Dengue 3 Human Infection Model (DENV-3)
Primary Purpose
Dengue
Status
Completed
Phase
Phase 1
Locations
United States
Study Type
Interventional
Intervention
Dengue virus 3 Live Virus Human Challenge (DENV-3-LVHC)
Sponsored by
About this trial
This is an interventional other trial for Dengue focused on measuring Dengue, Flavivirus Infections, Virus Diseases
Eligibility Criteria
Inclusion Criteria:
- Age 18-45 at the time of consent
- Ability and willingness to sign informed consent
- Passing score on comprehension test of at least 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, adenomyosis, and uterine scarring (e.g., after D&C)
- Blood tests confirming infection with human immunodeficiency virus- 1 (HIV-1), hepatitis C, hepatitis B (assessed by HbsAg) virus, or positive antibodies to the flaviviruses (FV) dengue, West Nile, Yellow Fever, Japanese encephalitis, or Zika.
- Active Diabetes or active peptic ulcer disease (PUD)
- Chronic obstructive pulmonary disease (COPD) or coronary artery disease (CAD)
- Known or suspected congenital or acquired immunodeficiency; or receipt of immunomodulation therapy such as anti-cancer chemotherapy or radiation therapy; or long-term systemic corticosteroid therapy (prednisone or equivalent for more than 2 consecutive weeks within the past 3 months)
- 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
- Diagnosis with Bipolar Disorder or 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 prior to inoculation for the tests specified in Table 18 and Table 19 of the protocol, that are considered by the investigator to be clinically significant except those listed in exclusion criteria 16
- Subjects with the following grade 2 or greater lab abnormalities: Creatinine; Liver Function Tests - ALT, AST; Hemoglobin (females and males); White Blood Cell (WBC) decrease; Platelets decreased; Prothrombin Time (PT); Partial Thromboplastin Time (PTT); Fibrinogen decrease
- 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 180 days)
- 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
- Recent blood donation within prior 56 days of inoculation
- Receipt of blood products or antibodies within 56 days of inoculation or during the study period
- Participation (active or follow-up phase) 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
- Recent or scheduled receipt of any vaccine 4 weeks prior to or after virus inoculation
- 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 migraines, 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-3-LVHC
Medium dose DENV-3-LVHC
High dose DENV-3-LVHC
Arm Description
Dengue-3 Virus-Live Virus Human Challenge (DENV-3-LVHC) single low dose (0.5 mL of 1.4 x 10^3 plaque forming units/milliliter (PFU/mL) inoculated subcutaneously
Dengue-3 Virus-Live Virus Human Challenge (DENV-3-LVHC) single medium dose (0.5 mL of 1.4 x 10^4 plaque forming units/milliliter (PFU/mL) inoculated subcutaneously
Dengue-3 Virus-Live Virus Human Challenge (DENV-3-LVHC) single high dose (0.5 mL of 1.4 x 10^5 plaque forming units/milliliter (PFU/mL) inoculated subcutaneously
Outcomes
Primary Outcome Measures
Number of Abnormal Laboratory Measurements
Total number of all abnormal labs
Intensity of Abnormal Laboratory Measurements
Graded according clinical laboratory normals and FDA toxicity scale
Duration of Abnormal Laboratory Measurements
Number of days of abnormal lab
Occurrence of Solicited Injection Site Symptoms
Number of solicited symptoms
Intensity of Solicited Injection Site Symptoms
Graded according to FDA toxicity scale
Duration of Solicited Injection Site Symptoms
Number of days per symptom
Occurrence of Unsolicited Injection Site Symptoms
Number of unsolicited site symptoms
Intensity of Unsolicited Injection Site Symptoms
Graded according to FDA toxicity scale
Duration of Unsolicited Injection Site Symptoms
Number of days per symptom
Occurrence of Solicited Systemic Symptoms
Number of solicited systemic symptoms
Intensity of Solicited Systemic Symptoms
Graded according to FDA toxicity scale
