Trial Outcomes & Findings for Study of the Safety and Immunogenicity of Reduced Doses of the US Yellow Fever Vaccine (NCT NCT05374317)

NCT ID: NCT05374317

Last Updated: 2026-04-07

Results Overview

Rate of Adverse Events of fractional doses vs standard dose of YF-VAX.

Recruitment status

COMPLETED

Study phase

PHASE4

Target enrollment

88 participants

Primary outcome timeframe

Up to 28 days post vaccination

Results posted on

2026-04-07

Participant Flow

Participant milestones

Participant milestones
Measure
Standard Dose (Group 1)
Yellow Fever vaccine standard dose, 0.5mL. Yellow Fever Vaccine: Administered subcutaneously once.
Fractional Dose (Group 2)
Yellow Fever vaccine 1/5th standard dose, 0.1mL. Yellow Fever Vaccine: Administered subcutaneously once.
Fractional Dose (Group 3)
Yellow Fever vaccine 1/10th standard dose, 0.05mL. Yellow Fever Vaccine: Administered subcutaneously once.
Overall Study
STARTED
29
30
29
Overall Study
COMPLETED
23
25
24
Overall Study
NOT COMPLETED
6
5
5

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Study of the Safety and Immunogenicity of Reduced Doses of the US Yellow Fever Vaccine

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Standard Dose (Group 1)
n=29 Participants
Yellow Fever vaccine standard dose, 0.5mL. Yellow Fever Vaccine: Administered subcutaneously once.
Fractional Dose (Group 2)
n=30 Participants
Yellow Fever vaccine 1/5th standard dose, 0.1mL. Yellow Fever Vaccine: Administered subcutaneously once.
Fractional Dose (Group 3)
n=29 Participants
Yellow Fever vaccine 1/10th standard dose, 0.05mL. Yellow Fever Vaccine: Administered subcutaneously once.
Total
n=88 Participants
Total of all reporting groups
Age, Categorical
<=18 years
0 Participants
n=527 Participants
0 Participants
n=527 Participants
0 Participants
n=1054 Participants
0 Participants
n=157 Participants
Age, Categorical
Between 18 and 65 years
29 Participants
n=527 Participants
30 Participants
n=527 Participants
29 Participants
n=1054 Participants
88 Participants
n=157 Participants
Age, Categorical
>=65 years
0 Participants
n=527 Participants
0 Participants
n=527 Participants
0 Participants
n=1054 Participants
0 Participants
n=157 Participants
Age, Continuous
34.2 Years
STANDARD_DEVIATION 9.4 • n=527 Participants
28.1 Years
STANDARD_DEVIATION 7.1 • n=527 Participants
35.2 Years
STANDARD_DEVIATION 10.2 • n=1054 Participants
32.5 Years
STANDARD_DEVIATION 9.4 • n=157 Participants
Sex: Female, Male
Female
13 Participants
n=527 Participants
13 Participants
n=527 Participants
12 Participants
n=1054 Participants
38 Participants
n=157 Participants
Sex: Female, Male
Male
16 Participants
n=527 Participants
17 Participants
n=527 Participants
17 Participants
n=1054 Participants
50 Participants
n=157 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
5 Participants
n=527 Participants
2 Participants
n=527 Participants
2 Participants
n=1054 Participants
9 Participants
n=157 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
23 Participants
n=527 Participants
23 Participants
n=527 Participants
25 Participants
n=1054 Participants
71 Participants
n=157 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
1 Participants
n=527 Participants
5 Participants
n=527 Participants
2 Participants
n=1054 Participants
8 Participants
n=157 Participants
Race/Ethnicity, Customized
Race · White
18 Participants
n=527 Participants
20 Participants
n=527 Participants
19 Participants
n=1054 Participants
57 Participants
n=157 Participants
Race/Ethnicity, Customized
Race · Black/African American
3 Participants
n=527 Participants
1 Participants
n=527 Participants
3 Participants
n=1054 Participants
7 Participants
n=157 Participants
Race/Ethnicity, Customized
Race · Asian
1 Participants
n=527 Participants
2 Participants
n=527 Participants
2 Participants
n=1054 Participants
5 Participants
n=157 Participants
Race/Ethnicity, Customized
Race · Native Hawaiian/Pacific Islander
1 Participants
n=527 Participants
0 Participants
n=527 Participants
1 Participants
n=1054 Participants
2 Participants
n=157 Participants
Race/Ethnicity, Customized
Race · American Indian/Alaskan Native
0 Participants
n=527 Participants
0 Participants
n=527 Participants
0 Participants
n=1054 Participants
0 Participants
n=157 Participants
Race/Ethnicity, Customized
Race · Hispanic or Latino
5 Participants
n=527 Participants
2 Participants
n=527 Participants
2 Participants
n=1054 Participants
9 Participants
n=157 Participants
Race/Ethnicity, Customized
Race · Others
1 Participants
n=527 Participants
5 Participants
n=527 Participants
2 Participants
n=1054 Participants
8 Participants
n=157 Participants
Region of Enrollment
United States
29 participants
n=527 Participants
30 participants
n=527 Participants
29 participants
n=1054 Participants
88 participants
n=157 Participants

PRIMARY outcome

Timeframe: Up to 28 days post vaccination

Population: All participants who received a single dose of vaccine.

