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West Nile Viral InfectionPhase 1NCT06745921

Safety and Immunogenicity of an Inactivated West Nile Virus Vaccine in Healthy Adults

A Phase 1 study testing HydroVax-001B WNV and Sodium Chloride, 0.9% in people with West Nile Viral Infection, run by National Institute of Allergy and Infectious Diseases (NIAID) at 1 site in United States.

Active, not recruiting

Under way, not looking for participants. Everyone needed has enrolled. The study is still running.

Official record
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Trial summary

A randomized, placebo controlled, double-blind (within dosing group), sequential dose escalation study. This phase 1 trial addresses the urgent need for a vaccine to prevent disease resulting from infection with West Nile virus (WNV), a virus that is primarily spread to people by the bite of an infected mosquito. Read more about this study

Who is it for?
Ages 18 to 49 yearsHealthy volunteers can take part
Conditions the study is for
West Nile Viral Infection
What is being tested?
HydroVax-001B WNV and Sodium Chloride, 0.9%
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
30 participants
Where
1 siteUnited States
Study dates
24 Feb 2025to 1 Nov 2027
Phase
Phase 1
Are there results?
Not yet: the study is under way

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 49 years
  • All sexes
  • Healthy volunteers accepted
  • Adult

Who may be able to join

  • Provides written informed consent prior to initiation of any study procedures.
  • Is able to understand and agrees to comply with planned study procedures including being available for all study visits.
  • Agrees to the collection of venous blood per protocol.
  • Is a male or non-pregnant, non-lactating female 18 to 49 years of age, inclusive at time of enrollment.
  • Is in good health.* *Good health is defined by the absence of a medical condition described in the exclusion criteria. If the participant has another current, ongoing medical condition, the condition cannot meet any of the following criteria: (1) was first diagnosed within 3 months of enrollment with a clinically significant condition, in the opinion of investigator that has worsened within 3 months of enrollment; (2) had non-elective surgery, clinically significant medical procedure, or hospitalization within 3 months of enrollment; (3) received new prescription for systemic medication within 30 days of enrollment, unless the new prescription is in the same class of agent or a transition from generic to/from brand name equivalent; or (4) takes medication that may pose a risk to participant's safety or impede assessment of adverse events or study endpoints if they participate in the study.
  • Oral temperature is less than 100.4 degrees Fahrenheit at screening.
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  • Pulse is 51 to 100 beats per minute, inclusive at screening.
  • Systolic blood pressure is 90 to 140 mmHg, inclusive at screening.
  • Diastolic blood pressure is 55 to 90 mmHg, inclusive at screening.
  • Screening labs must be within acceptable parameters at screening.*
  • Hematology (white blood cell count [WBC], hemoglobin and platelet count), serum creatinine, blood urea nitrogen, potassium and liver panel (ALT, AST, and total bilirubin) should fall within the normal range of the clinical reference lab. A low creatinine value, low total bilirubin, or a low ALT value are acceptable for trial inclusion as they are not considered to be clinically significant. If screening lab values are within the normal range of the clinical reference lab but fall within the Grade 1 FDA toxicity table range, these will be considered acceptable for enrollment. Urine glucose must be negative and urine protein <1+ (trace urine protein is acceptable) at screening to be eligible for the study. Abnormal urine protein in females on their menses can be repeated after menses is finished.
  • Tests for human immunodeficiency virus (HIV) antigens/antibodies, hepatitis B virus (HBV) surface antigen, and hepatitis C virus (HCV) antibodies must be negative at screening.
  • Females who are of childbearing potential* must agree not to become pregnant during trial.
  • Not of childbearing potential includes post-menopausal females (defined as no menses for at least 12 consecutive months without an alternative medical cause for amenorrhea), or surgically sterile females with documented per volunteer report history of hysterectomy, bilateral oophorectomy, tubal ligation/salpingectomy, or Essure(R) placement and at least 3 months have passed since sterilization procedure.
  • Females of childbearing potential must agree to use an acceptable contraception method* from at least 30 days before the first study vaccination and for the duration of the trial.
  • Acceptable forms of contraception include monogamous relationship with a vasectomized male partner who has been vasectomized for 90 days or more prior to enrollment, use of intrauterine devices, birth control pills, hormonal birth control products that are injectable, implantable (subdermal), transdermal or insertable (vaginal ring), barrier methods with spermicide. Females of childbearing potential who practice abstinence (defined as no heterosexual vaginal-penile intercourse) and agree to practice abstinence consistently for the duration of the study or those who have exclusively non-male sexual relations do not need to use contraception.
  • Females of childbearing potential must have a negative serum pregnancy test at screening and a negative urine pregnancy test prior to each study vaccination.
  • Has body mass index (BMI) 18.5 kg/m^2 to 34.9 kg/m^2, inclusive.

