Trial Outcomes & Findings for A Phase II Trial to Compare a Liquid-frozen and a Freeze-dried Formulation of IMVAMUNE (MVA-BN®) Smallpox Vaccine in Vaccinia-naïve Healthy Subjects (NCT NCT01668537)

NCT ID: NCT01668537

Last Updated: 2020-10-12

Results Overview

Geometric Mean Titers (GMT) based on vaccinia-specific Enzyme-linked Immunosorbent Assay (ELISA). Titers below the detection limit are included with a value of '1'

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

651 participants

Primary outcome timeframe

Week 6

Results posted on

2020-10-12

Participant Flow

Participant milestones

Participant milestones
Measure
LF Formulation
Liquid Frozen (LF) formulation of MVA-BN® 2 doses of 1 x 10E8 TCID50, subcutaneous (s.c.), 4 weeks apart LF formulation of MVA-BN®
FD Formulation
Freeze Dried (FD) formulation of MVA-BN® 2 doses of 1 x 10E8 TCID50, s.c., 4 weeks apart FD formulation of MVA-BN®
Overall Study
STARTED
327
324
Overall Study
COMPLETED
305
314
Overall Study
NOT COMPLETED
22
10

Reasons for withdrawal

Reasons for withdrawal
Measure
LF Formulation
Liquid Frozen (LF) formulation of MVA-BN® 2 doses of 1 x 10E8 TCID50, subcutaneous (s.c.), 4 weeks apart LF formulation of MVA-BN®
FD Formulation
Freeze Dried (FD) formulation of MVA-BN® 2 doses of 1 x 10E8 TCID50, s.c., 4 weeks apart FD formulation of MVA-BN®
Overall Study
Request to Discontinue Prematurely
1
1
Overall Study
Subject unwilling/unable to comply
5
0
Overall Study
Reason Precludes Participation
1
0
Overall Study
Lost to Follow-up
13
6
Overall Study
Other
2
3

Baseline Characteristics

A Phase II Trial to Compare a Liquid-frozen and a Freeze-dried Formulation of IMVAMUNE (MVA-BN®) Smallpox Vaccine in Vaccinia-naïve Healthy Subjects

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
LF Formulation
n=327 Participants
Liquid Frozen formulation of MVA-BN® 2 doses of 1 x 10E8 TCID50, s.c., 4 weeks apart LF formulation of MVA-BN®
FD Formulation
n=324 Participants
Freeze Dried formulation of MVA-BN® 2 doses of 1 x 10E8 TCID50, s.c., 4 weeks apart FD formulation of MVA-BN®
Total
n=651 Participants
Total of all reporting groups
Age, Continuous
27.8 years
STANDARD_DEVIATION 6.36 • n=5 Participants
27.6 years
STANDARD_DEVIATION 6.21 • n=7 Participants
27.7 years
STANDARD_DEVIATION 6.28 • n=5 Participants
Sex: Female, Male
Female
178 Participants
n=5 Participants
170 Participants
n=7 Participants
348 Participants
n=5 Participants
Sex: Female, Male
Male
149 Participants
n=5 Participants
154 Participants
n=7 Participants
303 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
95 Participants
n=5 Participants
95 Participants
n=7 Participants
190 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
232 Participants
n=5 Participants
229 Participants
n=7 Participants
461 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
1 Participants
n=7 Participants
1 Participants
n=5 Participants
Race (NIH/OMB)
Asian
4 Participants
n=5 Participants
1 Participants
n=7 Participants
5 Participants
n=5 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
1 Participants
n=5 Participants
1 Participants
n=7 Participants
2 Participants
n=5 Participants
Race (NIH/OMB)
Black or African American
78 Participants
n=5 Participants
67 Participants
n=7 Participants
145 Participants
n=5 Participants
Race (NIH/OMB)
White
239 Participants
n=5 Participants
247 Participants
n=7 Participants
486 Participants
n=5 Participants
Race (NIH/OMB)
More than one race
5 Participants
n=5 Participants
5 Participants
n=7 Participants
10 Participants
n=5 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
2 Participants
n=7 Participants
2 Participants
n=5 Participants
Region of Enrollment
United States
327 participants
n=5 Participants
324 participants
n=7 Participants
651 participants
n=5 Participants

