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NCT03475056

cAd3-Marburg Vaccine in Healthy Adults

Completed Phase 1 Results posted Last updated 11 August 2022
What this trial tests

Phase 1 trial testing cAd3-Marburg vaccine in Marburg Virus Disease in 40 participants. Completed in 19 December 2019.

Timeline
9 October 2018
Primary endpoint
19 December 2019
19 December 2019

Quick facts

Lead sponsorNational Institute of Allergy and Infectious Diseases (NIAID)
PhasePhase 1
StatusCompleted
Study typeINTERVENTIONAL
Allocationnon randomized
Designsequential
Maskingnone
Primary purposeprevention
Enrollment40
Start date9 October 2018
Primary completion19 December 2019
Estimated completion19 December 2019
Sites1 location across United States

Drugs / interventions tested

Conditions studied

Sponsor

National Institute of Allergy and Infectious Diseases (NIAID)

Who can join

Adults 18 to 50, any sex, with Marburg Virus Disease. Patients with the condition only — healthy volunteers not accepted.

Results — posted to ClinicalTrials.gov

Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.

Number of Participants Reporting Local Reactogenicity Signs and Symptoms for 7 Days After the cAd3-Marburg Vaccine Administration Primary · 7 days after study product administration

Participants recorded the occurrence of solicited symptoms on a diary card for 7 days after the study product administration and reviewed the diary card with clinic staff at a follow up visit. Participants were counted once for each symptom at the worst severity if they indicated experiencing the symptom more than one time at any severity during the reporting period. The number reported for "Any Local Symptom" is the number of participants reporting any local symptom at the worst severity. Reactogenicity grading (Mild, Moderate, Severe) was done using the Toxicity Grading Scale for Healthy Adu

Pain
GroupValue95% CI
Group 1: cAd3-Marburg Vaccine (1x10^10 PU)9
Group 2: cAd3-Marburg Vaccine (1x10^11 PU)4
Overall Incidence cAd3-Marburg Vaccine (1x10^10 PU and 1X10^11 PU)13
Group 1: cAd3-Marburg Vaccine (1x10^10 PU)10
Group 2: cAd3-Marburg Vaccine (1x10^11 PU)12
Overall Incidence cAd3-Marburg Vaccine (1x10^10 PU and 1X10^11 PU)22
Group 1: cAd3-Marburg Vaccine (1x10^10 PU)1
Group 2: cAd3-Marburg Vaccine (1x10^11 PU)4
Overall Incidence cAd3-Marburg Vaccine (1x10^10 PU and 1X10^11 PU)5
Group 1: cAd3-Marburg Vaccine (1x10^10 PU)0
Group 2: cAd3-Marburg Vaccine (1x10^11 PU)0
Overall Incidence cAd3-Marburg Vaccine (1x10^10 PU and 1X10^11 PU)0
Swelling
GroupValue95% CI
Group 1: cAd3-Marburg Vaccine (1x10^10 PU)20
Group 2: cAd3-Marburg Vaccine (1x10^11 PU)20
Overall Incidence cAd3-Marburg Vaccine (1x10^10 PU and 1X10^11 PU)40
Group 1: cAd3-Marburg Vaccine (1x10^10 PU)0
Group 2: cAd3-Marburg Vaccine (1x10^11 PU)0
Overall Incidence cAd3-Marburg Vaccine (1x10^10 PU and 1X10^11 PU)0
Group 1: cAd3-Marburg Vaccine (1x10^10 PU)0
Group 2: cAd3-Marburg Vaccine (1x10^11 PU)0
Overall Incidence cAd3-Marburg Vaccine (1x10^10 PU and 1X10^11 PU)0
Group 1: cAd3-Marburg Vaccine (1x10^10 PU)0
Group 2: cAd3-Marburg Vaccine (1x10^11 PU)0
Overall Incidence cAd3-Marburg Vaccine (1x10^10 PU and 1X10^11 PU)0
Redness
GroupValue95% CI
Group 1: cAd3-Marburg Vaccine (1x10^10 PU)20
Group 2: cAd3-Marburg Vaccine (1x10^11 PU)20
Overall Incidence cAd3-Marburg Vaccine (1x10^10 PU and 1X10^11 PU)40
Group 1: cAd3-Marburg Vaccine (1x10^10 PU)0
Group 2: cAd3-Marburg Vaccine (1x10^11 PU)0
Overall Incidence cAd3-Marburg Vaccine (1x10^10 PU and 1X10^11 PU)0
Group 1: cAd3-Marburg Vaccine (1x10^10 PU)0
Group 2: cAd3-Marburg Vaccine (1x10^11 PU)0
Overall Incidence cAd3-Marburg Vaccine (1x10^10 PU and 1X10^11 PU)0
Group 1: cAd3-Marburg Vaccine (1x10^10 PU)0
Group 2: cAd3-Marburg Vaccine (1x10^11 PU)0
Overall Incidence cAd3-Marburg Vaccine (1x10^10 PU and 1X10^11 PU)0
Any Local Symptom
GroupValue95% CI
Group 1: cAd3-Marburg Vaccine (1x10^10 PU)9
Group 2: cAd3-Marburg Vaccine (1x10^11 PU)4
Overall Incidence cAd3-Marburg Vaccine (1x10^10 PU and 1X10^11 PU)13
Group 1: cAd3-Marburg Vaccine (1x10^10 PU)10
Group 2: cAd3-Marburg Vaccine (1x10^11 PU)12
Overall Incidence cAd3-Marburg Vaccine (1x10^10 PU and 1X10^11 PU)22
Group 1: cAd3-Marburg Vaccine (1x10^10 PU)1
Group 2: cAd3-Marburg Vaccine (1x10^11 PU)4
Overall Incidence cAd3-Marburg Vaccine (1x10^10 PU and 1X10^11 PU)5
Group 1: cAd3-Marburg Vaccine (1x10^10 PU)0
Group 2: cAd3-Marburg Vaccine (1x10^11 PU)0
Overall Incidence cAd3-Marburg Vaccine (1x10^10 PU and 1X10^11 PU)0
Number of Participants Reporting Systemic Reactogenicity Signs and Symptoms for 7 Days After the cAd3-Marburg Vaccine Administration Primary · 7 days after study product administration

