Trial Outcomes & Findings for Phase 2 Open-label Study of Alum-adjuvanted Chikungunya Virus-like Particle Vaccine (PXVX0317) (NCT NCT03992872)

NCT ID: NCT03992872

Last Updated: 2024-10-16

Results Overview

Seroconversion, defined as a 4-fold or greater rise in neutralizing antibody against chikungunya virus, as determined by luciferase-based assay (NT80), induced by PXVX0317. PXVX0317 was administered to prior alphavirus vaccine recipients versus gender- and age-matched controls.

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

60 participants

Primary outcome timeframe

Day 22 (21 days after vaccination)

Results posted on

2024-10-16

Participant Flow

Participants were recruited from two US sites, Walter Reed Army Institute of Research (WRAIR) Clinical Trials Center (CTC) and US Army Medical Research Institute for Infectious Disease (USAMRIID) immunization clinic.

Participant milestones

Participant milestones
Measure
Experimental : Prior Alpha
All study participants received the same Investigational Product according to the same schedule. Subjects were prior recipients of experimental alphavirus vaccines.
Control: Naive Alpha
All study participants received the same Investigational Product according to the same schedule. The alphavirus vaccine naïve subjects served as controls.
Overall Study
STARTED
30
30
Overall Study
Exposed
30
30
Overall Study
Safety
30
30
Overall Study
mITT
30
30
Overall Study
Immunogenicity Evaluable
30
30
Overall Study
COMPLETED
30
30
Overall Study
NOT COMPLETED
0
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Phase 2 Open-label Study of Alum-adjuvanted Chikungunya Virus-like Particle Vaccine (PXVX0317)

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Experimental : Prior Alpha
n=30 Participants
All study participants received the same Investigational Product according to the same schedule. Subjects were prior recipients of experimental alphavirus vaccines.
Control: Naive Alpha
n=30 Participants
All study participants received the same Investigational Product according to the same schedule. The alphavirus vaccine naïve subjects serves as controls.
Total
n=60 Participants
Total of all reporting groups
Age, Categorical
<=18 years
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
Age, Categorical
Between 18 and 65 years
30 Participants
n=99 Participants
30 Participants
n=107 Participants
60 Participants
n=206 Participants
Age, Categorical
>=65 years
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
Sex: Female, Male
Female
10 Participants
n=99 Participants
10 Participants
n=107 Participants
20 Participants
n=206 Participants
Sex: Female, Male
Male
20 Participants
n=99 Participants
20 Participants
n=107 Participants
40 Participants
n=206 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
2 Participants
n=99 Participants
1 Participants
n=107 Participants
3 Participants
n=206 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
28 Participants
n=99 Participants
29 Participants
n=107 Participants
57 Participants
n=206 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
Race (NIH/OMB)
Asian
1 Participants
n=99 Participants
3 Participants
n=107 Participants
4 Participants
n=206 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
Race (NIH/OMB)
Black or African American
2 Participants
n=99 Participants
12 Participants
n=107 Participants
14 Participants
n=206 Participants
Race (NIH/OMB)
White
26 Participants
n=99 Participants
14 Participants
n=107 Participants
40 Participants
n=206 Participants
Race (NIH/OMB)
More than one race
1 Participants
n=99 Participants
1 Participants
n=107 Participants
2 Participants
n=206 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
Height
171.12 cm
STANDARD_DEVIATION 11.37 • n=99 Participants
175.10 cm
STANDARD_DEVIATION 11.16 • n=107 Participants
173.11 cm
STANDARD_DEVIATION 11.35 • n=206 Participants
Weight
90.99 Kg
STANDARD_DEVIATION 19.19 • n=99 Participants
94.64 Kg
STANDARD_DEVIATION 18.14 • n=107 Participants
92.82 Kg
STANDARD_DEVIATION 18.60 • n=206 Participants
BMI
31.04 Kg/m^2
STANDARD_DEVIATION 6.11 • n=99 Participants
30.78 Kg/m^2
STANDARD_DEVIATION 4.72 • n=107 Participants
30.91 Kg/m^2
STANDARD_DEVIATION 5.42 • n=206 Participants
Time Since Prior Alphavirus Vaccine
16.2 years
STANDARD_DEVIATION 8.3 • n=99 Participants
NA years
STANDARD_DEVIATION NA • n=107 Participants
16.2 years
STANDARD_DEVIATION 8.3 • n=206 Participants

PRIMARY outcome

Timeframe: Day 22 (21 days after vaccination)

Population: Immunogenicity evaluable population

Seroconversion, defined as a 4-fold or greater rise in neutralizing antibody against chikungunya virus, as determined by luciferase-based assay (NT80), induced by PXVX0317. PXVX0317 was administered to prior alphavirus vaccine recipients versus gender- and age-matched controls.