PRIMARY outcome

Timeframe: Week 6

Population: Per Protocol Analysis Set

Geometric Mean Titers (GMT) based on vaccinia-specific Enzyme-linked Immunosorbent Assay (ELISA). Titers below the detection limit are included with a value of '1'

Outcome measures

Outcome measures
Measure
LF Formulation
n=297 Participants
Liquid Frozen formulation of MVA-BN® 2 doses of 1 x 10E8 TCID50, s.c., 4 weeks apart LF formulation of MVA-BN®
FD Formulation
n=306 Participants
Freeze Dried formulation of MVA-BN® 2 doses of 1 x 10E8 TCID50, s.c., 4 weeks apart FD formulation of MVA-BN®
ELISA GMT
875.1 Titer
Interval 801.3 to 955.7
1099.6 Titer
Interval 1014.8 to 1191.6

SECONDARY outcome

Timeframe: up to 32 weeks

Population: Full Analysis Set

Occurrence, relationship to the trial vaccine and intensity of any Serious Adverse Event (SAE).

Outcome measures

Outcome measures
Measure
LF Formulation
n=327 Participants
Liquid Frozen formulation of MVA-BN® 2 doses of 1 x 10E8 TCID50, s.c., 4 weeks apart LF formulation of MVA-BN®
FD Formulation
n=324 Participants
Freeze Dried formulation of MVA-BN® 2 doses of 1 x 10E8 TCID50, s.c., 4 weeks apart FD formulation of MVA-BN®
Number of Participants With Serious Adverse Events
SAE
5 Participants
2 Participants
Number of Participants With Serious Adverse Events
SAE related to vaccine
0 Participants
0 Participants
Number of Participants With Serious Adverse Events
SAE Grade >=3
3 Participants
1 Participants

SECONDARY outcome

Timeframe: up to 32 weeks

Population: Full Analysis Set

Occurrence, relationship to the trial vaccine and intensity of any Adverse Event of Special Interest (AESI). AESIs were defined as any cardiac symptoms and ECG changes determined to be clinically significant or cardiac enzyme troponin I elevated above 2 x the Upper Limit of Normal

Outcome measures

Outcome measures
Measure
LF Formulation
n=327 Participants
Liquid Frozen formulation of MVA-BN® 2 doses of 1 x 10E8 TCID50, s.c., 4 weeks apart LF formulation of MVA-BN®
FD Formulation
n=324 Participants
Freeze Dried formulation of MVA-BN® 2 doses of 1 x 10E8 TCID50, s.c., 4 weeks apart FD formulation of MVA-BN®
Number of Participants With Adverse Events of Special Interest (AESI)
AESI
1 Participants
4 Participants
Number of Participants With Adverse Events of Special Interest (AESI)
Drug-related AESI
0 Participants
0 Participants
Number of Participants With Adverse Events of Special Interest (AESI)
AESI Grade >=3
0 Participants
0 Participants

SECONDARY outcome

Timeframe: within 29 days after vaccination

Population: Full Analysis Set

Occurrence of any Grade \>=3 Adverse Events related to the trial vaccine.

Outcome measures

Outcome measures
Measure
LF Formulation
n=327 Participants
Liquid Frozen formulation of MVA-BN® 2 doses of 1 x 10E8 TCID50, s.c., 4 weeks apart LF formulation of MVA-BN®
FD Formulation
n=324 Participants
Freeze Dried formulation of MVA-BN® 2 doses of 1 x 10E8 TCID50, s.c., 4 weeks apart FD formulation of MVA-BN®
Number of Participants With Related Grade >=3 Adverse Events
0 Participants
1 Participants

SECONDARY outcome

Timeframe: within 29 days after vaccination

Population: Full Analysis Set

Occurrence, relationship to the trial vaccine and intensity of unsolicited treatment-emergent AEs (TEAEs).

