PMID- 38112249 OWN - NLM STAT- MEDLINE DCOM- 20231225 LR - 20240125 IS - 1744-8395 (Electronic) IS - 1476-0584 (Linking) VI - 23 IP - 1 DP - 2024 Jan-Dec TI - Immunogenicity and safety of ebolavirus vaccines in healthy adults: a systematic review and meta-analysis of randomized controlled trials. PG - 148-159 LID - 10.1080/14760584.2023.2296937 [doi] AB - BACKGROUND: This review aimed to systematically evaluate the immunogenicity and safety of the candidate Ebola virus vaccine (EVV). METHODS: We searched five databases for randomized controlled trials (RCTs) evaluating the effects of EVV on healthy adults. The primary outcomes were relative risk (RR) of sero-conversion or sero-response of EVV in healthy adults between the groups that received EVV and the controls. RESULTS: Twenty-nine RCTs (n = 23573) were included. There was a significant difference in RR of sero-conversion of EVV (RR 13.18; 95% CI 11.28-15.41; I(2) = 33%; P < 0.01) between the two groups. There was a significant difference in RR of adverse events (AEs) of EVV (RR 1.49; 95% CI 1.27-1.74; I(2) = 88%; P < 0.01), although no difference in RR of serious AE (SAE) between the two groups. Subgroup analysis showed that there was no significant difference in RR of AEs for DNAEBO, EBOV-GP, MVA, and rVSVN4CT1 vaccines, compared with controls. CONCLUSIONS: The DNAEBO, EBOV-GP, MVA, and rVSVN4CT1 vaccines are likely to be safe and immunogenic, tending to support the vaccination against Ebola disease. These findings should provide much-needed evidence for public health policy makers to develop preventive measures based on disease prevalence features and socio-economic conditions. FAU - Yin, Juntao AU - Yin J AD - Department of Pharmacy, Huaihe Hospital, Henan University, Kaifeng, Henan, China. AD - National International Cooperation Base of Chinese Medicine, Henan University of Chinese Medicine, zhengzhou, Henan, China. FAU - Zhang, Liang AU - Zhang L AD - School of Medicine, Henan Technical Institute, Zhengzhou, China. FAU - Wang, Chaoyang AU - Wang C AD - Department of General Surgery, Huaihe Hospital, Henan University, Kaifeng, Henan, China. FAU - Qin, Changjiang AU - Qin C AD - Department of General Surgery, Huaihe Hospital, Henan University, Kaifeng, Henan, China. FAU - Miao, Mingsan AU - Miao M AD - National International Cooperation Base of Chinese Medicine, Henan University of Chinese Medicine, zhengzhou, Henan, China. LA - eng PT - Journal Article PT - Meta-Analysis PT - Research Support, Non-U.S. Gov't PT - Review PT - Systematic Review DEP - 20231222 PL - England TA - Expert Rev Vaccines JT - Expert review of vaccines JID - 101155475 RN - 0 (Ebola Vaccines) SB - IM MH - Adult MH - Humans MH - *Ebola Vaccines/adverse effects MH - Randomized Controlled Trials as Topic MH - *Hemorrhagic Fever, Ebola/epidemiology/prevention & control MH - Vaccination MH - Antibody Formation MH - *Ebolavirus OTO - NOTNLM OT - Ebola disease OT - Ebolavirus OT - immunogenicity OT - meta-analysis OT - safety OT - systematic review OT - vaccine EDAT- 2023/12/19 19:54 MHDA- 2023/12/25 06:43 CRDT- 2023/12/19 07:52 PHST- 2023/12/25 06:43 [medline] PHST- 2023/12/19 19:54 [pubmed] PHST- 2023/12/19 07:52 [entrez] AID - 10.1080/14760584.2023.2296937 [doi] PST - ppublish SO - Expert Rev Vaccines. 2024 Jan-Dec;23(1):148-159. doi: 10.1080/14760584.2023.2296937. Epub 2023 Dec 22.