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Safety and Immunogenicity of Three V181 Dengue Vaccine Potencies in Adults (V181-003)

Primary Purpose

Dengue Disease, Dengue Virus

Status
Active
Phase
Phase 2
Locations
International
Study Type
Interventional
Intervention
V181 High-Potency Level
V181 Mid-Potency Level
V181 Low-Potency Level
Placebo
Sponsored by
Merck Sharp & Dohme LLC
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional prevention trial for Dengue Disease

Eligibility Criteria

18 Years - 50 Years (Adult)All SexesAccepts Healthy Volunteers

Inclusion Criteria:

  • Male participants are eligible to participate if they agree to the following for at least 90 days after administration of study intervention: Abstain from heterosexual intercourse as their preferred and usual lifestyle (abstinent on a long term and persistent basis) and agree to remain abstinent; or must agree to use contraception unless confirmed to be azoospermic (vasectomized or secondary to medical cause).
  • A female participant is eligible to participate if she is not pregnant or breastfeeding, and at least one of the following conditions applies: Is NOT women of child-bearing potential; or is a WOCBP and using a contraceptive method that is highly effective (with a failure rate of <1% per year), or is abstinent from heterosexual intercourse as her preferred and usual lifestyle (abstinent on a long term and persistent basis), for at least 90 days after administration of study intervention. (Contraceptive use by women should be consistent with local regulations regarding the methods of contraception for those participating in clinical studies.)

Exclusion Criteria:

  • Has known history of dengue or zika natural infection.
  • Has an acute febrile illness (temperature ≥38.0°C [≥100.4°F] oral or equivalent) occurring within 72 hours before receipt of study vaccine or placebo.
  • Has a serious or progressive disease, including but not limited to cancer; uncontrolled diabetes; severe cardiac, renal, or hepatic insufficiency; or systemic autoimmune or neurologic disorder.
  • Has known or suspected impairment of immunological function, including but not limited to congenital or acquired immunodeficiency, human immunodeficiency virus (HIV) infection, hematologic malignancy, or treatment for autoimmune diseases.
  • Has a condition in which repeated venipuncture or injections pose more than minimal risk for the participant, such as hemophilia, thrombocytopenia, other severe coagulation disorders, or significantly impaired venous access.
  • Has a known hypersensitivity to any component of the study vaccine or placebo, or history of severe allergic reaction (eg, swelling of the mouth and throat, difficulty breathing, hypotension or shock) that required medical intervention.
  • Has received a dose of any dengue vaccine (investigational or approved) before study entry, or plans to receive any dengue vaccine (investigational or approved) for the duration of the trial.
  • Has received other licensed non-live vaccines within 14 days before receipt of study vaccine or placebo, or is scheduled to receive any licensed non-live vaccine within 28 days following receipt of study vaccine or placebo. Exception: Inactivated influenza vaccine may be administered but must be given at least 7 days before receipt of study vaccine or placebo, or at least 28 days after receipt of study vaccine or placebo.
  • Has received a licensed live vaccine within 28 days before receipt of study vaccine or placebo, or is scheduled to receive any live vaccine within 28 days following receipt of study vaccine or placebo.
  • Has received systemic corticosteroids (equivalent of ≥2 mg/kg/day of prednisone or ≥20 mg/d for persons weighing >10 kg) for ≥14 consecutive days and has not completed treatment at least 30 days before study entry or is expected to receive systemic corticosteroids at aforementioned dose and duration within 28 days following receipt of study vaccine or placebo. (Note: Topical and inhaled/nebulized steroids are permitted.)
  • Has received systemic corticosteroids exceeding physiologic replacement doses (approximately 5 mg/day prednisone equivalent) within 14 days before vaccination.
  • Has received immunosuppressive therapies, including chemotherapeutic agents used to treat cancer or other conditions, treatments associated with organ or bone marrow transplantation, or autoimmune disease, within 6 months before receipt of study vaccine or placebo, or plans to receive immunosuppressive therapies within 28 days following receipt of study vaccine or placebo.
  • Has received a blood transfusion or blood products (including immunoglobulins) within 6 months before receipt of a study vaccine or placebo, or plans to receive a blood transfusion or blood products (including immunoglobulins) within 28 days following receipt of study vaccine or placebo.
  • Has participated in another clinical study of an investigational product within 6 months before signing the informed consent, or plans to participate in another interventional clinical study at any time during the duration of the current clinical study. Participants enrolled in observational studies may be included; these will be reviewed on a case-by-case basis for approval by the Sponsor.
  • Has planned donation of blood, eggs, or sperm at any time from signing the informed consent through 90 days post-vaccination.

