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The Association Between Prior Exposure to Dengue Tetravalent Vaccine (Live, Attenuated) (TDV) and Dengue Hospitalization in a Pediatric Population: a Nested Case-Control Post-Authorization Effectiveness Study, Thailand

The Association Between Prior Exposure to Dengue Tetravalent Vaccine (Live, Attenuated) (TDV) and Dengue Hospitalization in a Pediatric Population: a Nested Case-Control Post-Authorization Effectiveness Study, Thailand

Status
Active, not recruiting
Phases
Unknown
Study type
Observational
Source
TCTR
Registry ID
TCTR20250421002
Enrollment
30000
Registered
2025-04-21
Start date
2025-03-10
Completion date
Unknown
Last updated
2026-08-03

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

Conditions

Hospitalization for clinically diagnosed dengue (CDD), with a confirmed positive RT- PCR result (virologically confirmed dengue [VCD]) Dengue, Dengue Virus, Dengue Vaccine, Nested case-control study

Interventions

Fully vaccinated/completed vaccination (approved vaccination schedule): If he/she has received a 2-dose series of TDV according to national recommendations at least 30 days before developing fever and
Prevention,Prevention
Dengue vaccinated ,Dengue unvaccinated

Sponsors

Takeda Vaccines Inc
Lead Sponsor
National Vaccine Institute of Thailand
Collaborator

Eligibility

Sex/Gender
All
Age
7 Years to 10 Years

Inclusion criteria

Inclusion criteria: Cohort 1 The participant is a child or adolescent eligible to be vaccinated with Qdenga as part of a vaccination program planned in the study area. 2 The participant s family do not intend to migrate away from the cohort hospital catchment area within 3 years of his/her enrollment into the study cohort. 3 The participant s parent(s) or LAR signs and dates a written ICF, and any required privacy authorization where applicable, prior to the initiation of any study procedures, after the nature of the study has been explained according to local regulatory requirements. 4 The participant signs and dates an age-appropriate assent form prior to the initiation of any study procedures, after the nature of the study has been explained according to local regulatory requirements. 5 The participant s parent(s) or LAR agrees that a baseline blood sample may be taken from the participant. Cases To be eligible for inclusion as a case, participants must meet the following inclusion criteria: 1 The participant is part of the cohort. 2 The participant is hospitalized and clinically diagnosed with dengue. 3 The participant has a blood sample available that was taken preferably within 5 days of fever onset and/or onset of symptoms compatible with dengue. 4 The participant tested positive for dengue by RT-PCR. Controls To be eligible for inclusion as a matched control, participants must meet the following inclusion criteria: 1 The participant is part of the cohort. 2 The participant had not been hospitalized with VCD at any point between enrollment in the cohort and the index date (ie, when his/her matched case was hospitalized with CDD). 3 The participant is a resident in the same neighborhood (village/subdistrict in Thailand) as the matched case. 4 The participants date of birth is in the same calendar year as the matched case.

Exclusion criteria

Exclusion criteria: - The participant is pregnant at the time of cohort enrollment. - The participant has been vaccinated with Qdenga, CYD-TDV, or an investigational dengue vaccine prior to cohort enrollment. - Contraindications as per the locally approved label/product information leaflet. - The participant could not be contacted at the time of being selected as a control.

Design outcomes

Primary

MeasureTime frame
Hospitalization Due to VCD of Any Dengue Serotype in Unvaccinated and Fully Vaccinated Participants Up to 36 months Number of participants hospitalized due to VCD of any dengue serotype in unvaccinated and fully vaccinated participants

Secondary

MeasureTime frame
Hospitalization Due to VCD By Each Infecting Dengue Serotype (DENV-1, DENV-2, DENV 3, DENV-4) in Unvaccinated and Fully Vaccinated Participants Up to Month 36 Number of participants hospitalized due to VCD with each infecting dengue serotype (DENV 1, DENV-2, DENV-3, and DENV-4) in unvaccinated and fully vaccinated participants will be reported,Hospitalization Due to VCD by Baseline Dengue Serostatus (Seronegative and Seropositive) of Any Dengue Serotype in Unvaccinated and Fully Vaccinated Participants Up to Month 36 Number of participants hospitalized due to VCD with dengue serostatus (seronegative and seropositive) of any dengue serotype in unvaccinated and fully vaccinated participants will be reported.,Hospitalization Due to VCD By Each Infecting Dengue Serotype and Baseline Dengue Serostatus in Unvaccinated and Fully Vaccinated Participants Up to Month 36 Number of participants hospitalized due to VCD by each infecting dengue serotype and baseline dengue serostatus in unvaccinated and fully vaccinated participants will be reported.

Countries

Thailand

Contacts

Public ContactDr. Chakrarat Pittayawonganon

Ministry of Public Health

chak@moph.go.th0931167716

Outcome results

None listed

Source: TCTR (via WHO ICTRP) · Data processed: Aug 10, 2026