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Study of a Dengue Vaccine (V180) in Healthy Adults (V180-001)

Primary Purpose

Dengue

Status
Completed
Phase
Phase 1
Locations
Study Type
Interventional
Intervention
Low-dose V180 with low-dose ISCOMATRIX™ adjuvant
Low-dose V180 with medium-dose ISCOMATRIX™ adjuvant
Medium-dose V180 (non-adjuvanted)
Medium-dose V180 with low-dose ISCOMATRIX™ adjuvant
Medium-dose V180 with medium-dose ISCOMATRIX™ adjuvant
Medium-dose V180 with Alhydrogel™ adjuvant
High-dose V180 (non-adjuvanted)
High-dose V180 with low-dose ISCOMATRIX™ adjuvant
High-dose V180 with medium-dose ISCOMATRIX™ adjuvant
Low-dose V180 with high-dose ISCOMATRIX™ adjuvant
Medium-dose V180 with high-dose ISCOMATRIX™ adjuvant
High-dose V180 with high-dose ISCOMATRIX™ adjuvant
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

Eligibility Criteria

18 Years - 49 Years (Adult)All SexesAccepts Healthy Volunteers

Selected Inclusion Criteria:

  • In good health
  • Voluntarily agrees to participate by giving written informed consent
  • Able to read, understand, and complete study questionnaires
  • Able to complete all scheduled visits and comply with study procedures
  • Access to a telephone
  • Agrees to avoid unusual, vigorous exercise from 72 hours before any dose of study vaccine/placebo through 15 days after that dose
  • Weighs ≥110 pounds (50 kg) and has a body mass index (BMI) of 19 to 32 kg/m^2
  • No fever (temperature ≥100.4°F/38.0°C) for 72 hours prior to vaccination
  • Females of reproductive potential agree to remain abstinent or to use 2 acceptable methods of birth control from enrollment through 6 weeks after the last dose of study vaccine/placebo

Selected Exclusion Criteria:

  • History of receiving any flavivirus vaccine (e.g. Japanese encephalitis, tick-borne encephalitis, or yellow fever) or planned receipt of any such vaccine during the study period
  • History of any flavivirus infection or serologic evidence of any flavivirus infection, including West Nile, dengue, yellow fever, Saint Louis encephalitis (if available), Kunjin, Murray Valley encephalitis, and Japanese encephalitis
  • History of residence for a cumulative period of >1 year in a country where dengue, Japanese encephalitis virus, or yellow fever virus is common
  • Planned travel to an area where dengue is common through 28 days after receiving the last dose of study vaccine/placebo
  • Known hypersensitivity to any component of the dengue vaccine
  • Abuse of drugs or alcohol within 12 months prior to screening
  • Pregnant or breastfeeding, or expecting to conceive in the time from enrollment through 6 weeks after the last dose of study vaccine/placebo
  • Positive serum test for human immunodeficiency virus (HIV), hepatitis B surface antigen (HBsAg), and/or hepatitis C antibody
  • Known, suspected, or a history of immunocompromise
  • History of malignancy within 5 years prior to enrollment
  • Poorly controlled diabetes mellitus
  • Use of any immunosuppressive therapy (except topical and inhaled/nebulized steroids)
  • Receipt of any licensed non-live vaccine within 14 days prior to the first dose of study vaccine/placebo or plans to receive a licensed non-live vaccine during the time between receiving the first dose and 28 days after receiving the last dose of study vaccine/placebo
  • Receipt of any licensed live vaccine within 30 days prior to the first dose of study vaccine/placebo or plans to receive a licensed live vaccine during the time between receiving the first dose and 28 after receiving the last dose of study vaccine/placebo
  • Received investigational drugs or vaccines within 2 months prior to the first dose of study vaccine/placebo
  • History of receiving 1 or more doses of an investigational dengue vaccine
  • Participation in another clinical study within 42 days prior to enrollment, or plans to participate in another clinical study from enrollment through 1 year after the last dose of study vaccine/placebo
  • Planned donation of eggs or sperm from the time of enrollment through 28 days after the last dose of study vaccine/placebo
  • Prior receipt of a blood transfusion or blood products within 6 months prior to the first dose of study vaccine/placebo
  • Hospitalization for acute illness within 3 months prior to the first dose of vaccine/placebo

