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Ebola Virus DiseasePhase 1/2EBOLAPEDNCT05130398

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

A Phase 1/2 study testing rVSVΔG-ZEBOV-GP, V920, Fibre and equilibrate breakfast and lunch and Active detection and treatment of pathogens in people with Ebola Virus Disease, run by Centre de Recherche Médicale de Lambaréné at 1 site in Gabon.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

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. Read more about this study

Who is it for?
Ages 1 year to 12 yearsHealthy volunteers can take part
Conditions the study is for
Ebola Virus Disease
What is being tested?
rVSVΔG-ZEBOV-GP, V920, Fibre and equilibrate breakfast and lunch and Active detection and treatment of pathogens
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
120 participants
Where
1 siteGabon
Study dates
9 Apr 2021to 9 Aug 2022
Phase
Phase 1/2
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 1 year to 12 years
  • All sexes
  • Healthy volunteers accepted
  • Child

Who may be able to join

  • 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

Who cannot join

  • 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.

Trial locations and contacts

1 site in 1 country.

Gabon1 site
  • Centre de Recherches Médicales de Lambaréné

    Lambaréné, Moyen-Ogooué Province, 242

Other trials in Gabon

About this study

Official title: A Phase 1/2, Randomized, Controlled Open-label Trial to Evaluate the Safety and Immunogenicity of the rVSVΔG-ZEBOV-GP Ebola Virus Vaccine Candidate in Healthy Children Aged 1 to 12 Years and in Their Relatives Living in Lambaréné, Gabon

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.

Read the detailed description

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.

Being tested
rVSVΔG-ZEBOV-GP, V920, Fibre and equilibrate breakfast and lunch, Active detection and treatment of pathogens, Fibre and equilibrate breakfast and lunch plus Active detection and treatment of pathogens, Chikenpox or Varicella vaccine (VARILRIX)
Keywords
Sub-Saharan Africa Africa ,, Children, rVSV-ZEBOV-GP vaccine, Shedding, Safety, Tolerability
Medical subject headings
Hemorrhagic Fever, Ebola

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • rVSVΔG-ZEBOV-GP, V920Biological

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

  • Fibre and equilibrate breakfast and lunchDietary supplement

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

  • Active detection and treatment of pathogensDiagnostic test

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

  • Fibre and equilibrate breakfast and lunch plus Active detection and treatment of pathogensCombination 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

  • Chikenpox or Varicella vaccine (VARILRIX)Biological

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

  • PlaceboOther

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

Study groups in NCT05130398
Study groupRoleWhat they receive
the rVSVΔG-ZEBOV-GP vaccineExperimentalParticipants 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.
Receives: Biological: rVSVΔG-ZEBOV-GP, V920
The Chikenpox or Varicella (Varilix) vaccineActive comparatorThe 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
Receives: Biological: Chikenpox or Varicella vaccine (VARILRIX)
Fibre and equilibrate dietExperimentalParticipants were assigned to receive two meals daily ( breakfast and lunch) for 21 days. About 30 children are randomly assigned to fibre and equilibrate diet.
Receives: Dietary Supplement: Fibre and equilibrate breakfast and lunch
Active detection and treatment of pathogens according to standard of careExperimentalThe 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.
Receives: Diagnostic Test: Active detection and treatment of pathogens
Diet plus Active detection and treatment of pathogens according to standard of careExperimentalParticipants 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
Receives: Combination Product: Fibre and equilibrate breakfast and lunch plus Active detection and treatment of pathogens
No diet and no pathogen detectionPlacebo comparatorAbout 30 children received no diet and no active detection of pathogens
Receives: Other: Placebo

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Concentration of viral vector in blood, saliva and urine in vaccinees

    Concentration of rVSVΔG-ZEBOV-GP in blood, urine, or saliva as detected by RT-PCR and expressed as copy number in vaccinees

    Measured: at days 0, 1, 2/3, 7, 14 and 28

  2. Prevalence and relative risk of sollicited adverse events in vaccinees

    Proportion (percent) of participants experiencing sollicited adverse events in vaccinees groups

    Measured: until day 14 post vaccination

  3. Prevalence and relative risk of unsolicited adverse events and serious adverse events in vaccinees

    Proportion (percent ) of participant experiencing unsollicited adverse event (AEs) and serious adverse events (SAEs) and relative risk of AEs and SAEs in participant by vaccine groups

