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Chikungunya VirusPhase 3NCT05072080

A Phase 3 Trial of the VLP-Based Chikungunya Vaccine PXVX0317 (CHIKV VLP Vaccine)

A Phase 3 study testing CHIKV VLP/adjuvant in people with Chikungunya Virus, run by Bavarian Nordic at 47 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 multi-center, randomized, double blind, placebo controlled study is to evaluate the safety and immunogenicity of PXVX0317 (CHIKV VLP vaccine) in healthy adult and adolescent subjects. Read more about this study

Who is it for?
Ages 12 to 64 yearsHealthy volunteers can take part
Conditions the study is for
Chikungunya Virus
What is being tested?
CHIKV VLP/adjuvant
Type of treatment
Vaccines
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
3,258 participants
Where
47 sitesUnited States
Study dates
29 Sep 2021to 3 Apr 2023
Phase
Phase 3
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 12 to 64 years
  • All sexes
  • Healthy volunteers accepted
  • Child, Adult

Who may be able to join

  • Able and willing to provide informed consent (and assent, as applicable) voluntarily signed by participant (and guardian, as applicable).
  • Males or females, 12 to <65 years of age.
  • Generally healthy, in the opinion of the investigator, based on medical history, physical examination, and screening laboratory assessments.
  • Women who are either: (i) Not of childbearing potential (CBP): pre-menarche, surgically sterile (at least six weeks post bilateral tubal ligation, bilateral oophorectomy or hysterectomy), or postmenopausal (defined as a history of ≥12 consecutive months without menses prior to randomization in the absence of other pathologic or physiologic causes, following cessation of exogenous sex-hormonal treatment) or (ii) Meeting all the below criteria: Negative serum pregnancy test at screening visit, Negative urine pregnancy test immediately prior to dosing at Day 1, Using an acceptable method of contraception (if women of CBP) for the duration of participation, such as hormonal contraceptives (eg, implants, pills, patches) initiated ≥30 days prior to dosing, intrauterine device (IUD) inserted ≥30 days prior to dosing, double barrier type of birth control (male condom with female diaphragm, male condom with cervical cap), Abstinence is acceptable only for adolescents (12 to <18 years old) who are not sexually active.

Who cannot join

  • Currently pregnant, breastfeeding, or planning to become pregnant during the study.
  • Body Mass Index (BMI) ≥35 kg/m2.
  • Positive laboratory evidence of current infection with human immunodeficiency virus (HIV-1, HIV-2), hepatitis C virus (HCV) or hepatitis B virus (HBV).
  • History of severe allergic reaction or anaphylaxis to any component of the vaccine.
  • History of any known congenital or acquired immunodeficiency that could impact response to vaccination (eg, leukemia, lymphoma, generalized malignancy, functional or anatomic asplenia, alcoholic cirrhosis).
  • Prior receipt or anticipated use of systemic immunomodulatory or immunosuppressive medications from six months prior to screening through Day 22. Note: For systemic corticosteroids, use at a dose or equivalent dose of 20 mg of prednisone daily for 14 days or more within three months of screening through Day 22 is exclusionary. The use of inhaled, intranasal, topical, ocular, or intraocular steroids is allowed.
Show all 14Show fewer
  • Receipt or anticipated receipt of blood or blood-derived products from 90 days prior to screening through Day 22.
  • Acute disease within the last 14 days (participants with an acute mild febrile illness can be considered for a deferral of vaccination two weeks after the illness has resolved and treatment has been completed).
  • Clinically significant cardiac, pulmonary, rheumatologic, or other chronic disease, in the opinion of the investigator. This may include chronic illness requiring hospitalization in the last 30 days prior to screening.
  • Enrollment in an interventional study and/or receipt of another investigational product from 30 days prior to screening through the duration of study participation.
  • Receipt or anticipated receipt of any vaccine from 30 days prior to Day 1 through Day 22.
  • Evidence of substance abuse that, in the opinion of the investigator, could adversely impact the participant's participation or the conduct of the study.
  • Prior receipt of an investigational CHIKV vaccine/product.
  • Any other medical condition that, in the opinion of the investigator, could adversely impact the participant's participation or the conduct of the study.

Trial locations and contacts

47 sites in 1 country.