Participants recorded the occurrence of solicited symptoms on a diary card for 7 days after the study product administration and reviewed the diary card with clinic staff at a follow up visit. Participants were counted once for each symptom at the worst severity if they indicated experiencing the symptom more than one time at any severity during the reporting period. The number reported for "Any Systemic Symptom" is the number of participants reporting any systemic symptom at the worst severity. The majority of the reactogenicity grading (Mild, Moderate, Severe) was done using the Toxicity Gra

Unusually Tired/Feeling Unwell (Malaise)
GroupValue95% CI
Group 1: cAd3-Marburg Vaccine (1x10^10 PU)15
Group 2: cAd3-Marburg Vaccine (1x10^11 PU)7
Overall Incidence cAd3-Marburg Vaccine (1x10^10 PU and 1X10^11 PU)22
Group 1: cAd3-Marburg Vaccine (1x10^10 PU)2
Group 2: cAd3-Marburg Vaccine (1x10^11 PU)11
Overall Incidence cAd3-Marburg Vaccine (1x10^10 PU and 1X10^11 PU)13
Group 1: cAd3-Marburg Vaccine (1x10^10 PU)3
Group 2: cAd3-Marburg Vaccine (1x10^11 PU)2
Overall Incidence cAd3-Marburg Vaccine (1x10^10 PU and 1X10^11 PU)5
Group 1: cAd3-Marburg Vaccine (1x10^10 PU)0
Group 2: cAd3-Marburg Vaccine (1x10^11 PU)0
Overall Incidence cAd3-Marburg Vaccine (1x10^10 PU and 1X10^11 PU)0
Muscle Aches (Myalgia)
GroupValue95% CI
Group 1: cAd3-Marburg Vaccine (1x10^10 PU)15
Group 2: cAd3-Marburg Vaccine (1x10^11 PU)11
Overall Incidence cAd3-Marburg Vaccine (1x10^10 PU and 1X10^11 PU)26
Group 1: cAd3-Marburg Vaccine (1x10^10 PU)5
Group 2: cAd3-Marburg Vaccine (1x10^11 PU)6
Overall Incidence cAd3-Marburg Vaccine (1x10^10 PU and 1X10^11 PU)11
Group 1: cAd3-Marburg Vaccine (1x10^10 PU)0
Group 2: cAd3-Marburg Vaccine (1x10^11 PU)3
Overall Incidence cAd3-Marburg Vaccine (1x10^10 PU and 1X10^11 PU)3
Group 1: cAd3-Marburg Vaccine (1x10^10 PU)0
Group 2: cAd3-Marburg Vaccine (1x10^11 PU)0
Overall Incidence cAd3-Marburg Vaccine (1x10^10 PU and 1X10^11 PU)0
Headache
GroupValue95% CI
Group 1: cAd3-Marburg Vaccine (1x10^10 PU)14
Group 2: cAd3-Marburg Vaccine (1x10^11 PU)9
Overall Incidence cAd3-Marburg Vaccine (1x10^10 PU and 1X10^11 PU)23
Group 1: cAd3-Marburg Vaccine (1x10^10 PU)4
Group 2: cAd3-Marburg Vaccine (1x10^11 PU)8
Overall Incidence cAd3-Marburg Vaccine (1x10^10 PU and 1X10^11 PU)12
Group 1: cAd3-Marburg Vaccine (1x10^10 PU)2
Group 2: cAd3-Marburg Vaccine (1x10^11 PU)3
Overall Incidence cAd3-Marburg Vaccine (1x10^10 PU and 1X10^11 PU)5
Group 1: cAd3-Marburg Vaccine (1x10^10 PU)0
Group 2: cAd3-Marburg Vaccine (1x10^11 PU)0
Overall Incidence cAd3-Marburg Vaccine (1x10^10 PU and 1X10^11 PU)0
Chills
GroupValue95% CI
Group 1: cAd3-Marburg Vaccine (1x10^10 PU)17
Group 2: cAd3-Marburg Vaccine (1x10^11 PU)14
Overall Incidence cAd3-Marburg Vaccine (1x10^10 PU and 1X10^11 PU)31
Group 1: cAd3-Marburg Vaccine (1x10^10 PU)3
Group 2: cAd3-Marburg Vaccine (1x10^11 PU)0
Overall Incidence cAd3-Marburg Vaccine (1x10^10 PU and 1X10^11 PU)3
Group 1: cAd3-Marburg Vaccine (1x10^10 PU)0
Group 2: cAd3-Marburg Vaccine (1x10^11 PU)6
