A Randomized, Observer-blinded, Dose Response Phase 2 Trial to Assess the Safety and Immunogenicity of Two Different Dose Levels of a Live-attenuated Chikungunya Virus Vaccine (VLA1553) in Healthy Children Aged 1 to 11 Years
试验速览
- 阶段
- 2 期
- 状态
- 已完成
- 入组人数
- 304
- 试验地点
- 4
- 主要终点
- Frequency of solicited injection site reactions
研究概览
简要总结
This is a multicenter, prospective, randomized, observer-blinded, three arm, phase 2 clinical trial evaluating the full dose formulation of VLA1553, half dose formulation of VLA1553 and control.
At least 300 male and female healthy children aged 1 to 11 years will be enrolled and the overall distribution of participants will be 2:2:1 to the two VLA1553 dose groups (n=120 each) or control (n=60).
详细描述
This is a multicenter, prospective, randomized, observer-blinded, three arm, phase 2 clinical trial evaluating the full dose formulation of VLA1553, half dose formulation of VLA1553 and control (Nimenrix, a tetravalent meningococcal vaccine - Men ACWY).
At least 300 male and female healthy children aged 1 to 11 years will be enrolled and the overall distribution of participants will be 2:2:1 to the two VLA1553 dose groups (n=120 each) or control (Nimenrix) (n=60).
As a safety precaution measure, the first 30 sentinel participants will be enrolled into the trial in an open-label fashion according to an age step down scheme.
After sentinel analysis, participants will be enrolled in a blinded, randomized manner into three Trial Arms. Within each treatment arm participants will be stratified into three age strata:
Stratum A: 7 to 11 years -children from their 7th birthday until the day before their 12th birthday.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Prevention
- 盲法
- Quadruple (Participant, Care Provider, Investigator, Outcomes Assessor)
入排标准
- 年龄范围
- 1 Year 至 11 Years(Child)
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •Male or female healthy children aged 7 to 11 years for Stratum A, 3 to 6 years for Stratum B and 1 to 2 years for Stratum C at the time of vaccination;
- •Written informed consent by the participant's parent(s)/Legally Acceptable Representative(s) ((LAR(s)), according to local requirements, and written informed assent of the participant, if applicable;
- •Participant was seropositive for previous CHIKV exposure (i.e., IgM+/IgG+ or IgM-/IgG+) or seronegative (i.e., IgM-/IgG-); or participants with any borderline IgM or IgG element (IgM borderline/IgG-, IgM-/IgG borderline, or IgM borderline/IgG borderline were mapped to seronegative group; participants with enzyme-linked immunosorbent assay (ELISA) result IgM borderline/IgG+ were mapped to seropositive group);
排除标准
- •Participant was IgM+/IgG- does not qualify for participation in this trial.
- •Participant was taking medication or other treatment for unresolved symptoms attributed to a previous CHIKV infection; or had participated in a clinical trial involving an investigational CHIKV vaccine;
- •Participant had an acute or recent infection (and was not symptom-free in the week prior to the Screening Visit (Visit 0))
- •Participant had received another live virus vaccine within 28 days or inactivated vaccine (includes messenger ribonucleic acid [mRNA] vaccines) within 14 days prior to vaccination in this trial or planned to receive a live virus vaccine within 28 days or inactivated vaccine within 14 days after vaccination;
- •Participant had abnormal findings in any required trial investigations (including medical history, physical examination, and clinical laboratory) considered clinically relevant by the Investigator which posed a risk for participation in the trial based on his/her judgment;
- •Participant had an ongoing medical history of or currently had acute or progressive, unstable or uncontrolled clinical conditions (e.g., cardiovascular, respiratory, neurologic, psychiatric, or rheumatologic conditions) that posed a risk for participation in the trial, based on Investigator's clinical judgment. Examples included individuals with poorly controlled or unstable disease, ongoing suspected or active inflammation, or poor compliance with pharmacologic treatment, or presence of high-risk comorbidities (e.g., significant cardiopulmonary disease);
- •Participant had a history of immune-mediated or clinically relevant arthritis/arthralgia;
- •Participant had a known or suspected defect of the immune system that could be expected to influence the immune response to the vaccine, such as Participants with congenital or acquired immunodeficiency, including infection with HIV, status post organ transplantation or immuno- suppressive therapy within 4 weeks prior to Visit
- •Immunosuppressive therapy was defined as administration of chronic (longer than 14 days) prednisone or equivalent ≥0.05 mg/kg/day within 4 weeks prior to trial entry, radiation therapy or immunosuppressive cytotoxic drugs/ monoclonal antibodies in the previous 3 years; topical and inhaled steroids were allowed.
