ClinicalTrials.gg
CompletedNCT02562482Updated Oct 22, 2020Results posted

Trial for Safety and Immunogenicity of a Chikungunya Vaccine, VRC-CHKVLP059-00-VP, in Healthy Adults

A Phase 2 interventional study of VRC-CHKVLP059-00-VP and VRC-PBSPLA043-00-VP in Chikungunya Virus Infection, sponsored by National Institute of Allergy and Infectious Diseases (NIAID). Completed at 6 sites in 5 countries. Open to participants aged 18 Years to 60 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2020-10-22.

Sponsored by National Institute of Allergy and Infectious Diseases (NIAID) · Phase 2, Interventional, and Prevention

Phase
Phase 2
Study type
Interventional
Enrollment
400
Allocation
Randomized
Ages
18 Years to 60 Years
Sex
All
01

Study summary

This is a multicenter, randomized, placebo-controlled, double-blind study to evaluate the safety and immunogenicity of a 2-injection vaccine Chikungunya virus (CHIKV) virus-like particle vaccine (CHIKV VLP) in healthy adults.

Read the detailed description

This is a Phase 2, multicenter, randomized, placebo-controlled, double-blind study to evaluate the safety and immunogenicity of a 2-injection vaccine regimen (Day 0 and 28) with Chikungunya virus (CHIKV) virus-like particle vaccine (CHIKV VLP, VRC-CHKVLP059-00-VP) in healthy adults ages 18-60 years old that reside in CHIKV endemic regions.

The hypothesis is that the vaccine regimen is safe and induces a neutralizing antibody response to CHIKV. The primary objectives are to evaluate safety and tolerability of a 2-injection investigational vaccine regimen of VRC-CHKVLP059-00-VP at 20 mcg compared to placebo (PBS) in healthy adults in CHIKV endemic areas. The secondary objective is to evaluate neutralizing antibody response in vaccine recipients. The exploratory objectives relate to assessing incidence of CHIKV infection in vaccine and placebo recipients, as well as antigen-specific humoral and cellular immune responses during the study.

The expected study duration per subject is approximately 72 weeks with intramuscular (IM) injections scheduled at Day 0 and Day 28.

02

Conditions studied

  • Chikungunya Virus Infection

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Keywords

  • Antibody Response
  • Immune Response
  • Healthy Volunteer
  • Vaccine-Mediated Protection
  • Chikungunya Virus
  • Vaccines, Virus-like Particles
03

In context

Chikungunya Fever

88 studies on the registry are indexed under Chikungunya Fever; 21 are open to participants now.

This study's enrollment of 400 is above the median of 263 across 57 interventional studies indexed under Chikungunya Fever.

Browse Chikungunya Fever studies →

Lead sponsor

National Institute of Allergy and Infectious Diseases (NIAID) is the lead sponsor of 2,446 studies on the registry; 179 are open to participants now.

Of its 405 completed or terminated interventional studies of FDA-regulated products, 302 (75%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years to 60 Years
Sexes eligible
All
Accepts healthy volunteers
Yes

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

A subject must meet all of the following criteria:

  • 18 to 60 years old
  • Available for clinical follow-up through Study Week 72
  • Able to provide proof of identity to the satisfaction of the study clinician completing the enrollment process
  • Able and willing to complete the process
  • Willing to donate blood for sample storage to be used for future research
  • In good general health, with a (BMI)≤40, without medical history, and has satisfactorily completed screening
  • Physical examination and laboratory results without clinically significant findings within the 56 days prior to enrollment

Laboratory Criteria within 56 days prior to enrollment:

  • either within institutional normal limits or accompanied by site physician approval as consistent with healthy adult status
  • White blood cells either within institutional normal range or accompanied by site physician approval as consistent with healthy adult status
  • = 125,000 - 500,000/mm3
  • (ALT) ≤ 1.25 x (ULN)
  • Serum creatinine ≤ 1.1 x ULN based on site institutional normal range
  • Negative result on a (HIV) test that meets local standards for identification of HIV infection
  • Negative result on the Chikungunya virus (CHIKV) screening antibody assay.