Outcome measures

Outcome measures
Measure
LF Formulation
n=327 Participants
Liquid Frozen formulation of MVA-BN® 2 doses of 1 x 10E8 TCID50, s.c., 4 weeks apart LF formulation of MVA-BN®
FD Formulation
n=324 Participants
Freeze Dried formulation of MVA-BN® 2 doses of 1 x 10E8 TCID50, s.c., 4 weeks apart FD formulation of MVA-BN®
Number of Participants With Unsolicited Adverse Events
TEAE
313 Participants
310 Participants
Number of Participants With Unsolicited Adverse Events
Drug-Related TEAE
207 Participants
207 Participants
Number of Participants With Unsolicited Adverse Events
TEAE Grade >=3
6 Participants
5 Participants
Number of Participants With Unsolicited Adverse Events
Drug-Related TEAE Grade >=3
0 Participants
1 Participants

SECONDARY outcome

Timeframe: 8 days after any vaccination

Population: Subjects of the Full Analysis Set with at least one completed diary card

Occurrence and intensity of solicited local AEs (redness, swelling, induration, pruritus and pain) during the 8-day period (day of vaccination and the following 7 days) after any vaccination. Events were graded by intensity (1 = mild, 2 = moderate, 3 = severe).

Outcome measures

Outcome measures
Measure
LF Formulation
n=322 Participants
Liquid Frozen formulation of MVA-BN® 2 doses of 1 x 10E8 TCID50, s.c., 4 weeks apart LF formulation of MVA-BN®
FD Formulation
n=321 Participants
Freeze Dried formulation of MVA-BN® 2 doses of 1 x 10E8 TCID50, s.c., 4 weeks apart FD formulation of MVA-BN®
Number of Participants With Solicited Local Averse Events
Injection site pain : All
274 participants
290 participants
Number of Participants With Solicited Local Averse Events
Injection site pain : Grade >=2
138 participants
167 participants
Number of Participants With Solicited Local Averse Events
Injection site pain : Grade =3
22 participants
35 participants
Number of Participants With Solicited Local Averse Events
Injection site erythema : All
247 participants
255 participants
Number of Participants With Solicited Local Averse Events
Injection site erythema : Grade >=2
140 participants
181 participants
Number of Participants With Solicited Local Averse Events
Injection site erythema : Grade =3
16 participants
47 participants
Number of Participants With Solicited Local Averse Events
Injection site swelling : All
210 participants
223 participants
Number of Participants With Solicited Local Averse Events
Injection site swelling : Grade >=2
94 participants
125 participants
Number of Participants With Solicited Local Averse Events
Injection site swelling : Grade =3
10 participants
23 participants
Number of Participants With Solicited Local Averse Events
Injection site induration : All
211 participants
213 participants
Number of Participants With Solicited Local Averse Events
Injection site induration : Grade >=2
73 participants
96 participants
Number of Participants With Solicited Local Averse Events
Injection site induration : Grade =3
5 participants
6 participants
Number of Participants With Solicited Local Averse Events
Injection site pruritus : All
177 participants
189 participants
Number of Participants With Solicited Local Averse Events
Injection site pruritus : Grade >=2
38 participants
47 participants
Number of Participants With Solicited Local Averse Events
Injection site pruritus : Grade =3
7 participants
11 participants

SECONDARY outcome

Timeframe: within 8 days after any vaccination

Population: Subjects of the Full Analysis Set with at least one completed diary card

Occurrence, intensity and relationship to the trial vaccines of solicited general AEs (pyrexia, headache, myalgia, nausea, fatigue and chills) during the 8-day period (day of vaccination and the following 7 days) after any vaccination. Events were graded by intensity (1 = mild, 2 = moderate, 3 = severe).

