Dengue DiseasePhase 1TVDVNCT01502358
Evaluation of the Safety and the Ability of a DNA Vaccine to Protect Against Dengue Disease
A Phase 1 study testing Tetravalent Dengue Vaccine (TVDV), Tetravalent Dengue Vaccine (TVDV) with Vaxfectin® (low-dose) and Tetravalent Dengue Vaccine TVDV with Vaxfectin® (High Dose) in people with Dengue Disease and Dengue Fever, run by U.S. Army Medical Research and Development Command at 1 site in United States.
Trial summary
The purpose of this study is to determine whether a new investigational dengue vaccine is safe, well-tolerated, and to see if an immune response against dengue disease will be generated. Read more about this study
- Who is it for?
- Ages 18 to 50 yearsHealthy volunteers can take part
- Conditions the study is for
- Dengue Disease, Dengue Fever
- What is being tested?
- Tetravalent Dengue Vaccine (TVDV), Tetravalent Dengue Vaccine (TVDV) with Vaxfectin® (low-dose) and Tetravalent Dengue Vaccine TVDV with Vaxfectin® (High Dose)
- Type of treatment
- Vaccines, Injection or infusion
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 40 participants
- Where
- 1 siteUnited States
- Study dates
- Dec 2011to Dec 2013
- Phase
- Phase 1
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 to 50 years
- All sexes
- Healthy volunteers accepted
- Adult
Who may be able to join
- Male or female age 18 to 50 (inclusive) years old at the time of enrollment
- Have negative anti-dengue, Japanese encephalitis, West Nile, and yellow fever ELISA serological tests
- Be informed of the nature of the study and provide written informed consent
- If the subject is of child-producing potential, he/she agrees to practice adequate birth control or abstain from sex
- Have access to the WRAIR Clinical Trials for at least 270 days, and be willing to refrain from participation in other investigational clinical trials
- Be in good general health
Show all 19Show fewer
- Exclusion Criteria-Subjects meeting any of the following criteria will be excluded from the study:
- History of Flavivirus infection or history of Flavivirus vaccine (experimental or licensed product) including Japanese encephalitis, yellow fever, and dengue
- Have a known or suspected hypersensitivity or adverse reaction to vaccines including anaphylaxis and related symptoms such as hives, respiratory difficulty, angioedema, and/or abdominal pain
- Have received a live-attenuated vaccine within 42 days prior to the initial injection on Day 0 or a subunit or killed vaccine within 30 days of the initial injection on Day 0
- Have a positive screen for hepatitis B surface antigen (HBsAg), hepatitis C antibody, or HIV antibody
- Are pregnant or breastfeeding
- Have donated or received blood, blood products, or plasma within 30 days prior to Day 0
- Have any acute illness, including an oral body temperature >100.4°F, within 7 days before the initial injection on Day 0
- Have a past or current history of malignant disease except for adequately treated skin cancer
- Exclusions include but are not limited to conditions pertaining to or evidence of immunodeficiency; allergies requiring treatment with antigen injections; autoimmune disease; severe migraine headaches; unstable asthma; clinically significant cardiac arrhythmias, diabetes mellitus, thyroid disease, a bleeding disorder or a seizure disorder.
- Have participated in an investigational drug, vaccine, or device study within a period of 30 days prior to Day 0;
- History of splenectomy
- Planned travel to dengue endemic areas during the study period
Who cannot join
None listed.
Trial locations and contacts
1 site in 1 country.
United States1 site
Walter Reed Army Institute of Research and Clinical Trial Center (WRAIR CTC)
Silver Spring, Maryland, 20702
About this study
Official title: A Phase 1 Study To Evaluate The Safety, Tolerability, and Immunogenicity of a Tetravalent Dengue (Serotype 1, 2, 3, and 4) Plasmid DNA Vaccine (TVDV) Formulated With and Without Vaxfectin®
The purpose of this study is to determine whether a new investigational dengue vaccine is safe, well-tolerated, and to see if an immune response against dengue disease will be generated.
Read the detailed description
Arguably the need for a tetravalent dengue vaccine that will effectively induce immunity against all four dengue serotypes has never been greater. Currently, several different approaches are being taken to develop a protective tetravalent dengue vaccine. These include live-attenuated vaccines derived by serial passage in tissue culture, live chimeric vaccines, recombinant protein vaccines and DNA vaccines. While live attenuated and live chimeric vaccines have shown promise in clinical trials, viral competition with suspected immune interference resulting in imbalanced immune responses and reactogenicity with the occurrence of dengue like symptoms remains a concern. It is imperative that any candidate vaccine produce solid immunity against each of the four dengue virus serotypes. Failure to do so may place the recipient of the vaccine at risk for developing severe dengue disease (dengue hemorrhagic fever/dengue shock syndrome) following exposure to the virus serotype to which there was incomplete protective immunity, resulting in antibody dependent enhancement due to the presence of non-neutralizing anti-dengue antibodies.