Criteria applicable to women of :

  • Negative human chorionic gonadotropin pregnancy test (urine or serum) on day of enrollment
  • Agree to use an effective means of from 21 days prior to enrollment through 12 weeks after the last study injection

Exclusion criteria

Exclusion Criteria:

A subject will be excluded if one or more of the following conditions apply:

Women Specific:

-Planning to become pregnant during the 16 weeks after enrollment in the study

Subject has received any of the following substances:

  • Systemic medications within 2 weeks prior to enrollment
  • Blood products within 16 weeks prior to enrollment
  • Immunoglobulin within 8 weeks prior to enrollment
  • Prior vaccinations with an CHIKV vaccine
  • Investigational research agents within 4 weeks prior to enrollment
  • Any vaccination within 2 weeks prior to enrollment
  • Current anti-tuberculosis (TB) prophylaxis or therapy

Subject has a history of any of the following conditions:

  • A history of immune-mediated or clinically significant arthritis
  • Serious reactions to vaccines that preclude receipt of study injections as determined by the investigator
  • Hereditary angioedema, acquired angioedema, or idiopathic forms of angioedema
  • Asthma that is unstable or required emergent care, urgent care, hospitalization or intubation during the past two years or that is expected to require the use of oral or intravenous
  • Diabetes mellitus (type I or II), with the exception of gestational diabetes
  • Idiopathic urticaria within the past year
  • Bleeding disorder diagnosed by a doctor (e.g. factor deficiency, coagulopathy, or disorder requiring special precautions) or significant bruising or bleeding difficulties with intramuscular (IM) injections or blood draws
  • that is active or history of a malignancy that is likely to recur during the period of the study
  • Seizure in the past 3 years or treatment for a seizure disorder within the last 3 years
  • Asplenia, functional asplenia or any condition resulting in the absence or removal of the spleen
  • Psychiatric condition that may preclude compliance with the protocol; past or present psychoses; or a history of suicide plan or attempt within the five years prior to enrollment
  • Any medical or social condition that, in the judgment of the investigator, is a to protocol participation or impairs a volunteer's ability to give
Terms in these criteria, in plain language(15)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

BMI (body mass index)

Weight in kilograms divided by height in metres squared. Example: 70 kg and 1.75 m gives 70 ÷ (1.75 × 1.75) ≈ 22.9.

What counts as overweight or obesity differs between countries (some use lower cut-offs), so go by the range the study states.

Clinically significant

Judged by the study doctor to matter for your health or for the study. It is a doctor’s decision, so ask the study team if you are unsure whether something counts.

Hemoglobin (Hb)

The protein in red blood cells that carries oxygen. A low level is anaemia, which can cause tiredness and breathlessness. Measured in g/dL or g/L (9 g/dL is 90 g/L).

Platelets

Blood cells that help blood clot. Too few raises the risk of bleeding and bruising. A usual adult range is about 150–400 × 10⁹/L (150,000–400,000 per µL); each lab has its own reference range.

ALT and AST (liver enzymes)

Two enzymes measured in a routine blood test of the liver. Higher levels can mean the liver is under strain or damaged. SGPT and SGOT are older names for ALT and AST.

Criteria usually give a limit as a multiple of the upper limit of normal (ULN), often higher when cancer has spread to the liver.

ULN (upper limit of normal)

The top of the normal range for a blood test, as set by the laboratory that runs it. Each lab prints its own range next to your result.

“≤ 2.5 × ULN” means the result can be up to two and a half times that top value.

HIV

The human immunodeficiency virus, which weakens the immune system.

Many studies now accept people whose HIV is controlled on treatment, judged by the viral load and the CD4 count. Check the limits this study sets.

Childbearing potential

Able to become pregnant: from the first period until menopause, unless permanently unable to through surgery (removal of the womb, or of both ovaries or both fallopian tubes).

Criteria for people of childbearing potential usually ask for a negative pregnancy test and for contraception during the study and for a time after it.

Contraception

Ways of preventing pregnancy. “Highly effective” methods fail less than 1% of the time a year when used correctly — for example an IUD or an implant.

Criteria usually say which methods count and how long to keep using them after the last dose, sometimes for male participants too. Some studies accept a partner’s vasectomy if it was confirmed successful and that person is the participant’s only sexual partner.

Immunosuppression

A weakened immune system. It can come from an illness, such as HIV or some blood cancers, or from medicines that turn the immune system down, for example after an organ transplant or for an autoimmune disease; steroids at higher doses count.

Read whether the line is about a condition or about medicines, and which medicines and doses it means.

Investigational drug or device

A drug or device being studied in a clinical trial.

