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ChikungunyaPhase 1NCT04440774

Research Study to Assess New Chikungunya and Zika Vaccines in Healthy Adults in Mexico.

A Phase 1 study testing CHIK low dose, CHIK mid dose and CHIK high dose in people with Chikungunya and Zika, run by University of Oxford at 1 site in Mexico.

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

Phase Ib, single centre, double-blind, double-dummy placebo-controlled, randomised, stepwise dose escalated, vaccine trial to assess the safety and immunogenicity of the candidate ChAdOx1 Chik and ChAdOx1 Zika vaccines, given as a standalone vaccines or in co-administration. Read more about this study

Who is it for?
Ages 18 to 50 yearsHealthy volunteers can take part
Conditions the study is for
Chikungunya, Zika
What is being tested?
CHIK low dose, CHIK mid dose and CHIK high dose
Type of treatment
Injection or infusion
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
120 participants
Where
1 siteMexico
Study dates
23 Oct 2020to 18 Feb 2022
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

  • Healthy men aged 18 to 50 (inclusive) years at the time of screening.
  • Healthy women aged 18 to 50 (inclusive) of child-bearing potential who agree to practice continuous effective contraception (see below) during the study and test negative for pregnancy on the day(s) of screening and vaccination.
  • Are residents of the metropolitan area of Monterrey, Nuevo León.
  • Provide written informed consent for participation in the study.
  • Able and willing (in the Investigator's opinion) to comply with all study requirements.
  • Agreement to inform study team of any impending vaccinations either before or during participation in the study.
  • Agreement to refrain from blood donation during the course of the study.
  • Agreement to refrain from receipt of any alphavirus or flavivirus vaccine throughout the duration of the study (e.g. investigational or licensed Yellow Fever, Japanese Encephalitis, Tick Borne Encephalitis or Dengue virus vaccines).

Who cannot join

  • Participation in another clinical trial in the 30 days preceding enrolment or during the study period.
  • Prior receipt of an investigational or licensed vaccine likely to impact on interpretation of the trial data (e.g. Adenovirus vectored vaccine, Chikungunya virus vaccine, Zika virus vaccine, Dengue virus vaccine).
  • Prior receipt of any vaccines administered ≤30 days before enrolment and/or planned during the during the study.
  • Administration of immunoglobulins and/or any blood products within the three months preceding the planned administration of the vaccine candidate.
  • Any confirmed or suspected immunosuppressive or immunodeficient state, including HIV infection; asplenia; recurrent, severe infections and chronic (more than 14 days) immunosuppressant medication within the past 6 months (inhaled and topical steroids are allowed).
  • History of allergic disease or reactions likely to be exacerbated by any component of the vaccine. Any history of anaphylaxis in relation to vaccination.
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  • History of autoimmune disease.
  • Any history of hereditary angioedema, acquired angioedema, or idiopathic angioedema.
  • Pregnancy, lactation or willingness/intention to become pregnant during the study.
  • History of cancer (except basal cell carcinoma of the skin and cervical carcinoma in situ).
  • History of serious psychiatric condition likely to affect participation in the study
  • Bleeding disorder (eg. factor deficiency, coagulopathy or platelet disorder), or prior history of significant bleeding or bruising following IM injections or venepuncture.
  • Any other serious chronic illness requiring hospital specialist supervision at present or during the last 6 months.
  • Suspected or known current alcohol abuse. For men, intake greater than 5 drinks on a single occasion or more than 15 drinks per week; and for women, more than 4 drinks on a single occasion or more than 8 drinks per week. One drink =14 grams of pure alcohol.
  • Suspected or known injecting drug abuse in the 5 years preceding enrolment.
  • Seropositive for hepatitis B surface antigen (HBsAg).
  • Seropositive for hepatitis C virus (antibodies to HCV).
  • Any clinically significant abnormal finding on screening biochemistry or haematology blood tests or urinalysis.
  • Has history of chronic or acute severe neurologic condition. Including: Neurologic and Neuroinflammatory Disorders: ADEM, including site specific variants, Cranial Nerve Disorders (including paralyses/paresis), GBS (including Miller Fisher Syndrome and other variants), Immune-mediated Peripheral Neuropathies and Plexopathies, Optic Neuritis, Multiple Sclerosis, Narcolepsy, Transverse Myelitis, meningitis, or meningoencephalitis.
  • Any other significant disease, disorder or finding which may significantly increase the risk to the volunteer because of participation in the study, affect the ability of the volunteer to participate in the study or impair interpretation of the study data.
  • Seropositivity or cross-reactivity to Chikungunya virus, Zika virus or Dengue virus on screening tests.

Trial locations and contacts

1 site in 1 country.

