A Phase 1 interventional study of IXIARO and Placebo in Zika Virus Infection, sponsored by National Institute of Allergy and Infectious Diseases (NIAID). Completed at 1 site in United States. Open to participants aged 18 Years to 49 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2024-04-22.
Sponsored by National Institute of Allergy and Infectious Diseases (NIAID) · Phase 1, Interventional, and Prevention
Phase 1 study to evaluate two doses of Alum Adjuvanted Zika Virus Purified Inactivated Vaccine (ZPIV) administered 28 days apart. The study will enroll 75 flavivirus naïve healthy adult subjects into 3 equal groups sequentially. Each group will include 20 ZPIV recipients and 5 placebo recipients. Group 1 will receive two ZPIV or placebo doses 28 days apart. Those in Group 1 who consent to a third ZPIV dose will receive 5.0 mcg dose of ZPIV or placebo administered IM on Day 224. Group 2 subjects will receive a two-dose regimen of IXIARO® 28 days apart; two ZPIV or placebo doses three months later 28 days apart. Those in Group 2 who consent to a third ZPIV dose will receive it on Day 336. Group 3 subjects will receive one dose of YF-VAX® followed three months later by two ZPIV or placebo doses 28 days apart. Those in Group 3 who consent to a third ZPIV dose will receive it on Day 308. In each group, those who do not agree to receive the third ZPIV dose will be followed based on the schedule. The primary objectives are: 1) To evaluate the safety and reactogenicity of a two-dose homologous prime boost regimen of ZPIV among flavivirus-naïve, YF-VAX® primed, and IXIARO® primed subjects; 2) To evaluate the safety and reactogenicity of a third dose of ZPIV in consenting subjects.
This study is a single-center, double-blinded, placebo-controlled, first-in-human, Phase 1 study to evaluate the safety, reactogenicity, and immunogenicity of two doses of alum adjuvanted Zika Virus Purified Inactivated Vaccine (ZPIV) administered 28 days apart. The study will enroll 75 flavivirus naïve healthy male and non-pregnant, non-breastfeeding female adult subjects (ages 18-49, inclusive) into 3 equal groups sequentially, starting with Group 1 followed by Group 2 and then Group 3. Screening will occur within 40 days of first vaccination. Each group will include 20 ZPIV recipients and 5 placebo recipients. Two sentinel subjects from Group 1 will be enrolled first and will receive ZPIV in an open-label fashion first. The next 23 subjects (18 ZPIV, 5 placebo) will be randomized into Group 1. This will be followed by the randomization of 25 subjects into Group 2 (JE priming). The remaining 25 subjects to enroll will be randomized into Group 3 (YF priming). Group 1 subjects will receive two 5.0 mcg doses of ZPIV or placebo administered IM on Days 1 and 29. Those in Group 1 who consent to a third ZPIV dose will receive 5.0 mcg dose of ZPIV or placebo administered IM on Day 224. Group 2 subjects will receive a two-dose regimen of IXIARO® (Valneva) 28 days apart; two ZPIV or placebo doses will be administered three months later IM 28 days apart. Those in Group 2 who consent to a third ZPIV dose will receive it on Day 336. Group 3 subjects will receive one dose of YF-VAX® (Sanofi Pasteur) followed three months later by two ZPIV or placebo doses administered IM 28 days apart. Those in Group 3 who consent to a third ZPIV dose will receive it on Day 308. In each group, those who do not agree to receive the third ZPIV dose will be followed based on the schedule. The primary objectives are: 1) To evaluate the safety and reactogenicity of a two-dose homologous prime boost regimen of ZPIV among flavivirus-naïve, YF-VAX® primed, and IXIARO® primed subjects; 2) To evaluate the safety and reactogenicity of a third dose of ZPIV in consenting subjects. The secondary objectives are: 1) To evaluate the quantitative humoral immune response at 28 days after the first and second ZPIV administration, and 112, 196, 280, and 364 days after the first ZPIV administration for each of the three groups in subjects who consent to two doses of ZPIV; 2) To evaluate the quantitative humoral immune response at 28 days after the first and second ZPIV administration, and 112, 196, 224 days after the first ZPIV administration and at 28, 84, and 168 days after the third ZPIV administration for Group 1 subjects who consent to third dose; 3) To evaluate the quantitative humoral immune response at 28 days after the first and second ZPIV administration, and 112, 224 days after the first ZPIV administration and at 28, 84, and 168 days after the third ZPIV administration for Group 2 and 3 subjects who consent to third dose.
63 studies on the registry are indexed under Zika Virus Infection; 5 are open to participants now.
