Last Updated: May 27, 2026

CLINICAL TRIALS PROFILE FOR ADACEL


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All Clinical Trials for ADACEL

Trial ID Title Status Sponsor Phase Start Date Summary
NCT02518555 ↗ Ibrutinib as an Immune Modulating Agent for Patients With Asymptomatic, High-risk CLL/SLL Risk Chronic Lymphocytic Leukemia or Small Lymphocytic Lymphoma Active, not recruiting Pharmacyclics LLC. Phase 2 2016-01-12 This randomized phase II trial studies how well ibrutinib works when given together with vaccine therapies in treating patients without clinical signs or indications that raise the possibility of a particular disorder or dysfunction (asymptomatic) who have high-risk chronic lymphocytic leukemia or small lymphocytic lymphoma. Ibrutinib may stop the growth of cancer cells by blocking some of the enzymes needed for cell growth. Vaccines, such as pneumococcal 13-valent conjugate vaccine, trivalent influenza vaccine, and diphtheria toxoid/tetanus toxoid/acellular pertussis vaccine adsorbed, may help the body build an effective immune response to kill cancer cells. Giving ibrutinib together with vaccine therapies may be a better treatment for chronic lymphocytic leukemia or small lymphocytic lymphoma.
NCT02518555 ↗ Ibrutinib as an Immune Modulating Agent for Patients With Asymptomatic, High-risk CLL/SLL Risk Chronic Lymphocytic Leukemia or Small Lymphocytic Lymphoma Active, not recruiting Farrukh Awan Phase 2 2016-01-12 This randomized phase II trial studies how well ibrutinib works when given together with vaccine therapies in treating patients without clinical signs or indications that raise the possibility of a particular disorder or dysfunction (asymptomatic) who have high-risk chronic lymphocytic leukemia or small lymphocytic lymphoma. Ibrutinib may stop the growth of cancer cells by blocking some of the enzymes needed for cell growth. Vaccines, such as pneumococcal 13-valent conjugate vaccine, trivalent influenza vaccine, and diphtheria toxoid/tetanus toxoid/acellular pertussis vaccine adsorbed, may help the body build an effective immune response to kill cancer cells. Giving ibrutinib together with vaccine therapies may be a better treatment for chronic lymphocytic leukemia or small lymphocytic lymphoma.
NCT02518555 ↗ Ibrutinib as an Immune Modulating Agent for Patients With Asymptomatic, High-risk CLL/SLL Risk Chronic Lymphocytic Leukemia or Small Lymphocytic Lymphoma Active, not recruiting Jennifer Woyach Phase 2 2016-01-12 This randomized phase II trial studies how well ibrutinib works when given together with vaccine therapies in treating patients without clinical signs or indications that raise the possibility of a particular disorder or dysfunction (asymptomatic) who have high-risk chronic lymphocytic leukemia or small lymphocytic lymphoma. Ibrutinib may stop the growth of cancer cells by blocking some of the enzymes needed for cell growth. Vaccines, such as pneumococcal 13-valent conjugate vaccine, trivalent influenza vaccine, and diphtheria toxoid/tetanus toxoid/acellular pertussis vaccine adsorbed, may help the body build an effective immune response to kill cancer cells. Giving ibrutinib together with vaccine therapies may be a better treatment for chronic lymphocytic leukemia or small lymphocytic lymphoma.
NCT05264662 ↗ Pertussis Vaccination Among HIV-infected and HIV-uninfected Pregnant Women Not yet recruiting Shabir Madhi Phase 4 2022-03-01 Pertussis (also known as whooping cough) is a highly contagious, vaccine-preventable respiratory tract disease, caused by the bacteria Bordetella pertussis. It can affect people of all ages, however young unimmunised or partially immunised infants are the most vulnerable group with the highest rates of complications and death. Recent surveillance data and an increase in the number of pertussis outbreaks being reported nationally, indicate an increase in the incidence of pertussis disease in South Africa.To date there is no data on the effect of vaccinating HIV-infected pregnant women with pertussis-containing vaccines, although there is no reason to think that vaccinating these women would be harmful for them or their foetus. The knowledge gaps on the immunogenicity, safety and VE of pertussis vaccination of HIV-infected pregnant women should be addressed. Adacel which is a registered and licensed vaccine manufactured by Sanofi Pasteur, will be tested in this study.
>Trial ID >Title >Status >Phase >Start Date >Summary

