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 0506 / +27 21 938 0834 Fax: +27 21 938 0836
Email: pactradmin@mrc.ac.za Website: pactr.samrc.ac.za
Trial no.: PACTR202102747294430 Date of Approval: 02/02/2021
Trial Status: Registered in accordance with WHO and ICMJE standards
TRIAL DESCRIPTION
Public title An open label, phase 2 study to evaluate the safety and immunogenicity of an Ad26.ZEBOV booster dose in Human Immunodeficiency Virus Positive (HIV+) adults previously vaccinated with the Ad26.ZEBOV, MVA-BN-Filo vaccine regimen
Official scientific title An open label, phase 2 study to evaluate the safety and immunogenicity of an Ad26.ZEBOV booster dose in Human Immunodeficiency Virus Positive (HIV+) adults previously vaccinated with the Ad26.ZEBOV, MVA-BN-Filo vaccine regimen
Brief summary describing the background and objectives of the trial This is an open label study to evaluate the immune response to a booster dose of adenovirus serotype 26 expressing the Ebola virus Mayinga glycoprotein (Ad26.ZEBOV) administered to HIV positive participants who previously received the 2-dose Ebola vaccine regimen with Ad26.ZEBOV followed by Modified Vaccinia Ankara Bavarian Nordic vector expressing multiple filovirus proteins (MVA-BN-Filo) 28 days or 56 days later in East Africa. Only participants who received the Ad26.ZEBOV and MVA-BN-Filo regimen during their participation in the VAC52150EBL2002 vaccine trial are eligible for enrolment in this study. The Ad26.ZEBOV will be administered as a booster dose in this population approximately 4 years from the time they received dose 2 (MVA-BN-Filo). Approximately 50 HIV positive adult participants, aged 18 - 50 years at randomisation in the parent trial, VAC52150EBL2002, from Kenya and Uganda who previously received the 2-dose Ebola vaccine regimen will be invited to participate in this trial. Subjects will be asked to consent to participate in this study. Upon receiving the booster vaccination, participants will be followed up for immunogenicity and safety for approximately 28 days (+/- 3 days). Primary Objectives: - To assess the safety and tolerability of a Ad26.ZEBOV booster dose in HIV positive adults previously vaccinated with the Ad26.ZEBOV, MVA-BN-Filo vaccine regimen. - To assess humoral responses induced by the booster dose against EBOV glycoprotein (GP), as measured by Filovirus Animal Non-Clinical Group (FANG) Enzyme-Linked Immunosorbent Assay (ELISA) at 7 and 21 days.
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 15/03/2021
Actual trial start date 06/10/2021
Anticipated date of last follow up 25/06/2021
Actual Last follow-up date 17/11/2021
Anticipated target sample size (number of participants) 50
Actual target sample size (number of participants) 26
Recruitment status Completed
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 Allocation was determined by the holder of the sequence who is situated off site Open-label(Masking Not Used)
INTERVENTIONS
Intervention type Intervention name Dose Duration Intervention description Group size Nature of control
Experimental Group Ad26.ZEBOV Concentration of 5x10^10 viral particles, given as a 0.5 millilitre intramuscular injection into the anterolateral deltoid muscle. One time injection Ad26.ZEBOV is a non-replicating, monovalent vaccine expressing the full-length Mayinga glycoprotein of the Ebola virus (formerly known as Zaire ebolavirus), and is produced in the human cell line PER.C6®. 50
Control Group The is no control group in this study No control No control There is no control in this study. All participants will receive the study vaccine Ad26.ZEBOV. 0 Uncontrolled
ELIGIBILITY CRITERIA
List inclusion criteria List exclusion criteria Age Category Minimum age Maximum age Gender
Each potential participant must satisfy all of the following criteria to be enrolled in this current study: 1. Must have previously received the 2-dose Ebola vaccine regimen at sites in Kenya or Uganda in Cohort 2a of the VAC52150EBL2002 study. 2. Must be a male or female subject and aged 18 - 50 years at time of randomisation in the parent trial (VAC52150EBL2002). 3. Must consent to participate in the study by signing (or thumbprinting, if illiterate) an informed consent form, indicating that he or she understands the purpose of, and procedures required for, the study, and he/she understands the potential risks and benefits of the study. 4. Must be willing/able to ensure that they adhere to the prohibitions and restrictions specified in the protocol. 5. Must be available and willing to participate for the duration of the study visits. 6. Must be in reasonably good medical condition in the investigator’s clinical judgement. 7. Must be on a stable regimen of HAART taking into account the following criteria (please see protocol for more information). 8. Potential participants must be healthy on the basis of clinical laboratory tests performed at screening (please see protocol for more information). 9. Female subjects of childbearing potential must use adequate birth control measures consistent with local regulations regarding the use of birth control for subjects participating in clinical studies from at least 14 days before vaccination until the end of the study, with a negative urine beta human chorionic gonadotropin (β-hCG) pregnancy test at screening and immediately prior to the vaccination, which shall occur no earlier than 14 days after the screening visit. 