E.1 Medical condition or disease under investigation |
E.1.1 | Medical condition(s) being investigated |
Healthy Volunteers (Chikungunya disease. Prevention of Chikungunya disease by use of a vaccine.) |
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E.1.1.1 | Medical condition in easily understood language |
Healthy Volunteers (Prevention of Chikungunya disease) |
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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 | 10067256 |
E.1.2 | Term | Chikungunya virus infection |
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 |
1. To compare the anti-CHIKV serum neutralizing antibody (SNA) seroresponse rate to CHIKV VLP vaccine and placebo at Day 22 among baseline seronegative participants, as measured by clinically relevant difference in seroresponse rates (CHIKV VLP vaccine minus placebo) in children 2 to <12 years of age. 2. To evaluate the safety of CHIKV VLP vaccine in children 2 to <12 years of age. |
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E.2.2 | Secondary objectives of the trial |
1. To compare anti-CHIKV SNA response to CHIKV VLP vaccine and placebo at Days 15, 22, 183, and 366 using seroresponse rates, GMT, GMFI, and counts/percentages of participants with titer ≥15 and 4-fold rise over baseline. Describe anti-CHIKV SNA response to CHIKV VLP vaccine at Day 732 using the same metrics. 2. To compare anti-CHIKV SNA response to CHIKV VLP vaccine and placebo in participants aged 2 to <6 and 6 to <12 years at Days 15, 22, 183, and 366 using seroresponse rates, GMT, GMFI, and counts/percentages of participants with titer ≥15 and 4-fold rise over baseline. Describe anti-CHIKV SNA response by age stratum at Day 732 using the same metrics. 3. To compare anti-CHIKV SNA seroresponse rate to CHIKV VLP vaccine at Day 22 between baseline seronegative children aged 2 to <12 years and adolescents/adults aged 12 to <65 years in study EBSI-CV-317-004.
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E.2.3 | Trial contains a sub-study | No |
E.3 | Principal inclusion criteria |
1.Males or females between 2 and <12 years of age at Day 1. 2.In general good health, in the opinion of the investigator, based on medical history and physical examination. 3.Able and willing to provide informed assent for study participation. Primary caregiver is able and willing to provide informed consent for study participation, in accordance with the Institutional Review Board (IRB)/Independent Ethics Committee (IEC) determination and applicable federal and local regulations and guidelines. 4.Able and willing to complete all scheduled visits and comply with all study procedures.
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E.4 | Principal exclusion criteria |
1.Participation or planned participation in an investigational clinical study (eg, vaccine, drug) within 30 days before Day 1 and for the duration of the study. Note: Participation in an observational study or follow-up phase of a study may be allowed; however, these instances should be discussed with the sponsor’s MM and written agreement obtained prior to enrollment. 2.Current acute illness, with or without fever. 3.Current or recent CHIKV infection indicated by positive immunoglobulin M (IgM) and negative immunoglobulin G (IgG) rapid diagnostic test (RDT) results at screening in the Philippines only; participants in the US will not be tested using the RDT. 4.History of any known or suspected allergy or history of anaphylaxis to any component of the investigational product. 5.History of any known congenital or acquired immunodeficiency or immunosuppressive condition that could impact response to vaccination. 6.Prior receipt or anticipated use of systemic immunomodulatory or immunosuppressive medications from 6 months prior to screening through Day 22. Note: Systemic corticosteroid use at a dose or equivalent dose of 20 mg or greater (≥0.5 mg/kg for children <40 kg) of prednisone for 14 consecutive days or more within 90 days of screening through Day 22 is exclusionary. The use of inhaled, intranasal, topical, or ocular steroids is allowed. 7.Receipt or anticipated receipt of immunoglobulin from 180 days prior to screening through the duration of the study. 8.Any administration or planned administration of: •A licensed live attenuated vaccine within 28 days before administration of investigational product and until Visit 2 (Day 15 or 22, as applicable) has occurred. •Other licensed (not live) vaccine within 14 days before administration of investigational product and until Visit 2 (Day 15 or 22, as applicable) has occurred. •Another licensed or investigational CHIKV vaccine. 9.Known infection with HIV, HCV, or HBV. Note: Positive anti HCV antibodies and negative HCV PCR would NOT be exclusionary. Polymerase chain reaction testing will not be performed as part of this protocol. 10.Bleeding disorder or receipt of anticoagulants in the 21 days before Day 1, contraindicating IM vaccination, as judged by the investigator. 11.Receipt or anticipated receipt of blood products from 90 days before Day 1 through the duration of the study. 12.Onset of menarche prior to study vaccination. 13.Planned medical or surgical procedure that could adversely impact the participant’s participation or the conduct of the study. 14.Identified as an immediate family member of the investigator or employee with direct involvement in the study. Bavarian Nordic staff members and their families, contractors, agents, business partners, and anyone with a financial interest in the outcome of the study. 15.Any other medical condition, including severe malnutrition, that, in the opinion of the investigator, could adversely impact the participant’s participation or conduct of the study.
