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

The Effect of Dose On Safety, Tolerability, and Immunogenicity of ACAM2000 Smallpox Vaccine in Adults Without Previous Smallpox Vaccination

Status
Completed
Phases
Phase 2
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT00053495
Enrollment
353
Registered
2003-01-31
Start date
2003-01-31
Completion date
2003-11-30
Last updated
2024-03-18

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Smallpox

Keywords

Smallpox

Brief summary

The purpose of this study is to examine the safety and the effectiveness of a new vaccine for the prevention of the disease, smallpox.

Detailed description

The objective of this study is to determine the minimum dose of ACAM2000 that is calculated to produce a major cutaneous reaction in at least 90% of a population of healthy adults 18-29 years of age and naïve to smallpox vaccine. Specifically, the objectives of this study are to: 1. Compare the safety and tolerability of four dose levels of ACAM2000 and a standard dose of Dryvax® in healthy adults 18-29 years of age and naïve to smallpox vaccine. Safety and tolerability will be determined by examination of the local cutaneous reaction, adverse events, physical examinations, vital signs, structured interviews, and laboratory analysis. 2. Determine the immunogenicity of four dose levels of ACAM2000 and a standard dose of Dryvax® in healthy adults 18-29 years of age by comparing: 1. the proportion of subjects at each dose level who develop a major cutaneous reaction; 2. the proportion of subjects in each treatment group who develop neutralizing antibodies, including the fold-increase in antibody titer between Baseline and Day 30 sera; and the geometric mean vaccinia neutralizing antibody titer on Day 30. 3. Determine the minimum dose of ACAM2000 that is calculated to produce a major cutaneous reaction in at least 90% of a population of healthy adults 18-29 years of age and naïve to smallpox vaccine.

Interventions

BIOLOGICALVaccinia virus: ACAM2000 smallpox vaccine

Group 1 dose: 1.0x10-8th PFU/ml Group 2 dose: 2.0x10-8th PFU/ml Group 3 dose: 1.0x10-7th PFU/ml Group 4 dose: 5.0x10-6th PFU/ml

BIOLOGICALvaccinia virus (calf lymph): Dryvax

Group 5 dose: 1.0x10-8th PFU/ml

Sponsors

Emergent BioSolutions
Lead SponsorINDUSTRY

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
PREVENTION
Masking
QUADRUPLE (Subject, Caregiver, Investigator, Outcomes Assessor)

Eligibility

Sex/Gender
ALL
Age
18 Years to 29 Years
Healthy volunteers
Yes

Inclusion criteria

* females must not be pregnant, lactating and must agree to use an effective form of birth control for the 30 days following vaccination or unable to bear children. * agree to be available for the entire study and agree to comply with all requirements.

Exclusion criteria

* military service prior to 1989. * history of previous smallpox vaccination. * children 1 year of age or younger in the household or be in close contact * smallpox vaccination within ten years * known or suspected human immunodeficiency virus (HIV) infection, primary immunodeficiency disorder, leukemia, lymphoma, or current radiation treatment or use of immunosuppressive or anti-neoplastic drugs or have a household member or intimate contact with the conditions listed above. * renal disease * current or past history of eczema or a household member or direct contact who has eczema. * known allergy or past allergic reactions to latex gloves or to antibiotics which include neomycin, streptomycin, chlortetracycline, and polymyxin B * known allergy or past allergic reaction to blood products. * known allergy to cidofovir or sulfa-containing drugs. * history of allergic phenomena following smallpox vaccination in the past, including urticaria, erythema multiforme, or Stevens-Johnson syndrome. * transfusion of blood or treatment with any blood product. * current or history of drug or alcohol abuse * inoculation with any other live vaccine or participating in another drug or vaccine trial within 30 days of enrollment.

Design outcomes

Primary

MeasureTime frameDescription
Number of Participants Reporting Adverse Events of Severe Intensity Post-vaccination With ACAM2000 or Dryvax® Smallpox VaccineDays 0 to 30 post-vaccinationThe severity of each reported adverse event was classified by the investigator according to the following definitions. None - no symptom; Mild - awareness of sign or symptoms, but easily tolerated; Moderate - discomfort enough to cause interference with usual activity; and Severe - incapacitating with inability to work or perform usual activity.
Neutralizing Antibody Response Titers Post-vaccination With ACAM2000 or Dryvax® Smallpox Vaccine.Day 30 post-vaccination
Participants With ≥ 4-fold Increase in Plaque-Reduction Neutralization Test (PRNT50) Titers Post-vaccination With ACAM2000 or Dryvax® Smallpox Vaccine.Day 30 post-vaccination

Other

MeasureTime frame
Selected Hematology Parameters (Hematocrit, Lymphocyte, and Eosinophil) at Baseline and on Day 15 in Participants Vaccinated With ACAM2000 or Dryvax® Smallpox Vaccine.Days 0 (baseline) and 15 post-vaccination
Number of Participants With Treatment-Emergent Rash Events Post-vaccination With ACAM2000 or Dryvax® Smallpox Vaccine.Days 0 to 30 post-vaccination
Selected Hematology Parameters (Red Blood Count and Platelets) at Baseline and on Day 15 in Participants Vaccinated With ACAM2000 or Dryvax® Smallpox Vaccine.Days 0 (baseline) and 15 post-vaccination
Clinical Chemistry Parameters (Aspartate Aminotransaminase and Alanine Aminotransferase) at Baseline and Day 15 Post-vaccination With ACAM2000 or Dryvax® Smallpox VaccineDays 0 (baseline) and 15 post-vaccination
Clinical Chemistry Parameters (Creatinine and Glucose) at Baseline and Day 15 Post-vaccination With ACAM2000 or Dryvax® Smallpox VaccineDays 0 (baseline) and 15 post-vaccination

Countries

United States

Participant flow

Recruitment details

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

Pre-assignment details

A total of 353 participants who met the inclusion and exclusion criteria were enrolled and vaccinated.

Participants by arm

ArmCount
ACAM2000 Dose 1
Participants received a single dose of ACAM2000 smallpox vaccine, 1.0x10\^8th plaque-forming units/mL on Day 0
51
ACAM2000 Dose 2
Participants received a single dose of ACAM2000 smallpox vaccine, 2.0x10\^8th plaque-forming units/mL on Day 0
101
ACAM2000 Dose 3
Participants received a single dose of ACAM2000 smallpox vaccine, 1.0x10\^7th plaque-forming units/mL on Day 0
101
ACAM2000 Dose 4
Participants received a single dose of ACAM2000 smallpox vaccine, 5.0x10\^6th plaque-forming units/mL on Day 0
51
Dryvax® Vaccine
Participants received a single dose of Dryvax® smallpox vaccine, 1.0x10\^8th plaque-forming units/mL on Day 0
49
Total353

Baseline characteristics

CharacteristicACAM2000 Dose 2ACAM2000 Dose 3ACAM2000 Dose 4ACAM2000 Dose 1Dryvax® VaccineTotal
Age, Categorical
<=18 years
0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants
Age, Categorical
>=65 years
0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants
Age, Categorical
Between 18 and 65 years
101 Participants101 Participants51 Participants51 Participants49 Participants353 Participants
Age, Continuous22 Years
STANDARD_DEVIATION 3.1
22 Years
STANDARD_DEVIATION 3.2
22 Years
STANDARD_DEVIATION 3
23 Years
STANDARD_DEVIATION 2.4
22 Years
STANDARD_DEVIATION 3.1
22 Years
STANDARD_DEVIATION 3
Region of Enrollment
United States
101 participants101 participants51 participants51 participants49 participants353 participants
Sex: Female, Male
Female
36 Participants34 Participants14 Participants18 Participants13 Participants115 Participants
Sex: Female, Male
Male
65 Participants67 Participants37 Participants33 Participants36 Participants238 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
EG002
affected / at risk
EG003
affected / at risk
EG004
affected / at risk
deaths
Total, all-cause mortality
— / —— / —— / —— / —— / —
other
Total, other adverse events
51 / 5199 / 10198 / 10151 / 5149 / 49
serious
Total, serious adverse events
1 / 511 / 1010 / 1011 / 510 / 49

Outcome results

Primary

Neutralizing Antibody Response Titers Post-vaccination With ACAM2000 or Dryvax® Smallpox Vaccine.

