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Randomized, observer-blinded, multicenter, dose-escalation Phase 1 clinical study investigating three dose levels of VLA1553 after a single immunization.
120 study participants will be enrolled into the study to receive three different doses (30 subjects in the low and medium and 60 subjects in the high dose group). Vaccination will be given intramuscularly on Day 0. As safety precaution, the study will begin with enrolment of 20 sentinel subjects in an open-label fashion. Thereafter, subjects will be enrolled in a blinded, randomized manner in the three study arms.
A re-vaccination will be given at Month 6 or Month 12 to confirm that a single vaccination will be sufficient to induce high titer neutralizing antibodies and protect subjects from CHIKV viremia.
Study participants will be followed up until 13 months after initial vaccination.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| VLA1553 low dose | Active Comparator | VLA1553 with 3.2x10^3 TCID50/ 100 µL (microliter). Re-vaccination at Month 12 with VLA1553 with 3.2x10^5 TCID50/ 1 mL (milliliter) |
|
| VLA1553 medium dose | Active Comparator | VLA1553 with 3.2x10^4 TCID50/ 1 mL Re-vaccination at Month 12 with VLA1553 with 3.2x10^5 TCID50/ 1 mL |
|
| VLA1553 high dose | Active Comparator | VLA1553 with 3.2x10^5 TCID50/ 1 mL Re-vaccination at Month 6 or Month 12 with VLA1553 with 3.2x10^5 TCID50/ 1 mL |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| VLA1553 | Biological | I.M. vaccination with a live-attenuated Chikungunya virus (CHIKV) vaccine candidate |
|
| Measure | Description | Time Frame |
|---|---|---|
| Frequency of solicited injection site reactions | Any measurable injection site reaction will be measured by size and includes injection site pain, tenderness, erythema/redness, induration and swelling. | up to Day 14 after single vaccination |
| Severity of solicited injection site reactions | Any measurable injection site reaction will be measured by size and includes injection site pain, tenderness, erythema/redness, induration and swelling. They will be rated according to the Severity Grading Scale of Injection Site Reactions (FDA Guidance on Toxicity Grading Scales for Healthy Adult and Adolescent Volunteers Enrolled in Preventive Vaccine Clinical Trials (FDA 2007) | up to Day 14 after single vaccination |
| Frequency of solicited systemic reactions | Systemic reactions including fever, nausea/vomiting, headache, fatigue, myalgia (muscle pain), arthralgia (joint pain) and rash will be reported in a standardized manner | up to Day 14 after single vaccination |
| Severity of solicited systemic reactions | Systemic reactions including fever, nausea/vomiting, headache, fatigue, myalgia (muscle pain), arthralgia (joint pain) and rash will be reported in a standardized manner. They will be rated according to the FDA Guidance on Toxicity Grading Scales | up to Day 14 after single vaccination |
| Measure | Description | Time Frame |
|---|---|---|
| Frequency of any adverse event (AE) | until Day 14, Day 28 and throughout the study period | |
| Severity of any adverse event (AE) | The investigator will assess the severity of AEs using his/her clinical expertise and judgment based on the most appropriate description (mild, moderate, severe) as per study protocol |
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Inclusion Criteria:
Aged 18 to 45 years on the Day of screening;
Has a BMI of ≥ 18.5 and < 30 kg/m2 on the Day of screening;
Understanding of the study and its procedures, agrees to its provisions, and gives written informed consent prior to any study-related procedures;
Generally healthy as determined by the Investigator's clinical judgement based on medical history, physical examination and screening laboratory tests;
If female, subject is of non-childbearing potential. The definition of non-childbearing potential includes the following:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Nina Wressnigg | Valneva Austria GmbH | Study Chair |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Optimal Research, LLC | Huntsville | Alabama | 35802 | United States | ||
| Optimal Research, LLC |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 32497524 | Derived | Wressnigg N, Hochreiter R, Zoihsl O, Fritzer A, Bezay N, Klingler A, Lingnau K, Schneider M, Lundberg U, Meinke A, Larcher-Senn J, Corbic-Ramljak I, Eder-Lingelbach S, Dubischar K, Bender W. Single-shot live-attenuated chikungunya vaccine in healthy adults: a phase 1, randomised controlled trial. Lancet Infect Dis. 2020 Oct;20(10):1193-1203. doi: 10.1016/S1473-3099(20)30238-3. Epub 2020 Jun 1. |
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| ID | Term |
|---|---|
| D065632 | Chikungunya Fever |
| ID | Term |
|---|---|
| D018354 | Alphavirus Infections |
| D001102 | Arbovirus Infections |
| D000079426 | Vector Borne Diseases |
| D007239 | Infections |
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| until Day 14, Day 28 and throughout the study period |
| Frequency of solicited injection site reactions | Any measurable injection site reaction will be measured by size and includes injection site pain, tenderness, erythema/redness, induration and swelling. | until Day 14, Day 28 and throughout the study period |
| Severity of solicited injection site reactions | Any measurable injection site reaction will be measured by size and includes injection site pain, tenderness, erythema/redness, induration and swelling. They will be rated according to the Severity Grading Scale of Injection Site Reactions (FDA Guidance on Toxicity Grading Scales for Healthy Adult and Adolescent Volunteers Enrolled in Preventive Vaccine Clinical Trials (FDA 2007) | until Day 14, Day 28 and throughout the study period |
| Frequency of solicited systemic reactions | Systemic reactions including fever, nausea/vomiting, headache, fatigue, myalgia (muscle pain), arthralgia (joint pain) and rash will be reported in a standardized manner | until Day 14, Day 28 and throughout the study period |
| Severity of solicited systemic reactions | Systemic reactions including fever, nausea/vomiting, headache, fatigue, myalgia (muscle pain), arthralgia (joint pain) and rash will be reported in a standardized manner. They will be rated according to the FDA Guidance on Toxicity Grading Scales | until Day 14, Day 28 and throughout the study period |
| Assessment of viremia after each vaccination | Assessment of CHIKV viremia will be done by RT (real-time)-qPCR (quantitative polymerase chain reaction) in blood and urine | on Days 3, 7, 14 and beyond Day 14 after re-vaccination |
| Immune response as measured by CHIKV-specific neutralizing antibody titer as determined by micro-neutralization (μNT) assay. | Day 28, Day 84, Month 6, Month 12, and 28 days after re-vaccination |
| Peoria |
| Illinois |
| 61614 |
| United States |
| D000096724 |
| Mosquito-Borne Diseases |
| D014777 | Virus Diseases |
| D014036 | Togaviridae Infections |
| D012327 | RNA Virus Infections |