Duration of Solicited Systemic Symptoms
Number of days per symptom
Occurence of Unsolicited Systemic Symptoms
Number of unsolicited systemic symptoms
Intensity of Unsolicited Systemic Symptoms
Graded according to FDA toxicity scale
Duration of Unsolicited Systemic Symptoms
Number of days per symptom
Number of Serious Adverse Events
Total number
Number of Serious Adverse Events
Total number
Secondary Outcome Measures
Incubation period before onset of fever
Number of days prior to fever
Viremia by Reverse Transcriptase-Polymerase Chain Reaction (RT-PCR)
Levels of viremia
Occurence 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 72 hours
Occurrence of Headache
Number of headaches
Grade of Headache
Graded according to FDA toxicity scale
Occurrence of Myalgia
Number of reported myalgias
Grade of Myalgia
Graded according to FDA toxicity scale
Occurrence of Rash
Number of rashes
Grade of Rash
Graded according to FDA toxicity scale
Occurrence of Abnormal Liver Function Test [alanine aminotransferase (ALT) and aspartate aminotransferase (AST)]
Number of abnormal liver function tests
Grade of Abnormal Liver Function Test [alanine aminotransferase (ALT) and aspartate aminotransferase (AST)]
Graded according clinical laboratory normals and FDA toxicity scale
Occurrence of Leukopenia
Number of occurrences
Grade of Leukopenia
Graded according clinical laboratory normals and FDA toxicity scale
Occurrence of Thrombocytopenia
Number of occurrences
Grade of Thrombocytopenia
Graded according clinical laboratory normals and FDA toxicity scale
Full Information
NCT ID
NCT04298138
First Posted
February 21, 2020
Last Updated
June 10, 2022
Sponsor
State University of New York - Upstate Medical University
Collaborators
Walter Reed Army Institute of Research (WRAIR), U.S. Army Medical Research and Development Command
1. Study Identification
Unique Protocol Identification Number
NCT04298138
Brief Title
Dengue 3 Human Infection Model (DENV-3)
Official Title
Phase One, Open Label Assessment of a Dengue-3-Virus-Live Virus Human Challenge - (DENV-3-LVHC) Virus Strain
Study Type
Interventional
2. Study Status
Record Verification Date
June 2022
Overall Recruitment Status
Completed
Study Start Date
June 29, 2020 (Actual)
Primary Completion Date
December 14, 2021 (Actual)
Study Completion Date
December 14, 2021 (Actual)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Sponsor
Name of the Sponsor
State University of New York - Upstate Medical University
Collaborators
Walter Reed Army Institute of Research (WRAIR), U.S. Army Medical Research and Development Command
4. Oversight
Studies a U.S. FDA-regulated Drug Product
Yes
Studies a U.S. FDA-regulated Device Product
No
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. This study will examine the safety and effectiveness of the Dengue 3 Live Virus Human Challenge (DENV-3-LVHC) product and assess the ability of this virus strain to elicit an uncomplicated dengue-like illness.
Detailed Description
Healthy subjects between 18 and 45 years old will be inoculated with Dengue 3 Live Virus Human Challenge (DENV-3-LVHC) in a dose ranging study. Subjects will be closely monitored for the first 28 days with continued follow up through 6 months. Clinical and laboratory parameters, viremia and antibody levels will be assessed. The goal is to determine the dose that produces 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, Flavivirus Infections, Virus Diseases
7. Study Design
Primary Purpose
Other
Study Phase
Phase 1
Interventional Study Model
Sequential Assignment
Model Description
Nine subjects will be assigned to the low dose group. Twenty-one days post inoculation, data will be reviewed for safety and if performance parameters are met. If safety profile is acceptable but performance parameters have not been met, dose escalation to the medium dose will proceed in nine additional subjects. Twenty-one days post middle dose inoculation, data will be reviewed as above and a determination will be made to proceed to the high dose.
