Chikungunya Vaccine (V184) Study in Previously Exposed Adults (V184-006)
Condition: Chikungunya Virus Infection
MeSH terms: Chikungunya Fever
Intervention: V184; Placebo
Intervention description: Recombinant live Schwarz-strain measles-vectored vaccine expressing chikungunya virus structural proteins. Liquid frozen, life attenuated, measles vectored V184 vaccine administered via IM injection at 5 × 10^5 TCID50 (+/- 0.5 log) per dose.; Sterile physiological saline for IM injection
Intervention MeSH terms: Vaccines
Phase: Phase 2
Study type: Interventional
Primary purpose: Prevention
Allocation: Randomized
Intervention model: Parallel Assignment
Intervention model description: Placebo-controlled, randomized, double-blinded, interventional, safety study
Masking: Double (Participant, Investigator)
Masking description: Study medication is available as liquid frozen vaccine product or saline for injection (placebo). The actual study injections will be forwarded to the investigator (injector) in a blinded fashion (injection ready syringes containing either vaccine or placebo).
Enrollment: 41.0
Sex: All
Minimum age: 21 Years
Maximum age: 65 Years
Healthy volunteers: Accepts Healthy Volunteers

Summary:

      Safety and immunogenicity of the investigational V184 chikungunya vaccine will be tested in
      participants with history of chikungunya infection. Initially 21 to 50 year old participants
      will be enrolled; after favorable review of safety data, participants aged 51 to 65 will be
      enrolled.
    

Eligibility criteria:

        Inclusion Criteria:

          -  Previous infection with chikungunya as verified by a serum immunoassay.

          -  Able to provide informed consent.

          -  Available and accessible for the duration of the trial.

          -  Able and willing to comply with all requirements of the study.

          -  For women of childbearing potential, willing to practice adequate contraception for
             the duration of the study.

          -  Medical history and physical examination findings are considered normal or not
             clinically significant in the opinion of the Investigator, which includes resolution
             of any arthralgias that may have occurred during prior chikungunya infection, as well
             as the absence of synovitis.

          -  Laboratory values are considered normal or not clinically significant in the opinion
             of the Investigator. If laboratory screening tests are out of the normal reference
             range and of potential clinical significance, the test(s) may be repeated up to 2
             times (a total of 3 per screening evaluation) at the discretion of the Investigator,
             and the repeat values and their potential clinical significance will be used to
             determine eligibility.

          -  History of immunity to measles. For persons born after 1957, this will be established
             by a history of compliance with vaccination policies that included measles vaccination
             or known vaccination as an adult at least one month before they are randomized.
             Volunteers born before 1957 will be presumed to have immunity to measles based on
             natural exposure in accordance with US Centers for Disease Control and Prevention
             (CDC) guidelines [McLean 2013].

        Exclusion Criteria:

          -  Taking medication or other treatment for unresolved symptoms attributed to a previous
             chikungunya virus infection.

          -  Prior receipt of any investigational chikungunya or other alphavirus vaccine. To date,
             no alphavirus vaccines have been commercially available in the United States.

          -  Recent infection:

               -  self-limited upper respiratory infections until afebrile without medication for
                  >1 week;

               -  chikungunya unless/until asymptomatic (other than mild subjective symptoms not
                  requiring treatment) for >3 months;

               -  non-recurrent upper respiratory or urinary tract infections successfully treated
                  with antibiotics, until asymptomatic for 1 month after full antibiotic course has
                  been completed.

          -  History of an acute allergic or anaphylactic reaction to any vaccine.

          -  History of an immunosuppressive disorder (such as human immunodeficiency virus [HIV]
             infection, Common Variable Immune Deficiency), chronic infection (such as chronic
             hepatitis B or C), autoimmune disease (such as rheumatoid arthritis, systemic lupus
             erythematosus (SLE), autoimmune thyroid disease), or any medical condition that, in
             the opinion of the Investigator, could lead to an atypical immune response to the
             vaccine.

          -  History of moderate or severe non-traumatic arthritis or arthralgia within 3 months of
             the Screening Visit.

          -  Recent (within 30 days), current or anticipated use of any immunosuppressive or immune
             modifying medication including corticosteroids (excluding nasal, ophthalmic, and other
             topical preparations).

          -  Other vaccination or planned vaccination within 4 weeks of either study dose (seasonal
             influenza vaccine excepted).

          -  Receipt or planned receipt of blood products including immunoglobulins within 120 days
             of the Screening Visit.

          -  Pregnant or lactating or planning pregnancy during the trial.

          -  Known alcohol or other substance abuse that in the opinion of the Investigator affects
             the ability or willingness of the participant to understand and comply with the study
             protocol.

          -  Participation in another clinical study within the past 30 days in which the
             participant was exposed to an investigational product (pharmaceutical product or
             placebo or device) or planned participation in another interventional clinical study
             while participating in this study.

          -  Relevant history of any medical condition that, in the opinion of the Investigator,
             may interfere with the safety of the participant or aims of the study.

          -  History of neoplastic disease (excluding successfully treated non-melanoma skin cancer
             or cervical intraepithelial neoplasia) within the past 5 years or a history of any
             hematological malignancy.

          -  Behavioral or psychiatric disease or cognitive impairment that in the opinion of the
             Investigator affects the ability or willingness of the participant to understand and
             comply with the study protocol.

          -  Non-consent to storage of blood specimens for future research.

          -  Persons in direct relationship with the Sponsor or its contracted service providers,
             the contract research organisation (CRO) or its subcontractors, the Investigator, or
             study site staff. Direct relationship includes first degree relatives or dependents
             (children, spouse/partner, siblings or parents), as well as employees (site or
             Sponsor).