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Study to Evaluate the Incidence, Clinical Characteristics and Economic Burden of Dengue in Brazilian Children

An Epidemiological Study to Evaluate the Incidence, Clinical Characteristics and Economic Burden of Dengue in Brazilian Children

Status
Completed
Phases
NA
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT01391819
Enrollment
2117
Registered
2011-07-12
Start date
2011-09-06
Completion date
2015-01-30
Last updated
2019-06-25

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

Conditions

Dengue

Keywords

Brazil, Incidence, Dengue virus, Dengue, Dengue infection

Brief summary

The aim of this study is to establish an active surveillance in order to generate dengue disease burden estimates including incidence rates, prevalence data, clinical presentation and cost of illness in Forteleza (Brazil).

Detailed description

Prospective cohort study. The study period initially planned to be two years, is extended by one year to cover one additional dengue season.

Interventions

OTHERData collection

Socio-demographic information, medical history, yellow fever vaccination history and dengue suspicion data collection.

PROCEDUREBlood sample collection

A blood sample will be collected at each of the three scheduled study visits and any time during the study that dengue is suspected. Samples collected at scheduled visits will be tested for anti-dengue antibodies. Samples collected at visits for dengue suspicion will be tested for dengue diagnosis.

Sponsors

GlaxoSmithKline
Lead SponsorINDUSTRY

Study design

Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
OTHER
Masking
NONE

Eligibility

Sex/Gender
ALL
Age
5 Years to 13 Years
Healthy volunteers
Yes

Inclusion criteria

* Male or female between 5 and 13 years of age (including children at least 5 years of age and excluding children who reached their fourteenth birthday) at the time of enrollment. * Written informed consent (and assent when applicable). * Subjects who the investigator believes that they and/or their parent(s)/LAR can and will comply with the requirements of the protocol (e.g. willingness to do a hospital visit in case of dengue suspicion, willingness to attend the study hospital return for follow-up visits, able to observe for signs of dengue, understand how to take a temperature, etc). * Subjects who plan to attend one of the study schools for two school years following enrollment.

Exclusion criteria

* Subjects planning to move from the study area during the two school years following enrollment. * Child in care. * Enrollment in another study that would conflict with the current study.

Design outcomes

Primary

MeasureTime frameDescription
Incidence of All Laboratory-confirmed Symptomatic Dengue InfectionAt Year 1 (2012)Laboratory-confirmed dengue infection refers to suspected symptomatic dengue cases with positive dengue virus identification or serologic evidence of dengue infection through dengue virus identification through Reverse Transcriptase quantitative Polymerase Chain Reaction (RT-qPCR) from first blood sample or anti-dengue Immunoglobulin type M/G (IgM/G) seroconversions between first and second blood sampling. Note: In the study report the denominator for incidence estimation has not been expressed as an absolute number of subjects, but in person-years. Therefore, the category number of subjects analysed has been populated with the number of enrolled subjects attended the study visit after the specified season and in each age stratum.

Secondary

MeasureTime frameDescription
Proportion of Subjects With Primary Asymptomatic Dengue InfectionFrom Day 0 to Year 3Asymptomatic dengue primary infection was defined as a documented seroconversion (anti-dengue IgG antibodies) between two sequential sera samples obtained during the scheduled visits, without suspicion of dengue. Proportion of asymptomatic dengue primary infection was analyzed among subjects who had no past dengue infection reported before the beginning of the period.
Number of Subjects With Laboratory Confirmed or Probable Dengue Cases According Symptomatic Dengue Definition (Primary, Secondary or Unknown) Among the Suspected Dengue CasesFrom Year 0 to Year 3A case of primary or secondary symptomatic dengue infection was defined as laboratory confirmed or probable symptomatic dengue case whose previous sample collected at scheduled Visits 1- 4 (Day 0- Year 3) to detect anti-dengue IgG antibodies was seronegative or seropositive, respectively. A probable dengue case was defined as a suspected symptomatic dengue case with the following laboratory findings: -anti-dengue IgM or anti-dengue IgG positivity in at least one sample (in either blood sample 1 or 2) AND no evidence of viremia (negative dengue virus identification through RT-qPCR) in blood sample 1 AND no evidence of anti-dengue Ig M or IgG seroconversion between blood sample 1 and blood sample 2.
Incidence of All Laboratory-confirmed or Probable Symptomatic Dengue InfectionAt Year 1 (2012)Incidence of laboratory confirmed or probable symptomatic dengue infection was assessed by calendar year and age strata. Note: In the study report the denominator for incidence estimation has not been expressed as an absolute number of subjects, but in person-years. Therefore, the category number of subjects analysed has been populated with the number of enrolled subjects attended the study visit after the specified season and in each age stratum.
Number of Dengue Infection Cases by Virus Type (DENV)From Day 0 to Year 3Among virus types causing dengue infection were DENV-4 in 2012 and 2013 and DENV-1 in 2014, as assessed by PCR.
Number of Primary Laboratory Confirmed Symptomatic Dengue Infection CasesAt Year 1 (2012)Primary symptomatic dengue infection cases are defined as laboratory confirmed symptomatic dengue cases whose previous sample collected at scheduled visits to detect anti-dengue IgG antibodies were seronegative. Analysis was done by calendar year and age strata. Note: In the study report the denominator for incidence estimation has not been expressed as an absolute number of subjects, but in person-years. Therefore the category number of subjects analysed has been populated with the number of enrolled subjects seronegative for anti-dengue IgG antibodies before the specified season and attended the study visit after the specified season, and in each age stratum.
Number of Secondary Laboratory Confirmed Symptomatic Dengue Infection CasesAt Year 1 (2012)Secondary symptomatic dengue infection cases are defined as laboratory confirmed symptomatic dengue cases whose previous sample collected at scheduled visits to detect anti-dengue IgG antibodies were seropositive. Note: In the study report the denominator for incidence estimation has not been expressed as an absolute number of subjects, but in person-years. Therefore the category number of subjects analysed has been populated with the number of enrolled subjects seropositive for anti-dengue IgG antibodies before the specified season and attended the study visit after the specified season, and in each age stratum.
Number of Working Days Missed of Primary Care Giver 1 of Subjects With Laboratory Confirmed Symptomatic Dengue CasesFrom 21 up to 35 days post laboratory confirmed dengue onsetThe number of days off work from caregiver were recorded as part of health economics indirect resource utilization associated with symptomatic dengue infection.
Number of Working Days Missed of Primary Care Giver 2 of Subjects With Laboratory Confirmed Symptomatic Dengue CasesFrom 21 up to 35 days post laboratory confirmed dengue onsetThe number of days off work from caregiver were recorded as part of health economics indirect resource utilization associated with symptomatic dengue infection.
Proportion of Subjects With Prevalence of Past Dengue Infection (Dengue Seroprevalence) at EnrollmentAt Day 0 (At enrollment)This outcome measures the occurrence of past dengue infections among subjects who had laboratory results. Proportion was estimated from logistic generalized estimating equations models (GEE) taking the clustering effect of the school into account and was presented per subject enrolment age. Immune response against dengue was assessed via Enzyme-linked Immunosorbent Assay (ELISA).
Number of School Days Missed by SubjectsFrom 21 up to 35 days post laboratory confirmed dengue onsetThe number of school days missed by subjects due to dengue infection were recorded as part of the dengue active surveillance and indirect resource utilization associated with symptomatic dengue infection.
Number of Laboratory Confirmed Dengue Infection Cases Associated With Subjects AbsenteeismFrom 21 up to 35 days post laboratory confirmed dengue onsetThe number of laboratory confirmed dengue infection cases with subjects missing from school due to dengue infection were recorded as part of the dengue active surveillance and indirect resource utilization associated with symptomatic dengue infection.
Number of Subjects With Serious Adverse Events (SAEs)From Day 0 to Year 3Serious adverse events (SAEs) were collected on the enrolled subjects. SAEs assessed include medical occurrences that result in death, are life threatening, require hospitalization or prolongation of hospitalization or result in disability/incapacity, is a congenital anomaly/birth defect in the offspring of a study subject.
Number of Symptomatic Dengue Laboratory Confirmed Cases Associated With Hospitalization Direct Medical ResourceFrom Day 0 to Year 3Direct medical resource included hospitalization, stay in intensive care units (ICU), medications, diagnostic and therapeutic procedures
Number of Hospitalization Days Due to Laboratory Confirmed Dengue CasesFrom Day 0 to Year 3Length of hospitalization was part of the direct medical resource, associated with dengue infection.
Number of Dengue Infection Episodes - Clinical Symptom Since Onset of Suspected Dengue Cases: TemperatureFrom Day 0 to Year 3Temperature, expressed in degrees Celsius (°C), was among symptoms of symptomatic dengue infection.
Number of Dengue Infection Episodes With Any Temperature Interval Since Onset of Suspected Dengue Cases, Among Laboratory Confirmed Dengue CasesFrom Day 0 to Year 3Temperature intervals assessed varied from hypothermia 33.5 to 36.4 degrees Celsius (°C), to normal temperature 36.5-35.9 °C and hyperthermia 37 - 39.9 °C, or were unknown.
Number of Laboratory Confirmed Dengue Episodes Associated With Clinical SymptomsFrom Day 0 to Year 3Dengue related clinical symptoms included general symptoms, digestive symptoms, respiratory symptoms, hemorrhagic symptoms and any other signs among first symptoms.
Number of Laboratory Confirmed Dengue Infection Cases Associated With Caregiver AbsenteeismFrom 21 up to 35 days post laboratory confirmed dengue onsetThe number of laboratory confirmed dengue infections with primary caregivers missing from work was recorded as part of health economics indirect resource utilization associated with symptomatic dengue infection.

