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A randomized clinical trial investigating the safety, reactogenicity, and immunogenicity after immunization with an mRNA-based mpox vaccine candidate in Africa

Safety, reactogenicity, and immunogenicity of an mpox mRNA vaccine candidate, BNT166a, in healthy participants aged 18 years and older in African countries: A randomized, double-blind, placebo-controlled Phase II trial

Status
Recruiting
Phases
Phase 2
Study type
Interventional
Source
PACTR
Registry ID
PACTR202601475113911
Enrollment
310
Registered
2026-01-26
Start date
2026-02-24
Completion date
Unknown
Last updated
2026-09-14

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

Conditions

Mpox

Interventions

Placebo

Sponsors

BioNTech SE
Lead Sponsor

Eligibility

Sex/Gender
All

Inclusion criteria

Inclusion criteria: Key Inclusion Criteria (applicable to all participants unless otherwise specified): - Are male or female individuals =18 years of age at the time of giving informed consent. * =18 to =45 years of age (Cohort 1) * =18 to =64 years of age (Cohort 2) 2) NOTE: Other protocol defined Inclusion criteria may apply.

Exclusion criteria

Exclusion criteria: Key Exclusion Criteria (applicable to all participants unless otherwise specified): - Have had recent exposure to mpox (defined as close contact with a probable or confirmed case of mpox within the past 28 days, or have evidence of mpox infection or mpox vaccination within 2 years prior to consent). - Have a contraindication, warning and/or precaution to vaccination with a messenger ribonucleic acid (mRNA) Coronavirus disease 2019 (COVID-19) vaccine as specified in the Summary of Product Characteristics for BNT162b2 (COMIRNATY United States Prescribing Information/European Union Summary of Product Characteristics) and BNT166 IB. - Have a history of allergies, hypersensitivities, or intolerance to study treatments including any excipients thereof. - Have a current or history of cardiovascular diseases, e.g., myocarditis, pericarditis, myocardial infarction, congestive heart failure, cardiomyopathy, or clinically significant arrhythmias. - Have any known bleeding diathesis or condition associated with prolonged bleeding that would, in the opinion of the investigator, contraindicate intramuscular injection. - Have a body mass index (BMI) =18.5 kg/m^2 or =35 kg/m^2. NOTE: Other protocol defined exclusion criteria may apply.

Design outcomes

Primary

MeasureTime frame
Number (and percentage) of participants with at least one solicited local reaction (pain, erythema/redness, induration/swelling), after each dose of BNT166a at each dose level in Orthopoxvirus-naïve (Cohort 1) and Orthopoxvirus-experienced (Cohort 2) adults. ;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), after each dose of BNT166a at each dose level in Orthopoxvirus-naïve (Cohort 1) and Orthopoxvirus-experienced (Cohort 2) adults. ;Number (and percentage) of participants with at least one use of antipyretics/analgesics, after each dose of BNT166a at each dose level in Orthopoxvirus-naïve (Cohort 1) and Orthopoxvirus-experienced (Cohort 2) adults. ;Number (and percentage) of participants with at least one unsolicited AE, after each dose of BNT166a at each dose level in Orthopoxvirus-naïve (Cohort 1) and Orthopoxvirus-experienced (Cohort 2) adults. ;Number (and percentage) of participants with at least one unsolicited AE, after each dose of BNT166a at each dose level in Orthopoxvirus-naïve (Cohort 1) and Orthopoxvirus-experienced (Cohort 2) adults. ;Number (and percentage) of participants with at least one SAE, after each dose of BNT166a at each dose level in Orthopoxvirus-naïve (Cohort 1) and Orthopoxvirus-experienced (Cohort 2) adults. ;Number (and percentage) of participants with at least one AESI, after each dose of BNT166a at each dose level in Orthopoxvirus-naïve (Cohort 1) and Orthopoxvirus-experienced (Cohort 2) adults. ;Number (and percentage) of participants with at least one MAAE, after each dose of BNT166a at each dose level in Orthopoxvirus-naïve (Cohort 1) and Orthopoxvirus-experienced (Cohort 2) adults. ;Number (and percentage) of participants with at least one AE leading to a participant’s withdrawal from the trial, after each dose of BNT166a at each dose level in Orthopoxvirus-naïve (Cohort 1) and Ort

Secondary

MeasureTime frame
BNT166a antigen-specific (A35, B6, H3, and M1) binding antibody titers at each dose level in Orthopoxvirus-naïve (Cohort 1) and Orthopoxvirus-experienced (Cohort 2) adults. ;MPXV-specific neutralizing antibody titers at each dose level in Orthopoxvirus-naïve (Cohort 1) and Orthopoxvirus-experienced (Cohort 2) adults. ;VACV-specific neutralizing antibody titers at each dose level in Orthopoxvirus-naïve (Cohort 1) and Orthopoxvirus-experienced (Cohort 2) adults.

Countries

Democratic Republic of the Congo, South Africa

Contacts

Public ContactMichelle Botha

Associate Director Global Site Activation

michelle.botha@iqvia.com27126712200

Outcome results

None listed

Source: PACTR (via WHO ICTRP) · Data processed: Sep 19, 2026