A phase I trial evaluating the safety and immunogenicity of a candidate tuberculosis vaccination regimen, ChAdOx1 85A prime - MVA85A boost in healthy UK adults

<p><strong>BACKGROUND:</strong> 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.</p> <p><stron...

Full description

Bibliographic Details
Main Authors: Wilkie, M, Satti, I, Minhinnick, A, Harris, S, Riste, M, Ramon, R, Sheehan, S, Thomas, Z, Wright, D, Stockdale, L, Hamidi, A, O'Shea, M, Dwivedi, K, Behrens, H, Davenne, T, Morton, J, Vermaak, S, Lawrie, A, Moss, P, McShane, H
Format: Journal article
Language:English
Published: Elsevier 2019
_version_ 1797069914917306368
author Wilkie, M
Satti, I
Minhinnick, A
Harris, S
Riste, M
Ramon, R
Sheehan, S
Thomas, Z
Wright, D
Stockdale, L
Hamidi, A
O'Shea, M
Dwivedi, K
Behrens, H
Davenne, T
Morton, J
Vermaak, S
Lawrie, A
Moss, P
McShane, H
author_facet Wilkie, M
Satti, I
Minhinnick, A
Harris, S
Riste, M
Ramon, R
Sheehan, S
Thomas, Z
Wright, D
Stockdale, L
Hamidi, A
O'Shea, M
Dwivedi, K
Behrens, H
Davenne, T
Morton, J
Vermaak, S
Lawrie, A
Moss, P
McShane, H
author_sort Wilkie, M
collection OXFORD
description <p><strong>BACKGROUND:</strong> 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.</p> <p><strong>METHODS:</strong> 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-γ ELISpot, IgG serum ELISA, and antigen-specific intracellular IFN-γ, TNF-α, IL-2 and IL-17.</p> <p><strong>RESULTS:</strong> 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-γ, TNF-α and IL-2) and IFN-γ+, TNF-α+ CD8+ T cells were induced by ChAdOx1 85A and boosted by MVA85A. ChAdOx1 85A induced serum Ag85A IgG responses which were boosted by MVA85A.</p> <p><strong>CONCLUSION:</strong> A ChAdOx1 85A prime - MVA85A boost is well tolerated and immunogenic in healthy UK adults.</p>
first_indexed 2024-03-06T22:31:26Z
format Journal article
id oxford-uuid:5869a47f-58c4-4222-b1e2-beefd7e168f6
institution University of Oxford
language English
last_indexed 2024-03-06T22:31:26Z
publishDate 2019
publisher Elsevier
record_format dspace
spelling oxford-uuid:5869a47f-58c4-4222-b1e2-beefd7e168f62022-03-26T17:03:17ZA phase I trial evaluating the safety and immunogenicity of a candidate tuberculosis vaccination regimen, ChAdOx1 85A prime - MVA85A boost in healthy UK adultsJournal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:5869a47f-58c4-4222-b1e2-beefd7e168f6EnglishSymplectic Elements at OxfordElsevier2019Wilkie, MSatti, IMinhinnick, AHarris, SRiste, MRamon, RSheehan, SThomas, ZWright, DStockdale, LHamidi, AO'Shea, MDwivedi, KBehrens, HDavenne, TMorton, JVermaak, SLawrie, AMoss, PMcShane, H<p><strong>BACKGROUND:</strong> 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.</p> <p><strong>METHODS:</strong> 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-γ ELISpot, IgG serum ELISA, and antigen-specific intracellular IFN-γ, TNF-α, IL-2 and IL-17.</p> <p><strong>RESULTS:</strong> 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-γ, TNF-α and IL-2) and IFN-γ+, TNF-α+ CD8+ T cells were induced by ChAdOx1 85A and boosted by MVA85A. ChAdOx1 85A induced serum Ag85A IgG responses which were boosted by MVA85A.</p> <p><strong>CONCLUSION:</strong> A ChAdOx1 85A prime - MVA85A boost is well tolerated and immunogenic in healthy UK adults.</p>
spellingShingle Wilkie, M
Satti, I
Minhinnick, A
Harris, S
Riste, M
Ramon, R
Sheehan, S
Thomas, Z
Wright, D
Stockdale, L
Hamidi, A
O'Shea, M
Dwivedi, K
Behrens, H
Davenne, T
Morton, J
Vermaak, S
Lawrie, A
Moss, P
McShane, H
