse events were coded using Medical Dictionary for Regulatory Activities (MedDRA®) Version 14.0. Severity of laboratory toxicities were assessed using the Toxicity Grading Scale in the protocol. For determination of Other Adverse Events frequency, all study Arms were combined.
0.00%
0/19 • Serious adverse event data were collected at study visits from Day 0 to Day 84 and during safety follow-up telephone calls at 6 and 12 months.
Serious adverse events were coded using Medical Dictionary for Regulatory Activities (MedDRA®) Version 14.0. Severity of laboratory toxicities were assessed using the Toxicity Grading Scale in the protocol. For determination of Other Adverse Events frequency, all study Arms were combined.
0.00%
0/18 • Serious adverse event data were collected at study visits from Day 0 to Day 84 and during safety follow-up telephone calls at 6 and 12 months.
Serious adverse events were coded using Medical Dictionary for Regulatory Activities (MedDRA®) Version 14.0. Severity of laboratory toxicities were assessed using the Toxicity Grading Scale in the protocol. For determination of Other Adverse Events frequency, all study Arms were combined.
6.7%
1/15 • Number of events 1 • Serious adverse event data were collected at study visits from Day 0 to Day 84 and during safety follow-up telephone calls at 6 and 12 months.
Serious adverse events were coded using Medical Dictionary for Regulatory Activities (MedDRA®) Version 14.0. Severity of laboratory toxicities were assessed using the Toxicity Grading Scale in the protocol. For determination of Other Adverse Events frequency, all study Arms were combined.
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Melanocytic Naevus
0.00%
0/18 • Serious adverse event data were collected at study visits from Day 0 to Day 84 and during safety follow-up telephone calls at 6 and 12 months.
Serious adverse events were coded using Medical Dictionary for Regulatory Activities (MedDRA®) Version 14.0. Severity of laboratory toxicities were assessed using the Toxicity Grading Scale in the protocol. For determination of Other Adverse Events frequency, all study Arms were combined.
0.00%
0/18 • Serious adverse event data were collected at study visits from Day 0 to Day 84 and during safety follow-up telephone calls at 6 and 12 months.
Serious adverse events were coded using Medical Dictionary for Regulatory Activities (MedDRA®) Version 14.0. Severity of laboratory toxicities were assessed using the Toxicity Grading Scale in the protocol. For determination of Other Adverse Events frequency, all study Arms were combined.
5.9%
1/17 • Number of events 1 • Serious adverse event data were collected at study visits from Day 0 to Day 84 and during safety follow-up telephone calls at 6 and 12 months.
Serious adverse events were coded using Medical Dictionary for Regulatory Activities (MedDRA®) Version 14.0. Severity of laboratory toxicities were assessed using the Toxicity Grading Scale in the protocol. For determination of Other Adverse Events frequency, all study Arms were combined.
0.00%
0/19 • Serious adverse event data were collected at study visits from Day 0 to Day 84 and during safety follow-up telephone calls at 6 and 12 months.
Serious adverse events were coded using Medical Dictionary for Regulatory Activities (MedDRA®) Version 14.0. Severity of laboratory toxicities were assessed using the Toxicity Grading Scale in the protocol. For determination of Other Adverse Events frequency, all study Arms were combined.
0.00%
0/18 • Serious adverse event data were collected at study visits from Day 0 to Day 84 and during safety follow-up telephone calls at 6 and 12 months.
Serious adverse events were coded using Medical Dictionary for Regulatory Activities (MedDRA®) Version 14.0. Severity of laboratory toxicities were assessed using the Toxicity Grading Scale in the protocol. For determination of Other Adverse Events frequency, all study Arms were combined.
0.00%
0/15 • Serious adverse event data were collected at study visits from Day 0 to Day 84 and during safety follow-up telephone calls at 6 and 12 months.
Serious adverse events were coded using Medical Dictionary for Regulatory Activities (MedDRA®) Version 14.0. Severity of laboratory toxicities were assessed using the Toxicity Grading Scale in the protocol. For determination of Other Adverse Events frequency, all study Arms were combined.
Social circumstances
Death
0.00%
0/18 • Serious adverse event data were collected at study visits from Day 0 to Day 84 and during safety follow-up telephone calls at 6 and 12 months.
Serious adverse events were coded using Medical Dictionary for Regulatory Activities (MedDRA®) Version 14.0. Severity of laboratory toxicities were assessed using the Toxicity Grading Scale in the protocol. For determination of Other Adverse Events frequency, all study Arms were combined.
5.6%
1/18 • Number of events 1 • Serious adverse event data were collected at study visits from Day 0 to Day 84 and during safety follow-up telephone calls at 6 and 12 months.
Serious adverse events were coded using Medical Dictionary for Regulatory Activities (MedDRA®) Version 14.0. Severity of laboratory toxicities were assessed using the Toxicity Grading Scale in the protocol. For determination of Other Adverse Events frequency, all study Arms were combined.
0.00%
0/17 • Serious adverse event data were collected at study visits from Day 0 to Day 84 and during safety follow-up telephone calls at 6 and 12 months.
Serious adverse events were coded using Medical Dictionary for Regulatory Activities (MedDRA®) Version 14.0. Severity of laboratory toxicities were assessed using the Toxicity Grading Scale in the protocol. For determination of Other Adverse Events frequency, all study Arms were combined.
0.00%
0/19 • Serious adverse event data were collected at study visits from Day 0 to Day 84 and during safety follow-up telephone calls at 6 and 12 months.
Serious adverse events were coded using Medical Dictionary for Regulatory Activities (MedDRA®) Version 14.0. Severity of laboratory toxicities were assessed using the Toxicity Grading Scale in the protocol. For determination of Other Adverse Events frequency, all study Arms were combined.
0.00%
0/18 • Serious adverse event data were collected at study visits from Day 0 to Day 84 and during safety follow-up telephone calls at 6 and 12 months.
Serious adverse events were coded using Medical Dictionary for Regulatory Activities (MedDRA®) Version 14.0. Severity of laboratory toxicities were assessed using the Toxicity Grading Scale in the protocol. For determination of Other Adverse Events frequency, all study Arms were combined.
0.00%
0/15 • Serious adverse event data were collected at study visits from Day 0 to Day 84 and during safety follow-up telephone calls at 6 and 12 months.
Serious adverse events were coded using Medical Dictionary for Regulatory Activities (MedDRA®) Version 14.0. Severity of laboratory toxicities were assessed using the Toxicity Grading Scale in the protocol. For determination of Other Adverse Events frequency, all study Arms were combined.

Other adverse events

Other adverse events
Measure
BioThrax
n=18 participants at risk
Participants between 18 and 50 years of age who received two doses of BioThrax (0.5 mL) intramuscularly (IM) on Days 0 and 14
AV7909 Formulation 1
n=18 participants at risk
Participants between 18 and 50 years of age who received two doses of AV7909 Formulation 1 (0.5 mL AVA + 0.5 mg CPG 7909; total volume 0.5 mL) IM on Days 0 and 14
AV7909 Formulation 2
n=17 participants at risk
Participants between 18 and 50 years of age who received two doses of AV7909 Formulation 2 (0.5 mL AVA + 0.25 mg CPG 7909; total volume 0.5 mL) IM on Days 0 and 14
AV7909 Formulation 3
n=19 participants at risk
Participants between 18 and 50 years of age who received two doses of AV7909 Formulation 3 (0.25 mL AVA + 0.5 mg CPG 7909; total volume 0.5 mL) IM on Days 0 and 14
AV7909 Formulation 4
n=18 participants at risk
Participants between 18 and 50 years of age who received two doses of AV7909 Formulation 4 (0.25 mL AVA + 0.25 mg CPG 7909; total volume 0.5 mL) IM on Days 0 and 14
Saline
n=15 participants at risk
Participants between 18 and 50 years of age who received two doses of saline placebo (0.5 mL) IM on Days 0 and 14
General disorders
Fatigue
44.4%
8/18 • Number of events 13 • Serious adverse event data were collected at study visits from Day 0 to Day 84 and during safety follow-up telephone calls at 6 and 12 months.
Serious adverse events were coded using Medical Dictionary for Regulatory Activities (MedDRA®) Version 14.0. Severity of laboratory toxicities were assessed using the Toxicity Grading Scale in the protocol. For determination of Other Adverse Events frequency, all study Arms were combined.
72.2%
13/18 • Number of events 21 • Serious adverse event data were collected at study visits from Day 0 to Day 84 and during safety follow-up telephone calls at 6 and 12 months.
Serious adverse events were coded using Medical Dictionary for Regulatory Activities (MedDRA®) Version 14.0. Severity of laboratory toxicities were assessed using the Toxicity Grading Scale in the protocol. For determination of Other Adverse Events frequency, all study Arms were combined.
35.3%
6/17 • Number of events 14 • Serious adverse event data were collected at study visits from Day 0 to Day 84 and during safety follow-up telephone calls at 6 and 12 months.
Serious adverse events were coded using Medical Dictionary for Regulatory Activities (MedDRA®) Version 14.0. Severity of laboratory toxicities were assessed using the Toxicity Grading Scale in the protocol. For determination of Other Adverse Events frequency, all study Arms were combined.
21.1%
4/19 • Number of events 6 • Serious adverse event data were collected at study visits from Day 0 to Day 84 and during safety follow-up telephone calls at 6 and 12 months.
Serious adverse events were coded using Medical Dictionary for Regulatory Activities (MedDRA®) Version 14.0. Severity of laboratory toxicities were assessed using the Toxicity Grading Scale in the protocol. For determination of Other Adverse Events frequency, all study Arms were combined.
50.0%
9/18 • Number of events 13 • Serious adverse event data were collected at study visits from Day 0 to Day 84 and during safety follow-up telephone calls at 6 and 12 months.
Serious adverse events were coded using Medical Dictionary for Regulatory Activities (MedDRA®) Version 14.0. Severity of laboratory toxicities were assessed using the Toxicity Grading Scale in the protocol. For determination of Other Adverse Events frequency, all study Arms were combined.
20.0%
3/15 • Number of events 4 • Serious adverse event data were collected at study visits from Day 0 to Day 84 and during safety follow-up telephone calls at 6 and 12 months.
Serious adverse events were coded using Medical Dictionary for Regulatory Activities (MedDRA®) Version 14.0. Severity of laboratory toxicities were assessed using the Toxicity Grading Scale in the protocol. For determination of Other Adverse Events frequency, all study Arms were combined.
Nervous system disorders
Headache
33.3%
6/18 • Number of events 15 • Serious adverse event data were collected at study visits from Day 0 to Day 84 and during safety follow-up telephone calls at 6 and 12 months.
Serious adverse events were coded using Medical Dictionary for Regulatory Activities (MedDRA®) Version 14.0. Severity of laboratory toxicities were assessed using the Toxicity Grading Scale in the protocol. For determination of Other Adverse Events frequency, all study Arms were combined.
61.1%
11/18 • Number of events 20 • Serious adverse event data were collected at study visits from Day 0 to Day 84 and during safety follow-up telephone calls at 6 and 12 months.
Serious adverse events were coded using Medical Dictionary for Regulatory Activities (MedDRA®) Version 14.0. Severity of laboratory toxicities were assessed using the Toxicity Grading Scale in the protocol. For determination of Other Adverse Events frequency, all study Arms were combined.
29.4%
5/17 • Number of events 9 • Serious adverse event data were collected at study visits from Day 0 to Day 84 and during safety follow-up telephone calls at 6 and 12 months.
Serious adverse events were coded using Medical Dictionary for Regulatory Activities (MedDRA®) Version 14.0. Severity of laboratory toxicities were assessed using the Toxicity Grading Scale in the protocol. For determination of Other Adverse Events frequency, all study Arms were combined.
26.3%
5/19 • Number of events 5 • Serious adverse event data were collected at study visits from Day 0 to Day 84 and during safety follow-up telephone calls at 6 and 12 months.
