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NCT03992872: WRAIR

Phase 2 Open-label Study of Alum-adjuvanted Chikungunya Virus-like Particle Vaccine (PXVX0317)

Completed Phase 2 Results posted Last updated 16 October 2024
What this trial tests

Phase 2 trial testing Chikungunya in Chikungunya in 60 participants. Completed in 19 January 2021.

Timeline
20 November 2019
Primary endpoint
19 January 2021
19 January 2021

Quick facts

Lead sponsorBavarian Nordic
PhasePhase 2
StatusCompleted
Study typeINTERVENTIONAL
Allocationnon randomized
Designparallel
Maskingnone
Primary purposeprevention
Enrollment60
Start date20 November 2019
Primary completion19 January 2021
Estimated completion19 January 2021
Sites2 locations across United States

Drugs / interventions tested

Conditions studied

Sponsor

Bavarian Nordic — full company profile →

Who can join

Adults 18 to 65, any sex, with Chikungunya. Patients with the condition only — healthy volunteers not accepted.

Results — posted to ClinicalTrials.gov

Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.

Percentage of Participants With 4-fold Rise in Anti-CHIKV Neutralizing Antibody Response Primary · Day 22 (21 days after vaccination)

Seroconversion, defined as a 4-fold or greater rise in neutralizing antibody against chikungunya virus, as determined by luciferase-based assay (NT80), induced by PXVX0317. PXVX0317 was administered to prior alphavirus vaccine recipients versus gender- and age-matched controls.

GroupValue95% CI
Experimental: Prior Alpha10088.6 – 100
Control: Naive Alpha10088.6 – 100
Geometric Mean Titer of Anti-CHIKV Neutralizing Antibody Response Secondary · Day 1, 8, 22, 29, 57, 182

Evaluation of Geometric Mean Titer of Anti-CHIKV neutralizing antibodies, determined by luciferase-based assay (NT80), in prior alphavirus vaccine recipients versus alphavirus-naïve controls.

Day 1
GroupValue95% CI
Experimental: Prior Alpha9.217.80 – 10.87
Control: Naive Alpha7.69NA – NA
Day 8
GroupValue95% CI
Experimental: Prior Alpha271.88163.72 – 451.49
Control: Naive Alpha87.4852.66 – 145.30
Day 22
GroupValue95% CI
Experimental: Prior Alpha2032.451412.95 – 2923.56
Control: Naive Alpha2299.181598.09 – 3307.84
Day 29
GroupValue95% CI
Experimental: Prior Alpha1555.601081.46 – 2237.61
Control: Naive Alpha1772.541118.75 – 2808.39
Day 57
GroupValue95% CI
Experimental: Prior Alpha727.91540.94 – 979.52
Control: Naive Alpha814.64567.46 – 1169.49
Day 182
GroupValue95% CI
Experimental: Prior Alpha294.35207.45 – 417.66
Control: Naive Alpha328.89231.75 – 466.74
Percentage of Participants With 4-fold Rise in Anti-CHIKV Neutralizing Antibody Response Secondary · Day 8, 29, 57, 182

Evaluation of seroconversion rate of Anti-CHIKV neutralizing antibodies, determined by luciferase-based assay (NT80), in prior alphavirus vaccine recipients versus alphavirus-naïve controls.

Day 8
GroupValue95% CI
Experimental: Prior Alpha93.378.7 – 98.2
Control: Naive Alpha66.748.8 – 80.8
Day 29
GroupValue95% CI
Experimental: Prior Alpha10088.6 – 100
Control: Naive Alpha10083.2 – 100
Day 57
GroupValue95% CI
Experimental: Prior Alpha10088.6 – 100
Control: Naive Alpha10083.9 – 100
Day 182
GroupValue95% CI
Experimental: Prior Alpha86.770.3 – 94.7
Control: Naive Alpha10088.6 – 100
Percentage of Participants With Anti-CHIKV Neutralizing Antibody at or Above Selected Thresholds Secondary · Day 1, 8, 22, 29, 57, 182

Evaluation of Anti-CHIKV neutralizing antibody response, as determined by luciferase-based assay (NT80), via proportion of participants with titers of at least 40, 160 or 640 on Days 1, 8, 22, 29, 57 and 182.

