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Zika VirusPhase 1NCT05123222

Evaluation of Two Zika Viruses for Use in Controlled Human Infection Models (CHIM)

A Phase 1 study testing ZIKV-SJRP/2016-184 Strain and Experimental: ZIKV-Nicaragua/2016 Strain in people with Zika Virus, run by National Institute of Allergy and Infectious Diseases (NIAID) at 1 site 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

This study will include 4 cohorts of 14 ZIKV and DENV-naïve female and male subjects, 18 - 40 years of age (total: up to 56 subjects). Within each cohort, 10 subjects will receive ZIKV and 4 subjects will receive a placebo on Study Day 0. Read more about this study

Who is it for?
Ages 18 to 40 yearsHealthy volunteers can take part
Conditions the study is for
Zika Virus
What is being tested?
ZIKV-SJRP/2016-184 Strain and Experimental: ZIKV-Nicaragua/2016 Strain
Type of treatment
Injection or infusion
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
56 participants
Where
1 siteUnited States
Study dates
16 Feb 2022to 3 Sep 2024
Phase
Phase 1
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 40 years
  • All sexes
  • Healthy volunteers accepted
  • Adult

Who may be able to join

  • Adult ZIKV and DENV-naïve male and non-pregnant females 18 - 40 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, approximately 26 weeks post-inoculation.
  • Must be able to complete the informed consent process and comprehension assessment independently and without assistance.
  • Willingness to participate in the study as evidenced by signing the informed consent document.
  • Willingness to reside in the inpatient unit for 9 days (or longer for safety if necessary) following receipt of ZIKV or placebo.
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  • Male subjects: Willingness to use barrier contraception during cervico-vaginal, anal, and oral intercourse through study day 90 (in accordance with CDC guidance).
  • Female subjects: Willingness to use barrier contraception during cervico-vaginal, anal, and oral intercourse through study day 56 (in accordance with CDC guidance).
  • Female subjects of childbearing potential must be willing to use effective contraception while at risk of Zika infection. CDC guidelines for the use of effective contraception of 8 weeks post-infection will be followed; time of infection is defined as inoculation with challenge virus. Reliable methods of contraception include: hormonal birth control* (implantable, hormonal patch, hormonal vaginal ring, oral contraception, Depo-Provera injection, etc.), surgical sterilization (hysterectomy, tubal ligation, or tubal coil at least 3 months prior to inoculation), and intrauterine device. All female subjects will be considered having child-bearing potential except for those with post-menopausal status documented as at least 1 year since last menstrual period and females who have sex with females (exclusively) and have no intention of conceiving a child during the study. Females who are not considered to be of childbearing potential will not be required to use contraception other than barrier contraception for the purpose of reducing potential transmission.
  • Volunteers on hormonal birth control must not be on medications or other agents that decrease the effectiveness of hormonal birth control.

Who cannot join

  • Currently pregnant, as determined by positive beta-human choriogonadotropin (Beta-hCG) test, breast-feeding or planning to become pregnant during the 6-month duration of the study.
  • Evidence of clinically significant neurologic, cardiac, pulmonary, hepatic, rheumatologic, autoimmune, or renal disease by history, physical examination, and/or laboratory studies.
  • Behavioral, cognitive, or psychiatric disease that in the opinion of the investigator affects the ability of the subject to understand and cooperate with the requirements of the study protocol.
  • Evidence of recent opiate use based on urine toxicology screen
  • Screening laboratory values of Grade 1 or above for absolute neutrophil count (ANC), 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.
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  • Any significant alcohol or drug abuse in the past 12 months which has caused medical, occupational, or family problems, as indicated by subject history.
  • History of a severe allergic reaction or anaphylaxis.
  • Severe asthma (emergency room visit or hospitalization within the last 6 months).
  • HIV infection, by screening and confirmatory assays.
  • Hepatitis C virus (HCV) infection, by screening and confirmatory assays.
  • Hepatitis B virus (HBV) infection, by hepatitis B surface antigen (HBsAg) screening.
  • History of Guillain-Barré syndrome (GBS).
  • History of seizure disease or peripheral neuropathy
  • History of any neuroinflammatory disorder i.e. Bell's Palsy, transverse myelitis
  • Any known immunodeficiency syndrome, including that caused by malignancy.
  • Use of anticoagulant medications (use of antiplatelet medication such as aspirin or non-steroidal anti-inflammatory medication is permitted and will not exclude a subject from enrollment).
  • Use of corticosteroids (excluding topical or nasal) or immunosuppressive drugs within 28 days prior to or following inoculation. Immunosuppressive dose of corticosteroids is defined as ≥10 mg prednisone equivalent per day for ≥14 days.
  • Receipt of a live vaccine within 21 days or a killed vaccine within the 14 days prior to inoculation or anticipated receipt of any vaccine during the 21 days following inoculation.
  • 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 inoculation.
  • History or serologic evidence of previous ZIKV infection or DENV infection.
  • Previous receipt of a ZIKV or DENV vaccine (licensed or investigational).
  • Anticipated receipt of any investigational agent in the 28 days before or after inoculation.
  • Subject has definite plans to travel to a ZIKV-endemic or dengue-endemic area during the study.
  • Previous hypersensitivity to any study product component.
  • Anaphylactic reaction to mosquito bites.
  • Refusal to allow storage of specimens for future research.

