A Randomized, Double-Blind, Placebo-Controlled Study on Immunogenicity and Safety of MVA-BN (IMVAMUNE™) Smallpox Vaccine in Healthy Subjects

• MVA-specific seroconversion rate derived from the ELISA specific antibody titers 2 weeks after the last vaccination [ Time Frame: 16 months ] [ Designated as safety issue: No ]
• To compare the four different vaccination groups with regard to ECG changes and cardiac symptoms [ Time Frame: 16 months ] [ Designated as safety issue: Yes ]

• MVA-specific seroconversion rate derived from the ELISA specific antibody titers 2 weeks after the last vaccination
• To compare the four different vaccination groups with regard to ECG changes and cardiac symptoms

The primary objective of this study is to evaluate the immune response after a single vaccination of pre-immune subjects compared to two vaccinations in naive subjects.

In addition the study further investigates the safety profile of MVA-BN® in a healthy population compared to placebo.

The study consists of 4 groups, which receive either MVA-BN once, MVA-BN two times, MVA-BN followed by placebo, or two administrations of placebo.

• Biological: MVA-BN® (IMVAMUNE)
  2 immunizations: 1 x 10E8_TCID
• Biological: IMVAMUNE
  1x 10E8_TCID50, 1x Placebo
• Biological: IMVAMUNE
  2 x Placebo
• Biological: IMVAMUNE
  1x 10E8_TCID50

• Experimental: 1
  Intervention: Biological: MVA-BN® (IMVAMUNE)
• Experimental: 2
  Intervention: Biological: IMVAMUNE
• Placebo Comparator: 3
  2x Placebo
  Intervention: Biological: IMVAMUNE
• Experimental: 4
  1 immunization: 1x 10E8_TCID50
  Intervention: Biological: IMVAMUNE

Inclusion Criteria:

1. Male and female subjects between 18 and 55 years of age.
2. Women must have a negative serum pregnancy test at screening and a negative urine or serum pregnancy test within 24 hours prior to vaccination.
3. Women of childbearing potential must have used an acceptable method of contraception for 30 days prior to the first vaccination, must agree to use an acceptable method of contraception during the study, and must not become pregnant for at least 28 days after the last vaccination. A woman is considered of childbearing potential unless post-menopausal or surgically sterilized. (Acceptable contraception methods are restricted to abstinence, barrier contraceptives, intrauterine contraceptive devices or licensed hormonal products.)
4. Lab values without clinically significant findings
5. Electrocardiogram (ECG) without abnormal findings (e.g. any kind of atrioventricular or intraventricular conditions or blocks such as complete left or right bundle branch block, AV-node block, QTc or PR prolongation, premature atrial contractions or other atrial arrhythmia, sustained ventricular arrhythmia, 2 premature ventricular contractions (PVC) in a row, ST elevation consistent with ischemia).

Exclusion Criteria:

1. Uncontrolled serious infection i.e. not responding to antimicrobial therapy.
2. History of or active autoimmune disease. Persons with vitiligo or thyroid disease taking thyroid replacement are not excluded.
3. Known or suspected impairment of immunologic function including, but not limited to, clinically significant liver disease; diabetes mellitus; moderate to severe kidney impairment.
4. History of malignancy, other than squamous cell or basal cell skin cancer, unless there has been surgical excision that is considered to have achieved cure. Subjects with history of skin cancer at the vaccination site are excluded.
5. History of coronary heart disease, myocardial infarction, angina, congestive heart failure, cardiomyopathy, stroke or transient ischemic attack, uncontrolled high blood pressure, or any other heart condition under the care of a doctor.
6. History of an immediate family member (father, mother, brother, or sister) who died due to ischemic heart disease before age 50 years.
7. Ten percent or greater risk of developing a myocardial infarction or coronary death within the next 10 years using the National Cholesterol Education Program's risk assessment tool. (http://hin.nhlbi.nih.gov/atpiii/calculator.asp?usertype=prof) NOTE: This criterion applies only to volunteers 20 years of age and older.
8. History of anaphylaxis or severe allergic reaction.
9. Immune modulatory therapy.