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A Study of SII Yellow Fever Vaccine to Compare Safety and Immunogenicity With STAMARIL

Primary Purpose

Yellow Fever

Status
Not yet recruiting
Phase
Phase 3
Locations
Kenya
Study Type
Interventional
Intervention
STAMARIL
SII-YFV
Sponsored by
Serum Institute of India Pvt. Ltd.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional prevention trial for Yellow Fever

Eligibility Criteria

1 Year - 60 Years (Child, Adult)All SexesAccepts Healthy Volunteers

Inclusion Criteria:

  1. Male or female volunteers aged ≥ 1 to < 60 years
  2. Healthy volunteers as determined by medical history and clinical examination
  3. Participants willing to adhere to the protocol requirements and to provide informed consent for participants ≥ 18 years of age. For participants < 18 years of age, parental/guardian ability and willingness to provide informed consent (as per local requirements/procedures) and additional informed assent from participants, as appropriate for participating community (i.e. participants at least 7 years of age in Kenya)
  4. Intend to remain residing in study area throughout the study participation
  5. Female participants of childbearing potential* must have practiced adequate contraception** and agree to continue adequate contraception till Day 28 post-vaccination.
  6. Female participants of childbearing potential must have a negative pregnancy test within 24 hours prior to IP administration.
  7. Be willing to avoid the use of traditional/herbal local medications and treatments for the duration of the study

Exclusion Criteria:

  1. Fever (> 37.5°C) or any clinically significant acute infection at time of vaccination [Temporary exclusion criteria - participants may be re-screened at least 48 hours after the last recorded fever]
  2. Use of systemic (oral or parenteral) antibiotics or antiviral agents within the past 7 days. [Temporary exclusion criteria - participants may be re-screened at least 7 days after last dose of antibiotics or antiviral agents]
  3. Use of traditional/herbal local medications and treatments in the past 7 days [Temporary exclusion criteria - participants may be re-screened at least 7 days after last consumption of traditional/herbal local medications and treatment]
  4. Previous history of laboratory confirmed infection with yellow fever and other flaviviruses e.g., dengue fever, tick-borne-encephalitis (TBE), Japanese encephalitis (JE), West Nile virus (WNV), zika virus, etc.
  5. Previous vaccination against yellow fever, TBE, JE, or dengue fever.
  6. Receipt of any vaccine within past 28 days or planned vaccination until completion of Day 28 visit
  7. Known or suspected impairment of immunological function based on medical history and physical examination.
  8. Presence of any systemic disorder (cardiovascular, pulmonary, hepatic, renal, gastrointestinal, hematological, endocrine, immunological, dermatological, neurological, cancer, or autoimmune disease) as determined by medical history and / or physical examination which would compromise the participant's health or is likely to result in nonconformance to the protocol
  9. History of chronic administration (defined as more than 14 consecutive days) of immunosuppressant (> 0.5 mg/kg/day of prednisolone or equivalent) or other immune modifying drugs including the use of glucocorticoids. The use of topical/inhaled/per nasal glucocorticoids will be permitted.
  10. A known hypersensitivity to any of the vaccine components (including gelatin, eggs, egg products, or chicken protein) or history of a life-threatening reaction to any past vaccine.
  11. Receipt of any immunoglobulin therapy and / or blood products in the past 60 days or planned administration until completion of Day 28 visit.
  12. Participation in a drug research study, involving investigational products, within past 3 months or planned participation during the entire study period
  13. Receipt of any investigational or unlicensed medication (drug or vaccine) in the preceding 28 days, or planned use until completion of Day 28 visit
  14. Uncontrolled coagulopathy or blood disorder contraindicating subcutaneous injections or blood sampling
  15. Be an employee of, or direct descendant (child or grandchild) of any person employed by the investigator or sponsor.
  16. Pregnant or lactating women
  17. Requirement of Yellow Fever vaccination certificate for travelling purpose
  18. History of thymus dysfunction including myasthenia gravis, thymoma, thymectomy
  19. History or presence of significant alcoholism or drug abuse in the past one year
  20. Major congenital or genetic defect
  21. Any other condition which in the opinion of the investigator will jeopardize the safety of the participant or compromise the assessment of the study objectives

Sites / Locations

  • Victoria Biomedical Research Institute (VIBRI) - Kisumu County Referral Hospital
  • Kenya Medical Research Institute/ Centre for Research Disease Research (CRDR)

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Active Comparator

Arm Label

SII-YFV

STAMARIL

Arm Description

Live attenuated Yellow Fever Virus (17D-213 Strain) not less than 1000 IU/dose propagated in specific pathogen-free chick embryos Diluent: 0.5 mL of sterile water for injection

Live attenuated Yellow Fever Virus (17D-204 Strain) not less than 1000 IU/dose produced in specified pathogen-free chick embryos Solvent: Sodium Chloride 2.0 mg; Water for injections up to 0.5 mL

Outcomes

Primary Outcome Measures

YF neutralizing antibody (NAb) seroconversion rates
NI comparison for primary objective of the study will be based on seroconversion rate at 28 days post vaccination i.e. percentage of participants achieving seroconversion. Seroconversion is defined as a fourfold increase in neutralizing antibody from baseline.