Serious adverse events were coded using Medical Dictionary for Regulatory Activities (MedDRA®) Version 14.0. Severity of laboratory toxicities were assessed using the Toxicity Grading Scale in the protocol. For determination of Other Adverse Events frequency, all study Arms were combined.
55.6%
10/18 • Number of events 17 • Serious adverse event data were collected at study visits from Day 0 to Day 84 and during safety follow-up telephone calls at 6 and 12 months.
Serious adverse events were coded using Medical Dictionary for Regulatory Activities (MedDRA®) Version 14.0. Severity of laboratory toxicities were assessed using the Toxicity Grading Scale in the protocol. For determination of Other Adverse Events frequency, all study Arms were combined.
13.3%
2/15 • Number of events 6 • Serious adverse event data were collected at study visits from Day 0 to Day 84 and during safety follow-up telephone calls at 6 and 12 months.
Serious adverse events were coded using Medical Dictionary for Regulatory Activities (MedDRA®) Version 14.0. Severity of laboratory toxicities were assessed using the Toxicity Grading Scale in the protocol. For determination of Other Adverse Events frequency, all study Arms were combined.
General disorders
Injection Site Reaction
83.3%
15/18 • Number of events 27 • Serious adverse event data were collected at study visits from Day 0 to Day 84 and during safety follow-up telephone calls at 6 and 12 months.
Serious adverse events were coded using Medical Dictionary for Regulatory Activities (MedDRA®) Version 14.0. Severity of laboratory toxicities were assessed using the Toxicity Grading Scale in the protocol. For determination of Other Adverse Events frequency, all study Arms were combined.
100.0%
18/18 • Number of events 36 • Serious adverse event data were collected at study visits from Day 0 to Day 84 and during safety follow-up telephone calls at 6 and 12 months.
Serious adverse events were coded using Medical Dictionary for Regulatory Activities (MedDRA®) Version 14.0. Severity of laboratory toxicities were assessed using the Toxicity Grading Scale in the protocol. For determination of Other Adverse Events frequency, all study Arms were combined.
82.4%
14/17 • Number of events 27 • Serious adverse event data were collected at study visits from Day 0 to Day 84 and during safety follow-up telephone calls at 6 and 12 months.
Serious adverse events were coded using Medical Dictionary for Regulatory Activities (MedDRA®) Version 14.0. Severity of laboratory toxicities were assessed using the Toxicity Grading Scale in the protocol. For determination of Other Adverse Events frequency, all study Arms were combined.
73.7%
14/19 • Number of events 24 • Serious adverse event data were collected at study visits from Day 0 to Day 84 and during safety follow-up telephone calls at 6 and 12 months.
Serious adverse events were coded using Medical Dictionary for Regulatory Activities (MedDRA®) Version 14.0. Severity of laboratory toxicities were assessed using the Toxicity Grading Scale in the protocol. For determination of Other Adverse Events frequency, all study Arms were combined.
88.9%
16/18 • Number of events 32 • Serious adverse event data were collected at study visits from Day 0 to Day 84 and during safety follow-up telephone calls at 6 and 12 months.
Serious adverse events were coded using Medical Dictionary for Regulatory Activities (MedDRA®) Version 14.0. Severity of laboratory toxicities were assessed using the Toxicity Grading Scale in the protocol. For determination of Other Adverse Events frequency, all study Arms were combined.
13.3%
2/15 • Number of events 2 • Serious adverse event data were collected at study visits from Day 0 to Day 84 and during safety follow-up telephone calls at 6 and 12 months.
Serious adverse events were coded using Medical Dictionary for Regulatory Activities (MedDRA®) Version 14.0. Severity of laboratory toxicities were assessed using the Toxicity Grading Scale in the protocol. For determination of Other Adverse Events frequency, all study Arms were combined.
Investigations
Lymphocyte Count Decreased
0.00%
0/18 • Serious adverse event data were collected at study visits from Day 0 to Day 84 and during safety follow-up telephone calls at 6 and 12 months.
Serious adverse events were coded using Medical Dictionary for Regulatory Activities (MedDRA®) Version 14.0. Severity of laboratory toxicities were assessed using the Toxicity Grading Scale in the protocol. For determination of Other Adverse Events frequency, all study Arms were combined.
33.3%
6/18 • Number of events 6 • Serious adverse event data were collected at study visits from Day 0 to Day 84 and during safety follow-up telephone calls at 6 and 12 months.
Serious adverse events were coded using Medical Dictionary for Regulatory Activities (MedDRA®) Version 14.0. Severity of laboratory toxicities were assessed using the Toxicity Grading Scale in the protocol. For determination of Other Adverse Events frequency, all study Arms were combined.
17.6%
3/17 • Number of events 3 • Serious adverse event data were collected at study visits from Day 0 to Day 84 and during safety follow-up telephone calls at 6 and 12 months.
Serious adverse events were coded using Medical Dictionary for Regulatory Activities (MedDRA®) Version 14.0. Severity of laboratory toxicities were assessed using the Toxicity Grading Scale in the protocol. For determination of Other Adverse Events frequency, all study Arms were combined.
5.3%
1/19 • Number of events 1 • Serious adverse event data were collected at study visits from Day 0 to Day 84 and during safety follow-up telephone calls at 6 and 12 months.
Serious adverse events were coded using Medical Dictionary for Regulatory Activities (MedDRA®) Version 14.0. Severity of laboratory toxicities were assessed using the Toxicity Grading Scale in the protocol. For determination of Other Adverse Events frequency, all study Arms were combined.
22.2%
4/18 • Number of events 4 • Serious adverse event data were collected at study visits from Day 0 to Day 84 and during safety follow-up telephone calls at 6 and 12 months.
Serious adverse events were coded using Medical Dictionary for Regulatory Activities (MedDRA®) Version 14.0. Severity of laboratory toxicities were assessed using the Toxicity Grading Scale in the protocol. For determination of Other Adverse Events frequency, all study Arms were combined.
0.00%
0/15 • Serious adverse event data were collected at study visits from Day 0 to Day 84 and during safety follow-up telephone calls at 6 and 12 months.
Serious adverse events were coded using Medical Dictionary for Regulatory Activities (MedDRA®) Version 14.0. Severity of laboratory toxicities were assessed using the Toxicity Grading Scale in the protocol. For determination of Other Adverse Events frequency, all study Arms were combined.
Musculoskeletal and connective tissue disorders
Myalgia
44.4%
8/18 • Number of events 12 • Serious adverse event data were collected at study visits from Day 0 to Day 84 and during safety follow-up telephone calls at 6 and 12 months.
Serious adverse events were coded using Medical Dictionary for Regulatory Activities (MedDRA®) Version 14.0. Severity of laboratory toxicities were assessed using the Toxicity Grading Scale in the protocol. For determination of Other Adverse Events frequency, all study Arms were combined.
55.6%
10/18 • Number of events 21 • Serious adverse event data were collected at study visits from Day 0 to Day 84 and during safety follow-up telephone calls at 6 and 12 months.
Serious adverse events were coded using Medical Dictionary for Regulatory Activities (MedDRA®) Version 14.0. Severity of laboratory toxicities were assessed using the Toxicity Grading Scale in the protocol. For determination of Other Adverse Events frequency, all study Arms were combined.
23.5%
4/17 • Number of events 11 • Serious adverse event data were collected at study visits from Day 0 to Day 84 and during safety follow-up telephone calls at 6 and 12 months.
Serious adverse events were coded using Medical Dictionary for Regulatory Activities (MedDRA®) Version 14.0. Severity of laboratory toxicities were assessed using the Toxicity Grading Scale in the protocol. For determination of Other Adverse Events frequency, all study Arms were combined.
10.5%
2/19 • Number of events 2 • Serious adverse event data were collected at study visits from Day 0 to Day 84 and during safety follow-up telephone calls at 6 and 12 months.
Serious adverse events were coded using Medical Dictionary for Regulatory Activities (MedDRA®) Version 14.0. Severity of laboratory toxicities were assessed using the Toxicity Grading Scale in the protocol. For determination of Other Adverse Events frequency, all study Arms were combined.
55.6%
10/18 • Number of events 14 • Serious adverse event data were collected at study visits from Day 0 to Day 84 and during safety follow-up telephone calls at 6 and 12 months.
Serious adverse events were coded using Medical Dictionary for Regulatory Activities (MedDRA®) Version 14.0. Severity of laboratory toxicities were assessed using the Toxicity Grading Scale in the protocol. For determination of Other Adverse Events frequency, all study Arms were combined.
13.3%
2/15 • Number of events 3 • Serious adverse event data were collected at study visits from Day 0 to Day 84 and during safety follow-up telephone calls at 6 and 12 months.
Serious adverse events were coded using Medical Dictionary for Regulatory Activities (MedDRA®) Version 14.0. Severity of laboratory toxicities were assessed using the Toxicity Grading Scale in the protocol. For determination of Other Adverse Events frequency, all study Arms were combined.
Gastrointestinal disorders
Nausea
11.1%
2/18 • Number of events 2 • Serious adverse event data were collected at study visits from Day 0 to Day 84 and during safety follow-up telephone calls at 6 and 12 months.
Serious adverse events were coded using Medical Dictionary for Regulatory Activities (MedDRA®) Version 14.0. Severity of laboratory toxicities were assessed using the Toxicity Grading Scale in the protocol. For determination of Other Adverse Events frequency, all study Arms were combined.
33.3%
6/18 • Number of events 14 • Serious adverse event data were collected at study visits from Day 0 to Day 84 and during safety follow-up telephone calls at 6 and 12 months.
Serious adverse events were coded using Medical Dictionary for Regulatory Activities (MedDRA®) Version 14.0. Severity of laboratory toxicities were assessed using the Toxicity Grading Scale in the protocol. For determination of Other Adverse Events frequency, all study Arms were combined.
17.6%
3/17 • Number of events 3 • Serious adverse event data were collected at study visits from Day 0 to Day 84 and during safety follow-up telephone calls at 6 and 12 months.
Serious adverse events were coded using Medical Dictionary for Regulatory Activities (MedDRA®) Version 14.0. Severity of laboratory toxicities were assessed using the Toxicity Grading Scale in the protocol. For determination of Other Adverse Events frequency, all study Arms were combined.
10.5%
2/19 • Number of events 2 • Serious adverse event data were collected at study visits from Day 0 to Day 84 and during safety follow-up telephone calls at 6 and 12 months.
Serious adverse events were coded using Medical Dictionary for Regulatory Activities (MedDRA®) Version 14.0. Severity of laboratory toxicities were assessed using the Toxicity Grading Scale in the protocol. For determination of Other Adverse Events frequency, all study Arms were combined.
22.2%
4/18 • Number of events 5 • Serious adverse event data were collected at study visits from Day 0 to Day 84 and during safety follow-up telephone calls at 6 and 12 months.
Serious adverse events were coded using Medical Dictionary for Regulatory Activities (MedDRA®) Version 14.0. Severity of laboratory toxicities were assessed using the Toxicity Grading Scale in the protocol. For determination of Other Adverse Events frequency, all study Arms were combined.
6.7%
1/15 • Number of events 1 • Serious adverse event data were collected at study visits from Day 0 to Day 84 and during safety follow-up telephone calls at 6 and 12 months.
Serious adverse events were coded using Medical Dictionary for Regulatory Activities (MedDRA®) Version 14.0. Severity of laboratory toxicities were assessed using the Toxicity Grading Scale in the protocol. For determination of Other Adverse Events frequency, all study Arms were combined.
General disorders
Pyrexia
5.6%
1/18 • Number of events 1 • Serious adverse event data were collected at study visits from Day 0 to Day 84 and during safety follow-up telephone calls at 6 and 12 months.
