CClinicalTrials.gg
TerminatedNCT05201794Updated Jul 31, 2025Results posted

A Study of JNJ-64281802 for the Prevention of Dengue Infection

A Phase 2 interventional study of JNJ-64281802 and Placebo in Dengue, sponsored by Janssen Research & Development, LLC. Terminated at 38 sites in 9 countries. Open to participants aged 16 Years to 65 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2025-07-31.

Sponsored by Janssen Research & Development, LLC · Phase 2, Interventional, and Prevention

Why this study was terminated
The study was stopped due to portfolio reprioritization. This decision is not based on any safety concerns.
Phase
Phase 2
Study type
Interventional
Enrollment
1,595
Allocation
Randomized
Ages
16 Years to 65 Years
Sex
All
01

Study summary

The purpose of this study is to evaluate the prophylactic effect of JNJ-64281802 with respect to the prevention of laboratory-confirmed dengue virus (DENV) infection up to the last day of dosing among participants who have no evidence of current DENV infection at baseline.

02

Conditions studied

  • Dengue

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03

In context

Dengue

279 studies on the registry are indexed under Dengue; 45 are open to participants now.

This study's enrollment of 1,595 is above the median of 123 across 195 interventional studies indexed under Dengue.

Browse Dengue studies →

Lead sponsor

Janssen Research & Development, LLC is the lead sponsor of 912 studies on the registry; 76 are open to participants now.

Of its 278 completed or terminated interventional studies of FDA-regulated products, 131 (47%) have results posted.

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

04

Who can participate

Ages eligible
16 Years to 65 Years
Sexes eligible
All
Accepts healthy volunteers
Yes

Inclusion criteria

  • Healthy on the basis of physical examination, medical history, and vital signs performed at screening. If there are abnormalities, the participant may be included only if the investigator judges the abnormalities to be not clinically relevant. This determination must be recorded in the participant's source documents
  • Must have a body mass index (BMI, weight in kilogram [kg] divided by the square of height in meters) between 18.0 and 35.0 kilograms per meter square (kg/m\^2) inclusive, and a body weight of greater than or equal to (>=) 40.0 kg at screening
  • A woman must have a negative highly sensitive urine pregnancy test at screening
  • A male participant must agree not to donate sperm for the purpose of reproduction during the study and for >= 90 days after receiving the last dose of study intervention
  • Must sign an informed consent form (ICF) (or their legally acceptable representative must sign) indicating that the participant understands the purpose of, and procedures required for, the study and is willing to participate in the study

Exclusion criteria

Exclusion Criteria:

  • Having any dengue virus (DENV)-associated clinical signs and symptoms
  • Known allergies, hypersensitivity, or intolerance to JNJ-64281802 or its excipients
  • Any clinically relevant skin disease (as assessed by the investigator) in the past 3 months such as, but not limited to, dermatitis, eczema, drug rash, psoriasis, food allergy, and urticaria
  • Reduced immune function to be: (a) Known or suspected congenital or acquired immunodeficiency; or (b) receipt of immunomodulation therapy within the last 6 months (such as anticancer chemotherapy or radiation therapy)
  • Received an investigational intervention (including investigational vaccines other than a corona virus disease 2019 [COVID-19] vaccine) or used an invasive investigational medical device within 3 months before the planned first dose of study intervention or received an investigational biologic product within 3 months prior to enrollment or 5 half-lives, whichever is longer, before the planned first dose of study intervention, or is currently enrolled in an investigational study
05

Study design

Phase
Phase 2
Primary purpose
Prevention
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Double (Participant, Investigator)
Enrollment
1,595 participants (actual)

Study arms

  • Experimental
    High-dose JNJ-64281802 regimen (HDR)

    Participants will receive JNJ-64281802 400 milligrams (mg) loading dose (LD) twice daily for 48 hours (2 days), followed by JNJ-64281802 150 mg maintenance dose (MD) once daily for 26 days in fed conditions.

    Drug: JNJ-64281802

  • Experimental
    Low-dose JNJ-64281802 regimen (LDR)

    Participants will receive JNJ-64281802 150 mg LD twice daily for 48 hours (2 days), followed by JNJ-64281802 50 mg MD once daily for 26 days in fed conditions.

    Drug: JNJ-64281802

  • Placebo comparator
    Placebo

    Participants will receive JNJ-64281802 matching placebo LD and MD from Day 1 to Day 28.

    Drug: Placebo

Interventions

  • DrugJNJ-64281802

    JNJ-64281802 tablets will be administered orally as per the defined regimens.

  • DrugPlacebo

    Matching placebo for each dose level as tablet will be administered orally.

06

What researchers measure

Primary outcomes

  1. Number of Participants With Laboratory-confirmed Dengue Virus (DENV) Infection Between Baseline and the Last Day of Dosing + 1 Day Among Household Contacts (HHC) Participants With No Evidence of DENV Infection at Baseline

    Number of participants with DENV infection between baseline and the last day of dosing + 1 day among HHC participants with no evidence of DENV infection at baseline were reported. Presence of a laboratory-confirmed DENV infection was defined as a positive DENV ribonucleic acid (RNA) (assessed using a validated quantitative DENV reverse transcription polymerase chain reaction \[RT-PCR\]) or DENV non-structural protein 1 (NS1); assessed by enzyme-linked immunosorbent assay (ELISA) test result. A sample was considered positive for DENV RNA when the result was 'target detected' (when the result was above the limit of detection of the polymerase chain reaction \[PCR\] assay) or a sample was considered DENV NS1 positive if the qualitative DENV NS1 result was positive (quantitative DENV NS1 result greater than or equal to \[\>=\] 11 relative units per milliliter \[RU/mL\]).