Outcome measures

Outcome measures
Measure
LF Formulation
n=322 Participants
Liquid Frozen formulation of MVA-BN® 2 doses of 1 x 10E8 TCID50, s.c., 4 weeks apart LF formulation of MVA-BN®
FD Formulation
n=321 Participants
Freeze Dried formulation of MVA-BN® 2 doses of 1 x 10E8 TCID50, s.c., 4 weeks apart FD formulation of MVA-BN®
Number of Participants With Solicited General Adverse Events
Fatigue : Related Grade =3
14 participants
9 participants
Number of Participants With Solicited General Adverse Events
Body Temperature increased : All
23 participants
33 participants
Number of Participants With Solicited General Adverse Events
Body Temperature increased : Grade >=2
7 participants
8 participants
Number of Participants With Solicited General Adverse Events
Body Temperature increased : Grade =3
3 participants
2 participants
Number of Participants With Solicited General Adverse Events
Body Temperature increased : Related
22 participants
30 participants
Number of Participants With Solicited General Adverse Events
Body Temperature increased : Related Grade =3
3 participants
2 participants
Number of Participants With Solicited General Adverse Events
Headache : All
125 participants
112 participants
Number of Participants With Solicited General Adverse Events
Headache : Grade >=2
37 participants
27 participants
Number of Participants With Solicited General Adverse Events
Headache : Grade =3
8 participants
7 participants
Number of Participants With Solicited General Adverse Events
Headache : Related
110 participants
94 participants
Number of Participants With Solicited General Adverse Events
Headache : Related Grade =3
6 participants
6 participants
Number of Participants With Solicited General Adverse Events
Myalgia : All
68 participants
59 participants
Number of Participants With Solicited General Adverse Events
Myalgia : Grade >=2
24 participants
18 participants
Number of Participants With Solicited General Adverse Events
Myalgia : Grade =3
1 participants
5 participants
Number of Participants With Solicited General Adverse Events
Myalgia : Related
59 participants
47 participants
Number of Participants With Solicited General Adverse Events
Myalgia : Related Grade =3
1 participants
3 participants
Number of Participants With Solicited General Adverse Events
Chills : All
38 participants
35 participants
Number of Participants With Solicited General Adverse Events
Chills : Grade >=2
14 participants
10 participants
Number of Participants With Solicited General Adverse Events
Chills : Grade =3
2 participants
5 participants
Number of Participants With Solicited General Adverse Events
Chills : Related
34 participants
33 participants
Number of Participants With Solicited General Adverse Events
Chills : Related Grade =3
2 participants
4 participants
Number of Participants With Solicited General Adverse Events
Nausea : All
57 participants
51 participants
Number of Participants With Solicited General Adverse Events
Nausea : Grade >=2
19 participants
18 participants
Number of Participants With Solicited General Adverse Events
Nausea : Grade =3
4 participants
2 participants
Number of Participants With Solicited General Adverse Events
Nausea : Related
53 participants
44 participants
Number of Participants With Solicited General Adverse Events
Nausea : Related Grade =3
4 participants
2 participants
Number of Participants With Solicited General Adverse Events
Fatigue : All
113 participants
102 participants
Number of Participants With Solicited General Adverse Events
Fatigue : Grade >=2
39 participants
39 participants
Number of Participants With Solicited General Adverse Events
Fatigue : Grade =3
15 participants
9 participants
Number of Participants With Solicited General Adverse Events
Fatigue : Related
106 participants
95 participants

SECONDARY outcome

Timeframe: within 8 weeks

Population: Per Protocol Analysis Set. Number Analyzed refers to the number of participants with measurements at the respective sampling time point.

Geometric Mean Titers (GMT) at all immunogenicity sampling time points based on vaccinia-specific Enzyme-linked Immunosorbent Assay (ELISA). For the calculation of GMTs all measurements are included as they provide meaningful information even if below the detection limit (DL). Disregarding these measurements would highly bias the reported GMTs. We imputed values \<DL as a value of '1' and the GMT and corresponding 95% confidence intervals were calculated.

Outcome measures

Outcome measures
Measure
LF Formulation
n=297 Participants
Liquid Frozen formulation of MVA-BN® 2 doses of 1 x 10E8 TCID50, s.c., 4 weeks apart LF formulation of MVA-BN®
FD Formulation
n=306 Participants
Freeze Dried formulation of MVA-BN® 2 doses of 1 x 10E8 TCID50, s.c., 4 weeks apart FD formulation of MVA-BN®
ELISA GMTs
Week 0
1.1 Titer
Interval 1.0 to 1.2
1.1 Titer
Interval 1.0 to 1.2
ELISA GMTs
Week 2
56.0 Titer
Interval 44.8 to 69.9
90.4 Titer
Interval 75.9 to 107.7
ELISA GMTs
Week 4
89.6 Titer
Interval 75.0 to 107.0
131.3 Titer
Interval 115.8 to 148.9
ELISA GMTs
Week 6
875.1 Titer
Interval 801.3 to 955.7
1099.6 Titer
Interval 1014.8 to 1191.6
ELISA GMTs
Week 8
546.4 Titer
Interval 499.4 to 597.8
689.0 Titer
Interval 635.2 to 747.4