Serious adverse events were coded using Medical Dictionary for Regulatory Activities (MedDRA®) Version 14.0. Severity of laboratory toxicities were assessed using the Toxicity Grading Scale in the protocol. For determination of Other Adverse Events frequency, all study Arms were combined.
11.1%
2/18 • Number of events 2 • Serious adverse event data were collected at study visits from Day 0 to Day 84 and during safety follow-up telephone calls at 6 and 12 months.
Serious adverse events were coded using Medical Dictionary for Regulatory Activities (MedDRA®) Version 14.0. Severity of laboratory toxicities were assessed using the Toxicity Grading Scale in the protocol. For determination of Other Adverse Events frequency, all study Arms were combined.
17.6%
3/17 • Number of events 3 • Serious adverse event data were collected at study visits from Day 0 to Day 84 and during safety follow-up telephone calls at 6 and 12 months.
Serious adverse events were coded using Medical Dictionary for Regulatory Activities (MedDRA®) Version 14.0. Severity of laboratory toxicities were assessed using the Toxicity Grading Scale in the protocol. For determination of Other Adverse Events frequency, all study Arms were combined.
5.3%
1/19 • Number of events 1 • Serious adverse event data were collected at study visits from Day 0 to Day 84 and during safety follow-up telephone calls at 6 and 12 months.
Serious adverse events were coded using Medical Dictionary for Regulatory Activities (MedDRA®) Version 14.0. Severity of laboratory toxicities were assessed using the Toxicity Grading Scale in the protocol. For determination of Other Adverse Events frequency, all study Arms were combined.
16.7%
3/18 • Number of events 3 • Serious adverse event data were collected at study visits from Day 0 to Day 84 and during safety follow-up telephone calls at 6 and 12 months.
Serious adverse events were coded using Medical Dictionary for Regulatory Activities (MedDRA®) Version 14.0. Severity of laboratory toxicities were assessed using the Toxicity Grading Scale in the protocol. For determination of Other Adverse Events frequency, all study Arms were combined.
13.3%
2/15 • Number of events 2 • Serious adverse event data were collected at study visits from Day 0 to Day 84 and during safety follow-up telephone calls at 6 and 12 months.
Serious adverse events were coded using Medical Dictionary for Regulatory Activities (MedDRA®) Version 14.0. Severity of laboratory toxicities were assessed using the Toxicity Grading Scale in the protocol. For determination of Other Adverse Events frequency, all study Arms were combined.
Infections and infestations
Upper Respiratory Tract Infection
27.8%
5/18 • Number of events 7 • Serious adverse event data were collected at study visits from Day 0 to Day 84 and during safety follow-up telephone calls at 6 and 12 months.
Serious adverse events were coded using Medical Dictionary for Regulatory Activities (MedDRA®) Version 14.0. Severity of laboratory toxicities were assessed using the Toxicity Grading Scale in the protocol. For determination of Other Adverse Events frequency, all study Arms were combined.
5.6%
1/18 • Number of events 1 • Serious adverse event data were collected at study visits from Day 0 to Day 84 and during safety follow-up telephone calls at 6 and 12 months.
Serious adverse events were coded using Medical Dictionary for Regulatory Activities (MedDRA®) Version 14.0. Severity of laboratory toxicities were assessed using the Toxicity Grading Scale in the protocol. For determination of Other Adverse Events frequency, all study Arms were combined.
17.6%
3/17 • Number of events 6 • Serious adverse event data were collected at study visits from Day 0 to Day 84 and during safety follow-up telephone calls at 6 and 12 months.
Serious adverse events were coded using Medical Dictionary for Regulatory Activities (MedDRA®) Version 14.0. Severity of laboratory toxicities were assessed using the Toxicity Grading Scale in the protocol. For determination of Other Adverse Events frequency, all study Arms were combined.
5.3%
1/19 • Number of events 2 • Serious adverse event data were collected at study visits from Day 0 to Day 84 and during safety follow-up telephone calls at 6 and 12 months.
Serious adverse events were coded using Medical Dictionary for Regulatory Activities (MedDRA®) Version 14.0. Severity of laboratory toxicities were assessed using the Toxicity Grading Scale in the protocol. For determination of Other Adverse Events frequency, all study Arms were combined.
11.1%
2/18 • Number of events 2 • Serious adverse event data were collected at study visits from Day 0 to Day 84 and during safety follow-up telephone calls at 6 and 12 months.
Serious adverse events were coded using Medical Dictionary for Regulatory Activities (MedDRA®) Version 14.0. Severity of laboratory toxicities were assessed using the Toxicity Grading Scale in the protocol. For determination of Other Adverse Events frequency, all study Arms were combined.
13.3%
2/15 • Number of events 3 • Serious adverse event data were collected at study visits from Day 0 to Day 84 and during safety follow-up telephone calls at 6 and 12 months.
Serious adverse events were coded using Medical Dictionary for Regulatory Activities (MedDRA®) Version 14.0. Severity of laboratory toxicities were assessed using the Toxicity Grading Scale in the protocol. For determination of Other Adverse Events frequency, all study Arms were combined.
Investigations
White Blood Cell Count Decreased
11.1%
2/18 • Number of events 3 • Serious adverse event data were collected at study visits from Day 0 to Day 84 and during safety follow-up telephone calls at 6 and 12 months.
Serious adverse events were coded using Medical Dictionary for Regulatory Activities (MedDRA®) Version 14.0. Severity of laboratory toxicities were assessed using the Toxicity Grading Scale in the protocol. For determination of Other Adverse Events frequency, all study Arms were combined.
27.8%
5/18 • Number of events 5 • Serious adverse event data were collected at study visits from Day 0 to Day 84 and during safety follow-up telephone calls at 6 and 12 months.
Serious adverse events were coded using Medical Dictionary for Regulatory Activities (MedDRA®) Version 14.0. Severity of laboratory toxicities were assessed using the Toxicity Grading Scale in the protocol. For determination of Other Adverse Events frequency, all study Arms were combined.
23.5%
4/17 • Number of events 5 • Serious adverse event data were collected at study visits from Day 0 to Day 84 and during safety follow-up telephone calls at 6 and 12 months.
Serious adverse events were coded using Medical Dictionary for Regulatory Activities (MedDRA®) Version 14.0. Severity of laboratory toxicities were assessed using the Toxicity Grading Scale in the protocol. For determination of Other Adverse Events frequency, all study Arms were combined.
0.00%
0/19 • Serious adverse event data were collected at study visits from Day 0 to Day 84 and during safety follow-up telephone calls at 6 and 12 months.
Serious adverse events were coded using Medical Dictionary for Regulatory Activities (MedDRA®) Version 14.0. Severity of laboratory toxicities were assessed using the Toxicity Grading Scale in the protocol. For determination of Other Adverse Events frequency, all study Arms were combined.
11.1%
2/18 • Number of events 3 • Serious adverse event data were collected at study visits from Day 0 to Day 84 and during safety follow-up telephone calls at 6 and 12 months.
Serious adverse events were coded using Medical Dictionary for Regulatory Activities (MedDRA®) Version 14.0. Severity of laboratory toxicities were assessed using the Toxicity Grading Scale in the protocol. For determination of Other Adverse Events frequency, all study Arms were combined.
6.7%
1/15 • Number of events 1 • Serious adverse event data were collected at study visits from Day 0 to Day 84 and during safety follow-up telephone calls at 6 and 12 months.
Serious adverse events were coded using Medical Dictionary for Regulatory Activities (MedDRA®) Version 14.0. Severity of laboratory toxicities were assessed using the Toxicity Grading Scale in the protocol. For determination of Other Adverse Events frequency, all study Arms were combined.
Musculoskeletal and connective tissue disorders
Rotator Cuff Syndrome
0.00%
0/18 • Serious adverse event data were collected at study visits from Day 0 to Day 84 and during safety follow-up telephone calls at 6 and 12 months.
Serious adverse events were coded using Medical Dictionary for Regulatory Activities (MedDRA®) Version 14.0. Severity of laboratory toxicities were assessed using the Toxicity Grading Scale in the protocol. For determination of Other Adverse Events frequency, all study Arms were combined.
5.6%
1/18 • Number of events 1 • Serious adverse event data were collected at study visits from Day 0 to Day 84 and during safety follow-up telephone calls at 6 and 12 months.
Serious adverse events were coded using Medical Dictionary for Regulatory Activities (MedDRA®) Version 14.0. Severity of laboratory toxicities were assessed using the Toxicity Grading Scale in the protocol. For determination of Other Adverse Events frequency, all study Arms were combined.
0.00%
0/17 • Serious adverse event data were collected at study visits from Day 0 to Day 84 and during safety follow-up telephone calls at 6 and 12 months.
Serious adverse events were coded using Medical Dictionary for Regulatory Activities (MedDRA®) Version 14.0. Severity of laboratory toxicities were assessed using the Toxicity Grading Scale in the protocol. For determination of Other Adverse Events frequency, all study Arms were combined.
0.00%
0/19 • Serious adverse event data were collected at study visits from Day 0 to Day 84 and during safety follow-up telephone calls at 6 and 12 months.
Serious adverse events were coded using Medical Dictionary for Regulatory Activities (MedDRA®) Version 14.0. Severity of laboratory toxicities were assessed using the Toxicity Grading Scale in the protocol. For determination of Other Adverse Events frequency, all study Arms were combined.
0.00%
0/18 • Serious adverse event data were collected at study visits from Day 0 to Day 84 and during safety follow-up telephone calls at 6 and 12 months.
Serious adverse events were coded using Medical Dictionary for Regulatory Activities (MedDRA®) Version 14.0. Severity of laboratory toxicities were assessed using the Toxicity Grading Scale in the protocol. For determination of Other Adverse Events frequency, all study Arms were combined.
0.00%
0/15 • Serious adverse event data were collected at study visits from Day 0 to Day 84 and during safety follow-up telephone calls at 6 and 12 months.
Serious adverse events were coded using Medical Dictionary for Regulatory Activities (MedDRA®) Version 14.0. Severity of laboratory toxicities were assessed using the Toxicity Grading Scale in the protocol. For determination of Other Adverse Events frequency, all study Arms were combined.
Musculoskeletal and connective tissue disorders
Tendonitis
0.00%
0/18 • Serious adverse event data were collected at study visits from Day 0 to Day 84 and during safety follow-up telephone calls at 6 and 12 months.
Serious adverse events were coded using Medical Dictionary for Regulatory Activities (MedDRA®) Version 14.0. Severity of laboratory toxicities were assessed using the Toxicity Grading Scale in the protocol. For determination of Other Adverse Events frequency, all study Arms were combined.
5.6%
1/18 • Number of events 1 • Serious adverse event data were collected at study visits from Day 0 to Day 84 and during safety follow-up telephone calls at 6 and 12 months.
Serious adverse events were coded using Medical Dictionary for Regulatory Activities (MedDRA®) Version 14.0. Severity of laboratory toxicities were assessed using the Toxicity Grading Scale in the protocol. For determination of Other Adverse Events frequency, all study Arms were combined.
0.00%
0/17 • Serious adverse event data were collected at study visits from Day 0 to Day 84 and during safety follow-up telephone calls at 6 and 12 months.
Serious adverse events were coded using Medical Dictionary for Regulatory Activities (MedDRA®) Version 14.0. Severity of laboratory toxicities were assessed using the Toxicity Grading Scale in the protocol. For determination of Other Adverse Events frequency, all study Arms were combined.
0.00%
0/19 • Serious adverse event data were collected at study visits from Day 0 to Day 84 and during safety follow-up telephone calls at 6 and 12 months.
Serious adverse events were coded using Medical Dictionary for Regulatory Activities (MedDRA®) Version 14.0. Severity of laboratory toxicities were assessed using the Toxicity Grading Scale in the protocol. For determination of Other Adverse Events frequency, all study Arms were combined.