Secondary Outcome Measures

GMTs achieved with SII-YFV versus STAMARIL
To compare the YF NAb geometric mean titres (GMTs) generated following SII-YFV to those generated following STAMARIL®.

Full Information

First Posted
June 13, 2022
Last Updated
June 21, 2022
Sponsor
Serum Institute of India Pvt. Ltd.
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1. Study Identification

Unique Protocol Identification Number
NCT05421611
Brief Title
A Study of SII Yellow Fever Vaccine to Compare Safety and Immunogenicity With STAMARIL
Official Title
A Phase III, Multicenter, Double Blind, Randomized Study of SII Yellow Fever Vaccine to Compare Safety and Immunogenicity With STAMARIL
Study Type
Interventional

2. Study Status

Record Verification Date
June 2022
Overall Recruitment Status
Not yet recruiting
Study Start Date
July 25, 2022 (Anticipated)
Primary Completion Date
June 30, 2023 (Anticipated)
Study Completion Date
June 30, 2024 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Serum Institute of India Pvt. Ltd.

4. Oversight

Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
Yes

5. Study Description

Brief Summary
The study is designed as a Phase III, double-blind, multicenter, randomized, active-controlled, parallel-group design in which two groups of participants will receive either SII-YFV or STAMARIL® - a licensed and WHO pre-qualified YFV. The study will start only after the approval from the applicable ethics committees and national regulatory agencies.
Detailed Description
There will be three scheduled visits during the study. A screening and vaccination visit (Day 0) followed by additional study visits on Day 28 and on Day 180 post-vaccination. Throughout the study, participants/parent/guardian will be encouraged to contact the study team if the participant is unwell and the study team will additionally maintain contact with study participants. The participant or parent/guardian will be contacted telephonically on Day 90 to enquire about participant's health and occurrence of any serious adverse events (SAEs). Active surveillance for vaccine reactogenicity will be conducted in reactogenicity cohort from the time of vaccination (Day 0) until Day 10 following vaccination. Unsolicited AE will be collected from all study participants until Day 28 post vaccination. SAEs will be collected from all participants throughout the study (to Day 180).

6. Conditions and Keywords

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

7. Study Design

Primary Purpose
Prevention
Study Phase
Phase 3
Interventional Study Model
Parallel Assignment
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
2280 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
SII-YFV
Arm Type
Experimental
Arm Description
Live attenuated Yellow Fever Virus (17D-213 Strain) not less than 1000 IU/dose propagated in specific pathogen-free chick embryos Diluent: 0.5 mL of sterile water for injection
Arm Title
STAMARIL
Arm Type
Active Comparator
Arm Description
Live attenuated Yellow Fever Virus (17D-204 Strain) not less than 1000 IU/dose produced in specified pathogen-free chick embryos Solvent: Sodium Chloride 2.0 mg; Water for injections up to 0.5 mL
Intervention Type
Biological
Intervention Name(s)
STAMARIL
Intervention Description
STAMARIL® contains the 17D-204 vaccine strain, which is used in many currently produced yellow fever vaccines. STAMARIL is specific pathogen free embryonated hen's egg based and is prepared by harvesting and stabilizing the virus collected from the homogenized chicken embryos infected with YF vaccine virus. STAMARIL® will be used as a comparator in the study. It is a live, attenuated, freeze-dried (lyophilized) vaccine and is to be reconstituted with solvent.
Intervention Type
Biological
Intervention Name(s)
SII-YFV
Intervention Description
SII-YFV contains the 17D-213 vaccine strain, a derivative of 17D-204 strain which is used in many currently produced yellow fever vaccines. SIIPL imported the YF WHO Primary Seed Virus lot 213-77 from National Institute for Biological Standards and Control (NIBSC) for preparation of the master seed virus, working seed virus and the vaccine. The SII-YFV is specific pathogen free embryonated hen's egg based and is prepared by harvesting and stabilizing the virus collected from the homogenized chicken embryos infected with YF working seed virus. SII-YFV will be provided in vial presentation for the study. It is a live, attenuated, freeze-dried (lyophilized) vaccine and is to be reconstituted with sterile water for injection.
Primary Outcome Measure Information:
Title
YF neutralizing antibody (NAb) seroconversion rates
Description
NI comparison for primary objective of the study will be based on seroconversion rate at 28 days post vaccination i.e. percentage of participants achieving seroconversion. Seroconversion is defined as a fourfold increase in neutralizing antibody from baseline.
Time Frame
28 days post vaccination
Secondary Outcome Measure Information:
Title
GMTs achieved with SII-YFV versus STAMARIL
Description
To compare the YF NAb geometric mean titres (GMTs) generated following SII-YFV to those generated following STAMARIL®.
Time Frame
28 days post vaccination

