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Lassa FeverPhase 1NCT06546709

DMID 23-0015; Lassa Fever CVD 1000

A Phase 1 study testing LASSARAB+ aPHAD-SEat 700rU, HDCV Comparator and LASSARAB+ aPHAD-SEat 1400rU in people with Lassa Fever, run by Wilbur Chen, MD, MS 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 proposes the evaluation of a novel, first-in-human Lassa fever vaccine based on the complete Lassa glycoprotein complex (GPC) antigen. The antigen will be presented on a genetically modified and attenuated rabies vector expressing both the rabies glycoprotein (GP) antigen and the Lassa GPC. Read more about this study

Who is it for?
Ages 18 to 50 yearsHealthy volunteers can take part
Conditions the study is for
Lassa Fever
What is being tested?
LASSARAB+ aPHAD-SEat 700rU, HDCV Comparator and LASSARAB+ aPHAD-SEat 1400rU
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
54 participants
Where
1 siteUnited States
Study dates
13 Jan 2025to 11 May 2026
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

  • Provides written informed consent prior to the initiation of any trial procedures.
  • Able to understand and agrees to comply with all planned trial procedures and be available for all study visits.
  • Age ≥ 18 and ≤50 years at time of enrollment.
  • In good general health and without clinically significant medical, psychiatric, chronic or intermittent health conditions including those listed in Exclusion Criteria
  • Participants of childbearing potential must have a negative serum human chronic gonadotropin (HCG) pregnancy test at screening and a negative urine HCG pregnancy test within 24 hours prior to the study vaccination.
  • Participants of childbearing potential in a heterosexual relationship agree to use of highly effective contraception beginning at the time of the screening visit through Day 61 (32 days after the last study treatment).
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  • Vital signs and Body Mass Index (BMI) are in the following ranges at screening:
  • Oral temperature is less than 100.4°F (38.0°C).
  • Pulse is 47 to 100 beats per minute, inclusive.
  • Systolic blood pressure (SBP) is 85 to 140 mmHg, inclusive.
  • Diastolic blood pressure(DBP) is 55 to 90 mmHg, inclusive.
  • BMI of 18 kilograms/square meter (kg/m2) (inclusive) to <35 kg/m2
  • Has a negative test result for hepatitis B virus (HBV) surface antigen, hepatitis C virus (HCV) antibody, and human immunodeficiency virus (HIV) types 1 or 2 antibodies at screening.
  • Has a negative rabies neutralizing antibody test at screening (< 0.5 IU/mL in RFFIT assay)
  • Screening hematology tests (white blood cells, hemoglobin, and platelets) and screening chemistry tests (alanine transaminase, creatine, and total bilirubin) are within acceptable parameters
  • Must agree to the collection and storage of residual biological specimens and additional clinical specimens for secondary research use
  • Agreement to adhere to Lifestyle Considerations during the study

Who cannot join

  • A history of anaphylaxis, serum sickness, meningitis; neuroparalytic events such as encephalitis, transient paralysis; Guillain-Barré Syndrome; myelitis; retrobulbar neuritis; history of prior or current hearing loss as assessed by quantitative audiometry; or multiple sclerosis
  • Current use of any medications that may be associated with impaired immune responsiveness
  • Allergy treatment with antigen injections within 60 days before first vaccination or that are planned through the end of the study.
  • Receipt of immunoglobulins and/or any blood products within the 60 days before first vaccination or that are planned through the end of the study.
  • Current pregnancy or lactation
  • Known allergic reactions to 1) any rabies vaccine; 2) any components of HDCV (human albumin, neomycin sulfate, phenol red, beta-propiolactone); 3) any components of LASSARAB +aPHAD-SE (LASSARAB, Tris-HCI, L-Arginine, (3D -(6-Acyl) PHAD, Squalene Redistilled, DMPC, Vitamin E Dry Powder).
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  • History of severe local or systemic reactions to any vaccination or a history of severe allergic reactions to drug or vaccine products.
  • Has a significant acute illness (with or without fever), as determined by the site PI or appropriate sub-investigator, within 72 hours prior to enrollment
  • Receipt of a rabies vaccine or an antibody therapeutic product for treating rabies or a Lassa fever vaccine any time before the first planned study vaccination.
  • Receipt of another experimental agent or intervention within 60 days before first vaccination or plans to do so before the end of the study.
  • Received or plans to receive any other vaccine in the 2 weeks prior to the first vaccination through Day 61 (32 days after the last study treatment).
  • Received or plans to receive any live vaccine in the 4 weeks prior to first vaccination through Day 61 (32 days after the last study treatment).
  • Self-reported or known history of alcoholism within the last 2 years.
  • Any condition that, in the judgment of the investigator, precludes participation because it could affect participant safety or endpoint assessment.
  • Has tattoos, scars, or other marks which would, in the opinion of the investigator, interfere with assessment of the vaccination site.

