Trial Outcomes & Findings for Immunogenicity and Safety of Tetravalent Dengue Vaccine (TDV) in Adolescents in Non-Endemic Area(s) (NCT NCT03341637)

NCT ID: NCT03341637

Last Updated: 2019-08-15

Results Overview

GMTs of neutralizing antibodies were measured by microneutralization test 50% \[MNT50\] for each of the 4 Dengue Serotypes. The 4 dengue virus serotypes were DENV-1, DENV-2, DENV-3 and DENV-4. Seropositivity is defined as reciprocal neutralizing titer ≥10.

Recruitment status

COMPLETED

Study phase

PHASE3

Target enrollment

400 participants

Primary outcome timeframe

One month post second dose (Day 120)

Results posted on

2019-08-15

Participant Flow

Participants took part in the study at 5 investigative sites in Mexico from 14-Dec-2017 to 26-Jan-2019.

Healthy volunteers were enrolled in a 3:1 ratio into 2 parallel study groups: 1 study group received 2 doses of Tetravalent Dengue vaccine (TDV) and another group received 2 doses of TDV matching placebo subcutaneously (SC).

Participant milestones

Participant milestones
Measure
Placebo
TDV placebo-matching 0.5 mL injection, subcutaneously, once on Day 0 (first dose) and Day 90 (second dose).
Tetravalent Dengue Vaccine (TDV)
TDV 0.5 mL, injection, subcutaneously, once on Day 0 (first dose) and Day 90 (second dose).
Overall Study
STARTED
100
300
Overall Study
COMPLETED
95
296
Overall Study
NOT COMPLETED
5
4

Reasons for withdrawal

Reasons for withdrawal
Measure
Placebo
TDV placebo-matching 0.5 mL injection, subcutaneously, once on Day 0 (first dose) and Day 90 (second dose).
Tetravalent Dengue Vaccine (TDV)
TDV 0.5 mL, injection, subcutaneously, once on Day 0 (first dose) and Day 90 (second dose).
Overall Study
Lost to Follow-up
1
0
Overall Study
Withdrawal by Subject
3
3
Overall Study
Reason not Specified
1
1

Baseline Characteristics

If a participant had documented more than 1 race category on the case report form, the participant was only included under the multiracial category.

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Placebo
n=100 Participants
TDV placebo-matching 0.5 mL injection, subcutaneously, once on Day 0 (first dose) and Day 90 (second dose).
Tetravalent Dengue Vaccine (TDV)
n=300 Participants
TDV 0.5 mL, injection, subcutaneously, once on Day 0 (first dose) and Day 90 (second dose).
Total
n=400 Participants
Total of all reporting groups
Age, Continuous
14.3 years
STANDARD_DEVIATION 1.57 • n=5 Participants
14.3 years
STANDARD_DEVIATION 1.69 • n=7 Participants
14.3 years
STANDARD_DEVIATION 1.66 • n=5 Participants
Sex: Female, Male
Female
51 Participants
n=5 Participants
176 Participants
n=7 Participants
227 Participants
n=5 Participants
Sex: Female, Male
Male
49 Participants
n=5 Participants
124 Participants
n=7 Participants
173 Participants
n=5 Participants
Race/Ethnicity, Customized
Hispanic or Latino
100 Participants
n=5 Participants
300 Participants
n=7 Participants
400 Participants
n=5 Participants
Race/Ethnicity, Customized
American Indian or Alaska Native
55 Participants
n=5 Participants • If a participant had documented more than 1 race category on the case report form, the participant was only included under the multiracial category.
148 Participants
n=7 Participants • If a participant had documented more than 1 race category on the case report form, the participant was only included under the multiracial category.
203 Participants
n=5 Participants • If a participant had documented more than 1 race category on the case report form, the participant was only included under the multiracial category.
Race/Ethnicity, Customized
Multiracial
45 Participants
n=5 Participants • If a participant had documented more than 1 race category on the case report form, the participant was only included under the multiracial category.
152 Participants
n=7 Participants • If a participant had documented more than 1 race category on the case report form, the participant was only included under the multiracial category.
197 Participants
n=5 Participants • If a participant had documented more than 1 race category on the case report form, the participant was only included under the multiracial category.
Region of Enrollment
Mexico
100 Participants
n=5 Participants
300 Participants
n=7 Participants
400 Participants
n=5 Participants
Height
159.6 cm
STANDARD_DEVIATION 8.94 • n=5 Participants
159.0 cm
STANDARD_DEVIATION 8.68 • n=7 Participants
159.2 cm
STANDARD_DEVIATION 8.74 • n=5 Participants
Weight
57.60 kg
STANDARD_DEVIATION 14.045 • n=5 Participants
56.84 kg
STANDARD_DEVIATION 12.708 • n=7 Participants
57.03 kg
STANDARD_DEVIATION 13.041 • n=5 Participants
Body Mass Index (BMI)
22.42 kg/m^2
STANDARD_DEVIATION 4.237 • n=5 Participants
22.39 kg/m^2
STANDARD_DEVIATION 4.266 • n=7 Participants
22.40 kg/m^2
STANDARD_DEVIATION 4.254 • n=5 Participants

