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| Name | Class |
|---|---|
| Walter Reed Army Institute of Research (WRAIR) | FED |
| U.S. Army Medical Research and Development Command | FED |
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To evaluate the effectiveness of candidate dengue vaccine formulations, it is prudent to develop an appropriate challenge model. This study will examine the safety and effectiveness of the Dengue 3 Live Virus Human Challenge (DENV-3-LVHC) product and assess the ability of this virus strain to elicit an uncomplicated dengue-like illness.
Healthy subjects between 18 and 45 years old will be inoculated with Dengue 3 Live Virus Human Challenge (DENV-3-LVHC) in a dose ranging study. Subjects will be closely monitored for the first 28 days with continued follow up through 6 months. Clinical and laboratory parameters, viremia and antibody levels will be assessed. The goal is to determine the dose that produces uncomplicated dengue-like illness.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Low dose DENV-3-LVHC | Experimental | Dengue-3 Virus-Live Virus Human Challenge (DENV-3-LVHC) single low dose (0.5 mL of 1.4 x 10^3 plaque forming units/milliliter (PFU/mL) inoculated subcutaneously |
|
| Medium dose DENV-3-LVHC | Experimental | Dengue-3 Virus-Live Virus Human Challenge (DENV-3-LVHC) single medium dose (0.5 mL of 1.4 x 10^4 plaque forming units/milliliter (PFU/mL) inoculated subcutaneously |
|
| High dose DENV-3-LVHC | Experimental | Dengue-3 Virus-Live Virus Human Challenge (DENV-3-LVHC) single high dose (0.5 mL of 1.4 x 10^5 plaque forming units/milliliter (PFU/mL) inoculated subcutaneously |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Dengue virus 3 Live Virus Human Challenge (DENV-3-LVHC) | Biological | Dengue subtype 3 Challenge Virus (DENV-3) strain CH53489 administered as a single injection. |
|
| Measure | Description | Time Frame |
|---|---|---|
| Number of Abnormal Laboratory Measurements | Total number of all abnormal labs | 28 days post virus inoculation or 7 days post hospitalization, whichever is later |
| Intensity of Abnormal Laboratory Measurements | Graded according clinical laboratory normals and FDA toxicity scale | 28 days post virus inoculation or 7 days post hospitalization, whichever is later |
| Duration of Abnormal Laboratory Measurements | Number of days of abnormal lab | 28 days post virus inoculation or 7 days post hospitalization, whichever is later |
| Occurrence of Solicited Injection Site Symptoms | Number of solicited symptoms | 7 days post virus inoculation |
| Intensity of Solicited Injection Site Symptoms | Graded according to FDA toxicity scale | 7 days post virus inoculation |
| Duration of Solicited Injection Site Symptoms | Number of days per symptom | 7 days post virus inoculation |
| Occurrence of Unsolicited Injection Site Symptoms | Number of unsolicited site symptoms | 28 days post virus inoculation or 7 days post hospitalization, whichever is later |
| Intensity of Unsolicited Injection Site Symptoms |
| Measure | Description | Time Frame |
|---|---|---|
| Incubation period before onset of fever | Number of days prior to fever | Up to 28 days post virus inoculation |
| Viremia by Reverse Transcriptase-Polymerase Chain Reaction (RT-PCR) | Levels of viremia |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Stephen J Thomas, MD | State University of New York, Upstate Medical University (SUNY-UMU) | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| State University of New York, Upstate Medical University (SUNY-UMU) | Syracuse | New York | 13210 | United States |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 42132421 | Derived | Wu SS, Bjerke JN, Middleton CE, Barbachano-Guerrero A, Dye JR, Worden-Sapper ER, Emerman AB, Endy TP, Thomas SJ, Waickman AT, Larremore DB, Meyerson NR, Sawyer SL. Longitudinal analysis of viral and host RNA in blood and saliva during controlled human dengue virus 3 infections. J Virol. 2026 May 14:e0037326. doi: 10.1128/jvi.00373-26. Online ahead of print. |
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| ID | Term |
|---|---|
| D003715 | Dengue |
| D018177 | Flavivirus Infections |
| D014777 | Virus Diseases |
| ID | Term |
|---|---|
| D000096724 | Mosquito-Borne Diseases |
| D000079426 | Vector Borne Diseases |
| D007239 | Infections |
| D001102 | Arbovirus Infections |
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Nine subjects will be assigned to the low dose group. Twenty-one days post inoculation, data will be reviewed for safety and if performance parameters are met. If safety profile is acceptable but performance parameters have not been met, dose escalation to the medium dose will proceed in nine additional subjects. Twenty-one days post middle dose inoculation, data will be reviewed as above and a determination will be made to proceed to the high dose.