Overall Incidence cAd3-Marburg Vaccine (1x10^10 PU and 1X10^11 PU)6
Group 1: cAd3-Marburg Vaccine (1x10^10 PU)0
Group 2: cAd3-Marburg Vaccine (1x10^11 PU)0
Overall Incidence cAd3-Marburg Vaccine (1x10^10 PU and 1X10^11 PU)0
Nausea
GroupValue95% CI
Group 1: cAd3-Marburg Vaccine (1x10^10 PU)18
Group 2: cAd3-Marburg Vaccine (1x10^11 PU)18
Overall Incidence cAd3-Marburg Vaccine (1x10^10 PU and 1X10^11 PU)36
Group 1: cAd3-Marburg Vaccine (1x10^10 PU)2
Group 2: cAd3-Marburg Vaccine (1x10^11 PU)2
Overall Incidence cAd3-Marburg Vaccine (1x10^10 PU and 1X10^11 PU)4
Group 1: cAd3-Marburg Vaccine (1x10^10 PU)0
Group 2: cAd3-Marburg Vaccine (1x10^11 PU)0
Overall Incidence cAd3-Marburg Vaccine (1x10^10 PU and 1X10^11 PU)0
Group 1: cAd3-Marburg Vaccine (1x10^10 PU)0
Group 2: cAd3-Marburg Vaccine (1x10^11 PU)0
Overall Incidence cAd3-Marburg Vaccine (1x10^10 PU and 1X10^11 PU)0
Temperature (Fever)
GroupValue95% CI
Group 1: cAd3-Marburg Vaccine (1x10^10 PU)20
Group 2: cAd3-Marburg Vaccine (1x10^11 PU)17
Overall Incidence cAd3-Marburg Vaccine (1x10^10 PU and 1X10^11 PU)37
Group 1: cAd3-Marburg Vaccine (1x10^10 PU)0
Group 2: cAd3-Marburg Vaccine (1x10^11 PU)2
Overall Incidence cAd3-Marburg Vaccine (1x10^10 PU and 1X10^11 PU)2
Group 1: cAd3-Marburg Vaccine (1x10^10 PU)0
Group 2: cAd3-Marburg Vaccine (1x10^11 PU)0
Overall Incidence cAd3-Marburg Vaccine (1x10^10 PU and 1X10^11 PU)0
Group 1: cAd3-Marburg Vaccine (1x10^10 PU)0
Group 2: cAd3-Marburg Vaccine (1x10^11 PU)1
Overall Incidence cAd3-Marburg Vaccine (1x10^10 PU and 1X10^11 PU)1
Arthralgia
GroupValue95% CI
Group 1: cAd3-Marburg Vaccine (1x10^10 PU)18
Group 2: cAd3-Marburg Vaccine (1x10^11 PU)13
Overall Incidence cAd3-Marburg Vaccine (1x10^10 PU and 1X10^11 PU)31
Group 1: cAd3-Marburg Vaccine (1x10^10 PU)2
Group 2: cAd3-Marburg Vaccine (1x10^11 PU)5
Overall Incidence cAd3-Marburg Vaccine (1x10^10 PU and 1X10^11 PU)7
Group 1: cAd3-Marburg Vaccine (1x10^10 PU)0
Group 2: cAd3-Marburg Vaccine (1x10^11 PU)2
Overall Incidence cAd3-Marburg Vaccine (1x10^10 PU and 1X10^11 PU)2
Group 1: cAd3-Marburg Vaccine (1x10^10 PU)0
Group 2: cAd3-Marburg Vaccine (1x10^11 PU)0
Overall Incidence cAd3-Marburg Vaccine (1x10^10 PU and 1X10^11 PU)0
Any Systemic Symptom
GroupValue95% CI
Group 1: cAd3-Marburg Vaccine (1x10^10 PU)10
Group 2: cAd3-Marburg Vaccine (1x10^11 PU)3
Overall Incidence cAd3-Marburg Vaccine (1x10^10 PU and 1X10^11 PU)13
Group 1: cAd3-Marburg Vaccine (1x10^10 PU)5
Group 2: cAd3-Marburg Vaccine (1x10^11 PU)10
Overall Incidence cAd3-Marburg Vaccine (1x10^10 PU and 1X10^11 PU)15
Group 1: cAd3-Marburg Vaccine (1x10^10 PU)5
Group 2: cAd3-Marburg Vaccine (1x10^11 PU)6
Overall Incidence cAd3-Marburg Vaccine (1x10^10 PU and 1X10^11 PU)11
Group 1: cAd3-Marburg Vaccine (1x10^10 PU)0
Group 2: cAd3-Marburg Vaccine (1x10^11 PU)1
Overall Incidence cAd3-Marburg Vaccine (1x10^10 PU and 1X10^11 PU)1
Total Number of Participants Reporting Any Reactogenicity Signs and Symptoms for 7 Days After the cAd3-Marburg Vaccine Administration Primary · 7 days after study product administration