Countries

Brazil

Participant flow

Pre-assignment details

Out of 2117 subjects enrolled in the study, one subject was excluded due to protocol violation. Subjects attended 3 to 4 visits, during a 2 to 3 Year period: subjects enrolled in 2011-2012 who consented for participation of one additional year had 4 scheduled visits over 3 years, and those enrolled in 2013 had 3 scheduled visits over 2 years.

Participants by arm

ArmCount
Dengue Group
Subjects, male and female, aged 5-13 years at the time of enrollment, enrolled for data collection and blood sampling for dengue evaluation, from Day 0 to Year 3.
2,116
Total2,116

Withdrawals & dropouts

PeriodReasonFG000
Overall StudyDeath3
Overall StudyLost to Follow-up252
Overall StudyMigrated/moved from study area82
Overall StudyOther9
Overall StudyWithdrawal by Subject56

Baseline characteristics

CharacteristicDengue Group
Age, Continuous8.997 Years
STANDARD_DEVIATION 2.4637
Race and Ethnicity Not Collected— Participants
Sex: Female, Male
Female
1096 Participants
Sex: Female, Male
Male
1020 Participants

Adverse events

Event typeEG000
affected / at risk
deaths
Total, all-cause mortality
0 / 0
other
Total, other adverse events
0 / 0
serious
Total, serious adverse events
0 / 2,117

Outcome results

Primary

Incidence of All Laboratory-confirmed Symptomatic Dengue Infection

Laboratory-confirmed dengue infection refers to suspected symptomatic dengue cases with positive dengue virus identification or serologic evidence of dengue infection through dengue virus identification through Reverse Transcriptase quantitative Polymerase Chain Reaction (RT-qPCR) from first blood sample or anti-dengue Immunoglobulin type M/G (IgM/G) seroconversions between first and second blood sampling. Note: In the study report the denominator for incidence estimation has not been expressed as an absolute number of subjects, but in person-years. Therefore, the category number of subjects analysed has been populated with the number of enrolled subjects attended the study visit after the specified season and in each age stratum.

Time frame: At Year 1 (2012)

Population: The analysis was performed on the According-To-Protocol (ATP) cohort, which included all subjects meeting all eligibility criteria of the study, with no elimination criteria during the study and complying with the procedures defined in the protocol.

ArmMeasureValue (NUMBER)
Dengue 5-9Y GroupIncidence of All Laboratory-confirmed Symptomatic Dengue Infection10.5 Cases in 1000 person-years
Dengue 10-17Y GroupIncidence of All Laboratory-confirmed Symptomatic Dengue Infection11.5 Cases in 1000 person-years
Primary

Incidence of All Laboratory-confirmed Symptomatic Dengue Infection

Laboratory-confirmed dengue infection refers to suspected symptomatic dengue cases with positive dengue virus identification or serologic evidence of dengue infection through dengue virus identification through Reverse Transcriptase quantitative Polymerase Chain Reaction (RT-qPCR) from first blood sample or anti-dengue Immunoglobulin type M/G (IgM/G) seroconversions between first and second blood sampling. Note: In the study report the denominator for incidence estimation has not been expressed as an absolute number of subjects, but in person-years. Therefore, the category number of subjects analysed has been populated with the number of enrolled subjects attended the study visit after the specified season and in each age stratum.