Outcome measures

Outcome measures
Measure
Experimental: Prior Alpha
n=30 Participants
All study participants received the same Investigational Product according to the same schedule. Participants were prior recipients of experimental alphavirus vaccines.
Control: Naive Alpha
n=30 Participants
All study participants received the same Investigational Product according to the same schedule. The alphavirus vaccine naïve participants serve as controls.
Percentage of Participants With 4-fold Rise in Anti-CHIKV Neutralizing Antibody Response
100 percentage of participants
Interval 88.6 to 100.0
100 percentage of participants
Interval 88.6 to 100.0

SECONDARY outcome

Timeframe: Day 1, 8, 22, 29, 57, 182

Population: Immunogenicity evaluable population

Evaluation of Geometric Mean Titer of Anti-CHIKV neutralizing antibodies, determined by luciferase-based assay (NT80), in prior alphavirus vaccine recipients versus alphavirus-naïve controls.

Outcome measures

Outcome measures
Measure
Experimental: Prior Alpha
n=30 Participants
All study participants received the same Investigational Product according to the same schedule. Participants were prior recipients of experimental alphavirus vaccines.
Control: Naive Alpha
n=30 Participants
All study participants received the same Investigational Product according to the same schedule. The alphavirus vaccine naïve participants serve as controls.
Geometric Mean Titer of Anti-CHIKV Neutralizing Antibody Response
Day 8
271.88 titers
Interval 163.72 to 451.49
87.48 titers
Interval 52.66 to 145.3
Geometric Mean Titer of Anti-CHIKV Neutralizing Antibody Response
Day 1
9.21 titers
Interval 7.8 to 10.87
7.69 titers
Not estimable due to lack of response; all baseline values in this group were \< the limit of detection (LOD) (15) and imputed as LOD/2.
Geometric Mean Titer of Anti-CHIKV Neutralizing Antibody Response
Day 22
2032.45 titers
Interval 1412.95 to 2923.56
2299.18 titers
Interval 1598.09 to 3307.84
Geometric Mean Titer of Anti-CHIKV Neutralizing Antibody Response
Day 29
1555.60 titers
Interval 1081.46 to 2237.61
1772.54 titers
Interval 1118.75 to 2808.39
Geometric Mean Titer of Anti-CHIKV Neutralizing Antibody Response
Day 57
727.91 titers
Interval 540.94 to 979.52
814.64 titers
Interval 567.46 to 1169.49
Geometric Mean Titer of Anti-CHIKV Neutralizing Antibody Response
Day 182
294.35 titers
Interval 207.45 to 417.66
328.89 titers
Interval 231.75 to 466.74

SECONDARY outcome

Timeframe: Day 8, 29, 57, 182

Population: Immunogenicity evaluable population. 11 alphavirus naïve subjects were unable to attend their scheduled visit at Day 29; 10 of those subjects also missed their Day 57 visit.

Evaluation of seroconversion rate of Anti-CHIKV neutralizing antibodies, determined by luciferase-based assay (NT80), in prior alphavirus vaccine recipients versus alphavirus-naïve controls.

Outcome measures

Outcome measures
Measure
Experimental: Prior Alpha
n=30 Participants
All study participants received the same Investigational Product according to the same schedule. Participants were prior recipients of experimental alphavirus vaccines.
Control: Naive Alpha
n=30 Participants
All study participants received the same Investigational Product according to the same schedule. The alphavirus vaccine naïve participants serve as controls.
Percentage of Participants With 4-fold Rise in Anti-CHIKV Neutralizing Antibody Response
Day 8
93.3 percentage of participants
Interval 78.7 to 98.2
66.7 percentage of participants
Interval 48.8 to 80.8
Percentage of Participants With 4-fold Rise in Anti-CHIKV Neutralizing Antibody Response
Day 29
100 percentage of participants
Interval 88.6 to 100.0
100 percentage of participants
Interval 83.2 to 100.0
Percentage of Participants With 4-fold Rise in Anti-CHIKV Neutralizing Antibody Response
Day 57
100 percentage of participants
Interval 88.6 to 100.0
100 percentage of participants
Interval 83.9 to 100.0
Percentage of Participants With 4-fold Rise in Anti-CHIKV Neutralizing Antibody Response
Day 182
86.7 percentage of participants
Interval 70.3 to 94.7
100 percentage of participants
Interval 88.6 to 100.0

