Safety and Immunogenicity of the rVSVΔG-ZEBOV-GP Ebola Virus Vaccine Candidate in Children Living in Lambaréné, Gabon

NCT ID: NCT05130398

Last Updated: 2023-04-20

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

Clinical Phase

PHASE1/PHASE2

Total Enrollment

120 participants

Study Classification

INTERVENTIONAL

Study Start Date

2021-04-09

Study Completion Date

2022-08-09

Brief Summary

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LA rVSVΔG-ZEBOV-GP -02-PED is a Phase 1/2, randomized, controlled open label trial. The LA rVSVΔG-ZEBOV-GP -02-PED trial aims primarily to assess the clinical significance of shedding of the rVSV RNA following vaccination with the rVSVΔG-ZEBOV-GP vaccine in children. The vaccine doses of ≥7.8 x 107 pfu will be evaluated and compared to vaccination with varicella vaccine as a control. In addition, the closest contact persons of the vaccinees will be monitored for possible transmission of the viral vaccine vector.

The study will enroll children of two age groups living in Lambaréné, Gabon. Children will be followed-up for 12 months post vaccination.

The 1-2 closest contact persons of each participant will be involved in the monitoring of rVSV transmission. They will be followed until day 56 post- vaccination of their children/ sibling.

Detailed Description

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LA-rVSVΔG-ZEBOV-GP -02-PED is a Phase 1/2, randomized, controlled, open label, trial and is designed to generate further safety, tolerability and immunogenicity data of the 7.8 x 107 PFU rVSVΔG-ZEBOV-GP vaccine in children aged 1 -12 years living in a sub-Saharan Africa. The study will enroll participants into two age groups. A total of 120 children will be enrolled and followed-up for 12 months post injection. In addition, a maximum of 240 relatives of the study participants will be enrolled to assess the transmission of the rVSVΔG-ZEBOV-GP vaccine.

Group 1: 60 participants aged 6-12 years will be randomized in group 1. 40 participants will receive a single intramuscular dose of 7.8 x 107 pfu rVSVΔG-ZEBOV-GP vaccine. 20 participants will receive a single subcutaneous dose of varicella vaccine The participants will be allocated to each treatment at a ratio of 2:1 respectively Group 2: 60 participants aged 1 -5 years will be randomized into group 2. 40 will receive a single intramuscular dose of 7.8 x 107 pfu of rVSV-ZEBOV vaccine. 20 participants will receive a single subcutaneous dose of varicella vaccine The participants will be allocated to each treatment at a ratio of 2:1 respectively

Vaccinations will start in group 2 after the first 10 participants of group 1 have completed the day 28 post vaccination visit and the SMC has done a review of safety data until that point.

For each vaccinee there will be a 365 -day period of follow-up after vaccination. The contact persons of the vaccinees will be followed-up until day 56 after the vaccination of their relative.

Conditions

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Ebola Virus Disease

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

A Phase 1/2, randomized, controlled, open label clinical trial.
Primary Study Purpose

PREVENTION

Blinding Strategy

NONE

The vaccine doses of ≥7.8 x 107 pfu will be evaluated and compared to vaccination with varicella vaccine as a control. In addition, the closest contact persons of the vaccinees will be monitored for possible transmission of the viral vaccine vector.

The study will enroll children of two age groups living in Lambaréné, Gabon. Children will be followed-up for 12 months post vaccination.

The 1-2 closest contact persons of each participant will be involved in the monitoring of rVSV transmission.

Study Groups

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the rVSVΔG-ZEBOV-GP vaccine

Participants of the experimental arm will receive a single intramuscular dose of ≥7.8 x 107 pfu of the rVSVΔG-ZEBOV-GP vaccine. In total, 80 participants will receive the experimental vaccine: 40 participants aged 6-12 years and 40 aged 1-5 years.

Group Type EXPERIMENTAL

rVSVΔG-ZEBOV-GP, V920

Intervention Type BIOLOGICAL

The experimental vaccine is the rVSVΔG-ZEBOV-GP, an Ebola vaccine.

The Chikenpox or Varicella (Varilix) vaccine

The control arm consists of the chickenpox vaccine. Forty children will receive a single subcutaneous dose of Varilix, the active comparator vaccine, 20 aged 6-12 years and 20 aged 1-5 years

Group Type ACTIVE_COMPARATOR

Chikenpox or Varicella vaccine (VARILRIX)

Intervention Type BIOLOGICAL

The active comparator vaccine, a Varicella vaccine (VARILRIX®)

Fibre and equilibrate diet

Participants were assigned to receive two meals daily ( breakfast and lunch) for 21 days. About 30 children are randomly assigned to fibre and equilibrate diet.

