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Phase 3 Completed N=20,099 Randomized Quadruple-blind Prevention

Efficacy, Safety and Immunogenicity of Takeda's Tetravalent Dengue Vaccine (TDV) in Healthy Children

Healthy Volunteers
Source: ClinicalTrials.gov NCT02747927 ↗
Enrolled (actual)
20,099
Serious AEs
3.2%
Results posted
Aug 2021
Primary outcomePrimary: Vaccine Efficacy (VE) of Two Doses of Tetravalent Dengue Vaccine Candidate (TDV) in Preventing Virologically-Confirmed Dengue Fever Induced by Any Dengue Serotype — 149; 61 number of cases — p=<0.001
◆ Published Evidence
Highly cited
225citations · ~113 / year
Long-term efficacy and safety of a tetravalent dengue vaccine (TAK-003): 4·5-year results from a phase 3, randomised, double-blind, placebo-controlled trial.
The Lancet. Global health · 2024 · Open access · Likely link

Summary

The main purpose of this study is to evaluate the efficacy of 2 doses of Tetravalent Dengue Vaccine Candidate (TDV) in preventing symptomatic dengue fever of any severity and due to any of the four dengue virus serotypes in 4 to 16 year old participants.

Linked Publications (5)

  • Long-term efficacy and safety of a tetravalent dengue vaccine (TAK-003): 4·5-year results from a phase 3, randomised, double-blind, placebo-controlled trial.
    The Lancet. Global health · 2024 · 225 citations · Open access · Likely link
  • Efficacy and Safety of a Tetravalent Dengue Vaccine (TAK-003) in Children With Prior Japanese Encephalitis or Yellow Fever Vaccination.
    The Journal of infectious diseases · 2024 · 17 citations · Open access · Likely link
  • Immunogenicity, Safety, and Efficacy of a Tetravalent Dengue Vaccine in Children and Adolescents: An Analysis by Age Group.
    Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2025 · 12 citations · Open access · Likely link
  • Pregnancy outcomes following unintentional exposure to TAK-003, a live-attenuated tetravalent dengue vaccine.
    Expert review of vaccines · 2025 · 5 citations · Open access · Likely link
  • Operational challenges and lessons learned from conducting febrile surveillance in a long-term randomized dengue vaccine trial in Latin America and Asia-Pacific.
    Travel medicine and infectious disease · 2025 · 1 citation · Open access · Likely link

Outcome Measures

OutcomeResultp-value
PRIMARY
Vaccine Efficacy (VE) of Two Doses of Tetravalent Dengue Vaccine Candidate (TDV) in Preventing Virologically-Confirmed Dengue Fever Induced by Any Dengue Serotype
149; 61 <0.001 sig
SECONDARY
VE of Two Doses of TDV in Preventing Hospitalization Due to Virologically-Confirmed Dengue Fever Induced by Any Dengue Serotype
15; 2
SECONDARY
VE of Two Doses of TDV in Preventing Virologically-Confirmed Dengue Fever Induced by Each Dengue Serotype
62; 38; 80; 8; 60; 63
SECONDARY
VE of Two Doses of TDV in Preventing Virologically-Confirmed Dengue Fever Induced by Any Dengue Serotype in Participants Dengue Seronegative at Baseline
56; 39
SECONDARY
VE of Two Doses of TDV in Preventing Virologically-Confirmed Dengue Fever Induced by Any Dengue Serotype in Participants Dengue Seropositive at Baseline
150; 75
SECONDARY
VE of Two Doses of TDV in Preventing Virologically-Confirmed Severe Dengue Fever Induced by Any Dengue Serotype
1; 2
SECONDARY
Percentage of Participants With Solicited Local Injection Site Adverse Events (AEs) by Severity in the Safety Set Immunogenicity Subset
19.5; 21.1; 1.2; 2.1; 0.6; 0.3
SECONDARY
Percentage of Participants With Solicited Systemic Adverse Events (AEs) by Severity in the Safety Set Immunogenicity Subset
8.3; 7.7; 0.6; 0.9; 0; 0.3
SECONDARY
Percentage of Participants With Any Unsolicited Adverse Events (AEs) in the Safety Set Immunogenicity Subset
11.6; 11.1; 9.2; 9.3
SECONDARY
Percentage of Participants With Serious Adverse Events (SAEs) During Parts 1 and 2
3.8; 3.1; 1.3; 1.2; 4.9; 4.1
SECONDARY
Percentage of Participants With Fatal SAEs and SAEs Related to Study Drug During the First and Second Half of Part 3
0.0308; 0.0386; 0; 0; 0.0631; 0.0474
SECONDARY
Seropositivity Rate for Each of the Four Dengue Serotypes in the Immunogenicity Subset
65.5; 64.3; 70.3; 69.6; 63.7; 63.5
SECONDARY
Seropositivity Rate for Multiple Dengue Serotypes in the Immunogenicity Subset
5.5; 6.6; 3.8; 2.4; 2.7; 2.9
SECONDARY
Geometric Mean Titers (GMTs) of Neutralizing Antibodies for Each of the Four Dengue Serotypes in the Immunogenicity Subset
128.6; 120.3; 197.4; 186.0; 109.4; 108.7

