A Phase III Control Study of the Safety and Immunogenicity of vYF in Pediatric Population

Trial statusRecruiting
Trial phasePhase 3
Trial typeInterventional
Biological sexAll
Age9-5
SponsorSanofi

About this trial

The purpose of this study is to determine whether vYF (investigational vaccine) is safe and can help the body to develop antibodies (immunogenicity) compared with Stamaril vaccine and YF-VAX vaccine (both licensed vaccines) and when they are co-administered with Measles Mumps Rubella (MMR) vaccines in infants aged 11-15 months.

Number of Participants:

A total of 2440 participants is planned to be enrolled in VYF04 study.

Study Arms and Duration:

Eligible participants will be randomized in 2 independent groups (9-24 months, 2-5 years) to receive 1 dose of either vYF or Stamaril or YF-VAX in a 2:1:1 ratio within each age group. An additional group with participants of 11-15 months of age will also receive at the same vaccination visit vYF and a single dose of MMR vaccine.

For the 2nd step (YF booster vaccine administration in a subset), at the Year (Y) 3 visit, a subset of 120 participants of the 9-24 months of age group who did receive a YF vaccine on Day(D) 01 will be invited to join a booster dose assessment (booster dose administered after the Y3 visit blood sample has been taken). Participants aged 11 to 15 months at the time of the concomitant administration of vYF and MMR will not be eligible for receiving a booster dose.

The duration of each participation will be approximately 3 years for all participants (including participants co-administered on D01 with vYF and MMR), and 6 more months post-booster dose administration for the participants enrolled in the booster subset.

Eligibility criteria

This trial accepts healthy volunteers

Qualifiers

Aged 9 months to 5 years on the day of inclusion*

Aged 11 to 15 months* on the day of inclusion for participants enrolled in the MMR co-administration group

Participants who are healthy as determined by medical evaluation including medical history and physical examination

For infants*, born after a gestation period of 27 through 36 weeks and medically stable as assessed by the investigator, based on the following definition: "Medically stable" refers to the condition of premature infants who do not require significant medical support or ongoing management for debilitating disease and who have demonstrated a clinical course of sustained recovery by the time they receive the first dose of study intervention

Disqualifiers

Known or suspected congenital or acquired immunodeficiency; or receipt of immunosuppressive therapy, such as anti-cancer chemotherapy irradiation therapy, within the preceding 6 months; or long-term systemic corticosteroid therapy (prednisone or equivalent for more than 2 consecutive weeks within the past 3 months)

Known history of FV infection

Known systemic hypersensitivity to any of the study intervention components, eggs or history of a life-threatening reaction to the study interventions used in the study or to a product containing any of the same substances

Moderate or severe acute illness/infection (according to Investigator judgment) or febrile illness (temperature ≥ 38.0°C [≥ 100.4°F]) on the day of study intervention administration. A prospective participant should not be included in the study until the condition has resolved or the febrile event has subsided.

Trial design

Design model

Parallel

Treatments tested in this trial

  • Yellow fever vaccine (live)

    Biological/Vaccine

    Powder and diluent for suspension for injection Subcutaneous

  • Yellow fever vaccine (live)

    Biological/Vaccine

    Powder and diluent for suspension for injection Subcutaneous

  • Yellow fever vaccine (live)

    Biological/Vaccine

    Powder and diluent for suspension for injection Subcutaneous

  • Measles, combinations with mumps and rubella, live attenuated

    Biological/Vaccine

    Powder, lyophilized, for suspension for reconstitution Subcutaneous or intermuscular

Treatment groups

2,440 Participants
are divided into 7 treatment groups

7

Treatment groups

See each treatment group below.

