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TDENV PIV and LAV Dengue Prime-boost Strategy Using AS03B Adjuvant

Primary Purpose

Dengue

Status
Withdrawn
Phase
Phase 1
Locations
United States
Study Type
Interventional
Intervention
TDENV-PIV
TDENV-F17
Placebo
Sponsored by
U.S. Army Medical Research and Development Command
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional prevention trial for Dengue

Eligibility Criteria

18 Years - 39 Years (Adult)All SexesAccepts Healthy Volunteers

Inclusion Criteria:

  • Subjects who in the opinion of the investigator, can and will comply with the requirements of the protocol (e.g., document events in memory aid, return for follow-up visits, etc.)
  • Between 18 and 39 years of age (inclusive) at the time of consent
  • Written informed consent obtained from the subject
  • Healthy subjects as established by medical history and clinical examination before entering into the study.

Exclusion Criteria:

  • Use of any investigational or non-registered product (drug or vaccine) other than the study vaccines/placebo during the period starting 30 days preceding the first dose of study vaccine/placebo and/or planned use during the study period
  • Chronic administration (defined as more than 14 days in total) of immunosuppressants or other immune-modifying drugs during the period starting 180 days prior to the first vaccine/placebo dose (for corticosteroids, this will mean prednisone 20 mg/day or equivalent; inhaled and topical steroids are allowed)
  • Planned administration or administration of a vaccine/product not foreseen by the study protocol during the period starting 30 days before or after each scheduled dose of an investigational product or placebo.
  • Planned administration of any flavivirus vaccine for the entire study duration
  • Concurrently participating in another clinical study, at any time during the study period, in which the subject has been or will be exposed to an investigational or an approved/cleared non-investigational product (pharmaceutical product or device).
  • Any confirmed or suspected immunosuppressive or immunodeficient condition, based on medical history and physical examination (no laboratory testing required).
  • Family history of congenital or hereditary immunodeficiency
  • History and family history of a bleeding disorder
  • History of past flavivirus infection or vaccination (Yellow Fever, tick-borne encephalitis virus (TBEV), Japanese encephalitis virus (JEV), West Nile virus (WNV), dengue (DENV)
  • History of, or current, auto-immune disease
  • History of any reaction or hypersensitivity likely to be exacerbated by any component of the vaccine/placebo or related to a study procedure
  • Major congenital defects or serious chronic illness
  • History of any neurological disorders or seizures
  • Acute disease and/or fever (≥ 100.4° ◦F / 38.0° ◦C, oral body temperature) at the time of enrollment (a subject with a minor illness, i.e., mild diarrhea, mild upper respiratory infection, etc., without fever, may be enrolled at the discretion of the investigator)
  • Acute or chronic, clinically significant pulmonary, cardiovascular, hepatic, or renal functional abnormality, as determined by physical examination or laboratory screening tests
  • Administration of immunoglobulins and/or any blood products during the period starting 90 days preceding the first dose of study vaccine/placebo or planned administration during the study period
  • History of chronic alcohol consumption and/or drug abuse
  • A planned move to a location that will prohibit participating in the trial until study end for the participant
  • Any other condition which, in the opinion of the investigator, prevents the subject from participating in the study.
  • Subject seropositive for hepatitis B surface antigen (HBsAg), hepatitis C virus antibodies (anti-HCV), or human immunodeficiency virus antibodies (anti-HIV)
  • Safety laboratory test results that are outside the acceptable values at screening.

Sites / Locations

  • Upstate Medical University, SUNY

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm Type

Experimental

Experimental

Experimental

Placebo Comparator

Arm Label

TDENV-PIV x2

TDENV-F17/TDENV-PIV

TDENV-PIV/TDENV-F17

Placebo

Arm Description

2 doses of TDENV-PIV on Day 0 and Day 28

1 dose TDENV-F17 on Day 0 and 1 dose TDENV-PIV on Day 28

1 dose TDENV-PIV on Day 0 and 1 dose TDENV-F17 on Day 28

2 doses placebo (phosphate buffered saline) Day 0 and Day 28

Outcomes

Primary Outcome Measures

Number of and intensity of solicited local and general adverse events (AEs) during the 7-day follow-up period after each vaccination
Number of and intensity of unsolicited adverse events (AEs) during the 7-day follow-up period after each vaccination
Number of serious adverse events (SAEs)
Number of potential immune-mediated diseases (pIMDs) and medicall attended AEs
Geometric mean titers (GMTs) of neutralizing antibodies to each DENV serotype
Assessment of neutralizing antibodies against DENV type 1-4 will be performed by a validated microneutralizing antibody assay.
Number of participants seropositive for each DENV serotype
Seropositive will be determined by 50% reduction in viral infection (MN50)
Number of participants trivalent and tetravalent seropositive
Seropositive will be determined by 50% reduction in viral infection (MN50)

