A Phase 2 interventional study of Live attenuated Japanese encephalitis virus; Yellow fever virus and Yellow fever virus; Live attenuated Japanese encephalitis virus in Japanese Encephalitis and Yellow Fever, sponsored by Sanofi. Completed at 1 site in Australia. Open to participants aged 18 Years to 55 Years. Per ClinicalTrials.gov, last updated 2012-09-20.
Sponsored by Sanofi · Phase 2, Interventional, and Prevention
The purpose of this study is to obtain safety, tolerability, and immunogenicity data on the co-administration or sequential administration of Chimeravax™-JE vaccine and STAMARIL®.
Objectives:
Safety:
Immunogenicity:
All participants will receive two injections, one to each arm on Days 0 and 30, respectively. Immunogenicity will be tested on Days 0, 15, 30, 45, and 60, and at Month 6.
77 studies on the registry are indexed under Encephalitis, Japanese; 4 are open to participants now.
This study's enrollment of 108 is below the median of 278 across 69 interventional studies indexed under Encephalitis, Japanese.
Browse Encephalitis, Japanese studies →Sanofi is the lead sponsor of 1,508 studies on the registry; 90 are open to participants now.
Of its 198 completed or terminated interventional studies of FDA-regulated products, 118 (60%) have results posted.
Counted across the registry records on this site, refreshed daily.
Exclusion Criteria :
Participants will receive ChimeriVax™-JE on Day 0 and STAMARIL® on Day 30
Biological: Live attenuated Japanese encephalitis virus; Yellow fever virus
Participants will receive STAMARIL® on Day 0 and ChimeriVax™-JE on Day 30
Biological: Yellow fever virus; Live attenuated Japanese encephalitis virus
Participants will receive ChimeriVax™-JE and STAMARIL® on Day 0 and diluent on Day 30.
Biological: Live attenuated Japanese encephalitis virus; Yellow fever virus
Participants will receive Diluent on Day 0 and ChimeriVax™-JE and STAMARIL® on Day 30.
Biological: Live attenuated Japanese encephalitis virus; Yellow fever virus
ChimeriVax™-JE, 0.5 mL, Subcutaneous on Day 0; STAMARIL®, 0.5 mL, Subcutaneous on Day 30.
Also known as: ChimeriVax-JE, STAMARIL®
STAMARIL®, 0.5 mL Subcutaneous on Day 0; ChimeriVax™-JE, 0.5 mL Subcutaneous on Day 30.
Also known as: STAMARIL®, ChimeriVax™-JE
ChimeriVax™-JE, 0.5 mL Subcutaneous and STAMARIL®, 0.5 mL, Subcutaneous on Day 0; Diluent 0.5 mL, Subcutaneous on Day 30.
Also known as: ChimeriVax™-JE, STAMARIL®
Diluent, 0.5 mL Subcutaneous on Day 0; ChimeriVax™-JE, 0.5 mL Subcutaneous and STAMARIL®, 0.5 mL Subcutaneous on Day 30.
Also known as: ChimeriVax™-JE, STAMARIL®
Number of Participants With Japanese Encephalitis Seroconversion Following ChimeriVax™-JE or STAMARIL® Alone or the Co-administration of ChimeriVax™-JE and STAMARIL®, or Placebo Vaccination.
Neutralising antibody titer against homologous Japanese encephalitis (JE), yellow fever (YF), and other relevant wild type JE strains were determined using a 50% serum dilution plaque reduction neutralisation test. Seroconversion post-vaccination was defined as the appearance of neutralising antibody titer when not present at Day 0, or at least a four-fold rise in neutralising antibody titer between the pre-vaccination (Day 0) and the post-vaccination samples. The 30 Days post-JE seroconversion is: Day 30 for Group 1 (ChimeriVax™-JE then STAMARIL®) and Group 3 (Co-administration of ChimeriVax™-JE and STAMARIL, then Diluent); Day 60 for Group 2 (STAMARIL® then ChimeriVax™-JE) and Group 4 (Diluent then Co-administration of ChimeriVax™-JE and STAMARIL).
