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Active, not recruitingNCT07759596Updated Aug 17, 2026

Bridging Economics and Public Trust: A Study of Dengue Vaccine Cost-effectiveness and Acceptance in Thais Visiting Hospital

An observational study in Dengue Fever, sponsored by Mahidol University. Active, not recruiting at 1 site in Thailand. Open to participants aged 18 Years and older, including healthy volunteers. Per ClinicalTrials.gov, last updated 2026-08-17.

Sponsored by Mahidol University · Observational

Study type
Observational
Model
Other
Time perspective
Prospective
Enrollment
350
Ages
18 Years and older
Sex
All
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Study summary

Study 1: Cost-effectiveness of TAK-003 Dengue Vaccination in Thailand

This study aims to evaluate the cost-effectiveness of introducing the live-attenuated tetravalent dengue vaccine (TAK-003) into Thailand's national immunization program. The study will compare routine vaccination strategies targeting two high-risk age groups: older children aged 9-14 years and adolescents/young adults aged 15-24 years, to identify the most appropriate target population for national implementation.

A model-based economic evaluation will be conducted using a static Markov model combined with a decision tree from a societal perspective. Model parameters will be obtained from published literature, national surveillance databases, healthcare utilization data, and other relevant sources. The model will estimate lifetime health outcomes, healthcare costs, quality-adjusted life years (QALYs), incremental cost-effectiveness ratios (ICERs), and budget impact. Deterministic and probabilistic sensitivity analyses will be performed to assess uncertainty in model parameters.

The findings are expected to provide evidence to support policy decisions regarding the inclusion of TAK-003 in Thailand's national immunization program.

Study 2: Determinants of Dengue Vaccine Acceptance among Thai Adults and Parents

This study aims to examine dengue vaccine acceptance and factors influencing vaccination decisions among Thai adults and parents of children aged 4-18 years. Understanding vaccine acceptance is essential for successful implementation of future dengue vaccination programs in Thailand.

This study will employ a sequential explanatory mixed-methods design consisting of two phases. The first phase is a cross-sectional survey conducted among Thai adults and parents attending outpatient clinics at two tertiary hospitals. Participants will complete a structured questionnaire assessing sociodemographic characteristics, dengue-related experiences, psychological antecedents of vaccination using a modified Thai version of the 7Cs model, willingness to pay, and dengue vaccine acceptance.

In the second phase, purposively selected participants from the quantitative survey will participate in semi-structured in-depth interviews to explore perceptions, beliefs, attitudes, and contextual factors influencing dengue vaccine decision-making. Quantitative and qualitative findings will be integrated to provide a comprehensive understanding of vaccine acceptance and hesitancy.

The findings will provide evidence to inform communication strategies, public health interventions, and policy development aimed at improving dengue vaccine uptake in Thailand.

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Conditions studied

  • Dengue Fever

Keywords

  • economic burden
  • vaccine acceptance
  • dengue vaccine
  • cost-effectiveness
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In context

Dengue

283 studies on the registry are indexed under Dengue; 44 are open to participants now.

This study's planned enrollment of 350 is below the median of 595 across 80 observational studies indexed under Dengue.

Browse Dengue studies →

Lead sponsor

Mahidol University is the lead sponsor of 747 studies on the registry; 119 are open to participants now.

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

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Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
Yes
Sampling method
Probability sample

Study population

General population Inclusion criteria - Visiting hospitals for routine follow up their medical conditions at Med OPD, Hospital for Tropical Diseases Mahidol University.

Parents Inclusion criteria

- Visiting hospitals for their children's routine follow up appointment at children OPD Siriraj Hospital, Mahidol University

Eligibility criteria

General population

Inclusion criteria

  • Both males and females Thai
  • Adults aged 18 years and older
  • Willing to participate in the study
  • Never received dengue vaccine
  • either single or married status without legitimate children
  • having independent sources of incomes.

Exclusion criteria

  • All types of Health care personnel
  • visiting hospital due to clinical suspicions or confirmation of dengue infection
  • Have no prior knowledge or awareness of dengue or dengue vaccines.

Parents

Inclusion criteria

  • Both males and females Thai
  • Adults aged 18 years and older
  • Willing to participate in the study
  • Having legitimate children aged 4 to 18 years old with dengue vaccine naïve
  • Having independent sources of income.

Exclusion criteria

  • All types of Health care personnel
  • Visiting hospital due to their children's illnesses such as clinical suspicions or confirmation of dengue infection.
  • Have no prior knowledge or awareness of dengue or dengue vaccines.
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Study design

Observational model
Other
Time perspective
Prospective
Enrollment
350 participants (estimated)
Target follow-up
1 Day
Patient registry
Yes

Groups and cohorts

  • Objective 1- economic evaluation of Thai children without dengue vaccine

    Children age 9-14 and 15-24 years without dengue vaccine

    Other: Objective 1- economic evaluation of Thai children with dengue vaccine

Interventions

  • OtherObjective 1- economic evaluation of Thai children with dengue vaccine

    Thai children age 9-14 and 15-24 years with dengue vaccine

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What researchers measure

Primary outcomes

  1. Dengue vaccine hesitancy measured using the 7C-model

    Dengue vaccine hesitancy will be assessed using an adapted version of the validated 7C Model of Vaccine Readiness questionnaire. The questionnaire will be adapted to the context of dengue vaccination while retaining the seven psychological antecedents of vaccination: Confidence, Complacency, Constraints, Calculation, Collective Responsibility, Compliance, and Conspiracy. Scoring of the 7C model: Each item was rated on a 7-point Likert scale from 1 to 7. For each 7C domain, the mean score of its constituent items was calculated, resulting in a domain score ranging from 1 to 7. A higher score indicated greater vaccine hesitancy. Items were reverse-scored where necessary so that the direction of all domain scores was consistent, with higher scores representing greater vaccine hesitancy.

    Time frame: 1 year

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Study locations

1 site
  • Hospital for Tropical Diseases, Faculty of Tropical Medicine
    Bangkok, Thailand
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References and documents

Study documents

PDFs hosted by the registry, ClinicalTrials.gov.

Individual participant data

Plan to share: Undecided

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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

Started Feb 2026 (actual). Primary completion is estimated for Dec 2026, 9 months after the start.

Of 36 observational studies under Dengue, half reached primary completion within 47 months of starting (the median), counting those still running; a quarter within 31 and three quarters within 71. This study's planned 9 months is below that.

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

Registered
Feb 23, 2026
First posted
Aug 12, 2026
StartActual
Feb 2, 2026
Primary completionEst.
Dec 1, 2026
CompletionEst.
Dec 1, 2026
Last update
Aug 17, 2026
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 Aug 17, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT07759596
Lead sponsor
Mahidol University
Collaborators
Siriraj Hospital
Responsible party
Thundon Ngamprasertchai, MD (Associate professor, Mahidol University) — Principal investigator
First posted
Aug 12, 2026
Start date
Feb 2, 2026
Primary completion
Dec 1, 2026 (estimated)
Completion
Dec 1, 2026 (estimated)
Last update
Aug 17, 2026

Oversight

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

Not currently enrolling

This study is active, not recruiting, as verified in Aug 2026. You cannot join it, but the record below documents what was studied.

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