SECONDARY outcome

Timeframe: Day 1, 8, 22, 29, 57, 182

Population: Immunogenicity evaluable population. 11 alphavirus naïve participants were unable to attend their scheduled visit at Day 29; 10 of those participants also missed their Day 57 visit.

Evaluation of Anti-CHIKV neutralizing antibody response, as determined by luciferase-based assay (NT80), via proportion of participants with titers of at least 40, 160 or 640 on Days 1, 8, 22, 29, 57 and 182.

Outcome measures

Outcome measures
Measure
Experimental: Prior Alpha
n=30 Participants
All study participants received the same Investigational Product according to the same schedule. Participants were prior recipients of experimental alphavirus vaccines.
Control: Naive Alpha
n=30 Participants
All study participants received the same Investigational Product according to the same schedule. The alphavirus vaccine naïve participants serve as controls.
Percentage of Participants With Anti-CHIKV Neutralizing Antibody at or Above Selected Thresholds
Day 1 (Titer >=40)
3.3 percentage of participants
Interval 0.6 to 16.7
0 percentage of participants
Interval 0.0 to 11.4
Percentage of Participants With Anti-CHIKV Neutralizing Antibody at or Above Selected Thresholds
Day 1 (Titer >=160)
3.3 percentage of participants
Interval 0.6 to 16.7
0 percentage of participants
Interval 0.0 to 11.4
Percentage of Participants With Anti-CHIKV Neutralizing Antibody at or Above Selected Thresholds
Day 22 (Titer >=40)
100 percentage of participants
Interval 88.6 to 100.0
100 percentage of participants
Interval 88.6 to 100.0
Percentage of Participants With Anti-CHIKV Neutralizing Antibody at or Above Selected Thresholds
Day 22 (Titer >=160)
100 percentage of participants
Interval 88.6 to 100.0
100 percentage of participants
Interval 88.6 to 100.0
Percentage of Participants With Anti-CHIKV Neutralizing Antibody at or Above Selected Thresholds
Day 57 (Titer >=160)
90.0 percentage of participants
Interval 74.4 to 96.5
95 percentage of participants
Interval 76.4 to 99.1
Percentage of Participants With Anti-CHIKV Neutralizing Antibody at or Above Selected Thresholds
Day 182 (Titer >=160)
76.7 percentage of participants
Interval 59.1 to 88.2
76.7 percentage of participants
Interval 59.1 to 88.2
Percentage of Participants With Anti-CHIKV Neutralizing Antibody at or Above Selected Thresholds
Day 182 (Titer >=640)
20.0 percentage of participants
Interval 9.5 to 37.3
30.0 percentage of participants
Interval 16.7 to 47.9
Percentage of Participants With Anti-CHIKV Neutralizing Antibody at or Above Selected Thresholds
Day 1 (Titer >=640)
0 percentage of participants
Interval 0.0 to 11.4
0 percentage of participants
Interval 0.0 to 11.4
Percentage of Participants With Anti-CHIKV Neutralizing Antibody at or Above Selected Thresholds
Day 8 (Titer >=40)
96.7 percentage of participants
Interval 83.3 to 99.4
73.3 percentage of participants
Interval 55.6 to 85.8
Percentage of Participants With Anti-CHIKV Neutralizing Antibody at or Above Selected Thresholds
Day 8 (Titer >=160)
70.0 percentage of participants
Interval 52.1 to 83.3
40 percentage of participants
Interval 24.6 to 57.7
Percentage of Participants With Anti-CHIKV Neutralizing Antibody at or Above Selected Thresholds
Day 8 (Titer >=640)
26.7 percentage of participants
Interval 14.2 to 44.4
10.0 percentage of participants
Interval 3.5 to 25.6
Percentage of Participants With Anti-CHIKV Neutralizing Antibody at or Above Selected Thresholds
Day 22 (Titer >=640)
73.3 percentage of participants
Interval 55.6 to 85.8
93.3 percentage of participants
Interval 78.7 to 98.2
Percentage of Participants With Anti-CHIKV Neutralizing Antibody at or Above Selected Thresholds
Day 29 (Titer >=40)
100 percentage of participants
Interval 88.6 to 100.0
100 percentage of participants
Interval 83.2 to 100.0
Percentage of Participants With Anti-CHIKV Neutralizing Antibody at or Above Selected Thresholds
Day 29 (Titer >=160)
100 percentage of participants
Interval 88.6 to 100.0
100 percentage of participants
Interval 83.2 to 100.0
Percentage of Participants With Anti-CHIKV Neutralizing Antibody at or Above Selected Thresholds
Day 29 (Titer >=640)
76.7 percentage of participants
Interval 59.1 to 88.2
94.7 percentage of participants
Interval 75.4 to 99.1
Percentage of Participants With Anti-CHIKV Neutralizing Antibody at or Above Selected Thresholds
Day 57 (Titer >=40)
100 percentage of participants
Interval 88.6 to 100.0
100 percentage of participants
Interval 83.9 to 100.0
Percentage of Participants With Anti-CHIKV Neutralizing Antibody at or Above Selected Thresholds
Day 57 (Titer >=640)
63.3 percentage of participants
Interval 45.5 to 78.1
75 percentage of participants
Interval 53.1 to 88.8
Percentage of Participants With Anti-CHIKV Neutralizing Antibody at or Above Selected Thresholds
Day 182 (Titer >=40)
93.3 percentage of participants
Interval 78.7 to 98.2
100 percentage of participants
Interval 88.6 to 100.0