Time frame: At Year 2 (2013)

Population: The analysis was performed on the According-To-Protocol (ATP) cohort, which included all subjects meeting all eligibility criteria of the study, with no elimination criteria during the study and complying with the procedures defined in the protocol.

ArmMeasureValue (NUMBER)
Dengue 5-9Y GroupIncidence of All Laboratory-confirmed Symptomatic Dengue Infection10.1 Cases in 1000 person-years
Dengue 10-17Y GroupIncidence of All Laboratory-confirmed Symptomatic Dengue Infection25.8 Cases in 1000 person-years
Primary

Incidence of All Laboratory-confirmed Symptomatic Dengue Infection

Laboratory-confirmed dengue infection refers to suspected symptomatic dengue cases with positive dengue virus identification or serologic evidence of dengue infection through dengue virus identification through Reverse Transcriptase quantitative Polymerase Chain Reaction (RT-qPCR) from first blood sample or anti-dengue Immunoglobulin type M/G (IgM/G) seroconversions between first and second blood sampling. Note: In the study report the denominator for incidence estimation has not been expressed as an absolute number of subjects, but in person-years. Therefore, the category number of subjects analysed has been populated with the number of enrolled subjects attended the study visit after the specified season and in each age stratum.

Time frame: At Year 3 (2014)

Population: The analysis was performed on the According-To-Protocol (ATP) cohort, which included all subjects meeting all eligibility criteria of the study, with no elimination criteria during the study and complying with the procedures defined in the protocol.

ArmMeasureValue (NUMBER)
Dengue 5-9Y GroupIncidence of All Laboratory-confirmed Symptomatic Dengue Infection3.9 Cases in 1000 person-years
Dengue 10-17Y GroupIncidence of All Laboratory-confirmed Symptomatic Dengue Infection14.1 Cases in 1000 person-years
Secondary

Incidence of All Laboratory-confirmed or Probable Symptomatic Dengue Infection

Incidence of laboratory confirmed or probable symptomatic dengue infection was assessed by calendar year and age strata. Note: In the study report the denominator for incidence estimation has not been expressed as an absolute number of subjects, but in person-years. Therefore, the category number of subjects analysed has been populated with the number of enrolled subjects attended the study visit after the specified season and in each age stratum.

Time frame: At Year 2 (2013)

Population: The analysis was performed on the According-To-Protocol (ATP) cohort, which included all subjects meeting all eligibility criteria of the study, with no elimination criteria during the study and complying with the procedures defined in the protocol.

ArmMeasureValue (NUMBER)
Dengue 5-9Y GroupIncidence of All Laboratory-confirmed or Probable Symptomatic Dengue Infection56.7 Cases in 1000 person-years
Dengue 10-17Y GroupIncidence of All Laboratory-confirmed or Probable Symptomatic Dengue Infection66.6 Cases in 1000 person-years
Secondary

Incidence of All Laboratory-confirmed or Probable Symptomatic Dengue Infection

Incidence of laboratory confirmed or probable symptomatic dengue infection was assessed by calendar year and age strata. Note: In the study report the denominator for incidence estimation has not been expressed as an absolute number of subjects, but in person-years. Therefore, the category number of subjects analysed has been populated with the number of enrolled subjects attended the study visit after the specified season and in each age stratum.

Time frame: At Year 3 (2014)

Population: The analysis was performed on the According-To-Protocol (ATP) cohort, which included all subjects meeting all eligibility criteria of the study, with no elimination criteria during the study and complying with the procedures defined in the protocol.

ArmMeasureValue (NUMBER)
Dengue 5-9Y GroupIncidence of All Laboratory-confirmed or Probable Symptomatic Dengue Infection13.6 Cases in 1000 person-years
Dengue 10-17Y GroupIncidence of All Laboratory-confirmed or Probable Symptomatic Dengue Infection33.1 Cases in 1000 person-years
Secondary

Incidence of All Laboratory-confirmed or Probable Symptomatic Dengue Infection

Incidence of laboratory confirmed or probable symptomatic dengue infection was assessed by calendar year and age strata. Note: In the study report the denominator for incidence estimation has not been expressed as an absolute number of subjects, but in person-years. Therefore, the category number of subjects analysed has been populated with the number of enrolled subjects attended the study visit after the specified season and in each age stratum.

Time frame: At Year 1 (2012)

Population: The analysis was performed on the According-To-Protocol (ATP) cohort, which included all subjects meeting all eligibility criteria of the study, with no elimination criteria during the study and complying with the procedures defined in the protocol.

ArmMeasureValue (NUMBER)
Dengue 5-9Y GroupIncidence of All Laboratory-confirmed or Probable Symptomatic Dengue Infection30.3 Cases in 1000 person-years
Dengue 10-17Y GroupIncidence of All Laboratory-confirmed or Probable Symptomatic Dengue Infection31.4 Cases in 1000 person-years
Secondary

Number of Dengue Infection Cases by Virus Type (DENV)

Among virus types causing dengue infection were DENV-4 in 2012 and 2013 and DENV-1 in 2014, as assessed by PCR.

Time frame: From Day 0 to Year 3

Population: The analysis was performed on the According-To-Protocol (ATP) cohort, which included all subjects meeting all eligibility criteria of the study, with no elimination criteria during the study and complying with the procedures defined in the protocol.

ArmMeasureGroupValue (NUMBER)
Dengue 5-9Y GroupNumber of Dengue Infection Cases by Virus Type (DENV)DENV-4, 20128 Dengue infection cases
Dengue 5-9Y GroupNumber of Dengue Infection Cases by Virus Type (DENV)DENV-4, 20136 Dengue infection cases
Dengue 5-9Y GroupNumber of Dengue Infection Cases by Virus Type (DENV)DENV-1, 20147 Dengue infection cases
Secondary

Number of Dengue Infection Episodes - Clinical Symptom Since Onset of Suspected Dengue Cases: Temperature

Temperature, expressed in degrees Celsius (°C), was among symptoms of symptomatic dengue infection.

Time frame: From Day 0 to Year 3

Population: The analysis was performed on the According-To-Protocol (ATP) cohort, which included all subjects meeting all eligibility criteria of the study, with no elimination criteria during the study and complying with the procedures defined in the protocol.

