Assessment of a Dengue-1-Virus-Live Virus Human Challenge - (DENV-1-LVHC) Virus Strain
Primary Purpose
Dengue
Status
Completed
Phase
Phase 1
Locations
United States
Study Type
Interventional
Intervention
Dengue-1 Virus-Live Virus Human Challenge (DENV-1-LVHC)
Sponsored by
About this trial
This is an interventional other trial for Dengue focused on measuring Dengue
Eligibility Criteria
Inclusion Criteria:
- Healthy, male or non-pregnant, non-lactating female
- Age 18-45
- Ability and willingness to sign informed consent
- Passing score on comprehension test would be 75%, with up to 3 attempts
- Available for the study period
- Willing to use contraception for the duration of the study.
- Provide consent for release of medical history records from primary care physician, college or university, urgent care or emergency room visit
Exclusion Criteria:
- Female: pregnant or lactating
- Heavy menstrual bleeding within the last 6 months-menstrual periods lasting longer than 6 days, or requiring 5 or more pads or tampons per day.
- Female subjects using an intrauterine device (IUD) or Mirena®
- Female subjects with fibroids or uterine polyps, endometriosis, dysmenorrhea, adenomyosis, and uterine scarring (e.g. after D&C)
- Blood tests confirming infection with human immunodeficiency virus- 1 (HIV-1), hepatitis C, hepatitis B surface antigen, or flavi viruses (FV) to include dengue fever, West Nile, Yellow Fever, and Japanese encephalitis.
- Diabetes, chronic obstructive pulmonary disease (COPD), peptic ulcer disease (PUD), or coronary artery disease (CAD)
- Known or suspected congenital or acquired immunodeficiency; or receipt of immunosuppressive therapy such as anti-cancer chemotherapy or radiation therapy within the preceding 6 months; or long-term systemic corticosteroid therapy (prednisone or equivalent for more than 2 consecutive weeks within the past 3 months)
- Immediate family member (e.g. parent, sibling, child) with current, or a history of immunodeficiency or autoimmune disease
- Current or a history of auto-immune disease
- History of Guillain Barré syndrome (GBS)
- Any history of FV infection or FV vaccination; or planned FV vaccination, outside the study protocol, during the study period
- History of Bipolar Disorder, Schizophrenia, hospitalization in the past year for a mental health disorder, or any other psychiatric condition, which in the opinion of the investigator prevents the subject from participating in the study.
- Planned travel during the study period (180 days) which would interfere with the ability to complete all study visits
- Recent (in the past 4 weeks) travel to any dengue endemic area. These potential subjects may be eligible for enrollment a minimum of 4 weeks later
- Any laboratory abnormalities in the tests specified in Table 19 and Table 20 of the protocol. Note: these laboratory tests can be repeated if the screening physician believes 1) it is thought to be a normal variant of a healthy state or 2) it is a suspected laboratory error
- Significant screening physical examination abnormalities at the discretion of the investigator
- Women who intend to become pregnant or men who intend to father a child during the study period (approximately 6 months)
- Hives, shortness of breath, swelling of the lips or throat, or hospitalization related to a previous vaccination or an allergy to specific medications/animals for which antigens may be in the virus preparations to include: shellfish allergy, fetal bovine serum, L-glutamine, neomycin and streptomycin
- Planning to donate blood in the 1 year following inoculation with dengue
- Participation or planned participation in another vaccine, drug, medical device, or medical procedure clinical trial in the 4 weeks prior to this trial, during the trial, or 6 months following inoculation in this clinical trial
- Beliefs that bar the administration of blood products or transfusions
- Positive urine screen for cocaine, amphetamines, or opiates
- Currently taking Methadone or Suboxone
- Currently taking anti-coagulant medication, aspirin or non-steroidal anti-inflammatory drugs (NSAIDs)
- Chronic migraine headaches, defined as more than 15 headache days per month over a 3 month period of which more than 8 are migrainous, in the absence of medication over use
- Chronic medical condition that, in the opinion of the investigator impacts subject safety.
