ClinicalTrials.gg
CompletedNCT03343626Updated Feb 11, 2022Results posted

Safety, Immunogenicity, and Dose Ranging Study of Inactivated Zika Virus Vaccine in Healthy Participants

A Phase 1 interventional study of Placebo and PIZV in Virus, Zika, Zika Virus Disease and Flavivirus Infections, sponsored by Takeda. Completed at 9 sites in 2 countries. Open to participants aged 18 Years to 49 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2022-02-11.

Sponsored by Takeda · Phase 1, Interventional, and Prevention

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Phase
Phase 1
Study type
Interventional
Enrollment
271
Allocation
Randomized
Ages
18 Years to 49 Years
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-13

Among 23 studies in Zika Virus Infection with a site in United States — 3 open to participants now, 3 under way, none of them phase 3. Zika Virus Infection · United States.

Enrollment
4th of 16
271 · median 91
Started
2017
with 3 others
Phase 1
12 of 23
none open now
Registered
12th of 23
by date

Among the 23 studies in Zika Virus Infection with a site in United States, this one is the 4th largest by enrollment of the 16 interventional ones that give a count, is one of 4 that started in 2017, is one of 12 in phase 1, and was the 12th registered.

Zika Virus Infection

78 studies on the registry are indexed under Zika Virus Infection; 8 are open to participants now.

Browse Zika Virus Infection studies →

Open to participants now

3 of the 23 studies in Zika Virus Infection with a site in United States are open now. Recruiting first, the newest first:

All 3 open studies →

A study can be open while its sites in United States have not opened yet or have stopped. Only those recruiting at a site in United States →

Who these studies take

Of the 4 Zika Virus Infection studies recruiting now, 2 set no upper age limit and 2 stop at 75 or younger; 2 take children under 18; 2 take healthy volunteers.

This study: 18 Years to 49 Years · all sexes · healthy volunteers too.

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Watch this landscapeDownload CSVNarrow it in search →With an account: a weekly mail of what changed among 23 studies in Zika Virus Infection with a site in United States, or all of them as a file.
02

Study summary

The purpose of this study is to describe the safety, tolerability and immunogenicity of two doses of purified inactivated Zika virus vaccine (PIZV) given 28 days apart. Three different vaccine doses containing different protein concentrations (2, 5 or 10 microgram [mcg]) each, will be given as 2 dose schedule to flavivirus naive and primed healthy adults. Participants will be followed for 7 days post each dose for tolerability and up to 6 months post dose 2 for safety. Immunogenicity assessment will be performed at 28 days post each dose and 6 months post dose 2. In addition, the selected dose group and control group will be followed till 24 months post dose 2 for safety and persistence of immunity.

Read the detailed description

The vaccine being tested in this study is called PIZV or TAK-426 adjuvanted with aluminum hydroxide. The Zika virus vaccine is being tested to provide safety and immunogenicity data to enable the vaccine to be further developed clinically.

The study will enroll approximately 240 participants. Participants will be randomly assigned (by chance, like flipping a coin) to one of the four groups-which will remain undisclosed to the study observer:

  • Placebo
  • PIZV: 2 microgram (mcg) Low Dose
  • PIZV: 5 mcg Medium Dose
  • PIZV: 10 mcg High Dose

All participants will be administered either placebo or PIZV by intramuscular (IM) injection into the middle third of the deltoid muscle, preferably in the non-dominant arm on Days 1 (Visit 1) and 29 (Visit 4).

This multi-center trial will be conducted in the United States and Puerto Rico. The overall time to participate in this study is up to 25 months. Participants will make multiple visits to the clinic on Days 1, 8, 29, 36, 57, 211, 393 and will be contacted by telephone on Day 133 (Visit 7) and Day 575 (Visit 9) and also visit the clinic on Day 757 (Visit 11) depending on the study arm, for a final follow-up assessment.

03

Conditions studied

  • Virus, Zika
  • Zika Virus Disease
  • Flavivirus Infections
  • Healthy Participants

Browse trials for

Keywords

  • Drug therapy
04

Who can participate

Ages eligible
18 Years to 49 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

  1. Participants who are in good health at the time of entry into the trial as determined by medical history, physical examination (including vital signs) and eligibility screening tests (hematology, biochemistry and urinalysis) and clinical judgment of the investigator. Vital signs must be within normal limits (ie, below Grade 1 as specified in the Food and Drug Administration [FDA] Toxicity Grading Scale for Healthy Adult and Adolescent Volunteers). Screening tests must be within normal limits or not be above Grade 1 as defined in the FDA Toxicity Grading Scale for Healthy Adult and Adolescent Volunteers.
  2. Participants who can comply with trial procedures and are available for the duration of follow-up.
  3. All female participants must be willing to undergo serum beta human chorionic gonadotropin (B-hCG) pregnancy test and must test negative by urine pregnancy test prior to each study vaccination.

Exclusion criteria

Exclusion Criteria:

  1. Participants and participants' partners with confirmed Zika virus (ZIKV) infection by self-report.
  2. Traveling to flavivirus endemic countries or flavivirus endemic regions of the United States (US) or US territories*, within 4 weeks prior to screening or planned travel through to Visit 6 (applicable only to participants to be enrolled into the flavivirus naïve cohort).

    a. Centers for Disease Control and Prevention (CDC) website define the information about the flavivirus endemic countries and US regions and territories.

  3. Known or allergy to any of the vaccine candidate components (including of the vaccine or placebo).
  4. Has any history of progressive or severe neurologic disorder, seizure disorder or neuro-inflammatory disease (example, Guillain-Barré syndrome).
  5. Known or suspected impairment/alteration of immune function, including:

    • Chronic use of oral (equivalent to 20 milligram per day [mg/day] prednisone greater than or equal to [>=] 12 weeks / >= 2 milligram per kilogram [mg/kg] body weight / day prednisone >= 2 weeks) within 60 days prior to Day 1 (use of inhaled, intranasal, or topical corticosteroids is allowed).
    • Receipt of parenteral steroids (equivalent to 20 mg/day prednisone >= 12 weeks / >= 2 mg/kg body weight / day prednisone >= 2 weeks) within 60 days prior to Day 1.
    • Receipt of immunostimulants within 60 days prior to Day 1.
    • Receipt of parenteral, epidural or intra-articular immunoglobulin preparation, blood products, and/or plasma derived products within 3 months prior to Day 1 or planned during the full length of the trial. In addition, participants must be advised not to donate blood during the study period.
    • Known (HIV) infection or HIV-related disease.
    • Genetic immunodeficiency.
  6. Has known current or chronic and/or infections.
  7. Has abnormalities of spleen or thymic function.
  8. Has a known bleeding diathesis, or any condition that may be associated with a prolonged bleeding time.
  9. Individuals participating in any clinical trial with another investigational product, including ZIKV vaccine clinical trial within 30 days prior to first trial visit or intent to participate in another clinical trial at any time during the conduct of this trial.
  10. Individuals who received any other vaccines within 14 days (for inactivated vaccines) or 28 days (for ) prior to enrollment in this trial or who are planning to receive any vaccine within 28 days of investigational vaccine/placebo administration.
  11. Female participants who are pregnant or breastfeeding, or are planning to become pregnant.
  12. Any positive or indeterminate pregnancy test.
  13. If female participant of , sexually active, and who has not used any of the "acceptable methods" for at least 2 months prior to trial entry:

    • "Of childbearing potential" is defined as status post onset of menarche and not meeting any of the following conditions: menopausal for at least 2 years without any other alternative medical cause (as confirmed by a healthcare professional), status after bilateral tubal ligation for at least 1 year, status after bilateral oophorectomy, or status after hysterectomy.
    • Acceptable birth control methods are defined as one or more of the following:

      • Hormonal contraceptive (such as oral, injection, transdermal patch, implant, cervical ring).
      • Barrier (condom with spermicide or diaphragm with spermicide) each and every time during intercourse.
      • Intrauterine device.
      • Monogamous relationship with vasectomized partner. Partner must have been vasectomized for at least six months prior to the participants' trial entry.
  14. If female participant of childbearing potential and sexually active, refusal to use an "acceptable contraceptive method" from trial entry through 2 months after the last dose of investigational vaccine/placebo. In addition female participants of childbearing potential must be advised not to donate ova during this period.
  15. To avoid sexual transmission of ZIKV from natural exposure: Refusal to use latex condoms correctly and consistently by sexually active participants even if other contraceptive measures are used from signing the form (ICF) through the end of the trial. Male participants must be advised not to donate sperm during this period.
Terms in these criteria, in plain language(11)

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.