Time frame: Day 30 post-vaccination

Population: Neutralizing antibody response titers were evaluated in the antibody evaluable, per-protocol population.

ArmMeasureValue (MEAN)Dispersion
ACAM2000 Dose 1Neutralizing Antibody Response Titers Post-vaccination With ACAM2000 or Dryvax® Smallpox Vaccine.212 PRNT50 TitersStandard Deviation 536.4
ACAM2000 Dose 2Neutralizing Antibody Response Titers Post-vaccination With ACAM2000 or Dryvax® Smallpox Vaccine.278 PRNT50 TitersStandard Deviation 581.6
ACAM2000 Dose 3Neutralizing Antibody Response Titers Post-vaccination With ACAM2000 or Dryvax® Smallpox Vaccine.425 PRNT50 TitersStandard Deviation 947.4
ACAM2000 Dose 4Neutralizing Antibody Response Titers Post-vaccination With ACAM2000 or Dryvax® Smallpox Vaccine.582 PRNT50 TitersStandard Deviation 1129.3
Dryvax® VaccineNeutralizing Antibody Response Titers Post-vaccination With ACAM2000 or Dryvax® Smallpox Vaccine.1515 PRNT50 TitersStandard Deviation 6019.4
Primary

Number of Participants Reporting Adverse Events of Severe Intensity Post-vaccination With ACAM2000 or Dryvax® Smallpox Vaccine

