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DenguePhase 1NCT03416036

Evaluation of the Efficacy of the Live Attenuated Tetravalent Dengue Vaccine Against DENV-2 and DENV-3 Challenge

A Phase 1 study testing TetraVax-DV-TV003 (TV003), rDEN2Δ30-7169 (DENV-2) and rDEN3Δ30 (DENV-3) in people with Dengue, run by National Institute of Allergy and Infectious Diseases (NIAID) at 2 sites 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 purpose of this study is to evaluate the ability of a single dose of a live attenuated recombinant tetravalent dengue vaccine (TetraVax-DV-TV003, referred to as TV003) to protect against infection with a controlled human infection strain of either DENV-2 (rDEN2Δ30-7169) or DENV-3 (rDEN3Δ30) in adults 18 to 50… Read more about this study

Who is it for?
Ages 18 to 50 yearsHealthy volunteers can take part
Conditions the study is for
Dengue
What is being tested?
TetraVax-DV-TV003 (TV003), rDEN2Δ30-7169 (DENV-2) and rDEN3Δ30 (DENV-3)
Type of treatment
Injection or infusion
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
64 participants
Where
2 sitesUnited States
Study dates
28 Nov 2017to 4 Jun 2019
Phase
Phase 1
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 18 to 50 years
  • All sexes
  • Healthy volunteers accepted
  • Adult

Who may be able to join

  • Adult male or female between 18 and 50 years of age, inclusive.
  • Good general health as determined by physical examination, laboratory screening, and review of medical history.
  • Available for the duration of the study, which is approximately 28 weeks.
  • Willingness to participate in the study as evidenced by signing the informed consent document.
  • Females only: Female subjects of childbearing potential should be willing to use effective contraception and have no plans to undergo IVF (in vitro fertilization) during participation in the trial. Reliable methods of contraception include hormonal birth control, condoms with spermicide, diaphragm with spermicide, surgical sterilization, intrauterine device, and abstinence (greater than or equal to 6 months since last sexual encounter with a male). All female subjects will be considered as having childbearing potential, except for those who have had a hysterectomy, tubal ligation, or tubal coil (at least 3 months prior to vaccination), or are considered to be post-menopausal, as documented by at least 1 year since last menstrual period.

