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| Name | Class |
|---|---|
| ICON plc | INDUSTRY |
| Oklahoma Blood Institute | OTHER |
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Primary Objective:
• To evaluate the safety and tolerability of cAd3-EBO-S and cAd3 Marburg vaccines when administered Intramuscular (IM) at a dose of 1 x 10^11 particle units (PU) to healthy adults.
Secondary Objectives:
Primary Endpoints: Safety
Assessment of product safety will include clinical observation and monitoring of clinical chemistry and hematology parameters. Safety will be closely monitored after injection and evaluated through Day 99 and one additional safety follow-up telephone call on Day 181 (± 14 Days). The following parameters will be assessed:
Secondary Endpoints :
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| cAd3-Marburg at 1 x 10^11 Particle Units (PU) | Active Comparator | A total of 16 healthy adults will be enrolled and vaccinated with a single dose of vaccine. Group 1 (N = 16) will receive a single injection of cAd3-Marburg at 1 x 10^11 Particle Units (PU) vaccine. |
|
| cAd3-EBO-S at 1 x 10^11 PU vaccine | Active Comparator | A total of 16 healthy adults will be enrolled and vaccinated with a single dose of vaccine. Group 2 (N = 16) will receive a single injection of cAd3-EBO-S at 1 x 10^11 Particle Units (PU) vaccine. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| cAd3-Marburg | Biological | A total of 16 healthy adults will be enrolled and vaccinated with a single dose of vaccine. Group 1 (N = 16) will receive a single injection of cAd3-Marburg at 1 x 10^11 Particle Units (PU) vaccine. |
| Measure | Description | Time Frame |
|---|---|---|
| Safety of Ebola and Marburg vaccines assessed by clinical observation. | Safety of Ebola and Marburg vaccines, as seen in local reactogenicity signs and symptoms with diary questionnaire card. | 7 Days |
| Safety of Ebola and Marburg vaccines assessed by clinical observation. | Safety of Ebola and Marburg vaccines, as seen in systemic reactogenicity signs and symptoms with diary questionnaire card. | 7 Days |
| Safety of Ebola and Marburg vaccines assessed by change from baseline in levels of Complete Blood Count (CBC). | Safety of Ebola and Marburg vaccines assessed by change in levels of Complete Blood Count (CBC) w/differential count as laboratory measures of safety from baseline. | 6 months |
| Safety of Ebola and Marburg vaccines assessed by change from baseline in levels of Creatinine. | Safety of Ebola and Marburg vaccines assessed by change in levels of Creatinine as laboratory measures of safety from baseline. | 6 months |
| Safety of Ebola and Marburg vaccines assessed by change from baseline in levels of Alanine Transaminase (ALT). | Safety of Ebola and Marburg vaccines assessed by change in levels of Alanine Transaminase (ALT) as laboratory measures of safety from baseline. | 6 months |
| Safety of Ebola and Marburg vaccines assessed by adverse experiences. | Safety of Ebola and Marburg vaccines assessed by adverse events of all severities (Mild, moderate, and severe) | 28 days |
| Measure | Description | Time Frame |
|---|---|---|
| Evaluation of antibody response to cAd3-EBO-S and cAd3 Marburg vaccines | Immunogenicity of the Ebola and Marburg vaccines as measured by antigen GP-specific ELISA | Measured at Day 1, 15, 22, 29, 36, 43, 50, 57, and 64 |
| Collection of sufficient post-vaccination plasma to support further development of filovirus assays. |
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Inclusion Criteria:
Male or female participant must be between 18-50 (inclusive) years of age;
Meet criteria for plasma donation*;
Available for clinic follow-up through Day 99 and one additional follow-up call on Day 181 (±14 days);
Agrees not to receive any vaccine from day of enrollment through Day 99;
Able to provide proof of identity to the satisfaction of the study clinician completing the enrollment process;
Agree to have photos taken of the vaccination site, if indicated ;
Willing to complete repeated plasmapheresis and other protocol requirements;
