Trial Outcomes & Findings for An Epidemiological Surveillance Study to Evaluate the Incidence of Dengue in Brazil (NCT NCT01751139)

NCT ID: NCT01751139

Last Updated: 2020-04-27

Results Overview

Incidence rate (IR) of laboratory-confirmed symptomatic dengue infection (lab-conf.) with 95% Confidence Interval (CI) for each year and overall, calculated as the incidence rate per 1000 person-years : numerator = number of all lab-conf. cases reported during the follow-up (FU) period at risk; denominator = total Person-years at risk, i.e. sum of FU periods at risk expressed in years until first Reverse Transcriptase quantitative Polymerase Chain Reaction (RT-qPCR) confirmed symptomatic dengue infection or subject's withdrawal, whichever came first. Lab-conf. case defined as follows: Dengue virus identification through RT-qPCR on acute serum sample or Dengue virus NS1 positive on acute serum sample through Enzyme-linked Immunosorbent Assay (ELISA) or Anti-Dengue Immunoglobulin type M (IgM) seroconversion between acute and convalescent serum samples through ELISA. Data were not analyzed by Dengue season as planned in the protocol as most of the cases occurred outside the seasons.

Recruitment status

TERMINATED

Study phase

NA

Target enrollment

3300 participants

Primary outcome timeframe

At each calendar year i.e. Year 2014, 2015, 2016, 2017, 2018, and overall calendar years

Results posted on

2020-04-27

Participant Flow

In December 2017, GSK decided to deprioritize the development of the dengue purified inactivated vaccine (DPIV) candidate. This decision was made due to the significant scientific challenges of dengue vaccine development.

Participant milestones

Participant milestones
Measure
Total Group
Subjects six months of age and older at the time of enrolment, recruited from randomly selected households originating from preselected mapped communities. Preferably the recruitment period occurred outside of the peak dengue transmission season, and continued until each site had reached its foreseen target. The expected period for recruiting the target sample size was approximately three months. Recruitment of replacement subjects was done during the low dengue transmission and the recruitment period depended on the number of subjects that need to be replaced. Enrolled subjects were subjects who either lived in households in study areas with support from the Family Health Physician Program (FHP) or the Larval Index Rapid Assay (LIRA) or with field research experience in the community (preferred) or where a similar system of mapped communities with potential for surveillance existed.
Overall Study
STARTED
3300
Overall Study
COMPLETED
1033
Overall Study
NOT COMPLETED
2267

Reasons for withdrawal

Reasons for withdrawal
Measure
Total Group
Subjects six months of age and older at the time of enrolment, recruited from randomly selected households originating from preselected mapped communities. Preferably the recruitment period occurred outside of the peak dengue transmission season, and continued until each site had reached its foreseen target. The expected period for recruiting the target sample size was approximately three months. Recruitment of replacement subjects was done during the low dengue transmission and the recruitment period depended on the number of subjects that need to be replaced. Enrolled subjects were subjects who either lived in households in study areas with support from the Family Health Physician Program (FHP) or the Larval Index Rapid Assay (LIRA) or with field research experience in the community (preferred) or where a similar system of mapped communities with potential for surveillance existed.
Overall Study
Other
135
Overall Study
Sponsor study termination
1609
Overall Study
Lost to Follow-up
240
Overall Study
Withdrawal by Subject
251
Overall Study
Adverse Event
1
Overall Study
Death
31

Baseline Characteristics

Race and Ethnicity were not collected from any participant.

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Total Group
n=3264 Participants
Subjects six months of age and older at the time of enrolment, recruited from randomly selected households originating from preselected mapped communities. Preferably the recruitment period occurred outside of the peak dengue transmission season, and continued until each site had reached its foreseen target. The expected period for recruiting the target sample size was approximately three months. Recruitment of replacement subjects was done during the low dengue transmission and the recruitment period depended on the number of subjects that need to be replaced. Enrolled subjects were subjects who either lived in households in study areas with support from the Family Health Physician Program (FHP) or the Larval Index Rapid Assay (LIRA) or with field research experience in the community (preferred) or where a similar system of mapped communities with potential for surveillance existed.
Age, Continuous
31.9 years
STANDARD_DEVIATION 20.2 • n=3264 Participants
Sex: Female, Male
Female
1972 Participants
n=3264 Participants
Sex: Female, Male
Male
1292 Participants
n=3264 Participants

PRIMARY outcome

Timeframe: At each calendar year i.e. Year 2014, 2015, 2016, 2017, 2018, and overall calendar years

Population: Analysis was performed on the According-to-Protocol cohort that included all evaluable subjects who met all eligibility criteria, complying with the procedures defined in the protocol and who had seroprevalence status at first visit of the first year.

Incidence rate (IR) of laboratory-confirmed symptomatic dengue infection (lab-conf.) with 95% Confidence Interval (CI) for each year and overall, calculated as the incidence rate per 1000 person-years : numerator = number of all lab-conf. cases reported during the follow-up (FU) period at risk; denominator = total Person-years at risk, i.e. sum of FU periods at risk expressed in years until first Reverse Transcriptase quantitative Polymerase Chain Reaction (RT-qPCR) confirmed symptomatic dengue infection or subject's withdrawal, whichever came first. Lab-conf. case defined as follows: Dengue virus identification through RT-qPCR on acute serum sample or Dengue virus NS1 positive on acute serum sample through Enzyme-linked Immunosorbent Assay (ELISA) or Anti-Dengue Immunoglobulin type M (IgM) seroconversion between acute and convalescent serum samples through ELISA. Data were not analyzed by Dengue season as planned in the protocol as most of the cases occurred outside the seasons.

Outcome measures

Outcome measures
Measure
Total Group
n=3264 Participants
Subjects six months of age and older at the time of enrolment, recruited from randomly selected households originating from preselected mapped communities. Preferably the recruitment period occurred outside of the peak dengue transmission season, and continued until each site had reached its foreseen target. The expected period for recruiting the target sample size was approximately three months. Recruitment of replacement subjects was done during the low dengue transmission and the recruitment period depended on the number of subjects that need to be replaced. Enrolled subjects were subjects who either lived in households in study areas with support from the Family Health Physician Program (FHP) or the Larval Index Rapid Assay (LIRA) or with field research experience in the community (preferred) or where a similar system of mapped communities with potential for surveillance existed.
Incidence Rate (Per 1000 Person-years) of All Laboratory-confirmed Symptomatic Dengue Infection by Calendar Year
Year 2014
1.778 infections per 1000 person-year
Interval 0.045 to 9.904
Incidence Rate (Per 1000 Person-years) of All Laboratory-confirmed Symptomatic Dengue Infection by Calendar Year
Year 2015
5.083 infections per 1000 person-year
Interval 1.865 to 11.063
Incidence Rate (Per 1000 Person-years) of All Laboratory-confirmed Symptomatic Dengue Infection by Calendar Year
Year 2016
7.428 infections per 1000 person-year
Interval 4.061 to 12.463
Incidence Rate (Per 1000 Person-years) of All Laboratory-confirmed Symptomatic Dengue Infection by Calendar Year
Year 2017
5.785 infections per 1000 person-year
Interval 3.163 to 9.707
Incidence Rate (Per 1000 Person-years) of All Laboratory-confirmed Symptomatic Dengue Infection by Calendar Year
Year 2018
7.079 infections per 1000 person-year
Interval 3.962 to 11.676
Incidence Rate (Per 1000 Person-years) of All Laboratory-confirmed Symptomatic Dengue Infection by Calendar Year
Overall calendar years
6.123 infections per 1000 person-year
Interval 4.544 to 8.072

SECONDARY outcome

Timeframe: At each calendar year i.e. Year 2014, 2015, 2016, 2017, 2018, and overall calendar years

Population: Analysis was performed on the According-to-Protocol cohort that included all evaluable subjects who met all eligibility criteria, complying with the procedures defined in the protocol and who had seroprevalence status at first visit of the first year.

Incidence rate (IR) of virologically-confirmed symptomatic dengue infection with 95% Confidence Interval (CI) for each year separately and overall years calculated as the incidence rate per 1000 person-years : the numerator is the number of all virologically-confirmed dengue infection cases reported during the follow-up period at risk; the denominator is the total Person-years at risk, i.e. sum of the follow-up periods at risk expressed in years. A virologically confirmed symptomatic dengue infection is defined as a dengue case confirmed by RT-qPCR. Data were not analyzed by Dengue season as planned in the protocol as most of the cases occurred outside the seasons. Analysis was not performed by DENV-type as data would not be reliable due to the low number of cases reported.