Group Type EXPERIMENTAL

Fibre and equilibrate breakfast and lunch

Intervention Type DIETARY_SUPPLEMENT

Participants receive fibres and caloric equilibrate diet during breakfast and lunch every day for 21 consecutive days.

Active detection and treatment of pathogens according to standard of care

The following pathogens: P. falciparum, Ascaris lumbricoides, Trichuris trichiura, Necator americanus, intestinal protozoa, BG+, BG- colonies and pathogens, SARS-CoV2 are actively detected and treated according to the standard of care every month. About 30 children are randomly assigned to this arm.

Group Type EXPERIMENTAL

Active detection and treatment of pathogens

Intervention Type DIAGNOSTIC_TEST

Monthly diagnostic and treatment of childhood infections Active detection and treatment of pathogens.

Diet plus Active detection and treatment of pathogens according to standard of care

Participants were assigned to receive two meals daily ( breakfast and lunch) for 21 days and concomitantly assigned to active detection of P. falciparum, Ascaris lumbricoides, Trichuris trichiura, Necator americanus, intestinal protozoa, BG+, BG- colonies and pathogens, SARS-CoV2 every month. About 30 children are assigned to receive combined interventions

Group Type EXPERIMENTAL

Fibre and equilibrate breakfast and lunch plus Active detection and treatment of pathogens

Intervention Type COMBINATION_PRODUCT

Participants receive fibres and caloric equilibrate diet during breakfast and lunch every day for 21 consecutive days and diagnostic and treatment of childhood infections Active detection and treatment of pathogens every month for 12 months

No diet and no pathogen detection

About 30 children received no diet and no active detection of pathogens

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type OTHER

About 30 children do not receive diet, nor active pathogen detection

Interventions

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rVSVΔG-ZEBOV-GP, V920

The experimental vaccine is the rVSVΔG-ZEBOV-GP, an Ebola vaccine.

Intervention Type BIOLOGICAL

Fibre and equilibrate breakfast and lunch

Participants receive fibres and caloric equilibrate diet during breakfast and lunch every day for 21 consecutive days.

Intervention Type DIETARY_SUPPLEMENT

Active detection and treatment of pathogens

Monthly diagnostic and treatment of childhood infections Active detection and treatment of pathogens.

Intervention Type DIAGNOSTIC_TEST

Fibre and equilibrate breakfast and lunch plus Active detection and treatment of pathogens

Participants receive fibres and caloric equilibrate diet during breakfast and lunch every day for 21 consecutive days and diagnostic and treatment of childhood infections Active detection and treatment of pathogens every month for 12 months

Intervention Type COMBINATION_PRODUCT

Chikenpox or Varicella vaccine (VARILRIX)

The active comparator vaccine, a Varicella vaccine (VARILRIX®)

Intervention Type BIOLOGICAL

Placebo

About 30 children do not receive diet, nor active pathogen detection

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Healthy children aged 1 to 12 years (inclusive) at the time of inclusion.
* Willingness of parent or legal guardian to provide written informed consent prior to screening procedures.
* Willingness of the relatives of the participant to provide written informed consent if they are ≥ 18 years (or an assent when they are 13 to 17 years old).
* Available, able, and willing to participate in all study visits and procedures

Exclusion Criteria

* History of severe local or systemic reactions to any vaccination or a history of severe allergic reactions, or known allergy to the components of the vaccines.
* Ongoing participation in another clinical trial
* Participation in previous Ebola vaccine trials
* Receipt of a licensed vaccine within 14 days of planned study immunization (30 days for live vaccines)
* Presence of any febrile illness (fever \>38°C) or any moderate to severe illness within one week prior to vaccination;
* Administration of immunoglobulins and/or any blood products within the 120 days preceding study entry or planned administration during the study period
* Any other significant finding that in the opinion of the investigator would increase the risk of the individual having an adverse outcome from participating in this study.
Minimum Eligible Age

1 Year

Maximum Eligible Age

12 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Merck Sharp & Dohme LLC

INDUSTRY

Sponsor Role collaborator

Centre de Recherche Médicale de Lambaréné

OTHER

Sponsor Role lead

Responsible Party

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Selidji Todagbe Todagbe Agnandji

Director

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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Centre de Recherches Médicales de Lambaréné

Lambaréné, Moyen-Ogooué Province, Gabon

Site Status

Countries

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Gabon

Other Identifiers

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LA rVSVΔG-ZEBOV-GP -02-PED

Identifier Type: -

Identifier Source: org_study_id

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