PMID- 31735500 OWN - NLM STAT- MEDLINE DCOM- 20210210 LR - 20211204 IS - 1873-2518 (Electronic) IS - 0264-410X (Print) IS - 0264-410X (Linking) VI - 38 IP - 4 DP - 2020 Jan 22 TI - A phase I trial evaluating the safety and immunogenicity of a candidate tuberculosis vaccination regimen, ChAdOx1 85A prime - MVA85A boost in healthy UK adults. PG - 779-789 LID - S0264-410X(19)31504-X [pii] LID - 10.1016/j.vaccine.2019.10.102 [doi] AB - BACKGROUND: This phase I trial evaluated the safety and immunogenicity of a candidate tuberculosis vaccination regimen, ChAdOx1 85A prime-MVA85A boost, previously demonstrated to be protective in animal studies, in healthy UK adults. METHODS: We enrolled 42 healthy, BCG-vaccinated adults into 4 groups: low dose Starter Group (n = 6; ChAdOx1 85A alone), high dose groups; Group A (n = 12; ChAdOx1 85A), Group B (n = 12; ChAdOx1 85A prime - MVA85A boost) or Group C (n = 12; ChAdOx1 85A - ChAdOx1 85A prime - MVA85A boost). Safety was determined by collection of solicited and unsolicited vaccine-related adverse events (AEs). Immunogenicity was measured by antigen-specific ex-vivo IFN-gamma ELISpot, IgG serum ELISA, and antigen-specific intracellular IFN-gamma, TNF-alpha, IL-2 and IL-17. RESULTS: AEs were mostly mild/moderate, with no Serious Adverse Events. ChAdOx1 85A induced Ag85A-specific ELISpot and intracellular cytokine CD4+ and CD8+ T cell responses, which were not boosted by a second dose, but were boosted with MVA85A. Polyfunctional CD4+ T cells (IFN-gamma, TNF-alpha and IL-2) and IFN-gamma+, TNF-alpha+ CD8+ T cells were induced by ChAdOx1 85A and boosted by MVA85A. ChAdOx1 85A induced serum Ag85A IgG responses which were boosted by MVA85A. CONCLUSION: A ChAdOx1 85A prime - MVA85A boost is well tolerated and immunogenic in healthy UK adults. CI - Copyright (c) 2019 The Authors. Published by Elsevier Ltd.. All rights reserved. FAU - Wilkie, Morven AU - Wilkie M AD - The Jenner Institute, University of Oxford, Oxford OX3 7DQ, UK. FAU - Satti, Iman AU - Satti I AD - The Jenner Institute, University of Oxford, Oxford OX3 7DQ, UK. FAU - Minhinnick, Alice AU - Minhinnick A AD - The Jenner Institute, University of Oxford, Oxford OX3 7DQ, UK. FAU - Harris, Stephanie AU - Harris S AD - The Jenner Institute, University of Oxford, Oxford OX3 7DQ, UK. FAU - Riste, Michael AU - Riste M AD - The Jenner Institute, University of Oxford, Oxford OX3 7DQ, UK. FAU - Ramon, Raquel Lopez AU - Ramon RL AD - The Jenner Institute, University of Oxford, Oxford OX3 7DQ, UK. FAU - Sheehan, Sharon AU - Sheehan S AD - The Jenner Institute, University of Oxford, Oxford OX3 7DQ, UK. FAU - Thomas, Zita-Rose Manjaly AU - Thomas ZM AD - The Jenner Institute, University of Oxford, Oxford OX3 7DQ, UK. FAU - Wright, Daniel AU - Wright D AD - The Jenner Institute, University of Oxford, Oxford OX3 7DQ, UK. FAU - Stockdale, Lisa AU - Stockdale L AD - The Jenner Institute, University of Oxford, Oxford OX3 7DQ, UK. FAU - Hamidi, Ali AU - Hamidi A AD - The Jenner Institute, University of Oxford, Oxford OX3 7DQ, UK. FAU - O'Shea, Matthew K AU - O'Shea MK AD - The Jenner Institute, University of Oxford, Oxford OX3 7DQ, UK. FAU - Dwivedi, Kritica AU - Dwivedi K AD - The Jenner Institute, University of Oxford, Oxford OX3 7DQ, UK. FAU - Behrens, Hannah Michaela AU - Behrens HM AD - The Jenner Institute, University of Oxford, Oxford OX3 7DQ, UK. FAU - Davenne, Tamara AU - Davenne T AD - The Jenner Institute, University of Oxford, Oxford OX3 7DQ, UK. FAU - Morton, Joshua AU - Morton J AD - The Jenner Institute, University of Oxford, Oxford OX3 7DQ, UK. FAU - Vermaak, Samantha AU - Vermaak S AD - The Jenner Institute, University of Oxford, Oxford OX3 7DQ, UK. FAU - Lawrie, Alison AU - Lawrie A AD - The Jenner Institute, University of Oxford, Oxford OX3 7DQ, UK. FAU - Moss, Paul AU - Moss P AD - Institute of Immunology and Immunotherapy, University of Birmingham, Edgbaston, Birmingham B15 2TT, UK. FAU - McShane, Helen AU - McShane H AD - The Jenner Institute, University of Oxford, Oxford OX3 7DQ, UK. Electronic address: helen.mcshane@ndm.ox.ac.uk. LA - eng PT - Clinical Trial, Phase I PT - Journal Article PT - Randomized Controlled Trial PT - Research Support, Non-U.S. Gov't DEP - 20191115 PL - Netherlands TA - Vaccine JT - Vaccine JID - 8406899 RN - 0 (BCG Vaccine) RN - 0 (Cytokines) RN - 0 (MVA 85A) RN - 0 (Tuberculosis Vaccines) RN - 0 (Vaccines, DNA) SB - IM MH - Adult MH - BCG Vaccine/*administration & dosage/immunology MH - CD4-Positive T-Lymphocytes/immunology MH - CD8-Positive T-Lymphocytes/immunology MH - Cytokines/immunology MH - Follow-Up Studies MH - Humans MH - Immunization, Secondary MH - Immunogenicity, Vaccine MH - Tuberculosis/immunology/*prevention & control MH - Tuberculosis Vaccines/*administration & dosage/adverse effects/immunology MH - United Kingdom MH - Vaccination/adverse effects/*methods MH - Vaccines, DNA PMC - PMC6985898 OTO - NOTNLM OT - ChAdOx1 85A OT - Immunogenicity OT - MVA85A OT - Safety OT - Tuberculosis OT - Vaccine COIS- The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper. EDAT- 2019/11/19 06:00 MHDA- 2021/02/11 06:00 PMCR- 2020/01/22 CRDT- 2019/11/19 06:00 PHST- 2019/06/20 00:00 [received] PHST- 2019/10/30 00:00 [revised] PHST- 2019/10/31 00:00 [accepted] PHST- 2019/11/19 06:00 [pubmed] PHST- 2021/02/11 06:00 [medline] PHST- 2019/11/19 06:00 [entrez] PHST- 2020/01/22 00:00 [pmc-release] AID - S0264-410X(19)31504-X [pii] AID - 10.1016/j.vaccine.2019.10.102 [doi] PST - ppublish SO - Vaccine. 2020 Jan 22;38(4):779-789. doi: 10.1016/j.vaccine.2019.10.102. Epub 2019 Nov 15.