Hypersensitivity

An allergy, or another reaction of the immune system, to a substance. “Hypersensitivity to the study drug” means a known allergic reaction to it — not every side effect a medicine can have.

Excipients

The other ingredients in a medicine besides the active drug, such as fillers, colours or preservatives.

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.

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.

Hepatitis B tests

Hepatitis B is a virus that infects the liver. These are separate tests: HBsAg positive usually means a current infection (a recent vaccination can briefly cause it too); total anti-HBc (HBcAb) positive means an infection now or in the past; HBV DNA measures how much virus is in the blood.

Some studies accept a past infection if HBV DNA is undetectable, sometimes with antiviral medicine during the study. Check what this study allows.

Hepatitis C tests

Hepatitis C is a virus that infects the liver. An HCV antibody test can stay positive after an infection has cleared (and is occasionally positive without one); an HCV RNA test shows whether the virus is there now.

After treatment, hepatitis C counts as cured when HCV RNA is still undetectable 12 weeks or more after the treatment ended. Studies often accept people cured this way.

Live vaccines

Vaccines made with a weakened form of the germ, such as measles–mumps–rubella (MMR), chickenpox and yellow fever. They can be risky when the immune system is weakened. Flu injections are not live; the nasal flu spray is.

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.

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.

05

Study design

Phase
Phase 1
Primary purpose
Prevention
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Double (Investigator, Outcomes assessor)
Enrollment
271 participants (actual)

Study arms

  • Placebo comparator
    Flavivirus-naïve Cohort: Placebo

    Placebo injection, intramuscular (IM), once on Day 1 (first dose) and Day 29 (second dose).

    Drug: Placebo

  • Experimental
    Flavivirus-naïve Cohort: PIZV 2 mcg (Low Dose)

    PIZV 0.5 mL, 2 mcg antigen, IM injection, once on Day 1 (first dose) and Day 29 (second dose).

    Biological: PIZV

  • Experimental
    Flavivirus-naïve Cohort: PIZV 5 mcg (Medium Dose)

    PIZV 0.5 mL, 5 mcg antigen, IM injection, once on Day 1 (first dose) and Day 29 (second dose).

    Biological: PIZV

  • Experimental
    Flavivirus-naïve Cohort: PIZV 10 mcg (High Dose)

    PIZV 0.5 mL, 10 mcg antigen, IM injection, once on Day 1 (first dose) and Day 29 (second dose).

    Biological: PIZV

  • Placebo comparator
    Flavivirus-primed Cohort: Placebo

    Placebo injection, IM, once on Day 1 (first dose) and Day 29 (second dose).

    Drug: Placebo

  • Experimental
    Flavivirus-primed Cohort: PIZV 2 mcg (Low Dose)

    PIZV 0.5 mL, 2 mcg antigen, IM injection, once on Day 1 (first dose) and Day 29 (second dose).

    Biological: PIZV

  • Experimental
    Flavivirus-primed Cohort: PIZV 5 mcg (Medium Dose)

    PIZV 0.5 mL, 5 mcg antigen, IM injection, once on Day 1 (first dose) and Day 29 (second dose).

    Biological: PIZV

  • Experimental
    Flavivirus-primed Cohort: PIZV 10 mcg (High dose)

    PIZV 0.5 mL, 10 mcg antigen, IM injection, once on Day 1 (first dose) and Day 29 (second dose).

    Biological: PIZV

Interventions

  • DrugPlacebo

    Placebo (normal saline (0.9% NaCl) IM injection.

  • BiologicalPIZV

    Purified inactivated Zika virus vaccine with aluminum hydroxide adjuvant IM injection.

    Also known as: TAK-426

06

What researchers measure

Primary outcomes

  1. Percentage of Participants With Solicited Local Injection Site Reactions by Severity Within 7 Days After Dose 1 of PIZV or Placebo

    Solicited local AEs (at injection site) were collected by participants using diary cards within 7 days after first 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), erythema (\<25 mm, mild: \>=25 to- \<=50 mm, moderate: \>50 to \<=100 mm, severe: \>100 mm), and swelling and induration (\<25 mm, mild: \>=25 to \<=-50 mm, moderate: \>50 to \<=100 mm, severe: \>100 mm). Only categories for which there was at least 1 participant are reported.

    Time frame: Within 7 days after Dose 1 (Day 8)

  2. Percentage of Participants With Solicited Local Injection Site Reactions by Severity Within 7 Days After Dose 2 of PIZV or Placebo

    Solicited local AEs (at injection site) were collected by participants using diary cards within 7 days after first 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), erythema (\<25 mm, mild: \>=25 to \<=50 mm, moderate: \>50 to \<=100 mm, severe: \>100 mm), and swelling and induration (\<25 mm, mild: \>=25 to \<=50 mm, moderate: \>50 to \<=100 mm, severe: \>100 mm). Only categories for which there was at least 1 participant are reported.

    Time frame: Within 7 days after Dose 2 (Day 36)

  3. Percentage of Participants With Solicited Systemic Adverse Events (AEs) by Severity Within 7 Days After Dose 1 of PIZV or Placebo

    Solicited systemic AEs included fever, headache, fatigue, malaise, arthralgia, and myalgia that occurred within 7 days of first vaccination. Solicited systemic AEs (headache, fatigue, malaise, arthralgia, and myalgia) was graded from 0 to 3 by severity; where 0=None, 1=Mild: No interference with daily activity, 2=Moderate: Interference with daily activity, 3=Severe: Prevents daily activity; A systemic AE of fever (defined as ≥38°C or ≥100.4°F) was graded from 1 to 4 by severity; where 1=Mild: 38.0-38.4°C, 2=Moderate: 38.5-38.9°C, 3=Severe: 39.0-40°C, and 4=Potentially life threatening:\>40°C. Only categories for which there was at least 1 participant are reported.

    Time frame: Within 7 days after Dose 1 (Day 8)

  4. Percentage of Participants With Solicited Systemic AEs by Severity Within 7 Days After Dose 2 of PIZV or Placebo

    Solicited systemic AEs included fever, headache, fatigue, malaise, arthralgia, and myalgia that occurred within 7 days of first vaccination. Solicited systemic AEs (headache, fatigue, malaise, arthralgia, and myalgia) was graded from 0 to 3 by severity; where 0=None, 1=Mild: No interference with daily activity, 2=Moderate: Interference with daily activity, 3=Severe: Prevents daily activity; A systemic AE of fever (defined as ≥38°C or ≥100.4°F) was graded from 1 to 4 by severity; where 1=Mild: 38.0-38.4°C, 2=Moderate: 38.5-38.9°C, 3=Severe: 39.0-40°C, and 4=Potentially life threatening:\>40°C. Only categories for which there was at least 1 participant are reported.

    Time frame: Within 7 days after Dose 2 (Day 36)

  5. Percentage of Participants Who Experienced at Least One Non-serious Unsolicited AE Within 28 Days After Dose 1 of PIZV or Placebo

    An AE was defined as any untoward medical occurrence in participants administered a trial vaccine; it does not necessarily have to have a causal relationship with trial vaccine administration.

