A Study in Children and Teenagers to Learn if a TDV Dengue Vaccination Lowers the Chance of Hospital Stays for Dengue
The Association Between Prior Exposure to Dengue Tetravalent Vaccine (Live, Attenuated) (TDV) and Dengue Hospitalization in a Pediatric and Adolescent Population: A Nested Case-Control Post-Authorization Effectiveness Study
2 other identifiers
observational
70,000
3 countries
7
Brief Summary
The main aim of this study is to collect more information on the effectiveness of TDV when used in a pilot public vaccination program for children and adolescents participating in a community-based cohort in Southeast Asian countries with high dengue transmission, specifically Thailand, Indonesia, and Malaysia where TDV is already approved for use. The study will include cohort participants (individual follow-up of 3 years) who may or may not later be vaccinated with TDV as part of a pilot public vaccination program in the study countries. The study will investigate if cohort participants who were vaccinated with TDV have less hospital stays due to dengue than cohort participants who were not vaccinated with TDV. The study will also provide further information on the effectiveness of TDV against the least common dengue virus serotypes (DENV-3 and DENV-4).
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for all trials
Started Mar 2025
Longer than P75 for all trials
7 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
February 20, 2025
CompletedFirst Posted
Study publicly available on registry
February 24, 2025
CompletedStudy Start
First participant enrolled
March 5, 2025
CompletedPrimary Completion
Last participant's last visit for primary outcome
December 31, 2029
ExpectedStudy Completion
Last participant's last visit for all outcomes
December 31, 2029
April 16, 2026
April 1, 2026
4.8 years
February 20, 2025
April 13, 2026
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Hospitalization Due to VCD of Any Dengue Serotype in Unvaccinated and Fully Vaccinated Participants
Number of participants hospitalized due to VCD of any dengue serotype in unvaccinated and fully vaccinated participants.
Up to Month 36
Secondary Outcomes (3)
Hospitalization Due to VCD By Each Infecting Dengue Serotype (DENV-1, DENV-2, DENV-3, DENV-4) in Unvaccinated and Fully Vaccinated Participants
Up to Month 36
Hospitalization Due to VCD by Baseline Dengue Serostatus (Seronegative and Seropositive) of Any Dengue Serotype in Unvaccinated and Fully Vaccinated Participants
Up to Month 36
Hospitalization Due to VCD By Each Infecting Dengue Serotype and Baseline Dengue Serostatus in Unvaccinated and Fully Vaccinated Participants
Up to Month 36
Study Arms (1)
Nested Case-control Participants
The cohort will include case and control participants. Case participants who are hospitalized and meet the study inclusion and exclusion criteria for cases, have CDD, and have a confirmed positive RT-PCR test result (VCD) will be ascertained by active hospital surveillance. Control participants who are matched to a case and meet the study inclusion and exclusion criteria for controls but have not been hospitalized with VCD on or before their case's index date (first date of hospitalization for CDD for potential cases) will be interviewed.
Interventions
Eligibility Criteria
Pediatric and/or adolescent residents in the study area who are age-eligible for vaccination with TDV as part of a pilot public vaccination program (children 7-10 years in Thailand, 6-10 years in Indonesia, and 7-12 years in Malaysia).
You may qualify if:
- Cohort:
- The participant is a child or adolescent eligible to be vaccinated with TDV as part of a vaccination program planned in the study area.
- The participant's family do not intend to migrate away from the cohort hospital catchment area within 3 years of his/her enrollment into the study cohort.
- The participant's parent(s) or legally acceptable representative (LAR) signs and dates a written informed consent form (ICF), and any required privacy authorization where applicable, prior to the initiation of any study procedures, after the nature of the study has been explained according to local regulatory requirements.
- The participant signs and dates an age-appropriate assent form prior to the initiation of any study procedures, after the nature of the study has been explained according to local regulatory requirements.
- The participant's parent(s) or LAR agrees that a baseline blood sample may be taken from the participant.
- Cases:
- The participant is part of the cohort.
- The participant is hospitalized and clinically diagnosed with dengue.
- The participant has a blood sample available that was taken preferably within 5 days of fever onset and/or onset of symptoms compatible with dengue.
- The participant tested positive for dengue by RT-PCR.
- Controls:
- The participant is part of the cohort.
- The participant had not been hospitalized with VCD at any point between enrollment in the cohort and the index date (that is, when his/her matched case was hospitalized with CDD).
- The participant is a resident in the same neighbourhood as the matched case.
- +1 more criteria
You may not qualify if:
- Cases:
- The participant has been vaccinated with TDV, a tetravalent, live attenuated, chimeric dengue vaccine in a yellow fever 17D backbone (CYD-TDV), or an investigational dengue vaccine prior to cohort enrollment.
- Contraindications as per the locally approved label/product information leaflet.
- Controls:
- The participant has been vaccinated with TDV, CYD-TDV, or an investigational dengue vaccine prior to cohort enrollment.
- Contraindications as per the locally approved label/product information leaflet.
- The participant could not be contacted at the time of being selected as a control.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Takedalead
Study Sites (7)
Fakultas Kedokteran Lambung Mangkurat
Banjarmasin, South Kalimantan, 70122, Indonesia
Fakultas Kedokteran Universitas Sriwijaya
Palembang, South Sumatra, 30662, Indonesia
Fakultas Kedokteran Universitas Indonesia
Jakarta Pusat, 10430, Indonesia
Universiti Malaya Medical Centre
Kuala Lumpur, 59100, Malaysia
Pattaya Patamakhun Hospital
Chon Buri, 20150, Thailand
Nakhon Phanom Hospital
Nakhon Phanom, 48000, Thailand
Phra Nakhon Si Ayutthaya Hospital
Phra Nakhon Si Ayutthaya, 13000, Thailand
Related Links
Biospecimen
Serum Immunoglobulin G (IgG) enzyme-linked immunosorbent assay (ELISA) baseline testing for the cohort participants participating in the nested case control investigation and reverse transcription polymerase chain reaction (RT PCR) testing for clinically diagnosed dengue (CCD) hospitalised cohort participants to confirm virologically confirmed dengue (VCD).
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- STUDY DIRECTOR
Study Director
Takeda
Central Study Contacts
Study Design
- Study Type
- observational
- Observational Model
- COHORT
- Time Perspective
- PROSPECTIVE
- Sponsor Type
- INDUSTRY
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
February 20, 2025
First Posted
February 24, 2025
Study Start
March 5, 2025
Primary Completion (Estimated)
December 31, 2029
Study Completion (Estimated)
December 31, 2029
Last Updated
April 16, 2026
Record last verified: 2026-04
Data Sharing
- IPD Sharing
- Will share
- Shared Documents
- STUDY PROTOCOL, SAP, ICF, CSR
- Access Criteria
- IPD from eligible studies will be shared with qualified researchers according to the criteria and process described on https://vivli.org/ourmember/takeda/. For approved requests, the researchers will be provided access to anonymized data (to respect patient privacy in line with applicable laws and regulations) and with information necessary to address the research objectives under the terms of a data sharing agreement.
Takeda provides access to the de-identified individual participant data (IPD) for eligible studies to aid qualified researchers in addressing legitimate scientific objectives (Takeda's data sharing commitment is available on https://clinicaltrials.takeda.com/takedas-commitment?commitment=5). These IPDs will be provided in a secure research environment following approval of a data sharing request, and under the terms of a data sharing agreement.