Sites / Locations

  • California Research Foundation ( Site 0114)
  • Advanced Medical Research Institute ( Site 0115)
  • Rochester Clinical Research, Inc. ( Site 0122)
  • University of Texas Medical Branch ( Site 0113)
  • IMA Clinical Research San Antonio ( Site 0111)
  • Alliance for Multispecialty Research LLC (AMR - Norfolk) ( Site 0123)
  • Paratus Clinical Research Western Sydney ( Site 0007)
  • Emeritus Research ( Site 0010)
  • USC Clinical Trials Moreton Bay ( Site 0001)
  • USC Clinical Trials Sunshine Coast ( Site 0005)
  • USC Clinical Trials Brisbane (South Bank) ( Site 0006)
  • Emeritus Research ( Site 0009)
  • Diex Recherche Joliette ( Site 0023)
  • Diex Recherche Sherbrooke Inc. ( Site 0024)
  • Diex Recherche Victoriavile Inc. ( Site 0021)
  • Diex Recherche Quebec Inc. ( Site 0022)
  • FVR, Kokkolan rokotetutkimusklinikka ( Site 0037)
  • FVR, Tampereen rokotetutkimusklinikka ( Site 0039)
  • FVR, Oulun rokotetutkimusklinikka ( Site 0032)
  • FVR, Porin rokotetutkimusklinikka ( Site 0033)
  • FVR, Seinäjoen rokotetutkimusklinikka ( Site 0040)
  • FVR, Espoon rokotetutkimusklinikka ( Site 0036)
  • FVR, Etelä-Helsingin rokotetutkimusklinikka ( Site 0038)
  • FVR, Itä-Helsingin rokotetutkimusklinikka ( Site 0035)
  • FVR, Turun rokotetutkimusklinikka ( Site 0031)
  • Klinikum der Ludwig-Maximilians-Universitaet Muenchen-Division of Infectious Diseases and Tropical (
  • Berliner Centrum für Reise- und Tropenmedizin ( Site 0043)
  • Bernhard Nocht Institute for Tropical Medicine ( Site 0041)
  • Rambam Health Care Campus-Oncology ( Site 0053)
  • Hadassah Medical Center-Clinical Reaserch Unit ( Site 0052)
  • Sheba Medical Center-Early Phase Clinical Trials Unit ( Site 0051)
  • Kaohsiung Medical University Hospital-Infectious diseases Division, Department of Internal Medicine

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm Type

Experimental

Experimental

Experimental

Placebo Comparator

Arm Label

V181 High-Potency Level Group

V181 Mid-Potency Level Group

V181 Low-Potency Level Group

Placebo

Arm Description

Participants will receive a single 0.5mL subcutaneous (SC) dose of V181 High-Potency vaccine.

Participants will receive a single 0.5mL SC dose of V181 Mid-Potency vaccine.

Participants will receive a single 0.5mL SC dose of V181 Low-Potency vaccine.

Participants will receive a single SC 0.5 mL dose of placebo.

Outcomes

Primary Outcome Measures

Dengue Virus-Neutralizing Antibody Titers, as Measured by Virus Reduction Neutralization Test (VRNT)
A dengue VRNT will be conducted to assess neutralizing antibody GMTs for each of the 4 dengue vaccine serotypes (DENV1, DENV2, DENV3, and DENV4) in specimens collected from participants on Day 28 post-vaccination.
Percentage of Participants With Vaccine-Related Serious Adverse Events (SAEs)
An SAE is an AE that results in death, is life-threatening, requires or prolongs an existing hospitalization, results in persistent or significant disability or incapacity, is a congenital anomaly or birth defect, or is another important medical event deemed such by medical or scientific judgment. Relatedness of an SAE to the study vaccine will be determined by the investigator.