ArmMeasureValue (MEAN)Dispersion
Dengue 5-9Y GroupNumber of Dengue Infection Episodes - Clinical Symptom Since Onset of Suspected Dengue Cases: Temperature37.18 °CStandard Deviation 0.952
Secondary

Number of Dengue Infection Episodes With Any Temperature Interval Since Onset of Suspected Dengue Cases, Among Laboratory Confirmed Dengue Cases

Temperature intervals assessed varied from hypothermia 33.5 to 36.4 degrees Celsius (°C), to normal temperature 36.5-35.9 °C and hyperthermia 37 - 39.9 °C, or were unknown.

Time frame: From Day 0 to Year 3

Population: The analysis was performed on the According-To-Protocol (ATP) cohort, which included all subjects meeting all eligibility criteria of the study, with no elimination criteria during the study and complying with the procedures defined in the protocol.

ArmMeasureGroupValue (NUMBER)
Dengue 5-9Y GroupNumber of Dengue Infection Episodes With Any Temperature Interval Since Onset of Suspected Dengue Cases, Among Laboratory Confirmed Dengue Cases33.5 - 33.9 °C0 dengue infection cases
Dengue 5-9Y GroupNumber of Dengue Infection Episodes With Any Temperature Interval Since Onset of Suspected Dengue Cases, Among Laboratory Confirmed Dengue Cases34 - 34.4 °C0 dengue infection cases
Dengue 5-9Y GroupNumber of Dengue Infection Episodes With Any Temperature Interval Since Onset of Suspected Dengue Cases, Among Laboratory Confirmed Dengue Cases34.5 - 34.9 °C0 dengue infection cases
Dengue 5-9Y GroupNumber of Dengue Infection Episodes With Any Temperature Interval Since Onset of Suspected Dengue Cases, Among Laboratory Confirmed Dengue Cases35 - 35.4 °C2 dengue infection cases
Dengue 5-9Y GroupNumber of Dengue Infection Episodes With Any Temperature Interval Since Onset of Suspected Dengue Cases, Among Laboratory Confirmed Dengue Cases35.5 - 35.9 °C2 dengue infection cases
Dengue 5-9Y GroupNumber of Dengue Infection Episodes With Any Temperature Interval Since Onset of Suspected Dengue Cases, Among Laboratory Confirmed Dengue Cases36 - 36.4 °C8 dengue infection cases
Dengue 5-9Y GroupNumber of Dengue Infection Episodes With Any Temperature Interval Since Onset of Suspected Dengue Cases, Among Laboratory Confirmed Dengue Cases36.5 - 36.9 °C11 dengue infection cases
Dengue 5-9Y GroupNumber of Dengue Infection Episodes With Any Temperature Interval Since Onset of Suspected Dengue Cases, Among Laboratory Confirmed Dengue Cases37 - 37.4 °C14 dengue infection cases
Dengue 5-9Y GroupNumber of Dengue Infection Episodes With Any Temperature Interval Since Onset of Suspected Dengue Cases, Among Laboratory Confirmed Dengue Cases37.5 - 37.9 °C7 dengue infection cases
Dengue 5-9Y GroupNumber of Dengue Infection Episodes With Any Temperature Interval Since Onset of Suspected Dengue Cases, Among Laboratory Confirmed Dengue Cases38 - 38.4 °C5 dengue infection cases
Dengue 5-9Y GroupNumber of Dengue Infection Episodes With Any Temperature Interval Since Onset of Suspected Dengue Cases, Among Laboratory Confirmed Dengue Cases38.5 - 38.9 °C4 dengue infection cases
Dengue 5-9Y GroupNumber of Dengue Infection Episodes With Any Temperature Interval Since Onset of Suspected Dengue Cases, Among Laboratory Confirmed Dengue Cases39 - 39.4 °C1 dengue infection cases
Dengue 5-9Y GroupNumber of Dengue Infection Episodes With Any Temperature Interval Since Onset of Suspected Dengue Cases, Among Laboratory Confirmed Dengue Cases39.5 - 39.9 °C1 dengue infection cases
Dengue 5-9Y GroupNumber of Dengue Infection Episodes With Any Temperature Interval Since Onset of Suspected Dengue Cases, Among Laboratory Confirmed Dengue CasesUnknown2 dengue infection cases
Secondary

Number of Hospitalization Days Due to Laboratory Confirmed Dengue Cases

Length of hospitalization was part of the direct medical resource, associated with dengue infection.

Time frame: From Day 0 to Year 3

Population: The analysis was performed on the According-To-Protocol (ATP) cohort, which included all subjects meeting all eligibility criteria of the study, with no elimination criteria during the study and complying with the procedures defined in the protocol.

ArmMeasureValue (MEAN)Dispersion
Dengue 5-9Y GroupNumber of Hospitalization Days Due to Laboratory Confirmed Dengue Cases19.0 DaysStandard Deviation 0
Secondary

Number of Laboratory Confirmed Dengue Episodes Associated With Clinical Symptoms

Dengue related clinical symptoms included general symptoms, digestive symptoms, respiratory symptoms, hemorrhagic symptoms and any other signs among first symptoms.

Time frame: From Day 0 to Year 3

Population: The analysis was performed on the According-To-Protocol (ATP) cohort, which included all subjects meeting all eligibility criteria of the study, with no elimination criteria during the study and complying with the procedures defined in the protocol.