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

Time frame: Days 0 to 30 post-vaccination

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

ArmMeasureGroupValue (NUMBER)
ACAM2000 Dose 1Number of Participants Reporting Adverse Events of Severe Intensity Post-vaccination With ACAM2000 or Dryvax® Smallpox VaccineInjection Site Pain0 Participants
ACAM2000 Dose 1Number of Participants Reporting Adverse Events of Severe Intensity Post-vaccination With ACAM2000 or Dryvax® Smallpox VaccineFatigue0 Participants
ACAM2000 Dose 1Number of Participants Reporting Adverse Events of Severe Intensity Post-vaccination With ACAM2000 or Dryvax® Smallpox VaccineInjection Site Pruritus0 Participants
ACAM2000 Dose 1Number of Participants Reporting Adverse Events of Severe Intensity Post-vaccination With ACAM2000 or Dryvax® Smallpox VaccineLymph Node Pain2 Participants
ACAM2000 Dose 1Number of Participants Reporting Adverse Events of Severe Intensity Post-vaccination With ACAM2000 or Dryvax® Smallpox VaccinePregnancy Not Otherwise Specified0 Participants
ACAM2000 Dose 1Number of Participants Reporting Adverse Events of Severe Intensity Post-vaccination With ACAM2000 or Dryvax® Smallpox VaccineDiarrhea Not Otherwise Specified1 Participants
ACAM2000 Dose 1Number of Participants Reporting Adverse Events of Severe Intensity Post-vaccination With ACAM2000 or Dryvax® Smallpox VaccineHeadache Not Otherwise Specified1 Participants
ACAM2000 Dose 1Number of Participants Reporting Adverse Events of Severe Intensity Post-vaccination With ACAM2000 or Dryvax® Smallpox VaccineNausea1 Participants
ACAM2000 Dose 1Number of Participants Reporting Adverse Events of Severe Intensity Post-vaccination With ACAM2000 or Dryvax® Smallpox VaccineDysuria1 Participants
ACAM2000 Dose 1Number of Participants Reporting Adverse Events of Severe Intensity Post-vaccination With ACAM2000 or Dryvax® Smallpox VaccineMyalgia0 Participants
ACAM2000 Dose 1Number of Participants Reporting Adverse Events of Severe Intensity Post-vaccination With ACAM2000 or Dryvax® Smallpox VaccineVomiting Not Otherwise Specified1 Participants
ACAM2000 Dose 1Number of Participants Reporting Adverse Events of Severe Intensity Post-vaccination With ACAM2000 or Dryvax® Smallpox VaccineLymphadenopathy0 Participants
ACAM2000 Dose 1Number of Participants Reporting Adverse Events of Severe Intensity Post-vaccination With ACAM2000 or Dryvax® Smallpox VaccineDehydration0 Participants
ACAM2000 Dose 1Number of Participants Reporting Adverse Events of Severe Intensity Post-vaccination With ACAM2000 or Dryvax® Smallpox VaccineInjection Site Erythema1 Participants
ACAM2000 Dose 1Number of Participants Reporting Adverse Events of Severe Intensity Post-vaccination With ACAM2000 or Dryvax® Smallpox VaccineInjection Site Swelling0 Participants
ACAM2000 Dose 2Number of Participants Reporting Adverse Events of Severe Intensity Post-vaccination With ACAM2000 or Dryvax® Smallpox VaccineInjection Site Erythema6 Participants
ACAM2000 Dose 2Number of Participants Reporting Adverse Events of Severe Intensity Post-vaccination With ACAM2000 or Dryvax® Smallpox VaccineInjection Site Swelling0 Participants
ACAM2000 Dose 2Number of Participants Reporting Adverse Events of Severe Intensity Post-vaccination With ACAM2000 or Dryvax® Smallpox VaccineLymph Node Pain4 Participants
ACAM2000 Dose 2Number of Participants Reporting Adverse Events of Severe Intensity Post-vaccination With ACAM2000 or Dryvax® Smallpox VaccineFatigue0 Participants
ACAM2000 Dose 2Number of Participants Reporting Adverse Events of Severe Intensity Post-vaccination With ACAM2000 or Dryvax® Smallpox VaccineNausea0 Participants
ACAM2000 Dose 2Number of Participants Reporting Adverse Events of Severe Intensity Post-vaccination With ACAM2000 or Dryvax® Smallpox VaccineDehydration0 Participants
ACAM2000 Dose 2Number of Participants Reporting Adverse Events of Severe Intensity Post-vaccination With ACAM2000 or Dryvax® Smallpox VaccineInjection Site Pruritus0 Participants
ACAM2000 Dose 2Number of Participants Reporting Adverse Events of Severe Intensity Post-vaccination With ACAM2000 or Dryvax® Smallpox VaccineMyalgia0 Participants
ACAM2000 Dose 2Number of Participants Reporting Adverse Events of Severe Intensity Post-vaccination With ACAM2000 or Dryvax® Smallpox VaccinePregnancy Not Otherwise Specified1 Participants
ACAM2000 Dose 2Number of Participants Reporting Adverse Events of Severe Intensity Post-vaccination With ACAM2000 or Dryvax® Smallpox VaccineLymphadenopathy0 Participants
ACAM2000 Dose 2Number of Participants Reporting Adverse Events of Severe Intensity Post-vaccination With ACAM2000 or Dryvax® Smallpox VaccineInjection Site Pain0 Participants
ACAM2000 Dose 2Number of Participants Reporting Adverse Events of Severe Intensity Post-vaccination With ACAM2000 or Dryvax® Smallpox VaccineDiarrhea Not Otherwise Specified0 Participants
ACAM2000 Dose 2Number of Participants Reporting Adverse Events of Severe Intensity Post-vaccination With ACAM2000 or Dryvax® Smallpox VaccineDysuria0 Participants
ACAM2000 Dose 2Number of Participants Reporting Adverse Events of Severe Intensity Post-vaccination With ACAM2000 or Dryvax® Smallpox VaccineHeadache Not Otherwise Specified0 Participants
ACAM2000 Dose 2Number of Participants Reporting Adverse Events of Severe Intensity Post-vaccination With ACAM2000 or Dryvax® Smallpox VaccineVomiting Not Otherwise Specified0 Participants
ACAM2000 Dose 3Number of Participants Reporting Adverse Events of Severe Intensity Post-vaccination With ACAM2000 or Dryvax® Smallpox VaccineInjection Site Pruritus1 Participants
ACAM2000 Dose 3Number of Participants Reporting Adverse Events of Severe Intensity Post-vaccination With ACAM2000 or Dryvax® Smallpox VaccineLymph Node Pain3 Participants
ACAM2000 Dose 3Number of Participants Reporting Adverse Events of Severe Intensity Post-vaccination With ACAM2000 or Dryvax® Smallpox VaccineLymphadenopathy0 Participants
ACAM2000 Dose 3Number of Participants Reporting Adverse Events of Severe Intensity Post-vaccination With ACAM2000 or Dryvax® Smallpox VaccineDiarrhea Not Otherwise Specified0 Participants
ACAM2000 Dose 3Number of Participants Reporting Adverse Events of Severe Intensity Post-vaccination With ACAM2000 or Dryvax® Smallpox VaccineNausea0 Participants
ACAM2000 Dose 3Number of Participants Reporting Adverse Events of Severe Intensity Post-vaccination With ACAM2000 or Dryvax® Smallpox VaccineVomiting Not Otherwise Specified0 Participants
ACAM2000 Dose 3Number of Participants Reporting Adverse Events of Severe Intensity Post-vaccination With ACAM2000 or Dryvax® Smallpox VaccineInjection Site Erythema14 Participants
ACAM2000 Dose 3Number of Participants Reporting Adverse Events of Severe Intensity Post-vaccination With ACAM2000 or Dryvax® Smallpox VaccineInjection Site Swelling1 Participants
ACAM2000 Dose 3Number of Participants Reporting Adverse Events of Severe Intensity Post-vaccination With ACAM2000 or Dryvax® Smallpox VaccineFatigue1 Participants
ACAM2000 Dose 3Number of Participants Reporting Adverse Events of Severe Intensity Post-vaccination With ACAM2000 or Dryvax® Smallpox VaccineInjection Site Pain1 Participants
ACAM2000 Dose 3Number of Participants Reporting Adverse Events of Severe Intensity Post-vaccination With ACAM2000 or Dryvax® Smallpox VaccineDehydration1 Participants
ACAM2000 Dose 3Number of Participants Reporting Adverse Events of Severe Intensity Post-vaccination With ACAM2000 or Dryvax® Smallpox VaccineMyalgia0 Participants
ACAM2000 Dose 3Number of Participants Reporting Adverse Events of Severe Intensity Post-vaccination With ACAM2000 or Dryvax® Smallpox VaccineHeadache Not Otherwise Specified4 Participants
ACAM2000 Dose 3Number of Participants Reporting Adverse Events of Severe Intensity Post-vaccination With ACAM2000 or Dryvax® Smallpox VaccinePregnancy Not Otherwise Specified0 Participants
ACAM2000 Dose 3Number of Participants Reporting Adverse Events of Severe Intensity Post-vaccination With ACAM2000 or Dryvax® Smallpox VaccineDysuria0 Participants
ACAM2000 Dose 4Number of Participants Reporting Adverse Events of Severe Intensity Post-vaccination With ACAM2000 or Dryvax® Smallpox VaccineDehydration0 Participants
ACAM2000 Dose 4Number of Participants Reporting Adverse Events of Severe Intensity Post-vaccination With ACAM2000 or Dryvax® Smallpox VaccineDiarrhea Not Otherwise Specified0 Participants
ACAM2000 Dose 4Number of Participants Reporting Adverse Events of Severe Intensity Post-vaccination With ACAM2000 or Dryvax® Smallpox VaccineInjection Site Pain0 Participants
ACAM2000 Dose 4Number of Participants Reporting Adverse Events of Severe Intensity Post-vaccination With ACAM2000 or Dryvax® Smallpox VaccineHeadache Not Otherwise Specified1 Participants
ACAM2000 Dose 4Number of Participants Reporting Adverse Events of Severe Intensity Post-vaccination With ACAM2000 or Dryvax® Smallpox VaccineVomiting Not Otherwise Specified0 Participants
ACAM2000 Dose 4Number of Participants Reporting Adverse Events of Severe Intensity Post-vaccination With ACAM2000 or Dryvax® Smallpox VaccineNausea0 Participants
ACAM2000 Dose 4Number of Participants Reporting Adverse Events of Severe Intensity Post-vaccination With ACAM2000 or Dryvax® Smallpox VaccineLymphadenopathy1 Participants
ACAM2000 Dose 4Number of Participants Reporting Adverse Events of Severe Intensity Post-vaccination With ACAM2000 or Dryvax® Smallpox VaccineDysuria0 Participants
ACAM2000 Dose 4Number of Participants Reporting Adverse Events of Severe Intensity Post-vaccination With ACAM2000 or Dryvax® Smallpox VaccineInjection Site Pruritus0 Participants
ACAM2000 Dose 4Number of Participants Reporting Adverse Events of Severe Intensity Post-vaccination With ACAM2000 or Dryvax® Smallpox VaccineLymph Node Pain4 Participants
ACAM2000 Dose 4Number of Participants Reporting Adverse Events of Severe Intensity Post-vaccination With ACAM2000 or Dryvax® Smallpox VaccineMyalgia1 Participants
ACAM2000 Dose 4Number of Participants Reporting Adverse Events of Severe Intensity Post-vaccination With ACAM2000 or Dryvax® Smallpox VaccineInjection Site Swelling1 Participants
ACAM2000 Dose 4Number of Participants Reporting Adverse Events of Severe Intensity Post-vaccination With ACAM2000 or Dryvax® Smallpox VaccinePregnancy Not Otherwise Specified1 Participants
ACAM2000 Dose 4Number of Participants Reporting Adverse Events of Severe Intensity Post-vaccination With ACAM2000 or Dryvax® Smallpox VaccineFatigue0 Participants
ACAM2000 Dose 4Number of Participants Reporting Adverse Events of Severe Intensity Post-vaccination With ACAM2000 or Dryvax® Smallpox VaccineInjection Site Erythema11 Participants
Dryvax® VaccineNumber of Participants Reporting Adverse Events of Severe Intensity Post-vaccination With ACAM2000 or Dryvax® Smallpox VaccineFatigue0 Participants
Dryvax® VaccineNumber of Participants Reporting Adverse Events of Severe Intensity Post-vaccination With ACAM2000 or Dryvax® Smallpox VaccinePregnancy Not Otherwise Specified0 Participants
Dryvax® VaccineNumber of Participants Reporting Adverse Events of Severe Intensity Post-vaccination With ACAM2000 or Dryvax® Smallpox VaccineInjection Site Pain0 Participants
Dryvax® VaccineNumber of Participants Reporting Adverse Events of Severe Intensity Post-vaccination With ACAM2000 or Dryvax® Smallpox VaccineVomiting Not Otherwise Specified0 Participants
Dryvax® VaccineNumber of Participants Reporting Adverse Events of Severe Intensity Post-vaccination With ACAM2000 or Dryvax® Smallpox VaccineLymph Node Pain2 Participants
Dryvax® VaccineNumber of Participants Reporting Adverse Events of Severe Intensity Post-vaccination With ACAM2000 or Dryvax® Smallpox VaccineDehydration0 Participants
Dryvax® VaccineNumber of Participants Reporting Adverse Events of Severe Intensity Post-vaccination With ACAM2000 or Dryvax® Smallpox VaccineNausea0 Participants
Dryvax® VaccineNumber of Participants Reporting Adverse Events of Severe Intensity Post-vaccination With ACAM2000 or Dryvax® Smallpox VaccineMyalgia0 Participants
Dryvax® VaccineNumber of Participants Reporting Adverse Events of Severe Intensity Post-vaccination With ACAM2000 or Dryvax® Smallpox VaccineDiarrhea Not Otherwise Specified0 Participants
Dryvax® VaccineNumber of Participants Reporting Adverse Events of Severe Intensity Post-vaccination With ACAM2000 or Dryvax® Smallpox VaccineDysuria0 Participants
Dryvax® VaccineNumber of Participants Reporting Adverse Events of Severe Intensity Post-vaccination With ACAM2000 or Dryvax® Smallpox VaccineHeadache Not Otherwise Specified0 Participants
Dryvax® VaccineNumber of Participants Reporting Adverse Events of Severe Intensity Post-vaccination With ACAM2000 or Dryvax® Smallpox VaccineLymphadenopathy0 Participants
Dryvax® VaccineNumber of Participants Reporting Adverse Events of Severe Intensity Post-vaccination With ACAM2000 or Dryvax® Smallpox VaccineInjection Site Pruritus1 Participants
Dryvax® VaccineNumber of Participants Reporting Adverse Events of Severe Intensity Post-vaccination With ACAM2000 or Dryvax® Smallpox VaccineInjection Site Swelling0 Participants
Dryvax® VaccineNumber of Participants Reporting Adverse Events of Severe Intensity Post-vaccination With ACAM2000 or Dryvax® Smallpox VaccineInjection Site Erythema15 Participants
Primary

