Trial Outcomes & Findings for VSV-ZEBOV Geneva Vaccine Trial (NCT NCT02287480)

NCT ID: NCT02287480

Last Updated: 2023-05-10

Results Overview

Primary immunogenicity outcome (required for dose selection)

Recruitment status

COMPLETED

Study phase

PHASE1/PHASE2

Target enrollment

115 participants

Primary outcome timeframe

Day 0 - 28

Results posted on

2023-05-10

Participant Flow

Participant milestones

Participant milestones
Measure
VSV-ZEBOV High Dose
One intramuscular (deltoid) injection of a "high" dose (10\^7 plaque-forming units) of VSV-ZEBOV. VSV-ZEBOV: See arm/group descriptions.
VSV-ZEBOV Highest Dose
One intramuscular (deltoid) injection of a "highest" dose (5 x 10\^7 pfu) of VSV-ZEBOV. VSV-ZEBOV: See arm/group descriptions.
Placebo
One intramuscular (deltoid) injection of normal saline (0.5 ml) VSV-ZEBOV: See arm/group descriptions.
VSV-ZEBOV Lowest Dose
Study amendment (01.2015) : One intramuscular (deltoid) injection of a markedly lower dose (3x 10\^5 plaque-forming units) of VSV-ZEBOV
Overall Study
STARTED
35
16
13
51
Overall Study
COMPLETED
35
16
13
51
Overall Study
NOT COMPLETED
0
0
0
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

VSV-ZEBOV Geneva Vaccine Trial

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
VSV-ZEBOV High Dose
n=35 Participants
One intramuscular (deltoid) injection of a "high" dose (10\^7 plaque-forming units) of VSV-ZEBOV. VSV-ZEBOV: See arm/group descriptions.
VSV-ZEBOV Highest Dose
n=16 Participants
One intramuscular (deltoid) injection of a "highest" dose (5 x 10\^7 pfu) of VSV-ZEBOV. VSV-ZEBOV: See arm/group descriptions.
Placebo
n=13 Participants
One intramuscular (deltoid) injection of normal saline (0.5 ml) VSV-ZEBOV: See arm/group descriptions.
VSV-ZEBOV Lowest Dose
n=51 Participants
Study amendment (01.2015) : One intramuscular (deltoid) injection of a markedly lower dose (3x 10\^5 plaque-forming units) of VSV-ZEBOV
Total
n=115 Participants
Total of all reporting groups
Age, Continuous
44 years
n=5 Participants
39 years
n=7 Participants
39 years
n=5 Participants
40 years
n=4 Participants
41 years
n=21 Participants
Sex: Female, Male
Female
15 Participants
n=5 Participants
4 Participants
n=7 Participants
7 Participants
n=5 Participants
27 Participants
n=4 Participants
53 Participants
n=21 Participants
Sex: Female, Male
Male
20 Participants
n=5 Participants
12 Participants
n=7 Participants
6 Participants
n=5 Participants
24 Participants
n=4 Participants
62 Participants
n=21 Participants
Region of Enrollment
Switzerland
35 participants
n=5 Participants
16 participants
n=7 Participants
13 participants
n=5 Participants
51 participants
n=4 Participants
115 participants
n=21 Participants

PRIMARY outcome

Timeframe: Day 0 - 28

Population: Note that for many analyses, volunteers vaccinated with either 10\^7 or 5x 10\^7 pfu were grouped together, as these doses were indistinguishable in immunogenicity and safety profile; see Huttner et al. Lancet Infectious Diseases 2015, Agnandji et al., NEJM 2016.

Primary immunogenicity outcome (required for dose selection)

Outcome measures

Outcome measures
Measure
VSV-ZEBOV 5x 10^7 OR 10^7 Pfu/ml Dose
n=47 Participants
Volunteers vaccinated with a single intramuscular (deltoid) injection of either 5x 10\^7 plaque-forming units/ml of VSV-ZEBOV or 10\^7 pfu/ml of VSV-ZEBOV. Note that these two doses proved to be indistinguishable in terms of safety profile and immunogenicity, so the groups were combined for results reporting.
Placebo
n=13 Participants
One intramuscular (deltoid) injection of normal saline (0.5 ml).
VSV-ZEBOV 3x 10^5 Pfu/ml Dose
n=51 Participants
One intramuscular injection (deltoid) of 3x 10\^5 pfu/ml of VSV-ZEBOV.
VSV-ZEBOV 3x10^5 Pfu Dose
Study amendment (01.2015) : One intramuscular (deltoid) injection of a markedly lower dose (3x 10\^5 plaque-forming units) of VSV-ZEBOV
Titers of ZEBOV-specific IgG Antibodies
1227 ELISA units per ml
Interval 917.3 to 1641.2
25 ELISA units per ml
Interval 25.0 to 25.0
344.5 ELISA units per ml
Interval 229.7 to 516.4

SECONDARY outcome

Timeframe: Days 0 - 14

Number of participants with solicited local and systemic reactogenicity signs and symptoms. Day 0 is the day of the study intervention.