Clinical Trial Conditions for ADACEL

Condition Name

Condition Name for ADACEL
Intervention Trials
Chronic Lymphocytic Leukemia 1
dTap Vaccine 1
Small Lymphocytic Lymphoma 1
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Condition MeSH

Condition MeSH for ADACEL
Intervention Trials
Leukemia, Lymphocytic, Chronic, B-Cell 1
Leukemia 1
Whooping Cough 1
Lymphoma 1
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Clinical Trial Locations for ADACEL

Trials by Country

Trials by Country for ADACEL
Location Trials
United States 1
South Africa 1
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Trials by US State

Trials by US State for ADACEL
Location Trials
Ohio 1
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Clinical Trial Progress for ADACEL

Clinical Trial Phase

Clinical Trial Phase for ADACEL
Clinical Trial Phase Trials
Phase 4 1
Phase 2 1
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Clinical Trial Status

Clinical Trial Status for ADACEL
Clinical Trial Phase Trials
Active, not recruiting 1
Not yet recruiting 1
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Clinical Trial Sponsors for ADACEL

Sponsor Name

Sponsor Name for ADACEL
Sponsor Trials
Pharmacyclics LLC. 1
Farrukh Awan 1
Jennifer Woyach 1
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Sponsor Type

Sponsor Type for ADACEL
Sponsor Trials
Other 3
Industry 1
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ADACEL clinical trials update, market analysis, and exclusivity-driven launch projections (US and key markets)

Last updated: May 22, 2026

Executive summary

ADACEL (Tdap; tetanus toxoid, reduced diphtheria toxoid, acellular pertussis) is a legacy vaccine with mature commercial penetration and limited near-term clinical “pipeline” activity relative to next-gen pertussis products. Market growth in the near term is driven primarily by routine adolescent Tdap demand, periodic adult/trauma re-vaccination behavior, supply stability, and payer procurement cycles rather than new efficacy-differentiating launches. Patent and regulatory exposure is concentrated in vaccine composition/formulation patents, process patents, and regulatory exclusivity (and, where applicable, pediatric/biologics exclusivity constructs). For business planning, the main timing risks are supply-side constraints and procurement contracting, not breakthrough trial readouts.

What is ADACEL’s clinical trial landscape right now?

Featured-snippet answer: ADACEL’s active clinical-trial footprint is minimal compared with new vaccine candidates; most recent activity for this type of licensed Tdap typically centers on immunogenicity, lot consistency, bridging, and post-licensure surveillance rather than late-stage Phase 3 efficacy.

Are any new Phase 3 efficacy trials for ADACEL ongoing?

No current, widely indexed late-stage efficacy development programs for ADACEL were identified in the underlying record used to produce this update.

What trial types matter for ADACEL even without Phase 3?

For a licensed Tdap, the practical “trial” activity that affects competitive positioning usually falls into:

  • Lot release and comparability packages (manufacturing changes)
  • Immunogenicity bridging for formulation or process changes
  • Post-authorization observational studies (coverage, safety signal monitoring)
  • Pediatric subgroup immunogenicity (where labeling expansions are pursued)

Because these programs are generally incremental, they tend to affect manufacturing approval cadence and labeling maintenance more than market share.

How do safety and immunogenicity results feed commercial outcomes?

For Tdap, stable safety and durable pertussis immune persistence are baseline expectations in procurement. What can move purchasing is:

  • Supply reliability and distribution continuity
  • Storage/shipping compatibility and cold-chain logistics
  • Price and contract terms across immunization provider networks
  • Availability of substitution options (other Tdap and combination vaccines)

How big is the ADACEL market, and what are the key demand drivers?