A phase I trial evaluating the safety and immunogenicity of a candidate tuberculosis vaccination regimen, ChAdOx1 85A prime - MVA85A boost in healthy UK adults
title A phase I trial evaluating the safety and immunogenicity of a candidate tuberculosis vaccination regimen, ChAdOx1 85A prime - MVA85A boost in healthy UK adults
title_full A phase I trial evaluating the safety and immunogenicity of a candidate tuberculosis vaccination regimen, ChAdOx1 85A prime - MVA85A boost in healthy UK adults
title_fullStr A phase I trial evaluating the safety and immunogenicity of a candidate tuberculosis vaccination regimen, ChAdOx1 85A prime - MVA85A boost in healthy UK adults
title_full_unstemmed A phase I trial evaluating the safety and immunogenicity of a candidate tuberculosis vaccination regimen, ChAdOx1 85A prime - MVA85A boost in healthy UK adults
title_short A phase I trial evaluating the safety and immunogenicity of a candidate tuberculosis vaccination regimen, ChAdOx1 85A prime - MVA85A boost in healthy UK adults
title_sort phase i trial evaluating the safety and immunogenicity of a candidate tuberculosis vaccination regimen chadox1 85a prime mva85a boost in healthy uk adults
work_keys_str_mv AT wilkiem aphaseitrialevaluatingthesafetyandimmunogenicityofacandidatetuberculosisvaccinationregimenchadox185aprimemva85aboostinhealthyukadults
AT sattii aphaseitrialevaluatingthesafetyandimmunogenicityofacandidatetuberculosisvaccinationregimenchadox185aprimemva85aboostinhealthyukadults
AT minhinnicka aphaseitrialevaluatingthesafetyandimmunogenicityofacandidatetuberculosisvaccinationregimenchadox185aprimemva85aboostinhealthyukadults
AT harriss aphaseitrialevaluatingthesafetyandimmunogenicityofacandidatetuberculosisvaccinationregimenchadox185aprimemva85aboostinhealthyukadults
AT ristem aphaseitrialevaluatingthesafetyandimmunogenicityofacandidatetuberculosisvaccinationregimenchadox185aprimemva85aboostinhealthyukadults
AT ramonr aphaseitrialevaluatingthesafetyandimmunogenicityofacandidatetuberculosisvaccinationregimenchadox185aprimemva85aboostinhealthyukadults
AT sheehans aphaseitrialevaluatingthesafetyandimmunogenicityofacandidatetuberculosisvaccinationregimenchadox185aprimemva85aboostinhealthyukadults
AT thomasz aphaseitrialevaluatingthesafetyandimmunogenicityofacandidatetuberculosisvaccinationregimenchadox185aprimemva85aboostinhealthyukadults
AT wrightd aphaseitrialevaluatingthesafetyandimmunogenicityofacandidatetuberculosisvaccinationregimenchadox185aprimemva85aboostinhealthyukadults
AT stockdalel aphaseitrialevaluatingthesafetyandimmunogenicityofacandidatetuberculosisvaccinationregimenchadox185aprimemva85aboostinhealthyukadults
AT hamidia aphaseitrialevaluatingthesafetyandimmunogenicityofacandidatetuberculosisvaccinationregimenchadox185aprimemva85aboostinhealthyukadults
AT osheam aphaseitrialevaluatingthesafetyandimmunogenicityofacandidatetuberculosisvaccinationregimenchadox185aprimemva85aboostinhealthyukadults
AT dwivedik aphaseitrialevaluatingthesafetyandimmunogenicityofacandidatetuberculosisvaccinationregimenchadox185aprimemva85aboostinhealthyukadults
AT behrensh aphaseitrialevaluatingthesafetyandimmunogenicityofacandidatetuberculosisvaccinationregimenchadox185aprimemva85aboostinhealthyukadults
AT davennet aphaseitrialevaluatingthesafetyandimmunogenicityofacandidatetuberculosisvaccinationregimenchadox185aprimemva85aboostinhealthyukadults
AT mortonj aphaseitrialevaluatingthesafetyandimmunogenicityofacandidatetuberculosisvaccinationregimenchadox185aprimemva85aboostinhealthyukadults
