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CompletedNCT06837116Updated Oct 2, 2026Results posted

Immunogenicity of an Intradermal Qdenga Vaccine Among Healthy Volunteers

An Early Phase 1 interventional study of Vaccine in Dengue, sponsored by Prince of Songkla University. Completed at 2 sites in Thailand. Open to participants aged 18 Years to 60 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2026-10-02.

Sponsored by Prince of Songkla University · Early Phase 1, Interventional, and Basic science

Updated Oct 2, 2026Posted results revisedGo to Updates ↓
Phase
Early Phase 1
Study type
Interventional
Enrollment
29
Allocation
Randomized
Ages
18 Years to 60 Years
Sex
All
01

Study summary

Official title: Immunogenicity of an intradermal Qdenga vaccine among healthy volunteers: A pilot study

Read the detailed description

As in the setting of low- to middle-income countries, to demonstrating that lower doses of vaccine via intradermal route can still elicit robust immune responses, thereby lowering the overall cost of vaccination might be particularly meaningful ,with possible extra benefit of experiencing fewer side effects or risk of allergy. This study goal is to explores the potential of intradermal administration of Qdenga, hypothesizing that a lower dose via this route could achieve adequate immunogenicity compared to the standard subcutaneous administration, thus offering a cost-effective alternative particularly in low-resource settings where dengue is most prevalent.

02

Conditions studied

  • Dengue

Browse trials for

Keywords

  • Safety
  • Immunogenicity
  • intradermal Qdenga
03

In context

Dengue

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

This study's enrollment of 29 is below the median of 123 across 195 interventional studies indexed under Dengue.

Browse Dengue studies →

Lead sponsor

Prince of Songkla University is the lead sponsor of 112 studies on the registry; 13 are open to participants now.

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

04

Who can participate

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

Inclusion criteria

  • Thai adult aged 18-60 years, who not previously received dengue vaccine.
  • The subjects are able to and willing to comply with the requirements of the clinical trial program and could complete the 3-month follow-up of the study.
  • Individuals who are in good health condition at the time of entry into the trial as determined by medical history, physical examination and clinical judgment of the investigator and meet the requirements of immunization
  • The subject can provide with informed consent and sign informed consent form

Exclusion criteria

Exclusion Criteria:

  • Have a medical history or family history of convulsion, epilepsy, encephalopathy and psychosis.
  • Be allergic to any component of the research vaccines or used to have a history of hypersensitivity or serious reactions to vaccination.
  • Women with positive urine pregnancy test, pregnant or breast-feeding, or have a pregnancy plan within six months.
  • Have acute infectious diseases, including dengue infection
  • Have severe chronic diseases or condition in progress cannot be controlled. For example, poor controlled DM and uncontrolled HT.
  • Have the history of urticaria 1 year before receiving the investigational vaccine.
  • Have known underlying diseases of thrombocytopenia or other coagulation disorders (which may cause contraindications for intramuscular injection).
  • Have needle sickness.
  • Have the history of immunosuppressive therapy, cytotoxic therapy or systemic corticosteroids
  • Have received blood products within 4 months before injection of investigational vaccines.
  • Under anti-tuberculosis treatment.
  • Not be able to follow the protocol, or not be able to understand the informed consent according to the researcher's judgment, due to various medical, psychological, social or other conditions.
05

Study design

Phase
Early Phase 1
Primary purpose
Basic science
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
29 participants (actual)

Study arms

  • Active comparator
    SC ID

    subcutaneous Qdenga for 1st vaccination then intradermal Qdenga for 2nd vaccination

    Biological: Vaccine

  • Active comparator
    SC SC

    subcutaneous Qdenga for 1st vaccination then subcutaneous Qdenga for 2nd vaccination

    Biological: Vaccine

Interventions

  • BiologicalVaccine

    Subcutaneous route vs Intradermal route

06

What researchers measure

Primary outcomes

  1. Dengue IgG Level

    To measure Antibody level for dengue by ELISA on day 0, day 30 and day 120 after 1st vaccination

    Time frame: Day 0 (Baseline), Day 30 (30 days post 1st vaccination) and Day 120 (30 days post 2nd vaccination)

  2. CD4 T Cell Responses

    To measure T cell responses to dengue antigen by ELISpot on day 0, day 30 and day 120 after 1st vaccination.

