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Dengue FeverPhase 3NCT01134263

Study of a Tetravalent Dengue Vaccine in Healthy Adults in Australia

A Phase 3 study testing Live, attenuated, recombinant dengue serotypes 1, 2, 3, & 4 virus in people with Dengue Fever and Dengue Hemorrhagic Fever, run by Sanofi Pasteur, a Sanofi Company at 8 sites in Australia.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

The purpose of this study was to demonstrate that different CYD dengue vaccine lots manufactured using the same method and in the same location but at different times produce an equivalent immunological response after 3 doses. Read more about this study

Who is it for?
Ages 18 to 60 yearsHealthy volunteers can take part
Conditions the study is for
Dengue Fever, Dengue Hemorrhagic Fever
What is being tested?
Live, attenuated, recombinant dengue serotypes 1, 2, 3, & 4 virus
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
715 participants
Where
8 sitesAustralia
Study dates
5 Oct 2010to Feb 2013
Phase
Phase 3
Are there results?
Yes, posted in the registrySummary in the doctors' view

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 to 60 years
  • All sexes
  • Healthy volunteers accepted
  • Adult

Who may be able to join

  • Aged 18 to 60 years on the day of inclusion.
  • Informed consent form was signed and dated.
  • Able to attend all scheduled visits and to comply with all trial procedures.
  • For a woman of childbearing potential, use of an effective method of contraception, or abstinence from at least 4 weeks prior to the first vaccination until at least 4 weeks after the last vaccination (i.e., for 14 months).

Who cannot join

  • Known pregnancy, or a positive urine pregnancy test.
  • History of flavivirus infection or vaccination or prolonged habitation in a dengue endemic area.
  • Currently breastfeeding a child.
  • Participation in another clinical trial investigating a vaccine, drug, medical device, or medical procedure in the 4 weeks preceding the first trial vaccination.
  • Planned participation in another clinical trial during the present trial period.
  • Planned receipt of any vaccine in the 4 weeks following any trial vaccination, except for pandemic influenza vaccination.
Show all 14Show fewer
  • Receipt of blood or blood-derived products in the past 3 months, which might interfere with assessment of the immune response.
  • 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).
  • Self-reported seropositivity for human immunodeficiency virus (HIV).
  • Known systemic hypersensitivity to any of the vaccine components, or history of a life-threatening reaction to the vaccine used in the trial or to a vaccine containing any of the same substances.
  • Deprived of freedom by an administrative or court order, or in an emergency setting, or hospitalized involuntarily.
  • Current alcohol abuse or drug addiction that might interfere with the ability to comply with trial procedures.
  • Chronic illness that, in the opinion of the Investigator, is at a stage where it might interfere with trial conduct or completion.
  • Identified as a site employee of the Investigator or study center, with direct involvement in the proposed study or other studies under the direction of that Investigator or study center, as well as family members (i.e., immediate, husband, wife and their children, adopted or natural) of the site employees or the Investigator.

Trial locations and contacts

8 sites in 1 country.

8 sites in 1 country

Australia8 sites
  • Study site

    Adelaide, SA 5000

  • Study site

    Carina Heights, QLD 4152

  • Study site

    Enoggera, QLD 4051

  • Study site

    Heidelberg, VIC 3084

  • Study site

    Herston, QLD 4006

  • Study site

    Herston, QLD 4029

  • Study site

    Subiaco, WA 6008

  • Study site

    Westmead, NSW 2145

Other trials in Australia

About this study

Official title: Lot-to-Lot Consistency and Bridging Study of a Tetravalent Dengue Vaccine in Healthy Adults in Australia

The purpose of this study was to demonstrate that different CYD dengue vaccine lots manufactured using the same method and in the same location but at different times produce an equivalent immunological response after 3 doses.

Primary Objective

Read more
  • To demonstrate that three different Phase III lots of CYD dengue vaccine induce an equivalent immune response in terms of post-Dose 3 geometric mean titers (GMTs) against the four parental serotypes.

