Replication, safety and immunogenicity of the vectored Ebola vaccine rVSV-ΔG-ZEBOV-GP in a sub-Saharan African paediatric population: A randomised controlled, open-label trial in children aged 1-12 years living in Lambaréné, Gabon.
BACKGROUND: Unlike adults, children experienced stronger and longer vector replication in plasma and shedding in saliva following rVSVΔG-ZEBOV-GP vaccination. The resulting risks of immunosuppression or immune hyperactivation leading to increased Adverse Events (AEs) and altered antibody responses are concerns that have been addressed in the present manuscript. METHODS: Children aged 1-12 years living in Gabon received either rVSVΔG-ZEBOV-GP (ERVEBO®) vaccine or the varicella-zoster virus (VZV) vaccine (VZV). The concentration of rVSVΔG vector in blood and saliva, the occurrence of AEs up to day 28; the anti-rVSVΔG-ZEBOV-GP and anti-VZV IgG antibody titres, neutralising and avidity functions of anti-rVSVΔG-ZEBOV-GP by day 365; were assessed in serum. (PACTR202005733552021) FINDINGS: In the rVSVΔG-ZEBOV-GP group, 70% and 7% of children had >0 copies/ml of rVSVΔG respectively in plasma by day 3 and in saliva by day 14 after vaccination, with no detection on day 28. Significantly higher but transient AEs occurred in the rVSVΔG-ZEBOV-GP group. Both vaccines induced seroconversion on day 28 and sustainable IgG antibody titres by day 365. Avidity and neutralisation functions of the anti-rVSVΔG-ZEBOV-GP antibodies peaked at day 28 and were maintained by day 365. INTERPRETATION: The replication and shedding do not affect the favourable risk-benefit balance of the rVSVΔG-ZEBOV-GP in children.
Authors
Alabi A, Kokou K, Mahmoudou S, Kavishna R, Nakka SS
External link
Publication Year
Publication Journal
Associeted Project
Microbiology or Immunology
Lista de serviços
-
Systems vaccinology: its promise and challenge for HIV vaccine development.Systems vaccinology: its promise and challenge for HIV vaccine development.
-
Systems vaccinology: learning to compute the behavior of vaccine induced immunity.Systems vaccinology: learning to compute the behavior of vaccine induced immunity.
-
Systems biology of vaccination in the elderly.Systems biology of vaccination in the elderly.
-
Immunity to viruses: learning from successful human vaccines.Immunity to viruses: learning from successful human vaccines.
-
Systems biological approaches to measure and understand vaccine immunity in humans.Systems biological approaches to measure and understand vaccine immunity in humans.
-
Gene signatures related to B-cell proliferation predict influenza vaccine-induced antibody response.Gene signatures related to B-cell proliferation predict influenza vaccine-induced antibody response.
-
Vaccinology in the era of high-throughput biology.Vaccinology in the era of high-throughput biology.
-
Systems vaccinology: Enabling rational vaccine design with systems biological approaches.Systems vaccinology: Enabling rational vaccine design with systems biological approaches.
-
Systems Vaccinology Applied to DNA Vaccines: Perspective and Challenges.Systems Vaccinology Applied to DNA Vaccines: Perspective and Challenges.
-
Adjuvanting a Simian Immunodeficiency Virus Vaccine with Toll-Like Receptor Ligands Encapsulated in Nanoparticles Induces Persistent Antibody Responses and Enhanced Protection in TRIM5α Restrictive Macaques.Adjuvanting a Simian Immunodeficiency Virus Vaccine with Toll-Like Receptor Ligands Encapsulated in Nanoparticles Induces Persistent Antibody Responses and Enhanced Protection in TRIM5α Restrictive Macaques.
-
Methods for predicting vaccine immunogenicity and reactogenicity.Methods for predicting vaccine immunogenicity and reactogenicity.
-
Antigenicity prediction and vaccine recommendation of human influenza virus A (H3N2) using convolutional neural networks.Antigenicity prediction and vaccine recommendation of human influenza virus A (H3N2) using convolutional neural networks.
-
Pneumococcal colonization impairs mucosal immune responses to live attenuated influenza vaccine.Pneumococcal colonization impairs mucosal immune responses to live attenuated influenza vaccine.
-
Human Transcriptomic Response to the VSV-Vectored Ebola Vaccine.Human Transcriptomic Response to the VSV-Vectored Ebola Vaccine.
