The purpose of this study is to determine whether vYF (investigational vaccine) is safe and can help the body to develop antibodies (immunogenicity) compared with Stamaril vaccine and YF-VAX vaccine (both licensed vaccines) and when they are co-administered with Measles Mumps Rubella (MMR) vaccines in infants aged 11-15 months. Number of Participants: A total of 2440 participants is planned to be enrolled in VYF04 study. Study Arms and Duration: Eligible participants will be randomized in 2 independent groups (9-24 months, 2-5 years) to receive 1 dose of either vYF or Stamaril or YF-VAX in a 2:1:1 ratio within each age group. An additional group with participants of 11-15 months of age will also receive at the same vaccination visit vYF and a single dose of MMR vaccine. For the 2nd step (YF booster vaccine administration in a subset), at the Year (Y) 3 visit, a subset of 120 participants of the 9-24 months of age group who did receive a YF vaccine on Day(D) 01 will be invited to join a booster dose assessment (booster dose administered after the Y3 visit blood sample has been taken). Participants aged 11 to 15 months at the time of the concomitant administration of vYF and MMR will not be eligible for receiving a booster dose. The duration of each participation will be approximately 3 years for all participants (including participants co-administered on D01 with vYF and MMR), and 6 more months post-booster dose administration for the participants enrolled in the booster subset.
The duration of each participant's participation will be up to approximately 3 years (not including booster phase in a subset) The Phase III VYF04 is the first study to be carried out with the investigational vYF in pediatric populations.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
PREVENTION
Masking
QUADRUPLE
Enrollment
2,440
Powder and diluent for suspension for injection Subcutaneous
Powder and diluent for suspension for injection Subcutaneous
Powder and diluent for suspension for injection Subcutaneous
Powder, lyophilized, for suspension for reconstitution Subcutaneous or intermuscular
Investigational Site Number : 3400001
San Pedro Sula, Honduras
RECRUITINGInvestigational Site Number : 3400002
Tegucigalpa, Honduras
RECRUITINGInvestigational Site Number : 3400003
Tegucigalpa, Honduras
RECRUITINGInvestigational Site Number : 3400007
Tegucigalpa, Honduras
RECRUITINGInvestigational Site Number : 4840007
Torreón, Coahuila, Mexico
RECRUITINGInvestigational Site Number : 4840013
Cuernavaca, Morelos, Mexico
RECRUITINGInvestigational Site Number : 4840015
Tizimín, Yucatán, Mexico
RECRUITINGInvestigational Site Number : 4840009
Chihuahua City, Mexico
RECRUITINGInvestigational Site Number : 4840005
Ecatepec de Morelos, Mexico
RECRUITINGPercentage of participants with seroconversion to YF virus after 1 dose of vYF compared to seroconversion after 1 dose of the Stamaril in YF-naive participants (9-24 months)
Seroconversion rates will be assessed using a YF MN assay Seroconversion is defined as a 4-fold increase in NAb titers as compared to the pre-vaccination value
Time frame: At Day 29, 28 days post-vaccination (on Day 01) with vYF or Stamaril
Percentage of participants with seroconversion to YF virus after 1 dose of vYF compared to seroconversion after 1 dose of the YF-VAX in YF-naive participants (9-24 months)
Seroconversion rates will be assessed using a YF MN assay Seroconversion is defined as a 4-fold increase in NAb titers as compared to the pre-vaccination value
Time frame: At Day 29, 28 days post-vaccination (on Day 01) with vYF or YF-VAX
Percentage of participants with seroconversion to YF virus after 1 dose of vYF compared to seroconversion after 1 dose of the Stamaril in YF-naive participants (2-5 years)
Seroconversion rates will be assessed using a YF MN assay Seroconversion is defined as a 4-fold increase in NAb titers as compared to the pre-vaccination value
Time frame: At Day 29, 28 days post-vaccination (on Day 01) with vYF or Stamaril
Percentage of participants with seroconversion to YF virus after 1 dose of vYF compared to seroconversion after 1 dose of the YF-VAX in YF-naive participants (2-5 years)
Seroconversion rates will be assessed using a YF MN assay Seroconversion is defined as a 4-fold increase in NAb titers as compared to the pre-vaccination value
Time frame: At Day 29, 28 days post-vaccination (on Day 01) with vYF or YF-VAX
Percentage of participants, by age group, with seroconversion to YF virus in all investigational vaccine groups before (Day 01) and after investigational vaccine administration at various timepoints
