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A Two-dose Primary Vaccination Study of a Tetravalent Dengue Virus Purified Inactivated Vaccine vs. Placebo in Healthy Adults (in Puerto Rico) (DPIV-002)

Primary Purpose

Dengue Fever

Status
Completed
Phase
Phase 1
Locations
Puerto Rico
Study Type
Interventional
Intervention
Biological/Vaccine: 4 µg TDENV-PIV with Alum adjuvant
Biological/Vaccine: 1 µg TDENV-PIV with AS03B adjuvant
Phosphate buffered saline
1 µg TDENV-PIV with Alum adjuvant
1 µg TDENV-PIV with AS01E adjuvant
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 Fever focused on measuring Dengue, Dengue fever, Dengue Hemorrhagic Fever, Flavivirus

Eligibility Criteria

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

Inclusion Criteria:

  • Subjects who the investigator believes can and will comply with the requirements of the protocol (e.g., completion of the diary cards, return for follow-up visits, etc.)
  • A male or female between 20 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
  • Subject has lived in the Caribbean for more than 10 years
  • Female subjects of non-childbearing potential (non-childbearing potential is defined as having either a current tubal ligation at least three months prior to enrollment, hysterectomy, ovariectomy, or is post-menopause).
  • Female subjects of childbearing potential may be enrolled in the study, if the subject has:

    • practiced adequate contraception for 30 days prior to vaccination, and
    • a negative urine pregnancy test on the day of vaccination, and
    • agreed to continue adequate contraception until two months after completion of the vaccination series

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 Exclusion:
  • 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 prior to the first dose of vaccine/placebo until after the visit at Day 56 (if influenza activity warrants vaccination of healthy young adults, influenza vaccination will be encouraged and will not lead to study exclusion)
  • Previous or planned administration of any other flavivirus vaccine (approved or investigational) for the entire study duration
  • Previous receipt of any investigational dengue virus vaccine
  • 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 a 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 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 (≥37.5°C/99.5°F 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
  • Pregnant or lactating female or female planning to become pregnant or planning to discontinue contraceptive precautions
  • 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 normal limits for their age, gender, and locality at screening.

Sites / Locations

  • Clinical Research Center, 1st Floor University Hospital

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm 5

Arm Type

Experimental

Experimental

Placebo Comparator

Experimental

Experimental

Arm Label

TDENV-PIV alum4

TDENV-PIV AS03B

Placebo

TDENV-PIV alum1

TDENV-PIV AS01E

Arm Description

4 µg TDENV-PIV with Alum adjuvant; 0.5 mL intramuscular injection at 0 and 28 days

1 µg TDENV-PIV with AS03B adjuvant; 0.5 mL intramuscular injection at 0 and 28 days

Phosphate buffered saline; 0.5 mL intramuscular injection at 0 and 28 days

1 µg TDENV-PIV with Alum adjuvant; 0.5 mL intramuscular injection at 0 and 28 days

1 µg TDENV-PIV with AS01E adjuvant; 0.5 mL intramuscular injection at 0 and 28 days

Outcomes

Primary Outcome Measures

Safety and reactogenicity of various TDENV-PIV formulations from Day 0 through 28 days after the second dose (Day 0 - Day 56)
Safety and Reactogenicity: Occurrence, intensity and relationship to vaccination of solicited local and general adverse events (AEs) during the 7-day follow-up period post each vaccination (Day 0-6) Occurrence, intensity and relationship to vaccination of unsolicited AEs during the 28-day follow-up period post each vaccination (Day 0-27) Hematological and biochemical levels at study visits on Days 0, 7, 28, 35 and 56 Occurrence of serious adverse events (SAEs) from Day 0 to Day 56 Occurrence of potential immune-mediated diseases (pIMDs) and medically attended AEs from Day 0 to Day 56
Humoral immunogenicity to each of four DENV types of various TDENV-PIV formulations 28 days after the second dose (Day 56)
Humoral Immunogenicity: Neutralizing antibody titers specific to each DENV type at Day 56 Geometric mean titers (GMTs) of neutralizing antibody titers to each DENV type Rate of fold increases in neutralizing antibody from Day 0 for each DENV type Seropositivity rates for each DENV type Trivalent and tetravalent seropositivity rates