    Time frame: Day 0 (Baseline), Day 30 (30 days post 1st vaccination) and Day 120 (30 days post 2nd vaccination)

  3. CD8 T Cell Response

    To measure T cell responses to dengue antigen by ELISpot on day 0, day 30 and day 120 after 1st vaccination.

    Time frame: Day 0 (Baseline), Day 30 (30 days post 1st vaccination) and Day 120 (30 days post 2nd vaccination)

Secondary outcomes

  1. All-Cause Mortality

    Death from any cause occurring from the first vaccination until the end of the 120-day follow-up period.

    Time frame: at day 7 and 30 post each vaccination

  2. Serious Adverse Events

    Any untoward medical occurrence during the study period that results in death, is life-threatening, requires inpatient hospitalization or prolongation of existing hospitalization, results in persistent or significant disability or incapacity, or is a congenital anomaly/birth defect, regardless of its relationship to the study vaccine.

    Time frame: at day 7 and 30 post each vaccination

  3. Local Reactions

    \- Include any reported pain, swelling, erythema or nodule at the vaccination site

    Time frame: at day 7 and 30 post each vaccination

  4. Systemic Reactions

    fever, chill, fatique, headache, myalgia

    Time frame: at day 7 and 30 post each vaccination

  5. Pain at Vaccination Site, 7 Day Post 1st Vaccination

    Injection-site pain reported during the 7-day period following the first vaccine dose.

    Time frame: 7 day post 1st vaccination

  6. Erythema at Vaccination Site, 7 Day Post 1st Vaccination

    Erythema at vaccination site reported during the 7-day period following the first vaccine dose.

    Time frame: 7 day post 1st vaccination

  7. Malaise, 7 Day Post 1st Vaccination

    Self-reported malaise during the 7-day period following the first vaccine dose.

    Time frame: 7 day post 1st vaccination

  8. Headache, 7 Day Post 1st Vaccination

    Self-reported headache during the 7-day period following the first vaccine dose.

    Time frame: 7 day post 1st vaccination

  9. Erythema at Vaccination Site, 7 Day Post 2nd Vaccination

    Erythema at vaccination site reported during the 7-day period following the second vaccine dose.

    Time frame: 7 day post 2nd vaccination

07

Results

Posted Jan 16, 2026
Limitations and caveats
This pilot study is limited by small sample size, short follow-up, and lack of neutralization assays and detailed T-cell phenotyping. These factors restrict interpretation of durability, serotype-specific responses, and immune correlates. Larger studies with extended immunologic assessments are planned.

Participant flow

Twenty-nine adult volunteers were assessed for eligibility. Twenty-four eligible participants were randomized in a 1:1 ratio to the SC-SC or SC-ID group (12 participants per group).

Participant flow — Overall Study
MilestoneSC IDSC SC
Started1212
Completed1212
Not completed00

Outcome measures

PrimaryDengue IgG Level

To measure Antibody level for dengue by ELISA on day 0, day 30 and day 120 after 1st vaccination

Time frame:
Day 0 (Baseline), Day 30 (30 days post 1st vaccination) and Day 120 (30 days post 2nd vaccination)
Reported as:
Median · RU/ml
Dengue IgG Level
RU/mlSC IDSC SC
Baseline108.9 (102.2 to 124.8)104.0 (104.0 to 113.0)
Day 30158.5 (151.1 to 164.5)143.2 (129.2 to 150.1)
Day 120148.6 (143.3 to 159.4)141.3 (127.1 to 152.8)
Statistical analysis
  • SC ID vs SC SC · Kruskal-Wallis · p = < 0.01followed by Dunn's multiple comparisons test
PrimaryCD4 T Cell Responses

To measure T cell responses to dengue antigen by ELISpot on day 0, day 30 and day 120 after 1st vaccination.