Time frame: Pre-vaccination (Day 0 or 30) and post-vaccination (Day 30 or 60)
Number of Participants With Yellow Fever Seroconversion Following ChimeriVax™-JE or STAMARIL® Alone or the Co-administration of ChimeriVax™-JE and STAMARIL® or Placebo Vaccination.
Neutralising antibody titer against yellow fever strains was determined using a 50% serum dilution plaque reduction neutralisation test. Seroconversion at a later post vaccination timepoint ws defined as the appearance of neutralising antibody titer when not present at Day 0, or at least a four-fold rise in neutralising antibody titre between the pre-injection Day 0 and later post vaccination samples. The Day 30 post-JE seroconversion is: Day 30 for Group 1 (ChimeriVax™-JE then STAMARIL®) and Group 3 (Co-administration of ChimeriVax™-JE and STAMARIL, then Diluent); Day 60 for Group 2 (STAMARIL® then ChimeriVax™-JE) and Group 4 (Diluent then Co-administration of ChimeriVax™-JE and STAMARIL).
Time frame: Pre-vaccination (Day 0 or 30) and post-vaccination (Day 30 or 60)
Number of Participants Who Seroconverted to Japanese Encephalitis 30 Days Post ChimeriVax™-JE Vaccination
Neutralising antibody titer against homologous JE, YF, and other relevant wild type JE strains was determined using a 50% serum dilution plaque reduction neutralisation test. Seroconversion at a later post vaccination timepoint was defined as the appearance of neutralising antibody titer when not present at Day 0, or at least a four-fold rise in neutralising antibody titer between the pre-injection Day 0 and post-vaccination samples.
Time frame: Day 0 (Pre-vaccination) through Day 30 post-vaccination
Number of Participants Reporting Solicited Local and Systemic Adverse Events Post Vaccination With ChimeriVax™-JE or STAMARIL® Alone or the Co-Administration of ChimeriVax™-JE and STAMARIL®, or Placebo
Solicited Local Adverse Events: Injection Site Pain, Erythema, Swelling, Hemorrhage, Venipuncture site Hemorrhage. Solicited Systemic Adverse Events: Fatigue, Malaise, Pyrexia, Chills, Headache, Dizziness, Myalgia, Abdominal Pain, Diarrhea, Nausea, Pharyngolaryngeal Pain. All solicited local reactions associated with ChimeriVax™-JE are presented in Group 1, those associated with STAMARIL® in Group 2, those associated with co-administered vaccines in Group 3, and those associated with diluent in Group 4. The solicited systemic adverse events are reported according to the participants' randomized study groups.
Time frame: Day 0 up to Day 60 post-vaccination
Geometric Mean Titers (GMTs) to Japanese Encephalitis (Homologous Virus) Following ChimeriVax™-JE or STAMARIL® Alone or the Co-administration of ChimeriVax™-JE and STAMARIL®, or Placebo Vaccination.
Neutralising antibody titer against homologous Japanese encephalitis (JE) and other relevant wild type JE strains was determined using a 50% serum dilution plaque reduction neutralisation test. Post-vaccination 15 (30) Days JE seroconversion is: Day 15 (30) for Group 1 (ChimeriVax™-JE then STAMARIL®) and Group 3 (Co-administration of ChimeriVax™-JE and STAMARIL, then Diluent); Day 45 (60) for Group 2 (STAMARIL® then ChimeriVax™-JE) and Group 4 (Diluent then Co-administration of ChimeriVax™-JE and STAMARIL)
Time frame: Day 0 through 6 months post-vaccination
Geometric Mean Titers to Yellow Fever (Homologous Virus) Following ChimeriVax™-JE or STAMARIL® Alone or the Co-administration of ChimeriVax™-JE and STAMARIL®, or Placebo
Neutralising antibody titer against homologous yellow fever was determined using a 50% serum dilution plaque reduction neutralisation test. Post vaccination 15 (30) Days Yellow Fever seroconversion is: Day 15 (30) for Group 1 (ChimeriVax™-JE then STAMARIL®) and Group 3 (Co-administration of ChimeriVax™-JE and STAMARIL, then Diluent); Day 45 (60) for Group 2 (STAMARIL® then ChimeriVax™-JE) and Group 4 (Diluent then Co-administration of ChimeriVax™-JE and STAMARIL).
