This study is a multi-center, double-blind, placebo-controlled, Phase I study to evaluate the safety, reactogenicity, tolerability, and immunogenicity of Modified Vaccinia Ankara-Bavarian Nordic-Yellow Fever (MVA-BN-YF) in Flavivirus-naive healthy male and non-pregnant female adult subjects. There are six dose groups in this study. Subjects who have never received a licensed or investigational smallpox vaccine will be randomized to Groups 1-5 and vaccine administration and follow-up will be conducted in a double-blinded fashion. Subjects who have previously received two, 1 x 10\^8 TCID50 doses of Modified Vaccinia Ankara-Bavarian Nordic (MVA-BN) between 19 and 45 days apart by s ubcutaneous (SC) or intramuscular (IM) routes will be enrolled in Group 6 and will be dosed open-label. Since this is a first in human, phase I study, a sentinel cohort will be utilized. The first two subjects (1st sentinel group) one at each clinical site will be randomized to Group 2 or 3 and vaccinated with MVA-BN-YF with or without Montanide ISA 720 adjuvant (ISA 720). Subjects and study personnel will be blinded as to whether ISA 720 was administered. The primary objectives are the: 1) assessment of the safety, tolerability, and reactogenicity of MVA-BN-YF vaccine administered with or without ISA 720; 2) comparison of the safety, tolerability, and reactogenicity of MVA-BN-YF vaccine administered with or without ISA 720 with Yellow Fever Vaccine (YF-VAX) and MVA-BN.
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Comparison of Grade 3 local, systemic or laboratory toxicities, continuous Grade 2 or greater local reactogenicity
Timeframe: Day 1 through Day 8
Comparison of Grade 3 local, systemic or laboratory toxicities, continuous Grade 2 or greater local reactogenicity
Timeframe: Day 29 through Day 36
Number of adverse events of special interest (AESIs) considered related to study vaccination in Group 1
Timeframe: Day 1 through Day 394
Number of adverse events of special interest (AESIs) considered related to study vaccination in Group 2
Timeframe: Day 1 through Day 394
Number of adverse events of special interest (AESIs) considered related to study vaccination in Group 3
Timeframe: Day 1 through Day 394
Number of adverse events of special interest (AESIs) considered related to study vaccination in Group 4
Timeframe: Day 1 through Day 394
Number of adverse events of special interest (AESIs) considered related to study vaccination in Group 5
Timeframe: Day 1 through Day 394
Number of adverse events of special interest (AESIs) considered related to study vaccination in Group 6
Timeframe: Day 1 through Day 394
Number of adverse events of special interest (AESIs) considered related to study vaccination overall
Timeframe: Day 1 through Day 394
Number of related adverse events of special interest (AESIs)
Timeframe: Day 1 through Day 394
Number of related serious adverse events (SAEs)
Timeframe: Day 1 through Day 394
Number of serious adverse events (SAEs) considered related to study vaccination in Group 1
Timeframe: Day 1 through Day 394
Number of serious adverse events (SAEs) considered related to study vaccination in Group 2
Timeframe: Day 1 through Day 394
Number of serious adverse events (SAEs) considered related to study vaccination in Group 3
Timeframe: Day 1 through Day 394
Number of serious adverse events (SAEs) considered related to study vaccination in Group 4
Timeframe: Day 1 through Day 394
Number of serious adverse events (SAEs) considered related to study vaccination in Group 5
Timeframe: Day 1 through Day 394
Number of serious adverse events (SAEs) considered related to study vaccination in Group 6
Timeframe: Day 1 through Day 394
Number of serious adverse events (SAEs) considered related to study vaccination overall
Timeframe: Day 1 through Day 394
Number of subjects with new onset of a chronic medical condition in Group 1
Timeframe: Day 1 through Day 394
Number of subjects with new onset of a chronic medical condition in Group 2
Timeframe: Day 1 through Day 394
Number of subjects with new onset of a chronic medical condition in Group 3
Timeframe: Day 1 through Day 394
Number of subjects with new onset of a chronic medical condition in Group 4
Timeframe: Day 1 through Day 394
Number of subjects with new onset of a chronic medical condition in Group 5
Timeframe: Day 1 through Day 394
Number of subjects with new onset of a chronic medical condition in Group 6
Timeframe: Day 1 through Day 394
