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TDENV PIV and LAV Dengue Prime-boost Strategy

Primary Purpose

Dengue

Status
Completed
Phase
Phase 1
Locations
United States
Study Type
Interventional
Intervention
TDENV-LAV
TDENV-PIV 4 µg + alum 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 focused on measuring dengue fever, dengue

Eligibility Criteria

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

Inclusion Criteria:

  1. Male or female between 18 and 49 years of age (inclusive) at the time of consent
  2. Able to provide written informed consent
  3. Healthy as established by medical history and clinical examination before entering into the study
  4. Able and willing to comply with the requirements of the protocol (eg, document events in memory aid, return for follow-up visits, etc.)
  5. Female subject of non-childbearing potential (non-childbearing potential is defined as having either a current tubal ligation at least 3 months prior to enrollment or a history of a hysterectomy, ovariectomy, or is post-menopause)
  6. Female subject is not breastfeeding and agrees not to breastfeed for 3 months after last vaccination
  7. Female subject of childbearing potential may be enrolled in the study, if the subject has:

    1. Practiced adequate contraception for 30 days prior to vaccinations, and
    2. A negative urine pregnancy test on each day of vaccination, and
    3. Agreed to continue adequate contraception until 3 months after completion of the vaccination series.

Exclusion Criteria:

  1. Use of any investigational or non-registered product (drug or vaccine) other than the study vaccines during the period starting 30 days preceding the first dose of study vaccine and/or planned use during the study period
  2. 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 dose

    1. For corticosteroids, this will mean prednisone ≥ 20 mg/d or equivalent
    2. Inhaled and topical steroids are allowed
  3. Planned administration or administration of a vaccine/product not foreseen by the study protocol during the period starting 14 days before or after each scheduled dose of an investigational product
  4. Planned administration of any flavivirus vaccine for the entire study duration
  5. 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)
  6. Any confirmed or suspected immunosuppressive or immunodeficient condition, based on medical history and physical examination (no laboratory testing required)
  7. Family history of congenital or hereditary immunodeficiency
  8. History of, or current, auto-immune disease
  9. History of any reaction or hypersensitivity likely to be exacerbated by any component of the vaccine or related to a study procedure
  10. Major congenital defects or serious chronic illness
  11. History of any neurological disorders or seizures. (except for a childhood febrile seizures)
  12. Acute disease and/or fever (oral body temperature ≥ 100.4°F/38.0°C) at the time of enrollment (a subject with a minor illness, ie, mild diarrhea, mild upper respiratory infection, etc, without fever, may be enrolled at the discretion of the investigator)
  13. Acute or chronic, clinically significant pulmonary, cardiovascular, hepatic, or renal functional abnormality, as determined by physical examination or laboratory screening tests
  14. Administration of immunoglobulins and/or any blood products during the period starting 90 days preceding the first dose of study vaccine or planned administration during the study period
  15. History of chronic alcohol and/or drug abuse
  16. Pregnant or breastfeeding female or female planning to become pregnant or planning to discontinue contraceptive precautions
  17. A planned move to a location that will prohibit participating in the trial prior to the study end for the participant
  18. Subject seropositive for hepatitis B surface antigen (HBsAg), hepatitis C virus antibodies (anti-HCV), or human immunodeficiency virus antibodies (anti-HIV)
  19. Safety laboratory test results that are outside the acceptable values at screening:

    1. > 110% upper limit of normal (ULN) for alanine aminotransferase (ALT), aspartate aminotransferase (AST), alkaline phosphatase, creatinine, serum urea nitrogen (SUN) and bilirubin (total and direct)
    2. < 100% lower limit of normal (LLN) or > 120% ULN for hemoglobin, hematocrit and platelet count
    3. < 75% LLN or >110% ULN for total white blood cell count (WBC)
  20. Any other condition which, in the opinion of the investigator, prevents the subject from participating in the study.

Sites / Locations

  • Clinical Trials Center, Walter Reed Army Institute of Research (CTC, WRAIR)

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm Type

Experimental

Experimental

Experimental

Experimental

Arm Label

Group 1: LAV (T=0), PIV (T=28)

Group 2: PIV (T=0), LAV (T=28)

Group 3: LAV (T=0), PIV (T=180)

Group 4: PIV (T=0), LAV (T=180)

Arm Description

Tetravalent live-attenuated dengue virus vaccine formulation 17 (TDENV-LAV) reconstituted with 0.7 mL of water-for-injection; administered subcutaneously on day 0 of the study. Tetravalent dengue purified inactivated vaccine 4 μg/serotype with alum adjuvant (TDENV-PIV 4 µg + alum adjuvant) administered intramuscularly on day 28 of the study.