ArmMeasureGroupValue (NUMBER)
Dengue 5-9Y GroupNumber of Laboratory Confirmed Dengue Episodes Associated With Clinical SymptomsAbdominal pain17 dengue infection cases
Dengue 5-9Y GroupNumber of Laboratory Confirmed Dengue Episodes Associated With Clinical SymptomsHeadache43 dengue infection cases
Dengue 5-9Y GroupNumber of Laboratory Confirmed Dengue Episodes Associated With Clinical SymptomsRetroorbital pain [eye pain]22 dengue infection cases
Dengue 5-9Y GroupNumber of Laboratory Confirmed Dengue Episodes Associated With Clinical SymptomsMyalgia29 dengue infection cases
Dengue 5-9Y GroupNumber of Laboratory Confirmed Dengue Episodes Associated With Clinical SymptomsJoint pain10 dengue infection cases
Dengue 5-9Y GroupNumber of Laboratory Confirmed Dengue Episodes Associated With Clinical SymptomsChills7 dengue infection cases
Dengue 5-9Y GroupNumber of Laboratory Confirmed Dengue Episodes Associated With Clinical SymptomsRash3 dengue infection cases
Dengue 5-9Y GroupNumber of Laboratory Confirmed Dengue Episodes Associated With Clinical SymptomsItching8 dengue infection cases
Dengue 5-9Y GroupNumber of Laboratory Confirmed Dengue Episodes Associated With Clinical SymptomsAt least one digestive sign among first symptoms38 dengue infection cases
Dengue 5-9Y GroupNumber of Laboratory Confirmed Dengue Episodes Associated With Clinical SymptomsNausea or vomiting29 dengue infection cases
Dengue 5-9Y GroupNumber of Laboratory Confirmed Dengue Episodes Associated With Clinical SymptomsDiarrhea10 dengue infection cases
Dengue 5-9Y GroupNumber of Laboratory Confirmed Dengue Episodes Associated With Clinical SymptomsAt least one respiratory sign among first symptoms32 dengue infection cases
Dengue 5-9Y GroupNumber of Laboratory Confirmed Dengue Episodes Associated With Clinical SymptomsCough20 dengue infection cases
Dengue 5-9Y GroupNumber of Laboratory Confirmed Dengue Episodes Associated With Clinical SymptomsNasal congestion10 dengue infection cases
Dengue 5-9Y GroupNumber of Laboratory Confirmed Dengue Episodes Associated With Clinical SymptomsSore throat23 dengue infection cases
Dengue 5-9Y GroupNumber of Laboratory Confirmed Dengue Episodes Associated With Clinical SymptomsDyspnea0 dengue infection cases
Dengue 5-9Y GroupNumber of Laboratory Confirmed Dengue Episodes Associated With Clinical SymptomsAt least one hemorrhagic sign among first symptoms4 dengue infection cases
Dengue 5-9Y GroupNumber of Laboratory Confirmed Dengue Episodes Associated With Clinical SymptomsPetechia3 dengue infection cases
Dengue 5-9Y GroupNumber of Laboratory Confirmed Dengue Episodes Associated With Clinical SymptomsPurpura/ecchymosis0 dengue infection cases
Dengue 5-9Y GroupNumber of Laboratory Confirmed Dengue Episodes Associated With Clinical SymptomsHematemesis [vomiting of blood]1 dengue infection cases
Dengue 5-9Y GroupNumber of Laboratory Confirmed Dengue Episodes Associated With Clinical SymptomsMelena/hematochezia [blood in stool]0 dengue infection cases
Dengue 5-9Y GroupNumber of Laboratory Confirmed Dengue Episodes Associated With Clinical SymptomsGingival bleeding0 dengue infection cases
Dengue 5-9Y GroupNumber of Laboratory Confirmed Dengue Episodes Associated With Clinical SymptomsEpistaxis0 dengue infection cases
Dengue 5-9Y GroupNumber of Laboratory Confirmed Dengue Episodes Associated With Clinical SymptomsUrinary tract bleeding0 dengue infection cases
Dengue 5-9Y GroupNumber of Laboratory Confirmed Dengue Episodes Associated With Clinical SymptomsUnusual vaginal bleeding0 dengue infection cases
Dengue 5-9Y GroupNumber of Laboratory Confirmed Dengue Episodes Associated With Clinical SymptomsAt least one other signs among first symptoms33 dengue infection cases
Dengue 5-9Y GroupNumber of Laboratory Confirmed Dengue Episodes Associated With Clinical SymptomsPallor or cool skin2 dengue infection cases
Dengue 5-9Y GroupNumber of Laboratory Confirmed Dengue Episodes Associated With Clinical SymptomsConjunctivis2 dengue infection cases
Dengue 5-9Y GroupNumber of Laboratory Confirmed Dengue Episodes Associated With Clinical SymptomsLethargy or restlessness3 dengue infection cases
Dengue 5-9Y GroupNumber of Laboratory Confirmed Dengue Episodes Associated With Clinical SymptomsDizziness11 dengue infection cases
Dengue 5-9Y GroupNumber of Laboratory Confirmed Dengue Episodes Associated With Clinical SymptomsThoracic pain0 dengue infection cases
Dengue 5-9Y GroupNumber of Laboratory Confirmed Dengue Episodes Associated With Clinical SymptomsOther28 dengue infection cases
Secondary

Number of Laboratory Confirmed Dengue Infection Cases Associated With Caregiver Absenteeism

The number of laboratory confirmed dengue infections with primary caregivers missing from work was recorded as part of health economics indirect resource utilization associated with symptomatic dengue infection.

Time frame: From 21 up to 35 days post laboratory confirmed dengue onset

Population: The analysis was performed on the According-To-Protocol (ATP) cohort, which included all subjects meeting all eligibility criteria of the study, with no elimination criteria during the study and complying with the procedures defined in the protocol.

ArmMeasureGroupValue (NUMBER)
Dengue 5-9Y GroupNumber of Laboratory Confirmed Dengue Infection Cases Associated With Caregiver AbsenteeismPrimary care giver 1, Positive12 Dengue infection cases
Dengue 5-9Y GroupNumber of Laboratory Confirmed Dengue Infection Cases Associated With Caregiver AbsenteeismPrimary care giver 1, Negative42 Dengue infection cases
Dengue 5-9Y GroupNumber of Laboratory Confirmed Dengue Infection Cases Associated With Caregiver AbsenteeismPrimary care giver 1, Missing confirmed3 Dengue infection cases
Dengue 5-9Y GroupNumber of Laboratory Confirmed Dengue Infection Cases Associated With Caregiver AbsenteeismPrimary care giver 1, Not applicable0 Dengue infection cases
Dengue 5-9Y GroupNumber of Laboratory Confirmed Dengue Infection Cases Associated With Caregiver AbsenteeismPrimary care giver 2, Positive4 Dengue infection cases
Dengue 5-9Y GroupNumber of Laboratory Confirmed Dengue Infection Cases Associated With Caregiver AbsenteeismPrimary care giver 2, Negative46 Dengue infection cases
Dengue 5-9Y GroupNumber of Laboratory Confirmed Dengue Infection Cases Associated With Caregiver AbsenteeismPrimary care giver 2, Missing confirmed3 Dengue infection cases
Dengue 5-9Y GroupNumber of Laboratory Confirmed Dengue Infection Cases Associated With Caregiver AbsenteeismPrimary care giver 2, Not applicable4 Dengue infection cases
Secondary

Number of Laboratory Confirmed Dengue Infection Cases Associated With Subjects Absenteeism

The number of laboratory confirmed dengue infection cases with subjects missing from school due to dengue infection were recorded as part of the dengue active surveillance and indirect resource utilization associated with symptomatic dengue infection.

Time frame: From 21 up to 35 days post laboratory confirmed dengue onset

Population: The analysis was performed on the According-To-Protocol (ATP) cohort, which included all subjects meeting all eligibility criteria of the study, with no elimination criteria during the study and complying with the procedures defined in the protocol.