0.00%
0/18 • Serious adverse event data were collected at study visits from Day 0 to Day 84 and during safety follow-up telephone calls at 6 and 12 months.
Serious adverse events were coded using Medical Dictionary for Regulatory Activities (MedDRA®) Version 14.0. Severity of laboratory toxicities were assessed using the Toxicity Grading Scale in the protocol. For determination of Other Adverse Events frequency, all study Arms were combined.
0.00%
0/15 • Serious adverse event data were collected at study visits from Day 0 to Day 84 and during safety follow-up telephone calls at 6 and 12 months.
Serious adverse events were coded using Medical Dictionary for Regulatory Activities (MedDRA®) Version 14.0. Severity of laboratory toxicities were assessed using the Toxicity Grading Scale in the protocol. For determination of Other Adverse Events frequency, all study Arms were combined.
Injury, poisoning and procedural complications
Facial Bones Fracture
0.00%
0/18 • Serious adverse event data were collected at study visits from Day 0 to Day 84 and during safety follow-up telephone calls at 6 and 12 months.
Serious adverse events were coded using Medical Dictionary for Regulatory Activities (MedDRA®) Version 14.0. Severity of laboratory toxicities were assessed using the Toxicity Grading Scale in the protocol. For determination of Other Adverse Events frequency, all study Arms were combined.
5.6%
1/18 • Number of events 1 • Serious adverse event data were collected at study visits from Day 0 to Day 84 and during safety follow-up telephone calls at 6 and 12 months.
Serious adverse events were coded using Medical Dictionary for Regulatory Activities (MedDRA®) Version 14.0. Severity of laboratory toxicities were assessed using the Toxicity Grading Scale in the protocol. For determination of Other Adverse Events frequency, all study Arms were combined.
0.00%
0/17 • Serious adverse event data were collected at study visits from Day 0 to Day 84 and during safety follow-up telephone calls at 6 and 12 months.
Serious adverse events were coded using Medical Dictionary for Regulatory Activities (MedDRA®) Version 14.0. Severity of laboratory toxicities were assessed using the Toxicity Grading Scale in the protocol. For determination of Other Adverse Events frequency, all study Arms were combined.
0.00%
0/19 • Serious adverse event data were collected at study visits from Day 0 to Day 84 and during safety follow-up telephone calls at 6 and 12 months.
Serious adverse events were coded using Medical Dictionary for Regulatory Activities (MedDRA®) Version 14.0. Severity of laboratory toxicities were assessed using the Toxicity Grading Scale in the protocol. For determination of Other Adverse Events frequency, all study Arms were combined.
5.6%
1/18 • Number of events 1 • Serious adverse event data were collected at study visits from Day 0 to Day 84 and during safety follow-up telephone calls at 6 and 12 months.
Serious adverse events were coded using Medical Dictionary for Regulatory Activities (MedDRA®) Version 14.0. Severity of laboratory toxicities were assessed using the Toxicity Grading Scale in the protocol. For determination of Other Adverse Events frequency, all study Arms were combined.
0.00%
0/15 • Serious adverse event data were collected at study visits from Day 0 to Day 84 and during safety follow-up telephone calls at 6 and 12 months.
Serious adverse events were coded using Medical Dictionary for Regulatory Activities (MedDRA®) Version 14.0. Severity of laboratory toxicities were assessed using the Toxicity Grading Scale in the protocol. For determination of Other Adverse Events frequency, all study Arms were combined.
Eye disorders
Blepharospasm
0.00%
0/18 • Serious adverse event data were collected at study visits from Day 0 to Day 84 and during safety follow-up telephone calls at 6 and 12 months.
Serious adverse events were coded using Medical Dictionary for Regulatory Activities (MedDRA®) Version 14.0. Severity of laboratory toxicities were assessed using the Toxicity Grading Scale in the protocol. For determination of Other Adverse Events frequency, all study Arms were combined.
0.00%
0/18 • Serious adverse event data were collected at study visits from Day 0 to Day 84 and during safety follow-up telephone calls at 6 and 12 months.
Serious adverse events were coded using Medical Dictionary for Regulatory Activities (MedDRA®) Version 14.0. Severity of laboratory toxicities were assessed using the Toxicity Grading Scale in the protocol. For determination of Other Adverse Events frequency, all study Arms were combined.
0.00%
0/17 • Serious adverse event data were collected at study visits from Day 0 to Day 84 and during safety follow-up telephone calls at 6 and 12 months.
Serious adverse events were coded using Medical Dictionary for Regulatory Activities (MedDRA®) Version 14.0. Severity of laboratory toxicities were assessed using the Toxicity Grading Scale in the protocol. For determination of Other Adverse Events frequency, all study Arms were combined.
0.00%
0/19 • Serious adverse event data were collected at study visits from Day 0 to Day 84 and during safety follow-up telephone calls at 6 and 12 months.
Serious adverse events were coded using Medical Dictionary for Regulatory Activities (MedDRA®) Version 14.0. Severity of laboratory toxicities were assessed using the Toxicity Grading Scale in the protocol. For determination of Other Adverse Events frequency, all study Arms were combined.
5.6%
1/18 • Number of events 1 • Serious adverse event data were collected at study visits from Day 0 to Day 84 and during safety follow-up telephone calls at 6 and 12 months.
Serious adverse events were coded using Medical Dictionary for Regulatory Activities (MedDRA®) Version 14.0. Severity of laboratory toxicities were assessed using the Toxicity Grading Scale in the protocol. For determination of Other Adverse Events frequency, all study Arms were combined.
0.00%
0/15 • Serious adverse event data were collected at study visits from Day 0 to Day 84 and during safety follow-up telephone calls at 6 and 12 months.
Serious adverse events were coded using Medical Dictionary for Regulatory Activities (MedDRA®) Version 14.0. Severity of laboratory toxicities were assessed using the Toxicity Grading Scale in the protocol. For determination of Other Adverse Events frequency, all study Arms were combined.
Injury, poisoning and procedural complications
Concussion
0.00%
0/18 • Serious adverse event data were collected at study visits from Day 0 to Day 84 and during safety follow-up telephone calls at 6 and 12 months.
Serious adverse events were coded using Medical Dictionary for Regulatory Activities (MedDRA®) Version 14.0. Severity of laboratory toxicities were assessed using the Toxicity Grading Scale in the protocol. For determination of Other Adverse Events frequency, all study Arms were combined.
0.00%
0/18 • Serious adverse event data were collected at study visits from Day 0 to Day 84 and during safety follow-up telephone calls at 6 and 12 months.
Serious adverse events were coded using Medical Dictionary for Regulatory Activities (MedDRA®) Version 14.0. Severity of laboratory toxicities were assessed using the Toxicity Grading Scale in the protocol. For determination of Other Adverse Events frequency, all study Arms were combined.
0.00%
0/17 • Serious adverse event data were collected at study visits from Day 0 to Day 84 and during safety follow-up telephone calls at 6 and 12 months.
Serious adverse events were coded using Medical Dictionary for Regulatory Activities (MedDRA®) Version 14.0. Severity of laboratory toxicities were assessed using the Toxicity Grading Scale in the protocol. For determination of Other Adverse Events frequency, all study Arms were combined.
0.00%
0/19 • Serious adverse event data were collected at study visits from Day 0 to Day 84 and during safety follow-up telephone calls at 6 and 12 months.
Serious adverse events were coded using Medical Dictionary for Regulatory Activities (MedDRA®) Version 14.0. Severity of laboratory toxicities were assessed using the Toxicity Grading Scale in the protocol. For determination of Other Adverse Events frequency, all study Arms were combined.
5.6%
1/18 • Number of events 1 • Serious adverse event data were collected at study visits from Day 0 to Day 84 and during safety follow-up telephone calls at 6 and 12 months.
Serious adverse events were coded using Medical Dictionary for Regulatory Activities (MedDRA®) Version 14.0. Severity of laboratory toxicities were assessed using the Toxicity Grading Scale in the protocol. For determination of Other Adverse Events frequency, all study Arms were combined.
0.00%
0/15 • Serious adverse event data were collected at study visits from Day 0 to Day 84 and during safety follow-up telephone calls at 6 and 12 months.
Serious adverse events were coded using Medical Dictionary for Regulatory Activities (MedDRA®) Version 14.0. Severity of laboratory toxicities were assessed using the Toxicity Grading Scale in the protocol. For determination of Other Adverse Events frequency, all study Arms were combined.
Injury, poisoning and procedural complications
Jaw Fracture
0.00%
0/18 • Serious adverse event data were collected at study visits from Day 0 to Day 84 and during safety follow-up telephone calls at 6 and 12 months.
Serious adverse events were coded using Medical Dictionary for Regulatory Activities (MedDRA®) Version 14.0. Severity of laboratory toxicities were assessed using the Toxicity Grading Scale in the protocol. For determination of Other Adverse Events frequency, all study Arms were combined.
0.00%
0/18 • Serious adverse event data were collected at study visits from Day 0 to Day 84 and during safety follow-up telephone calls at 6 and 12 months.
Serious adverse events were coded using Medical Dictionary for Regulatory Activities (MedDRA®) Version 14.0. Severity of laboratory toxicities were assessed using the Toxicity Grading Scale in the protocol. For determination of Other Adverse Events frequency, all study Arms were combined.
0.00%
0/17 • Serious adverse event data were collected at study visits from Day 0 to Day 84 and during safety follow-up telephone calls at 6 and 12 months.
Serious adverse events were coded using Medical Dictionary for Regulatory Activities (MedDRA®) Version 14.0. Severity of laboratory toxicities were assessed using the Toxicity Grading Scale in the protocol. For determination of Other Adverse Events frequency, all study Arms were combined.
0.00%
0/19 • Serious adverse event data were collected at study visits from Day 0 to Day 84 and during safety follow-up telephone calls at 6 and 12 months.
Serious adverse events were coded using Medical Dictionary for Regulatory Activities (MedDRA®) Version 14.0. Severity of laboratory toxicities were assessed using the Toxicity Grading Scale in the protocol. For determination of Other Adverse Events frequency, all study Arms were combined.
5.6%
1/18 • Number of events 1 • Serious adverse event data were collected at study visits from Day 0 to Day 84 and during safety follow-up telephone calls at 6 and 12 months.
Serious adverse events were coded using Medical Dictionary for Regulatory Activities (MedDRA®) Version 14.0. Severity of laboratory toxicities were assessed using the Toxicity Grading Scale in the protocol. For determination of Other Adverse Events frequency, all study Arms were combined.
0.00%
0/15 • Serious adverse event data were collected at study visits from Day 0 to Day 84 and during safety follow-up telephone calls at 6 and 12 months.
Serious adverse events were coded using Medical Dictionary for Regulatory Activities (MedDRA®) Version 14.0. Severity of laboratory toxicities were assessed using the Toxicity Grading Scale in the protocol. For determination of Other Adverse Events frequency, all study Arms were combined.
Injury, poisoning and procedural complications
Laceration
0.00%
0/18 • Serious adverse event data were collected at study visits from Day 0 to Day 84 and during safety follow-up telephone calls at 6 and 12 months.
Serious adverse events were coded using Medical Dictionary for Regulatory Activities (MedDRA®) Version 14.0. Severity of laboratory toxicities were assessed using the Toxicity Grading Scale in the protocol. For determination of Other Adverse Events frequency, all study Arms were combined.
0.00%
0/18 • Serious adverse event data were collected at study visits from Day 0 to Day 84 and during safety follow-up telephone calls at 6 and 12 months.
Serious adverse events were coded using Medical Dictionary for Regulatory Activities (MedDRA®) Version 14.0. Severity of laboratory toxicities were assessed using the Toxicity Grading Scale in the protocol. For determination of Other Adverse Events frequency, all study Arms were combined.
0.00%
0/17 • Serious adverse event data were collected at study visits from Day 0 to Day 84 and during safety follow-up telephone calls at 6 and 12 months.