Outcome measures

Outcome measures
Measure
Total Group
n=3264 Participants
Subjects six months of age and older at the time of enrolment, recruited from randomly selected households originating from preselected mapped communities. Preferably the recruitment period occurred outside of the peak dengue transmission season, and continued until each site had reached its foreseen target. The expected period for recruiting the target sample size was approximately three months. Recruitment of replacement subjects was done during the low dengue transmission and the recruitment period depended on the number of subjects that need to be replaced. Enrolled subjects were subjects who either lived in households in study areas with support from the Family Health Physician Program (FHP) or the Larval Index Rapid Assay (LIRA) or with field research experience in the community (preferred) or where a similar system of mapped communities with potential for surveillance existed.
Incidence Rate (Per 1000 Person-years) of All Virologically-confirmed Symptomatic Dengue Infection by Calendar Year
Year 2014
0.000 infections per 1000 person-year
Interval 0.0 to 6.558
Incidence Rate (Per 1000 Person-years) of All Virologically-confirmed Symptomatic Dengue Infection by Calendar Year
Year 2015
2.541 infections per 1000 person-year
Interval 0.524 to 7.427
Incidence Rate (Per 1000 Person-years) of All Virologically-confirmed Symptomatic Dengue Infection by Calendar Year
Year 2016
0.531 infections per 1000 person-year
Interval 0.013 to 2.956
Incidence Rate (Per 1000 Person-years) of All Virologically-confirmed Symptomatic Dengue Infection by Calendar Year
Year 2017
0.413 infections per 1000 person-year
Interval 0.01 to 2.302
Incidence Rate (Per 1000 Person-years) of All Virologically-confirmed Symptomatic Dengue Infection by Calendar Year
Year 2018
1.888 infections per 1000 person-year
Interval 0.514 to 4.833
Incidence Rate (Per 1000 Person-years) of All Virologically-confirmed Symptomatic Dengue Infection by Calendar Year
Overall calendar years
1.102 infections per 1000 person-year
Interval 0.504 to 2.092

SECONDARY outcome

Timeframe: At each calendar year i.e. Year 2014, 2015, 2016, 2017, 2018, and overall calendar years

Population: Analysis was performed on the According-to-Protocol cohort that included all evaluable subjects who met all eligibility criteria, complying with the procedures defined in the protocol and who had seroprevalence status at first visit of the first year.

Incidence rate (IR) of laboratory-confirmed or probable symptomatic dengue infection with 95% Confidence Interval (CI) by study site, and for each year separately and overall years calculated as the incidence rate per 1000 person-years : the numerator is the number of all laboratory-confirmed or probable symptomatic dengue infection cases reported during the follow-up period at risk; the denominator is the total Person-years at risk, i.e. sum of the follow-up periods at risk expressed in years. For early presenters, a probable case was that case without laboratory confirmation, presenting IgG positive in the convalescent sample; for late presenters, a probable case was the case without seroconversion of IgM, presenting at least one IgG positive in one sample (acute or convalescent). Data were not analyzed by Dengue season as planned in the protocol as most of the cases occurred outside the seasons.

Outcome measures

Outcome measures
Measure
Total Group
n=3264 Participants
Subjects six months of age and older at the time of enrolment, recruited from randomly selected households originating from preselected mapped communities. Preferably the recruitment period occurred outside of the peak dengue transmission season, and continued until each site had reached its foreseen target. The expected period for recruiting the target sample size was approximately three months. Recruitment of replacement subjects was done during the low dengue transmission and the recruitment period depended on the number of subjects that need to be replaced. Enrolled subjects were subjects who either lived in households in study areas with support from the Family Health Physician Program (FHP) or the Larval Index Rapid Assay (LIRA) or with field research experience in the community (preferred) or where a similar system of mapped communities with potential for surveillance existed.
Incidence Rate (Per 1000 Person-years) of All Laboratory-confirmed or Probable Symptomatic Dengue Infection by Study Site, and Calendar Year
Rio at year 2014
18.284 infections per 1000 person-year
Interval 9.632 to 34.708
Incidence Rate (Per 1000 Person-years) of All Laboratory-confirmed or Probable Symptomatic Dengue Infection by Study Site, and Calendar Year
Rio at year 2015
25.666 infections per 1000 person-year
Interval 17.644 to 37.337
Incidence Rate (Per 1000 Person-years) of All Laboratory-confirmed or Probable Symptomatic Dengue Infection by Study Site, and Calendar Year
Rio at year 2016
27.263 infections per 1000 person-year
Interval 19.592 to 37.938
Incidence Rate (Per 1000 Person-years) of All Laboratory-confirmed or Probable Symptomatic Dengue Infection by Study Site, and Calendar Year
Rio at year 2017
17.704 infections per 1000 person-year
Interval 12.34 to 25.4
Incidence Rate (Per 1000 Person-years) of All Laboratory-confirmed or Probable Symptomatic Dengue Infection by Study Site, and Calendar Year
Rio at year 2018
12.761 infections per 1000 person-year
Interval 8.493 to 19.175
Incidence Rate (Per 1000 Person-years) of All Laboratory-confirmed or Probable Symptomatic Dengue Infection by Study Site, and Calendar Year
Rio overall calendar years
19.597 infections per 1000 person-year
Interval 14.781 to 25.982
Incidence Rate (Per 1000 Person-years) of All Laboratory-confirmed or Probable Symptomatic Dengue Infection by Study Site, and Calendar Year
Manaus at year 2014
27.098 infections per 1000 person-year
Interval 13.954 to 52.622
Incidence Rate (Per 1000 Person-years) of All Laboratory-confirmed or Probable Symptomatic Dengue Infection by Study Site, and Calendar Year
Manaus at year 2015
38.039 infections per 1000 person-year
Interval 27.33 to 52.944
Incidence Rate (Per 1000 Person-years) of All Laboratory-confirmed or Probable Symptomatic Dengue Infection by Study Site, and Calendar Year
Manaus at year 2016
40.405 infections per 1000 person-year
Interval 30.203 to 54.054
Incidence Rate (Per 1000 Person-years) of All Laboratory-confirmed or Probable Symptomatic Dengue Infection by Study Site, and Calendar Year
Manaus at year 2017
26.239 infections per 1000 person-year
Interval 19.013 to 36.21
Incidence Rate (Per 1000 Person-years) of All Laboratory-confirmed or Probable Symptomatic Dengue Infection by Study Site, and Calendar Year
Manaus at year 2018
18.913 infections per 1000 person-year
Interval 13.135 to 27.232
Incidence Rate (Per 1000 Person-years) of All Laboratory-confirmed or Probable Symptomatic Dengue Infection by Study Site, and Calendar Year
Manaus overall calendar years
29.044 infections per 1000 person-year
Interval 22.622 to 37.289
Incidence Rate (Per 1000 Person-years) of All Laboratory-confirmed or Probable Symptomatic Dengue Infection by Study Site, and Calendar Year
Salvador at year 2015
77.398 infections per 1000 person-year
Interval 52.617 to 113.85
Incidence Rate (Per 1000 Person-years) of All Laboratory-confirmed or Probable Symptomatic Dengue Infection by Study Site, and Calendar Year
Salvador at year 2016
82.213 infections per 1000 person-year
Interval 65.162 to 103.725
Incidence Rate (Per 1000 Person-years) of All Laboratory-confirmed or Probable Symptomatic Dengue Infection by Study Site, and Calendar Year
Salvador at year 2017
53.388 infections per 1000 person-year
Interval 40.722 to 69.995
Incidence Rate (Per 1000 Person-years) of All Laboratory-confirmed or Probable Symptomatic Dengue Infection by Study Site, and Calendar Year
Salvador at year 2018
38.482 infections per 1000 person-year
Interval 27.823 to 53.224
Incidence Rate (Per 1000 Person-years) of All Laboratory-confirmed or Probable Symptomatic Dengue Infection by Study Site, and Calendar Year
Salvador overall calendar years
59.097 infections per 1000 person-year
Interval 46.242 to 75.525
Incidence Rate (Per 1000 Person-years) of All Laboratory-confirmed or Probable Symptomatic Dengue Infection by Study Site, and Calendar Year
Natal at year 2016
71.873 infections per 1000 person-year
Interval 51.198 to 100.896
Incidence Rate (Per 1000 Person-years) of All Laboratory-confirmed or Probable Symptomatic Dengue Infection by Study Site, and Calendar Year
Natal at year 2017
46.674 infections per 1000 person-year
Interval 34.829 to 62.546
Incidence Rate (Per 1000 Person-years) of All Laboratory-confirmed or Probable Symptomatic Dengue Infection by Study Site, and Calendar Year
Natal at year 2018
33.642 infections per 1000 person-year
Interval 24.002 to 47.154
Incidence Rate (Per 1000 Person-years) of All Laboratory-confirmed or Probable Symptomatic Dengue Infection by Study Site, and Calendar Year
Natal overall calendar years
51.664 infections per 1000 person-year
Interval 37.852 to 70.516
Incidence Rate (Per 1000 Person-years) of All Laboratory-confirmed or Probable Symptomatic Dengue Infection by Study Site, and Calendar Year
Campinas at year 2017
1.688 infections per 1000 person-year
Interval 0.234 to 12.152
Incidence Rate (Per 1000 Person-years) of All Laboratory-confirmed or Probable Symptomatic Dengue Infection by Study Site, and Calendar Year
Campinas at year 2018
1.217 infections per 1000 person-year
Interval 0.171 to 8.67
Incidence Rate (Per 1000 Person-years) of All Laboratory-confirmed or Probable Symptomatic Dengue Infection by Study Site, and Calendar Year
Campinas overall calendar years
1.869 infections per 1000 person-year
Interval 0.26 to 13.429
Incidence Rate (Per 1000 Person-years) of All Laboratory-confirmed or Probable Symptomatic Dengue Infection by Study Site, and Calendar Year
All study sites at year 2014
18.715 infections per 1000 person-year
Interval 8.748 to 40.034
Incidence Rate (Per 1000 Person-years) of All Laboratory-confirmed or Probable Symptomatic Dengue Infection by Study Site, and Calendar Year
All study sites at year 2015
26.271 infections per 1000 person-year
Interval 15.779 to 43.738
Incidence Rate (Per 1000 Person-years) of All Laboratory-confirmed or Probable Symptomatic Dengue Infection by Study Site, and Calendar Year
All study sites at year 2016
27.905 infections per 1000 person-year
Interval 17.883 to 43.543
Incidence Rate (Per 1000 Person-years) of All Laboratory-confirmed or Probable Symptomatic Dengue Infection by Study Site, and Calendar Year
All study sites at year 2017
18.121 infections per 1000 person-year
Interval 11.609 to 28.286
Incidence Rate (Per 1000 Person-years) of All Laboratory-confirmed or Probable Symptomatic Dengue Infection by Study Site, and Calendar Year
All study sites at year 2018
13.061 infections per 1000 person-year
Interval 8.214 to 20.771
Incidence Rate (Per 1000 Person-years) of All Laboratory-confirmed or Probable Symptomatic Dengue Infection by Study Site, and Calendar Year
All study sites overall calendar years
20.059 infections per 1000 person-year
Interval 13.152 to 30.591

SECONDARY outcome

Timeframe: At each calendar year i.e. Year 2014, 2015, 2016, 2017, 2018, and overall calendar years

Population: Analysis was performed on the According-to-Protocol cohort that included all evaluable subjects who met all eligibility criteria, complying with the procedures defined in the protocol and who had seroprevalence status at first visit of the first year.

