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DenguePhase 3NCT02406729

Phase III Trial to Evaluate Efficacy and Safety of a Tetravalent Dengue Vaccine

A Phase 3 study testing Dengue 1,2,3,4 (attenuated) vaccine in people with Dengue, run by Butantan Institute at 17 sites in Brazil.

Unknown status

Status not confirmed. The sponsor has not verified this record for over two years, so it may be out of date.

Official record
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Trial summary

This is a randomized, multicenter, double-blind, placebo-controlled Phase III study that will evaluate efficacy and safety of a live attenuated, tetravalent, lyophilized dengue vaccine produced by Butantan Institute. The study will be carried out in multiple sites in Brazil. Read more about this study

Who is it for?
Ages 24 months to 59 yearsHealthy volunteers can take part
Conditions the study is for
Dengue
What is being tested?
Dengue 1,2,3,4 (attenuated) vaccine
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
16,935 participants
Where
17 sitesBrazil
Study dates
22 Feb 2016to Nov 2024
Phase
Phase 3
Are there results?
None posted in the registry

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 24 months to 59 years
  • All sexes
  • Healthy volunteers accepted
  • Child, Adult

Who may be able to join

  • Children who have completed 24 months of age, adolescents and adults who have not completed 60 years of age;
  • Agree with periodic contacts, either/or by phone, electronic means, and home visits.
  • Show voluntary intention to participate in the study, documented by the participant's or participant's legal representative's signature of the informed consent form.

Who cannot join

  • For women: Pregnancy (confirmed by positive beta-hCG test) or breastfeeding;
  • Evidence of active neurological, cardiac, pulmonary, hepatic or renal disease as per clinical history and/or physical examination;
  • Compromised immune system diseases including: decompensated diabetes mellitus, cancer (except basal cell carcinoma), congenital or acquired immune deficiencies and not controlled autoimmune, as per clinical history and/or physical examination;
  • Behavioral, cognitive or psychiatric disease that in the opinion of the principal investigator or his representative physician, affects the participant ability to understand and cooperate with all study protocol requirements;
  • Abusive usage of alcohol or drugs in the past 12 months that has caused medical, professional or family problems, indicated by clinical history;
  • History of severe allergic reactions or anaphylaxis to the vaccine or to components of the vaccine in study;
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  • History of asplenia;
  • Use of any investigational product within 28 days before or after receiving this study vaccination;
  • Has participated in another clinical trial six months prior to inclusion in the study or planning to participate in another clinical trial within 2 years following inclusion;
  • Use of immunosuppressant drugs such as: antineoplastic chemotherapy, radiation therapy, immunosuppressants to induce tolerance to transplants, and corticosteroids use (except topical or nasal). For this protocol will be considered for exclusion use of corticosteroids 3 months prior to the inclusion in the study and 6 months prior to the inclusion for the other therapies mentioned, and planned use of any immunosuppressant therapy within 2 years following inclusion in the study. It will be considered immunosuppressive dose of corticosteroids the equivalent to a dose ≥20 mg of prednisone per day for adults and the equivalent of prednisone at 2 mg/kg/day for children for over 7 days;
  • Have received blood products in the past three months, including transfusions or immunoglobulin, or scheduled administration of blood products or immunoglobulin for the following 2 years after vaccination;
  • Fever or suspected fever within 72 hours prior to vaccination or axillary temperature greater than 37,8°C on the day of vaccination (inclusion might be postponed until participant has completed 72 hours of no fever);
  • Have received live virus vaccine within 28 days or killed virus vaccine in the last 14 days prior to vaccination, or have a scheduled immunization during the first 28 days after receiving the investigational product;
  • Any other condition that might put in risk the safety/rights of a potential participant or hurdle his/her compliance with this protocol in investigator's opinion or his representative physician.

Trial locations and contacts

17 sites in 1 country.