It may be new, or already approved and being studied for another use, dose or form. Criteria often leave out people who took part in another study of one within a recent period, commonly 30 days or five half-lives.

Corticosteroids (steroids)

Anti-inflammatory medicines such as prednisone, prednisolone and dexamethasone — not the anabolic steroids used for muscle.

Studies differ in what they allow: check which steroid medicines, routes (tablets, injections, creams, inhalers, eye drops) and doses this study accepts.

Cancer (malignancy)

Malignancy means cancer. Criteria about another or earlier malignancy ask whether you have had a different cancer, usually within a set number of years.

Some are commonly allowed, such as treated skin cancers other than melanoma and early cancers removed completely — check the exceptions this study lists.

Contraindication

A reason a treatment, test or procedure should not be given to a particular person, such as an allergy, another illness or a medicine they take.

05

Study design

Phase
Phase 2
Primary purpose
Prevention
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Triple (Participant, Investigator, Outcomes assessor)
Enrollment
400 participants (actual)

Study arms

  • Experimental
    Group 1: VRC-CHKVLP059-00-VP 20 mcg

    Group 1 subjects were randomized to receive two intramuscular (IM) injections of CHIKV VLP vaccine (VRC-CHKVLP059-00-VP) at Day 0 and Day 28 (+14 days) at a dose of 20 micrograms (mcg).

    Biological: VRC-CHKVLP059-00-VP

  • Placebo comparator
    Group 2: Placebo (VRC-PBSPLA043-00-VP)

    Group 2 subjects were randomized to receive two intramuscular (IM) injections of Phosphate Buffered Saline (VRC-PBSPLA043-00-VP) placebo at Day 0 and Day 28 (+14 days).

    Other: VRC-PBSPLA043-00-VP

Interventions

  • BiologicalVRC-CHKVLP059-00-VP

    VRC-CHKVLP059-00-VP is a virus-like particle (VLP) vaccine that consists of CHIKV VLP composed of E1, E2 and capsid proteins of the CHIKV (strain 37997).

  • OtherVRC-PBSPLA043-00-VP

    VRC-PBSPLA043-00-VP, a sterile phosphate buffered saline (PBS) is the placebo for the CHIKV VLP vaccine.

06

What researchers measure

Primary outcomes

  1. Number of Subjects Reporting Local Reactogenicity Signs and Symptoms Within 7 Days of Any Injection

    Subjects recorded the occurrence of solicited symptoms on a memory aid for 7 days after any injection and reviewed the memory aid with clinic staff at a follow up visit. Subjects are counted once for each symptom at the worst severity if they indicated experiencing the symptom at any severity during the reporting period. The number reported for "Any Local Symptom" is the number of subjects reporting any local symptom at the worst severity. Solicited reactogenicity was recorded without an attribution assessment. Grading (Mild, Moderate, Severe) was done using the Toxicity Grading Scale for Healthy Adult and Adolescent Volunteers Enrolled in Preventive Vaccine Clinical Trials (FDA Guidance - September 2007).

    Time frame: 7 days after any injection

  2. Number of Subjects Reporting Systemic Reactogenicity Signs and Symptoms Within 7 Days of Any Injection

    Subjects recorded the occurrence of solicited symptoms on a memory aid for 7 days after any injection and reviewed the memory aid with clinic staff at a follow up visit. Subjects are counted once for each symptom at the worst severity if they indicated experiencing the symptom at any severity during the reporting period. The number reported for "Any Systemic Symptom" is the number of subjects reporting any systemic symptom at the worst severity. Solicited reactogenicity was recorded without an attribution assessment. Grading (Mild, Moderate, Severe) was done using the Toxicity Grading Scale for Healthy Adult and Adolescent Volunteers Enrolled in Preventive Vaccine Clinical Trials (FDA Guidance - September 2007).

    Time frame: 7 days after any injection

  3. Number of Subjects With an Abnormal Laboratory Result

    Safety laboratory parameters included hematology (hemoglobin, hematocrit, platelets, red blood cell (RBC), white blood cell (WBC), neutrophil, monocyte, lymphocyte, basophil and eosinophil counts, mean corpuscular volume (MCV)) and chemistry (ALT). Complete blood count, differential, platelet and ALT results were collected at screening (≤ 56 days before enrollment), Day 0 prior to study product administration (baseline), and Days 28 and 56.