Incidence rate (IR) of laboratory-confirmed or probable symptomatic dengue infection with 95% Confidence Interval (CI) by age category, and for each year separately and overall years calculated as the incidence rate per 1000 person-years : the numerator is the number of all laboratory-confirmed or probable symptomatic dengue infection cases reported during the follow-up period at risk; the denominator is the total Person-years at risk, i.e. sum of the follow-up periods at risk expressed in years. For early presenters, a probable case was that case without laboratory confirmation, presenting IgG positive in the convalescent sample; for late presenters, a probable case was the case without seroconversion of IgM, presenting at least one IgG positive in one sample (acute or convalescent). Data were not analyzed by Dengue season as planned in the protocol as most of the cases occurred outside the seasons.

Outcome measures

Outcome measures
Measure
Total Group
n=3264 Participants
Subjects six months of age and older at the time of enrolment, recruited from randomly selected households originating from preselected mapped communities. Preferably the recruitment period occurred outside of the peak dengue transmission season, and continued until each site had reached its foreseen target. The expected period for recruiting the target sample size was approximately three months. Recruitment of replacement subjects was done during the low dengue transmission and the recruitment period depended on the number of subjects that need to be replaced. Enrolled subjects were subjects who either lived in households in study areas with support from the Family Health Physician Program (FHP) or the Larval Index Rapid Assay (LIRA) or with field research experience in the community (preferred) or where a similar system of mapped communities with potential for surveillance existed.
Incidence Rate (Per 1000 Person-years) of All Laboratory-confirmed or Probable Symptomatic Dengue Infection by Age Category, and Calendar Year
≤17 years at year 2014
11.826 infections per 1000 person-year
Interval 0.299 to 65.89
Incidence Rate (Per 1000 Person-years) of All Laboratory-confirmed or Probable Symptomatic Dengue Infection by Age Category, and Calendar Year
≤17 years at year 2015
25.038 infections per 1000 person-year
Interval 8.13 to 58.429
Incidence Rate (Per 1000 Person-years) of All Laboratory-confirmed or Probable Symptomatic Dengue Infection by Age Category, and Calendar Year
≤17 years at year 2016
47.415 infections per 1000 person-year
Interval 30.057 to 71.146
Incidence Rate (Per 1000 Person-years) of All Laboratory-confirmed or Probable Symptomatic Dengue Infection by Age Category, and Calendar Year
≤17 years at year 2017
28.345 infections per 1000 person-year
Interval 17.065 to 44.264
Incidence Rate (Per 1000 Person-years) of All Laboratory-confirmed or Probable Symptomatic Dengue Infection by Age Category, and Calendar Year
≤17 years at year 2018
32.151 infections per 1000 person-year
Interval 19.902 to 49.147
Incidence Rate (Per 1000 Person-years) of All Laboratory-confirmed or Probable Symptomatic Dengue Infection by Age Category, and Calendar Year
≤17 years overall calendar years
32.970 infections per 1000 person-year
Interval 25.653 to 41.725
Incidence Rate (Per 1000 Person-years) of All Laboratory-confirmed or Probable Symptomatic Dengue Infection by Age Category, and Calendar Year
18-49 years at year 2014
9.658 infections per 1000 person-year
Interval 1.992 to 28.224
Incidence Rate (Per 1000 Person-years) of All Laboratory-confirmed or Probable Symptomatic Dengue Infection by Age Category, and Calendar Year
18-49 years at year 2015
41.479 infections per 1000 person-year
Interval 27.095 to 60.776
Incidence Rate (Per 1000 Person-years) of All Laboratory-confirmed or Probable Symptomatic Dengue Infection by Age Category, and Calendar Year
18-49 years at year 2016
61.410 infections per 1000 person-year
Interval 46.748 to 79.215
Incidence Rate (Per 1000 Person-years) of All Laboratory-confirmed or Probable Symptomatic Dengue Infection by Age Category, and Calendar Year
18-49 years at year 2017
46.497 infections per 1000 person-year
Interval 35.123 to 60.38
Incidence Rate (Per 1000 Person-years) of All Laboratory-confirmed or Probable Symptomatic Dengue Infection by Age Category, and Calendar Year
18-49 years at year 2018
28.574 infections per 1000 person-year
Interval 19.136 to 41.037
Incidence Rate (Per 1000 Person-years) of All Laboratory-confirmed or Probable Symptomatic Dengue Infection by Age Category, and Calendar Year
18-49 years overall calendar years
42.016 infections per 1000 person-year
Interval 35.988 to 48.764
Incidence Rate (Per 1000 Person-years) of All Laboratory-confirmed or Probable Symptomatic Dengue Infection by Age Category, and Calendar Year
≥ 50 years at year 2014
35.853 infections per 1000 person-year
Interval 13.157 to 78.037
Incidence Rate (Per 1000 Person-years) of All Laboratory-confirmed or Probable Symptomatic Dengue Infection by Age Category, and Calendar Year
≥ 50 years at year 2015
33.908 infections per 1000 person-year
Interval 17.521 to 59.23
Incidence Rate (Per 1000 Person-years) of All Laboratory-confirmed or Probable Symptomatic Dengue Infection by Age Category, and Calendar Year
≥ 50 years at year 2016
50.123 infections per 1000 person-year
Interval 31.412 to 75.887
Incidence Rate (Per 1000 Person-years) of All Laboratory-confirmed or Probable Symptomatic Dengue Infection by Age Category, and Calendar Year
≥ 50 years at year 2017
22.011 infections per 1000 person-year
Interval 11.373 to 38.448
Incidence Rate (Per 1000 Person-years) of All Laboratory-confirmed or Probable Symptomatic Dengue Infection by Age Category, and Calendar Year
≥ 50 years at year 2018
11.091 infections per 1000 person-year
Interval 3.601 to 25.882
Incidence Rate (Per 1000 Person-years) of All Laboratory-confirmed or Probable Symptomatic Dengue Infection by Age Category, and Calendar Year
≥ 50 years overall calendar years
29.138 infections per 1000 person-year
Interval 22.069 to 37.752

SECONDARY outcome

Timeframe: At each calendar year i.e. Year 2014, 2015, 2016, 2017, 2018, and overall calendar years

Population: Analysis was performed on the According-to-Protocol cohort that included all evaluable subjects who met all eligibility criteria, complying with the procedures defined in the protocol and who had seroprevalence status at first visit of the first year.

Incidence rate (IR) of laboratory-confirmed or probable symptomatic dengue infection with 95% Confidence Interval (CI) by gender, and for each year separately and overall years calculated as the incidence rate per 1000 person-years : the numerator is the number of all laboratory-confirmed or probable symptomatic dengue infection cases reported during the follow-up period at risk; the denominator is the total Person-years at risk, i.e. sum of the follow-up periods at risk expressed in years. For early presenters, a probable case was that case without laboratory confirmation, presenting IgG positive in the convalescent sample; for late presenters, a probable case was the case without seroconversion of IgM, presenting at least one IgG positive in one sample (acute or convalescent). Data were not analyzed by Dengue season as planned in the protocol as most of the cases occurred outside the seasons.

