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Chikungunya Virus InfectionPhase 2NCT03483961

Trial of a Chikungunya Vaccine, PXVX0317 CHIKV-VLP, in Healthy Adults

A Phase 2 study testing CHIKV VLP/unadjuvanted and CHIKV VLP/adjuvanted in people with Chikungunya Virus Infection, run by Bavarian Nordic at 3 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 goal of this Phase 2 trial is to evaluate the immune response to and safety profile of various doses/formulations/and schedules of administration of PXVX0317 in healthy adults. Read more about this study

Who is it for?
Ages 18 to 45 yearsHealthy volunteers can take part
Conditions the study is for
Chikungunya Virus Infection
What is being tested?
CHIKV VLP/unadjuvanted and CHIKV VLP/adjuvanted
Type of treatment
Vaccines
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
445 participants
Where
3 sitesUnited States
Study dates
18 Apr 2018to 21 Sep 2020
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

  • Male or female
  • Age 18 to 45 years old (inclusive)
  • Using an acceptable method of contraception (if female of childbearing potential).
  • Able and willing to provide informed consent for study participation.

Who cannot join

  • Current acute febrile illness.
  • Clinically significant cardiac, respiratory, or rheumatologic disease, in the opinion of the Investigator.
  • Pregnant or breast-feeding.
  • Laboratory evidence of infection with Hepatitis B/C or HIV.
  • History of chikungunya virus infection.
  • Travel to a World Health Organization-designated chikungunya-endemic region within 30 days prior to Day 1.
Show all 15Show fewer
  • History of allergic reaction to any component of CHIKV-VLP vaccine, Diluent, or Alhydrogel®.
  • Inability to discontinue systemic immunomodulatory or immunosuppressive medications 30 days prior to Day 1.
  • Received or plans to receive any licensed vaccine from 30 days prior to Day 1 through Day 57.
  • Received or plans to receive an investigational agent from 30 days prior to Day 1 through the duration of study participation.
  • Any other condition that, in the opinion of the Investigator, creates an unacceptable risk to the subject.
  • Any other condition that, in the opinion of the Investigator, may interfere with the conduct of the study or the validity of the data.
  • Any other condition that, in the opinion of the Investigator, creates an unacceptable safety risk for apheresis (Group 9 \& 10 only).
  • Restricted venous access that would prevent the collection of PBMCs, plasma, and lymphocytes necessary for participation (Group 9 \& 10 only).
  • Weight < 110 pounds (Group 9 \& 10 only)

Trial locations and contacts

3 sites in 1 country.

United States3 sites
  • The Center for Pharmaceutical Research

    Kansas City, Missouri, 64114

  • Johnson County Clin-Trials

    Lenexa, Kansas, 66219

  • Advanced Clinical Research

    West Jordan, Utah, 84088

Other trials in United States

About this study

Official title: A Phase 2 Parallel-Group, Randomized, Double-Blind Study to Assess the Safety and Immunogenicity of PXVX0317 (Chikungunya Virus Virus-Like Particle Vaccine [CHIKV-VLP], Unadjuvanted or Alum-adjuvanted)

The goal of this Phase 2 trial is to evaluate the immune response to and safety profile of various doses/formulations/and schedules of administration of PXVX0317 in healthy adults.

Primary Objective:

To assess the immune response to the vaccine

Secondary Objectives:

To assess the kinetics of the immune response to different doses/formulations/schedules To assess the persistence of immune responses to different doses/formulations/schedules To assess the effect of a booster dose of the vaccine

Safety Objective:

To assess local and systemic reactions to the vaccine and to describe the safety profile of the vaccine

Read the detailed description

The trial will explore 8 formulation/schedule combinations of CHIKV VLP vaccine with or without Alhydrogel adjuvant, and will also explore different dose schedules of Day 1 and 15 or Day 1 and 29 or Day 29 only.

Being tested
CHIKV VLP/unadjuvanted, CHIKV VLP/adjuvanted, Placebo
Medical subject headings
Chikungunya Fever