Secondary Outcome Measures

Percentage of Participants With Solicited Injection-Site Adverse Events (AEs)
An AE is any untoward medical occurrence in a patient or clinical study participant, temporally associated with the use of study treatment, whether or not considered related to the study treatment. Solicited injection-site AEs will include pain, erythema (redness), and swelling.
Percentage of Participants With Solicited Systemic AEs
An AE is any untoward medical occurrence in a patient or clinical study participant, temporally associated with the use of study treatment, whether or not considered related to the study treatment. Solicited systemic AEs will include rash, headache, fatigue (tiredness), myalgia (muscle pain), and arthralgia (joint pain).

Full Information

First Posted
August 17, 2022
Last Updated
June 27, 2023
Sponsor
Merck Sharp & Dohme LLC
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1. Study Identification

Unique Protocol Identification Number
NCT05507450
Brief Title
Safety and Immunogenicity of Three V181 Dengue Vaccine Potencies in Adults (V181-003)
Official Title
A Phase 2, Randomized, Double-Blind, Multicenter Study to Evaluate the Safety and Immunogenicity of Three Different Potency Levels of V181 (Dengue Quadrivalent Vaccine rDENVΔ30 [Live, Attenuated]) in Healthy Adults
Study Type
Interventional

2. Study Status

Record Verification Date
June 2023
Overall Recruitment Status
Active, not recruiting
Study Start Date
September 7, 2022 (Actual)
Primary Completion Date
June 5, 2023 (Actual)
Study Completion Date
May 6, 2024 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Merck Sharp & Dohme LLC

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
The primary objective of this study is to compare the dengue virus-neutralizing antibody geometric mean titers (GMTs) for each of the 4 dengue serotypes (DENV1, DENV2, DENV3, and DENV4) at Day 28 post-vaccination for participants administered the V181 Low-Potency Level vaccine versus the V181 Mid-Potency Level vaccine. This study will also evaluate the safety and tolerability of 3 different V181 potency level vaccines. The primary hypothesis of the study is that the V181 Low-Potency Level vaccine is non-inferior to the V181 Mid-Potency Level vaccine for each of the 4 dengue serotypes based on GMTs at Day 28 post-vaccination.

6. Conditions and Keywords

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

7. Study Design

Primary Purpose
Prevention
Study Phase
Phase 2
Interventional Study Model
Parallel Assignment
Masking
ParticipantInvestigator
Allocation
Randomized
Enrollment
1271 (Actual)