SECONDARY outcome

Timeframe: Day 1, 22, 29

Population: Immunogenicity evaluable population

Evaluation of Geometric Mean Titer of Anti-CHIKV total antibodies, determined by immunoassay (ELISA), in prior alphavirus vaccine recipients versus alphavirus-naïve controls.

Outcome measures

Outcome measures
Measure
Experimental: Prior Alpha
n=30 Participants
All study participants received the same Investigational Product according to the same schedule. Participants were prior recipients of experimental alphavirus vaccines.
Control: Naive Alpha
n=30 Participants
All study participants received the same Investigational Product according to the same schedule. The alphavirus vaccine naïve participants serve as controls.
Geometric Mean Titer of Anti-CHIKV Total Antibody Response
Day 1
39.03 titers
Interval 29.85 to 51.03
25.77 titers
Interval 19.71 to 33.7
Geometric Mean Titer of Anti-CHIKV Total Antibody Response
Day 22
2451.60 titers
Interval 1770.49 to 3394.72
1338.90 titers
Interval 966.77 to 1854.27
Geometric Mean Titer of Anti-CHIKV Total Antibody Response
Day 29
2010.72 titers
Interval 1444.72 to 2798.46
1194.75 titers
Interval 786.21 to 1815.57

SECONDARY outcome

Timeframe: Day 22, 29

Population: Immunogenicity evaluable population. 11 alphavirus naïve participants were unable to attend their scheduled visit at Day 29.

Evaluation of seroconversion rate of Anti-CHIKV total antibodies, determined by immunoassay, on Days 22 and 29, where seroconversion was a 4-fold rise in titer over baseline.

Outcome measures

Outcome measures
Measure
Experimental: Prior Alpha
n=30 Participants
All study participants received the same Investigational Product according to the same schedule. Participants were prior recipients of experimental alphavirus vaccines.
Control: Naive Alpha
n=30 Participants
All study participants received the same Investigational Product according to the same schedule. The alphavirus vaccine naïve participants serve as controls.
Percentage of Participants With 4-fold Rise in Anti-CHIKV Total Antibody Response
Day 22
100 percentage of participants
Interval 88.6 to 100.0
100 percentage of participants
Interval 86.6 to 100.0
Percentage of Participants With 4-fold Rise in Anti-CHIKV Total Antibody Response
Day 29
100 percentage of participants
Interval 88.6 to 100.0
100 percentage of participants
Interval 83.2 to 100.0