Serious adverse events were coded using Medical Dictionary for Regulatory Activities (MedDRA®) Version 14.0. Severity of laboratory toxicities were assessed using the Toxicity Grading Scale in the protocol. For determination of Other Adverse Events frequency, all study Arms were combined.
0.00%
0/19 • Serious adverse event data were collected at study visits from Day 0 to Day 84 and during safety follow-up telephone calls at 6 and 12 months.
Serious adverse events were coded using Medical Dictionary for Regulatory Activities (MedDRA®) Version 14.0. Severity of laboratory toxicities were assessed using the Toxicity Grading Scale in the protocol. For determination of Other Adverse Events frequency, all study Arms were combined.
5.6%
1/18 • Number of events 2 • Serious adverse event data were collected at study visits from Day 0 to Day 84 and during safety follow-up telephone calls at 6 and 12 months.
Serious adverse events were coded using Medical Dictionary for Regulatory Activities (MedDRA®) Version 14.0. Severity of laboratory toxicities were assessed using the Toxicity Grading Scale in the protocol. For determination of Other Adverse Events frequency, all study Arms were combined.
0.00%
0/15 • Serious adverse event data were collected at study visits from Day 0 to Day 84 and during safety follow-up telephone calls at 6 and 12 months.
Serious adverse events were coded using Medical Dictionary for Regulatory Activities (MedDRA®) Version 14.0. Severity of laboratory toxicities were assessed using the Toxicity Grading Scale in the protocol. For determination of Other Adverse Events frequency, all study Arms were combined.
Injury, poisoning and procedural complications
Sternal Fracture
0.00%
0/18 • Serious adverse event data were collected at study visits from Day 0 to Day 84 and during safety follow-up telephone calls at 6 and 12 months.
Serious adverse events were coded using Medical Dictionary for Regulatory Activities (MedDRA®) Version 14.0. Severity of laboratory toxicities were assessed using the Toxicity Grading Scale in the protocol. For determination of Other Adverse Events frequency, all study Arms were combined.
0.00%
0/18 • Serious adverse event data were collected at study visits from Day 0 to Day 84 and during safety follow-up telephone calls at 6 and 12 months.
Serious adverse events were coded using Medical Dictionary for Regulatory Activities (MedDRA®) Version 14.0. Severity of laboratory toxicities were assessed using the Toxicity Grading Scale in the protocol. For determination of Other Adverse Events frequency, all study Arms were combined.
0.00%
0/17 • Serious adverse event data were collected at study visits from Day 0 to Day 84 and during safety follow-up telephone calls at 6 and 12 months.
Serious adverse events were coded using Medical Dictionary for Regulatory Activities (MedDRA®) Version 14.0. Severity of laboratory toxicities were assessed using the Toxicity Grading Scale in the protocol. For determination of Other Adverse Events frequency, all study Arms were combined.
0.00%
0/19 • Serious adverse event data were collected at study visits from Day 0 to Day 84 and during safety follow-up telephone calls at 6 and 12 months.
Serious adverse events were coded using Medical Dictionary for Regulatory Activities (MedDRA®) Version 14.0. Severity of laboratory toxicities were assessed using the Toxicity Grading Scale in the protocol. For determination of Other Adverse Events frequency, all study Arms were combined.
5.6%
1/18 • Number of events 1 • Serious adverse event data were collected at study visits from Day 0 to Day 84 and during safety follow-up telephone calls at 6 and 12 months.
Serious adverse events were coded using Medical Dictionary for Regulatory Activities (MedDRA®) Version 14.0. Severity of laboratory toxicities were assessed using the Toxicity Grading Scale in the protocol. For determination of Other Adverse Events frequency, all study Arms were combined.
0.00%
0/15 • Serious adverse event data were collected at study visits from Day 0 to Day 84 and during safety follow-up telephone calls at 6 and 12 months.
Serious adverse events were coded using Medical Dictionary for Regulatory Activities (MedDRA®) Version 14.0. Severity of laboratory toxicities were assessed using the Toxicity Grading Scale in the protocol. For determination of Other Adverse Events frequency, all study Arms were combined.
Injury, poisoning and procedural complications
Traumatic Lung Injury
0.00%
0/18 • Serious adverse event data were collected at study visits from Day 0 to Day 84 and during safety follow-up telephone calls at 6 and 12 months.
Serious adverse events were coded using Medical Dictionary for Regulatory Activities (MedDRA®) Version 14.0. Severity of laboratory toxicities were assessed using the Toxicity Grading Scale in the protocol. For determination of Other Adverse Events frequency, all study Arms were combined.
0.00%
0/18 • Serious adverse event data were collected at study visits from Day 0 to Day 84 and during safety follow-up telephone calls at 6 and 12 months.
Serious adverse events were coded using Medical Dictionary for Regulatory Activities (MedDRA®) Version 14.0. Severity of laboratory toxicities were assessed using the Toxicity Grading Scale in the protocol. For determination of Other Adverse Events frequency, all study Arms were combined.
0.00%
0/17 • Serious adverse event data were collected at study visits from Day 0 to Day 84 and during safety follow-up telephone calls at 6 and 12 months.
Serious adverse events were coded using Medical Dictionary for Regulatory Activities (MedDRA®) Version 14.0. Severity of laboratory toxicities were assessed using the Toxicity Grading Scale in the protocol. For determination of Other Adverse Events frequency, all study Arms were combined.
0.00%
0/19 • Serious adverse event data were collected at study visits from Day 0 to Day 84 and during safety follow-up telephone calls at 6 and 12 months.
Serious adverse events were coded using Medical Dictionary for Regulatory Activities (MedDRA®) Version 14.0. Severity of laboratory toxicities were assessed using the Toxicity Grading Scale in the protocol. For determination of Other Adverse Events frequency, all study Arms were combined.
5.6%
1/18 • Number of events 1 • Serious adverse event data were collected at study visits from Day 0 to Day 84 and during safety follow-up telephone calls at 6 and 12 months.
Serious adverse events were coded using Medical Dictionary for Regulatory Activities (MedDRA®) Version 14.0. Severity of laboratory toxicities were assessed using the Toxicity Grading Scale in the protocol. For determination of Other Adverse Events frequency, all study Arms were combined.
0.00%
0/15 • Serious adverse event data were collected at study visits from Day 0 to Day 84 and during safety follow-up telephone calls at 6 and 12 months.
Serious adverse events were coded using Medical Dictionary for Regulatory Activities (MedDRA®) Version 14.0. Severity of laboratory toxicities were assessed using the Toxicity Grading Scale in the protocol. For determination of Other Adverse Events frequency, all study Arms were combined.
Investigations
Alanine aminotransferase increased
0.00%
0/18 • Serious adverse event data were collected at study visits from Day 0 to Day 84 and during safety follow-up telephone calls at 6 and 12 months.
Serious adverse events were coded using Medical Dictionary for Regulatory Activities (MedDRA®) Version 14.0. Severity of laboratory toxicities were assessed using the Toxicity Grading Scale in the protocol. For determination of Other Adverse Events frequency, all study Arms were combined.
0.00%
0/18 • Serious adverse event data were collected at study visits from Day 0 to Day 84 and during safety follow-up telephone calls at 6 and 12 months.
Serious adverse events were coded using Medical Dictionary for Regulatory Activities (MedDRA®) Version 14.0. Severity of laboratory toxicities were assessed using the Toxicity Grading Scale in the protocol. For determination of Other Adverse Events frequency, all study Arms were combined.
5.9%
1/17 • Number of events 1 • Serious adverse event data were collected at study visits from Day 0 to Day 84 and during safety follow-up telephone calls at 6 and 12 months.
Serious adverse events were coded using Medical Dictionary for Regulatory Activities (MedDRA®) Version 14.0. Severity of laboratory toxicities were assessed using the Toxicity Grading Scale in the protocol. For determination of Other Adverse Events frequency, all study Arms were combined.
0.00%
0/19 • Serious adverse event data were collected at study visits from Day 0 to Day 84 and during safety follow-up telephone calls at 6 and 12 months.
Serious adverse events were coded using Medical Dictionary for Regulatory Activities (MedDRA®) Version 14.0. Severity of laboratory toxicities were assessed using the Toxicity Grading Scale in the protocol. For determination of Other Adverse Events frequency, all study Arms were combined.
5.6%
1/18 • Number of events 1 • Serious adverse event data were collected at study visits from Day 0 to Day 84 and during safety follow-up telephone calls at 6 and 12 months.
Serious adverse events were coded using Medical Dictionary for Regulatory Activities (MedDRA®) Version 14.0. Severity of laboratory toxicities were assessed using the Toxicity Grading Scale in the protocol. For determination of Other Adverse Events frequency, all study Arms were combined.
6.7%
1/15 • Number of events 1 • Serious adverse event data were collected at study visits from Day 0 to Day 84 and during safety follow-up telephone calls at 6 and 12 months.
Serious adverse events were coded using Medical Dictionary for Regulatory Activities (MedDRA®) Version 14.0. Severity of laboratory toxicities were assessed using the Toxicity Grading Scale in the protocol. For determination of Other Adverse Events frequency, all study Arms were combined.
Investigations
Aspartate aminotransferase increased
0.00%
0/18 • Serious adverse event data were collected at study visits from Day 0 to Day 84 and during safety follow-up telephone calls at 6 and 12 months.
Serious adverse events were coded using Medical Dictionary for Regulatory Activities (MedDRA®) Version 14.0. Severity of laboratory toxicities were assessed using the Toxicity Grading Scale in the protocol. For determination of Other Adverse Events frequency, all study Arms were combined.
0.00%
0/18 • Serious adverse event data were collected at study visits from Day 0 to Day 84 and during safety follow-up telephone calls at 6 and 12 months.
Serious adverse events were coded using Medical Dictionary for Regulatory Activities (MedDRA®) Version 14.0. Severity of laboratory toxicities were assessed using the Toxicity Grading Scale in the protocol. For determination of Other Adverse Events frequency, all study Arms were combined.
0.00%
0/17 • Serious adverse event data were collected at study visits from Day 0 to Day 84 and during safety follow-up telephone calls at 6 and 12 months.
Serious adverse events were coded using Medical Dictionary for Regulatory Activities (MedDRA®) Version 14.0. Severity of laboratory toxicities were assessed using the Toxicity Grading Scale in the protocol. For determination of Other Adverse Events frequency, all study Arms were combined.
0.00%
0/19 • Serious adverse event data were collected at study visits from Day 0 to Day 84 and during safety follow-up telephone calls at 6 and 12 months.
Serious adverse events were coded using Medical Dictionary for Regulatory Activities (MedDRA®) Version 14.0. Severity of laboratory toxicities were assessed using the Toxicity Grading Scale in the protocol. For determination of Other Adverse Events frequency, all study Arms were combined.
11.1%
2/18 • Number of events 2 • Serious adverse event data were collected at study visits from Day 0 to Day 84 and during safety follow-up telephone calls at 6 and 12 months.
Serious adverse events were coded using Medical Dictionary for Regulatory Activities (MedDRA®) Version 14.0. Severity of laboratory toxicities were assessed using the Toxicity Grading Scale in the protocol. For determination of Other Adverse Events frequency, all study Arms were combined.
0.00%
0/15 • Serious adverse event data were collected at study visits from Day 0 to Day 84 and during safety follow-up telephone calls at 6 and 12 months.
Serious adverse events were coded using Medical Dictionary for Regulatory Activities (MedDRA®) Version 14.0. Severity of laboratory toxicities were assessed using the Toxicity Grading Scale in the protocol. For determination of Other Adverse Events frequency, all study Arms were combined.
Investigations
Blood creatine increased
0.00%
0/18 • Serious adverse event data were collected at study visits from Day 0 to Day 84 and during safety follow-up telephone calls at 6 and 12 months.