Mexico1 site
  • Hospital Universitario "Dr. José Eleuterio González" de la Universidad Autónoma de Nuevo León.

    Monterrey, Nuevo León, 64460

Other trials in Mexico

About this study

Official title: A Single Centre, Double-blind, Double-dummy Placebo-controlled, Randomised Phase Ib Study to Evaluate the Safety & Immunogenicity of the Candidate Chikungunya Vaccine ChAdOx1 Chik & the Zika Vaccine ChAdOx1 Zika in Healthy Adults in Mexico

Phase Ib, single centre, double-blind, double-dummy placebo-controlled, randomised, stepwise dose escalated, vaccine trial to assess the safety and immunogenicity of the candidate ChAdOx1 Chik and ChAdOx1 Zika vaccines, given as a standalone vaccines or in co-administration. Healthy volunteers aged 18-50 years old, residents of the metropolitan area of Monterrey (Mexico), will be recruited as participants

Read the detailed description

This trial consists of 4 intervention arms according to the vaccination product: 1) ChAdOx1 Chik, 2) ChAdOx1 Zika, 3) ChAdOx1 Chik and ChAdOx1 Zika as contralateral co-administration, and 4) placebo. There will be a total of 120 participants divided in ten study groups with 12 participants per group (Table 5.1). Groups 1 to 3 will receive ChAdOx1 Chik + placebo administered contralaterally, Groups 4 to 6 will receive ChAdOx1 Zika + placebo administered contralaterally, and Groups 7 to 9 will receive both ChAdOx1 Chik and ChAdOx1 Zika administered contralaterally. Group 10 will receive placebo in both arms.

Enrolment into this study will be implemented in a step-wise dose escalation manner. Participants will be first recruited into the vaccination groups at the lowest dose (Groups 1, 4 and 7). It is only after completion of these low dose groups and upon satisfactory interim clinical safety reviews that participants will be enrolled into the mid dose groups (Groups 2, 5 and 8). Participants in the high dose groups (Groups 3, 6 and 9) will be enrolled last, after completion and interim clinical safety reviews from the mid dose groups. Participants allocated to the Placebo group (Group 10) will be evenly distributed across the dose escalation model.

Randomisation procedures will be implemented accordingly, at a ratio of 3:3:3:1 for each of the four intervention arms.

The study involves a total of 9 visits (screening inclusive) and follow up will be undertaken for 6 months after vaccination day

Innovate UK (project number 971557)

Conditions
Chikungunya, Zika
Being tested
CHIK low dose, CHIK mid dose, CHIK high dose, ZIKA low dose, ZIKA mid dose
Keywords
Vaccine, ChAdOx1, Chikungunya, Zika, Mexico
Medical subject headings
Chikungunya Fever, Zika Virus Infection

What participants receive

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

  • CHIK low doseBiological

    A single dose of 5x10^9 vp ChAdOx1 Chik

  • CHIK mid doseBiological

    A single dose of 2.5x10^10 vp ChAdOx1 Chik

  • CHIK high doseBiological

    A single dose of 5x10^10 vp ChAdOx1 Chik

  • ZIKA low doseBiological

    A single dose of 5x10^9 vp ChAdOx1 Zika

  • ZIKA mid doseBiological

    A single dose of 2.5x10^10 vp ChAdOx1 Zika

  • ZIKA high doseBiological

    A single dose of 5x10^10 vp ChAdOx1 Zika

  • Saline placeboBiological

    A single dose of isotonic saline solution (0.9%)