Masking
None (Open Label)
Allocation
Non-Randomized
Enrollment
9 (Actual)
8. Arms, Groups, and Interventions
Arm Title
Low dose DENV-3-LVHC
Arm Type
Experimental
Arm Description
Dengue-3 Virus-Live Virus Human Challenge (DENV-3-LVHC) single low dose (0.5 mL of 1.4 x 10^3 plaque forming units/milliliter (PFU/mL) inoculated subcutaneously
Arm Title
Medium dose DENV-3-LVHC
Arm Type
Experimental
Arm Description
Dengue-3 Virus-Live Virus Human Challenge (DENV-3-LVHC) single medium dose (0.5 mL of 1.4 x 10^4 plaque forming units/milliliter (PFU/mL) inoculated subcutaneously
Arm Title
High dose DENV-3-LVHC
Arm Type
Experimental
Arm Description
Dengue-3 Virus-Live Virus Human Challenge (DENV-3-LVHC) single high dose (0.5 mL of 1.4 x 10^5 plaque forming units/milliliter (PFU/mL) inoculated subcutaneously
Intervention Type
Biological
Intervention Name(s)
Dengue virus 3 Live Virus Human Challenge (DENV-3-LVHC)
Intervention Description
Dengue subtype 3 Challenge Virus (DENV-3) strain CH53489 administered as a single injection.
Primary Outcome Measure Information:
Title
Number of Abnormal Laboratory Measurements
Description
Total number of all abnormal labs
Time Frame
28 days post virus inoculation or 7 days post hospitalization, whichever is later
Title
Intensity of Abnormal Laboratory Measurements
Description
Graded according clinical laboratory normals and FDA toxicity scale
Time Frame
28 days post virus inoculation or 7 days post hospitalization, whichever is later
Title
Duration of Abnormal Laboratory Measurements
Description
Number of days of abnormal lab
Time Frame
28 days post virus inoculation or 7 days post hospitalization, whichever is later
Title
Occurrence of Solicited Injection Site Symptoms
Description
Number of solicited symptoms
Time Frame
7 days post virus inoculation
Title
Intensity of Solicited Injection Site Symptoms
Description
Graded according to FDA toxicity scale
Time Frame
7 days post virus inoculation
Title
Duration of Solicited Injection Site Symptoms
Description
Number of days per symptom
Time Frame
7 days post virus inoculation
Title
Occurrence of Unsolicited Injection Site Symptoms
Description
Number of unsolicited site symptoms
Time Frame
28 days post virus inoculation or 7 days post hospitalization, whichever is later
Title
Intensity of Unsolicited Injection Site Symptoms
Description
Graded according to FDA toxicity scale
Time Frame
28 days post virus inoculation or 7 days post hospitalization, whichever is later
Title
Duration of Unsolicited Injection Site Symptoms
Description
Number of days per symptom
Time Frame
28 days post virus inoculation or 7 days post hospitalization, whichever is later
Title
Occurrence of Solicited Systemic Symptoms
Description
Number 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
Description
Graded according to FDA toxicity scale
Time Frame
28 days post virus inoculation or 7 days post hospitalization, whichever is later
Title
Duration of Solicited Systemic Symptoms
Description
Number of days per symptom
Time Frame
28 days post virus inoculation or 7 days post hospitalization, whichever is later
Title
Occurence of Unsolicited Systemic Symptoms
Description
Number 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
Description
Graded according to FDA toxicity scale
Time Frame
28 days post virus inoculation or 7 days post hospitalization, whichever is later
Title
Duration of Unsolicited Systemic Symptoms
Description
Number of days per symptom
Time Frame
28 days post virus inoculation or 7 days post hospitalization, whichever is later
Title
Number of Serious Adverse Events
Description
Total number
Time Frame
28 days post virus inoculation or 7 days post hospitalization, whichever is later
Title
Number of Serious Adverse Events
Description
Total number
Time Frame
6 months post virus inoculation
Secondary Outcome Measure Information:
Title
Incubation period before onset of fever
Description
Number of days prior to fever
Time Frame
Up to 28 days post virus inoculation
Title
Viremia by Reverse Transcriptase-Polymerase Chain Reaction (RT-PCR)
Description
Levels of viremia
Time Frame
Up to 28 days post virus inoculation
Title
Occurence of fever