    Time frame: 4 weeks after last injection

  4. Number of Subjects Reporting Unsolicited Adverse Events (AEs)

    Unsolicited AEs were reported from receipt of first study injection through 4 weeks after the last study injection administered. After the indicated time period through the last expected study visit at 72 weeks, only new chronic medical conditions and SAEs (reported as a separate outcome and in the AE module) were collected as unsolicited AEs. A subject with multiple experiences of the same event is counted once using the event of worst severity. The number reported for "Any AE" is the number of subjects reporting at least one or more AEs.

    Time frame: Through study completion, an average of 72 weeks after first injection

  5. Number of Subjects Reporting Serious Adverse Events (SAEs)

    SAEs were reported from receipt of first study injection through the last expected study visit at 72 weeks. Grading (Mild, Moderate, Severe, Life-threatening, and Death) was done using the Toxicity Grading Scale for Healthy Adult and Adolescent Volunteers Enrolled in Preventive Vaccine Clinical Trials (FDA Guidance - September 2007). The relationship between a SAE and the study product was assessed by the investigator on the basis of his or her clinical judgment and the definitions outlined in the protocol. A subject with multiple SAEs is counted only once.

    Time frame: Through study completion, an average of 72 weeks after first injection

  6. Number of Subjects With Confirmed Chikungunya Virus (CHIKV) Infection Events

    Confirmed Chikungunya infections by positive polymerase chain reaction (PCR) results reported from receipt of first study injection through the last expected study visit at 72 weeks.

    Time frame: Through study completion, an average of 72 weeks after first injection

Secondary outcomes

  1. Chikungunya Antigen-specific Neutralizing Antibody Geometric Mean Titer (GMT) - Per Protocol Population

    Antibody responses as measured by neutralization antibody (NAb) assay 4 weeks after last study injection.

    Time frame: Week 8

  2. Chikungunya Antigen-specific Neutralizing Antibody Geometric Mean Titer (GMT) - Intent-to-Treat Population

    Antibody responses as measured by neutralization antibody (NAb) assay 4 weeks after last study injection.

    Time frame: Week 8

  3. Chikungunya Antigen-specific Neutralizing Antibody Geometric Mean Titer (GMT) - Modified Intent-to-Treat

    Antibody responses as measured by neutralization antibody (NAb) assay 4 weeks after last study injection.

    Time frame: 4 weeks after last study injection

07

Results

Posted May 14, 2019
Limitations and caveats
Exploratory immunogenicity analyses (to evaluate humoral and cellular responses to VRC-CHKVLP059-00-VP at additional time points by antibody assays that include antigen-specific ELISA and neutralization assay) were not completed and are not reported.

Participant flow

Participant flow — Overall Study
MilestoneGroup 1: VRC-CHKVLP059-00-VP 20 mcgGroup 2: Placebo (VRC-PBSPLA043-00-VP)
Started201199
Received 1st injection197199
Received 2nd injection192192
Completed180183
Not completed2116
Withdrew: Enrolled, but did not receive product40
Withdrew: Lost to follow-up96
Withdrew: Moved from area23
Withdrew: Withdrawal by subject53
Withdrew: Physician decision13
Withdrew: Illness/injury unrelated to product01

Outcome measures

PrimaryNumber of Subjects Reporting Local Reactogenicity Signs and Symptoms Within 7 Days of Any Injection

Subjects recorded the occurrence of solicited symptoms on a memory aid for 7 days after any injection and reviewed the memory aid with clinic staff at a follow up visit. Subjects are counted once for each symptom at the worst severity if they indicated experiencing the symptom at any severity during the reporting period. The number reported for "Any Local Symptom" is the number of subjects reporting any local symptom at the worst severity. Solicited reactogenicity was recorded without an attribution assessment. Grading (Mild, Moderate, Severe) was done using the Toxicity Grading Scale for Healthy Adult and Adolescent Volunteers Enrolled in Preventive Vaccine Clinical Trials (FDA Guidance - September 2007).