Featured-snippet answer: ADACEL demand is tied to adolescent vaccination schedules and ongoing adult re-vaccination behavior plus programmatic catch-up. Growth is typically steady and tied to population coverage, not new clinical outcomes.

Core demand categories for Tdap

  • Adolescents: routine single-dose Tdap replacing the older DTP schedule
  • Catch-up: missed adolescent vaccination catch-up and high-risk adolescent cohorts
  • Adults: booster behavior that may shift based on guideline emphasis and provider workflows
  • Wound management/trauma settings: Tdap used in tetanus prophylaxis protocols

Market sensitivity points that shape revenue

  • Vaccine procurement cycles with wholesalers and immunization networks
  • Tendering and formulary decisions by large payers and provider groups
  • Substitution risk from competing Tdap products and combination vaccines
  • Manufacturing capacity and seasonal allocation patterns

What share dynamics matter versus competing Tdap brands?

In matured Tdap markets, share changes are usually contract-driven:

  • Hospitals and large provider systems prefer consistent supply and negotiated pricing
  • Pharmacies and clinics select based on distribution readiness and inventory policies
  • Pediatric and adult immunization clinics value scheduling simplicity and bundle options

What competitor landscape does ADACEL face?

Featured-snippet answer: ADACEL competes in a crowded, mature Tdap space where differentiation is limited and procurement terms dominate.

Main competition categories

  • Other licensed Tdap single-entity brands
  • Combination vaccine strategies (where providers prefer fewer injections)
  • National immunization program contracting choices
  • Price-based switching when supply is constrained or contracts renew

How does substitution risk affect near-term projections?

Substitution risk is high in low-differentiation, mature vaccine classes:

  • If competing Tdap inventory is plentiful and pricing is lower, providers can switch quickly at contract renewal.
  • If ADACEL supply tightens, providers may take on-alternate Tdap stock, shifting volume even if price remains secondary.

When does ADACEL lose exclusivity in the US?

Featured-snippet answer: For ADACEL, exclusivity “loss” planning depends on the specific Orange Book-listed patents and any applicable exclusivity windows tied to the biologic licensing pathway. In a mature vaccine like Tdap, the commercial lock-in tends to be driven by patent estate timing plus supply and contract dynamics rather than a single approaching “cliff.”

How to model exclusivity-driven erosion for mature vaccines

Use three layers:

  1. Orange Book patent status for any US-listed exclusivity instruments (composition/process and related).
  2. Regulatory exclusivity periods tied to original licensure and any labeling expansions, where applicable.
  3. Practical switching lead time (contract renewals, provider formularies, and inventory cycles).

Because Tdap is not a biologic with the same replacement dynamics as oncology biosimilars, the switch from an exclusive product to a competing equivalent is usually mediated through procurement contracting rather than rapid generic entry.

What patent estate protects ADACEL?

Featured-snippet answer: ADACEL protection is typically anchored in composition and manufacturing process patents, plus any method-of-use or formulation-specific patents that may cover strain component combinations, toxoid treatment parameters, and manufacturing steps.

Which patent categories usually matter for Tdap “equivalency” work?

  • Composition: defined amounts and combinations of tetanus toxoid, diphtheria toxoid, pertussis antigens and adjuvant systems
  • Process: detoxification steps, purification, adsorption conditions, in-process controls
  • Formulation: adjuvant adsorption parameters and final container fill/process controls
  • Stability: shelf-life-related formulation/manufacturing details

What generic-entry risks exist for ADACEL?

Direct generic entry is not as straightforward as small-molecule drugs. For vaccines, “entry” is usually mediated by:

  • Regulatory approvals of competing Tdap products
  • Patent challenges that attempt to carve around specific claims
  • Reliance on manufacturing comparability and immunogenicity data rather than mere formulation substitution

What is the Orange Book status of ADACEL?

Featured-snippet answer: ADACEL’s exclusivity and patent coverage is reflected in FDA’s patent listings for the approved product. The actionable workstream is mapping which listed patents are still enforceable and in force near the intended launch window of any competing applicant.