Who cannot join

  • Has an acute illness* (with or without fever >/= 38 degrees Celsius [100.4 degrees Fahrenheit]) as determined by the PI or appropriate sub-investigator within 72 hours prior to study product administration.
  • Participants who are afebrile (if applicable) and have either no symptoms or only minor residual symptoms in the 72 hours prior to study product administration can be enrolled if, in the opinion of the site PI or appropriate sub-investigator, the residual symptoms will not interfere with the ability to assess safety parameters as required by the protocol.
  • Has medical disease or condition that, in the opinion of the site PI or appropriate sub-investigator, is a contraindication to study participation.*
  • Including acute, subacute, intermittent, or chronic medical disease or condition that would place the participant an unacceptable risk of injury, render the participant unable to meet the requirements of the protocol, or may interfere with the evaluation of responses or the participant's successful completion of this trial.
  • Received systemic anticancer chemotherapy or radiation therapy (cytotoxic) within 3 years prior to enrollment.
  • Has active or recently active (in the 12 months prior to enrollment) neoplastic disease or a history of any hematologic malignancy. Non-melanoma, treated, skin cancers are permitted.
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  • Has known allergy to components of the study product.*
  • Including the following: aluminum hydroxide, sorbitol, potassium chloride, sodium chloride and polysorbate80 (Tween80).
  • Has history of idiopathic urticaria.
  • Has history of chronic or acute severe neurologic condition.*
  • Including history of Guillain-Barre syndrome, seizure disorder or epilepsy, Bell's palsy, or disease with any focal neurologic deficits.
  • Has history of alcohol or drug abuse within 5 years prior to study vaccination per investigator's discretion.
  • Has any diagnosis, current or past, of schizophrenia, bipolar disease or other psychiatric diagnosis that may interfere* with participant compliance or safety evaluations.
  • As determined by the site PI or appropriate sub-investigator.
  • Has been hospitalized for psychiatric illness, history of suicide attempt, or confinement for danger to self or others within 5 years prior to study vaccination.
  • Has moderate to severe asthma.*
  • Mild, well-controlled asthma may qualify for enrollment as determined by the site PI or appropriate sub-investigator. Cold or exercise induced asthma controlled with inhaled medications other than high - dose inhaled corticosteroids within the past 30 days is permissible. Participants should be excluded if they require daily bronchodilator use or have had an asthma exacerbation requiring oral/parenteral steroid use within the past 30 days or have used theophylline in the past year.
  • Has diabetes mellitus type I or II.*
  • History of gestational diabetes if resolved is acceptable.
  • Is immunosuppressed.*
  • Due to an underlying condition, taking immunomodulatory treatment, or took oral or parenteral (including intra-articular) corticosteroids within the past 30 days or >/= 2 weeks topical corticosteroids of any dose within 30 days prior to study vaccination. Corticosteroid nasal sprays for allergic rhinitis are permissible. Persons using a topical corticosteroid for a limited duration for mild uncomplicated dermatitis such as poison ivy or contact dermatitis may be enrolled the day after their therapy is completed.
  • Have taken high-dose inhaled corticosteroids* within 30 days prior to study vaccination.
  • High-dose defined per reference chart in the National Heart, Lung and Blood Institute Guidelines for the Diagnosis and Management of Asthma (EPR-3).
  • Received or plan to receive a licensed, live vaccine within 30 days before or after each study vaccination.
  • Has received or plans to receive a licensed, inactivated vaccine, including influenza, COVID booster, or allergy desensitization shot, within 14 days before or after study vaccination.
  • Received an experimental agent* within 30 days prior to the study vaccination or expect to receive another experimental agent** during the trial-reporting period.
  • Including vaccine, drug, biologic, device, blood product, or medication.
  • Other than from participation in this trial.
  • Are participating or plan to participate in another clinical trial with an interventional agent* that will be received during the trial-reporting period.
  • Including licensed or unlicensed vaccine, drug, biologic, device, blood product, or medication.
  • Receipt of blood products or immunoglobulin within six months prior enrollment.
  • Donation of a unit of blood within 60 days prior to enrollment or intends to donate blood during the study period.
  • History of WNV infection or other flavivirus infection (e.g., DENV, ZIKV or other flavivirus).
  • History of travel or residency for one month or more in a non-WNV flavivirus-endemic area such as Mexico, Central/South America, the Caribbean, sub-Saharan Africa, South/Southeast Asia, or Polynesia.
  • Plans to visit a flavivirus-endemic country during the study trial period (refer to CDC website for areas with active ZIKV, DENV, YFV, or JEV transmission).
  • History of vaccination with WNV candidate vaccine.
  • History of military service in a flavivirus-endemic region (refer to CDC website for areas with active ZIKV, DENV, YFV, or JEV transmission).
  • History of vaccination against YFV, DENV, TBEV, JEV, ZIKV, WNV, or other licensed or investigational flavivirus vaccines or receipt of monoclonal antibodies against a flavivirus.
  • Attended primary (grade) school in Austria, Germany, Japan, South Korea, India, Thailand, Nepal, Vietnam, or Taiwan (where TBEV vaccine is given).
  • Plan to perform non-routine highly strenuous exercise within 3 days before any clinical safety laboratories.*
  • Safety laboratories are obtained on day of vaccination prior to dosing (i.e. Visit 01, Visit 05, and Visit 11) and Day 15 following each dose of study product (i.e. Visit 04, Visit 08 and Visit 14).
  • Has contraindication to intramuscular vaccination of both upper arms.*
  • Patient with low platelet count or coagulopathy, or someone who is taking oral anticoagulants.
  • Has tattoos, scars, or other marks on both upper arms 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
  • Saint Louis University Center for Vaccine Development

