Study of CYD Dengue Vaccine in Healthy Children and Adolescents in South America

Sponsor
Sanofi Pasteur, a Sanofi Company (Industry)
Overall Status
Completed
CT.gov ID
NCT01187433
Collaborator
(none)
150
1
2
28
5.4

Study Details

Study Description

Brief Summary

The purpose of this study is to generate immunogenicity and safety data in preparation for efficacy studies in Latin America.

Primary Objectives:
  • To describe the immune response to dengue viruses before and after each vaccination with CYD dengue vaccine.

  • To evaluate the safety of each vaccination with CYD dengue vaccine.

Condition or Disease Intervention/Treatment Phase
  • Biological: Live, attenuated, recombinant dengue serotype 1 , 2, 3 , and 4 virus
  • Biological: NaCl 0.9%
  • Biological: Tetanus toxoid, reduced diphtheria toxoid, acellular pertussis vaccine adsorbed
  • Biological: Meningococcal A+C vaccine
Phase 2

Detailed Description

Participants in the Dengue Vaccine Group will receive 3 vaccinations with CYD Dengue vaccine. Participants in the Control Group will receive placebo vaccinations for the first 2 vaccinations, followed by tetanus toxoid, reduced diphtheria toxoid, and acellular pertussis vaccine adsorbed (ADACEL®) (in Venezuela) or Meningococcal A+C vaccine (in Brazil) as a way of providing therapeutic benefit to the participants in the control group.

Study Design

Study Type:
Interventional
Actual Enrollment :
150 participants
Allocation:
Randomized
Intervention Model:
Parallel Assignment
Masking:
Quadruple (Participant, Care Provider, Investigator, Outcomes Assessor)
Primary Purpose:
Prevention
Official Title:
Immunogenicity and Safety of CYD Dengue Vaccine in Healthy Children and Adolescents Aged 9 to 16 Years in South America
Study Start Date :
Aug 1, 2010
Actual Primary Completion Date :
Oct 1, 2012
Actual Study Completion Date :
Dec 1, 2012

Arms and Interventions

Arm Intervention/Treatment
Experimental: Dengue Vaccine Group

Participants will receive Live, attenuated, recombinant dengue serotype 1 , 2, 3 , and 4 virus vaccine

Biological: Live, attenuated, recombinant dengue serotype 1 , 2, 3 , and 4 virus
0.5 mL, Subcutaneous (SC)
Other Names:
  • CYD Dengue Vaccine
  • Placebo Comparator: Control Group

    Participants will receive a placebo, NaCl 0.9%.

    Biological: NaCl 0.9%
    0.5 mL, Subcutaneous

    Biological: Tetanus toxoid, reduced diphtheria toxoid, acellular pertussis vaccine adsorbed
    0.5 mL, Intramuscular
    Other Names:
  • ADACEL®
  • Biological: Meningococcal A+C vaccine
    0.5 mL, Intramuscular

    Outcome Measures

    Primary Outcome Measures

    1. Percentage of Participants With Seropositivity Against Each Serotype With the Parental Dengue Virus Strains Before and After Vaccinations With Either CYD Dengue Vaccine or a Placebo [Before and 28 days after each injection]

      Seropositivity was defined as participants achieving neutralizing antibody titers ≥10 (1/dil) against each serotype and was assessed using the Dengue Plaque Reduction Neutralization Test (PRNT).

    2. Percentage of Flavivirus Immune Participants With Seropositivity Against Each Serotype With the Parental Dengue Virus Strains Before and After Vaccinations With Either CYD Dengue Vaccine or a Placebo [Before and 28 days after each injection]

      Seropositivity was defined as participants achieving neutralizing antibody titers ≥10 (1/dil) against each serotype and was assessed using the Dengue Plaque Reduction Neutralization Test (PRNT). Flavivirus immune subjects at baseline are defined as those subjects with ≥10 (1/dil) for at least 1 serotype with the parental dengue virus strain or for the yellow fever titer.

    3. Percentage of Flavivirus Naïve Subjects With Seropositivity Against Each Serotype With the Parental Dengue Virus Strains Before and After Vaccinations With Either CYD Dengue Vaccine or a Placebo [Before and 28 Days after each injection]

      Seropositivity was defined as participants achieving neutralizing antibody titers ≥10 (1/dil) against each serotype and was assessed using the Dengue Plaque Reduction Neutralization Test (PRNT). Flavivirus naïve subjects at baseline are defined as those subjects with <10 (1/dil) for all serotypes with parental dengue virus strains and for yellow fever titer.

    4. Percentage of Subjects With Seropositivity Against At Least 1, 2, 3, or 4 Parental Dengue Virus Serotypes Before and After Vaccinations With Either CYD Dengue Vaccine or a Placebo [Before and 28 days after each injection]

      Seropositivity was defined as participants achieving neutralizing antibody titers ≥10 (1/dil) against each serotype and was assessed using the Dengue Plaque Reduction Neutralization Test (PRNT).

    5. Percentage of Flavivirus Immune Subjects With Seropositivity Against At Least 1, 2, 3, or 4 Parental Dengue Virus Serotypes Before and After Vaccinations With Either CYD Dengue Vaccine or a Placebo [Before and 28 days after each injection]

      Seropositivity was defined as participants achieving neutralizing antibody titers ≥10 (1/dil) against each serotype and was assessed using the Dengue Plaque Reduction Neutralization Test (PRNT). Flavivirus immune subjects at baseline are defined as those subjects with ≥10 (1/dil) for at least 1 serotype with the parental dengue virus strain or for the yellow fever titer.

    6. Percentage of Flavivirus Naïve Subjects With Seropositivity Against At Least 1, 2, 3, or 4 Parental Dengue Virus Serotypes Before and After Vaccinations With Either CYD Dengue Vaccine or a Placebo [Before and 28 days after each injection]

      Seropositivity was defined as participants achieving neutralizing antibody titers ≥10 (1/dil) against each serotype and was assessed using the Dengue Plaque Reduction Neutralization Test (PRNT). Flavivirus naïve subjects at baseline are defined as those subjects with <10 (1/dil) for all serotypes with parental dengue virus strains and for yellow fever titer.

    7. Geometric Mean Titer Ratios (GMTRs) Against Each Serotype With the Parental of Dengue Virus Strains Before and After Vaccinations With Either CYD Dengue Vaccine or a Placebo [Before and 28 days after each injection]

      Geometric mean titer ratios were assessed using the Dengue Plaque Reduction Neutralization Test (PRNT).

    8. Geometric Mean Titers (GMTs) Against Each Serotype With the Parental of Dengue Virus Strains Before and After Vaccinations With Either CYD Dengue Vaccine or a Placebo [Before and 28 days after each injection]

      Geometric mean titers were assessed using the Dengue Plaque Reduction Neutralization Test (PRNT).

    9. Geometric Mean Titers (GMTs) of Flavivirus Immune Subjects Against Each Serotype With the Parental of Dengue Virus Strains Before and After Vaccinations With Either CYD Dengue Vaccine or a Placebo [Before and 28 days after each injection]

      Geometric mean titers were assessed using the Dengue Plaque Reduction Neutralization Test (PRNT). Flavivirus immune subjects at baseline are defined as those subjects with ≥10 (1/dil) for at least 1 serotype with the parental dengue virus strain or for the yellow fever titer.

    10. Geometric Mean Titer Ratios (GMTRs) of Flavivirus naïve Subjects Against Each Serotype With the Parental of Dengue Virus Strains Before and After Vaccinations With Either CYD Dengue Vaccine or a Placebo [Before and 28 days after each injection]

      Geometric mean titers were assessed using the Dengue Plaque Reduction Neutralization Test (PRNT). Flavivirus naïve subjects at baseline are defined as those subjects with <10 (1/dil) for all serotypes with parental dengue virus strains and for yellow fever titer.