Trial locations and contacts

1 site in 1 country.

United States1 site
  • University of Maryland, Baltimore, University of Maryland School of Medicine, Center for Vaccine Development and Global Health

    Baltimore, Maryland, 21201

Other trials in United States

About this study

Official title: A Phase 1, Randomized, Recipient- and Observer-Blinded, Dose-Escalation Study to Evaluate the Safety, Reactogenicity, and Immunogenicity of Two Doses of Rabies-Vectored Monovalent Lassa Fever Vaccine (LASSARAB) Administered With 3D-(6-Acyl) PHAD-SE (aPHAD-SE) Adjuvant in Healthy Adults

This study proposes the evaluation of a novel, first-in-human Lassa fever vaccine based on the complete Lassa glycoprotein complex (GPC) antigen. The antigen will be presented on a genetically modified and attenuated rabies vector expressing both the rabies glycoprotein (GP) antigen and the Lassa GPC. The inactivated chimeric virus is delivered with a toll-like receptor (TLR-4)-activating oil-in-water emulsion adjuvant. Studies using this vaccine administered as a prime-boost series in mice and non-human primates, and then challenged with Lassa virus demonstrated significant protection against Lassa fever. Given that the vaccine backbone is an attenuated and inactivated rabies virus expressing rabies GP, this vaccine will also be evaluated for immunogenicity against rabies virus.

Read the detailed description

Lassa fever is a zoonotic infection endemic in West Africa and is spread by the Lassa virus, an arenavirus causing hemorrhagic fever. Up to 300,000 Lassa fever infections occur annually and while disease is often mild, in a subset of individuals disease is characterized by severe anemia, bleeding, encephalopathy, respiratory failure, shock, and high mortality. In some regions of West Africa, up to 15% of hospital admissions are secondary to Lassa fever, and an estimated 5,000 deaths occur annually. During epidemics of disease, case-fatality rates may reach as high as 50% in hospitalized patients. Approximately one-third of infected individuals will develop hearing loss regardless of disease severity, and in a proportion of patients, permanent deafness occurs.

Prevention of illness through vaccination is a critical goal in reducing the burden of disease from Lassa fever. There are currently no vaccines or therapeutics demonstrated to be efficacious in the prevention or treatment of Lassa fever. This study proposes the evaluation of a novel, first-in-human Lassa fever vaccine based on the complete Lassa glycoprotein complex (GPC) antigen. The antigen will be presented on a genetically modified and attenuated rabies vector expressing both the rabies glycoprotein (GP) antigen and the Lassa GPC. The inactivated chimeric virus is delivered with a toll-like receptor (TLR-4)-activating oil-in-water emulsion adjuvant. Studies using this vaccine administered as a prime-boost series in mice and non-human primates, and then challenged with Lassa virus demonstrated significant protection against Lassa fever. Given that the vaccine backbone is an attenuated and inactivated rabies virus expressing rabies GP, this vaccine will also be evaluated for immunogenicity against rabies virus.