Time frame:
Day 0 (Baseline), Day 30 (30 days post 1st vaccination) and Day 120 (30 days post 2nd vaccination)
Reported as:
Median · SFCs per 10^6 PBMCs
CD4 T Cell Responses
SFCs per 10^6 PBMCsSC IDSC SC
Baseline22.0 (17.8 to 81.3)15.0 (5.0 to 38.0)
Day 30137.5 (60.8 to 178.3)103.0 (46.0 to 134.0)
Day 12098.5 (21.0 to 163.8)94.5 (67.3 to 127.0)
PrimaryCD8 T Cell Response

To measure T cell responses to dengue antigen by ELISpot on day 0, day 30 and day 120 after 1st vaccination.

Time frame:
Day 0 (Baseline), Day 30 (30 days post 1st vaccination) and Day 120 (30 days post 2nd vaccination)
Reported as:
Median · SFCs per 10^6 PBMCs
CD8 T Cell Response
SFCs per 10^6 PBMCsSC IDSC SC
Baseline5.0 (1.8 to 38.5)11.0 (1.0 to 47.0)
Day 3062.0 (24.5 to 105.5)11.0 (2.5 to 67.0)
Day 1206.0 (0.0 to 17.0)10.0 (2.5 to 49.5)
SecondaryAll-Cause Mortality

Death from any cause occurring from the first vaccination until the end of the 120-day follow-up period.

Time frame:
at day 7 and 30 post each vaccination
Reported as:
Count of participants · Participants
All-Cause Mortality
ParticipantsSC IDSC SC
All-Cause mortality00
SecondarySerious Adverse Events

Any untoward medical occurrence during the study period that results in death, is life-threatening, requires inpatient hospitalization or prolongation of existing hospitalization, results in persistent or significant disability or incapacity, or is a congenital anomaly/birth defect, regardless of its relationship to the study vaccine.

Time frame:
at day 7 and 30 post each vaccination
Reported as:
Count of participants · Participants
Serious Adverse Events
ParticipantsSC IDSC SC
Serious Adverse Events00
SecondaryLocal Reactions

\- Include any reported pain, swelling, erythema or nodule at the vaccination site

Time frame:
at day 7 and 30 post each vaccination
Reported as:
Count of participants · Participants
Local Reactions
ParticipantsSC IDSC SC
Local Reactions31
SecondarySystemic Reactions

fever, chill, fatique, headache, myalgia

Time frame:
at day 7 and 30 post each vaccination
Reported as:
Count of participants · Participants
Systemic Reactions
ParticipantsSC IDSC SC
Systemic Reactions02
SecondaryPain at Vaccination Site, 7 Day Post 1st Vaccination

Injection-site pain reported during the 7-day period following the first vaccine dose.

Time frame:
7 day post 1st vaccination
Reported as:
Count of participants · Participants
Pain at Vaccination Site, 7 Day Post 1st Vaccination
ParticipantsSC IDSC SC
Pain at Vaccination Site, 7 Day Post 1st Vaccination21
SecondaryErythema at Vaccination Site, 7 Day Post 1st Vaccination

Erythema at vaccination site reported during the 7-day period following the first vaccine dose.

Time frame:
7 day post 1st vaccination
Reported as:
Count of participants · Participants
Erythema at Vaccination Site, 7 Day Post 1st Vaccination
ParticipantsSC IDSC SC
Erythema at Vaccination Site, 7 Day Post 1st Vaccination20
SecondaryMalaise, 7 Day Post 1st Vaccination

Self-reported malaise during the 7-day period following the first vaccine dose.