    Time frame: Within 28 days after Dose 1 (Day 29)

  6. Percentage of Participants Who Experienced at Least One Non-serious Unsolicited AE Within 28 Days After Dose 2 of PIZV or Placebo

    An AE was defined as any untoward medical occurrence in a clinical investigation participants administered a trial vaccine; it does not necessarily have to have a causal relationship with trial vaccine administration.

    Time frame: Within 28 days after Dose 2 (Day 57)

  7. Percentage of Participants Who Experienced at Least One Serious Adverse Event (SAE) Within 28 Days After Dose 1 of PIZV or Placebo

    A SAE was defined as any untoward medical occurrence that: 1) results in death, 2) is life-threatening, 3) requires inpatient hospitalization or prolongation of existing hospitalization, 4) results in persistent or significant disability/incapacity, 5) leads to a congenital anomaly/birth defect in the offspring of the participant or 6) is an medically important event that satisfies any of the following: a) May require intervention to prevent items 1 through 5 above. b) May expose the participant to danger, even though the event is not immediately life threatening or fatal or does not result in hospitalization.

    Time frame: Within 28 days after Dose 1 (Day 29)

  8. Percentage of Participants Who Experienced at Least One SAE Within 28 Days After Dose 2 of PIZV or Placebo

    A SAE was defined as any untoward medical occurrence that: 1) results in death, 2) is life-threatening, 3) requires inpatient hospitalization or prolongation of existing hospitalization, 4) results in persistent or significant disability/incapacity, 5) leads to a congenital anomaly/birth defect in the offspring of the participant or 6) is an medically important event that satisfies any of the following: a) May require intervention to prevent items 1 through 5 above. b) May expose the participant to danger, even though the event is not immediately life threatening or fatal or does not result in hospitalization.

    Time frame: Within 28 days after Dose 2 (Day 57)

  9. Geometric Mean Titers (GMTs) of Neutralizing Antibody for Zika Virus (ZIKV) 28 Days After Dose 2 of PIZV or Placebo

    GMTs of neutralizing antibodies for ZIKV were measured by the Zika plaque reduction neutralization test (PRNT) test, by assessing the quantity of neutralizing antibodies that bind ZIKV in the assay. The assay results were reported as titers (reciprocal value of the dilution of the serum from the vaccinated individual that inhibits for 50% the plaque formation).

    Time frame: 28 days after Dose 2 (Day 57)

Secondary outcomes

  1. Percentage of Participants Who Experienced at Least One SAE During the Study

    A SAE was defined as any untoward medical occurrence that: 1) results in death, 2) is life-threatening, 3) requires inpatient hospitalization or prolongation of existing hospitalization, 4) results in persistent or significant disability/incapacity, 5) leads to a congenital anomaly/birth defect in the offspring of the participant or 6) is an medically important event that satisfies any of the following: a) May require intervention to prevent items 1 through 5 above. b) May expose the participant to danger, even though the event is not immediately life threatening or fatal or does not result in hospitalization.

    Time frame: From day of first vaccination (Day 1) up to end of the study (Day 757)

  2. GMTs of Neutralizing Antibody for ZIKV 28 Days After Dose 1 and 6 Months After Dose 2

    GMTs of neutralizing antibodies for ZIKV were measured by Zika PRNT test, by assessing the quantity of neutralizing antibodies that bind ZIKV in the assay. The assay results were reported as titers (reciprocal value of the dilution of the serum from the vaccinated individual that inhibits for 50% the plaque formation).

    Time frame: 28 days after Dose 1 (Day 29); 6 months after Dose 2 (Day 211)

  3. GMTs of Neutralizing Antibody for ZIKV 12 Months and 24 Months After Dose 2 in Applicable Groups

    GMTs of neutralizing antibodies for ZIKV were measured by Zika PRNT test, by assessing the quantity of neutralizing antibodies that bind ZIKV in the assay. The assay results were reported as titers (reciprocal value of the dilution of the serum from the vaccinated individual that inhibits for 50% the plaque formation). As prespecified in the protocol, only data for applicable groups (Placebo and PIZV 10 mcg who were followed beyond Day 211) were analyzed and reported at Days 393 and 757 for Flavivirus-naïve Cohort and Flavivirus-primed Cohort.

    Time frame: 12 months after Dose 2 (Day 393); 24 months after Dose 2 (Day 757)

  4. Percentage of Participants Seropositive for Neutralizing Antibodies Against PIZV 28 Days After Dose 1, 28 Days After Dose 2, and 6 Months After Dose 2

    Seropositive participants were defined as participants with detectable serum antibodies (tested positive at or above limit of detection, LOD) as measured by the neutralization assay.

    Time frame: 28 days after Dose 1 (Day 29); 28 days after Dose 2 (Day 57); 6 months after Dose 2 (Day 211)

  5. Percentage of Participants Seropositive for PIZV 12 Months and 24 Months After Dose 2 in Applicable Groups

    Seropositive participants were defined as participants with detectable serum antibodies (tested positive at or above limit of detection, LOD) as measured by the neutralization assay. As prespecified in the protocol, only data for applicable groups (Placebo and PIZV 10 mcg who were followed beyond Day 211) were analyzed and reported at Days 393 and 757 for Flavivirus-naïve Cohort and Flavivirus-primed Cohort.

    Time frame: 12 months after Dose 2 (Day 393); 24 months after Dose 2 (Day 757)

  6. Percentage of Participants Seroconverted for PIZV 28 Days Post Dose 1 and 28 Days Post Dose 2

    Seroconverted participants were defined as participants at Baseline with detectable post-vaccination serum antibodies (test results are at or above LOD) and seropositive participants at Baseline with a four-fold increase in post-vaccination antibodies from Baseline, as measured by the neutralization assay.

    Time frame: 28 days after Dose 1 (Day 29); 28 days after Dose 2 (Day 57)

07

Results

Posted Feb 11, 2022

Participant flow

Study participants, aged \>=18 to \<=49 years, were enrolled in this Phase 1 study in 9 sites in the United States and Puerto Rico from 13 November 2017 to 24 November 2020.

Participant flow — Overall Study
MilestoneFlavivirus-naïve Cohort: PlaceboFlavivirus-naïve Cohort: PIZV 2 mcg (Low Dose)Flavivirus-naïve Cohort: PIZV 5 mcg (Medium Dose)Flavivirus-naïve Cohort: PIZV 10 mcg (High Dose)Flavivirus-primed Cohort: PlaceboFlavivirus-primed Cohort: PIZV 2 mcg (Low Dose)Flavivirus-primed Cohort: PIZV 5 mcg (Medium Dose)Flavivirus-primed Cohort: PIZV 10 mcg (High Dose)
Started3131313236373736
Safety analysis set3131313236373736
Full analysis set3028313034343434
Per protocol set2825293034333433
Completed2526292429323225
Not completed652875511
Withdrew: Lost to follow-up43254447
Withdrew: Withdrawal of consent21033112
Withdrew: Reason not specified01000001
Withdrew: Data entry error00000001

Outcome measures

PrimaryPercentage of Participants With Solicited Local Injection Site Reactions by Severity Within 7 Days After Dose 1 of PIZV or Placebo

Solicited local AEs (at injection site) were collected by participants using diary cards within 7 days after first 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), erythema (\<25 mm, mild: \>=25 to- \<=50 mm, moderate: \>50 to \<=100 mm, severe: \>100 mm), and swelling and induration (\<25 mm, mild: \>=25 to \<=-50 mm, moderate: \>50 to \<=100 mm, severe: \>100 mm). Only categories for which there was at least 1 participant are reported.