Rate of Adverse Events of fractional doses vs standard dose of YF-VAX.

Outcome measures

Outcome measures
Measure
Standard Dose (Group 1)
n=29 Participants
Yellow Fever vaccine standard dose, 0.5mL. Yellow Fever Vaccine: Administered subcutaneously once.
Fractional Dose (Group 2)
n=30 Participants
Yellow Fever vaccine 1/5th standard dose, 0.1mL. Yellow Fever Vaccine: Administered subcutaneously once.
Fractional Dose (Group 3)
n=29 Participants
Yellow Fever vaccine 1/10th standard dose, 0.05mL. Yellow Fever Vaccine: Administered subcutaneously once.
Adverse Events
26 Participants
27 Participants
28 Participants

PRIMARY outcome

Timeframe: The primary data point is day 28 post-vaccination.

Population: All participants who received a single dose of vaccine and complied with day 28 study visit.

For each group determine the PRNT50 neutralizing antibody response rate at the primary data point at post-vaccination day 28.

Outcome measures

Outcome measures
Measure
Standard Dose (Group 1)
n=27 Participants
Yellow Fever vaccine standard dose, 0.5mL. Yellow Fever Vaccine: Administered subcutaneously once.
Fractional Dose (Group 2)
n=29 Participants
Yellow Fever vaccine 1/5th standard dose, 0.1mL. Yellow Fever Vaccine: Administered subcutaneously once.
Fractional Dose (Group 3)
n=28 Participants
Yellow Fever vaccine 1/10th standard dose, 0.05mL. Yellow Fever Vaccine: Administered subcutaneously once.
Neutralizing Antibody Response
26 Participants
27 Participants
28 Participants

SECONDARY outcome

Timeframe: First 14 days following vaccination.

Compare the rate of viremia by Reverse Transcription Polymerase Chain Reaction (RT-PCR) \[copies/mL\] of fractional doses vs standard dose.

Outcome measures

Outcome measures
Measure
Standard Dose (Group 1)
n=26 Participants
Yellow Fever vaccine standard dose, 0.5mL. Yellow Fever Vaccine: Administered subcutaneously once.
Fractional Dose (Group 2)
n=27 Participants
Yellow Fever vaccine 1/5th standard dose, 0.1mL. Yellow Fever Vaccine: Administered subcutaneously once.
Fractional Dose (Group 3)
n=28 Participants
Yellow Fever vaccine 1/10th standard dose, 0.05mL. Yellow Fever Vaccine: Administered subcutaneously once.
Viremia
0 Participants
0 Participants
0 Participants

Adverse Events

Standard Dose (Group 1)

Serious events: 1 serious events
Other events: 15 other events
Deaths: 0 deaths

Fractional Dose (Group 2)

Serious events: 0 serious events
Other events: 11 other events
Deaths: 0 deaths

Fractional Dose (Group 3)

Serious events: 0 serious events
Other events: 7 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Standard Dose (Group 1)
n=29 participants at risk
Yellow Fever vaccine standard dose, 0.5mL. Yellow Fever Vaccine: Administered subcutaneously once.
Fractional Dose (Group 2)
n=30 participants at risk
Yellow Fever vaccine 1/5th standard dose, 0.1mL. Yellow Fever Vaccine: Administered subcutaneously once.
Fractional Dose (Group 3)
n=29 participants at risk
Yellow Fever vaccine 1/10th standard dose, 0.05mL. Yellow Fever Vaccine: Administered subcutaneously once.
Musculoskeletal and connective tissue disorders
Broken Jaw
3.4%
1/29 • Number of events 1 • Adverse Events collected Up to one year following vaccination.
Solicited and non-Solicited adverse events collected.
0.00%
0/30 • Adverse Events collected Up to one year following vaccination.
Solicited and non-Solicited adverse events collected.
0.00%
0/29 • Adverse Events collected Up to one year following vaccination.
Solicited and non-Solicited adverse events collected.