PRIMARY outcome

Timeframe: One month post second dose (Day 120)

Population: Per Protocol Set (PPS): all participants seronegative to all serotypes of dengue virus at baseline who received at least 1 dose of trial vaccine, who had a valid pre-dose (baseline) and at least 1 valid post-dose measurement for immunogenicity and no major protocol violations. Number analyzed: participants with data available at given time-point.

GMTs of neutralizing antibodies were measured by microneutralization test 50% \[MNT50\] for each of the 4 Dengue Serotypes. The 4 dengue virus serotypes were DENV-1, DENV-2, DENV-3 and DENV-4. Seropositivity is defined as reciprocal neutralizing titer ≥10.

Outcome measures

Outcome measures
Measure
Placebo
n=82 Participants
TDV placebo-matching 0.5 mL injection, subcutaneously, once on Day 0 (first dose) and Day 90 (second dose).
Tetravalent Dengue Vaccine (TDV)
n=271 Participants
TDV 0.5 mL, injection, subcutaneously, once on Day 0 (first dose) and Day 90 (second dose).
Geometric Mean Titers (GMTs) of Neutralizing Antibodies for Each of the 4 Dengue Serotypes at Day 120
DENV-1
5.3 titer
Interval 4.7 to 5.8
327.9 titer
Interval 281.7 to 381.8
Geometric Mean Titers (GMTs) of Neutralizing Antibodies for Each of the 4 Dengue Serotypes at Day 120
DENV-2
6.0 titer
Interval 5.2 to 7.0
1742.5 titer
Interval 1522.6 to 1994.3
Geometric Mean Titers (GMTs) of Neutralizing Antibodies for Each of the 4 Dengue Serotypes at Day 120
DENV-3
5.2 titer
Interval 4.8 to 5.6
119.5 titer
Interval 106.4 to 134.2
Geometric Mean Titers (GMTs) of Neutralizing Antibodies for Each of the 4 Dengue Serotypes at Day 120
DENV-4
5.1 titer
Interval 4.9 to 5.2
142.7 titer
Interval 126.4 to 161.0

SECONDARY outcome

Timeframe: Six months post second dose (Day 270)

Population: PPS: all participants seronegative to all serotypes of dengue virus at baseline who received at least 1 dose of trial vaccine, who had a valid pre-dose (baseline) and at least 1 valid post-dose measurement for immunogenicity and no major protocol violations. Number analyzed: participants with data available at given time-point.

GMTs of neutralizing antibodies were measured by microneutralization test 50% \[MNT50\] for each of the 4 Dengue Serotypes. The 4 dengue virus serotypes were DENV-1, DENV-2, DENV-3 and DENV-4. Seropositivity is defined as reciprocal neutralizing titer ≥10.

Outcome measures

Outcome measures
Measure
Placebo
n=82 Participants
TDV placebo-matching 0.5 mL injection, subcutaneously, once on Day 0 (first dose) and Day 90 (second dose).
Tetravalent Dengue Vaccine (TDV)
n=271 Participants
TDV 0.5 mL, injection, subcutaneously, once on Day 0 (first dose) and Day 90 (second dose).
Geometric Mean Titers (GMTs) of Neutralizing Antibodies for Each of the 4 Dengue Serotypes at Day 270
DENV-1
5.4 titer
Interval 4.8 to 6.0
134.7 titer
Interval 114.5 to 158.5
Geometric Mean Titers (GMTs) of Neutralizing Antibodies for Each of the 4 Dengue Serotypes at Day 270
DENV-2
5.2 titer
Interval 4.8 to 5.5
740.9 titer
Interval 645.2 to 850.7
Geometric Mean Titers (GMTs) of Neutralizing Antibodies for Each of the 4 Dengue Serotypes at Day 270
DENV-3
5.3 titer
Interval 4.9 to 5.9
45.8 titer
Interval 40.7 to 51.5
Geometric Mean Titers (GMTs) of Neutralizing Antibodies for Each of the 4 Dengue Serotypes at Day 270
DENV-4
5.0 titer
Data for 95% CI was not evaluable at this time point.
37.5 titer
Interval 32.9 to 42.7

SECONDARY outcome

Timeframe: One month and six months post second dose (Day 120 and Day 270)

Population: PPS: all participants seronegative to all serotypes of dengue virus at baseline who received at least 1 dose of trial vaccine, who had a valid pre-dose (baseline) and at least 1 valid post-dose measurement for immunogenicity and no major protocol violations. Number analyzed: participants with data available at given time-point.