- •Participant had a history of any vaccine-related contraindicating event (e.g., anaphylaxis, allergy to components of the vaccine or the control vaccine, other known contraindications including febrile convulsions);
- •Participant presented with clinical conditions representing severe bleeding disorders and medications interfering with blood clotting;
- •Participant received blood-derived products (e.g. plasma) within 180 days prior to vaccination in this trial;
- •Participant had participated in another clinical trial involving an investigational medicinal product (IMP) or device within 30 days prior to vaccination or was scheduled to participate in another clinical trial involving an IMP, or device during the course of this trial;
- •Participant had any condition that, in the opinion of the Investigator, could compromise the participant's well-being, might interfere with evaluation of trial endpoints, or would limit the participant's ability to complete the trial;
- •Participant/ Participant's parent(s)/LAR(s) was/were a member of the team conducting the trial or in a dependent relationship with one of the trial team members. Dependent relationships included close relatives (i.e., children, partner/spouse, siblings, parent(s)/LAR[s]) as well as employees of the Investigator or site personnel conducting the trial.
研究组 & 干预措施
VLA1553 full dose
干预措施: VLA1553 full dose (Biological)
VLA1553 half dose
干预措施: VLA1553 half dose (Biological)
Control
Single intramuscular vaccination on Day 1 with Nimenrix (Men ACWY vaccine), a conjugate vaccine indicated for the active immunization
干预措施: Control (Biological)
结局指标
主要结局
Frequency of solicited injection site reactions
时间窗: within 14 days post-vaccination
Severity of solicited injection site reactions
时间窗: within 14 days post-vaccination
Frequency of systemic reactions
时间窗: within 14 days post-vaccination
Severity of systemic reactions
时间窗: within 14 days post-vaccination
Number of Participants With Solicited Injection Site Reactions
时间窗: within 14 days post-vaccination
Frequency and severity of solicited injection site and solicited systemic reactions within 14 days post-vaccination.
Severity of Solicited Injection Site Reactions
时间窗: within 14 days post-vaccination
Number of Participants With Solicited Systemic Reactions
时间窗: within 14 days post-vaccination
Severity of Solicited Systemic Reactions
时间窗: within 14 days post-vaccination
次要结局
- Frequency of any adverse event (AE)(within 28 days post-vaccination)
- Severity of any adverse event (AE)(within 28 days post-vaccination)
- Immune response in baseline seronegative participants as measured by CHIKV-specific neutralizing antibody titers(on Day 1, Day 15, Day 29, Day 85, Day 180 and Month 12 post-vaccination)
- Frequency of any serious adverse event (SAE)(until Month 6 (Day 180) and Month 12 (Day 365) post-vaccination)
- Frequency of unsolicited AE(until Month 6 (Day 180) and Month 12 (Day 365) post-vaccination)
- Severity of unsolicited AE(until Month 6 (Day 180) and Month 12 (Day 365) post-vaccination)
- Severity of any serious adverse event (SAE)(until Month 6 (Day 180) and Month 12 (Day 365) post-vaccination)
- Severity of Unsolicited AE(until Month 6 (Day 180) and Month 12 (Day 365) post-vaccination)
- Number of Participants With Any Serious Adverse Event (SAE)(until Month 6 (Day 180) and Month 12 (Day 365) post-vaccination)
- Number of Participants With of Unsolicited AE(until Month 6 (Day 180) and Month 12 (Day 365) post-vaccination)
- Number of Participants With Any Adverse Event (AE)(within 28 days post-vaccination)
- Severity of Any Adverse Event (AE)(within 28 days post-vaccination)