Serious adverse events were coded using Medical Dictionary for Regulatory Activities (MedDRA®) Version 14.0. Severity of laboratory toxicities were assessed using the Toxicity Grading Scale in the protocol. For determination of Other Adverse Events frequency, all study Arms were combined.
0.00%
0/18 • Serious adverse event data were collected at study visits from Day 0 to Day 84 and during safety follow-up telephone calls at 6 and 12 months.
Serious adverse events were coded using Medical Dictionary for Regulatory Activities (MedDRA®) Version 14.0. Severity of laboratory toxicities were assessed using the Toxicity Grading Scale in the protocol. For determination of Other Adverse Events frequency, all study Arms were combined.
5.9%
1/17 • Number of events 1 • Serious adverse event data were collected at study visits from Day 0 to Day 84 and during safety follow-up telephone calls at 6 and 12 months.
Serious adverse events were coded using Medical Dictionary for Regulatory Activities (MedDRA®) Version 14.0. Severity of laboratory toxicities were assessed using the Toxicity Grading Scale in the protocol. For determination of Other Adverse Events frequency, all study Arms were combined.
0.00%
0/19 • Serious adverse event data were collected at study visits from Day 0 to Day 84 and during safety follow-up telephone calls at 6 and 12 months.
Serious adverse events were coded using Medical Dictionary for Regulatory Activities (MedDRA®) Version 14.0. Severity of laboratory toxicities were assessed using the Toxicity Grading Scale in the protocol. For determination of Other Adverse Events frequency, all study Arms were combined.
0.00%
0/18 • Serious adverse event data were collected at study visits from Day 0 to Day 84 and during safety follow-up telephone calls at 6 and 12 months.
Serious adverse events were coded using Medical Dictionary for Regulatory Activities (MedDRA®) Version 14.0. Severity of laboratory toxicities were assessed using the Toxicity Grading Scale in the protocol. For determination of Other Adverse Events frequency, all study Arms were combined.
0.00%
0/15 • Serious adverse event data were collected at study visits from Day 0 to Day 84 and during safety follow-up telephone calls at 6 and 12 months.
Serious adverse events were coded using Medical Dictionary for Regulatory Activities (MedDRA®) Version 14.0. Severity of laboratory toxicities were assessed using the Toxicity Grading Scale in the protocol. For determination of Other Adverse Events frequency, all study Arms were combined.
Investigations
Blood lactate dehydrogenase increased
0.00%
0/18 • Serious adverse event data were collected at study visits from Day 0 to Day 84 and during safety follow-up telephone calls at 6 and 12 months.
Serious adverse events were coded using Medical Dictionary for Regulatory Activities (MedDRA®) Version 14.0. Severity of laboratory toxicities were assessed using the Toxicity Grading Scale in the protocol. For determination of Other Adverse Events frequency, all study Arms were combined.
0.00%
0/18 • Serious adverse event data were collected at study visits from Day 0 to Day 84 and during safety follow-up telephone calls at 6 and 12 months.
Serious adverse events were coded using Medical Dictionary for Regulatory Activities (MedDRA®) Version 14.0. Severity of laboratory toxicities were assessed using the Toxicity Grading Scale in the protocol. For determination of Other Adverse Events frequency, all study Arms were combined.
0.00%
0/17 • Serious adverse event data were collected at study visits from Day 0 to Day 84 and during safety follow-up telephone calls at 6 and 12 months.
Serious adverse events were coded using Medical Dictionary for Regulatory Activities (MedDRA®) Version 14.0. Severity of laboratory toxicities were assessed using the Toxicity Grading Scale in the protocol. For determination of Other Adverse Events frequency, all study Arms were combined.
0.00%
0/19 • Serious adverse event data were collected at study visits from Day 0 to Day 84 and during safety follow-up telephone calls at 6 and 12 months.
Serious adverse events were coded using Medical Dictionary for Regulatory Activities (MedDRA®) Version 14.0. Severity of laboratory toxicities were assessed using the Toxicity Grading Scale in the protocol. For determination of Other Adverse Events frequency, all study Arms were combined.
0.00%
0/18 • Serious adverse event data were collected at study visits from Day 0 to Day 84 and during safety follow-up telephone calls at 6 and 12 months.
Serious adverse events were coded using Medical Dictionary for Regulatory Activities (MedDRA®) Version 14.0. Severity of laboratory toxicities were assessed using the Toxicity Grading Scale in the protocol. For determination of Other Adverse Events frequency, all study Arms were combined.
6.7%
1/15 • Number of events 1 • Serious adverse event data were collected at study visits from Day 0 to Day 84 and during safety follow-up telephone calls at 6 and 12 months.
Serious adverse events were coded using Medical Dictionary for Regulatory Activities (MedDRA®) Version 14.0. Severity of laboratory toxicities were assessed using the Toxicity Grading Scale in the protocol. For determination of Other Adverse Events frequency, all study Arms were combined.
Investigations
Blood urea increased
0.00%
0/18 • Serious adverse event data were collected at study visits from Day 0 to Day 84 and during safety follow-up telephone calls at 6 and 12 months.
Serious adverse events were coded using Medical Dictionary for Regulatory Activities (MedDRA®) Version 14.0. Severity of laboratory toxicities were assessed using the Toxicity Grading Scale in the protocol. For determination of Other Adverse Events frequency, all study Arms were combined.
5.6%
1/18 • Number of events 1 • Serious adverse event data were collected at study visits from Day 0 to Day 84 and during safety follow-up telephone calls at 6 and 12 months.
Serious adverse events were coded using Medical Dictionary for Regulatory Activities (MedDRA®) Version 14.0. Severity of laboratory toxicities were assessed using the Toxicity Grading Scale in the protocol. For determination of Other Adverse Events frequency, all study Arms were combined.
0.00%
0/17 • Serious adverse event data were collected at study visits from Day 0 to Day 84 and during safety follow-up telephone calls at 6 and 12 months.
Serious adverse events were coded using Medical Dictionary for Regulatory Activities (MedDRA®) Version 14.0. Severity of laboratory toxicities were assessed using the Toxicity Grading Scale in the protocol. For determination of Other Adverse Events frequency, all study Arms were combined.
0.00%
0/19 • Serious adverse event data were collected at study visits from Day 0 to Day 84 and during safety follow-up telephone calls at 6 and 12 months.
Serious adverse events were coded using Medical Dictionary for Regulatory Activities (MedDRA®) Version 14.0. Severity of laboratory toxicities were assessed using the Toxicity Grading Scale in the protocol. For determination of Other Adverse Events frequency, all study Arms were combined.
0.00%
0/18 • Serious adverse event data were collected at study visits from Day 0 to Day 84 and during safety follow-up telephone calls at 6 and 12 months.
Serious adverse events were coded using Medical Dictionary for Regulatory Activities (MedDRA®) Version 14.0. Severity of laboratory toxicities were assessed using the Toxicity Grading Scale in the protocol. For determination of Other Adverse Events frequency, all study Arms were combined.
0.00%
0/15 • Serious adverse event data were collected at study visits from Day 0 to Day 84 and during safety follow-up telephone calls at 6 and 12 months.
Serious adverse events were coded using Medical Dictionary for Regulatory Activities (MedDRA®) Version 14.0. Severity of laboratory toxicities were assessed using the Toxicity Grading Scale in the protocol. For determination of Other Adverse Events frequency, all study Arms were combined.
Investigations
Hepatic enzyme increased
0.00%
0/18 • Serious adverse event data were collected at study visits from Day 0 to Day 84 and during safety follow-up telephone calls at 6 and 12 months.
Serious adverse events were coded using Medical Dictionary for Regulatory Activities (MedDRA®) Version 14.0. Severity of laboratory toxicities were assessed using the Toxicity Grading Scale in the protocol. For determination of Other Adverse Events frequency, all study Arms were combined.
0.00%
0/18 • Serious adverse event data were collected at study visits from Day 0 to Day 84 and during safety follow-up telephone calls at 6 and 12 months.
Serious adverse events were coded using Medical Dictionary for Regulatory Activities (MedDRA®) Version 14.0. Severity of laboratory toxicities were assessed using the Toxicity Grading Scale in the protocol. For determination of Other Adverse Events frequency, all study Arms were combined.
0.00%
0/17 • Serious adverse event data were collected at study visits from Day 0 to Day 84 and during safety follow-up telephone calls at 6 and 12 months.
Serious adverse events were coded using Medical Dictionary for Regulatory Activities (MedDRA®) Version 14.0. Severity of laboratory toxicities were assessed using the Toxicity Grading Scale in the protocol. For determination of Other Adverse Events frequency, all study Arms were combined.
0.00%
0/19 • Serious adverse event data were collected at study visits from Day 0 to Day 84 and during safety follow-up telephone calls at 6 and 12 months.
Serious adverse events were coded using Medical Dictionary for Regulatory Activities (MedDRA®) Version 14.0. Severity of laboratory toxicities were assessed using the Toxicity Grading Scale in the protocol. For determination of Other Adverse Events frequency, all study Arms were combined.
0.00%
0/18 • Serious adverse event data were collected at study visits from Day 0 to Day 84 and during safety follow-up telephone calls at 6 and 12 months.
Serious adverse events were coded using Medical Dictionary for Regulatory Activities (MedDRA®) Version 14.0. Severity of laboratory toxicities were assessed using the Toxicity Grading Scale in the protocol. For determination of Other Adverse Events frequency, all study Arms were combined.
6.7%
1/15 • Number of events 1 • Serious adverse event data were collected at study visits from Day 0 to Day 84 and during safety follow-up telephone calls at 6 and 12 months.
Serious adverse events were coded using Medical Dictionary for Regulatory Activities (MedDRA®) Version 14.0. Severity of laboratory toxicities were assessed using the Toxicity Grading Scale in the protocol. For determination of Other Adverse Events frequency, all study Arms were combined.
Investigations
Hyperkalemia
0.00%
0/18 • Serious adverse event data were collected at study visits from Day 0 to Day 84 and during safety follow-up telephone calls at 6 and 12 months.
Serious adverse events were coded using Medical Dictionary for Regulatory Activities (MedDRA®) Version 14.0. Severity of laboratory toxicities were assessed using the Toxicity Grading Scale in the protocol. For determination of Other Adverse Events frequency, all study Arms were combined.
5.6%
1/18 • Number of events 1 • Serious adverse event data were collected at study visits from Day 0 to Day 84 and during safety follow-up telephone calls at 6 and 12 months.
Serious adverse events were coded using Medical Dictionary for Regulatory Activities (MedDRA®) Version 14.0. Severity of laboratory toxicities were assessed using the Toxicity Grading Scale in the protocol. For determination of Other Adverse Events frequency, all study Arms were combined.
0.00%
0/17 • Serious adverse event data were collected at study visits from Day 0 to Day 84 and during safety follow-up telephone calls at 6 and 12 months.
Serious adverse events were coded using Medical Dictionary for Regulatory Activities (MedDRA®) Version 14.0. Severity of laboratory toxicities were assessed using the Toxicity Grading Scale in the protocol. For determination of Other Adverse Events frequency, all study Arms were combined.
0.00%
0/19 • Serious adverse event data were collected at study visits from Day 0 to Day 84 and during safety follow-up telephone calls at 6 and 12 months.
Serious adverse events were coded using Medical Dictionary for Regulatory Activities (MedDRA®) Version 14.0. Severity of laboratory toxicities were assessed using the Toxicity Grading Scale in the protocol. For determination of Other Adverse Events frequency, all study Arms were combined.
0.00%
0/18 • Serious adverse event data were collected at study visits from Day 0 to Day 84 and during safety follow-up telephone calls at 6 and 12 months.
Serious adverse events were coded using Medical Dictionary for Regulatory Activities (MedDRA®) Version 14.0. Severity of laboratory toxicities were assessed using the Toxicity Grading Scale in the protocol. For determination of Other Adverse Events frequency, all study Arms were combined.
