MedPath

A Study of Dengue Vaccine in Healthy Children, Teenagers and Adults in India

Phase 3
Recruiting
Conditions
Healthy Volunteers
Interventions
Biological: TDV
Biological: Placebo
Registration Number
NCT06060067
Lead Sponsor
Takeda
Brief Summary

The main aims of the study are to learn about side effects and a participant's immune response to Takeda's Dengue Vaccine when given twice within 3 months.

Participants will receive 2 doses of their randomized treatment (vaccine or placebo). Children, teenagers and adults will receive one dose of either the vaccine or placebo on Day 1 and the second dose of either the vaccine or placebo 3 months later. Up to 4 blood samples will be taken throughout the study.

During the study, participants will visit their study clinic 6 times.

Detailed Description

The vaccine being tested in this study is called TDV (Live, Attenuated). TDV is being tested to prevent dengue. This study will assess the safety and immunogenicity of TDV in healthy participants.

The study will enroll approximately 480 patients. Participants will be randomly assigned (by chance, like flipping a coin) to receive either TDV or placebo- which will remain undisclosed to the participant, and investigator during the study:

* Cohort 1, ≥18 to ≤60 Age Group: TDV

* Cohort 1, ≥18 to ≤60 Age Group: Placebo

* Cohort 2, ≥4 to \<18 Age Group: TDV

* Cohort 2, ≥4 to \<18 Age Group: Placebo

This multi-center trial will be conducted in India. The overall duration of the study is approximately 9 months.

Recruitment & Eligibility

Status
RECRUITING
Sex
All
Target Recruitment
480
Inclusion Criteria
  1. Participants who can comply with trial procedures and are available for the duration of follow-up.

Key

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Exclusion Criteria

At screening and at vaccination:

  1. A body mass index (BMI) ≥35 kg/m^2.

  2. Intent to participate in another clinical trial at any time during the conduct of this trial.

  3. Plans to receive any of the following:

    1. A licensed vaccine within 14 days (for inactivated vaccines) or 28 days (for live vaccines) prior to TDV or placebo administration.
    2. A coronavirus vaccine within 14 days prior to TDV or placebo administration.
    3. A vaccine authorized for emergency use within 28 days of TDV or placebo administration.
  4. Known substance or alcohol abuse within the past 2 years that may interfere with his/her ability to comply with requirements for trial participation.

  5. Receipt of previous vaccination against dengue virus.

  6. Previous participation in any clinical trial of a dengue candidate vaccine.

At Vaccination:

  1. Participants with febrile illness or moderate or severe acute illness, or infection, at the time of random assignment.
  2. Participants medicated with antipyretic and/or analgesic medication(s) within 24 hours prior to TDV or placebo administration.

NOTE: Other protocol defined Inclusion/exclusion criteria may apply.

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Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Cohort 2: ≥4 to <18 Age Group: TDVTDV-
Cohort 2: ≥4 to <18 Age Group: PlaceboPlacebo-
Cohort 1: ≥18 to ≤60 Age Group: PlaceboPlacebo-
Cohort 1: ≥18 to ≤60 Age Group: TDVTDV-
Primary Outcome Measures
NameTimeMethod
Number of Participants with Solicited Local Injection Site AEs, by Severity Within 7 Days Post Vaccination at Day 90Within 7 days postvaccination at Day 90

Solicited local AEs at injection site are defined as injection site pain, injection site erythema, and injection site swelling. The AEs will be graded by investigator as Grade 0: none, Grade 1: mild, Grade 2: moderate and Grade 3: severe.

Percentage of Participants with a Medically-attended AE (MAAE)From first vaccination on Day 1 through the end of trial (up to Day 270)

MAAEs are defined as AEs leading to an unscheduled visit to or by a healthcare professional including visits to an emergency department, but not fulfilling seriousness criteria.

Percentage of Participants with a Serious Adverse Event (SAE)From first vaccination on Day 1 through the end of trial (up to Day 270)

An AE is defined as any untoward medical occurrence in a clinical investigation participant administered a drug; it does not necessarily have to have a causal relationship with this treatment. An SAE is defined as any untoward medical occurrence that: results in death, is life-threatening, requires inpatient hospitalization or prolongation of existing hospitalization, results in persistent or significant disability/ incapacity, leads to a congenital anomaly/birth defect in the offspring of a participant, is an important medical event.

Percentage of Participants with Any Unsolicited AEs Within 28 Days Post Vaccination at Day 1Within 28 days postvaccination at Day 1

An AE is defined as any untoward medical occurrence in a clinical investigation participant administered a drug; it does not necessarily have to have a causal relationship with this treatment.

Geometric Mean Titers (GMTs) of Neutralizing Antibodies by Microneutralization Test for Each of the 4 Dengue Virus SerotypesDay 120 (Month 6)

GMTs of neutralizing antibodies will be measured by microneutralization test 50% \[MNT50\] for each of the 4 Dengue Serotypes for all participants. The 4 dengue virus serotypes are dengue virus (DENV)-1, DENV-2, DENV-3 and DENV-4.