Eligibility Criteria

Inclusion Criteria

  • Is aged 4 to 16 years, inclusive, at the time of randomization.
  • Is in good health at the time of entry into the trial as determined by medical history, physical examination (including vital signs) and clinical judgment of the Investigator.
  • The participant and/or the participant's parent/guardian signs and dates an assent/written informed consent form where applicable, and any required privacy authorization prior to the initiation of any trial procedures, after the nature of the trial has been explained according to local regulatory requirements.
  • Can comply with trial procedures and are available for the duration of follow-up.

Inclusion criteria for Booster Phase:

  • Is included in the per-protocol set (PPS) of the trial.
  • Was aged 4 to 11 years at the time of randomization in the study (Day 1 [Month 0]).

Exclusion Criteria

  • Has febrile illness (temperature ≥38°C) or moderate or severe acute illness or infection at the time of randomization.
  • Has history of or any illness that, in the opinion of the Investigator, might interfere with the results of the trial or pose an additional risk to the participant due to participation in the trial.
  • Has received any other vaccine within 14 days (for inactivated vaccines) or 28 days (for live vaccines) prior to Day 1 (Month 0) or planning to receive any vaccine within 28 days after Day 1 (Month 0).
  • Has participated in any clinical trial with another investigational product 30 days prior to Day 1 (Month 0) or intent to participate in another clinical trial at any time during the conduct of this trial.
  • Has previously participated in any clinical trial of a dengue candidate vaccine, or previous receipt of a dengue vaccine.
  • Is first degree relative of individuals involved in trial conduct.
  • Females of childbearing potential who are sexually active, and who have not used any of the acceptable contraceptive methods for at least 2 months prior to Day 1 (Month 0).
  • Females of childbearing potential who are sexually active, and who refuse to use an acceptable contraceptive method up to 6 weeks post-second vaccination.
  • Deprived of freedom by administrative or court order, or in an emergency setting, or hospitalized involuntarily.
  • Current alcohol abuse or drug addiction that may interfere with the participant's ability to comply with trial procedures.
  • Identified as an employee of the Investigator or trial center, with direct involvement in the proposed trial or other trials under the direction of that Investigator or trial center.

Exclusion criteria for Booster Phase:

  • Receipt of any other vaccine within 14 days (for inactivated vaccines) or 28 days (for live vaccines) prior to Day 1b (Month 0b), or planning to receive any vaccine within 28 days after Day 1b (Month 0b).
  • Participation in any clinical trial with another investigational product at any time during participation in this trial or intent to participate in another clinical trial at any time during the conduct of the booster phase of this trial.
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT02747927) and the linked publication. 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. Informational only — not medical advice.

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