0.00%
0/15 • Serious adverse event data were collected at study visits from Day 0 to Day 84 and during safety follow-up telephone calls at 6 and 12 months.
Serious adverse events were coded using Medical Dictionary for Regulatory Activities (MedDRA®) Version 14.0. Severity of laboratory toxicities were assessed using the Toxicity Grading Scale in the protocol. For determination of Other Adverse Events frequency, all study Arms were combined.
Investigations
Hypoglycemia
0.00%
0/18 • Serious adverse event data were collected at study visits from Day 0 to Day 84 and during safety follow-up telephone calls at 6 and 12 months.
Serious adverse events were coded using Medical Dictionary for Regulatory Activities (MedDRA®) Version 14.0. Severity of laboratory toxicities were assessed using the Toxicity Grading Scale in the protocol. For determination of Other Adverse Events frequency, all study Arms were combined.
5.6%
1/18 • Number of events 1 • Serious adverse event data were collected at study visits from Day 0 to Day 84 and during safety follow-up telephone calls at 6 and 12 months.
Serious adverse events were coded using Medical Dictionary for Regulatory Activities (MedDRA®) Version 14.0. Severity of laboratory toxicities were assessed using the Toxicity Grading Scale in the protocol. For determination of Other Adverse Events frequency, all study Arms were combined.
0.00%
0/17 • Serious adverse event data were collected at study visits from Day 0 to Day 84 and during safety follow-up telephone calls at 6 and 12 months.
Serious adverse events were coded using Medical Dictionary for Regulatory Activities (MedDRA®) Version 14.0. Severity of laboratory toxicities were assessed using the Toxicity Grading Scale in the protocol. For determination of Other Adverse Events frequency, all study Arms were combined.
10.5%
2/19 • Number of events 2 • Serious adverse event data were collected at study visits from Day 0 to Day 84 and during safety follow-up telephone calls at 6 and 12 months.
Serious adverse events were coded using Medical Dictionary for Regulatory Activities (MedDRA®) Version 14.0. Severity of laboratory toxicities were assessed using the Toxicity Grading Scale in the protocol. For determination of Other Adverse Events frequency, all study Arms were combined.
0.00%
0/18 • Serious adverse event data were collected at study visits from Day 0 to Day 84 and during safety follow-up telephone calls at 6 and 12 months.
Serious adverse events were coded using Medical Dictionary for Regulatory Activities (MedDRA®) Version 14.0. Severity of laboratory toxicities were assessed using the Toxicity Grading Scale in the protocol. For determination of Other Adverse Events frequency, all study Arms were combined.
0.00%
0/15 • Serious adverse event data were collected at study visits from Day 0 to Day 84 and during safety follow-up telephone calls at 6 and 12 months.
Serious adverse events were coded using Medical Dictionary for Regulatory Activities (MedDRA®) Version 14.0. Severity of laboratory toxicities were assessed using the Toxicity Grading Scale in the protocol. For determination of Other Adverse Events frequency, all study Arms were combined.
Investigations
Hypokalemia
0.00%
0/18 • Serious adverse event data were collected at study visits from Day 0 to Day 84 and during safety follow-up telephone calls at 6 and 12 months.
Serious adverse events were coded using Medical Dictionary for Regulatory Activities (MedDRA®) Version 14.0. Severity of laboratory toxicities were assessed using the Toxicity Grading Scale in the protocol. For determination of Other Adverse Events frequency, all study Arms were combined.
0.00%
0/18 • Serious adverse event data were collected at study visits from Day 0 to Day 84 and during safety follow-up telephone calls at 6 and 12 months.
Serious adverse events were coded using Medical Dictionary for Regulatory Activities (MedDRA®) Version 14.0. Severity of laboratory toxicities were assessed using the Toxicity Grading Scale in the protocol. For determination of Other Adverse Events frequency, all study Arms were combined.
5.9%
1/17 • Number of events 1 • Serious adverse event data were collected at study visits from Day 0 to Day 84 and during safety follow-up telephone calls at 6 and 12 months.
Serious adverse events were coded using Medical Dictionary for Regulatory Activities (MedDRA®) Version 14.0. Severity of laboratory toxicities were assessed using the Toxicity Grading Scale in the protocol. For determination of Other Adverse Events frequency, all study Arms were combined.
5.3%
1/19 • Number of events 1 • Serious adverse event data were collected at study visits from Day 0 to Day 84 and during safety follow-up telephone calls at 6 and 12 months.
Serious adverse events were coded using Medical Dictionary for Regulatory Activities (MedDRA®) Version 14.0. Severity of laboratory toxicities were assessed using the Toxicity Grading Scale in the protocol. For determination of Other Adverse Events frequency, all study Arms were combined.
0.00%
0/18 • Serious adverse event data were collected at study visits from Day 0 to Day 84 and during safety follow-up telephone calls at 6 and 12 months.
Serious adverse events were coded using Medical Dictionary for Regulatory Activities (MedDRA®) Version 14.0. Severity of laboratory toxicities were assessed using the Toxicity Grading Scale in the protocol. For determination of Other Adverse Events frequency, all study Arms were combined.
0.00%
0/15 • Serious adverse event data were collected at study visits from Day 0 to Day 84 and during safety follow-up telephone calls at 6 and 12 months.
Serious adverse events were coded using Medical Dictionary for Regulatory Activities (MedDRA®) Version 14.0. Severity of laboratory toxicities were assessed using the Toxicity Grading Scale in the protocol. For determination of Other Adverse Events frequency, all study Arms were combined.
Investigations
Hypomagnesemia
0.00%
0/18 • Serious adverse event data were collected at study visits from Day 0 to Day 84 and during safety follow-up telephone calls at 6 and 12 months.
Serious adverse events were coded using Medical Dictionary for Regulatory Activities (MedDRA®) Version 14.0. Severity of laboratory toxicities were assessed using the Toxicity Grading Scale in the protocol. For determination of Other Adverse Events frequency, all study Arms were combined.
0.00%
0/18 • Serious adverse event data were collected at study visits from Day 0 to Day 84 and during safety follow-up telephone calls at 6 and 12 months.
Serious adverse events were coded using Medical Dictionary for Regulatory Activities (MedDRA®) Version 14.0. Severity of laboratory toxicities were assessed using the Toxicity Grading Scale in the protocol. For determination of Other Adverse Events frequency, all study Arms were combined.
0.00%
0/17 • Serious adverse event data were collected at study visits from Day 0 to Day 84 and during safety follow-up telephone calls at 6 and 12 months.
Serious adverse events were coded using Medical Dictionary for Regulatory Activities (MedDRA®) Version 14.0. Severity of laboratory toxicities were assessed using the Toxicity Grading Scale in the protocol. For determination of Other Adverse Events frequency, all study Arms were combined.
5.3%
1/19 • Number of events 1 • Serious adverse event data were collected at study visits from Day 0 to Day 84 and during safety follow-up telephone calls at 6 and 12 months.
Serious adverse events were coded using Medical Dictionary for Regulatory Activities (MedDRA®) Version 14.0. Severity of laboratory toxicities were assessed using the Toxicity Grading Scale in the protocol. For determination of Other Adverse Events frequency, all study Arms were combined.
0.00%
0/18 • Serious adverse event data were collected at study visits from Day 0 to Day 84 and during safety follow-up telephone calls at 6 and 12 months.
Serious adverse events were coded using Medical Dictionary for Regulatory Activities (MedDRA®) Version 14.0. Severity of laboratory toxicities were assessed using the Toxicity Grading Scale in the protocol. For determination of Other Adverse Events frequency, all study Arms were combined.
0.00%
0/15 • Serious adverse event data were collected at study visits from Day 0 to Day 84 and during safety follow-up telephone calls at 6 and 12 months.
Serious adverse events were coded using Medical Dictionary for Regulatory Activities (MedDRA®) Version 14.0. Severity of laboratory toxicities were assessed using the Toxicity Grading Scale in the protocol. For determination of Other Adverse Events frequency, all study Arms were combined.
Investigations
Neutropenia
5.6%
1/18 • Number of events 1 • Serious adverse event data were collected at study visits from Day 0 to Day 84 and during safety follow-up telephone calls at 6 and 12 months.
Serious adverse events were coded using Medical Dictionary for Regulatory Activities (MedDRA®) Version 14.0. Severity of laboratory toxicities were assessed using the Toxicity Grading Scale in the protocol. For determination of Other Adverse Events frequency, all study Arms were combined.
5.6%
1/18 • Number of events 1 • Serious adverse event data were collected at study visits from Day 0 to Day 84 and during safety follow-up telephone calls at 6 and 12 months.
Serious adverse events were coded using Medical Dictionary for Regulatory Activities (MedDRA®) Version 14.0. Severity of laboratory toxicities were assessed using the Toxicity Grading Scale in the protocol. For determination of Other Adverse Events frequency, all study Arms were combined.
0.00%
0/17 • Serious adverse event data were collected at study visits from Day 0 to Day 84 and during safety follow-up telephone calls at 6 and 12 months.
Serious adverse events were coded using Medical Dictionary for Regulatory Activities (MedDRA®) Version 14.0. Severity of laboratory toxicities were assessed using the Toxicity Grading Scale in the protocol. For determination of Other Adverse Events frequency, all study Arms were combined.
0.00%
0/19 • Serious adverse event data were collected at study visits from Day 0 to Day 84 and during safety follow-up telephone calls at 6 and 12 months.
Serious adverse events were coded using Medical Dictionary for Regulatory Activities (MedDRA®) Version 14.0. Severity of laboratory toxicities were assessed using the Toxicity Grading Scale in the protocol. For determination of Other Adverse Events frequency, all study Arms were combined.
0.00%
0/18 • Serious adverse event data were collected at study visits from Day 0 to Day 84 and during safety follow-up telephone calls at 6 and 12 months.
Serious adverse events were coded using Medical Dictionary for Regulatory Activities (MedDRA®) Version 14.0. Severity of laboratory toxicities were assessed using the Toxicity Grading Scale in the protocol. For determination of Other Adverse Events frequency, all study Arms were combined.
0.00%
0/15 • Serious adverse event data were collected at study visits from Day 0 to Day 84 and during safety follow-up telephone calls at 6 and 12 months.
Serious adverse events were coded using Medical Dictionary for Regulatory Activities (MedDRA®) Version 14.0. Severity of laboratory toxicities were assessed using the Toxicity Grading Scale in the protocol. For determination of Other Adverse Events frequency, all study Arms were combined.
Investigations
Neutrophil count decreased
0.00%
0/18 • Serious adverse event data were collected at study visits from Day 0 to Day 84 and during safety follow-up telephone calls at 6 and 12 months.
Serious adverse events were coded using Medical Dictionary for Regulatory Activities (MedDRA®) Version 14.0. Severity of laboratory toxicities were assessed using the Toxicity Grading Scale in the protocol. For determination of Other Adverse Events frequency, all study Arms were combined.
5.6%
1/18 • Number of events 1 • Serious adverse event data were collected at study visits from Day 0 to Day 84 and during safety follow-up telephone calls at 6 and 12 months.
Serious adverse events were coded using Medical Dictionary for Regulatory Activities (MedDRA®) Version 14.0. Severity of laboratory toxicities were assessed using the Toxicity Grading Scale in the protocol. For determination of Other Adverse Events frequency, all study Arms were combined.
0.00%
0/17 • Serious adverse event data were collected at study visits from Day 0 to Day 84 and during safety follow-up telephone calls at 6 and 12 months.
Serious adverse events were coded using Medical Dictionary for Regulatory Activities (MedDRA®) Version 14.0. Severity of laboratory toxicities were assessed using the Toxicity Grading Scale in the protocol. For determination of Other Adverse Events frequency, all study Arms were combined.