ArmMeasureGroupValue (NUMBER)
Dengue 5-9Y GroupNumber of Laboratory Confirmed Dengue Infection Cases Associated With Subjects AbsenteeismPositive49 Dengue infection cases
Dengue 5-9Y GroupNumber of Laboratory Confirmed Dengue Infection Cases Associated With Subjects AbsenteeismNegative5 Dengue infection cases
Dengue 5-9Y GroupNumber of Laboratory Confirmed Dengue Infection Cases Associated With Subjects AbsenteeismMissing confirmed3 Dengue infection cases
Dengue 5-9Y GroupNumber of Laboratory Confirmed Dengue Infection Cases Associated With Subjects AbsenteeismNot applicable0 Dengue infection cases
Secondary

Number of Primary Laboratory Confirmed Symptomatic Dengue Infection Cases

Primary symptomatic dengue infection cases are defined as laboratory confirmed symptomatic dengue cases whose previous sample collected at scheduled visits to detect anti-dengue IgG antibodies were seronegative. Analysis was done by calendar year and age strata. Note: In the study report the denominator for incidence estimation has not been expressed as an absolute number of subjects, but in person-years. Therefore the category number of subjects analysed has been populated with the number of enrolled subjects seronegative for anti-dengue IgG antibodies before the specified season and attended the study visit after the specified season, and in each age stratum.

Time frame: At Year 3 (2014)

Population: The analysis was performed on the According-To-Protocol (ATP) cohort, which included all subjects meeting all eligibility criteria of the study, with no elimination criteria during the study and complying with the procedures defined in the protocol.

ArmMeasureValue (NUMBER)
Dengue 5-9Y GroupNumber of Primary Laboratory Confirmed Symptomatic Dengue Infection Cases2 Dengue infection cases
Dengue 10-17Y GroupNumber of Primary Laboratory Confirmed Symptomatic Dengue Infection Cases2 Dengue infection cases
Secondary

Number of Primary Laboratory Confirmed Symptomatic Dengue Infection Cases

Primary symptomatic dengue infection cases are defined as laboratory confirmed symptomatic dengue cases whose previous sample collected at scheduled visits to detect anti-dengue IgG antibodies were seronegative. Analysis was done by calendar year and age strata. Note: In the study report the denominator for incidence estimation has not been expressed as an absolute number of subjects, but in person-years. Therefore the category number of subjects analysed has been populated with the number of enrolled subjects seronegative for anti-dengue IgG antibodies before the specified season and attended the study visit after the specified season, and in each age stratum.

Time frame: At Year 1 (2012)

Population: The analysis was performed on the According-To-Protocol (ATP) cohort, which included all subjects meeting all eligibility criteria of the study, with no elimination criteria during the study and complying with the procedures defined in the protocol.

ArmMeasureValue (NUMBER)
Dengue 5-9Y GroupNumber of Primary Laboratory Confirmed Symptomatic Dengue Infection Cases3 Dengue infection cases
Dengue 10-17Y GroupNumber of Primary Laboratory Confirmed Symptomatic Dengue Infection Cases4 Dengue infection cases
Secondary

Number of Primary Laboratory Confirmed Symptomatic Dengue Infection Cases

Primary symptomatic dengue infection cases are defined as laboratory confirmed symptomatic dengue cases whose previous sample collected at scheduled visits to detect anti-dengue IgG antibodies were seronegative. Analysis was done by calendar year and age strata. Note: In the study report the denominator for incidence estimation has not been expressed as an absolute number of subjects, but in person-years. Therefore the category number of subjects analysed has been populated with the number of enrolled subjects seronegative for anti-dengue IgG antibodies before the specified season and attended the study visit after the specified season, and in each age stratum.

Time frame: At Year 2 (2013)

Population: The analysis was performed on the According-To-Protocol (ATP) cohort, which included all subjects meeting all eligibility criteria of the study, with no elimination criteria during the study and complying with the procedures defined in the protocol.

ArmMeasureValue (NUMBER)
Dengue 5-9Y GroupNumber of Primary Laboratory Confirmed Symptomatic Dengue Infection Cases4 Dengue infection cases
Dengue 10-17Y GroupNumber of Primary Laboratory Confirmed Symptomatic Dengue Infection Cases8 Dengue infection cases
Secondary

Number of School Days Missed by Subjects

The number of school days missed by subjects due to dengue infection were recorded as part of the dengue active surveillance and indirect resource utilization associated with symptomatic dengue infection.

Time frame: From 21 up to 35 days post laboratory confirmed dengue onset

Population: The analysis was performed on the According-To-Protocol (ATP) cohort, which included all subjects meeting all eligibility criteria of the study, with no elimination criteria during the study and complying with the procedures defined in the protocol.

ArmMeasureValue (MEAN)Dispersion
Dengue 5-9Y GroupNumber of School Days Missed by Subjects4.4 DaysStandard Deviation 2.58
Secondary

Number of Secondary Laboratory Confirmed Symptomatic Dengue Infection Cases

Secondary symptomatic dengue infection cases are defined as laboratory confirmed symptomatic dengue cases whose previous sample collected at scheduled visits to detect anti-dengue IgG antibodies were seropositive. Note: In the study report the denominator for incidence estimation has not been expressed as an absolute number of subjects, but in person-years. Therefore the category number of subjects analysed has been populated with the number of enrolled subjects seropositive for anti-dengue IgG antibodies before the specified season and attended the study visit after the specified season, and in each age stratum.

Time frame: At Year 2 (2013)

Population: The analysis was performed on the According-To-Protocol (ATP) cohort, which included all subjects meeting all eligibility criteria of the study, with no elimination criteria during the study and complying with the procedures defined in the protocol.

ArmMeasureValue (NUMBER)
Dengue 5-9Y GroupNumber of Secondary Laboratory Confirmed Symptomatic Dengue Infection Cases4 Dengue infection cases
Dengue 10-17Y GroupNumber of Secondary Laboratory Confirmed Symptomatic Dengue Infection Cases13 Dengue infection cases
Secondary

Number of Secondary Laboratory Confirmed Symptomatic Dengue Infection Cases

Secondary symptomatic dengue infection cases are defined as laboratory confirmed symptomatic dengue cases whose previous sample collected at scheduled visits to detect anti-dengue IgG antibodies were seropositive. Note: In the study report the denominator for incidence estimation has not been expressed as an absolute number of subjects, but in person-years. Therefore the category number of subjects analysed has been populated with the number of enrolled subjects seropositive for anti-dengue IgG antibodies before the specified season and attended the study visit after the specified season, and in each age stratum.