    11. Percentage of Participants Reporting Solicited Injection-Site and Systemic Reactions Following Any and Each Vaccination With Either CYD Dengue Vaccine or a Placebo [Day 0 up to Day 14 post each vaccination]

      Injection-site reactions: Pain, Erythema, and Swelling. Systemic reactions: Fever, Headache, Malaise, Myalgia, and Asthenia. Grade 3 Injection-site reactions (9 to 11 years): Pain, Incapacitating, unable to perform usual activities; Erythema and Swelling, ≥5 cm. Grade 3 Injection site reactions (≥12 years): Pain, Significant; prevents daily activity; Erythema and Swelling, >10 cm. Grade 3 Systemic reactions: Fever, ≥39˚C; Headache, Malaise, Myalgia, and Asthenia, Significant; prevents daily activity.

    Eligibility Criteria

    Criteria

    Ages Eligible for Study:
    9 Years to 16 Years
    Sexes Eligible for Study:
    All
    Accepts Healthy Volunteers:
    Yes
    Inclusion Criteria :
    • Aged 9 to 16 years on the day of inclusion

    • Participant in good health, based on medical history and physical examination

    • Provision of assent form/informed consent form signed by the participant and by the parent(s) or another legally acceptable representative

    • Participant and parent(s)/legally acceptable representative(s) able to attend all scheduled visits and to comply with all trial procedures

    • For a female participant of child-bearing potential, avoid becoming pregnant (use of an effective method of contraception or abstinence) for at least 4 weeks prior to first vaccination until at least 4 weeks after the last vaccination

    Exclusion Criteria :
    • Personal or family history of thymic pathology (thymoma), thymectomy, or myasthenia

    • For a female participant of child-bearing potential, known pregnancy or positive urine pregnancy test at Visit 1

    • Participation in another clinical trial investigating a vaccine, drug, medical device, or a medical procedure in the 4 weeks preceding the first trial vaccination

    • Breast-feeding woman

    • Planned participation in another clinical trial during the present trial period

    • Known or suspected congenital or acquired immunodeficiency, immunosuppressive therapy such as anti-cancer chemotherapy or radiation therapy within the preceding 6 months, or long-term systemic corticosteroids therapy

    • Known systemic hypersensitivity to any of the components of any of the trial vaccines or history of a life-threatening reaction to any of the trial vaccines or to a vaccine containing any of the same substances

    • Chronic illness at a stage that could interfere with trial conduct or completion, in the opinion of the Investigator

    • Current alcohol abuse or drug addiction that may interfere with the participant's ability to comply with trial procedures

    • Receipt of blood or blood-derived products in the preceding 3 months that might interfere with the assessment of immune response

    • Receipt of any vaccine in the 4 weeks preceding the first trial vaccination

    • Planned receipt of any vaccine in the 4 weeks following the first trial vaccination

    • Participant deprived of freedom by administrative or court order, or in an emergency setting, or hospitalized without his/her consent

    • Febrile illness (temperature ≥ 38.0 ºC) or moderate or severe acute illness/infection on the day of vaccination, according to Investigator judgment

    • Thrombocytopenia, bleeding disorder or anticoagulants in the 3 weeks preceding inclusion contraindicating intramuscular vaccination

    • Severe diseases with or without fever, convulsions or neurological abnormalities without treatment or in progression.

    Contacts and Locations

    Locations

    Site City State Country Postal Code
    1 Vitória Brazil ES, 29040-091

    Sponsors and Collaborators

    • Sanofi Pasteur, a Sanofi Company

    Investigators

    • Study Director: Medical Director, Sanofi Pasteur Inc.

    Study Documents (Full-Text)

    None provided.

    More Information

    Additional Information:

    Publications

    None provided.
    Responsible Party:
    Sanofi Pasteur, a Sanofi Company
    ClinicalTrials.gov Identifier:
    NCT01187433
    Other Study ID Numbers:
    • CYD30
    • UTN: U1111-1111-6073
    First Posted:
    Aug 24, 2010
    Last Update Posted:
    Mar 21, 2022
    Last Verified:
    Mar 1, 2022
    Individual Participant Data (IPD) Sharing Statement:
    Yes
    Plan to Share IPD:
    Yes
    Keywords provided by Sanofi Pasteur, a Sanofi Company
    Additional relevant MeSH terms:

    Study Results

    Participant Flow

    Recruitment Details Study participants were enrolled from 20 August 2010 to 8 December 2011 at 1 clinical site in Brazil.
    Pre-assignment Detail A total of 150 participants who met all of the inclusion criteria and none of the exclusion criteria were enrolled and randomized.
    Arm/Group Title CYD Dengue Vaccine Group Control Group
    Arm/Group Description Participants received 3 injections of the CYD dengue vaccine, 1 injection each at 0, 6, and 12 months. Participants received 3 injections of placebo, 1 injection each at 0, 6, and 12 months.
    Period Title: Overall Study
    STARTED 100 50
    COMPLETED 89 46
    NOT COMPLETED 11 4

    Baseline Characteristics

    Arm/Group Title CYD Dengue Vaccine Group Control Group Total
    Arm/Group Description Participants received 3 injections of the CYD dengue vaccine, 1 injection each at 0, 6, and 12 months. Participants received 3 injections of placebo, 1 injection each at 0, 6, and 12 months. Total of all reporting groups
    Overall Participants 100 50 150
    Age (Count of Participants)
    <=18 years
    100
    100%
    50
    100%
    150
    100%
    Between 18 and 65 years
    0
    0%
    0
    0%
    0
    0%
    >=65 years
    0
    0%
    0
    0%
    0
    0%
    Age (Years) [Mean (Standard Deviation) ]
    Age Continuous
    12.7
    (2.1)
    12.7
    (2.2)
    12.7
    (2.15)
    Sex: Female, Male (Count of Participants)
    Female
    59
    59%
    23
    46%
    82
    54.7%
    Male
    41
    41%
    27
    54%
    68
    45.3%
    Region of Enrollment (Number) [Number]
    Brazil
    100
    100%
    50
    100%
    150
    100%

    Outcome Measures

    1. Primary Outcome
    Title Percentage of Participants With Seropositivity Against Each Serotype With the Parental Dengue Virus Strains Before and After Vaccinations With Either CYD Dengue Vaccine or a Placebo
    Description Seropositivity was defined as participants achieving neutralizing antibody titers ≥10 (1/dil) against each serotype and was assessed using the Dengue Plaque Reduction Neutralization Test (PRNT).
    Time Frame Before and 28 days after each injection