Who cannot join

  • Females only: Currently pregnant, as determined by positive β-human choriogonadotropin (HCG) test, or breast-feeding.
  • Evidence of clinically significant neurologic, cardiac, pulmonary, hepatic, rheumatologic, autoimmune, or renal disease based on history, physical examination, and/or laboratory studies.
  • Behavioral, cognitive, or psychiatric disease that, in the opinion of the investigator, affects the subject's ability to understand and cooperate with the requirements of the study protocol.
  • Screening laboratory values of Grade 1 or above for absolute neutrophil count (ANC), alanine aminotransferase (ALT), and serum creatinine, as defined in this protocol.
  • Any other condition that, in the opinion of the investigator, would jeopardize the safety or rights of a subject participating in the trial, or would render the subject unable to comply with the protocol.
  • Any significant alcohol or drug abuse in the past 12 months that has caused medical, occupational, or family problems, as indicated by subject history.
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  • History of a severe allergic reaction or anaphylaxis.
  • Severe asthma (emergency room visit or hospitalization within the last 6 months).
  • HIV infection, as indicated by screening and confirmatory assays.
  • Hepatitis C virus (HCV) infection, as indicated by screening and confirmatory assays.
  • Hepatitis B virus (HBV) infection, as indicated by hepatitis B surface antigen (HBsAg) screening.
  • Any known immunodeficiency syndrome.
  • Current use of anticoagulant medications (this does not include anti-platelet medication such as aspirin or non-steroidal anti-inflammatory medications).
  • Use of corticosteroids (excluding topical or nasal) or immunosuppressive drugs within 28 days prior to or following vaccination. An immunosuppressive dose of corticosteroids is defined as greater than or equal to 10 mg of a prednisone equivalent per day for greater than or equal to 14 days.
  • Receipt of a live vaccine within 28 days or a killed vaccine within 14 days prior to vaccination, or anticipated receipt of any vaccine during the 28 days following vaccination.
  • Asplenia
  • Receipt of blood products within the past 6 months, including transfusions or immunoglobulin, or anticipated receipt of any blood products or immunoglobulin during the 28 days following vaccination.
  • History or serologic evidence of previous dengue virus infection or other flavivirus infection (e.g., yellow fever virus, St. Louis Encephalitis virus, or West Nile virus). Subjects will also be screened for Zika virus if they have traveled to areas of South and Central America in the past 18 months that have reported Zika-virus transmission (per the Centers for Disease Control and Prevention Zika travel information).
  • Previous receipt of a flavivirus vaccine (licensed or experimental).
  • Anticipated receipt of any investigational agent in the 28 days before or after vaccination.
  • Definite plans to travel to a dengue-endemic area during the study.
  • Refusal to allow specimen storage for future research.
  • Inclusion Criteria for Challenge with rDEN2Δ30-7169 or rDEN3Δ30
  • Currently enrolled in the study.
  • Good general health as determined by physical examination and review of medical history.
  • Available for the duration of the study, which is approximately 24 weeks after challenge.
  • Willingness to participate in the study as evidenced by signing the informed consent document.
  • Females only: Female subjects of childbearing potential should be willing to use effective contraception for the duration of the trial. Reliable methods of contraception include: hormonal birth control, condoms with spermicide, diaphragm with spermicide, surgical sterilization, intrauterine device, and abstinence (greater than or equal to 6 months since last sexual encounter). All female subjects will be considered as having childbearing potential, except for those who have had a hysterectomy, tubal ligation, or tubal coil (at least 3 months prior to vaccination), or who are considered to be post-menopausal, as documented by at least 1 year since last menstrual period.
  • Anaphylaxis or angioedema following TV003 administration.
  • Females only: Currently pregnant, as determined by positive β- HCG test, or breast-feeding.
  • Evidence of clinically significant neurologic, cardiac, pulmonary, hepatic, rheumatologic, autoimmune, or renal disease based on history, physical examination, and/or laboratory studies.
  • Behavioral, cognitive, or psychiatric disease that, in the opinion of the investigator, affects the subject's ability to understand and cooperate with the requirements of the study protocol.
  • Any other condition that, in the opinion of the investigator, would jeopardize the safety or rights of a subject participating in the trial, or would render the subject unable to comply with the protocol.
  • History of a severe allergic reaction or anaphylaxis.
  • Severe asthma (emergency room visit or hospitalization within the last 6 months).
  • Any known immunodeficiency syndrome.
  • Current use of anticoagulant medications (this does not include anti-platelet medication such as aspirin or non-steroidal anti-inflammatory medications).
  • Use of corticosteroids (excluding topical or nasal) or immunosuppressive drugs within 28 days prior to or following challenge. An immunosuppressive dose of corticosteroids is defined as greater than or equal to 10 mg of a prednisone equivalent per day for greater than or equal to 14 days.
  • Receipt of a live vaccine (other than TV003) within 28 days prior to challenge or the anticipated receipt of a live vaccine within 28 days after challenge.
  • Receipt of a killed vaccine within 14 days prior to challenge or anticipated receipt of a killed vaccine within 14 days following challenge.
  • Asplenia
  • Receipt of blood products within the past 6 months, including transfusions or immunoglobulin, or anticipated receipt of any blood products or immunoglobulin during the 28 days following challenge.
  • Anticipated receipt of any other investigational agent in the 28 days before or after challenge.
  • Definite plans to travel to a dengue-endemic area during the study.
  • Refusal to allow specimen storage for future research.
  • Other Treatments and Ongoing Exclusion Criteria:
  • The following criteria will be reviewed on study day 28 following receipt of TV003 and at study days 28 and 56 following receipt of rDEN2Δ30-7169 or rDEN3Δ30. If any become applicable during the study, the subject will not be included in per-protocol immunogenicity evaluations, as of the exclusionary visit. The subject will, however, be encouraged to remain in the study for safety evaluations until 6 months following the last vaccination (or challenge) received. If the subject had samples obtained at one or more of the protocol-defined time points for immunogenicity, he/she will be included in the intention-to-treat immunogenicity analysis.
  • Use of any investigational drug or investigational vaccine other than the study vaccine during the 28-day post-inoculation period.
  • Chronic administration (greater than or equal to 14 days) of steroids (defined as a prednisone equivalent of greater than or equal to 10 mg per day), immunosuppressants, or other immune-modifying drugs initiated during the 28-day period post-inoculation (topical and nasal steroids are allowed).
  • Receipt of a licensed killed vaccine during the 14-day post-inoculation period.
  • Receipt of immunoglobulins and/or any blood products during the 28-day post-inoculation period.
  • Pregnancy (see clarifying language in the protocol) - If the pregnancy is terminated spontaneously or by therapeutic abortion, immunogenicity assessments will be done on blood samples obtained after the pregnancy is terminated.