Participants With ≥ 4-fold Increase in Plaque-Reduction Neutralization Test (PRNT50) Titers Post-vaccination With ACAM2000 or Dryvax® Smallpox Vaccine.

Time frame: Day 30 post-vaccination

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

ArmMeasureValue (NUMBER)
ACAM2000 Dose 1Participants With ≥ 4-fold Increase in Plaque-Reduction Neutralization Test (PRNT50) Titers Post-vaccination With ACAM2000 or Dryvax® Smallpox Vaccine.28 Participants
ACAM2000 Dose 2Participants With ≥ 4-fold Increase in Plaque-Reduction Neutralization Test (PRNT50) Titers Post-vaccination With ACAM2000 or Dryvax® Smallpox Vaccine.73 Participants
ACAM2000 Dose 3Participants With ≥ 4-fold Increase in Plaque-Reduction Neutralization Test (PRNT50) Titers Post-vaccination With ACAM2000 or Dryvax® Smallpox Vaccine.84 Participants
ACAM2000 Dose 4Participants With ≥ 4-fold Increase in Plaque-Reduction Neutralization Test (PRNT50) Titers Post-vaccination With ACAM2000 or Dryvax® Smallpox Vaccine.48 Participants
Dryvax® VaccineParticipants With ≥ 4-fold Increase in Plaque-Reduction Neutralization Test (PRNT50) Titers Post-vaccination With ACAM2000 or Dryvax® Smallpox Vaccine.47 Participants
Other Pre-specified

Clinical Chemistry Parameters (Aspartate Aminotransaminase and Alanine Aminotransferase) at Baseline and Day 15 Post-vaccination With ACAM2000 or Dryvax® Smallpox Vaccine

Time frame: Days 0 (baseline) and 15 post-vaccination

Population: Clinical chemistry parameters were assessed in safety, intent-to-treat population

ArmMeasureGroupValue (MEAN)Dispersion
ACAM2000 Dose 1Clinical Chemistry Parameters (Aspartate Aminotransaminase and Alanine Aminotransferase) at Baseline and Day 15 Post-vaccination With ACAM2000 or Dryvax® Smallpox VaccineAspartate Aminotransferase (Baseline)21 IU/LStandard Deviation 7.4
ACAM2000 Dose 1Clinical Chemistry Parameters (Aspartate Aminotransaminase and Alanine Aminotransferase) at Baseline and Day 15 Post-vaccination With ACAM2000 or Dryvax® Smallpox VaccineAspartate Aminotransferase (Day 15)23 IU/LStandard Deviation 10.5
ACAM2000 Dose 1Clinical Chemistry Parameters (Aspartate Aminotransaminase and Alanine Aminotransferase) at Baseline and Day 15 Post-vaccination With ACAM2000 or Dryvax® Smallpox VaccineAlanine Aminotransferase (Baseline)32 IU/LStandard Deviation 15
ACAM2000 Dose 1Clinical Chemistry Parameters (Aspartate Aminotransaminase and Alanine Aminotransferase) at Baseline and Day 15 Post-vaccination With ACAM2000 or Dryvax® Smallpox VaccineAlanine Aminotransferase (Day 15)33 IU/LStandard Deviation 15.4
ACAM2000 Dose 2Clinical Chemistry Parameters (Aspartate Aminotransaminase and Alanine Aminotransferase) at Baseline and Day 15 Post-vaccination With ACAM2000 or Dryvax® Smallpox VaccineAspartate Aminotransferase (Baseline)21 IU/LStandard Deviation 5.9
ACAM2000 Dose 2Clinical Chemistry Parameters (Aspartate Aminotransaminase and Alanine Aminotransferase) at Baseline and Day 15 Post-vaccination With ACAM2000 or Dryvax® Smallpox VaccineAlanine Aminotransferase (Day 15)32 IU/LStandard Deviation 17.5
ACAM2000 Dose 2Clinical Chemistry Parameters (Aspartate Aminotransaminase and Alanine Aminotransferase) at Baseline and Day 15 Post-vaccination With ACAM2000 or Dryvax® Smallpox VaccineAspartate Aminotransferase (Day 15)21 IU/LStandard Deviation 7.7
ACAM2000 Dose 2Clinical Chemistry Parameters (Aspartate Aminotransaminase and Alanine Aminotransferase) at Baseline and Day 15 Post-vaccination With ACAM2000 or Dryvax® Smallpox VaccineAlanine Aminotransferase (Baseline)32 IU/LStandard Deviation 16.2
ACAM2000 Dose 3Clinical Chemistry Parameters (Aspartate Aminotransaminase and Alanine Aminotransferase) at Baseline and Day 15 Post-vaccination With ACAM2000 or Dryvax® Smallpox VaccineAlanine Aminotransferase (Day 15)33 IU/LStandard Deviation 16.6
ACAM2000 Dose 3Clinical Chemistry Parameters (Aspartate Aminotransaminase and Alanine Aminotransferase) at Baseline and Day 15 Post-vaccination With ACAM2000 or Dryvax® Smallpox VaccineAspartate Aminotransferase (Day 15)22 IU/LStandard Deviation 7.5
ACAM2000 Dose 3Clinical Chemistry Parameters (Aspartate Aminotransaminase and Alanine Aminotransferase) at Baseline and Day 15 Post-vaccination With ACAM2000 or Dryvax® Smallpox VaccineAlanine Aminotransferase (Baseline)33 IU/LStandard Deviation 17.4
ACAM2000 Dose 3Clinical Chemistry Parameters (Aspartate Aminotransaminase and Alanine Aminotransferase) at Baseline and Day 15 Post-vaccination With ACAM2000 or Dryvax® Smallpox VaccineAspartate Aminotransferase (Baseline)22 IU/LStandard Deviation 7.1
ACAM2000 Dose 4Clinical Chemistry Parameters (Aspartate Aminotransaminase and Alanine Aminotransferase) at Baseline and Day 15 Post-vaccination With ACAM2000 or Dryvax® Smallpox VaccineAspartate Aminotransferase (Baseline)23 IU/LStandard Deviation 7.1
ACAM2000 Dose 4Clinical Chemistry Parameters (Aspartate Aminotransaminase and Alanine Aminotransferase) at Baseline and Day 15 Post-vaccination With ACAM2000 or Dryvax® Smallpox VaccineAspartate Aminotransferase (Day 15)21 IU/LStandard Deviation 6.3
ACAM2000 Dose 4Clinical Chemistry Parameters (Aspartate Aminotransaminase and Alanine Aminotransferase) at Baseline and Day 15 Post-vaccination With ACAM2000 or Dryvax® Smallpox VaccineAlanine Aminotransferase (Day 15)34 IU/LStandard Deviation 16.2
ACAM2000 Dose 4Clinical Chemistry Parameters (Aspartate Aminotransaminase and Alanine Aminotransferase) at Baseline and Day 15 Post-vaccination With ACAM2000 or Dryvax® Smallpox VaccineAlanine Aminotransferase (Baseline)36 IU/LStandard Deviation 18.5
Dryvax® VaccineClinical Chemistry Parameters (Aspartate Aminotransaminase and Alanine Aminotransferase) at Baseline and Day 15 Post-vaccination With ACAM2000 or Dryvax® Smallpox VaccineAlanine Aminotransferase (Day 15)33 IU/LStandard Deviation 17.9
Dryvax® VaccineClinical Chemistry Parameters (Aspartate Aminotransaminase and Alanine Aminotransferase) at Baseline and Day 15 Post-vaccination With ACAM2000 or Dryvax® Smallpox VaccineAlanine Aminotransferase (Baseline)31 IU/LStandard Deviation 16.8
Dryvax® VaccineClinical Chemistry Parameters (Aspartate Aminotransaminase and Alanine Aminotransferase) at Baseline and Day 15 Post-vaccination With ACAM2000 or Dryvax® Smallpox VaccineAspartate Aminotransferase (Day 15)22 IU/LStandard Deviation 6.8
Dryvax® VaccineClinical Chemistry Parameters (Aspartate Aminotransaminase and Alanine Aminotransferase) at Baseline and Day 15 Post-vaccination With ACAM2000 or Dryvax® Smallpox VaccineAspartate Aminotransferase (Baseline)20 IU/LStandard Deviation 5.8
Other Pre-specified