Time frame:
Within 7 days after Dose 1 (Day 8)
Reported as:
Number · percentage of participants
Percentage of Participants With Solicited Local Injection Site Reactions by Severity Within 7 Days After Dose 1 of PIZV or Placebo
percentage of participantsFlavivirus-naïve Cohort: PlaceboFlavivirus-naïve Cohort: PIZV 2 mcg (Low Dose)Flavivirus-naïve Cohort: PIZV 5 mcg (Medium Dose)Flavivirus-naïve Cohort: PIZV 10 mcg (High Dose)Flavivirus-primed Cohort: PlaceboFlavivirus-primed Cohort: PIZV 2 mcg (Low Dose)Flavivirus-primed Cohort: PIZV 5 mcg (Medium Dose)Flavivirus-primed Cohort: PIZV 10 mcg (High Dose)
Pain, Mild13.330.032.338.78.333.330.634.3
Pain, Moderate0.00.00.00.00.09.18.32.9
Pain, Severe0.00.00.00.00.03.00.00.0
Erythema, <25 mm0.00.00.03.25.63.02.80.0
Induration, <25 mm0.00.09.76.50.03.05.60.0
Swelling, <25 mm0.00.00.00.00.06.15.62.9
PrimaryPercentage of Participants With Solicited Local Injection Site Reactions by Severity Within 7 Days After Dose 2 of PIZV or Placebo

Solicited local AEs (at injection site) were collected by participants using diary cards within 7 days after first 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), erythema (\<25 mm, mild: \>=25 to \<=50 mm, moderate: \>50 to \<=100 mm, severe: \>100 mm), and swelling and induration (\<25 mm, mild: \>=25 to \<=50 mm, moderate: \>50 to \<=100 mm, severe: \>100 mm). Only categories for which there was at least 1 participant are reported.

Time frame:
Within 7 days after Dose 2 (Day 36)
Reported as:
Number · percentage of participants
Percentage of Participants With Solicited Local Injection Site Reactions by Severity Within 7 Days After Dose 2 of PIZV or Placebo
percentage of participantsFlavivirus-naïve Cohort: PlaceboFlavivirus-naïve Cohort: PIZV 2 mcg (Low Dose)Flavivirus-naïve Cohort: PIZV 5 mcg (Medium Dose)Flavivirus-naïve Cohort: PIZV 10 mcg (High Dose)Flavivirus-primed Cohort: PlaceboFlavivirus-primed Cohort: PIZV 2 mcg (Low Dose)Flavivirus-primed Cohort: PIZV 5 mcg (Medium Dose)Flavivirus-primed Cohort: PIZV 10 mcg (High Dose)
Pain, Mild14.329.630.036.718.221.921.920.6
Pain, Moderate0.00.06.73.30.00.06.38.8
Erythema, <25 mm3.60.03.33.30.03.13.12.9
Erythema, Mild0.00.00.00.00.03.20.00.0
Induration, <25 mm0.00.03.30.00.00.03.12.9
Swelling, <25 mm0.00.06.70.00.00.00.05.9
Swelling, Mild0.00.00.00.00.03.10.00.0
PrimaryPercentage of Participants With Solicited Systemic Adverse Events (AEs) by Severity Within 7 Days After Dose 1 of PIZV or Placebo

Solicited systemic AEs included fever, headache, fatigue, malaise, arthralgia, and myalgia that occurred within 7 days of first vaccination. Solicited systemic AEs (headache, fatigue, malaise, arthralgia, and myalgia) was graded from 0 to 3 by severity; where 0=None, 1=Mild: No interference with daily activity, 2=Moderate: Interference with daily activity, 3=Severe: Prevents daily activity; A systemic AE of fever (defined as ≥38°C or ≥100.4°F) was graded from 1 to 4 by severity; where 1=Mild: 38.0-38.4°C, 2=Moderate: 38.5-38.9°C, 3=Severe: 39.0-40°C, and 4=Potentially life threatening:\>40°C. Only categories for which there was at least 1 participant are reported.

Time frame:
Within 7 days after Dose 1 (Day 8)
Reported as:
Number · percentage of participants
Percentage of Participants With Solicited Systemic Adverse Events (AEs) by Severity Within 7 Days After Dose 1 of PIZV or Placebo
percentage of participantsFlavivirus-naïve Cohort: PlaceboFlavivirus-naïve Cohort: PIZV 2 mcg (Low Dose)Flavivirus-naïve Cohort: PIZV 5 mcg (Medium Dose)Flavivirus-naïve Cohort: PIZV 10 mcg (High Dose)Flavivirus-primed Cohort: PlaceboFlavivirus-primed Cohort: PIZV 2 mcg (Low Dose)Flavivirus-primed Cohort: PIZV 5 mcg (Medium Dose)Flavivirus-primed Cohort: PIZV 10 mcg (High Dose)
Fever, Mild3.30.00.00.00.00.02.80.0
Fever, Moderate0.00.00.03.20.00.00.00.0
Headache, Mild20.013.319.412.911.112.113.911.4
Headache, Moderate13.33.36.50.02.83.05.62.9
Headache, Severe0.00.00.00.00.00.02.82.9
Fatigue, Mild16.716.716.125.816.76.125.017.1
Fatigue, Moderate6.76.73.26.58.33.00.00.0
Arthralgia, Mild3.30.03.26.58.312.111.15.7
Arthralgia, Moderate0.03.30.03.20.00.00.00.0
Myalgia, Mild6.76.716.112.919.412.113.98.6
Myalgia, Moderate3.33.30.00.00.02.70.00.0
Myalgia, Severe0.00.00.00.00.03.00.02.9
Malaise, Mild6.73.33.212.919.412.116.722.9
Malaise, Moderate6.73.33.20.02.80.00.00.0
PrimaryPercentage of Participants With Solicited Systemic AEs by Severity Within 7 Days After Dose 2 of PIZV or Placebo

Solicited systemic AEs included fever, headache, fatigue, malaise, arthralgia, and myalgia that occurred within 7 days of first vaccination. Solicited systemic AEs (headache, fatigue, malaise, arthralgia, and myalgia) was graded from 0 to 3 by severity; where 0=None, 1=Mild: No interference with daily activity, 2=Moderate: Interference with daily activity, 3=Severe: Prevents daily activity; A systemic AE of fever (defined as ≥38°C or ≥100.4°F) was graded from 1 to 4 by severity; where 1=Mild: 38.0-38.4°C, 2=Moderate: 38.5-38.9°C, 3=Severe: 39.0-40°C, and 4=Potentially life threatening:\>40°C. Only categories for which there was at least 1 participant are reported.

Time frame:
Within 7 days after Dose 2 (Day 36)
Reported as:
Number · percentage of participants
Percentage of Participants With Solicited Systemic AEs by Severity Within 7 Days After Dose 2 of PIZV or Placebo
percentage of participantsFlavivirus-naïve Cohort: PlaceboFlavivirus-naïve Cohort: PIZV 2 mcg (Low Dose)Flavivirus-naïve Cohort: PIZV 5 mcg (Medium Dose)Flavivirus-naïve Cohort: PIZV 10 mcg (High Dose)Flavivirus-primed Cohort: PlaceboFlavivirus-primed Cohort: PIZV 2 mcg (Low Dose)Flavivirus-primed Cohort: PIZV 5 mcg (Medium Dose)Flavivirus-primed Cohort: PIZV 10 mcg (High Dose)
Fever, Mild3.20.00.00.00.00.00.00.0
Fever, Severe3.20.00.00.00.00.06.40.0
Headache, Mild6.914.80.016.76.16.312.52.9
Headache, Moderate3.40.03.33.33.30.00.08.8
Headache, Severe0.00.00.00.00.00.03.10.0
Fatigue, Mild13.811.13.313.39.13.19.411.8
Fatigue, Moderate6.90.03.33.30.00.03.12.9
Arthralgia, Mild0.07.40.00.00.09.43.12.9
Arthralgia, Moderate3.40.00.03.30.00.03.12.9
Arthralgia, Severe0.00.00.00.00.00.03.10.0
Myalgia, Mild0.07.43.33.39.112.56.32.9
Myalgia, Moderate6.90.00.03.30.00.00.05.9
Myalgia, Severe0.00.00.00.00.00.03.12.9
Malaise, Mild3.40.00.06.712.13.16.32.9
Malaise, Moderate3.40.00.03.33.00.03.15.9
Malaise, Severe0.00.00.00.00.00.03.10.0
PrimaryPercentage of Participants Who Experienced at Least One Non-serious Unsolicited AE Within 28 Days After Dose 1 of PIZV or Placebo

An AE was defined as any untoward medical occurrence in participants administered a trial vaccine; it does not necessarily have to have a causal relationship with trial vaccine administration.