Tetravalent dengue purified inactivated vaccine 4 μg/serotype with alum adjuvant (TDENV-PIV 4 µg + alum adjuvant) administered intramuscularly on day 0 of the study. Tetravalent live-attenuated dengue virus vaccine formulation 17 (TDENV-LAV) reconstituted with 0.7 mL of water-for-injection; administered subcutaneously on day 28 of the study.

Tetravalent live-attenuated dengue virus vaccine formulation 17 (TDENV-LAV) reconstituted with 0.7 mL of water-for-injection; administered subcutaneously on day 0 of the study. Tetravalent dengue purified inactivated vaccine 4 μg/serotype with alum adjuvant (TDENV-PIV 4 µg + alum adjuvant) administered intramuscularly on day 180 of the study.

Tetravalent dengue purified inactivated vaccine 4 μg/serotype with alum adjuvant (TDENV-PIV 4 µg + alum adjuvant) administered intramuscularly on day 0 of the study. Tetravalent live-attenuated dengue virus vaccine formulation 17 (TDENV-LAV) reconstituted with 0.7 mL of water-for-injection; administered subcutaneously on day 180 of the study.

Outcomes

Primary Outcome Measures

Number of solicited adverse events
Number of unsolicited adverse events
Number of hematological and biochemistry abnormalities
Number of serious adverse events
Number of potential immune-mediated diseases
Number of medically attended adverse events

Secondary Outcome Measures

Microneutralizing (MN) dengue antibody titers

Full Information

First Posted
September 10, 2014
Last Updated
August 14, 2018
Sponsor
U.S. Army Medical Research and Development Command
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1. Study Identification

Unique Protocol Identification Number
NCT02239614
Brief Title
TDENV PIV and LAV Dengue Prime-boost Strategy
Official Title
A Phase 1, Randomized, Open-label, Single-center, Study of TDENV-PIV and LAV Dengue Vaccine Platforms as Part of a Heterologous Prime-boost Strategy in Healthy Adults in a Nonendemic Region
Study Type
Interventional

2. Study Status

Record Verification Date
August 2018
Overall Recruitment Status
Completed
Study Start Date
December 2014 (Actual)
Primary Completion Date
February 17, 2016 (Actual)
Study Completion Date
February 17, 2017 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
U.S. Army Medical Research and Development Command

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
The potential synergistic effect of administering 2 dengue vaccine candidates that were previously shown to be safe and immunogenic in humans will be evaluated in this study. A prime-boost study of tetravalent dengue virus purified inactivated vaccine (TDENV-PIV) with alum and tetravalent dengue live attenuated virus (TDENV-LAV) vaccine Formulation 17 (F17) will gather data to help better understand the human immune response to dengue vaccination and infection.

6. Conditions and Keywords

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

7. Study Design

Primary Purpose
Prevention
Study Phase
Phase 1
Interventional Study Model
Parallel Assignment
Masking
None (Open Label)
Allocation
Randomized
Enrollment
80 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Group 1: LAV (T=0), PIV (T=28)
Arm Type
Experimental
Arm Description
Tetravalent live-attenuated dengue virus vaccine formulation 17 (TDENV-LAV) reconstituted with 0.7 mL of water-for-injection; administered subcutaneously on day 0 of the study. Tetravalent dengue purified inactivated vaccine 4 μg/serotype with alum adjuvant (TDENV-PIV 4 µg + alum adjuvant) administered intramuscularly on day 28 of the study.
Arm Title
Group 2: PIV (T=0), LAV (T=28)
Arm Type
Experimental
Arm Description
Tetravalent dengue purified inactivated vaccine 4 μg/serotype with alum adjuvant (TDENV-PIV 4 µg + alum adjuvant) administered intramuscularly on day 0 of the study. Tetravalent live-attenuated dengue virus vaccine formulation 17 (TDENV-LAV) reconstituted with 0.7 mL of water-for-injection; administered subcutaneously on day 28 of the study.
Arm Title
Group 3: LAV (T=0), PIV (T=180)
Arm Type
Experimental
Arm Description
Tetravalent live-attenuated dengue virus vaccine formulation 17 (TDENV-LAV) reconstituted with 0.7 mL of water-for-injection; administered subcutaneously on day 0 of the study. Tetravalent dengue purified inactivated vaccine 4 μg/serotype with alum adjuvant (TDENV-PIV 4 µg + alum adjuvant) administered intramuscularly on day 180 of the study.
Arm Title
Group 4: PIV (T=0), LAV (T=180)
Arm Type
Experimental
Arm Description
Tetravalent dengue purified inactivated vaccine 4 μg/serotype with alum adjuvant (TDENV-PIV 4 µg + alum adjuvant) administered intramuscularly on day 0 of the study. Tetravalent live-attenuated dengue virus vaccine formulation 17 (TDENV-LAV) reconstituted with 0.7 mL of water-for-injection; administered subcutaneously on day 180 of the study.
Intervention Type
Biological
Intervention Name(s)
TDENV-LAV
Other Intervention Name(s)
TDENV-LAV F17, Tetravalent dengue live attenuated virus formulation 17
Intervention Description
0.5 mL of the post-transfection LAV F17 vaccine
Intervention Type
Biological
Intervention Name(s)
TDENV-PIV 4 µg + alum adjuvant
Other Intervention Name(s)
Tetravalent dengue virus purified inactivated vaccine with alum adjuvant
Intervention Description
0.5 mL of DENV serotypes 1-4 (4 µg / serotype) in alum adjuvant
Primary Outcome Measure Information:
Title
Number of solicited adverse events
Time Frame
21 days after each vaccination
Title
Number of unsolicited adverse events
Time Frame
28 days after each vaccination
Title
Number of hematological and biochemistry abnormalities
Time Frame
7 and 28 days and each vaccination
Title
Number of serious adverse events
Time Frame
Day 208 or day 360
Title
Number of potential immune-mediated diseases
Time Frame
Day 208 or day 360
Title
Number of medically attended adverse events
Time Frame
Day 208 or day 360
Secondary Outcome Measure Information:
Title
Microneutralizing (MN) dengue antibody titers
Time Frame
Up to 1 year

