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| ID | Type | Description | Link |
|---|---|---|---|
| U1111-1174-4398 | Other Identifier | WHO |
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The aim of the study was to evaluate the safety and immunogenicity of the Dengue vaccine in a population of special interest, such as HIV-positive adults previously exposed to dengue.
Primary Objective:
Secondary Objectives:
Observational Objective:
Eligible subjects were randomized in a 2:1 ratio into 1 of 2 groups to receive 3 injections of either CYD dengue vaccine or placebo at 0, 6, and 12 months. The enrollment of subjects was carried out in two steps, including an early safety data review before the second step. The duration of each subject's participation in the study was approximately 18 months.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| CYD Dengue vaccine group | Experimental | Subjects will receive 3 doses of CYD dengue vaccine at 0, 6, and 12 months |
|
| Placebo vaccine group | Placebo Comparator | Subjects will receive 3 doses of placebo (NaCl, 0.9%) vaccine at 0, 6, and 12 months |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| CYD Dengue Vaccine | Biological | 0.5 mL, Subcutaneous at Day 0, 6 and 12 months, respectively |
|
| Measure | Description | Time Frame |
|---|---|---|
| Percentage of Participants With Unsolicited Systemic Adverse Event (AE) | An AE was any untoward medical occurrence in a participant administered study vaccine and which did not necessarily have a causal relationship. An unsolicited AE was an observed AE that did not fulfill the conditions pre-listed in the protocol and case report form (CRF) in terms of diagnosis and/or onset window post-vaccination. | Within 30 minutes after each injection |
| Percentage of Participants With Solicited Injection-Site Reactions | An AE was any untoward medical occurrence in a participant administered study vaccine and which did not necessarily have a causal relationship. A solicited reaction was an expected adverse reaction (AR) observed and reported under the conditions pre-listed in the protocol and CRF and included pain, erythema, and swelling. Injection site reaction was an AR at and around the injection site. Injection site reactions were commonly inflammatory reactions. | Up to 7 days after each injection |
| Percentage of Participants With Solicited Systemic Reactions | A solicited reaction was an "expected" adverse reaction (sign or symptom) observed and reported under the conditions (nature and onset) pre-listed in the protocol and CRF. Solicited systemic reactions included headache, fever, localized or topical manifestations that were not associated with the vaccination or administration site. | Up to 14 days after each injection |
| Percentage of Participants With Unsolicited AE, Serious and Non-Serious AEs of Special Interest (AESIs) | An unsolicited AE was an observed AE that did not fulfill the conditions pre-listed in the protocol and CRF in terms of diagnosis and/or onset window post-vaccination. An AESI was one of scientific and medical concern specific to the study vaccine, for which ongoing monitoring, and rapid communication by the Investigator to the Sponsor was appropriate. The following were considered as serious AESI: serious hypersensitivity/allergic reactions occurring in all participants within 7 days after vaccination; serious viscerotropic disease occurring in all participants within 30 days after vaccination; serious neurotropic disease occurring in all participants within 30 days after vaccination; serious dengue disease requiring hospitalization occurring in all participants at any time during the study. The following were considered as non-serious AESIs, hypersensitivity/allergic reactions occurring in all participants within 7 days after vaccination. |
| Measure | Description | Time Frame |
|---|---|---|
| Geometric Mean Titers of Neutralizing Antibody Levels Against Each of the 4 Parental Dengue Virus Strains | Dengue neutralizing antibody levels were measured by PRNT50. Serial, 2-fold dilutions of serum to be tested (previously heat-inactivated) were mixed with a constant challenge-dose of each dengue virus serotype 1, 2, 3 or 4. The presence of dengue virus infected cells was indicated by formation of plaques. A reduction in virus infectivity due to neutralization by antibody present in serum samples was detected. The reported value represented the highest dilution of serum at which >= 50% of dengue challenge virus (in plaque counts) was neutralized when compared to the mean viral plaque count in the negative control wells which represented the 100% virus load. |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Clinical Sciences & Operations | Sanofi Pasteur, a Sanofi Company | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Investigational Site Number :0760002 | Nova Iguaçu | Rio de Janeiro | 26030-380 | Brazil | ||
| Investigational Site Number :0760004 |
Qualified researchers may request access to patient level data and related study documents including the clinical study report, study protocol with any amendments, blank case report form, statistical analysis plan, and dataset specifications. Patient level data will be anonymized and study documents will be redacted to protect the privacy of trial participants. Further details on Sanofi's data sharing criteria, eligible studies, and process for requesting access can be found at: https://vivli.org
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A total of 133 participants were randomized in 2:1 ratio of which 132 participants received vaccination.