Number of subjects with new onset of a chronic medical condition overall
Timeframe: Day 1 through Day 394
Number of subjects with unsolicited vaccine-related adverse events (AEs) in Group 1
Timeframe: Day 1 through Day 57
Number of subjects with unsolicited vaccine-related adverse events (AEs) in Group 2
Timeframe: Day 1 through Day 57
Number of subjects with unsolicited vaccine-related adverse events (AEs) in Group 3
Timeframe: Day 1 through Day 57
Number of subjects with unsolicited vaccine-related adverse events (AEs) in Group 4
Timeframe: Day 1 through Day 57
Number of subjects with unsolicited vaccine-related adverse events (AEs) in Group 5
Timeframe: Day 1 through Day 57
Number of subjects with unsolicited vaccine-related adverse events (AEs) in Group 6
Timeframe: Day 1 through Day 57
Number of subjects with unsolicited vaccine-related adverse events (AEs) overall
Timeframe: Day 1 through Day 57
Number of vaccine-related laboratory adverse events (AEs) in Group 1
Timeframe: Day 1 through Day 57
Number of vaccine-related laboratory adverse events (AEs) in Group 2
Timeframe: Day 1 through Day 57
Number of vaccine-related laboratory adverse events (AEs) in Group 3
Timeframe: Day 1 through Day 57
Number of vaccine-related laboratory adverse events (AEs) in Group 4
Timeframe: Day 1 through Day 57
Number of vaccine-related laboratory adverse events (AEs) in Group 5
Timeframe: Day 1 through Day 57
Number of vaccine-related laboratory adverse events (AEs) in Group 6
Timeframe: Day 1 through Day 57
Number of withdrawals or discontinuation of vaccinations due to any reason
Timeframe: Day 1 through Day 394
Occurrence of solicited injection site reactogenicity events in Group 1
Timeframe: Day 1 through Day 8
Occurrence of solicited injection site reactogenicity events in Group 1
Timeframe: Day 29 through Day 36
Occurrence of solicited injection site reactogenicity events in Group 2
Timeframe: Day 1 through Day 8
Occurrence of solicited injection site reactogenicity events in Group 2
Timeframe: Day 29 through Day 36
Occurrence of solicited injection site reactogenicity events in Group 3
Timeframe: Day 1 through Day 8
Occurrence of solicited injection site reactogenicity events in Group 3
Timeframe: Day 29 through Day 36
Occurrence of solicited injection site reactogenicity events in Group 4
Timeframe: Day 1 through Day 8
Occurrence of solicited injection site reactogenicity events in Group 4
Timeframe: Day 29 through Day 36
Occurrence of solicited injection site reactogenicity events in Group 5
Timeframe: Day 1 through Day 8
Occurrence of solicited injection site reactogenicity events in Group 5
Timeframe: Day 29 through Day 36
Occurrence of solicited injection site reactogenicity events in Group 6
Timeframe: Day 1 through Day 8
Occurrence of solicited injection site reactogenicity events in Group 6
Timeframe: Day 29 through Day 36
Occurrence of solicited injection site reactogenicity events overall
Timeframe: Day 1 through Day 8
Occurrence of solicited injection site reactogenicity events overall
Timeframe: Day 29 through Day 36
Occurrence of solicited systemic reactogenicity events in Group 1
Timeframe: Day 1 through Day 8
Occurrence of solicited systemic reactogenicity events in Group 1
Timeframe: Day 29 through Day 36
Occurrence of solicited systemic reactogenicity events in Group 2
Timeframe: Day 1 through Day 8
Occurrence of solicited systemic reactogenicity events in Group 2
Timeframe: Day 29 through Day 36
Occurrence of solicited systemic reactogenicity events in Group 3
Timeframe: Day 1 through Day 8
Occurrence of solicited systemic reactogenicity events in Group 3
Timeframe: Day 29 through Day 36
Occurrence of solicited systemic reactogenicity events in Group 4
Timeframe: Day 1 through Day 8
Occurrence of solicited systemic reactogenicity events in Group 4
Timeframe: Day 29 through Day 36
Occurrence of solicited systemic reactogenicity events in Group 5
Timeframe: Day 1 through Day 8
Occurrence of solicited systemic reactogenicity events in Group 5
Timeframe: Day 29 through Day 36
Occurrence of solicited systemic reactogenicity events in Group 6
Timeframe: Day 1 through Day 8
Occurrence of solicited systemic reactogenicity events in Group 6
Timeframe: Day 29 through Day 36
Occurrence of solicited systemic reactogenicity events overall
Timeframe: Day 1 through Day 8
Occurrence of solicited systemic reactogenicity events overall
Timeframe: Day 29 through Day 36