Clinical Chemistry Parameters (Creatinine and Glucose) at Baseline and Day 15 Post-vaccination With ACAM2000 or Dryvax® Smallpox Vaccine

Time frame: Days 0 (baseline) and 15 post-vaccination

Population: Clinical chemistry parameters were assessed in safety, intent-to-treat population

ArmMeasureGroupValue (MEAN)Dispersion
ACAM2000 Dose 1Clinical Chemistry Parameters (Creatinine and Glucose) at Baseline and Day 15 Post-vaccination With ACAM2000 or Dryvax® Smallpox VaccineCreatinine (Baseline)0.97 mg/dLStandard Deviation 0.147
ACAM2000 Dose 1Clinical Chemistry Parameters (Creatinine and Glucose) at Baseline and Day 15 Post-vaccination With ACAM2000 or Dryvax® Smallpox VaccineCreatinine (Day 15)0.98 mg/dLStandard Deviation 0.149
ACAM2000 Dose 1Clinical Chemistry Parameters (Creatinine and Glucose) at Baseline and Day 15 Post-vaccination With ACAM2000 or Dryvax® Smallpox VaccineGlucose (Baseline)85 mg/dLStandard Deviation 7.3
ACAM2000 Dose 1Clinical Chemistry Parameters (Creatinine and Glucose) at Baseline and Day 15 Post-vaccination With ACAM2000 or Dryvax® Smallpox VaccineGlucose (Day 15)83 mg/dLStandard Deviation 14.2
ACAM2000 Dose 2Clinical Chemistry Parameters (Creatinine and Glucose) at Baseline and Day 15 Post-vaccination With ACAM2000 or Dryvax® Smallpox VaccineCreatinine (Baseline)0.96 mg/dLStandard Deviation 0.153
ACAM2000 Dose 2Clinical Chemistry Parameters (Creatinine and Glucose) at Baseline and Day 15 Post-vaccination With ACAM2000 or Dryvax® Smallpox VaccineGlucose (Day 15)86 mg/dLStandard Deviation 14.6
ACAM2000 Dose 2Clinical Chemistry Parameters (Creatinine and Glucose) at Baseline and Day 15 Post-vaccination With ACAM2000 or Dryvax® Smallpox VaccineCreatinine (Day 15)0.98 mg/dLStandard Deviation 0.142
ACAM2000 Dose 2Clinical Chemistry Parameters (Creatinine and Glucose) at Baseline and Day 15 Post-vaccination With ACAM2000 or Dryvax® Smallpox VaccineGlucose (Baseline)84 mg/dLStandard Deviation 9.8
ACAM2000 Dose 3Clinical Chemistry Parameters (Creatinine and Glucose) at Baseline and Day 15 Post-vaccination With ACAM2000 or Dryvax® Smallpox VaccineGlucose (Day 15)86 mg/dLStandard Deviation 10.6
ACAM2000 Dose 3Clinical Chemistry Parameters (Creatinine and Glucose) at Baseline and Day 15 Post-vaccination With ACAM2000 or Dryvax® Smallpox VaccineCreatinine (Day 15)0.98 mg/dLStandard Deviation 0.169
ACAM2000 Dose 3Clinical Chemistry Parameters (Creatinine and Glucose) at Baseline and Day 15 Post-vaccination With ACAM2000 or Dryvax® Smallpox VaccineGlucose (Baseline)86 mg/dLStandard Deviation 7.4
ACAM2000 Dose 3Clinical Chemistry Parameters (Creatinine and Glucose) at Baseline and Day 15 Post-vaccination With ACAM2000 or Dryvax® Smallpox VaccineCreatinine (Baseline)0.98 mg/dLStandard Deviation 0.181
ACAM2000 Dose 4Clinical Chemistry Parameters (Creatinine and Glucose) at Baseline and Day 15 Post-vaccination With ACAM2000 or Dryvax® Smallpox VaccineCreatinine (Baseline)0.97 mg/dLStandard Deviation 0.171
ACAM2000 Dose 4Clinical Chemistry Parameters (Creatinine and Glucose) at Baseline and Day 15 Post-vaccination With ACAM2000 or Dryvax® Smallpox VaccineCreatinine (Day 15)1.00 mg/dLStandard Deviation 0.144
ACAM2000 Dose 4Clinical Chemistry Parameters (Creatinine and Glucose) at Baseline and Day 15 Post-vaccination With ACAM2000 or Dryvax® Smallpox VaccineGlucose (Day 15)87 mg/dLStandard Deviation 13.2
ACAM2000 Dose 4Clinical Chemistry Parameters (Creatinine and Glucose) at Baseline and Day 15 Post-vaccination With ACAM2000 or Dryvax® Smallpox VaccineGlucose (Baseline)86 mg/dLStandard Deviation 8.3
Dryvax® VaccineClinical Chemistry Parameters (Creatinine and Glucose) at Baseline and Day 15 Post-vaccination With ACAM2000 or Dryvax® Smallpox VaccineGlucose (Day 15)88 mg/dLStandard Deviation 21.4
Dryvax® VaccineClinical Chemistry Parameters (Creatinine and Glucose) at Baseline and Day 15 Post-vaccination With ACAM2000 or Dryvax® Smallpox VaccineGlucose (Baseline)87 mg/dLStandard Deviation 18.6
Dryvax® VaccineClinical Chemistry Parameters (Creatinine and Glucose) at Baseline and Day 15 Post-vaccination With ACAM2000 or Dryvax® Smallpox VaccineCreatinine (Day 15)1.00 mg/dLStandard Deviation 0.163
Dryvax® VaccineClinical Chemistry Parameters (Creatinine and Glucose) at Baseline and Day 15 Post-vaccination With ACAM2000 or Dryvax® Smallpox VaccineCreatinine (Baseline)0.97 mg/dLStandard Deviation 0.158
Other Pre-specified

Number of Participants With Treatment-Emergent Rash Events Post-vaccination With ACAM2000 or Dryvax® Smallpox Vaccine.