Sites / Locations

    Arms of the Study

    Arm 1

    Arm 2

    Arm 3

    Arm 4

    Arm 5

    Arm 6

    Arm 7

    Arm 8

    Arm 9

    Arm 10

    Arm 11

    Arm 12

    Arm 13

    Arm Type

    Experimental

    Experimental

    Experimental

    Experimental

    Experimental

    Experimental

    Experimental

    Experimental

    Experimental

    Experimental

    Experimental

    Experimental

    Placebo Comparator

    Arm Label

    Low-dose V180 with low-dose ISCOMATRIX™ adjuvant

    Low-dose V180 with medium-dose ISCOMATRIX™ adjuvant

    Medium-dose Non-adjuvanted V180

    Medium-dose V180 with low-dose ISCOMATRIX™ adjuvant

    Medium-dose V180 with medium-dose ISCOMATRIX™ adjuvant

    Medium-Dose V180 with Alhydrogel™ adjuvant

    High-dose Non-adjuvanted V180

    High-dose V180 with low-dose ISCOMATRIX™ adjuvant

    High-dose V180 with medium-dose ISCOMATRIX™ adjuvant

    Low-dose V180 with high-dose ISCOMATRIX™ adjuvant

    Medium-dose V180 with high-dose ISCOMATRIX™ adjuvant

    High-dose V180 with high-dose ISCOMATRIX™ adjuvant

    Placebo

    Arm Description

    Outcomes

    Primary Outcome Measures

    Seroconversion rate for each serotype
    Geometric mean titer (GMT) of virus neutralizing antibodies for each serotype

    Secondary Outcome Measures

    Full Information

    First Posted
    November 18, 2011
    Last Updated
    January 11, 2019
    Sponsor
    Merck Sharp & Dohme LLC
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    1. Study Identification

    Unique Protocol Identification Number
    NCT01477580
    Brief Title
    Study of a Dengue Vaccine (V180) in Healthy Adults (V180-001)
    Official Title
    A Phase I Randomized, Double-Blind, Placebo-Controlled, Dose-Escalation Study to Evaluate the Safety, Tolerability, and Immunogenicity of a Tetravalent Recombinant Subunit Dengue Vaccine (V180) in Healthy Adults
    Study Type
    Interventional

    2. Study Status

    Record Verification Date
    January 2019
    Overall Recruitment Status
    Completed
    Study Start Date
    July 23, 2012 (Actual)
    Primary Completion Date
    January 23, 2014 (Actual)
    Study Completion Date
    December 11, 2014 (Actual)

    3. Sponsor/Collaborators

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

    4. Oversight

    Data Monitoring Committee
    Yes

    5. Study Description

    Brief Summary
    This study will determine whether at least one formulation of an experimental dengue vaccine (V180) is safe and causes an immune response.

    6. Conditions and Keywords

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

    7. Study Design

    Primary Purpose
    Prevention
    Study Phase
    Phase 1
    Interventional Study Model
    Parallel Assignment
    Masking
    ParticipantInvestigator
    Allocation
    Randomized
    Enrollment
    98 (Actual)