Sites / Locations
- State University of New York, Upstate Medical University (SUNY-UMU)
Arms of the Study
Arm 1
Arm 2
Arm 3
Arm Type
Experimental
Experimental
Experimental
Arm Label
Low dose DENV-1-LVHC
Medium dose DENV-1-LVHC
High dose DENV-1-LVHC
Arm Description
Dengue-1 Virus-Live Virus Human Challenge (DENV-1-LVHC) single low dose (0.5 mL of 6.5 x 10^3 plaque forming units/milliliter (PFU/mL) inoculated subcutaneously
Dengue-1 Virus-Live Virus Human Challenge (DENV-1-LVHC) single medium dose (0.5 mL of 6.5 x 10^4 PFU/mL) inoculated subcutaneously
Dengue-1 Virus-Live Virus Human Challenge (DENV-1-LVHC) single high dose (0.5 mL of 6.5 x 10^5 PFU/mL) inoculated subcutaneously
Outcomes
Primary Outcome Measures
Number of Abnormal Laboratory Measurements
Intensity of Abnormal Laboratory Measurements
Duration of Abnormal Laboratory Measurements
Occurrence of Solicited Injection Site Symptoms
Intensity of Solicited Injection Site Symptoms
Duration of Solicited Injection Site Symptoms
Occurrence of unsolicited Injection Site Symptoms
Intensity of Unsolicited Injection Site Symptoms
Duration of Unsolicited Injection Site Symptoms
Occurrence of Solicited Systemic Symptoms
Intensity of Solicited Systemic Symptoms
Duration of Solicited Systemic Symptoms
Occurrence of Unsolicited Systemic Symptoms
Intensity of Unsolicited Systemic Symptoms
Duration of Unsolicited Systemic Symptoms
Number of Serious Adverse Events
Number of Serious Adverse Events
Secondary Outcome Measures
Incubation period before onset of fever
Viremia by Reverse Transcriptase-Polymerase Chain Reaction (RT-PCR)
Occurrence of fever without other identifiable cause, such as strep throat or influenza
The occurrence of fever defined as greater than or equal to 38°C (100.4° F) measured at least 2 times in 24 hours but not lasting more than 96 hours up to 28 days post virus inoculation without other identifiable cause, such as strep infection or influenza.
Occurrence of Headache
Grade of Headache
Occurrence of Myalgia
Grade of Myalgia
Occurrence of Rash
Grade of Rash
Occurrence of Liver Function Tests Abnormalities [alanine aminotransferase (ALT) and aspartate aminotransferase (AST)]
Grade of Liver Function Tests Abnormalities [alanine aminotransferase (ALT) and aspartate aminotransferase (AST)]
Occurrence of Leukopenia
Grade of Leukopenia
Occurrence of Thrombocytopenia
Grade of Thrombocytopenia
Full Information
NCT ID
NCT02372175
First Posted
February 10, 2015
Last Updated
July 12, 2019
Sponsor
U.S. Army Medical Research and Development Command
Collaborators
State University of New York - Upstate Medical University
1. Study Identification
Unique Protocol Identification Number
NCT02372175
Brief Title
Assessment of a Dengue-1-Virus-Live Virus Human Challenge - (DENV-1-LVHC) Virus Strain
Official Title
Phase One, Open Label, Assessment of a Dengue-1-Virus-Live Virus Human Challenge - (DENV-1-LVHC) Virus Strain
Study Type
Interventional
2. Study Status
Record Verification Date
July 2019
Overall Recruitment Status
Completed
Study Start Date
October 2015 (undefined)
Primary Completion Date
June 28, 2019 (Actual)
Study Completion Date
June 28, 2019 (Actual)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Sponsor
Name of the Sponsor
U.S. Army Medical Research and Development Command
Collaborators
State University of New York - Upstate Medical University
4. Oversight
Data Monitoring Committee
Yes
5. Study Description
Brief Summary
To evaluate the effectiveness of candidate dengue vaccine formulations, it is prudent to develop an appropriate challenge model. To this end, this first-in-human study will examine the safety and effectiveness of the Dengue 1 Live Virus Human Challenge (DENV-1-LVHC) product and assess the ability of this virus strain to elicit an uncomplicated dengue-like illness.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Dengue
Keywords
Dengue
7. Study Design
Primary Purpose
Other
Study Phase
Phase 1
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
Non-Randomized
Enrollment
27 (Actual)
8. Arms, Groups, and Interventions
Arm Title
Low dose DENV-1-LVHC
Arm Type
Experimental
Arm Description
Dengue-1 Virus-Live Virus Human Challenge (DENV-1-LVHC) single low dose (0.5 mL of 6.5 x 10^3 plaque forming units/milliliter (PFU/mL) inoculated subcutaneously
Arm Title
Medium dose DENV-1-LVHC
Arm Type
Experimental
Arm Description
Dengue-1 Virus-Live Virus Human Challenge (DENV-1-LVHC) single medium dose (0.5 mL of 6.5 x 10^4 PFU/mL) inoculated subcutaneously
Arm Title
High dose DENV-1-LVHC
Arm Type
Experimental
Arm Description
Dengue-1 Virus-Live Virus Human Challenge (DENV-1-LVHC) single high dose (0.5 mL of 6.5 x 10^5 PFU/mL) inoculated subcutaneously
Intervention Type
Biological
Intervention Name(s)
Dengue-1 Virus-Live Virus Human Challenge (DENV-1-LVHC)
Intervention Description
Dengue subtype 1 Challenge Virus (DENV-1) strain 45AZ5 administered as a single injection.