Time frame:
7 days after any injection
Reported as:
Count of participants · Participants
Number of Subjects Reporting Local Reactogenicity Signs and Symptoms Within 7 Days of Any Injection
ParticipantsGroup 1: VRC-CHKVLP059-00-VP 20 mcgGroup 2: Placebo (VRC-PBSPLA043-00-VP)
Pain/Tenderness — None136161
Pain/Tenderness — Mild5837
Pain/Tenderness — Moderate30
Pain/Tenderness — Severe00
Swelling — None192197
Swelling — Mild20
Swelling — Moderate31
Swelling — Severe00
Redness — None196198
Redness — Mild10
Redness — Moderate00
Redness — Severe00
Any Local Symptom — None133161
Any Local Symptom — Mild5836
Any Local Symptom — Moderate61
Any Local Symptom — Severe00
PrimaryNumber of Subjects Reporting Systemic Reactogenicity Signs and Symptoms Within 7 Days of Any Injection

Subjects recorded the occurrence of solicited symptoms on a memory aid for 7 days after any injection and reviewed the memory aid with clinic staff at a follow up visit. Subjects are counted once for each symptom at the worst severity if they indicated experiencing the symptom at any severity during the reporting period. The number reported for "Any Systemic Symptom" is the number of subjects reporting any systemic symptom at the worst severity. Solicited reactogenicity was recorded without an attribution assessment. Grading (Mild, Moderate, Severe) was done using the Toxicity Grading Scale for Healthy Adult and Adolescent Volunteers Enrolled in Preventive Vaccine Clinical Trials (FDA Guidance - September 2007).

Time frame:
7 days after any injection
Reported as:
Count of participants · Participants
Number of Subjects Reporting Systemic Reactogenicity Signs and Symptoms Within 7 Days of Any Injection
ParticipantsGroup 1: VRC-CHKVLP059-00-VP 20 mcgGroup 2: Placebo (VRC-PBSPLA043-00-VP)
Malaise — None144150
Malaise — Mild4641
Malaise — Moderate77
Malaise — Severe00
Myalgia — None151162
Myalgia — Mild4134
Myalgia — Moderate52
Myalgia — Severe00
Headache — None143140
Headache — Mild4247
Headache — Moderate1111
Headache — Severe10
Chills — None180186
Chills — Mild1310
Chills — Moderate42
Chills — Severe00
Nausea — None186182
Nausea — Mild812
Nausea — Moderate34
Nausea — Severe00
Joint Pain — None173184
Joint Pain — Mild2012
Joint Pain — Moderate42
Joint Pain — Severe00
Temperature — None188193
Temperature — Mild72
Temperature — Moderate22
Temperature — Severe01
Any Systemic Symptom — None110113
Any Systemic Symptom — Mild6568
Any Systemic Symptom — Moderate2116
Any Systemic Symptom — Severe11
PrimaryNumber of Subjects With an Abnormal Laboratory Result

Safety laboratory parameters included hematology (hemoglobin, hematocrit, platelets, red blood cell (RBC), white blood cell (WBC), neutrophil, monocyte, lymphocyte, basophil and eosinophil counts, mean corpuscular volume (MCV)) and chemistry (ALT). Complete blood count, differential, platelet and ALT results were collected at screening (≤ 56 days before enrollment), Day 0 prior to study product administration (baseline), and Days 28 and 56.

Time frame:
4 weeks after last injection
Reported as:
Count of participants · Participants
Number of Subjects With an Abnormal Laboratory Result
ParticipantsGroup 1: VRC-CHKVLP059-00-VP 20 mcgGroup 2: Placebo (VRC-PBSPLA043-00-VP)
ALT74
WBC2118
Hemoglobin5070
Platelets64
Neutrophils3230
Lymphocytes74
Eosinophils105
RBC2821
Hematocrit3945
MCV2823
Monocytes56
Basophils31
PrimaryNumber of Subjects Reporting Unsolicited Adverse Events (AEs)

Unsolicited AEs were reported from receipt of first study injection through 4 weeks after the last study injection administered. After the indicated time period through the last expected study visit at 72 weeks, only new chronic medical conditions and SAEs (reported as a separate outcome and in the AE module) were collected as unsolicited AEs. A subject with multiple experiences of the same event is counted once using the event of worst severity. The number reported for "Any AE" is the number of subjects reporting at least one or more AEs.

