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
RECRUITINGInstitute National de Recherche Biomedicale
Kinshasa, Democratic Republic of the Congo
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
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