Seropositivity rate, defined as the percentage of participants seropositive, was derived from the titers of dengue-neutralizing antibodies. Seropositivity defined as a reciprocal neutralizing titer ≥10. The 4 dengue virus serotypes were DENV-1, DENV-2, DENV-3 and DENV-4.

Outcome measures

Outcome measures
Measure
Placebo
n=82 Participants
TDV placebo-matching 0.5 mL injection, subcutaneously, once on Day 0 (first dose) and Day 90 (second dose).
Tetravalent Dengue Vaccine (TDV)
n=271 Participants
TDV 0.5 mL, injection, subcutaneously, once on Day 0 (first dose) and Day 90 (second dose).
Seropositivity Rates for Each of the 4 Dengue Serotypes
Day 120 (Month 4): DENV-1
1.4 percentage of participants
Interval 0.0 to 7.5
100.0 percentage of participants
Interval 98.5 to 100.0
Seropositivity Rates for Each of the 4 Dengue Serotypes
Day 120 (Month 4): DENV-2
8.3 percentage of participants
Interval 3.1 to 17.3
100.0 percentage of participants
Interval 98.5 to 100.0
Seropositivity Rates for Each of the 4 Dengue Serotypes
Day 120 (Month 4): DENV-3
1.4 percentage of participants
Interval 0.0 to 7.5
100.0 percentage of participants
Interval 98.5 to 100.0
Seropositivity Rates for Each of the 4 Dengue Serotypes
Day 120 (Month 4): DENV-4
1.4 percentage of participants
Interval 0.0 to 7.5
99.6 percentage of participants
Interval 97.7 to 100.0
Seropositivity Rates for Each of the 4 Dengue Serotypes
Day 270 (Month 9): DENV-1
2.7 percentage of participants
Interval 0.3 to 9.5
98.4 percentage of participants
Interval 96.0 to 99.6
Seropositivity Rates for Each of the 4 Dengue Serotypes
Day 270 (Month 9): DENV-2
1.4 percentage of participants
Interval 0.0 to 7.4
99.6 percentage of participants
Interval 97.8 to 100.0
Seropositivity Rates for Each of the 4 Dengue Serotypes
Day 270 (Month 9): DENV-3
2.7 percentage of participants
Interval 0.3 to 9.5
92.1 percentage of participants
Interval 88.1 to 95.1
Seropositivity Rates for Each of the 4 Dengue Serotypes
Day 270 (Month 9): DENV-4
0 percentage of participants
Interval 0.0 to 4.9
89.4 percentage of participants
Interval 84.9 to 92.9

SECONDARY outcome

Timeframe: One month and six months post second dose (Day 120 and Day 270)

Population: PPS: all participants seronegative to all serotypes of dengue virus at baseline who received at least 1 dose of trial vaccine, who had a valid pre-dose (baseline) and at least 1 valid post-dose measurement for immunogenicity and no major protocol violations. Number analyzed: participants with data available at given time-point.

Seropositivity rate, defined as the percentage of participants seropositive, was derived from the titers of dengue-neutralizing antibodies. Seropositivity was defined as a reciprocal neutralizing titer ≥10.

Outcome measures

Outcome measures
Measure
Placebo
n=82 Participants
TDV placebo-matching 0.5 mL injection, subcutaneously, once on Day 0 (first dose) and Day 90 (second dose).
Tetravalent Dengue Vaccine (TDV)
n=271 Participants
TDV 0.5 mL, injection, subcutaneously, once on Day 0 (first dose) and Day 90 (second dose).
Seropositivity Rates for Multiple (2, 3 or 4) Dengue Serotypes
Day 270 (Month 9): Tetravalent
0 percentage of participants
Interval 0.0 to 4.9
85.8 percentage of participants
Interval 80.9 to 89.9
Seropositivity Rates for Multiple (2, 3 or 4) Dengue Serotypes
Day 120 (Month 4): At Least Bivalent
1.4 percentage of participants
Interval 0.0 to 7.5
100.0 percentage of participants
Interval 98.5 to 100.0
Seropositivity Rates for Multiple (2, 3 or 4) Dengue Serotypes
Day 120 (Month 4): At Least Trivalent
1.4 percentage of participants
Interval 0.0 to 7.5
100.0 percentage of participants
Interval 98.5 to 100.0
Seropositivity Rates for Multiple (2, 3 or 4) Dengue Serotypes
Day 120 (Month 4): Tetravalent
1.4 percentage of participants
Interval 0.0 to 7.5
99.6 percentage of participants
Interval 97.7 to 100.0
Seropositivity Rates for Multiple (2, 3 or 4) Dengue Serotypes
Day 270 (Month 9): At Least Bivalent
0 percentage of participants
Interval 0.0 to 4.9
99.2 percentage of participants
Interval 97.2 to 99.9
Seropositivity Rates for Multiple (2, 3 or 4) Dengue Serotypes
Day 270 (Month 9): At Least Trivalent
0 percentage of participants
Interval 0.0 to 4.9
94.5 percentage of participants
Interval 90.9 to 97.0

SECONDARY outcome

Timeframe: Within 7 days after each vaccination

Population: Safety Set included of all participants who received at least 1 dose of trial vaccine. Number analyzed is the number of participants with data available at the given timepoint. Only categories for which there was at least 1 participant are reported.