Time frame:
Through study completion, an average of 72 weeks after first injection
Reported as:
Count of participants · Participants
Number of Subjects Reporting Unsolicited Adverse Events (AEs)
ParticipantsGroup 1: VRC-CHKVLP059-00-VP 20 mcgGroup 2: Placebo (VRC-PBSPLA043-00-VP)
Any AE104111
Blood and lymphatic system disorders4546
Cardiac disorders714
Endocrine disorders10
Eye disorders20
Gastrointestinal disorders1111
General disorders & administration site conditions24
Infections and infestations3339
Injury, poisoning & procedural complications64
Investigations52
Metabolism and nutrition disorders01
Musculoskeletal and connective tissue disorders54
Neoplasms benign, malignant and unspecified01
Nervous system disorders34
Pregnancy, puerperium & perinatal conditions10
Psychiatric disorders10
Renal and urinary disorders02
Reproductive system and breast disorders02
Respiratory, thoracic and mediastinal disorders94
Skin and subcutaneous tissue disorders39
Surgical and medical procedures11
Vascular disorders1513
PrimaryNumber of Subjects Reporting Serious Adverse Events (SAEs)

SAEs were reported from receipt of first study injection through the last expected study visit at 72 weeks. Grading (Mild, Moderate, Severe, Life-threatening, and Death) was done using the Toxicity Grading Scale for Healthy Adult and Adolescent Volunteers Enrolled in Preventive Vaccine Clinical Trials (FDA Guidance - September 2007). The relationship between a SAE and the study product was assessed by the investigator on the basis of his or her clinical judgment and the definitions outlined in the protocol. A subject with multiple SAEs is counted only once.

Time frame:
Through study completion, an average of 72 weeks after first injection
Reported as:
Count of participants · Participants
Number of Subjects Reporting Serious Adverse Events (SAEs)
ParticipantsGroup 1: VRC-CHKVLP059-00-VP 20 mcgGroup 2: Placebo (VRC-PBSPLA043-00-VP)
Related to study product00
Unrelated to study product411
PrimaryNumber of Subjects With Confirmed Chikungunya Virus (CHIKV) Infection Events

Confirmed Chikungunya infections by positive polymerase chain reaction (PCR) results reported from receipt of first study injection through the last expected study visit at 72 weeks.

Time frame:
Through study completion, an average of 72 weeks after first injection
Reported as:
Count of participants · Participants
Number of Subjects With Confirmed Chikungunya Virus (CHIKV) Infection Events
ParticipantsGroup 1: VRC-CHKVLP059-00-VP 20 mcgGroup 2: Placebo (VRC-PBSPLA043-00-VP)
Number of Subjects With Confirmed Chikungunya Virus (CHIKV) Infection Events10
SecondaryChikungunya Antigen-specific Neutralizing Antibody Geometric Mean Titer (GMT) - Per Protocol Population

Antibody responses as measured by neutralization antibody (NAb) assay 4 weeks after last study injection.

Time frame:
Week 8
Reported as:
Geometric mean · titer
Chikungunya Antigen-specific Neutralizing Antibody Geometric Mean Titer (GMT) - Per Protocol Population
titerGroup 1: VRC-CHKVLP059-00-VP 20 mcgGroup 2: Placebo (VRC-PBSPLA043-00-VP)
Chikungunya Antigen-specific Neutralizing Antibody Geometric Mean Titer (GMT) - Per Protocol Population2088.2 (1765.2 to 2474.1)41.1 (30.3 to 55.8)
SecondaryChikungunya Antigen-specific Neutralizing Antibody Geometric Mean Titer (GMT) - Intent-to-Treat Population

Antibody responses as measured by neutralization antibody (NAb) assay 4 weeks after last study injection.

Time frame:
Week 8
Reported as:
Geometric mean · titer
Chikungunya Antigen-specific Neutralizing Antibody Geometric Mean Titer (GMT) - Intent-to-Treat Population
titerGroup 1: VRC-CHKVLP059-00-VP 20 mcgGroup 2: Placebo (VRC-PBSPLA043-00-VP)
Chikungunya Antigen-specific Neutralizing Antibody Geometric Mean Titer (GMT) - Intent-to-Treat Population1995.7 (1673.9 to 2379.3)42.6 (31.6 to 57.5)
SecondaryChikungunya Antigen-specific Neutralizing Antibody Geometric Mean Titer (GMT) - Modified Intent-to-Treat

Antibody responses as measured by neutralization antibody (NAb) assay 4 weeks after last study injection.