Outcome measures

Outcome measures
Measure
VSV-ZEBOV 5x 10^7 OR 10^7 Pfu/ml Dose
n=51 Participants
Volunteers vaccinated with a single intramuscular (deltoid) injection of either 5x 10\^7 plaque-forming units/ml of VSV-ZEBOV or 10\^7 pfu/ml of VSV-ZEBOV. Note that these two doses proved to be indistinguishable in terms of safety profile and immunogenicity, so the groups were combined for results reporting.
Placebo
n=13 Participants
One intramuscular (deltoid) injection of normal saline (0.5 ml).
VSV-ZEBOV 3x 10^5 Pfu/ml Dose
n=51 Participants
One intramuscular injection (deltoid) of 3x 10\^5 pfu/ml of VSV-ZEBOV.
VSV-ZEBOV 3x10^5 Pfu Dose
Study amendment (01.2015) : One intramuscular (deltoid) injection of a markedly lower dose (3x 10\^5 plaque-forming units) of VSV-ZEBOV
Number of Participants With Solicited Local and Systemic Reactogenicity Signs and Symptoms
Swelling/induration
2 participants
0 participants
1 participants
Number of Participants With Solicited Local and Systemic Reactogenicity Signs and Symptoms
Erythema
1 participants
0 participants
0 participants
Number of Participants With Solicited Local and Systemic Reactogenicity Signs and Symptoms
Pain at injection site
23 participants
3 participants
9 participants
Number of Participants With Solicited Local and Systemic Reactogenicity Signs and Symptoms
Objective fever
10 participants
0 participants
1 participants
Number of Participants With Solicited Local and Systemic Reactogenicity Signs and Symptoms
Subjective fever
20 participants
2 participants
7 participants
Number of Participants With Solicited Local and Systemic Reactogenicity Signs and Symptoms
Chills
19 participants
2 participants
14 participants
Number of Participants With Solicited Local and Systemic Reactogenicity Signs and Symptoms
Myalgia
22 participants
3 participants
14 participants
Number of Participants With Solicited Local and Systemic Reactogenicity Signs and Symptoms
Headache
19 participants
4 participants
12 participants
Number of Participants With Solicited Local and Systemic Reactogenicity Signs and Symptoms
Fatigue
20 participants
4 participants
24 participants
Number of Participants With Solicited Local and Systemic Reactogenicity Signs and Symptoms
Arthralgia
6 participants
1 participants
5 participants

SECONDARY outcome

Timeframe: Days 0 - 28

Number of participants with unsolicited adverse events in the 28 days following injection

Outcome measures

Outcome measures
Measure
VSV-ZEBOV 5x 10^7 OR 10^7 Pfu/ml Dose
n=51 Participants
Volunteers vaccinated with a single intramuscular (deltoid) injection of either 5x 10\^7 plaque-forming units/ml of VSV-ZEBOV or 10\^7 pfu/ml of VSV-ZEBOV. Note that these two doses proved to be indistinguishable in terms of safety profile and immunogenicity, so the groups were combined for results reporting.
Placebo
n=13 Participants
One intramuscular (deltoid) injection of normal saline (0.5 ml).
VSV-ZEBOV 3x 10^5 Pfu/ml Dose
n=51 Participants
One intramuscular injection (deltoid) of 3x 10\^5 pfu/ml of VSV-ZEBOV.
VSV-ZEBOV 3x10^5 Pfu Dose
Study amendment (01.2015) : One intramuscular (deltoid) injection of a markedly lower dose (3x 10\^5 plaque-forming units) of VSV-ZEBOV
Number of Participants With Unsolicited Adverse Events
11 Participants
0 Participants
13 Participants

SECONDARY outcome

Timeframe: Days 0 - 365

Number of participants with a serious adverse event (SAE) in the 365 days (1 year) following injection.