    Time frame: Baseline (DB prophylactic Day 1) up to last day of dosing + 1 day (up to DB prophylactic Day 29)

Secondary outcomes

  1. Number of Participants With Laboratory-confirmed Symptomatic DENV Infection Between Baseline and the Last Day of Dosing + 1 Day Among All HHC Participants (With or Without Evidence of DENV Infection at Baseline)

    Number of participants with laboratory-confirmed symptomatic DENV infection between baseline and last day of dosing + 1 day among all HHC participants (with/without evidence of DENV infection at baseline) were reported. Laboratory confirmed symptomatic DENV infection was defined as having at least 2 solicited systemic adverse events (AEs; retro-orbital pain, fever, arthralgia, headache, myalgia, rash, abdominal pain, nausea, fatigue, loss of appetite, vomiting, and diarrhea) of which at least 1 was a most common dengue symptom (retro-orbital pain, fever, arthralgia, headache, myalgia, rash), lasted for \>=1 day and occurred within +/-2 days time window around positive PCR or NS1 test, between baseline and last day of dosing. Sample was considered positive for DENV RNA when result was 'target detected' (when result was above the limit of detection of PCR assay) or sample considered DENV NS1 positive if qualitative DENV NS1 result was positive (quantitative DENV NS1 result \>=11 RU/mL).

    Time frame: Baseline (DB prophylactic Day 1) up to last day of dosing + 1 day (up to DB prophylactic Day 29)

  2. Number of Participants With Laboratory-confirmed Symptomatic DENV Infection Between Baseline and the Last Day of Dosing + 1 Day Among HHC Participants With No Evidence of DENV Infection at Baseline

    Number of participants with laboratory-confirmed symptomatic DENV infection between baseline and last day of dosing + 1 day among HHC participants with no evidence of DENV infection at baseline were reported. Laboratory confirmed symptomatic DENV infection was defined as having at least 2 solicited systemic AEs (retro-orbital pain, fever, arthralgia, headache, myalgia, rash, abdominal pain, nausea, fatigue, loss of appetite, vomiting, and diarrhea) of which at least 1 was a most common dengue symptom (retro-orbital pain, fever, arthralgia, headache, myalgia, and rash), lasted for \>=1 day and occurred within a +/-2 days time window around the positive PCR or NS1 test, between baseline and the last day of dosing. A sample was considered positive for DENV RNA when the result was 'target detected' (when result was above the limit of detection of PCR assay) or sample was considered DENV NS1 positive if the qualitative DENV NS1 result was positive (quantitative DENV NS1 result \>=11 RU/mL).

    Time frame: Baseline (DB prophylactic Day 1) up to last day of dosing + 1 day (up to DB prophylactic Day 29)

  3. Number of Participants With Treatment-emergent Adverse Events (TEAEs) and Treatment-emergent Serious Adverse Events (TESAEs)

    An adverse event (AE) was any untoward medical occurrence in a clinical study participant administered a medicinal (investigational or non-investigational) product. An AE does not necessarily have a causal relationship with the intervention. Serious AE was the AE resulting in any of following outcomes/deemed significant for any other reason: death; initial/prolonged inpatient hospitalization; life-threatening experience (immediate risk of dying); persistent or significant disability/incapacity; congenital anomaly. TEAEs were defined as any AE occurring at or after initial administration of study intervention until the last study-related activity, or until the participant had been deemed lost to follow-up after demonstration of due diligence of follow up efforts. TEAEs included both serious and non-serious adverse events.

    Time frame: DB prophylactic phase: From start of study treatment (Day 1) up to visit Day 50, considering the long half-life (~10 days) of the study intervention; Follow-up phase: From visit Day 50 up to Day 90

  4. Number of Participants With Treatment-emergent (TE) Worst Grade (Grade 3 or 4) Abnormalities in Vital Signs

    Vital signs: pulse and blood pressure (systolic blood pressure\[SBP\]/diastolic blood pressure\[DBP\]). Abnormality grades determined per Division of Acquired Immunodeficiency Syndrome (DAIDS) for grading severity of adult and pediatric AEs: SBP(millimeters of mercury\[mmHg\]):Hypertension:Grade (G)1(mild):141-150, G2(moderate):greater than (\>)150-155, G3(severe):\>155; SBP(mmHg):Hypotension:G1(mild):85-89, G2(moderate):80 to less than (\<)85, G3(severe):\<80; DPB(mmHg):Hypertension:G1(mild):91-95, G2(moderate):\>95-100, G3(severe):\>100; Pulse(beats per minutes\[bpm\]):Tachycardia: G1(mild):\>100-115, G2(moderate):\>115-130, G3(severe):\>130; Pulse(bpm):Bradycardia:G1(mild):50-54, G2(moderate):\<50-45, G3(severe):\<45. Any abnormality occurring at/after initial administration of study intervention until last study-related activity, or participant had been deemed lost to follow-up after demonstration of due diligence of follow up efforts was considered TE. Worst TE toxicity grade=highest grade reached.

