Immunogenicity of an Extended Dose Interval for the Ad26.ZEBOV, MVA-BN-Filo Ebola Vaccine Regimen in Adults and Children in the Democratic Republic of the Congo

被引:0
作者
Choi, Edward Man-Lik [1 ]
Kasonia, Kambale [1 ]
Kavunga-Membo, Hugo [2 ]
Mukadi-Bamuleka, Daniel [2 ]
Soumah, Aboubacar [3 ]
Mossoko, Zephyrin [2 ]
Edwards, Tansy [4 ,5 ]
Tetsa-Tata, Darius [1 ]
Makarimi, Rockyath [3 ]
Toure, Oumar [3 ]
Mambula, Grace [3 ]
Brindle, Hannah [1 ]
Camacho, Anton [3 ]
Connor, Nicholas E. [1 ]
Mukadi, Pierre [2 ]
McLean, Chelsea [6 ]
Keshinro, Babajide [6 ]
Gaddah, Auguste [7 ]
Robinson, Cynthia [6 ]
Luhn, Kerstin [6 ]
Foster, Julie [1 ]
Roberts, Chrissy H. [1 ]
Johnson, John Emery [8 ]
Imbault, Nathalie [9 ]
Bausch, Daniel G. [1 ,10 ]
Grais, Rebecca F. [3 ]
Watson-Jones, Deborah [1 ,11 ]
Muyembe-Tamfum, Jean Jacques [2 ]
机构
[1] London Sch Hyg & Trop Med, Dept Infect Dis Epidemiol, London WC1E 7HT, England
[2] Inst Natl Rech Biomed, POB 1192, Kinshasa, DEM REP CONGO
[3] Epicentre, F-75019 Paris, France
[4] London Sch Hyg & Trop Med, MRC Int Stat & Epidemiol Grp, Fac Epidemiol & Populat Hlth, London WC1E 7HT, England
[5] Nagasaki Univ, Sch Trop Med & Global Hlth, Nagasaki 8528523, Japan
[6] Janssen Vaccines & Prevent BV, NL-2333 CN Leiden, Netherlands
[7] Janssen Res & Dev, B-2340 Beerse, Belgium
[8] Med Sans Frontieres, F-75019 Paris, France
[9] Coalit Epidem Preparedness Innovat CEPI, N-0191 Oslo, Norway
[10] FIND, CH-1218 Geneva, Switzerland
[11] Natl Inst Med Res, Mwanza Intervent Trials Unit, POB 11936, Mwanza, Tanzania
关键词
Ebola; outbreak; Democratic Republic of the Congo; DRC; vaccine; immunogenicity; interval; Ad26.ZEBOV; Zabdeno; MVA-BN-Filo; Mvabea; OPEN-LABEL; EFFICACY; SAFETY;
D O I
10.3390/vaccines12080828
中图分类号
R392 [医学免疫学]; Q939.91 [免疫学];
学科分类号
100102 ;
摘要
During the 2018-2020 Ebola virus disease outbreak in Democratic Republic of the Congo, a phase 3 trial of the Ad26.ZEBOV, MVA-BN-Filo Ebola vaccine (DRC-EB-001) commenced in Goma, with participants being offered the two-dose regimen given 56 days apart. Suspension of trial activities in 2020 due to the COVID-19 pandemic led to some participants receiving a late dose 2 outside the planned interval. Blood samples were collected from adults, adolescents, and children prior to their delayed dose 2 vaccination and 21 days after, and tested for IgG binding antibodies against Ebola virus glycoprotein using the Filovirus Animal Nonclinical Group (FANG) ELISA. Results from 133 participants showed a median two-dose interval of 9.3 months. The pre-dose 2 antibody geometric mean concentration (GMC) was 217 ELISA Units (EU)/mL (95% CI 157; 301) in adults, 378 EU/mL (281; 510) in adolescents, and 558 EU/mL (471; 661) in children. At 21 days post-dose 2, the GMC increased to 22,194 EU/mL (16,726; 29,449) in adults, 37,896 EU/mL (29,985; 47,893) in adolescents, and 34,652 EU/mL (27,906; 43,028) in children. Participants receiving a delayed dose 2 had a higher GMC at 21 days post-dose 2 than those who received a standard 56-day regimen in other African trials, but similar to those who received the regimen with an extended interval.
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页数:12
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