Participants recorded the occurrence of solicited symptoms on a diary card for 7 days after the study product administration.

Total Number of Participants who had Any Local Reactogenicity Signs and Symptoms
GroupValue95% CI
Group 1: cAd3-Marburg Vaccine (1x10^10 PU)11
Group 2: cAd3-Marburg Vaccine (1x10^11 PU)16
Overall Incidence cAd3-Marburg Vaccine (1x10^10 PU and 1X10^11 PU)27
Total Number of Participants who had Any Systemic Reactogenicity Signs and Symptoms
GroupValue95% CI
Group 1: cAd3-Marburg Vaccine (1x10^10 PU)10
Group 2: cAd3-Marburg Vaccine (1x10^11 PU)17
Overall Incidence cAd3-Marburg Vaccine (1x10^10 PU and 1X10^11 PU)27
Number of Participants With Abnormal Laboratory Measures of Safety Primary · Through 48 weeks after study product administration

Any abnormal laboratory results recorded as unsolicited AEs are summarized. Labs included hematology (hemoglobin, hemoglobin change from baseline, hematocrit percent, mean corpuscular volume (MCV), platelets, and white blood cell (WBC), red blood cell (RBC) and lymphocyte counts) and chemistry (alanine aminotransferase (ALT) and creatinine). Complete blood count (CBC) with total lymphocyte count results were collected at screening (≤ 56 days before enrollment), Day 0 prior to study product administration (baseline), Day 3, and Weeks 2, 4, 8 and 24. Creatinine and ALT results were collected at

