E.1 Medical condition or disease under investigation |
E.1.1 | Medical condition(s) being investigated |
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E.1.1.1 | Medical condition in easily understood language |
Dengue fever is caused by infection with dengue virus, a RNA virus that occurs as 4 recognized serotypes: DENV-1, -2, -3, -4. These viruses are transmitted from human to human by mosquitoes. |
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E.1.1.2 | Therapeutic area | Diseases [C] - Virus Diseases [C02] |
MedDRA Classification |
E.1.2 Medical condition or disease under investigation |
E.1.2 | Version | 20.1 |
E.1.2 | Level | PT |
E.1.2 | Classification code | 10012310 |
E.1.2 | Term | Dengue fever |
E.1.2 | System Organ Class | 10021881 - Infections and infestations |
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E.1.3 | Condition being studied is a rare disease | No |
E.2 Objective of the trial |
E.2.1 | Main objective of the trial |
• To assess the safety profile of TDV administered as 2 doses given 3 months apart in healthy pediatric participants aged ≥6 to <21 months. • To assess the immunogenicity of TDV administered as 2 doses given 3 months apart in healthy pediatric participants aged ≥6 to <21 months at 1 month post second TDV dose. |
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E.2.2 | Secondary objectives of the trial |
• To assess immunogenicity of TDV administered as 2 doses given 3 months apart in healthy pediatric participants aged ≥6 to <21 months at other specified timepoints. |
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E.2.3 | Trial contains a sub-study | No |
E.3 | Principal inclusion criteria |
Participant eligibility is determined according to the following criteria: 1. Participant is aged >=6 to <21 months at the time of entry into the trial. 2. Participant is male or female. 3. Participant is 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. 4. Participant’s legally acceptable representative (LAR) has signed and dated a written informed consent form (ICF) and any required privacy authorization prior to the initiation of any trial procedure, and after the nature of the trial has been explained according to local regulatory requirements. 5. The participant and participant’s LAR can comply with trial procedures and can be available for the duration of follow-up, according to the LAR.
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E.4 | Principal exclusion criteria |
Any participant who meets any of the following criteria will not qualify for randomization: 1. Participant has contraindication(s), warning(s) and/or precaution(s) applicable to vaccination with TDV as specified in the investigator’s brochure (IB) and/or the approved product label (as applicable) in the participating country. 2. Participant has a known hypersensitivity or allergy to any of the investigational medicinal product (IMP) components (including excipients). 3. Participant has behavioral or cognitive impairment or psychiatric disease that, in the opinion of the investigator, may interfere with the participant’s ability to participate in the trial. 4. Participant has a history of progressive or severe neurologic disorder, seizure disorder or neuro-inflammatory disease (example, Guillain-Barré syndrome). 5. Participant has an illness, or history of any illness that, in the opinion of the investigator, might interfere with the results of the trial or pose additional risk to the participant due to involvement in this trial. 6. Participant has a known or suspected impairment/alteration of immune function, including: a. Chronic administration of oral and/or parenteral steroids at doses considered sufficiently immunosuppressive (for example, (>=, greater than equal to) 2 mg/kg [milligrams per kilograms] body weight/day prednisone [or equivalent] for 14 consecutive days, or, >=20 milligram per day [mg/day] prednisone [or equivalent] for >=14 consecutive days) within 60 days prior to Day 1 Month 0 (M0) (note: use of corticosteroids by inhaled, intranasal, intraarticular, bursal, tendon injection, or topical routes is allowed). b. Receipt of blood, immunoglobulins, blood products, and/or plasma derivatives within the 3 months prior to Day 1 (M0). c. Receipt of immunostimulants within 60 days prior to Day 1 (M0). d. Immunosuppressive therapy such as anti-cancer chemotherapy or radiation therapy within 6 months prior to Day 1 (M0). e. HIV infection or HIV-related disease. f. Hepatitis B virus infection. g. Hepatitis C virus infection. h. Genetic immunodeficiency. 7. Participant has known or suspected abnormalities of splenic or thymic function. 8. Participant has a known bleeding diathesis, or any condition/medication that may be associated with a prolonged bleeding time. 9. Participant has a serious chronic or progressive disease deemed to be preclusive to trial entry, that is , not medically stable according to the judgment of the investigator. 10. Participant has previously received a vaccination against dengue virus (investigational or licensed). 11. Participant has a clinically significant active infection (as assessed by the investigator) or body temperature greater than (>) 38.0 degrees Celsius (°C) (>100.4 degrees Fahrenheit [°F]) within 3 days of intended IMP administration on Day 1 (M0). 12. Participant has used antipyretics and/or analgesic medications within 24 hours prior to vaccination. The reason for their use (prophylaxis vs treatment) must be documented. Trial entry must be delayed to allow for a full 24 hours to have passed since last use of antipyretics and/or analgesic medications. 13. Participant has received any of the following: a. A licensed vaccine within 14 days (for inactivated vaccines) or 28 days (for live vaccines) prior to IMP administration on Day 1 (M0). This includes co-administration with routine vaccines. b. A coronavirus vaccine within 14 days prior to IMP administration on Day 1 (M0). c. A vaccine authorized for emergency use within 28 days prior to IMP administration on Day 1 (M0). 14. Participant is scheduled to receive any other vaccine within 28 days after IMP administration on Day 1 (M0). 15. Participant is participating in any clinical trial with another investigational product 30 days prior to Day 1 (M0) or plans to participate in another clinical trial at any time during the conduct of this trial. 16. Participant has taken part in any clinical trial of a dengue or other flavivirus (example, West Nile virus) candidate vaccine, except if it is known that the participant received placebo in the trial(s). 17. A first degree relative is involved in the conduct of this trial.
