Cohort Study of Healthcare Workers Receiving Imvanex®

NCT ID: NCT03745131

Last Updated: 2020-03-03

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Total Enrollment

120 participants

Study Classification

OBSERVATIONAL

Study Start Date

2018-10-30

Study Completion Date

2019-11-30

Brief Summary

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During an outbreak of monkeypox in the UK in 2018, a third generation smallpox vaccine, Imvanex, was used for the first time to immunise healthcare workers who had been, or were expected to be, in contact with cases of monkeypox. This study will examine the antibody responses in these healthcare workers compared to control groups, to provide evidence that the vaccine can produce a response consistent with protection when used in this context.

Detailed Description

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This study intends to describe antibody responses to a third generation smallpox vaccine, Imvanex® (MVA-BN, Bavarian Nordic GmBH; also known as Imvamune®), in cohorts of individuals who received the vaccine for pre-exposure or post-exposure prophylaxis against monkeypox during a monkeypox outbreak in the UK. In addition to quantifying anti-vaccinia virus antibody responses to vaccine, the study intends to demonstrate that vaccine-induced antibodies neutralise the specific monkeypox viruses involved in the UK outbreak, and also reference monkeypox viruses. The use of Imvanex® during the UK outbreak represents the first ever use of Imvanex® as a public health intervention for a monkeypox outbreak, and this study will provide an opportunity to quantify and characterise antibody responses to Imvanex® administered in a non-trial setting.

Conditions

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Monkeypox

Study Design

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Observational Model Type

COHORT

Study Time Perspective

PROSPECTIVE

Study Groups

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Pre-exposure prophylaxis recipients

40 healthcare workers who provide specialist medical care to patients with monkeypox and who received vaccine as pre-exposure prophylaxis.

Blood draw

Intervention Type OTHER

Blood draw to obtain serum to determine anti-orthopox antibody titres.

Post-exposure prophylaxis recipients

40 healthcare workers who received vaccine as post-exposure prophylaxis following monkeypox-exposure risk assessments.

Blood draw

Intervention Type OTHER

Blood draw to obtain serum to determine anti-orthopox antibody titres.

Control Group 1

20 healthcare workers who provided specialist medical care to patients with monkeypox but declined the offer of vaccine as pre-exposure prophylaxis.

Blood draw

Intervention Type OTHER

Blood draw to obtain serum to determine anti-orthopox antibody titres.

Control Group 2

Healthcare workers not involved in the care of, and have not had known exposure to, patients with monkeypox and, therefore, were not offered vaccine.

Blood draw

Intervention Type OTHER

Blood draw to obtain serum to determine anti-orthopox antibody titres.

Interventions

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Blood draw

Blood draw to obtain serum to determine anti-orthopox antibody titres.

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* A High Consequence Infectious Disease (HCID) Centre healthcare worker involved in the care of a confirmed monkeypox case
* AND the individual has received Imvanex® during the outbreak period
* AND no known unprotected exposure to a monkeypox case (i.e. pre-exposure indication for vaccination)


* A healthcare worker
* AND the individual has received Imvanex® during the outbreak period
* AND unprotected exposure to a monkeypox case is believed to have occurred (i.e. post-exposure indication for vaccination)


* A High Consequence Infectious Disease (HCID) Unit healthcare worker involved in the care of a confirmed monkeypox case
* AND the individual has NOT received Imvanex® during the outbreak period
* AND no known unprotected exposure to a monkeypox case


* A healthcare worker NOT involved in the care of a confirmed monkeypox case
* AND the individual has NOT received Imvanex® during the outbreak period
* AND no known unprotected exposure to a monkeypox case

Exclusion Criteria

* Refusal by participant
* Age less than 18 years
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Bavarian Nordic

INDUSTRY

Sponsor Role collaborator

Public Health England

OTHER_GOV

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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William Jake Dunning, MRCP PhD

Role: STUDY_DIRECTOR

Public Health England

Meera Chand, FRCPath

Role: STUDY_DIRECTOR

Public Health England

Sema Mandal, MRCP FFPH

Role: PRINCIPAL_INVESTIGATOR

Public Health England

Nicholas Andrews, PhD

Role: PRINCIPAL_INVESTIGATOR

Public Health England

Timothy Brooks, FRCPath

Role: PRINCIPAL_INVESTIGATOR

Public Health England

Michael Beadsworth, MD MRCP

Role: PRINCIPAL_INVESTIGATOR

Liverpool University Hospitals NHS Foundation Trust

Michael Jacobs, FRCP PhD

Role: PRINCIPAL_INVESTIGATOR

Royal Free London NHS Foundation Trust

Matthias Schmid, MD FRCP

Role: PRINCIPAL_INVESTIGATOR

Newcastle Hospitals NHS Foundation Trust

Christopher Meadows, FRCP FRCA

Role: PRINCIPAL_INVESTIGATOR

Guy's and St Thomas' NHS Foundation Trust

Peter Flegg, MD FRCP

Role: PRINCIPAL_INVESTIGATOR

Blackpool Teaching Hospitals NHS Foundation Trust

Heinz Weidenthaler

Role: PRINCIPAL_INVESTIGATOR

Bavarian Nordic

Locations

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Blackpool Teaching Hospitals NHS Foundation Trust

Blackpool, Lancashire, United Kingdom

Site Status

Royal Liverpool and Broadgreen University Hospitals NHS Trust

Liverpool, Merseyside, United Kingdom

Site Status

Newcastle Hospitals NHS Foundation Trust

Newcastle upon Tyne, Tyne and Wear, United Kingdom

Site Status

Royal Free London NHS Foundation Trust

London, , United Kingdom

Site Status

Guy's and St Thomas' NHS Foundation Trust

London, , United Kingdom

Site Status

Countries

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United Kingdom

References

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Vaughan A, Aarons E, Astbury J, Balasegaram S, Beadsworth M, Beck CR, Chand M, O'Connor C, Dunning J, Ghebrehewet S, Harper N, Howlett-Shipley R, Ihekweazu C, Jacobs M, Kaindama L, Katwa P, Khoo S, Lamb L, Mawdsley S, Morgan D, Palmer R, Phin N, Russell K, Said B, Simpson A, Vivancos R, Wade M, Walsh A, Wilburn J. Two cases of monkeypox imported to the United Kingdom, September 2018. Euro Surveill. 2018 Sep;23(38):1800509. doi: 10.2807/1560-7917.ES.2018.23.38.1800509.

Reference Type BACKGROUND
PMID: 30255836 (View on PubMed)

Hatmal MM, Al-Hatamleh MAI, Olaimat AN, Ahmad S, Hasan H, Ahmad Suhaimi NA, Albakri KA, Abedalbaset Alzyoud A, Kadir R, Mohamud R. Comprehensive literature review of monkeypox. Emerg Microbes Infect. 2022 Dec;11(1):2600-2631. doi: 10.1080/22221751.2022.2132882.

Reference Type DERIVED
PMID: 36263798 (View on PubMed)

Related Links

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https://www.gov.uk/government/news/monkeypox-case-in-england

Public Health England News Story: Monkeypox case in England (update)

Other Identifiers

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18/LO/1957

Identifier Type: OTHER

Identifier Source: secondary_id

255382

Identifier Type: OTHER

Identifier Source: secondary_id

MPX Imvanex Serology

Identifier Type: -

Identifier Source: org_study_id

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