Day 1 (Titer >=40)
GroupValue95% CI
Experimental: Prior Alpha3.30.6 – 16.7
Control: Naive Alpha00.0 – 11.4
Day 1 (Titer >=160)
GroupValue95% CI
Experimental: Prior Alpha3.30.6 – 16.7
Control: Naive Alpha00.0 – 11.4
Day 1 (Titer >=640)
GroupValue95% CI
Experimental: Prior Alpha00.0 – 11.4
Control: Naive Alpha00.0 – 11.4
Day 8 (Titer >=40)
GroupValue95% CI
Experimental: Prior Alpha96.783.3 – 99.4
Control: Naive Alpha73.355.6 – 85.8
Day 8 (Titer >=160)
GroupValue95% CI
Experimental: Prior Alpha70.052.1 – 83.3
Control: Naive Alpha4024.6 – 57.7
Day 8 (Titer >=640)
GroupValue95% CI
Experimental: Prior Alpha26.714.2 – 44.4
Control: Naive Alpha10.03.5 – 25.6
Day 22 (Titer >=40)
GroupValue95% CI
Experimental: Prior Alpha10088.6 – 100
Control: Naive Alpha10088.6 – 100
Day 22 (Titer >=160)
GroupValue95% CI
Experimental: Prior Alpha10088.6 – 100
Control: Naive Alpha10088.6 – 100
Geometric Mean Titer of Anti-CHIKV Total Antibody Response Secondary · Day 1, 22, 29

Evaluation of Geometric Mean Titer of Anti-CHIKV total antibodies, determined by immunoassay (ELISA), in prior alphavirus vaccine recipients versus alphavirus-naïve controls.

Day 1
GroupValue95% CI
Experimental: Prior Alpha39.0329.85 – 51.03
Control: Naive Alpha25.7719.71 – 33.70
Day 22
GroupValue95% CI
Experimental: Prior Alpha2451.601770.49 – 3394.72
Control: Naive Alpha1338.90966.77 – 1854.27
Day 29
GroupValue95% CI
Experimental: Prior Alpha2010.721444.72 – 2798.46
Control: Naive Alpha1194.75786.21 – 1815.57
Percentage of Participants With 4-fold Rise in Anti-CHIKV Total Antibody Response Secondary · Day 22, 29

Evaluation of seroconversion rate of Anti-CHIKV total antibodies, determined by immunoassay, on Days 22 and 29, where seroconversion was a 4-fold rise in titer over baseline.

Day 22
GroupValue95% CI
Experimental: Prior Alpha10088.6 – 100
Control: Naive Alpha10086.6 – 100
Day 29
GroupValue95% CI
Experimental: Prior Alpha10088.6 – 100
Control: Naive Alpha10083.2 – 100
Geometric Mean Titer of Anti-VEEV Neutralizing Antibody Response Secondary · Day 1, 22, 29

Evaluation of Geometric Mean Titer of Anti-VEEV neutralizing antibodies, determined by Plaque-Reduction Neutralization Test (PRNT80), in prior alphavirus vaccine recipients versus alphavirus-naïve controls

Day 1
GroupValue95% CI
Experimental: Prior Alpha449.82262.84 – 769.80
Control: Naive Alpha9.96NA – NA
Day 22
GroupValue95% CI
Experimental: Prior Alpha467.95278.47 – 786.34
Control: Naive Alpha9.89NA – NA
Day 29
GroupValue95% CI
Experimental: Prior Alpha538.63291.97 – 993.67
Control: Naive Alpha9.66NA – NA
Number of Participants With Anti-CHIKV Total Antibody Titers of at Least 40,160 or 640 Secondary · Days 1, 22, and 29

Evaluation of Anti-CHIKV total antibody titer, as determined by immunoassay (ELISA), via proportion of participants with titers of at least 40, 160 or 640 on Days 1, 22, and 29.