What participants receive

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

  • CHIKV VLP/unadjuvantedBiological

    Vaccine consists of virus-like particles of chikungunya virus antigens

  • CHIKV VLP/adjuvantedBiological

    Adjuvanted formulation includes Alhydrogel

  • PlaceboBiological

    Placebo is vaccine diluent alone

Study groups in NCT03483961
Study groupRoleWhat they receive
Group 1: 20 mcg/unadjuvanted (Day 1 & 29)Experimental20 mcg CHIKV VLP/unadjuvanted (Day 1) // Placebo (Day 15) // 20 mcg CHIKV VLP/unadjuvanted (Day 29)
Receives: Biological: CHIKV VLP/unadjuvanted; Biological: Placebo
Group 2: 6 mcg/adjuvanted (Day 1 & 29)Experimental6 mcg CHIKV VLP/adjuvanted (Day 1) // Placebo (Day 15) // 6 mcg CHIKV VLP/adjuvanted (Day 29)
Receives: Biological: CHIKV VLP/adjuvanted; Biological: Placebo
Group 3: 10 mcg/adjuvanted (Day 1 & 29)Experimental10 mcg CHIKV VLP/adjuvanted (Day 1) // Placebo (Day 15) // 10 mcg CHIKV VLP/adjuvanted (Day 29)
Receives: Biological: CHIKV VLP/adjuvanted; Biological: Placebo
Group 4: 20mcg/adjuvanted (Day 1 & 29);40mcg/adjuvant (Day 547)Experimental20 mcg CHIKV VLP/adjuvanted (Day 1) // Placebo (Day 15) // 20 mcg CHIKV VLP/adjuvanted (Day 29) // 40 mcg CHIKV (Day 547)
Receives: Biological: CHIKV VLP/adjuvanted; Biological: Placebo
Group 5: 6 mcg/adjuvanted (Day 15 & 29)ExperimentalPlacebo (Day 1) // 6 mcg CHIKV VLP/adjuvanted (Day 15) // 6 mcg CHIKV VLP/adjuvanted (Day 29)
Receives: Biological: CHIKV VLP/adjuvanted; Biological: Placebo
Group 6: 10 mcg/adjuvanted (Day 15 & 29)ExperimentalPlacebo (Day 1) // 10 mcg CHIKV VLP/adjuvanted (Day 15) // 10 mcg CHIKV VLP/adjuvanted (Day 29)
Receives: Biological: CHIKV VLP/adjuvanted; Biological: Placebo
Group 7: 20 mcg/adjuvanted (Day 15 & 29)ExperimentalPlacebo (Day 1) // 20 mcg CHIKV VLP/adjuvanted (Day 15) // 20 mcg CHIKV VLP/adjuvanted (Day 29)
Receives: Biological: CHIKV VLP/adjuvanted; Biological: Placebo
Group 8: 40 mcg/adjuvanted (Day 29)ExperimentalPlacebo (Day 1) // Placebo (Day 15) // 40 mcg CHIKV VLP/adjuvanted (Day 29)
Receives: Biological: CHIKV VLP/adjuvanted; Biological: Placebo
Group 9: 20 mcg/adjuvanted (Day 1 & 29)Experimental20 mcg CHIKV VLP/adjuvanted (Day 1) // 20 mcg CHIKV VLP/adjuvanted (Day 29). This group will also have plasmapheresis performed on Day 57 and Leukapheresis on Day 182
Receives: Biological: CHIKV VLP/adjuvanted
Group 10: 40 mcg/adjuvanted (Day 1)Experimental40 mcg CHIKV VLP/adjuvanted (Day 1). This group will also have plasmapheresis performed on Day 22.
Receives: Biological: CHIKV VLP/adjuvanted

What is being measured

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

  1. Anti-CHIKV Neutralizing Antibody Geometric Mean Titer 28 Days After the Last Injection for Groups 2-8.

    To assess the induction of anti-chikungunya virus (CHIKV) neutralizing antibody geometric mean titers by different formulations and schedules, as measured at 28 days after the last injection (Day 57) for Groups 2-8.

    Measured: Day 57 (from Day 1 vaccination), 28 days after the last injection.

Secondary outcomes (4)
  1. Kinetics of Anti-chikungunya Virus (CHIKV) Neutralizing Antibody Geometric Mean Titer for Groups 2-8.

    To describe the kinetics of induction of anti-CHIKV neutralizing antibody geometric mean titers by different formulations and schedules for Groups 2-8.

    Measured: At Days 8, 15, 22, 29, 36, and 57.

  2. Differences in Persistence of Neutralizing Antibody Geometric Mean Titer for Groups 2-8.

    To assess differences in persistence of neutralizing antibody geometric mean titers induced by different formulations and schedules, as measured up to 731 days after the last injection (Day 760) relative to earlier time points for Groups 2-8.

    Measured: At Days 182, 365, 547, and 760.

  3. Boosting of Vaccine-induced Neutralizing Antibody Geometric Mean Titer by a Booster Dose of PXVX0317 for Group 4 Only.

    To assess the effect of a booster dose of PXVX0317 on neutralizing antibody geometric mean titers when given at Day 547 for Group 4 only. Antibody levels will be measured at Day 547 prior to the booster dose and again 28 days later on Day 575 and then at Day 760.

    Measured: Antibody levels will be measured at Day 547 prior to the booster dose and again 28 days later on Day 575 and then at Day 760.

  4. Percentage of Participants With an Anti-CHIKV Neutralizing Antibody Titer Exceeding the Following Cutoff Values: ≥15, 40, 160, 640, and 4-fold Rise Over Baseline.

    Percentage of participants with an anti-CHIKV neutralizing antibody titer exceeding the following cutoff values: ≥15, 40, 160, 640, and 4-fold rise over baseline.

    Measured: Day 57 (from Day 1 vaccination), 28 days after the last injection.

Timeline

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

  1. First posted30 Mar 2018
  2. Study start18 Apr 2018
  3. Primary completion14 Sep 2020
  4. Study completion21 Sep 2020

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
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
445 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03483961
Sponsor's protocol ID
PXVX-CV-317-001
Status last verified
Jun 2023
First submitted
16 Mar 2018
Last updated
3 Jul 2023
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
No

Publications

  • Bennett SR, McCarty JM, Ramanathan R, Mendy J, Richardson JS, Smith J, Alexander J, Ledgerwood JE, de Lame PA, Royalty Tredo S, Warfield KL, Bedell L. Safety and immunogenicity of PXVX0317, an aluminium hydroxide-adjuvanted chikungunya virus-like particle vaccine: a randomised, double-blind, parallel-group, phase 2 trial. Lancet Infect Dis. 2022 Sep;22(9):1343-1355. doi: 10.1016/S1473-3099(22)00226-2. Epub 2022 Jun 13.

    PubMed 35709798

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing CHIKV VLP/unadjuvanted and CHIKV VLP/adjuvanted in people with Chikungunya Virus Infection, run by Bavarian Nordic at 3 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 4 inclusion and 15 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 3 Jul 2023. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 3 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. 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 9 Nov 2021). 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?

Anti-CHIKV Neutralizing Antibody Geometric Mean Titer 28 Days After the Last Injection for Groups 2-8. (time frame: Day 57 (from Day 1 vaccination), 28 days after the last injection.). 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 NCT03483961, 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 3 Jul 2023.

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