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A Study of a New Vaccine Against Two Types of Ebola

Primary Purpose

Ebola

Status
Completed
Phase
Phase 1
Locations
United Kingdom
Study Type
Interventional
Intervention
ChAdOx1 biEBOV
Sponsored by
University of Oxford
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional prevention trial for Ebola focused on measuring Ebola Virus Disease, Zaire Ebolavirus, EBOV, Sudan Ebolavirus, SUDV, Vaccine

Eligibility Criteria

18 Years - 55 Years (Adult)All SexesAccepts Healthy Volunteers

Inclusion Criteria:

  1. Healthy adults aged 18 to 55 years.
  2. Able and willing (in the Investigator's opinion) to comply with all study requirements.
  3. Willing to allow confirmation of their past medical history either through: provision of a GP medical record summary, allowing investigators to obtain a copy of their medical history from their GP practice or by providing an alternative acceptable means of confirming their past medical history.
  4. Agreement to refrain from blood donation during the course of the study.
  5. Provide written informed consent.
  6. For women of childbearing potential only: Willingness to practice continuous effective contraception for the duration of the trial.
  7. For women of childbearing potential only: A negative pregnancy test on the day of both screening and vaccination.

Exclusion Criteria:

  1. Participation in another research study involving receipt of an investigational product in the 30 days preceding enrolment or during the trial follow up period.
  2. Receipt of a recombinant simian adenoviral vaccine prior to enrolment.
  3. Planned receipt of another adenoviral vectored vaccine (e.g. Oxford/AstraZeneca or Janssen COVID-19 vaccines) within 90 days after the vaccination with the ChAdOx1 biEBOV.
  4. Planned or actual receipt of any vaccines administered within 30 days (before or after) enrolment and/or planned receipt of a vaccine ≤30 days after enrolment EXCEPT for protein, RNA (or other non-adenovirus based) COVID-19 vaccinations which may be given within 14 days of the trial vaccine.
  5. Previous receipt of an Ebolavirus vaccine.
  6. Administration of immunoglobulins and/or any blood products within the three months preceding the planned administration of the vaccine candidate.
  7. Any confirmed or suspected immunosuppressive or immunodeficient state, including HIV infection; asplenia; recurrent, severe infections and chronic (more than 14 days) systemically active immunosuppressant medication within the past 6 months.
  8. History of allergic disease or reactions likely to be exacerbated by any component of the vaccine. Including hypersensitivity to the active substance or to any of the excipients of the IMP or Vaxzevria (i.e. the Oxford/AstraZeneca COVID-19 vaccine).
  9. History of hereditary angioedema, acquired angioedema, or idiopathic angioedema.
  10. History of anaphylaxis in relation to vaccination.
  11. History of cancer (except basal cell carcinoma of the skin and cervical carcinoma in situ).
  12. History of serious psychiatric condition likely to affect participation in the study.
  13. Ongoing or planned pregnancy or breastfeeding during the trial follow up period.
  14. Bleeding disorder (eg. Factor deficiency, coagulopathy or platelet disorder), or prior history of significant bleeding or bruising following IM injections or venepuncture.
  15. History of confirmed major thrombotic event (including cerebral venous sinus thrombosis, deep vein thrombosis, pulmonary embolism), history of antiphospholipid syndrome, or history of heparin induced thrombocytopenia.
  16. Individuals who have experienced thrombosis with thrombocytopenia syndrome (TTS) following vaccination with Vaxzevria (i.e. the Oxford/AstraZeneca COVID-19 vaccine).
  17. Individuals who have previously experienced episodes of capillary leak syndrome.
  18. Any other serious chronic illness requiring hospital specialist supervision.
  19. Suspected or known current alcohol abuse as defined by an alcohol intake of greater than 42 units every week.
  20. Suspected or known injecting drug abuse in the 5 years preceding enrolment.
  21. Detectable circulating hepatitis B surface antigen (HBsAg).
  22. Seropositive for hepatitis C virus (antibodies to HCV).
  23. Any clinically significant abnormal finding on screening biochemistry or haematology blood tests or urinalysis.
  24. Any other significant disease, disorder or finding which may significantly increase the risk to the volunteer because of participation in the study, affect the ability of the volunteer to participate in the study or impair interpretation of the study data.

Sites / Locations

  • Centre for Clinical Vaccinology and Tropical Medicine, Churchill Hospital

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm Type

Experimental

Experimental

Experimental

Arm Label

Group 1: Low Dose

Group 2: Mid Dose

Group 3: High Dose

Arm Description

n=6 participants vaccinated with a single dose of ChAdOx1 biEBOV 5x10^9 vp

n=6 participants vaccinated with a single dose of ChAdOx1 biEBOV 2.5x10^10 vp Note: may be increased to n=9 following interim safety reviews

n=14 participants vaccinated with two doses of ChAdOx1 biEBOV 5x10^10 vp, twelve weeks apart Note: will be decreased to n=11 if Group 2 is increased to n=9

