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A Study to Evaluate the Safety and Immunogenicity of a Candidate Ebola Vaccine in Adults

Primary Purpose

Virus Diseases

Status
Completed
Phase
Phase 2
Locations
International
Study Type
Interventional
Intervention
GlaxoSmithKline (GSK) Biologicals' investigational recombinant chimpanzee adenovirus Type 3-vectored Ebola Zaire vaccine (ChAd3-EBO-Z) (GSK3390107A)
Placebo
Sponsored by
GlaxoSmithKline
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional prevention trial for Virus Diseases focused on measuring Protection against Ebola Zaire virus

Eligibility Criteria

18 Years - undefined (Adult, Older Adult)All SexesAccepts Healthy Volunteers

Inclusion Criteria:

  • Subjects who, in the opinion of the Investigator, can and will comply with the requirements of the protocol (e.g. capability of or availability for Diary Card completion, return for follow-up visits, availability for clinical follow-up throughout the study period).
  • Written/ thumb printed informed consent obtained from the subject prior to performing any study specific procedure or written/ thumb printed informed consent obtained from the subject's parent(s)/ legally acceptable representative(s) (LAR[s]) and written/ thumb printed informed assent obtained from the subject, for minor subjects. This will only be applicable for countries where the legal age of majority is ≥ 21 years.
  • A male or female aged 18 years of age or older at the time of Screening.
  • Healthy subjects as per Investigator judgement, as established by medical history, clinical examination and haematology/ biochemistry laboratory parameters screening before entering into the study.
  • Female subjects of non-childbearing potential may be enrolled in the study.
  • Non-childbearing potential is defined as pre-menarche, current tubal ligation, hysterectomy, ovariectomy or post-menopause.
  • Female subjects of childbearing potential may be enrolled in the study, if the subject:
  • has practiced adequate contraception for 30 days prior to the Day 0 visit, and
  • has a negative pregnancy test at the Day 0 visit, and
  • has agreed to continue adequate contraception until 30 days after the Month 6 visit.

Exclusion Criteria:

  • Use of any investigational or non-registered product (drug or vaccine) other than the study vaccine during the period starting 30 days before the Day 0 visit, or planned use during the study period.
  • Previous vaccination with an investigational EBOV or Marburg vaccine, or previous vaccination with a chimpanzee adenoviral vectored investigational vaccine.
  • Known prior EBOV or SUDV disease.
  • Travel to a country affected by the EBOV epidemic or direct contact with a person with EVD within 21 days prior to the Day 0 visit.
  • History of any reaction or hypersensitivity (such as anaphylaxis, urticaria [hives], respiratory difficulty, angioedema, or abdominal pain) likely to be exacerbated by any component of the study vaccine.
  • Planned administration/ administration of a vaccine not foreseen by the study protocol in the period starting 30 days before and ending 30 days after each vaccination visit.
  • Serious acute or chronic illness determined by medical history and clinical examination including, but not limited to:

    • Clinically significant immunosuppressive or immunodeficient condition (e.g. clinical acquired immune deficiency syndrome [AIDS]).
    • Any clinically significant haematological (CBC, including differential count and platelet count) or biochemical (ALT, creatinine) laboratory abnormality.
    • Any chronic illness with recent signs of exacerbation, or imposing a change in the chronic treatment regimen, within 3 months prior to the Day 0 visit.
    • Any unstable chronic medical condition (e.g. uncontrolled asthma).
  • Pregnant female.

Sites / Locations

  • GSK Investigational Site
  • GSK Investigational Site
  • GSK Investigational Site
  • GSK Investigational Site
  • GSK Investigational Site

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Placebo Comparator

Arm Label

Group EBO-Z

Group Placebo/ EBO-Z

Arm Description

The subjects in the Group EBO-Z will receive the vaccine at Day 0 of the study

The subjects in the Group Placebo/ EBO-Z will receive a placebo at Day 0 (as a control) and will receive the investigational ChAd3-EBO-Z vaccine at Month 6

