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Dose-ranging Study of an Investigational Yellow Fever Candidate Vaccine in Adults (VYF01)

Primary Purpose

Yellow Fever (Healthy Volunteers)

Status
Completed
Phase
Phase 1
Locations
United States
Study Type
Interventional
Intervention
Yellow fever vaccine (produced on serum-free Vero cells), Dosage 1 vYF vaccine
Yellow fever vaccine (produced on serum-free Vero cells), Dosage 2 vYF vaccine
Yellow fever vaccine (produced on serum-free Vero cells), Dosage 3 vYF vaccine
Yellow fever vaccine
Sponsored by
Sanofi Pasteur, a Sanofi Company
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional prevention trial for Yellow Fever (Healthy Volunteers)

Eligibility Criteria

18 Years - 60 Years (Adult)All SexesAccepts Healthy Volunteers

Inclusion criteria :

  • Aged 18 years up to 60 years on the day of inclusion
  • Able to read and understand the Informed Consent Form which has been signed and dated
  • Able to attend all scheduled visits and to comply with all trial procedures

Exclusion criteria:

  • Participant is pregnant, or lactating, or of childbearing potential and not using an effective method of contraception or abstinence from at least 4 weeks prior to vaccination until at least 4 weeks after vaccination. To be considered of non-childbearing potential, a female must be pre-menarche , or post-menopausal for at least 1 year, or surgically sterile
  • Participation at the time of study enrollment (or in the 4 weeks preceding the trial vaccination) or planned participation during the present trial period in another clinical trial investigating a vaccine, drug, medical device, or medical procedure
  • Receipt of any vaccine in the 4 weeks preceding the trial vaccination or planned receipt of any vaccine in the 4 weeks following the trial vaccination
  • Previous vaccination against a flavivirus disease including YF with either the trial vaccine or another vaccine
  • Receipt of immune globulins, blood, or blood-derived products in the past 6 months
  • 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)
  • Known history of flavivirus infection
  • Known systemic hypersensitivity to any of the vaccine components, eggs, or history of a life-threatening reaction to the vaccines used in the trial or to a vaccine containing any of the same substances
  • Known history or laboratory evidence of human immunodeficiency virus infection
  • Known history of hepatitis B or hepatitis C seropositivity
  • Personal of family history of thymic pathology (thymoma, thymectomy, or myasthenia)
  • Deprived of freedom by an administrative or court order, or in an emergency setting, or hospitalized involuntarily
  • Current alcohol abuse or drug addiction
  • Chronic illness that, in the opinion of the investigator, is at a stage where it might interfere with trial conduct or completion, including malignancy, such as leukemia or lymphoma
  • Moderate or severe acute illness/infection (according to investigator judgment) on the day of vaccination or febrile illness (temperature ≥ 100.4 F). A prospective participant should not be included in the study until the condition has resolved or the febrile event has subsided
  • Administration of any anti-viral within 2 months preceding the vaccination and up to the 6 weeks following the vaccination
  • Identified as an Investigator or employee of the Investigator or study center with direct involvement in the proposed study, or identified as an immediate family member (ie, parent, spouse, natural or adopted child) of the Investigator or employee with direct involvement in the proposed study
  • Planned travel in a YF endemic country within 6 months of investigational or control vaccine administration

The above information is not intended to contain all considerations relevant to a patient's potential participation in a clinical trial.