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
Inclusion Criteria: Male or female between 18 and 49 years of age (inclusive) at the time of consent Able to provide written informed consent Healthy as established by medical history and clinical examination before entering into the study Able and willing to comply with the requirements of the protocol (eg, document events in memory aid, return for follow-up visits, etc.) Female subject of non-childbearing potential (non-childbearing potential is defined as having either a current tubal ligation at least 3 months prior to enrollment or a history of a hysterectomy, ovariectomy, or is post-menopause) Female subject is not breastfeeding and agrees not to breastfeed for 3 months after last vaccination Female subject of childbearing potential may be enrolled in the study, if the subject has: Practiced adequate contraception for 30 days prior to vaccinations, and A negative urine pregnancy test on each day of vaccination, and Agreed to continue adequate contraception until 3 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 during the period starting 30 days preceding the first dose of study vaccine 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 dose For corticosteroids, this will mean prednisone ≥ 20 mg/d 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 14 days before or after each scheduled dose of an investigational product Planned administration of any flavivirus vaccine for the entire study duration 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 or related to a study procedure Major congenital defects or serious chronic illness History of any neurological disorders or seizures. (except for a childhood febrile seizures) Acute disease and/or fever (oral body temperature ≥ 100.4°F/38.0°C) at the time of enrollment (a subject with a minor illness, ie, 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 or planned administration during the study period History of chronic alcohol and/or drug abuse Pregnant or breastfeeding 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 prior to the study end for the participant 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 acceptable values at screening: > 110% upper limit of normal (ULN) for alanine aminotransferase (ALT), aspartate aminotransferase (AST), alkaline phosphatase, creatinine, serum urea nitrogen (SUN) and bilirubin (total and direct) < 100% lower limit of normal (LLN) or > 120% ULN for hemoglobin, hematocrit and platelet count < 75% LLN or >110% ULN for total white blood cell count (WBC) Any other condition which, in the opinion of the investigator, prevents the subject from participating in the study.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
MAJ Leyi Lin, MD
Organizational Affiliation
Walter Reed Army Institute of Research (WRAIR)
Official's Role
Principal Investigator
Facility Information:
Facility Name
Clinical Trials Center, Walter Reed Army Institute of Research (CTC, WRAIR)
City
Silver Spring
State/Province
Maryland
ZIP/Postal Code
20910
Country
United States

12. IPD Sharing Statement

Citations:
PubMed Identifier
32966573
Citation
Lin L, Koren MA, Paolino KM, Eckels KH, De La Barrera R, Friberg H, Currier JR, Gromowski GD, Aronson NE, Keiser PB, Sklar MJ, Sondergaard EL, Jasper LE, Endy TP, Jarman RG, Thomas SJ. Immunogenicity of a Live-Attenuated Dengue Vaccine Using a Heterologous Prime-Boost Strategy in a Phase 1 Randomized Clinical Trial. J Infect Dis. 2021 May 28;223(10):1707-1716. doi: 10.1093/infdis/jiaa603.
Results Reference
derived

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TDENV PIV and LAV Dengue Prime-boost Strategy

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