Phase 1 study to evaluate two doses of Alum Adjuvanted Zika Virus Purified Inactivated Vaccine (ZPIV) administered 28 days apart. The study will enroll 75 flavivirus naïve healthy adult subjects into 3 equal groups sequentially. Each group will include 20 ZPIV recipients and 5 placebo recipients. Group 1 will receive two ZPIV or placebo doses 28 days apart. Those in Group 1 who consent to a third ZPIV dose will receive 5.0 mcg dose of ZPIV or placebo administered IM on Day 224. Group 2 subjects will receive a two-dose regimen of IXIARO® 28 days apart; two ZPIV or placebo doses three months later 28 days apart. Those in Group 2 who consent to a third ZPIV dose will receive it on Day 336. Group 3 subjects will receive one dose of YF-VAX® followed three months later by two ZPIV or placebo doses 28 days apart. Those in Group 3 who consent to a third ZPIV dose will receive it on Day 308. In each group, those who do not agree to receive the third ZPIV dose will be followed based on the schedule. The primary objectives are: 1) To evaluate the safety and reactogenicity of a two-dose homologous prime boost regimen of ZPIV among flavivirus-naïve, YF-VAX® primed, and IXIARO® primed subjects; 2) To evaluate the safety and reactogenicity of a third dose of ZPIV in consenting subjects.
This study is a single-center, double-blinded, placebo-controlled, first-in-human, Phase 1 study to evaluate the safety, reactogenicity, and immunogenicity of two doses of alum adjuvanted Zika Virus Purified Inactivated Vaccine (ZPIV) administered 28 days apart. The study will enroll 75 flavivirus naïve healthy male and non-pregnant, non-breastfeeding female adult subjects (ages 18-49, inclusive) into 3 equal groups sequentially, starting with Group 1 followed by Group 2 and then Group 3. Screening will occur within 40 days of first vaccination. Each group will include 20 ZPIV recipients and 5 placebo recipients. Two sentinel subjects from Group 1 will be enrolled first and will receive ZPIV in an open-label fashion first. The next 23 subjects (18 ZPIV, 5 placebo) will be randomized into Group 1. This will be followed by the randomization of 25 subjects into Group 2 (JE priming). The remaining 25 subjects to enroll will be randomized into Group 3 (YF priming). Group 1 subjects will receive two 5.0 mcg doses of ZPIV or placebo administered IM on Days 1 and 29. Those in Group 1 who consent to a third ZPIV dose will receive 5.0 mcg dose of ZPIV or placebo administered IM on Day 224. Group 2 subjects will receive a two-dose regimen of IXIARO® (Valneva) 28 days apart; two ZPIV or placebo doses will be administered three months later IM 28 days apart. Those in Group 2 who consent to a third ZPIV dose will receive it on Day 336. Group 3 subjects will receive one dose of YF-VAX® (Sanofi Pasteur) followed three months later by two ZPIV or placebo doses administered IM 28 days apart. Those in Group 3 who consent to a third ZPIV dose will receive it on Day 308. In each group, those who do not agree to receive the third ZPIV dose will be followed based on the schedule. The primary objectives are: 1) To evaluate the safety and reactogenicity of a two-dose homologous prime boost regimen of ZPIV among flavivirus-naïve, YF-VAX® primed, and IXIARO® primed subjects; 2) To evaluate the safety and reactogenicity of a third dose of ZPIV in consenting subjects. The secondary objectives are: 1) To evaluate the quantitative humoral immune response at 28 days after the first and second ZPIV administration, and 112, 196, 280, and 364 days after the first ZPIV administration for each of the three groups in subjects who consent to two doses of ZPIV; 2) To evaluate the quantitative humoral immune response at 28 days after the first and second ZPIV administration, and 112, 196, 224 days after the first ZPIV administration and at 28, 84, and 168 days after the third ZPIV administration for Group 1 subjects who consent to third dose; 3) To evaluate the quantitative humoral immune response at 28 days after the first and second ZPIV administration, and 112, 224 days after the first ZPIV administration and at 28, 84, and 168 days after the third ZPIV administration for Group 2 and 3 subjects who consent to third dose.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
PREVENTION
Masking
DOUBLE
Enrollment
75
An inactivated vaccine indicated for active immunization for the prevention of disease caused by Japanese encephalitis virus (JEV).
