Phase 1
N=25
Chikungunya Virus Vaccine Trial in Healthy Adults
Viral Vaccines · Chikungunya Fever · Chikungunya Virus Infection
Bottom Line
View on ClinicalTrials.gov: NCT01489358 ↗Enrolled (actual)
25
Serious AEs
0.0%
Results posted
Apr 2016
Primary outcome: Primary: Number of Subjects Reporting Local Reactogenicity Signs and Symptoms Within 7 Days of First Vaccination — 0; 1; 1; 0 participants
Study Design & Population
- Study type
- Interventional
- Phase
- Phase 1
- Interventions
- VRC-CHKVLP059-00-VP (Biological)
- Age
- Adult · 18+ yrs
- Sex
- All
- Sponsor
- National Institute of Allergy and Infectious Diseases (NIAID)
- Primary completion
- Apr 2013
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Number of Subjects Reporting Local Reactogenicity Signs and Symptoms Within 7 Days of First Vaccination |
0; 1; 1; 0; 0; 0 | — |
| PRIMARY Number of Subjects Reporting Local Reactogenicity Signs and Symptoms Within 7 Days of Second Vaccination |
0; 2; 3; 0; 0; 0 | — |
| PRIMARY Number of Subjects Reporting Local Reactogenicity Signs and Symptoms Within 7 Days of Third Vaccination |
1; 3; 4; 0; 0; 0 | — |
| PRIMARY Number of Subjects Reporting Local Reactogenicity Signs and Symptoms Within 7 Days of Any Vaccination |
1; 4; 4; 0; 0; 0 | — |
| PRIMARY Number of Subjects Reporting Systemic Reactogenicity Signs and Symptoms Within 7 Days of First Vaccination |
1; 1; 1; 0; 0; 1 | — |
| PRIMARY Number of Subjects Reporting Systemic Reactogenicity Signs and Symptoms Within 7 Days of Second Vaccination |
0; 1; 0; 0; 1; 0 | — |
| PRIMARY Number of Subjects Reporting Systemic Reactogenicity Signs and Symptoms Within 7 Days of Third Vaccination |
0; 2; 1; 0; 1; 0 | — |
| PRIMARY Number of Subjects Reporting Systemic Reactogenicity Signs and Symptoms Within 7 Days of Any Vaccination |
1; 3; 2; 0; 2; 1 | — |
| PRIMARY Number of Subjects With an Any Abnormal Laboratory Result |
1; 2; 2; 3; 3; 0 | — |
| PRIMARY Number of Subjects Reporting Serious Adverse Events |
0; 0; 0 | — |
| PRIMARY Number of Subjects Reporting 1 or More Unsolicited Adverse Event |
4; 9; 6; 2; 2; 1 | — |
| SECONDARY Chikungunya Antigen-specific ELISA Geometric Mean Titer (GMT) |
40960; 15521; 34443 | — |
| SECONDARY Chikungunya Antigen-specific Neutralizing Antibody Geometric Mean Titer (GMT) |
8745; 4525; 5390 | — |
| SECONDARY Chikungunya Antigen-specific Neutralizing Antibody Geometric Mean Titer (GMT) |
8745; 4525; 5390 | — |
Summary
Background:
- Chikungunya virus (CHIKV) is transmitted by mosquitoes. It can cause fever, headache, muscle pain, fatigue, and joint pain. The disease usually does not cause death. But the joint pain, which may be directly related to the infecting virus, may be severe and last for several months. CHIKV outbreaks are most common in Africa, India, and Asia. A new experimental vaccine for CHIKV has been developed, and researchers are testing it in healthy adults. Participants cannot develop CHIKV from this vaccine.
Objectives:
- To test the safety and effectiveness of a Chikungunya virus vaccine.
Eligibility:
- Healthy individuals between 18 and 50 years of age.
Design:
* This study, including vaccine doses and followup tests, will last about 44 weeks. Participants will have three vaccination visits, six followup clinic visits, and three telephone contacts during this study. Vaccination visits will take about 4 hours. Most other clinic visits will usually take 2 hours. The telephone contacts will take about 15 minutes.