10. Eligibility

Sex
All
Minimum Age & Unit of Time
1 Year
Maximum Age & Unit of Time
60 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: Male or female volunteers aged ≥ 1 to < 60 years Healthy volunteers as determined by medical history and clinical examination Participants willing to adhere to the protocol requirements and to provide informed consent for participants ≥ 18 years of age. For participants < 18 years of age, parental/guardian ability and willingness to provide informed consent (as per local requirements/procedures) and additional informed assent from participants, as appropriate for participating community (i.e. participants at least 7 years of age in Kenya) Intend to remain residing in study area throughout the study participation Female participants of childbearing potential* must have practiced adequate contraception** and agree to continue adequate contraception till Day 28 post-vaccination. Female participants of childbearing potential must have a negative pregnancy test within 24 hours prior to IP administration. Be willing to avoid the use of traditional/herbal local medications and treatments for the duration of the study Exclusion Criteria: Fever (> 37.5°C) or any clinically significant acute infection at time of vaccination [Temporary exclusion criteria - participants may be re-screened at least 48 hours after the last recorded fever] Use of systemic (oral or parenteral) antibiotics or antiviral agents within the past 7 days. [Temporary exclusion criteria - participants may be re-screened at least 7 days after last dose of antibiotics or antiviral agents] Use of traditional/herbal local medications and treatments in the past 7 days [Temporary exclusion criteria - participants may be re-screened at least 7 days after last consumption of traditional/herbal local medications and treatment] Previous history of laboratory confirmed infection with yellow fever and other flaviviruses e.g., dengue fever, tick-borne-encephalitis (TBE), Japanese encephalitis (JE), West Nile virus (WNV), zika virus, etc. Previous vaccination against yellow fever, TBE, JE, or dengue fever. Receipt of any vaccine within past 28 days or planned vaccination until completion of Day 28 visit Known or suspected impairment of immunological function based on medical history and physical examination. Presence of any systemic disorder (cardiovascular, pulmonary, hepatic, renal, gastrointestinal, hematological, endocrine, immunological, dermatological, neurological, cancer, or autoimmune disease) as determined by medical history and / or physical examination which would compromise the participant's health or is likely to result in nonconformance to the protocol History of chronic administration (defined as more than 14 consecutive days) of immunosuppressant (> 0.5 mg/kg/day of prednisolone or equivalent) or other immune modifying drugs including the use of glucocorticoids. The use of topical/inhaled/per nasal glucocorticoids will be permitted. A known hypersensitivity to any of the vaccine components (including gelatin, eggs, egg products, or chicken protein) or history of a life-threatening reaction to any past vaccine. Receipt of any immunoglobulin therapy and / or blood products in the past 60 days or planned administration until completion of Day 28 visit. Participation in a drug research study, involving investigational products, within past 3 months or planned participation during the entire study period Receipt of any investigational or unlicensed medication (drug or vaccine) in the preceding 28 days, or planned use until completion of Day 28 visit Uncontrolled coagulopathy or blood disorder contraindicating subcutaneous injections or blood sampling Be an employee of, or direct descendant (child or grandchild) of any person employed by the investigator or sponsor. Pregnant or lactating women Requirement of Yellow Fever vaccination certificate for travelling purpose History of thymus dysfunction including myasthenia gravis, thymoma, thymectomy History or presence of significant alcoholism or drug abuse in the past one year Major congenital or genetic defect Any other condition which in the opinion of the investigator will jeopardize the safety of the participant or compromise the assessment of the study objectives
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Prasad Kulkarni, MD
Phone
+91-20-71946820
Email
drpsk@seruminstitute.com
First Name & Middle Initial & Last Name or Official Title & Degree
Sajjad Desai, MD
Phone
+91-20-71946821
Email
sajjad.desai@seruminstitute.com
Facility Information:
Facility Name
Victoria Biomedical Research Institute (VIBRI) - Kisumu County Referral Hospital
City
Kisumu
ZIP/Postal Code
7180-40100
Country
Kenya
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Walter Otieno
Phone
+254714481488
Email
wotieno@vibriafrica.org
Facility Name
Kenya Medical Research Institute/ Centre for Research Disease Research (CRDR)
City
Nairobi
ZIP/Postal Code
47855-00100
Country
Kenya
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Videlis Nduba
Phone
+254724522474
Email
vnduba@gmail.com
First Name & Middle Initial & Last Name & Degree
Lilian Njagi
Phone
+254722575686
Email
njagi.lilian@gmail.com

12. IPD Sharing Statement

Plan to Share IPD
Yes
IPD Sharing Plan Description
Data collected from this study will be made available upon publication to members of the scientific and medical community for non-commercial use only, upon email request to the corresponding author. other study details are available on clinicaltrials.gov.
IPD Sharing Time Frame
Within 6 months of publication of the study data
IPD Sharing Access Criteria
Local regulatory authorities, ethics committee

Learn more about this trial

A Study of SII Yellow Fever Vaccine to Compare Safety and Immunogenicity With STAMARIL

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