Time frame: Day 0 through 6 months post-vaccination
Participants were screened and enrolled from 27 July 2004 to 27 September 2004 at 1 clinical center in Australia.
| Milestone | ChimeriVax™-JE Then STAMARIL® | STAMARIL® Then ChimeriVax™-JE | Co-administration of ChimeriVax™-JE and STAMARIL® Then Diluent | Diluent Then Coadministration With ChimeriVax-JE and STAMARIL® |
|---|---|---|---|---|
| Started | 36 | 36 | 18 | 18 |
| Completed | 36 | 35 | 18 | 17 |
| Not completed | 0 | 1 | 0 | 1 |
| Withdrew: Lost to follow-up | 0 | 0 | 0 | 1 |
| Withdrew: Withdrawal by subject | 0 | 1 | 0 | 0 |
Neutralising antibody titer against homologous Japanese encephalitis (JE), yellow fever (YF), and other relevant wild type JE strains were determined using a 50% serum dilution plaque reduction neutralisation test. Seroconversion post-vaccination was defined as the appearance of neutralising antibody titer when not present at Day 0, or at least a four-fold rise in neutralising antibody titer between the pre-vaccination (Day 0) and the post-vaccination samples. The 30 Days post-JE seroconversion is: Day 30 for Group 1 (ChimeriVax™-JE then STAMARIL®) and Group 3 (Co-administration of ChimeriVax™-JE and STAMARIL, then Diluent); Day 60 for Group 2 (STAMARIL® then ChimeriVax™-JE) and Group 4 (Diluent then Co-administration of ChimeriVax™-JE and STAMARIL).
| Participants | ChimeriVax™-JE Then STAMARIL® | STAMARIL® Then ChimeriVax™-JE | Co-administration of ChimeriVax™-JE and STAMARIL, Then Diluent | Diluent Then Coadministration With ChimeriVax™-JE and STAMARIL |
|---|---|---|---|---|
| Day 30 (N = 17, 23, 13, 10) | 17 | 2 (0 to 0) | 12 | 0 |
| Day 60 (N = 17, 23, 13, 10) | 17 | 21 | 12 | 10 |
| 30 Days Post-JE Seroconversion (N = 17, 23, 23, 0) | 17 | 21 | 22 | NA |
Neutralising antibody titer against yellow fever strains was determined using a 50% serum dilution plaque reduction neutralisation test. Seroconversion at a later post vaccination timepoint ws defined as the appearance of neutralising antibody titer when not present at Day 0, or at least a four-fold rise in neutralising antibody titre between the pre-injection Day 0 and later post vaccination samples. The Day 30 post-JE seroconversion is: Day 30 for Group 1 (ChimeriVax™-JE then STAMARIL®) and Group 3 (Co-administration of ChimeriVax™-JE and STAMARIL, then Diluent); Day 60 for Group 2 (STAMARIL® then ChimeriVax™-JE) and Group 4 (Diluent then Co-administration of ChimeriVax™-JE and STAMARIL).