    Measured: until day 28 after vaccination

Secondary outcomes (11)
  1. Prevalence and relative risk of serious adverse events

    Proportion (percent) of participants experiencing SAEs and relative risk of SAEs in until study last visit (at 365 days)

    Measured: until day 365

  2. Transmission intensity of the viral vector in blood, saliva and urine among the the relatives of the vaccinees

    Concentration of rVSVΔG-ZEBOV-GP in blood, urine, or saliva as detected by RT-PCR and expressed as copy number in the close relatives of the vaccinees

    Measured: days 0, 1, 3, 14, 28, 56

  3. Titres of ZEBOV-GP-specific binding antibody

    Titres of ZEBOV-GP-specific binding antibody by ELISA expressed in geometric mean titres (GMTs)

    Measured: days 0, 1, 3, 14, 21, 28, 56, 84, 180, 365

  4. Affinity/Avidity of antibody induced by vaccination

    Affinity/avidity of GP-specific serum antibodies as assessed by Surface Plasmon Resonance platform at D28 and D180 expressed as percent of affinity maturation

    Measured: days 28 and 180

  5. Concentration of IL-1RN (IL-1Ra), IL-6, TNF-α, IL-10, MCP-1/CCL2, and MIP-1β/CCL4

    Cytokines (IL-1RN (IL-1Ra), IL-6, TNF-α, IL-10), chemokines and soluble adhesion molecules (MCP-1/CCL2, and MIP-1β/CCL4) plasma expressed in microgram per milliliter .

    Measured: days 0, 1 and 2 or 3

  6. Prevalence of miRNAs

    Proportion (percent) of circulating miRNAs using the Human miRNome PCR array v.21 in serum samples

    Measured: at days 0, 1, 2/3, 7

  7. Concentration of Lipids, glutamine, Alanine, Aspargine

    Proportion (percent ) and concentration ( microgram/ mililiter) of Lipids, glutamine, Alanine, Aspargine in plasma samples

    Measured: at day 0, day 1, day 2/3 and day 7

  8. Concentrations Nitric oxides species

    Profiling nitric oxides species according to vaccines, diet and pathogens

    Measured: days 0, 1, 2/3, 7, 28, 56, 90, 180, 365

  9. Concentration of metabolites of gut bacteria

    Measurement of gut metabolites

    Measured: days 0, 7, 28, 56, 90

  10. Titres of antibody induced by diphtheria, tetanus, Bordetella, poliomyelitis, hepatitis B, measles, yellow fever ( EPI vaccines)

    Concentration of antibody of EPI vaccines

    Measured: days 0, 7, 14, 28, 90, 180, 365

  11. Concentration of bystander cytokines

    Concentration of cytokines that may induce heterologous vaccine induced immune responses

    Measured: days 0, 1, 2/3, 7, 28, 90

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted23 Nov 2021
  2. Study start9 Apr 2021
  3. Primary completion8 Sep 2021
  4. Study completion9 Aug 2022

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 1/2
Primary purpose
Prevention
Allocation
Randomised
Intervention model
Parallel groups
Model description
A Phase 1/2, randomized, controlled, open label clinical trial.
Masking
None (open label)
Enrolment
120 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05130398
Sponsor's protocol ID
LA rVSVΔG-ZEBOV-GP -02-PED
Acronym
EBOLAPED
Status last verified
Apr 2023
First submitted
25 Aug 2021
Last updated
20 Apr 2023
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
Yes: The Principal investigator or his designee will be the data manager with responsibility for delegating the receiving, entering, cleaning, querying, analysing and storing all data that accrues from the study. All data will be entered in paper case record forms and transcribed by double entry into an electronic database. This includes safety data, laboratory data (both clinical and immunological) and outcome data.

Questions about this trial

What is this clinical trial studying?

A Phase 1/2 study testing rVSVΔG-ZEBOV-GP, V920, Fibre and equilibrate breakfast and lunch and Active detection and treatment of pathogens in people with Ebola Virus Disease, run by Centre de Recherche Médicale de Lambaréné at 1 site in Gabon.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 4 inclusion and 7 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 20 Apr 2023. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in Gabon. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this combined phase mean?

Phase 1 studies test a treatment in a small group of people for the first time or in a new way, mainly to check safety and find the right dose.

Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Concentration of viral vector in blood, saliva and urine in vaccinees (time frame: at days 0, 1, 2/3, 7, 14 and 28). The study lists 3 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 20 Apr 2023.

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