Time frame: At Year 3 (2014)

Population: The analysis was performed on the According-To-Protocol (ATP) cohort, which included all subjects meeting all eligibility criteria of the study, with no elimination criteria during the study and complying with the procedures defined in the protocol.

ArmMeasureValue (NUMBER)
Dengue 5-9Y GroupNumber of Secondary Laboratory Confirmed Symptomatic Dengue Infection Cases0 Dengue infection cases
Dengue 10-17Y GroupNumber of Secondary Laboratory Confirmed Symptomatic Dengue Infection Cases10 Dengue infection cases
Secondary

Number of Secondary Laboratory Confirmed Symptomatic Dengue Infection Cases

Secondary symptomatic dengue infection cases are defined as laboratory confirmed symptomatic dengue cases whose previous sample collected at scheduled visits to detect anti-dengue IgG antibodies were seropositive. Note: In the study report the denominator for incidence estimation has not been expressed as an absolute number of subjects, but in person-years. Therefore the category number of subjects analysed has been populated with the number of enrolled subjects seropositive for anti-dengue IgG antibodies before the specified season and attended the study visit after the specified season, and in each age stratum.

Time frame: At Year 1 (2012)

Population: The analysis was performed on the According-To-Protocol (ATP) cohort, which included all subjects meeting all eligibility criteria of the study, with no elimination criteria during the study and complying with the procedures defined in the protocol.

ArmMeasureValue (NUMBER)
Dengue 5-9Y GroupNumber of Secondary Laboratory Confirmed Symptomatic Dengue Infection Cases4 Dengue infection cases
Dengue 10-17Y GroupNumber of Secondary Laboratory Confirmed Symptomatic Dengue Infection Cases3 Dengue infection cases
Secondary

Number of Subjects With Laboratory Confirmed or Probable Dengue Cases According Symptomatic Dengue Definition (Primary, Secondary or Unknown) Among the Suspected Dengue Cases

A case of primary or secondary symptomatic dengue infection was defined as laboratory confirmed or probable symptomatic dengue case whose previous sample collected at scheduled Visits 1- 4 (Day 0- Year 3) to detect anti-dengue IgG antibodies was seronegative or seropositive, respectively. A probable dengue case was defined as a suspected symptomatic dengue case with the following laboratory findings: -anti-dengue IgM or anti-dengue IgG positivity in at least one sample (in either blood sample 1 or 2) AND no evidence of viremia (negative dengue virus identification through RT-qPCR) in blood sample 1 AND no evidence of anti-dengue Ig M or IgG seroconversion between blood sample 1 and blood sample 2.

Time frame: From Year 0 to Year 3

Population: The analysis was performed on the According-To-Protocol (ATP) cohort, which included all subjects meeting all eligibility criteria of the study, with no elimination criteria during the study and complying with the procedures defined in the protocol.

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
Dengue 5-9Y GroupNumber of Subjects With Laboratory Confirmed or Probable Dengue Cases According Symptomatic Dengue Definition (Primary, Secondary or Unknown) Among the Suspected Dengue CasesPrimary, laboratory confirmed cases23 Participants
Dengue 5-9Y GroupNumber of Subjects With Laboratory Confirmed or Probable Dengue Cases According Symptomatic Dengue Definition (Primary, Secondary or Unknown) Among the Suspected Dengue CasesPrimary, probable cases19 Participants
Dengue 5-9Y GroupNumber of Subjects With Laboratory Confirmed or Probable Dengue Cases According Symptomatic Dengue Definition (Primary, Secondary or Unknown) Among the Suspected Dengue CasesSecondary, laboratory confirmed cases33 Participants
Dengue 5-9Y GroupNumber of Subjects With Laboratory Confirmed or Probable Dengue Cases According Symptomatic Dengue Definition (Primary, Secondary or Unknown) Among the Suspected Dengue CasesSecondary, probable cases109 Participants
Dengue 5-9Y GroupNumber of Subjects With Laboratory Confirmed or Probable Dengue Cases According Symptomatic Dengue Definition (Primary, Secondary or Unknown) Among the Suspected Dengue CasesUnknown, laboratory confirmed cases1 Participants
Dengue 5-9Y GroupNumber of Subjects With Laboratory Confirmed or Probable Dengue Cases According Symptomatic Dengue Definition (Primary, Secondary or Unknown) Among the Suspected Dengue CasesUnknown, probable cases3 Participants
Dengue 5-9Y GroupNumber of Subjects With Laboratory Confirmed or Probable Dengue Cases According Symptomatic Dengue Definition (Primary, Secondary or Unknown) Among the Suspected Dengue CasesTotal, laboratory confirmed cases57 Participants
Dengue 5-9Y GroupNumber of Subjects With Laboratory Confirmed or Probable Dengue Cases According Symptomatic Dengue Definition (Primary, Secondary or Unknown) Among the Suspected Dengue CasesTotal, probable cases131 Participants
Secondary

Number of Subjects With Serious Adverse Events (SAEs)

Serious adverse events (SAEs) were collected on the enrolled subjects. SAEs assessed include medical occurrences that result in death, are life threatening, require hospitalization or prolongation of hospitalization or result in disability/incapacity, is a congenital anomaly/birth defect in the offspring of a study subject.

Time frame: From Day 0 to Year 3

Population: The analysis was performed on the Total cohort, which included all subjects enrolled in the study.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
Dengue 5-9Y GroupNumber of Subjects With Serious Adverse Events (SAEs)0 Participants
Secondary

Number of Symptomatic Dengue Laboratory Confirmed Cases Associated With Hospitalization Direct Medical Resource

Direct medical resource included hospitalization, stay in intensive care units (ICU), medications, diagnostic and therapeutic procedures

Time frame: From Day 0 to Year 3

Population: The analysis was performed on the According-To-Protocol (ATP) cohort, which included all subjects meeting all eligibility criteria of the study, with no elimination criteria during the study and complying with the procedures defined in the protocol.

