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DenguePhase 2NCT01943825

Immunologic Mechanisms of Immune Interference and/or Cross-Neutralizing Immunity After CYD Tetravalent Dengue Vaccine

A Phase 2 study testing CYD Dengue Vaccine and Japanese Encephalitis Vaccine in people with Dengue and Dengue Fever, run by Sanofi Pasteur, a Sanofi Company at 1 site in United States.

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 aim of the study was to evaluate a compressed dosing schedule and the immunologic effects of co-administration of a CYD dengue vaccine with a licensed flavivirus (FV) with Japanese encephalitis (JE) vaccine. Read more about this study

Who is it for?
Ages 18 to 45 yearsHealthy volunteers can take part
Conditions the study is for
Dengue, Dengue Fever, Dengue Hemorrhagic Fever
What is being tested?
CYD Dengue Vaccine and Japanese Encephalitis Vaccine
Could I receive a placebo?
No, everyone receives an active treatment
How many people
90 participants
Where
1 siteUnited States
Study dates
5 Nov 2013to 25 Nov 2015
Phase
Phase 2
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 45 years
  • All sexes
  • Healthy volunteers accepted
  • Adult

Who may be able to join

  • Aged greater than or equal to (>=)18 to less than or equal to (<=) 45 years on the day of inclusion.
  • Informed consent form had been signed and dated.
  • Able to attend all scheduled visits and complied with all trial procedures.
  • Participant was in good health, based on medical history and physical examination.

Who cannot join

  • Participant was pregnant, or lactating, or of childbearing potential (were considered of non-childbearing potential, a female had to be post- menopausal for at least 1 year, surgically sterile, or used an effective method of contraception or abstinence from at least 4 weeks prior to the first vaccination and until at least 4 weeks after the last vaccination).
  • Participation in the 4 weeks preceding the first trial vaccination, or planned participation during the present trial period, in another clinical trial investigating a vaccine, drug, medical device, or medical procedure.
  • Receipt or planned receipt of any vaccine, outside the study protocol in the 4 weeks preceded or followed trial vaccinations. (If influenza activity warranted vaccination of healthy young adults, influenza vaccination was encouraged and did not lead to study exclusion).
  • Any history of FV vaccination, or planned FV vaccination during the trial period.
  • Previous residence (greater than [>]12 months) in, or travel in the last 30 days to dengue endemic regions.
  • Receipt of immune globulins, blood or blood-derived products in the 3 months prior to first vaccination or planned use during the study period.
Show all 13Show fewer
  • Known or suspected congenital or acquired immunodeficiency; or receipt of immunosuppressive therapy such as anti-cancer chemotherapy or radiation therapy within the preceded 6 months; or long-term systemic corticosteroid therapy (prednisone or equivalent for more than 2 consecutive weeks within the past 3 months)
  • Known systemic hypersensitivity to any of the vaccine components (including protamine sulfate), or history of a life-threatening reaction to the vaccine(s) used in the trial or to a vaccine containing any of the same substances, including dry natural latex.
  • Deprived of freedom by an administrative or court order, or in an emergency setting, or hospitalized involuntarily.
  • Excessive alcohol consumption or drug addiction.
  • Chronic illness that, in the opinion of the Investigator, was at a stage where it might interfere with trial conduct or completion.
  • Identified as an 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 employee or the Investigator.
  • Temporary Exclusion Criteria: Moderate or severe acute illness/infection (according to Investigator judgment) on the day of vaccination or febrile illness (temperature >= 38.0 degree Celsius [>= 100.4 degree fahrenheit]). A prospective participant was not included in the study until the condition had resolved or the febrile event had subsided. If the delay for the febrile illness exceeded the window between screening and vaccination, or if deemed necessary by the Investigator, a prospective participant might be re-screened once the fever had resolved.

Trial locations and contacts

1 site in 1 country.

United States1 site
  • Study site

    Syracuse, New York, 13210

Other trials in United States

About this study

Official title: Exploration of Immunologic Mechanisms of Immune Interference and/or Cross-Neutralizing Immunity Following Various Administration Schedules With CYD Tetravalent Dengue Vaccine

The aim of the study was to evaluate a compressed dosing schedule and the immunologic effects of co-administration of a CYD dengue vaccine with a licensed flavivirus (FV) with Japanese encephalitis (JE) vaccine.