Outcome measures

Outcome measures
Measure
VSV-ZEBOV 5x 10^7 OR 10^7 Pfu/ml Dose
n=51 Participants
Volunteers vaccinated with a single intramuscular (deltoid) injection of either 5x 10\^7 plaque-forming units/ml of VSV-ZEBOV or 10\^7 pfu/ml of VSV-ZEBOV. Note that these two doses proved to be indistinguishable in terms of safety profile and immunogenicity, so the groups were combined for results reporting.
Placebo
n=13 Participants
One intramuscular (deltoid) injection of normal saline (0.5 ml).
VSV-ZEBOV 3x 10^5 Pfu/ml Dose
n=51 Participants
One intramuscular injection (deltoid) of 3x 10\^5 pfu/ml of VSV-ZEBOV.
VSV-ZEBOV 3x10^5 Pfu Dose
Study amendment (01.2015) : One intramuscular (deltoid) injection of a markedly lower dose (3x 10\^5 plaque-forming units) of VSV-ZEBOV
Number of Participants With a Serious Adverse Event (SAE)
1 number of participants
0 number of participants
1 number of participants

SECONDARY outcome

Timeframe: Days 1, 3 and 7

Population: (Note that viremia data for placebo recipients is not reported because these recipients never received vaccine, were never viremic, and thus these data were not collected in these participants.)

Magnitude (copies/ml) of VSVΔG-ZEBOV viremia as expressed by median VSV RNA concentrations after vaccination.

Outcome measures

Outcome measures
Measure
VSV-ZEBOV 5x 10^7 OR 10^7 Pfu/ml Dose
n=51 Participants
Volunteers vaccinated with a single intramuscular (deltoid) injection of either 5x 10\^7 plaque-forming units/ml of VSV-ZEBOV or 10\^7 pfu/ml of VSV-ZEBOV. Note that these two doses proved to be indistinguishable in terms of safety profile and immunogenicity, so the groups were combined for results reporting.
Placebo
n=51 Participants
One intramuscular (deltoid) injection of normal saline (0.5 ml).
VSV-ZEBOV 3x 10^5 Pfu/ml Dose
One intramuscular injection (deltoid) of 3x 10\^5 pfu/ml of VSV-ZEBOV.
VSV-ZEBOV 3x10^5 Pfu Dose
Study amendment (01.2015) : One intramuscular (deltoid) injection of a markedly lower dose (3x 10\^5 plaque-forming units) of VSV-ZEBOV
Magnitude (Copies/ml) of VSVΔG-ZEBOV Viremia
VSV viremia, day 1
323 VSV RNA copies/ml
Interval 65.0 to 912.0
15 VSV RNA copies/ml
Interval 15.0 to 15.0
Magnitude (Copies/ml) of VSVΔG-ZEBOV Viremia
VSV viremia, day 3 (±1)
178 VSV RNA copies/ml
Interval 65.0 to 676.0
15 VSV RNA copies/ml
Interval 15.0 to 15.0
Magnitude (Copies/ml) of VSVΔG-ZEBOV Viremia
VSV viremia, day 7 (±1)
15 VSV RNA copies/ml
Interval 15.0 to 15.0
15 VSV RNA copies/ml
Interval 15.0 to 15.0

SECONDARY outcome

Timeframe: Day 168

The percentage of participants maintaining positive ZEBOV-specific IgG antibody titers at 168 days after vaccination.

Outcome measures

Outcome measures
Measure
VSV-ZEBOV 5x 10^7 OR 10^7 Pfu/ml Dose
n=51 Participants
Volunteers vaccinated with a single intramuscular (deltoid) injection of either 5x 10\^7 plaque-forming units/ml of VSV-ZEBOV or 10\^7 pfu/ml of VSV-ZEBOV. Note that these two doses proved to be indistinguishable in terms of safety profile and immunogenicity, so the groups were combined for results reporting.
Placebo
n=13 Participants
One intramuscular (deltoid) injection of normal saline (0.5 ml).
VSV-ZEBOV 3x 10^5 Pfu/ml Dose
n=51 Participants
One intramuscular injection (deltoid) of 3x 10\^5 pfu/ml of VSV-ZEBOV.
VSV-ZEBOV 3x10^5 Pfu Dose
Study amendment (01.2015) : One intramuscular (deltoid) injection of a markedly lower dose (3x 10\^5 plaque-forming units) of VSV-ZEBOV
Persistence of Titers of ZEBOV-specific IgG Antibodies
51 Participants
0 Participants
49 Participants

SECONDARY outcome

Timeframe: Days 0, 28 and 168

Population: Note that data were ultimately not collected for days 7 and 14.

Geometric mean titers of neutralizing ZEBOV-specific IgG antibodies.

