A Study of Anthrax Vaccines Px563L and RPA563 in Healthy Adult Subjects

This is a Phase 1, double-blind, randomized, placebo-controlled study to evaluate the
safety, tolerability, and immunogenicity of Px563L or RPA563 administered intramuscularly.
All subjects will be followed for safety and tolerability for 393 days after the initial
vaccination. Immunogenicity analyses will be performed for up to 182 days, including an
interim analysis based on Day 70 results, after the initial vaccination.

Inclusion Criteria:

- Willing and able to read and understand the consent process and sign an informed
consent form (ICF).

- Females or males between the ages of 18 and 55, inclusive, at the time of informed
consent.

- Healthy or with stable medical conditions not requiring continuous medication.

Exclusion Criteria:

- Female subjects who are pregnant or breastfeeding.

- A history of anthrax disease or receipt of an anthrax vaccine at any time in the
past, exposure to or infection with B. anthracis, or has received any investigational
anthrax vaccine or treatment (e.g., monoclonal antibodies, anthrax immune globulin).

- Positive test for human immunodeficiency virus (HIV), hepatitis C or hepatitis B
(surface antigen).

- History of any malignant neoplasm or receipt of anti-neoplastic agents within the
last 5 years, with the exception of adequately treated, localized or in situ
non-melanoma of the skin (e.g., basal cell carcinoma) or of the cervix.

- History of immunodeficiency, chronic illness requiring continuous or frequent medical
intervention, autoimmune disease, bleeding disorder, hemoglobinopathy, prior solid
organ or bone marrow transplant, or any known history in the past 5 years of cardiac
disease.

- Evidence of alcohol abuse (i.e., requiring treatment) or substance abuse (i.e., any
use of illicit drugs) within 6 months prior to screening.

- History of severe allergy (e.g., anaphylaxis) to latex or rubber.

- Subjects who have significant scarring, tattoos, abrasions, rash, or other skin
abnormality at the planned vaccination site that could interfere with evaluation of
injection site..

- Use of any systemic steroids or other immunosuppressive agents within 2 years prior
to screening; or use of topical, intranasal, or inhaled corticosteroids for ≥10
consecutive days within 1 year prior to screening.

- Administration of any licensed vaccines within 30 days prior to screening.

- History of anaphylaxis or other serious adverse reaction to vaccines.

- Donation or loss of >500 mL of blood or donation of plasma within 2 months of
screening, or recipient of blood or blood products within 2 months of screening.

- Present or former member of US military or reservist who may have or will receive the
licensed anthrax vaccine, or who has served in any military arena from January 1990
through present time.

- May be at risk for exposure to anthrax or may be required to receive the licensed
anthrax vaccine (e.g., postal workers).

- Has previously participated in any anthrax vaccine or anti-protective antigen (PA)
monoclonal antibody clinical trial.