Outcomes

Primary Outcome Measures

Number of Subjects With Solicited Local Adverse Events
Assessed solicited local adverse events were pain, redness and swelling. Any = occurrence of any solicited local adverse event regardless of their intensity grade. Grade 3 Pain = significant pain at rest. Prevented normal every day activities. Grade 3 Redness/Swelling = redness/swelling spreading beyond 100 millimeters (mm) from injection site.
Number of Subjects With Solicited General Adverse Events
Assessed solicited general adverse events were fatigue, fever [defined as axillary temperature higher than or equal to (≥) 37.5 degrees Celsius (°C)], gastrointestinal (gastro) adverse events [nausea, vomiting, diarrhoea and/or abdominal pain] and headache. Any = occurrence of any general adverse events regardless of intensity grade or relationship to vaccination. Grade 3 fatigue, gastrointestinal symptoms and headache = adverse event that prevented normal activities. Grade 3 fever = fever ≥ 39.5 °C. Related = adverse event assessed by the investigator as related to the vaccination.
Number of Subjects With Unsolicited Adverse Events (AEs)
An unsolicited AE covers any untoward medical occurrence in a clinical investigation subject temporally associated with the use of a medicinal product, whether or not considered related to the medicinal product and reported in addition to those solicited during the clinical study and any solicited symptom with onset out-side the specified period of follow-up for solicited symptoms. Any was defined as the occurrence of any unsolicited AE regardless of intensity grade or relation to vaccination.
Percentage of Subjects With Haematological Laboratory Abnormalities
Haematological parameters assessed included: complete blood count (red blood cells [RBC], neutrophils, lymphocytes, white blood cells [WBC], haemoglobin), as well as differential count and platelet count. Reference range indicators used were: high, low, normal.
Percentage of Subjects With Haematological Laboratory Abnormalities
Haematological parameters assessed included: complete blood count (red blood cells [RBC], neutrophils, lymphocytes, white blood cells [WBC], haemoglobin), as well as differential count and platelet count. Reference range indicators used were: high, low, normal.
Percentage of Subjects With Haematological Laboratory Abnormalities
Haematological parameters assessed included: complete blood count (red blood cells [RBC], neutrophils, lymphocytes, white blood cells [WBC], haemoglobin), as well as differential count and platelet count. Reference range indicators used were: high, low, normal.
Percentage of Subjects With Haematological Laboratory Abnormalities
Haematological parameters assessed included: complete blood count (red blood cells [RBC], neutrophils, lymphocytes, white blood cells [WBC], haemoglobin), as well as differential count and platelet count. Reference range indicators used were: high, low, normal.
Percentage of Subjects With Haematological Laboratory Abnormalities
Haematological parameters assessed included: complete blood count (red blood cells [RBC], neutrophils, lymphocytes, white blood cells [WBC], haemoglobin), as well as differential count and platelet count. Reference range indicators used were: high, low, normal.
Percentage of Subjects With Haematological Laboratory Abnormalities
Haematological parameters assessed included: complete blood count (red blood cells [RBC], neutrophils, lymphocytes, white blood cells [WBC], haemoglobin), as well as differential count and platelet count. Reference range indicators used were: high, low, normal.
Percentage of Subjects With Haematological Laboratory Abnormalities
Haematological parameters assessed included: complete blood count (red blood cells [RBC], neutrophils, lymphocytes, white blood cells [WBC], haemoglobin), as well as differential count and platelet count. Reference range indicators used were: high, low, normal.
Percentage of Subjects With Haematological Laboratory Abnormalities
Haematological parameters assessed included: complete blood count (red blood cells [RBC], neutrophils, lymphocytes, white blood cells [WBC], haemoglobin), as well as differential count and platelet count. Reference range indicators used were: high, low, normal.
Percentage of Subjects With Biochemical Laboratory Abnormalities
Biochemical parameters assessed included: aminotransferase and creatinine. Reference range indicators used were: high, low, normal.
Percentage of Subjects With Biochemical Laboratory Abnormalities
Biochemical parameters assessed included: aminotransferase and creatinine. Reference range indicators used were: high, low, normal.
Percentage of Subjects With Biochemical Laboratory Abnormalities
Biochemical parameters assessed included: aminotransferase and creatinine. Reference range indicators used were: high, low, normal.
Percentage of Subjects With Biochemical Laboratory Abnormalities
Biochemical parameters assessed included: aminotransferase and creatinine. Reference range indicators used were: high, low, normal.
Percentage of Subjects With Biochemical Laboratory Abnormalities
Biochemical parameters assessed included: aminotransferase and creatinine. Reference range indicators used were: high, low, normal.
Percentage of Subjects With Biochemical Laboratory Abnormalities
Biochemical parameters assessed included: aminotransferase and creatinine. Reference range indicators used were: high, low, normal.
Percentage of Subjects With Biochemical Laboratory Abnormalities
Biochemical parameters assessed included: aminotransferase and creatinine. Reference range indicators used were: high, low, normal.
Percentage of Subjects With Biochemical Laboratory Abnormalities
Biochemical parameters assessed included: aminotransferase and creatinine. Reference range indicators used were: high, low, normal.
Number of Subjects With Adverse Events of Specific Interest (AESI)
AESI included clinical symptoms of thrombocytopenia.
Number of Subjects With Serious Adverse Events (SAEs)
Serious adverse events (SAEs) assessed include medical occurrences that result in death, are life threatening, require hospitalization or prolongation of hospitalization or result in disability/incapacity.