* Participants will be screened with a physical exam and medical history. Blood samples will also be collected.
* Participants will be assigned to one of three dose groups. Information about doses will be provided before the start of the vaccinations.
* Vaccine injections will be given at the start of the study, at 4 weeks, and at 20 weeks. Participants will be asked to keep an eye on the injection site for 7 days and to notify researchers if there are any side effects.
* Participants will be monitored throughout the study with blood samples and clinic visits.
Eligibility Criteria
INCLUSION CRITERIA
A participant must meet all of the following criteria:
- 18 to 50 years old
- Available for clinical follow-up through Week 44
- Able to provide proof of identity to the satisfaction of the study clinician completing the enrollment process
- Complete an Assessment of Understanding prior to enrollment and verbalize understanding of all questions answered incorrectly
- Able and willing to complete the informed consent process
- Willing to donate blood for sample storage to be used for future research
- In good general health, with a BMI less than or equal to 40, without clinically significant medical history, and has satisfactorily completed screening
- Physical examination and laboratory results without clinically significant findings within the 56 days prior to enrollment
Laboratory Criteria within 56 days prior to enrollment:
- Hemoglobin greater than or equal to11.5 g/dL for women; greater than or equal to13.5 g/dL for men
- WBC: 3,000-12,000 cells/mm(3).
- Differential either within institutional normal range or accompanied by physician approval
- Total lymphocyte count: greater than or equal to 800 cells/mm(3)
- Platelets = 125,000-500,000/mm(3)
- Alanine aminotransferase (ALT) less than or equal to 1.25 times upper limit of normal range
- Serum creatinine less than or equal to1x upper limit of normal (less than or equal to1.3 mg/dL for females; less than or equal to1.4 mg/dL for males).
- Negative FDA-approved HIV blood test
Female-Specific Criteria
- Negative Beta-HCG pregnancy test (urine or serum) on day of enrollment for women presumed to be of reproductive potential
- A woman of childbearing potential must agree to use an effective means of birth control from at least 21 days prior to enrollment through 12 weeks after last study vaccination
EXCLUSION CRITERIA
A participant will be excluded if one or more of the following conditions apply:
Female-Specific Criteria
- Woman who is breast-feeding or planning to become pregnant during the time projected for individual study participation
- Systemic immunosuppressive medications or cytotoxic medications within 12 weeks prior to enrollment [with the exceptions that a short course of corticosteroids (less than or equal to10 days duration or a single injection) for a self-limited condition at least 2 weeks prior to enrollment will not exclude study participation]
- Blood products within 16 weeks prior to enrollment
- Immunoglobulin within 8 weeks prior to enrollment
- Prior vaccinations with an investigational CHIKV vaccine
- Investigational research agents within 4 weeks prior to enrollment
- Live attenuated vaccines within 4 weeks prior to enrollment
- Medically indicated subunit or killed vaccines, e.g. influenza, pneumococcal, or allergy treatment with antigen injections, within 2 weeks prior to enrollment
- Current anti-TB prophylaxis or therapy
Subject has a history of any of the following clinically significant conditions:
- A history of confirmed or suspected CHIKV infection
- A history of immune-mediated or clinically significant arthritis
- Serious reactions to vaccines that preclude receipt of study vaccinations as determined by the investigator
- Hereditary angioedema (HAE), acquired angioedema (AAE), or idiopathic forms of angioedema
- Asthma that is unstable or required emergent care, urgent care, hospitalization or intubation during the past two years or that is expected to require the use of oral or intravenous corticosteroids
- Diabetes mellitus (type I or II), with the exception of gestational diabetes
- Idiopathic urticaria within the past year
- Bleeding disorder diagnosed by a doctor (e.g. factor deficiency, coagulopathy, or platelet disorder requiring special precautions) or significant bruising or bleeding difficulties with IM injections or blood draws
- Malignancy that is active, or treated malignancy for which there is not reasonable assurance of sustained cure, or mal
Data sourced from ClinicalTrials.gov (NCT01489358). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.