17 sites in 1 country

Brazil17 sites
  • Universidade Federal de Minas Gerais

    Belo Horizonte, Minas Gerais, 30750-140

  • Universidade Federal de Roraima - UFRR

    Boa Vista, Roraima, 69304-000

  • Universidade de Brasília

    Brasília, Federal District, 71691-082

  • Universidade Federal de Mato Grosso do Sul

    Campo Grande, Mato Grosso do Sul, 79070-900

  • Hospital Universitário Júlio Müller da Universidade Federal de Mato Grosso

    Cuiabá, Mount, 78048-610

  • Universidade Federal do Ceará

    Fortaleza, Ceará, 60430-160

  • Universidade Federal de Sergipe

    Laranjeiras, Sergipe, 49170-000

  • Fundação de Medicina Tropical Doutor Heitor Vieira Dourado

    Manaus, Amazonas, 69040-000

  • Hospital Escola da Universidade Federal de Pelotas (HEUFPel)

    Pelotas, Rio Grande do Sul, 96020-360

  • Hospital São Lucas da Pontificia Universidade Catolica do Rio Grande do Sul

    Porto Alegre, Rio Grande do Sul, 90619-900

  • Centro de Pesquisas em Medicina Tropical de Rondônia (CEPEM)

    Porto Velho, Rondônia, 78918-791

  • Centro de Pesquisas Aggeu Magalhães - Fiocruz Pernambuco

    Recife, Pernambuco, 50740-465

  • Instituto de Infectologia Evandro Chagas - Fiocruz

    Rio de Janeiro, 21710-232

  • Faculdade de Medicina de São José do Rio Preto - FAMERP

    São José do Rio Preto, São Paulo, 15090-000

  • Santa Casa de Misericórdia de São Paulo - CSEBF

    São Paulo, São Paulo, 01133-020

  • HCFMUSP

    São Paulo, 05403-000

  • Instituto Gonçalo Muniz - Fiocruz Bahia

    Simões Filho, Estado de Bahia, 43700-000

Other trials in Brazil

About this study

Official title: Phase III, Double-Blind, Randomized, Placebo-Controlled Trial to Evaluate the Efficacy, Safety, and Immunogenicity of the Dengue 1, 2, 3, 4 (Attenuated) Vaccine From Instituto Butantan

This is a randomized, multicenter, double-blind, placebo-controlled Phase III study that will evaluate efficacy and safety of a live attenuated, tetravalent, lyophilized dengue vaccine produced by Butantan Institute.

The study will be carried out in multiple sites in Brazil. The study will be community-based in select urban areas where there's dengue transmission.

Read more

Study's intervention will be a single dose of the tetravalent dengue vaccine or placebo in a ratio 2:1. For efficacy analysis will be considered all dengue cases occurring after 28 days post-vaccination in the entire population of 16944 participants.

For safety analysis participants will be divided in three age groups: 18 to 59 ys, 7-17 ys and 2 to 6 ys. In each of these age groups there will be a minimum of 4992 participants. The age groups of 18 to 59 ys and 7 to 17 ys will start first. Once safety data for the first 21 days after vaccination is analysed for 450 participants in 7-to17-ys age group, the following group, of 2 to 6 ys, will start.

The study's hypothesis is that the vaccine under investigation and produced by Butantan Institute is safe and provides protection against dengue symptomatic disease of 80% or more with a lower bound of the 95% confidence interval of 25%. This way, the expected number of dengue cases virologically confirmed is 24 or more which will provide a response in terms of vaccine efficacy.

All participants will be followed up for five years to verify dengue incidence, regardless severity.

Conditions
Dengue
Being tested
Dengue 1,2,3,4 (attenuated) vaccine, Placebo
Medical subject headings
Dengue

What participants receive

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

  • Dengue 1,2,3,4 (attenuated) vaccineBiological

    Also called Butantan DV, TetraVax-DV-TV003

    Dose 1000 PFU per virus (1,2,3,4) Route:subcutaneous

  • PlaceboOther

    Route:subcutaneous

Study groups in NCT02406729
Study groupRoleWhat they receive
Dengue 1,2,3,4 (attenuated) vaccineExperimentalDengue 1,2,3,4 (attenuated) vaccine Single dose, SC
Receives: Biological: Dengue 1,2,3,4 (attenuated) vaccine
PlaceboPlacebo comparatorPlacebo Single dose, SC
Receives: Other: Placebo

What is being measured

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

  1. Efficacy (incidence density of symptomatic dengue cases, virologically confirmed)

    The primary efficacy outcome is incidence density of symptomatic dengue cases, virologically confirmed, after 28 days post-vaccination. Virological confirmation might be done by viral isolation, RT-PCR and/or detection of NS1.

