A Phase 2 Clinical Trial of VLA1553 in Healthy Children Aged 1 to 11 Years

Phase
Recruitment status
Participants
Lead sponsor
Valneva Austria GmbH
Start date
Number of sites

Summary
This is a multicenter, prospective, randomized, observer-blinded, three arm, phase 2 clinical trial evaluating the full dose formulation of VLA1553, half dose formulation of VLA1553 and control. At least 300 male and female healthy children aged 1 to 11 years will be enrolled and the overall distribution of participants will be 2:2:1 to the two VLA1553 dose groups (n=120 each) or control (n=60).
Short title
A Phase 2 Clinical Trial of VLA1553 in Healthy Children Aged 1 to 11 Years
Official title
A Randomized, Observer-blinded, Dose Response Phase 2 Trial to Assess the Safety and Immunogenicity of Two Different Dose Levels of a Live-attenuated Chikungunya Virus Vaccine (VLA1553) in Healthy Children Aged 1 to 11 Years

Control arm
Active comparator
Registry reports results
Listing at source
Recruitment status
Phase
Study type
Interventional

Completion date
First posted
Registry last updated
Primary completion date
Start date

Actual participants
Participants
Participant count basis
Protocol amendments
Number of sites

Data monitoring committee
Registry sponsor category
Lead sponsor
Valneva Austria GmbH
Source registry
ClinicalTrials.gov

Registry ID
ClinicalTrials.gov ID
Registry record
Open registry record

Allocation
Randomised
Model
Parallel groups
Purpose
Prevention
Masking
Quadruple masking
Masked roles
Participants, Care providers, Investigators, Outcome assessors
Sources for study design

  1. Number of Participants With Solicited Injection Site Reactions

    Timeframe: within 14 days post-vaccination

    Frequency and severity of solicited injection site and solicited systemic reactions within 14 days post-vaccination.

  2. Severity of Solicited Injection Site Reactions

    Timeframe: within 14 days post-vaccination

  3. Number of Participants With Solicited Systemic Reactions

    Timeframe: within 14 days post-vaccination

  4. Severity of Solicited Systemic Reactions

    Timeframe: within 14 days post-vaccination

  1. Number of Participants With Any Adverse Event (AE)

    Timeframe: within 28 days post-vaccination

  2. Severity of Any Adverse Event (AE)

    Timeframe: within 28 days post-vaccination

    In the Outcome measure "Severity of any AE", subjects may be represented in more than one AE category. Therefore, the total number of subjects with any AE may be lower than the sum of the numbers of subjects in the individual AE categories (solicited / unsolicited AE).

  3. Number of Participants With of Unsolicited AE

    Timeframe: until Month 6 (Day 180) and Month 12 (Day 365) post-vaccination

  4. Severity of Unsolicited AE

    Timeframe: until Month 6 (Day 180) and Month 12 (Day 365) post-vaccination

  5. Number of Participants With Any Serious Adverse Event (SAE)

    Timeframe: until Month 6 (Day 180) and Month 12 (Day 365) post-vaccination

  6. Number of Participants With Any Early Onset Adverse Event of Special Interest (AESI)

    Timeframe: 2 to 21 days post-vaccination

    Early onset AESI were defined as: 1. Fever (≥ 38.0 °c / 100.4 °f,) AND 2. symptoms suggesting acute (poly)arthralgia/arthritis, myalgia, neurological symptoms (e.g., for meningoencephalitis, acute encephalitis, headache, seizures), back pain, lymphadenopathy, cardiac or ocular symptoms (e.g., for uveitis and retinitis); OR one or more of the following signs and symptoms: macular to maculopapular rash (sometimes with cutaneous pruritus \[foot plant\]), pigmentary changes, bullous rash/ skin blistering, purpura, ecchymosis and 3. Onset of symptoms 2 to 21 days after vaccination AND 4. Duration of event ≥ 3 days.

  7. Severity of Any Early Onset Adverse Event of Special Interest (AESI)

    Timeframe: 2 to 21 days post-vaccination

  8. Number of Participants With Any Late Onset Adverse Event of Special Interest (AESI)

    Timeframe: Starting 22 days post-vaccination until end of trial, 12 months post-vaccination

  9. Severity of Any Late Onset Adverse Event of Special Interest (AESI)

    Timeframe: Starting 22 days post-vaccination until end of trial, 12 months post-vaccination

  10. Assessment of Viremia on Days 1, 4, 8 and 15

    Timeframe: on Days 1, 4, 8 and 15 and beyond as applicable

    Number of participants with viremic results, including quantifiable results and results below LLOQ, by visit and by pooled trial arm. Day 29 was only tested, if Day 15 was tested positive. Viremia is measured in genome copy equivalents per milliliter (GCE/mL). All quantifiable results and results below LLOQ (\< 3214.4 GCE/mL), but above the LOD, are considered "viremic". A result of "not detected" or below LOD (\<1071,4 GCE/mL) is included as "non-viremic".