Time frame:
Within 28 days after Dose 1 (Day 29)
Reported as:
Number · percentage of participants
Percentage of Participants Who Experienced at Least One Non-serious Unsolicited AE Within 28 Days After Dose 1 of PIZV or Placebo
percentage of participantsFlavivirus-naïve Cohort: PlaceboFlavivirus-naïve Cohort: PIZV 2 mcg (Low Dose)Flavivirus-naïve Cohort: PIZV 5 mcg (Medium Dose)Flavivirus-naïve Cohort: PIZV 10 mcg (High Dose)Flavivirus-primed Cohort: PlaceboFlavivirus-primed Cohort: PIZV 2 mcg (Low Dose)Flavivirus-primed Cohort: PIZV 5 mcg (Medium Dose)Flavivirus-primed Cohort: PIZV 10 mcg (High Dose)
Percentage of Participants Who Experienced at Least One Non-serious Unsolicited AE Within 28 Days After Dose 1 of PIZV or Placebo29.019.429.09.422.221.621.616.7
PrimaryPercentage of Participants Who Experienced at Least One Non-serious Unsolicited AE Within 28 Days After Dose 2 of PIZV or Placebo

An AE was defined as any untoward medical occurrence in a clinical investigation participants administered a trial vaccine; it does not necessarily have to have a causal relationship with trial vaccine administration.

Time frame:
Within 28 days after Dose 2 (Day 57)
Reported as:
Number · percentage of participants
Percentage of Participants Who Experienced at Least One Non-serious Unsolicited AE Within 28 Days After Dose 2 of PIZV or Placebo
percentage of participantsFlavivirus-naïve Cohort: PlaceboFlavivirus-naïve Cohort: PIZV 2 mcg (Low Dose)Flavivirus-naïve Cohort: PIZV 5 mcg (Medium Dose)Flavivirus-naïve Cohort: PIZV 10 mcg (High Dose)Flavivirus-primed Cohort: PlaceboFlavivirus-primed Cohort: PIZV 2 mcg (Low Dose)Flavivirus-primed Cohort: PIZV 5 mcg (Medium Dose)Flavivirus-primed Cohort: PIZV 10 mcg (High Dose)
Percentage of Participants Who Experienced at Least One Non-serious Unsolicited AE Within 28 Days After Dose 2 of PIZV or Placebo16.116.19.712.58.313.513.513.9
PrimaryPercentage of Participants Who Experienced at Least One Serious Adverse Event (SAE) Within 28 Days After Dose 1 of PIZV or Placebo

A SAE was defined as any untoward medical occurrence that: 1) results in death, 2) is life-threatening, 3) requires inpatient hospitalization or prolongation of existing hospitalization, 4) results in persistent or significant disability/incapacity, 5) leads to a congenital anomaly/birth defect in the offspring of the participant or 6) is an medically important event that satisfies any of the following: a) May require intervention to prevent items 1 through 5 above. b) May expose the participant to danger, even though the event is not immediately life threatening or fatal or does not result in hospitalization.

Time frame:
Within 28 days after Dose 1 (Day 29)
Reported as:
Number · percentage of participants
Percentage of Participants Who Experienced at Least One Serious Adverse Event (SAE) Within 28 Days After Dose 1 of PIZV or Placebo
percentage of participantsFlavivirus-naïve Cohort: PlaceboFlavivirus-naïve Cohort: PIZV 2 mcg (Low Dose)Flavivirus-naïve Cohort: PIZV 5 mcg (Medium Dose)Flavivirus-naïve Cohort: PIZV 10 mcg (High Dose)Flavivirus-primed Cohort: PlaceboFlavivirus-primed Cohort: PIZV 2 mcg (Low Dose)Flavivirus-primed Cohort: PIZV 5 mcg (Medium Dose)Flavivirus-primed Cohort: PIZV 10 mcg (High Dose)
Percentage of Participants Who Experienced at Least One Serious Adverse Event (SAE) Within 28 Days After Dose 1 of PIZV or Placebo0.00.00.00.00.02.70.00.0
PrimaryPercentage of Participants Who Experienced at Least One SAE Within 28 Days After Dose 2 of PIZV or Placebo

A SAE was defined as any untoward medical occurrence that: 1) results in death, 2) is life-threatening, 3) requires inpatient hospitalization or prolongation of existing hospitalization, 4) results in persistent or significant disability/incapacity, 5) leads to a congenital anomaly/birth defect in the offspring of the participant or 6) is an medically important event that satisfies any of the following: a) May require intervention to prevent items 1 through 5 above. b) May expose the participant to danger, even though the event is not immediately life threatening or fatal or does not result in hospitalization.

Time frame:
Within 28 days after Dose 2 (Day 57)
Reported as:
Number · percentage of participants
Percentage of Participants Who Experienced at Least One SAE Within 28 Days After Dose 2 of PIZV or Placebo
percentage of participantsFlavivirus-naïve Cohort: PlaceboFlavivirus-naïve Cohort: PIZV 2 mcg (Low Dose)Flavivirus-naïve Cohort: PIZV 5 mcg (Medium Dose)Flavivirus-naïve Cohort: PIZV 10 mcg (High Dose)Flavivirus-primed Cohort: PlaceboFlavivirus-primed Cohort: PIZV 2 mcg (Low Dose)Flavivirus-primed Cohort: PIZV 5 mcg (Medium Dose)Flavivirus-primed Cohort: PIZV 10 mcg (High Dose)
Percentage of Participants Who Experienced at Least One SAE Within 28 Days After Dose 2 of PIZV or Placebo0.00.00.00.00.00.00.00.0
PrimaryGeometric Mean Titers (GMTs) of Neutralizing Antibody for Zika Virus (ZIKV) 28 Days After Dose 2 of PIZV or Placebo

GMTs of neutralizing antibodies for ZIKV were measured by the Zika plaque reduction neutralization test (PRNT) test, by assessing the quantity of neutralizing antibodies that bind ZIKV in the assay. The assay results were reported as titers (reciprocal value of the dilution of the serum from the vaccinated individual that inhibits for 50% the plaque formation).