Number of Participants with Solicited Systemic AEs by Severity Within 14 Days Post Vaccination at Day 1Within 14 days postvaccination at Day 1

An AE is defined as any untoward medical occurrence in a clinical investigation participant administered a drug; it does not necessarily have to have a causal relationship with this treatment. Solicited systemic AEs assessments for children \<6 years old include: drowsiness, irritability/fussiness, loss of appetite and fever, and those for children ≥ 6 years old/adolescent/adult include: headache, asthenia, malaise, myalgia and fever. The AEs will be graded by investigator as Grade 0: none, Grade 1: mild, Grade 2: moderate and Grade 3: severe.

Number of Participants with Solicited Systemic AEs, by Severity Within 14 Days Post Vaccination at Day 90Within 14 days postvaccination at Day 90

An AE is defined as any untoward medical occurrence in a clinical investigation participant administered a drug; it does not necessarily have to have a causal relationship with this treatment. Solicited systemic AEs assessments for children \<6 years old include: drowsiness, irritability/fussiness, loss of appetite and fever, and those for children ≥ 6 years old/adolescent/adult include: headache, asthenia, malaise, myalgia and fever. The AEs will be graded by investigator as Grade 0: none, Grade 1: mild, Grade 2: moderate and Grade 3: severe.

Percentage of Participants with Any Unsolicited AEs Within 28 Days Post Vaccination at Day 90Within 28 days postvaccination at Day 90

An AE is defined as any untoward medical occurrence in a clinical investigation participant administered a drug; it does not necessarily have to have a causal relationship with this treatment.

Percentage of Participants with an AE Leading to Participant Withdrawal from TrialFrom first vaccination on Day 1 through the end of trial (up to Day 270)

An AE is defined as any untoward medical occurrence in a clinical investigation participant administered a drug; it does not necessarily have to have a causal relationship with this treatment.

Percentage of Participants with an AE Leading to TDV or Placebo Discontinuation.From first vaccination on Day 1 through the end of trial (up to Day 270)

An AE is defined as any untoward medical occurrence in a clinical investigation participant administered a drug; it does not necessarily have to have a causal relationship with this treatment.

Number of Participants with Solicited Local (Injection Site) Adverse Events (AEs) by Severity Within 7 Days Post Vaccination at Day 1Within 7 days postvaccination at Day 1

Solicited local AEs at injection site are defined as injection site pain, injection site erythema, and injection site swelling. The AEs will be graded by investigator as Grade 0: none, Grade 1: mild, Grade 2: moderate and Grade 3: severe.

Secondary Outcome Measures
NameTimeMethod
Geometric Mean Titers by Microneutralization Test for Each of the 4 Dengue Virus SerotypesDay 1 and Day 270

GMTs of neutralizing antibodies will be measured by MNT50 for each of the 4 Dengue Serotypes for all participants. The 4 dengue virus serotypes are DENV-1, DENV-2, DENV-3 and DENV-4.

Percentage of Participants With Seroconversion for Each of the 4 Dengue Virus SerotypesDay 1, Day 120 and Day 270

Seroconversion rate, defined as the percentage of participants seropositive, is derived from the titers of dengue-neutralizing antibodies. Seropositive is defined as a reciprocal neutralizing titer ≥10. The 4 dengue virus serotypes are DENV-1, DENV-2, DENV-3 and DENV-4.

Percentage of Participants With Seroconversion for Multiple (2, 3, or 4) Dengue Virus SerotypesDay 1, Day 120 and Day 270

Seroconversion rate, defined as the percentage of participants seropositive, is derived from the titers of dengue-neutralizing antibodies. Seropositive is defined as a reciprocal neutralizing titer ≥10. The 4 dengue virus serotypes are DENV-1, DENV-2, DENV-3 and DENV-4.

Trial Locations

Locations (10)

BGS Global Institute of Medical Sciences (BGS-GIMS) #67, BGS Health & Education City, Uttarahalli Main Road, Kengeri

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Bangalore, Karnataka, India

IPGME&R and SSKM Hospital, 244 AJC Bose Road

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Kolkata, India

Chettinad Academy of Research and Education, Chettinad Health City, SH,49A, Dist. Kelambakkam

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Pudupakkam, Tamil Nadu, India

Preventive and Therapeutic Clinical Trial Unit (PTCTU), Dept. of Community Medicine, Institute of Medical Science and SUM Hospital, K-8, Kalinga Nagar

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Bhubaneshwar, India

SRM Medical College Hospital & Research Centre, SRM Nagar, Potheri

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Kattankulathur, India

Suyog Hospital, 2nd Floor, B-Wing, Krushi Utpanna Bazar, Samiti Sankul, Dindori Rd, Panchavati

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Nashik, India

King George's Medical University, Department of Medicine, Chowk

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Lucknow, India

KEM Hospital Research Centre, Sandar Moodliar Road, Rasta Peth

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Pune, India

Maulana Azad Medical College & Associated Lok Nayak, Govind Ballabh Pant Hospitals and Guru Nanak Eye Center

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New Delhi, India

King George Hospital

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Visakhapatnam, India

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