A Two-dose Primary Vaccination Study of a Tetravalent Dengue Virus Purified Inactivated Vaccine vs. Placebo in Healthy Adults (DPIV-001)
- Full Text View
- Tabular View
- No Study Results Posted
- Disclaimer
- How to Read a Study Record
Purpose
The study is designed to afford a first time in humans (FTiH) safety and immunogenicity assessment of three Tetravalent Dengue Virus-Purified Inactivated Vaccine(TDENV-PIV) vaccine candidates, each formulated with a different adjuvant: either aluminum hydroxide, AS01E or AS03B (adjuvants used in Glaxo Smith Kline (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.
| Condition | Intervention | Phase |
|---|---|---|
|
Dengue Fever |
Biological: 4 µg TDENV-PIV with Alum adjuvant Biological: 1 µg TDENV-PIV with AS03B1 adjuvant Other: Phosphate buffered saline Biological: 1 µg TDENV-PIV with Alum adjuvant Biological: 1 µg TDENV-PIV with AS01E1 adjuvant |
Phase 1 |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Safety/Efficacy Study Intervention Model: Parallel Assignment Masking: Double Blind (Subject, Caregiver, Investigator, Outcomes Assessor) Primary Purpose: Prevention |
| Official Title: | A Phase I, Randomized, Placebo-Controlled, Observer-blind, Two-dose (0-28 Day Schedule) Primary Vaccination Study of Walter Reed Army Institute of Research (WRAIR) Tetravalent Dengue Virus Purified Inactivated Vaccine (TDENV-PIV) in Healthy Adults in a Non-Endemic Region |
- Safety and reactogenicity of various TDENV-PIV formulations from Day 0 through 28 days after the second dose (Day 0 - Day 56) [ Time Frame: Up to Day 56 ] [ Designated as safety issue: Yes ]
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) [ Time Frame: Day 56 ] [ Designated as safety issue: No ]
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
- Seropositivity rates for each DENV type
- Trivalent and tetravalent rates
- Safety of various TDENV-PIV formulations, from Day 0 to Month 13 (Visits 1-11) [ Time Frame: Up to month 13 ] [ Designated as safety issue: Yes ]
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 SAEs 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 [ Time Frame: Up to month 13 ] [ Designated as safety issue: No ]
Humoral Immunogenicity:
• Neutralizing antibody titers specific to each DENV type at study visits on Days 0, 7, and 28 and Months 7 and 13
- Geometric mean titers (GMTs) of neutralizing antibody titers to each DENV type
- Seropositivity rates for each DENV type
- Trivalent and tetravalent rates
- Humoral immunogenicity to each of four DENV types of various TDENV-PIV formulations 28 days after the second dose (Day 56) [ Time Frame: Day 56 ] [ Designated as safety issue: No ]
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
- Seropositivity rates for each DENV type
- Trivalent and tetravalent rates
| Estimated Enrollment: | 100 |
| Study Start Date: | September 2012 |
| Estimated Study Completion Date: | December 2013 |
| Estimated Primary Completion Date: | June 2013 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
Experimental: TDENV-PIV alum4
4 µg TDENV-PIV with Alum adjuvant; 0.5 mL intramuscular injection at 0 and 28 days
|
Biological: 4 µg TDENV-PIV with Alum adjuvant |
|
Experimental: TDENV-PIV AS01E1
1 µg TDENV-PIV with AS01E1 adjuvant; 0.5 mL intramuscular injection at 0 and 28 days
|
Biological: 1 µg TDENV-PIV with AS01E1 adjuvant |
|
Experimental: TDENV-PIV AS03B1
1 µg TDENV-PIV with AS03B1 adjuvant; 0.5 mL intramuscular injection at 0 and 28 days
|
Biological: 1 µg TDENV-PIV with AS03B1 adjuvant |
|
Placebo Comparator: Placebo
Phosphate buffered saline; 0.5 mL intramuscular injection at 0 and 28 days
|
Other: Phosphate buffered saline |
|
Experimental: TDENV-PIV alum1
1 µg TDENV-PIV with Alum adjuvant; 0.5 mL intramuscular injection at 0 and 28 days
|
Biological: 1 µg TDENV-PIV with Alum adjuvant |
Eligibility| Ages Eligible for Study: | 18 Years to 39 Years |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | Yes |
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 18 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
- 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). See Definition of Terms for adequate contraception.
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 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)
- 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/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 acceptable values at screening. The following values are not acceptable:
- >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) Note that all screening laboratory results must be either within normal limits (WNL) or no more than Grade l not clinically significant (NCS)
(LLN=lower limit of normal; ULN= upper limit of normal, WNL= within normal limits, NCS= not clinically significant)
Contacts and Locations| Contact: Robin Nielsen, RN | 301-319-9063 | trials.clinical@amedd.army.mil |
| Contact: Luis Martinez, MD | 301-319-9808 |
| United States, Maryland | |
| WRAIR, Clinical Trials Center | Recruiting |
| Silver Spring, Maryland, United States, 20910-7500 | |
| Principal Investigator: | Luis Martinez, MD | Walter Reed Army Institute of Research (WRAIR) |
More Information
No publications provided
| Responsible Party: | U.S. Army Medical Research and Materiel Command |
| ClinicalTrials.gov Identifier: | NCT01666652 History of Changes |
| Other Study ID Numbers: | S-11-23, WRAIR 1923, GSK 116289, A-17355.b |
| Study First Received: | August 8, 2012 |
| Last Updated: | February 8, 2013 |
| Health Authority: | United States: Food and Drug Administration |
Keywords provided by U.S. Army Medical Research and Materiel Command:
|
Dengue Dengue fever Dengue Hemorrhagic Fever Flavivirus |
Additional relevant MeSH terms:
|
Dengue Hemorrhagic Fever Hemorrhagic Fevers, Viral Dengue Fever Arbovirus Infections Virus Diseases Flavivirus Infections Flaviviridae Infections RNA Virus Infections Body Temperature Changes |
Signs and Symptoms Adjuvants, Immunologic Aluminum Hydroxide Aluminum sulfate Immunologic Factors Physiological Effects of Drugs Pharmacologic Actions Antacids Molecular Mechanisms of Pharmacological Action |
ClinicalTrials.gov processed this record on May 21, 2013