Dengue Clinical Trial
Official title:
Phase 1 Study of the Safety and Immunogenicity of rDEN4delta30-4995, a Live Attenuated Virus Vaccine Candidate for the Prevention of Dengue Serotype 4
Dengue fever, which is caused by dengue viruses, is a major health problem in tropical and subtropical regions of the world. The purpose of this study is to evaluate the safety and immune response to the dengue vaccine DEN4delta30-4995 in healthy adults.
Dengue viruses account for more than 50 million cases of dengue fever and a half million
cases of the more severe disease, dengue hemorrhagic fever/dengue shock syndrome. Infection
with dengue viruses is the leading cause of hospitalization and death in children in at
least eight Asian countries. The goal of producing a vaccine against dengue fever is to
induce a long-lived antibody response against all four dengue serotypes. The
rDEN4delta30-4995 vaccine candidate is a live attenuated recombinant virus derived from
rDEN4delta30 for protection against dengue virus serotype 4. The purpose of this study is to
evaluate the safety, reactogenicity, and immunogenicity of rDEN4delta30-4995 in healthy
adults.
This study will last 180 days (6 months). Participants in Cohort 1 will be randomly assigned
to receive the highest dose of rDEN4delta30 or placebo at study entry. Participants in
Cohort 2 will be randomly assigned to receive a lower dose of rDEN4delta30 or placebo.
Participants in Cohort 3 will be randomly assigned to receive the lowest dose of
rDEN4delta30 or placebo. Cohorts 2 and 3 will begin after a safety review of all
participants in the previous cohort.
After initial vaccination, participants in Cohort 1 will be followed every other day for the
first 16 days of the study, monitoring their temperature three times a day through Day 16
and recording these measurements in a diary. After Day 16, study visits will occur on Days
21, 28, 42, and 180 and will include a physical exam and blood collection. Some participants
will also be asked to undergo a skin biopsy or additional blood collection at selected
visits.
;
Allocation: Randomized, Endpoint Classification: Safety/Efficacy Study, Intervention Model: Parallel Assignment, Masking: Double Blind (Subject, Caregiver, Investigator), Primary Purpose: Prevention
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