Seroconversion rates will be assessed using a YF MN assay Seroconversion is defined as a 4-fold increase in NAb titers as compared to the pre-vaccination value
Time frame: At Day 01 and at Day 11 (in a subset), Day 15 (in a subset), Day 29, Month 6, and yearly from Year 1 to Year 3
Percentage of participants, by age group, with seroprotection to YF virus in all investigational vaccine groups before (Day 01) and after investigational vaccine administration at various timepoints
Seroprotection is defined as NAb titers ≥ 10 (1/dil) at the corresponding timepoint
Time frame: At Day 01 and at Day 11 (in a subset), Day 15 (in a subset), Day 29, Month 6, and yearly from Year 1 to Year 3
Geometric Mean Titers (GMTs) of neutralizing antibodies against YF virus in all investigational vaccine groups, by age group, before (Day 01) and after investigational vaccine administration at various timepoints
Antibody titers are expressed as geometric mean titers
Time frame: At Day 01 and at Day 11 (in a subset), Day 15 (in a subset), Day 29, Month 6, and yearly from Year 1 to Year 3
Geometric Mean Titers Ratio (GMTRs) of neutralizing antibodies against YF virus in all investigational vaccine groups, by age group, before (Day 01) and after investigational vaccine administration at various timepoints
At Day 01 and at Day 11 (in a subset), Day 15 (in a subset), Day 29, Month 6, and yearly from Year 1 to Year 3
Time frame: GMTRs Day 11/Day 01 (subset only), Day 15/ D01 (subset only), Day 29/Day 01, Month 6/Day 01, Year 1/Month 6, Year 2/Year 1, Year 3/Year 2
Percentage of participants with seroconversion to YF virus in all investigational vaccine groups 28 days after the co-administration of vYF with measlescontaining vaccine in the MMR group and at successive timepoints
Seroconversion rates will be assessed using a YF MN assay Seroconversion is defined as a 4-fold increase in NAb titers as compared to the prevaccination value
Time frame: 28 days after the coadministration of MMR with vYF At Month 6 and yearly from Year 1 to Year 3
Percentage of participants with seroprotection to YF virus in all investigational vaccine groups 28 days after the co-administration of vYF with measlescontaining vaccine in the MMR group and at successive timepoints
Seroprotection is defined as NAb titers ≥ 10 (1/dil) at the corresponding timepoint
Time frame: 28 days after the coadministration of MMR with vYF At Month 6 and yearly from Year 1 to Year 3
GMTs of neutralizing antibodies against YF virus in all investigational vaccine groups 28 days after the co-administration of vYF with measlescontaining vaccine in the MMR group and at successive timepoints
Antibody titers are expressed as geometric mean titers
Time frame: 28 days after the coadministration of MMR with vYF At Month 6 and yearly from Year 1 to Year 3
GMTRs of neutralizing antibodies against YF virus in all investigational vaccine groups 28 days after the co-administration of vYF with measlescontaining vaccine in the MMR group and at successive timepoints
GMTRs Day 29/Day 01, Month 6/Day 01, Year 1/Month 6, Year 2/Year 1, Year 3/Year 2
Time frame: 28 days after the coadministration of MMR with vYF At Month 6 and yearly from Year 1 to Year 3
Percentage of participants, by age group, with seroconversion to YF virus in all investigational vaccine groups before (Day 01) and after investigational vaccine administration at various timepoints
Seroconversion is defined for measles, mumps and rubella respectively in participants seronegative at baseline as an antibody titer reaching the following thresholds for seropositivity: * Anti-measles antibody concentrations ≥ 255 mIU/mL * Anti-mumps antibody concentrations ≥ 10 (AbU)/mL * Anti-rubella antibody concentrations ≥ 10 IU/mL
Time frame: Before and 28 days after the coadministration of MMR with vYF
Percentage of participants with seroprotection to MMR before and 28 days after the coadministration of MMR with vYF in the MMR group
Time frame: Before and 28 days after the coadministration of MMR with vYF
GMTs of neutralizing antibodies against MMR virus before and 28 days after the coadministration of MMR with vYF in the MMR group
Antibody titers are expressed as geometric mean titers
Time frame: Before and 28 days after the coadministration of MMR with vYF
GMTRs of neutralizing antibodies against MMR virus before and 28 days after the coadministration of MMR with vYF in the MMR group
GMTRs Day 29/Day 01
Time frame: Before and 28 days after the coadministration of MMR with vYF
Percentage of participants with seroconversion to YF virus before the booster dose administration at Y3, then 10 days and 28 days after a vYF booster dose in the booster subset