Day 1 Titers >=40
GroupValue95% CI
Experimental: Prior Alpha15
Control: Naive Alpha4
Day 1 Titers >=160
GroupValue95% CI
Experimental: Prior Alpha4
Control: Naive Alpha1
Day 1 Titers >=640
GroupValue95% CI
Experimental: Prior Alpha0
Control: Naive Alpha0
Day 22 Titers >=40
GroupValue95% CI
Experimental: Prior Alpha30
Control: Naive Alpha30
Day 22 Titers >=160
GroupValue95% CI
Experimental: Prior Alpha30
Control: Naive Alpha30
Day 22 Titers >=640
GroupValue95% CI
Experimental: Prior Alpha30
Control: Naive Alpha26
Day 29 Titers >=40
GroupValue95% CI
Experimental: Prior Alpha30
Control: Naive Alpha19
Day 29 Titers >=160
GroupValue95% CI
Experimental: Prior Alpha30
Control: Naive Alpha19
Percentage of Participants With 4-fold Rise in Anti-VEEV Neutralizing Antibody Response Secondary · Day 22 and 29

Evaluation of seroconversion rate of anti-VEEV neutralizing antibodies on Days 22 and 29 as determined by Plaque-Reduction Neutralization Test (PRNT80), where seroconversion is a 4-fold rise in titer over baseline.

Day 22
GroupValue95% CI
Experimental: Prior Alpha00.0 – 11.4
Control: Naive Alpha00.0 – 11.4
Day 29
GroupValue95% CI
Experimental: Prior Alpha00.0 – 11.4
Control: Naive Alpha00.0 – 16.8
Percentage of Participants With Anti-VEEV PRNT Neutralizing Activity at or Above Selected Thresholds Secondary · Day 1, 22, 29

Evaluation of Anti-VEEV neutralizing antibody response, as determined by Plaque-Reduction Neutralization Test (PRNT80), via proportion of participants with titers of at least 40, 160 or 640 on Days 1, 22 and 29.

Day 1 (Titer >=40)
GroupValue95% CI
Experimental: Prior Alpha90.074.4 – 96.5
Control: Naive Alpha00.0 – 11.4
Day 1 (Titer >=160)
GroupValue95% CI
Experimental: Prior Alpha76.759.1 – 88.2
Control: Naive Alpha00.0 – 11.4
Day 1 (Titer >=640)
GroupValue95% CI
Experimental: Prior Alpha53.336.1 – 69.8
Control: Naive Alpha0.00.0 – 11.4
Day 22 (Titer >=40)
GroupValue95% CI
Experimental: Prior Alpha90.074.4 – 96.5
Control: Naive Alpha00.0 – 11.4
Day 22 (Titer >=160)
GroupValue95% CI
Experimental: Prior Alpha80.062.7 – 90.5
Control: Naive Alpha00.0 – 11.4
Day 22 (Titer >=640)
GroupValue95% CI
Experimental: Prior Alpha56.739.2 – 72.6
Control: Naive Alpha00.0 – 11.4
Day 29 (Titer >=40)
GroupValue95% CI
Experimental: Prior Alpha90.074.4 – 96.5
Control: Naive Alpha00.0 – 16.8
Day 29 (Titer >=160)
GroupValue95% CI
Experimental: Prior Alpha83.366.4 – 92.7
Control: Naive Alpha00.0 – 16.8
Geometric Mean Titer of Anti-VEEV Total Antibody Response Secondary · Day 1, 22, 29

Evaluation of Geometric Mean Titer of Anti-VEEV total antibody as determined by an immunoassay (ELISA) in prior alphavirus vaccine recipients versus alphavirus-naïve controls.