47 sites in 1 country

United States47 sites
  • Synexus Clinical Research US, Inc.

    Anderson, South Carolina, 29621

  • Emory University School of Medicine

    Atlanta, Georgia, 30322

  • Velocity Clinical Research, Banning

    Banning, California, 92220

  • Velocity Clinical Research, Austin

    Cedar Park, Texas, 78613

  • Synexus Clinical Research US, Inc.

    Chicago, Illinois, 60602

  • Cincinnati Children's Hospital Medical Center - The Gamble Vaccine Research Center

    Cincinnati, Ohio, 45229

  • Velocity Clinical Rsearch, Inc.

    Cleveland, Ohio, 44122

  • Lynn Institute of the Rockies

    Colorado Springs, Colorado, 80918

  • Aventiv Research Inc.

    Columbus, Ohio, 43213

  • Velocity Clinical Research-Providence

    East Greenwich, Rhode Island, 02818

  • Texas Center for Drug Development, Inc.

    Houston, Texas, 77081

  • Optimal Research, LLC

    Huntsville, Alabama, 35802

  • Jacksonville Center for Clinical Research

    Jacksonville, Florida, 32216

  • Alliance for Multispecialty Research - Kansas City

    Kansas City, Missouri, 64114

  • Alliance for Multispecialty Research, LLC

    Knoxville, Tennessee, 37920

  • Accel Research Sites-DeLand Clinical Research Unit

    Lake Mary, Florida, 32746

  • Wr-Crcn, Llc

    Las Vegas, Nevada, 89106

  • Alliance for Multispecialty Research, LLC.

    Las Vegas, Nevada, 89119

  • Johnson County ClinTrials

    Lenexa, Kansas, 66219

  • Alliance for Multispecialty Research, LLC

    Lexington, Kentucky, 40509

  • Velocity Clinical Research, Medford

    Medford, Oregon, 97504

  • Optimal Research, LLC

    Melbourne, Florida, 32934

  • Velocity Clinical Research, Boise

    Meridian, Idaho, 83642

  • Suncoast Research Associates, LLC

    Miami, Florida, 33173

  • Alliance for Multispecialty Research - Mobile

    Mobile, Alabama, 36608

  • Alliance for Multispecialty Research, LLC

    New Orleans, Louisiana, 70119

  • Alliance for Multispecialty Research, LLC

    Newton, Kansas, 67114

  • Alliance for Multispecialty Research, LLC

    Norfolk, Virginia, 23502

  • Lynn Institute of Norman

    Norman, Oklahoma, 73072

  • Coastal Carolina Research Center

    North Charleston, South Carolina, 29405

  • Lynn Health Science Institute

    Oklahoma City, Oklahoma, 73112

  • Optimal Research LLC

    Peoria, Illinois, 61614

  • Synexus Clinical Research US, Inc.

    Pinellas Park, Florida, 33781

  • Research Your Health

    Plano, Texas, 75093

  • M3 Wake Research, Inc

    Raleigh, North Carolina, 27612

  • Rochester Clinical Research, Inc.

    Rochester, New York, 14609

  • Optimal Research, LLC

    Rockville, Maryland, 20850

  • BFHC Research

    San Antonio, Texas, 78249

  • Optimal Research, LLC

    San Diego, California, 92108

  • Saint Louis University

    St Louis, Missouri, 63104

  • Synexus Clinical Research US, Inc.

    St Louis, Missouri, 63141

  • Alliance for Multispecialty Research, LLC

    Tempe, Arizona, 85281

  • DM Clinical Research

    Tomball, Texas, 77375

  • Advanced Clinical Research

    West Jordan, Utah, 84088

  • Palm Beach Research Center

    West Palm Beach, Florida, 33409

  • Alliance for Multispecialty Research - Wichita East

    Wichita, Kansas, 67207

  • Trial Management Associates, LLC

    Wilmington, North Carolina, 28403

Other trials in United States

About this study

Official title: A Phase 3 Safety, Immunogenicity, and Lot-Consistency Trial of the VLP-Based Chikungunya Vaccine PXVX0317 in Healthy Adults and Adolescents

The goal of this multi-center, randomized, double blind, placebo controlled study is to evaluate the safety and immunogenicity of PXVX0317 (CHIKV VLP vaccine) in healthy adult and adolescent subjects.

