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A Clinical Trial on the Candidate Vaccine cAd3-EBOZ in Healthy Adults in Switzerland

Primary Purpose

Ebola Vaccines

Status
Completed
Phase
Phase 1
Locations
Switzerland
Study Type
Interventional
Intervention
cAd3-EBOZ vaccine
Placebo (for cAd3-EBOZ vaccine)
Sponsored by
Centre Hospitalier Universitaire Vaudois
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional prevention trial for Ebola Vaccines focused on measuring Ebola, Ebolavirus

Eligibility Criteria

18 Years - 65 Years (Adult, Older Adult)All SexesAccepts Healthy Volunteers

Inclusion Criteria:

  1. Healthy adults aged 18 to 65 years
  2. Able and willing (in the Investigator's opinion) to comply with all study requirements
  3. Willing to allow the investigators to discuss the volunteer's medical history with their general practitioner
  4. For females of reproductive capacity and males, having practiced continuous effective contraception for 21 days prior to enrolment, and willing to practice continuous effective contraception for 3 months post vaccination
  5. For females of reproductive capacity, having a negative pregnancy test on the day(s) of screening and vaccination if >7 days interval
  6. Agreement to refrain from blood donation during the course of the study
  7. Provide written informed consent

Exclusion Criteria:

  1. Participation in another research study involving receipt of an investigational product in the 30 days preceding enrolment, or planned use during the study period
  2. Prior receipt of an investigational Ebola or Marburg vaccine or a chimpanzee adenovirus vectored vaccine
  3. Receipt of any live, attenuated vaccine within 28 days prior to enrolment
  4. Receipt of any subunit or killed vaccine within 14 days prior to enrolment (influenza vaccination is encouraged prior to participation)
  5. Receipt of any investigational vaccine within 3 months prior to enrollment
  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 immunosuppressed or immunodeficient state, including HIV infection; asplenia; recurrent, severe infections and chronic (more than 14 days) immunosuppressive medication within the past 6 months (inhaled and topical steroids are allowed)
  8. History of allergic reactions likely to be exacerbated by any component of the vaccine,
  9. Any history of hereditary angioedema, acquired angioedema, or idiopathic angioedema.
  10. Any history of anaphylaxis in reaction to vaccination
  11. Pregnancy, lactation or willingness/intention to become pregnant during the study
  12. History of cancer (except basal cell carcinoma of the skin and cervical carcinoma in situ)
  13. History of serious psychiatric condition
  14. Poorly controlled asthma or thyroid disease
  15. Seizure in the past 3 years or treatment for seizure disorder in the past 3 years
  16. Bleeding disorder (eg. Factor deficiency, coagulopathy or platelet disorder), or prior history of significant bleeding or bruising following intramuscular injections or venepuncture
  17. Any other serious chronic illness requiring hospital specialist supervision
  18. Current anti-tuberculosis prophylaxis or therapy
  19. Suspected or known current alcohol abuse
  20. Suspected or known injecting drug abuse in the 5 years preceding enrolment
  21. Seropositive for 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

  • Clinical Trial Unit Lausanne

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm 5

Arm Type

Experimental

Experimental

Experimental

Experimental

Placebo Comparator

Arm Label

Deployed volunteers - Group 1

Deployed volunteers - Group 2

Not deployed volunteers - Group 3

Not deployed volunteers - Group 4

Not deployed volunteers - Group 5

Arm Description

Low dose cAd3-EBOZ (2.5x10e10 vp)

High dose cAd3-EBOZ (5x10e10 vp)

Low dose cAd3-EBOZ (2.5x10e10 vp)

High dose cAd3-EBOZ (5x10e10 vp)