-
Induction of Cell Cycle and NK Cell Responses by Live-Attenuated Oral Vaccines against Typhoid Fever.Induction of Cell Cycle and NK Cell Responses by Live-Attenuated Oral Vaccines against Typhoid Fever.
-
Systems Biology Analysis of the Radiation-Attenuated Schistosome Vaccine Reveals a Role for Growth Factors in Protection and Hemostasis Inhibition in Parasite Survival.Systems Biology Analysis of the Radiation-Attenuated Schistosome Vaccine Reveals a Role for Growth Factors in Protection and Hemostasis Inhibition in Parasite Survival.
-
Molecular alterations in human milk in simulated maternal nasal mucosal infection with live attenuated influenza vaccinationMolecular alterations in human milk in simulated maternal nasal mucosal infection with live attenuated influenza vaccination
-
Systems biology of immunity to MF59-adjuvanted versus nonadjuvanted trivalent seasonal influenza vaccines in early childhood.Systems biology of immunity to MF59-adjuvanted versus nonadjuvanted trivalent seasonal influenza vaccines in early childhood.
-
Systems analysis of protective immune responses to RTS,S malaria vaccination in humans.Systems analysis of protective immune responses to RTS,S malaria vaccination in humans.
-
Systems vaccinology.Systems vaccinology.
-
Systems biology approach predicts immunogenicity of the yellow fever vaccine in humans.Systems biology approach predicts immunogenicity of the yellow fever vaccine in humans.
-
Systems biology of vaccination for seasonal influenza in humans.Systems biology of vaccination for seasonal influenza in humans.
-
Prior upregulation of interferon pathways in the nasopharynx impacts viral shedding following live attenuated influenza vaccine challenge in childrenPrior upregulation of interferon pathways in the nasopharynx impacts viral shedding following live attenuated influenza vaccine challenge in children
-
Systems Analysis of Immunity to Influenza Vaccination across Multiple Years and in Diverse Populations Reveals Shared Molecular Signatures.Systems Analysis of Immunity to Influenza Vaccination across Multiple Years and in Diverse Populations Reveals Shared Molecular Signatures.
-
Molecular signatures of antibody responses derived from a systems biology study of five human vaccines.Molecular signatures of antibody responses derived from a systems biology study of five human vaccines.
-
Long noncoding RNAs are involved in multiple immunological pathways in response to vaccination.Long noncoding RNAs are involved in multiple immunological pathways in response to vaccination.
-
Metabolic Phenotypes of Response to Vaccination in Humans.Metabolic Phenotypes of Response to Vaccination in Humans.
-
Hidden in plain sight: uncovering the role of CREB1 in HIV-1 vaccine-induced immunityHidden in plain sight: uncovering the role of CREB1 in HIV-1 vaccine-induced immunity
-
Transcriptomic signatures induced by the Ebola virus vaccine rVSV-ZEBOV-GP in adult cohorts in Europe, Africa, and North America: a molecular biomarker studyTranscriptomic signatures induced by the Ebola virus vaccine rVSV-ZEBOV-GP in adult cohorts in Europe, Africa, and North America: a molecular biomarker study
-
Baseline gene signatures of reactogenicity to Ebola vaccination: a machine learning approach across multiple cohortsBaseline gene signatures of reactogenicity to Ebola vaccination: a machine learning approach across multiple cohorts
-
Global blood miRNA profiling unravels early signatures of immunogenicity of Ebola vaccine rVSVΔG-ZEBOV-GPGlobal blood miRNA profiling unravels early signatures of immunogenicity of Ebola vaccine rVSVΔG-ZEBOV-GP
-
COVID-19 vaccination atlas using an integrative systems vaccinology approach.COVID-19 vaccination atlas using an integrative systems vaccinology approach.
-
Emulsion adjuvant-induced uric acid release modulates optimal immunogenicity by targeting dendritic cells and B cells.Emulsion adjuvant-induced uric acid release modulates optimal immunogenicity by targeting dendritic cells and B cells.
-
System vaccinology analysis of predictors and mechanisms of antibody response durability to multiple vaccines in humans.System vaccinology analysis of predictors and mechanisms of antibody response durability to multiple vaccines in humans.
-
Poly I:C elicits broader and stronger humoral and cellular responses to a Plasmodium vivax circumsporozoite protein malaria vaccine than Alhydrogel in mice.Poly I:C elicits broader and stronger humoral and cellular responses to a Plasmodium vivax circumsporozoite protein malaria vaccine than Alhydrogel in mice.