    Time frame: From start of drug administration (DB prophylactic Day 1) up to Day 50

  5. Number of Participants With Treatment-emergent Abnormalities in Electrocardiogram (ECG) Parameters

    ECG variables: heart rate (HR), PR interval, RR interval, QRS interval, QT interval, and corrected QT (QTc) interval using both following correction methods: QT corrected according to Bazett's formula (QTcB), QT corrected according to Fridericia's formula (QTcF). Abnormalities were categorized as low or high. HR (bpm): low: \< 45, high: \>=120; PR Interval (milliseconds \[ms\]): low: \<110, high: \>=220; QRS interval (ms): high: \>=120; QTcB and QTcF (ms): Borderline prolonged QT: 450\< QTc \<=480, 480 \<QTc \<=500, QTc \>500. Any abnormality occurring at or after initial administration of study intervention until last study-related activity, or participant had been deemed lost to follow-up after demonstration of due diligence of follow up efforts was considered treatment emergent.

    Time frame: Day 28

  6. Number of Participants With Treatment-emergent Worst Grade (Grade 3 or 4) Abnormalities in Laboratory Parameters

    Number of participants with treatment-emergent worst grade (Grade 3 or 4) abnormalities in laboratory parameters were reported. Laboratory assessments included clinical chemistry, hematology and urinalysis. Abnormality criterions were based on DAIDS: Grade 1= mild, Grade 2= moderate, Grade 3= severe, Grade 4= life-threatening. Any abnormality occurring at or after initial administration of study intervention until the last study-related activity, or until the participant had been deemed lost to follow-up after demonstration of due diligence of follow up efforts was considered treatment emergent.

    Time frame: From start of drug administration (DB prophylactic Day 1) up to Day 50

  7. Number of Participants With Clinically Significant Abnormalities in Physical Examinations

    Number of participants with abnormalities in physical examination parameters (head/neck/thyroid, eyes/ears/nose/throat, respiratory, cardiovascular, lymph nodes, abdomen, skin, musculoskeletal, and neurological) were reported based on investigator's discretion.

    Time frame: Day 50

  8. Plasma Concentrations of JNJ-64281802

    Plasma concentrations of JNJ-64281802 were reported. Plasma samples were analyzed using liquid chromatography-tandem mass spectrometry (LC-MS/MS) method.

    Time frame: Pre-dose on Day 1; post-dose on Days 3, 5,9, 13, 21, and 28 ; Days 40, 50, and 90

07

Results

Posted Jul 31, 2025

Participant flow

Of 1595 enrolled participants (those who signed informed consent form \[ICF\]): 616 were index cases, 979 were household contacts (HHCs) identified from index cases. Of 616, 411 met the eligibility criteria for index case population (those who signed ICF and had a laboratory-confirmed dengue infection) and are reported below. Out of 979 HHCs, 128 were screen failures. Per plan, index cases were not included in any analysis and 851 randomized HHCs were included in the analysis.

Participant flow — Overall Study
MilestoneJNJ-64281802: High Dose RegimenJNJ-64281802: Low Dose RegimenPlaceboIndex Case Participants
Started283283285411
Treated2822812840
Participants who entered into follow-up phase6968690
Completed247250252411
Not completed3633330
Withdrew: Withdrawal by subject1312140
Withdrew: Adverse event5540
Withdrew: Protocol-specified withdrawal criterion met5140
Withdrew: Non-compliance with study drug2330
Withdrew: Physician decision1320
Withdrew: Lost to follow-up2200
Withdrew: Non-compliance with study schedule1110
Withdrew: Protocol violation2010
Withdrew: Death1000
Withdrew: Site terminated by sponsor0100
Withdrew: Other3330
Withdrew: Randomized but not treated1210

Outcome measures

PrimaryNumber of Participants With Laboratory-confirmed Dengue Virus (DENV) Infection Between Baseline and the Last Day of Dosing + 1 Day Among Household Contacts (HHC) Participants With No Evidence of DENV Infection at Baseline

Number of participants with DENV infection between baseline and the last day of dosing + 1 day among HHC participants with no evidence of DENV infection at baseline were reported. Presence of a laboratory-confirmed DENV infection was defined as a positive DENV ribonucleic acid (RNA) (assessed using a validated quantitative DENV reverse transcription polymerase chain reaction \[RT-PCR\]) or DENV non-structural protein 1 (NS1); assessed by enzyme-linked immunosorbent assay (ELISA) test result. A sample was considered positive for DENV RNA when the result was 'target detected' (when the result was above the limit of detection of the polymerase chain reaction \[PCR\] assay) or a sample was considered DENV NS1 positive if the qualitative DENV NS1 result was positive (quantitative DENV NS1 result greater than or equal to \[\>=\] 11 relative units per milliliter \[RU/mL\]).