Read the detailed description

Coprimary Objectives:

  1. To evaluate the safety of PXVX0317 (CHIKV VLP vaccine) in healthy adult and adolescent participants 12 to <65 years of age.
  2. To compare the anti-CHIKV serum neutralizing antibody (SNA) response to PXVX0317 (CHIKV VLP vaccine) and placebo at Day 22, as measured by geometric mean titer (GMT) and clinically relevant difference in seroresponse rate (PXVX0317 minus placebo).
  3. To demonstrate the consistency of the anti-CHIKV SNA response across three consecutively manufactured lots of PXVX0317 (CHIKV VLP vaccine) at Day 22 as measured by GMT.

Secondary Objectives:

  1. To compare the anti-CHIKV SNA response to PXVX0317 (CHIKV VLP vaccine) and placebo at Day 15, Day 183, and Day 8 as measured by GMT and seroresponse rate.
  2. To compare the GMT fold increase in anti-CHIKV SNA response and number and percentage of participants with an anti-CHIKV SNA titer ≥15 and 4-fold rise over baseline, both at Day 8, 15, 22, and 183.
Being tested
CHIKV VLP/adjuvant, Placebo
Keywords
Chikungunya, VLP, PXVX0317, vaccine, immunogenicity, CHIKV
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/adjuvantBiological

    CHIKV VLP vaccine is comprised of chikungunya virus virus-like particles (CHIKV VLP), adsorbed on aluminum hydroxide adjuvant 2%

  • PlaceboBiological

    Placebo is comprised of formulation buffer

Study groups in NCT05072080
Study groupRoleWhat they receive
Group 1ExperimentalGroup 1 - PXVX0317 lot A (Lot 104)
Receives: Biological: CHIKV VLP/adjuvant
Group 2ExperimentalGroup 2 - PXVX0317 lot B (Lot 105)
Receives: Biological: CHIKV VLP/adjuvant
Group 3ExperimentalGroup 3 - PXVX0317 lot C (Lot 106)
Receives: Biological: CHIKV VLP/adjuvant
Group 4Placebo comparatorGroup 4 - Placebo
Receives: Biological: Placebo

What is being measured

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

  1. Incidence of Solicited Adverse Events (AE)

    Incidence of solicited AEs through Day 8 for PXVX0317 (CHIKV VLP vaccine) and placebo for all age strata combined (safety population).

    Measured: 7 days post-vaccination

  2. Incidence of Unsolicited AEs

    Incidence of unsolicited AEs through Day 29 for PXVX0317 (CHIKV VLP vaccine) and placebo for all age strata combined (safety population).

    Measured: 28 days post-vaccination

  3. Incidence of Adverse Events of Special Interest (AESI)

    Incidence of AESIs, through Day 183 for PXVX0317 (CHIKV VLP vaccine) and placebo for all age strata combined (safety population).

    Measured: 182 days post-vaccination

  4. Incidence of Medically Attended Adverse Event (MAAE)

    Incidence of MAAEs through Day 183 for PXVX0317 (CHIKV VLP vaccine) and placebo for all age strata combined (safety population).

    Measured: 182 days post-vaccination

  5. Incidence of Serious Adverse Event (SAE)

    Incidence of SAEs through Day 183 for PXVX0317 (CHIKV VLP vaccine) and placebo for all age strata combined (safety population).

    Measured: 182 days post-vaccination

  6. Anti-CHIKV Serum Neutralizing Antibody (SNA) Seroresponse Rates at Day 22

    Anti-CHIKV SNA seroresponse rates for PXVX0317 (CHIKV VLP vaccine) and placebo, difference (PXVX0317 minus placebo), and associated 95% confidence interval (CI) at Day 22 for the immunogenicity evaluable population (IEP), all age strata combined.

    Measured: 21 days post-vaccination

  7. Anti-CHIKV Serum Neutralizing Antibody (SNA) Seroresponse Rates at Day 22 (Data Reported Per Arm)

    Anti-CHIKV SNA seroresponse rates and associated 95% confidence interval for PXVX0317 (CHIKV VLP vaccine) and placebo at Day 22 for the immunogenicity evaluable population (IEP), all age strata combined.