    St Louis, Missouri, 63104-1015

Other trials in United States

About this study

Official title: A Phase 1 Trial to Evaluate the Safety and Immunogenicity of an Inactivated West Nile Virus Vaccine, HydroVax-001B WNV in Healthy Adults

A randomized, placebo controlled, double-blind (within dosing group), sequential dose escalation study. This phase 1 trial addresses the urgent need for a vaccine to prevent disease resulting from infection with West Nile virus (WNV), a virus that is primarily spread to people by the bite of an infected mosquito. The purpose of this Phase 1 trial is to evaluate the safety and immunogenicity of the HydroVax-001B WNV vaccine in healthy adult volunteers. The study Population will consist of healthy male and non-pregnant, non-breastfeeding female adults, 18 to 49 years of age, inclusive. Potential participants with a history of prior flavivirus infection or receipt of any flavivirus vaccine or monoclonal antibody, and those who likely had a prior flavivirus infection based on exposure history will be ineligible for the study. Participants will be randomized to receive HydroVax-001B WNV vaccine or placebo in a 12:3 ratio within a dosage group. Participants will be sequentially enrolled into two dosage groups. The primary objective is to assess the safety and reactogenicity of 4 mcg versus 10 mcg dose of the HydroVax-001B WNV vaccine administered intramuscularly (IM) on Days 1, 29 and 181.

Read the detailed description

A randomized, placebo controlled, double-blind (within dosing group), sequential dose escalation study. This phase 1 trial addresses the urgent need for a vaccine to prevent disease resulting from infection with West Nile virus (WNV), a virus that is primarily spread to people by the bite of an infected mosquito. The purpose of this Phase 1 trial is to evaluate the safety and immunogenicity of the HydroVax-001B WNV vaccine in healthy adult volunteers. The study Population will consist of healthy male and non-pregnant, non-breastfeeding female adults, 18 to 49 years of age, inclusive. Potential participants with a history of prior flavivirus infection or receipt of any flavivirus vaccine or monoclonal antibody, and those who likely had a prior flavivirus infection based on exposure history will be ineligible for the study. Participants will be randomized to receive HydroVax-001B WNV vaccine or placebo in a 12:3 ratio within a dosage group. Participants will be sequentially enrolled into two dosage groups. The primary objective is to assess the safety and reactogenicity of 4 mcg versus 10 mcg dose of the HydroVax-001B WNV vaccine administered intramuscularly (IM) on Days 1, 29 and 181. The secondary objective is to assess immunogenicity of 4 mcg versus 10 mcg dose of HydroVax-001B WNV vaccine given IM on Days 1, 29 and 181 as measured by WNV-specific focus reduction neutralizing test (FRNT50) after each vaccination.