ArmMeasureGroupValue (NUMBER)
Dengue 5-9Y GroupNumber of Symptomatic Dengue Laboratory Confirmed Cases Associated With Hospitalization Direct Medical ResourceSubject hospitalized, positive2 Dengue infection cases
Dengue 5-9Y GroupNumber of Symptomatic Dengue Laboratory Confirmed Cases Associated With Hospitalization Direct Medical ResourceSubject hospitalized, negative54 Dengue infection cases
Dengue 5-9Y GroupNumber of Symptomatic Dengue Laboratory Confirmed Cases Associated With Hospitalization Direct Medical ResourceSubject hospitalized, unknown1 Dengue infection cases
Dengue 5-9Y GroupNumber of Symptomatic Dengue Laboratory Confirmed Cases Associated With Hospitalization Direct Medical ResourceHospitalized in a study hospital, positive1 Dengue infection cases
Dengue 5-9Y GroupNumber of Symptomatic Dengue Laboratory Confirmed Cases Associated With Hospitalization Direct Medical ResourceHospitalized in a study hospital, negative1 Dengue infection cases
Dengue 5-9Y GroupNumber of Symptomatic Dengue Laboratory Confirmed Cases Associated With Hospitalization Direct Medical ResourceHospitalized in a study hospital, unknown55 Dengue infection cases
Secondary

Number of Working Days Missed of Primary Care Giver 1 of Subjects With Laboratory Confirmed Symptomatic Dengue Cases

The number of days off work from caregiver were recorded as part of health economics indirect resource utilization associated with symptomatic dengue infection.

Time frame: From 21 up to 35 days post laboratory confirmed dengue onset

Population: The analysis was performed on the According-To-Protocol (ATP) cohort, which included all subjects meeting all eligibility criteria of the study, with no elimination criteria during the study and complying with the procedures defined in the protocol.

ArmMeasureValue (MEAN)Dispersion
Dengue 5-9Y GroupNumber of Working Days Missed of Primary Care Giver 1 of Subjects With Laboratory Confirmed Symptomatic Dengue Cases2.4 DaysStandard Deviation 1.88
Secondary

Number of Working Days Missed of Primary Care Giver 2 of Subjects With Laboratory Confirmed Symptomatic Dengue Cases

The number of days off work from caregiver were recorded as part of health economics indirect resource utilization associated with symptomatic dengue infection.

Time frame: From 21 up to 35 days post laboratory confirmed dengue onset

Population: The analysis was performed on the According-To-Protocol (ATP) cohort, which included all subjects meeting all eligibility criteria of the study, with no elimination criteria during the study and complying with the procedures defined in the protocol.

ArmMeasureValue (MEAN)Dispersion
Dengue 5-9Y GroupNumber of Working Days Missed of Primary Care Giver 2 of Subjects With Laboratory Confirmed Symptomatic Dengue Cases1.8 DaysStandard Deviation 0.96
Secondary

Proportion of Subjects With Prevalence of Past Dengue Infection (Dengue Seroprevalence) at Enrollment

This outcome measures the occurrence of past dengue infections among subjects who had laboratory results. Proportion was estimated from logistic generalized estimating equations models (GEE) taking the clustering effect of the school into account and was presented per subject enrolment age. Immune response against dengue was assessed via Enzyme-linked Immunosorbent Assay (ELISA).

Time frame: At Day 0 (At enrollment)

Population: The analysis was performed on the According-To-Protocol (ATP) cohort, which included all subjects meeting all eligibility criteria of the study, with no elimination criteria during the study and complying with the procedures defined in the protocol.

ArmMeasureGroupValue (NUMBER)
Dengue 5-9Y GroupProportion of Subjects With Prevalence of Past Dengue Infection (Dengue Seroprevalence) at EnrollmentIgG, 5 years old at enrollment32.57 Proportion of subjects
Dengue 5-9Y GroupProportion of Subjects With Prevalence of Past Dengue Infection (Dengue Seroprevalence) at EnrollmentIgG, 6 years old at enrollment45.18 Proportion of subjects
Dengue 5-9Y GroupProportion of Subjects With Prevalence of Past Dengue Infection (Dengue Seroprevalence) at EnrollmentIgG, 7 years old at enrollment38.86 Proportion of subjects
Dengue 5-9Y GroupProportion of Subjects With Prevalence of Past Dengue Infection (Dengue Seroprevalence) at EnrollmentIgG, 8 years old at enrollment49.60 Proportion of subjects
Dengue 5-9Y GroupProportion of Subjects With Prevalence of Past Dengue Infection (Dengue Seroprevalence) at EnrollmentIgG, 9 years old at enrollment50.20 Proportion of subjects
Dengue 5-9Y GroupProportion of Subjects With Prevalence of Past Dengue Infection (Dengue Seroprevalence) at EnrollmentIgG, 10 years old at enrollment57.27 Proportion of subjects
Dengue 5-9Y GroupProportion of Subjects With Prevalence of Past Dengue Infection (Dengue Seroprevalence) at EnrollmentIgG, 11 years old at enrollment68.87 Proportion of subjects
Dengue 5-9Y GroupProportion of Subjects With Prevalence of Past Dengue Infection (Dengue Seroprevalence) at EnrollmentIgG, 12 years old at enrollment69.16 Proportion of subjects
Dengue 5-9Y GroupProportion of Subjects With Prevalence of Past Dengue Infection (Dengue Seroprevalence) at EnrollmentIgG, 13 years old at enrollment70.16 Proportion of subjects
Dengue 5-9Y GroupProportion of Subjects With Prevalence of Past Dengue Infection (Dengue Seroprevalence) at EnrollmentIgG, Total54.08 Proportion of subjects
Secondary

Proportion of Subjects With Primary Asymptomatic Dengue Infection

Asymptomatic dengue primary infection was defined as a documented seroconversion (anti-dengue IgG antibodies) between two sequential sera samples obtained during the scheduled visits, without suspicion of dengue. Proportion of asymptomatic dengue primary infection was analyzed among subjects who had no past dengue infection reported before the beginning of the period.

Time frame: From Day 0 to Year 3

Population: The analysis was performed on the According-To-Protocol (ATP) cohort, which included all subjects meeting all eligibility criteria of the study, with no elimination criteria during the study and complying with the procedures defined in the protocol.

ArmMeasureGroupValue (NUMBER)
Dengue 5-9Y GroupProportion of Subjects With Primary Asymptomatic Dengue InfectionAsymptomatic dengue, 201220.27 proportion of subjects
Dengue 5-9Y GroupProportion of Subjects With Primary Asymptomatic Dengue InfectionAsymptomatic dengue, 20138.70 proportion of subjects
Dengue 5-9Y GroupProportion of Subjects With Primary Asymptomatic Dengue InfectionAsymptomatic dengue, 20145.14 proportion of subjects
Dengue 5-9Y GroupProportion of Subjects With Primary Asymptomatic Dengue InfectionTotal13.09 proportion of subjects

Source: ClinicalTrials.gov · Data processed: Feb 18, 2026