Secondary Outcome Measures

Concentrations of Anti-glycoprotein Ebola Zaire Virus (Anti-GP EBOV)
Anti-GP EBOV antibody concentrations were measured by Enzyme-Linked Immunosorbent Assay (ELISA), presented as geometric mean concentrations (GMC), and expressed in ELISA units per milliliter (EU/mL).
Percentage of Seronegative/Seropositive Subjects for Anti-GP EBOV Antibodies
A seronegative subject (S-) is a subject whose titer is below (<) 36.11 EU/mL. A seropositive subject (S+) is a subject whose titer is greater than or equal to (≥) 36.11 EU/mL.

Full Information

First Posted
June 18, 2015
Last Updated
December 4, 2017
Sponsor
GlaxoSmithKline
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1. Study Identification

Unique Protocol Identification Number
NCT02485301
Brief Title
A Study to Evaluate the Safety and Immunogenicity of a Candidate Ebola Vaccine in Adults
Official Title
Safety and Immunogenicity Study of GSK Biologicals' Investigational Recombinant Chimpanzee Adenovirus Type 3-vectored Ebola Zaire Vaccine (GSK3390107A) in Adults in Africa
Study Type
Interventional

2. Study Status

Record Verification Date
November 2017
Overall Recruitment Status
Completed
Study Start Date
July 15, 2015 (Actual)
Primary Completion Date
December 23, 2016 (Actual)
Study Completion Date
December 23, 2016 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
GlaxoSmithKline

4. Oversight

Studies a U.S. FDA-regulated Drug Product
Yes
Studies a U.S. FDA-regulated Device Product
No

5. Study Description

Brief Summary
The purpose of this study is to assess the safety and immunogenicity of the investigational ChAd3-EBO-Z vaccine administered to approximately 3 000 adults in Africa as a single IM dose Considering the risk of exposure to Ebola and the potential (based on animal data) for the investigational ChAd3-EBO-Z vaccine to afford at least partial protection, all subjects in the study will receive the investigational ChAd3-EBO-Z vaccine. The subjects in the Group EBO-Z will receive the vaccine at Day 0 of the study, whereas the subjects in the Group Placebo/ EBO-Z will receive a placebo at Day 0 (as a control) and will receive the investigational ChAd3-EBO-Z vaccine at Month 6, provided that no safety concerns are raised. In addition, vaccinating all subjects in the study with the investigational ChAd3 EBO Z vaccine will allow an increase of the safety database of the investigational vaccine. In case the geographic range of Ebola virus Zaire (EBOV) transmission expands to encompass any of the regions where this trial is conducted, earlier administration of the investigational ChAd3-EBO-Z vaccine to the subjects in the Group Placebo/ EBO-Z will be considered in that region.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Virus Diseases
Keywords
Protection against Ebola Zaire virus