Solicited local AEs (at injection site) were collected by participants using diary cards within 7 days after vaccination and included pain (none, mild: no interference with daily activity, moderate: interference with daily activity with or without treatment and severe: prevents daily activity with or without treatment), redness (erythema) (\<2.5 cm, mild: 2.5-5 cm, moderate: \>5 to \<=10 cm, severe: \>10 cm) and swelling (edema/induration) (\<2.5 cm, mild: 2.5-5 cm, moderate: \>5 to \<=10 cm, severe: \>10 cm).

Outcome measures

Outcome measures
Measure
Placebo
n=100 Participants
TDV placebo-matching 0.5 mL injection, subcutaneously, once on Day 0 (first dose) and Day 90 (second dose).
Tetravalent Dengue Vaccine (TDV)
n=300 Participants
TDV 0.5 mL, injection, subcutaneously, once on Day 0 (first dose) and Day 90 (second dose).
Percentage of Participants With Solicited Local (Injection Site) Adverse Events (AEs) (Diary Recorded) Following Each Vaccination by Severity
After First Vaccination, Any Solicited Local AEs
34.3 percentage of participants
56.2 percentage of participants
Percentage of Participants With Solicited Local (Injection Site) Adverse Events (AEs) (Diary Recorded) Following Each Vaccination by Severity
After First Vaccination, Pain:Mild
26.3 percentage of participants
44.8 percentage of participants
Percentage of Participants With Solicited Local (Injection Site) Adverse Events (AEs) (Diary Recorded) Following Each Vaccination by Severity
After First Vaccination, Pain:Moderate
7.1 percentage of participants
9.7 percentage of participants
Percentage of Participants With Solicited Local (Injection Site) Adverse Events (AEs) (Diary Recorded) Following Each Vaccination by Severity
After First Vaccination, Pain:Severe
1.0 percentage of participants
0.7 percentage of participants
Percentage of Participants With Solicited Local (Injection Site) Adverse Events (AEs) (Diary Recorded) Following Each Vaccination by Severity
After Second Vaccination, Swelling:Moderate
0 percentage of participants
0.3 percentage of participants
Percentage of Participants With Solicited Local (Injection Site) Adverse Events (AEs) (Diary Recorded) Following Each Vaccination by Severity
After First Vaccination, Erythema:Mild
0 percentage of participants
5.7 percentage of participants
Percentage of Participants With Solicited Local (Injection Site) Adverse Events (AEs) (Diary Recorded) Following Each Vaccination by Severity
After First Vaccination, Swelling:Mild
0 percentage of participants
4.3 percentage of participants
Percentage of Participants With Solicited Local (Injection Site) Adverse Events (AEs) (Diary Recorded) Following Each Vaccination by Severity
After Second Vaccination, Any Solicited Local AEs
30.9 percentage of participants
52.2 percentage of participants
Percentage of Participants With Solicited Local (Injection Site) Adverse Events (AEs) (Diary Recorded) Following Each Vaccination by Severity
After Second Vaccination, Pain:Mild
24.5 percentage of participants
35.6 percentage of participants
Percentage of Participants With Solicited Local (Injection Site) Adverse Events (AEs) (Diary Recorded) Following Each Vaccination by Severity
After Second Vaccination, Pain:Moderate
5.3 percentage of participants
13.2 percentage of participants
Percentage of Participants With Solicited Local (Injection Site) Adverse Events (AEs) (Diary Recorded) Following Each Vaccination by Severity
After Second Vaccination, Pain:Severe
1.1 percentage of participants
3.1 percentage of participants
Percentage of Participants With Solicited Local (Injection Site) Adverse Events (AEs) (Diary Recorded) Following Each Vaccination by Severity
After Second Vaccination, Erythema:Mild
0 percentage of participants
4.1 percentage of participants
Percentage of Participants With Solicited Local (Injection Site) Adverse Events (AEs) (Diary Recorded) Following Each Vaccination by Severity
After Second Vaccination, Swelling:Mild
0 percentage of participants
1.7 percentage of participants

SECONDARY outcome

Timeframe: Within 14 days after each vaccination

Population: Safety Set included of all participants who received at least 1 dose of trial vaccine. Number analyzed is the number of participants with data available at the given timepoint. Only categories for which there was at least 1 participant are reported.