- Number of Participants With Any Early Onset Adverse Event of Special Interest (AESI)(2 to 21 days post-vaccination)
- Severity of Any Early Onset Adverse Event of Special Interest (AESI)(2 to 21 days post-vaccination)
- Number of Participants With Any Late Onset Adverse Event of Special Interest (AESI)(Starting 22 days post-vaccination until end of trial, 12 months post-vaccination)
- Severity of Any Late Onset Adverse Event of Special Interest (AESI)(Starting 22 days post-vaccination until end of trial, 12 months post-vaccination)
- Assessment of Viremia on Days 1, 4, 8 and 15(on Days 1, 4, 8 and 15 and beyond as applicable)
- Immune Response in Baseline Seronegative Participants as Measured by CHIKV-specific Neutralizing Antibody Titers(on Day 1, Day 15, Day 29, Day 85, Day 180 and Month 12 post-vaccination)
- Immune Response as Measured by CHIKV-specific Neutralizing Antibody Titers by Age Group and Trial Arm.(on Day 1, Day 15, Day 29, Day 85, Day 180 and Month 12 post-vaccination)
- Immune Response Measured by CHIKV-specific Neutralizing Antibody Titers Pooled by Dose(on Day 1, Day 15, Day 29, Day 85, Day 180 and Month 12 post-vaccination)
- Percentage of Participants Seronegative at Baseline With Seroconversion as Compared to Baseline(at Day 15, Day 29, Day 85, Day 180 and Month 12)
- Percentage of Participants Seropositive at Baseline With Seroconversion as Compared to Baseline(at Day 15, Day 29, Day 85, Day 180 and Month 12)
- Percentage of Participants With Seroconversion as Compared to Baseline Stratified by Age Stratum(at Day 15, Day 29, Day 85, Day 180 and Month 12)
- Percentage of Participants With Seroconversion as Compared to Baseline by Dose(at Day 15, Day 29, Day 85, Day 180 and Month 12)
- Percentage of Participants Seronegative at Baseline With a Seroresponse (Defined as PRNT50 ≥150 for Baseline Negative Participants) by Dose(on Day 15, Day 29, Day 85, Day 180 and Month 12 post-vaccination)
- Percentage of Participants With a Seroresponse Stratified by Age Stratum(on Day 15, Day 29, Day 85, Day 180 and Month 12 post-vaccination)
- Percentage of Participants With a Seroresponse Stratified by Dose(on Day 15, Day 29, Day 85, Day 180 and Month 12 post-vaccination)
- Fold Change of CHIKV-specific Neutralizing Antibody Titers as Compared to Baseline in Participants Seronegative at Baseline(at Days 15, 29, 85, 180 and at Month 12 post-vaccination)
- Fold Change of CHIKV-specific Neutralizing Antibody Titers as Compared to Baseline in Seropositive Participants(at Days 15, 29, 85, 180 and at Month 12 post-vaccination)
- Fold Change of CHIKV-specific Neutralizing Antibody Titers as Compared to Baseline Stratified by Age Stratum(at Days 15, 29, 85, 180 and at Month 12 post-vaccination)
- Fold Change of CHIKV-specific Neutralizing Antibody Titers as Compared to Baseline Stratified by Dose(at Days 15, 29, 85, 180 and at Month 12 post-vaccination)
- Percentage of Participants Seronegative at Baseline Reaching an at Least 4-fold, 8-fold, 16-fold or 64-fold Change in CHIKV-specific Neutralizing Antibody Titers Compared to Baseline(at Day 15, Day 29, Day 85, Day 180 and Month 12)
- Percentage of Participants Reaching an at Least 4-fold, 8-fold, 16-fold or 64-fold Change in CHIKV-specific Neutralizing Antibody Titers Compared to Baseline Stratified by Age Stratum(at Day 15, Day 29, Day 85, Day 180 and Month 12)
- Percentage of Participants Reaching an at Least 4-fold, 8-fold, 16-fold or 64-fold Change in CHIKV-specific Neutralizing Antibody Titers Compared to Baseline by Dose(at Day 15, Day 29, Day 85, Day 180 and Month 12)