Must complete an Assessment of Understanding (AoU) by answering 9 out of 10 questions correctly at least once in 3 attempts;
Willing to donate blood for sample storage and future unspecified assay development;
Able to read (English) and willing to complete informed consent process;
In good general health without clinically significant medical history, based on medical history, physical examination, vital signs and clinical laboratory results;
Physical examination and laboratory results without clinically significant findings and a body mass index (BMI) ≥ 17 and ≤ 35 within the 28 days prior to vaccination;
Laboratory Criteria within 28 days prior to vaccination (normal per testing laboratory) for: complete blood count (CBC) with differential count, alanine aminotransferase (ALT), serum creatinine and total protein;
Serology screen negative for infectious diseases (hepatitis B, hepatitis C, HIV, HTLV (Human T-cell leukemia lymphoma virus), Chagas disease, Syphilis;
Nucleic acid test (NAT) negative for Human Immunodeficiency Virus (HIV), Hepatitis C Virus (HCV), Hepatitis B Virus (HBV), West Nile and Zika;
Negative antibody and reverse transcription polymerase chain reaction (RT-PCR) for severe acute respiratory syndrome Covid 2 (SARS CoV-2) and free of current or prior symptoms concerning for COVID-19. Participants with a previous positive RT-PCR, at least 90 days prior to screening as reported in medical history, will not be excluded if they are antibody negative;
Female participant specific criteria:
At least 1 year post-menopausal;
Surgically sterile;
Male participants must agree:
Meet the criteria described in the AABB (formerly known as American Association of Blood Bank) and Uniform Donor History Questionnaire, with the exception of travel for malaria or Variant Creutzfeldt-Jakob Disease (vCJD) risk
Exclusion Criteria:
Investigational COVID-19, Ebola or Marburg vaccine in a prior clinical trial or prior receipt of a cAd3 adenoviral vectored investigational vaccine;
Female participant specific criteria: woman who is pregnant, breast-feeding or planning to become pregnant through Day 181 (±14 days);
Unsatisfactory vein assessment for plasmapheresis via peripheral access (more details in Section 5.2.1)
History of any of the following clinically significant conditions:
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| Name | Affiliation | Role |
|---|---|---|
| Roxana Rustomjee, MBChB | The Albert B. Sabin Vaccine Institute | Study Chair |
| Michael Stevenson, MD | Oklahoma Blood Institute | Principal Investigator |
| David Hoover, MD | ICON plc | Study Director |
| Tuan Le, MD | Oklahoma Blood Institute | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Oklahoma Blood Institute (OBI) | Oklahoma City | Oklahoma | 73104 | United States |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 1538192 | Result | Sanchez A, Kiley MP, Klenk HD, Feldmann H. Sequence analysis of the Marburg virus nucleoprotein gene: comparison to Ebola virus and other non-segmented negative-strand RNA viruses. J Gen Virol. 1992 Feb;73 ( Pt 2):347-57. doi: 10.1099/0022-1317-73-2-347. | |
| 8237108 | Result | Sanchez A, Kiley MP, Holloway BP, Auperin DD. Sequence analysis of the Ebola virus genome: organization, genetic elements, and comparison with the genome of Marburg virus. Virus Res. 1993 Sep;29(3):215-40. doi: 10.1016/0168-1702(93)90063-s. |
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| ID | Term |
|---|---|
| D019142 | Hemorrhagic Fever, Ebola |
| D008379 | Marburg Virus Disease |
| D004211 | Disseminated Intravascular Coagulation |
| D054179 | Angioedemas, Hereditary |
| D006509 | Hepatitis B |
| D006526 | Hepatitis C |
| D000163 | Acquired Immunodeficiency Syndrome |
| D003141 | Communicable Diseases |
| D007562 | Creutzfeldt-Jakob Syndrome |
| C538173 | Acquired angioedema |
| ID | Term |
|---|---|
| D006482 | Hemorrhagic Fevers, Viral |
| D012327 | RNA Virus Infections |
| D014777 | Virus Diseases |
| D007239 | Infections |
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2 cohorts of 16 participants each.