Solicited systemic AEs were collected by participants using diary cards within 14 days after vaccination and included fever, headache, tiredness or weakness (asthenia), feeling of discomfort (malaise) and muscle pain (myalgia). Severity scales for headache were none, mild: no interference with daily activity, moderate: interference with daily activity with or without treatment and severe: prevents normal activity with or without treatment. Severity scales for others were none, mild: no interference with daily activity, moderate: interference with daily activity and severe: prevents daily activity. A systemic AE of fever (defined as ≥38°C or ≥100.4°F) was derived from a daily temperature reading recorded within 14 days after vaccination. Fever was excluded from the overall count as no severity grading was applied for it.

Outcome measures

Outcome measures
Measure
Placebo
n=100 Participants
TDV placebo-matching 0.5 mL injection, subcutaneously, once on Day 0 (first dose) and Day 90 (second dose).
Tetravalent Dengue Vaccine (TDV)
n=300 Participants
TDV 0.5 mL, injection, subcutaneously, once on Day 0 (first dose) and Day 90 (second dose).
Percentage of Participants With Solicited Systemic Adverse Events (AEs) (Diary Recorded) Following Each Vaccination by Severity
After First Vaccination: Any Solicited Systemic AE
58.6 percentage of participants
66.6 percentage of participants
Percentage of Participants With Solicited Systemic Adverse Events (AEs) (Diary Recorded) Following Each Vaccination by Severity
After First Vaccination: Headache-Severe
1.0 percentage of participants
2.7 percentage of participants
Percentage of Participants With Solicited Systemic Adverse Events (AEs) (Diary Recorded) Following Each Vaccination by Severity
After First Vaccination: Asthenia-Moderate
13.1 percentage of participants
7.7 percentage of participants
Percentage of Participants With Solicited Systemic Adverse Events (AEs) (Diary Recorded) Following Each Vaccination by Severity
After First Vaccination: Malaise-Moderate
11.1 percentage of participants
7.7 percentage of participants
Percentage of Participants With Solicited Systemic Adverse Events (AEs) (Diary Recorded) Following Each Vaccination by Severity
After First Vaccination: Myalgia-Severe
1.0 percentage of participants
1.0 percentage of participants
Percentage of Participants With Solicited Systemic Adverse Events (AEs) (Diary Recorded) Following Each Vaccination by Severity
After First Vaccination:Fever (38.0°C-<38.5°C)
3.0 percentage of participants
3.0 percentage of participants
Percentage of Participants With Solicited Systemic Adverse Events (AEs) (Diary Recorded) Following Each Vaccination by Severity
After First Vaccination:Fever (38.5°C-<39.0°C)
2.0 percentage of participants
2.3 percentage of participants
Percentage of Participants With Solicited Systemic Adverse Events (AEs) (Diary Recorded) Following Each Vaccination by Severity
After Second Vaccination: Headache-Moderate
6.4 percentage of participants
8.4 percentage of participants
Percentage of Participants With Solicited Systemic Adverse Events (AEs) (Diary Recorded) Following Each Vaccination by Severity
After Second Vaccination: Malaise-Mild
12.8 percentage of participants
16.2 percentage of participants
Percentage of Participants With Solicited Systemic Adverse Events (AEs) (Diary Recorded) Following Each Vaccination by Severity
After Second Vaccination: Myalgia-Mild
21.3 percentage of participants
25.7 percentage of participants
Percentage of Participants With Solicited Systemic Adverse Events (AEs) (Diary Recorded) Following Each Vaccination by Severity
After Second Vaccination: Myalgia-Moderate
8.5 percentage of participants
6.8 percentage of participants
Percentage of Participants With Solicited Systemic Adverse Events (AEs) (Diary Recorded) Following Each Vaccination by Severity
After Second Vaccination:Fever-Any
3.2 percentage of participants
6.8 percentage of participants
Percentage of Participants With Solicited Systemic Adverse Events (AEs) (Diary Recorded) Following Each Vaccination by Severity
After Second Vaccination:Fever (39.5°C-<40.0°C)
0.0 percentage of participants
0.3 percentage of participants
Percentage of Participants With Solicited Systemic Adverse Events (AEs) (Diary Recorded) Following Each Vaccination by Severity
After Second Vaccination:Fever (38.0°C-<38.5°C)
1.1 percentage of participants
3.7 percentage of participants
Percentage of Participants With Solicited Systemic Adverse Events (AEs) (Diary Recorded) Following Each Vaccination by Severity
After Second Vaccination:Fever (38.5°C-<39.0°C)
1.1 percentage of participants
2.0 percentage of participants
Percentage of Participants With Solicited Systemic Adverse Events (AEs) (Diary Recorded) Following Each Vaccination by Severity
After Second Vaccination:Fever (39.0°C-<39.5°C)
1.1 percentage of participants
0.7 percentage of participants