Time frame:
Baseline (DB prophylactic Day 1) up to last day of dosing + 1 day (up to DB prophylactic Day 29)
Reported as:
Count of participants · Participants
Number of Participants With Laboratory-confirmed Dengue Virus (DENV) Infection Between Baseline and the Last Day of Dosing + 1 Day Among Household Contacts (HHC) Participants With No Evidence of DENV Infection at Baseline
ParticipantsJNJ-64281802: High Dose RegimenJNJ-64281802: Low Dose RegimenPlacebo
Number of Participants With Laboratory-confirmed Dengue Virus (DENV) Infection Between Baseline and the Last Day of Dosing + 1 Day Among Household Contacts (HHC) Participants With No Evidence of DENV Infection at Baseline226
Statistical analysis
  • JNJ-64281802: High Dose Regimen vs Placebo · Exact logistic regression model · p = =0.1409 (One-sided p-value) · Odds ratio (or): 67.31-sided odds-ratio and 80% CI were obtained from exact logistic regression model adjusted for region (America, Asia).
  • JNJ-64281802: Low Dose Regimen vs Placebo · Exact logistic regression model · p = =0.1418 (One-sided p-value) · Odds ratio (or): 67.21-sided odds-ratio and 80% CI were obtained from exact logistic regression model adjusted for region (America, Asia).
SecondaryNumber of Participants With Laboratory-confirmed Symptomatic DENV Infection Between Baseline and the Last Day of Dosing + 1 Day Among All HHC Participants (With or Without Evidence of DENV Infection at Baseline)

Number of participants with laboratory-confirmed symptomatic DENV infection between baseline and last day of dosing + 1 day among all HHC participants (with/without evidence of DENV infection at baseline) were reported. Laboratory confirmed symptomatic DENV infection was defined as having at least 2 solicited systemic adverse events (AEs; retro-orbital pain, fever, arthralgia, headache, myalgia, rash, abdominal pain, nausea, fatigue, loss of appetite, vomiting, and diarrhea) of which at least 1 was a most common dengue symptom (retro-orbital pain, fever, arthralgia, headache, myalgia, rash), lasted for \>=1 day and occurred within +/-2 days time window around positive PCR or NS1 test, between baseline and last day of dosing. Sample was considered positive for DENV RNA when result was 'target detected' (when result was above the limit of detection of PCR assay) or sample considered DENV NS1 positive if qualitative DENV NS1 result was positive (quantitative DENV NS1 result \>=11 RU/mL).

Time frame:
Baseline (DB prophylactic Day 1) up to last day of dosing + 1 day (up to DB prophylactic Day 29)
Reported as:
Count of participants · Participants
Number of Participants With Laboratory-confirmed Symptomatic DENV Infection Between Baseline and the Last Day of Dosing + 1 Day Among All HHC Participants (With or Without Evidence of DENV Infection at Baseline)
ParticipantsJNJ-64281802: High Dose RegimenJNJ-64281802: Low Dose RegimenPlacebo
Number of Participants With Laboratory-confirmed Symptomatic DENV Infection Between Baseline and the Last Day of Dosing + 1 Day Among All HHC Participants (With or Without Evidence of DENV Infection at Baseline)138
Statistical analysis
  • JNJ-64281802: High Dose Regimen vs Placebo · Exact logistic regression model · p = =0.0192 (One-sided p-value) · Odds ratio (or): 87.81-sided odds-ratio and 80% CI were obtained from exact logistic regression model adjusted for region (America, Asia).
  • JNJ-64281802: Low Dose Regimen vs Placebo · Exact logistic regression model · p = =0.1131 (One-sided p-value) · Odds ratio (or): 62.91-sided odds-ratio and 80% CI were obtained from exact logistic regression model adjusted for region (America, Asia).
SecondaryNumber of Participants With Laboratory-confirmed Symptomatic DENV Infection Between Baseline and the Last Day of Dosing + 1 Day Among HHC Participants With No Evidence of DENV Infection at Baseline

Number of participants with laboratory-confirmed symptomatic DENV infection between baseline and last day of dosing + 1 day among HHC participants with no evidence of DENV infection at baseline were reported. Laboratory confirmed symptomatic DENV infection was defined as having at least 2 solicited systemic AEs (retro-orbital pain, fever, arthralgia, headache, myalgia, rash, abdominal pain, nausea, fatigue, loss of appetite, vomiting, and diarrhea) of which at least 1 was a most common dengue symptom (retro-orbital pain, fever, arthralgia, headache, myalgia, and rash), lasted for \>=1 day and occurred within a +/-2 days time window around the positive PCR or NS1 test, between baseline and the last day of dosing. A sample was considered positive for DENV RNA when the result was 'target detected' (when result was above the limit of detection of PCR assay) or sample was considered DENV NS1 positive if the qualitative DENV NS1 result was positive (quantitative DENV NS1 result \>=11 RU/mL).