Trial locations and contacts

1 site in 1 country.

United States1 site
  • Johns Hopkins University, Bloomberg School of Public Health

    Baltimore, Maryland, 21202

Other trials in United States

About this study

Official title: Phase I Evaluation of Two Zika Viruses for Use in Controlled Human Infection Models (CHIM)

This study will include 4 cohorts of 14 ZIKV and DENV-naïve female and male subjects, 18 - 40 years of age (total: up to 56 subjects). Within each cohort, 10 subjects will receive ZIKV and 4 subjects will receive a placebo on Study Day 0. Cohorts 1 and 2 (Dose = 10^2 PFU) will be enrolled first and will enroll only women. Cohorts 3 and 4 (Dose = 10^2 PFU) will enroll men.

Read the detailed description

This study is a placebo-controlled, double-blind study in normal healthy adult male and non-pregnant female subjects 18 - 40 years of age, inclusive, recruited from the metropolitan Baltimore/Washington, DC and Burlington, VT areas. The purpose of this study is to evaluate the clinical and virologic response to escalating doses of 2 different ZIKV strains administered subcutaneously in healthy, ZIKV and DENV-naïve, male and non-pregnant, female adult volunteers to identify the most suitable ZIKV strain and dose for use in a ZIKV CHIM. The ZIKV CHIM will then be used to evaluate the protective efficacy of candidate ZIKV vaccines prior to evaluation of these candidates in Phase 2 clinical trials. Both ZIKV strains will be studied at doses of 10^2 PFU. Placebo recipients are included in the study as a control to better assess ZIKV-associated versus non-ZIKV-associated AEs.

Conditions
Zika Virus
Being tested
ZIKV-SJRP/2016-184 Strain, Experimental: ZIKV-Nicaragua/2016 Strain, Placebo
Keywords
Zika virus
Medical subject headings
Zika Virus Infection

What participants receive

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

  • ZIKV-SJRP/2016-184 StrainBiological

    Zika Virus Strain (San Jose Rio Puerto)

  • Experimental: ZIKV-Nicaragua/2016 StrainBiological

    Zika Virus Strain (Nicaragua)

  • PlaceboBiological

    Saline

Study groups in NCT05123222
Study groupRoleWhat they receive
Cohort 1 - SJRPExperimentalZIKV-SJRP/2016-184 injected at dose of 10^2 PFU.
Receives: Biological: ZIKV-SJRP/2016-184 Strain
Cohort 1 - PlaceboPlacebo comparatorVolume matched placebo injection (saline)
Receives: Biological: Placebo
Cohort 2 - NicaraguaExperimentalZIKV-Nicaragua/2016 injected at dose of 10^2 PFU.
Receives: Biological: Experimental: ZIKV-Nicaragua/2016 Strain
Cohort 2 - PlaceboPlacebo comparatorVolume matched placebo injection (saline)
Receives: Biological: Placebo

What is being measured

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

  1. Number of Solicited Adverse Events

    measured by count of solicited adverse events recorded following ZIKV administration

    Measured: Through 90 days post-inoculation

  2. Severity of Adverse Events

    count of solicited AEs by severity grade 1 - mild, event that is easily tolerated, may require 1 dose of medication.

    grade 2 - moderate, event that interferes with daily activity or requires more than 1 dose of medication.

    grade 3 - severe, event that prevents daily activity and requires medical intervention.

    grade 4 - life-threatening, an adverse event that is deemed by the study clinician, the medical monitor, or an outside clinician caring for the subject to be a life-threatening event.

    grade 5 - death, any adverse event that results in the death of the subject.