Description
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 72 hours
Time Frame
Up to 28 days post virus inoculation
Title
Occurrence of Headache
Description
Number of headaches
Time Frame
Up to 28 days post virus inoculation
Title
Grade of Headache
Description
Graded according to FDA toxicity scale
Time Frame
Up to 28 days post virus inoculation
Title
Occurrence of Myalgia
Description
Number of reported myalgias
Time Frame
Up to 28 days post virus inoculation
Title
Grade of Myalgia
Description
Graded according to FDA toxicity scale
Time Frame
Up to 28 days post virus inoculation
Title
Occurrence of Rash
Description
Number of rashes
Time Frame
Up to 28 days post virus inoculation
Title
Grade of Rash
Description
Graded according to FDA toxicity scale
Time Frame
Up to 28 days post virus inoculation
Title
Occurrence of Abnormal Liver Function Test [alanine aminotransferase (ALT) and aspartate aminotransferase (AST)]
Description
Number of abnormal liver function tests
Time Frame
Up to 28 days post virus inoculation
Title
Grade of Abnormal Liver Function Test [alanine aminotransferase (ALT) and aspartate aminotransferase (AST)]
Description
Graded according clinical laboratory normals and FDA toxicity scale
Time Frame
Up to 28 days post virus inoculation
Title
Occurrence of Leukopenia
Description
Number of occurrences
Time Frame
Up to 28 days post virus inoculation
Title
Grade of Leukopenia
Description
Graded according clinical laboratory normals and FDA toxicity scale
Time Frame
Up to 28 days post virus inoculation
Title
Occurrence of Thrombocytopenia
Description
Number of occurrences
Time Frame
Up to 28 days post virus inoculation
Title
Grade of Thrombocytopenia
Description
Graded according clinical laboratory normals and FDA toxicity scale
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:
Age 18-45 at the time of consent
Ability and willingness to sign informed consent
Passing score on comprehension test of at least 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, adenomyosis, and uterine scarring (e.g., after D&C)
Blood tests confirming infection with human immunodeficiency virus- 1 (HIV-1), hepatitis C, hepatitis B (assessed by HbsAg) virus, or positive antibodies to the flaviviruses (FV) dengue, West Nile, Yellow Fever, Japanese encephalitis, or Zika.
Active Diabetes or active peptic ulcer disease (PUD)
Chronic obstructive pulmonary disease (COPD) or coronary artery disease (CAD)
Known or suspected congenital or acquired immunodeficiency; or receipt of immunomodulation therapy such as anti-cancer chemotherapy or radiation therapy; or long-term systemic corticosteroid therapy (prednisone or equivalent for more than 2 consecutive weeks within the past 3 months)
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
Diagnosis with Bipolar Disorder or 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 prior to inoculation for the tests specified in Table 18 and Table 19 of the protocol, that are considered by the investigator to be clinically significant except those listed in exclusion criteria 16
Subjects with the following grade 2 or greater lab abnormalities: Creatinine; Liver Function Tests - ALT, AST; Hemoglobin (females and males); White Blood Cell (WBC) decrease; Platelets decreased; Prothrombin Time (PT); Partial Thromboplastin Time (PTT); Fibrinogen decrease
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 180 days)
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
Recent blood donation within prior 56 days of inoculation
Receipt of blood products or antibodies within 56 days of inoculation or during the study period
Participation (active or follow-up phase) 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
Recent or scheduled receipt of any vaccine 4 weeks prior to or after virus inoculation
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 migraines, 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
Stephen J Thomas, MD
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
Plan to Share IPD
No
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Dengue 3 Human Infection Model (DENV-3)
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