    Outcome Measure Data

    Analysis Population Description
    Seropositivity was assessed in the Full Analysis Set.
    Arm/Group Title CYD Dengue Vaccine Group Control Group
    Arm/Group Description Participants received 3 injections of the CYD dengue vaccine, 1 injection each at 0, 6, and 12 months. Participants received 3 injections of placebo, 1 injection each at 0, 6, and 12 months.
    Measure Participants 99 49
    Serotype 1; Pre-Injection 1 (n=99, 49)
    59.6
    59.6%
    63.3
    126.6%
    Serotype 1; Post-Injection 1 (n=99, 49)
    79.8
    79.8%
    69.4
    138.8%
    Serotype 1; Pre-Injection 2 (n=94, 47)
    80.9
    80.9%
    72.3
    144.6%
    Serotype 1; Post Injection 2 (n=94, 47)
    95.7
    95.7%
    72.3
    144.6%
    Serotype 1; Pre-Injection 3 (n=90, 46)
    78.9
    78.9%
    69.6
    139.2%
    Serotype 1; Post-Injection 3 (n=89, 46)
    96.6
    96.6%
    69.6
    139.2%
    Serotype 2; Pre-Injection 1 (n=99, 49)
    65.7
    65.7%
    67.3
    134.6%
    Serotype 2; Post-Injection 1 (n=99, 49)
    80.8
    80.8%
    67.3
    134.6%
    Serotype 2; Pre-Injection 2 (n=94, 47)
    80.9
    80.9%
    74.5
    149%
    Serotype 2; Post-Injection 2 (n=94, 47)
    98.9
    98.9%
    72.3
    144.6%
    Serotype 2; Pre-Injection 3 (n=90, 46)
    85.6
    85.6%
    76.1
    152.2%
    Serotype 2; Post-Injection 3 (n=89, 46)
    98.9
    98.9%
    76.1
    152.2%
    Serotype 3; Pre-Injection 1 (n=99, 49)
    62.6
    62.6%
    65.3
    130.6%
    Serotype 3; Post-Injection 1 (n=99, 49)
    92.9
    92.9%
    67.3
    134.6%
    Serotype 3; Pre-Injection 2 (n=94, 47)
    89.4
    89.4%
    72.3
    144.6%
    Serotype 3; Post-Injection 2 (n=94, 47)
    100.0
    100%
    72.3
    144.6%
    Serotype 3; Pre-Injection 3 (n=89, 46)
    94.4
    94.4%
    71.7
    143.4%
    Serotype 3; Post-Injection 3 (n=89, 46)
    100.0
    100%
    73.9
    147.8%
    Serotype 4; Pre-Injection 1 (n=99, 49)
    47.5
    47.5%
    51
    102%
    Serotype 4; Post -njection 1 (n=99, 48)
    89.9
    89.9%
    58.3
    116.6%
    Serotype 4; Pre-Injection 2 (n=94, 47)
    92.6
    92.6%
    57.4
    114.8%
    Serotype 4; Post-Injection 2 (n=94, 47)
    100.0
    100%
    59.6
    119.2%
    Serotype 4; Pre-Injection 3 (n=88, 46)
    97.7
    97.7%
    69.6
    139.2%
    Serotype 4; Post-Injection 3 (n=89, 46)
    100.0
    100%
    73.9
    147.8%
    2. Primary Outcome
    Title Percentage of Flavivirus Immune Participants With Seropositivity Against Each Serotype With the Parental Dengue Virus Strains Before and After Vaccinations With Either CYD Dengue Vaccine or a Placebo
    Description Seropositivity was defined as participants achieving neutralizing antibody titers ≥10 (1/dil) against each serotype and was assessed using the Dengue Plaque Reduction Neutralization Test (PRNT). Flavivirus immune subjects at baseline are defined as those subjects with ≥10 (1/dil) for at least 1 serotype with the parental dengue virus strain or for the yellow fever titer.
    Time Frame Before and 28 days after each injection

    Outcome Measure Data

    Analysis Population Description
    Seropositivity was assessed in the Full Analysis Set.
    Arm/Group Title CYD Dengue Vaccine Group Control Group
    Arm/Group Description Participants received 3 injections of the CYD dengue vaccine, 1 injection each at 0, 6, and 12 months. Participants received 3 injections of placebo, 1 injection each at 0, 6, and 12 months.
    Measure Participants 80 41
    Serotype 1; Pre-Injection 1 (n=80, 41)
    73.8
    73.8%
    75.6
    151.2%
    Serotype 1; Post-Injection 1 (n=80, 41)
    88.8
    88.8%
    82.9
    165.8%
    Serotype 1; Pre-Injection 2 (n=78, 39)
    91.0
    91%
    87.2
    174.4%
    Serotype 1; Post-Injection 2 (n=78, 39)
    100.0
    100%
    87.2
    174.4%
    Serotype 1; Pre-Injection 3 (n=74, 38)
    87.8
    87.8%
    81.6
    163.2%
    Serotype 1; Post-Injection 3 (n=73, 38)
    98.6
    98.6%
    81.6
    163.2%
    Serotype 2; Pre-Injection 1 (n=80, 41)
    81.3
    81.3%
    80.5
    161%
    Serotype 2; Post-Injection 1 (n=80, 41)
    93.8
    93.8%
    80.5
    161%
    Serotype 2; Pre-Injection 2 (n=78, 39)
    92.3
    92.3%
    89.7
    179.4%
    Serotype 2; Post-Injection 2 (n=78, 39)
    100.0
    100%
    87.2
    174.4%
    Serotype 2; Pre-Injection 3 (n=74, 38)
    91.9
    91.9%
    89.5
    179%
    Serotype 2; Post-Injection 3 (n=73, 38)
    100.0
    100%
    89.5
    179%
    Serotype 3; Pre-Injection 1 (n=80, 41)
    77.5
    77.5%
    78
    156%
    Serotype 3; Post-Injection 1 (n=80, 41)
    95.0
    95%
    80.5
    161%
    Serotype 3; Pre-Injection 2 (n=78, 39)
    93.6
    93.6%
    87.2
    174.4%
    Serotype 3; Post-Injection 2 (n=78, 39)
    100.0
    100%
    87.2
    174.4%
    Serotype 3; Pre-Injection 3 (n=74, 38)
    97.3
    97.3%
    84.2
    168.4%
    Serotype 3; Post-Injection 3 (n=73, 38)
    100.0
    100%
    86.8
    173.6%
    Serotype 4; Pre-Injection 1 (n=80, 41)
    58.8
    58.8%
    61
    122%
    Serotype 4; Post-Injection 1 (n=80, 40)
    95.0
    95%
    70
    140%
    Serotype 4; Pre-Injection 2 (n=78, 39)
    94.9
    94.9%
    69.2
    138.4%
    Serotype 4; Post-Injection 2 (n=78, 39)
    100.0
    100%
    71.8
    143.6%
    Serotype 4; Pre-Injection 3 (n=73, 38)
    98.6
    98.6%
    81.6
    163.2%
    Serotype 4; Post-Injection 3 (n=73, 38)
    100.0
    100%
    84.2
    168.4%
    3. Primary Outcome
    Title Percentage of Flavivirus Naïve Subjects With Seropositivity Against Each Serotype With the Parental Dengue Virus Strains Before and After Vaccinations With Either CYD Dengue Vaccine or a Placebo
    Description Seropositivity was defined as participants achieving neutralizing antibody titers ≥10 (1/dil) against each serotype and was assessed using the Dengue Plaque Reduction Neutralization Test (PRNT). Flavivirus naïve subjects at baseline are defined as those subjects with <10 (1/dil) for all serotypes with parental dengue virus strains and for yellow fever titer.
    Time Frame Before and 28 Days after each injection

    Outcome Measure Data

    Analysis Population Description
    Seropositivity was assessed in the Full Analysis Set.
    Arm/Group Title CYD Dengue Vaccine Group Control Group
    Arm/Group Description Participants received 3 injections of the CYD dengue vaccine, 1 injection each at 0, 6, and 12 months. Participants received 3 injections of placebo, 1 injection each at 0, 6, and 12 months.
    Measure Participants 19 8
    Serotype 1; Pre-Injection 1 (n=19, 8)
    0.0
    0%
    0
    0%
    Serotype 1; Post-Injection 1 (n=19, 8)
    42.1
    42.1%
    0
    0%
    Serotype 1; Pre-Injection 2 (n=16, 8)
    31.3
    31.3%
    0
    0%
    Serotype 1; Post-Injection 2 (n=16, 8)
    75.0
    75%
    0
    0%
    Serotype 1; Pre-Injection 3 (n=16, 8)
    37.5
    37.5%
    12.5
    25%
    Serotype 1; Post-Injection 3 (n=16, 8)
    87.5
    87.5%
    12.5
    25%
    Serotype 2; Pre-Injection 1 (n=19, 8)
    0.0
    0%
    0
    0%
    Serotype 2; Post-Injection 1 (n=19, 8)
    26.3
    26.3%
    0
    0%
    Serotype 2; Pre-Injection 2 (n=16, 8)
    25.0
    25%
    0
    0%
    Serotype 2; Post-Injection 2 (n=16, 8)
    93.8
    93.8%
    0
    0%
    Serotype 2; Pre-Injection 3 (n=16, 8)
    56.3
    56.3%
    12.5
    25%
    Serotype 2; Post-Injection 3 (n=16, 8)
    93.8
    93.8%
    12.5
    25%
    Serotype 3; Pre-Injection 1 (n=19, 8)
    0.0
    0%
    0
    0%
    Serotype 3; Post-Injection 1 (n=19, 8)
    84.2
    84.2%
    0
    0%
    Serotype 3; Pre-Injection 2 (n=16, 8)
    68.8
    68.8%
    0
    0%
    Serotype 3; Post-Injection 2 (n=16, 8)
    100.0
    100%
    0
    0%
    Serotype 3; Pre-Injection 3 (n=15, 8)
    80.0
    80%
    12.5
    25%
    Serotype 3; Post-Injection 3 (n=16, 8)
    100.0
    100%
    12.5
    25%
    Serotype 4; Pre-Injection 1 (n=19, 8)
    0.0
    0%
    0
    0%
    Serotype 4; Post-Injection 1 (n=19, 8)
    68.4
    68.4%
    0
    0%
    Serotype 4; Pre-Injection 2 (n=16, 8)
    81.3
    81.3%
    0
    0%
    Serotype 4; Post-Injection 2 (n=16, 8)
    100.0
    100%
    0
    0%
    Serotype 4; Pre-Injection 3 (n=15, 8)
    93.3
    93.3%
    12.5
    25%
    Serotype 4; Post-Injection 3 (n=16, 8)
    100.0
    100%
    25
    50%
    4. Primary Outcome
    Title Percentage of Subjects With Seropositivity Against At Least 1, 2, 3, or 4 Parental Dengue Virus Serotypes Before and After Vaccinations With Either CYD Dengue Vaccine or a Placebo
    Description Seropositivity was defined as participants achieving neutralizing antibody titers ≥10 (1/dil) against each serotype and was assessed using the Dengue Plaque Reduction Neutralization Test (PRNT).
    Time Frame Before and 28 days after each injection

