PMID- 29213269 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20240306 IS - 1664-3224 (Print) IS - 1664-3224 (Electronic) IS - 1664-3224 (Linking) VI - 8 DP - 2017 TI - Safety and Immunogenicity of Malaria Vectored Vaccines Given with Routine Expanded Program on Immunization Vaccines in Gambian Infants and Neonates: A Randomized Controlled Trial. PG - 1551 LID - 10.3389/fimmu.2017.01551 [doi] LID - 1551 AB - BACKGROUND: Heterologous prime-boost vaccination with chimpanzee adenovirus 63 (ChAd63) and modified vaccinia virus Ankara (MVA) encoding multiple epitope string thrombospondin-related adhesion protein (ME-TRAP) has shown acceptable safety and promising immunogenicity in African adult and pediatric populations. If licensed, this vaccine could be given to infants receiving routine childhood immunizations. We therefore evaluated responses to ChAd63 MVA ME-TRAP when co-administered with routine Expanded Program on Immunization (EPI) vaccines. METHODS: We enrolled 65 Gambian infants and neonates, aged 16, 8, or 1 week at first vaccination and randomized them to receive either ME-TRAP and EPI vaccines or EPI vaccines only. Safety was assessed by the description of vaccine-related adverse events (AEs). Immunogenicity was evaluated using IFNgamma enzyme-linked immunospot, whole-blood flow cytometry, and anti-TRAP IgG ELISA. Serology was performed to confirm all infants achieved protective titers to EPI vaccines. RESULTS: The vaccines were well tolerated in all age groups with no vaccine-related serious AEs. High-level TRAP-specific IgG and T cell responses were generated after boosting with MVA. CD8(+) T cell responses, previously found to correlate with protection, were induced in all groups. Antibody responses to EPI vaccines were not altered significantly. CONCLUSION: Malaria vectored prime-boost vaccines co-administered with routine childhood immunizations were well tolerated. Potent humoral and cellular immunity induced by ChAd63 MVA ME-TRAP did not reduce the immunogenicity of co-administered EPI vaccines, supporting further evaluation of this regimen in infant populations. CLINICAL TRIAL REGISTRATION: The clinical trial was registered on http://Clinicaltrials.gov (NCT02083887) and the Pan-African Clinical Trials Registry (PACTR201402000749217). FAU - Mensah, Victorine A AU - Mensah VA AD - Universite Cheikh Anta Diop, Dakar, Senegal. FAU - Roetynck, Sophie AU - Roetynck S AD - Medical Research Council Unit, Fajara, Gambia. FAU - Kanteh, Ebrima K AU - Kanteh EK AD - Medical Research Council Unit, Fajara, Gambia. FAU - Bowyer, Georgina AU - Bowyer G AD - The Jenner Institute Laboratories, University of Oxford, Oxford, United Kingdom. FAU - Ndaw, Amy AU - Ndaw A AD - Universite Cheikh Anta Diop, Dakar, Senegal. FAU - Oko, Francis AU - Oko F AD - Medical Research Council Unit, Fajara, Gambia. FAU - Bliss, Carly M AU - Bliss CM AD - The Jenner Institute Laboratories, University of Oxford, Oxford, United Kingdom. FAU - Jagne, Ya Jankey AU - Jagne YJ AD - Medical Research Council Unit, Fajara, Gambia. FAU - Cortese, Riccardo AU - Cortese R AD - Keires AG, Basel, Switzerland. FAU - Nicosia, Alfredo AU - Nicosia A AD - ReiThera, Rome, Italy. AD - CEINGE, Naples, Italy. AD - Department of Molecular Medicine and Medical Biotechnology, University Federico II, Naples, Italy. FAU - Roberts, Rachel AU - Roberts R AD - Centre for Clinical Vaccinology and Tropical Medicine, The Jenner Institute, Churchill Hospital, Oxford, United Kingdom. FAU - D'Alessio, Flavia AU - D'Alessio F AD - European Vaccine Initiative, UniversitatsKlinikum Heidelberg, Heidelberg, Germany. FAU - Leroy, Odile AU - Leroy O AD - European Vaccine Initiative, UniversitatsKlinikum Heidelberg, Heidelberg, Germany. FAU - Faye, Babacar AU - Faye B AD - Universite Cheikh Anta Diop, Dakar, Senegal. FAU - Kampmann, Beate AU - Kampmann B AD - Medical Research Council Unit, Fajara, Gambia. AD - Centre for International Child Health, Imperial College London, London, United Kingdom. FAU - Cisse, Badara AU - Cisse B AD - Universite Cheikh Anta Diop, Dakar, Senegal. FAU - Bojang, Kalifa AU - Bojang K AD - Medical Research Council Unit, Fajara, Gambia. FAU - Gerry, Stephen AU - Gerry S AD - Centre for Statistics in Medicine, Botnar Research Centre, Nuffield Department of Orthopaedics, Rheumatology and Musculoskeletal Sciences, University of Oxford, Oxford, United Kingdom. FAU - Viebig, Nicola K AU - Viebig NK AD - European Vaccine Initiative, UniversitatsKlinikum Heidelberg, Heidelberg, Germany. FAU - Lawrie, Alison M AU - Lawrie AM AD - Centre for Clinical Vaccinology and Tropical Medicine, The Jenner Institute, Churchill Hospital, Oxford, United Kingdom. FAU - Clarke, Ed AU - Clarke E AD - Medical Research Council Unit, Fajara, Gambia. FAU - Imoukhuede, Egeruan B AU - Imoukhuede EB AD - Centre for Clinical Vaccinology and Tropical Medicine, The Jenner Institute, Churchill Hospital, Oxford, United Kingdom. FAU - Ewer, Katie J AU - Ewer KJ AD - The Jenner Institute Laboratories, University of Oxford, Oxford, United Kingdom. FAU - Hill, Adrian V S AU - Hill AVS AD - The Jenner Institute Laboratories, University of Oxford, Oxford, United Kingdom. AD - Centre for Clinical Vaccinology and Tropical Medicine, The Jenner Institute, Churchill Hospital, Oxford, United Kingdom. FAU - Afolabi, Muhammed O AU - Afolabi MO AD - Medical Research Council Unit, Fajara, Gambia. LA - eng SI - ClinicalTrials.gov/NCT02083887 GR - MC_UP_A900_1118/MRC_/Medical Research Council/United Kingdom GR - MC_UP_A900_1122/MRC_/Medical Research Council/United Kingdom GR - MR/R005990/1/MRC_/Medical Research Council/United Kingdom PT - Journal Article DEP - 20171120 PL - Switzerland TA - Front Immunol JT - Frontiers in immunology JID - 101560960 PMC - PMC5702785 OTO - NOTNLM OT - cellular immune response OT - clinical trials OT - cytokines OT - malaria OT - vaccines EDAT- 2017/12/08 06:00 MHDA- 2017/12/08 06:01 PMCR- 2017/01/01 CRDT- 2017/12/08 06:00 PHST- 2017/08/30 00:00 [received] PHST- 2017/10/31 00:00 [accepted] PHST- 2017/12/08 06:00 [entrez] PHST- 2017/12/08 06:00 [pubmed] PHST- 2017/12/08 06:01 [medline] PHST- 2017/01/01 00:00 [pmc-release] AID - 10.3389/fimmu.2017.01551 [doi] PST - epublish SO - Front Immunol. 2017 Nov 20;8:1551. doi: 10.3389/fimmu.2017.01551. eCollection 2017.