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Chikungunya VirusPhase 3NCT05349617

Safety and Immunogenicity of CHIKV VLP Vaccine PXVX0317 in Adults ≥65 Years

A Phase 3 study testing CHIKV VLP/adjuvant in people with Chikungunya Virus, run by Bavarian Nordic at 10 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 phase 3, randomized, double-blind, placebo-controlled study is to evaluate the safety and immunogenicity to PXVX0317 in adults ≥65 years of age. Read more about this study

Who is it for?
Ages 65 years and olderHealthy 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
413 participants
Where
10 sitesUnited States
Study dates
12 May 2022to 8 Aug 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 65 years and older
  • All sexes
  • Healthy volunteers accepted
  • Older adult

Who may be able to join

  • Able and willing to provide informed consent voluntarily signed by participant. Must verbalize understanding of the general procedures of, and reason for the study.
  • Males or females, ≥65 years of age.
  • Able to complete all scheduled visits and comply with all study procedures.
  • Women who are not of childbearing potential (CBP): 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 post menopausal sex-hormonal treatment).
  • Participants must be in stable health in the opinion of the investigator for at least 30 days prior to screening (eg, no hospital admission for acute illness in the last 30 days prior to screening).

Who cannot join

  • Participation or planned participation in an investigational clinical trial (eg, vaccine, drug, medical device, or medical procedure) within 30 days of Day 1 and for the duration of the study. Note: Participation in an observational trial or follow-up phase of a trial may be allowed; however, these instances should be discussed with the sponsor's medical monitor (MM) prior to enrollment.
  • Prior receipt of any CHIKV vaccine.
  • Positive laboratory evidence of current infection with human immunodeficiency virus (HIV), hepatitis C virus (HCV) or hepatitis B virus (HBV).
  • Body mass index (BMI) ≥35 kg/m^2
  • History of any known or suspected allergy or history of anaphylaxis to any component of the investigational product (IP).
  • History of any known congenital or acquired immunodeficiency or immunosuppressive condition that could impact response to vaccination (eg, leukemia, lymphoma, malignancy, functional or anatomic asplenia, alcoholic cirrhosis). Note: History of basal cell and squamous cell carcinoma of the skin or carcinoma in situ of the cervix considered cured would not be exclusionary. History of a malignancy considered cured from over five years from the date of screening with minimal risk of recurrence is not exclusionary.
Show all 17Show fewer
  • Prior or anticipated use of systemic immunomodulatory or immunosuppressive medications from six months prior to screening through Day 22. Note: Systemic corticosteroid use at a dose or equivalent dose of 20 mg of prednisone daily for 14 days or more within 90 days of screening through Day 22 is exclusionary. The use of inhaled, intranasal, topical, or ocular steroids is allowed.
  • Bleeding disorder or receipt of anticoagulants in the 21 days prior to screening, contraindicating intramuscular (IM) vaccination, as judged by the investigator.
  • Moderate or severe acute illness with or without fever (oral temperature ≥100.4°F or 38.0°C).
  • Receipt or anticipated receipt of immunoglobulin from 180 days prior to screening through Day 22.
  • Medical condition (such as dementia) that, in the opinion of the investigator, could adversely impact the participant's participation in or conduct of the study.
  • Evidence of substance abuse that, in the opinion of the investigator, could adversely impact the participant's participation in or conduct of the study.
  • Identified as an investigator or employee of an Investigator or study center with direct involvement in the proposed study, or identified as an immediate family member (ie, parent, spouse) of the investigator or employee with direct involvement in the proposed study.
  • Receipt or anticipated receipt of any vaccine from 30 days prior to Day 1 through Day 22.
  • Receipt or anticipated receipt of blood or blood-derived products from 90 days prior to screening through Day 22.
  • Any planned elective surgery that may interfere with study participation or conduct.
  • Any other medical condition that, in the opinion of the investigator, could adversely impact the participant's participation in or conduct of the study.

Trial locations and contacts

10 sites in 1 country.

10 sites in 1 country

United States10 sites
  • DM Clinical Research CyFair

    Houston, Texas, 77065

  • AMR Kansas City

    Kansas City, Missouri, 64114

  • Suncoast Research Associates, LLC

    Miami, Florida, 33173

  • Panax Clinical Research

    Miami Lakes, Florida, 33014

  • Coastal Carolina Research Center

    North Charleston, South Carolina, 29405

  • Rochester Clinical Research, Inc.

    Rochester, New York, 14609

  • BHFC Research

    San Antonio, Texas, 78249

  • Global Clinical Research Professionals (GCP)

    St. Petersburg, Florida, 33705

  • DM Clinical Research Tomball

    Tomball, Texas, 77375

  • Spaulding Clinical

    West Bend, Wisconsin, 53095

Other trials in United States

About this study

Official title: A Phase 3 Safety and Immunogenicity Trial of the VLP-Based Chikungunya Virus Vaccine PXVX0317 in Adults ≥65 Years of Age

The purpose of this phase 3, randomized, double-blind, placebo-controlled study is to evaluate the safety and immunogenicity to PXVX0317 in adults ≥65 years of age.