Secondary Outcome Measures

Safety of various TDENV-PIV formulations, from Day 0 to Month 13 (Visits 1-11)
Safety: Hematological and biochemical levels at study visits on Months 4, 7, 10 and Month 13 Occurrence of pIMDs and medically attended AEs from Day 0 to Month 13 Occurrence of any SAE from Day 0 to Month 13
Humoral immunogenicity to each of four DENV types of various TDENV-PIV formulations on Days 0, 7 and 28 and Months 7 and 13
Humoral Immunogenicity: Geometric mean titers (GMTs) of neutralizing antibody titers to each DENV type Rate of fold increases in neutralizing antibody from Day 0 for each DENV type Seropositivity rates for each DENV type Trivalent and tetravalent seropositivity rates
• To evaluate the safety of various TDENV-PIV formulations from Month 14 through the end of the study (Visit 15)
Occurrence of serious adverse events (SAEs) related to study procedures from Month 14 to end of study (Month 37-39)

Full Information

First Posted
October 4, 2012
Last Updated
May 22, 2017
Sponsor
U.S. Army Medical Research and Development Command
Collaborators
GlaxoSmithKline, Walter Reed Army Institute of Research (WRAIR)
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1. Study Identification

Unique Protocol Identification Number
NCT01702857
Brief Title
A Two-dose Primary Vaccination Study of a Tetravalent Dengue Virus Purified Inactivated Vaccine vs. Placebo in Healthy Adults (in Puerto Rico)
Acronym
DPIV-002
Official Title
A Phase I, Randomized, Placebo-Controlled, Observer-blind, Two-dose (0-28 Day Schedule) Primary Vaccination Study of WRAIR Tetravalent Dengue Virus Purified Inactivated Vaccine (TDENV-PIV) in Healthy Adults in Puerto Rico
Study Type
Interventional

2. Study Status

Record Verification Date
May 2017
Overall Recruitment Status
Completed
Study Start Date
November 2012 (Actual)
Primary Completion Date
January 20, 2017 (Actual)
Study Completion Date
March 23, 2017 (Actual)

3. Sponsor/Collaborators

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

4. Oversight

Data Monitoring Committee
Yes

5. Study Description

Brief Summary
This is a first time in humans (FTiH) study designed to assess the experimental TDENV-PIV vaccine in a predominantly dengue-primed adult population. The study is designed to afford a first time in humans (FTiH) safety and immunogenicity assessment of three TDENV-PIV vaccine candidates, each formulated with a different adjuvant: either aluminum hydroxide, AS01E or AS03B (adjuvants used in GSK Biologicals' hepatitis B candidate vaccine, malaria candidate vaccine and pandemic flu vaccine, respectively). Each vaccine candidate will contain 1 µg of purified virus antigen per each of the four DENV types. Additionally, the study will evaluate an alum adjuvanted TDENV-PIV vaccine candidate containing 4 µg of purified virus antigen per each of the four DENV types. The control group will receive a saline placebo. All experimental vaccinations will be administered according to a 2-dose schedule, 28 days apart. There is a parallel FTiH study that is conducted in the United States in a dengue-naive population using the same investigational vaccines.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Dengue Fever
Keywords
Dengue, Dengue fever, Dengue Hemorrhagic Fever, Flavivirus

7. Study Design

Primary Purpose
Prevention
Study Phase
Phase 1
Interventional Study Model
Parallel Assignment
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
100 (Actual)