Time frame:
Baseline (DB prophylactic Day 1) up to last day of dosing + 1 day (up to DB prophylactic Day 29)
Reported as:
Count of participants · Participants
Number of Participants With Laboratory-confirmed Symptomatic DENV Infection Between Baseline and the Last Day of Dosing + 1 Day Among HHC Participants With No Evidence of DENV Infection at Baseline
ParticipantsJNJ-64281802: High Dose RegimenJNJ-64281802: Low Dose RegimenPlacebo
Number of Participants With Laboratory-confirmed Symptomatic DENV Infection Between Baseline and the Last Day of Dosing + 1 Day Among HHC Participants With No Evidence of DENV Infection at Baseline025
Statistical analysis
  • JNJ-64281802: High Dose Regimen vs Placebo · Exact logistic regression model · p = =0.0302 (One-sided p-value) · Odds ratio (or): 85.41-sided odds-ratio and 80% CI were obtained from exact logistic regression model adjusted for region (America, Asia).
  • JNJ-64281802: Low Dose Regimen vs Placebo · Exact logistic regression model · p = =0.2239 (One-sided p-value) · Odds ratio (or): 60.51-sided odds-ratio and 80% CI were obtained from exact logistic regression model adjusted for region (America, Asia).
SecondaryNumber of Participants With Treatment-emergent Adverse Events (TEAEs) and Treatment-emergent Serious Adverse Events (TESAEs)

An adverse event (AE) was any untoward medical occurrence in a clinical study participant administered a medicinal (investigational or non-investigational) product. An AE does not necessarily have a causal relationship with the intervention. Serious AE was the AE resulting in any of following outcomes/deemed significant for any other reason: death; initial/prolonged inpatient hospitalization; life-threatening experience (immediate risk of dying); persistent or significant disability/incapacity; congenital anomaly. TEAEs were defined as any AE occurring at or after initial administration of study intervention until the last study-related activity, or until the participant had been deemed lost to follow-up after demonstration of due diligence of follow up efforts. TEAEs included both serious and non-serious adverse events.

Time frame:
DB prophylactic phase: From start of study treatment (Day 1) up to visit Day 50, considering the long half-life (~10 days) of the study intervention; Follow-up phase: From visit Day 50 up to Day 90
Reported as:
Count of participants · Participants
Number of Participants With Treatment-emergent Adverse Events (TEAEs) and Treatment-emergent Serious Adverse Events (TESAEs)
ParticipantsDB Prophylactic Phase: JNJ-64281802: High Dose RegimenDB Prophylactic Phase: JNJ-64281802: Low Dose RegimenDB Prophylactic Phase: PlaceboFollow-up Phase: JNJ-64281802: High Dose RegimenFollow-up Phase: JNJ-64281802: Low Dose RegimenFollow-up Phase: Placebo
TEAE1691621761388
TESAE301000
SecondaryNumber of Participants With Treatment-emergent (TE) Worst Grade (Grade 3 or 4) Abnormalities in Vital Signs

Vital signs: pulse and blood pressure (systolic blood pressure\[SBP\]/diastolic blood pressure\[DBP\]). Abnormality grades determined per Division of Acquired Immunodeficiency Syndrome (DAIDS) for grading severity of adult and pediatric AEs: SBP(millimeters of mercury\[mmHg\]):Hypertension:Grade (G)1(mild):141-150, G2(moderate):greater than (\>)150-155, G3(severe):\>155; SBP(mmHg):Hypotension:G1(mild):85-89, G2(moderate):80 to less than (\<)85, G3(severe):\<80; DPB(mmHg):Hypertension:G1(mild):91-95, G2(moderate):\>95-100, G3(severe):\>100; Pulse(beats per minutes\[bpm\]):Tachycardia: G1(mild):\>100-115, G2(moderate):\>115-130, G3(severe):\>130; Pulse(bpm):Bradycardia:G1(mild):50-54, G2(moderate):\<50-45, G3(severe):\<45. Any abnormality occurring at/after initial administration of study intervention until last study-related activity, or participant had been deemed lost to follow-up after demonstration of due diligence of follow up efforts was considered TE. Worst TE toxicity grade=highest grade reached.

Time frame:
From start of drug administration (DB prophylactic Day 1) up to Day 50
Reported as:
Count of participants · Participants
Number of Participants With Treatment-emergent (TE) Worst Grade (Grade 3 or 4) Abnormalities in Vital Signs
ParticipantsJNJ-64281802: High Dose RegimenJNJ-64281802: Low Dose RegimenPlacebo
Number of Participants With Treatment-emergent (TE) Worst Grade (Grade 3 or 4) Abnormalities in Vital Signs100
SecondaryNumber of Participants With Treatment-emergent Abnormalities in Electrocardiogram (ECG) Parameters

ECG variables: heart rate (HR), PR interval, RR interval, QRS interval, QT interval, and corrected QT (QTc) interval using both following correction methods: QT corrected according to Bazett's formula (QTcB), QT corrected according to Fridericia's formula (QTcF). Abnormalities were categorized as low or high. HR (bpm): low: \< 45, high: \>=120; PR Interval (milliseconds \[ms\]): low: \<110, high: \>=220; QRS interval (ms): high: \>=120; QTcB and QTcF (ms): Borderline prolonged QT: 450\< QTc \<=480, 480 \<QTc \<=500, QTc \>500. Any abnormality occurring at or after initial administration of study intervention until last study-related activity, or participant had been deemed lost to follow-up after demonstration of due diligence of follow up efforts was considered treatment emergent.

