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A phase II, randomized, safety and immunogenicity trial of a re-derived, live-attenuated dengue virus vaccine in healthy children and adults living in puerto rico

  • Kristen Bauer
  • , Ines O. Esquilin
  • , Alberto Santiago Cornier
  • , Stephen J. Thomas*
  • , Ana I.Quintero Del Rio
  • , Jorge Bertran-Pasarell
  • , Javier O.Morales Ramirez
  • , Clemente Diaz
  • , Simon Carlo
  • , Kenneth H. Eckels
  • , Elodie Tournay
  • , Jean Francois Toussaint
  • , Rafael De La Barrera
  • , Stefan Fernandez
  • , Arthur Lyons
  • , Wellington Sun
  • , Bruce L. Innis
  • *Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

36 Scopus citations

Abstract

This was a double-blind, randomized, controlled, phase II clinical trial, two dose study of re-derived, liveattenuated, tetravalent dengue virus (TDEN) vaccine (two formulations) or placebo in subjects 1-50 years of age. Among the 636 subjects enrolled, 331 (52%) were primed, that is, baseline seropositive to at least one dengue virus (DENV) type. Baseline seropositivity prevalence increased with age (10% [< 2 years], 26% [2-4 years], 60% [5-20 years], and 93% [21-50 years]). Safety profiles of TDEN vaccines were similar to placebo regardless of priming status. No vaccine-related serious adverse events (SAEs) were reported. Among unprimed subjects, immunogenicity (geometric mean antibody titers [GMT] and seropositivity rates) for each DENV increased substantially in both TDEN vaccine groups with at least 74.6%seropositive for four DENV types. The TDEN vaccine candidate showed an acceptable safety and immunogenicity profile in children and adults ranging from 1 to 50 years of age, regardless of priming status.

Original languageEnglish
Pages (from-to)441-453
Number of pages13
JournalAmerican Journal of Tropical Medicine and Hygiene
Volume93
Issue number3
DOIs
StatePublished - 1 Sep 2015

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