    Outcome Measure Data

    Analysis Population Description
    Seropositivity was assessed in the Full Analysis Set.
    Arm/Group Title CYD Dengue Vaccine Group Control Group
    Arm/Group Description Participants received 3 injections of the CYD dengue vaccine, 1 injection each at 0, 6, and 12 months. Participants received 3 injections of placebo, 1 injection each at 0, 6, and 12 months.
    Measure Participants 99 49
    At least 1 serotype; Pre-Injection 1 (n=99, 49)
    68.7
    68.7%
    71.4
    142.8%
    At least 1 serotype; Post-Injection 1 (n=99, 49)
    97.0
    97%
    71.4
    142.8%
    At least 1 serotype; Pre-Injection 2 (n=94, 47)
    94.7
    94.7%
    74.5
    149%
    At least 1 serotype; Post-Injection 2 (n=94, 47)
    100.0
    100%
    74.5
    149%
    At least 1 serotype; Pre-Injection 3 (n=90, 46)
    98.9
    98.9%
    78.3
    156.6%
    At least 1 serotype; Post-Injection 3 (n=89, 46)
    100.0
    100%
    78.3
    156.6%
    At least 2 serotypes; Pre-Injection 1 (n=99, 49)
    62.6
    62.6%
    67.3
    134.6%
    At least 2 serotypes; Post-Injection 1 (n=99, 49)
    91.9
    91.9%
    71.4
    142.8%
    At least 2 serotypes; Pre-Injection 2 (n=94, 47)
    92.6
    92.6%
    74.5
    149%
    At least 2 serotypes; Post-Injection 2 (n=94, 47)
    100.0
    100%
    72.3
    144.6%
    At least 2 serotypes; Pre-Injection 3 (n=90, 46)
    91.1
    91.1%
    73.9
    147.8%
    At least 2 serotypes; Post-Injection 3 (n=89, 46)
    100.0
    100%
    76.1
    152.2%
    At least 3 serotypes; Pre-Injection 1 (n=99, 49)
    56.6
    56.6%
    61.2
    122.4%
    At least 3 serotypes; Post-Injection 1 (n=99, 49)
    81.8
    81.8%
    65.3
    130.6%
    At least 3 serotypes; Pre-Injection 2 (n=94, 47)
    81.9
    81.9%
    72.3
    144.6%
    At least 3 serotypes; Post-Injection 2 (n=94, 47)
    98.9
    98.9%
    70.2
    140.4%
    At least 3 serotypes; Pre-Injection 3 (n=90, 46)
    86.7
    86.7%
    71.7
    143.4%
    At least 3 serotypes; Post-Injection 3 (n=89, 46)
    98.9
    98.9%
    71.7
    143.4%
    All 4 serotypes; Pre-Injection 1 (n=99, 49)
    47.5
    47.5%
    46.9
    93.8%
    All 4 serotypes; Post-Injection 1 (n=99, 49)
    72.7
    72.7%
    53.1
    106.2%
    All 4 serotypes; Pre-Injection 2 (n=94, 47)
    74.5
    74.5%
    55.3
    110.6%
    All 4 serotypes; Post-Injection 2 (n=94, 47)
    95.7
    95.7%
    59.6
    119.2%
    All 4 serotypes; Pre-Injection 3 (n=90, 46)
    76.7
    76.7%
    63
    126%
    All 4 serotypes; Post-Injection 3 (n=89, 46)
    96.6
    96.6%
    67.4
    134.8%
    5. Primary Outcome
    Title Percentage of Flavivirus Immune Subjects With Seropositivity Against At Least 1, 2, 3, or 4 Parental Dengue Virus Serotypes Before and After Vaccinations With Either CYD Dengue Vaccine or a Placebo
    Description Seropositivity was defined as participants achieving neutralizing antibody titers ≥10 (1/dil) against each serotype and was assessed using the Dengue Plaque Reduction Neutralization Test (PRNT). Flavivirus immune subjects at baseline are defined as those subjects with ≥10 (1/dil) for at least 1 serotype with the parental dengue virus strain or for the yellow fever titer.
    Time Frame Before and 28 days after each injection

    Outcome Measure Data

    Analysis Population Description
    Seropositivity was assessed in the Full Analysis Set.
    Arm/Group Title CYD Dengue Vaccine Group Control Group
    Arm/Group Description Participants received 3 injections of the CYD dengue vaccine, 1 injection each at 0, 6, and 12 months. Participants received 3 injections of placebo, 1 injection each at 0, 6, and 12 months.
    Measure Participants 80 41
    At least 1 serotype; Pre-Injection 1 (n=80, 41)
    85.0
    85%
    85.4
    170.8%
    At least 1 serotype; Post-Injection 1 (n=80, 41)
    97.5
    97.5%
    85.4
    170.8%
    At least 1 serotype; Pre-Injection 2 (n=78, 39)
    97.4
    97.4%
    89.7
    179.4%
    At least 1 serotype; Post-Injection 2 (n=78, 39)
    100.0
    100%
    89.7
    179.4%
    At least 1 serotype; Pre-Injection 3 (n=74, 38)
    100.0
    100%
    92.1
    184.2%
    At least 1 serotype; Post-Injection 3 (n=73, 38)
    100.0
    100%
    89.5
    179%
    At least 2 serotypes; Pre-Injection 1 (n=80, 41)
    77.5
    77.5%
    80.5
    161%
    At least 2 serotypes; Post-Injection 1 (n=80, 41)
    95.0
    95%
    85.4
    170.8%
    At least 2 serotypes; Pre-Injection 2 (n=78, 39)
    97.4
    97.4%
    89.7
    179.4%
    At least 2 serotypes; Post-Injection 2 (n=78, 39)
    100.0
    100%
    87.2
    174.4%
    At least 2 serotypes; Pre-Injection 3 (n=74, 38)
    95.9
    95.9%
    86.8
    173.6%
    At least 2 serotypes; Post-Injection 3 (n=73, 38)
    100.0
    100%
    89.5
    179%
    At least 3 serotypes; Pre-Injection 1 (n=80, 41)
    70.0
    70%
    73.2
    146.4%
    At least 3 serotypes; Post-Injection 1 (n=80, 41)
    92.5
    92.5%
    78
    156%
    At least 3 serotypes; Pre-Injection 2 (n=78, 39)
    91.0
    91%
    87.2
    174.4%
    At least 3 serotypes; Post-Injection 2 (n=78, 39)
    100.0
    100%
    84.6
    169.2%
    At least 3 serotypes; Pre-Injection 3 (n=74, 38)
    93.2
    93.2%
    84.2
    168.4%
    At least 3 serotypes; Post-Injection 3 (n=73, 38)
    100.0
    100%
    84.2
    168.4%
    All 4 serotypes; Pre-Injection 1 (n=80, 41)
    58.8
    58.8%
    56.1
    112.2%
    All 4 serotypes; Post-Injection 1 (n=80, 41)
    87.5
    87.5%
    63.4
    126.8%
    All 4 serotypes; Pre-Injection 2 (n=78, 39)
    85.9
    85.9%
    66.7
    133.4%
    All 4 serotypes; Post-Injection 2 (n=78, 39)
    100.0
    100%
    71.8
    143.6%
    All 4 serotypes; Pre-Injection 3 (n=74, 38)
    85.1
    85.1%
    73.7
    147.4%
    All 4 serotypes; Post-Injection 3 (n=73, 38)
    98.6
    98.6%
    78.9
    157.8%
    6. Primary Outcome
    Title Percentage of Flavivirus Naïve Subjects With Seropositivity Against At Least 1, 2, 3, or 4 Parental Dengue Virus Serotypes Before and After Vaccinations With Either CYD Dengue Vaccine or a Placebo
    Description Seropositivity was defined as participants achieving neutralizing antibody titers ≥10 (1/dil) against each serotype and was assessed using the Dengue Plaque Reduction Neutralization Test (PRNT). Flavivirus naïve subjects at baseline are defined as those subjects with <10 (1/dil) for all serotypes with parental dengue virus strains and for yellow fever titer.
    Time Frame Before and 28 days after each injection