SECONDARY outcome

Timeframe: Week 6

Population: Per Protocol Analysis Set

Geometric Mean Titers (GMT) based on vaccinia-specific Plaque Reduction Neutralization Test (PRNT). Titers below the detection limit are included with a value of '1'

Outcome measures

Outcome measures
Measure
LF Formulation
n=297 Participants
Liquid Frozen formulation of MVA-BN® 2 doses of 1 x 10E8 TCID50, s.c., 4 weeks apart LF formulation of MVA-BN®
FD Formulation
n=306 Participants
Freeze Dried formulation of MVA-BN® 2 doses of 1 x 10E8 TCID50, s.c., 4 weeks apart FD formulation of MVA-BN®
PRNT GMT
81.8 Titer
Interval 73.0 to 91.6
101.2 Titer
Interval 91.0 to 112.5

SECONDARY outcome

Timeframe: within 8 weeks

Population: Per Protocol Analysis Set. Number Analyzed refers to the number of participants with measurements at the respective sampling time point.

Geometric Mean Titers (GMT) at all immunogenicity sampling time points based on vaccinia-specific Plaque Reduction Neutralization Test (PRNT). For the calculation of GMTs all measurements are included as they provide meaningful information even if below the detection limit (DL). Disregarding these measurements would highly bias the reported GMTs. We imputed values \<DL as a value of '1' and the GMT and corresponding 95% confidence intervals were calculated.

Outcome measures

Outcome measures
Measure
LF Formulation
n=297 Participants
Liquid Frozen formulation of MVA-BN® 2 doses of 1 x 10E8 TCID50, s.c., 4 weeks apart LF formulation of MVA-BN®
FD Formulation
n=306 Participants
Freeze Dried formulation of MVA-BN® 2 doses of 1 x 10E8 TCID50, s.c., 4 weeks apart FD formulation of MVA-BN®
PRNT GMTs
Week 0
1.1 Titer
Interval 1.0 to 1.1
1.0 Titer
Interval 1.0 to 1.1
PRNT GMTs
Week 2
7.1 Titer
Interval 6.0 to 8.6
10.4 Titer
Interval 8.7 to 12.3
PRNT GMTs
Week 4
9.3 Titer
Interval 7.9 to 11.1
12.5 Titer
Interval 10.6 to 14.7
PRNT GMTs
Week 6
81.8 Titer
Interval 73.0 to 91.6
101.2 Titer
Interval 91.0 to 112.5
PRNT GMTs
Week 8
59.7 Titer
Interval 54.0 to 66.0
76.1 Titer
Interval 69.6 to 83.2

SECONDARY outcome

Timeframe: Week 6

Population: Per Protocol Analysis Set

Seroconversion rate based on vaccinia-specific Enzyme-linked Immunosorbent Assay (ELISA). Seroconversion is defined as the appearance of antibody titers ≥ detection limit (50) for initially seronegative subjects, or a doubling or more of the antibody titer compared to Baseline titer for initially seropositive subjects.

Outcome measures

Outcome measures
Measure
LF Formulation
n=297 Participants
Liquid Frozen formulation of MVA-BN® 2 doses of 1 x 10E8 TCID50, s.c., 4 weeks apart LF formulation of MVA-BN®
FD Formulation
n=306 Participants
Freeze Dried formulation of MVA-BN® 2 doses of 1 x 10E8 TCID50, s.c., 4 weeks apart FD formulation of MVA-BN®
Percentage of Participants With Seroconversion by ELISA
100.0 percentage of subjects
100.0 percentage of subjects

SECONDARY outcome

Timeframe: within 8 weeks

Population: Per Protocol Analysis Set. Number Analyzed refers to the number of participants with measurements at the respective sampling time point.

Seroconversion rates at all post-baseline immunogenicity sampling time points based on vaccinia-specific Enzyme-linked Immunosorbent Assay (ELISA). Seroconversion is defined as the appearance of antibody titers ≥ detection limit (50) for initially seronegative subjects, or a doubling or more of the antibody titer compared to Baseline titer for initially seropositive subjects. Percentages based on number of subjects with data available.