Time frame:
4 weeks after last study injection
Reported as:
Geometric mean · titer
Chikungunya Antigen-specific Neutralizing Antibody Geometric Mean Titer (GMT) - Modified Intent-to-Treat
titerGroup 1: VRC-CHKVLP059-00-VP 20 mcgGroup 2: Placebo (VRC-PBSPLA043-00-VP)
Chikungunya Antigen-specific Neutralizing Antibody Geometric Mean Titer (GMT) - Modified Intent-to-Treat2004.5 (1680.1 to 2391.5)42.8 (31.7 to 57.9)

Adverse events

Collected over Solicited adverse events (AEs) were reported for 7 days after any injection. Unsolicited AEs were reported from receipt of the first injection through 4 weeks after the last study injection administered. Following the time period defined for AEs through the last expected study visit at 72 weeks, only new chronic medical conditions were collected as unsolicited AEs. Serious AEs (SAEs) were reported from receipt of the first injection through the last expected study visit at 72 weeks.. Non-serious events are listed at a 5% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Group 1: VRC-CHKVLP059-00-VP 20 mcg0/197 (0%)4/197 (2%)123/197 (62.4%)
Group 2: Placebo (VRC-PBSPLA043-00-VP)0/198 (0%)11/198 (5.6%)128/198 (64.6%)
Most frequent serious events
Showing 10 of 16
Most frequent serious events
EventGroup 1: VRC-CHKVLP059-00-VP 20 mcgGroup 2: Placebo (VRC-PBSPLA043-00-VP)
Pre-eclampsiaPregnancy, puerperium and perinatal conditions1/1970/198
AppendicectomySurgical and medical procedures1/1970/198
PyelonephritisInfections and infestations1/1970/198
ColitisGastrointestinal disorders1/1970/198
Femur fractureInjury, poisoning and procedural complications0/1971/198
Polycystic ovariesReproductive system and breast disorders0/1971/198
AppendicitisInfections and infestations0/1971/198
Acute hepatitis BInfections and infestations0/1971/198
Wolff-Parkinson-White syndromeCardiac disorders0/1971/198
Near drowningInjury, poisoning and procedural complications0/1971/198
Most frequent other events
Showing 10 of 11
Most frequent other events
EventGroup 1: VRC-CHKVLP059-00-VP 20 mcgGroup 2: Placebo (VRC-PBSPLA043-00-VP)
Administration Site Pain/TendernessGeneral disorders61/19737/198
HeadacheNervous system disorders54/19758/198
MalaiseGeneral disorders53/19748/198
MyalgiaMusculoskeletal and connective tissue disorders46/19736/198
AnaemiaBlood and lymphatic system disorders20/19729/198
Joint PainMusculoskeletal and connective tissue disorders24/19714/198
ChillsGeneral disorders17/19712/198
NauseaGastrointestinal disorders11/19716/198
Upper Respiratory Tract InfectionInfections and infestations12/19713/198
BradycardiaCardiac disorders5/19711/198

Baseline characteristics

Population includes all enrolled subjects.

Age, Customized
Age, Customized(Participants)Group 1: VRC-CHKVLP059-00-VP 20 mcgGroup 2: Placebo (VRC-PBSPLA043-00-VP)Total
18-20 years16925
21-30 years6675141
31-40 years5351104
41-50 years403474
51-60 years263056
Sex: Female, Male
Sex: Female, Male(Participants)Group 1: VRC-CHKVLP059-00-VP 20 mcgGroup 2: Placebo (VRC-PBSPLA043-00-VP)Total
Female96103199
Male10596201
Ethnicity (NIH/OMB)
Ethnicity (NIH/OMB)(Participants)Group 1: VRC-CHKVLP059-00-VP 20 mcgGroup 2: Placebo (VRC-PBSPLA043-00-VP)Total
Hispanic or Latino137138275
Not Hispanic or Latino6461125
Unknown or Not Reported000
Race/Ethnicity, Customized
Race/Ethnicity, Customized(Participants)Group 1: VRC-CHKVLP059-00-VP 20 mcgGroup 2: Placebo (VRC-PBSPLA043-00-VP)Total
North, South or Central American Native144143287
Asian011
Black or African American369
White201434
More than one race212041
Unknown or Not Reported131528
Region of Enrollment
Region of Enrollment(Participants)Group 1: VRC-CHKVLP059-00-VP 20 mcgGroup 2: Placebo (VRC-PBSPLA043-00-VP)Total
Haiti323062
Puerto Rico8587172
Guadeloupe161430
Dominican Republic5353106
Martinique151530
Body Mass Index (BMI)
Body Mass Index (BMI)(Participants)Group 1: VRC-CHKVLP059-00-VP 20 mcgGroup 2: Placebo (VRC-PBSPLA043-00-VP)Total
under 18.5 kg/m^25510
18.5-24.9 kg/m^29493187
25.0-29.9 kg/m^25657113
30.0 kg/m^2 or over454489
Missing101
08