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| cAd3-EBO-S | Biological | A total of 16 healthy adults will be enrolled and vaccinated with a single dose of vaccine. Group 2 (N = 16) will receive a single injection of cAd3-EBO-S at 1 x 10^11 Particle Units (PU) vaccine. |
|
| Safety of Ebola and Marburg vaccines assessed by serious adverse experiences. | Safety of Ebola and Marburg vaccines assessed by serious adverse events of all severities (Mild, moderate, and severe) | 6 months |
20 L of plasma per vaccine group (N=2) will be collected for the purpose of assay development. 800 mL of plasma will be collected at Day 29. Thereafter, plasma collections will be up to approximately 600 mL. Participants may donate up to 6 total times and all collections will be done within the limits of the FDA approved instructions for use for the Fenwal Alyx collection device. |
| May be collected at Day 29, 36, 43, 50, 57 and/or 64 |
| 15577929 | Result | Geisbert TW, Jahrling PB. Exotic emerging viral diseases: progress and challenges. Nat Med. 2004 Dec;10(12 Suppl):S110-21. doi: 10.1038/nm1142. |
| 16375711 | Result | Hensley LE, Jones SM, Feldmann H, Jahrling PB, Geisbert TW. Ebola and Marburg viruses: pathogenesis and development of countermeasures. Curr Mol Med. 2005 Dec;5(8):761-72. doi: 10.2174/156652405774962344. |
| 25426834 | Result | Ledgerwood JE, DeZure AD, Stanley DA, Coates EE, Novik L, Enama ME, Berkowitz NM, Hu Z, Joshi G, Ploquin A, Sitar S, Gordon IJ, Plummer SA, Holman LA, Hendel CS, Yamshchikov G, Roman F, Nicosia A, Colloca S, Cortese R, Bailer RT, Schwartz RM, Roederer M, Mascola JR, Koup RA, Sullivan NJ, Graham BS; VRC 207 Study Team. Chimpanzee Adenovirus Vector Ebola Vaccine. N Engl J Med. 2017 Mar 9;376(10):928-938. doi: 10.1056/NEJMoa1410863. Epub 2014 Nov 26. |
| D018702 |
| Filoviridae Infections |
| D018701 | Mononegavirales Infections |
| D008992 | Monkey Diseases |
| D018419 | Primate Diseases |
| D000820 | Animal Diseases |
| D001778 | Blood Coagulation Disorders |
| D006402 | Hematologic Diseases |
| D006425 | Hemic and Lymphatic Diseases |
| D006474 | Hemorrhagic Disorders |
| D019851 | Thrombophilia |
| D000799 | Angioedema |
| D014652 | Vascular Diseases |
| D002318 | Cardiovascular Diseases |
| D000081208 | Hereditary Complement Deficiency Diseases |
| D000081207 | Primary Immunodeficiency Diseases |
| D030342 | Genetic Diseases, Inborn |
| D009358 | Congenital, Hereditary, and Neonatal Diseases and Abnormalities |
| D014581 | Urticaria |
| D017445 | Skin Diseases, Vascular |
| D012871 | Skin Diseases |
| D017437 | Skin and Connective Tissue Diseases |
| D006969 | Hypersensitivity, Immediate |
| D006967 | Hypersensitivity |
| D007154 | Immune System Diseases |
| D007153 | Immunologic Deficiency Syndromes |
| D000086982 | Blood-Borne Infections |
| D018347 | Hepadnaviridae Infections |
| D004266 | DNA Virus Infections |
| D006525 | Hepatitis, Viral, Human |
| D006505 | Hepatitis |
| D008107 | Liver Diseases |
| D004066 | Digestive System Diseases |
| D018178 | Flaviviridae Infections |
| D015658 | HIV Infections |
| D015229 | Sexually Transmitted Diseases, Viral |
| D012749 | Sexually Transmitted Diseases |
| D016180 | Lentivirus Infections |
| D012192 | Retroviridae Infections |
| D012897 | Slow Virus Diseases |
| D000091662 | Genital Diseases |
| D000091642 | Urogenital Diseases |
| D020969 | Disease Attributes |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D017096 | Prion Diseases |
| D002494 | Central Nervous System Infections |
| D003704 | Dementia |
| D001927 | Brain Diseases |
| D002493 | Central Nervous System Diseases |
| D009422 | Nervous System Diseases |
| D019965 | Neurocognitive Disorders |
| D001523 | Mental Disorders |