    Measured: 21 days post-vaccination

  8. Anti-CHIKV SNA Geometric Mean Titers (GMT) at Day 22

    Anti-CHIKV SNA GMTs and associated 95% CIs at Day 22 for PXVX0317 (CHIKV VLP vaccine) and placebo for the IEP, all age strata combined.

    Measured: 21 days post-vaccination

  9. Anti-CHIKV SNA Geometric Mean Titers (GMT) at Day 22 (Data Reported Per Arm - All Age Strata)

    Anti-CHIKV SNA GMTs and associated 95% CIs at Day 22 for PXVX0317 (CHIKV VLP vaccine) and placebo for the IEP, all age strata combined.

    Measured: 21 days post-vaccination

  10. Anti-CHIKV SNA Geometric Mean Titers (GMT) at Day 22 (for Lot Comparison)

    Anti-CHIKV SNA GMTs and associated 95% CIs between all three pairs of PXVX0317 (CHIKV VLP vaccine) lots (104:105, 104:106, 105:106) in adults 18 to <46 years of age in the IEP at Day 22. Placebo group 4 is not relevant for this lot-to-lot consistency analysis.

    Reported GMT estimates and 95% CIs are derived from an ANOVA model that includes site and product lot as fixed effects assuming normality of log titers.

    Measured: 21 days post-vaccination

  11. Anti-CHIKV SNA Geometric Mean Titers (GMT) at Day 22 (Data Reported Per Arm - Adults 18 to <46)

    Anti-CHIKV SNA GMTs and associated 95% CIs for PXVX0317 (CHIKV VLP vaccine) and placebo in adults 18 to <46 years of age in the IEP at Day 22.

    Measured: 21 days post-vaccination

Secondary outcomes (8)
  1. Anti-CHIKV SNA Seroresponse Rates at Days 15, 183, and 8

    Anti-CHIKV SNA seroresponse rates for PXVX0317 (CHIKV VLP vaccine) and placebo, difference (PXVX0317 minus placebo), and associated 95% CIs at Day 15, Day 183, and Day 8, in that order, for the IEP, all age strata combined.

    Number analyzed is number of participants with a sample result available at the indicated visit.

    Measured: Day 15, 183, and 8 (14, 182, and 7 days post-vaccination, respectively)

  2. Anti-CHIKV SNA Seroresponse Rates at Days 15, 183, and 8 (Data Reported Per Arm)

    Anti-CHIKV SNA seroresponse rates and associated 95% CIs for PXVX0317 (CHIKV VLP vaccine) and placebo at Day 15, Day 183, and Day 8, in that order, for the IEP, all age strata combined.

    Number analyzed is number of participants with a sample result available at the indicated visit.

    Measured: Day 15, 183, and 8 (14, 182, and 7 days post-vaccination, respectively)

  3. Anti-CHIKV SNA Geometric Mean Titers (GMTs) at Days 8, 15, and 183

    Anti-CHIKV SNA GMTs with associated 95% CIs at Day 8, Day 15, and Day 183 for PXVX0317 (CHIKV VLP vaccine) and placebo for the IEP, all age strata combined.

    Number analyzed is number of participants with a sample result available at the indicated visit.

    Measured: Day 8, 15, and 183 (7, 14, and 182 days post-vaccination, respectively)

  4. Anti-CHIKV SNA Geometric Mean Titers (GMTs) at Days 8, 15, and 183 (Data Reported Per Arm)

    Anti-CHIKV SNA GMTs with associated 95% CIs at Day 8, Day 15, and Day 183 for PXVX0317 (CHIKV VLP vaccine) and placebo for the IEP, all age strata combined.

    Number analyzed is number of participants with a sample result available at the indicated visit

    Measured: Day 8, 15, and 183 (7, 14, and 182 days post-vaccination, respectively)

  5. Geometric Mean Fold Increase (GMFI) in Anti-CHIKV SNA Titers From Day 1 to Days 8, 15, 22, and 183

    Geometric mean fold increase (GMFI) in anti-CHIKV SNA titers from Day 1 to Day 8, Day 15, Day 22, and Day 183 for the IEP for all age strata combined.

    Fold rise in geometric mean titer is the ratio of the post-baseline value to the baseline value (e.g. number of 2 represents a post-baseline doubling of geometric mean titer).