Study locations

6 sites
  • Instituto Dermatológico y Cirugía de Piel
    Santo Domingo, Dominican Republic
  • University Hospital of Pointe-à-Pitre
    Pointe-à-Pitre, Guadeloupe
  • Centres GHESKIO
    Port Au Prince, Haiti
  • Centre Hospitalier Universitaire (CHU), Martinique
    Fort-de-France, 0596 55 20 00, Martinique
  • San Juan Hospital, Research Unit
    Rio Piedras, 00935, Puerto Rico
  • Puerto Rico Clinical and Translational Research Consortium
    San Juan, 00936-5067, Puerto Rico
09

References and documents

Publications

  • Chang LJ, Dowd KA, Mendoza FH, Saunders JG, Sitar S, Plummer SH, Yamshchikov G, Sarwar UN, Hu Z, Enama ME, Bailer RT, Koup RA, Schwartz RM, Akahata W, Nabel GJ, Mascola JR, Pierson TC, Graham BS, Ledgerwood JE; VRC 311 Study Team. Safety and tolerability of chikungunya virus-like particle vaccine in healthy adults: a phase 1 dose-escalation trial. Lancet. 2014 Dec 6;384(9959):2046-52. doi: 10.1016/S0140-6736(14)61185-5. Epub 2014 Aug 14. PubMed 25132507 ↗
  • Weaver SC, Lecuit M. Chikungunya Virus Infections. N Engl J Med. 2015 Jul 2;373(1):94-5. doi: 10.1056/NEJMc1505501. No abstract available. PubMed 26132956 ↗
  • Powers AM, Logue CH. Changing patterns of chikungunya virus: re-emergence of a zoonotic arbovirus. J Gen Virol. 2007 Sep;88(Pt 9):2363-2377. doi: 10.1099/vir.0.82858-0. No abstract available. PubMed 17698645 ↗
  • Chen GL, Coates EE, Plummer SH, Carter CA, Berkowitz N, Conan-Cibotti M, Cox JH, Beck A, O'Callahan M, Andrews C, Gordon IJ, Larkin B, Lampley R, Kaltovich F, Gall J, Carlton K, Mendy J, Haney D, May J, Bray A, Bailer RT, Dowd KA, Brockett B, Gordon D, Koup RA, Schwartz R, Mascola JR, Graham BS, Pierson TC, Donastorg Y, Rosario N, Pape JW, Hoen B, Cabie A, Diaz C, Ledgerwood JE; VRC 704 Study Team. Effect of a Chikungunya Virus-Like Particle Vaccine on Safety and Tolerability Outcomes: A Randomized Clinical Trial. JAMA. 2020 Apr 14;323(14):1369-1377. doi: 10.1001/jama.2020.2477. Erratum In: JAMA. 2020 Jul 28;324(4):400. doi: 10.1001/jama.2020.12541. PubMed 32286643 ↗

Study documents

PDFs hosted by the registry, ClinicalTrials.gov.

Individual participant data

Plan to share: No

10

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Oct 22, 2020, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT02562482
Responsible party
Sponsor
First posted
Sep 29, 2015
Start date
Nov 18, 2015
Primary completion
Mar 6, 2018
Completion
Mar 6, 2018
Results posted
May 14, 2019
Last update
Oct 22, 2020

Study contacts

Nicolas Rosario, MD
principal investigator · San Juan Hospital
Clemente Diaz, MD
principal investigator · Puerto Rico Clinical and Translational Research Consortium
Bruno Hoen, MD
principal investigator · University Hospital Pointe-a-Pitre, Guadeloupe
Yeycy Donastorg, MD
principal investigator · Instituto Dermatológico y Cirugía de Piel
Jean W Pape, MD
principal investigator · Centres GHESKIO, Haiti
Andre Cabie, MD
principal investigator · Centre Hospitalier Universitaire (CHU), Martinique
Julie Ledgerwood, DO
study chair · VRC, NIAID, NIH
Grace Chen, MD
study chair · VRC, NIAID, NIH

Oversight

Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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