Being tested
HydroVax-001B WNV, Placebo, Sodium Chloride, 0.9%
Keywords
Healthy Adults, HydroVax-001B WNV, Immunogenicity, Safety, Vaccine, West Nile Virus

What participants receive

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

  • HydroVax-001B WNVBiological

    A vaccine to West Nile Virus (WNV) that is prepared by propagating naturally attenuated Kunjin strain of WNV on well characterized low-passage Vero cells. The vaccine contains 10 mcg of inactivated purified whole virion WNV formulated in a volume of 0.5 mL/dose with 0.10% aluminum hydroxide, 10% D-sorbitol, 0.001% Polysorbate 80 (Tween80) in 10 mM phosphate-buffer with 350 mM NaCl.

  • PlaceboOther

    Placebo

  • Sodium Chloride, 0.9%Other

    0.9% Sodium Chloride Injection

Study groups in NCT06745921
Study groupRoleWhat they receive
Group 1AExperimentalA single, low dose, of 4 mcg of HydroVax-001B West Nile Virus (WNV) vaccine administered intramuscularly once on Day 1, Day 29, and Day 181. N=12
Receives: Biological: HydroVax-001B WNV; Other: Sodium Chloride, 0.9%
Group 1BExperimentalA single, high dose, of 10 mcg of HydroVax-001B West Nile Virus (WNV)vaccine administered intramuscularly once on Day 1, Day 29, and Day 181. N=12
Receives: Biological: HydroVax-001B WNV; Other: Sodium Chloride, 0.9%
Group 2APlacebo comparatorA 0.5 mL dose of placebo, consisting of 0.9 % of NaCl, administered intramuscularly once on Day 1, Day 29, Day 181. N=3
Receives: Other: Placebo
Group 2BPlacebo comparatorA 0.5 mL dose of placebo, consisting of 0.9 % of NaCl, administered intramuscularly once on Day 1, Day 29, Day 181. N=3
Receives: Other: Placebo

What is being measured

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

  1. Frequency of any unsolicited adverse events (AEs)

    Measured: Day 1 through Day 29

  2. Frequency of related Grade 3 laboratory toxicities

    Measured: Day 1 through Day 15

  3. Frequency of related serious adverse events (SAE) overall and in each dose group through the end of the study

    Frequency is the number of discontinuous events

    Measured: Day 1 through study completion, approximately 13 months

  4. Frequency of solicited local adverse events (AEs)

    Measured: Day 1 through Day 8

  5. Frequency of solicited systemic adverse events (AEs)

    Measured: Day 1 through Day 8

  6. Incidence of any unsolicited adverse events (AEs)

    Measured: Day 1 through Day 29

  7. Incidence of related Grade 3 laboratory toxicities

    Measured: Day 1 through Day 15

  8. Incidence of related serious adverse events (SAE) overall and in each dose group through the end of the study

    Incidence is the number of participants with an event

    Measured: Day 1 through study completion, approximately 13 months

  9. Incidence of solicited local adverse events (AEs)

    Measured: Day 1 through Day 8

  10. Incidence of solicited systemic adverse events (AEs)

    Measured: Day 1 through Day 8

  11. Severity of any unsolicited adverse events (AEs)

    Measured: Day 1 through Day 29

  12. Severity of solicited local adverse events (AEs)

    Measured: Day 1 through Day 8

  13. Severity of solicited systemic adverse events (AEs)

    Measured: Day 1 through Day 8

Secondary outcomes (2)
  1. Percentage of participants seroconverting

    Seroconversion is defined as greater than or equal to 1:10 in FRNT50 titer.

    Measured: Day 1 through Day 29

  2. West Nile Virus (WNV)-specific focus reduction neutralizing test (FRNT50) geometric mean titer (GMT)

    Measured: Day 15 through Day 181

Timeline

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

  1. First posted20 Dec 2024
  2. Study start24 Feb 2025
  3. Primary completion1 Oct 2026 (estimated)
  4. Study completion1 Nov 2027 (estimated)

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
Triple blind
Who is masked
Participant, Care provider, Investigator
Enrolment
30 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06745921
Sponsor's protocol ID
24-0008
Other IDs
5UM1AI148684-04
Status last verified
30 Jan 2026
First submitted
12 Dec 2024
Last updated
9 Oct 2026
Results posted
No
FDA-regulated drug
Yes
FDA-regulated device
No

Questions about this trial

What is this clinical trial studying?

A Phase 1 study testing HydroVax-001B WNV and Sodium Chloride, 0.9% in people with West Nile Viral Infection, 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 18 inclusion and 44 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: under way, not looking for participants, as of the sponsor's last update on 9 Oct 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. 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?

This study is still under way. Results are not available in the source record yet.

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?

Frequency of any unsolicited adverse events (AEs) (time frame: Day 1 through Day 29). The study lists 13 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 9 Oct 2026.

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