  11. Immune Response in Baseline Seronegative Participants as Measured by CHIKV-specific Neutralizing Antibody Titers

    Timeframe: on Day 1, Day 15, Day 29, Day 85, Day 180 and Month 12 post-vaccination

    Immune Response provided by Geometric Mean Titers (GMTs) in Baseline Seronegative Participants pooled by Trial Arm up to 12 months post vaccination.

  12. Immune Response as Measured by CHIKV-specific Neutralizing Antibody Titers by Age Group and Trial Arm.

    Timeframe: on Day 1, Day 15, Day 29, Day 85, Day 180 and Month 12 post-vaccination

    Immune Response provided by Geometric Mean Titers (GMTs) by Visit, by Age Group and Trial Arm up to 12 months post vaccination.

  13. Immune Response Measured by CHIKV-specific Neutralizing Antibody Titers Pooled by Dose

    Timeframe: on Day 1, Day 15, Day 29, Day 85, Day 180 and Month 12 post-vaccination

    Immune Response provided by Geometric Mean Titers (GMTs) by Visit, pooled by Trial Arm up to 12 months post vaccination.

  14. Percentage of Participants Seronegative at Baseline With Seroconversion as Compared to Baseline

    Timeframe: at Day 15, Day 29, Day 85, Day 180 and Month 12

    Percentage of participants seronegative at baseline with Seroconversion (defined as \>4-fold titer change compared to baseline) by Visit Pooled by Trial Arm

  15. Percentage of Participants Seropositive at Baseline With Seroconversion as Compared to Baseline

    Timeframe: at Day 15, Day 29, Day 85, Day 180 and Month 12

    Percentage of participants seropositive at baseline with Seroconversion (defined as \>4-fold titer change compared to baseline) by Visit Pooled by Trial Arm.

  16. Percentage of Participants With Seroconversion as Compared to Baseline Stratified by Age Stratum

    Timeframe: at Day 15, Day 29, Day 85, Day 180 and Month 12

    Percentage of participants with Seroconversion (defined as \>4-fold titer change compared to baseline) by Visit by Age Group and Trial Arm.

  17. Percentage of Participants With Seroconversion as Compared to Baseline by Dose

    Timeframe: at Day 15, Day 29, Day 85, Day 180 and Month 12

    Percentage of participants with Seroconversion (defined as \>4-fold titer change compared to baseline) by Visit Pooled by Trial Arm

  18. Percentage of Participants Seronegative at Baseline With a Seroresponse (Defined as PRNT50 ≥150 for Baseline Negative Participants) by Dose

    Timeframe: on Day 15, Day 29, Day 85, Day 180 and Month 12 post-vaccination

    Percentage of Participants with Seroresponse for CHIKV-Specific Neutralizing Antibody Titers (defined as PRNT50 ≥150) by Visit Pooled by Trial Arm.

  19. Percentage of Participants With a Seroresponse Stratified by Age Stratum

    Timeframe: on Day 15, Day 29, Day 85, Day 180 and Month 12 post-vaccination

    Percentage of Participants with Seroresponse for CHIKV-Specific Neutralizing Antibody Titers (defined as PRNT50 ≥150) by Visit by Age Group and Trial Arm.

  20. Percentage of Participants With a Seroresponse Stratified by Dose

    Timeframe: on Day 15, Day 29, Day 85, Day 180 and Month 12 post-vaccination

    Percentage of Participants with Seroresponse for CHIKV-Specific Neutralizing Antibody Titers (defined as PRNT50 ≥150) by Visit Pooled by Trial Arm.

  21. Fold Change of CHIKV-specific Neutralizing Antibody Titers as Compared to Baseline in Participants Seronegative at Baseline

    Timeframe: at Days 15, 29, 85, 180 and at Month 12 post-vaccination

    Fold Change for CHIKV-Specific Neutralizing Antibody Titers in seronegative Participants by Visit Pooled by Trial Arm.

  22. Fold Change of CHIKV-specific Neutralizing Antibody Titers as Compared to Baseline in Seropositive Participants

    Timeframe: at Days 15, 29, 85, 180 and at Month 12 post-vaccination

    Fold Change for CHIKV-Specific Neutralizing Antibody Titers in seropositive Participants by Visit Pooled by Trial Arm.

  23. Fold Change of CHIKV-specific Neutralizing Antibody Titers as Compared to Baseline Stratified by Age Stratum

    Timeframe: at Days 15, 29, 85, 180 and at Month 12 post-vaccination

    Fold Change for CHIKV-Specific Neutralizing Antibody Titers by Visit by Age Group and Trial Arm.

  24. Fold Change of CHIKV-specific Neutralizing Antibody Titers as Compared to Baseline Stratified by Dose

    Timeframe: at Days 15, 29, 85, 180 and at Month 12 post-vaccination

    Fold Change for CHIKV-Specific Neutralizing Antibody Titers by Visit Pooled by Trial Arm.