Primary Objectives:

Read more
  • To describe and compare the humoral immune response to each of the 4 parental dengue virus serotypes at baseline and 28 days after each CYD dengue vaccine dose.
  • To describe the persistence of the humoral immune response to each of the 4 parental dengue virus serotypes 6 after CYD dengue vaccine Dose 3, irrespective of whether or not JE vaccine had been previously administered.

Secondary Objectives:

  • To describe the safety profile after each injection of CYD dengue vaccine.
  • To describe the humoral immune response to each of the 4 parental dengue virus serotypes at baseline and 28 days after each CYD dengue vaccine dose when administered with or after JE virus vaccine in Groups 3 and 4.
  • To describe the persistence of the humoral immune response to each of the 4 parental dengue virus serotypes at 6 months post-dose 3 in all four groups and at 12 months post-dose 3 in Groups 1 and 3 with the compressed schedule.
  • To determine the level of viremia on Day (D)0, D3, D5, D7 and D14 following each CYD vaccine dose administered in Groups 1-4.
  • To describe the JE humoral immune response at baseline and 28 days after each injection of CYD dengue vaccine in Groups 3 and 4.
Read the detailed description

Study participants were randomly assigned to one of the four groups to receive assigned study vaccine and were evaluated for neutralizing antibody titers; markers of cell-mediated immunity.

Being tested
CYD Dengue Vaccine, Japanese Encephalitis Vaccine
Keywords
Dengue, Dengue fever, CYD dengue vaccine, IXIARO JE vaccine, Flavivirus
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.

  • CYD Dengue VaccineBiological

    0.5 mL, Subcutaneous

  • CYD Dengue VaccineBiological

    0.5 mL, Subcutaneous

  • Japanese Encephalitis VaccineBiological

    Also called IXIARO Japanese Encephalitis Vaccine

    0.5 mL, Intramuscular

  • Japanese Encephalitis VaccineBiological

    Also called IXIARO Japanese Encephalitis Vaccine

    0.5 mL, Intramuscular

Study groups in NCT01943825
Study groupRoleWhat they receive
CYD Dengue Vaccine: Group 1ExperimentalParticipants received 3 doses of CYD dengue vaccine, one each at 0, 2 and 6 months, respectively.
Receives: Biological: CYD Dengue Vaccine
CYD Dengue Vaccine: Group 2ExperimentalParticipants received 3 doses of CYD dengue vaccine, one each at 0, 6 and 12 months, respectively.
Receives: Biological: CYD Dengue Vaccine
CYD Dengue and JE Vaccine: Group 3ExperimentalParticipants received 3 doses of CYD dengue vaccine, one each at 0, 2 and 6 months, and 2 doses of JE (IXIARO) vaccine at 0 and 1 months, respectively.
Receives: Biological: CYD Dengue Vaccine; Biological: Japanese Encephalitis Vaccine
CYD Dengue and JE Vaccine: Group 4ExperimentalParticipants received 2 doses of JE (IXIARO) vaccine at 0 and 1 months; and 3 doses of CYD dengue vaccine at 7, 9 and 13 months, respectively.
Receives: Biological: CYD Dengue Vaccine; Biological: Japanese Encephalitis Vaccine

What is being measured

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

  1. Geometric Means Titers (GMTs) of Antibodies Against Each Dengue Virus Serotype Strains

    GMTs of antibodies against each dengue virus serotype (parental strains 1, 2, 3 and 4) were measured by plaque reduction neutralization test (PRNT). The lower limit of quantitation (LLOQ) of the assay was a titer of 10 (1/dilution).

    Measured: Pre-injection 1, 2 and 3; 28 days post-injection 1, 2 and 3; and 6 months post-injection 3

  2. Number of Participants With Antibody Titers Greater Than or Equal to (>=)10 (1/Dilution) Against Each Dengue Virus Serotype Strains

    Antibody titers against each dengue virus serotype (parental strains 1, 2, 3 and 4) were measured by PRNT.

