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Immunogenicity and Safety of Dengue Tetravalent Vaccine (TDV) and Recombinant 9-valent Human Papillomavirus Vaccine (9vHPV) in Participants Aged ≥9 to <15 Years

The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Know the risks and potential benefits of clinical studies and talk to your health care provider before participating. Read our disclaimer for details.
 
ClinicalTrials.gov Identifier: NCT04313244
Recruitment Status : Not yet recruiting
First Posted : March 18, 2020
Last Update Posted : August 26, 2020
Sponsor:
Information provided by (Responsible Party):
Takeda

Brief Summary:
The purpose of the study is to demonstrate the non-inferiority (NI) of the immune response to 2 doses of 9vHPV vaccine, 1 co-administered with TDV, compared with 2 doses of 9vHPV vaccine administered alone.

Condition or disease Intervention/treatment Phase
Dengue Fever Biological: 9vHPV vaccine Biological: Dengue Tetravalent Vaccine (TDV) Phase 3

Detailed Description:

The vaccine being tested in this study is called Tetravalent Dengue Vaccine (TDV). The study will assess the immunogenicity and safety on the co-administration of 9vHPV vaccine with TDV in healthy participants aged ≥9 to <15 years.

The study will enroll approximately 614 healthy volunteers. Participants will be randomly assigned to one of the two treatment groups-

  • Group 1
  • Group 2

All participants will receive recombinant 9-valent Human Papillomavirus Vaccine (9vHPV) intramuscular (IM) in combination with Dengue Tetravalent Vaccine (TDV) subcutaneous (SC) injection on Day 1 (Month 0 ) followed by 9vHPV on Day 90 (Month 3) and TDV on Day 180 (Month 6) in Group 1. Participants will receive 9vHPV on Day 1 (Month 0) and Day 180 (Month 6) IM in Group 2.

This multi-center trial will be conducted in Thailand. The overall time to participate in this study is 12 months. Participants will make multiple visits to the clinic, after last dose of study drug for a follow-up assessment.

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Study Type : Interventional  (Clinical Trial)
Estimated Enrollment : 614 participants
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)
Primary Purpose: Prevention
Official Title: A Phase 3, Open-Label, Randomized Trial to Investigate the Immunogenicity and Safety of the Co-administration of a Subcutaneous Dengue Tetravalent Vaccine (Live, Attenuated) (TDV) and an Intramuscular Recombinant 9-Valent Human Papillomavirus (9vHPV) Vaccine in Subjects Aged ≥9 to <15 Years in an Endemic Country for Dengue
Estimated Study Start Date : March 16, 2021
Estimated Primary Completion Date : June 3, 2021
Estimated Study Completion Date : December 14, 2021

Resource links provided by the National Library of Medicine

MedlinePlus related topics: Dengue

Arm Intervention/treatment
Experimental: Group 1
0.5 mL Recombinant 9-valent Human Papillomavirus Vaccine (9vHPV) intramuscular (IM) will be co-administered with 0.5 mL Dengue Tetravalent Vaccine (TDV) subcutaneous (SC) once on Day 1 (Month 0) followed by 0.5 mL TDV SC once on Day 90 (Month 3) and 0.5 mL 9vHPV IM once on Day 180 (Month 6).
Biological: 9vHPV vaccine
9vHPV intramuscular injection

Biological: Dengue Tetravalent Vaccine (TDV)
TDV subcutaneous injection
Other Name: TAK-003

Experimental: Group 2
0.5 mL 9vHPV vaccine IM will be administered once on Day 1 (Month 0) followed by 0.5 mL 9vHPV vaccine IM once on Day 180 (Month 6).
Biological: 9vHPV vaccine
9vHPV intramuscular injection




Primary Outcome Measures :
  1. Geometric Mean Titers (GMTs) for Human Papillomavirus (HPV) Types 6, 11, 16, 18, 31, 33, 45, 52, 58 [ Time Frame: Day 210 (Month 7) ]
    GMTs for HPV will be measured by immunoglobulin G binding assay (IgGBA) or equivalent assay.


Secondary Outcome Measures :
  1. Percentage of Participants with Seropositivity for HPV Types 6, 11, 16, 18, 31, 33, 45, 52 and 58 as Measured by Immunoglobulin G Binding Assay (IgGBA) or Equivalent Assay [ Time Frame: Day 210 (Month 7) ]
    Seropositivity for HPV is defined as an anti-HPV titer greater than or equal to the pre-specified serostatus cut-off for a given HPV type, measured by IgGBA.