Outcomes

Primary Outcome Measures

Solicited local and systemic reactogenicity signs and symptoms
Solicited local signs and symptoms include: pain at injection site; erythema at injection site; swelling at injection site. They will be assessed according to a preestablished scale (grade 1 to 3). Solicited systemic signs and symptoms include: fever; tachycardia; bradycardia; systolic hypertension; distolic hypertension; systolic hypotension. They will be assessed according to a preestablished scale (grade 1 to 3).
Unsolicited adverse events of all severities
Unsolicited adverse events will be assessed according to a severity grading scale (grade 1 to 3).
Change from baseline for safety laboratory measures
Safety laboratory measures include: hemoglobin; white blood cells count; neutrophil count; lymphocyte count; platelets; total bilirubin; alanine aminotransferase (ALT); aspartate aminotransferase (AST); alkaline phosphatase; creatinine; urea; sodium; potassium; partial thromboplastin time (aPTT). They will be assessed according to a severity grading scale (grade 1 to 3).
Occurrence of serious adverse events and suspected unexpected serious adverse reactions
SAE are defined as AE that result in any of the following outcomes, whether or not considered related to the study intervention: Death Life-threatening event Persistent or significant disability or incapacity Hospitalisation An important medical event (that may not cause death, be life threatening, or require hospitalisation) that may, based upon appropriate medical judgment, jeopardise the volunteer and/or require medical or surgical intervention to prevent one of the outcomes listed above. Congenital anomaly or birth defect. A SUSAR is a suspected unexpected serious adverse reaction thought to be possibly, probably or definitely related to an IMP. No category of SAE has been defined as 'expected'.

Secondary Outcome Measures

Antibody responses as measured by ELISA (anti-EBOZ immunoglobulins titers) and by antigen-specific neutralization assays
T cell immune responses as measured by ex-vivo ELISPOT

Full Information

First Posted
October 14, 2014
Last Updated
January 27, 2016
Sponsor
Centre Hospitalier Universitaire Vaudois
Collaborators
Infectious Disease Service, CHUV, Lausanne, Center for Primary Care and Public Health (Unisante), University of Lausanne, Switzerland, University of Lausanne Hospitals, Swiss Tropical & Public Health Institute, University of Lausanne, GlaxoSmithKline, World Health Organization, Immunology and Allergy Service, CHUV, Lausanne
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1. Study Identification

Unique Protocol Identification Number
NCT02289027
Brief Title
A Clinical Trial on the Candidate Vaccine cAd3-EBOZ in Healthy Adults in Switzerland
Official Title
A Phase I/II Double-blind, Randomized, Placebo Controlled, Safety and Immunogenicity, Dose-finding Trial of the Monovalent Zaire Ebola Chimpanzee Adenovirus Vector Candidate Vaccine cAd3-EBOZ in Healthy Adults in Switzerland
Study Type
Interventional

2. Study Status

Record Verification Date
January 2016
Overall Recruitment Status
Completed
Study Start Date
October 2014 (undefined)
Primary Completion Date
June 2015 (Actual)
Study Completion Date
June 2015 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Principal Investigator
Name of the Sponsor
Centre Hospitalier Universitaire Vaudois
Collaborators
Infectious Disease Service, CHUV, Lausanne, Center for Primary Care and Public Health (Unisante), University of Lausanne, Switzerland, University of Lausanne Hospitals, Swiss Tropical & Public Health Institute, University of Lausanne, GlaxoSmithKline, World Health Organization, Immunology and Allergy Service, CHUV, Lausanne

4. Oversight

Data Monitoring Committee
Yes

5. Study Description

Brief Summary
The objective of this trial is to assess in healthy adults the safety and reactogenicity of a new candidate vaccine, cAd3-EBOZ, made of a chimpanzee Adenovirus vector encoding the glycoprotein of Zaire Ebola virus. The secondary objectives will be to assess the immunogenicity of the candidate vaccine and find the most suitable dose for further deployment in epidemic areas in Africa. The 120 planned study subjects will be composed of possibly exposed volunteers owning to organisations such as "Médecins sans frontières" and susceptible to be deployed in the outbreak zone (named as "possibly exposed volunteers"). The other volunteers will be adults with no planned travels to the epidemic zone (named as "not exposed volunteers"). The first group will be randomly allocated to two different groups (low dose = single injection of 2.5x10e10 viral particles (vp), high dose = single injection of 5x10e10 vp). The second group will be randomly allocated to three different groups (low dose = single injection of 2.5x10e10 viral particles (vp), high dose = single injection of 5x10e10 vp or placebo = single injection of vaccine diluent). The design will be double-blind. Follow-up visits will take place at Day 1, 7, 14, 28, 90 and 180.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Ebola Vaccines
Keywords
Ebola, Ebolavirus