Sites / Locations

  • Investigational Site Number 8400001

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm Type

Experimental

Experimental

Experimental

Active Comparator

Arm Label

Group 1

Group 2

Group 3

Group 4

Arm Description

1 injection of vYF vaccine Dosage 1

1 injection of vYF vaccine Dosage 2

1 injection of vYF vaccine Dosage 3

1 injection of YF-VAX

Outcomes

Primary Outcome Measures

Number of participants with immediate adverse events
Immediate adverse events are any unsolicited systemic adverse events reported in the 30 minutes after vaccination
Number of participants with solicited injection site reactions
Solicited injection site reactions include injection site pain, erythema and swelling
Number of participants with solicited systemic reactions
Solicited systemic reactions include fever, headache, malaise, and myalgia
Number of participants with unsolicited adverse events
Unsolicited (spontaneously reported) adverse events not fulfilling criteria for solicited adverse reactions
Number of participants with Grade 3 fever
Grade 3 fever is defined as temperature ≥ 102.1°F
Number of participants with serious adverse events
Serious adverse events are collected throughout the study
Number of participants with hematology and biochemistry out-of-range test results
Hematology and biochemistry values that are out-of-range are assessed
Number of participants with YF and flavivirus viremia and out-of-normal-range biological test results in the event of severe fever, or suspicion of neurotropic disease or acute viscerotropic diseases
Investigators are provided with guidelines for recognition and assessment of potential viscerotropic and neurotropic events
Number of participants with seroconversion to YF virus
Seroconversion is defined as a fourfold increase in neutralizing antibody titers as compared to pre-vaccination value. Seroconversion is assessed from Day 0 (pre-vaccination) to Day 10, Day 14 and Day 28.
Number of participants with neutralizing antibody titers against YF virus above pre-defined threshold
Pre-defined threshold of 10 1/dilution
Geometric mean titers of neutralizing antibodies against YF virus
Geometric mean titer ratio Day 10/Day 0, Day 14/Day 0, Day 28/Day 0 and Day 180/Day 0
Number of participants with YF vaccinal viremia
Vaccinal viremia is measured by YF specific quantitative reverse transcription polymerase chain reaction (RT-PCR) assay in samples collected on Day 0, Day 1, Day 3, Day 5, Day 7, Day 10, and Day 14.
Level of YF vaccinal viremia
Vaccinal viremia is measured by YF specific quantitative RT-PCR assay in samples collected on Day 0, Day 1, Day 3, Day 5, Day 7, Day 10, and Day 14.

Secondary Outcome Measures

Full Information

First Posted
October 25, 2019
Last Updated
April 22, 2022
Sponsor
Sanofi Pasteur, a Sanofi Company
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1. Study Identification

Unique Protocol Identification Number
NCT04142086
Brief Title
Dose-ranging Study of an Investigational Yellow Fever Candidate Vaccine in Adults
Acronym
VYF01
Official Title
Safety, Tolerability, and Immunogenicity Dose-ranging Study of the Investigational Yellow Fever Vacine (vYF) Candidate Vaccine in Adults
Study Type
Interventional

2. Study Status

Record Verification Date
April 2022
Overall Recruitment Status
Completed
Study Start Date
January 15, 2020 (Actual)
Primary Completion Date
June 24, 2021 (Actual)
Study Completion Date
June 24, 2021 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Sanofi Pasteur, a Sanofi Company

4. Oversight

Studies a U.S. FDA-regulated Drug Product
Yes
Studies a U.S. FDA-regulated Device Product
No
Product Manufactured in and Exported from the U.S.
No
Data Monitoring Committee
No

5. Study Description

Brief Summary
The primary objectives of the study are: To describe the safety profile of each of the 3 dosages of vYF and of YF-VAX® within the 28 days post-vaccination and up to the 6 months (Day 180) post-vaccination visit To describe the antibody responses elicited by each of the 3 dosages of vYF and by YF-VAX on Day 0 pre-vaccination and then on Day 10, Day 14, Day 28 and 6 months (Day 180) post-vaccination overall and by baseline flavivirus serostatus To quantify the detectable yellow fever (YF) vaccinal viremia in each vaccine groups (vYF and YF-VAX) in a subset of subjects on Day 0 visit, Day 1 visit, Day 3 visit, Day 5 visit, Day 7 visit, Day 10 visit, and Day 14 visit.
Detailed Description
Study duration per participant is approximately 6 months.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Yellow Fever (Healthy Volunteers)