SECONDARY outcome

Timeframe: Day 1, 22, 29

Population: Immunogenicity evaluable population

Evaluation of Geometric Mean Titer of Anti-VEEV neutralizing antibodies, determined by Plaque-Reduction Neutralization Test (PRNT80), in prior alphavirus vaccine recipients versus alphavirus-naïve controls

Outcome measures

Outcome measures
Measure
Experimental: Prior Alpha
n=30 Participants
All study participants received the same Investigational Product according to the same schedule. Participants were prior recipients of experimental alphavirus vaccines.
Control: Naive Alpha
n=30 Participants
All study participants received the same Investigational Product according to the same schedule. The alphavirus vaccine naïve participants serve as controls.
Geometric Mean Titer of Anti-VEEV Neutralizing Antibody Response
Day 1
449.82 titers
Interval 262.84 to 769.8
9.96 titers
Not estimable due to lack of response
Geometric Mean Titer of Anti-VEEV Neutralizing Antibody Response
Day 22
467.95 titers
Interval 278.47 to 786.34
9.89 titers
Not estimable due to lack of response
Geometric Mean Titer of Anti-VEEV Neutralizing Antibody Response
Day 29
538.63 titers
Interval 291.97 to 993.67
9.66 titers
Not estimable due to lack of response

SECONDARY outcome

Timeframe: Days 1, 22, and 29

Population: Immunogenicity evaluable population. 11 alphavirus naive participants were unable to attend their scheduled visit at Day 29.

Evaluation of Anti-CHIKV total antibody titer, as determined by immunoassay (ELISA), via proportion of participants with titers of at least 40, 160 or 640 on Days 1, 22, and 29.

Outcome measures

Outcome measures
Measure
Experimental: Prior Alpha
n=30 Participants
All study participants received the same Investigational Product according to the same schedule. Participants were prior recipients of experimental alphavirus vaccines.
Control: Naive Alpha
n=30 Participants
All study participants received the same Investigational Product according to the same schedule. The alphavirus vaccine naïve participants serve as controls.
Number of Participants With Anti-CHIKV Total Antibody Titers of at Least 40,160 or 640
Day 1 Titers >=640
0 Participants
0 Participants
Number of Participants With Anti-CHIKV Total Antibody Titers of at Least 40,160 or 640
Day 1 Titers >=40
15 Participants
4 Participants
Number of Participants With Anti-CHIKV Total Antibody Titers of at Least 40,160 or 640
Day 1 Titers >=160
4 Participants
1 Participants
Number of Participants With Anti-CHIKV Total Antibody Titers of at Least 40,160 or 640
Day 22 Titers >=40
30 Participants
30 Participants
Number of Participants With Anti-CHIKV Total Antibody Titers of at Least 40,160 or 640
Day 22 Titers >=160
30 Participants
30 Participants
Number of Participants With Anti-CHIKV Total Antibody Titers of at Least 40,160 or 640
Day 22 Titers >=640
30 Participants
26 Participants
Number of Participants With Anti-CHIKV Total Antibody Titers of at Least 40,160 or 640
Day 29 Titers >=40
30 Participants
19 Participants
Number of Participants With Anti-CHIKV Total Antibody Titers of at Least 40,160 or 640
Day 29 Titers >=160
30 Participants
19 Participants
Number of Participants With Anti-CHIKV Total Antibody Titers of at Least 40,160 or 640
Day 29 Titers >=640
30 Participants
17 Participants

SECONDARY outcome

Timeframe: Day 22 and 29

Population: Immunogenicity evaluable population. 11 alphavirus naïve participants were unable to attend their scheduled visit at Day 29.

Evaluation of seroconversion rate of anti-VEEV neutralizing antibodies on Days 22 and 29 as determined by Plaque-Reduction Neutralization Test (PRNT80), where seroconversion is a 4-fold rise in titer over baseline.