Outcome measures

Outcome measures
Measure
Total Group
n=3264 Participants
Subjects six months of age and older at the time of enrolment, recruited from randomly selected households originating from preselected mapped communities. Preferably the recruitment period occurred outside of the peak dengue transmission season, and continued until each site had reached its foreseen target. The expected period for recruiting the target sample size was approximately three months. Recruitment of replacement subjects was done during the low dengue transmission and the recruitment period depended on the number of subjects that need to be replaced. Enrolled subjects were subjects who either lived in households in study areas with support from the Family Health Physician Program (FHP) or the Larval Index Rapid Assay (LIRA) or with field research experience in the community (preferred) or where a similar system of mapped communities with potential for surveillance existed.
Incidence Rate (Per 1000 Person-years) of All Laboratory-confirmed or Probable Symptomatic Dengue Infection by Gender, and Calendar Year
Female at year 2014
14.266 infections per 1000 person-year
Interval 4.632 to 33.291
Incidence Rate (Per 1000 Person-years) of All Laboratory-confirmed or Probable Symptomatic Dengue Infection by Gender, and Calendar Year
Female at year 2015
37.839 infections per 1000 person-year
Interval 25.144 to 54.688
Incidence Rate (Per 1000 Person-years) of All Laboratory-confirmed or Probable Symptomatic Dengue Infection by Gender, and Calendar Year
Female at year 2016
61.579 infections per 1000 person-year
Interval 48.094 to 77.674
Incidence Rate (Per 1000 Person-years) of All Laboratory-confirmed or Probable Symptomatic Dengue Infection by Gender, and Calendar Year
Female at year 2017
40.564 infections per 1000 person-year
Interval 30.954 to 52.214
Incidence Rate (Per 1000 Person-years) of All Laboratory-confirmed or Probable Symptomatic Dengue Infection by Gender, and Calendar Year
Female at year 2018
29.601 infections per 1000 person-year
Interval 20.948 to 40.63
Incidence Rate (Per 1000 Person-years) of All Laboratory-confirmed or Probable Symptomatic Dengue Infection by Gender, and Calendar Year
Female overall calendar years
40.349 infections per 1000 person-year
Interval 34.976 to 46.313
Incidence Rate (Per 1000 Person-years) of All Laboratory-confirmed or Probable Symptomatic Dengue Infection by Gender, and Calendar Year
Male at year 2014
23.579 infections per 1000 person-year
Interval 7.656 to 55.026
Incidence Rate (Per 1000 Person-years) of All Laboratory-confirmed or Probable Symptomatic Dengue Infection by Gender, and Calendar Year
Male at year 2015
34.056 infections per 1000 person-year
Interval 19.061 to 56.17
Incidence Rate (Per 1000 Person-years) of All Laboratory-confirmed or Probable Symptomatic Dengue Infection by Gender, and Calendar Year
Male at year 2016
45.097 infections per 1000 person-year
Interval 31.043 to 63.333
Incidence Rate (Per 1000 Person-years) of All Laboratory-confirmed or Probable Symptomatic Dengue Infection by Gender, and Calendar Year
Male at year 2017
28.701 infections per 1000 person-year
Interval 18.914 to 41.758
Incidence Rate (Per 1000 Person-years) of All Laboratory-confirmed or Probable Symptomatic Dengue Infection by Gender, and Calendar Year
Male at year 2018
20.355 infections per 1000 person-year
Interval 11.857 to 32.59
Incidence Rate (Per 1000 Person-years) of All Laboratory-confirmed or Probable Symptomatic Dengue Infection by Gender, and Calendar Year
Male overall calendar years
30.694 infections per 1000 person-year
Interval 24.891 to 37.445

SECONDARY outcome

Timeframe: From Year 2014 to Year 2018 (a range of 1 to 4 years for an individual subject)

Population: Analysis was performed on the laboratory confirmed or probable symptomatic dengue cases, excluding those reported without fever or reported before the first visit in the first year.

A primary symptomatic dengue case is a subject with laboratory confirmed or probable symptomatic dengue infection, and without evidence of previous dengue infection (absence of Ig G antibodies at the previous scheduled visit and absence of laboratory confirmed symptomatic case detected previously at study surveillance). Analysis was not performed by DENV-type as data would not be reliable due to the low number of cases reported.

Outcome measures

Outcome measures
Measure
Total Group
n=299 Participants
Subjects six months of age and older at the time of enrolment, recruited from randomly selected households originating from preselected mapped communities. Preferably the recruitment period occurred outside of the peak dengue transmission season, and continued until each site had reached its foreseen target. The expected period for recruiting the target sample size was approximately three months. Recruitment of replacement subjects was done during the low dengue transmission and the recruitment period depended on the number of subjects that need to be replaced. Enrolled subjects were subjects who either lived in households in study areas with support from the Family Health Physician Program (FHP) or the Larval Index Rapid Assay (LIRA) or with field research experience in the community (preferred) or where a similar system of mapped communities with potential for surveillance existed.
Number of Primary Symptomatic Dengue Infection Cases Among Laboratory-confirmed or Probable Cases
Primary symptomatic cases in Rio
2 Participants
Number of Primary Symptomatic Dengue Infection Cases Among Laboratory-confirmed or Probable Cases
Primary symptomatic cases in Manaus
5 Participants
Number of Primary Symptomatic Dengue Infection Cases Among Laboratory-confirmed or Probable Cases
Primary symptomatic cases in Salvador
1 Participants
Number of Primary Symptomatic Dengue Infection Cases Among Laboratory-confirmed or Probable Cases
Primary symptomatic cases in Natal
4 Participants
Number of Primary Symptomatic Dengue Infection Cases Among Laboratory-confirmed or Probable Cases
Primary symptomatic cases in Campinas
0 Participants
Number of Primary Symptomatic Dengue Infection Cases Among Laboratory-confirmed or Probable Cases
Overall primary symptomatic cases
12 Participants

SECONDARY outcome

Timeframe: From Year 2014 to Year 2018 (a range of 1 to 4 years for an individual subject)

Population: Analysis was performed on the laboratory confirmed or probable symptomatic dengue cases, excluding those reported without fever or reported before the first visit in the first year.

A secondary symptomatic dengue case is a subject with laboratory confirmed or probable symptomatic dengue infection, and with evidence of previous dengue infection (presence of IgG antibodies at the previous scheduled visit(s) or laboratory-confirmed symptomatic case detected previously at study surveillance). Analysis was not performed by DENV-type as data would not be reliable due to the low number of cases reported.

Outcome measures

Outcome measures
Measure
Total Group
n=299 Participants
Subjects six months of age and older at the time of enrolment, recruited from randomly selected households originating from preselected mapped communities. Preferably the recruitment period occurred outside of the peak dengue transmission season, and continued until each site had reached its foreseen target. The expected period for recruiting the target sample size was approximately three months. Recruitment of replacement subjects was done during the low dengue transmission and the recruitment period depended on the number of subjects that need to be replaced. Enrolled subjects were subjects who either lived in households in study areas with support from the Family Health Physician Program (FHP) or the Larval Index Rapid Assay (LIRA) or with field research experience in the community (preferred) or where a similar system of mapped communities with potential for surveillance existed.
Number of Secondary Symptomatic Dengue Infection Cases Among Laboratory-confirmed or Probable Cases
Secondary symptomatic cases in Rio
51 Participants
Number of Secondary Symptomatic Dengue Infection Cases Among Laboratory-confirmed or Probable Cases
Secondary symptomatic cases in Manaus
72 Participants
Number of Secondary Symptomatic Dengue Infection Cases Among Laboratory-confirmed or Probable Cases
Secondary symptomatic cases in Salvador
108 Participants
Number of Secondary Symptomatic Dengue Infection Cases Among Laboratory-confirmed or Probable Cases
Secondary symptomatic cases in Natal
55 Participants
Number of Secondary Symptomatic Dengue Infection Cases Among Laboratory-confirmed or Probable Cases
Secondary symptomatic cases in Campinas
1 Participants
Number of Secondary Symptomatic Dengue Infection Cases Among Laboratory-confirmed or Probable Cases
Overall secondary symptomatic cases
287 Participants

SECONDARY outcome

Timeframe: At the first visit of the first year

Population: Analysis was performed on the According-to-Protocol cohort that included all evaluable subjects who met all eligibility criteria, complying with the procedures defined in the protocol and who had seroprevalence status at first visit of the first year.

A subject was considered as having previous dengue infection at baseline, based on seroprevalence at first visit, namely if Dengue IgG positive (i.e. reactive) at first visit or if Laboratory-confirmed symptomatic dengue case detected at first visit (baseline).

Outcome measures

Outcome measures
Measure
Total Group
n=3264 Participants
Subjects six months of age and older at the time of enrolment, recruited from randomly selected households originating from preselected mapped communities. Preferably the recruitment period occurred outside of the peak dengue transmission season, and continued until each site had reached its foreseen target. The expected period for recruiting the target sample size was approximately three months. Recruitment of replacement subjects was done during the low dengue transmission and the recruitment period depended on the number of subjects that need to be replaced. Enrolled subjects were subjects who either lived in households in study areas with support from the Family Health Physician Program (FHP) or the Larval Index Rapid Assay (LIRA) or with field research experience in the community (preferred) or where a similar system of mapped communities with potential for surveillance existed.
Number of Subjects With Previous Dengue Infection (Dengue Seroprevalence) at Baseline, by Study Site and Overall
Seroprevalence at visit 1 in Rio
604 Participants
Number of Subjects With Previous Dengue Infection (Dengue Seroprevalence) at Baseline, by Study Site and Overall
Seroprevalence at visit 1 in Manaus
583 Participants
Number of Subjects With Previous Dengue Infection (Dengue Seroprevalence) at Baseline, by Study Site and Overall
Seroprevalence at visit 1 in Salvador
580 Participants
Number of Subjects With Previous Dengue Infection (Dengue Seroprevalence) at Baseline, by Study Site and Overall
Seroprevalence at visit 1 in Natal
534 Participants
Number of Subjects With Previous Dengue Infection (Dengue Seroprevalence) at Baseline, by Study Site and Overall
Seroprevalence at visit 1 in Campinas
186 Participants
Number of Subjects With Previous Dengue Infection (Dengue Seroprevalence) at Baseline, by Study Site and Overall
Overall seroprevalence at visit 1
2487 Participants

SECONDARY outcome

Timeframe: At the first visit of the first year

Population: Analysis was performed on the According-to-Protocol cohort that included all evaluable subjects who met all eligibility criteria, complying with the procedures defined in the protocol and who had seroprevalence status at first visit of the first year.

A subject was considered as having previous dengue infection at baseline, based on seroprevalence at first visit, namely if Dengue IgG positive (i.e. reactive) at first visit or if Laboratory-confirmed symptomatic dengue case detected at first visit (baseline).