Outcome measures

Outcome measures
Measure
VSV-ZEBOV 5x 10^7 OR 10^7 Pfu/ml Dose
n=35 Participants
Volunteers vaccinated with a single intramuscular (deltoid) injection of either 5x 10\^7 plaque-forming units/ml of VSV-ZEBOV or 10\^7 pfu/ml of VSV-ZEBOV. Note that these two doses proved to be indistinguishable in terms of safety profile and immunogenicity, so the groups were combined for results reporting.
Placebo
n=15 Participants
One intramuscular (deltoid) injection of normal saline (0.5 ml).
VSV-ZEBOV 3x 10^5 Pfu/ml Dose
n=13 Participants
One intramuscular injection (deltoid) of 3x 10\^5 pfu/ml of VSV-ZEBOV.
VSV-ZEBOV 3x10^5 Pfu Dose
n=51 Participants
Study amendment (01.2015) : One intramuscular (deltoid) injection of a markedly lower dose (3x 10\^5 plaque-forming units) of VSV-ZEBOV
Titers of Neutralizing ZEBOV-specific IgG Antibodies
GMT, day 168
7.23 Geometric mean titer
Interval 5.72 to 8.74
5.86 Geometric mean titer
Interval 4.49 to 7.23
4.54 Geometric mean titer
Interval 4.08 to 4.99
6.12 Geometric mean titer
Interval 5.39 to 6.85
Titers of Neutralizing ZEBOV-specific IgG Antibodies
GMT, day 0
4.24 Geometric mean titer
Interval 3.91 to 4.57
4.00 Geometric mean titer
Interval 4.0 to 4.0
4.00 Geometric mean titer
Interval 4.0 to 4.0
4.22 Geometric mean titer
Interval 4.03 to 4.41
Titers of Neutralizing ZEBOV-specific IgG Antibodies
GMT, day 28
13.24 Geometric mean titer
Interval 8.84 to 17.64
16.02 Geometric mean titer
Interval 10.23 to 21.81
4.11 Geometric mean titer
Interval 3.95 to 4.26
14.79 Geometric mean titer
Interval 11.55 to 18.02

SECONDARY outcome

Timeframe: Days 1, 3 and 7

Percentage of participants with any detectable viremia on days 1, 3 and 7

Outcome measures

Outcome measures
Measure
VSV-ZEBOV 5x 10^7 OR 10^7 Pfu/ml Dose
n=51 Participants
Volunteers vaccinated with a single intramuscular (deltoid) injection of either 5x 10\^7 plaque-forming units/ml of VSV-ZEBOV or 10\^7 pfu/ml of VSV-ZEBOV. Note that these two doses proved to be indistinguishable in terms of safety profile and immunogenicity, so the groups were combined for results reporting.
Placebo
n=51 Participants
One intramuscular (deltoid) injection of normal saline (0.5 ml).
VSV-ZEBOV 3x 10^5 Pfu/ml Dose
One intramuscular injection (deltoid) of 3x 10\^5 pfu/ml of VSV-ZEBOV.
VSV-ZEBOV 3x10^5 Pfu Dose
Study amendment (01.2015) : One intramuscular (deltoid) injection of a markedly lower dose (3x 10\^5 plaque-forming units) of VSV-ZEBOV
Duration of VSVΔG-ZEBOV Viremia
day 1
42 Participants
6 Participants
Duration of VSVΔG-ZEBOV Viremia
day 3
39 Participants
8 Participants
Duration of VSVΔG-ZEBOV Viremia
day 7
1 Participants
1 Participants

SECONDARY outcome

Timeframe: Days 1, 3 and 7

Population: Participants in whom shedding of vaccine virus (VSV) was detected in urine or saliva.

This outcome was evaluated in a subset of vaccinees.

Outcome measures

Outcome measures
Measure
VSV-ZEBOV 5x 10^7 OR 10^7 Pfu/ml Dose
n=30 Participants
Volunteers vaccinated with a single intramuscular (deltoid) injection of either 5x 10\^7 plaque-forming units/ml of VSV-ZEBOV or 10\^7 pfu/ml of VSV-ZEBOV. Note that these two doses proved to be indistinguishable in terms of safety profile and immunogenicity, so the groups were combined for results reporting.
Placebo
n=5 Participants
One intramuscular (deltoid) injection of normal saline (0.5 ml).
VSV-ZEBOV 3x 10^5 Pfu/ml Dose
One intramuscular injection (deltoid) of 3x 10\^5 pfu/ml of VSV-ZEBOV.
VSV-ZEBOV 3x10^5 Pfu Dose
Study amendment (01.2015) : One intramuscular (deltoid) injection of a markedly lower dose (3x 10\^5 plaque-forming units) of VSV-ZEBOV
Number of Participants in Whom Shedding of VSVΔG-ZEBOV Was Detected in Urine and/or Saliva.
0 Participants
0 Participants
0 Participants