| Participants | ChimeriVax™-JE Then STAMARIL® | STAMARIL® Then ChimeriVax™-JE | Co-administration of ChimeriVax™-JE and STAMARIL® Then Diluent | Diluent Then Coadministration With ChimeriVax-JE and STAMARIL® |
|---|---|---|---|---|
| Day 30 (N = 17, 23, 13, 10) | 0 | 23 | 13 | 1 |
| Day 60 (N = 17, 23, 13, 10) | 17 | 23 | 13 | 10 |
| Day 30 Post-JE Seroconversion (N = 17, 23, 23, 0) | 17 | 23 | 23 | NA |
Neutralising antibody titer against homologous Japanese encephalitis (JE) and other relevant wild type JE strains was determined using a 50% serum dilution plaque reduction neutralisation test. Post-vaccination 15 (30) Days JE seroconversion is: Day 15 (30) for Group 1 (ChimeriVax™-JE then STAMARIL®) and Group 3 (Co-administration of ChimeriVax™-JE and STAMARIL, then Diluent); Day 45 (60) for Group 2 (STAMARIL® then ChimeriVax™-JE) and Group 4 (Diluent then Co-administration of ChimeriVax™-JE and STAMARIL)
| Titers | ChimeriVax™-JE Then STAMARIL® | STAMARIL® Then ChimeriVax™-JE | Co-administration of ChimeriVax™-JE and STAMARIL® Then Diluent | Diluent Then Coadministration With ChimeriVax-JE and STAMARIL® |
|---|---|---|---|---|
| 15 Days Post-vaccination (N = 17, 23, 13, 10) | 282.1 (130.8 to 608.3) | 140.2 (50.9 to 386.3) | 119.9 (53.6 to 267.9) | 386.5 (135.1 to 1106.4) |
| 30 Days Post-vaccination (N = 17, 23, 13, 10) | 1461.6 (632.8 to 3375.8) | 426.4 (172.3 to 1055.1) | 221.2 (94.9 to 515.3) | 611.6 (188.4 to 1986.0) |
| 45 Days Post-vaccination (N = 17, 0, 13, 0) | 1099.3 (465.9 to 2593.6) | NA (NA to NA) | 146.3 (58.3 to 367.2) | NA (NA to NA) |
| 60 Days Post-vaccination (N = 17, 0, 13, 0) | 687.8 (315.4 to 1499.8) | NA (NA to NA) | 103.1 (43.9 to 242.1) | NA (NA to NA) |
| 6 Months Post-vaccination (N = 16, 22, 13, 10) | 267.5 (122.4 to 584.4) | 134.0 (59.2 to 303.4) | 94.6 (37.8 to 236.9) | 99.9 (56.8 to 175.7) |
Neutralising antibody titer against homologous yellow fever was determined using a 50% serum dilution plaque reduction neutralisation test. Post vaccination 15 (30) Days Yellow Fever seroconversion is: Day 15 (30) for Group 1 (ChimeriVax™-JE then STAMARIL®) and Group 3 (Co-administration of ChimeriVax™-JE and STAMARIL, then Diluent); Day 45 (60) for Group 2 (STAMARIL® then ChimeriVax™-JE) and Group 4 (Diluent then Co-administration of ChimeriVax™-JE and STAMARIL).
| Titers | ChimeriVax™-JE Then STAMARIL® | STAMARIL® Then ChimeriVax™-JE | Co-administration of ChimeriVax™-JE and STAMARIL® Then Diluent | Diluent Then Coadministration With ChimeriVax-JE and STAMARIL® |
|---|---|---|---|---|
| Day 15 Post-vaccination (N = 17, 23, 13, 10) | 463.1 (156.2 to 1372.8) | 1080.7 (606.3 to 1926.2) | 1150.0 (527.3 to 2507.8) | 2044.1 (768.7 to 5435.2) |
| Day 30 Post-vaccination (N = 17, 23, 13, 10) | 3288.5 (1415.4 to 7640.4) | 3704.6 (2271.4 to 6042.0) | 1565.6 (897.9 to 2729.9) | 3054.9 (1230.2 to 7586.3) |
| Day 45 Post-vaccination (N = 0, 23, 13, 0) | NA (NA to NA) | 2442.5 (1450.5 to 4112.8) | 974.6 (572.3 to 1659.8) | NA (NA to NA) |
| Day 60 Post-vaccination (N = 0, 23, 13, 0) | NA (NA to NA) | 2175.1 (1223.9 to 3865.4) | 653.1 (277.2 to 1539.0) | NA (NA to NA) |
| 6 Months Post-vaccination (N = 16, 22, 13, 10) | 2017.5 (842.0 to 4834.3) | 2058.7 (1302.5 to 3253.8) | 947.4 (431.3 to 2081.3) | 1351.8 (534.9 to 3416.4) |
Neutralising antibody titer against homologous JE, YF, and other relevant wild type JE strains was determined using a 50% serum dilution plaque reduction neutralisation test. Seroconversion at a later post vaccination timepoint was defined as the appearance of neutralising antibody titer when not present at Day 0, or at least a four-fold rise in neutralising antibody titer between the pre-injection Day 0 and post-vaccination samples.