Outcome measures

Outcome measures
Measure
LF Formulation
n=297 Participants
Liquid Frozen formulation of MVA-BN® 2 doses of 1 x 10E8 TCID50, s.c., 4 weeks apart LF formulation of MVA-BN®
FD Formulation
n=306 Participants
Freeze Dried formulation of MVA-BN® 2 doses of 1 x 10E8 TCID50, s.c., 4 weeks apart FD formulation of MVA-BN®
Percentage of Participants With Seroconversion by ELISA
Week 2
83.5 percentage of subjects
91.5 percentage of subjects
Percentage of Participants With Seroconversion by ELISA
Week 4
91.9 percentage of subjects
97.0 percentage of subjects
Percentage of Participants With Seroconversion by ELISA
Week 6
100.0 percentage of subjects
100.0 percentage of subjects
Percentage of Participants With Seroconversion by ELISA
Week 8
100.0 percentage of subjects
100.0 percentage of subjects

SECONDARY outcome

Timeframe: Week 6

Population: Per Protocol Analysis Set

Seroconversion rate based on vaccinia-specific Plaque Reduction Neutralization Test (PRNT). Seroconversion is defined as the appearance of antibody titers ≥ detection limit (2) for initially seronegative subjects, or a doubling or more of the antibody titer compared to Baseline titer for initially seropositive subjects.

Outcome measures

Outcome measures
Measure
LF Formulation
n=297 Participants
Liquid Frozen formulation of MVA-BN® 2 doses of 1 x 10E8 TCID50, s.c., 4 weeks apart LF formulation of MVA-BN®
FD Formulation
n=306 Participants
Freeze Dried formulation of MVA-BN® 2 doses of 1 x 10E8 TCID50, s.c., 4 weeks apart FD formulation of MVA-BN®
Percentage of Participants With Seroconversion by PRNT
99.0 percentage of subjects
100.0 percentage of subjects

SECONDARY outcome

Timeframe: within 8 weeks

Population: Per Protocol Analysis Set. Number Analyzed refers to the number of participants with measurements at the respective sampling time point.

Seroconversion rates at all post-baseline immunogenicity sampling time points based on vaccinia-specific Plaque Reduction Neutralization Test (PRNT). Seroconversion is defined as the appearance of antibody titers ≥ detection limit (2) for initially seronegative subjects, or a doubling or more of the antibody titer compared to Baseline titer for initially seropositive subjects. Percentages based on number of subjects with data available.

Outcome measures

Outcome measures
Measure
LF Formulation
n=297 Participants
Liquid Frozen formulation of MVA-BN® 2 doses of 1 x 10E8 TCID50, s.c., 4 weeks apart LF formulation of MVA-BN®
FD Formulation
n=306 Participants
Freeze Dried formulation of MVA-BN® 2 doses of 1 x 10E8 TCID50, s.c., 4 weeks apart FD formulation of MVA-BN®
Percentage of Participants With Seroconversion by PRNT
Week 2
80.1 percentage of subjects
87.3 percentage of subjects
Percentage of Participants With Seroconversion by PRNT
Week 4
84.8 percentage of subjects
91.5 percentage of subjects
Percentage of Participants With Seroconversion by PRNT
Week 6
99.0 percentage of subjects
100.0 percentage of subjects
Percentage of Participants With Seroconversion by PRNT
Week 8
100.0 percentage of subjects
99.7 percentage of subjects

SECONDARY outcome

Timeframe: within 8 weeks

Population: ELISPOT Analysis Set

Magnitudes of response of IFNγ producing T-cells measured by vaccinica-specific ELISPOT. Spot Forming Units below the detection limit are included as a value of '1'.

