First Dengue Vaccine Phase 3 Clinical Trial in India

First Dengue Vaccine Phase 3 Clinical Trial in India

Context:

The Indian Council of Medical Research (ICMR) and Panacea Biotec have initiated the first-ever Phase 3 clinical trial for India’s indigenous dengue vaccine, DengiAll.
  • This trial represents a significant milestone in India’s efforts to combat dengue, a major public health concern.
  • The trial will assess the efficacy of the tetravalent dengue vaccine developed by Panacea Biotec, marking a crucial step toward developing an effective solution against all four serotypes of the dengue virus in India.
  • The trial’s initiation aligns with India’s vision of Atmanirbhar Bharat, aiming for self-reliance in the healthcare sector.

Relevance:

GS-03 (Science and technology)

Key Highlights:

1. Initiation of Phase 3 Clinical Trial:
  • The first Phase 3 clinical trial for India’s indigenous dengue vaccine, DengiAll, has begun.
  • The trial commenced with the first participant being vaccinated at Pandit Bhagwat Dayal Sharma Post Graduate Institute of Medical Sciences (PGIMS), Rohtak.
2. Vaccine Development:
  • The tetravalent dengue vaccine strain (TV003/TV005) was originally developed by the National Institutes of Health (NIH), USA, and has shown promising results in previous trials globally.
  • Panacea Biotec, one of three Indian companies to receive the vaccine strain, has advanced the vaccine’s development to this stage, holding a process patent for its formulation.
  • Phase 1 and 2 trials conducted in India between 2018-2019 yielded positive results, paving the way for this Phase 3 trial.
3. Trial Details:
  • The Phase 3 trial will be conducted across 19 sites in 18 States and Union Territories of India.
  • It will involve more than 10,335 healthy adult participants, with a follow-up period of two years.
  • The trial is primarily funded by ICMR, with additional support from Panacea Biotec.
4. Current Dengue Situation:
  • Dengue is a significant public health issue in India, with the country ranking among the top 30 globally in terms of dengue incidence.
  • All four serotypes of the dengue virus circulate in India, with 75-80% of infections being asymptomatic.
  • Dengue can escalate into severe forms such as dengue hemorrhagic fever and dengue shock syndrome, particularly affecting children and adults.

Significance:

Indigenous Vaccine Development:
  • The initiation of this trial represents a critical step in developing an indigenous solution to a pressing public health challenge.
  • Success in this trial could lead to the availability of the first indigenous dengue vaccine, enhancing India’s self-reliance in vaccine production and aligning with the vision of Atmanirbhar Bharat.
Public Health Impact:
  • An effective dengue vaccine would significantly reduce the disease burden in India, which is among the countries with the highest incidence of dengue.
  • This vaccine has the potential to protect against all four dengue serotypes, addressing the issue of repeated infections and improving overall public health outcomes.
Global Relevance:
  • As dengue continues to rise globally, India’s success in developing a tetravalent dengue vaccine could contribute to global efforts in combating the disease, positioning India as a leader in vaccine innovation and public health interventions.