Trial locations and contacts

2 sites in 1 country.

United States2 sites
  • Center for Immunization Research, Johns Hopkins Bloomberg School of Public Health

    Baltimore, Maryland, 21205

  • Vaccine Testing Center, University of Vermont

    Burlington, Vermont, 05405

Other trials in United States

About this study

The purpose of this study is to evaluate the ability of a single dose of a live attenuated recombinant tetravalent dengue vaccine (TetraVax-DV-TV003, referred to as TV003) to protect against infection with a controlled human infection strain of either DENV-2 (rDEN2Δ30-7169) or DENV-3 (rDEN3Δ30) in adults 18 to 50 years of age with no history of previous flavivirus infection.

Read the detailed description

This study will evaluate the ability of a single dose of a live attenuated recombinant tetravalent dengue vaccine (TetraVax-DV-TV003, referred to as TV003) to protect against infection with a controlled human infection strain of either DENV-2 (rDEN2Δ30-7169) or DENV-3 (rDEN3Δ30) in adults 18 to 50 years of age with no history of previous flavivirus infection.

Participants will be randomly assigned to receive either TV003 or placebo at study entry (Day 0) and either rDEN2Δ30-7169 or rDEN3Δ30 on Day 28.

Study visits will occur on Days 0, 4, 6, 8, 10, 12, 14, 16, 21, 28, 32, 34, 36, 38, 40, 42, 44, 49, 56, 84, 118, and 208. Visits may include a physical examination and blood collection.

Conditions
Dengue
Being tested
TetraVax-DV-TV003 (TV003), rDEN2Δ30-7169 (DENV-2), rDEN3Δ30 (DENV-3), Placebo
Medical subject headings
Dengue

What participants receive

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

  • TetraVax-DV-TV003 (TV003)Biological

    TV003 contains 10^3.3 plaque-forming units (PFU)/mL of rDEN1Δ30, 10^3.3 PFU/mL of rDEN2/4Δ30(ME), 10^3.3 PFU/mL of rDEN3Δ30/31-7164, and 10^3.3 PFU/mL of rDEN4Δ30. Administered by subcutaneous injection in the deltoid region of the upper arm

  • rDEN2Δ30-7169 (DENV-2)Biological

    Administered at a dose of 10^3 PFU by subcutaneous injection in the deltoid region of the upper arm

  • rDEN3Δ30 (DENV-3)Biological

    Administered at a dose of 10^3 PFU by subcutaneous injection in the deltoid region of the upper arm