8. Arms, Groups, and Interventions

Arm Title
V181 High-Potency Level Group
Arm Type
Experimental
Arm Description
Participants will receive a single 0.5mL subcutaneous (SC) dose of V181 High-Potency vaccine.
Arm Title
V181 Mid-Potency Level Group
Arm Type
Experimental
Arm Description
Participants will receive a single 0.5mL SC dose of V181 Mid-Potency vaccine.
Arm Title
V181 Low-Potency Level Group
Arm Type
Experimental
Arm Description
Participants will receive a single 0.5mL SC dose of V181 Low-Potency vaccine.
Arm Title
Placebo
Arm Type
Placebo Comparator
Arm Description
Participants will receive a single SC 0.5 mL dose of placebo.
Intervention Type
Biological
Intervention Name(s)
V181 High-Potency Level
Intervention Description
0.5 mL SC dose of V181 High-Potency vaccine
Intervention Type
Biological
Intervention Name(s)
V181 Mid-Potency Level
Intervention Description
0.5 mL SC dose of V181 Mid-Potency vaccine
Intervention Type
Biological
Intervention Name(s)
V181 Low-Potency Level
Intervention Description
0.5 mL SC dose of V181 Low-Potency vaccine
Intervention Type
Biological
Intervention Name(s)
Placebo
Intervention Description
0.5 mL SC dose of placebo
Primary Outcome Measure Information:
Title
Dengue Virus-Neutralizing Antibody Titers, as Measured by Virus Reduction Neutralization Test (VRNT)
Description
A dengue VRNT will be conducted to assess neutralizing antibody GMTs for each of the 4 dengue vaccine serotypes (DENV1, DENV2, DENV3, and DENV4) in specimens collected from participants on Day 28 post-vaccination.
Time Frame
Day 28 post-vaccination
Title
Percentage of Participants With Vaccine-Related Serious Adverse Events (SAEs)
Description
An SAE is an AE that results in death, is life-threatening, requires or prolongs an existing hospitalization, results in persistent or significant disability or incapacity, is a congenital anomaly or birth defect, or is another important medical event deemed such by medical or scientific judgment. Relatedness of an SAE to the study vaccine will be determined by the investigator.
Time Frame
Up to 28 days post-vaccination
Secondary Outcome Measure Information:
Title
Percentage of Participants With Solicited Injection-Site Adverse Events (AEs)
Description
An AE is any untoward medical occurrence in a patient or clinical study participant, temporally associated with the use of study treatment, whether or not considered related to the study treatment. Solicited injection-site AEs will include pain, erythema (redness), and swelling.
Time Frame
Up to 5 days post-vaccination
Title
Percentage of Participants With Solicited Systemic AEs
Description
An AE is any untoward medical occurrence in a patient or clinical study participant, temporally associated with the use of study treatment, whether or not considered related to the study treatment. Solicited systemic AEs will include rash, headache, fatigue (tiredness), myalgia (muscle pain), and arthralgia (joint pain).
Time Frame
Up to 28 days post-vaccination