Time frame:
Day 28
Reported as:
Count of participants · Participants
Number of Participants With Treatment-emergent Abnormalities in Electrocardiogram (ECG) Parameters
ParticipantsJNJ-64281802: High Dose RegimenJNJ-64281802: Low Dose RegimenPlacebo
Heart Rate: Abnormally Low (<45)100
PR Interval, Aggregate: Abnormally High (>=220)012
PR Interval, Aggregate: Abnormally Low (<110)102
QTcB Interval, Aggregate: Borderline prolonged QT (450< QTc <=480)120
QTcF Interval, Aggregate: Borderline prolonged QT (450< QTc <=480)010
QRS Duration, Aggregate: Abnormally High (>=120)110
SecondaryNumber of Participants With Treatment-emergent Worst Grade (Grade 3 or 4) Abnormalities in Laboratory Parameters

Number of participants with treatment-emergent worst grade (Grade 3 or 4) abnormalities in laboratory parameters were reported. Laboratory assessments included clinical chemistry, hematology and urinalysis. Abnormality criterions were based on DAIDS: Grade 1= mild, Grade 2= moderate, Grade 3= severe, Grade 4= life-threatening. Any abnormality occurring at or after initial administration of study intervention until the last study-related activity, or until the participant had been deemed lost to follow-up after demonstration of due diligence of follow up efforts was considered treatment emergent.

Time frame:
From start of drug administration (DB prophylactic Day 1) up to Day 50
Reported as:
Count of participants · Participants
Number of Participants With Treatment-emergent Worst Grade (Grade 3 or 4) Abnormalities in Laboratory Parameters
ParticipantsJNJ-64281802: High Dose RegimenJNJ-64281802: Low Dose RegimenPlacebo
Hematology: Hemoglobin, Low: Grade 3113
Hematology: Hemoglobin, Low: Grade 4120
Hematology: Activated partial thromboplastin time (APTT), High: Grade 3100
Hematology: APTT, High: Grade 4102
Hematology: Prothrombin time (PT), High: Grade 3100
Hematology: PT, High: Grade 4114
Hematology: Platelets, Decrease: Grade 3003
Chemistry: Hyperglycemia: Grade 3101714
Chemistry: Hypoglycemia: Grade 3131
Chemistry: Hypoglycemia: Grade 4100
Chemistry: Triglycerides (Fasting), High: Grade 3221
Chemistry: Cholesterol, High: Grade 3221720
Chemistry: Low density lipoprotein (Fasting), High: Grade 3438
Chemistry: Hypernatremia: Grade 4100
Chemistry: Creatine Kinase, High: Grade 3244
Chemistry: Creatine Kinase, High: Grade 4320
Chemistry: Alanine aminotransferase or Serum glutamic pyruvic transaminase (SGPT), High: Grade 3010
Chemistry: Uric Acid, High: Grade 3010
Chemistry: Hyperkalemia: Grade 3010
Chemistry: Hypokalemia: Grade 3102
Chemistry: Gamma Glutamyl Transferase, High: Grade 3100
Chemistry: Amylase (Pancreatic), High: Grade 4100
Chemistry: Hypophosphatemia: Grade 3200
Chemistry: Aspartate aminotransferase or Serum glutamic-oxaloacetic transaminase, High: Grade 3010
Chemistry: Hyperbilirubinemia: Grade 4100
Chemistry: Hypercalcemia: Grade 3010
Chemistry: Hypocalcemia: Grade 4010
Chemistry: Lipase, High: Grade 3200
Urinalysis: Protein, High: Grade 3012
Urinalysis: Glycosuria: Grade 3202
SecondaryNumber of Participants With Clinically Significant Abnormalities in Physical Examinations

Number of participants with abnormalities in physical examination parameters (head/neck/thyroid, eyes/ears/nose/throat, respiratory, cardiovascular, lymph nodes, abdomen, skin, musculoskeletal, and neurological) were reported based on investigator's discretion.

Time frame:
Day 50
Reported as:
Count of participants · Participants
Number of Participants With Clinically Significant Abnormalities in Physical Examinations
ParticipantsJNJ-64281802: High Dose RegimenJNJ-64281802: Low Dose RegimenPlacebo
Number of Participants With Clinically Significant Abnormalities in Physical Examinations7913
SecondaryPlasma Concentrations of JNJ-64281802

Plasma concentrations of JNJ-64281802 were reported. Plasma samples were analyzed using liquid chromatography-tandem mass spectrometry (LC-MS/MS) method.

Time frame:
Pre-dose on Day 1; post-dose on Days 3, 5,9, 13, 21, and 28 ; Days 40, 50, and 90
Reported as:
Mean · Nanograms per milliliter (ng/mL)
Plasma Concentrations of JNJ-64281802
Nanograms per milliliter (ng/mL)JNJ-64281802: High Dose RegimenJNJ-64281802: Low Dose Regimen
Pre-dose on Day 11.9 ± 31.524.2 ± 69.03
Post-dose on Day 34233.5 ± 1534.791777.1 ± 732.09
Post-dose on Day 52735.0 ± 1370.951037.1 ± 505.93
Post-dose on Day 92583.1 ± 1311.77909.1 ± 469.41
Post-dose on Day 132657.4 ± 1380.73865.8 ± 439.79
Post-dose on Day 212649.4 ± 1606.28846.9 ± 495.83
Post-dose on Day 282614.1 ± 1653.06816.1 ± 535.34
Day 401194.8 ± 858.11325.4 ± 238.77
Day 50640.2 ± 543.84165.4 ± 143.87
Day 9057.3 ± 82.7612.0 ± 18.82