10. Must have a means to be contacted Any potential participant who meets any of the following criteria will be excluded from participating in the study: 1. Participants in the VAC52150EBL2002 trial who were in any study cohort other than cohort 2a, or were allocated to the placebo arm in Cohort 2a. 2. 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 (e.g. gentamicin). 3. Presence of acute illness (this does not include minor illnesses such as mild diarrhoea or mild upper respiratory tract infection) or axillary temperature ≥38ºC on Day 1. 4. Women who are breast-feeding or known to be pregnant or planning to become pregnant while enrolled in the study or within 1 month after the booster vaccination. 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. Received a blood transfusion or other blood products within 8 weeks of enrolment. 7. Potential participants who have been vaccinated with live-attenuated vaccines within 30 days before and after the study vaccination, and with inactive vaccine within 15 days before and after the study vaccination. 8. Receipt of any disallowed therapies before the planned administration of the vaccine on Day 1. 9. Subjects who, in the opinion of the investigator, are unlikely to adhere to the requirements of the study or are unlikely to complete the study. 10. Any other finding which in the opinion of the investigator would increase the risk of an adverse outcome from participation in the study. Adult: 19 Year-44 Year,Middle Aged: 45 Year(s)-64 Year(s) 18 Year(s) 60 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
Yes 05/02/2021 London School of Hygiene and Tropical Medicine Ethics Committee
Ethics Committee Address
Street address City Postal code Country
Keppel Street London WC1E 7HT United Kingdom
Has the study received appropriate ethics committee approval Date the study will be submitted for approval Date of approval Name of the ethics committee
Yes 20/05/2021 Kenyatta National Hospital University of Nairobi Ethics and Research Committee
Ethics Committee Address
Street address City Postal code Country
PO Box 19676 Nairobi 00202 Kenya
Has the study received appropriate ethics committee approval Date the study will be submitted for approval Date of approval Name of the ethics committee
Yes 25/03/2021 Uganda Virus Research Institute Research and Ethics Committee
Ethics Committee Address
Street address City Postal code Country
Plot 51-59, Nakiwogo Road Entebbe 00000 Uganda
OUTCOMES
Type of outcome Outcome Timepoint(s) at which outcome measured
Primary Outcome • To assess the safety and tolerability of a Ad26.ZEBOV booster dose in HIV positive adults previously vaccinated with the Ad26.ZEBOV, MVA-BN-Filo vaccine regimen From screening until end of study.
Primary Outcome To assess humoral responses induced by the booster dose against EBOV glycoprotein (GP), as measured by Filovirus Animal Non-Clinical Group (FANG) Enzyme-Linked Immunosorbent Assay (ELISA) at 7 and 21 days. 7 days post vaccination and 21 days post vaccination.
Secondary Outcome There are no secondary outcomes in this study. No timepoints. There are no secondary outcomes.
RECRUITMENT CENTRES
Name of recruitment centre Street address City Postal code Country
Kenya AIDS Vaccine Initiative Institute of Clinical Research College of Health Sciences, University of Nairobi, P.O. Box 19676-00202 Nairobi Kenya
Medical Research Council Uganda Virus Research Institute London School of Hygiene and Tropical Medicine UVRI P.O. Box 49, Plot 51-59 Nakiwogo Road Entebbe Uganda
FUNDING SOURCES
Name of source Street address City Postal code Country
Innovative Medicines Initiative IMI JU TO56 Brussels 1049 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 University
COLLABORATORS
Name Street address City Postal code Country
CONTACT PEOPLE
Role Name Email Phone Street address
Principal Investigator Aggrey Omu Anzala oanzala@uonbi.ac.ke +2542717694 KAVI-ICR, College of Health Sciences, University of Nairobi, P.O. Box 19676-00202
City Postal code Country Position/Affiliation
Nairobi Kenya Professor and Project Staff at KAVI ICR University of Nairobi
Role Name Email Phone Street address
Principal Investigator Pontiano Kaleebu Pontiano.Kaleebu@mrcuganda.org +256417704000 UVRI P.O. Box 49, Plot 51-59 Nakiwogo Road
City Postal code Country Position/Affiliation
Entebbe Uganda Director MRC UVRI and LSHTM Uganda Research Unit
Role Name Email Phone Street address
Public Enquiries Julie Foster julie.foster@lshtm.ac.uk +442076127898 Keppel Street
City Postal code Country Position/Affiliation
London Wc1E 7HT United Kingdom Research Fellow
Role Name Email Phone Street address
Scientific Enquiries Edward Choi edward.choi@lshtm.ac.uk +442076127832 Keppel Street
City Postal code Country Position/Affiliation
London WC1E 7HT United Kingdom Assistant Professor
REPORTING
Share IPD Description Additional Document Types Sharing Time Frame Key Access Criteria
Yes The clinic 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 records in PACTR and ClinicalTrials.gov. Study Protocol We plan to open access publish the study protocol, if possible with the year of 2021. We will also publish results in a manuscript in an open access journal. We expect this will be done either by the end of 2021 or Q1 2022. Open access
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