A Booster Dose of Ad5-EBOV in Healthy Adults After Primary Immunization
Safety and Immunogenicity of a Booster Dose of the Recombinant Ebola Adenovirus Vector Vaccine (Ad5-EBOV) in Healthy Adults After Primary Immunization
1 other identifier
interventional
110
1 country
1
Brief Summary
Since its first outbreak occurred in 1976, Zaire Ebola virus have been associated with 14 outbreaks reported up to 2014. The Zaire Ebola virus in 2014 causing the most serious outbreak was considered to be a new epidemic strain, with GP homology of the gene was only 97.6%, compared to the GP gene of the strain in 1976. This investigational Ad5-EBOV vaccine was developed according to the 2014 epidemic Zaire strain and formulated as freeze-dry products which could be stored at 4℃. In 2014, a single center, double-blind, placebo control, dose-escalation phase 1 clinical trial was performed in Taizhou, China. Our findings show that the Ad5-EBOV vaccine is safe and robustly immunogenic. One shot of the high dose vaccine could mount glycoprotein-specific humoral and T-cell response against Ebola virus in 14 days. The investigators intent to evaluate the safety and immunogenicity of a booster dose of the recombinant Ebola adenovirus vector vaccine (Ad5-EBOV) in healthy adults after primary immunization in this add in study. The investigators expect that the boosting immunization with a same vaccine for primary immunization is possible and could confer a longer-lived protection when needed. The phase I trial has been unblind 28 days after the primary vaccination, but all the subjects are still kept blind as well as the laboratory staffs. Therefore, this booster vaccination trial will be conduct in single blind.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for phase_1
Started Jul 2015
Shorter than P25 for phase_1
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
July 1, 2015
CompletedFirst Submitted
Initial submission to the registry
August 21, 2015
CompletedFirst Posted
Study publicly available on registry
August 27, 2015
CompletedPrimary Completion
Last participant's last visit for primary outcome
September 1, 2015
CompletedStudy Completion
Last participant's last visit for all outcomes
October 1, 2015
CompletedOctober 14, 2015
October 1, 2015
2 months
August 21, 2015
October 11, 2015
Conditions
Keywords
Outcome Measures
Primary Outcomes (3)
Occurrence of adverse reactions after vaccination
Occurrence of adverse reactions within 7 days after vaccination with the Ebola Zaire vaccine (Ad5-EBOV)
within 7 days after the boosting
Specific anti-EBOV antibody responses to the Ebola Zaire vaccine (Ad5-EBOV)
Specific anti-EBOV antibody responses to the Ebola Zaire vaccine (Ad5-EBOV) as measured by ELISA
28 days after the boosting
Specific T cell immune responses to the Ebola Zaire vaccine (Ad5-EBOV)
Specific T cell immune responses to the Ebola Zaire vaccine (Ad5-EBOV)
28 days after the boosting
Secondary Outcomes (3)
Occurrence of adverse events after the vaccination
within 28 days after the boosting
Occurrence of serious adverse events after the vaccination
within 28 days after the boosting
Serum neutralizing antibody against the Ad5-vector
28 days after the boosting
Study Arms (3)
low dose group
EXPERIMENTAL4×10\^10vp/1ml Ebola Zaire vaccine (Ad5-EBOV)
high dose group
EXPERIMENTAL1.6×10\^11vp/2ml Ebola Zaire vaccine (Ad5-EBOV)
placebo group
PLACEBO COMPARATORplacebo
Interventions
one dose, 4×10\^10vp/1ml per dose
two doses, 0.8×10\^11vp/1ml per dose, with one dose to each arm at the same time
Eligibility Criteria
You may qualify if:
- Participants who enrolled in the initial study, and completed the primary vaccination.
- Able to understand the content of the additional informed consent and willing to sign the additional informed consent for the boosting study
- Able and willing to complete a one-month follow-up.
- HIV negative
- Axillary temperature ≤37.0°C on the day of enrollment
- General good health as established by medical history and physical examination.
You may not qualify if:
- New occurrence of any of the following situation after the primary vaccination:
- Subject that has a medical history of any of the following: allergic history of any vaccination or drugs, or allergic to any ingredient of the Ad5-EBOV vaccine, such as mannitol
- Woman who become pregnant after the primary vaccination or is positive in β-HCG (human chorionic gonadotropin) pregnancy test (urine) on day of enrollment for the boosting study
- Any acute fever disease or infections in last 7 days
- Not well-controlled chronic illness, such as asthma, diabetes, or thyroid disease
- Hereditary angioneurotic edema or acquired angioneurotic edema
- Urticaria in last 6 months
- Asplenia or functional asplenia
- Platelet disorder or other bleeding disorder may cause injection contraindication
- Faint at the sight of blood or needles.
- Prior administration of immunodepressant or corticosteroids, antianaphylaxis treatment, cytotoxic treatment in last 6 months
- Prior administration of blood products in last 4 months
- Prior administration of other research medicines in last 1 month
- Prior administration of attenuated vaccine in last 1 month
- Prior administration of inactivated vaccine in last 14 days
- +2 more criteria
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Phase 1 vaccine clinical trial center of Jiangsu Provincial Center for Disease Control and Prevention
Taizhou, Jiangsu, China
Related Publications (1)
Li JX, Hou LH, Meng FY, Wu SP, Hu YM, Liang Q, Chu K, Zhang Z, Xu JJ, Tang R, Wang WJ, Liu P, Hu JL, Luo L, Jiang R, Zhu FC, Chen W. Immunity duration of a recombinant adenovirus type-5 vector-based Ebola vaccine and a homologous prime-boost immunisation in healthy adults in China: final report of a randomised, double-blind, placebo-controlled, phase 1 trial. Lancet Glob Health. 2017 Mar;5(3):e324-e334. doi: 10.1016/S2214-109X(16)30367-9. Epub 2016 Dec 23.
PMID: 28017642DERIVED
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Feng-Cai Zhu
Jiangsu Provincial Center for Disease Control and Prevention
Study Design
- Study Type
- interventional
- Phase
- phase 1
- Allocation
- NON RANDOMIZED
- Masking
- SINGLE
- Who Masked
- PARTICIPANT
- Purpose
- PREVENTION
- Intervention Model
- PARALLEL
- Sponsor Type
- NETWORK
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
August 21, 2015
First Posted
August 27, 2015
Study Start
July 1, 2015
Primary Completion
September 1, 2015
Study Completion
October 1, 2015
Last Updated
October 14, 2015
Record last verified: 2015-10