The study was conducted at 4 centers in Brazil from 06 November 2019 to 07Jul 2021.
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| ID | Title | Description |
|---|---|---|
| FG000 | CYD Dengue Vaccine | Participants were administered a single dose of subcutaneous (SC) injection of live, attenuated, tetravalent CYD dengue vaccine each on Day 0, 6 months and 12 months. |
| FG001 | Placebo | Participants were administered a single dose of SC injection of placebo vaccine each on Day 0, 6 months and 12 months. |
| Title | Milestones | Reasons Not Completed | ||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Overall Study |
|
|
The Safety analysis set (SafAS) consisted of participants who had received study vaccine and for which safety data were scheduled to be collected.
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| ID | Title | Description |
|---|---|---|
| BG000 | CYD Dengue Vaccine | Participants were administered a single dose of SC injection of live, attenuated, tetravalent CYD dengue vaccine each on Day 0, 6 months and 12 months. |
| BG001 | Placebo |
| Units | Counts |
|---|---|
| Participants |
|
| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes |
|---|---|---|---|---|---|---|---|---|---|
| Age, Continuous | Mean |
| Type | Title | Description | Population Description | Reporting Status | Anticipated Posting Date | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Time Frame | Units Analyzed | Denominator Units Selected | Arm/Group Information | Denominators | Classes | Analyses | |||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Primary | Percentage of Participants With Unsolicited Systemic Adverse Event (AE) | An AE was any untoward medical occurrence in a participant administered study vaccine and which did not necessarily have a causal relationship. An unsolicited AE was an observed AE that did not fulfill the conditions pre-listed in the protocol and case report form (CRF) in terms of diagnosis and/or onset window post-vaccination. | The SafAS population consisted of participants who had received study vaccine and for which safety data were scheduled to be collected. | Posted | Number | 95% Confidence Interval | percentage of participants | Within 30 minutes after each injection |
|
From the date of randomization until 6-month safety follow-up (approximately 38 months)
Analysis was performed on SafAS population.
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| ID | Title | Description | Deaths (Affected) | Deaths (At Risk) | Serious Events (Affected) | Serious Events (At Risk) | Other Events (Affected) | Other Events (At Risk) |
|---|---|---|---|---|---|---|---|---|
| EG000 | CYD Dengue Vaccine | Participants were administered a single dose of SC injection of live, attenuated, tetravalent CYD dengue vaccine each on Day 0, 6 months and 12 months. |
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Appendicitis | Infections and infestations | MedDra 25.1 | Systematic Assessment |
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Asthenia | General disorders | MedDra 25.1 | Systematic Assessment |
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| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Trial Transparency Team | Sanofi Pasteur | 800-633-1610 | 6# | Contact-US@sanofi.com |
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| Type | Includes Protocol | Includes SAP | Includes ICF | Document Label | Document Date | Document Uploaded Date | Document File Name |
|---|---|---|---|---|---|---|---|
| Prot | Yes | No | No | Study Protocol | Dec 10, 2019 | Jan 18, 2024 | Prot_000.pdf |
| SAP | No | Yes | No | Statistical Analysis Plan | Dec 22, 2022 | Jan 18, 2024 | SAP_001.pdf |
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| ID | Term |
|---|---|
| D003715 | Dengue |
| D019595 | Severe Dengue |
| D000163 | Acquired Immunodeficiency Syndrome |
| ID | Term |
|---|---|
| D000096724 | Mosquito-Borne Diseases |
| D000079426 | Vector Borne Diseases |
| D007239 | Infections |
| D001102 | Arbovirus Infections |
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| Placebo (NaCl 0.9%) vaccine group | Biological | 0.5 mL, Subcutaneous at Day 0, 6 and 12 months, respectively |
|
| Up to 28 days after each injection |
| Percentage of Participants With Serious AEs (SAEs) and Hospitalized Virologically-Confirmed Dengue (VCD) Cases | An AE was any untoward medical occurrence in a participant administered study vaccine and which does not necessarily have a causal relationship. SAEs were any untoward medical occurrence that at any dose: resulted in death, was life-threatening, required inpatient hospitalization or prolongation of existing hospitalization, resulted in persistent or significant disability/incapacity, was a congenital anomaly/birth defect, was a medically important event. Hospitalized VCD cases were defined as an acute febrile illness with diagnosis of dengue requiring hospitalization. The confirmatory dengue diagnosis was performed through virological detection. | From the date of randomization until 6-month safety follow-up (approximately 38 months) |
