Safety and Immunogenicity of the Heterologous 2-Dose Ad26.ZEBOV, MVA-BN-Filo Vaccine Regimen in Health Care Providers and Frontliners of the Democratic Republic of the Congo.

Ad26.ZEBOV MVA-BN-Filo ebola vaccine trial health care providers and frontliners safety and immunogenicity

Journal

The Journal of infectious diseases
ISSN: 1537-6613
Titre abrégé: J Infect Dis
Pays: United States
ID NLM: 0413675

Informations de publication

Date de publication:
24 Aug 2023
Historique:
received: 03 04 2023
accepted: 21 08 2023
medline: 7 9 2023
pubmed: 7 9 2023
entrez: 6 9 2023
Statut: aheadofprint

Résumé

In response to recent Ebola epidemics, vaccine development against the Zaire ebolavirus (EBOV) has been fast-tracked in the past decade. Health care providers and frontliners working in Ebola-endemic areas are at high risk of contracting and spreading the virus. This study assessed the safety and immunogenicity of the 2-dose heterologous Ad26.ZEBOV, MVA-BN-Filo vaccine regimen (administered at a 56-day interval) among 699 health care providers and frontliners taking part in a phase 2, monocentric, randomized vaccine trial in Boende, the Democratic Republic of Congo. The first participant was enrolled and vaccinated on 18 December 2019. Serious adverse events were collected up to 6 months after the last received dose. The EBOV glycoprotein FANG ELISA (Filovirus Animal Nonclinical Group enzyme-linked immunosorbent assay) was used to measure the immunoglobulin G-binding antibody response to the EBOV glycoprotein. The vaccine regimen was well tolerated with no vaccine-related serious adverse events reported. Twenty-one days after the second dose, an EBOV glycoprotein-specific binding antibody response was observed in 95.2% of participants. The 2-dose vaccine regimen was well tolerated and led to a high antibody response among fully vaccinated health care providers and frontliners in Boende.

Sections du résumé

BACKGROUND BACKGROUND
In response to recent Ebola epidemics, vaccine development against the Zaire ebolavirus (EBOV) has been fast-tracked in the past decade. Health care providers and frontliners working in Ebola-endemic areas are at high risk of contracting and spreading the virus.
METHODS METHODS
This study assessed the safety and immunogenicity of the 2-dose heterologous Ad26.ZEBOV, MVA-BN-Filo vaccine regimen (administered at a 56-day interval) among 699 health care providers and frontliners taking part in a phase 2, monocentric, randomized vaccine trial in Boende, the Democratic Republic of Congo. The first participant was enrolled and vaccinated on 18 December 2019. Serious adverse events were collected up to 6 months after the last received dose. The EBOV glycoprotein FANG ELISA (Filovirus Animal Nonclinical Group enzyme-linked immunosorbent assay) was used to measure the immunoglobulin G-binding antibody response to the EBOV glycoprotein.
RESULTS RESULTS
The vaccine regimen was well tolerated with no vaccine-related serious adverse events reported. Twenty-one days after the second dose, an EBOV glycoprotein-specific binding antibody response was observed in 95.2% of participants.
CONCLUSIONS CONCLUSIONS
The 2-dose vaccine regimen was well tolerated and led to a high antibody response among fully vaccinated health care providers and frontliners in Boende.

Identifiants

pubmed: 37673423
pii: 7249274
doi: 10.1093/infdis/jiad350
pii:
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Subventions

Organisme : IMI2 Joint Undertaking
ID : 800176
Organisme : European Union's Horizon 2020
Organisme : European Federation of Pharmaceutical Industries and Associations
Organisme : Coalition for Epidemic Preparedness Innovations
Organisme : Janssen Vaccines & Prevention
Organisme : BV

Informations de copyright

© The Author(s) 2023. Published by Oxford University Press on behalf of Infectious Diseases Society of America.

Déclaration de conflit d'intérêts

Potential conflicts of interest. C. R., M. K., and C. M. were full-time employees of Janssen, Companies of Johnson & Johnson, at the time of the study and report stock or stock options in Janssen, Pharmaceutical Companies of Johnson & Johnson. All other authors report no potential conflicts. All authors have submitted the ICMJE Form for Disclosure of Potential Conflicts of Interest. Conflicts that the editors consider relevant to the content of the manuscript have been disclosed.

Auteurs

Ynke Larivière (Y)

Centre for the Evaluation of Vaccination, Vaccine and Infectious Disease Institute, University of Antwerp, Wilrijk.
Global Health Institute, Department of Family Medicine and Population Health, University of Antwerp, Wilrijk.

Irene Garcia-Fogeda (I)

Centre for Health Economics Research and Modelling Infectious Diseases, Vaccine and Infectious Diseases Institute, University of Antwerp, Antwerp, Belgium.

Trésor Zola Matuvanga (T)

Centre for the Evaluation of Vaccination, Vaccine and Infectious Disease Institute, University of Antwerp, Wilrijk.
Global Health Institute, Department of Family Medicine and Population Health, University of Antwerp, Wilrijk.
Tropical Medicine Department, University of Kinshasa, Kinshasa, Democratic Republic of the Congo.

Bernard Isekah Osang'ir (B)

Centre for the Evaluation of Vaccination, Vaccine and Infectious Disease Institute, University of Antwerp, Wilrijk.
Global Health Institute, Department of Family Medicine and Population Health, University of Antwerp, Wilrijk.

Solange Milolo (S)

Tropical Medicine Department, University of Kinshasa, Kinshasa, Democratic Republic of the Congo.

Rachel Meta (R)

Tropical Medicine Department, University of Kinshasa, Kinshasa, Democratic Republic of the Congo.

Primo Kimbulu (P)

Tropical Medicine Department, University of Kinshasa, Kinshasa, Democratic Republic of the Congo.

Cynthia Robinson (C)

Janssen Vaccines & Prevention, Leiden, the Netherlands.

Michael Katwere (M)

Janssen Vaccines & Prevention, Leiden, the Netherlands.

Chelsea McLean (C)

Janssen Vaccines & Prevention, Leiden, the Netherlands.

Niel Hens (N)

Centre for Health Economics Research and Modelling Infectious Diseases, Vaccine and Infectious Diseases Institute, University of Antwerp, Antwerp, Belgium.
Data Science Institute, Interuniversity Institute for Biostatistics and statistical Bioinformatics, UHasselt, Diepenbeek, Belgium.

Junior Matangila (J)

Tropical Medicine Department, University of Kinshasa, Kinshasa, Democratic Republic of the Congo.

Vivi Maketa (V)

Tropical Medicine Department, University of Kinshasa, Kinshasa, Democratic Republic of the Congo.

Patrick Mitashi (P)

Tropical Medicine Department, University of Kinshasa, Kinshasa, Democratic Republic of the Congo.

Hypolite Muhindo-Mavoko (H)

Tropical Medicine Department, University of Kinshasa, Kinshasa, Democratic Republic of the Congo.

Jean-Pierre Van Geertruyden (JP)

Global Health Institute, Department of Family Medicine and Population Health, University of Antwerp, Wilrijk.

Pierre Van Damme (P)

Centre for the Evaluation of Vaccination, Vaccine and Infectious Disease Institute, University of Antwerp, Wilrijk.

Classifications MeSH