Secondary Objectives:

  • To demonstrate that data from one Phase II lot and pooled data from Phase III lots of CYD dengue vaccine show an equivalent immune response in terms of post-Dose 3 GMTs against the four parental serotypes.
  • To describe the safety of the CYD dengue vaccine in all participants after each dose.
Read the detailed description

All participants received 3 doses of their assigned vaccine or placebo and provided blood samples at defined timepoints for flavivirus status and immunogenicity assessment. Safety data were collected in all participants after each dose and throughout the study.

Being tested
Live, attenuated, recombinant dengue serotypes 1, 2, 3, & 4 virus, Placebo: NaCl 0.9%
Keywords
Dengue Fever, Dengue Hemorrhagic Fever, CYD Dengue Vaccine, Lot Consistency
Medical subject headings
Dengue, Severe Dengue

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Live, attenuated, recombinant dengue serotypes 1, 2, 3, & 4 virusBiological

    Also called CYD Dengue vaccine

    0.5 ml, Subcutaneous (SC)

  • Live, attenuated, recombinant dengue serotypes 1, 2, 3, & 4 virusBiological

    Also called CYD Dengue vaccine

    0.5 ml, SC

  • Live, attenuated, recombinant dengue serotypes 1, 2, 3, & 4 virusBiological

    Also called CYD Dengue vaccine

    0.5 ml, SC

  • Live, attenuated, recombinant dengue serotypes 1, 2, 3, & 4 virusBiological

    Also called CYD Dengue vaccine

    0.5 ml, Subcutaneous (SC)

  • Placebo: NaCl 0.9%Biological

    Also called NaCl

    0.5 ml, SC

Study groups in NCT01134263
Study groupRoleWhat they receive
CYD Dengue Vaccine Phase III Lot 1ExperimentalParticipants received 3 doses of CYD dengue vaccine (Phase III Lot 1), one each at Day 0 (vaccination 1),Month 6 (vaccination 2), and Month 12 (vaccination 3), subcutaneously.
Receives: Biological: Live, attenuated, recombinant dengue serotypes 1, 2, 3, & 4 virus
CYD Dengue vaccine - Phase III Lot 2ExperimentalParticipants received 3 doses of CYD dengue vaccine (Phase III Lot 2) one each at Day 0 (vaccination 1), Month 6 (vaccination 2), and Month 12 (vaccination 3), subcutaneously.
Receives: Biological: Live, attenuated, recombinant dengue serotypes 1, 2, 3, & 4 virus
CYD Dengue vaccine - Phase III Lot 3ExperimentalParticipants received 3 doses of CYD dengue vaccine (Phase III Lot 3) one each at Day 0 (vaccination 1), Month 6 (vaccination 2), and Month 12 (vaccination 3), subcutaneously.
Receives: Biological: Live, attenuated, recombinant dengue serotypes 1, 2, 3, & 4 virus
CYD Dengue vaccine - Phase II LotExperimentalParticipants received 3 doses of CYD dengue vaccine (Phase II Lot) one each at Day 0 (vaccination 1), Month 6 (vaccination 2), and Month 12 (vaccination 3), subcutaneously.
Receives: Biological: Live, attenuated, recombinant dengue serotypes 1, 2, 3, & 4 virus
PlaceboPlacebo comparatorParticipants received placebo matched to CYD dengue vaccine, one each at Day 0 (vaccination 1), Month 6 (vaccination 2), and Month 12 (vaccination 3), subcutaneously.
Receives: Biological: Placebo: NaCl 0.9%

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Post-Dose 3 Geometric Mean Titers (GMTs) of Antibodies Against Each of the Four Dengue Virus Serotypes Following Vaccination With Phase III Lots of CYD Dengue Vaccine

    GMTs against each of the 4 serotypes (serotype 1, serotype 2, serotype 3 and serotype 4) of dengue virus strains were assessed using the plaque reduction neutralization test (PRNT) assay. The lot-to-lot consistency between 3 Phase III lots was based on the use of the two-sided 95% confidence interval (CI) of the differences of the means of the log10 transformed post-vaccination titers between pairs of lots.