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E.5 End points |
E.5.1 | Primary end point(s) |
1. Number of Participants With Solicited Local (Injection Site) Adverse Events (AEs) Within 7 Days Post Vaccination at Day 1 2. Number of Participants with Solicited Local (Injection Site) AEs Within 7 Days Post Vaccination at Day 90 3. Number of Participants with Solicited Systemic AEs Within 14 Days Post Vaccination at Day 1 4. Number of Participants with Solicited Systemic AEs Within 14 Days Post Vaccination at Day 90 5. Percentage of Participants with Any Unsolicited AEs Within 28 Days Post Vaccination at Day 1 6. Percentage of Participants with Any Unsolicited AEs Within 28 Days Post Vaccination at Day 90 7. Percentage of Participants With Medically-attended AE (MAAEs) from Day 1 through the end of trial (up to Day 1170) 8. Number of Participants With Serious Adverse Events (SAEs) from Day 1 through the end of trial (up to Day 1170) 9. Geometric Mean Titers (GMTs) of Neutralizing Antibodies by Microneutralization Test (MNT) for Each of 4 Dengue Virus Serotypes at Day 120 |
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E.5.1.1 | Timepoint(s) of evaluation of this end point |
Multiple time points occurring as stated in E.5.1 |
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E.5.2 | Secondary end point(s) |
1. GMTs of Neutralizing Antibodies by MNT for Each of the 4 Dengue Virus Serotypes at Day 1, Day 30, Day 270, Day 450, Day 810 and Day 1170 2. Seropositivity Rates for 4 Dengue Virus Serotypes at Day 1, Day 30, Day 120, Day 270, Day 450, Day 810, and Day 1170 3. Seropositivity Rates For Multiple (2, 3, or 4) Dengue Virus Serotypes at Day 1, Day 30, Day 120, Day 270, Day 450, Day 810, and Day 1170 |
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E.5.2.1 | Timepoint(s) of evaluation of this end point |
Multiple time points occurring as stated in Section E.5.2 |
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E.6 and E.7 Scope of the trial |
E.6 | Scope of the trial |
E.6.1 | Diagnosis | No |
E.6.2 | Prophylaxis | Yes |
E.6.3 | Therapy | No |
E.6.4 | Safety | Yes |
E.6.5 | Efficacy | No |
E.6.6 | Pharmacokinetic | No |
E.6.7 | Pharmacodynamic | No |
E.6.8 | Bioequivalence | No |
E.6.9 | Dose response | No |
E.6.10 | Pharmacogenetic | No |
E.6.11 | Pharmacogenomic | No |
E.6.12 | Pharmacoeconomic | No |
E.6.13 | Others | Yes |
E.6.13.1 | Other scope of the trial description |
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E.7 | Trial type and phase |
E.7.1 | Human pharmacology (Phase I) | No |
E.7.1.1 | First administration to humans | No |
E.7.1.2 | Bioequivalence study | No |
E.7.1.3 | Other | No |
E.7.1.3.1 | Other trial type description | |
E.7.2 | Therapeutic exploratory (Phase II) | No |
E.7.3 | Therapeutic confirmatory (Phase III) | Yes |
E.7.4 | Therapeutic use (Phase IV) | No |
E.8 Design of the trial |
E.8.1 | Controlled | Yes |
E.8.1.1 | Randomised | Yes |
E.8.1.2 | Open | No |
E.8.1.3 | Single blind | No |
E.8.1.4 | Double blind | Yes |
E.8.1.5 | Parallel group | Yes |
E.8.1.6 | Cross over | No |
E.8.1.7 | Other | No |
E.8.2 | Comparator of controlled trial |
E.8.2.1 | Other medicinal product(s) | No |
E.8.2.2 | Placebo | Yes |
E.8.2.3 | Other | No |
E.8.2.4 | Number of treatment arms in the trial | 4 |
E.8.3 |
Will this trial be conducted at a single site globally?
| No |
E.8.4 | Will this trial be conducted at multiple sites globally? | Yes |
E.8.6 Trial involving sites outside the EEA |
E.8.6.2 | Trial being conducted completely outside of the EEA | Yes |
E.8.6.3 | Specify the countries outside of the EEA in which trial sites are planned |
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E.8.7 | Trial has a data monitoring committee | Yes |
E.8.8 |
Definition of the end of the trial and justification where it is not the last
visit of the last subject undergoing the trial
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E.8.9 Initial estimate of the duration of the trial |
E.8.9.2 | In all countries concerned by the trial years | 3 |
E.8.9.2 | In all countries concerned by the trial months | 3 |