7. Study Design

Primary Purpose
Prevention
Study Phase
Phase 2
Interventional Study Model
Parallel Assignment
Masking
ParticipantCare ProviderOutcomes Assessor
Allocation
Randomized
Enrollment
3024 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Group EBO-Z
Arm Type
Experimental
Arm Description
The subjects in the Group EBO-Z will receive the vaccine at Day 0 of the study
Arm Title
Group Placebo/ EBO-Z
Arm Type
Placebo Comparator
Arm Description
The subjects in the Group Placebo/ EBO-Z will receive a placebo at Day 0 (as a control) and will receive the investigational ChAd3-EBO-Z vaccine at Month 6
Intervention Type
Biological
Intervention Name(s)
GlaxoSmithKline (GSK) Biologicals' investigational recombinant chimpanzee adenovirus Type 3-vectored Ebola Zaire vaccine (ChAd3-EBO-Z) (GSK3390107A)
Intervention Description
A single dose administrated intramuscular
Intervention Type
Drug
Intervention Name(s)
Placebo
Intervention Description
A single dose administrated intramuscular
Primary Outcome Measure Information:
Title
Number of Subjects With Solicited Local Adverse Events
Description
Assessed solicited local adverse events were pain, redness and swelling. Any = occurrence of any solicited local adverse event regardless of their intensity grade. Grade 3 Pain = significant pain at rest. Prevented normal every day activities. Grade 3 Redness/Swelling = redness/swelling spreading beyond 100 millimeters (mm) from injection site.
Time Frame
During the 7-Day (Days 0-6) post-vaccination period
Title
Number of Subjects With Solicited General Adverse Events
Description
Assessed solicited general adverse events were fatigue, fever [defined as axillary temperature higher than or equal to (≥) 37.5 degrees Celsius (°C)], gastrointestinal (gastro) adverse events [nausea, vomiting, diarrhoea and/or abdominal pain] and headache. Any = occurrence of any general adverse events regardless of intensity grade or relationship to vaccination. Grade 3 fatigue, gastrointestinal symptoms and headache = adverse event that prevented normal activities. Grade 3 fever = fever ≥ 39.5 °C. Related = adverse event assessed by the investigator as related to the vaccination.
Time Frame
During the 7-Day (Days 0-6) post-vaccination period
Title
Number of Subjects With Unsolicited Adverse Events (AEs)
Description
An unsolicited AE covers any untoward medical occurrence in a clinical investigation subject temporally associated with the use of a medicinal product, whether or not considered related to the medicinal product and reported in addition to those solicited during the clinical study and any solicited symptom with onset out-side the specified period of follow-up for solicited symptoms. Any was defined as the occurrence of any unsolicited AE regardless of intensity grade or relation to vaccination.
Time Frame
During the 30-Day (Days 0-29) post-vaccination period
Title
Percentage of Subjects With Haematological Laboratory Abnormalities
Description
Haematological parameters assessed included: complete blood count (red blood cells [RBC], neutrophils, lymphocytes, white blood cells [WBC], haemoglobin), as well as differential count and platelet count. Reference range indicators used were: high, low, normal.
Time Frame
At Screening
Title
Percentage of Subjects With Haematological Laboratory Abnormalities
Description
Haematological parameters assessed included: complete blood count (red blood cells [RBC], neutrophils, lymphocytes, white blood cells [WBC], haemoglobin), as well as differential count and platelet count. Reference range indicators used were: high, low, normal.
Time Frame
At Day 3
Title
Percentage of Subjects With Haematological Laboratory Abnormalities
Description
Haematological parameters assessed included: complete blood count (red blood cells [RBC], neutrophils, lymphocytes, white blood cells [WBC], haemoglobin), as well as differential count and platelet count. Reference range indicators used were: high, low, normal.
Time Frame
At Day 6
Title
Percentage of Subjects With Haematological Laboratory Abnormalities
Description
Haematological parameters assessed included: complete blood count (red blood cells [RBC], neutrophils, lymphocytes, white blood cells [WBC], haemoglobin), as well as differential count and platelet count. Reference range indicators used were: high, low, normal.
Time Frame
At Day 30
Title
Percentage of Subjects With Haematological Laboratory Abnormalities
Description