Outcome measures

Outcome measures
Measure
Total Group
n=3264 Participants
Subjects six months of age and older at the time of enrolment, recruited from randomly selected households originating from preselected mapped communities. Preferably the recruitment period occurred outside of the peak dengue transmission season, and continued until each site had reached its foreseen target. The expected period for recruiting the target sample size was approximately three months. Recruitment of replacement subjects was done during the low dengue transmission and the recruitment period depended on the number of subjects that need to be replaced. Enrolled subjects were subjects who either lived in households in study areas with support from the Family Health Physician Program (FHP) or the Larval Index Rapid Assay (LIRA) or with field research experience in the community (preferred) or where a similar system of mapped communities with potential for surveillance existed.
Number of Subjects With Previous Dengue Infection (Dengue Seroprevalence) at Baseline, by Gender
Seroprevalence at visit 1 in Rio-females
372 Participants
Number of Subjects With Previous Dengue Infection (Dengue Seroprevalence) at Baseline, by Gender
Seroprevalence at visit 1 in Manaus-females
381 Participants
Number of Subjects With Previous Dengue Infection (Dengue Seroprevalence) at Baseline, by Gender
Seroprevalence at visit 1 in Salvador-females
341 Participants
Number of Subjects With Previous Dengue Infection (Dengue Seroprevalence) at Baseline, by Gender
Seroprevalence at visit 1 in Natal-females
350 Participants
Number of Subjects With Previous Dengue Infection (Dengue Seroprevalence) at Baseline, by Gender
Seroprevalence at visit 1 in Campinas-females
112 Participants
Number of Subjects With Previous Dengue Infection (Dengue Seroprevalence) at Baseline, by Gender
Overall seroprevalence at visit 1-females
1556 Participants
Number of Subjects With Previous Dengue Infection (Dengue Seroprevalence) at Baseline, by Gender
Seroprevalence at visit 1 in Rio-males
232 Participants
Number of Subjects With Previous Dengue Infection (Dengue Seroprevalence) at Baseline, by Gender
Seroprevalence at visit 1 in Manaus-males
202 Participants
Number of Subjects With Previous Dengue Infection (Dengue Seroprevalence) at Baseline, by Gender
Seroprevalence at visit 1 in Salvador-males
239 Participants
Number of Subjects With Previous Dengue Infection (Dengue Seroprevalence) at Baseline, by Gender
Seroprevalence at visit 1 in Natal-males
184 Participants
Number of Subjects With Previous Dengue Infection (Dengue Seroprevalence) at Baseline, by Gender
Seroprevalence at visit 1 in Campinas-males
74 Participants
Number of Subjects With Previous Dengue Infection (Dengue Seroprevalence) at Baseline, by Gender
Overall seroprevalence at visit 1-males
931 Participants

SECONDARY outcome

Timeframe: At the first visit of the first year

Population: Analysis was performed on the According-to-Protocol cohort that included all evaluable subjects who met all eligibility criteria, complying with the procedures defined in the protocol and who had seroprevalence status at first visit of the first year.

A subject was considered as having previous dengue infection at baseline, based on seroprevalence at first visit, namely if Dengue IgG positive (i.e. reactive) at first visit or if Laboratory-confirmed symptomatic dengue case detected at first visit (baseline).

Outcome measures

Outcome measures
Measure
Total Group
n=3264 Participants
Subjects six months of age and older at the time of enrolment, recruited from randomly selected households originating from preselected mapped communities. Preferably the recruitment period occurred outside of the peak dengue transmission season, and continued until each site had reached its foreseen target. The expected period for recruiting the target sample size was approximately three months. Recruitment of replacement subjects was done during the low dengue transmission and the recruitment period depended on the number of subjects that need to be replaced. Enrolled subjects were subjects who either lived in households in study areas with support from the Family Health Physician Program (FHP) or the Larval Index Rapid Assay (LIRA) or with field research experience in the community (preferred) or where a similar system of mapped communities with potential for surveillance existed.
Number of Subjects With Previous Dengue Infection (Dengue Seroprevalence) at Baseline, by Age Group at Enrolment
First seroprevalence at ≥50 years in Campinas
43 Participants
Number of Subjects With Previous Dengue Infection (Dengue Seroprevalence) at Baseline, by Age Group at Enrolment
First seroprevalence at ≤17 years in Rio
95 Participants
Number of Subjects With Previous Dengue Infection (Dengue Seroprevalence) at Baseline, by Age Group at Enrolment
First seroprevalence at ≤17 years in Manaus
85 Participants
Number of Subjects With Previous Dengue Infection (Dengue Seroprevalence) at Baseline, by Age Group at Enrolment
First seroprevalence at ≤17 years in Salvador
171 Participants
Number of Subjects With Previous Dengue Infection (Dengue Seroprevalence) at Baseline, by Age Group at Enrolment
First seroprevalence at ≤17 years in Natal
117 Participants
Number of Subjects With Previous Dengue Infection (Dengue Seroprevalence) at Baseline, by Age Group at Enrolment
First seroprevalence at ≤17 years in Campinas
22 Participants
Number of Subjects With Previous Dengue Infection (Dengue Seroprevalence) at Baseline, by Age Group at Enrolment
Overall first seroprevalence at ≤17 years
490 Participants
Number of Subjects With Previous Dengue Infection (Dengue Seroprevalence) at Baseline, by Age Group at Enrolment
First seroprevalence at 18-49 years in Rio
344 Participants
Number of Subjects With Previous Dengue Infection (Dengue Seroprevalence) at Baseline, by Age Group at Enrolment
First seroprevalence at 18-49 years in Manaus
304 Participants
Number of Subjects With Previous Dengue Infection (Dengue Seroprevalence) at Baseline, by Age Group at Enrolment
First seroprevalence at 18-49 years in Salvador
320 Participants
Number of Subjects With Previous Dengue Infection (Dengue Seroprevalence) at Baseline, by Age Group at Enrolment
First seroprevalence at 18-49 years in Natal
297 Participants
Number of Subjects With Previous Dengue Infection (Dengue Seroprevalence) at Baseline, by Age Group at Enrolment
First seroprevalence at 18-49 years in Campinas
121 Participants
Number of Subjects With Previous Dengue Infection (Dengue Seroprevalence) at Baseline, by Age Group at Enrolment
Overall first seroprevalence at 18-49 years
1386 Participants
Number of Subjects With Previous Dengue Infection (Dengue Seroprevalence) at Baseline, by Age Group at Enrolment
First seroprevalence at ≥50 years in Rio
165 Participants
Number of Subjects With Previous Dengue Infection (Dengue Seroprevalence) at Baseline, by Age Group at Enrolment
First seroprevalence at ≥50 years in Manaus
194 Participants
Number of Subjects With Previous Dengue Infection (Dengue Seroprevalence) at Baseline, by Age Group at Enrolment
First seroprevalence at ≥50 years in Salvador
89 Participants
Number of Subjects With Previous Dengue Infection (Dengue Seroprevalence) at Baseline, by Age Group at Enrolment
First seroprevalence at ≥50 years in Natal
120 Participants
Number of Subjects With Previous Dengue Infection (Dengue Seroprevalence) at Baseline, by Age Group at Enrolment
Overall first seroprevalence at ≥50 years
611 Participants

SECONDARY outcome

Timeframe: At each calendar year i.e. Year 2014, 2015, 2016, 2017, 2018, and overall calendar years

Population: Analysis was performed on the According-to-Protocol cohort that included all evaluable subjects who met all eligibility criteria, complying with the procedures defined in the protocol and who had no seroprevalence at first visit of the first year.

Incidence rate (IR) of primary inapparent dengue infection with 95% Confidence Interval (CI) by site and, for each year separately and overall years calculated as the incidence rate per 1000 person-years, among subjects with no seroprevalence at the first visit: the numerator is the number of all primary inapparent dengue infection cases reported during the follow-up period at risk. The denominator is the total Person-years at risk, i.e. sum of the follow-up periods at risk expressed in years. The primary inapparent dengue infection condition was defined as a documented seroconversion (anti-dengue IgG antibodies) between two sequential sera samples obtained during the scheduled visits without clinical suspicion of dengue (identified during the time period in which seroconversion occurred). Data were not analyzed by Dengue season as planned in the protocol as most of the cases occurred outside the seasons.