| Baseline (Day 0) and 28 days after each injection |
| Percentage of Participants With a Detected and Quantified CYD Dengue Vaccinal Viremia | The percentage of participants with detected and quantified CYD dengue vaccinal viremia, i.e above the detection level as assessed by reverse transcription-polymerase chain reaction (RT-PCR) and for each of the 4 dengue serotypes after the first CYD dengue vaccine injection has been reported. Four RT-PCRs were used to perform quantitation and serotype identification of post-vaccinal serotype-specific dengue vaccine viremia from serum samples displaying a positive yellow fever (YF) RT-PCR result. The assay was performed only for YT RT-PCR-positive samples. | At 7 and 14 days post-injection 1 |
| Percentage of Participants With Clusters of Differentiation 4 (CD4) Count Decrease | A decrease in CD4 count greater than 30 % assessed 28 days post-injection compared to the pre-injection value, not explained by non-adherence to antiretroviral therapy (ART) and not explained by any other possible etiology, and confirmed by a second test taken 4 weeks after the first (ie, approximately 2 months post-injection) showing the same value/trend. | From Day 28 to Day 393 (28 days after each injection) |
| Percentage of Participants With Confirmed Human Immunodeficiency Virus (HIV) Ribonucleic Acid (RNA) Viral Load Increase | A confirmed HIV viral load increase was defined as plasma HIV-1 RNA >1000 copies/milliliter (mL) 28 days post-injection after having been undetectable (< 50 copies/mL) pre-injection, not explained by non-adherence to ART and not explained by any other possible etiology and confirmed by a second test taken 4 weeks after the first (i.e, approximately 2 months post-injection) showing the same value/trend. | From Day 28 to Day 393 (28 days after each injection) |
| Natal |
| Rio Grande do Norte |
| 59025050 |
| Brazil |
| Investigational Site Number :0760001 | São Paulo | 04040-002 | Brazil |
| Investigational Site Number :0760003 | São Paulo | 04121-000 | Brazil |
| Lost to Follow-up |
|
Participants were administered a single dose of SC injection of placebo vaccine each on Day 0, 6 months and 12 months.
| BG002 | Total | Total of all reporting groups |
| years |
|
| Sex: Female, Male | Count of Participants | Participants | No |
|
| Race and Ethnicity Not Collected | Race and Ethnicity were not collected from any participant. | Count of Participants | Participants |
|
| OG001 | Placebo | Participants were administered a single dose of SC injection of placebo vaccine each on Day 0, 6 months and 12 months. |
|
|
| Primary | Percentage of Participants With Solicited Injection-Site Reactions | An AE was any untoward medical occurrence in a participant administered study vaccine and which did not necessarily have a causal relationship. A solicited reaction was an expected adverse reaction (AR) observed and reported under the conditions pre-listed in the protocol and CRF and included pain, erythema, and swelling. Injection site reaction was an AR at and around the injection site. Injection site reactions were commonly inflammatory reactions. | The SafAS population consisted of participants who had received study vaccine and for which safety data were scheduled to be collected. Only those participants with data available were analyzed. | Posted | Number | 95% Confidence Interval | percentage of participants | Up to 7 days after each injection |
|
|
|
| Primary | Percentage of Participants With Solicited Systemic Reactions | A solicited reaction was an "expected" adverse reaction (sign or symptom) observed and reported under the conditions (nature and onset) pre-listed in the protocol and CRF. Solicited systemic reactions included headache, fever, localized or topical manifestations that were not associated with the vaccination or administration site. | The SafAS population consisted of participants who had received study vaccine and for which safety data were scheduled to be collected. | Posted | Number | 95% Confidence Interval | percentage of participants | Up to 14 days after each injection |
|
|
|
| Primary | Percentage of Participants With Unsolicited AE, Serious and Non-Serious AEs of Special Interest (AESIs) | An unsolicited AE was an observed AE that did not fulfill the conditions pre-listed in the protocol and CRF in terms of diagnosis and/or onset window post-vaccination. An AESI was one of scientific and medical concern specific to the study vaccine, for which ongoing monitoring, and rapid communication by the Investigator to the Sponsor was appropriate. The following were considered as serious AESI: serious hypersensitivity/allergic reactions occurring in all participants within 7 days after vaccination; serious viscerotropic disease occurring in all participants within 30 days after vaccination; serious neurotropic disease occurring in all participants within 30 days after vaccination; serious dengue disease requiring hospitalization occurring in all participants at any time during the study. The following were considered as non-serious AESIs, hypersensitivity/allergic reactions occurring in all participants within 7 days after vaccination. | The SafAS population consisted of participants who had received study vaccine and for which safety data were scheduled to be collected. | Posted | Number | 95% Confidence Interval | percentage of participants | Up to 28 days after each injection |