0.9% Sodium Chloride 5 mcg
A stabilised Yellow Fever Vaccine (Live) that is an injectable suspension of the attenuated 17D strain of yellow fever virus. The vaccine is injected by the subcutaneous route.
Zika Virus Purified Inactivated Vaccine with aluminum hydroxide adjuvant.
Walter Reed Army Institute of Research - Clinical Trials Center
Silver Spring, Maryland, United States
Occurrence of SAEs, new onset medical conditions, and AESIs
Time frame: From Day 1 to Day 658
Occurrence of solicited local AEs
Time frame: 7 days following each ZPIV dose
Occurrence of solicited systemic AEs
Time frame: 7 days following each ZPIV dose
Occurrence of unsolicited AEs
Time frame: 28 days following each ZPIV dose
Relationship of unsolicited AEs to vaccination
Time frame: 28 days following each ZPIV dose
Severity of solicited local AEs
Time frame: 7 days following each ZPIV dose
Severity of solicited systemic AEs
Time frame: 7 days following each ZPIV dose
Severity of unsolicited AEs
Time frame: 28 days following each ZPIV dose
Anti- ZIKV NAbs GMTs by group in subjects who consent to two doses of ZPIV
Time frame: 28 days after each ZPIV dose
Anti- ZIKV NAbs GMTs by group in subjects who consent to two doses of ZPIV
Time frame: Days 112, 196, 280 and 364 after initial ZPIV dose
Anti- ZIKV NAbs GMTs overall
Time frame: 28 days after each ZPIV dose
Anti- ZIKV NAbs GMTs overall
Time frame: Days 112, 196, 280 and 364 after initial ZPIV dose
Anti- ZIKV NAbs seroconversion rates by group in subjects who consent to two doses of ZPIV
Time frame: 28 days after each ZPIV dose
Anti- ZIKV NAbs seroconversion rates by group in subjects who consent to two doses of ZPIV
Time frame: Days 112, 196, 280 and 364 after initial ZPIV dose
Anti- ZIKV NAbs seroconversion rates overall
Time frame: 28 days after each ZPIV dose
Anti- ZIKV NAbs seroconversion rates overall
Time frame: Days 112, 196, 280 and 364 after initial ZPIV dose
Anti-ZIKV Nabs GMTs for group 1 subjects who consent to the third dose of ZPIV
Time frame: 28 days after each ZPIV dose
Anti-ZIKV Nabs GMTs for group 1 subjects who consent to the third dose of ZPIV
Time frame: Days 112, 196, 224 after initial ZPIV dose
Anti-ZIKV Nabs GMTs for group 1 subjects who consent to the third dose of ZPIV
Time frame: Days 84, 168 after third ZPIV dose
Anti-ZIKV Nabs GMTs for group 2 and 3 subjects who consent to the third dose of ZPIV
Time frame: 28 days after each ZPIV dose
Anti-ZIKV Nabs GMTs for group 2 and 3 subjects who consent to the third dose of ZPIV
Time frame: Days 112, 224 after initial ZPIV dose
Anti-ZIKV Nabs GMTs for group 2 and 3 subjects who consent to the third dose of ZPIV
Time frame: Days 84, 168 after third ZPIV dose
Anti-ZIKV Nabs seroconvertion rates for group 1 subjects who consent to the third dose of ZPIV
Time frame: 28 days after each ZPIV dose
Anti-ZIKV Nabs seroconvertion rates for group 1 subjects who consent to the third dose of ZPIV
Time frame: Days 112, 196, 224 after initial ZPIV dose
Anti-ZIKV Nabs seroconvertion rates for group 1 subjects who consent to the third dose of ZPIV
Time frame: Days 84, 168 after third ZPIV dose
Anti-ZIKV Nabs seroconvertion rates for group 2 and 3 subjects who consent to the third dose of ZPIV
Time frame: 28 days after each ZPIV dose
Anti-ZIKV Nabs seroconvertion rates for group 2 and 3 subjects who consent to the third dose of ZPIV
Time frame: Days 112, 224 after initial ZPIV dose
Anti-ZIKV Nabs seroconvertion rates for group 2 and 3 subjects who consent to the third dose of ZPIV
Time frame: Days 84, 168 after third ZPIV dose
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