Outcomes

Primary Outcome Measures

Investigate the safety and tolerability of ChAdOx1 biEBOV in healthy volunteers: Occurrence of solicited signs and symptoms
Occurrence of solicited local and systemic reactogenicity signs and symptoms
Investigate the safety and tolerability of ChAdOx1 biEBOV in healthy volunteers: Occurrence of unsolicited signs and symptoms
Occurrence of unsolicited adverse events (AEs)
Investigate the safety and tolerability of ChAdOx1 biEBOV in healthy volunteers: Occurrence of Serious Adverse Events
Occurrence of SAEs and AESIs
Investigate the safety and tolerability of ChAdOx1 biEBOV in healthy volunteers: Occurrence of adverse events as identified by change in baseline safety laboratory measures
Occurrence of changes from baseline safety laboratory measures (haematology and biochemistry) Safety laboratory measures include clinical blood tests for full blood count, liver function and renal function as graded on a predetermined toxicity grading scale.

Secondary Outcome Measures

Investigate the immunogenicity of ChAdOx1 biEBOV in healthy adult volunteers: Measure of humoral immunogenicity
ELISA to quantify antibodies to filovirus glycoprotein (specific serological response)
Investigate the immunogenicity of ChAdOx1 biEBOV in healthy adult volunteers: Measure of Cellular Immunogenicity
IFN-y ELISPOT to quantify filovirus glycoprotein specific T cell response

Full Information

First Posted
October 4, 2021
Last Updated
April 18, 2023
Sponsor
University of Oxford
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1. Study Identification

Unique Protocol Identification Number
NCT05079750
Brief Title
A Study of a New Vaccine Against Two Types of Ebola
Official Title
A Phase I Study to Determine the Safety and Immunogenicity of a Bivalent ChAdOx1 Vectored Vaccine Against Zaire and Sudan Ebola Virus Species in UK Healthy Adult Volunteers
Study Type
Interventional

2. Study Status

Record Verification Date
October 2021
Overall Recruitment Status
Completed
Study Start Date
November 11, 2021 (Actual)
Primary Completion Date
March 21, 2023 (Actual)
Study Completion Date
March 21, 2023 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
University of Oxford

4. Oversight

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

5. Study Description

Brief Summary
An open-label, non-randomised, dose escalation, first-in-human, single centre, phase I clinical trial to determine the safety and immunogenicity of a bivalent ChAdOx1 vectored vaccine against Zaire and Sudan Ebola virus species in healthy adult volunteers.
Detailed Description
This is a first-in-human, open-label, dose escalation, phase I clinical trial to assess the safety and immunogenicity of the candidate ChAdOx1 biEBOV vaccine in healthy UK volunteers aged 18-55. The vaccine will be administered intramuscularly (IM). Volunteers will be recruited and vaccinated at the Centre for Clinical Vaccinology and Tropical Medicine (CCVTM), Oxford. There will be 3 study groups and it is anticipated that a total of 26 volunteers will be enrolled. Dose escalation and sentinel participant procedures will be implemented. Volunteers will be first recruited into Group 1 and subsequently into Groups 2 and 3 following interim clinical safety reviews. Volunteers will be sequentially allocated to a study group by selecting eligible volunteers for enrolment following screening. Sequential allocation will occur based on the order in which volunteers are enrolled.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Ebola
Keywords
Ebola Virus Disease, Zaire Ebolavirus, EBOV, Sudan Ebolavirus, SUDV, Vaccine

7. Study Design

Primary Purpose
Prevention
Study Phase
Phase 1
Interventional Study Model
Sequential Assignment
Masking
None (Open Label)
Allocation
Non-Randomized
Enrollment
26 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Group 1: Low Dose
Arm Type
Experimental
Arm Description
n=6 participants vaccinated with a single dose of ChAdOx1 biEBOV 5x10^9 vp
Arm Title
Group 2: Mid Dose
Arm Type
Experimental
Arm Description
n=6 participants vaccinated with a single dose of ChAdOx1 biEBOV 2.5x10^10 vp Note: may be increased to n=9 following interim safety reviews
Arm Title
Group 3: High Dose
Arm Type
Experimental
Arm Description
n=14 participants vaccinated with two doses of ChAdOx1 biEBOV 5x10^10 vp, twelve weeks apart Note: will be decreased to n=11 if Group 2 is increased to n=9
Intervention Type
Biological
Intervention Name(s)
ChAdOx1 biEBOV
Intervention Description
ChAdOx1 biEBOV provided as a liquid in glass vials and administered intramuscularly into the deltoid of the non-dominant arm (preferably)
Primary Outcome Measure Information:
Title
Investigate the safety and tolerability of ChAdOx1 biEBOV in healthy volunteers: Occurrence of solicited signs and symptoms
Description
Occurrence of solicited local and systemic reactogenicity signs and symptoms
Time Frame
7 days following vaccination
Title
Investigate the safety and tolerability of ChAdOx1 biEBOV in healthy volunteers: Occurrence of unsolicited signs and symptoms
Description
Occurrence of unsolicited adverse events (AEs)
Time Frame
28 days following vaccination
Title
Investigate the safety and tolerability of ChAdOx1 biEBOV in healthy volunteers: Occurrence of Serious Adverse Events
Description
Occurrence of SAEs and AESIs
Time Frame
Duration of the study (6 months)
Title
Investigate the safety and tolerability of ChAdOx1 biEBOV in healthy volunteers: Occurrence of adverse events as identified by change in baseline safety laboratory measures
Description
Occurrence of changes from baseline safety laboratory measures (haematology and biochemistry) Safety laboratory measures include clinical blood tests for full blood count, liver function and renal function as graded on a predetermined toxicity grading scale.
Time Frame
28 days following vaccination
Secondary Outcome Measure Information:
Title
Investigate the immunogenicity of ChAdOx1 biEBOV in healthy adult volunteers: Measure of humoral immunogenicity
Description
ELISA to quantify antibodies to filovirus glycoprotein (specific serological response)
Time Frame
At day 0, 28, 56 and 182
Title
Investigate the immunogenicity of ChAdOx1 biEBOV in healthy adult volunteers: Measure of Cellular Immunogenicity
Description
IFN-y ELISPOT to quantify filovirus glycoprotein specific T cell response
Time Frame
At day 0. 7. 14. 28. 56 and 182