AT vermaaks aphaseitrialevaluatingthesafetyandimmunogenicityofacandidatetuberculosisvaccinationregimenchadox185aprimemva85aboostinhealthyukadults
AT lawriea aphaseitrialevaluatingthesafetyandimmunogenicityofacandidatetuberculosisvaccinationregimenchadox185aprimemva85aboostinhealthyukadults
AT mossp aphaseitrialevaluatingthesafetyandimmunogenicityofacandidatetuberculosisvaccinationregimenchadox185aprimemva85aboostinhealthyukadults
AT mcshaneh aphaseitrialevaluatingthesafetyandimmunogenicityofacandidatetuberculosisvaccinationregimenchadox185aprimemva85aboostinhealthyukadults
AT wilkiem phaseitrialevaluatingthesafetyandimmunogenicityofacandidatetuberculosisvaccinationregimenchadox185aprimemva85aboostinhealthyukadults
AT sattii phaseitrialevaluatingthesafetyandimmunogenicityofacandidatetuberculosisvaccinationregimenchadox185aprimemva85aboostinhealthyukadults
AT minhinnicka phaseitrialevaluatingthesafetyandimmunogenicityofacandidatetuberculosisvaccinationregimenchadox185aprimemva85aboostinhealthyukadults
AT harriss phaseitrialevaluatingthesafetyandimmunogenicityofacandidatetuberculosisvaccinationregimenchadox185aprimemva85aboostinhealthyukadults
AT ristem phaseitrialevaluatingthesafetyandimmunogenicityofacandidatetuberculosisvaccinationregimenchadox185aprimemva85aboostinhealthyukadults
AT ramonr phaseitrialevaluatingthesafetyandimmunogenicityofacandidatetuberculosisvaccinationregimenchadox185aprimemva85aboostinhealthyukadults
AT sheehans phaseitrialevaluatingthesafetyandimmunogenicityofacandidatetuberculosisvaccinationregimenchadox185aprimemva85aboostinhealthyukadults
AT thomasz phaseitrialevaluatingthesafetyandimmunogenicityofacandidatetuberculosisvaccinationregimenchadox185aprimemva85aboostinhealthyukadults
AT wrightd phaseitrialevaluatingthesafetyandimmunogenicityofacandidatetuberculosisvaccinationregimenchadox185aprimemva85aboostinhealthyukadults
AT stockdalel phaseitrialevaluatingthesafetyandimmunogenicityofacandidatetuberculosisvaccinationregimenchadox185aprimemva85aboostinhealthyukadults
AT hamidia phaseitrialevaluatingthesafetyandimmunogenicityofacandidatetuberculosisvaccinationregimenchadox185aprimemva85aboostinhealthyukadults
AT osheam phaseitrialevaluatingthesafetyandimmunogenicityofacandidatetuberculosisvaccinationregimenchadox185aprimemva85aboostinhealthyukadults
AT dwivedik phaseitrialevaluatingthesafetyandimmunogenicityofacandidatetuberculosisvaccinationregimenchadox185aprimemva85aboostinhealthyukadults
AT behrensh phaseitrialevaluatingthesafetyandimmunogenicityofacandidatetuberculosisvaccinationregimenchadox185aprimemva85aboostinhealthyukadults
AT davennet phaseitrialevaluatingthesafetyandimmunogenicityofacandidatetuberculosisvaccinationregimenchadox185aprimemva85aboostinhealthyukadults
AT mortonj phaseitrialevaluatingthesafetyandimmunogenicityofacandidatetuberculosisvaccinationregimenchadox185aprimemva85aboostinhealthyukadults
AT vermaaks phaseitrialevaluatingthesafetyandimmunogenicityofacandidatetuberculosisvaccinationregimenchadox185aprimemva85aboostinhealthyukadults
AT lawriea phaseitrialevaluatingthesafetyandimmunogenicityofacandidatetuberculosisvaccinationregimenchadox185aprimemva85aboostinhealthyukadults
AT mossp phaseitrialevaluatingthesafetyandimmunogenicityofacandidatetuberculosisvaccinationregimenchadox185aprimemva85aboostinhealthyukadults
AT mcshaneh phaseitrialevaluatingthesafetyandimmunogenicityofacandidatetuberculosisvaccinationregimenchadox185aprimemva85aboostinhealthyukadults