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
50 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: Male participants are eligible to participate if they agree to the following for at least 90 days after administration of study intervention: Abstain from heterosexual intercourse as their preferred and usual lifestyle (abstinent on a long term and persistent basis) and agree to remain abstinent; or must agree to use contraception unless confirmed to be azoospermic (vasectomized or secondary to medical cause). A female participant is eligible to participate if she is not pregnant or breastfeeding, and at least one of the following conditions applies: Is NOT women of child-bearing potential; or is a WOCBP and using a contraceptive method that is highly effective (with a failure rate of <1% per year), or is abstinent from heterosexual intercourse as her preferred and usual lifestyle (abstinent on a long term and persistent basis), for at least 90 days after administration of study intervention. (Contraceptive use by women should be consistent with local regulations regarding the methods of contraception for those participating in clinical studies.) Exclusion Criteria: Has known history of dengue or zika natural infection. Has an acute febrile illness (temperature ≥38.0°C [≥100.4°F] oral or equivalent) occurring within 72 hours before receipt of study vaccine or placebo. Has a serious or progressive disease, including but not limited to cancer; uncontrolled diabetes; severe cardiac, renal, or hepatic insufficiency; or systemic autoimmune or neurologic disorder. Has known or suspected impairment of immunological function, including but not limited to congenital or acquired immunodeficiency, human immunodeficiency virus (HIV) infection, hematologic malignancy, or treatment for autoimmune diseases. Has a condition in which repeated venipuncture or injections pose more than minimal risk for the participant, such as hemophilia, thrombocytopenia, other severe coagulation disorders, or significantly impaired venous access. Has a known hypersensitivity to any component of the study vaccine or placebo, or history of severe allergic reaction (eg, swelling of the mouth and throat, difficulty breathing, hypotension or shock) that required medical intervention. Has received a dose of any dengue vaccine (investigational or approved) before study entry, or plans to receive any dengue vaccine (investigational or approved) for the duration of the trial. Has received other licensed non-live vaccines within 14 days before receipt of study vaccine or placebo, or is scheduled to receive any licensed non-live vaccine within 28 days following receipt of study vaccine or placebo. Exception: Inactivated influenza vaccine may be administered but must be given at least 7 days before receipt of study vaccine or placebo, or at least 28 days after receipt of study vaccine or placebo. Has received a licensed live vaccine within 28 days before receipt of study vaccine or placebo, or is scheduled to receive any live vaccine within 28 days following receipt of study vaccine or placebo. Has received systemic corticosteroids (equivalent of ≥2 mg/kg/day of prednisone or ≥20 mg/d for persons weighing >10 kg) for ≥14 consecutive days and has not completed treatment at least 30 days before study entry or is expected to receive systemic corticosteroids at aforementioned dose and duration within 28 days following receipt of study vaccine or placebo. (Note: Topical and inhaled/nebulized steroids are permitted.) Has received systemic corticosteroids exceeding physiologic replacement doses (approximately 5 mg/day prednisone equivalent) within 14 days before vaccination. Has received immunosuppressive therapies, including chemotherapeutic agents used to treat cancer or other conditions, treatments associated with organ or bone marrow transplantation, or autoimmune disease, within 6 months before receipt of study vaccine or placebo, or plans to receive immunosuppressive therapies within 28 days following receipt of study vaccine or placebo. Has received a blood transfusion or blood products (including immunoglobulins) within 6 months before receipt of a study vaccine or placebo, or plans to receive a blood transfusion or blood products (including immunoglobulins) within 28 days following receipt of study vaccine or placebo. Has participated in another clinical study of an investigational product within 6 months before signing the informed consent, or plans to participate in another interventional clinical study at any time during the duration of the current clinical study. Participants enrolled in observational studies may be included; these will be reviewed on a case-by-case basis for approval by the Sponsor. Has planned donation of blood, eggs, or sperm at any time from signing the informed consent through 90 days post-vaccination.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Medical Director
Organizational Affiliation