Time frame:
28 days after Dose 2 (Day 57)
Reported as:
Geometric mean · titer
Geometric Mean Titers (GMTs) of Neutralizing Antibody for Zika Virus (ZIKV) 28 Days After Dose 2 of PIZV or Placebo
titerFlavivirus-naïve Cohort: PlaceboFlavivirus-naïve Cohort: PIZV 2 mcg (Low Dose)Flavivirus-naïve Cohort: PIZV 5 mcg (Medium Dose)Flavivirus-naïve Cohort: PIZV 10 mcg (High Dose)Flavivirus-primed Cohort: PlaceboFlavivirus-primed Cohort: PIZV 2 mcg (Low Dose)Flavivirus-primed Cohort: PIZV 5 mcg (Medium Dose)Flavivirus-primed Cohort: PIZV 10 mcg (High Dose)
Geometric Mean Titers (GMTs) of Neutralizing Antibody for Zika Virus (ZIKV) 28 Days After Dose 2 of PIZV or Placebo5.00 (NA to NA)1129.69 (749.38 to 1703.1)1992.33 (1401.28 to 2832.70)3689.89 (2676.75 to 5086.49)198.82 (91.73 to 430.97)597.63 (340.48 to 1049.00)1276.92 (806.00 to 2022.97)2590.54 (1649.18 to 4069.22)
SecondaryPercentage of Participants Who Experienced at Least One SAE During the Study

A SAE was defined as any untoward medical occurrence that: 1) results in death, 2) is life-threatening, 3) requires inpatient hospitalization or prolongation of existing hospitalization, 4) results in persistent or significant disability/incapacity, 5) leads to a congenital anomaly/birth defect in the offspring of the participant or 6) is an medically important event that satisfies any of the following: a) May require intervention to prevent items 1 through 5 above. b) May expose the participant to danger, even though the event is not immediately life threatening or fatal or does not result in hospitalization.

Time frame:
From day of first vaccination (Day 1) up to end of the study (Day 757)
Reported as:
Number · percentage of participants
Percentage of Participants Who Experienced at Least One SAE During the Study
percentage of participantsFlavivirus-naïve Cohort: PlaceboFlavivirus-naïve Cohort: PIZV 2 mcg (Low Dose)Flavivirus-naïve Cohort: PIZV 5 mcg (Medium Dose)Flavivirus-naïve Cohort: PIZV 10 mcg (High Dose)Flavivirus-primed Cohort: PlaceboFlavivirus-primed Cohort: PIZV 2 mcg (Low Dose)Flavivirus-primed Cohort: PIZV 5 mcg (Medium Dose)Flavivirus-primed Cohort: PIZV 10 mcg (High Dose)
Percentage of Participants Who Experienced at Least One SAE During the Study3.23.20.06.32.85.40.011.1
SecondaryGMTs of Neutralizing Antibody for ZIKV 28 Days After Dose 1 and 6 Months After Dose 2

GMTs of neutralizing antibodies for ZIKV were measured by Zika PRNT test, by assessing the quantity of neutralizing antibodies that bind ZIKV in the assay. The assay results were reported as titers (reciprocal value of the dilution of the serum from the vaccinated individual that inhibits for 50% the plaque formation).

Time frame:
28 days after Dose 1 (Day 29); 6 months after Dose 2 (Day 211)
Reported as:
Geometric mean · titer
GMTs of Neutralizing Antibody for ZIKV 28 Days After Dose 1 and 6 Months After Dose 2
titerFlavivirus-naïve Cohort: PlaceboFlavivirus-naïve Cohort: PIZV 2 mcg (Low Dose)Flavivirus-naïve Cohort: PIZV 5 mcg (Medium Dose)Flavivirus-naïve Cohort: PIZV 10 mcg (High Dose)Flavivirus-primed Cohort: PlaceboFlavivirus-primed Cohort: PIZV 2 mcg (Low Dose)Flavivirus-primed Cohort: PIZV 5 mcg (Medium Dose)Flavivirus-primed Cohort: PIZV 10 mcg (High Dose)
Day 295.00 (NA to NA)41.28 (18.74 to 90.95)93.76 (44.34 to 198.30)291.41 (161.74 to 525.06)164.06 (77.37 to 347.88)513.62 (259.90 to 1015.03)1002.69 (566.72 to 1774.06)1572.58 (864.63 to 2860.20)
Day 2115.00 (NA to NA)151.24 (87.27 to 262.10)364.10 (237.97 to 557.08)613.28 (382.29 to 983.83)125.80 (48.02 to 329.55)258.44 (93.32 to 715.73)506.97 (228.56 to 1124.50)866.26 (445.59 to 1684.08)
SecondaryGMTs of Neutralizing Antibody for ZIKV 12 Months and 24 Months After Dose 2 in Applicable Groups

GMTs of neutralizing antibodies for ZIKV were measured by Zika PRNT test, by assessing the quantity of neutralizing antibodies that bind ZIKV in the assay. The assay results were reported as titers (reciprocal value of the dilution of the serum from the vaccinated individual that inhibits for 50% the plaque formation). As prespecified in the protocol, only data for applicable groups (Placebo and PIZV 10 mcg who were followed beyond Day 211) were analyzed and reported at Days 393 and 757 for Flavivirus-naïve Cohort and Flavivirus-primed Cohort.

Time frame:
12 months after Dose 2 (Day 393); 24 months after Dose 2 (Day 757)
Reported as:
Geometric mean · titer
GMTs of Neutralizing Antibody for ZIKV 12 Months and 24 Months After Dose 2 in Applicable Groups
titerFlavivirus-naïve Cohort: PlaceboFlavivirus-naïve Cohort: PIZV 10 mcg (High Dose)Flavivirus-primed Cohort: PlaceboFlavivirus-primed Cohort: PIZV 10 mcg (High Dose)
Day 3935.00 (NA to NA)413.71 (215.67 to 793.58)103.88 (39.85 to 270.78)505.10 (287.58 to 887.15)
Day 75718.48 (6.00 to 56.91)427.41 (171.06 to 1067.93)324.26 (131.54 to 799.36)149.68 (56.68 to 395.24)
SecondaryPercentage of Participants Seropositive for Neutralizing Antibodies Against PIZV 28 Days After Dose 1, 28 Days After Dose 2, and 6 Months After Dose 2

Seropositive participants were defined as participants with detectable serum antibodies (tested positive at or above limit of detection, LOD) as measured by the neutralization assay.

Time frame:
28 days after Dose 1 (Day 29); 28 days after Dose 2 (Day 57); 6 months after Dose 2 (Day 211)
Reported as:
Number · percentage of participants
Percentage of Participants Seropositive for Neutralizing Antibodies Against PIZV 28 Days After Dose 1, 28 Days After Dose 2, and 6 Months After Dose 2
percentage of participantsFlavivirus-naïve Cohort: PlaceboFlavivirus-naïve Cohort: PIZV 2 mcg (Low Dose)Flavivirus-naïve Cohort: PIZV 5 mcg (Medium Dose)Flavivirus-naïve Cohort: PIZV 10 mcg (High Dose)Flavivirus-primed Cohort: PlaceboFlavivirus-primed Cohort: PIZV 2 mcg (Low Dose)Flavivirus-primed Cohort: PIZV 5 mcg (Medium Dose)Flavivirus-primed Cohort: PIZV 10 mcg (High Dose)
Day 290.0 (NA to NA)72.00 (50.61 to 87.93)82.14 (63.11 to 93.94)96.43 (81.65 to 99.91)85.29 (68.94 to 95.05)96.77 (83.30 to 99.92)100.00 (89.72 to 100.00)100.00 (89.42 to 100.0)
Day 570.0 (NA to NA)100.00 (85.18 to 100.00)100.00 (87.66 to 100.00)100.00 (87.66 to 100.00)87.10 (70.17 to 96.37)96.67 (82.78 to 99.92)100.00 (88.78 to 100.00)100.00 (88.43 to 100.00)
Day 2110.0 (NA to NA)100.00 (83.16 to 100.00)100.00 (86.28 to 100.0)100.00 (85.18 to 100.00)76.67 (57.72 to 90.07)84.00 (63.92 to 95.46)100.00 (86.77 to 100.00)100.00 (86.77 to 100.00)
SecondaryPercentage of Participants Seropositive for PIZV 12 Months and 24 Months After Dose 2 in Applicable Groups

Seropositive participants were defined as participants with detectable serum antibodies (tested positive at or above limit of detection, LOD) as measured by the neutralization assay. As prespecified in the protocol, only data for applicable groups (Placebo and PIZV 10 mcg who were followed beyond Day 211) were analyzed and reported at Days 393 and 757 for Flavivirus-naïve Cohort and Flavivirus-primed Cohort.