ALT
GroupValue95% CI
Group 1: cAd3-Marburg Vaccine (1x10^10 PU)1
Group 2: cAd3-Marburg Vaccine (1x10^11 PU)0
Overall Incidence cAd3-Marburg Vaccine (1x10^10 PU and 1X10^11 PU)1
WBC Count
GroupValue95% CI
Group 1: cAd3-Marburg Vaccine (1x10^10 PU)0
Group 2: cAd3-Marburg Vaccine (1x10^11 PU)4
Overall Incidence cAd3-Marburg Vaccine (1x10^10 PU and 1X10^11 PU)4
Hemoglobin
GroupValue95% CI
Group 1: cAd3-Marburg Vaccine (1x10^10 PU)2
Group 2: cAd3-Marburg Vaccine (1x10^11 PU)4
Overall Incidence cAd3-Marburg Vaccine (1x10^10 PU and 1X10^11 PU)6
Total Number of Participants who had Any Abnormal Laboratory Results Reported as AEs
GroupValue95% CI
Group 1: cAd3-Marburg Vaccine (1x10^10 PU)3
Group 2: cAd3-Marburg Vaccine (1x10^11 PU)8
Overall Incidence cAd3-Marburg Vaccine (1x10^10 PU and 1X10^11 PU)11
Number of Participants With One or More Unsolicited Non-Serious Adverse Events (AEs) Primary · Through 28 days after study product administration

Unsolicited AEs and attribution assessments were recorded in the study database from receipt of the study product administration through the visit scheduled for 28 days after study product administration. At other time periods greater than 28 days after the study product administration, only serious AEs (SAEs reported as a separate outcome and in the AE module), and new chronic medical conditions that required ongoing medical management were recorded through the last study visit. The relationship between an AE and the study product was assessed by the investigator based on clinical judgment an

Related to Study Product
GroupValue95% CI
Group 1: cAd3-Marburg Vaccine (1x10^10 PU)0
Group 2: cAd3-Marburg Vaccine (1x10^11 PU)5
Overall Incidence cAd3-Marburg Vaccine (1x10^10 PU and 1X10^11 PU)5
Unrelated to Study Product
GroupValue95% CI
Group 1: cAd3-Marburg Vaccine (1x10^10 PU)6
Group 2: cAd3-Marburg Vaccine (1x10^11 PU)11
Overall Incidence cAd3-Marburg Vaccine (1x10^10 PU and 1X10^11 PU)17
Total Number of Participants who had One or More Non-Serious Unsolicited AE
GroupValue95% CI
Group 1: cAd3-Marburg Vaccine (1x10^10 PU)6
Group 2: cAd3-Marburg Vaccine (1x10^11 PU)16
Overall Incidence cAd3-Marburg Vaccine (1x10^10 PU and 1X10^11 PU)22
Number of Participants With Serious Adverse Events (SAEs) Primary · Through 48 weeks after study product administration

SAEs were recorded from receipt of the study product administration through the last expected study visit at Week 48. The relationship between a SAE and the study product was assessed by the investigator based on clinical judgment and the definitions outlined in the protocol. A participant with multiple experiences of the same event is counted once using the event of worst severity.

Related to Study Product
GroupValue95% CI
Group 1: cAd3-Marburg Vaccine (1x10^10 PU)0
Group 2: cAd3-Marburg Vaccine (1x10^11 PU)0
Overall Incidence cAd3-Marburg Vaccine (1x10^10 PU and 1X10^11 PU)0
Unrelated to Study Product
GroupValue95% CI
Group 1: cAd3-Marburg Vaccine (1x10^10 PU)2
Group 2: cAd3-Marburg Vaccine (1x10^11 PU)0
Overall Incidence cAd3-Marburg Vaccine (1x10^10 PU and 1X10^11 PU)2
Total Number of Participants who had an SAE
GroupValue95% CI
Group 1: cAd3-Marburg Vaccine (1x10^10 PU)2
Group 2: cAd3-Marburg Vaccine (1x10^11 PU)0
Overall Incidence cAd3-Marburg Vaccine (1x10^10 PU and 1X10^11 PU)2
Mean Titers of Antibodies to the Recombinant Chimpanzee Adenovirus Serotype 3 (cAd3) Vector at 28 Days After the cAd3-Marburg Vaccine Administration Secondary · Through 28 days after study product administration

Vaccine-induced, cAd3-specific antibody responses as measured by neutralization assay. Participant blood samples were tested for cAd3-specific neutralizing activity, prior to and following vaccination, using a luciferase reporter gene virus neutralization assay as previously described (Clin Vaccine Immunol 2014; 21:783-6, References Section).

