Pan African Clinical Trials Registry

South African Medical Research Council, South African Cochrane Centre
PO Box 19070, Tygerberg, 7505, South Africa
Telephone: +27 21 938 0835 or +27 21 938 0967
Email: pactradmin@mrc.ac.za Website: pactr.samrc.ac.za
Trial no.: PACTR202102484171450 Date of Registration: 05/02/2021
Trial Status: Registered in accordance with WHO and ICMJE standards
TRIAL DESCRIPTION
Public title EBOVAC-Booster Study
Official scientific title VAC52150EBL2011 An open label study to evaluate the safety and immunogenicity of an Ad26.ZEBOV booster dose in children previously vaccinated with the Ad26.ZEBOV and MVA-BN-Filo vaccine regimen
Brief summary describing the background and objectives of the trial RATIONALE Over 600 children have received the adenovirus serotype 26 expressing the Ebola virus Mayinga glycoprotein (Ad26.ZEBOV), modified Vaccinia Ankara Bavarian Nordic vector expressing multiple filovirus proteins (MVA- BN-Filo) Ebola vaccine regimen in the EBL2002 and EBL3001 clinical trials. The vaccine regimen was well tolerated and highly immunogenic in children; however, the durability of vaccine-induced immune responses is not known. In adults previously vaccinated with the Ad26.ZEBOV and MVA-BN-Filo regimen, a booster vaccination with Ad26.ZEBOV was safe and induced a strong anamnestic response within seven days of the booster vaccination. It is important to establish if a booster dose of Ad26.ZEBOV is safe and immunogenic also in children, as this can guide the clinical use of the Ad26.ZEBOV, MVA-BN-Filo vaccine regimen in this age group. For example, it could support the strategy of boosting immunised children at the start of an Ebola outbreak. STUDY OBJECTIVES AND HYPOTHESIS This study aims to evaluate the safety and immunogenicity of an Ad26.ZEBOV booster dose in healthy children who were previously (>2 years) vaccinated with the Ad26.ZEBOV (dose 1) followed by MVA-BN-Filo (dose 2) 56 days later, by monitoring adverse events (AEs) following the booster vaccination and by assessing binding antibody responses using the Filovirus Animal Non-Clinical Group (FANG) Enzyme-Linked Immunosorbent Assay (ELISA). Primary Objectives - To assess the safety and tolerability of a booster dose of Ad26.ZEBOV at a dose of 5x10^10 viral particles (vp) in children previously vaccinated with the Ad26.ZEBOV, MVA-BN-Filo vaccine regimen with a 56-day interval. - To assess vaccine-induced humoral immune responses to the Ebola virus glycoprotein (EBOV GP), as measured by FANG ELISA, at 7 and 21 days following a booster dose of Ad26.ZEBOV at a dose of 5x10^10 vp in children previously vaccinated with the Ad26.ZEBOV, MVA-BN-Filo vaccine regimen with a 56-day interval.