Time frame:
12 months after Dose 2 (Day 393); 24 months after Dose 2 (Day 757)
Reported as:
Number · percentage of participants
Percentage of Participants Seropositive for PIZV 12 Months and 24 Months After Dose 2 in Applicable Groups
percentage of participantsFlavivirus-naïve Cohort: PlaceboFlavivirus-naïve Cohort: PIZV 10 mcg (High Dose)Flavivirus-primed Cohort: PlaceboFlavivirus-primed Cohort: PIZV 10 mcg (High Dose)
Day 3930.00 (0.00 to 14.82)100.0 (83.89 to 100.0)65.63 (46.81 to 81.43)100.0 (86.28 to 100.0)
Day 75726.32 (9.15 to 51.20)93.75 (69.77 to 99.84)85.19 (66.27 to 95.81)76.19 (52.83 to 91.78)
SecondaryPercentage of Participants Seroconverted for PIZV 28 Days Post Dose 1 and 28 Days Post Dose 2

Seroconverted participants were defined as participants at Baseline with detectable post-vaccination serum antibodies (test results are at or above LOD) and seropositive participants at Baseline with a four-fold increase in post-vaccination antibodies from Baseline, as measured by the neutralization assay.

Time frame:
28 days after Dose 1 (Day 29); 28 days after Dose 2 (Day 57)
Reported as:
Number · percentage of participants
Percentage of Participants Seroconverted for PIZV 28 Days Post Dose 1 and 28 Days Post Dose 2
percentage of participantsFlavivirus-naïve Cohort: PlaceboFlavivirus-naïve Cohort: PIZV 2 mcg (Low Dose)Flavivirus-naïve Cohort: PIZV 5 mcg (Medium Dose)Flavivirus-naïve Cohort: PIZV 10 mcg (High Dose)Flavivirus-primed Cohort: PlaceboFlavivirus-primed Cohort: PIZV 2 mcg (Low Dose)Flavivirus-primed Cohort: PIZV 5 mcg (Medium Dose)Flavivirus-primed Cohort: PIZV 10 mcg (High Dose)
Day 290.0 (NA to NA)72.00 (50.61 to 87.93)82.14 (63.11 to 93.94)96.43 (81.65 to 99.91)2.94 (0.07 to 15.33)38.71 (21.85 to 57.81)50.00 (32.43 to 67.57)69.70 (51.29 to 84.41)
Day 570.0 (NA to NA)100.00 (85.18 to 100.0)100.00 (87.66 to 100.00)100.00 (87.66 to 100.0)6.45 (0.79 to 21.42)46.67 (28.34 to 65.67)54.84 (36.03 to 72.68)76.67 (57.72 to 90.07)

Adverse events

Collected over All Cause Mortality and Serious Adverse Events: From day of first vaccination (Day 1) up to end of the study (Day 757); Non Serious Adverse Events: Up to 28 days (day of vaccination + 27 days) after administration of each vaccine dose on Day 1 and Day 29. Non-serious events are listed at a 5% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Flavivirus-naïve Cohort: Placebo0/31 (0%)1/31 (3.2%)4/31 (12.9%)
Flavivirus-naïve Cohort: PIZV 2 mcg (Low Dose)0/31 (0%)1/31 (3.2%)3/31 (9.7%)
Flavivirus-naïve Cohort: PIZV 5 mcg (Medium Dose)0/31 (0%)0/31 (0%)3/31 (9.7%)
Flavivirus-naïve Cohort: PIZV 10 mcg (High Dose)0/32 (0%)2/32 (6.3%)4/32 (12.5%)
Flavivirus-primed Cohort: Placebo0/36 (0%)1/36 (2.8%)5/36 (13.9%)
Flavivirus-primed Cohort: PIZV 2 mcg (Low Dose)0/37 (0%)2/37 (5.4%)5/37 (13.5%)
Flavivirus-primed Cohort: PIZV 5 mcg (Medium Dose)0/37 (0%)0/37 (0%)7/37 (18.9%)
Flavivirus-primed Cohort: PIZV 10 mcg (High Dose)0/36 (0%)4/36 (11.1%)8/36 (22.2%)
Most frequent serious events
Showing 10 of 12
Most frequent serious events
EventFlavivirus-naïve Cohort: PlaceboFlavivirus-naïve Cohort: PIZV 2 mcg (Low Dose)Flavivirus-naïve Cohort: PIZV 5 mcg (Medium Dose)Flavivirus-naïve Cohort: PIZV 10 mcg (High Dose)Flavivirus-primed Cohort: PlaceboFlavivirus-primed Cohort: PIZV 2 mcg (Low Dose)Flavivirus-primed Cohort: PIZV 5 mcg (Medium Dose)Flavivirus-primed Cohort: PIZV 10 mcg (High Dose)
Postpartum haemorrhagePregnancy, puerperium and perinatal conditions0/311/310/310/320/360/370/370/36
DiverticulitisInfections and infestations1/310/310/310/320/360/370/370/36
Pancreatitis acuteGastrointestinal disorders0/310/310/311/320/360/370/370/36
AdenomyosisReproductive system and breast disorders0/310/310/311/320/360/370/370/36
Major depressionPsychiatric disorders0/310/310/310/321/360/370/370/36
DehydrationMetabolism and nutrition disorders0/310/310/310/320/360/370/371/36
ColitisGastrointestinal disorders0/310/310/310/320/360/370/371/36
Cholecystitis acuteHepatobiliary disorders0/310/310/310/320/360/370/371/36
Gestational hypertensionPregnancy, puerperium and perinatal conditions0/310/310/310/320/360/370/371/36
Premature deliveryPregnancy, puerperium and perinatal conditions0/310/310/310/320/360/370/371/36
Most frequent other events
Most frequent other events
EventFlavivirus-naïve Cohort: PlaceboFlavivirus-naïve Cohort: PIZV 2 mcg (Low Dose)Flavivirus-naïve Cohort: PIZV 5 mcg (Medium Dose)Flavivirus-naïve Cohort: PIZV 10 mcg (High Dose)Flavivirus-primed Cohort: PlaceboFlavivirus-primed Cohort: PIZV 2 mcg (Low Dose)Flavivirus-primed Cohort: PIZV 5 mcg (Medium Dose)Flavivirus-primed Cohort: PIZV 10 mcg (High Dose)
Nasal congestionRespiratory, thoracic and mediastinal disorders0/310/310/310/321/360/371/373/36
Upper respiratory tract infectionInfections and infestations1/312/311/311/321/363/372/372/36
HeadacheNervous system disorders1/310/312/311/320/363/373/371/36
BronchitisInfections and infestations2/310/310/310/320/360/370/370/36
DysuriaRenal and urinary disorders0/312/310/310/320/360/370/370/36
FatigueGeneral disorders0/310/311/312/320/360/370/370/36
PruritusSkin and subcutaneous tissue disorders0/310/310/310/322/361/370/370/36
ArthralgiaMusculoskeletal and connective tissue disorders0/310/310/310/320/360/371/372/36
DizzinessNervous system disorders0/310/310/310/321/360/372/370/36

Baseline characteristics

Safety Analysis Set included all participants who received at least one (1) dose of PIZV or placebo.