    Measured: Five years post vaccination, all cases after 28 days post-vaccination

  2. Safety (adverse reactions)

    The primary safety outcome is the frequency of local and systemic adverse reactions, solicited and non-solicited in the three age groups, within the first 21 days post-vaccination. Adverse reactions are defined as adverse events that have a reasonable causal relationship with vaccination.

    Measured: In the first 21 days post-vaccination

Secondary outcomes (7)
  1. Efficacy (incidence density of dengue cases confirmed virologically, regarding previous exposure to dengue viruses. )

    The incidence density of dengue cases confirmed virologically after 28 days of vaccination, regarding previous exposure to dengue viruses. To demonstrate previous exposure or not to dengue viruses, validated serological methods such as: Elisa IgG Indirect, hemagglutination inhibition test or neutralizing antibodies (e.g., VRNT) or another validated test will be used. In case of doubtful results, more than one technique may be used to confirm the diagnosis.

    Measured: at five years post vaccination, all cases after 28 days post-vaccination

  2. Efficacy (incidence density of dengue cases confirmed virologically, regarding the viral serotype)

    The incidence density of dengue cases confirmed virologically after 28 days of vaccination, regarding the viral serotype. Virological diagnosis of the viral serotype will be performed using the viral isolation technique or RT-PCR.

    Measured: Five years post vaccination, all cases after 28 days post-vaccination

  3. Efficacy (incidence density of cases of severe dengue and/or with alarm signs, including cases hospitalized or not)

    Incidence density of cases of severe dengue and/or with alarm signs, including cases hospitalized or not, after 28 days of vaccination. Laboratory confirmation of these cases will occur through serological and/or virological tests.

    Measured: Five years post vaccination, all cases after 28 days post-vaccination

  4. Safety ( frequency of solicited and unsolicited local and systemic adverse reactions in participants regarding previous exposure to dengue viruses )

    The frequency of solicited and unsolicited local and systemic adverse reactions in participants regarding previous exposure to dengue viruses during the 21-day period after vaccination.

    Measured: In the first 21 days post-vaccination

  5. Safety (frequency of unsolicited adverse reactions)

    The frequency of unsolicited adverse reactions after 21 days of vaccination until the end of the study.

    Measured: Five years post vaccination, all cases after the first 21 days post-vaccination

  6. Immunogenicity (consistency of the immune response to different batches of the vaccine )

    The geometric mean of neutralizing antibody titers for each serotype in the fourth week after vaccination in a subgroup of adult participants without previous exposure to dengue immunized with three consecutive batches of dengue vaccine 1,2,3,4 (attenuated).

    Measured: 4 weeks post vaccination

  7. Immunogenicity (non-inferiority between simplified formulation vs. conventional formulation)

    The geometric mean of titers of neutralizing antibodies for each serotype at Week 4 postvaccination in a subgroup of adult participants without previous prior exposure to dengue and vaccinated with the conventional formulation and the simplified formulation of the dengue 1, 2, 3, 4 (attenuated) vaccine.

    Measured: 4 weeks post vaccination

Timeline

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

  1. First posted2 Apr 2015 (estimated)
  2. Study start22 Feb 2016
  3. Primary completion13 Jul 2021
  4. Study completionNov 2024 (estimated)

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
Single group
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
16,935 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02406729
Sponsor's protocol ID
DEN-03-IB
Other IDs
U1111-1168-8679
Status last verified
Feb 2024
First submitted
30 Mar 2015
Last updated
15 Feb 2024
Results posted
No
Data monitoring committee
Yes

Publications

  • Precioso AR, Palacios R, Thome B, Mondini G, Braga P, Kalil J. Clinical evaluation strategies for a live attenuated tetravalent dengue vaccine. Vaccine. 2015 Dec 10;33(50):7121-5. doi: 10.1016/j.vaccine.2015.09.105. Epub 2015 Oct 14.