This study's enrollment of 75 is below the median of 85 across 34 interventional studies indexed under Zika Virus Infection.
Browse Zika Virus Infection studies →National Institute of Allergy and Infectious Diseases (NIAID) is the lead sponsor of 2,401 studies on the registry; 179 are open to participants now.
Of its 396 completed or terminated interventional studies of FDA-regulated products, 294 (74%) have results posted.
Counted across the registry records on this site, refreshed daily.
Must have acceptable screening laboratory findings within 40 days before day 1.
Note: If laboratory screening tests are out of acceptable range, repeat of screening tests is permitted one time, provided there is an alternative explanation for the out of range value.
Must be in good health based on the investigator's clinical judgment when considering findings from past medical history, medication use, vital signs, and an abbreviated physical examination.
Note 1: Good health is defined by the absence of any medical condition described in the exclusion criteria in a subject with a normal abbreviated physical exam and vital signs. If the subject has a preexisting condition not listed in the exclusion criteria, the condition cannot meet any of the following criteria: first diagnosed in the last 3 months; worsening in terms of clinical outcome in the last 6 months; or involves need for medication that may pose a risk to the subject's safety or impede assessment of AEs or immunogenicity if they participate in the study.
Note 2: An abbreviated physical exam differs from a complete exam in that it does not include a genitourinary and rectal exam.
Note 3: Vital signs must be normal by protocol toxicity grading scale or determined to be normal-variant by investigator. In the event of an abnormal heart rate or blood pressure due to physiological variation or activity, the subject may rest for 10 minutes in a quiet room, and then blood pressure and/or heart rate may be re-measured. Repeated vital signs may be used to determine eligibility.
Women of childbearing potential must have a negative urine pregnancy test at screening and a negative urine pregnancy test immediately prior to each vaccination.
Note: All female subjects are considered of childbearing potential unless postmenopausal or surgically sterile and >/=3 months have passed since sterilization procedure. Postmenopausal is defined as amenorrhea for >/=12 months without an alternative medical cause. Permanent female sterilization procedures include tubal ligation, bilateral salpingectomy, hysterectomy, bilateral oophorectomy, or successful Essure placement.
Women of childbearing potential must use an acceptable method of contraception from one month (30 days) prior to the first vaccination until at least 60 days after the last vaccination.
Exclusion Criteria:
Has plans to travel to an area with active ZIKV, DENV, YFV, or JEV transmission during the study or returned from an endemic area with these diseases within 30 days of screening.
NOTE: Refer to Centers for Disease Control and Prevention (CDC) website for areas with active ZIKV transmission: http://www.cdc.gov/zika/geo
Has history of vaccination with a licensed or investigational flavivirus vaccine or reportedly diagnosed with a flavivirus infection or disease. Includes subject's verbal history of vaccination or disease with any of the following flaviviruses:
Seropositive to DENV, ZIKV, YFV, JEV, or WNV by microneutralization (MN) titer assay.
Has known or suspected congenital or acquired immunodeficiency, or recent history or current use of immunosuppressive therapy.
Has history of malignancy other than squamous cell or basal cell skin cancer, unless there has been surgical excision that is considered to have achieved a cure.
Has history of chronic or acute severe neurologic condition.
Has diabetes mellitus type 1 or type 2, including cases controlled with diet alone.
Note: history of isolated gestational diabetes is not an exclusion criterion.
Has history of other chronic disease or condition including:
Received killed or inactivated vaccine from 14 days before Day 1 and until 14 days after the last vaccination.
Is currently participating or plans to participate in another clinical study that involves:
Has an acute illness or temperature >/=38.0 ºC on any vaccination (ZPIV and priming vaccinations) or within 48 hours of planned vaccination.
Two doses of 5.0mcg ZPIV or placebo on Days 1 and 29. N=20 ZPIV, N=5 placebo. Subjects who consent to a third ZPIV dose will receive a 5.0 mcg of ZPIV or placebo on Day 224
Other: Placebo · Biological: Zika Virus Purified Inactivated Vaccine (ZPIV)
Two 0.5mL doses of IXIARO® (Valneva) Days 1 and 29 followed by two ZPIV or placebo doses will be administered on Days 112 and 140. N=20 ZPIV, N=5 placebo. Subjects who consent to a third ZPIV dose will receive it on Day 336
Biological: IXIARO · Other: Placebo · Biological: Zika Virus Purified Inactivated Vaccine (ZPIV)
One 0.5mL dose of YF-VAX® (Sanofi Pasteur) on Day 1 followed by two ZPIV or placebo doses on Days 84 and 112. N=20 ZPIV, N=5 placebo. Subjects who consent to a third ZPIV dose will receive it on Day 308
Other: Placebo · Biological: YF Vax 17D Strain · Biological: Zika Virus Purified Inactivated Vaccine (ZPIV)
An inactivated vaccine indicated for active immunization for the prevention of disease caused by Japanese encephalitis virus (JEV).