  • PlaceboBiological

    Administered by subcutaneous injection in the deltoid region of the upper arm

Study groups in NCT03416036
Study groupRoleWhat they receive
Arm 1: TV003 + rDEN2Δ30-7169ExperimentalParticipants will receive a single dose of TV003 at study entry (Day 0) and rDEN2Δ30-7169 on Day 28.
Receives: Biological: TetraVax-DV-TV003 (TV003); Biological: rDEN2Δ30-7169 (DENV-2)
Arm 2: TV003 + rDEN3Δ30ExperimentalParticipants will receive a single dose of TV003 at study entry (Day 0) and rDEN3Δ30 on Day 28.
Receives: Biological: TetraVax-DV-TV003 (TV003); Biological: rDEN3Δ30 (DENV-3)
Arm 3: Placebo + rDEN2Δ30-7169Placebo comparatorParticipants will receive placebo at study entry (Day 0) and rDEN2Δ30-7169 on Day 28.
Receives: Biological: rDEN2Δ30-7169 (DENV-2); Biological: Placebo
Arm 4: Placebo + rDEN3Δ30Placebo comparatorParticipants will receive placebo at study entry (Day 0) and rDEN3Δ30 on Day 28.
Receives: Biological: rDEN3Δ30 (DENV-3); Biological: Placebo

What is being measured

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

  1. Frequency of rDEN2Δ30-7160 viremia

    Based on statistical analysis of laboratory evaluations

    Measured: Measured through Month 1

  2. Frequency of rDEN3Δ30 viremia

    Based on statistical analysis of laboratory evaluations

    Measured: Measured through Month 1

  3. Occurrence of solicited local and general adverse events (AEs)

    Evaluated using the Adverse Event Grading Table in the study protocol

    Measured: Measured through Day 56

  4. Occurrence of unsolicited AEs

    Evaluated using the Adverse Event Grading Table in the study protocol

    Measured: Measured through Day 56

  5. Occurrence of serious adverse events (SAEs)

    Evaluated using the Adverse Event Grading Table in the study protocol

    Measured: Measured through Day 208

Secondary outcomes (3)
  1. Frequency of viremia after vaccination with TV003

    Based on statistical analysis of laboratory evaluations

    Measured: Measured through Day 208

  2. Number of TV003 recipients infected with vaccine virus DENV-1, DENV-2, DENV-3, and DENV-4

    As defined by recovery of vaccine virus from the blood or serum of a subject and/or seropositivity OR seroconversion to DENV

    Measured: Measured through Day 208

  3. Serum plaque reduction neutralization titer 50% (PRNT50) to DENV-1, DENV-2, DENV-3, and DENV-4 viruses

    Determined by seropositivity and seroconversion frequencies

    Measured: Measured through Day 180

Timeline

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

  1. First posted30 Jan 2018
  2. Study start28 Nov 2017
  3. Primary completion17 Jan 2019
  4. Study completion4 Jun 2019

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 1
Primary purpose
Prevention
Allocation
Randomised
Intervention model
Parallel groups
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
64 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03416036
Sponsor's protocol ID
CIR 323
Status last verified
Jan 2020
First submitted
24 Jan 2018
Last updated
18 Jan 2020
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No

Publications

  • Kirkpatrick BD, Whitehead SS, Pierce KK, Tibery CM, Grier PL, Hynes NA, Larsson CJ, Sabundayo BP, Talaat KR, Janiak A, Carmolli MP, Luke CJ, Diehl SA, Durbin AP. The live attenuated dengue vaccine TV003 elicits complete protection against dengue in a human challenge model. Sci Transl Med. 2016 Mar 16;8(330):330ra36. doi: 10.1126/scitranslmed.aaf1517. Epub 2016 Mar 16.

    PubMed 27089205

Questions about this trial

What is this clinical trial studying?

A Phase 1 study testing TetraVax-DV-TV003 (TV003), rDEN2Δ30-7169 (DENV-2) and rDEN3Δ30 (DENV-3) in people with Dengue, run by National Institute of Allergy and Infectious Diseases (NIAID) at 2 sites 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 5 inclusion and 52 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 18 Jan 2020. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 2 sites 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. 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 1 studies test a treatment in a small group of people for the first time or in a new way, mainly to check safety and find the right dose.

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

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

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?

Frequency of rDEN2Δ30-7160 viremia (time frame: Measured through Month 1). The study lists 5 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 NCT03416036, which also lists 1 linked publication.

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 18 Jan 2020.

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