Adverse events

Collected over All Cause Mortality: DB prophylactic phase: From randomization (pre-dose, DB prophylactic Day 1) up to Day 50, Follow up phase: From Day 50 up to end of trial (Day 90); Serious and Other AEs: DB prophylactic phase: From start of study treatment (DB prophylactic Day 1) up to Day 50, Follow-up phase: From Day 50 up to End of trial (Day 90). Non-serious events are listed at a 5% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
DB Prophylactic Phase: JNJ-64281802: High Dose Regimen1/283 (0.4%)3/282 (1.1%)107/282 (37.9%)
DB Prophylactic Phase: JNJ-64281802: Low Dose Regimen0/283 (0%)0/281 (0%)106/281 (37.7%)
DB Prophylactic Phase: Placebo0/285 (0%)1/284 (0.4%)109/284 (38.4%)
Follow-up Phase: JNJ-64281802: High Dose Regimen0/69 (0%)0/69 (0%)9/69 (13%)
Follow-up Phase: JNJ-64281802: Low Dose Regimen0/68 (0%)0/68 (0%)6/68 (8.8%)
Follow-up Phase: Placebo0/69 (0%)0/69 (0%)8/69 (11.6%)
Most frequent serious events
Most frequent serious events
EventDB Prophylactic Phase: JNJ-64281802: High Dose RegimenDB Prophylactic Phase: JNJ-64281802: Low Dose RegimenDB Prophylactic Phase: PlaceboFollow-up Phase: JNJ-64281802: High Dose RegimenFollow-up Phase: JNJ-64281802: Low Dose RegimenFollow-up Phase: Placebo
Angina UnstableCardiac disorders1/2820/2810/2840/690/680/69
Hypertensive Heart DiseaseCardiac disorders1/2820/2810/2840/690/680/69
HaemorrhoidsGastrointestinal disorders1/2820/2810/2840/690/680/69
Crush InjuryInjury, poisoning and procedural complications1/2820/2810/2840/690/680/69
Hypertensive CrisisVascular disorders1/2820/2810/2840/690/680/69
Cholecystitis AcuteHepatobiliary disorders0/2820/2811/2840/690/680/69
Most frequent other events
Showing 10 of 13
Most frequent other events
EventDB Prophylactic Phase: JNJ-64281802: High Dose RegimenDB Prophylactic Phase: JNJ-64281802: Low Dose RegimenDB Prophylactic Phase: PlaceboFollow-up Phase: JNJ-64281802: High Dose RegimenFollow-up Phase: JNJ-64281802: Low Dose RegimenFollow-up Phase: Placebo
HeadacheNervous system disorders54/28261/28167/2844/695/684/69
PyrexiaGeneral disorders22/28225/28139/2844/693/685/69
DiarrhoeaGastrointestinal disorders35/28223/28123/2841/691/681/69
FatigueGeneral disorders16/28225/28126/2841/691/680/69
MyalgiaMusculoskeletal and connective tissue disorders13/28215/28125/2841/691/680/69
NauseaGastrointestinal disorders18/28221/28124/2841/690/680/69
ArthralgiaMusculoskeletal and connective tissue disorders17/28217/28123/2843/693/684/69
Abdominal PainGastrointestinal disorders16/28213/28120/2841/690/681/69
Decreased AppetiteMetabolism and nutrition disorders6/2829/28120/2840/690/682/69
HypercholesterolaemiaMetabolism and nutrition disorders19/28215/28120/2840/690/680/69

Baseline characteristics

For randomized HHC participants: Safety analysis set included all randomized participants who received at least 1 dose of study intervention. For index case participants: Index case analysis set included all participants enrolled as an index case, with a laboratory-confirmed dengue virus (DENV) infection.

Age, Continuous
Age, Continuous(Years)JNJ-64281802: High Dose RegimenJNJ-64281802: Low Dose RegimenPlaceboIndex Case ParticipantsTotal
Mean34.8 ± 12.0733.3 ± 11.6734.7 ± 11.5728.2 ± 16.5432.3 ± 13.81
Sex/Gender, Customized
Sex/Gender, Customized(Participants)JNJ-64281802: High Dose RegimenJNJ-64281802: Low Dose RegimenPlaceboIndex Case ParticipantsTotal
Female152153166193664
Male130128118217593
Undifferentiated00011
Ethnicity (NIH/OMB)
Ethnicity (NIH/OMB)(Participants)JNJ-64281802: High Dose RegimenJNJ-64281802: Low Dose RegimenPlaceboIndex Case ParticipantsTotal
Hispanic or Latino2352332363121016
Not Hispanic or Latino47474791232
Unknown or Not Reported011810
Race (NIH/OMB)
Race (NIH/OMB)(Participants)JNJ-64281802: High Dose RegimenJNJ-64281802: Low Dose RegimenPlaceboIndex Case ParticipantsTotal
American Indian or Alaska Native159158159167643
Asian47474875217
Native Hawaiian or Other Pacific Islander00000
Black or African American1917212077
White11973663
More than one race1516182069
Unknown or Not Reported31343193189
Region of Enrollment
Region of Enrollment(Participants)JNJ-64281802: High Dose RegimenJNJ-64281802: Low Dose RegimenPlaceboIndex Case ParticipantsTotal
Brazil343435109212
Colombia132129131110502
Mexico33333378177
Panama1818182882
Philippines2323232897
Thailand24242547120
Peru1820191168
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Study locations

