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Dengue monoclonal antibody Phase III randomised double-blind clinical trial for the treatment of symptomatic dengue in children and adult participants

A parallel-group, double-blind, randomised, two arms, placebo-controlled, multicentre Phase III clinical trial to evaluate the efficacy (time reduction to sustained recovery) and safety of a single-dose intravenous infusion of dengue monoclonal antibody in male and female children aged =5 years and adults aged =18 years with symptomatic dengue

Status
Active, not recruiting
Phases
Phase 3
Study type
Interventional
Source
ISRCTN
Registry ID
ISRCTN50970152
Enrollment
1266
Registered
2025-11-12
Start date
2026-08-31
Completion date
Unknown
Last updated
2025-11-24

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Dengue Infections and Infestations

Interventions

Participants will be randomized in a 1:1 ratio using an Interactive Voice Response System (IVRS) into one of two study arms: SII Dengue mAb or matching placebo. In Arm 1, participants will receive a s

Sponsors

Drugs for Neglected Diseases Initiative
Lead Sponsor

Eligibility

Sex/Gender
All
Age
5 Years to 99 Years

Inclusion criteria

Inclusion criteria: 1. At least 5 years of age inclusive, at the time of signing the informed consent 2. Diagnosed for Dengue by NS1 antigen or PCR positive 3. Start of investigational medicinal product (IMP) infusion within 72 hours of onset of any clinical symptom of dengue

Exclusion criteria

Exclusion criteria: 1. Presence of dengue warning signs 2. Presence of severe dengue criteria 3. Clinically unstable medical conditions that may interfere with drug metabolism, pose a risk during participation, or affect data interpretation 4. Known allergies or hypersensitivity to humanized monoclonal antibodies or any component of the investigational product 5. History or evidence of significant active bleeding or coagulation disorders 6. Recent or planned receipt of live-attenuated vaccines within 28 days prior to dosing or during the follow-up period 7. Recent treatment with biologic agents, including monoclonal antibodies, within 12 weeks or 5 half-lives (whichever is longer) prior to dosing

Design outcomes

Primary

MeasureTime frame
Time to sustained recovery is measured using clinical and laboratory assessments including temperature monitoring, haematocrit stability, platelet count, and absence of dengue warning signs and severe dengue criteria, assessed daily from Day 1 to Day 28.

Secondary

MeasureTime frame
1. Treatment-emergent adverse events (TEAEs) are measured using clinical assessments and laboratory tests from Day 1 to Month 4 2. Serious adverse events (SAEs) are measured using clinical assessments and investigator reports from Day 1 to Month 4 3. Dengue viral load reduction is measured using RT-qPCR at baseline and 24 hours post-treatment 4. Occurrence of dengue warning signs is measured using clinical assessments (including abdominal pain, persistent vomiting, mucosal bleeding, fluid accumulation, liver enlargement, and hematocrit/platelet changes) from Day 1 to Day 28 5. Occurrence of severe dengue is measured using ultrasound and clinical assessments (including shock, respiratory distress, severe bleeding, organ failure) from Day 1 to Day 28 6. Hospitalisation or death due to dengue progression is measured using medical records and clinical assessments from Day 1 to Day 28

Countries

Brazil, Malaysia, Thailand

Contacts

Public ContactAdeline Prêtre
apretre@dndi.org+ 41 22 907 77 22

Outcome results

None listed

Source: ISRCTN (via WHO ICTRP) · Data processed: Feb 4, 2026