Outcome measures

Outcome measures
Measure
Total Group
n=777 Participants
Subjects six months of age and older at the time of enrolment, recruited from randomly selected households originating from preselected mapped communities. Preferably the recruitment period occurred outside of the peak dengue transmission season, and continued until each site had reached its foreseen target. The expected period for recruiting the target sample size was approximately three months. Recruitment of replacement subjects was done during the low dengue transmission and the recruitment period depended on the number of subjects that need to be replaced. Enrolled subjects were subjects who either lived in households in study areas with support from the Family Health Physician Program (FHP) or the Larval Index Rapid Assay (LIRA) or with field research experience in the community (preferred) or where a similar system of mapped communities with potential for surveillance existed.
Incidence Rate (Per 1000 Person-years) of Primary Inapparent Dengue Infection by Study Site and Calendar Year, and Overall, Among Subjects With no Seroprevalence at the First Visit
Primary inapparent dengue in Rio at year 2014
0.000 infections per 1000 person-year
Interval 0.0 to 99.997
Incidence Rate (Per 1000 Person-years) of Primary Inapparent Dengue Infection by Study Site and Calendar Year, and Overall, Among Subjects With no Seroprevalence at the First Visit
Primary inapparent dengue in Rio at year 2015
16.570 infections per 1000 person-year
Interval 0.42 to 92.322
Incidence Rate (Per 1000 Person-years) of Primary Inapparent Dengue Infection by Study Site and Calendar Year, and Overall, Among Subjects With no Seroprevalence at the First Visit
Primary inapparent dengue in Rio at year 2016
48.757 infections per 1000 person-year
Interval 15.831 to 113.782
Incidence Rate (Per 1000 Person-years) of Primary Inapparent Dengue Infection by Study Site and Calendar Year, and Overall, Among Subjects With no Seroprevalence at the First Visit
Primary inapparent dengue in Rio at year 2017
57.491 infections per 1000 person-year
Interval 18.667 to 134.165
Incidence Rate (Per 1000 Person-years) of Primary Inapparent Dengue Infection by Study Site and Calendar Year, and Overall, Among Subjects With no Seroprevalence at the First Visit
Primary inapparent dengue in Rio at year 2018
38.610 infections per 1000 person-year
Interval 4.676 to 139.473
Incidence Rate (Per 1000 Person-years) of Primary Inapparent Dengue Infection by Study Site and Calendar Year, and Overall, Among Subjects With no Seroprevalence at the First Visit
Overall primary inapparent dengue in Rio
38.398 infections per 1000 person-year
Interval 20.445 to 65.662
Incidence Rate (Per 1000 Person-years) of Primary Inapparent Dengue Infection by Study Site and Calendar Year, and Overall, Among Subjects With no Seroprevalence at the First Visit
Primary inapparent dengue in Manuas at year 2014
0.000 infections per 1000 person-year
Interval 0.0 to 196.845
Incidence Rate (Per 1000 Person-years) of Primary Inapparent Dengue Infection by Study Site and Calendar Year, and Overall, Among Subjects With no Seroprevalence at the First Visit
Primary inapparent dengue in Manuas at year 2015
132.246 infections per 1000 person-year
Interval 48.532 to 287.844
Incidence Rate (Per 1000 Person-years) of Primary Inapparent Dengue Infection by Study Site and Calendar Year, and Overall, Among Subjects With no Seroprevalence at the First Visit
Primary inapparent dengue in Manuas at year 2016
108.548 infections per 1000 person-year
Interval 29.576 to 277.926
Incidence Rate (Per 1000 Person-years) of Primary Inapparent Dengue Infection by Study Site and Calendar Year, and Overall, Among Subjects With no Seroprevalence at the First Visit
Primary inapparent dengue in Manuas at year 2017
19.956 infections per 1000 person-year
Interval 0.505 to 111.188
Incidence Rate (Per 1000 Person-years) of Primary Inapparent Dengue Infection by Study Site and Calendar Year, and Overall, Among Subjects With no Seroprevalence at the First Visit
Primary inapparent dengue in Manuas at year 2018
109.613 infections per 1000 person-year
Interval 52.564 to 201.582
Incidence Rate (Per 1000 Person-years) of Primary Inapparent Dengue Infection by Study Site and Calendar Year, and Overall, Among Subjects With no Seroprevalence at the First Visit
Overall primary inapparent dengue in Manuas
86.673 infections per 1000 person-year
Interval 53.652 to 132.489
Incidence Rate (Per 1000 Person-years) of Primary Inapparent Dengue Infection by Study Site and Calendar Year, and Overall, Among Subjects With no Seroprevalence at the First Visit
Primary inapparent dengue in Salvador at year 2015
0.000 infections per 1000 person-year
Interval 0.0 to 1603.861
Incidence Rate (Per 1000 Person-years) of Primary Inapparent Dengue Infection by Study Site and Calendar Year, and Overall, Among Subjects With no Seroprevalence at the First Visit
Primary inapparent dengue in Salvador at year 2016
251.256 infections per 1000 person-year
Interval 81.582 to 586.348
Incidence Rate (Per 1000 Person-years) of Primary Inapparent Dengue Infection by Study Site and Calendar Year, and Overall, Among Subjects With no Seroprevalence at the First Visit
Primary inapparent dengue in Salvador at year 2017
0.000 infections per 1000 person-year
Interval 0.0 to 216.23
Incidence Rate (Per 1000 Person-years) of Primary Inapparent Dengue Infection by Study Site and Calendar Year, and Overall, Among Subjects With no Seroprevalence at the First Visit
Primary inapparent dengue in Salvador at year 2018
0.000 infections per 1000 person-year
Interval 0.0 to 291.842
Incidence Rate (Per 1000 Person-years) of Primary Inapparent Dengue Infection by Study Site and Calendar Year, and Overall, Among Subjects With no Seroprevalence at the First Visit
Overall primary inapparent dengue in Salvador
96.339 infections per 1000 person-year
Interval 31.281 to 224.823
Incidence Rate (Per 1000 Person-years) of Primary Inapparent Dengue Infection by Study Site and Calendar Year, and Overall, Among Subjects With no Seroprevalence at the First Visit
Primary inapparent dengue in Natal at year 2016
0.000 infections per 1000 person-year
Interval 0.0 to 174.415
Incidence Rate (Per 1000 Person-years) of Primary Inapparent Dengue Infection by Study Site and Calendar Year, and Overall, Among Subjects With no Seroprevalence at the First Visit
Primary inapparent dengue in Natal at year 2017
32.648 infections per 1000 person-year
Interval 3.954 to 117.935
Incidence Rate (Per 1000 Person-years) of Primary Inapparent Dengue Infection by Study Site and Calendar Year, and Overall, Among Subjects With no Seroprevalence at the First Visit
Primary inapparent dengue in Natal at year 2018
150.667 infections per 1000 person-year
Interval 60.576 to 310.432
Incidence Rate (Per 1000 Person-years) of Primary Inapparent Dengue Infection by Study Site and Calendar Year, and Overall, Among Subjects With no Seroprevalence at the First Visit
Overall primary inapparent dengue in Natal
69.838 infections per 1000 person-year
Interval 31.934 to 132.574
Incidence Rate (Per 1000 Person-years) of Primary Inapparent Dengue Infection by Study Site and Calendar Year, and Overall, Among Subjects With no Seroprevalence at the First Visit
Primary inapparent dengue in Campinas at year 2017
0.000 infections per 1000 person-year
Interval 0.0 to 21.6
Incidence Rate (Per 1000 Person-years) of Primary Inapparent Dengue Infection by Study Site and Calendar Year, and Overall, Among Subjects With no Seroprevalence at the First Visit
Primary inapparent dengue in Campinas at year 2018
12.661 infections per 1000 person-year
Interval 3.45 to 32.416
Incidence Rate (Per 1000 Person-years) of Primary Inapparent Dengue Infection by Study Site and Calendar Year, and Overall, Among Subjects With no Seroprevalence at the First Visit
Overall primary inapparent dengue in Campinas
8.218 infections per 1000 person-year
Interval 2.239 to 21.042
Incidence Rate (Per 1000 Person-years) of Primary Inapparent Dengue Infection by Study Site and Calendar Year, and Overall, Among Subjects With no Seroprevalence at the First Visit
Overall primary inapparent dengue in 2014
0.000 infections per 1000 person-year
Interval 0.0 to 66.323
Incidence Rate (Per 1000 Person-years) of Primary Inapparent Dengue Infection by Study Site and Calendar Year, and Overall, Among Subjects With no Seroprevalence at the First Visit
Overall primary inapparent dengue in 2015
64.803 infections per 1000 person-year
Interval 26.054 to 133.519
Incidence Rate (Per 1000 Person-years) of Primary Inapparent Dengue Infection by Study Site and Calendar Year, and Overall, Among Subjects With no Seroprevalence at the First Visit
Overall primary inapparent dengue in 2016
77.584 infections per 1000 person-year
Interval 42.416 to 130.172
Incidence Rate (Per 1000 Person-years) of Primary Inapparent Dengue Infection by Study Site and Calendar Year, and Overall, Among Subjects With no Seroprevalence at the First Visit
Overall primary inapparent dengue in 2017
20.716 infections per 1000 person-year
Interval 8.944 to 40.818
Incidence Rate (Per 1000 Person-years) of Primary Inapparent Dengue Infection by Study Site and Calendar Year, and Overall, Among Subjects With no Seroprevalence at the First Visit
Overall primary inapparent dengue in 2018
44.396 infections per 1000 person-year
Interval 28.143 to 66.615
Incidence Rate (Per 1000 Person-years) of Primary Inapparent Dengue Infection by Study Site and Calendar Year, and Overall, Among Subjects With no Seroprevalence at the First Visit
Overall primary inapparent dengue overall years
41.655 infections per 1000 person-year
Interval 31.11 to 54.625

SECONDARY outcome

Timeframe: At each calendar year i.e. Year 2014, 2015, 2016, 2017, 2018, and overall calendar years

Population: Analysis was performed on the According-to-Protocol cohort that included all evaluable subjects who met all eligibility criteria, complying with the procedures defined in the protocol and who had no seroprevalence at first visit of the first year.

Incidence rate (IR) of primary inapparent dengue infection with 95% Confidence Interval (CI) by age category and, for each year separately and overall years calculated as the incidence rate per 1000 person-years, among subjects with no seroprevalence at the first visit: the numerator is the number of all primary inapparent dengue infection cases reported during the follow-up period at risk. The denominator is the total Person-years at risk, i.e. sum of the follow-up periods at risk expressed in years. The primary inapparent dengue infection condition was defined as a documented seroconversion (anti-dengue IgG antibodies) between two sequential sera samples obtained during the scheduled visits without clinical suspicion of dengue (identified during the time period in which seroconversion occurred). Data were not analyzed by Dengue season as planned in the protocol as most of the cases occurred outside the seasons.