7. Study Design

Primary Purpose
Prevention
Study Phase
Phase 1
Interventional Study Model
Parallel Assignment
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Masking Description
An observer-blind procedure is followed for the injection of vYF or YF-VAX. Neither the observer Investigator, nor the Sponsor, nor the participants know product is administered. The "vaccinator" is in charge of preparing and administering the products and is not authorized to collect any safety data.
Allocation
Randomized
Enrollment
73 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Group 1
Arm Type
Experimental
Arm Description
1 injection of vYF vaccine Dosage 1
Arm Title
Group 2
Arm Type
Experimental
Arm Description
1 injection of vYF vaccine Dosage 2
Arm Title
Group 3
Arm Type
Experimental
Arm Description
1 injection of vYF vaccine Dosage 3
Arm Title
Group 4
Arm Type
Active Comparator
Arm Description
1 injection of YF-VAX
Intervention Type
Biological
Intervention Name(s)
Yellow fever vaccine (produced on serum-free Vero cells), Dosage 1 vYF vaccine
Intervention Description
Pharmaceutical form: Powder and diluent for suspension for injection Route of administration: Subcutaneous
Intervention Type
Biological
Intervention Name(s)
Yellow fever vaccine (produced on serum-free Vero cells), Dosage 2 vYF vaccine
Intervention Description
Pharmaceutical form: Powder and diluent for suspension for injection Route of administration: Subcutaneous
Intervention Type
Biological
Intervention Name(s)
Yellow fever vaccine (produced on serum-free Vero cells), Dosage 3 vYF vaccine
Intervention Description
Pharmaceutical form: Powder and diluent for suspension for injection Route of administration: Subcutaneous
Intervention Type
Biological
Intervention Name(s)
Yellow fever vaccine
Other Intervention Name(s)
YF-VAX
Intervention Description
Pharmaceutical form: Powder and diluent for suspension for injection Route of administration: Subcutaneous
Primary Outcome Measure Information:
Title
Number of participants with immediate adverse events
Description
Immediate adverse events are any unsolicited systemic adverse events reported in the 30 minutes after vaccination
Time Frame
Within 30 minutes after vaccination
Title
Number of participants with solicited injection site reactions
Description
Solicited injection site reactions include injection site pain, erythema and swelling
Time Frame
Within 7 days after vaccination
Title
Number of participants with solicited systemic reactions
Description
Solicited systemic reactions include fever, headache, malaise, and myalgia
Time Frame
Within 14 days after vaccination
Title
Number of participants with unsolicited adverse events
Description
Unsolicited (spontaneously reported) adverse events not fulfilling criteria for solicited adverse reactions
Time Frame
Within 28 days after vaccination
Title
Number of participants with Grade 3 fever
Description
Grade 3 fever is defined as temperature ≥ 102.1°F
Time Frame
Within 28 days after vaccination
Title
Number of participants with serious adverse events
Description
Serious adverse events are collected throughout the study
Time Frame
From Day 0 to Day 180
Title
Number of participants with hematology and biochemistry out-of-range test results
Description
Hematology and biochemistry values that are out-of-range are assessed
Time Frame
From Day 0 to Day 14
Title
Number of participants with YF and flavivirus viremia and out-of-normal-range biological test results in the event of severe fever, or suspicion of neurotropic disease or acute viscerotropic diseases
Description
Investigators are provided with guidelines for recognition and assessment of potential viscerotropic and neurotropic events
Time Frame
Within 28 days after vaccination
Title
Number of participants with seroconversion to YF virus
Description
Seroconversion is defined as a fourfold increase in neutralizing antibody titers as compared to pre-vaccination value. Seroconversion is assessed from Day 0 (pre-vaccination) to Day 10, Day 14 and Day 28.
Time Frame
From Day 0 to Day 28
Title
Number of participants with neutralizing antibody titers against YF virus above pre-defined threshold
Description
Pre-defined threshold of 10 1/dilution
Time Frame
From Day 0 to Day 180
Title
Geometric mean titers of neutralizing antibodies against YF virus
Description
Geometric mean titer ratio Day 10/Day 0, Day 14/Day 0, Day 28/Day 0 and Day 180/Day 0
Time Frame
From Day 0 to Day 180
Title
Number of participants with YF vaccinal viremia
Description
Vaccinal viremia is measured by YF specific quantitative reverse transcription polymerase chain reaction (RT-PCR) assay in samples collected on Day 0, Day 1, Day 3, Day 5, Day 7, Day 10, and Day 14.
Time Frame
From Day 0 to Day 14
Title
Level of YF vaccinal viremia
Description
Vaccinal viremia is measured by YF specific quantitative RT-PCR assay in samples collected on Day 0, Day 1, Day 3, Day 5, Day 7, Day 10, and Day 14.
Time Frame
From Day 0 to Day 14