  25. Percentage of Participants Seronegative at Baseline Reaching an at Least 4-fold, 8-fold, 16-fold or 64-fold Change in CHIKV-specific Neutralizing Antibody Titers Compared to Baseline

    Timeframe: at Day 15, Day 29, Day 85, Day 180 and Month 12

    Percentage of Participants Reaching a 4-/8-/16-/64-Fold Change in Titers by Visit Pooled by Trial Arm.

And 2 more, listed on the interactive page.

Sources for outcomes

Sex
All
Age groups
Children
Minimum age
1 Year
Maximum age
11 Years
Healthy volunteers
Yes

  1. Male or female healthy children aged 7 to 11 years for Stratum A, 3 to 6 years for Stratum B and 1 to 2 years for Stratum C at the time of vaccination;
  2. Written informed consent by the participant's parent(s)/Legally Acceptable Representative(s) ((LAR(s)), according to local requirements, and written informed assent of the participant, if applicable;
  3. Participant was seropositive for previous CHIKV exposure (i.e., IgM+/IgG+ or IgM-/IgG+) or seronegative (i.e., IgM-/IgG-); or participants with any borderline IgM or IgG element (IgM borderline/IgG-, IgM-/IgG borderline, or IgM borderline/IgG borderline were mapped to seronegative group; participants with enzyme-linked immunosorbent assay (ELISA) result IgM borderline/IgG+ were mapped to seropositive group);

  1. Participant was IgM+/IgG- does not qualify for participation in this trial.
  2. Participant was taking medication or other treatment for unresolved symptoms attributed to a previous CHIKV infection; or had participated in a clinical trial involving an investigational CHIKV vaccine;
  3. Participant had an acute or recent infection (and was not symptom-free in the week prior to the Screening Visit (Visit 0))
  4. Participant had received another live virus vaccine within 28 days or inactivated vaccine (includes messenger ribonucleic acid [mRNA] vaccines) within 14 days prior to vaccination in this trial or planned to receive a live virus vaccine within 28 days or inactivated vaccine within 14 days after vaccination;
  5. Participant had abnormal findings in any required trial investigations (including medical history, physical examination, and clinical laboratory) considered clinically relevant by the Investigator which posed a risk for participation in the trial based on his/her judgment;
  6. Participant had an ongoing medical history of or currently had acute or progressive, unstable or uncontrolled clinical conditions (e.g., cardiovascular, respiratory, neurologic, psychiatric, or rheumatologic conditions) that posed a risk for participation in the trial, based on Investigator's clinical judgment. Examples included individuals with poorly controlled or unstable disease, ongoing suspected or active inflammation, or poor compliance with pharmacologic treatment, or presence of high-risk comorbidities (e.g., significant cardiopulmonary disease);
  7. Participant had a history of immune-mediated or clinically relevant arthritis/arthralgia;
  8. Participant had a known or suspected defect of the immune system that could be expected to influence the immune response to the vaccine, such as Participants with congenital or acquired immunodeficiency, including infection with HIV, status post organ transplantation or immuno- suppressive therapy within 4 weeks prior to Visit 1. Immunosuppressive therapy was defined as administration of chronic (longer than 14 days) prednisone or equivalent ≥0.05 mg/kg/day within 4 weeks prior to trial entry, radiation therapy or immunosuppressive cytotoxic drugs/ monoclonal antibodies in the previous 3 years; topical and inhaled steroids were allowed.
  9. Participant had a history of any vaccine-related contraindicating event (e.g., anaphylaxis, allergy to components of the vaccine or the control vaccine, other known contraindications including febrile convulsions);
  10. Participant presented with clinical conditions representing severe bleeding disorders and medications interfering with blood clotting;
  11. Participant received blood-derived products (e.g. plasma) within 180 days prior to vaccination in this trial;
  12. Participant had participated in another clinical trial involving an investigational medicinal product (IMP) or device within 30 days prior to vaccination or was scheduled to participate in another clinical trial involving an IMP, or device during the course of this trial;
  13. Participant had any condition that, in the opinion of the Investigator, could compromise the participant's well-being, might interfere with evaluation of trial endpoints, or would limit the participant's ability to complete the trial;
  14. Participant/ Participant's parent(s)/LAR(s) was/were a member of the team conducting the trial or in a dependent relationship with one of the trial team members. Dependent relationships included close relatives (i.e., children, partner/spouse, siblings, parent(s)/LAR[s]) as well as employees of the Investigator or site personnel conducting the trial.
Sources for eligibility

  • Fundacion Dominicana de Perinatologia Fundacion ProbebeSanto Domingo, Dominican Republic
  • Santo Domingo, Dominican Republic
  • Inversiones en Investigacion Medica INVERIMETegucigalpa, Honduras
Sources for sites

Sources for references

Related records

Drugs (1)

Lead sponsors (1)

Conditions (1)

Targets (1)