    Measured: 28 days post-injection 3

Secondary outcomes (3)
  1. Geometric Mean Titers of Antibodies Against Each of the Four Dengue Virus Serotypes Following Vaccination With Pooled Phase III Lots (1, 2 or 3 )and Phase II Lot of CYD Dengue Vaccine

    GMTs against each of the 4 serotypes (serotype 1, serotype 2, serotype 3 and serotype 4) of dengue virus strains were assessed using PRNT assay. Equivalence of Phase III vaccine with Phase II vaccine was assessed by Bridging between Phase III and Phase II Lot of CYD Dengue Vaccine.

    Measured: 28 days post-Injection 3

  2. Number of Participants With Solicited Injection Site Reactions After Any Vaccination

    Solicited injection site reactions: Pain, Erythema, and Swelling. Pain: Grade 3: Significant; prevents daily activity. Erythema and Swelling: Grade 3: > 10 cm. Participants with Injection Site Reactions of any Grade (1, 2 or 3) and grade 3 were reported.

    Measured: 7 days post any vaccination

  3. Number of Participants With Solicited Systemic Reactions After Any Vaccination

    Solicited systemic reactions: Asthenia, Fever, Headache, Malaise and Myalgia. Fever: Grade 3: >=39.0°C (>=102.1°F). Headache, malaise, myalgia and asthenia: Grade 3: significant; prevents daily activity. Participants with systemic reactions of any Grade (1, 2 or 3) and grade 3 were reported.

    Measured: 14 days post any vaccination

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted31 May 2010 (estimated)
  2. Study start5 Oct 2010
  3. Primary completionNov 2012
  4. Study completionFeb 2013

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 3
Primary purpose
Prevention
Allocation
Randomised
Intervention model
Parallel groups
Masking
Triple blind
Who is masked
Participant, Investigator, Outcomes assessor
Enrolment
715 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT01134263
Sponsor's protocol ID
CYD17
Other IDs
U1111-1114-7646
Status last verified
May 2019
First submitted
27 May 2010
Last updated
24 Jul 2019
Data monitoring committee
Yes

Publications

  • Torresi J, Heron LG, Qiao M, Marjason J, Chambonneau L, Bouckenooghe A, Boaz M, van der Vliet D, Wallace D, Hutagalung Y, Nissen MD, Richmond PC. Lot-to-lot consistency of a tetravalent dengue vaccine in healthy adults in Australia: a randomised study. Vaccine. 2015 Sep 22;33(39):5127-34. doi: 10.1016/j.vaccine.2015.08.008. Epub 2015 Aug 13.

    PubMed 26279339
  • Torresi J, Richmond PC, Heron LG, Qiao M, Marjason J, Starr-Spires L, van der Vliet D, Jin J, Wartel TA, Bouckenooghe A. Replication and Excretion of the Live Attenuated Tetravalent Dengue Vaccine CYD-TDV in a Flavivirus-Naive Adult Population: Assessment of Vaccine Viremia and Virus Shedding. J Infect Dis. 2017 Oct 17;216(7):834-841. doi: 10.1093/infdis/jix314.

    PubMed 28968794

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing Live, attenuated, recombinant dengue serotypes 1, 2, 3, & 4 virus in people with Dengue Fever and Dengue Hemorrhagic Fever, run by Sanofi Pasteur, a Sanofi Company at 8 sites in Australia.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 4 inclusion and 14 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 24 Jul 2019. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 8 sites in Australia. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

Yes. Results are posted in the registry (first posted 24 Jul 2019). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Post-Dose 3 Geometric Mean Titers (GMTs) of Antibodies Against Each of the Four Dengue Virus Serotypes Following Vaccination With Phase III Lots of CYD Dengue Vaccine (time frame: 28 days post-injection 3). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT01134263, which also lists 2 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 24 Jul 2019.

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