0.9% Sodium Chloride 5 mcg
A stabilised Yellow Fever Vaccine (Live) that is an injectable suspension of the attenuated 17D strain of yellow fever virus. The vaccine is injected by the subcutaneous route.
Zika Virus Purified Inactivated Vaccine with aluminum hydroxide adjuvant.
Occurrence of SAEs, new onset medical conditions, and AESIs
Time frame: From Day 1 to Day 658
Occurrence of solicited local AEs
Time frame: 7 days following each ZPIV dose
Occurrence of solicited systemic AEs
Time frame: 7 days following each ZPIV dose
Occurrence of unsolicited AEs
Time frame: 28 days following each ZPIV dose
Relationship of unsolicited AEs to vaccination
Time frame: 28 days following each ZPIV dose
Severity of solicited local AEs
Time frame: 7 days following each ZPIV dose
Severity of solicited systemic AEs
Time frame: 7 days following each ZPIV dose
Severity of unsolicited AEs
Time frame: 28 days following each ZPIV dose
Anti- ZIKV NAbs GMTs by group in subjects who consent to two doses of ZPIV
Time frame: 28 days after each ZPIV dose
Anti- ZIKV NAbs GMTs by group in subjects who consent to two doses of ZPIV
Time frame: Days 112, 196, 280 and 364 after initial ZPIV dose
Anti- ZIKV NAbs GMTs overall
Time frame: 28 days after each ZPIV dose
Anti- ZIKV NAbs GMTs overall
Time frame: Days 112, 196, 280 and 364 after initial ZPIV dose
Anti- ZIKV NAbs seroconversion rates by group in subjects who consent to two doses of ZPIV
Time frame: 28 days after each ZPIV dose
Anti- ZIKV NAbs seroconversion rates by group in subjects who consent to two doses of ZPIV
Time frame: Days 112, 196, 280 and 364 after initial ZPIV dose
Anti- ZIKV NAbs seroconversion rates overall
Time frame: 28 days after each ZPIV dose
Anti- ZIKV NAbs seroconversion rates overall
Time frame: Days 112, 196, 280 and 364 after initial ZPIV dose
Anti-ZIKV Nabs GMTs for group 1 subjects who consent to the third dose of ZPIV
Time frame: 28 days after each ZPIV dose
Anti-ZIKV Nabs GMTs for group 1 subjects who consent to the third dose of ZPIV
Time frame: Days 112, 196, 224 after initial ZPIV dose
Anti-ZIKV Nabs GMTs for group 1 subjects who consent to the third dose of ZPIV
Time frame: Days 84, 168 after third ZPIV dose
Anti-ZIKV Nabs GMTs for group 2 and 3 subjects who consent to the third dose of ZPIV
Time frame: 28 days after each ZPIV dose
Anti-ZIKV Nabs GMTs for group 2 and 3 subjects who consent to the third dose of ZPIV
Time frame: Days 112, 224 after initial ZPIV dose
Anti-ZIKV Nabs GMTs for group 2 and 3 subjects who consent to the third dose of ZPIV
Time frame: Days 84, 168 after third ZPIV dose
Anti-ZIKV Nabs seroconvertion rates for group 1 subjects who consent to the third dose of ZPIV
Time frame: 28 days after each ZPIV dose
Anti-ZIKV Nabs seroconvertion rates for group 1 subjects who consent to the third dose of ZPIV
Time frame: Days 112, 196, 224 after initial ZPIV dose
Anti-ZIKV Nabs seroconvertion rates for group 1 subjects who consent to the third dose of ZPIV
Time frame: Days 84, 168 after third ZPIV dose
Anti-ZIKV Nabs seroconvertion rates for group 2 and 3 subjects who consent to the third dose of ZPIV
Time frame: 28 days after each ZPIV dose
Anti-ZIKV Nabs seroconvertion rates for group 2 and 3 subjects who consent to the third dose of ZPIV
Time frame: Days 112, 224 after initial ZPIV dose
Anti-ZIKV Nabs seroconvertion rates for group 2 and 3 subjects who consent to the third dose of ZPIV
Time frame: Days 84, 168 after third ZPIV dose
This study is completed, as verified in Aug 2017. You cannot join it, but the record below documents what was studied.
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National Institute of Allergy and Infectious Diseases (NIAID)