Outcome measures

Outcome measures
Measure
Total Group
n=777 Participants
Subjects six months of age and older at the time of enrolment, recruited from randomly selected households originating from preselected mapped communities. Preferably the recruitment period occurred outside of the peak dengue transmission season, and continued until each site had reached its foreseen target. The expected period for recruiting the target sample size was approximately three months. Recruitment of replacement subjects was done during the low dengue transmission and the recruitment period depended on the number of subjects that need to be replaced. Enrolled subjects were subjects who either lived in households in study areas with support from the Family Health Physician Program (FHP) or the Larval Index Rapid Assay (LIRA) or with field research experience in the community (preferred) or where a similar system of mapped communities with potential for surveillance existed.
Incidence Rate (Per 1000 Person-years) of Primary Inapparent Dengue Infection by Age Category and Calendar Year, and Overall, Among Subjects With no Seroprevalence at the First Visit
Primary inapparent dengue at ≤17 years in 2014
0.000 infections per 1000 person-year
Interval 0.0 to 99.565
Incidence Rate (Per 1000 Person-years) of Primary Inapparent Dengue Infection by Age Category and Calendar Year, and Overall, Among Subjects With no Seroprevalence at the First Visit
Primary inapparent dengue at ≤17 years in 2015
37.712 infections per 1000 person-year
Interval 7.777 to 110.211
Incidence Rate (Per 1000 Person-years) of Primary Inapparent Dengue Infection by Age Category and Calendar Year, and Overall, Among Subjects With no Seroprevalence at the First Visit
Primary inapparent dengue at ≤17 years in 2016
51.004 infections per 1000 person-year
Interval 22.02 to 100.498
Incidence Rate (Per 1000 Person-years) of Primary Inapparent Dengue Infection by Age Category and Calendar Year, and Overall, Among Subjects With no Seroprevalence at the First Visit
Primary inapparent dengue at ≤17 years in 2017
19.266 infections per 1000 person-year
Interval 6.255 to 44.959
Incidence Rate (Per 1000 Person-years) of Primary Inapparent Dengue Infection by Age Category and Calendar Year, and Overall, Among Subjects With no Seroprevalence at the First Visit
Primary inapparent dengue at ≤17 years in 2018
64.460 infections per 1000 person-year
Interval 39.374 to 99.553
Incidence Rate (Per 1000 Person-years) of Primary Inapparent Dengue Infection by Age Category and Calendar Year, and Overall, Among Subjects With no Seroprevalence at the First Visit
Overall primary inapparent dengue at ≤17 years
42.692 infections per 1000 person-year
Interval 29.901 to 59.104
Incidence Rate (Per 1000 Person-years) of Primary Inapparent Dengue Infection by Age Category and Calendar Year, and Overall, Among Subjects With no Seroprevalence at the First Visit
Primary inapparent dengue at 18-49 years in 2014
0.000 infections per 1000 person-year
Interval 0.0 to 226.034
Incidence Rate (Per 1000 Person-years) of Primary Inapparent Dengue Infection by Age Category and Calendar Year, and Overall, Among Subjects With no Seroprevalence at the First Visit
Primary inapparent dengue at 18-49 years in 2015
160.064 infections per 1000 person-year
Interval 43.612 to 409.827
Incidence Rate (Per 1000 Person-years) of Primary Inapparent Dengue Infection by Age Category and Calendar Year, and Overall, Among Subjects With no Seroprevalence at the First Visit
Primary inapparent dengue at 18-49 years in 2016
291.262 infections per 1000 person-year
Interval 106.888 to 633.955
Incidence Rate (Per 1000 Person-years) of Primary Inapparent Dengue Infection by Age Category and Calendar Year, and Overall, Among Subjects With no Seroprevalence at the First Visit
Primary inapparent dengue at 18-49 years in 2017
22.873 infections per 1000 person-year
Interval 2.77 to 82.625
Incidence Rate (Per 1000 Person-years) of Primary Inapparent Dengue Infection by Age Category and Calendar Year, and Overall, Among Subjects With no Seroprevalence at the First Visit
Primary inapparent dengue at 18-49 years in 2018
14.092 infections per 1000 person-year
Interval 1.707 to 50.907
Incidence Rate (Per 1000 Person-years) of Primary Inapparent Dengue Infection by Age Category and Calendar Year, and Overall, Among Subjects With no Seroprevalence at the First Visit
Overall primary inapparent dengue at 18-49 years
48.065 infections per 1000 person-year
Interval 26.278 to 80.646
Incidence Rate (Per 1000 Person-years) of Primary Inapparent Dengue Infection by Age Category and Calendar Year, and Overall, Among Subjects With no Seroprevalence at the First Visit
Primary inapparent dengue at ≥ 50 years in 2014
0.000 infections per 1000 person-year
Interval 0.0 to 1639.502
Incidence Rate (Per 1000 Person-years) of Primary Inapparent Dengue Infection by Age Category and Calendar Year, and Overall, Among Subjects With no Seroprevalence at the First Visit
Primary inapparent dengue at ≥ 50 years in 2015
0.000 infections per 1000 person-year
Interval 0.0 to 1063.078
Incidence Rate (Per 1000 Person-years) of Primary Inapparent Dengue Infection by Age Category and Calendar Year, and Overall, Among Subjects With no Seroprevalence at the First Visit
Primary inapparent dengue at ≥ 50 years in 2016
0.000 infections per 1000 person-year
Interval 0.0 to 1225.541
Incidence Rate (Per 1000 Person-years) of Primary Inapparent Dengue Infection by Age Category and Calendar Year, and Overall, Among Subjects With no Seroprevalence at the First Visit
Primary inapparent dengue at ≥ 50 years in 2017
25.504 infections per 1000 person-year
Interval 0.646 to 142.098
Incidence Rate (Per 1000 Person-years) of Primary Inapparent Dengue Infection by Age Category and Calendar Year, and Overall, Among Subjects With no Seroprevalence at the First Visit
Primary inapparent dengue at ≥ 50 years in 2018
15.179 infections per 1000 person-year
Interval 0.384 to 84.573
Incidence Rate (Per 1000 Person-years) of Primary Inapparent Dengue Infection by Age Category and Calendar Year, and Overall, Among Subjects With no Seroprevalence at the First Visit
Overall primary inapparent dengue at ≥ 50 years
17.570 infections per 1000 person-year
Interval 2.128 to 63.469

SECONDARY outcome

Timeframe: At each calendar year i.e. Year 2014, 2015, 2016, 2017, 2018, and overall calendar years

Population: Analysis was performed on the According-to-Protocol cohort that included all evaluable subjects who met all eligibility criteria, complying with the procedures defined in the protocol and who had no seroprevalence at first visit of the first year.

Incidence rate (IR) of primary inapparent dengue infection with 95% Confidence Interval (CI) by gender and, for each year separately and overall years calculated as the incidence rate per 1000 person-years, among subjects with no seroprevalence at the first visit: the numerator is the number of all primary inapparent dengue infection cases reported during the follow-up period at risk. The denominator is the total Person-years at risk, i.e. sum of the follow-up periods at risk expressed in years. The primary inapparent dengue infection condition was defined as a documented seroconversion (anti-dengue IgG antibodies) between two sequential sera samples obtained during the scheduled visits without clinical suspicion of dengue (identified during the time period in which seroconversion occurred). Data were not analyzed by Dengue season as planned in the protocol as most of the cases occurred outside the seasons.