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
60 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion criteria : Aged 18 years up to 60 years on the day of inclusion Able to read and understand the Informed Consent Form which has been signed and dated Able to attend all scheduled visits and to comply with all trial procedures Exclusion criteria: Participant is pregnant, or lactating, or of childbearing potential and not using an effective method of contraception or abstinence from at least 4 weeks prior to vaccination until at least 4 weeks after vaccination. To be considered of non-childbearing potential, a female must be pre-menarche , or post-menopausal for at least 1 year, or surgically sterile Participation at the time of study enrollment (or in the 4 weeks preceding the trial vaccination) or planned participation during the present trial period in another clinical trial investigating a vaccine, drug, medical device, or medical procedure Receipt of any vaccine in the 4 weeks preceding the trial vaccination or planned receipt of any vaccine in the 4 weeks following the trial vaccination Previous vaccination against a flavivirus disease including YF with either the trial vaccine or another vaccine Receipt of immune globulins, blood, or blood-derived products in the past 6 months 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) Known history of flavivirus infection Known systemic hypersensitivity to any of the vaccine components, eggs, or history of a life-threatening reaction to the vaccines used in the trial or to a vaccine containing any of the same substances Known history or laboratory evidence of human immunodeficiency virus infection Known history of hepatitis B or hepatitis C seropositivity Personal of family history of thymic pathology (thymoma, thymectomy, or myasthenia) Deprived of freedom by an administrative or court order, or in an emergency setting, or hospitalized involuntarily Current alcohol abuse or drug addiction Chronic illness that, in the opinion of the investigator, is at a stage where it might interfere with trial conduct or completion, including malignancy, such as leukemia or lymphoma Moderate or severe acute illness/infection (according to investigator judgment) on the day of vaccination or febrile illness (temperature ≥ 100.4 F). A prospective participant should not be included in the study until the condition has resolved or the febrile event has subsided Administration of any anti-viral within 2 months preceding the vaccination and up to the 6 weeks following the vaccination Identified as an Investigator or employee of the Investigator or study center with direct involvement in the proposed study, or identified as an immediate family member (ie, parent, spouse, natural or adopted child) of the Investigator or employee with direct involvement in the proposed study Planned travel in a YF endemic country within 6 months of investigational or control vaccine administration The above information is not intended to contain all considerations relevant to a patient's potential participation in a clinical trial.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Clinical Sciences & Operations
Organizational Affiliation
Sanofi Pasteur, a Sanofi Company
Official's Role
Study Director
Facility Information:
Facility Name
Investigational Site Number 8400001
City
Silver Spring
State/Province
Maryland
ZIP/Postal Code
20910
Country
United States

12. IPD Sharing Statement

Plan to Share IPD
Yes
IPD Sharing Plan Description
Qualified researchers may request access to patient level data and related study documents including the clinical study report, study protocol with any amendments, blank case report form, statistical analysis plan, and dataset specifications. Patient level data will be anonymized and study documents will be redacted to protect the privacy of trial participants. Further details on Sanofi's data sharing criteria, eligible studies, and process for requesting access can be found at: https://vivli.org

Learn more about this trial

Dose-ranging Study of an Investigational Yellow Fever Candidate Vaccine in Adults

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