    Outcome Measure Data

    Analysis Population Description
    Seropositivity was assessed in the Full Analysis Set.
    Arm/Group Title CYD Dengue Vaccine Group Control Group
    Arm/Group Description Participants received 3 injections of the CYD dengue vaccine, 1 injection each at 0, 6, and 12 months. Participants received 3 injections of placebo, 1 injection each at 0, 6, and 12 months.
    Measure Participants 19 8
    At least 1 serotype; Pre-Injection 1 (n=19, 8)
    0.0
    0%
    0
    0%
    At least 1 serotype; Post-Injection 1 (n=19, 8)
    94.7
    94.7%
    0
    0%
    At least 1 serotype; Pre-Injection 2 (n=16, 8)
    81.3
    81.3%
    0
    0%
    At least 1 serotype; Post-Injection 2 (n=16, 8)
    100.0
    100%
    0
    0%
    At least 1 serotype; Pre-Injection 3 (n=16, 8)
    93.8
    93.8%
    12.5
    25%
    At least 1 serotype; Post-Injection 3 (n=16, 8)
    100.0
    100%
    25
    50%
    At least 2 serotypes; Pre-Injection 1 (n=19, 8)
    0.0
    0%
    0
    0%
    At least 2 serotypes; Post-Injection 1 (n=19, 8)
    78.9
    78.9%
    0
    0%
    At least 2 serotypes; Pre-Injection 2 (n=16, 8)
    68.8
    68.8%
    0
    0%
    At least 2 serotypes; Post-Injection 2 (n=16, 8)
    100.0
    100%
    0
    0%
    At least 2 serotypes; Pre-Injection 3 (n=16, 8)
    68.8
    68.8%
    12.5
    25%
    At least 2 serotypes; Post-Injection 3 (n=16, 8)
    100.0
    100%
    12.5
    25%
    At least 3 serotypes; Pre-Injection 1 (n=19, 8)
    0.0
    0%
    0
    0%
    At least 3 serotypes; Post-Injection 1 (n=19, 8)
    36.8
    36.8%
    0
    0%
    At least 3 serotypes; Pre-Injection 2 (n=16, 8)
    37.5
    37.5%
    0
    0%
    At least 3 serotypes; Post-Injection 2 (n=16, 8)
    93.8
    93.8%
    0
    0%
    At least 3 serotypes; Pre-Injection 3 (n=16, 8)
    56.3
    56.3%
    12.5
    25%
    At least 3 serotypes; Post-Injection 3 (n=16, 8)
    93.8
    93.8%
    12.5
    25%
    All 4 serotypes; Pre-Injection 1 (n=19, 8)
    0.0
    0%
    0
    0%
    All 4 serotypes; Post-Injection 1 (n=19, 8)
    10.5
    10.5%
    0
    0%
    All 4 serotypes; Pre-Injection 2 (n=16, 8)
    18.8
    18.8%
    0
    0%
    All 4 serotypes; Post-Injection 2 (n=16, 8)
    75.0
    75%
    0
    0%
    All 4 serotypes; Pre-Injection 3 (n=16, 8)
    37.5
    37.5%
    12.5
    25%
    All 4 serotypes; Post-Injection 3 (n=16, 8)
    87.5
    87.5%
    12.5
    25%
    7. Primary Outcome
    Title Geometric Mean Titer Ratios (GMTRs) Against Each Serotype With the Parental of Dengue Virus Strains Before and After Vaccinations With Either CYD Dengue Vaccine or a Placebo
    Description Geometric mean titer ratios were assessed using the Dengue Plaque Reduction Neutralization Test (PRNT).
    Time Frame Before and 28 days after each injection

    Outcome Measure Data

    Analysis Population Description
    Geometric mean titer ratios were assessed in the Full Analysis Set.
    Arm/Group Title CYD Dengue Vaccine Group Control Group
    Arm/Group Description Participants received 3 injections of the CYD dengue vaccine, 1 injection each at 0, 6, and 12 months. Participants received 3 injections of placebo, 1 injection each at 0, 6, and 12 months.
    Measure Participants 99 49
    Serotype 1; Post-Inj. 1 / Pre-Inj. 1 (n=99, 49)
    4.67
    0.834
    Serotype 1; Post-Inj. 2 / Pre-Inj. 1 (n=94, 47)
    7.26
    2.11
    Serotype 1; Post-Inj. 2 / Pre-Inj. 2 (n=94, 47)
    1.66
    1.25
    Serotype 1; Post-Inj. 3 / Pre-Inj. 1 (n=89, 46)
    4.92
    1.36
    Serotype 1; Post-Inj. 3 / Pre-Inj. 2 (n=89, 46)
    1.07
    0.793
    Serotype 1; Post -nj. 3 / Pre-Inj. 3 (n=89, 46)
    1.48
    0.706
    Serotype 2; Post-Inj. 1 / Pre-Inj. 1 (n=99, 49)
    4.15
    0.733
    Serotype 2; Post-Inj. 2 / Pre-Inj. 1 (n=94, 47)
    6.80
    1.75
    Serotype 2; Post-Inj. 2 / Pre-Inj. 2 (n=94, 47)
    1.97
    0.981
    Serotype 2; Post-Inj. 3 / Pre-Inj. 1 (n=89, 46)
    6.21
    1.68
    Serotype 2; Post-Inj. 3 / Pre-Inj. 2 (n=89, 46)
    1.78
    0.944
    Serotype 2; Post-Inj. 3 / Pre-Inj. 3 (n=89, 46)
    1.40
    0.851
    Serotype 3; Post-Inj. 1 / Pre-Inj. 1 (n=99, 49)
    6.50
    0.916
    Serotype 3; Post-Inj. 2 / Pre-Inj. 1 (n=94, 47)
    8.57
    1.85
    Serotype 3; Post-Inj. 2 / Pre-Inj. 2 (n=94, 47)
    2.03
    1.02
    Serotype 3; Post-Inj. 3 / Pre-Inj. 1 (n=89, 46)
    6.26
    1.24
    Serotype 3; Post-Inj. 3 / Pre-Inj. 2 (n=89, 46)
    1.46
    0.673
    Serotype 3; Post-Inj. 3 / Pre-Inj. 3 (n=88, 46)
    1.53
    0.8
    Serotype 4; Post-Inj. 1 / Pre-Inj. 1 (n=99, 48)
    17.7
    0.806
    Serotype 4; Post-Inj. 2 / Pre-Inj. 1 (n=94, 47)
    15.4
    1.27
    Serotype 4; Post-Inj. 2 / Pre-Inj. 2 (n=94, 47)
    1.84
    0.835
    Serotype 4; Post-Inj. 3 / Pre-Inj. 1 (n=89, 46)
    20.2
    1.4
    Serotype 4; Post-Inj. 3 / Pre-Inj. 2 (n=89, 46)
    2.26
    0.912
    Serotype 4; Post -nj. 3 / Pre-Inj. 3 (n=87, 46)
    1.68
    0.723
    8. Primary Outcome
    Title Geometric Mean Titers (GMTs) Against Each Serotype With the Parental of Dengue Virus Strains Before and After Vaccinations With Either CYD Dengue Vaccine or a Placebo
    Description Geometric mean titers were assessed using the Dengue Plaque Reduction Neutralization Test (PRNT).
    Time Frame Before and 28 days after each injection