7. Study Design

Primary Purpose
Prevention
Study Phase
Phase 1, Phase 2
Interventional Study Model
Parallel Assignment
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
120 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Deployed volunteers - Group 1
Arm Type
Experimental
Arm Description
Low dose cAd3-EBOZ (2.5x10e10 vp)
Arm Title
Deployed volunteers - Group 2
Arm Type
Experimental
Arm Description
High dose cAd3-EBOZ (5x10e10 vp)
Arm Title
Not deployed volunteers - Group 3
Arm Type
Experimental
Arm Description
Low dose cAd3-EBOZ (2.5x10e10 vp)
Arm Title
Not deployed volunteers - Group 4
Arm Type
Experimental
Arm Description
High dose cAd3-EBOZ (5x10e10 vp)
Arm Title
Not deployed volunteers - Group 5
Arm Type
Placebo Comparator
Intervention Type
Biological
Intervention Name(s)
cAd3-EBOZ vaccine
Intervention Type
Biological
Intervention Name(s)
Placebo (for cAd3-EBOZ vaccine)
Intervention Description
Diluent
Primary Outcome Measure Information:
Title
Solicited local and systemic reactogenicity signs and symptoms
Description
Solicited local signs and symptoms include: pain at injection site; erythema at injection site; swelling at injection site. They will be assessed according to a preestablished scale (grade 1 to 3). Solicited systemic signs and symptoms include: fever; tachycardia; bradycardia; systolic hypertension; distolic hypertension; systolic hypotension. They will be assessed according to a preestablished scale (grade 1 to 3).
Time Frame
Daily for 7 days following the vaccination
Title
Unsolicited adverse events of all severities
Description
Unsolicited adverse events will be assessed according to a severity grading scale (grade 1 to 3).
Time Frame
Through 28 days after the vaccination
Title
Change from baseline for safety laboratory measures
Description
Safety laboratory measures include: hemoglobin; white blood cells count; neutrophil count; lymphocyte count; platelets; total bilirubin; alanine aminotransferase (ALT); aspartate aminotransferase (AST); alkaline phosphatase; creatinine; urea; sodium; potassium; partial thromboplastin time (aPTT). They will be assessed according to a severity grading scale (grade 1 to 3).
Time Frame
Through 6 months after the vaccination
Title
Occurrence of serious adverse events and suspected unexpected serious adverse reactions
Description
SAE are defined as AE that result in any of the following outcomes, whether or not considered related to the study intervention: Death Life-threatening event Persistent or significant disability or incapacity Hospitalisation An important medical event (that may not cause death, be life threatening, or require hospitalisation) that may, based upon appropriate medical judgment, jeopardise the volunteer and/or require medical or surgical intervention to prevent one of the outcomes listed above. Congenital anomaly or birth defect. A SUSAR is a suspected unexpected serious adverse reaction thought to be possibly, probably or definitely related to an IMP. No category of SAE has been defined as 'expected'.
Time Frame
Through 6 months after the vaccination
Secondary Outcome Measure Information:
Title
Antibody responses as measured by ELISA (anti-EBOZ immunoglobulins titers) and by antigen-specific neutralization assays
Time Frame
Through 6 months after the vaccination
Title
T cell immune responses as measured by ex-vivo ELISPOT
Time Frame
Through 6 months after the vaccination
Other Pre-specified Outcome Measures:
Title
T cell immune responses as measured by intracellular cytokine staining assays (ICS)
Time Frame
Through 6 months after the vaccination
Title
T cell immune responses as measured by 6-day culture cytokine production by Multiplex and flow cytometry
Time Frame
Through 6 months after the vaccination
Title
HLA typing
Time Frame
On Day 0 (day of vaccination)
Title
Vaccine-induced mRNA expression profiles (transcriptomics)
Time Frame
Through 28 days after the vaccination