Haematological parameters assessed included: complete blood count (red blood cells [RBC], neutrophils, lymphocytes, white blood cells [WBC], haemoglobin), as well as differential count and platelet count. Reference range indicators used were: high, low, normal.
Time Frame
At Month 6
Title
Percentage of Subjects With Haematological Laboratory Abnormalities
Description
Haematological parameters assessed included: complete blood count (red blood cells [RBC], neutrophils, lymphocytes, white blood cells [WBC], haemoglobin), as well as differential count and platelet count. Reference range indicators used were: high, low, normal.
Time Frame
At Month 6 + 6 Days
Title
Percentage of Subjects With Haematological Laboratory Abnormalities
Description
Haematological parameters assessed included: complete blood count (red blood cells [RBC], neutrophils, lymphocytes, white blood cells [WBC], haemoglobin), as well as differential count and platelet count. Reference range indicators used were: high, low, normal.
Time Frame
At Month 6 + 30 Days
Title
Percentage of Subjects With Haematological Laboratory Abnormalities
Description
Haematological parameters assessed included: complete blood count (red blood cells [RBC], neutrophils, lymphocytes, white blood cells [WBC], haemoglobin), as well as differential count and platelet count. Reference range indicators used were: high, low, normal.
Time Frame
At Month 12
Title
Percentage of Subjects With Biochemical Laboratory Abnormalities
Description
Biochemical parameters assessed included: aminotransferase and creatinine. Reference range indicators used were: high, low, normal.
Time Frame
At Screening
Title
Percentage of Subjects With Biochemical Laboratory Abnormalities
Description
Biochemical parameters assessed included: aminotransferase and creatinine. Reference range indicators used were: high, low, normal.
Time Frame
At Day 3
Title
Percentage of Subjects With Biochemical Laboratory Abnormalities
Description
Biochemical parameters assessed included: aminotransferase and creatinine. Reference range indicators used were: high, low, normal.
Time Frame
At Day 6
Title
Percentage of Subjects With Biochemical Laboratory Abnormalities
Description
Biochemical parameters assessed included: aminotransferase and creatinine. Reference range indicators used were: high, low, normal.
Time Frame
At Day 30
Title
Percentage of Subjects With Biochemical Laboratory Abnormalities
Description
Biochemical parameters assessed included: aminotransferase and creatinine. Reference range indicators used were: high, low, normal.
Time Frame
At Month 6
Title
Percentage of Subjects With Biochemical Laboratory Abnormalities
Description
Biochemical parameters assessed included: aminotransferase and creatinine. Reference range indicators used were: high, low, normal.
Time Frame
At Month 6 + 6 Days
Title
Percentage of Subjects With Biochemical Laboratory Abnormalities
Description
Biochemical parameters assessed included: aminotransferase and creatinine. Reference range indicators used were: high, low, normal.
Time Frame
At Month 6 + 30 Days
Title
Percentage of Subjects With Biochemical Laboratory Abnormalities
Description
Biochemical parameters assessed included: aminotransferase and creatinine. Reference range indicators used were: high, low, normal.
Time Frame
At Month 12
Title
Number of Subjects With Adverse Events of Specific Interest (AESI)
Description
AESI included clinical symptoms of thrombocytopenia.
Time Frame
During the 7-Day (Days 0-6) post-vaccination period
Title
Number of Subjects With Serious Adverse Events (SAEs)
Description
Serious adverse events (SAEs) assessed include medical occurrences that result in death, are life threatening, require hospitalization or prolongation of hospitalization or result in disability/incapacity.
Time Frame
During the entire study period (up to Month 12)
Secondary Outcome Measure Information:
Title
Concentrations of Anti-glycoprotein Ebola Zaire Virus (Anti-GP EBOV)
Description
Anti-GP EBOV antibody concentrations were measured by Enzyme-Linked Immunosorbent Assay (ELISA), presented as geometric mean concentrations (GMC), and expressed in ELISA units per milliliter (EU/mL).
Time Frame
At Day 0, Day 30, Month 6 and Month 12
Title
Percentage of Seronegative/Seropositive Subjects for Anti-GP EBOV Antibodies
Description
A seronegative subject (S-) is a subject whose titer is below (<) 36.11 EU/mL. A seropositive subject (S+) is a subject whose titer is greater than or equal to (≥) 36.11 EU/mL.
Time Frame
At Day 0, Day 30, Month 6 and Month 12