    Outcome Measure Data

    Analysis Population Description
    Geometric mean titers were assessed in the Full Analysis Set.
    Arm/Group Title CYD Dengue Vaccine Group Control Group
    Arm/Group Description Participants received 3 injections of the CYD dengue vaccine, 1 injection each at 0, 6, and 12 months. Participants received 3 injections of placebo, 1 injection each at 0, 6, and 12 months.
    Measure Participants 99 49
    Serotype 1; Pre-Injection 1 (n=99, 49)
    41.4
    47.2
    Serotype 1; Post-Injection 1 (n=99, 49)
    256
    50.7
    Serotype 1; Pre-Injection 2 (n=94, 47)
    230
    86
    Serotype 1; Post-Injection 2 (n=94, 47)
    436
    130
    Serotype 1; Pre-Injection 3 (n=90, 46)
    162
    90.8
    Serotype 1; Post-Injection 3 (n=89, 46)
    267
    79.2
    Serotype 2; Pre-Injection 1 (n=99, 49)
    67.0
    68.3
    Serotype 2; Post-Injection 1 (n=99, 49)
    352
    62.8
    Serotype 2; Pre-Injection 2 (n=94, 47)
    287
    117
    Serotype 2; Post-Injection 2 (n=94, 47)
    647
    137
    Serotype 2; Pre-Injection 3 (n=90, 46)
    360
    131
    Serotype 2; Post-Injection 3 (n=89, 46)
    544
    132
    Serotype 3; Pre-Injection 1 (n=99, 49)
    81.9
    94.7
    Serotype 3; Post-Injection 1 (n=99, 49)
    690
    110
    Serotype 3; Pre-Injection 2 (n=94, 47)
    471
    184
    Serotype 3; Post-Injection 2 (n=94, 47)
    1031
    227
    Serotype 3; Pre-Injection 3 (n=89, 46)
    481
    144
    Serotype 3; Post-Injection 3 (n=89, 46)
    741
    140
    Serotype 4; Pre-Injection 1 (n=99, 49)
    15.0
    17.5
    Serotype 4; Post-Injection 1 (n=99, 48)
    383
    19.2
    Serotype 4; Pre-Injection 2 (n=94, 47)
    178
    27.8
    Serotype 4; Post-Injection 2 (n=94, 47)
    346
    31.2
    Serotype 4; Pre-Injection 3 (n=88, 46)
    258
    37.4
    Serotype 4; Post-Injection 3 (n=89, 46)
    432
    33.4
    9. Primary Outcome
    Title Geometric Mean Titers (GMTs) of Flavivirus Immune Subjects Against Each Serotype With the Parental of Dengue Virus Strains Before and After Vaccinations With Either CYD Dengue Vaccine or a Placebo
    Description Geometric mean titers were assessed using the Dengue Plaque Reduction Neutralization Test (PRNT). Flavivirus immune subjects at baseline are defined as those subjects with ≥10 (1/dil) for at least 1 serotype with the parental dengue virus strain or for the yellow fever titer.
    Time Frame Before and 28 days after each injection

    Outcome Measure Data

    Analysis Population Description
    Geometric mean titers were assessed in the Full Analysis Set.
    Arm/Group Title CYD Dengue Vaccine Group Control Group
    Arm/Group Description Participants received 3 injections of the CYD dengue vaccine, 1 injection each at 0, 6, and 12 months. Participants received 3 injections of placebo, 1 injection each at 0, 6, and 12 months.
    Measure Participants 80 41
    Serotype 1; Pre-Injection 1 (n=80, 41)
    68.5
    73.1
    Serotype 1; Post-Injection 1 (n=80, 41)
    549
    79.8
    Serotype 1; Pre-Injection 2 (n=78, 39)
    430
    154
    Serotype 1; Post-Injection 2 (n=78, 39)
    661
    253
    Serotype 1; Pre-Injection 3 (n=74, 38)
    268
    143
    Serotype 1; Post-Injection 3 (n=73, 38)
    381
    126
    Serotype 2; Pre-Injection 1 (n=80, 41)
    124
    114
    Serotype 2; Post-Injection 1 (n=80, 41)
    816
    103
    Serotype 2; Pre-Injection 2 (n=78, 39)
    591
    224
    Serotype 2; Post-Injection 2 (n=78, 39)
    978
    271
    Serotype 2; Pre-Injection 3 (n=74, 38)
    648
    240
    Serotype 2; Post-Injection 3 (n=73, 38)
    835
    242
    Serotype 3; Pre-Injection 1 (n=80, 41)
    159
    168
    Serotype 3; Post-Injection 1 (n=80, 41)
    1263
    202
    Serotype 3; Pre-Injection 2 (n=78, 39)
    879
    387
    Serotype 3; Post-Injection 2 (n=78, 39)
    1426
    497
    Serotype 3; Pre-Injection 3 (n=74, 38)
    776
    272
    Serotype 3; Post-Injection 3 (n=73, 38)
    1031
    266
    Serotype 4; Pre-Injection 1 (n=80, 41)
    19.5
    22.4
    Serotype 4; Post-Injection 1 (n=80, 40)
    467
    25.2
    Serotype 4; Pre-Injection 2 (n=78, 39)
    220
    39.5
    Serotype 4; Post-Injection 2 (n=78, 39)
    377
    45.3
    Serotype 4; Pre-Injection 3 (n=73, 38)
    313
    53.9
    Serotype 4; Post-Injection 3 (n=73, 38)
    485
    46.5
    10. Primary Outcome
    Title Geometric Mean Titer Ratios (GMTRs) of Flavivirus naïve Subjects Against Each Serotype With the Parental of Dengue Virus Strains Before and After Vaccinations With Either CYD Dengue Vaccine or a Placebo
    Description Geometric mean titers were assessed using the Dengue Plaque Reduction Neutralization Test (PRNT). Flavivirus naïve subjects at baseline are defined as those subjects with <10 (1/dil) for all serotypes with parental dengue virus strains and for yellow fever titer.
    Time Frame Before and 28 days after each injection