Time frame:
7 day post 1st vaccination
Reported as:
Count of participants · Participants
Malaise, 7 Day Post 1st Vaccination
ParticipantsSC IDSC SC
Malaise, 7 Day Post 1st Vaccination01
SecondaryHeadache, 7 Day Post 1st Vaccination

Self-reported headache during the 7-day period following the first vaccine dose.

Time frame:
7 day post 1st vaccination
Reported as:
Count of participants · Participants
Headache, 7 Day Post 1st Vaccination
ParticipantsSC IDSC SC
Headache, 7 Day Post 1st Vaccination01
SecondaryErythema at Vaccination Site, 7 Day Post 2nd Vaccination

Erythema at vaccination site reported during the 7-day period following the second vaccine dose.

Time frame:
7 day post 2nd vaccination
Reported as:
Count of participants · Participants
Erythema at Vaccination Site, 7 Day Post 2nd Vaccination
ParticipantsSC IDSC SC
Erythema at Vaccination Site, 7 Day Post 2nd Vaccination20

Adverse events

Collected over Day 37, 60 (7 and 30 days post 1st vaccination) and Day 97, 120 (7 and 30 days post 2nd vaccination). Non-serious events are listed at a 5% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
SC ID0/12 (0%)0/12 (0%)3/12 (25%)
SC SC0/12 (0%)0/12 (0%)3/12 (25%)
Most frequent other events
Most frequent other events
EventSC IDSC SC
Local reactionsSkin and subcutaneous tissue disorders3/121/12
Systemic reactionsImmune system disorders0/122/12
Pain at vaccination site, 7 day post 1st vaccinationSkin and subcutaneous tissue disorders2/121/12
Erythema at vaccination site, 7 day post 1st vaccinationSkin and subcutaneous tissue disorders2/120/12
Erythema at vaccination site, 7 day post 2nd vaccinationSkin and subcutaneous tissue disorders2/120/12
Malaise, 7 day post 1st vaccinationGeneral disorders0/121/12
Headache, 7 day post 1st vaccinationNervous system disorders0/121/12

Baseline characteristics

Age, Continuous
Age, Continuous(year)SC IDSC SCTotal
Median32.2 (23.9 to 40.5)39 (32 to 46)35.6 (27.3 to 43.9)
Sex: Female, Male
Sex: Female, Male(Participants)SC IDSC SCTotal
Female101121
Male213
Body Mass Index
Body Mass Index(kg/m^2)SC IDSC SCTotal
Median21.18 (19.87 to 24.97)20.96 (20.34 to 23.34)21.05 (20.00 to 24.81)
Race and Ethnicity Not Collected
Race and Ethnicity Not Collected(Participants)SC IDSC SCTotal
Count of participants——0
08

Study locations

2 sites
  • Faculty of Medicine, Prince of Songkla University
    Hat Yai, Changwat Songkhla 90110, Thailand
  • Prince of Songkla university
    Hat Yai, Changwat Songkhla 90110, Thailand
09

References and documents

Study documents

  • Protocol and statistical analysis plan · Nov 16, 2025

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

Individual participant data

Plan to share: No — The data will be anonymized.

10

Updates

1 registry update since Sep 25, 2026
Results
Posted results revised
revised Oct 2, 2026
Show all 1 update
  1. Oct 2, 2026
    Posted results revised
    + 1 other change: verification date

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

11

Registry details

Key details

Study ID
NCT06837116
Lead sponsor
Prince of Songkla University
Responsible party
Sarunyou Chusri (Assoc. Prof. Sarunyou Chusri M.D. Ph.D., Prince of Songkla University) — Principal investigator
First posted
Feb 20, 2025
Start date
Apr 19, 2025
Primary completion
Aug 30, 2025
Completion
Sep 30, 2025
Results posted
Jan 16, 2026
Last update
Oct 2, 2026

Oversight

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

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