    8. Arms, Groups, and Interventions

    Arm Title
    Low-dose V180 with low-dose ISCOMATRIX™ adjuvant
    Arm Type
    Experimental
    Arm Title
    Low-dose V180 with medium-dose ISCOMATRIX™ adjuvant
    Arm Type
    Experimental
    Arm Title
    Medium-dose Non-adjuvanted V180
    Arm Type
    Experimental
    Arm Title
    Medium-dose V180 with low-dose ISCOMATRIX™ adjuvant
    Arm Type
    Experimental
    Arm Title
    Medium-dose V180 with medium-dose ISCOMATRIX™ adjuvant
    Arm Type
    Experimental
    Arm Title
    Medium-Dose V180 with Alhydrogel™ adjuvant
    Arm Type
    Experimental
    Arm Title
    High-dose Non-adjuvanted V180
    Arm Type
    Experimental
    Arm Title
    High-dose V180 with low-dose ISCOMATRIX™ adjuvant
    Arm Type
    Experimental
    Arm Title
    High-dose V180 with medium-dose ISCOMATRIX™ adjuvant
    Arm Type
    Experimental
    Arm Title
    Low-dose V180 with high-dose ISCOMATRIX™ adjuvant
    Arm Type
    Experimental
    Arm Title
    Medium-dose V180 with high-dose ISCOMATRIX™ adjuvant
    Arm Type
    Experimental
    Arm Title
    High-dose V180 with high-dose ISCOMATRIX™ adjuvant
    Arm Type
    Experimental
    Arm Title
    Placebo
    Arm Type
    Placebo Comparator
    Intervention Type
    Biological
    Intervention Name(s)
    Low-dose V180 with low-dose ISCOMATRIX™ adjuvant
    Intervention Description
    Three 0.5-mL intramuscular doses of low-dose V180 containing low-dose ISCOMATRIX™ adjuvant at Months 0, 1, and 2
    Intervention Type
    Biological
    Intervention Name(s)
    Low-dose V180 with medium-dose ISCOMATRIX™ adjuvant
    Intervention Description
    Three 0.5-mL intramuscular doses of low-dose V180 containing medium-dose ISCOMATRIX™ adjuvant at Months 0, 1, and 2
    Intervention Type
    Biological
    Intervention Name(s)
    Medium-dose V180 (non-adjuvanted)
    Intervention Description
    Three 0.5-mL intramuscular doses of medium-dose V180 with no adjuvant at Months 0, 1, and 2
    Intervention Type
    Biological
    Intervention Name(s)
    Medium-dose V180 with low-dose ISCOMATRIX™ adjuvant
    Intervention Description
    Three 0.5-mL intramuscular doses of medium-dose V180 containing low-dose ISCOMATRIX™ adjuvant at Months 0, 1, and 2
    Intervention Type
    Biological
    Intervention Name(s)
    Medium-dose V180 with medium-dose ISCOMATRIX™ adjuvant
    Intervention Description
    Three 0.5-mL intramuscular doses of medium-dose V180 containing medium-dose ISCOMATRIX™ adjuvant at Months 0, 1, and 2
    Intervention Type
    Biological
    Intervention Name(s)
    Medium-dose V180 with Alhydrogel™ adjuvant
    Intervention Description
    Three 0.5-mL intramuscular doses of medium-dose V180 containing Alhydrogel™ adjuvant at Months 0, 1, and 2
    Intervention Type
    Biological
    Intervention Name(s)
    High-dose V180 (non-adjuvanted)
    Intervention Description
    Three 0.5-mL intramuscular doses of high-dose V180 with no adjuvant at Months 0, 1, and 2
    Intervention Type
    Biological
    Intervention Name(s)
    High-dose V180 with low-dose ISCOMATRIX™ adjuvant
    Intervention Description
    Three 0.5-mL intramuscular doses of high-dose V180 containing low-dose ISCOMATRIX™ adjuvant at Months 0, 1, and 2
    Intervention Type
    Biological
    Intervention Name(s)
    High-dose V180 with medium-dose ISCOMATRIX™ adjuvant
    Intervention Description
    Three 0.5-mL intramuscular doses of high-dose V180 containing medium-dose ISCOMATRIX™ adjuvant at Months 0, 1, and 2
    Intervention Type
    Biological
    Intervention Name(s)
    Low-dose V180 with high-dose ISCOMATRIX™ adjuvant
    Intervention Description
    Three 0.5-mL intramuscular doses of low-dose V180 containing high-dose ISCOMATRIX™ adjuvant at Months 0, 1, and 2
    Intervention Type
    Biological
    Intervention Name(s)
    Medium-dose V180 with high-dose ISCOMATRIX™ adjuvant
    Intervention Description
    Three 0.5-mL intramuscular doses of medium-dose V180 containing high-dose ISCOMATRIX™ adjuvant at Months 0, 1, and 2
    Intervention Type
    Biological
    Intervention Name(s)
    High-dose V180 with high-dose ISCOMATRIX™ adjuvant
    Intervention Description
    Three 0.5-mL intramuscular doses of high-dose V180 containing high-dose ISCOMATRIX™ adjuvant at Months 0, 1, and 2
    Intervention Type
    Biological
    Intervention Name(s)
    Placebo
    Intervention Description
    Three 0.5-mL intramuscular doses of phosphate-buffered saline at Months 0, 1, and 2
    Primary Outcome Measure Information:
    Title
    Seroconversion rate for each serotype
    Time Frame
    28 days postdose 3 (Day 84)
    Title
    Geometric mean titer (GMT) of virus neutralizing antibodies for each serotype
    Time Frame
    28 days postdose 3 (Day 84)