Adverse Events

VSV-ZEBOV 10^7 Pfu Dose

Serious events: 1 serious events
Other events: 8 other events
Deaths: 0 deaths

VSV-ZEBOV 5x10'^7 Dose

Serious events: 0 serious events
Other events: 3 other events
Deaths: 0 deaths

Placebo

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

VSV-ZEBOV 3x10^5 Pfu Dose

Serious events: 1 serious events
Other events: 13 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
VSV-ZEBOV 10^7 Pfu Dose
n=35 participants at risk
One intramuscular (deltoid) injection of a lower dose (10\^7 plaque-forming units) of VSV-ZEBOV. VSV-ZEBOV: See arm/group descriptions.
VSV-ZEBOV 5x10'^7 Dose
n=16 participants at risk
One intramuscular (deltoid) injection of a higher dose (5 x 10\^7 pfu) of VSV-ZEBOV. Study amendment (01.2015) : interrupted VSV-ZEBOV: See arm/group descriptions.
Placebo
n=13 participants at risk
One intramuscular (deltoid) injection of normal saline (0.5 ml) VSV-ZEBOV: See arm/group descriptions.
VSV-ZEBOV 3x10^5 Pfu Dose
n=51 participants at risk
Study amendment (01.2015) : One intramuscular (deltoid) injection of a markedly lower dose (3x 10\^5 plaque-forming units) of VSV-ZEBOV
Musculoskeletal and connective tissue disorders
Hospitalization for left ulnar fracture after a fall
2.9%
1/35 • Number of events 1 • Non-serious adverse events were collected in the first 28 days. (Serious adverse events were collected throughout the entire study period, an average of 1 year.)
0.00%
0/16 • Non-serious adverse events were collected in the first 28 days. (Serious adverse events were collected throughout the entire study period, an average of 1 year.)
0.00%
0/13 • Non-serious adverse events were collected in the first 28 days. (Serious adverse events were collected throughout the entire study period, an average of 1 year.)
0.00%
0/51 • Non-serious adverse events were collected in the first 28 days. (Serious adverse events were collected throughout the entire study period, an average of 1 year.)
Musculoskeletal and connective tissue disorders
Hospitalization for rupture of the right quadriceps tendon after a fall
0.00%
0/35 • Non-serious adverse events were collected in the first 28 days. (Serious adverse events were collected throughout the entire study period, an average of 1 year.)
0.00%
0/16 • Non-serious adverse events were collected in the first 28 days. (Serious adverse events were collected throughout the entire study period, an average of 1 year.)
0.00%
0/13 • Non-serious adverse events were collected in the first 28 days. (Serious adverse events were collected throughout the entire study period, an average of 1 year.)
2.0%
1/51 • Number of events 1 • Non-serious adverse events were collected in the first 28 days. (Serious adverse events were collected throughout the entire study period, an average of 1 year.)

Other adverse events

Other adverse events
Measure
VSV-ZEBOV 10^7 Pfu Dose
n=35 participants at risk
One intramuscular (deltoid) injection of a lower dose (10\^7 plaque-forming units) of VSV-ZEBOV. VSV-ZEBOV: See arm/group descriptions.
VSV-ZEBOV 5x10'^7 Dose
n=16 participants at risk
One intramuscular (deltoid) injection of a higher dose (5 x 10\^7 pfu) of VSV-ZEBOV. Study amendment (01.2015) : interrupted VSV-ZEBOV: See arm/group descriptions.
Placebo
n=13 participants at risk
One intramuscular (deltoid) injection of normal saline (0.5 ml) VSV-ZEBOV: See arm/group descriptions.
VSV-ZEBOV 3x10^5 Pfu Dose
n=51 participants at risk
Study amendment (01.2015) : One intramuscular (deltoid) injection of a markedly lower dose (3x 10\^5 plaque-forming units) of VSV-ZEBOV
Musculoskeletal and connective tissue disorders
arthritis
22.9%
8/35 • Number of events 8 • Non-serious adverse events were collected in the first 28 days. (Serious adverse events were collected throughout the entire study period, an average of 1 year.)
18.8%
3/16 • Number of events 3 • Non-serious adverse events were collected in the first 28 days. (Serious adverse events were collected throughout the entire study period, an average of 1 year.)
0.00%
0/13 • Non-serious adverse events were collected in the first 28 days. (Serious adverse events were collected throughout the entire study period, an average of 1 year.)
25.5%
13/51 • Number of events 13 • Non-serious adverse events were collected in the first 28 days. (Serious adverse events were collected throughout the entire study period, an average of 1 year.)

Additional Information

Prof. Claire-Anne Siegrist

Geneva University Hospitals

Phone: 0041 22 379 5778

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place