Day 1
GroupValue95% CI
Experimental: Prior Alpha324.36195.37 – 538.52
Control: Naive Alpha14.038.45 – 23.30
Day 22
GroupValue95% CI
Experimental: Prior Alpha2574.161812.27 – 3656.35
Control: Naive Alpha14.9210.50 – 21.20
Day 29
GroupValue95% CI
Experimental: Prior Alpha2006.141320.28 – 3048.31
Control: Naive Alpha16.949.97 – 28.76
Percentage of Participants With 4-fold Rise in Total ELISA IgG Antibody Against VEEV Secondary · Day 22, 29

Evaluation of seroconversion rate of Anti-VEEV total antibody, as determined by immunoassay (ELISA), on Days 22 and 29, where seroconversion is a 4-fold rise in titer over baseline.

Day 22
GroupValue95% CI
Experimental: Prior Alpha86.770.3 – 94.7
Control: Naive Alpha00.0 – 11.4
Day 29
GroupValue95% CI
Experimental: Prior Alpha80.062.7 – 90.5
Control: Naive Alpha00.0 – 16.8

Adverse events — posted to ClinicalTrials.gov

Time frame: Local and systemic post-injection solicited events were collected through Day 8. Unsolicited adverse events were collected through Day 29. Serious adverse events and adverse events leading to withdrawal were collected through Day 183 end of study visit.. Reporting threshold: 5%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Experimental : Prior Alpha
Serious: 0/30 (0%)
Deaths: 0/30
Control: Naive Alpha
Serious: 1/30 (3%)
Deaths: 0/30

Serious adverse events (1 terms)

ReactionSystemExperimental : Prior AlphaControl: Naive Alpha
Pain in extremityMusculoskeletal and connective tissue disorders
Other adverse events (6 terms — click to expand)

ReactionSystemExperimental : Prior AlphaControl: Naive Alpha
Injection site painGeneral disorders
MyalgiaMusculoskeletal and connective tissue disorders
HeadacheNervous system disorders
FatigueGeneral disorders
MalaiseGeneral disorders
ArthralgiaMusculoskeletal and connective tissue disorders

Most-reported serious reactions: Pain in extremity.

Data from ClinicalTrials.gov NCT03992872 adverse events section.

Sponsor's own description

This was a phase 2 parallel-group age- and gender-matched open label study in healthy adults 18-65 years of age to assess the safety and immunogenicity of an alum-adjuvanted chikungunya virus-like particle vaccine (PXVX0317; CHIKV VLP vaccine) in prior recipients of other alphavirus vaccines versus alphavirus naïve controls.

Publications & conference data

5 peer-reviewed publications reference this trial (live from Europe PMC):

  1. A chikungunya virus-like particle vaccine induces broadly neutralizing and protective antibodies against alphaviruses in humans.
    Raju S, Adams LJ, Earnest JT, Warfield K, et al · · 2023 · cited 33× · PMID 37196061 · DOI 10.1126/scitranslmed.ade8273
  2. Developing a Prototype Pathogen Plan and Research Priorities for the Alphaviruses.
    Powers AM, Williamson LE, Carnahan RH, Crowe JE, et al · · 2023 · cited 12× · PMID 37849399 · DOI 10.1093/infdis/jiac326
  3. Pathogenesis and clinical management of arboviral diseases.
    Cenci Dietrich V, Costa JMC, Oliveira MMGL, Aguiar CEO, et al · · 2025 · cited 6× · PMID 40134841 · DOI 10.5501/wjv.v14.i1.100489
  4. Safety and immunogenicity of an adjuvanted chikungunya virus virus-like particle (CHIKV VLP) vaccine in previous recipients of other alphavirus vaccines versus alphavirus vaccine-naive controls: an open-label, parallel-group, age-matched, sex-matched, phase 2 randomised controlle
    Hamer MJ, McCarty JM, Pierson BC, Regules JA, et al · · 2025 · cited 6× · PMID 39954701 · DOI 10.1016/j.lanmic.2024.101000
  5. Resurgence of Chikungunya virus: rising global threat and challenges in its mitigation.
    Sahu PS, Pattnaik R, Alissa M, Abusalim GS, et al · · 2026 · PMID 42100311 · DOI 10.3389/fphar.2026.1757035

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