Secondary Outcome Measures

Full Information

First Posted
April 28, 2015
Last Updated
April 5, 2017
Sponsor
U.S. Army Medical Research and Development Command
Collaborators
Walter Reed Army Institute of Research (WRAIR), GlaxoSmithKline
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1. Study Identification

Unique Protocol Identification Number
NCT03110952
Brief Title
TDENV PIV and LAV Dengue Prime-boost Strategy Using AS03B Adjuvant
Official Title
A Phase 1, Randomized, Placebo-Controlled, Observer-Blind, Single-Center, Study of TDENV-PIV and TDENV-F17 Dengue Vaccine Platforms in a Heterologous Prime Boost Strategy in Healthy Adults in a Non-Endemic Region
Study Type
Interventional

2. Study Status

Record Verification Date
April 2017
Overall Recruitment Status
Withdrawn
Why Stopped
lack of materials, not moving forward
Study Start Date
January 2016 (undefined)
Primary Completion Date
April 2017 (Anticipated)
Study Completion Date
April 2018 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
U.S. Army Medical Research and Development Command
Collaborators
Walter Reed Army Institute of Research (WRAIR), GlaxoSmithKline

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
The potential synergistic effect of administering 2 dengue vaccine candidates that were previously shown to be safe and immunogenic in humans will be evaluated in this study. A prime-boost study of tetravalent dengue virus purified inactivated vaccine (TDENV-PIV) with the GSK AS03B adjuvant and tetravalent dengue live attenuated virus (TDENV-LAV) vaccine Formulation 17 (F17) will gather data to help better understand the human immune response to dengue vaccination and infection. This study is being done to evaluate the safety and immune reaction of administering one dose of dengue purified inactivated vaccine and one dose of dengue live attenuated vaccine compared to two doses of inactivated vaccine.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Dengue

7. Study Design

Primary Purpose
Prevention
Study Phase
Phase 1
Interventional Study Model
Parallel Assignment
Masking
ParticipantOutcomes Assessor
Allocation
Randomized
Enrollment
0 (Actual)

8. Arms, Groups, and Interventions

Arm Title
TDENV-PIV x2
Arm Type
Experimental
Arm Description
2 doses of TDENV-PIV on Day 0 and Day 28
Arm Title
TDENV-F17/TDENV-PIV
Arm Type
Experimental
Arm Description
1 dose TDENV-F17 on Day 0 and 1 dose TDENV-PIV on Day 28
Arm Title
TDENV-PIV/TDENV-F17
Arm Type
Experimental
Arm Description
1 dose TDENV-PIV on Day 0 and 1 dose TDENV-F17 on Day 28
Arm Title
Placebo
Arm Type
Placebo Comparator
Arm Description
2 doses placebo (phosphate buffered saline) Day 0 and Day 28
Intervention Type
Biological
Intervention Name(s)
TDENV-PIV
Other Intervention Name(s)
Tetravalent dengue virus, purified inactivated vaccine, TDENV-PIV with AS03B adjuvant, Inactivated dengue virus types 1-4 (1 µg/serotype) with AS03B adjuvant
Intervention Description
Single-dose vial with pre-filled syringe, subcutaneous injection
Intervention Type
Biological
Intervention Name(s)
TDENV-F17
Other Intervention Name(s)
Tetravalent dengue virus, live, attenuated vaccine, TDENV-F17, Live attenuated dengue virus types 1-4
Intervention Description
Single-dose vial with pre-filled syringe 0.5 mL administered intramuscularly
Intervention Type
Other
Intervention Name(s)
Placebo
Other Intervention Name(s)
Placebo, sterile phosphate-buffered saline solution for injection
Intervention Description
0.5 mL vial
Primary Outcome Measure Information:
Title
Number of and intensity of solicited local and general adverse events (AEs) during the 7-day follow-up period after each vaccination
Time Frame
Day 7 and Day 35
Title
Number of and intensity of unsolicited adverse events (AEs) during the 7-day follow-up period after each vaccination
Time Frame
Day 7 and Day 35
Title
Number of serious adverse events (SAEs)
Time Frame
Day 35
Title
Number of potential immune-mediated diseases (pIMDs) and medicall attended AEs
Time Frame
Day 56
Title
Geometric mean titers (GMTs) of neutralizing antibodies to each DENV serotype
Description
Assessment of neutralizing antibodies against DENV type 1-4 will be performed by a validated microneutralizing antibody assay.
Time Frame
Day 56
Title
Number of participants seropositive for each DENV serotype
Description
Seropositive will be determined by 50% reduction in viral infection (MN50)
Time Frame
Day 56
Title
Number of participants trivalent and tetravalent seropositive
Description
Seropositive will be determined by 50% reduction in viral infection (MN50)
Time Frame
Day 56