Merck Sharp & Dohme LLC
Official's Role
Study Director
Facility Information:
Facility Name
California Research Foundation ( Site 0114)
City
San Diego
State/Province
California
ZIP/Postal Code
92123
Country
United States
Facility Name
Advanced Medical Research Institute ( Site 0115)
City
Miami
State/Province
Florida
ZIP/Postal Code
33174
Country
United States
Facility Name
Rochester Clinical Research, Inc. ( Site 0122)
City
Rochester
State/Province
New York
ZIP/Postal Code
14609
Country
United States
Facility Name
University of Texas Medical Branch ( Site 0113)
City
Galveston
State/Province
Texas
ZIP/Postal Code
77555
Country
United States
Facility Name
IMA Clinical Research San Antonio ( Site 0111)
City
San Antonio
State/Province
Texas
ZIP/Postal Code
78229
Country
United States
Facility Name
Alliance for Multispecialty Research LLC (AMR - Norfolk) ( Site 0123)
City
Norfolk
State/Province
Virginia
ZIP/Postal Code
23502
Country
United States
Facility Name
Paratus Clinical Research Western Sydney ( Site 0007)
City
Blacktown
State/Province
New South Wales
ZIP/Postal Code
2148
Country
Australia
Facility Name
Emeritus Research ( Site 0010)
City
Botany
State/Province
New South Wales
ZIP/Postal Code
2019
Country
Australia
Facility Name
USC Clinical Trials Moreton Bay ( Site 0001)
City
Morayfield
State/Province
Queensland
ZIP/Postal Code
4506
Country
Australia
Facility Name
USC Clinical Trials Sunshine Coast ( Site 0005)
City
Sippy Downs
State/Province
Queensland
ZIP/Postal Code
4556
Country
Australia
Facility Name
USC Clinical Trials Brisbane (South Bank) ( Site 0006)
City
South Brisbane
State/Province
Queensland
ZIP/Postal Code
4101
Country
Australia
Facility Name
Emeritus Research ( Site 0009)
City
Camberwell
State/Province
Victoria
ZIP/Postal Code
3124
Country
Australia
Facility Name
Diex Recherche Joliette ( Site 0023)
City
Saint-Charles-Borromée
State/Province
Quebec
ZIP/Postal Code
J6E 2B4
Country
Canada
Facility Name
Diex Recherche Sherbrooke Inc. ( Site 0024)
City
Sherbrooke
State/Province
Quebec
ZIP/Postal Code
J1L 0H8
Country
Canada
Facility Name
Diex Recherche Victoriavile Inc. ( Site 0021)
City
Victoriaville
State/Province
Quebec
ZIP/Postal Code
G6P 6P6
Country
Canada
Facility Name
Diex Recherche Quebec Inc. ( Site 0022)
City
Quebec
ZIP/Postal Code
G1V 4T3
Country
Canada
Facility Name
FVR, Kokkolan rokotetutkimusklinikka ( Site 0037)
City
Kokkola
State/Province
Mellersta Osterbotten
ZIP/Postal Code
67100
Country
Finland
Facility Name
FVR, Tampereen rokotetutkimusklinikka ( Site 0039)
City
Tampere
State/Province
Pirkanmaa
ZIP/Postal Code
33100
Country
Finland
Facility Name
FVR, Oulun rokotetutkimusklinikka ( Site 0032)
City
Oulu
State/Province
Pohjois-Pohjanmaa
ZIP/Postal Code
90220
Country
Finland
Facility Name
FVR, Porin rokotetutkimusklinikka ( Site 0033)
City
Pori
State/Province
Satakunta
ZIP/Postal Code
28100
Country
Finland
Facility Name
FVR, Seinäjoen rokotetutkimusklinikka ( Site 0040)
City
Seinajoki
State/Province
Sodra Osterbotten
ZIP/Postal Code
60100
Country
Finland
Facility Name
FVR, Espoon rokotetutkimusklinikka ( Site 0036)
City
Espoo
State/Province
Uusimaa
ZIP/Postal Code
02230
Country
Finland
Facility Name
FVR, Etelä-Helsingin rokotetutkimusklinikka ( Site 0038)
City
Helsinki
State/Province
Uusimaa
ZIP/Postal Code
00100
Country
Finland
Facility Name
FVR, Itä-Helsingin rokotetutkimusklinikka ( Site 0035)
City
Helsinki
State/Province
Uusimaa
ZIP/Postal Code
00930
Country
Finland
Facility Name
FVR, Turun rokotetutkimusklinikka ( Site 0031)
City
Turku
State/Province
Varsinais-Suomi
ZIP/Postal Code
20520
Country
Finland
Facility Name
Klinikum der Ludwig-Maximilians-Universitaet Muenchen-Division of Infectious Diseases and Tropical (
City
München
State/Province
Bayern
ZIP/Postal Code
80802
Country
Germany
Facility Name
Berliner Centrum für Reise- und Tropenmedizin ( Site 0043)
City
Berlin
ZIP/Postal Code
10117
Country
Germany
Facility Name
Bernhard Nocht Institute for Tropical Medicine ( Site 0041)
City
Hamburg
ZIP/Postal Code
20359
Country
Germany
Facility Name
Rambam Health Care Campus-Oncology ( Site 0053)
City
Haifa
ZIP/Postal Code
3109601
Country
Israel
Facility Name
Hadassah Medical Center-Clinical Reaserch Unit ( Site 0052)
City
Jerusalem
ZIP/Postal Code
9112001
Country
Israel
Facility Name
Sheba Medical Center-Early Phase Clinical Trials Unit ( Site 0051)
City
Ramat Gan
ZIP/Postal Code
5265601
Country
Israel
Facility Name
Kaohsiung Medical University Hospital-Infectious diseases Division, Department of Internal Medicine
City
Kaohsiung
ZIP/Postal Code
807
Country
Taiwan

12. IPD Sharing Statement

Plan to Share IPD
Yes
IPD Sharing Plan Description
http://engagezone.msd.com/doc/ProcedureAccessClinicalTrialData.pdf
IPD Sharing URL
http://engagezone.msd.com/ds_documentation.php

Learn more about this trial

Safety and Immunogenicity of Three V181 Dengue Vaccine Potencies in Adults (V181-003)

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