|
|
|
| Primary | Percentage of Participants With Serious AEs (SAEs) and Hospitalized Virologically-Confirmed Dengue (VCD) Cases | An AE was any untoward medical occurrence in a participant administered study vaccine and which does not necessarily have a causal relationship. SAEs were any untoward medical occurrence that at any dose: resulted in death, was life-threatening, required inpatient hospitalization or prolongation of existing hospitalization, resulted in persistent or significant disability/incapacity, was a congenital anomaly/birth defect, was a medically important event. Hospitalized VCD cases were defined as an acute febrile illness with diagnosis of dengue requiring hospitalization. The confirmatory dengue diagnosis was performed through virological detection. | The SafAS population consisted of participants who had received study vaccine and for which safety data were scheduled to be collected. | Posted | Number | 95% Confidence Interval | percentage of participants | From the date of randomization until 6-month safety follow-up (approximately 38 months) |
|
|
|
| Secondary | Geometric Mean Titers of Neutralizing Antibody Levels Against Each of the 4 Parental Dengue Virus Strains | Dengue neutralizing antibody levels were measured by PRNT50. Serial, 2-fold dilutions of serum to be tested (previously heat-inactivated) were mixed with a constant challenge-dose of each dengue virus serotype 1, 2, 3 or 4. The presence of dengue virus infected cells was indicated by formation of plaques. A reduction in virus infectivity due to neutralization by antibody present in serum samples was detected. The reported value represented the highest dilution of serum at which >= 50% of dengue challenge virus (in plaque counts) was neutralized when compared to the mean viral plaque count in the negative control wells which represented the 100% virus load. | The Full analysis set consisted of participants who received either CYD dengue vaccine or placebo and had blood sample drawn and valid post-injection serology results. Only data from the participants analyzed were reported. | Posted | Geometric Mean | 95% Confidence Interval | Titer | Baseline (Day 0) and 28 days after each injection |
|
|
|
| Secondary | Percentage of Participants With a Detected and Quantified CYD Dengue Vaccinal Viremia | The percentage of participants with detected and quantified CYD dengue vaccinal viremia, i.e above the detection level as assessed by reverse transcription-polymerase chain reaction (RT-PCR) and for each of the 4 dengue serotypes after the first CYD dengue vaccine injection has been reported. Four RT-PCRs were used to perform quantitation and serotype identification of post-vaccinal serotype-specific dengue vaccine viremia from serum samples displaying a positive yellow fever (YF) RT-PCR result. The assay was performed only for YT RT-PCR-positive samples. | The SafAS population consisted of participants who had received study vaccine and for which safety data were scheduled to be collected. Only data from the participants analyzed were reported. | Posted | Number | percentage of participants | At 7 and 14 days post-injection 1 |
|
|
|
| Secondary | Percentage of Participants With Clusters of Differentiation 4 (CD4) Count Decrease | A decrease in CD4 count greater than 30 % assessed 28 days post-injection compared to the pre-injection value, not explained by non-adherence to antiretroviral therapy (ART) and not explained by any other possible etiology, and confirmed by a second test taken 4 weeks after the first (ie, approximately 2 months post-injection) showing the same value/trend. | The SafAS population consisted of participants who had received study vaccine and for which safety data were scheduled to be collected. Only those participants with data available were analyzed. | Posted | Number | 95% Confidence Interval | percentage of participants | From Day 28 to Day 393 (28 days after each injection) |
|
|
|
| Secondary | Percentage of Participants With Confirmed Human Immunodeficiency Virus (HIV) Ribonucleic Acid (RNA) Viral Load Increase | A confirmed HIV viral load increase was defined as plasma HIV-1 RNA >1000 copies/milliliter (mL) 28 days post-injection after having been undetectable (< 50 copies/mL) pre-injection, not explained by non-adherence to ART and not explained by any other possible etiology and confirmed by a second test taken 4 weeks after the first (i.e, approximately 2 months post-injection) showing the same value/trend. | The SafAS population consisted of participants who had received study vaccine and for which safety data were scheduled to be collected. | Posted | Number | percentage of participants | From Day 28 to Day 393 (28 days after each injection) |