Read the detailed description

Co-primary Objectives:

  • To compare the anti-CHIKV serum neutralizing antibody (SNA) response to PXVX0317 and placebo at Day 22, as measured by geometric mean titer (GMT) and clinically relevant difference in seroresponse rate (PXVX0317 minus placebo) in adults ≥65 years of age.
  • To evaluate the safety of PXVX0317 in adults ≥65 years of age

Secondary Objectives:

  • To compare the anti-CHIKV SNA response to PXVX0317 and placebo at Day 15 and Day 183, as measured by GMT and seroresponse rate.
  • To compare the anti-CHIKV SNA response to PXVX0317 and placebo in participants ≥65 to <75 and ≥75 years of age as measured by GMT and seroresponse rate.
Being tested
CHIKV VLP/adjuvant, Placebo
Keywords
chikungunya, virus like particle (VLP), PXVX0317, vaccine, immunogenicity
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

    PXVX0317 vaccine is comprised of chikungunya virus virus-like particles (CHIKV VLP), adsorbed on aluminum hydroxide adjuvant

  • PlaceboBiological

    Placebo is comprised of formulation buffer

Study groups in NCT05349617
Study groupRoleWhat they receive
Group 1 - PXVX0317ExperimentalPXVX0317 vaccine is comprised of chikungunya virus virus-like particles (CHIKV VLP), adsorbed on aluminum hydroxide adjuvant.
Receives: Biological: CHIKV VLP/adjuvant
Group 2 - PlaceboPlacebo comparatorPlacebo is comprised of formulation buffer.
Receives: Biological: Placebo

What is being measured

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

  1. Anti-CHIKV SNA Titer (NT80) Seroresponse Rates at Day 22 in Baseline Seronegative Participants

    Difference in anti-CHIKV SNA titer (NT80) seroresponse rate (PXVX0317 minus placebo) and associated 95 percent confidence interval (CI) at Day 22.

    Measured: 21 days postvaccination

  2. Anti-CHIKV SNA Titer (NT80) Geometric Mean Titers (GMT) at Day 22

    Anti-CHIKV SNA titer (NT80) GMT and associated 95 percent CIs at Day 22 for PXVX0317 and placebo.

    Measured: 21 days postvaccination

  3. 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 postvaccination

  4. 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 postvaccination

  5. Incidence of Serious Adverse Events (SAE)

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

    Measured: 182 days postvaccination

  6. Incidence of Medically Attended Adverse Events (MAAE)

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

    Measured: 182 days postvaccination

  7. 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 postvaccination

Secondary outcomes (4)
  1. Anti-CHIKV SNA Titer (NT80) Seroresponse Rates at Days 15 and 183

    Difference in anti-CHIKV SNA titer (NT80) seroresponse rate (PXVX0317 minus placebo) with associated 95 percent CIs at Day 15 and Day 183.

    Measured: Day 15 and 183 (14 and 182 days postvaccination, respectively)

  2. Anti-CHIKV SNA GMTs at Days 15 and 183

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

    Measured: Day 15, and 183 (14 and 182 days postvaccination, respectively)

  3. Anti-CHIKV SNA Geometric Mean Fold Increase (GMFI)

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

    Measured: Day 15, 22, and 183 (14, 21 and 182 days postvaccination, respectively)

  4. Subjects With Anti-CHIKV SNA Titer ≥15 and 4-fold Rise Over Baseline

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

    Measured: Day 15, 22 and 183 (14, 21 and 182 days postvaccination, respectively)

Timeline

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

  1. First posted27 Apr 2022
  2. Study start12 May 2022
  3. Primary completion19 Jun 2023
  4. Study completion8 Aug 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 1:1 ratio to receive PXVX0317 or placebo within each age stratum. Participants will be stratified in two age subgroups (≥65 to \<75 and ≥75 years of age). This study will be conducted in the US, using up to 10 sites.
Masking
Triple blind
Who is masked
Participant, Investigator, Outcomes assessor
Enrolment
413 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05349617
Sponsor's protocol ID
EBSI-CV-317-005
Status last verified
Dec 2024
First submitted
21 Apr 2022
Last updated
13 Dec 2024
Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No

Publications

  • Tindale LC, Richardson JS, Anderson DM, Mendy J, Muhammad S, Loreth T, Tredo SR, Ramanathan R, Jenkins VA, Bedell L, Ajiboye P; EBSI-CV-317-005 Study Group. Chikungunya virus virus-like particle vaccine safety and immunogenicity in adults older than 65 years: a phase 3, randomised, double-blind, placebo-controlled trial. Lancet. 2025 Apr 19;405(10487):1353-1361. doi: 10.1016/S0140-6736(25)00372-1. Epub 2025 Mar 27.

    PubMed 40158524
  • 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 10 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 17 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 13 Dec 2024. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 10 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 13 Dec 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?

Anti-CHIKV SNA Titer (NT80) Seroresponse Rates at Day 22 in Baseline Seronegative Participants (time frame: 21 days postvaccination). The study lists 7 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 NCT05349617, which also lists 2 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 13 Dec 2024.

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