Outcome measures

Outcome measures
Measure
Experimental: Prior Alpha
n=30 Participants
All study participants received the same Investigational Product according to the same schedule. Participants were prior recipients of experimental alphavirus vaccines.
Control: Naive Alpha
n=30 Participants
All study participants received the same Investigational Product according to the same schedule. The alphavirus vaccine naïve participants serve as controls.
Percentage of Participants With 4-fold Rise in Anti-VEEV Neutralizing Antibody Response
Day 22
0 percentage of participants
Interval 0.0 to 11.4
0 percentage of participants
Interval 0.0 to 11.4
Percentage of Participants With 4-fold Rise in Anti-VEEV Neutralizing Antibody Response
Day 29
0 percentage of participants
Interval 0.0 to 11.4
0 percentage of participants
Interval 0.0 to 16.8

SECONDARY outcome

Timeframe: Day 1, 22, 29

Population: Immunogenicity evaluable population. 11 alphavirus naïve participants were unable to attend their scheduled visit at Day 29.

Evaluation of Anti-VEEV neutralizing antibody response, as determined by Plaque-Reduction Neutralization Test (PRNT80), via proportion of participants with titers of at least 40, 160 or 640 on Days 1, 22 and 29.

Outcome measures

Outcome measures
Measure
Experimental: Prior Alpha
n=30 Participants
All study participants received the same Investigational Product according to the same schedule. Participants were prior recipients of experimental alphavirus vaccines.
Control: Naive Alpha
n=30 Participants
All study participants received the same Investigational Product according to the same schedule. The alphavirus vaccine naïve participants serve as controls.
Percentage of Participants With Anti-VEEV PRNT Neutralizing Activity at or Above Selected Thresholds
Day 1 (Titer >=40)
90.0 percentage of participants
Interval 74.4 to 96.5
0 percentage of participants
Interval 0.0 to 11.4
Percentage of Participants With Anti-VEEV PRNT Neutralizing Activity at or Above Selected Thresholds
Day 22 (Titer >=40)
90.0 percentage of participants
Interval 74.4 to 96.5
0 percentage of participants
Interval 0.0 to 11.4
Percentage of Participants With Anti-VEEV PRNT Neutralizing Activity at or Above Selected Thresholds
Day 22 (Titer >=160)
80.0 percentage of participants
Interval 62.7 to 90.5
0 percentage of participants
Interval 0.0 to 11.4
Percentage of Participants With Anti-VEEV PRNT Neutralizing Activity at or Above Selected Thresholds
Day 29 (Titer >=160)
83.3 percentage of participants
Interval 66.4 to 92.7
0 percentage of participants
Interval 0.0 to 16.8
Percentage of Participants With Anti-VEEV PRNT Neutralizing Activity at or Above Selected Thresholds
Day 29 (Titer >=640)
60.0 percentage of participants
Interval 42.3 to 75.4
0 percentage of participants
Interval 0.0 to 16.8
Percentage of Participants With Anti-VEEV PRNT Neutralizing Activity at or Above Selected Thresholds
Day 1 (Titer >=160)
76.7 percentage of participants
Interval 59.1 to 88.2
0 percentage of participants
Interval 0.0 to 11.4
Percentage of Participants With Anti-VEEV PRNT Neutralizing Activity at or Above Selected Thresholds
Day 1 (Titer >=640)
53.3 percentage of participants
Interval 36.1 to 69.8
0.0 percentage of participants
Interval 0.0 to 11.4
Percentage of Participants With Anti-VEEV PRNT Neutralizing Activity at or Above Selected Thresholds
Day 22 (Titer >=640)
56.7 percentage of participants
Interval 39.2 to 72.6
0 percentage of participants
Interval 0.0 to 11.4
Percentage of Participants With Anti-VEEV PRNT Neutralizing Activity at or Above Selected Thresholds
Day 29 (Titer >=40)
90.0 percentage of participants
Interval 74.4 to 96.5
0 percentage of participants
Interval 0.0 to 16.8

SECONDARY outcome

Timeframe: Day 1, 22, 29

Population: Immunogenicity evaluable population. 11 alphavirus naïve participants were unable to attend their scheduled visit at Day 29.

Evaluation of Geometric Mean Titer of Anti-VEEV total antibody as determined by an immunoassay (ELISA) in prior alphavirus vaccine recipients versus alphavirus-naïve controls.