  2. GMTs of Neutralizing Antibodies for Each of the 4 Dengue Serotypes [ Time Frame: Day 120 (Month 4) ]
    GMTs of neutralizing antibodies for each of the 4 dengue serotypes will be measured by microneutralization test 50% (MNT50). The four dengue serotypes: DENV1, DENV2, DENV3 and DENV4.

  3. Percentage of Participants with Seropositivity for Each of the 4 Dengue Serotypes [ Time Frame: Day 120 (Month 4) ]
    Seropositivity is defined as a reciprocal neutralizing antibody titer ≥10 for any of the 4 dengue serotypes. The four dengue serotypes: DENV1, DENV2, DENV3 and DENV4.

  4. Percentage of Participants with Seropositivity for Multiple (2, 3 or 4) Dengue Serotypes [ Time Frame: Day 120 (Month 4) ]
    Seropositivity is defined as a reciprocal neutralizing antibody titer ≥10 for any of the 4 dengue serotypes. The four dengue serotypes: DENV1, DENV2, DENV3 and DENV4.

  5. Percentage of Participants with Solicited Local Reactions for 7 Days Following Vaccination by Severity [ Time Frame: For Group 1 -Within 7 days after first doses of 9vHPV vaccine + TDV co-administered on Day 1 and within 7 days after second dose of TDV administered on Day 90; for Group 2 -Within 7 days after first dose of 9vHPV vaccine administered on Day 1 ]
    Solicited local Adverse Events (AEs) (at injection site) will be collected by participants using diary cards within 7 days after vaccination and will include: Pain [Grade 0 (no pain), 1 (mild: no interference with daily activity), 2 (moderate: interference with daily activity with or without treatment) and 3 (severe: prevents daily activity with or without treatment)]; erythema and swelling [Grade 0 (<25 mm), 1 (25 - ≤ 50 mm), 2 (>50 - ≤ 100 mm), 3 (> 100 mm)].

  6. Percentage of Participants with Solicited Systemic Adverse Events (AEs) for 14 days Following Vaccination by Severity [ Time Frame: For Group 1 -Within 14 days after first doses of 9vHPV vaccine + TDV co-administered on Day 1 and within 14 days after second dose of TDV administered on Day 90; for Group 2 -Within 14 days after first dose of 9vHPV vaccine administered on Day 1 ]
    Solicited systemic AEs will be collected by participants using diary cards within 14 days after vaccination and will include fever, headache, asthenia, malaise and myalgia. Severity grades were: Grade 0: none, Grade 1: mild (no interference with daily activity), Grade 2: moderate (interference with daily activity with or without treatment), Grade 3: severe (prevents normal daily activity with or without treatment). Fever is defined as body temperature greater than or equal to 38°C (100.4°F).

  7. Percentage of Participants with any Unsolicited AEs for 28 days Following Vaccination [ Time Frame: For Group 1 -Within 28 days after first doses of 9vHPV vaccine + TDV co-administered on Day 1 and within 28 days after second dose of TDV administered on Day 90; for Group 2 -Within 28 days after first dose of 9vHPV vaccine administered on Day 1 ]
    An AE is defined as any untoward medical occurrence in a clinical investigation participant administered a study vaccine; it does not necessarily have to have a causal relationship with study vaccine administration.

  8. Percentage of Participants with Serious Adverse Events (SAEs) [ Time Frame: From first vaccination (Day 1) through end of study (Day 360 [Month 12]) ]
    An SAE is defined as any untoward medical occurrence or effect that results in death, is life-threatening, requires inpatient hospitalization or prolongation of existing hospitalization, results in persistent or significant disability / incapacity, is a congenital anomaly / birth defect or is medically important which may require intervention to prevent the items listed above or may expose the participant to danger.



Information from the National Library of Medicine

Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the contacts provided below. For general information, Learn About Clinical Studies.


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Ages Eligible for Study:   9 Years to 14 Years   (Child)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   Yes
Criteria

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 the clinical judgment of the investigator.
  2. Participants who can comply with trial procedures and are available for the duration of follow-up.

