PMID- 28549145 OWN - NLM STAT- MEDLINE DCOM- 20170907 LR - 20181218 IS - 1537-6613 (Electronic) IS - 0022-1899 (Print) IS - 0022-1899 (Linking) VI - 215 IP - 12 DP - 2017 Jun 15 TI - Six-Month Safety Data of Recombinant Vesicular Stomatitis Virus-Zaire Ebola Virus Envelope Glycoprotein Vaccine in a Phase 3 Double-Blind, Placebo-Controlled Randomized Study in Healthy Adults. PG - 1789-1798 LID - 10.1093/infdis/jix189 [doi] AB - BACKGROUND: This study (NCT02503202) evaluated the safety of recombinant vesicular stomatitis virus-Zaire Ebola virus envelope glycoprotein vaccine (rVSVDeltaG-ZEBOV-GP). METHODS: Overall, 1197 subjects were randomized 2:2:2:2:1; 1194 were vaccinated with 1 dose of 1 of 3 lots of rVSVDeltaG- ZEBOV-GP (2 x 107 plaque-forming units [pfu], n = 797; combined-lots group), a single high-dose lot of rVSVDeltaG-ZEBOV-GP (1 x 108 pfu, n = 264; high-dose group), or placebo (n = 133). Daily temperatures and adverse events (AEs) were recorded days 1 to 42 postvaccination. Solicited AEs included injection-site AEs from days 1 to 5, and joint pain, joint swelling, vesicular lesions (blisters), and rashes from days 1 to 42. Serious AEs (SAEs) were recorded through 6 months postvaccination. RESULTS: Fever (>/=38.0 degrees C) was observed in 20.2% of combined lots (3.2% with >/=39.0 degrees C), 32.2% of high-dose (4.3% with >/=39.0 degrees C), and 0.8% of placebo (0.8% with >/=39.0 degrees C). Incidences of AEs of interest (days 1-42) were arthralgia (17.1% combined lots, 20.4% high-dose, 3.0% placebo), arthritis (5.1% combined lots, 4.2% high-dose, 0.0% placebo), and rash (3.8% combined lots, 3.8% high-dose, 1.5% placebo). Twenty-one SAEs and 2 deaths were reported, all assessed by investigators as unrelated to vaccine. CONCLUSIONS: rVSVDeltaG-ZEBOV-GP was generally well-tolerated, with increased rates of injection-site and systemic AEs compared to placebo, and no vaccine-related SAEs or deaths. These findings support the use of rVSVDeltaG-ZEBOV-GP vaccine in persons at risk for Ebola virus disease. CLINICAL TRIALS REGISTRATION: NCT02503202. CI - (c) The Author 2017. Published by Oxford University Press for the Infectious Diseases Society of America. All rights reserved. For permissions, e-mail: journals.permissions@oup.com. FAU - Halperin, Scott A AU - Halperin SA AD - Canadian Center for Vaccinology, Dalhousie University, IWK Health Centre, and Nova Scotia Health Authority, Halifax, Canada. FAU - Arribas, Jose R AU - Arribas JR AD - Hospital Universitario La Paz, IdiPAZ, Madrid, Spain. FAU - Rupp, Richard AU - Rupp R AD - University of Texas Medical Branch at Galveston. FAU - Andrews, Charles P AU - Andrews CP AD - Diagnostics Research Group, San Antonio. FAU - Chu, Laurence AU - Chu L AD - Benchmark Research, Austin, Texas. FAU - Das, Rituparna AU - Das R AD - Merck & Co, Inc, Kenilworth, New Jersey. FAU - Simon, Jakub K AU - Simon JK AD - Merck & Co, Inc, Kenilworth, New Jersey. FAU - Onorato, Matthew T AU - Onorato MT AD - Merck & Co, Inc, Kenilworth, New Jersey. FAU - Liu, Kenneth AU - Liu K AD - Merck & Co, Inc, Kenilworth, New Jersey. FAU - Martin, Jason AU - Martin J AD - Merck & Co, Inc, Kenilworth, New Jersey. FAU - Helmond, Frans A AU - Helmond FA AD - Merck & Co, Inc, Kenilworth, New Jersey. CN - V920-012 Study Team LA - eng SI - ClinicalTrials.gov/NCT02503202 PT - Clinical Trial, Phase III PT - Journal Article PT - Randomized Controlled Trial PT - Research Support, Non-U.S. Gov't PL - United States TA - J Infect Dis JT - The Journal of infectious diseases JID - 0413675 RN - 0 (Ebola Vaccines) RN - 0 (Vaccines, Synthetic) RN - 0 (Viral Envelope Proteins) RN - 0 (envelope glycoprotein, Ebola virus) SB - IM CIN - J Infect Dis. 2017 Jun 15;215(12):1775-1776. PMID: 28431160 MH - Adolescent MH - Adult MH - Aged MH - Double-Blind Method MH - Ebola Vaccines/*adverse effects/immunology MH - Ebolavirus/*immunology MH - Female MH - Healthy Volunteers/statistics & numerical data MH - Hemorrhagic Fever, Ebola/*prevention & control MH - Humans MH - Male MH - Middle Aged MH - Vaccination/methods MH - Vaccines, Synthetic/adverse effects/immunology MH - Vesicular Stomatitis/*immunology MH - Viral Envelope Proteins/adverse effects/*immunology MH - Young Adult PMC - PMC5853326 OTO - NOTNLM OT - Ebola OT - rVSVDeltaG-ZEBOV-GP OT - safety OT - vaccine EDAT- 2017/05/27 06:00 MHDA- 2017/09/08 06:00 PMCR- 2018/06/15 CRDT- 2017/05/27 06:00 PHST- 2016/10/20 00:00 [received] PHST- 2017/04/28 00:00 [accepted] PHST- 2017/05/27 06:00 [pubmed] PHST- 2017/09/08 06:00 [medline] PHST- 2017/05/27 06:00 [entrez] PHST- 2018/06/15 00:00 [pmc-release] AID - 3855263 [pii] AID - jix189 [pii] AID - 10.1093/infdis/jix189 [doi] PST - ppublish SO - J Infect Dis. 2017 Jun 15;215(12):1789-1798. doi: 10.1093/infdis/jix189.