Outcome measures

Outcome measures
Measure
Experimental: Prior Alpha
n=30 Participants
All study participants received the same Investigational Product according to the same schedule. Participants were prior recipients of experimental alphavirus vaccines.
Control: Naive Alpha
n=30 Participants
All study participants received the same Investigational Product according to the same schedule. The alphavirus vaccine naïve participants serve as controls.
Geometric Mean Titer of Anti-VEEV Total Antibody Response
Day 1
324.36 titers
Interval 195.37 to 538.52
14.03 titers
Interval 8.45 to 23.3
Geometric Mean Titer of Anti-VEEV Total Antibody Response
Day 22
2574.16 titers
Interval 1812.27 to 3656.35
14.92 titers
Interval 10.5 to 21.2
Geometric Mean Titer of Anti-VEEV Total Antibody Response
Day 29
2006.14 titers
Interval 1320.28 to 3048.31
16.94 titers
Interval 9.97 to 28.76

SECONDARY outcome

Timeframe: Day 22, 29

Population: Immunogenicity evaluable population. 11 alphavirus naïve participants were unable to attend their scheduled visit at Day 29.

Evaluation of seroconversion rate of Anti-VEEV total antibody, as determined by immunoassay (ELISA), on Days 22 and 29, where seroconversion is a 4-fold rise in titer over baseline.

Outcome measures

Outcome measures
Measure
Experimental: Prior Alpha
n=30 Participants
All study participants received the same Investigational Product according to the same schedule. Participants were prior recipients of experimental alphavirus vaccines.
Control: Naive Alpha
n=30 Participants
All study participants received the same Investigational Product according to the same schedule. The alphavirus vaccine naïve participants serve as controls.
Percentage of Participants With 4-fold Rise in Total ELISA IgG Antibody Against VEEV
Day 22
86.7 percentage of participants
Interval 70.3 to 94.7
0 percentage of participants
Interval 0.0 to 11.4
Percentage of Participants With 4-fold Rise in Total ELISA IgG Antibody Against VEEV
Day 29
80.0 percentage of participants
Interval 62.7 to 90.5
0 percentage of participants
Interval 0.0 to 16.8

SECONDARY outcome

Timeframe: Days 1, 22, and 29

Population: Immunogenicity evaluable population. 11 alphavirus naive participants were unable to attend their scheduled visit at Day 29.

Evaluation of Anti-VEEV total antibody titer, as determined by immunoassay (ELISA), via proportion of participants with titers of at least 40, 160, or 640 on Days 1, 22, and 29.

Outcome measures

Outcome measures
Measure
Experimental: Prior Alpha
n=30 Participants
All study participants received the same Investigational Product according to the same schedule. Participants were prior recipients of experimental alphavirus vaccines.
Control: Naive Alpha
n=30 Participants
All study participants received the same Investigational Product according to the same schedule. The alphavirus vaccine naïve participants serve as controls.
Number of Participants With Anti-VEEV Total Antibody Titers of at Least 40,160 or 640
Day 29 Titers >=160
25 Participants
0 Participants
Number of Participants With Anti-VEEV Total Antibody Titers of at Least 40,160 or 640
Day 29 Titers >=640
18 Participants
0 Participants
Number of Participants With Anti-VEEV Total Antibody Titers of at Least 40,160 or 640
Day 1 Titers >=40
27 Participants
0 Participants
Number of Participants With Anti-VEEV Total Antibody Titers of at Least 40,160 or 640
Day 1 Titers >=160
23 Participants
0 Participants
Number of Participants With Anti-VEEV Total Antibody Titers of at Least 40,160 or 640
Day 1 Titers >=640
16 Participants
0 Participants
Number of Participants With Anti-VEEV Total Antibody Titers of at Least 40,160 or 640
Day 22 Titers >=40
27 Participants
0 Participants
Number of Participants With Anti-VEEV Total Antibody Titers of at Least 40,160 or 640
Day 22 Titers >=160
24 Participants
0 Participants
Number of Participants With Anti-VEEV Total Antibody Titers of at Least 40,160 or 640
Day 22 Titers >=640
17 Participants
0 Participants
Number of Participants With Anti-VEEV Total Antibody Titers of at Least 40,160 or 640
Day 29 Titers >=40
27 Participants
0 Participants