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
39 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: Subjects who in the opinion of the investigator, can and will comply with the requirements of the protocol (e.g., document events in memory aid, return for follow-up visits, etc.) Between 18 and 39 years of age (inclusive) at the time of consent Written informed consent obtained from the subject Healthy subjects as established by medical history and clinical examination before entering into the study. Exclusion Criteria: Use of any investigational or non-registered product (drug or vaccine) other than the study vaccines/placebo during the period starting 30 days preceding the first dose of study vaccine/placebo and/or planned use during the study period Chronic administration (defined as more than 14 days in total) of immunosuppressants or other immune-modifying drugs during the period starting 180 days prior to the first vaccine/placebo dose (for corticosteroids, this will mean prednisone 20 mg/day or equivalent; inhaled and topical steroids are allowed) Planned administration or administration of a vaccine/product not foreseen by the study protocol during the period starting 30 days before or after each scheduled dose of an investigational product or placebo. Planned administration of any flavivirus vaccine for the entire study duration Concurrently participating in another clinical study, at any time during the study period, in which the subject has been or will be exposed to an investigational or an approved/cleared non-investigational product (pharmaceutical product or device). Any confirmed or suspected immunosuppressive or immunodeficient condition, based on medical history and physical examination (no laboratory testing required). Family history of congenital or hereditary immunodeficiency History and family history of a bleeding disorder History of past flavivirus infection or vaccination (Yellow Fever, tick-borne encephalitis virus (TBEV), Japanese encephalitis virus (JEV), West Nile virus (WNV), dengue (DENV) History of, or current, auto-immune disease History of any reaction or hypersensitivity likely to be exacerbated by any component of the vaccine/placebo or related to a study procedure Major congenital defects or serious chronic illness History of any neurological disorders or seizures Acute disease and/or fever (≥ 100.4° ◦F / 38.0° ◦C, oral body temperature) at the time of enrollment (a subject with a minor illness, i.e., mild diarrhea, mild upper respiratory infection, etc., without fever, may be enrolled at the discretion of the investigator) Acute or chronic, clinically significant pulmonary, cardiovascular, hepatic, or renal functional abnormality, as determined by physical examination or laboratory screening tests Administration of immunoglobulins and/or any blood products during the period starting 90 days preceding the first dose of study vaccine/placebo or planned administration during the study period History of chronic alcohol consumption and/or drug abuse A planned move to a location that will prohibit participating in the trial until study end for the participant Any other condition which, in the opinion of the investigator, prevents the subject from participating in the study. Subject seropositive for hepatitis B surface antigen (HBsAg), hepatitis C virus antibodies (anti-HCV), or human immunodeficiency virus antibodies (anti-HIV) Safety laboratory test results that are outside the acceptable values at screening.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Mark Polhemus
Organizational Affiliation
Upstate Medical University, SUNY
Official's Role
Principal Investigator
Facility Information:
Facility Name
Upstate Medical University, SUNY
City
Syracuse
State/Province
New York
ZIP/Postal Code
13210
Country
United States

12. IPD Sharing Statement

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TDENV PIV and LAV Dengue Prime-boost Strategy Using AS03B Adjuvant

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