- Conditions
- Dengue Disease, Dengue Fever
- Being tested
- Tetravalent Dengue Vaccine (TVDV), Tetravalent Dengue Vaccine (TVDV) with Vaxfectin® (low-dose), Tetravalent Dengue Vaccine TVDV with Vaxfectin® (High Dose)
- Keywords
- dengue, dengue fever, dengue disease, tetravalent dengue vaccine, Vaxfectin®
- Medical subject headings
- Dengue
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Tetravalent Dengue Vaccine (TVDV)Biological
Low dose delivered intramuscularly on Study Days 0, 30 and 90
Tetravalent Dengue Vaccine (TVDV) with Vaxfectin® (low-dose)Biological
Low dose: TVDV formulated with Vaxfectin®; 1.0 mL volume delivered intramuscularly on Study Days 0, 30 and 90
Tetravalent Dengue Vaccine TVDV with Vaxfectin® (High Dose)Biological
High dose: TVDV formulated with Vaxfectin®; 1.0 mL volume delivered intramuscularly on Study Days 0, 30 and 90
| Study group | Role | What they receive |
|---|---|---|
| Tetravalent Dengue Vaccine (TVDV) | Experimental | low dose (no adjuvant) Receives: Biological: Tetravalent Dengue Vaccine (TVDV) |
| Tetravalent Dengue Vaccine (TVDV) with Vaxfectin® (low-dose) | Experimental | low dose (with adjuvant) Receives: Biological: Tetravalent Dengue Vaccine (TVDV) with Vaxfectin® (low-dose) |
| Tetravalent dengue Vaccine (TVDV) with Vaxfectin® (high-dose) | Experimental | high dose (with adjuvant) Receives: Biological: Tetravalent Dengue Vaccine TVDV with Vaxfectin® (High Dose) |
What is being measured
The primary outcome is the main question the study is designed to answer.
Number of participants with adverse events (AEs) or serious adverse events (SAEs)
All AEs and SAEs will be recorded during the entire duration of the study, or up to 360 days.
Measured: Up to Day 360
Secondary outcomes (3)
Percent of subjects (in each group) achieving tetravalent ELISA IgM seroconversion
From date of first vaccine dose until seroconversion is achieved, up to 360 days.
Measured: Days 0-360
Percent of subjects (in each group) achieving tetravalent seroconversion, by dengue plaque reduction MN50 titer
From date of first vaccine dose until seroconversion is achieved, up to 360 days.
Measured: Days 0-360
MN50 titer 1 month (Study Day 120) and Study Days 180 and 270 after vaccine regimen is complete
Measured: Following completion of study days 120 and 180 and 270 days after vaccine regimen is complete
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted30 Dec 2011 (estimated)
- Study startDec 2011
- Primary completionDec 2013
- Study completionDec 2013
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Dengue DiseaseStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 1
- Primary purpose
- Prevention
- Allocation
- Non-randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Enrolment
- 40 participants (actual)
Sponsor and investigators
- Lead sponsor
- U.S. Army Medical Research and Development Command
- Sponsor type
- US federal agency
- Collaborators
- Vical, Walter Reed Army Institute of Research (WRAIR), Naval Medical Research Center
- Responsible party
- Sponsor
- Investigators
- Janine R Danko, MD, Principal investigator, Naval Medical Research Center
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT01502358
- Sponsor's protocol ID
- S-11-0007
- Other IDs
- WRAIR #1839, NMRC 2011.0012, A-16892
- Acronym
- TVDV
- Status last verified
- Apr 2015
- First submitted
- 15 Dec 2011
- Last updated
- 4 Nov 2016
- Results posted
- No
- Data monitoring committee
- Yes
Study at a glance
From the registry record, last updated by the sponsor on 4 Nov 2016. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Phase 1 Study To Evaluate The Safety, Tolerability, and Immunogenicity of a Tetravalent Dengue (Serotype 1, 2, 3, and 4) Plasmid DNA Vaccine (TVDV) Formulated With and Without Vaxfectin®
- ClinicalTrials.gov ID
- NCT01502358
- Acronym / sponsor ID
- TVDV / S-11-0007
- Conditions
- Dengue Disease, Dengue Fever
- Keywords
- dengue, dengue fever, dengue disease, tetravalent dengue vaccine, Vaxfectin®
- Phase
- Phase 1
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 40 participants (actual)
- Lead sponsor
- U.S. Army Medical Research and Development CommandUS federal agency
- Collaborators
- Vical, Walter Reed Army Institute of Research (WRAIR), Naval Medical Research Center
- Study start
- Dec 2011
- Primary completion
- Dec 2013 (actual)
- Study completion
- Dec 2013 (actual)
- First posted
- 30 Dec 2011 (estimated)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The purpose of this study is to determine whether a new investigational dengue vaccine is safe, well-tolerated, and to see if an immune response against dengue disease will be generated.