    Outcome Measure Data

    Analysis Population Description
    Geometric mean titer ratios were assessed in the Full Analysis Set.
    Arm/Group Title CYD Dengue Vaccine Group Control Group
    Arm/Group Description Participants received 3 injections of the CYD dengue vaccine, 1 injection each at 0, 6, and 12 months. Participants received 3 injections of placebo, 1 injection each at 0, 6, and 12 months.
    Measure Participants 19 8
    Serotype 1; Post-Inj. 1 / Pre-Inj. 1 (n=19, 8)
    1.03
    0.5
    Serotype 1; Post-Inj. 2 / Pre-Inj. 1 (n=16, 8)
    5.73
    0.5
    Serotype 1; Post-Inj. 2 / Pre-Inj. 2 (n=16, 8)
    3.25
    0.5
    Serotype 1; Post-Inj. 3 / Pre-Inj. 1 (n=16, 8)
    5.34
    0.861
    Serotype 1; Post-Inj. 3 / Pre-Inj. 2 (n=16, 8)
    3.03
    0.861
    Serotype 1; Post-Inj. 3 / Pre-Inj. 3 (n=16, 8)
    2.19
    0.446
    Serotype 2; Post-Inj. 1 / Pre-Inj. 1 (n=19, 8)
    1.02
    0.5
    Serotype 2; Post-Inj. 2 / Pre-Inj. 1 (n=16, 8)
    8.62
    0.5
    Serotype 2; Post-Inj. 2 / Pre-Inj. 2 (n=16, 8)
    6.02
    0.5
    Serotype 2; Post-Inj. 3 / Pre-Inj. 1 (n=16, 8)
    7.67
    0.737
    Serotype 2; Post-Inj. 3 / Pre-Inj. 2 (n=16, 8)
    5.36
    0.737
    Serotype 2; Post -nj. 3 / Pre-Inj. 3 (n=16, 8)
    2.37
    0.538
    Serotype 3; Post-Inj. 1 / Pre-Inj. 1 (n=19, 8)
    5.41
    0.5
    Serotype 3; Post-Inj. 2 / Pre-Inj. 1 (n=16, 8)
    21.2
    0.5
    Serotype 3; Post-Inj. 2 / Pre-Inj. 2 (n=16, 8)
    7.58
    0.5
    Serotype 3; Post-Inj. 3 / Pre-Inj. 1 (n=16, 8)
    16.3
    0.678
    Serotype 3; Post-Inj. 3 / Pre-Inj. 2 (n=16, 8)
    5.83
    0.678
    Serotype 3; Post-Inj. 3 / Pre-Inj. 3 (n=15, 8)
    3.35
    0.524
    Serotype 4; Post-Inj. 1 / Pre-Inj. 1 (n=19, 8)
    16.5
    0.5
    Serotype 4; Post-Inj. 2 / Pre-Inj. 1 (n=16, 8)
    22.7
    0.5
    Serotype 4; Post-Inj. 2 / Pre-Inj. 2 (n=16, 8)
    3.15
    0.5
    Serotype 4; Post-Inj. 3 / Pre-Inj. 1 (n=16, 8)
    25.5
    0.701
    Serotype 4; Post-Inj. 3 / Pre-Inj. 2 (n=16, 8)
    3.53
    0.701
    Serotype 4; Post-Inj. 3 / Pre-Inj. 3 (n=15, 8)
    2.55
    0.578
    11. Primary Outcome
    Title Percentage of Participants Reporting Solicited Injection-Site and Systemic Reactions Following Any and Each Vaccination With Either CYD Dengue Vaccine or a Placebo
    Description Injection-site reactions: Pain, Erythema, and Swelling. Systemic reactions: Fever, Headache, Malaise, Myalgia, and Asthenia. Grade 3 Injection-site reactions (9 to 11 years): Pain, Incapacitating, unable to perform usual activities; Erythema and Swelling, ≥5 cm. Grade 3 Injection site reactions (≥12 years): Pain, Significant; prevents daily activity; Erythema and Swelling, >10 cm. Grade 3 Systemic reactions: Fever, ≥39˚C; Headache, Malaise, Myalgia, and Asthenia, Significant; prevents daily activity.
    Time Frame Day 0 up to Day 14 post each vaccination

    Outcome Measure Data

    Analysis Population Description
    Solicited injection-site and systemic reactions were assessed in the Safety Analysis Set.
    Arm/Group Title CYD Dengue Vaccine Group Control Group
    Arm/Group Description Participants received 3 injections of the CYD dengue vaccine, 1 injection each at 0, 6, and 12 months. Participants received 3 injections of placebo, 1 injection each at 0, 6, and 12 months.
    Measure Participants 100 50
    Injection-site Pain; Post-Any Injection (N=100,49)
    40
    40%
    40.8
    81.6%
    Grade 3 Inj.-site Pain; Post-Any Inj. (N=100,49)
    0
    0%
    4.1
    8.2%
    Inj.-site Erythema; Post-Any Inj. (N=100,49)
    4.0
    4%
    2
    4%
    Gr 3 Inj.-site Erythema; Post-Any Inj. (N=100,49)
    0
    0%
    0
    0%
    Inj.-site Swelling; Post-Any Inj. (N=100,49)
    5.0
    5%
    4.1
    8.2%
    Gr 3 Inj.-site Swelling; Post-Any Inj. (N=100,49)
    0
    0%
    0
    0%
    Injection-site Pain; Post-Injection 1 (N=99,49)
    26.3
    26.3%
    30.6
    61.2%
    Gr 3 Inj.-site Pain; Post-Inj. 1 (N=99,49)
    0
    0%
    2
    4%
    Inj.-site Erythema; Post-Inj. 1 (N=99,49)
    1.0
    1%
    2
    4%
    Gr 3 Inj.-site Erythema; Post-Inj. 1 (N=99,49)
    0
    0%
    0
    0%
    Inj.-site Swelling; Post-Inj. 1 (N=99,49)
    2.0
    2%
    4.1
    8.2%
    Gr 3 Inj.-site Swelling; Post-Inj. 1 (N=99,49)
    0
    0%
    0
    0%
    Injection-site Pain; Post-Injection 2 (N=93,47)
    21.5
    21.5%
    14.9
    29.8%
    Gr 3 Inj.-site Pain; Post-Inj. 2 (N=93,47)
    0
    0%
    2.1
    4.2%
    Inj.-site Erythema; Post-Inj. 2 (N=93,47)
    3.2
    3.2%
    0
    0%
    Gr 3 Inj.-site Erythema; Post-Inj. 2 (N=93,47)
    0
    0%
    0
    0%
    Inj.-site Swelling; Post-Inj. 2 (N=93,47)
    2.2
    2.2%
    0
    0%
    Gr 3 Inj.-site Swelling; Post-Inj. 2 (N=93,47)
    0
    0%
    0
    0%
    Injection-site Pain; Post-Injection 3 (N=89,45)
    16.9
    16.9%
    15.6
    31.2%
    Gr 3 Inj.-site Pain; Post-Inj. 3 (N=89,45)
    0
    0%
    2.2
    4.4%
    Inj.-site Erythema; Post-Inj. 3 (N=89,45)
    0
    0%
    0
    0%
    Gr 3 Inj.-site Erythema; Post-Inj. 3 (N=89,45)
    0
    0%
    0
    0%
    Inj.-site Swelling; Post-Inj. 3 (N=89,45)
    1.1
    1.1%
    0
    0%
    Gr 3 Inj.-site Swelling; Post-Inj. 3 (N=89,45)
    0
    0%
    0
    0%
    Fever; Post-Any Injection (N=100, 49)
    30.0
    30%
    18.4
    36.8%
    Grade 3 Fever; Post-Any Injection (N=100, 49)
    8.0
    8%
    6.1
    12.2%
    Headache; Post-Any Injection (N=100, 49)
    61.0
    61%
    51
    102%
    Grade 3 Headache; Post-Any Injection (N=100, 49)
    15.0
    15%
    20.4
    40.8%
    Malaise; Post-Any Injection (N=100, 49)
    40.0
    40%
    32.7
    65.4%
    Grade 3 Malaise; Post-Any Injection (N=100, 49)
    11.0
    11%
    6.1
    12.2%
    Myalgia; Post-Any Injection (N=100, 49)
    42.0
    42%
    42.9
    85.8%
    Grade 3 Myalgia; Post-Any Injection (N=100, 49)
    6.0
    6%
    8.2
    16.4%
    Asthenia; Post-Any Injection (N=100, 49)
    35.0
    35%
    20.4
    40.8%
    Grade 3 Asthenia; Post-Any Injection (N=100, 49)
    8.0
    8%
    4.1
    8.2%
    Fever; Post-Injection 1 (N=98, 48)
    15.3
    15.3%
    10.4
    20.8%
    Grade 3 Fever; Post-Injection 1 (N=98, 48)
    3.1
    3.1%
    2.1
    4.2%
    Headache; Post-Injection 1 (N=99, 49)
    48.5
    48.5%
    40.8
    81.6%
    Grade 3 Headache; Post-Injection 1 (N=99, 49)
    8.1
    8.1%
    10.2
    20.4%
    Malaise; Post-Injection 1 (N=99, 49)
    31.3
    31.3%
    18.4
    36.8%
    Grade 3 Malaise; Post-Injection 1 (N=99, 49)
    3.0
    3%
    2
    4%
    Myalgia; Post-Injection 1 (N=99, 49)
    32.3
    32.3%
    30.6
    61.2%
    Grade 3 Myalgia; Post-Injection 1 (N=99, 49)
    2.0
    2%
    6.1
    12.2%
    Asthenia; Post-Injection 1 (N=99, 49)
    22.2
    22.2%
    10.2
    20.4%
    Grade 3 Asthenia; Post-Injection 1 (N=99, 49)
    4.0
    4%
    4.1
    8.2%
    Fever; Post-Injection 2 (N=92, 47)
    8.7
    8.7%
    4.3
    8.6%
    Grade 3 Fever; Post-Injection 2 (N=92, 47)
    2.2
    2.2%
    0
    0%
    Headache; Post-Injection 2 (N=94, 47)
    28.7
    28.7%
    34
    68%
    Grade 3 Headache; Post-Injection 2 (N=94, 47)
    5.3
    5.3%
    6.4
    12.8%
    Malaise; Post-Injection 2 (N=94, 47)
    18.1
    18.1%
    17
    34%
    Grade 3 Malaise; Post-Injection 2 (N=94, 47)
    6.4
    6.4%
    4.3
    8.6%
    Myalgia; Post-Injection 2 (N=94, 47)
    20.2
    20.2%
    21.3
    42.6%
    Grade 3 Myalgia; Post-Injection 2 (N=94, 47)
    3.2
    3.2%
    4.3
    8.6%
    Asthenia; Post-Injection 2 (N=94, 47)
    12.8
    12.8%
    14.9
    29.8%
    Grade 3 Asthenia; Post-Injection 2 (N=94, 47)
    3.2
    3.2%
    0
    0%
    Fever; Post-Injection 3 (N=82, 43)
    11.0
    11%
    7
    14%
    Grade 3 Fever; Post-Injection 3 (N=82, 43)
    3.7
    3.7%
    7
    14%
    Headache; Post-Injection 3 (N=89, 45)
    27.0
    27%
    20
    40%
    Grade 3 Headache; Post-Injection 3 (N=89, 45)
    5.6
    5.6%
    8.9
    17.8%
    Malaise; Post-Injection 3 (N=89, 45)
    15.7
    15.7%
    11.1
    22.2%
    Grade 3 Malaise; Post-Injection 3 (N=89, 45)
    2.2
    2.2%
    0
    0%
    Myalgia; Post-Injection 3 (N=89, 45)
    20.2
    20.2%
    11.1
    22.2%
    Grade 3 Myalgia; Post-Injection 3 (N=89, 45)
    2.2
    2.2%
    0
    0%
    Asthenia; Post-Injection 3 (N=89, 45)
    14.6
    14.6%
    4.4
    8.8%
    Grade 3 Asthenia; Post-Injection 3 (N=89, 45)
    2.2
    2.2%
    0
    0%

