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Dengue Serostatus Study in the Philippines

NCT03465254 — Unknown, 2996 participants, University of the Philippines

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Effect of Baseline Dengue Serostatus Among Tetravalent Dengue Vaccine CYDTDV (Dengvaxia®) Recipients on Subsequent Virologically Confirmed Dengue in the Philippines

RegistryNCT03465254
StatusUnknown
Study typeObservational
Enrollment2996 (Actual)
SponsorUniversity of the Philippines (Other); collaborators: Department of Health, Philippines, World Health Organization, Research Institute for Tropical Medicine, Philippines, University of North Carolina, La Jolla Institute for Allergy & Immunology, International Vaccine Institute
ConditionsDengue, Severe Dengue, Dengue Fever, Virologically-confirmed Dengue
Datesstart 2016-11-01, primary completion 2022-10-31, completion 2023-06-01 (estimated), first posted 2018-03-14, last updated 2023-05-17

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-Summary

This is an observational study for 5 years, and aims to determine the risk of developing dengue among Philippine children who are eligible to receive the dengue vaccine during the DOH mass dengue vaccination, by dengue serostatus at baseline.

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+Detailed description

This is a cohort study that aims to determine the relative risk of developing virologically-confirmed dengue among Philippine children who are eligible to receive dengue vaccine during the DOH Mass Dengue Vaccination. Additionally, it also aims to determine the relative risk of developing severe and/or hospitalized virologically-confirmed dengue among Philippine children who received the Dengue vaccine, describe the epidemiologic trends and characteristics of virologically-confirmed dengue among these children, and assess the performance of simpler tests such as dried blood spots and serum IgG for the assessment of dengue seroprevalence at the population level. We will enroll children who are residents of selected areas in Region 7, Philippines. Children should be eligible to participate in the Department of Health mass dengue vaccination. They will be prospectively venipunctured for baseline dengue serologic status. The blood samples will be stored for serologic testing using neutralization tests and commercial IgG tests. Children in the cohort will be followed up, and those who present with <5 days of fever will be identified and blood drawn for dengue LAMP and RT-PCR.

+Arms and interventions

ArmTypeInterventionsDescription
CohortRecruited members of the cohort are children aged 9-14 years old and eligible to receive the dengue vaccine at the time of the initiation of community-based dengue immunization program of the Department of Health.

+Outcome measures

Primary outcomes

  • virologically-confirmed dengue (VCD) [5 years]: The primary outcome measure is virologically confirmed dengue by RT-PCR

+Eligibility

Sex: All, ages: 9 Years to 14 Years, accepts healthy volunteers

Inclusion criteria:

* Provide signed informed consent and assent (as applicable)
* Be a child belonging to the specified age group and resident of the targeted communities of the DOH dengue mass immunization
* Be eligible to receive dengue vaccine during the DOH dengue mass immunization in 2017

Exclusion criteria:

* Any subject whose parent/guardian refuse to provide informed consent and/or assent
* Children who do not belong to the specified age groups and not residents of the targeted communities
* Children <9 years old
* Children with history of bleeding disorder
* Any subject previously enrolled in a dengue vaccine clinical trial

+Publications

  • Results publication: Mpingabo PI, Ylade M, Aogo RA, Crisostomo MV, Thiono DJ, Daag JV, Agrupis KA, Escoto AC, Raimundi-Rodriguez GL, Odio CD, Fernandez MA, White L, de Silva AM, Deen J, Katzelnick LC. Protective envelope dimer epitope-like antibodies are elicited against dengue virus in children after infection and vaccination. Sci Transl Med. 2025 Jul 23;17(808):eadq0571. doi: 10.1126/scitranslmed.adq0571. Epub 2025 Jul 23. PMID 40700517
  • Results publication: Lopez AL, Adams C, Ylade M, Jadi R, Daag JV, Molloy CT, Agrupis KA, Kim DR, Silva MW, Yoon IK, White L, Deen J, de Silva AM. Determining dengue virus serostatus by indirect IgG ELISA compared with focus reduction neutralisation test in children in Cebu, Philippines: a prospective population-based study. Lancet Glob Health. 2021 Jan;9(1):e44-e51. doi: 10.1016/S2214-109X(20)30392-2. Epub 2020 Nov 16. PMID 33212030

+Investigators

My Notes