This is a randomized, double-blind, placebo-controlled study which aims to assess the safety, reactogenicity, and immunogenicity after one and two doses of BNT166a or placebo in healthy participants.
This study will include the following cohorts: * Cohort 1: healthy adults aged 18 to 45 years inclusive who are Orthopoxvirus-naïve. * Cohort 2: healthy adults aged 18 to 64 years inclusive who are Orthopoxvirus-experienced. All participants will receive two doses of BNT166a or placebo at least 28 days apart. The planned study duration per participant is \~14 months.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
PREVENTION
Masking
QUADRUPLE
Enrollment
310
University of Kinshasa UNIKIN
Kinshasa, Democratic Republic of the Congo
NOT_YET_RECRUITINGInstitute National de Recherche Biomedicale
Kinshasa, Democratic Republic of the Congo
NOT_YET_RECRUITINGTASK Applied Science
Cape Town, South Africa
Number (and percentage) of participants with at least one solicited local reaction (pain, erythema/redness, induration/swelling)
At each dose level of BNT166a in Orthopoxvirus-naïve (Cohort 1) and Orthopoxvirus-experienced (Cohort 2) adults.
Time frame: For up to 7 days following each dose
Number (and percentage) of participants with at least one solicited systemic reaction (fever, headache, fatigue/tiredness, muscle pain/myalgia, joint pain/arthralgia, chills, diarrhea, vomiting)
At each dose level of BNT166a in Orthopoxvirus-naïve (Cohort 1) and Orthopoxvirus-experienced (Cohort 2) adults.
Time frame: For up to 7 days following each dose
Number (and percentage) of participants with at least one use of antipyretics/analgesics
At each dose level of BNT166a in Orthopoxvirus-naïve (Cohort 1) and Orthopoxvirus-experienced (Cohort 2) adults.
Time frame: For up to 7 days following each dose
Number (and percentage) of participants with at least one unsolicited adverse event (AE) (post-Dose 1)
At each dose level of BNT166a in Orthopoxvirus-naïve (Cohort 1) and Orthopoxvirus-experienced (Cohort 2) adults.
Time frame: From Dose 1 to 28 days post-Dose 1
Number (and percentage) of participants with at least one unsolicited AE (post-Dose 2)
At each dose level of BNT166a in Orthopoxvirus-naïve (Cohort 1) and Orthopoxvirus-experienced (Cohort 2) adults.
Time frame: From Dose 2 to 28 days post-Dose 2
Number (and percentage) of participants with at least one serious adverse event
At each dose level of BNT166a in Orthopoxvirus-naïve (Cohort 1) and Orthopoxvirus-experienced (Cohort 2) adults.
Time frame: From Dose 1 until the end of study, i.e., up to ~14 months
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TREAD Research Pty Ltd
Cape Town, South Africa
RECRUITINGDesmond Tutu Health Foundation Masiphumelele Clinic
Cape Town, South Africa
NOT_YET_RECRUITINGPerinatal HIV Research Unit
Johannesburg, South Africa
RECRUITINGNumber (and percentage) of participants with at least one AE of special interest
At each dose level of BNT166a in Orthopoxvirus-naïve (Cohort 1) and Orthopoxvirus-experienced (Cohort 2) adults.
Time frame: From Dose 1 until the end of study, i.e., up to ~14 months
Number (and percentage) of participants with at least one medically attended AE
At each dose level of BNT166a in Orthopoxvirus-naïve (Cohort 1) and Orthopoxvirus-experienced (Cohort 2) adults.
Time frame: From Dose 1 until the end of study, i.e., up to ~14 months
Number (and percentage) of participants with at least one AE leading to a participant's withdrawal from the study
At each dose level of BNT166a in Orthopoxvirus-naïve (Cohort 1) and Orthopoxvirus-experienced (Cohort 2) adults.
Time frame: From Dose 1 until the end of study, i.e., up to ~14 months
Geometric mean titers (GMT) of BNT166a antigen-specific (A35, B6, H3, and M1) binding antibody titers
At each dose level of BNT166a in Orthopoxvirus-naïve (Cohort 1) and Orthopoxvirus-experienced (Cohort 2) adults, at the defined timepoints.
Time frame: At baseline, 1 month post-Dose 1, and 1 month post- Dose 2
Geometric mean fold rise (GMFR) of BNT166a antigen-specific (A35, B6, H3, and M1) binding antibody titers
At each dose level of BNT166a in Orthopoxvirus-naïve (Cohort 1) and Orthopoxvirus-experienced (Cohort 2) adults. Ratio post-baseline/baseline at the defined timepoints.
Time frame: At 1 month post-Dose 1 and 1 month post-Dose 2
GMT of MPXV-specific neutralizing antibody titers
At each dose level of BNT166a in Orthopoxvirus-naïve (Cohort 1) and Orthopoxvirus-experienced (Cohort 2) adults, at the defined timepoints.
Time frame: At baseline, 1 month post-Dose 1, and 1 month post-Dose 2
GMFR of MPXV-specific neutralizing antibody titers
At each dose level of BNT166a in Orthopoxvirus-naïve (Cohort 1) and Orthopoxvirus-experienced (Cohort 2) adults. Ratio post-baseline/baseline at the defined timepoints.
Time frame: At 1 month post-Dose 1 and 1 month post-Dose 2
GMT of vaccinia virus (VACV)-specific neutralizing antibody titers
At each dose level of BNT166a in Orthopoxvirus-naïve (Cohort 1) and Orthopoxvirus-experienced (Cohort 2) adults, at the defined timepoints.
Time frame: At baseline, 1 month post-Dose 1, and 1 month post-Dose 2
GMFR of VACV-specific neutralizing antibody titers
At each dose level of BNT166a in Orthopoxvirus-naïve (Cohort 1) and Orthopoxvirus-experienced (Cohort 2) adults. Ratio post-baseline/baseline at the defined timepoints.
Time frame: At 1 month post-Dose 1 and 1 month post-Dose 2