Outcome measures

Outcome measures
Measure
LF Formulation
n=101 Participants
Liquid Frozen formulation of MVA-BN® 2 doses of 1 x 10E8 TCID50, s.c., 4 weeks apart LF formulation of MVA-BN®
FD Formulation
n=94 Participants
Freeze Dried formulation of MVA-BN® 2 doses of 1 x 10E8 TCID50, s.c., 4 weeks apart FD formulation of MVA-BN®
ELISPOT Magnitudes of Response
Week 0
1.0 Spot Forming Units
Interval 1.0 to 1.0
1.0 Spot Forming Units
Interval 1.0 to 1.0
ELISPOT Magnitudes of Response
Week 2
393.0 Spot Forming Units
Interval 318.0 to 506.0
581.5 Spot Forming Units
Interval 416.0 to 718.0
ELISPOT Magnitudes of Response
Week 4
88.0 Spot Forming Units
Interval 70.0 to 107.0
133.0 Spot Forming Units
Interval 100.0 to 170.0
ELISPOT Magnitudes of Response
Week 6
235.0 Spot Forming Units
Interval 185.0 to 343.0
315.0 Spot Forming Units
Interval 232.0 to 412.0
ELISPOT Magnitudes of Response
Week 8
145.5 Spot Forming Units
Interval 115.0 to 174.0
240.0 Spot Forming Units
Interval 146.0 to 284.0

SECONDARY outcome

Timeframe: within 8 weeks

Population: ELISPOT Analysis Set

Response rates regarding IFNγ producing T-cells measured by vaccinia-specific ELISPOT. A response to the vaccine was defined as either the appearance of a positive signal for participants without a positive signal at Baseline or an increase by a factor of at least 1.7 of the SFU/1 x 10E6 PBMC compared to the Baseline SFU/1 x 10E6 PBMC for participants with a positive signal at Baseline.

Outcome measures

Outcome measures
Measure
LF Formulation
n=101 Participants
Liquid Frozen formulation of MVA-BN® 2 doses of 1 x 10E8 TCID50, s.c., 4 weeks apart LF formulation of MVA-BN®
FD Formulation
n=94 Participants
Freeze Dried formulation of MVA-BN® 2 doses of 1 x 10E8 TCID50, s.c., 4 weeks apart FD formulation of MVA-BN®
Percentage of Participants With Response by ELISPOT
Week 2
95.0 percentage of subjects
97.9 percentage of subjects
Percentage of Participants With Response by ELISPOT
Week 4
66.0 percentage of subjects
80.2 percentage of subjects
Percentage of Participants With Response by ELISPOT
Week 6
88.0 percentage of subjects
94.4 percentage of subjects
Percentage of Participants With Response by ELISPOT
Week 8
84.0 percentage of subjects
92.3 percentage of subjects

SECONDARY outcome

Timeframe: within 8 weeks

Population: ELISPOT Analysis Set

Responder rate measured by vaccinia specific ELISPOT. A participant was defined as a responder to the vaccine determined by ELISPOT if the participant had at least 1 post-baseline visit determined to be a response. A response to the vaccine was defined as either the appearance of a positive signal for participants without a positive signal at Baseline or an increase by a factor of at least 1.7 of the SFU/1 x 10E6 PBMC compared to the Baseline SFU/1 x 10E6 PBMC for participants with a positive signal at Baseline.

Outcome measures

Outcome measures
Measure
LF Formulation
n=101 Participants
Liquid Frozen formulation of MVA-BN® 2 doses of 1 x 10E8 TCID50, s.c., 4 weeks apart LF formulation of MVA-BN®
FD Formulation
n=94 Participants
Freeze Dried formulation of MVA-BN® 2 doses of 1 x 10E8 TCID50, s.c., 4 weeks apart FD formulation of MVA-BN®
Percentage of Responders by ELISPOT
100 percentage of subjects
100 percentage of subjects

SECONDARY outcome

Timeframe: within 8 weeks

Population: Per Protocol Analysis Set

Pearson Correlation Coefficient between the ELISA titers and the PRNT titers at weeks 4, 6 and 8 based on the log10 transformed titer values

Outcome measures

Outcome measures
Measure
LF Formulation
n=297 Participants
Liquid Frozen formulation of MVA-BN® 2 doses of 1 x 10E8 TCID50, s.c., 4 weeks apart LF formulation of MVA-BN®
FD Formulation
n=306 Participants
Freeze Dried formulation of MVA-BN® 2 doses of 1 x 10E8 TCID50, s.c., 4 weeks apart FD formulation of MVA-BN®
Correlation ELISA vs PRNT Titers
Week 8
0.567 Pearson Correlation Coefficient
Interval 0.484 to 0.64
0.565 Pearson Correlation Coefficient
Interval 0.484 to 0.637
Correlation ELISA vs PRNT Titers
Week 4
0.597 Pearson Correlation Coefficient
Interval 0.518 to 0.665
0.492 Pearson Correlation Coefficient
Interval 0.401 to 0.572
Correlation ELISA vs PRNT Titers
Week 6
0.646 Pearson Correlation Coefficient
Interval 0.574 to 0.708
0.553 Pearson Correlation Coefficient
Interval 0.47 to 0.627