Outcome measures

Outcome measures
Measure
Total Group
n=777 Participants
Subjects six months of age and older at the time of enrolment, recruited from randomly selected households originating from preselected mapped communities. Preferably the recruitment period occurred outside of the peak dengue transmission season, and continued until each site had reached its foreseen target. The expected period for recruiting the target sample size was approximately three months. Recruitment of replacement subjects was done during the low dengue transmission and the recruitment period depended on the number of subjects that need to be replaced. Enrolled subjects were subjects who either lived in households in study areas with support from the Family Health Physician Program (FHP) or the Larval Index Rapid Assay (LIRA) or with field research experience in the community (preferred) or where a similar system of mapped communities with potential for surveillance existed.
Incidence Rate (Per 1000 Person-years) of Primary Inapparent Dengue Infection by Gender and Calendar Year, and Overall, Among Subjects With no Seroprevalence at the First Visit
Primary inapparent dengue at year 2014- females
0.000 infections per 1000 person-year
Interval 0.0 to 129.027
Incidence Rate (Per 1000 Person-years) of Primary Inapparent Dengue Infection by Gender and Calendar Year, and Overall, Among Subjects With no Seroprevalence at the First Visit
Primary inapparent dengue at year 2015- females
36.792 infections per 1000 person-year
Interval 4.456 to 132.904
Incidence Rate (Per 1000 Person-years) of Primary Inapparent Dengue Infection by Gender and Calendar Year, and Overall, Among Subjects With no Seroprevalence at the First Visit
Primary inapparent dengue at year 2016- females
91.002 infections per 1000 person-year
Interval 39.288 to 179.311
Incidence Rate (Per 1000 Person-years) of Primary Inapparent Dengue Infection by Gender and Calendar Year, and Overall, Among Subjects With no Seroprevalence at the First Visit
Primary inapparent dengue at year 2017- females
25.219 infections per 1000 person-year
Interval 8.189 to 58.854
Incidence Rate (Per 1000 Person-years) of Primary Inapparent Dengue Infection by Gender and Calendar Year, and Overall, Among Subjects With no Seroprevalence at the First Visit
Primary inapparent dengue at year 2018- females
43.176 infections per 1000 person-year
Interval 22.31 to 75.42
Incidence Rate (Per 1000 Person-years) of Primary Inapparent Dengue Infection by Gender and Calendar Year, and Overall, Among Subjects With no Seroprevalence at the First Visit
Overall Primary inapparent dengue- females
41.728 infections per 1000 person-year
Interval 27.499 to 60.712
Incidence Rate (Per 1000 Person-years) of Primary Inapparent Dengue Infection by Gender and Calendar Year, and Overall, Among Subjects With no Seroprevalence at the First Visit
Primary inapparent dengue at year 2014- males
0.000 infections per 1000 person-year
Interval 0.0 to 136.423
Incidence Rate (Per 1000 Person-years) of Primary Inapparent Dengue Infection by Gender and Calendar Year, and Overall, Among Subjects With no Seroprevalence at the First Visit
Primary inapparent dengue at year 2015- males
93.179 infections per 1000 person-year
Interval 30.255 to 217.449
Incidence Rate (Per 1000 Person-years) of Primary Inapparent Dengue Infection by Gender and Calendar Year, and Overall, Among Subjects With no Seroprevalence at the First Visit
Primary inapparent dengue at year 2016- males
64.837 infections per 1000 person-year
Interval 23.794 to 141.122
Incidence Rate (Per 1000 Person-years) of Primary Inapparent Dengue Infection by Gender and Calendar Year, and Overall, Among Subjects With no Seroprevalence at the First Visit
Primary inapparent dengue at year 2017- males
15.965 infections per 1000 person-year
Interval 3.292 to 46.657
Incidence Rate (Per 1000 Person-years) of Primary Inapparent Dengue Infection by Gender and Calendar Year, and Overall, Among Subjects With no Seroprevalence at the First Visit
Primary inapparent dengue at year 2018- males
45.807 infections per 1000 person-year
Interval 22.866 to 81.961
Incidence Rate (Per 1000 Person-years) of Primary Inapparent Dengue Infection by Gender and Calendar Year, and Overall, Among Subjects With no Seroprevalence at the First Visit
Overall primary inapparent dengue- males
41.577 infections per 1000 person-year
Interval 26.907 to 61.376

SECONDARY outcome

Timeframe: From Year 2014 to Year 2018 (a range of 1 to 4 years for an individual subject)

Population: Analysis was performed on the According-to-Protocol cohort that included all evaluable subjects who met all eligibility criteria, complying with the procedures defined in the protocol and who were defined as suspected dengue cases, excluding those without fever or reported before the first visit.

To describe symptoms and spectrum of dengue disease in the study population for the suspected dengue cases, excluding those reported without fever. Suspected symptomatic dengue case= Febrile illness with body temperature ≥ 38°C measured (by any route) on at least two consecutive days and less than 14 days with or without the presence of other dengue symptoms or signs, without an obvious aetiology unrelated to dengue, based on investigator's judgement; Lab-confirmed = laboratory-confirmed symptomatic dengue cases; Probable = probable symptomatic dengue cases; Negative = negative symptomatic dengue cases; Indeterminate = indeterminate symptomatic dengue case( not classified as laboratory confirmed case, probable case or negative case); Severe dengue episode = at least one criteria met for severe dengue (in accordance to the "dengue with warning signs" and "severe dengue" definitions in the 2009 WHO guidelines for dengue).

Outcome measures

Outcome measures
Measure
Total Group
n=1284 Participants
Subjects six months of age and older at the time of enrolment, recruited from randomly selected households originating from preselected mapped communities. Preferably the recruitment period occurred outside of the peak dengue transmission season, and continued until each site had reached its foreseen target. The expected period for recruiting the target sample size was approximately three months. Recruitment of replacement subjects was done during the low dengue transmission and the recruitment period depended on the number of subjects that need to be replaced. Enrolled subjects were subjects who either lived in households in study areas with support from the Family Health Physician Program (FHP) or the Larval Index Rapid Assay (LIRA) or with field research experience in the community (preferred) or where a similar system of mapped communities with potential for surveillance existed.
Number of Suspected Dengue Cases With Severity Criteria
Severe dengue episode- indeterminate
0 Participants
Number of Suspected Dengue Cases With Severity Criteria
Severe dengue episode- lab-confirmed
0 Participants
Number of Suspected Dengue Cases With Severity Criteria
Severe dengue episode- negative
0 Participants
Number of Suspected Dengue Cases With Severity Criteria
Severe dengue episode- probable
1 Participants
Number of Suspected Dengue Cases With Severity Criteria
Severe dengue episode- total
1 Participants
Number of Suspected Dengue Cases With Severity Criteria
Severe plasma leakage- indeterminate
0 Participants
Number of Suspected Dengue Cases With Severity Criteria
Severe plasma leakage- lab-confirmed
0 Participants
Number of Suspected Dengue Cases With Severity Criteria
Severe plasma leakage- negative
0 Participants
Number of Suspected Dengue Cases With Severity Criteria
Severe plasma leakage- probable
0 Participants
Number of Suspected Dengue Cases With Severity Criteria
Severe plasma leakage- total
0 Participants
Number of Suspected Dengue Cases With Severity Criteria
Fluid accumulation- indeterminate
0 Participants
Number of Suspected Dengue Cases With Severity Criteria
Fluid accumulation- lab-confirmed
0 Participants
Number of Suspected Dengue Cases With Severity Criteria
Fluid accumulation- negative
0 Participants
Number of Suspected Dengue Cases With Severity Criteria
Fluid accumulation- probable
0 Participants
Number of Suspected Dengue Cases With Severity Criteria
Fluid accumulation- total
0 Participants
Number of Suspected Dengue Cases With Severity Criteria
Severe bleeding- indeterminate
0 Participants
Number of Suspected Dengue Cases With Severity Criteria
Severe bleeding- lab-confirmed
0 Participants
Number of Suspected Dengue Cases With Severity Criteria
Severe bleeding- negative
0 Participants
Number of Suspected Dengue Cases With Severity Criteria
Severe bleeding- probable
1 Participants
Number of Suspected Dengue Cases With Severity Criteria
Severe bleeding- total
1 Participants
Number of Suspected Dengue Cases With Severity Criteria
Liver involvement- indeterminate
0 Participants
Number of Suspected Dengue Cases With Severity Criteria
Liver involvement- lab-confirmed
0 Participants
Number of Suspected Dengue Cases With Severity Criteria
Liver involvement- negative
0 Participants
Number of Suspected Dengue Cases With Severity Criteria
Liver involvement- probable
0 Participants
Number of Suspected Dengue Cases With Severity Criteria
Liver involvement- total
0 Participants
Number of Suspected Dengue Cases With Severity Criteria
Central Nervous System involvement- indeterminate
0 Participants
Number of Suspected Dengue Cases With Severity Criteria
Central Nervous System involvement- lab-confirmed
0 Participants
Number of Suspected Dengue Cases With Severity Criteria
Central Nervous System involvement- negative
0 Participants
Number of Suspected Dengue Cases With Severity Criteria
Central Nervous System involvement- probable
0 Participants
Number of Suspected Dengue Cases With Severity Criteria
Central Nervous System involvement- total
0 Participants
Number of Suspected Dengue Cases With Severity Criteria
Heart and other organs involvement- indeterminate
0 Participants
Number of Suspected Dengue Cases With Severity Criteria
Heart and other organs involvement- lab-confirmed
0 Participants
Number of Suspected Dengue Cases With Severity Criteria
Heart and other organs involvement- negative
0 Participants
Number of Suspected Dengue Cases With Severity Criteria
Heart and other organs involvement- probable
0 Participants
Number of Suspected Dengue Cases With Severity Criteria
Heart and other organs involvement- total
0 Participants

SECONDARY outcome

Timeframe: From Year 2014 to Year 2018 (a range of 1 to 4 years for an individual subject)

Population: Analysis was performed on the Total cohort that included all subjects enrolled in the study.

Serious adverse events (SAEs) assessed include medical occurrences that result in death, are life threatening, require hospitalization or prolongation of hospitalization or result in disability/incapacity.

Outcome measures

Outcome measures
Measure
Total Group
n=3300 Participants
Subjects six months of age and older at the time of enrolment, recruited from randomly selected households originating from preselected mapped communities. Preferably the recruitment period occurred outside of the peak dengue transmission season, and continued until each site had reached its foreseen target. The expected period for recruiting the target sample size was approximately three months. Recruitment of replacement subjects was done during the low dengue transmission and the recruitment period depended on the number of subjects that need to be replaced. Enrolled subjects were subjects who either lived in households in study areas with support from the Family Health Physician Program (FHP) or the Larval Index Rapid Assay (LIRA) or with field research experience in the community (preferred) or where a similar system of mapped communities with potential for surveillance existed.
Number of Subjects With Serious Adverse Events (SAEs) Related to a Study Procedure
0 Participants

Adverse Events

Total Group

Serious events: 0 serious events
Other events: 0 other events
Deaths: 31 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

GSK Response Center

GlaxoSmithKline

Phone: 435-7343

Results disclosure agreements

  • Principal investigator is a sponsor employee GSK agreements may vary with individual investigators, but will not prohibit any investigator from publishing. GSK supports the publication of results from all centers of a multi-center trial but requests that reports based on single-site data not precede the primary publication of the entire clinical trial.
  • Publication restrictions are in place

Restriction type: OTHER