This was a prospective, randomized, double-blinded, multicenter, pivotal study evaluating the full dose of VLA1553 (1 x10E4 TCID50 per dose) in comparison to a placebo control. The dose of VLA1553 or control was administered as single vaccination on Day 1. Overall, approximately 750 male and female participants aged 12 years to \<18 years were enrolled into the study. After completion of the trial, a Post Trial Access program was performed to offer the VLA1553 vaccine to all placebo recipients.
This was a prospective, double-blinded, multicenter, randomized, pivotal Phase 3 study comprising 754 participants aged 12 years to \<18 years randomized in a 2:1 ratio to the live-attenuated CHIKV vaccine candidate (VLA1553) or placebo. The dose of lyophilized VLA1553 or placebo was administered as a single intramuscular vaccination. Subjects in this study were stratified by baseline serostatus. The primary objective of the study was to evaluate the immunogenicity and safety of the full dose of VLA1553 28 days following the single vaccination. Immunogenicity evaluations in the immunogenicity subset included the proportion of subjects with neutralizing CHIKV antibody titers above the seroresponse threshold. The surrogate of protection reasonably likely to predict clinical benefit has been established in non-human primate passive transfer studies using human sera from the Phase 1 study. Safety data collection and immunogenicity were assessed until Month 12.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
PREVENTION
Masking
DOUBLE
Enrollment
754
CECOR - Centro Oncológico de Roraima
Boa Vista, Acre, Brazil
Fundação de Medicina Tropical Dr. Heitor Vieira Dourado
Manaus, Amazonas, Brazil
Núcleo de Medicina Tropical - Universidade Federal do Ceará
Fortaleza, Ceará, Brazil
Seroprotection
Percentage of subjects with a seroprotective CHIKV antibody level determined as µPRNT50\>= 150 (Micro Plaque Reduction Neutralization Test 50%) for baseline negative subjects 28 days post-vaccination.
Time frame: On study Day 29,which is 28 days after single vaccination
CHIKV-specific Antibody Titers as GMTs up to 1 Year
Immune response as measured by CHIKV-specific neutralizing antibody titers on Day 1, Day 8, Day 29, Day 85, Day 180 (Month 6) and Day 365 (Month 12) post vaccination as determined by μPRNT
Time frame: On study Day 1, Day 8, Day 29, Day 85, Day 180 (Month 6) and Day 365 (Month 12) post vaccination
Seroprotection up to 1 Year
Percentage of subjects with seroprotective levels defined as μPRNT50 ≥ 150 for μPRNT baseline negative subjects on Day 8, Day 85, Day 180 and Month 12 post-vaccination as determined by μPRNT.
Time frame: On the study Day 8, Day 85, Day 180, and Day 365 (Month 12) after vaccination
Seroconversion up to 1 Year Defined as > 4-fold Increase of μPRNT50 Compared to Baseline
Percentage of subjects with seroconversion defined as \> 4-fold increase of μPRNT50 compared to baseline at Day 29, Month 6 and Month 12 as determined by μPRNT assay
Time frame: On study Day 29, Day 180 and Month 12 after vaccination
Fold Change in Neutralizing Antibodies Compared to Baseline
Fold change of CHIKV-specific neutralizing antibody titers determined by μPRNT assay at Days 8, 29, 85, 180 and at Month 12 post-vaccination as compared to baseline
Time frame: On study Day 8, 29, 85, 180 and Month 12 after vaccination
X-fold Change in Neutralizing Antibody Titers at Month 12 Compared to Baseline
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Associação Obras Sociais Irmã Dulce / Centro de Pesquisa Clínica - CPEC
Salvador, Estado de Bahia, Brazil
Centro de Pesquisa e Desenvolvimento de Fármacos (CPDF) - Universidade Federal de Minas Gerais, Instituto de Ciências Biológicas
Belo Horizonte, Minas Gerais, Brazil
Real Hospital Português de Beneficência em Pernambuco
Recife, Pernambuco, Brazil
Centro de Pesquisas Clínicas Universidade Federal Sergipe
Aracaju, Sergipe, Brazil
Faculdade de Medicina de São José do Rio Preto - FAMERP
São José do Rio Preto, São Paulo, Brazil
Centro de Pesquisa Clínica da Faculdade de Medicina da Universidade Federal de Mato Grosso do Sul - UFMS
Campo Grande, Brazil
Centro de Estudos do Instituto de Infectologia Emílio Ribas
São Paulo, Brazil
Percentage of subjects reaching an at least 4-fold, 8-fold, 16-fold or 64-fold change in CHIKV-specific neutralizing antibody titer compared to baseline as measured by μPRNT assay
Time frame: 365 days (12 months) after vaccination
Immunogenicity (GMT) Per Baseline Serostatus
CHIKV-specific neutralizing antibodies, determined by μPRNT assay at Days 1, 8, 29, 85, 180, and Month 12 post-vaccination stratified by μPRNT baseline serostatus.
Time frame: On study Day 1, 8, 29, 85, 180 and Month 12 after vaccination
Number of Participants With Unsolicited Adverse Events
Frequency of unsolicited AEs at Day 29 and Day 180 (6 months) post-vaccination
Time frame: On study Day 29 and Day 180 after vaccination
Number of Participants With Solicited Adverse Events
Frequency of solicited injection site and systemic adverse events within ten days post-vaccination
Time frame: up to 10 days after vaccination
Number of Participants With Adverse Event of Special Interest
Frequency of any Adverse Event of Special Interest: The following cluster of symptoms with or without remissions or exacerbations received particular consideration and were defined as early onset AESI: 1. Fever (≥37.8°C measured axillary); and 2. Acute (poly)arthralgia/arthritis, myalgia, neurological symptoms (e.g., meningoencephalitis, acute encephalitis, headache, seizures), retinitis/uveitis; or one or more of the following signs and symptoms: macular to maculopapular rash (sometimes with cutaneous pruritus (foot plant)), pigmentary changes, bullous rash/skin blistering, purpura and ecchymosis; and 3. Onset of symptoms 2 to 21 days after vaccination (i.e., Day 3 to Day 22); and 4. Duration of event ≥3 days, Onset of symptoms 22 days post vaccination or later (Day 23 - study end) was defined as late onset AESI.
Time frame: until 365 days (12 months) after vaccination
Number of Participants With Serious Adverse Events
Frequency and relatedness of any Serious Adverse Event (SAE) during the entire study period
Time frame: until 365 days (12 months) after vaccination