Conditions
Lassa Fever
Being tested
LASSARAB+ aPHAD-SEat 700rU, HDCV Comparator, Normal Saline Placebo, LASSARAB+ aPHAD-SEat 1400rU
Keywords
Lassa
Medical subject headings
Lassa Fever

What participants receive

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

  • LASSARAB+ aPHAD-SEat 700rUBiological

    Rabies-Vectored Monovalent Lassa Fever Vaccine (LASSARAB) with 3D-(6- acyl) Phosphorylated Hexaacyl Disaccharides (PHAD)-Stable squalene oil-in-water nanoemulsion (aPHAD-SE) adjuvant administered by IM injection

  • HDCV ComparatorBiological

    Also called Imovax

    Sterile, stable, freeze-dried suspension of rabies virus prepared from strain PM-1503-3M

  • Normal Saline PlaceboOther

    Sterile 0.9% sodium chloride for injection, USP, or normal saline, is a sterile, nonpyrogenic, isotonic solution; each mL contains sodium chloride 9 mg

  • LASSARAB+ aPHAD-SEat 1400rUBiological

    Rabies-Vectored Monovalent Lassa Fever Vaccine (LASSARAB) with 3D-(6- acyl) Phosphorylated Hexaacyl Disaccharides (PHAD)-Stable squalene oil-in-water nanoemulsion (aPHAD-SE) adjuvant administered by IM injection

Study groups in NCT06546709
Study groupRoleWhat they receive
Cohort 1 - LASSARAB+ aPHAD-SE Vaccine at 700rU or Active Comparator (AC)Experimental4:1 randomization to investigational vaccine or active comparator (n=5)
Receives: Biological: LASSARAB+ aPHAD-SEat 700rU; Biological: HDCV Comparator
Cohort 2 - LASSARAB+ aPHAD-SE Vaccine at 700rU or 1400rU or ACExperimental11:4:3 randomization to investigational vaccine dose 700rU or 1400rU or active comparator (n=18)
Receives: Biological: LASSARAB+ aPHAD-SEat 700rU; Biological: HDCV Comparator; Biological: LASSARAB+ aPHAD-SEat 1400rU
Cohort 3 - LASSARAB+ aPHAD-SE Vaccine at 1400rU Single or Double or AC or AC/PlaceboExperimental11:2:4:1 randomization to investigational vaccine single dose at 1400rU or investigational vaccine (2 doses) at 14rU or active comparator or active comparator and normal saline placebo
Receives: Biological: HDCV Comparator; Other: Normal Saline Placebo; Biological: LASSARAB+ aPHAD-SEat 1400rU
Cohort 4 - LASSARAB+ aPHAD-SE Vaccine at 1400rU (single) or AC/PlaceboExperimental11:3 randomization to investigational vaccine (2 doses) at 14rU or active comparator and normal saline placebo
Receives: Biological: HDCV Comparator; Other: Normal Saline Placebo; Biological: LASSARAB+ aPHAD-SEat 1400rU

What is being measured

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

  1. Number of participants experiencing solicited local and systemic events

    Number of participants experiencing solicited local and systemic reactogenicity Adverse Events (AEs)

    Measured: From Day 1 through Day 8 for the first vaccination and from Day 29 through Day 36 for the second vaccination, as applicable

  2. Percentage of participants experiencing solicited local and systemic events

    Percentage of participants experiencing solicited local and systemic reactogenicity Adverse Events (AEs)

    Measured: From Day 1 through Day 8 for the first vaccination and from Day 29 through Day 36 for the second vaccination, as applicable