    Measured: Pre-injection 1, 2 and 3; 28 days post-injection 1, 2 and 3; and 6 months post-injection 3

Secondary outcomes (7)
  1. Geometric Means Titers of Antibodies Against Each Dengue Virus Serotype Strains in Participants Who Received Japanese Encephalitis Vaccine - Groups 3 and 4

    GMTs of antibodies against each dengue virus serotype (parental strains 1, 2, 3 and 4) were measured by PRNT. The LLOQ of the assay was a titer of 10 (1/dilution).

    Measured: Pre-injection 1, 2 and 3, and 28 days post-injection 1, 2 and 3

  2. Geometric Means Titers of Antibodies Against Each Dengue Virus Serotype Strains

    GMTs of antibodies against each dengue virus serotype (parental strains 1, 2, 3 and 4) were measured by PRNT.

    Measured: 6 months and 12 months post-injection 3

  3. Number of Participants With Detectable Non Serotype-Specific Vaccine Viremia

    Viremia was determined by reverse transcriptase (RT) polymerase chain reaction (PCR) using primer/probes specific to a non serotype-specific part of the dengue vaccine.

    Measured: 3, 5, 7 and 14 days post-injection 1, 2 and 3

  4. Number of Participants With Detectable Serotype-Specific Vaccine Viremia

    Viremia was determined by RT PCR using primer/probes specific to each dengue vaccine serotypes.

    Measured: 3, 5, 7 and 14 days post-injection 1; 3 and 14 days post-injection 2 and 7 days post-injection 3

  5. Geometric Means Titers of Antibodies Against Japanese Encephalitis - Groups 3 and 4

    GMTs of antibodies against JE were measured by JE micro neutralization assay. The LLOQ of the assay was a titer of 10 (1/dilution).

    Measured: Pre-injection 1, and 28 days post-injection 1, 2 and 3

  6. Number of Participants With Solicited Injection Site Reactions

    A solicited reaction was defined as an adverse reaction observed and reported under the conditions (symptom and onset) pre-listed (i.e., solicited) in the electronic case report form (eCRF) and considered as related to vaccination. Solicited injection site reactions: pain, erythema, and swelling.

    Measured: Within 7 days after any CYD dengue vaccine and/or JE vaccine

  7. Number of Participants With Solicited Systemic Reactions

    A solicited reaction was defined as an adverse reaction observed and reported under the conditions (symptom and onset) pre-listed (i.e., solicited) in the eCRF and considered as related to vaccination. Solicited systemic reactions: fever, headache, malaise, myalgia, and asthenia.

    Measured: Within 14 days after any CYD dengue vaccine and/or JE vaccine

Timeline

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

  1. First posted17 Sep 2013 (estimated)
  2. Study start5 Nov 2013
  3. Primary completion25 Nov 2015
  4. Study completion25 Nov 2015

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 2
Primary purpose
Prevention
Allocation
Randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
90 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT01943825
Sponsor's protocol ID
CYD56
Other IDs
U1111-1143-8391
Status last verified
Mar 2022
First submitted
12 Sep 2013
Last updated
24 Mar 2022
Data monitoring committee
No
Individual data sharing
Yes: Qualified researchers may request access to patient level data and related study documents including the clinical study report, study protocol with any amendments, blank case report form, statistical analysis plan, and dataset specifications. Patient level data will be anonymized and study documents will be redacted to protect the privacy of trial participants. Further details on Sanofi's data sharing criteria, eligible studies, and process for requesting access can be found at: https://vivli.org

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing CYD Dengue Vaccine and Japanese Encephalitis Vaccine in people with Dengue and Dengue Fever, run by Sanofi Pasteur, a Sanofi Company at 1 site in United States.

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 13 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 Mar 2022. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in United States. 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. 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 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

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 5 Feb 2020). 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?

Geometric Means Titers (GMTs) of Antibodies Against Each Dengue Virus Serotype Strains (time frame: Pre-injection 1, 2 and 3; 28 days post-injection 1, 2 and 3; and 6 months post-injection 3). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
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 Mar 2022.

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