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
55 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: Healthy adults aged 18 to 55 years. Able and willing (in the Investigator's opinion) to comply with all study requirements. Willing to allow confirmation of their past medical history either through: provision of a GP medical record summary, allowing investigators to obtain a copy of their medical history from their GP practice or by providing an alternative acceptable means of confirming their past medical history. Agreement to refrain from blood donation during the course of the study. Provide written informed consent. For women of childbearing potential only: Willingness to practice continuous effective contraception for the duration of the trial. For women of childbearing potential only: A negative pregnancy test on the day of both screening and vaccination. Exclusion Criteria: Participation in another research study involving receipt of an investigational product in the 30 days preceding enrolment or during the trial follow up period. Receipt of a recombinant simian adenoviral vaccine prior to enrolment. Planned receipt of another adenoviral vectored vaccine (e.g. Oxford/AstraZeneca or Janssen COVID-19 vaccines) within 90 days after the vaccination with the ChAdOx1 biEBOV. Planned or actual receipt of any vaccines administered within 30 days (before or after) enrolment and/or planned receipt of a vaccine ≤30 days after enrolment EXCEPT for protein, RNA (or other non-adenovirus based) COVID-19 vaccinations which may be given within 14 days of the trial vaccine. Previous receipt of an Ebolavirus vaccine. Administration of immunoglobulins and/or any blood products within the three months preceding the planned administration of the vaccine candidate. Any confirmed or suspected immunosuppressive or immunodeficient state, including HIV infection; asplenia; recurrent, severe infections and chronic (more than 14 days) systemically active immunosuppressant medication within the past 6 months. History of allergic disease or reactions likely to be exacerbated by any component of the vaccine. Including hypersensitivity to the active substance or to any of the excipients of the IMP or Vaxzevria (i.e. the Oxford/AstraZeneca COVID-19 vaccine). History of hereditary angioedema, acquired angioedema, or idiopathic angioedema. History of anaphylaxis in relation to vaccination. History of cancer (except basal cell carcinoma of the skin and cervical carcinoma in situ). History of serious psychiatric condition likely to affect participation in the study. Ongoing or planned pregnancy or breastfeeding during the trial follow up period. Bleeding disorder (eg. Factor deficiency, coagulopathy or platelet disorder), or prior history of significant bleeding or bruising following IM injections or venepuncture. History of confirmed major thrombotic event (including cerebral venous sinus thrombosis, deep vein thrombosis, pulmonary embolism), history of antiphospholipid syndrome, or history of heparin induced thrombocytopenia. Individuals who have experienced thrombosis with thrombocytopenia syndrome (TTS) following vaccination with Vaxzevria (i.e. the Oxford/AstraZeneca COVID-19 vaccine). Individuals who have previously experienced episodes of capillary leak syndrome. Any other serious chronic illness requiring hospital specialist supervision. Suspected or known current alcohol abuse as defined by an alcohol intake of greater than 42 units every week. Suspected or known injecting drug abuse in the 5 years preceding enrolment. Detectable circulating hepatitis B surface antigen (HBsAg). Seropositive for hepatitis C virus (antibodies to HCV). Any clinically significant abnormal finding on screening biochemistry or haematology blood tests or urinalysis. Any other significant disease, disorder or finding which may significantly increase the risk to the volunteer because of participation in the study, affect the ability of the volunteer to participate in the study or impair interpretation of the study data.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Paola Cicconi, Dr.
Organizational Affiliation
University of Oxford
Official's Role
Principal Investigator
Facility Information:
Facility Name
Centre for Clinical Vaccinology and Tropical Medicine, Churchill Hospital
City
Oxford
ZIP/Postal Code
OX3 7LE
Country
United Kingdom

12. IPD Sharing Statement

Plan to Share IPD
No

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A Study of a New Vaccine Against Two Types of Ebola

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