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
65 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: Healthy adults aged 18 to 65 years Able and willing (in the Investigator's opinion) to comply with all study requirements Willing to allow the investigators to discuss the volunteer's medical history with their general practitioner For females of reproductive capacity and males, having practiced continuous effective contraception for 21 days prior to enrolment, and willing to practice continuous effective contraception for 3 months post vaccination For females of reproductive capacity, having a negative pregnancy test on the day(s) of screening and vaccination if >7 days interval Agreement to refrain from blood donation during the course of the study Provide written informed consent Exclusion Criteria: Participation in another research study involving receipt of an investigational product in the 30 days preceding enrolment, or planned use during the study period Prior receipt of an investigational Ebola or Marburg vaccine or a chimpanzee adenovirus vectored vaccine Receipt of any live, attenuated vaccine within 28 days prior to enrolment Receipt of any subunit or killed vaccine within 14 days prior to enrolment (influenza vaccination is encouraged prior to participation) Receipt of any investigational vaccine within 3 months prior to enrollment Administration of immunoglobulins and/or any blood products within the three months preceding the planned administration of the vaccine candidate Any confirmed or suspected immunosuppressed or immunodeficient state, including HIV infection; asplenia; recurrent, severe infections and chronic (more than 14 days) immunosuppressive medication within the past 6 months (inhaled and topical steroids are allowed) History of allergic reactions likely to be exacerbated by any component of the vaccine, Any history of hereditary angioedema, acquired angioedema, or idiopathic angioedema. Any history of anaphylaxis in reaction to vaccination Pregnancy, lactation or willingness/intention to become pregnant during the study History of cancer (except basal cell carcinoma of the skin and cervical carcinoma in situ) History of serious psychiatric condition Poorly controlled asthma or thyroid disease Seizure in the past 3 years or treatment for seizure disorder in the past 3 years Bleeding disorder (eg. Factor deficiency, coagulopathy or platelet disorder), or prior history of significant bleeding or bruising following intramuscular injections or venepuncture Any other serious chronic illness requiring hospital specialist supervision Current anti-tuberculosis prophylaxis or therapy Suspected or known current alcohol abuse Suspected or known injecting drug abuse in the 5 years preceding enrolment Seropositive for 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
Blaise Genton, MD PhD
Organizational Affiliation
CHUV and PMU
Official's Role
Principal Investigator
Facility Information:
Facility Name
Clinical Trial Unit Lausanne
City
Lausanne
ZIP/Postal Code
1011
Country
Switzerland

12. IPD Sharing Statement

Citations:
PubMed Identifier
26725450
Citation
De Santis O, Audran R, Pothin E, Warpelin-Decrausaz L, Vallotton L, Wuerzner G, Cochet C, Estoppey D, Steiner-Monard V, Lonchampt S, Thierry AC, Mayor C, Bailer RT, Mbaya OT, Zhou Y, Ploquin A, Sullivan NJ, Graham BS, Roman F, De Ryck I, Ballou WR, Kieny MP, Moorthy V, Spertini F, Genton B. Safety and immunogenicity of a chimpanzee adenovirus-vectored Ebola vaccine in healthy adults: a randomised, double-blind, placebo-controlled, dose-finding, phase 1/2a study. Lancet Infect Dis. 2016 Mar;16(3):311-20. doi: 10.1016/S1473-3099(15)00486-7. Epub 2015 Dec 23.
Results Reference
derived

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A Clinical Trial on the Candidate Vaccine cAd3-EBOZ in Healthy Adults in Switzerland

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