Percentage of Participants With Solicited Systemic Adverse Events (AEs) (Diary Recorded) Following Each Vaccination by Severity
After First Vaccination: Headache-Mild
25.3 percentage of participants
31.4 percentage of participants
Percentage of Participants With Solicited Systemic Adverse Events (AEs) (Diary Recorded) Following Each Vaccination by Severity
After First Vaccination: Headache-Moderate
18.2 percentage of participants
10.4 percentage of participants
Percentage of Participants With Solicited Systemic Adverse Events (AEs) (Diary Recorded) Following Each Vaccination by Severity
After First Vaccination: Asthenia-Mild
20.2 percentage of participants
24.7 percentage of participants
Percentage of Participants With Solicited Systemic Adverse Events (AEs) (Diary Recorded) Following Each Vaccination by Severity
After First Vaccination: Asthenia-Severe
2.0 percentage of participants
2.3 percentage of participants
Percentage of Participants With Solicited Systemic Adverse Events (AEs) (Diary Recorded) Following Each Vaccination by Severity
After First Vaccination: Malaise-Mild
20.2 percentage of participants
18.7 percentage of participants
Percentage of Participants With Solicited Systemic Adverse Events (AEs) (Diary Recorded) Following Each Vaccination by Severity
After First Vaccination: Malaise-Severe
2.0 percentage of participants
1.3 percentage of participants
Percentage of Participants With Solicited Systemic Adverse Events (AEs) (Diary Recorded) Following Each Vaccination by Severity
After First Vaccination: Myalgia-Mild
26.3 percentage of participants
36.1 percentage of participants
Percentage of Participants With Solicited Systemic Adverse Events (AEs) (Diary Recorded) Following Each Vaccination by Severity
After First Vaccination: Myalgia-Moderate
13.1 percentage of participants
10.7 percentage of participants
Percentage of Participants With Solicited Systemic Adverse Events (AEs) (Diary Recorded) Following Each Vaccination by Severity
After First Vaccination:Fever-Any
5.1 percentage of participants
6.7 percentage of participants
Percentage of Participants With Solicited Systemic Adverse Events (AEs) (Diary Recorded) Following Each Vaccination by Severity
After First Vaccination:Fever (39.0°C-<39.5°C)
0.0 percentage of participants
1.0 percentage of participants
Percentage of Participants With Solicited Systemic Adverse Events (AEs) (Diary Recorded) Following Each Vaccination by Severity
After First Vaccination:Fever (39.5°C-<40.0°C)
0.0 percentage of participants
0.3 percentage of participants
Percentage of Participants With Solicited Systemic Adverse Events (AEs) (Diary Recorded) Following Each Vaccination by Severity
After Second Vaccine: Any Solicited Systemic AEs
45.7 percentage of participants
49.3 percentage of participants
Percentage of Participants With Solicited Systemic Adverse Events (AEs) (Diary Recorded) Following Each Vaccination by Severity
After Second Vaccination: Headache-Mild
20.2 percentage of participants
24.3 percentage of participants
Percentage of Participants With Solicited Systemic Adverse Events (AEs) (Diary Recorded) Following Each Vaccination by Severity
After Second Vaccination: Headache-Severe
3.2 percentage of participants
2.7 percentage of participants
Percentage of Participants With Solicited Systemic Adverse Events (AEs) (Diary Recorded) Following Each Vaccination by Severity
After Second Vaccination: Asthenia-Mild
22.3 percentage of participants
19.9 percentage of participants
Percentage of Participants With Solicited Systemic Adverse Events (AEs) (Diary Recorded) Following Each Vaccination by Severity
After Second Vaccination: Asthenia-Moderate
4.3 percentage of participants
6.8 percentage of participants
Percentage of Participants With Solicited Systemic Adverse Events (AEs) (Diary Recorded) Following Each Vaccination by Severity
After Second Vaccination: Asthenia-Severe
1.1 percentage of participants
1.4 percentage of participants
Percentage of Participants With Solicited Systemic Adverse Events (AEs) (Diary Recorded) Following Each Vaccination by Severity
After Second Vaccination: Malaise-Moderate
6.4 percentage of participants
5.1 percentage of participants
Percentage of Participants With Solicited Systemic Adverse Events (AEs) (Diary Recorded) Following Each Vaccination by Severity
After Second Vaccination: Malaise-Severe
4.3 percentage of participants
2.4 percentage of participants
Percentage of Participants With Solicited Systemic Adverse Events (AEs) (Diary Recorded) Following Each Vaccination by Severity
After Second Vaccination: Myalgia-Severe
1.1 percentage of participants
2.4 percentage of participants

SECONDARY outcome

Timeframe: Within 28 days after each vaccination

Population: Safety Set included of all participants who received at least 1 dose of trial vaccine. Number analyzed is the number of participants with data available at the given timepoint. Only categories for which there was at least 1 participant are reported.