Primary Outcome Measure Information:
Title
Number of Abnormal Laboratory Measurements
Time Frame
28 days post virus inoculation or 7 days post hospitalization, whichever is later
Title
Intensity of Abnormal Laboratory Measurements
Time Frame
28 days post virus inoculation or 7 days post hospitalization, whichever is later
Title
Duration of Abnormal Laboratory Measurements
Time Frame
28 days post virus inoculation or 7 days post hospitalization, whichever is later
Title
Occurrence of Solicited Injection Site Symptoms
Time Frame
28 days post virus inoculation or 7 days post hospitalization, whichever is later
Title
Intensity of Solicited Injection Site Symptoms
Time Frame
28 days post virus inoculation or 7 days post hospitalization, whichever is later
Title
Duration of Solicited Injection Site Symptoms
Time Frame
28 days post virus inoculation or 7 days post hospitalization, whichever is later
Title
Occurrence of unsolicited Injection Site Symptoms
Time Frame
28 days post virus inoculation or 7 days post hospitalization, whichever is later
Title
Intensity of Unsolicited Injection Site Symptoms
Time Frame
28 days post virus inoculation or 7 days post hospitalization, whichever is later
Title
Duration of Unsolicited Injection Site Symptoms
Time Frame
28 days post virus inoculation or 7 days post hospitalization, whichever is later
Title
Occurrence of Solicited Systemic Symptoms
Time Frame
28 days post virus inoculation or 7 days post hospitalization, whichever is later
Title
Intensity of Solicited Systemic Symptoms
Time Frame
28 days post virus inoculation or 7 days post hospitalization, whichever is later
Title
Duration of Solicited Systemic Symptoms
Time Frame
28 days post virus inoculation or 7 days post hospitalization, whichever is later
Title
Occurrence of Unsolicited Systemic Symptoms
Time Frame
28 days post virus inoculation or 7 days post hospitalization, whichever is later
Title
Intensity of Unsolicited Systemic Symptoms
Time Frame
28 days post virus inoculation or 7 days post hospitalization, whichever is later
Title
Duration of Unsolicited Systemic Symptoms
Time Frame
28 days post virus inoculation or 7 days post hospitalization, whichever is later
Title
Number of Serious Adverse Events
Time Frame
28 days post virus inoculation or 7 days post hospitalization, whichever is later
Title
Number of Serious Adverse Events
Time Frame
6 months post virus inoculation
Secondary Outcome Measure Information:
Title
Incubation period before onset of fever
Time Frame
Up to 28 days post virus inoculation
Title
Viremia by Reverse Transcriptase-Polymerase Chain Reaction (RT-PCR)
Time Frame
Up to 28 days post virus inoculation
Title
Occurrence of fever without other identifiable cause, such as strep throat or influenza
Description
The occurrence of fever defined as greater than or equal to 38°C (100.4° F) measured at least 2 times in 24 hours but not lasting more than 96 hours up to 28 days post virus inoculation without other identifiable cause, such as strep infection or influenza.
Time Frame
Up to 28 days post virus inoculation
Title
Occurrence of Headache
Time Frame
Up to 28 days post virus inoculation
Title
Grade of Headache
Time Frame
Up to 28 days post virus inoculation
Title
Occurrence of Myalgia
Time Frame
Up to 28 days post virus inoculation
Title
Grade of Myalgia
Time Frame
Up to 28 days post virus inoculation
Title
Occurrence of Rash
Time Frame
Up to 28 days post virus inoculation
Title
Grade of Rash
Time Frame
Up to 28 days post virus inoculation
Title
Occurrence of Liver Function Tests Abnormalities [alanine aminotransferase (ALT) and aspartate aminotransferase (AST)]
Time Frame
Up to 28 days post virus inoculation
Title
Grade of Liver Function Tests Abnormalities [alanine aminotransferase (ALT) and aspartate aminotransferase (AST)]
Time Frame
Up to 28 days post virus inoculation
Title
Occurrence of Leukopenia
Time Frame
Up to 28 days post virus inoculation
Title
Grade of Leukopenia
Time Frame
Up to 28 days post virus inoculation
Title
Occurrence of Thrombocytopenia
Time Frame
Up to 28 days post virus inoculation
Title
Grade of Thrombocytopenia
Time Frame
Up to 28 days post virus inoculation
10. Eligibility
Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
45 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria:
Healthy, male or non-pregnant, non-lactating female
Age 18-45
Ability and willingness to sign informed consent
Passing score on comprehension test would be 75%, with up to 3 attempts
Available for the study period
Willing to use contraception for the duration of the study.