    Number analyzed is number of participants with a sample result available at both Day 1 and the indicated visit.

    Measured: Day 8, 15, 22, and 183 (7,14, 21, and 182 days post-vaccination, respectively)

  6. Geometric Mean Fold Increase (GMFI) in Anti-CHIKV SNA Titers From Day 1 to Days 8, 15, 22, and 183 (Data Reported Per Arm)

    Geometric mean fold increase (GMFI) in anti-CHIKV SNA titers from Day 1 to Day 8, Day 15, Day 22, and Day 183 for the IEP for all age strata combined.

    Fold rise in geometric mean titer is the ratio of the post-baseline value to the baseline value (e.g. number of 2 represents a post-baseline doubling of geometric mean titer).

    Number analyzed is number of participants with a sample result available at both Day 1 and the indicated visit.

    Measured: Day 8, 15, 22, and 183 (7,14, 21, and 182 days post-vaccination, respectively)

  7. Number and Percentage of Participants With Anti-CHIKV SNA Titer ≥15 and 4-fold Rise Over Baseline at Days 8, 15, 22, and 183

    Number and percentage of participants with anti-CHIKV SNA titers ≥15 and 4-fold rise over baseline at Day 8, Day 15, Day 22, and Day 183 for the IEP for all age strata combined.

    Number analyzed is number of participants with a sample result available at the indicated visit.

    Measured: Day 8, 15, 22, and 183 (7,14, 21, and 182 days post-vaccination, respectively)

  8. Number and Percentage of Participants With Anti-CHIKV SNA Titer ≥15 and 4-fold Rise Over Baseline at Days 8, 15, 22, and 183 (Data Reported Per Arm)

    Number and percentage of participants with anti-CHIKV SNA titers ≥15 and 4-fold rise over baseline at Day 8, Day 15, Day 22, and Day 183 for the IEP for all age strata combined.

    Number analyzed is number of participants with a sample result available at the indicated visit.

    Measured: Day 8, 15, 22, and 183 (7,14, 21, and 182 days post-vaccination, respectively)

Timeline

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

  1. First posted8 Oct 2021
  2. Study start29 Sep 2021
  3. Primary completion3 Apr 2023
  4. Study completion3 Apr 2023

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
Parallel groups
Model description
Participants will be randomized in a 2:2:2:1 ratio within each age stratum (12 to \<18, 18 to \<46, and 46 to \<65). This study will be conducted in the US, using up to 50 sites.
Masking
Triple blind
Who is masked
Participant, Care provider, Investigator
Enrolment
3,258 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05072080
Sponsor's protocol ID
EBSI-CV-317-004
Status last verified
Aug 2024
First submitted
28 Sep 2021
Last updated
30 Aug 2024
Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
No

Publications

  • Richardson JS, Anderson DM, Mendy J, Tindale LC, Muhammad S, Loreth T, Tredo SR, Warfield KL, Ramanathan R, Caso JT, Jenkins VA, Ajiboye P, Bedell L; EBSI-CV-317-004 Study Group. Chikungunya virus virus-like particle vaccine safety and immunogenicity in adolescents and adults in the USA: a phase 3, randomised, double-blind, placebo-controlled trial. Lancet. 2025 Apr 19;405(10487):1343-1352. doi: 10.1016/S0140-6736(25)00345-9. Epub 2025 Mar 27.

    PubMed 40158526
  • Miao Q, Nguyen W, Zhu J, Liu G, van Oers MM, Tang B, Yan K, Larcher T, Suhrbier A, Pijlman GP. A getah virus-like-particle vaccine provides complete protection from viremia and arthritis in wild-type mice. Vaccine. 2024 Nov 14;42(25):126136. doi: 10.1016/j.vaccine.2024.07.037. Epub 2024 Jul 14.

    PubMed 39004524
  • 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 3 study testing CHIKV VLP/adjuvant in people with Chikungunya Virus, run by Bavarian Nordic at 47 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 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: finished, as of the sponsor's last update on 30 Aug 2024. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 47 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 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?

Yes. Results are posted in the registry (first posted 30 Aug 2024). 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?

Incidence of Solicited Adverse Events (AE) (time frame: 7 days post-vaccination). The study lists 11 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 NCT05072080, which also lists 3 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 30 Aug 2024.

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