  3. Number of participants experiencing unsolicited events

    Number of participants experiencing any unsolicited AEs

    Measured: Day 1 through Day 61

  4. Percentage of participants experiencing unsolicited events

    Percentage of participants experiencing any unsolicited AEs

    Measured: Day 1 through Day 61

  5. Number of participants experiencing Serious Adverse Events (SAEs)

    Number of participants experiencing SAEs

    Measured: Day 1 through Day 394

  6. Percentage of participants experiencing Serious Adverse Events (SAEs)

    Percentage of participants experiencing SAEs

    Measured: Day 1 through Day 394

  7. Number of participants experiencing Medically-Attended Adverse Events (MAAEs)

    Number of participants experiencing MAAEs

    Measured: Day 1 through Day 394

  8. Percentage of participants experiencing Medically-Attended Adverse Events (MAAEs)

    Percentage of participants experiencing MAAEs

    Measured: Day 1 through Day 394

  9. Number of participants experiencing New-Onset Chronic Medical Conditions (NOCMCs)

    Number of participants experiencing NOCMCs

    Measured: Day 1 through Day 394

  10. Percentage of participants experiencing New-Onset Chronic Medical Conditions (NOCMCs)

    Percentage of participants experiencing NOCMCs

    Measured: Day 1 through Day 394

  11. Number of participants experiencing Potential Immune-Mediated Medical Conditions (PIMMCs)

    Number of participants experiencing PIMMCs

    Measured: Day 1 through Day 394

  12. Percentage of participants experiencing Potential Immune-Mediated Medical Conditions (PIMMCs)

    Percentage of participants experiencing PIMMCs

    Measured: Day 1 through Day 394

  13. Number of participants experiencing Adverse Event of Special Interest (AESI)

    Number of participants experiencing Adverse Event of Special Interest (AESI) - new onset sensorineural hearing loss (SNHL)

    Measured: Day 1 through Day 394

  14. Percentage of participants experiencing Adverse Event of Special Interest (AESI)

    Percentage of participants experiencing Adverse Event of Special Interest (AESI) - new onset sensorineural hearing loss (SNHL)

    Measured: Day 1 through Day 394

  15. Number of participants experiencing clinical laboratory AEs

    Number of participants experiencing clinical laboratory AEs

    Measured: Day 1 through Day 61

  16. Percentage of participants experiencing clinical laboratory AEs

    Percentage of participants experiencing clinical laboratory AEs

    Measured: Day 1 through Day 61

Timeline

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

  1. First posted9 Aug 2024
  2. Study start13 Jan 2025
  3. Primary completion11 May 2026
  4. Study completion11 May 2026

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
Parallel groups
Model description
This is a phase 1, randomized, controlled, recipient- and observer-blinded, dose-escalation clinical trial
Masking
Triple blind
Who is masked
Participant, Care provider, Investigator
Enrolment
54 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06546709
Sponsor's protocol ID
DMID 23-0015
Status last verified
Sep 2026
First submitted
30 Jul 2024
Last updated
24 Sep 2026
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No

Publications

  • Ortiz JR, Kurup D, Kaufman AC, Ben Hamed S, LaRocco AM, Lyke KE, Litts SM, Datta S, Liang Y, McGilvray MF, Losignor JA, Oshinsky JJ, Palmer KV, Johnson-Mayo IP, Scher G, Balakumar U, Chandwani A, Rapaka RR, Deming ME, Chua JV, Wirblich C, Chen WH, Neuzil KM, Pasetti MF, Schnell MJ. Adjuvanted inactivated rabies virus-vectored Lassa virus vaccine in healthy adults: a phase 1 trial. Nat Med. 2026 Jul;32(7):2511-2521. doi: 10.1038/s41591-026-04429-z. Epub 2026 Jun 9.

    PubMed 42265408

Questions about this trial

What is this clinical trial studying?

A Phase 1 study testing LASSARAB+ aPHAD-SEat 700rU, HDCV Comparator and LASSARAB+ aPHAD-SEat 1400rU in people with Lassa Fever, run by Wilbur Chen, MD, MS 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 17 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 24 Sep 2026. 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. 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?

Number of participants experiencing solicited local and systemic events (time frame: From Day 1 through Day 8 for the first vaccination and from Day 29 through Day 36 for the second vaccination, as applicable). The study lists 16 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 NCT06546709, 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 24 Sep 2026.

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