Article
Author: Biswal, Shibadas ; Wallace, Derek ; Dietze, Reynaldo ; Fan, Huihao ; LeFevre, Inge ; Pujitha Wickramasinghe, V ; López-Medina, Eduardo ; Escudero, Ian ; Gunasekera, Dulanie ; Fernando, Asvini ; Rivera, Luis ; Fernando, LakKumar ; Tuboi, Suely ; Brose, Manja ; Rauscher, Martina ; Moreira, Edson Duarte ; Lopez, Pio ; Fernando, Asvini D ; Velásquez, Hector ; Saez-Llorens, Xavier ; Luz, Kleber ; Lloyd, Eric ; Bravo, Lulu ; Wickramasinghe, V Pujitha ; Yu, Delia ; Rodriguez-Arenales, Edith Johanna ; Borja-Tabora, Charissa ; Borkowski, Astrid ; Venâncio da Cunha, Rivaldo ; Vargas, Luis Martinez ; Tricou, Vianney ; da Cunha, Rivaldo Venâncio ; Sirivichayakul, Chukiat ; Jimeno, Jose ; Alera, Maria Theresa ; Hutagalung, Yanee ; Watanaveeradej, Veerachai ; Kosalaraksa, Pope ; Reynales, Humberto ; Oliveira, Ana Lucia ; Espinoza, Felix ; Folschweiller, Nicolas ; Manacharoen, Onanong
AbstractBackgroundWe explored the impact of prior yellow fever (YF) or Japanese encephalitis (JE) vaccination on the efficacy of Takeda's dengue vaccine candidate, TAK-003.MethodsChildren 4–16 years of age were randomized 2:1 to receive TAK-003 or placebo and were under active febrile surveillance. Symptomatic dengue was confirmed by serotype-specific reverse-transcription polymerase chain reaction. YF and JE vaccination history was recorded.ResultsOf the 20 071 children who received TAK-003 or placebo, 21.1% had a YF and 23.9% had a JE vaccination history at randomization. Fifty-seven months after vaccination, vaccine efficacy (95% confidence interval) was 55.7% (39.7%–67.5%) in those with YF vaccination, 77.8% (70.8%–83.1%) for JE vaccination, and 53.5% (45.4%–60.4%) for no prior YF/JE vaccination. Regional differences in serotype distribution confound these results. The apparent higher vaccine efficacy in the JE vaccination subgroup could be largely explained by serotype-specific efficacy of TAK-003. Within 28 days of any vaccination, the proportions of participants with serious adverse events in the YF/JE prior vaccination population were comparable between the TAK-003 and placebo groups.ConclusionsThe available data do not suggest a clinically relevant impact of prior JE or YF vaccination on TAK-003 performance. Overall, TAK-003 was well-tolerated and efficacious in different epidemiological settings.Clinical Trials Registration. NCT02747927.