Time frame: Days 0 to 30 post-vaccination

Population: Treatment-emergent rash events were assessed in the safety, intent-to-treat population.

ArmMeasureGroupValue (NUMBER)
ACAM2000 Dose 1Number of Participants With Treatment-Emergent Rash Events Post-vaccination With ACAM2000 or Dryvax® Smallpox Vaccine.Rash Not Otherwise Specified3 Participants
ACAM2000 Dose 1Number of Participants With Treatment-Emergent Rash Events Post-vaccination With ACAM2000 or Dryvax® Smallpox Vaccine.Rash Pruritic0 Participants
ACAM2000 Dose 1Number of Participants With Treatment-Emergent Rash Events Post-vaccination With ACAM2000 or Dryvax® Smallpox Vaccine.Rash Pustular0 Participants
ACAM2000 Dose 1Number of Participants With Treatment-Emergent Rash Events Post-vaccination With ACAM2000 or Dryvax® Smallpox Vaccine.Application Site Rash0 Participants
ACAM2000 Dose 1Number of Participants With Treatment-Emergent Rash Events Post-vaccination With ACAM2000 or Dryvax® Smallpox Vaccine.Injection Site Rash0 Participants
ACAM2000 Dose 1Number of Participants With Treatment-Emergent Rash Events Post-vaccination With ACAM2000 or Dryvax® Smallpox Vaccine.Any Rash Event3 Participants
ACAM2000 Dose 2Number of Participants With Treatment-Emergent Rash Events Post-vaccination With ACAM2000 or Dryvax® Smallpox Vaccine.Injection Site Rash0 Participants
ACAM2000 Dose 2Number of Participants With Treatment-Emergent Rash Events Post-vaccination With ACAM2000 or Dryvax® Smallpox Vaccine.Any Rash Event11 Participants
ACAM2000 Dose 2Number of Participants With Treatment-Emergent Rash Events Post-vaccination With ACAM2000 or Dryvax® Smallpox Vaccine.Rash Not Otherwise Specified10 Participants
ACAM2000 Dose 2Number of Participants With Treatment-Emergent Rash Events Post-vaccination With ACAM2000 or Dryvax® Smallpox Vaccine.Rash Pustular1 Participants
ACAM2000 Dose 2Number of Participants With Treatment-Emergent Rash Events Post-vaccination With ACAM2000 or Dryvax® Smallpox Vaccine.Application Site Rash1 Participants
ACAM2000 Dose 2Number of Participants With Treatment-Emergent Rash Events Post-vaccination With ACAM2000 or Dryvax® Smallpox Vaccine.Rash Pruritic1 Participants
ACAM2000 Dose 3Number of Participants With Treatment-Emergent Rash Events Post-vaccination With ACAM2000 or Dryvax® Smallpox Vaccine.Application Site Rash1 Participants
ACAM2000 Dose 3Number of Participants With Treatment-Emergent Rash Events Post-vaccination With ACAM2000 or Dryvax® Smallpox Vaccine.Injection Site Rash1 Participants
ACAM2000 Dose 3Number of Participants With Treatment-Emergent Rash Events Post-vaccination With ACAM2000 or Dryvax® Smallpox Vaccine.Rash Not Otherwise Specified9 Participants
ACAM2000 Dose 3Number of Participants With Treatment-Emergent Rash Events Post-vaccination With ACAM2000 or Dryvax® Smallpox Vaccine.Rash Pustular0 Participants
ACAM2000 Dose 3Number of Participants With Treatment-Emergent Rash Events Post-vaccination With ACAM2000 or Dryvax® Smallpox Vaccine.Rash Pruritic0 Participants
ACAM2000 Dose 3Number of Participants With Treatment-Emergent Rash Events Post-vaccination With ACAM2000 or Dryvax® Smallpox Vaccine.Any Rash Event10 Participants
ACAM2000 Dose 4Number of Participants With Treatment-Emergent Rash Events Post-vaccination With ACAM2000 or Dryvax® Smallpox Vaccine.Application Site Rash3 Participants
ACAM2000 Dose 4Number of Participants With Treatment-Emergent Rash Events Post-vaccination With ACAM2000 or Dryvax® Smallpox Vaccine.Rash Pruritic0 Participants
ACAM2000 Dose 4Number of Participants With Treatment-Emergent Rash Events Post-vaccination With ACAM2000 or Dryvax® Smallpox Vaccine.Rash Pustular0 Participants
ACAM2000 Dose 4Number of Participants With Treatment-Emergent Rash Events Post-vaccination With ACAM2000 or Dryvax® Smallpox Vaccine.Any Rash Event7 Participants
ACAM2000 Dose 4Number of Participants With Treatment-Emergent Rash Events Post-vaccination With ACAM2000 or Dryvax® Smallpox Vaccine.Injection Site Rash0 Participants
ACAM2000 Dose 4Number of Participants With Treatment-Emergent Rash Events Post-vaccination With ACAM2000 or Dryvax® Smallpox Vaccine.Rash Not Otherwise Specified5 Participants
Dryvax® VaccineNumber of Participants With Treatment-Emergent Rash Events Post-vaccination With ACAM2000 or Dryvax® Smallpox Vaccine.Injection Site Rash1 Participants
Dryvax® VaccineNumber of Participants With Treatment-Emergent Rash Events Post-vaccination With ACAM2000 or Dryvax® Smallpox Vaccine.Rash Pustular1 Participants
Dryvax® VaccineNumber of Participants With Treatment-Emergent Rash Events Post-vaccination With ACAM2000 or Dryvax® Smallpox Vaccine.Rash Pruritic0 Participants
Dryvax® VaccineNumber of Participants With Treatment-Emergent Rash Events Post-vaccination With ACAM2000 or Dryvax® Smallpox Vaccine.Any Rash Event10 Participants
Dryvax® VaccineNumber of Participants With Treatment-Emergent Rash Events Post-vaccination With ACAM2000 or Dryvax® Smallpox Vaccine.Application Site Rash2 Participants
Dryvax® VaccineNumber of Participants With Treatment-Emergent Rash Events Post-vaccination With ACAM2000 or Dryvax® Smallpox Vaccine.Rash Not Otherwise Specified7 Participants
Other Pre-specified

Selected Hematology Parameters (Hematocrit, Lymphocyte, and Eosinophil) at Baseline and on Day 15 in Participants Vaccinated With ACAM2000 or Dryvax® Smallpox Vaccine.

Time frame: Days 0 (baseline) and 15 post-vaccination

Population: Hematology parameters were evaluated in the safety, intent-to-treat population.