Type of trial CCT
Acronym (If the trial has an acronym then please provide)
Disease(s) or condition(s) being studied Infections and Infestations
Sub-Disease(s) or condition(s) being studied Ebola
Purpose of the trial Prevention: Vaccines
Anticipated trial start date 01/04/2021
Actual trial start date
Anticipated date of last follow up 30/06/2021
Actual Last follow-up date
Anticipated target sample size (number of participants) 50
Actual target sample size (number of participants)
Recruitment status Not yet recruiting
Publication URL
Secondary Ids Issuing authority/Trial register
STUDY DESIGN
Intervention assignment Allocation to intervention If randomised, describe how the allocation sequence was generated Describe how the allocation sequence/code was concealed from the person allocating the participants to the intervention arms Masking If masking / blinding was used
Parallel: different groups receive different interventions at same time during study Non-randomised Open-label(Masking Not Used)
INTERVENTIONS
Intervention type Intervention name Dose Duration Intervention description Group size Nature of control
Experimental Group Ad26.ZEBOV vaccine booster dose Dose of 5x10^10 viral particles (vp) given once via IM injection vaccination is given once Ad26.ZEBOV is a monovalent, replication-incompetent adenovirus serotype 26-based vector that expresses the full-length Ebola virus Mayinga glycoprotein 50
Control Group No control group. All participants will receive the Ad26.ZEBOV booster dose. Not applicable Not applicable Not applicable 0 Uncontrolled
ELIGIBILITY CRITERIA
List inclusion criteria List exclusion criteria Age Category Minimum age Maximum age Gender
1. Child must be enrolled in the VAC52150EBL3005 (EBOVAC-Salone Extension) study but not in the immunogenicity subset of EBOVAC-Salone Extension study. 2. Child must be a former participant in the VAC52150EBL3001 (EBOVAC-Salone) trial, and have received Ad26.ZEBOV (dose 1) vaccination followed by the MVA-BN-Filo (dose 2) vaccination within the EBOVAC- Salone trial window for dose 2 vaccination. 3. Child must have been aged 1 to 11 years old at the time of dose 1 vaccination in the EBOVAC-Salone trial. 4. The parent/guardian must consent for their child to participate in the VAC52150EBL2011 study. Children aged 7 years and older will be asked to give positive assent for their participation in the study. 5. The parent/guardian is willing/able to ensure that their child adheres to the prohibitions and restrictions specified in this protocol. 6. Child must be healthy in the investigator’s clinical judgement (and the parent/guardian’s judgement) on the basis of medical history, physical examination, vital signs, and a haematological assessment (i.e. full blood count) performed at screening. Subjects must meet the following haematology parameters within 28 days before Day 1: - Haemoglobin ≥8.0 g/dL for children aged 1 to <5 years, ≥9g/dL for children aged 5 or older - Platelet count ≥100 x 10^9/L - White blood cell count ≥5.0 x 10^9/L 7. Adolescent girls who have started their menstrual periods and/or are ≥12 years of age at the time of screening, must have a negative urine β-hCG pregnancy test at screening and immediately prior to the booster vaccination on Day 1. 8. The parent/guardian is available and willing to have their infant participate for the duration of the study visits. 9. The parent/guardian must have a means to be contacted. 10. The parent/guardian must pass the Test of Understanding (TOU) 1. Participants in the EBOVAC-Salone trial who were allocated to the control arm receiving the WHO- prequalified Meningococcal Group A, C, W135 and Y conjugate vaccine. 2. Participants in the EBOVAC-Salone trial who were age 12 years and older at the time of dose 1 vaccination. 3. Known allergy or history of anaphylaxis or other serious adverse reactions to vaccines or vaccine products (including any of the constituents of the study vaccine, e.g., polysorbate 80, ethylenediaminetetraacetic acid or L-histidine for Ad26.ZEBOV vaccine), including known allergy to chicken or egg proteins and aminoglycosides (gentamicin). 4. Presence of acute illness (this does not include minor illnesses such as mild diarrhoea or mild upper respiratory tract infection) or axillary temperature ≥38C on Day 1. Participants with such symptoms will be excluded from enrolment at that time but may be rescheduled for enrolment at a later date within the screening window. 