|
|
|
| 1 |
| 88 |
| 12 |
| 88 |
| 61 |
| 88 |
| EG001 | Placebo | Participants were administered a single dose of SC injection of placebo vaccine each on Day 0, 6 months and 12 months. | 0 | 44 | 7 | 44 | 35 | 44 |
| Covid-19 | Infections and infestations | MedDra 25.1 | Systematic Assessment |
|
| Hand Fracture | Injury, poisoning and procedural complications | MedDra 25.1 | Systematic Assessment |
|
| Cd4 Lymphocytes Decreased | Investigations | MedDra 25.1 | Systematic Assessment |
|
| Viral Load Increased | Investigations | MedDra 25.1 | Systematic Assessment |
|
| Cerebral Haemorrhage | Nervous system disorders | MedDra 25.1 | Systematic Assessment |
|
| Injection Site Pain | General disorders | MedDra 25.1 | Systematic Assessment |
|
| Malaise | General disorders | MedDra 25.1 | Systematic Assessment |
|
| Covid-19 | Infections and infestations | MedDra 25.1 | Systematic Assessment |
|
| Upper Respiratory Tract Infection | Infections and infestations | MedDra 25.1 | Systematic Assessment |
|
| Myalgia | Musculoskeletal and connective tissue disorders | MedDra 25.1 | Systematic Assessment |
|
| Headache | Nervous system disorders | MedDra 25.1 | Systematic Assessment |
|
The Sponsor must have the opportunity to review at least 60 days prior to submission for publication or presentation. If review indicates that potentially patentable subject matter would be disclosed, publication or public disclosure may be delayed for a maximum of an additional 60 days to allow for filing the necessary patent applications.
| D014777 |
| Virus Diseases |
| D018177 | Flavivirus Infections |
| D018178 | Flaviviridae Infections |
| D012327 | RNA Virus Infections |
| D006482 | Hemorrhagic Fevers, Viral |
| D015658 | HIV Infections |
| D000086982 | Blood-Borne Infections |
| D003141 | Communicable Diseases |
| D015229 | Sexually Transmitted Diseases, Viral |
| D012749 | Sexually Transmitted Diseases |
| D016180 | Lentivirus Infections |
| D012192 | Retroviridae Infections |
| D012897 | Slow Virus Diseases |
| D000091662 | Genital Diseases |
| D000091642 | Urogenital Diseases |
| D007153 | Immunologic Deficiency Syndromes |
| D007154 | Immune System Diseases |
| Non-serious AESI |
|
| Serotype 1, Day 28 |
|
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| Serotype 1, Day 211 |
|
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| Serotype 1, Day 393 |
|
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| Serotype 2, Day 0 |
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| Serotype 2, Day 28 |
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| Serotype 2, Day 211 |
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| Serotype 2, Day 393 |
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| Serotype 3, Day 0 |
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| Serotype 3, Day 28 |
|
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| Serotype 3, Day 211 |
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| Serotype 3, Day 393 |
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| Serotype 4, Day 0 |
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| Serotype 4, Day 28 |
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| Serotype 4, Day 211 |
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| Serotype 4, Day 393 |
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| Serotype 1, Quantified viremia, Day 7 |
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| Serotype 2, Detectable viremia, Day 7 |
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| Serotype 2, Quantified viremia, Day 7 |
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| Serotype 3, Detectable viremia, Day 7 |
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| Serotype 3, Quantified viremia, Day 7 |
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| Serotype 4, Detectable viremia, Day 7 |
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| Serotype 4, Quantified viremia, Day 7 |
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| Serotype 1, Detectable viremia, Day 14 |
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| Serotype 1, Quantified viremia, Day 14 |
|
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| Serotype 2, Detectable viremia, Day 14 |
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| Serotype 2, Quantified viremia, Day 14 |
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| Serotype 3, Detectable viremia, Day 14 |
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| Serotype 3, Quantified viremia, Day 14 |
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| Serotype 4, Detectable viremia, Day 14 |
|
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| Serotype 4, Quantified viremia, Day 14 |
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