0.00%
0/19 • Serious adverse event data were collected at study visits from Day 0 to Day 84 and during safety follow-up telephone calls at 6 and 12 months.
Serious adverse events were coded using Medical Dictionary for Regulatory Activities (MedDRA®) Version 14.0. Severity of laboratory toxicities were assessed using the Toxicity Grading Scale in the protocol. For determination of Other Adverse Events frequency, all study Arms were combined.
0.00%
0/18 • Serious adverse event data were collected at study visits from Day 0 to Day 84 and during safety follow-up telephone calls at 6 and 12 months.
Serious adverse events were coded using Medical Dictionary for Regulatory Activities (MedDRA®) Version 14.0. Severity of laboratory toxicities were assessed using the Toxicity Grading Scale in the protocol. For determination of Other Adverse Events frequency, all study Arms were combined.
0.00%
0/15 • Serious adverse event data were collected at study visits from Day 0 to Day 84 and during safety follow-up telephone calls at 6 and 12 months.
Serious adverse events were coded using Medical Dictionary for Regulatory Activities (MedDRA®) Version 14.0. Severity of laboratory toxicities were assessed using the Toxicity Grading Scale in the protocol. For determination of Other Adverse Events frequency, all study Arms were combined.
Investigations
Protein urine
0.00%
0/18 • Serious adverse event data were collected at study visits from Day 0 to Day 84 and during safety follow-up telephone calls at 6 and 12 months.
Serious adverse events were coded using Medical Dictionary for Regulatory Activities (MedDRA®) Version 14.0. Severity of laboratory toxicities were assessed using the Toxicity Grading Scale in the protocol. For determination of Other Adverse Events frequency, all study Arms were combined.
5.6%
1/18 • Number of events 1 • Serious adverse event data were collected at study visits from Day 0 to Day 84 and during safety follow-up telephone calls at 6 and 12 months.
Serious adverse events were coded using Medical Dictionary for Regulatory Activities (MedDRA®) Version 14.0. Severity of laboratory toxicities were assessed using the Toxicity Grading Scale in the protocol. For determination of Other Adverse Events frequency, all study Arms were combined.
0.00%
0/17 • Serious adverse event data were collected at study visits from Day 0 to Day 84 and during safety follow-up telephone calls at 6 and 12 months.
Serious adverse events were coded using Medical Dictionary for Regulatory Activities (MedDRA®) Version 14.0. Severity of laboratory toxicities were assessed using the Toxicity Grading Scale in the protocol. For determination of Other Adverse Events frequency, all study Arms were combined.
5.3%
1/19 • Number of events 1 • Serious adverse event data were collected at study visits from Day 0 to Day 84 and during safety follow-up telephone calls at 6 and 12 months.
Serious adverse events were coded using Medical Dictionary for Regulatory Activities (MedDRA®) Version 14.0. Severity of laboratory toxicities were assessed using the Toxicity Grading Scale in the protocol. For determination of Other Adverse Events frequency, all study Arms were combined.
5.6%
1/18 • Number of events 1 • Serious adverse event data were collected at study visits from Day 0 to Day 84 and during safety follow-up telephone calls at 6 and 12 months.
Serious adverse events were coded using Medical Dictionary for Regulatory Activities (MedDRA®) Version 14.0. Severity of laboratory toxicities were assessed using the Toxicity Grading Scale in the protocol. For determination of Other Adverse Events frequency, all study Arms were combined.
6.7%
1/15 • Number of events 1 • Serious adverse event data were collected at study visits from Day 0 to Day 84 and during safety follow-up telephone calls at 6 and 12 months.
Serious adverse events were coded using Medical Dictionary for Regulatory Activities (MedDRA®) Version 14.0. Severity of laboratory toxicities were assessed using the Toxicity Grading Scale in the protocol. For determination of Other Adverse Events frequency, all study Arms were combined.
Investigations
Red blood cells urine positive
0.00%
0/18 • Serious adverse event data were collected at study visits from Day 0 to Day 84 and during safety follow-up telephone calls at 6 and 12 months.
Serious adverse events were coded using Medical Dictionary for Regulatory Activities (MedDRA®) Version 14.0. Severity of laboratory toxicities were assessed using the Toxicity Grading Scale in the protocol. For determination of Other Adverse Events frequency, all study Arms were combined.
0.00%
0/18 • Serious adverse event data were collected at study visits from Day 0 to Day 84 and during safety follow-up telephone calls at 6 and 12 months.
Serious adverse events were coded using Medical Dictionary for Regulatory Activities (MedDRA®) Version 14.0. Severity of laboratory toxicities were assessed using the Toxicity Grading Scale in the protocol. For determination of Other Adverse Events frequency, all study Arms were combined.
5.9%
1/17 • Number of events 1 • Serious adverse event data were collected at study visits from Day 0 to Day 84 and during safety follow-up telephone calls at 6 and 12 months.
Serious adverse events were coded using Medical Dictionary for Regulatory Activities (MedDRA®) Version 14.0. Severity of laboratory toxicities were assessed using the Toxicity Grading Scale in the protocol. For determination of Other Adverse Events frequency, all study Arms were combined.
0.00%
0/19 • Serious adverse event data were collected at study visits from Day 0 to Day 84 and during safety follow-up telephone calls at 6 and 12 months.
Serious adverse events were coded using Medical Dictionary for Regulatory Activities (MedDRA®) Version 14.0. Severity of laboratory toxicities were assessed using the Toxicity Grading Scale in the protocol. For determination of Other Adverse Events frequency, all study Arms were combined.
0.00%
0/18 • Serious adverse event data were collected at study visits from Day 0 to Day 84 and during safety follow-up telephone calls at 6 and 12 months.
Serious adverse events were coded using Medical Dictionary for Regulatory Activities (MedDRA®) Version 14.0. Severity of laboratory toxicities were assessed using the Toxicity Grading Scale in the protocol. For determination of Other Adverse Events frequency, all study Arms were combined.
0.00%
0/15 • Serious adverse event data were collected at study visits from Day 0 to Day 84 and during safety follow-up telephone calls at 6 and 12 months.
Serious adverse events were coded using Medical Dictionary for Regulatory Activities (MedDRA®) Version 14.0. Severity of laboratory toxicities were assessed using the Toxicity Grading Scale in the protocol. For determination of Other Adverse Events frequency, all study Arms were combined.
Investigations
White blood cell count increased
0.00%
0/18 • Serious adverse event data were collected at study visits from Day 0 to Day 84 and during safety follow-up telephone calls at 6 and 12 months.
Serious adverse events were coded using Medical Dictionary for Regulatory Activities (MedDRA®) Version 14.0. Severity of laboratory toxicities were assessed using the Toxicity Grading Scale in the protocol. For determination of Other Adverse Events frequency, all study Arms were combined.
5.6%
1/18 • Number of events 1 • Serious adverse event data were collected at study visits from Day 0 to Day 84 and during safety follow-up telephone calls at 6 and 12 months.
Serious adverse events were coded using Medical Dictionary for Regulatory Activities (MedDRA®) Version 14.0. Severity of laboratory toxicities were assessed using the Toxicity Grading Scale in the protocol. For determination of Other Adverse Events frequency, all study Arms were combined.
0.00%
0/17 • Serious adverse event data were collected at study visits from Day 0 to Day 84 and during safety follow-up telephone calls at 6 and 12 months.
Serious adverse events were coded using Medical Dictionary for Regulatory Activities (MedDRA®) Version 14.0. Severity of laboratory toxicities were assessed using the Toxicity Grading Scale in the protocol. For determination of Other Adverse Events frequency, all study Arms were combined.
0.00%
0/19 • Serious adverse event data were collected at study visits from Day 0 to Day 84 and during safety follow-up telephone calls at 6 and 12 months.
Serious adverse events were coded using Medical Dictionary for Regulatory Activities (MedDRA®) Version 14.0. Severity of laboratory toxicities were assessed using the Toxicity Grading Scale in the protocol. For determination of Other Adverse Events frequency, all study Arms were combined.
0.00%
0/18 • Serious adverse event data were collected at study visits from Day 0 to Day 84 and during safety follow-up telephone calls at 6 and 12 months.
Serious adverse events were coded using Medical Dictionary for Regulatory Activities (MedDRA®) Version 14.0. Severity of laboratory toxicities were assessed using the Toxicity Grading Scale in the protocol. For determination of Other Adverse Events frequency, all study Arms were combined.
0.00%
0/15 • Serious adverse event data were collected at study visits from Day 0 to Day 84 and during safety follow-up telephone calls at 6 and 12 months.
Serious adverse events were coded using Medical Dictionary for Regulatory Activities (MedDRA®) Version 14.0. Severity of laboratory toxicities were assessed using the Toxicity Grading Scale in the protocol. For determination of Other Adverse Events frequency, all study Arms were combined.
Investigations
White blood cells urine positive
0.00%
0/18 • Serious adverse event data were collected at study visits from Day 0 to Day 84 and during safety follow-up telephone calls at 6 and 12 months.
Serious adverse events were coded using Medical Dictionary for Regulatory Activities (MedDRA®) Version 14.0. Severity of laboratory toxicities were assessed using the Toxicity Grading Scale in the protocol. For determination of Other Adverse Events frequency, all study Arms were combined.
0.00%
0/18 • Serious adverse event data were collected at study visits from Day 0 to Day 84 and during safety follow-up telephone calls at 6 and 12 months.
Serious adverse events were coded using Medical Dictionary for Regulatory Activities (MedDRA®) Version 14.0. Severity of laboratory toxicities were assessed using the Toxicity Grading Scale in the protocol. For determination of Other Adverse Events frequency, all study Arms were combined.
5.9%
1/17 • Number of events 1 • Serious adverse event data were collected at study visits from Day 0 to Day 84 and during safety follow-up telephone calls at 6 and 12 months.
Serious adverse events were coded using Medical Dictionary for Regulatory Activities (MedDRA®) Version 14.0. Severity of laboratory toxicities were assessed using the Toxicity Grading Scale in the protocol. For determination of Other Adverse Events frequency, all study Arms were combined.
0.00%
0/19 • Serious adverse event data were collected at study visits from Day 0 to Day 84 and during safety follow-up telephone calls at 6 and 12 months.
Serious adverse events were coded using Medical Dictionary for Regulatory Activities (MedDRA®) Version 14.0. Severity of laboratory toxicities were assessed using the Toxicity Grading Scale in the protocol. For determination of Other Adverse Events frequency, all study Arms were combined.
0.00%
0/18 • Serious adverse event data were collected at study visits from Day 0 to Day 84 and during safety follow-up telephone calls at 6 and 12 months.
Serious adverse events were coded using Medical Dictionary for Regulatory Activities (MedDRA®) Version 14.0. Severity of laboratory toxicities were assessed using the Toxicity Grading Scale in the protocol. For determination of Other Adverse Events frequency, all study Arms were combined.
0.00%
0/15 • Serious adverse event data were collected at study visits from Day 0 to Day 84 and during safety follow-up telephone calls at 6 and 12 months.
Serious adverse events were coded using Medical Dictionary for Regulatory Activities (MedDRA®) Version 14.0. Severity of laboratory toxicities were assessed using the Toxicity Grading Scale in the protocol. For determination of Other Adverse Events frequency, all study Arms were combined.

Additional Information

Dr. Robert Hopkins

Emergent BioSolutions

Phone: (301) 944-0136

Results disclosure agreements

  • Principal investigator is a sponsor employee Sponsor is responsible for public disclosure of study data. Any proposed publication is subject to review agreed between National Institute of Allergy and Infectious Disease (NIAID) and Emergent; between Emergent and the contract research organizations (CROs)/vendors; and between the CROs and the site Principal Investigator. Data are the property of the sponsor and cannot be published without prior authorization from the sponsor, but data and publication thereof will not be unduly withheld.
  • Publication restrictions are in place

Restriction type: OTHER