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: - To evaluate the antibody response to Monovalent Chimpanzee Adenoviral Vectored Filovirus Ebola-S (cAd3-EBO-S) and Monovalent Chimpanzee Adenoviral Vectored Filovirus (Marburg) (cAd3 Marburg) vaccines as assessed by antigen glycoprotein (GP) specific (enzyme-linked immunosorbent assay) ELISA - To collect sufficient post-vaccination plasma to support further development of filovirus assays
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:
- Occurrence and severity of solicited local reactogenicity signs and symptoms for 7 days
following the vaccination
- Occurrence and severity of solicited systemic reactogenicity signs and symptoms for 7
days following the vaccination
- Change from baseline for safety laboratory measures
- Occurrence of adverse events of all severities through 28 days after vaccination
- Occurrence of serious adverse events and new chronic medical conditions through the last
safety follow up call at Day 181(± 14 days)
Secondary Endpoints :
- Antibody levels against vaccines cAd3-EBO-S and cAd3 Marburg as measured by
enzyme-linked immunosorbent assay (ELISA) on Day 1, 15, 22, 29, 36, 43, 50, 57 and 64
- 20 Liters of plasma per vaccine group will be collected for the purpose of assay
development
Biological: cAd3-Marburg
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.
Biological: cAd3-EBO-S
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.
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:
- Negative pregnancy serum test at screening and, negative urine pregnancy test
before vaccination unless one of the following criteria is met:
- At least 1 year post-menopausal;
- Surgically sterile;
- Use of oral, implantable, transdermal or injectable contraceptives for 21 days
prior to and agrees to use through Day 181 ;
- Use of another reliable form of contraception must be approved by the
Investigator (e.g., double barrier method, Depo-Provera, intrauterine device,
Norplant, oral contraceptives, contraceptive patches);
- Male participants must agree:
- Not to father a child or donate sperm through Day 181;
- To use an effective means of birth control from at least 21 days prior to
enrollment through Day 181 if assessed to be of reproductive potential.
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;
- Use of immunomodulators and systemic glucocorticoids in daily doses of
glucocorticoid equivalence > 20 mg of prednisolone in the last 90 days and for
periods exceeding 10 days. Non-steroidal anti-inflammatory drugs [NSAIDS] are
permitted. Participants that have used less than the stated glucocorticoid dose
may still be excluded at the Investigator's discretion;
- Blood products within 112 days prior to enrollment;
- Investigational research agents within 90 days prior to enrollment;
- Any licensed vaccine, inclusive of "live-attenuated" vaccine (e.g., oral polio,
yellow fever, measles, etc.), killed, or subunit vaccine, within 28 days prior to
enrollment;
- Any experimental vaccines within 6 months prior to enrollment;
- Current anti-tuberculosis prophylaxis or therapy;
- 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:
- Serious adverse reactions to vaccines such as anaphylaxis, urticaria (hives),
respiratory difficulty, angioedema, or abdominal pain;
- Allergic reaction to excipients in the study vaccine including gentamycin,
neomycin or streptomycin;
- Clinically significant autoimmune disease or immunodeficiency;
- Asthma that is not well controlled;
- Positive result on a rapid plasma regain (RPR) test (A blood test for Syphilis);
- Diabetes mellitus Type I or II;
- Thyroid disease that is not well controlled ;
- A history of hereditary angioedema (HAE), acquired angioedema (AAE), or
idiopathic forms of angioedema;
- Idiopathic urticaria within the last 1 year;
- Hypertension that is not well controlled;
- Bleeding disorder diagnosed by a doctor or use of anticoagulant medications such
as, Coumadin, Eliquis, Pradaxa (e.g. factor deficiency, coagulopathy, or platelet
disorder requiring special precautions) or significant bruising or bleeding
difficulties with IM injections or blood draws;
- A malignancy that is active, currently being treated, or not surgically cured
(breast or prostate cancer successfully treated, with or without surgery is
excluded; if diagnosed malignancy is 5 or more years prior to enrollment and
cured with no ongoing treatment it will NOT be considered an exclusion);
- Seizure in the past 3 years or treatment for seizure disorder in the past 3
years;
- Asplenia or functional asplenia;
- Psychiatric condition that precludes compliance with the protocol; past or
present psychoses; or within five years prior to enrollment, history of a suicide
plan or attempt;
- Any medical, psychiatric, social condition, occupational reason or other
responsibility that, in the judgment of the investigator, is a contraindication
to protocol participation or impairs a participant's ability to give informed
consent.
- Abnormal laboratory results (per testing laboratory)
- Positive COVID-19 symptom screen, SARS-CoV-2 RT-PCR, or SARS CoV-2 antibody test
Oklahoma Blood Institute (OBI)
Oklahoma City, Oklahoma, United States