5. Clinically significant history of skin disorder (e.g., psoriasis, contact dermatitis), allergy, symptomatic immunodeficiency, cardiovascular disease, respiratory disease, endocrine disorder, liver disease, renal disease, gastrointestinal disease, neurological illness as judged by the investigator or other delegated individual. 6. Adolescent girls who are known to be pregnant or breastfeeding at screening. 7. Received a blood transfusion or other blood products within 8 weeks of vaccination day. 8. Children who have been vaccinated with live-attenuated vaccines within 30 days before the study vaccination, and with inactivated vaccine within 15 days before the study vaccination. 9. Children who, in the opinion of the investigator, are unlikely to adhere to the requirements of the study or are unlikely to complete the vaccination and observation. 10. Any other finding which in the opinion of the investigator or other delegated individual would increase the risk of an adverse outcome from participation in the study. Adolescent: 13 Year(s)-17 Year(s),Child: 6 Year-12 Year,Preschool Child: 2 Year-5 Year 3 Year(s) 16 Year(s) Both
ETHICS APPROVAL
Has the study received appropriate ethics committee approval Date the study will be submitted for approval Date of approval Name of the ethics committee
No 30/11/2020 Sierra Leone Ethics and Scientific Review Committee
Ethics Committee Address
Street address City Postal code Country
Youyi Building, Fifth Floor, East Wing Freetown NA Sierra Leone
Has the study received appropriate ethics committee approval Date the study will be submitted for approval Date of approval Name of the ethics committee
No 30/10/2020 LSHTM Interventions Research Ethics Committee
Ethics Committee Address
Street address City Postal code Country
Keppel Street London WC1E 7HT United Kingdom
OUTCOMES
Type of outcome Outcome Timepoint(s) at which outcome measured
Primary Outcome - To assess the safety and tolerability of a booster dose of Ad26.ZEBOV in children previously vaccinated with the Ad26.ZEBOV, MVA-BN-Filo vaccine regimen with a 56-day interval. - To assess vaccine-induced humoral immune responses to the Ebola virus glycoprotein (EBOV GP), as measured by FANG ELISA, at 7 and 21 days following a booster dose of Ad26.ZEBOV in children previously vaccinated with the Ad26.ZEBOV, MVA-BN-Filo vaccine regimen with a 56-day interval. Safety and tolerability: assessed from the day of the booster to 28 days post booster. Vaccine-induced humoral immune responses: assesed at 7 and 21 days post booster
Secondary Outcome This study has no secondary outcomes Not applicable
RECRUITMENT CENTRES
Name of recruitment centre Street address City Postal code Country
EBOVAC clinic 13 Magbema Street Kambia Sierra Leone
FUNDING SOURCES
Name of source Street address City Postal code Country
Innovative Medicines Initiative Avenue de la Toison d Or 56-60 Brussels 1060 Belgium
SPONSORS
Sponsor level Name Street address City Postal code Country Nature of sponsor
Primary Sponsor London School of Hygiene and Tropical Medicine Keppel Street London WC1E 7HT United Kingdom Charities/Societies/Foundation
COLLABORATORS
Name Street address City Postal code Country
College of Medicine and Allied Health Sciences FBC Campus Freetown Sierra Leone
CONTACT PEOPLE
Role Name Email Phone Street address
Principal Investigator Bailah Leigh Bailah.leigh@usl.edu.sl +23277764538 FBC Campus
City Postal code Country Position/Affiliation
Freetown Sierra Leone Associate Professor at the College of Medicine and Allied Health Sciences
Role Name Email Phone Street address
Scientific Enquiries Deborah Watson Jones deborah.watson-jones@lshtm.ac.uk +442079272958 Keppel Street
City Postal code Country Position/Affiliation
London WC1E 7HT United Kingdom Professor at London School of Hygiene and Tropical Medicine
Role Name Email Phone Street address
Public Enquiries Daniela Manno daniela.manno@lshtm.ac.uk +442079272092 Keppel Street
City Postal code Country Position/Affiliation
London WC1E 7HT United Kingdom Assistant professor at London School of Hygiene and Tropical Medicine
REPORTING
Share IPD Description Additional Document Types Sharing Time Frame Key Access Criteria
Yes The clinical trial results will be published in an open access, peer-reviewed journal, which will include, as feasible, the study protocol. A summary of the study results will be included within the trial registration record in PACTR and ClinicalTrials.gov Study Protocol within 12 months of the study completion date open
URL Results Available Results Summary Result Posting Date First Journal Publication Date
No
Result Upload 1: Result Upload 2: Result Upload 3: Result Upload 4: Result Upload 5:
Result URL Hyperlinks Link To Protocol
Result URL Hyperlinks
Changes to trial information