ArmMeasureGroupValue (MEAN)Dispersion
ACAM2000 Dose 1Selected Hematology Parameters (Hematocrit, Lymphocyte, and Eosinophil) at Baseline and on Day 15 in Participants Vaccinated With ACAM2000 or Dryvax® Smallpox Vaccine.Hematocrit (Baseline)43.7 Percentage (%)Standard Deviation 4.2
ACAM2000 Dose 1Selected Hematology Parameters (Hematocrit, Lymphocyte, and Eosinophil) at Baseline and on Day 15 in Participants Vaccinated With ACAM2000 or Dryvax® Smallpox Vaccine.Hematocrit (Day 15)42.8 Percentage (%)Standard Deviation 3.74
ACAM2000 Dose 1Selected Hematology Parameters (Hematocrit, Lymphocyte, and Eosinophil) at Baseline and on Day 15 in Participants Vaccinated With ACAM2000 or Dryvax® Smallpox Vaccine.Lymphocytes (Baseline)30.6 Percentage (%)Standard Deviation 8.26
ACAM2000 Dose 1Selected Hematology Parameters (Hematocrit, Lymphocyte, and Eosinophil) at Baseline and on Day 15 in Participants Vaccinated With ACAM2000 or Dryvax® Smallpox Vaccine.Lymphocytes (Day 15)33.9 Percentage (%)Standard Deviation 8.62
ACAM2000 Dose 1Selected Hematology Parameters (Hematocrit, Lymphocyte, and Eosinophil) at Baseline and on Day 15 in Participants Vaccinated With ACAM2000 or Dryvax® Smallpox Vaccine.Eosinophils (Baseline)2.5 Percentage (%)Standard Deviation 1.61
ACAM2000 Dose 1Selected Hematology Parameters (Hematocrit, Lymphocyte, and Eosinophil) at Baseline and on Day 15 in Participants Vaccinated With ACAM2000 or Dryvax® Smallpox Vaccine.Eosinophils (Day 15)2.8 Percentage (%)Standard Deviation 2.07
ACAM2000 Dose 2Selected Hematology Parameters (Hematocrit, Lymphocyte, and Eosinophil) at Baseline and on Day 15 in Participants Vaccinated With ACAM2000 or Dryvax® Smallpox Vaccine.Eosinophils (Baseline)2.5 Percentage (%)Standard Deviation 1.95
ACAM2000 Dose 2Selected Hematology Parameters (Hematocrit, Lymphocyte, and Eosinophil) at Baseline and on Day 15 in Participants Vaccinated With ACAM2000 or Dryvax® Smallpox Vaccine.Eosinophils (Day 15)2.8 Percentage (%)Standard Deviation 2.11
ACAM2000 Dose 2Selected Hematology Parameters (Hematocrit, Lymphocyte, and Eosinophil) at Baseline and on Day 15 in Participants Vaccinated With ACAM2000 or Dryvax® Smallpox Vaccine.Hematocrit (Baseline)43.2 Percentage (%)Standard Deviation 3.71
ACAM2000 Dose 2Selected Hematology Parameters (Hematocrit, Lymphocyte, and Eosinophil) at Baseline and on Day 15 in Participants Vaccinated With ACAM2000 or Dryvax® Smallpox Vaccine.Lymphocytes (Baseline)31.5 Percentage (%)Standard Deviation 8.33
ACAM2000 Dose 2Selected Hematology Parameters (Hematocrit, Lymphocyte, and Eosinophil) at Baseline and on Day 15 in Participants Vaccinated With ACAM2000 or Dryvax® Smallpox Vaccine.Lymphocytes (Day 15)34.0 Percentage (%)Standard Deviation 7.41
ACAM2000 Dose 2Selected Hematology Parameters (Hematocrit, Lymphocyte, and Eosinophil) at Baseline and on Day 15 in Participants Vaccinated With ACAM2000 or Dryvax® Smallpox Vaccine.Hematocrit (Day 15)42.3 Percentage (%)Standard Deviation 3.59
ACAM2000 Dose 3Selected Hematology Parameters (Hematocrit, Lymphocyte, and Eosinophil) at Baseline and on Day 15 in Participants Vaccinated With ACAM2000 or Dryvax® Smallpox Vaccine.Lymphocytes (Day 15)34.7 Percentage (%)Standard Deviation 7.93
ACAM2000 Dose 3Selected Hematology Parameters (Hematocrit, Lymphocyte, and Eosinophil) at Baseline and on Day 15 in Participants Vaccinated With ACAM2000 or Dryvax® Smallpox Vaccine.Eosinophils (Baseline)2.4 Percentage (%)Standard Deviation 1.69
ACAM2000 Dose 3Selected Hematology Parameters (Hematocrit, Lymphocyte, and Eosinophil) at Baseline and on Day 15 in Participants Vaccinated With ACAM2000 or Dryvax® Smallpox Vaccine.Hematocrit (Baseline)43.2 Percentage (%)Standard Deviation 4.44
ACAM2000 Dose 3Selected Hematology Parameters (Hematocrit, Lymphocyte, and Eosinophil) at Baseline and on Day 15 in Participants Vaccinated With ACAM2000 or Dryvax® Smallpox Vaccine.Lymphocytes (Baseline)30.7 Percentage (%)Standard Deviation 7
ACAM2000 Dose 3Selected Hematology Parameters (Hematocrit, Lymphocyte, and Eosinophil) at Baseline and on Day 15 in Participants Vaccinated With ACAM2000 or Dryvax® Smallpox Vaccine.Hematocrit (Day 15)42.7 Percentage (%)Standard Deviation 3.21
ACAM2000 Dose 3Selected Hematology Parameters (Hematocrit, Lymphocyte, and Eosinophil) at Baseline and on Day 15 in Participants Vaccinated With ACAM2000 or Dryvax® Smallpox Vaccine.Eosinophils (Day 15)2.6 Percentage (%)Standard Deviation 1.65
ACAM2000 Dose 4Selected Hematology Parameters (Hematocrit, Lymphocyte, and Eosinophil) at Baseline and on Day 15 in Participants Vaccinated With ACAM2000 or Dryvax® Smallpox Vaccine.Lymphocytes (Day 15)33.9 Percentage (%)Standard Deviation 6.83
ACAM2000 Dose 4Selected Hematology Parameters (Hematocrit, Lymphocyte, and Eosinophil) at Baseline and on Day 15 in Participants Vaccinated With ACAM2000 or Dryvax® Smallpox Vaccine.Hematocrit (Day 15)43.2 Percentage (%)Standard Deviation 2.55
ACAM2000 Dose 4Selected Hematology Parameters (Hematocrit, Lymphocyte, and Eosinophil) at Baseline and on Day 15 in Participants Vaccinated With ACAM2000 or Dryvax® Smallpox Vaccine.Lymphocytes (Baseline)29.6 Percentage (%)Standard Deviation 7.45
ACAM2000 Dose 4Selected Hematology Parameters (Hematocrit, Lymphocyte, and Eosinophil) at Baseline and on Day 15 in Participants Vaccinated With ACAM2000 or Dryvax® Smallpox Vaccine.Eosinophils (Day 15)2.7 Percentage (%)Standard Deviation 1.42
ACAM2000 Dose 4Selected Hematology Parameters (Hematocrit, Lymphocyte, and Eosinophil) at Baseline and on Day 15 in Participants Vaccinated With ACAM2000 or Dryvax® Smallpox Vaccine.Eosinophils (Baseline)2.3 Percentage (%)Standard Deviation 1.42
ACAM2000 Dose 4Selected Hematology Parameters (Hematocrit, Lymphocyte, and Eosinophil) at Baseline and on Day 15 in Participants Vaccinated With ACAM2000 or Dryvax® Smallpox Vaccine.Hematocrit (Baseline)44.2 Percentage (%)Standard Deviation 3.29
Dryvax® VaccineSelected Hematology Parameters (Hematocrit, Lymphocyte, and Eosinophil) at Baseline and on Day 15 in Participants Vaccinated With ACAM2000 or Dryvax® Smallpox Vaccine.Eosinophils (Baseline)2.4 Percentage (%)Standard Deviation 1.72
Dryvax® VaccineSelected Hematology Parameters (Hematocrit, Lymphocyte, and Eosinophil) at Baseline and on Day 15 in Participants Vaccinated With ACAM2000 or Dryvax® Smallpox Vaccine.Lymphocytes (Baseline)31.6 Percentage (%)Standard Deviation 7.99
Dryvax® VaccineSelected Hematology Parameters (Hematocrit, Lymphocyte, and Eosinophil) at Baseline and on Day 15 in Participants Vaccinated With ACAM2000 or Dryvax® Smallpox Vaccine.Hematocrit (Day 15)43.1 Percentage (%)Standard Deviation 3.13
Dryvax® VaccineSelected Hematology Parameters (Hematocrit, Lymphocyte, and Eosinophil) at Baseline and on Day 15 in Participants Vaccinated With ACAM2000 or Dryvax® Smallpox Vaccine.Eosinophils (Day 15)2.7 Percentage (%)Standard Deviation 1.61
Dryvax® VaccineSelected Hematology Parameters (Hematocrit, Lymphocyte, and Eosinophil) at Baseline and on Day 15 in Participants Vaccinated With ACAM2000 or Dryvax® Smallpox Vaccine.Lymphocytes (Day 15)33.8 Percentage (%)Standard Deviation 7.58
Dryvax® VaccineSelected Hematology Parameters (Hematocrit, Lymphocyte, and Eosinophil) at Baseline and on Day 15 in Participants Vaccinated With ACAM2000 or Dryvax® Smallpox Vaccine.Hematocrit (Baseline)44.1 Percentage (%)Standard Deviation 3.54
Other Pre-specified