Detailed description
Arguably the need for a tetravalent dengue vaccine that will effectively induce immunity against all four dengue serotypes has never been greater. Currently, several different approaches are being taken to develop a protective tetravalent dengue vaccine. These include live-attenuated vaccines derived by serial passage in tissue culture, live chimeric vaccines, recombinant protein vaccines and DNA vaccines. While live attenuated and live chimeric vaccines have shown promise in clinical trials, viral competition with suspected immune interference resulting in imbalanced immune responses and reactogenicity with the occurrence of dengue like symptoms remains a concern. It is imperative that any candidate vaccine produce solid immunity against each of the four dengue virus serotypes. Failure to do so may place the recipient of the vaccine at risk for developing severe dengue disease (dengue hemorrhagic fever/dengue shock syndrome) following exposure to the virus serotype to which there was incomplete protective immunity, resulting in antibody dependent enhancement due to the presence of non-neutralizing anti-dengue antibodies.
Study design
- Primary purpose
- Prevention
- Allocation
- Non-randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 3
| Arm | Type | Receives |
|---|---|---|
| Tetravalent Dengue Vaccine (TVDV) | Experimental | Biological: Tetravalent Dengue Vaccine (TVDV)low dose (no adjuvant) |
| Tetravalent Dengue Vaccine (TVDV) with Vaxfectin® (low-dose) | Experimental | Biological: Tetravalent Dengue Vaccine (TVDV) with Vaxfectin® (low-dose)low dose (with adjuvant) |
| Tetravalent dengue Vaccine (TVDV) with Vaxfectin® (high-dose) | Experimental | Biological: Tetravalent Dengue Vaccine TVDV with Vaxfectin® (High Dose)high dose (with adjuvant) |
Who may qualify
- Ages
- 18 to 50 years
- Sex
- All
- Healthy volunteers
- Accepted
- Age groups
- Adult
Key inclusion criteria (19 listed)
- Male or female age 18 to 50 (inclusive) years old at the time of enrollment
- Have negative anti-dengue, Japanese encephalitis, West Nile, and yellow fever ELISA serological tests
- Be informed of the nature of the study and provide written informed consent
- If the subject is of child-producing potential, he/she agrees to practice adequate birth control or abstain from sex
- Have access to the WRAIR Clinical Trials for at least 270 days, and be willing to refrain from participation in other investigational clinical trials
Key exclusion criteria (0 listed)
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Tetravalent Dengue Vaccine (TVDV)Low dose delivered intramuscularly on Study Days 0, 30 and 90 | Biological | Tetravalent Dengue Vaccine (TVDV) |
| Tetravalent Dengue Vaccine (TVDV) with Vaxfectin® (low-dose)Low dose: TVDV formulated with Vaxfectin®; 1.0 mL volume delivered intramuscularly on Study Days 0, 30 and 90 | Biological | Tetravalent Dengue Vaccine (TVDV) with Vaxfectin® (low-dose) |
| Tetravalent Dengue Vaccine TVDV with Vaxfectin® (High Dose)High dose: TVDV formulated with Vaxfectin®; 1.0 mL volume delivered intramuscularly on Study Days 0, 30 and 90 | Biological | Tetravalent dengue Vaccine (TVDV) with Vaxfectin® (high-dose) |
Primary outcome
Number of participants with adverse events (AEs) or serious adverse events (SAEs)
Time frame: Up to Day 360
All AEs and SAEs will be recorded during the entire duration of the study, or up to 360 days.
3 secondary outcomes
Percent of subjects (in each group) achieving tetravalent ELISA IgM seroconversion
Time frame: Days 0-360
Percent of subjects (in each group) achieving tetravalent seroconversion, by dengue plaque reduction MN50 titer
Time frame: Days 0-360
MN50 titer 1 month (Study Day 120) and Study Days 180 and 270 after vaccine regimen is complete
Time frame: Following completion of study days 120 and 180 and 270 days after vaccine regimen is complete
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 4 Nov 2016.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Janine R Danko, MD principal investigator
Naval Medical Research Center
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 1 study testing Tetravalent Dengue Vaccine (TVDV), Tetravalent Dengue Vaccine (TVDV) with Vaxfectin® (low-dose) and Tetravalent Dengue Vaccine TVDV with Vaxfectin® (High Dose) in people with Dengue Disease and Dengue Fever, run by U.S. Army Medical Research and Development Command at 1 site in United States.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 19 inclusion and 0 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 4 Nov 2016. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in United States. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this phase mean?
Phase 1 studies test a treatment in a small group of people for the first time or in a new way, mainly to check safety and find the right dose.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Number of participants with adverse events (AEs) or serious adverse events (SAEs) (time frame: Up to Day 360). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 4 Nov 2016; AzTrials last refreshed its copy on 8 Nov 2026.