8. Arms, Groups, and Interventions

Arm Title
TDENV-PIV alum4
Arm Type
Experimental
Arm Description
4 µg TDENV-PIV with Alum adjuvant; 0.5 mL intramuscular injection at 0 and 28 days
Arm Title
TDENV-PIV AS03B
Arm Type
Experimental
Arm Description
1 µg TDENV-PIV with AS03B adjuvant; 0.5 mL intramuscular injection at 0 and 28 days
Arm Title
Placebo
Arm Type
Placebo Comparator
Arm Description
Phosphate buffered saline; 0.5 mL intramuscular injection at 0 and 28 days
Arm Title
TDENV-PIV alum1
Arm Type
Experimental
Arm Description
1 µg TDENV-PIV with Alum adjuvant; 0.5 mL intramuscular injection at 0 and 28 days
Arm Title
TDENV-PIV AS01E
Arm Type
Experimental
Arm Description
1 µg TDENV-PIV with AS01E adjuvant; 0.5 mL intramuscular injection at 0 and 28 days
Intervention Type
Biological
Intervention Name(s)
Biological/Vaccine: 4 µg TDENV-PIV with Alum adjuvant
Intervention Type
Biological
Intervention Name(s)
Biological/Vaccine: 1 µg TDENV-PIV with AS03B adjuvant
Intervention Type
Other
Intervention Name(s)
Phosphate buffered saline
Intervention Type
Biological
Intervention Name(s)
1 µg TDENV-PIV with Alum adjuvant
Intervention Type
Biological
Intervention Name(s)
1 µg TDENV-PIV with AS01E adjuvant
Primary Outcome Measure Information:
Title
Safety and reactogenicity of various TDENV-PIV formulations from Day 0 through 28 days after the second dose (Day 0 - Day 56)
Description
Safety and Reactogenicity: Occurrence, intensity and relationship to vaccination of solicited local and general adverse events (AEs) during the 7-day follow-up period post each vaccination (Day 0-6) Occurrence, intensity and relationship to vaccination of unsolicited AEs during the 28-day follow-up period post each vaccination (Day 0-27) Hematological and biochemical levels at study visits on Days 0, 7, 28, 35 and 56 Occurrence of serious adverse events (SAEs) from Day 0 to Day 56 Occurrence of potential immune-mediated diseases (pIMDs) and medically attended AEs from Day 0 to Day 56
Time Frame
Up to Day 56
Title
Humoral immunogenicity to each of four DENV types of various TDENV-PIV formulations 28 days after the second dose (Day 56)
Description
Humoral Immunogenicity: Neutralizing antibody titers specific to each DENV type at Day 56 Geometric mean titers (GMTs) of neutralizing antibody titers to each DENV type Rate of fold increases in neutralizing antibody from Day 0 for each DENV type Seropositivity rates for each DENV type Trivalent and tetravalent seropositivity rates
Time Frame
Day 56
Secondary Outcome Measure Information:
Title
Safety of various TDENV-PIV formulations, from Day 0 to Month 13 (Visits 1-11)
Description
Safety: Hematological and biochemical levels at study visits on Months 4, 7, 10 and Month 13 Occurrence of pIMDs and medically attended AEs from Day 0 to Month 13 Occurrence of any SAE from Day 0 to Month 13
Time Frame
Up to month 13
Title
Humoral immunogenicity to each of four DENV types of various TDENV-PIV formulations on Days 0, 7 and 28 and Months 7 and 13
Description
Humoral Immunogenicity: Geometric mean titers (GMTs) of neutralizing antibody titers to each DENV type Rate of fold increases in neutralizing antibody from Day 0 for each DENV type Seropositivity rates for each DENV type Trivalent and tetravalent seropositivity rates
Time Frame
Up to month 13
Title
• To evaluate the safety of various TDENV-PIV formulations from Month 14 through the end of the study (Visit 15)
Description
Occurrence of serious adverse events (SAEs) related to study procedures from Month 14 to end of study (Month 37-39)
Time Frame
Up to the end of study (Month 37-39)

10. Eligibility

Sex
All
Minimum Age & Unit of Time
20 Years
Maximum Age & Unit of Time
39 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: Subjects who the investigator believes can and will comply with the requirements of the protocol (e.g., completion of the diary cards, return for follow-up visits, etc.) A male or female between 20 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 Subject has lived in the Caribbean for more than 10 years Female subjects of non-childbearing potential (non-childbearing potential is defined as having either a current tubal ligation at least three months prior to enrollment, hysterectomy, ovariectomy, or is post-menopause). Female subjects of childbearing potential may be enrolled in the study, if the subject has: practiced adequate contraception for 30 days prior to vaccination, and a negative urine pregnancy test on the day of vaccination, and agreed to continue adequate contraception until two months after completion of the vaccination series 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 Exclusion: 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 prior to the first dose of vaccine/placebo until after the visit at Day 56 (if influenza activity warrants vaccination of healthy young adults, influenza vaccination will be encouraged and will not lead to study exclusion) Previous or planned administration of any other flavivirus vaccine (approved or investigational) for the entire study duration Previous receipt of any investigational dengue virus vaccine 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 a 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 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 (≥37.5°C/99.5°F 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 Pregnant or lactating female or female planning to become pregnant or planning to discontinue contraceptive precautions 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 normal limits for their age, gender, and locality at screening.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Clemente Diaz, MD
Organizational Affiliation
University of Puerto Rico
Official's Role
Principal Investigator
Facility Information:
Facility Name
Clinical Research Center, 1st Floor University Hospital
City
San Juan
ZIP/Postal Code
00936-5067
Country
Puerto Rico

12. IPD Sharing Statement

Citations:
PubMed Identifier
29512481
Citation
Diaz C, Lin L, Martinez LJ, Eckels KH, Campos M, Jarman RG, De La Barrera R, Lepine E, Toussaint JF, Febo I, Innis BL, Thomas SJ, Schmidt AC. Phase I Randomized Study of a Tetravalent Dengue Purified Inactivated Vaccine in Healthy Adults from Puerto Rico. Am J Trop Med Hyg. 2018 May;98(5):1435-1443. doi: 10.4269/ajtmh.17-0627. Epub 2018 Mar 1.
Results Reference
derived

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A Two-dose Primary Vaccination Study of a Tetravalent Dengue Virus Purified Inactivated Vaccine vs. Placebo in Healthy Adults (in Puerto Rico)

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