Other adverse events

Other adverse events
Measure
Standard Dose (Group 1)
n=29 participants at risk
Yellow Fever vaccine standard dose, 0.5mL. Yellow Fever Vaccine: Administered subcutaneously once.
Fractional Dose (Group 2)
n=30 participants at risk
Yellow Fever vaccine 1/5th standard dose, 0.1mL. Yellow Fever Vaccine: Administered subcutaneously once.
Fractional Dose (Group 3)
n=29 participants at risk
Yellow Fever vaccine 1/10th standard dose, 0.05mL. Yellow Fever Vaccine: Administered subcutaneously once.
Musculoskeletal and connective tissue disorders
Body Aches
6.9%
2/29 • Number of events 2 • Adverse Events collected Up to one year following vaccination.
Solicited and non-Solicited adverse events collected.
3.3%
1/30 • Number of events 1 • Adverse Events collected Up to one year following vaccination.
Solicited and non-Solicited adverse events collected.
0.00%
0/29 • Adverse Events collected Up to one year following vaccination.
Solicited and non-Solicited adverse events collected.
Blood and lymphatic system disorders
Bruise: Blood Draw Site
0.00%
0/29 • Adverse Events collected Up to one year following vaccination.
Solicited and non-Solicited adverse events collected.
6.7%
2/30 • Number of events 2 • Adverse Events collected Up to one year following vaccination.
Solicited and non-Solicited adverse events collected.
0.00%
0/29 • Adverse Events collected Up to one year following vaccination.
Solicited and non-Solicited adverse events collected.
General disorders
Injection Site Pain
27.6%
8/29 • Number of events 8 • Adverse Events collected Up to one year following vaccination.
Solicited and non-Solicited adverse events collected.
13.3%
4/30 • Number of events 4 • Adverse Events collected Up to one year following vaccination.
Solicited and non-Solicited adverse events collected.
6.9%
2/29 • Number of events 2 • Adverse Events collected Up to one year following vaccination.
Solicited and non-Solicited adverse events collected.
Nervous system disorders
Headache
17.2%
5/29 • Number of events 5 • Adverse Events collected Up to one year following vaccination.
Solicited and non-Solicited adverse events collected.
13.3%
4/30 • Number of events 4 • Adverse Events collected Up to one year following vaccination.
Solicited and non-Solicited adverse events collected.
10.3%
3/29 • Number of events 3 • Adverse Events collected Up to one year following vaccination.
Solicited and non-Solicited adverse events collected.
Respiratory, thoracic and mediastinal disorders
Nasal Congestion
0.00%
0/29 • Adverse Events collected Up to one year following vaccination.
Solicited and non-Solicited adverse events collected.
0.00%
0/30 • Adverse Events collected Up to one year following vaccination.
Solicited and non-Solicited adverse events collected.
6.9%
2/29 • Number of events 2 • Adverse Events collected Up to one year following vaccination.
Solicited and non-Solicited adverse events collected.
Skin and subcutaneous tissue disorders
Bruise (vaccination site)
10.3%
3/29 • Number of events 3 • Adverse Events collected Up to one year following vaccination.
Solicited and non-Solicited adverse events collected.
3.3%
1/30 • Number of events 1 • Adverse Events collected Up to one year following vaccination.
Solicited and non-Solicited adverse events collected.
0.00%
0/29 • Adverse Events collected Up to one year following vaccination.
Solicited and non-Solicited adverse events collected.
Skin and subcutaneous tissue disorders
Erythema at Injection Site
24.1%
7/29 • Number of events 7 • Adverse Events collected Up to one year following vaccination.
Solicited and non-Solicited adverse events collected.
6.7%
2/30 • Number of events 2 • Adverse Events collected Up to one year following vaccination.
Solicited and non-Solicited adverse events collected.
0.00%
0/29 • Adverse Events collected Up to one year following vaccination.
Solicited and non-Solicited adverse events collected.
Skin and subcutaneous tissue disorders
Induration (vaccination site)
10.3%
3/29 • Number of events 3 • Adverse Events collected Up to one year following vaccination.
Solicited and non-Solicited adverse events collected.
0.00%
0/30 • Adverse Events collected Up to one year following vaccination.
Solicited and non-Solicited adverse events collected.
0.00%
0/29 • Adverse Events collected Up to one year following vaccination.
Solicited and non-Solicited adverse events collected.
Blood and lymphatic system disorders
White Blood Cell Decreased
3.4%
1/29 • Number of events 1 • Adverse Events collected Up to one year following vaccination.
Solicited and non-Solicited adverse events collected.
6.7%
2/30 • Number of events 2 • Adverse Events collected Up to one year following vaccination.
Solicited and non-Solicited adverse events collected.
0.00%
0/29 • Adverse Events collected Up to one year following vaccination.
Solicited and non-Solicited adverse events collected.
Blood and lymphatic system disorders
Neutrophil Count Decreased
3.4%
1/29 • Number of events 1 • Adverse Events collected Up to one year following vaccination.
Solicited and non-Solicited adverse events collected.
6.7%
2/30 • Number of events 2 • Adverse Events collected Up to one year following vaccination.
Solicited and non-Solicited adverse events collected.
0.00%
0/29 • Adverse Events collected Up to one year following vaccination.
Solicited and non-Solicited adverse events collected.

Additional Information

Phillip R. Pittman, M.D., MPH

USAMRIID

Phone: 301-619-2997

Results disclosure agreements

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