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Yellow Fever

Phase 3

Dengue | Monoclonal antibody | Infectious Disease |Sanofi|Last Updated: Mar 25, 2022

Success Probability
Approval Probability 71%
TA Base Rate26%
Adjusted LOA41%
ML RiskLOW_RISK
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Market & Valuation
rNPV $3.2B
Market Size $9.4B
Revenue Basis $1.6B
Competitors 6
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Trial Design
RandomizedDouble-BlindACTIVE_CONTROLLEDDMCBiomarker
Total Trials2
Total Enrollment1,182
FDA Designations
No designations recorded
Clinical Trials (2)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT01436396Study of Yellow Fever Vaccine Administered With Tetravalent Dengue Vaccine in Healthy ToddlersPHASE3 COMPLETED 792Sep 7, 2011Sep 2, 2013Mar 25, 20222 Colombia, Peru
NCT01488890Immune Response to Different Schedules of a Tetravalent Dengue Vaccine Given With or Without Yellow Fever VaccinePHASE2 COMPLETED 390Dec 6, 2011Sep 27, 2013Mar 24, 20227 United States
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Study Endpoints
Primary Endpoints
Percentage of Flavi Virus (FV) Non-immune Participants With Seroconversion Against YF Antigen After Vaccination With Yellow Fever (YF) Vaccine (Stamaril®) Concomitantly With Either CYD Dengue Vaccine or a Placebo
28 days Post-Injection 1

Neutralizing antibodies against YF were assessed using a YF virus plaque reduction neutralization test (YF PRNT50) assay. Seroconversion was defined as YF antibodies \>=10 (1/dilution \[dil\]) in flavivirus non-immune participants (defined as those with YF antibodies \<10 \[1/dil\] for all serotypes (Serotype 1, 2, 3 and 4) with parental dengue virus strains and for YF virus).

Geometric Mean Titers (GMTs) of Antibodies Against Each Dengue Virus Serotype Following Injection (Inj.) With CYD Dengue Vaccine Dose 3: Group 1 and Group 2
Pre-injection 1, 28 days and 6 months post-injection 3

GMTs of antibodies against each dengue virus serotype (parental strain) was assessed using the dengue plaque reduction neutralization test (PRNT).

Percentage of Participants With Seropositivity Against Each Dengue Virus Serotype Following Injection With CYD Dengue Vaccine Dose 3: Group 1 and Group 2
Pre-injection 1, 28 days and 6 months post-injection 3

Seropositivity against each dengue virus serotypes (parental strains) was assessed using the dengue PRNT. Seropositive participants were defined as the participants with neutralizing antibody titer \>=10 (1/dilution).

Secondary Endpoints
Percentage of All Participants With Seroconversion Against YF Antigen After Vaccination With YF Vaccine (Stamaril®) Concomitantly With Either CYD Dengue Vaccine or a Placebo
28 days Post-Injection 1
Geometric Mean Titers (GMTs) of YF Antibodies in All Participants Following Vaccination With YF Vaccine (Stamaril®) Concomitantly With Either CYD Dengue Vaccine or a Placebo
Pre-Injection 1 and 28-days Post-Injection 1
Geometric Mean Titer Ratios (GMTRs) of YF Antibodies in All Participants Following Vaccination With YF Vaccine (Stamaril®) Concomitantly With Either CYD Dengue Vaccine or a Placebo
Pre-Injection 1 and 28- days Post-Injection 1
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Study Design & Arms
AllocationRANDOMIZED
MaskingTRIPLE
ModelPARALLEL
PurposePREVENTION
Treatment Arms
ArmTypeDescription
CYD Dengue Vaccine GroupEXPERIMENTALParticipants received the Stamaril® and the CYD dengue vaccine (Injection 1) at enrolment (Month \[M\] 0) at age 12 to 13 months; measles, mumps and rubella vaccine, pneumococcal conjugated vaccine, hepatitis A vaccine at M1 (age 13 to 14 months); CYD dengue vaccine (Injection 2) at M6 (age 18 to 19 months); diphtheria, tetanus, acellular pertussis, inactivated polio and Haemophilus influenza type b (DTaP-IPV/Hib) vaccine at M7 (age 19 to 20 months); and CYD dengue vaccine (Injection 3) at M12 (age 24 to 25 months); and hepatitis A vaccine at M13 (age 25 to 26 months).
Placebo GroupEXPERIMENTALParticipants received the Stamaril® vaccine and placebo matched to CYD vaccine (Injection 1) at enrolment (M0) (age 12 to 13 months); measles, mumps, and rubella vaccine, pneumococcal conjugate vaccine and hepatitis A vaccine at M1 (age 13 to 14 months); CYD dengue vaccine (Injection 2) at M6 (age 18 to 19 months); DTaP IPV/Hib vaccine at M7 (age19 to 20 months); and CYD dengue vaccine (Injection 3) at M12 (age 24 to 25 months); and hepatitis A vaccine at M13 (age 25 to 26 months).
CYD Dengue vaccine: Group 1EXPERIMENTALParticipants received 3 doses of CYD dengue vaccine; one each at 0, 6 and 12 months.
CYD Dengue vaccine: Group 2EXPERIMENTALParticipants received 3 doses of CYD dengue vaccine; one each at 0, 2 and 6 months.
CYD Dengue and Yellow Fever vaccine: Group 3EXPERIMENTALParticipants received 3 doses of CYD dengue vaccine; one each at 0, 2 and 6 months, and single dose of YF vaccine at Day 0.
Yellow Fever vaccine: Group 4ACTIVE_COMPARATORParticipants received single dose of YF vaccine at Day 0.
Interventions
NameTypeDescription
Live, attenuated dengue serotype 1, 2, 3, and 4 virusBIOLOGICAL0.5 mL, subcutaneous at age 12, 18, and 24 months
Yellow fever vaccineBIOLOGICAL0.5 mL subcutaneous in the deltoid at age 12 to 13 months.
Measles, mumps, and rubella (MMR) vaccineBIOLOGICAL0.5 mL, subcutaneous at age 12 to 13 months.
Pneumococcal Conjugated VaccineBIOLOGICAL0.5 mL, intramuscular at age 13 to 14 months
Hepatitis A Pediatric VaccineBIOLOGICAL0.5 mL, intramuscular at age 13 to 14 months and 25 to 26 months
Diphtheria, tetanus, pertussis, polio, and Haemophilus influenzae vaccineBIOLOGICAL0.5 mL, intramuscular at age 19 to 20 months
Placebo (NaCl)BIOLOGICAL0.5 mL, subcutaneous at age 12 to 13 months
Measles, mumps, and rubella vaccineBIOLOGICAL0.5 mL, subcutaneous at age 13 to 14 months
Live, attenuated, recombinant dengue serotypes 1, 2, 3, and 4 virusBIOLOGICAL0.5 mL, Subcutaneous
Yellow FeverBIOLOGICAL0.5 mL, Subcutaneous
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Eligibility Criteria
Age Range12 Months — 13 Months
SexALL
Healthy VolunteersYes
Study Sites2

Inclusion Criteria: * Aged 12 to 13 months on the day of inclusion. * Born at full term of pregnancy (\>=37 weeks) and with a birth weight \>=2.5 kg as reported by the parent/legally acceptable representative. * Participant in good health, based on medical history and physical examination. * Partic...

Countries:ColombiaPeruUnited States
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