Group A: Group 1 (9-24 months)Experimental treatment 1 intervention
Group B: Group 2 (9-24 months)Active comparator 1 intervention
Group C: Group 3 (9-24 months)Active comparator 1 intervention
Group D: Group 4 (2-5 years)Experimental treatment 1 intervention
Group E: Group 5 (2-5 years)Active comparator 1 intervention
Group F: Group 6 (2-5 years)Active comparator 1 intervention
Group G: Group 7 (approximately 11-15 months)Experimental treatment 2 interventions

Trial outcomes

Primary outcomes

1

Percentage of participants with seroconversion to YF virus after 1 dose of vYF compared to seroconversion after 1 dose of the Stamaril in YF-naive participants (9-24 months)

Seroconversion rates will be assessed using a YF MN assay Seroconversion is defined as a 4-fold increase in NAb titers as compared to the pre-vaccination value

Time frame
At Day 29, 28 days post-vaccination (on Day 01) with vYF or Stamaril
2

Percentage of participants with seroconversion to YF virus after 1 dose of vYF compared to seroconversion after 1 dose of the YF-VAX in YF-naive participants (9-24 months)

Seroconversion rates will be assessed using a YF MN assay Seroconversion is defined as a 4-fold increase in NAb titers as compared to the pre-vaccination value

Time frame
At Day 29, 28 days post-vaccination (on Day 01) with vYF or YF-VAX
3

Percentage of participants with seroconversion to YF virus after 1 dose of vYF compared to seroconversion after 1 dose of the Stamaril in YF-naive participants (2-5 years)

Seroconversion rates will be assessed using a YF MN assay Seroconversion is defined as a 4-fold increase in NAb titers as compared to the pre-vaccination value

Time frame
At Day 29, 28 days post-vaccination (on Day 01) with vYF or Stamaril
4

Percentage of participants with seroconversion to YF virus after 1 dose of vYF compared to seroconversion after 1 dose of the YF-VAX in YF-naive participants (2-5 years)

Seroconversion rates will be assessed using a YF MN assay Seroconversion is defined as a 4-fold increase in NAb titers as compared to the pre-vaccination value

Time frame
At Day 29, 28 days post-vaccination (on Day 01) with vYF or YF-VAX

Secondary outcomes

1

Percentage of participants, by age group, with seroconversion to YF virus in all investigational vaccine groups before (Day 01) and after investigational vaccine administration at various timepoints

Seroconversion rates will be assessed using a YF MN assay Seroconversion is defined as a 4-fold increase in NAb titers as compared to the pre-vaccination value

Time frame
At Day 01 and at Day 11 (in a subset), Day 15 (in a subset), Day 29, Month 6, and yearly from Year 1 to Year 3
2

Percentage of participants, by age group, with seroprotection to YF virus in all investigational vaccine groups before (Day 01) and after investigational vaccine administration at various timepoints

Seroprotection is defined as NAb titers ≥ 10 (1/dil) at the corresponding timepoint

Time frame
At Day 01 and at Day 11 (in a subset), Day 15 (in a subset), Day 29, Month 6, and yearly from Year 1 to Year 3
3

Geometric Mean Titers (GMTs) of neutralizing antibodies against YF virus in all investigational vaccine groups, by age group, before (Day 01) and after investigational vaccine administration at various timepoints

Antibody titers are expressed as geometric mean titers

Time frame
At Day 01 and at Day 11 (in a subset), Day 15 (in a subset), Day 29, Month 6, and yearly from Year 1 to Year 3
4

Geometric Mean Titers Ratio (GMTRs) of neutralizing antibodies against YF virus in all investigational vaccine groups, by age group, before (Day 01) and after investigational vaccine administration at various timepoints

At Day 01 and at Day 11 (in a subset), Day 15 (in a subset), Day 29, Month 6, and yearly from Year 1 to Year 3

Time frame
GMTRs Day 11/Day 01 (subset only), Day 15/ D01 (subset only), Day 29/Day 01, Month 6/Day 01, Year 1/Month 6, Year 2/Year 1, Year 3/Year 2

Other outcomes

Sponsors and contacts

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