Adverse Events

Experimental : Prior Alpha

Serious events: 0 serious events
Other events: 17 other events
Deaths: 0 deaths

Control: Naive Alpha

Serious events: 1 serious events
Other events: 17 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Experimental : Prior Alpha
n=30 participants at risk
All study participants received the same Investigational Product according to the same schedule. Subjects were prior recipients of experimental alphavirus vaccines.
Control: Naive Alpha
n=30 participants at risk
All study participants received the same Investigational Product according to the same schedule. The alphavirus vaccine naïve subjects serves as controls.
Musculoskeletal and connective tissue disorders
Pain in extremity
0.00%
0/30 • Local and systemic post-injection solicited events were collected through Day 8. Unsolicited adverse events were collected through Day 29. Serious adverse events and adverse events leading to withdrawal were collected through Day 183 end of study visit.
3.3%
1/30 • Local and systemic post-injection solicited events were collected through Day 8. Unsolicited adverse events were collected through Day 29. Serious adverse events and adverse events leading to withdrawal were collected through Day 183 end of study visit.

Other adverse events

Other adverse events
Measure
Experimental : Prior Alpha
n=30 participants at risk
All study participants received the same Investigational Product according to the same schedule. Subjects were prior recipients of experimental alphavirus vaccines.
Control: Naive Alpha
n=30 participants at risk
All study participants received the same Investigational Product according to the same schedule. The alphavirus vaccine naïve subjects serves as controls.
General disorders
Injection site pain
43.3%
13/30 • Number of events 13 • Local and systemic post-injection solicited events were collected through Day 8. Unsolicited adverse events were collected through Day 29. Serious adverse events and adverse events leading to withdrawal were collected through Day 183 end of study visit.
30.0%
9/30 • Number of events 9 • Local and systemic post-injection solicited events were collected through Day 8. Unsolicited adverse events were collected through Day 29. Serious adverse events and adverse events leading to withdrawal were collected through Day 183 end of study visit.
General disorders
Fatigue
10.0%
3/30 • Number of events 3 • Local and systemic post-injection solicited events were collected through Day 8. Unsolicited adverse events were collected through Day 29. Serious adverse events and adverse events leading to withdrawal were collected through Day 183 end of study visit.
10.0%
3/30 • Number of events 3 • Local and systemic post-injection solicited events were collected through Day 8. Unsolicited adverse events were collected through Day 29. Serious adverse events and adverse events leading to withdrawal were collected through Day 183 end of study visit.
General disorders
Malaise
10.0%
3/30 • Number of events 3 • Local and systemic post-injection solicited events were collected through Day 8. Unsolicited adverse events were collected through Day 29. Serious adverse events and adverse events leading to withdrawal were collected through Day 183 end of study visit.
3.3%
1/30 • Number of events 1 • Local and systemic post-injection solicited events were collected through Day 8. Unsolicited adverse events were collected through Day 29. Serious adverse events and adverse events leading to withdrawal were collected through Day 183 end of study visit.
Musculoskeletal and connective tissue disorders
Myalgia
13.3%
4/30 • Number of events 4 • Local and systemic post-injection solicited events were collected through Day 8. Unsolicited adverse events were collected through Day 29. Serious adverse events and adverse events leading to withdrawal were collected through Day 183 end of study visit.
23.3%
7/30 • Number of events 7 • Local and systemic post-injection solicited events were collected through Day 8. Unsolicited adverse events were collected through Day 29. Serious adverse events and adverse events leading to withdrawal were collected through Day 183 end of study visit.
Musculoskeletal and connective tissue disorders
Arthralgia
10.0%
3/30 • Number of events 3 • Local and systemic post-injection solicited events were collected through Day 8. Unsolicited adverse events were collected through Day 29. Serious adverse events and adverse events leading to withdrawal were collected through Day 183 end of study visit.
10.0%
3/30 • Number of events 3 • Local and systemic post-injection solicited events were collected through Day 8. Unsolicited adverse events were collected through Day 29. Serious adverse events and adverse events leading to withdrawal were collected through Day 183 end of study visit.
Nervous system disorders
Headache
23.3%
7/30 • Number of events 7 • Local and systemic post-injection solicited events were collected through Day 8. Unsolicited adverse events were collected through Day 29. Serious adverse events and adverse events leading to withdrawal were collected through Day 183 end of study visit.
13.3%
4/30 • Number of events 4 • Local and systemic post-injection solicited events were collected through Day 8. Unsolicited adverse events were collected through Day 29. Serious adverse events and adverse events leading to withdrawal were collected through Day 183 end of study visit.

Additional Information

Medical Information

Bavarian Nordic

Phone: 1-844-422-8274

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place