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Peer reviewedOpen accessEbolaHemorrhagic Fever

A Monovalent Chimpanzee Adenovirus Ebola Vaccine Boosted with MVA

New England Journal of Medicine·

Katie Ewer, Tommy Rampling, Navin Venkatraman, Georgina Bowyer, Danny Wright, Teresa Lambe, Egeruan B. Imoukhuede, Ruth Payne, Sarah Katharina Fehling, Thomas Strecker, Nadine Biedenkopf, Verena Krähling, Claire M. Tully, Nick J. Edwards, Emma M. Bentley, Dhanraj Samuel, Geneviève Labbé, Jing Jin, Malick Gibani, Alice Minhinnick, Morven Wilkie, Ian Poulton, Natalie Lella, Rachel Roberts, Felicity Hartnell, Carly Bliss, Kailan Sierra-Davidson, Jonathan Powlson, Eleanor Berrie, Richard Tedder, Francois Roman, Iris De Ryck, Alfredo Nicosia, Nancy J. Sullivan, Daphne A. Stanley, Olivier T. Mbaya, Julie E. Ledgerwood, Richard M. Schwartz, Loredana Siani, Stefano Colloca, Antonella Folgori, Stefania Di Marco, Riccardo Cortese, Edward Wright, Stephan Becker, Barney S. Graham, Richard A. Koup, Myron M. Levine, Ariane Volkmann, Paul Chaplin, Andrew J. Pollard, Simon J. Draper, W. Ripley Ballou, Alison Lawrie, Sarah C. Gilbert, Adrian V.S. Hill

DOI
10.1056/nejmoa1411627
PMID
25629663
PMCID
PMC5798586
OpenAlex
W2343314930
Study type
Journal article
Publisher
Massachusetts Medical Society
Article type
journal-article
Integrity
current

Why this research matters now

Development of an effective Ebola vaccine was identified as a priority for controlling future outbreaks following the West African epidemic that caused over 11,000 deaths.

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Structured evidence summary

Research question

This phase 1 trial examined the safety and immunogenicity of a chimpanzee adenovirus 3 vaccine encoding the Zaire ebolavirus surface glycoprotein, administered alone or with a modified vaccinia Ankara booster.

Study design

Phase 1 dose-escalation trial with 60 healthy adults receiving one of three dose levels of ChAd3-ZEBOV vaccine. Thirty participants received an MVA booster, and 16 additional participants evaluated a shortened prime-boost interval. Antibody and T-cell responses were compared to those from rVSV-ZEBOV vaccine trials.

Population and setting

Sixty healthy adult volunteers enrolled in Oxford, United Kingdom.

Main findings

No safety concerns emerged at any dose level. Four weeks post-vaccination, ChAd3-ZEBOV induced ZEBOV-specific antibody responses and neutralization activity comparable to rVSV-ZEBOV. Addition of the MVA booster increased virus-specific antibodies 12-fold and glycoprotein-specific CD8+ T cells 5-fold, with neutralizing antibodies rising significantly in all 30 boosted participants.

Public-health relevance

Development of an effective Ebola vaccine was identified as a priority for controlling future outbreaks following the West African epidemic that caused over 11,000 deaths.

Important limitations

This summary relies on the supplied single-article abstract and metadata. Full interpretation of vaccine efficacy, durability, population generalizability, and safety profile requires the complete published study.

GIDS interpretation

The study is linked to Ebola and hemorrhagic fever disease classifiers, the Democratic Republic of the Congo and United Kingdom, and topics including outbreak investigation, treatment, and vaccination. These links reflect article content and facilitate discoverability within broader surveillance literature; they do not indicate real-time signal activity or current outbreak status.

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Related GIDS surveillance

Literature context does not validate, explain, or change a surveillance signal. Exact and contextual relationships are shown separately.

03

Evidence relationships

This article has 11 auditable classifier relationships to diseases, places, topics, and study design.

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