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: Subjects who, in the opinion of the Investigator, can and will comply with the requirements of the protocol (e.g. capability of or availability for Diary Card completion, return for follow-up visits, availability for clinical follow-up throughout the study period). Written/ thumb printed informed consent obtained from the subject prior to performing any study specific procedure or written/ thumb printed informed consent obtained from the subject's parent(s)/ legally acceptable representative(s) (LAR[s]) and written/ thumb printed informed assent obtained from the subject, for minor subjects. This will only be applicable for countries where the legal age of majority is ≥ 21 years. A male or female aged 18 years of age or older at the time of Screening. Healthy subjects as per Investigator judgement, as established by medical history, clinical examination and haematology/ biochemistry laboratory parameters screening before entering into the study. Female subjects of non-childbearing potential may be enrolled in the study. Non-childbearing potential is defined as pre-menarche, current tubal ligation, hysterectomy, ovariectomy or post-menopause. Female subjects of childbearing potential may be enrolled in the study, if the subject: has practiced adequate contraception for 30 days prior to the Day 0 visit, and has a negative pregnancy test at the Day 0 visit, and has agreed to continue adequate contraception until 30 days after the Month 6 visit. Exclusion Criteria: Use of any investigational or non-registered product (drug or vaccine) other than the study vaccine during the period starting 30 days before the Day 0 visit, or planned use during the study period. Previous vaccination with an investigational EBOV or Marburg vaccine, or previous vaccination with a chimpanzee adenoviral vectored investigational vaccine. Known prior EBOV or SUDV disease. Travel to a country affected by the EBOV epidemic or direct contact with a person with EVD within 21 days prior to the Day 0 visit. History of any reaction or hypersensitivity (such as anaphylaxis, urticaria [hives], respiratory difficulty, angioedema, or abdominal pain) likely to be exacerbated by any component of the study vaccine. Planned administration/ administration of a vaccine not foreseen by the study protocol in the period starting 30 days before and ending 30 days after each vaccination visit. Serious acute or chronic illness determined by medical history and clinical examination including, but not limited to: Clinically significant immunosuppressive or immunodeficient condition (e.g. clinical acquired immune deficiency syndrome [AIDS]). Any clinically significant haematological (CBC, including differential count and platelet count) or biochemical (ALT, creatinine) laboratory abnormality. Any chronic illness with recent signs of exacerbation, or imposing a change in the chronic treatment regimen, within 3 months prior to the Day 0 visit. Any unstable chronic medical condition (e.g. uncontrolled asthma). Pregnant female.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
GSK Clinical Trials
Organizational Affiliation
GlaxoSmithKline
Official's Role
Study Director
Facility Information:
Facility Name
GSK Investigational Site
City
Bamenda
Country
Cameroon
Facility Name
GSK Investigational Site
City
Yaounde
Country
Cameroon
Facility Name
GSK Investigational Site
City
Bamako
Country
Mali
Facility Name
GSK Investigational Site
City
Abuja
Country
Nigeria
Facility Name
GSK Investigational Site
City
Dakar
Country
Senegal

12. IPD Sharing Statement

Citations:
PubMed Identifier
32199491
Citation
Tapia MD, Sow SO, Ndiaye BP, Mbaye KD, Thiongane A, Ndour CT, Mboup S, Ake JA, Keshinro B, Akintunde GA, Kinge TN, Vernet G, Bigna JJ, Oguche S, Koram KA, Asante KP, Hogrefe WR, Gunther S, Naficy A, De Ryck I, Debois M, Bourguignon P, Jongert E, Ballou WR, Koutsoukos M, Roman F; Zaire EBola Research Alliance group. Safety, reactogenicity, and immunogenicity of a chimpanzee adenovirus vectored Ebola vaccine in adults in Africa: a randomised, observer-blind, placebo-controlled, phase 2 trial. Lancet Infect Dis. 2020 Jun;20(6):707-718. doi: 10.1016/S1473-3099(20)30016-5. Epub 2020 Mar 19.
Results Reference
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A Study to Evaluate the Safety and Immunogenicity of a Candidate Ebola Vaccine in Adults

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