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Graded according to FDA toxicity scale |
| 28 days post virus inoculation or 7 days post hospitalization, whichever is later |
| Duration of Unsolicited Injection Site Symptoms | Number of days per symptom | 28 days post virus inoculation or 7 days post hospitalization, whichever is later |
| Occurrence of Solicited Systemic Symptoms | Number of solicited systemic symptoms | 28 days post virus inoculation or 7 days post hospitalization, whichever is later |
| Intensity of Solicited Systemic Symptoms | Graded according to FDA toxicity scale | 28 days post virus inoculation or 7 days post hospitalization, whichever is later |
| Duration of Solicited Systemic Symptoms | Number of days per symptom | 28 days post virus inoculation or 7 days post hospitalization, whichever is later |
| Occurence of Unsolicited Systemic Symptoms | Number of unsolicited systemic symptoms | 28 days post virus inoculation or 7 days post hospitalization, whichever is later |
| Intensity of Unsolicited Systemic Symptoms | Graded according to FDA toxicity scale | 28 days post virus inoculation or 7 days post hospitalization, whichever is later |
| Duration of Unsolicited Systemic Symptoms | Number of days per symptom | 28 days post virus inoculation or 7 days post hospitalization, whichever is later |
| Number of Serious Adverse Events | Total number | 28 days post virus inoculation or 7 days post hospitalization, whichever is later |
| Number of Serious Adverse Events | Total number | 6 months post virus inoculation |
| Up to 28 days post virus inoculation |
| Occurence of fever | Defined as greater than or equal to 38°C (100.4°F) measured at least 2 times in 24 hours but not lasting more than 72 hours | Up to 28 days post virus inoculation |
| Occurrence of Headache | Number of headaches | Up to 28 days post virus inoculation |
| Grade of Headache | Graded according to FDA toxicity scale | Up to 28 days post virus inoculation |
| Occurrence of Myalgia | Number of reported myalgias | Up to 28 days post virus inoculation |
| Grade of Myalgia | Graded according to FDA toxicity scale | Up to 28 days post virus inoculation |
| Occurrence of Rash | Number of rashes | Up to 28 days post virus inoculation |
| Grade of Rash | Graded according to FDA toxicity scale | Up to 28 days post virus inoculation |
| Occurrence of Abnormal Liver Function Test [alanine aminotransferase (ALT) and aspartate aminotransferase (AST)] | Number of abnormal liver function tests | Up to 28 days post virus inoculation |
| Grade of Abnormal Liver Function Test [alanine aminotransferase (ALT) and aspartate aminotransferase (AST)] | Graded according clinical laboratory normals and FDA toxicity scale | Up to 28 days post virus inoculation |
| Occurrence of Leukopenia | Number of occurrences | Up to 28 days post virus inoculation |
| Grade of Leukopenia | Graded according clinical laboratory normals and FDA toxicity scale | Up to 28 days post virus inoculation |
| Occurrence of Thrombocytopenia | Number of occurrences | Up to 28 days post virus inoculation |
| Grade of Thrombocytopenia | Graded according clinical laboratory normals and FDA toxicity scale | Up to 28 days post virus inoculation |
| D018178 |
| Flaviviridae Infections |
| D012327 | RNA Virus Infections |
| D006482 | Hemorrhagic Fevers, Viral |