    10. Eligibility

    Sex
    All
    Minimum Age & Unit of Time
    18 Years
    Maximum Age & Unit of Time
    49 Years
    Accepts Healthy Volunteers
    Accepts Healthy Volunteers
    Eligibility Criteria
    Selected Inclusion Criteria: In good health Voluntarily agrees to participate by giving written informed consent Able to read, understand, and complete study questionnaires Able to complete all scheduled visits and comply with study procedures Access to a telephone Agrees to avoid unusual, vigorous exercise from 72 hours before any dose of study vaccine/placebo through 15 days after that dose Weighs ≥110 pounds (50 kg) and has a body mass index (BMI) of 19 to 32 kg/m^2 No fever (temperature ≥100.4°F/38.0°C) for 72 hours prior to vaccination Females of reproductive potential agree to remain abstinent or to use 2 acceptable methods of birth control from enrollment through 6 weeks after the last dose of study vaccine/placebo Selected Exclusion Criteria: History of receiving any flavivirus vaccine (e.g. Japanese encephalitis, tick-borne encephalitis, or yellow fever) or planned receipt of any such vaccine during the study period History of any flavivirus infection or serologic evidence of any flavivirus infection, including West Nile, dengue, yellow fever, Saint Louis encephalitis (if available), Kunjin, Murray Valley encephalitis, and Japanese encephalitis History of residence for a cumulative period of >1 year in a country where dengue, Japanese encephalitis virus, or yellow fever virus is common Planned travel to an area where dengue is common through 28 days after receiving the last dose of study vaccine/placebo Known hypersensitivity to any component of the dengue vaccine Abuse of drugs or alcohol within 12 months prior to screening Pregnant or breastfeeding, or expecting to conceive in the time from enrollment through 6 weeks after the last dose of study vaccine/placebo Positive serum test for human immunodeficiency virus (HIV), hepatitis B surface antigen (HBsAg), and/or hepatitis C antibody Known, suspected, or a history of immunocompromise History of malignancy within 5 years prior to enrollment Poorly controlled diabetes mellitus Use of any immunosuppressive therapy (except topical and inhaled/nebulized steroids) Receipt of any licensed non-live vaccine within 14 days prior to the first dose of study vaccine/placebo or plans to receive a licensed non-live vaccine during the time between receiving the first dose and 28 days after receiving the last dose of study vaccine/placebo Receipt of any licensed live vaccine within 30 days prior to the first dose of study vaccine/placebo or plans to receive a licensed live vaccine during the time between receiving the first dose and 28 after receiving the last dose of study vaccine/placebo Received investigational drugs or vaccines within 2 months prior to the first dose of study vaccine/placebo History of receiving 1 or more doses of an investigational dengue vaccine Participation in another clinical study within 42 days prior to enrollment, or plans to participate in another clinical study from enrollment through 1 year after the last dose of study vaccine/placebo Planned donation of eggs or sperm from the time of enrollment through 28 days after the last dose of study vaccine/placebo Prior receipt of a blood transfusion or blood products within 6 months prior to the first dose of study vaccine/placebo Hospitalization for acute illness within 3 months prior to the first dose of vaccine/placebo

    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
    Citations:
    PubMed Identifier
    30427741
    Citation
    Manoff SB, Sausser M, Falk Russell A, Martin J, Radley D, Hyatt D, Roberts CC, Lickliter J, Krishnarajah J, Bett A, Dubey S, Finn T, Coller BA. Immunogenicity and safety of an investigational tetravalent recombinant subunit vaccine for dengue: results of a Phase I randomized clinical trial in flavivirus-naive adults. Hum Vaccin Immunother. 2019;15(9):2195-2204. doi: 10.1080/21645515.2018.1546523. Epub 2019 Jun 3.
    Results Reference
    background
    PubMed Identifier
    26458804
    Citation
    Manoff SB, George SL, Bett AJ, Yelmene ML, Dhanasekaran G, Eggemeyer L, Sausser ML, Dubey SA, Casimiro DR, Clements DE, Martyak T, Pai V, Parks DE, Coller BA. Preclinical and clinical development of a dengue recombinant subunit vaccine. Vaccine. 2015 Dec 10;33(50):7126-34. doi: 10.1016/j.vaccine.2015.09.101. Epub 2015 Oct 14.
    Results Reference
    result
    PubMed Identifier
    32394880
    Citation
    Durbin AP, Pierce KK, Kirkpatrick BD, Grier P, Sabundayo BP, He H, Sausser M, Russell AF, Martin J, Hyatt D, Cook M, Sachs JR, Lee AW, Wang L, Coller BA, Whitehead SS. Immunogenicity and Safety of a Tetravalent Recombinant Subunit Dengue Vaccine in Adults Previously Vaccinated with a Live Attenuated Tetravalent Dengue Vaccine: Results of a Phase-I Randomized Clinical Trial. Am J Trop Med Hyg. 2020 Aug;103(2):855-863. doi: 10.4269/ajtmh.20-0042. Epub 2020 May 7.
    Results Reference
    derived

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    Study of a Dengue Vaccine (V180) in Healthy Adults (V180-001)

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