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E.5 End points |
E.5.1 | Primary end point(s) |
Primary Outcome Measure: 1.Day 22 anti-CHIKV serum neutralizing antibody (SNA) seroresponse rate in baseline seronegative children 2 to <12 years of age in the immunogenicity evaluable population. 2.Incidence of solicited adverse events through Day 8. 3.Incidence of unsolicited AEs through Day 29. 4.Incidence of adverse events of special interest (defined as new onset or worsening arthralgia that is medically attended), medically attended adverse events, and serious adverse events through end of the trial.
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E.5.1.1 | Timepoint(s) of evaluation of this end point |
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E.5.2 | Secondary end point(s) |
1.Day 15 anti-CHIKV serum neutralizing antibody seroresponse rate in baseline seronegative children 2 to <12 years of age in the immunogenicity evaluable population. 2.Day 22 anti-CHIKV serum neutralizing antibody seroresponse rate in both baseline seronegative and seropositive children 2 to <12 years of age in the immunogenicity evaluable population. 3.Day 15 anti-CHIKV serum neutralizing antibody seroresponse rate in both baseline seronegative and seropositive children 2 to <12 years of age in the immunogenicity evaluable population. 4.Day 183 and Day 366 anti-CHIKV serum neutralizing antibody seroresponse rate in both baseline seronegative and seropositive children 2 to <12 years of age in the immunogenicity evaluable population. 5.Day 15, Day 22, Day 183, and Day 366 anti-CHIKV serum neutralizing antibody seroresponse rate in both baseline seronegative and seropositive children 2 to <12 years of age in the immunogenicity evaluable population, stratified by age stratum (2 to <6 and 6 to <12 years); analyzed by baseline serostatus separately and combined. 6.Geometric mean titers of anti-CHIKV serum neutralizing antibodies at Day 15, Day 22, Day 183, and Day 366 for the CHIKV VLP vaccine and placebo groups, and Day 732 for CHIKV VLP vaccine group only, in children 2 to <12 years of age in the immunogenicity evaluable population by age stratum (2 to <6 and 6 to <12 years); analyzed by baseline serostatus separately and combined. 7.Geometric mean fold increases from Day 1 (prevaccination) to Day 15, Day 22, Day 183, and Day 366 for the CHIKV VLP vaccine and placebo groups, and Day 732 for CHIKV VLP vaccine group only in children 2 to <12 years of age in the IEP and by age stratum (2 to <6 and 6 to <12 years); analyzed by baseline serostatus separately and combined. 8.Frequency of participants with titer ≥15 and 4-fold rise over baseline at Day 15, Day 22, Day 183, and Day 366 for the CHIKV VLP vaccine and placebo groups, and Day 732 for the CHIKV VLP vaccine group only in children 2 to <12 years of age in the IEP and by age stratum (2 to <6 and 6 to <12 years); analyzed by baseline serostatus separately and combined. 9.For the CHIKV VLP vaccine group only, anti-CHIKV SNA seroresponse rates at Day 732 in both baseline seronegative and seropositive children 2 to <12 years of age and by age stratum (2 to <6 and 6 to <12 years); analyzed by baseline serostatus separately and combined. 10.Day 22 anti-CHIKV SNA seroresponse rate between baseline seronegative children 2 to <12 years of age in the IEP versus adolescents and adults from 12 to <65 years of age in study EBSI-CV-317-004. |
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E.5.2.1 | Timepoint(s) of evaluation of this end point |
Days 15, 22, 183, 366, and 732 |
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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 | No |
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 | 2 |
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 |
Philippines |
United States |
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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 | 6 |
E.8.9.2 | In all countries concerned by the trial days | 0 |