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| Name | Class |
|---|---|
| Merck Sharp & Dohme LLC | INDUSTRY |
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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.
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.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| the rVSVΔG-ZEBOV-GP vaccine | Experimental | Participants 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. |
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| The Chikenpox or Varicella (Varilix) vaccine | Active Comparator | The 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 |
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| Fibre and equilibrate diet | Experimental | Participants were assigned to receive two meals daily ( breakfast and lunch) for 21 days. About 30 children are randomly assigned to fibre and equilibrate diet. |
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| Active detection and treatment of pathogens according to standard of care | Experimental | The 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. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| rVSVΔG-ZEBOV-GP, V920 | Biological | The experimental vaccine is the rVSVΔG-ZEBOV-GP, an Ebola vaccine. |
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| Measure | Description | Time Frame |
|---|---|---|
| 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 | at days 0, 1, 2/3, 7, 14 and 28 |
| Prevalence and relative risk of sollicited adverse events in vaccinees | Proportion (percent) of participants experiencing sollicited adverse events in vaccinees groups | until day 14 post vaccination |
| 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 | until day 28 after vaccination |
| Measure | Description | Time Frame |
|---|---|---|
| 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) | until day 365 |
| Transmission intensity of the viral vector in blood, saliva and urine among the the relatives of the vaccinees |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Centre de Recherches Médicales de Lambaréné | Lambaréné | Moyen-Ogooué Province | 242 | Gabon |
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.
From preliminary intererim analysis until the final report fo the study.The site owns the data and it is agreed that publication will occur in a timely manner.
All files and source documents will be kept confidentially in locked safety cabinets. The Principal investigator, co-investigators and clinical research nurses will have access to records. The investigators will permit authorized representatives of the sponsor, regulatory agencies and the monitors to examine (and when required by applicable law, to copy) clinical records for the purposes of quality assurance reviews, audits and evaluation of the study safety and progress.
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A Phase 1/2, randomized, controlled, open label clinical trial.
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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.
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| Diet plus Active detection and treatment of pathogens according to standard of care | Experimental | Participants 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 |
|
| No diet and no pathogen detection | Placebo Comparator | About 30 children received no diet and no active detection of pathogens |
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| Fibre and equilibrate breakfast and lunch | Dietary Supplement | Participants receive fibres and caloric equilibrate diet during breakfast and lunch every day for 21 consecutive days. |
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| Active detection and treatment of pathogens | Diagnostic Test | Monthly diagnostic and treatment of childhood infections Active detection and treatment of pathogens. |
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| Fibre and equilibrate breakfast and lunch plus Active detection and treatment of pathogens | Combination 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 |
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| Chikenpox or Varicella vaccine (VARILRIX) | Biological | The active comparator vaccine, a Varicella vaccine (VARILRIX®) |
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| Placebo | Other | About 30 children do not receive diet, nor active pathogen detection |
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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 |
| days 0, 1, 3, 14, 28, 56 |
| Titres of ZEBOV-GP-specific binding antibody | Titres of ZEBOV-GP-specific binding antibody by ELISA expressed in geometric mean titres (GMTs) | days 0, 1, 3, 14, 21, 28, 56, 84, 180, 365 |
| 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 | days 28 and 180 |
| 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 . | days 0, 1 and 2 or 3 |
| Prevalence of miRNAs | Proportion (percent) of circulating miRNAs using the Human miRNome PCR array v.21 in serum samples | at days 0, 1, 2/3, 7 |
| Concentration of Lipids, glutamine, Alanine, Aspargine | Proportion (percent ) and concentration ( microgram/ mililiter) of Lipids, glutamine, Alanine, Aspargine in plasma samples | at day 0, day 1, day 2/3 and day 7 |
| Concentrations Nitric oxides species | Profiling nitric oxides species according to vaccines, diet and pathogens | days 0, 1, 2/3, 7, 28, 56, 90, 180, 365 |
| Concentration of metabolites of gut bacteria | Measurement of gut metabolites | days 0, 7, 28, 56, 90 |
| Titres of antibody induced by diphtheria, tetanus, Bordetella, poliomyelitis, hepatitis B, measles, yellow fever ( EPI vaccines) | Concentration of antibody of EPI vaccines | days 0, 7, 14, 28, 90, 180, 365 |
| Concentration of bystander cytokines | Concentration of cytokines that may induce heterologous vaccine induced immune responses | days 0, 1, 2/3, 7, 28, 90 |
| ID | Term |
|---|---|
| D019142 | Hemorrhagic Fever, Ebola |
| ID | Term |
|---|---|
| D006482 | Hemorrhagic Fevers, Viral |
| D012327 | RNA Virus Infections |
| D014777 | Virus Diseases |
| D007239 | Infections |
| D018702 | Filoviridae Infections |
| D018701 | Mononegavirales Infections |
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| ID | Term |
|---|---|
| D004043 | Dietary Fiber |
| D062409 | Lunch |
| D019433 | Chickenpox Vaccine |
| ID | Term |
|---|---|
| D004040 | Dietary Carbohydrates |
| D002241 | Carbohydrates |
| D005502 | Food |
| D000066888 | Diet, Food, and Nutrition |
| D010829 | Physiological Phenomena |
| D019602 | Food and Beverages |
| D062407 | Meals |
| D022283 | Herpesvirus Vaccines |
| D014765 | Viral Vaccines |
| D014612 | Vaccines |
| D001688 | Biological Products |
| D045424 | Complex Mixtures |
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