Study groups in NCT04440774
Study groupRoleWhat they receive
CHIK low doseExperimentalVolunteers will receive a single dose of 5x10^9 vp ChAdOx1 Chik delivered intramuscularly. Volunteers will be blinded and will not know if they have received the IMP or the placebo comparator
Receives: Biological: CHIK low dose
CHIK mid doseExperimentalVolunteers will receive a single dose of 2.5x10^10 vp ChAdOx1 Chik delivered intramuscularly. Volunteers will be blinded and will not know if they have received the IMP or the placebo comparator
Receives: Biological: CHIK mid dose
CHIK high doseExperimentalVolunteers will receive a single dose of 5x10^10 vp ChAdOx1 Chik delivered intramuscularly. Volunteers will be blinded and will not know if they have received the IMP or the placebo comparator
Receives: Biological: CHIK high dose
ZIKA low doseExperimentalVolunteers will receive a single dose of 5x10^9 vp ChAdOx1 Zika delivered intramuscularly. Volunteers will be blinded and will not know if they have received the IMP or the placebo comparator
Receives: Biological: ZIKA low dose
ZIKA mid doseExperimentalVolunteers will receive a single dose of 2.5x10^10 vp ChAdOx1 Zika delivered intramuscularly. Volunteers will be blinded and will not know if they have received the IMP or the placebo comparator
Receives: Biological: ZIKA mid dose
ZIKA high doseExperimentalVolunteers will receive a single dose of 5x10^10 vp ChAdOx1 Zika delivered intramuscularly. Volunteers will be blinded and will not know if they have received the IMP or the placebo comparator
Receives: Biological: ZIKA high dose
CHIK ZIKA low doseExperimentalVolunteers will receive a single dose of 5x10^9 vp ChAdOx1 Chik and 5x10^9 vp ChAdOx1 Zika delivered intramuscularly. Volunteers will be blinded and will not know if they have received the IMP or the placebo comparator
Receives: Biological: CHIK low dose; Biological: ZIKA low dose
CHIK ZIKA mid doseExperimentalVolunteers will receive a single dose of 2.5x10^10 vp ChAdOx1 Chik and 2.5x10^10 vp ChAdOx1 Zika delivered intramuscularly. Volunteers will be blinded and will not know if they have received the IMP or the placebo comparator
Receives: Biological: CHIK mid dose; Biological: ZIKA mid dose
CHIK ZIKA high doseExperimentalVolunteers will receive a single dose of 5x10^10 vp ChAdOx1 Chik and 5x10^10 vp ChAdOx1 Zika delivered intramuscularly. Volunteers will be blinded and will not know if they have received the IMP or the placebo comparator
Receives: Biological: CHIK high dose; Biological: ZIKA high dose
PlaceboPlacebo comparatorVolunteers will receive a single dose of isotonic saline solution (0.9%) delivered intramuscularly. Volunteers will be blinded and will not know if they have received the IMP or the placebo comparator
Receives: Biological: Saline placebo

What is being measured

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

  1. Assess the safety profile and tolerability of ChAdOx1 Chik and ChAdOx1 Zika in healthy participants: occurrence of local reactogenicity signs and symptoms

    Occurrence of solicited local reactogenicity signs and symptoms for 7 days following vaccination.

    Measured: 7 days post vaccination

  2. Assess the safety profile and tolerability of ChAdOx1 Chik and ChAdOx1 Zika in healthy participants: occurrence of solicited systemic reactogenicity signs and symptoms

    Occurrence of solicited systemic reactogenicity signs and symptoms for 7 days following the vaccination.

    Measured: 7 days post vaccination

  3. Assess the safety profile and tolerability of ChAdOx1 Chik and ChAdOx1 Zika in healthy participants: occurrence of unsolicited adverse events

    Occurrence of unsolicited adverse events for 28 days following vaccination

    Measured: 28 days post vaccination

  4. Assess the safety profile and tolerability of ChAdOx1 Chik and ChAdOx1 Zika in healthy participants through standard blood tests (full blood count, liver and kidney function tests)

    Change from baseline for safety laboratory measures (haematology and biochemistry blood results)

    Measured: 28 days post vaccination

  5. Assess the safety profile and tolerability of ChAdOx1 Chik and ChAdOx1 Zika in healthy participants: occurrence of serious adverse events during the whole study duration

    Occurrence of serious adverse events during the whole study duration

    Measured: 6 months post vaccination

Secondary outcomes (2)
  1. Assess the humoral immunogenicity of the candidate vaccines ChAdOx1 Chik and ChAdOx1 Zika via PRNT50

    Plaque-reduction neutralisation tests at 50% (PRNT50) against chikungunya and Zika virus.

    Measured: 6 months post vaccination

  2. Assess the humoral immunogenicity of the candidate vaccines ChAdOx1 Chik and ChAdOx1 Zika via IgG ELISA antibody titres

    IgG ELISA antibody titres against proteins of Chikungunya and Zika virus

    Measured: 6 months 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 posted22 Jun 2020
  2. Study start23 Oct 2020
  3. Primary completion18 Feb 2022
  4. Study completion18 Feb 2022

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
Sequential
Masking
Double blind
Who is masked
Participant, Care provider
Enrolment
120 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04440774
Sponsor's protocol ID
CHIKA01
Status last verified
Sep 2021
First submitted
17 Jun 2020
Last updated
23 Mar 2022
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No

Questions about this trial

What is this clinical trial studying?

A Phase 1 study testing CHIK low dose, CHIK mid dose and CHIK high dose in people with Chikungunya and Zika, run by University of Oxford at 1 site in Mexico.

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 8 inclusion and 21 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 23 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 Mexico. 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?

Assess the safety profile and tolerability of ChAdOx1 Chik and ChAdOx1 Zika in healthy participants: occurrence of local reactogenicity signs and symptoms (time frame: 7 days post vaccination). 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?
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 23 Mar 2022.

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