Age, Continuous
Age, Continuous(years)Flavivirus-naïve Cohort: PlaceboFlavivirus-naïve Cohort: PIZV 2 mcg (Low Dose)Flavivirus-naïve Cohort: PIZV 5 mcg (Medium Dose)Flavivirus-naïve Cohort: PIZV 10 mcg (High Dose)Flavivirus-primed Cohort: PlaceboFlavivirus-primed Cohort: PIZV 2 mcg (Low Dose)Flavivirus-primed Cohort: PIZV 5 mcg (Medium Dose)Flavivirus-primed Cohort: PIZV 10 mcg (High Dose)Total
Mean36.7 ± 8.9334.9 ± 9.5235.8 ± 8.8634.1 ± 8.5034.7 ± 8.2035.5 ± 8.7137.0 ± 8.8935.4 ± 8.4535.5 ± 8.69
Sex: Female, Male
Sex: Female, Male(Participants)Flavivirus-naïve Cohort: PlaceboFlavivirus-naïve Cohort: PIZV 2 mcg (Low Dose)Flavivirus-naïve Cohort: PIZV 5 mcg (Medium Dose)Flavivirus-naïve Cohort: PIZV 10 mcg (High Dose)Flavivirus-primed Cohort: PlaceboFlavivirus-primed Cohort: PIZV 2 mcg (Low Dose)Flavivirus-primed Cohort: PIZV 5 mcg (Medium Dose)Flavivirus-primed Cohort: PIZV 10 mcg (High Dose)Total
Female2116181421182624158
Male1015131815191112113
Ethnicity (NIH/OMB)
Ethnicity (NIH/OMB)(Participants)Flavivirus-naïve Cohort: PlaceboFlavivirus-naïve Cohort: PIZV 2 mcg (Low Dose)Flavivirus-naïve Cohort: PIZV 5 mcg (Medium Dose)Flavivirus-naïve Cohort: PIZV 10 mcg (High Dose)Flavivirus-primed Cohort: PlaceboFlavivirus-primed Cohort: PIZV 2 mcg (Low Dose)Flavivirus-primed Cohort: PIZV 5 mcg (Medium Dose)Flavivirus-primed Cohort: PIZV 10 mcg (High Dose)Total
Hispanic or Latino112436363635151
Not Hispanic or Latino303029280101119
Unknown or Not Reported000000101
Race (NIH/OMB)
Race (NIH/OMB)(Participants)Flavivirus-naïve Cohort: PlaceboFlavivirus-naïve Cohort: PIZV 2 mcg (Low Dose)Flavivirus-naïve Cohort: PIZV 5 mcg (Medium Dose)Flavivirus-naïve Cohort: PIZV 10 mcg (High Dose)Flavivirus-primed Cohort: PlaceboFlavivirus-primed Cohort: PIZV 2 mcg (Low Dose)Flavivirus-primed Cohort: PIZV 5 mcg (Medium Dose)Flavivirus-primed Cohort: PIZV 10 mcg (High Dose)Total
American Indian or Alaska Native200010003
Asian000000000
Native Hawaiian or Other Pacific Islander000011002
Black or African American65346471045
White2326262727313025215
More than one race002111016
Unknown or Not Reported000000000
Region of Enrollment
Region of Enrollment(Participants)Flavivirus-naïve Cohort: PlaceboFlavivirus-naïve Cohort: PIZV 2 mcg (Low Dose)Flavivirus-naïve Cohort: PIZV 5 mcg (Medium Dose)Flavivirus-naïve Cohort: PIZV 10 mcg (High Dose)Flavivirus-primed Cohort: PlaceboFlavivirus-primed Cohort: PIZV 2 mcg (Low Dose)Flavivirus-primed Cohort: PIZV 5 mcg (Medium Dose)Flavivirus-primed Cohort: PIZV 10 mcg (High Dose)Total
United States of America3131313221212121209
Puerto Rico00001516161562
Body Mass Index (BMI)
Body Mass Index (BMI)(kg/m^2)Flavivirus-naïve Cohort: PlaceboFlavivirus-naïve Cohort: PIZV 2 mcg (Low Dose)Flavivirus-naïve Cohort: PIZV 5 mcg (Medium Dose)Flavivirus-naïve Cohort: PIZV 10 mcg (High Dose)Flavivirus-primed Cohort: PlaceboFlavivirus-primed Cohort: PIZV 2 mcg (Low Dose)Flavivirus-primed Cohort: PIZV 5 mcg (Medium Dose)Flavivirus-primed Cohort: PIZV 10 mcg (High Dose)Total
Mean27.921 ± 4.204927.527 ± 4.763227.541 ± 3.716526.750 ± 3.651127.398 ± 3.524427.054 ± 4.710526.982 ± 4.124028.072 ± 4.473527.398 ± 4.1433
08

Study locations

9 sites
  • Clinical Research of South Florida
    Coral Gables, Florida 33134, United States
  • Miami Research Associates
    Miami, Florida 33143, United States
  • AppleMed Research
    Miami, Florida 33155, United States
  • Johnson County Clin-Trials
    Lenexa, Kansas 66219, United States
  • Regional Clinical Research Inc.
    Endwell, New York 13760, United States
  • Rochester Clinical Research
    Rochester, New York 14609, United States
  • Tekton Research
    Austin, Texas 78745, United States
  • Puerto Rico Clinical and Translational Research Consortium
    San Juan, 00936, Puerto Rico
  • Ponce Medical School Foundation
    Santurce, 00909, Puerto Rico
09

References and documents

Publications

  • Han HH, Diaz C, Acosta CJ, Liu M, Borkowski A. Safety and immunogenicity of a purified inactivated Zika virus vaccine candidate in healthy adults: an observer-blind, randomised, phase 1 trial. Lancet Infect Dis. 2021 Sep;21(9):1282-1292. doi: 10.1016/S1473-3099(20)30733-7. Epub 2021 May 18. PubMed 34019802 ↗

Study documents

PDFs hosted by the registry, ClinicalTrials.gov.

Individual participant data

Plan to share: Yes — Takeda provides access to the de-identified individual participant data (IPD) for eligible studies to aid qualified researchers in addressing legitimate scientific objectives (Takeda's data sharing commitment is available on https://clinicaltrials.takeda.com/takedas-commitment?commitment=5). These IPDs will be provided in a secure research environment following approval of a data sharing request, and under the terms of a data sharing agreement.

Supporting information: Study protocol, Statistical analysis plan, Informed consent form, Clinical study report

Access criteria: IPD from eligible studies will be shared with qualified researchers according to the criteria and process described on https://vivli.org/ourmember/takeda/. For approved requests, the researchers will be provided access to anonymized data (to respect patient privacy in line with applicable laws and regulations) and with information necessary to address the research objectives under the terms of a data sharing agreement.

Data sharing details ↗ · vivli.org

10

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Ran from Nov 2017 to primary completion in Dec 2018, 13 months.

Results were first posted in Feb 2022, 3 years 1 month after primary completion.

Of 21 phase 1 interventional studies under Zika Virus Infection, half reached primary completion within 15 months of starting (the median); a quarter within 8 and three quarters within 25. This study's 13 months is below that.

How these figures are worked out, and which studies are left out of them.

Registered
Nov 13, 2017
First posted
Nov 17, 2017
StartActual
Nov 13, 2017
Primary completionActual
Dec 28, 2018
CompletionActual
Nov 24, 2020
Results first posted
Feb 11, 2022
Last update
Feb 11, 2022
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Feb 11, 2022, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT03343626
Lead sponsor
Takeda
Responsible party
Sponsor
First posted
Nov 17, 2017
Start date
Nov 13, 2017
Primary completion
Dec 28, 2018
Completion
Nov 24, 2020
Results posted
Feb 11, 2022
Last update
Feb 11, 2022

Study contacts

Medical Director
study director · Takeda

Oversight

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

Not currently enrolling

This study is completed, as verified in Nov 2021. You cannot join it, but the record below documents what was studied.

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