How to interpret Orange Book for a vaccine product

  • Identify listed patents with:
    • “Use” patents (if present)
    • composition/formulation/process patents
  • Track earliest-to-expire and likely exclusivity wrap points
  • Overlay litigation and licensing settlements if they exist

What FDA milestones and regulatory status define ADACEL’s competitive timing?

Featured-snippet answer: The key regulatory timing inputs for a mature Tdap product are changes to manufacturing (comparability supplements), labeling updates, and ongoing lot release compliance. These can impact availability and contract renewals more than they change competitive access.

What regulatory events typically move the needle for ADACEL?

  • Manufacturing facility changes and comparability supplements
  • Labeling updates affecting administration schedules or population subsets
  • Supply disruptions that trigger allocation planning and contractual substitution

What patent litigation affects ADACEL?

Featured-snippet answer: In mature vaccine classes, high-profile patent disputes are less frequent than in blockbuster small molecules, but the practical legal risk comes from any injunction or settlement that blocks or delays competitor approvals or commercial launch.

What settlement-driven launch timing matters?

If any competitor has a licensing path or settlement structure, the launch timing can shift based on:

  • Design-around claim coverage
  • Authorized generic or co-marketing terms (less common in vaccines than small molecules)
  • Enforceable injunction triggers and calendar consequences

No specific active ADACEL patent litigation record is included in the underlying material used to generate this update.

What commercialization projections are most appropriate for ADACEL?

Featured-snippet answer: Near-term ADACEL revenue trajectory should be modeled as steady demand with volatility driven by supply availability and procurement pricing, not by clinical readouts or imminent exclusivity cliffs.

Projection structure for a mature Tdap brand

Model three components:

  1. Volume: adolescent and catch-up cohort size, plus adult booster uptake behavior
  2. Net price: contract-based pricing and payer/provider reimbursement dynamics
  3. Availability/penalty: supply interruptions that lead to volume loss through substitution

Base-case expectation (planning-grade)

  • Expect stable underlying demand in routine immunization programs.
  • Expect price pressure from competition and contract renewals.
  • Expect volume sensitivity to supply continuity, especially during seasonal peaks.

How strong is the patent estate for ADACEL?

Featured-snippet answer: The strength of a mature vaccine patent estate is usually moderate-to-strong in practice because vaccine “design-around” requires a costly regulatory and manufacturing path, even if certain claims expire.

Practical strength indicators

  • Number of active patents in key jurisdictions (US and major ex-US markets)
  • Coverage breadth across formulation and process steps
  • Litigation history and settlement behavior (if any)
  • Whether competitor pathways depend on claim-free design-around or on regulatory comparability only

No specific in-force patent count by jurisdiction is included in the underlying record used for this update.

Key takeaways

  • ADACEL is a mature Tdap product; near-term market outcomes depend more on procurement, supply, and substitution than on new efficacy clinical trials.
  • Competitive threats are procurement-driven and accelerated by supply reliability and negotiated price.
  • Exclusivity planning should be anchored to the Orange Book patent listing and any enforceable patent wrap points rather than expecting rapid generic-style erosion.
  • Projection models should separate volume stability from price and supply volatility.

FAQs

  1. How does ADACEL supply allocation affect seasonal revenue and pharmacy ordering patterns?
  2. What is the most likely competitor substitution behavior for ADACEL at contract renewal in the US?
  3. How do manufacturing comparability supplements for Tdap impact commercial continuity for ADACEL?
  4. What patent claim types typically delay competing Tdap approvals even after some expirations?
  5. How should investors model steady-state Tdap revenues versus exclusivity-driven revenue cliffs?

References

  1. FDA. Orange Book: Approved Drug Products with Therapeutic Equivalence Evaluations. US Food and Drug Administration. (Accessed via FDA database).
  2. ClinicalTrials.gov. Search results for “ADACEL” and “tetanus diphtheria pertussis” (Tdap). U.S. National Library of Medicine. (Accessed via ClinicalTrials.gov database).

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