Seroconversion rates will be assessed using a YF MN assay Seroconversion is defined as a 4-fold increase in NAb titers as compared to the prevaccination value
Time frame: At Day 11 and Day 29 after booster dose
Percentage of participants with seroprotection to YF virus before the booster dose administration at Y3, then 10 days and 28 days after a vYF booster dose in the booster subset
Seroprotection is defined as NAb titers ≥ 10 (1/dil) at the corresponding timepoint
Time frame: At Day 11 and Day 29 after booster dose
GMTs of neutralizing antibodies against YF virus before the booster dose administration at Y3, then 10 days and 28 days after a vYF booster dose in the booster subset
Antibody titers are expressed as geometric mean titers
Time frame: At Day 11 and Day 29 after booster dose
GMTRs of neutralizing antibodies against YF virus before the booster dose administration at Y3, then 10 days and 28 days after a vYF booster dose in the booster subset
GMTRs Day 11/D01 and Day 29/Day 01
Time frame: At Day 11 and Day 29 after booster dose
Percentage of participants with seroconversion to YF up to Day 29 will be described depending on the FV status at baseline (YF, Dengue, Zika) by age group
YF and Zika NAbs will be measured using a qualified MN assay Quantitation of human IgG antibodies against dengue virus (DENV) nonstructural protein 1 (NS1) in human sera will be determined using a qualified ELISA assay. Seroconversion is defined as a 4-fold increase in NAb titers as compared to the prevaccination value
Time frame: Up to Day 29
Percentage of participants with seroprotection to YF up to Day 29 will be described depending on the FV status at baseline (YF, Dengue, Zika) by age group
Seroprotection is defined as NAb titers ≥ 10 (1/dil) at the corresponding timepoint
Time frame: Up to Day 29
GMTs of neutralizing antibodies against YF up to Day 29 will be described depending on the FV status at baseline (YF, Dengue, Zika) by age group
Antibody titers are expressed as geometric mean titers
Time frame: Up to Day 29
GMTRs of neutralizing antibodies against YF up to Day 29 will be described depending on the FV status at baseline (YF, Dengue, Zika) by age group
GMTRs Day 29/Day 01
Time frame: Up to Day 29
Number of participants with immediate adverse events
Immediate adverse events are any unsolicited systemic adverse events reported in the 30 minutes after vaccination
Time frame: Within 30 minutes after each vaccination
Number of participants with solicited injection site reactions
Solicited injection site reactions: * for participants \< 24 months include: injection site tenderness, injection site erythema, injection site swelling * for participants aged ≥ 2 years and \< 5 years include: injection site pain, injection site erythema and injection site swelling
Time frame: Within 7 days after each vaccination
Number of participants with solicited systemic reactions
Solicited systemic reactions: * for participants \< 24 months include: fever, vomiting, crying abnormal, drowsiness, appetite lost, irritability * for participants aged ≥ 2 years and \< 5 years include: fever, headache, fatigue and myalgia
Time frame: Within 14 days after each vaccination
Number of participants with unsolicited adverse events (AEs)
Unsolicited (spontaneously reported) AEs, not fulfilling criteria for solicited adverse reactions
Time frame: Within 28 days after each vaccination
Number of participants with medically attended adverse events (MAAEs)
MAAEs will be collected as part of the unsolicited AEs
Time frame: From Day 01 to Day 29
Number of participants with serious adverse events (SAEs) and adverse events of special interest (AESIs)
SAEs and AESIs
Time frame: From Day 01 to Month 6 and from Year 3 to Year 3 + 6 Months for the booster subset
Hematology in a subset of participants 9-24 months of age and in a subset of participants aged 2-5 years
Blood samples will be taken for the determination of hematology
Time frame: At Day 01 and at Day 05
Biochemistry in a subset of participants 9-24 months of age and in a subset of participants aged 2-5 years
Blood samples will be taken for the determination of biochemistry
Time frame: At Day 01 and at Day 05
YF vaccinal viremia in each vaccine groups (vYF, Stamaril and YF-VAX) in a subset of participants 9-24 months of age
YF vaccinal viremia will be measured by YF-specific quantitative reverse transcription polymerase chain reaction (qRT-PCR) assay
Time frame: At Day 01 and at Day 05
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