Selected Hematology Parameters (Red Blood Count and Platelets) at Baseline and on Day 15 in Participants Vaccinated With ACAM2000 or Dryvax® Smallpox Vaccine.

Time frame: Days 0 (baseline) and 15 post-vaccination

Population: Hematology parameters were evaluated in the safety, intent-to-treat population.

ArmMeasureGroupValue (MEAN)Dispersion
ACAM2000 Dose 1Selected Hematology Parameters (Red Blood Count and Platelets) at Baseline and on Day 15 in Participants Vaccinated With ACAM2000 or Dryvax® Smallpox Vaccine.Red Blood Cell Count (Baseline)5.1 x10-6th/μLStandard Deviation 0.53
ACAM2000 Dose 1Selected Hematology Parameters (Red Blood Count and Platelets) at Baseline and on Day 15 in Participants Vaccinated With ACAM2000 or Dryvax® Smallpox Vaccine.Red Blood Cell Count (Day 15)5.0 x10-6th/μLStandard Deviation 0.5
ACAM2000 Dose 1Selected Hematology Parameters (Red Blood Count and Platelets) at Baseline and on Day 15 in Participants Vaccinated With ACAM2000 or Dryvax® Smallpox Vaccine.Platelets (Baseline)274 x10-6th/μLStandard Deviation 64
ACAM2000 Dose 1Selected Hematology Parameters (Red Blood Count and Platelets) at Baseline and on Day 15 in Participants Vaccinated With ACAM2000 or Dryvax® Smallpox Vaccine.Platelets (Day 15)284 x10-6th/μLStandard Deviation 58.6
ACAM2000 Dose 2Selected Hematology Parameters (Red Blood Count and Platelets) at Baseline and on Day 15 in Participants Vaccinated With ACAM2000 or Dryvax® Smallpox Vaccine.Red Blood Cell Count (Baseline)5.0 x10-6th/μLStandard Deviation 0.47
ACAM2000 Dose 2Selected Hematology Parameters (Red Blood Count and Platelets) at Baseline and on Day 15 in Participants Vaccinated With ACAM2000 or Dryvax® Smallpox Vaccine.Platelets (Day 15)280 x10-6th/μLStandard Deviation 57.7
ACAM2000 Dose 2Selected Hematology Parameters (Red Blood Count and Platelets) at Baseline and on Day 15 in Participants Vaccinated With ACAM2000 or Dryvax® Smallpox Vaccine.Red Blood Cell Count (Day 15)4.9 x10-6th/μLStandard Deviation 0.44
ACAM2000 Dose 2Selected Hematology Parameters (Red Blood Count and Platelets) at Baseline and on Day 15 in Participants Vaccinated With ACAM2000 or Dryvax® Smallpox Vaccine.Platelets (Baseline)282 x10-6th/μLStandard Deviation 60.1
ACAM2000 Dose 3Selected Hematology Parameters (Red Blood Count and Platelets) at Baseline and on Day 15 in Participants Vaccinated With ACAM2000 or Dryvax® Smallpox Vaccine.Platelets (Day 15)281 x10-6th/μLStandard Deviation 65.1
ACAM2000 Dose 3Selected Hematology Parameters (Red Blood Count and Platelets) at Baseline and on Day 15 in Participants Vaccinated With ACAM2000 or Dryvax® Smallpox Vaccine.Red Blood Cell Count (Day 15)5.0 x10-6th/μLStandard Deviation 0.39
ACAM2000 Dose 3Selected Hematology Parameters (Red Blood Count and Platelets) at Baseline and on Day 15 in Participants Vaccinated With ACAM2000 or Dryvax® Smallpox Vaccine.Platelets (Baseline)281 x10-6th/μLStandard Deviation 68.1
ACAM2000 Dose 3Selected Hematology Parameters (Red Blood Count and Platelets) at Baseline and on Day 15 in Participants Vaccinated With ACAM2000 or Dryvax® Smallpox Vaccine.Red Blood Cell Count (Baseline)5.1 x10-6th/μLStandard Deviation 0.44
ACAM2000 Dose 4Selected Hematology Parameters (Red Blood Count and Platelets) at Baseline and on Day 15 in Participants Vaccinated With ACAM2000 or Dryvax® Smallpox Vaccine.Red Blood Cell Count (Baseline)5.1 x10-6th/μLStandard Deviation 0.45
ACAM2000 Dose 4Selected Hematology Parameters (Red Blood Count and Platelets) at Baseline and on Day 15 in Participants Vaccinated With ACAM2000 or Dryvax® Smallpox Vaccine.Red Blood Cell Count (Day 15)5.0 x10-6th/μLStandard Deviation 0.37
ACAM2000 Dose 4Selected Hematology Parameters (Red Blood Count and Platelets) at Baseline and on Day 15 in Participants Vaccinated With ACAM2000 or Dryvax® Smallpox Vaccine.Platelets (Day 15)284 x10-6th/μLStandard Deviation 59.3
ACAM2000 Dose 4Selected Hematology Parameters (Red Blood Count and Platelets) at Baseline and on Day 15 in Participants Vaccinated With ACAM2000 or Dryvax® Smallpox Vaccine.Platelets (Baseline)274 x10-6th/μLStandard Deviation 52.4
Dryvax® VaccineSelected Hematology Parameters (Red Blood Count and Platelets) at Baseline and on Day 15 in Participants Vaccinated With ACAM2000 or Dryvax® Smallpox Vaccine.Platelets (Day 15)285 x10-6th/μLStandard Deviation 52.1
Dryvax® VaccineSelected Hematology Parameters (Red Blood Count and Platelets) at Baseline and on Day 15 in Participants Vaccinated With ACAM2000 or Dryvax® Smallpox Vaccine.Platelets (Baseline)267 x10-6th/μLStandard Deviation 51.6
Dryvax® VaccineSelected Hematology Parameters (Red Blood Count and Platelets) at Baseline and on Day 15 in Participants Vaccinated With ACAM2000 or Dryvax® Smallpox Vaccine.Red Blood Cell Count (Day 15)5.0 x10-6th/μLStandard Deviation 0.38
Dryvax® VaccineSelected Hematology Parameters (Red Blood Count and Platelets) at Baseline and on Day 15 in Participants Vaccinated With ACAM2000 or Dryvax® Smallpox Vaccine.Red Blood Cell Count (Baseline)5.1 x10-6th/μLStandard Deviation 0.44

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026