    Adverse Events

    Time Frame Adverse events were collected from Day 0 (post-vaccination) up to Day 14 post-Injection 3
    Adverse Event Reporting Description
    Arm/Group Title CYD Dengue Vaccine Group Control Group
    Arm/Group Description Participants received 3 injections of the CYD dengue vaccine, 1 injection each at 0, 6, and 12 months. Participants received 3 injections of placebo, 1 injection each at 0, 6, and 12 months.
    All Cause Mortality
    CYD Dengue Vaccine Group Control Group
    Affected / at Risk (%) # Events Affected / at Risk (%) # Events
    Total / (NaN) / (NaN)
    Serious Adverse Events
    CYD Dengue Vaccine Group Control Group
    Affected / at Risk (%) # Events Affected / at Risk (%) # Events
    Total 5/100 (5%) 3/50 (6%)
    Gastrointestinal disorders
    Abdominal pain 0/100 (0%) 0 1/50 (2%) 1
    Food poisoning 1/100 (1%) 1 0/50 (0%) 0
    Infections and infestations
    Abdominal wall abscess 1/100 (1%) 1 0/50 (0%) 0
    Appendicitis 1/100 (1%) 1 1/50 (2%) 1
    Cellulitis 2/100 (2%) 2 0/50 (0%) 0
    Gastroenteritis 0/100 (0%) 0 1/50 (2%) 1
    Injury, poisoning and procedural complications
    Multiple injuries 0/100 (0%) 0 1/50 (2%) 1
    Pregnancy, puerperium and perinatal conditions
    Intra uterine death 1/100 (1%) 1 0/50 (0%) 0
    Other (Not Including Serious) Adverse Events
    CYD Dengue Vaccine Group Control Group
    Affected / at Risk (%) # Events Affected / at Risk (%) # Events
    Total 61/100 (61%) 25/50 (50%)
    Blood and lymphatic system disorders
    Lymphadenopathy 9/100 (9%) 9 1/50 (2%) 2
    Eye disorders
    Conjunctivitis 11/100 (11%) 11 7/50 (14%) 7
    Gastrointestinal disorders
    Abdominal pain 12/100 (12%) 16 4/50 (8%) 6
    Nausea 8/100 (8%) 11 0/50 (0%) 0
    Vomiting 7/100 (7%) 7 2/50 (4%) 2
    General disorders
    Injection site Pain; Post Any Injection 40/100 (40%) 40 20/49 (40.8%) 20
    Injection site Swelling; Post Any Injection 5/100 (5%) 5 2/49 (4.1%) 2
    Fever; Post Any Injection 30/100 (30%) 30 9/49 (18.4%) 9
    Malaise; Post-Any Injection 40/100 (40%) 40 16/49 (32.7%) 16
    Asthenia; Post-Any Injection 35/100 (35%) 35 10/49 (20.4%) 10
    Infections and infestations
    Nasopharyngitis 12/100 (12%) 12 6/50 (12%) 6
    Rhinitis 6/100 (6%) 7 2/50 (4%) 2
    Tonsillitis 5/100 (5%) 5 0/50 (0%) 0
    Upper respiratory tract infection 18/100 (18%) 19 3/50 (6%) 3
    Injury, poisoning and procedural complications
    Limb injury 6/100 (6%) 6 4/50 (8%) 4
    Wound 0/100 (0%) 0 3/50 (6%) 3
    Musculoskeletal and connective tissue disorders
    Myalgia; Post-Any Injection 42/100 (42%) 42 21/49 (42.9%) 21
    Nervous system disorders
    Headache: Post Any Injection 61/100 (61%) 61 25/49 (51%) 25
    Respiratory, thoracic and mediastinal disorders
    Cough 6/100 (6%) 7 4/50 (8%) 4

    Limitations/Caveats

    [Not Specified]

    More Information

    Certain Agreements

    Principal Investigators are NOT employed by the organization sponsoring the study.

    Sponsor must have the opportunity to review at least 60 days prior to submission for publication or presentation. If review indicates that potentially patentable subject matter would be disclosed, publication or public disclosure may be delayed for a maximum of an additional 60 days to allow for filing the necessary patent applications

    Results Point of Contact

    Name/Title Medical Director
    Organization Sanofi Pasteur Inc.
    Phone
    Email RegistryContactUs@sanofipasteur.com
    Responsible Party:
    Sanofi Pasteur, a Sanofi Company
    ClinicalTrials.gov Identifier:
    NCT01187433
    Other Study ID Numbers:
    • CYD30
    • UTN: U1111-1111-6073
    First Posted:
    Aug 24, 2010
    Last Update Posted:
    Mar 21, 2022
    Last Verified:
    Mar 1, 2022