38 sites
  • Universidade Federal De Minas Gerais - Hospital das Clínicas
    Belo Horizonte, 31270901, Brazil
  • HUJM - UFMT - Hospital Universitário Júlio Müller - Universidade Federal do Mato Grosso
    Cuiabá, 78055-085, Brazil
  • Hospital e Maternidade Sao Joao de Deus
    Laranjeiras do Sul, 49170-000, Brazil
  • Fundacao De Medicina Tropical Doutor Heitor Vieira Dourado
    Manaus, 69040-000, Brazil
  • Fundacao Universidade Federal de Mato Grosso do Sul
    Mato Grosso Do Sul, 79040-010, Brazil
  • Policlínica Regional Dr Sérgio Arouca
    Niterói, 24230-323, Brazil
  • UPA Unidade de Pronto Atendimento Mário Monteiro
    Niterói, 24230-323, Brazil
  • Instituto de Pesquisas em Patologias Tropicais de Rondônia - IPEPATRO
    Porto Velho, 76812-329, Brazil
  • Centro Bangu - Centro Municipal de Saude Waldyr Franco
    Rio de Janeiro, 21040-360, Brazil
  • Fundacao Oswaldo Cruz Instituto Nacional de Infectologia Evandro Chagas
    Rio de Janeiro, 21040-900, Brazil
  • Fundacao Faculdade Regional de Medicina de Sao Jose do Rio Preto Hospital de Base
    São José do Rio Preto, 15090-000, Brazil
  • CAIMED Acacias
    Acacías, Colombia
  • CAIMED Aguazul
    Aguazul, 5FH5+44, Colombia
  • Centro de Reumatologia y Ortopedia
    Barranquilla, 080020, Colombia
  • Hospital Universidad del Norte
    Barranquilla, 80020, Colombia
  • Centre of Care and Diagnosis of the Infectious Diseases (CDI)
    Bucaramanga, Colombia
  • Centro de Investigaciones Clinicas S A S
    Cali, 760001, Colombia
  • Programa de Estudio y Control de Enfermedades Tropicales
    Medellín, 00000, Colombia
  • Centro de Atencion e Investigacion Medica S.A. - CAIMED
    Yopal - Casanare, 8500001, Colombia
  • Klinik Kesihatan Kuang
    Kuang, 48050, Malaysia
  • Klinik Kesihatan Pandamaran
    Port Klang, 42000, Malaysia
  • Centro Medico Jojutla
    Jojutla, 62900, Mexico
  • Medical Care & Research SA de CV
    Mérida, 97070, Mexico
  • Unidad de Proyectos Clínicos de Oriente UPCO
    Valladolid, CP97780, Mexico
  • FAICIC S. de R.L. de C.V.
    Veracruz, C.P. 91900, Mexico
  • Cevaxin 24 de diciembre
    Cuidad de Panama, Panama
  • Centro de Vacunacion Internacional CEVAXIN Av Mexico
    Panama City, Panama
  • Cevaxin La Chorrera
    Panama City, Panama
  • INDICASAT Instituto de Investigaciones Científicas y Servicios de Alta Tecnología de Panamá
    Panama City, Panama
  • Asociacion Civil Selva Amazonica (ACSA)
    Iquitos, 16001, Peru
  • De La Salle Health Sciences Institute- DLSUMC
    Dasmariñas, 4114, Philippines
  • Las Pinas Doctors Hospital
    Las Piñas, 1700, Philippines
  • Tropical Disease Foundation
    Makati, 1230, Philippines
  • Ponce School of Medicine, Caimed Ctr
    Ponce, 00716, Puerto Rico
  • The Hospital for Tropical Diseases
    Bangkok, 10400, Thailand
  • Songklanagarind hospital
    Hat Yai, 90110, Thailand
  • Srinagarind Hospital
    Muang, 40002, Thailand
  • Research Institute for Health Science, Chiang Mai University
    Muang, 50200, Thailand
09

References and documents

Publications

  • Bouzidi HS, De Lamballerie X, Touret F. Therapeutic approaches against dengue virus: current status of vaccines, antivirals, and monoclonal antibodies. Emerg Microbes Infect. 2026 Dec;15(1):2686471. doi: 10.1080/22221751.2026.2686471. Epub 2026 Jun 21. PubMed 42253092 ↗

Study documents

  • Study protocol · Jul 19, 2023
  • Statistical analysis plan · Oct 21, 2024

Documents are hosted by the registry — open the source record to download them.

Individual participant data

Plan to share: Yes — The data sharing policy of the Janssen Pharmaceutical Companies of Johnson \& Johnson is available at www.janssen.com/clinical-trials/transparency. As noted on this site, requests for access to the study data can be submitted through Yale Open Data Access (YODA) Project site at yoda.yale.edu

10

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jul 31, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT05201794
Lead sponsor
Janssen Research & Development, LLC
Responsible party
Sponsor
First posted
Jan 21, 2022
Start date
Feb 22, 2023
Primary completion
Jun 26, 2024
Completion
Jun 26, 2024
Results posted
Jul 31, 2025
Last update
Jul 31, 2025

Study contacts

Janssen Research & Development, LLC Clinical Trial
study director · Janssen Research & Development, LLC

Oversight

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

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This study is terminated, as verified in Jul 2025. You cannot join it, but the record below documents what was studied.

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