Clover Announces Positive Preliminary Phase Ⅰ Results for Bivalent RSV Vaccine Candidate SCB-1019 in Older Adults
-- Bivalent SCB-1019 significantly boosted RSV-A and RSV-B neutralizing antibody titers in older adults up to approximately 7,900 IU/mL (up to 8-fold increase) and approximately 46,700 IU/mL (up to 11-fold increase), respectively --
-- Favorable safety & reactogenicity profile comparable to saline placebo --
-- Full Phase Ⅰ data readout is planned by year-end 2024 --
"As the first RSV PreF vaccine candidate developed in
In the ongoing Phase Ⅰ trial, 48 subjects were enrolled in the older adult & elderly cohort and received either SCB-1019 or saline placebo. Preliminary results for RSV neutralizing antibodies (nAbs) and safety for SCB-1019 at the selected dose-level are summarized below:
Immunogenicity Results
- RSV-A nAbs: SCB-1019 induced geometric mean titers (GMTs) in RSV-A nAbs of up to 7,906 IU/mL compared to 1,078 IU/mL for placebo at Day 28.
- RSV-B nAbs: SCB-1019 induced geometric mean titers (GMTs) in RSV-B neutralizing antibody titers (nAbs) of up to 46,674 IU/mL compared to 12,185 IU/mL for placebo at Day 28.
- Geometric Mean Fold Rise (GMFR): High baseline nAb titers at Day 0 (pre-vaccination), especially to RSV-B, were observed, potentially reflecting recent outbreaks near the clinical trial sites. Thus, sub-analysis in subjects with the lowest quartile baseline nAb titers was performed:
- GMFRs for SCB-1019 were up to 8-fold for RSV-A nAbs and 11-fold for RSV-B nAbs at Day 28 compared to Day 0 (pre-vaccination).
- No increases in RSV-A or RSV-B nAbs were observed for placebo at Day 28.
- nAb results across both RSV-A and RSV-B appear to be in-line or potentially favorable compared to other protein subunit RSV PreF vaccines1, 2, 3 and continue to be supportive of Clover's bivalent RSV-A/B approach, given that other monovalent RSV-A vaccines have previously observed lower immune responses and/or efficacy against RSV-B 1, 4, 5.
- Results further confirm that Clover's PreF antigens in SCB-1019 are in the stabilized prefusion and trimeric form, additionally supported by exploratory immunogenicity results demonstrating significant increases in Site Ø and Site V nAb-competitive titers.
Safety & Reactogenicity Results
- SCB-1019 was generally well-tolerated. Local and systemic adverse events (AEs) were generally mild for SCB-1019 and were comparable to saline placebo.
- No serious adverse events (SAEs), adverse events of special interest (AESIs), or AEs leading to discontinuation were observed.
- Results indicate that SCB-1019 could potentially have a differentiated and favorable safety & reactogenicity profile compared to currently-approved oil-in-water adjuvanted4 and/or mRNA5-based RSV vaccines.
The Phase Ⅰ clinical trial in
1 Icosavax Company Presentations ( |
2 NIH DS-Cav1 (DOI: 10.1016/S2213-2600(21)00098-9) |
3 Pfizer (DOI: 10.1093/infdis/jiab612) |
4 GSK ACIP Presentation (21-JUN-2023) |
5 Moderna ACIP Presentation (29-FEB-2024) |
About Clover
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SOURCE Clover Biopharma