| Participants | ChimeriVax™-JE Then STAMARIL® | STAMARIL® Then ChimeriVax™-JE | Co-administration of ChimeriVax™-JE and STAMARIL® Then Diluent | Diluent Then Coadministration With ChimeriVax-JE and STAMARIL® |
|---|---|---|---|---|
| JE Homologous Virus | 17 | 21 | 12 | 10 |
| Genotype I | 17 | 21 | 13 | 10 |
| Genotype II | 15 | 16 | 9 | 9 |
| Genotype III | 16 | 20 | 9 | 10 |
| Genotype IV | 15 | 15 | 5 | 9 |
Solicited Local Adverse Events: Injection Site Pain, Erythema, Swelling, Hemorrhage, Venipuncture site Hemorrhage. Solicited Systemic Adverse Events: Fatigue, Malaise, Pyrexia, Chills, Headache, Dizziness, Myalgia, Abdominal Pain, Diarrhea, Nausea, Pharyngolaryngeal Pain. All solicited local reactions associated with ChimeriVax™-JE are presented in Group 1, those associated with STAMARIL® in Group 2, those associated with co-administered vaccines in Group 3, and those associated with diluent in Group 4. The solicited systemic adverse events are reported according to the participants' randomized study groups.
| Participants | ChimeriVax™-JE Then STAMARIL® | STAMARIL® Then ChimeriVax™-JE | Co-administration of ChimeriVax™-JE and STAMARIL® Then Diluent | Diluent Then Coadministration With ChimeriVax-JE and STAMARIL® |
|---|---|---|---|---|
| Injection Site Pain (N = 71, 72, 36, 36) | 13 | 13 | 6 | 4 |
| Injection Site Erythema (N = 71, 72, 36, 36) | 6 | 9 | 3 | 1 |
| Injection Site Swelling (N = 71, 72, 36, 36) | 4 | 0 | 3 | 1 |
| Injection Site Hemorrhage (N = 71, 72, 36, 36) | 1 | 2 | 1 | 0 |
| Venipuncture Site Hemorrhage (N = 71, 72, 36, 36) | 0 | 2 | 0 | 0 |
| Fatigue (N = 36, 36, 18, 18) | 16 | 15 | 3 | 10 |
| Malaise (N = 36, 36, 18, 18) | 10 | 12 | 2 | 6 |
| Pyrexia (N = 36, 36, 18, 18) | 3 | 4 | 0 | 3 |
| Chills (N = 36, 36, 18, 18) | 1 | 4 | 1 | 2 |
| Headache (N = 36, 36, 18, 18) | 18 | 20 | 6 | 8 |
| Dizziness (N = 36, 36, 18, 18) | 0 | 2 | 0 | 0 |
| Myalgia (N = 36, 36, 18, 18) | 7 | 12 | 3 | 4 |
| Abdominal Pain (N = 36, 36, 18, 18) | 5 | 4 | 2 | 3 |
| Diarrhea (N = 36, 36, 18, 18) | 7 | 2 | 2 | 3 |
| Nausea (N = 36, 36, 18, 18) | 3 | 1 | 1 | 2 |
| Pharyngolaryngeal Pain (N = 36, 36, 18, 18) | 0 | 2 | 0 | 1 |
Collected over Adverse events data were collected from Day 0, after vaccination up to Month 6 post-vaccination.. Non-serious events are listed at a 5.00% frequency threshold.