Adverse Events

LF Formulation

Serious events: 5 serious events
Other events: 115 other events
Deaths: 0 deaths

FD Formulation

Serious events: 2 serious events
Other events: 114 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
LF Formulation
n=327 participants at risk
Liquid Frozen formulation of MVA-BN® 2 doses of 1 x 10E8 TCID50, s.c., 4 weeks apart LF formulation of MVA-BN®
FD Formulation
n=324 participants at risk
Freeze Dried formulation of MVA-BN® 2 doses of 1 x 10E8 TCID50, s.c., 4 weeks apart FD formulation of MVA-BN®
Blood and lymphatic system disorders
Haemolytic Anaemia
0.31%
1/327 • Number of events 1 • 32 weeks
0.00%
0/324 • 32 weeks
Infections and infestations
Subcutaneous Abscess
0.00%
0/327 • 32 weeks
0.31%
1/324 • Number of events 1 • 32 weeks
Injury, poisoning and procedural complications
Limb Injury
0.31%
1/327 • Number of events 1 • 32 weeks
0.00%
0/324 • 32 weeks
Metabolism and nutrition disorders
Diabetic Ketoacidosis
0.31%
1/327 • Number of events 1 • 32 weeks
0.00%
0/324 • 32 weeks
Nervous system disorders
Presyncope
0.31%
1/327 • Number of events 1 • 32 weeks
0.00%
0/324 • 32 weeks
Pregnancy, puerperium and perinatal conditions
Abortion Spontaneous
0.31%
1/327 • Number of events 1 • 32 weeks
0.00%
0/324 • 32 weeks
Psychiatric disorders
Anxiety
0.00%
0/327 • 32 weeks
0.31%
1/324 • Number of events 1 • 32 weeks

Other adverse events

Other adverse events
Measure
LF Formulation
n=327 participants at risk
Liquid Frozen formulation of MVA-BN® 2 doses of 1 x 10E8 TCID50, s.c., 4 weeks apart LF formulation of MVA-BN®
FD Formulation
n=324 participants at risk
Freeze Dried formulation of MVA-BN® 2 doses of 1 x 10E8 TCID50, s.c., 4 weeks apart FD formulation of MVA-BN®
General disorders
Injection site induration
23.5%
77/327 • 32 weeks
22.8%
74/324 • 32 weeks
General disorders
Injection site hemorrhage
0.61%
2/327 • 32 weeks
5.2%
17/324 • 32 weeks
General disorders
Injection site pain
1.8%
6/327 • 32 weeks
2.2%
7/324 • 32 weeks
General disorders
Injection site discoloration
1.5%
5/327 • 32 weeks
2.8%
9/324 • 32 weeks
General disorders
Injection site hematoma
1.5%
5/327 • 32 weeks
1.5%
5/324 • 32 weeks
General disorders
Fatigue
1.2%
4/327 • 32 weeks
0.00%
0/324 • 32 weeks
Infections and infestations
Upper respiratory tract infection
4.9%
16/327 • 32 weeks
5.9%
19/324 • 32 weeks
Infections and infestations
Viral upper respiratory tract infection
3.7%
12/327 • 32 weeks
2.5%
8/324 • 32 weeks
Nervous system disorders
Headache
2.4%
8/327 • 32 weeks
1.5%
5/324 • 32 weeks
Gastrointestinal disorders
Vomiting
1.2%
4/327 • 32 weeks
1.2%
4/324 • 32 weeks
Respiratory, thoracic and mediastinal disorders
Sinus congestion
1.8%
6/327 • 32 weeks
2.5%
8/324 • 32 weeks

Additional Information

Program Lead, Clinical Operations

Bavarian Nordic A/S

Phone: +45 3326

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place