    Measured: Through 90 days post-inoculation

  3. Number of Participants Infected by ZIKV

    Infection defined as recovery of ZIKV by RT-PCR from blood and/or by seroconversion to ZIKV (50% plaque reduction neutralization titer [PRNT50]≥ 1:10)

    Measured: Through 90 days post-inoculation

  4. Number of Participants With Zika Virus Recovered From Serum, Whole Blood, CVS, Semen, Urine, and Saliva

    Count of participants with infectious virus recovered from serum, whole blood, cervicovaginal secretions (CVS), semen, urine, and saliva as measured by RT-PCR

    Measured: Through 90 days post-inoculation

  5. Magnitude of ZIKV Recovered From Serum, Whole Blood, CVS, Semen, Urine, and Saliva

    Mean peak titer of ZIKV recovered in serum, whole blood, cervicovaginal secretions (cvs), semen, urine, and saliva of participants by RT-PCR. Data are reported in Log10 Genome Equivalents (GE) per milliliter.

    Measured: Through 90 days post-inoculation

  6. Duration of ZIKV in Serum, Whole Blood, CVS, Semen, Urine, and Saliva

    Mean number of days that ZIKV was recovered in serum, whole blood, cervicovaginal secretions (cvs), semen, urine, and saliva from participants with detectable zika as measured by RT-PCR

    Measured: Through 90 days post-inoculation

Secondary outcomes (5)
  1. Frequency of AEs by Severity

    Number of AEs by grade grade 1 - mild, event that is easily tolerated, may require 1 dose of medication.

    grade 2 - moderate, event that interferes with daily activity or requires more than 1 dose of medication.

    grade 3 - severe, event that prevents daily activity and requires medical intervention.

    grade 4 - life-threatening, an adverse event that is deemed by the study clinician, the medical monitor, or an outside clinician caring for the subject to be a life-threatening event.

    grade 5 - death, any adverse event that results in the death of the subject.

    Measured: Through 28 days post-inoculation

  2. Number of Participants With Zika Virus Recovered From Serum, Whole Blood, CVS, Semen, Urine, and Saliva

    determined by number of participants with infectious virus in serum, whole blood, cervicovaginal secretions (cvs), semen, urine, and saliva as measured by virus culture

    Measured: Through 90 days post-inoculation

  3. Peak Virus Titer Recovered From Serum, Whole Blood, CVS, Semen, Urine, and Saliva

    mean peak titer of ZIKV in participants with ZIKV recovered from serum, whole blood, cervicovaginal secretions (cvs), semen, urine, and saliva by virus culture. Data are reported in Log10 Genome Equivalents (GE) per milliliter.

    Measured: Through 90 days post-inoculation

  4. Duration of ZIKV in Serum, Whole Blood, CVS, Semen, Urine, and Saliva

    mean number of days that ZIKV was recovered in serum, whole blood, cervicovaginal secretions (cvs), semen, urine, and saliva from participants with detectable zika as measured by virus culture

    Measured: Through 90 days post-inoculation

  5. Peak Neutralizing Antibody Response to ZIKV

    evaluate the kinetics of the serum neutralizing antibody response following primary ZIKV infection.

    Measured: Through 90 days post-inoculation

Timeline

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

  1. First posted17 Nov 2021
  2. Study start16 Feb 2022
  3. Primary completion3 Sep 2024
  4. Study completion3 Sep 2024

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
Treatment
Allocation
Randomised
Intervention model
Single group
Model description
This study will include 4 cohorts of 14 ZIKV and DENV-naïve non-pregnant female and male subjects, 18 - 40 years of age (total: 56 subjects). Within each cohort, 10 subjects will receive ZIKV and 4 subjects will receive a placebo on Study Day 0. Cohorts 1 and 2 (Dose = 10\^2 PFU) will be enrolled first and will enroll only women. Cohorts 3 and 4 (Dose = 10\^2 PFU) will enroll men. Two strains of ZIKV will be evaluated in both men and women- San Jose Rio Puerto (Cohorts 1 and 3) and Nicaragua (Cohorts 2 and 4).
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
56 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05123222
Sponsor's protocol ID
CIR 316
Status last verified
Apr 2025
First submitted
26 Oct 2021
Last updated
11 Apr 2025
Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

A Phase 1 study testing ZIKV-SJRP/2016-184 Strain and Experimental: ZIKV-Nicaragua/2016 Strain in people with Zika Virus, run by National Institute of Allergy and Infectious Diseases (NIAID) at 1 site 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 10 inclusion and 28 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 11 Apr 2025. 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 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?

Yes. Results are posted in the registry (first posted 11 Apr 2025). 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?

Number of Solicited Adverse Events (time frame: Through 90 days post-inoculation). The study lists 6 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 11 Apr 2025.

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