Exclusion Criteria:

  1. Has an elevated oral temperature ≥38°C (≥100.4°F) within 3 days of the intended date of vaccination.
  2. Participants with contraindications, warnings and/or precautions to vaccination with Recombinant 9-valent Human Papillomavirus Vaccine (9vHPV) vaccine as specified within the prescribing information.
  3. Has any history of progressive or severe neurologic disorder, seizure disorder or neuro-inflammatory disease.
  4. Known or suspected impairment/alteration of immune function, including:

    1. Chronic use of oral 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 (Month 0) (use of inhaled, intranasal, or topical corticosteroids is allowed).
    2. 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 (Month 0).
    3. Administration of immunoglobulins and/or any blood products within the 3 months prior to Day 1 (Month 0) or planned administration during the trial.
    4. Receipt of immunostimulants within 60 days prior to Day 1 (Month 0).
    5. Immunosuppressive therapy such as anti-cancer chemotherapy or radiation therapy within 6 months prior to Day 1 (Month 0).
    6. Human immunodeficiency virus (HIV) infection or HIV-related disease.
    7. Hepatitis B virus infection.
    8. Hepatitis C virus infection.
    9. Genetic immunodeficiency.
  5. Abnormalities of splenic or thymic function.
  6. Has a known bleeding diathesis, or any condition that may be associated with a prolonged bleeding time.
  7. Who received any other vaccines within 14 days (for inactivated vaccines) or 28 days (for live vaccines) prior to enrollment in this trial or who are planning to receive any vaccine within 28 days of trial vaccine administration.
  8. Who have used antipyretics and/or analgesic medications within 24 hours prior to vaccination. The reason for their use (prophylaxis versus treatment) must be documented. Trial entry should be delayed to allow for a full 24 hours to have passed since last use of antipyretics and/or analgesic medications.
  9. Previous and planned vaccination (during the trial conduct), against any flavivirus (except Japanese encepahilitis [JE]) including dengue, yellow fever (YF) viruses or tick-borne encephalitis.
  10. Previous and planned vaccination (during the trial conduct) against HPV.
  11. Previous participation in any clinical trial of a dengue or other flavivirus (eg, West Nile [WN] virus) candidate vaccine, except for participants who received placebo in those trials.
  12. Has a current or previous infection with a flavivirus such as Zika, YF, JE, WN fever, tick-borne encephalitis or Murray Valley encephalitis.

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT04313244


Contacts
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Contact: Takeda Study Registration Call Center +1-877-825-3327 medinfoUS@takeda.com

Locations
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Thailand
Siriraj Hospital
Bangkoknoi, Bangkok, Thailand, 10700
King Chulalongkorn Memorial Hospital
Pathum Wan, Bangkok, Thailand, 10330
The Hospital for Tropical Diseases
Bangkok, Thailand, 10400
Thammasat University Hospital
Pathum Thani, Thailand, 12121
Sponsors and Collaborators
Takeda
Investigators
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Study Director: Medical Director Clinical Science Takeda
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Responsible Party: Takeda
ClinicalTrials.gov Identifier: NCT04313244    
Other Study ID Numbers: DEN-308
First Posted: March 18, 2020    Key Record Dates
Last Update Posted: August 26, 2020
Last Verified: August 2020
Individual Participant Data (IPD) Sharing Statement:
Plan to Share IPD: Yes
Plan Description: Takeda makes patient-level, de-identified data sets and associated documents available for all interventional studies after applicable marketing approvals and commercial availability have been received (or program is completely terminated), an opportunity for the primary publication of the research and final report development has been allowed, and other criteria have been met as set forth in Takeda's Data Sharing Policy (see www.TakedaClinicalTrials.com for details). To obtain access, researchers must submit a legitimate academic research proposal for adjudication by an independent review panel, who will review the scientific merit of the research and the requestor's qualifications and conflict of interest that can result in potential bias. Once approved, qualified researchers who sign a data sharing agreement are provided access to these data in a secure research environment.

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Studies a U.S. FDA-regulated Drug Product: Yes
Studies a U.S. FDA-regulated Device Product: No
Product Manufactured in and Exported from the U.S.: Yes
Keywords provided by Takeda:
Drug therapy
Additional relevant MeSH terms:
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Dengue
Arbovirus Infections
Virus Diseases
Flavivirus Infections
Flaviviridae Infections
RNA Virus Infections
Hemorrhagic Fevers, Viral
Vaccines
Immunologic Factors
Physiological Effects of Drugs