    PubMed 26458796
  • Kallas EG, Moreira JA, Patino EG, Braga PE, Tenorio JCV, Alves LBO, Infante V, Silveira DHR, Miraglia JL, Cintra MAT, Pereira DB, da Fonseca AJ, Gurgel RQ, Coelho IC, Fontes CJF, Marques ETA, Romero GAS, Teixeira MM, Siqueira AM, Boaventura VS, Ramos F, Junior EE, Cassio de Moraes J, Estofolete CF, Freitas AC, Dos Santos CLS, Timenetsky MDCST, Whitehead SS, Durbin AP, Esteves-Jaramillo A, Shekar T, Lee JJ, Chen Q, Macey J, Vaidya S, Coller BG, Boulos FC, Nogueira ML, Lacerda MVG. Long-term efficacy and safety of the single-dose tetravalent Butantan dengue vaccine. Nat Med. 2026 Apr;32(4):1393-1400. doi: 10.1038/s41591-026-04255-3. Epub 2026 Mar 4.

    PubMed 41781546
  • Peixoto de Miranda EJF, de Sousa Moreira JA, da Silva Braga R, Silveira DHR, Infante V, de Oliveira Alves LB, de Camargo Vieira Tenorio J, Dos Santos Silva GF, Patino EG, de Mesquita Pacheco PHT, Ramos F, Oliveira DS, Kallas EG, Boulos FC. Randomized, double-blind, placebo-controlled, phase 3 trial to demonstrate lot-to-lot consistency of 3 lots of the simplified formulation of Butantan-dengue vaccine. Vaccine. 2025 Nov 14;66:127836. doi: 10.1016/j.vaccine.2025.127836. Epub 2025 Oct 14.

    PubMed 41092804
  • Nogueira ML, Cintra MAT, Moreira JA, Patino EG, Braga PE, Tenorio JCV, de Oliveira Alves LB, Infante V, Silveira DHR, de Lacerda MVG, Pereira DB, da Fonseca AJ, Gurgel RQ, Coelho IC, Fontes CJF, Marques ETA, Romero GAS, Teixeira MM, Siqueira AM, Boaventura VS, Ramos F, Junior EE, de Moraes JC, Whitehead SS, Esteves-Jaramillo A, Shekar T, Lee JJ, Macey J, Kelner SG, Coller BG, Boulos FC, Kallas EG; Phase 3 Butantan-DV Working Group. Efficacy and safety of Butantan-DV in participants aged 2-59 years through an extended follow-up: results from a double-blind, randomised, placebo-controlled, phase 3, multicentre trial in Brazil. Lancet Infect Dis. 2024 Nov;24(11):1234-1244. doi: 10.1016/S1473-3099(24)00376-1. Epub 2024 Aug 5.

    PubMed 39116904
  • Kallas EG, Cintra MAT, Moreira JA, Patino EG, Braga PE, Tenorio JCV, Infante V, Palacios R, de Lacerda MVG, Batista Pereira D, da Fonseca AJ, Gurgel RQ, Coelho IC, Fontes CJF, Marques ETA, Romero GAS, Teixeira MM, Siqueira AM, Barral AMP, Boaventura VS, Ramos F, Elias Junior E, Cassio de Moraes J, Covas DT, Kalil J, Precioso AR, Whitehead SS, Esteves-Jaramillo A, Shekar T, Lee JJ, Macey J, Kelner SG, Coller BG, Boulos FC, Nogueira ML. Live, Attenuated, Tetravalent Butantan-Dengue Vaccine in Children and Adults. N Engl J Med. 2024 Feb 1;390(5):397-408. doi: 10.1056/NEJMoa2301790.

    PubMed 38294972

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing Dengue 1,2,3,4 (attenuated) vaccine in people with Dengue, run by Butantan Institute at 17 sites in Brazil.

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 3 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: status not confirmed, as of the sponsor's last update on 15 Feb 2024. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 17 sites in Brazil. 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?

Results are not available in the source record.

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?

Efficacy (incidence density of symptomatic dengue cases, virologically confirmed) (time frame: Five years post vaccination, all cases after 28 days post-vaccination). 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?

On the ClinicalTrials.gov record for NCT02406729, which also lists 5 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 15 Feb 2024.

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