A Phase 2 interventional study of Japanese Encephalitis vaccine and Yellow Fever vaccine in Yellow Fever and Encephalitis, Japanese, sponsored by Singapore General Hospital. Completed at 1 site in Singapore. Open to participants aged 21 Years to 50 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2016-04-20.
Sponsored by Singapore General Hospital · Phase 2 and Interventional
Epidemic viral diseases have become more prevalent in recent years. Among the various strategies to prevent such epidemics, vaccination is the most cost-effective. However, populations that are immunized are typically already exposed to multiple previous vaccinations or natural infections. Studies from this and other laboratories have revealed that pre-existing dengue antibodies can either inhibit or enhance subsequent dengue infection depending on the pre-existing antibody levels. While cross-reactive antibody is potentially pathogenic in dengue, how it impacts immune response to vaccination is unclear. Indeed, aggregated at the site of vaccination and the respective draining lymph nodes are antigen-presenting and immune regulatory cells that express Fc receptors and play pivotal roles in determining the magnitude and polarity of the immune response. Vaccine uptake by these antigen-presenting cells may thus be either inhibited or enhanced when vaccines are opsonized with cross-reactive antibodies.
In view of the limited knowledge on how cross-reactive antibodies affect vaccination outcome, investigators propose here a study that exploits the known cross reactivity between Japanese encephalitis (JE) virus antibody and yellow fever (YF) vaccine. Investigators hypothesize that cross-reactive antibodies impacts antibody response to YF at the point vaccination in a concentration-dependent manner by altering both vaccine uptake and the innate immune response by antigen presenting cells. Investigators will structure an open label clinical trial on sequential vaccination with JE and YF vaccines, with different time intervals between vaccinations. This would test immune response to YF vaccination in subjects with different titer of cross-reactive JE vaccine-derived antibodies.
The primary objective of this clinical study is to examine the role of cross-reactive antibodies in modulating immune responses to vaccines.
Secondary objectives
A total of 100 healthy adults, pre-screened to be negative for anti-dengue antibodies will be enrolled upon written informed consent. 75 subjects in the test arm will received 2 doses of inactivated JE vaccine(Ixiaro), while 25 subjects in the control arm has no JE vaccination.
Subjects in the test arm will be sub-divided into 3 groups who receive YF17D:
Group1.YF vaccination 1-month post-JE vaccination Group 2.YF vaccination 4-months post-JE vaccination Group 3.YF vaccination 9-months post-JE vaccination Subjects in the control arm (group 4) will receive YF vaccination at the same time as group 1.
Blood sampling in relation to YF17D vaccination:
Primary end-point: Difference in geometric mean titre of YF17D neutralizing antibody.
77 studies on the registry are indexed under Encephalitis, Japanese; 4 are open to participants now.
This study's enrollment of 84 is below the median of 278 across 69 interventional studies indexed under Encephalitis, Japanese.
Browse Encephalitis, Japanese studies →Singapore General Hospital is the lead sponsor of 266 studies on the registry; 57 are open to participants now.
Of its 8 completed or terminated interventional studies of FDA-regulated products, 0 (0%) have results posted.
Counted across the registry records on this site, refreshed daily.
Female subjects of childbearing potential may be enrolled in the study
Exclusion Criteria:
A total of 100 healthy adults, pre-screened to be negative for anti-dengue antibodies will be enrolled upon written informed consent. 75 subjects in the test arm will received 2 doses of inactivated Japanese Encephalitis vaccine and 1 dose of Yellow Fever vaccine.
Biological: Japanese Encephalitis vaccine · Biological: Yellow Fever vaccine
A total of 100 healthy adults, pre-screened to be negative for anti-dengue antibodies will be enrolled upon written informed consent. 25 subjects in the control arm will not receive Japanese Encephalitis vaccine but will receive 1 dose of Yellow Fever vaccine.
Biological: Yellow Fever vaccine
IXIARO, inactivated, adsorbed vaccine. Two doses (0.5 ml each) of IXIARO one month apart
Also known as: Ixiaro
STAMARIL, 1 dose (0.5 ml)
Also known as: Stamaril
Difference in geometric mean neutralizing antibody titer to YF17D as measured by plaque reduction neutralization test (PRNT) in volunteers receiving YF vaccination with or without prior JE vaccination
Time frame: 1-month and 1-year post YF17D vaccine
Innate immune response to YF vaccination at different time intervals after a prior JE vaccination
Time frame: transcriptional profiling of PBMC collected 1-day before, 1-, 3- and 7-days post YF17D vaccine
This study is completed, as verified in Apr 2016. You cannot join it, but the record below documents what was studied.
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Singapore General Hospital