| Group | Deaths | Serious | Other |
|---|---|---|---|
| ChimeriVax™-JE Then STAMARIL® | — | 0/36 (0%) | 18/71 (25.4%) |
| STAMARIL® Then ChimeriVax™-JE | — | 0/36 (0%) | 20/72 (27.8%) |
| Co-administration of ChimeriVax™-JE and STAMARIL® Then Diluent | — | 0/18 (0%) | 6/36 (16.7%) |
| Diluent Then Coadministration With ChimeriVax-JE and STAMARIL® | — | 0/18 (0%) | 10/36 (27.8%) |
| Event | ChimeriVax™-JE Then STAMARIL® | STAMARIL® Then ChimeriVax™-JE | Co-administration of ChimeriVax™-JE and STAMARIL® Then Diluent | Diluent Then Coadministration With ChimeriVax-JE and STAMARIL® |
|---|---|---|---|---|
| FatigueGeneral disorders | 16/36 | 15/36 | 3/18 | 10/18 |
| HeadacheNervous system disorders | 18/36 | 20/36 | 6/18 | 8/18 |
| MalaiseGeneral disorders | 10/36 | 12/36 | 2/18 | 6/18 |
| MyalgiaMusculoskeletal and connective tissue disorders | 7/36 | 12/36 | 3/18 | 4/18 |
| DiarrheaGastrointestinal disorders | 7/36 | 2/36 | 2/18 | 3/18 |
| Injection Site PainGeneral disorders | 13/71 | 13/72 | 6/36 | 4/36 |
| PyrexiaGeneral disorders | 3/36 | 4/36 | 0/18 | 3/18 |
| Abdominal PainGastrointestinal disorders | 5/36 | 4/36 | 2/18 | 3/18 |
| Injection Site ErythemaGeneral disorders | 6/71 | 9/72 | 3/36 | 1/36 |
| ChillsGeneral disorders | 1/36 | 4/36 | 1/18 | 2/18 |
| Age, Categorical(Participants) | ChimeriVax™-JE Then STAMARIL® | STAMARIL® Then ChimeriVax™-JE | Co-administration of ChimeriVax™-JE and STAMARIL® Then Diluent | Diluent Then Coadministration With ChimeriVax-JE and STAMARIL® | Total |
|---|---|---|---|---|---|
| <=18 years | 0 | 0 | 0 | 0 | 0 |
| Between 18 and 65 years | 36 | 36 | 18 | 18 | 108 |
| >=65 years | 0 | 0 | 0 | 0 | 0 |
| Age Continuous(Years) | ChimeriVax™-JE Then STAMARIL® | STAMARIL® Then ChimeriVax™-JE | Co-administration of ChimeriVax™-JE and STAMARIL® Then Diluent | Diluent Then Coadministration With ChimeriVax-JE and STAMARIL® | Total |
|---|---|---|---|---|---|
| Mean | 27.2 ± 9.71 | 23.4 ± 6.95 | 27.5 ± 10.19 | 25.8 ± 8.26 | 25.8 ± 8.77 |
| Sex: Female, Male(Participants) | ChimeriVax™-JE Then STAMARIL® | STAMARIL® Then ChimeriVax™-JE | Co-administration of ChimeriVax™-JE and STAMARIL® Then Diluent | Diluent Then Coadministration With ChimeriVax-JE and STAMARIL® | Total |
|---|---|---|---|---|---|
| Female | 16 | 13 | 10 | 7 | 46 |
| Male | 20 | 23 | 8 | 11 | 62 |
| Region of Enrollment(Participants) | ChimeriVax™-JE Then STAMARIL® | STAMARIL® Then ChimeriVax™-JE | Co-administration of ChimeriVax™-JE and STAMARIL® Then Diluent | Diluent Then Coadministration With ChimeriVax-JE and STAMARIL® | Total |
|---|---|---|---|---|---|
| Australia | 36 | 36 | 18 | 18 | 108 |
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