Provide consent for release of medical history records from primary care physician, college or university, urgent care or emergency room visit
Exclusion Criteria:
Female: pregnant or lactating
Heavy menstrual bleeding within the last 6 months-menstrual periods lasting longer than 6 days, or requiring 5 or more pads or tampons per day.
Female subjects using an intrauterine device (IUD) or Mirena®
Female subjects with fibroids or uterine polyps, endometriosis, dysmenorrhea, adenomyosis, and uterine scarring (e.g. after D&C)
Blood tests confirming infection with human immunodeficiency virus- 1 (HIV-1), hepatitis C, hepatitis B surface antigen, or flavi viruses (FV) to include dengue fever, West Nile, Yellow Fever, and Japanese encephalitis.
Diabetes, chronic obstructive pulmonary disease (COPD), peptic ulcer disease (PUD), or coronary artery disease (CAD)
Known or suspected congenital or acquired immunodeficiency; or receipt of immunosuppressive therapy such as anti-cancer chemotherapy or radiation therapy within the preceding 6 months; or long-term systemic corticosteroid therapy (prednisone or equivalent for more than 2 consecutive weeks within the past 3 months)
Immediate family member (e.g. parent, sibling, child) with current, or a history of immunodeficiency or autoimmune disease
Current or a history of auto-immune disease
History of Guillain Barré syndrome (GBS)
Any history of FV infection or FV vaccination; or planned FV vaccination, outside the study protocol, during the study period
History of Bipolar Disorder, Schizophrenia, hospitalization in the past year for a mental health disorder, or any other psychiatric condition, which in the opinion of the investigator prevents the subject from participating in the study.
Planned travel during the study period (180 days) which would interfere with the ability to complete all study visits
Recent (in the past 4 weeks) travel to any dengue endemic area. These potential subjects may be eligible for enrollment a minimum of 4 weeks later
Any laboratory abnormalities in the tests specified in Table 19 and Table 20 of the protocol. Note: these laboratory tests can be repeated if the screening physician believes 1) it is thought to be a normal variant of a healthy state or 2) it is a suspected laboratory error
Significant screening physical examination abnormalities at the discretion of the investigator
Women who intend to become pregnant or men who intend to father a child during the study period (approximately 6 months)
Hives, shortness of breath, swelling of the lips or throat, or hospitalization related to a previous vaccination or an allergy to specific medications/animals for which antigens may be in the virus preparations to include: shellfish allergy, fetal bovine serum, L-glutamine, neomycin and streptomycin
Planning to donate blood in the 1 year following inoculation with dengue
Participation or planned participation in another vaccine, drug, medical device, or medical procedure clinical trial in the 4 weeks prior to this trial, during the trial, or 6 months following inoculation in this clinical trial
Beliefs that bar the administration of blood products or transfusions
Positive urine screen for cocaine, amphetamines, or opiates
Currently taking Methadone or Suboxone
Currently taking anti-coagulant medication, aspirin or non-steroidal anti-inflammatory drugs (NSAIDs)
Chronic migraine headaches, defined as more than 15 headache days per month over a 3 month period of which more than 8 are migrainous, in the absence of medication over use
Chronic medical condition that, in the opinion of the investigator impacts subject safety.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Timothy P Endy, MD, MPH
Organizational Affiliation
State University of New York, Upstate Medical University (SUNY-UMU)
Official's Role
Principal Investigator
Facility Information:
Facility Name
State University of New York, Upstate Medical University (SUNY-UMU)
City
Syracuse
State/Province
New York
ZIP/Postal Code
13210
Country
United States
12. IPD Sharing Statement
Citations:
PubMed Identifier
32572470
Citation
Endy TP, Wang D, Polhemus ME, Jarman RG, Jasper LE, Gromowski G, Lin L, De La Barra RA, Friberg H, Currier JR, Abbott M, Ware L, Klick M, Paolino KM, Blair DC, Eckels K, Rutvisuttinunt W, Thomas SJ. A Phase 1, Open-Label Assessment of a Dengue Virus-1 Live Virus Human Challenge Strain. J Infect Dis. 2021 Feb 3;223(2):258-267. doi: 10.1093/infdis/jiaa351.
Results Reference
derived
Learn more about this trial
Assessment of a Dengue-1-Virus-Live Virus Human Challenge - (DENV-1-LVHC) Virus Strain
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