Dengue viruses are widespread in most tropical and subtropical regions of the world. This study will evaluate the safety and protective efficacy of a dengue vaccine (called TV005) against viremia and rash induced by a DENV-2 vaccine virus (called rDEN2∆30-7169) in healthy adults.
There are four types of dengue viruses (DENV-1, DENV-2, DENV-3, and DENV-4), each of which can cause mild to life-threatening illness. This study will evaluate the protective efficacy of TV005 (a dengue virus vaccine) administered at Day 0 against viremia and rash induced by rDEN2∆30-7169 (a live attenuated candidate DENV-2 vaccine) administered at Day 180. The safety and immunogenicity of the TV005 and rDEN2∆30-7169 vaccines will also be evaluated. This study will enroll healthy adults with no history of previous infection with a dengue virus or a flavivirus. Participants will be randomly assigned to receive a single injection of TV005 or placebo at study entry (Day 0). All participants will receive a single injection of rDEN2∆30-7169 on Day 180. For at least 30 minutes after each vaccination, participants will remain in the study clinic to be monitored for any adverse effects of the vaccines. Participants will record their temperature three times a day for 16 days after the first and second vaccinations. In addition to study visits at Day 0 and 180, participants will attend study visits at Day 4, 6, 8, 10, 12, 14, 16, 21, 28, 56, 90, 150, 184, 186, 188, 190, 192, 194, 196, 201, 208, 236, 270, and 360. At select study visits, participants will undergo a physical examination, medical history review, blood collection, and a pregnancy test for female participants.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
PREVENTION
Masking
QUADRUPLE
Enrollment
48
TV005 is a live attenuated recombinant tetravalent dengue virus vaccine. It will be administered as a 0.5 mL dose containing 10\^3 plaque forming units (PFUs) of each component (10\^3.3 PFUs/mL of rDEN1∆30, 10\^4.3 PFU/mL of rDEN2/4∆30(ME), 10\^3.3 PFU/mL of rDEN3∆30/31-7164 and 10\^3.3 PFU/mL of rDEN4∆30). It will be delivered by subcutaneous injection in the deltoid region of the upper arm.
The placebo vaccine will be administered as a 0.5 mL dose delivered by subcutaneous injection in the deltoid region of the upper arm.
rDEN2∆30-7169 is a live recombinant attenuated DENV-2 candidate vaccine virus. It will be administered as a 0.5 mL dose containing 10\^3 PFUs of rDEN2∆30-7169. It will be delivered by subcutaneous injection in the deltoid region of the upper arm.
Center for Immunization Research, Johns Hopkins School of Public Health
Baltimore, Maryland, United States
University of Vermont Vaccine Testing Center
Burlington, Vermont, United States
Frequency of viremia in participants administered 10^3 PFU of rDEN2∆30-7169 at Study Day 180
The incidence, magnitude, and duration of rDEN2∆30-7169 viremia following administration of rDEN2∆30-7169 at Study Day 180 in participants who received TV005 on Study Day 0 will be compared to those who received placebo on Study Day 0.
Time frame: Measured through Day 360
Proportion of participants who received TV005 & develop rash and/or neutropenia following administration of rDEN2∆30-7169 compared to proportion of participants who received placebo & developed rash and/or neutropenia following receipt of rDEN2∆30-7169
Time frame: Measured through Day 360
Frequency of vaccine-related adverse events (AEs), graded by severity
The frequency of immediate, systemic, and local AEs following vaccination will be summarized.
Time frame: Measured through Day 28 after each vaccination
Frequency of virus-related AEs, graded by severity, following primary inoculation (inoculation of those participants who received placebo at Study Day 0)
The frequency of immediate, systemic, and local AEs following vaccination of prior placebo-recipients with rDEN2∆30-7169 will be summarized.
Time frame: Measured through Day 28 after each vaccination
Frequency of viremia of rDEN1∆30, rDEN2/4∆30(ME), rDEN3∆30/31, and rDEN4∆30 following TV005 vaccination
Quantity and duration of viremia will also be assessed
Time frame: Measured through Day 16
Number of TV005 vaccinees infected with DENV-1, DENV-2, DENV-3, and DENV-4
Infection is defined as recovery of vaccine virus from the blood or serum of a participant and/or by seropositivity to DENV (PRNT50 greater than or equal to 1:10).
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Time frame: Measured through Day 360
Evaluation of the immunogenicity of TV005, as assessed by PRNT50 to DENV-1, DENV-2, DENV-3, and DENV-4 at 28, 56, and 90 days after TV005 vaccination
Monovalent, bivalent, trivalent, and tetravalent seropositivity rates will be determined at these time points.
Time frame: Measured through Day 360
Evaluation of the immunogenicity of rDEN2∆30-7169 in flavivirus-naïve participants as assessed by the PRNT50 to DENV-2, for each participant at Study Day 0, 28, 56, and 90 post-vaccination with rDEN2∆30-7169
This objective will be performed only for those participants who received placebo on Study Day 0 and rDEN2∆30-7169 on Study Day 180.
Time frame: Measured through Day 360
Number of rDEN2∆30-7169 vaccine recipients who become infected with DENV-2 following primary rDEN2∆30-7169 vaccination (placebo recipients at Study Day 0)
Infection is defined as recovery of vaccine virus from the blood or serum of a participant and/or by seropositivity to DENV-2 (PRNT50 greater than or equal to 1:10)
Time frame: Measured through Day 360
Evaluation of if peak neutralizing antibody titer against DENV-2 following TV005 vaccination or neutralizing antibody titer against DENV-2 measured at Day 180 correlates with protection against viremia, rash, and/or neutropenia following inoculation
Time frame: Measured through Day 360
Evaluation of if inoculation with rDEN2∆30-7169 at 6 months will boost neutralizing antibody titers to DENV-1, DENV-2, DENV-3, and DENV-4 in those participants who received TV005 on Study Day 0.
Time frame: Measured through Day 360