An AE is defined as any untoward medical occurrence in a clinical investigation participant administered a drug; it does not necessarily have to have a causal relationship with this treatment.

Outcome measures

Outcome measures
Measure
Placebo
n=100 Participants
TDV placebo-matching 0.5 mL injection, subcutaneously, once on Day 0 (first dose) and Day 90 (second dose).
Tetravalent Dengue Vaccine (TDV)
n=300 Participants
TDV 0.5 mL, injection, subcutaneously, once on Day 0 (first dose) and Day 90 (second dose).
Percentage of Participants With Any Unsolicited Adverse Events (AEs) Following Each Vaccination
After First Vaccination
25.0 percentage of participants
30.0 percentage of participants
Percentage of Participants With Any Unsolicited Adverse Events (AEs) Following Each Vaccination
After Second Vaccination
17.9 percentage of participants
23.2 percentage of participants

SECONDARY outcome

Timeframe: From first vaccination (Day 1) through end of study (Day 270)

Population: Safety Set included of all participants who received at least 1 dose of trial vaccine.

MAAEs were defined as AEs leading to a medical visit to or by a healthcare professional including visits to an emergency department, but not fulfilling seriousness criteria.

Outcome measures

Outcome measures
Measure
Placebo
n=100 Participants
TDV placebo-matching 0.5 mL injection, subcutaneously, once on Day 0 (first dose) and Day 90 (second dose).
Tetravalent Dengue Vaccine (TDV)
n=300 Participants
TDV 0.5 mL, injection, subcutaneously, once on Day 0 (first dose) and Day 90 (second dose).
Percentage of Participants With Medically Attended AEs (MAAEs) Throughout the Study
38.0 percentage of participants
47.3 percentage of participants

SECONDARY outcome

Timeframe: From first vaccination (Day 1) through end of study (Day 270)

Population: Safety Set included of all participants who received at least 1 dose of trial vaccine.

An SAE was defined as any untoward medical occurrence or effect that results in death, is life-threatening, requires inpatient hospitalization or prolongation of existing hospitalization, results in persistent or significant disability/incapacity, is a congenital anomaly/birth defect or is medically important due to other reasons than the above mentioned criteria.

Outcome measures

Outcome measures
Measure
Placebo
n=100 Participants
TDV placebo-matching 0.5 mL injection, subcutaneously, once on Day 0 (first dose) and Day 90 (second dose).
Tetravalent Dengue Vaccine (TDV)
n=300 Participants
TDV 0.5 mL, injection, subcutaneously, once on Day 0 (first dose) and Day 90 (second dose).
Percentage of Participants With Serious Adverse Events (SAEs) Throughout the Study
2.0 percentage of participants
0.3 percentage of participants

Adverse Events

Placebo

Serious events: 2 serious events
Other events: 38 other events
Deaths: 0 deaths

Tetravalent Dengue Vaccine (TDV)

Serious events: 1 serious events
Other events: 112 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Placebo
n=100 participants at risk
TDV placebo-matching 0.5 mL injection, subcutaneously, once on Day 0 (first dose) and Day 90 (second dose).
Tetravalent Dengue Vaccine (TDV)
n=300 participants at risk
TDV 0.5 mL, injection, subcutaneously, once on Day 0 (first dose) and Day 90 (second dose).
Gastrointestinal disorders
Abdominal pain
0.00%
0/100 • Unsolicited AEs: Within 28 days after Vaccination; MAAEs and SAEs: From first vaccination (Day 1) through end of study (Day 270)
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.
0.33%
1/300 • Unsolicited AEs: Within 28 days after Vaccination; MAAEs and SAEs: From first vaccination (Day 1) through end of study (Day 270)
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.
Infections and infestations
Appendicitis
1.0%
1/100 • Unsolicited AEs: Within 28 days after Vaccination; MAAEs and SAEs: From first vaccination (Day 1) through end of study (Day 270)
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.
0.00%
0/300 • Unsolicited AEs: Within 28 days after Vaccination; MAAEs and SAEs: From first vaccination (Day 1) through end of study (Day 270)
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.
Infections and infestations
Urinary tract infection
0.00%
0/100 • Unsolicited AEs: Within 28 days after Vaccination; MAAEs and SAEs: From first vaccination (Day 1) through end of study (Day 270)
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.
0.33%
1/300 • Unsolicited AEs: Within 28 days after Vaccination; MAAEs and SAEs: From first vaccination (Day 1) through end of study (Day 270)
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.
Injury, poisoning and procedural complications
Ankle fracture
1.0%
1/100 • Unsolicited AEs: Within 28 days after Vaccination; MAAEs and SAEs: From first vaccination (Day 1) through end of study (Day 270)
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.
0.00%
0/300 • Unsolicited AEs: Within 28 days after Vaccination; MAAEs and SAEs: From first vaccination (Day 1) through end of study (Day 270)
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.

Other adverse events

Other adverse events
Measure
Placebo
n=100 participants at risk
TDV placebo-matching 0.5 mL injection, subcutaneously, once on Day 0 (first dose) and Day 90 (second dose).
Tetravalent Dengue Vaccine (TDV)
n=300 participants at risk
TDV 0.5 mL, injection, subcutaneously, once on Day 0 (first dose) and Day 90 (second dose).
Infections and infestations
Viral upper respiratory tract infection
14.0%
14/100 • Unsolicited AEs: Within 28 days after Vaccination; MAAEs and SAEs: From first vaccination (Day 1) through end of study (Day 270)
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.
14.3%
43/300 • Unsolicited AEs: Within 28 days after Vaccination; MAAEs and SAEs: From first vaccination (Day 1) through end of study (Day 270)
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.
Infections and infestations
Nasopharyngitis
6.0%
6/100 • Unsolicited AEs: Within 28 days after Vaccination; MAAEs and SAEs: From first vaccination (Day 1) through end of study (Day 270)
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.
8.0%
24/300 • Unsolicited AEs: Within 28 days after Vaccination; MAAEs and SAEs: From first vaccination (Day 1) through end of study (Day 270)
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.
Infections and infestations
Viral pharyngitis
7.0%
7/100 • Unsolicited AEs: Within 28 days after Vaccination; MAAEs and SAEs: From first vaccination (Day 1) through end of study (Day 270)
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.
5.0%
15/300 • Unsolicited AEs: Within 28 days after Vaccination; MAAEs and SAEs: From first vaccination (Day 1) through end of study (Day 270)
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.
Infections and infestations
Pharyngitis
4.0%
4/100 • Unsolicited AEs: Within 28 days after Vaccination; MAAEs and SAEs: From first vaccination (Day 1) through end of study (Day 270)
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.
3.3%
10/300 • Unsolicited AEs: Within 28 days after Vaccination; MAAEs and SAEs: From first vaccination (Day 1) through end of study (Day 270)
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.
Infections and infestations
Pharyngitis bacterial
2.0%
2/100 • Unsolicited AEs: Within 28 days after Vaccination; MAAEs and SAEs: From first vaccination (Day 1) through end of study (Day 270)
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.
3.0%
9/300 • Unsolicited AEs: Within 28 days after Vaccination; MAAEs and SAEs: From first vaccination (Day 1) through end of study (Day 270)
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.
Infections and infestations
Gastroenteritis
2.0%
2/100 • Unsolicited AEs: Within 28 days after Vaccination; MAAEs and SAEs: From first vaccination (Day 1) through end of study (Day 270)
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.
2.7%
8/300 • Unsolicited AEs: Within 28 days after Vaccination; MAAEs and SAEs: From first vaccination (Day 1) through end of study (Day 270)
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.
Gastrointestinal disorders
Gastritis
3.0%
3/100 • Unsolicited AEs: Within 28 days after Vaccination; MAAEs and SAEs: From first vaccination (Day 1) through end of study (Day 270)
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.
2.3%
7/300 • Unsolicited AEs: Within 28 days after Vaccination; MAAEs and SAEs: From first vaccination (Day 1) through end of study (Day 270)
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.
Infections and infestations
Upper respiratory tract infection bacterial
1.0%
1/100 • Unsolicited AEs: Within 28 days after Vaccination; MAAEs and SAEs: From first vaccination (Day 1) through end of study (Day 270)
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.
3.0%
9/300 • Unsolicited AEs: Within 28 days after Vaccination; MAAEs and SAEs: From first vaccination (Day 1) through end of study (Day 270)
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.
Nervous system disorders
Syncope
2.0%
2/100 • Unsolicited AEs: Within 28 days after Vaccination; MAAEs and SAEs: From first vaccination (Day 1) through end of study (Day 270)
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.
3.0%
9/300 • Unsolicited AEs: Within 28 days after Vaccination; MAAEs and SAEs: From first vaccination (Day 1) through end of study (Day 270)
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.

Additional Information

Medical Director

Takeda

Phone: +1-877-825-3327

Results disclosure agreements

  • Principal investigator is a sponsor employee The first study related publication will be a multi-center publication submitted within 24 months after conclusion or termination of a study at all sites. After such multi site publication, all proposed site publications and presentations will be submitted to sponsor for review 60 days in advance of publication. Site will remove Sponsor confidential information unrelated to study results. Sponsor can delay a proposed publication for another 60 days to preserve intellectual property.
  • Publication restrictions are in place

Restriction type: OTHER