Week 0 (Baseline, Pre-Administration)
GroupValue95% CI
Group 1: cAd3-Marburg Vaccine (1x10^10 PU)49.327.0 – 89.9
Group 2: cAd3-Marburg Vaccine (1x10^11 PU)48.822.9 – 89.9
Week 4 (28 Days After Product Administration)
GroupValue95% CI
Group 1: cAd3-Marburg Vaccine (1x10^10 PU)414.6232.6 – 739.0
Group 2: cAd3-Marburg Vaccine (1x10^11 PU)437.1255.8 – 746.8
Mean Titers of Antibodies to the Human Adenovirus Serotype 5 (Ad5) Vector at 28 Days After the cAd3-Marburg Vaccine Administration Secondary · Through 28 days after study product administration

Vaccine-induced, Ad5-specific antibody responses as measured by neutralization assay. Participant blood samples were tested for Ad5-specific neutralizing activity, prior to and following vaccination, using a luciferase reporter gene virus neutralization assay as previously described (Clin Vaccine Immunol 2014; 21:783-6, References Section).

Week 0 (Baseline, Pre-Administration)
GroupValue95% CI
Group 1: cAd3-Marburg Vaccine (1x10^10 PU)101.125.7 – 396.8
Group 2: cAd3-Marburg Vaccine (1x10^11 PU)224.261.0 – 396.8
Week 4 (28 Days after Product Administration)
GroupValue95% CI
Group 1: cAd3-Marburg Vaccine (1x10^10 PU)181.650.7 – 650.2
Group 2: cAd3-Marburg Vaccine (1x10^11 PU)405.1116.6 – 1407.4
Percentage of Participants With a Positive Marburg-Specific Antibody Response After the cAd3-Marburg Vaccine Administration Secondary · Through 28 days after study product administration

A positive response occurs if there is a significant increase in the ELISA post vaccination compared to baseline. For each participant, a t-test was performed to compare the post vaccination titers versus those at baseline. A participant is defined as a positive responder if the one-sided t-test has a p-value \< 0.05.

GroupValue95% CI
Group 1: cAd3-Marburg Vaccine (1x10^10 PU)9575 – 100
Group 2: cAd3-Marburg Vaccine (1x10^11 PU)9575 – 100
Magnitude of Marburg-Specific Antibody Responses After the cAd3-Marburg Vaccine Administration Secondary · Through 28 days after study product administration

Geometric mean titer (GMT) was calculated along with 95% confidence intervals at Week 4 for each dose group.

GroupValue95% CI
Group 1: cAd3-Marburg Vaccine (1x10^10 PU)420.78209.30 – 845.98
Group 2: cAd3-Marburg Vaccine (1x10^11 PU)545.11275.63 – 1078.07
Percentage of Participants With Positive Marburg-specific T Cell Responses After the cAd3-Marburg Vaccine Administration Secondary · Through 28 days after study product administration

T cell response was measured by Intracellular Cytokine Staining (ICS) assays using Peripheral Blood Mononuclear Cells (PBMCs) at 4 weeks after vaccination. The percentage of participants with T cell responses with Clopper-Pearson 95% Confidence Intervals are presented. Positivity is defined as a response over calculated thresholds determined by the trial statistician.

Percentage of Participants who produced at least one CD4 cytokine
GroupValue95% CI
Group 1: cAd3-Marburg Vaccine (1x10^10 PU)7046 – 88
Group 2: cAd3-Marburg Vaccine (1x10^11 PU)9575 – 100
Percentage of Participants who produced at least one CD8 cytokine
GroupValue95% CI
Group 1: cAd3-Marburg Vaccine (1x10^10 PU)3012 – 54
Group 2: cAd3-Marburg Vaccine (1x10^11 PU)206 – 44
Magnitude of Marburg-specific T Cell Responses After the cAd3-Marburg Vaccine Administration Secondary · Through 28 days after study product administration

Median and interquartile ranges presented for total cytokine responses for both CD4 and CD8 memory T cells based on a T cell response with any cytokine at Week 4 for each dose group.

CD4
GroupValue95% CI
Group 1: cAd3-Marburg Vaccine (1x10^10 PU)0.100.07 – 0.16
Group 2: cAd3-Marburg Vaccine (1x10^11 PU)0.110.08 – 0.13
CD8
GroupValue95% CI
Group 1: cAd3-Marburg Vaccine (1x10^10 PU)0.080.05 – 0.25
Group 2: cAd3-Marburg Vaccine (1x10^11 PU)0.110.08 – 0.21

Adverse events — posted to ClinicalTrials.gov

Time frame: Solicited adverse events (AEs) were reported for 7 days after the study product administration. Unsolicited AEs were recorded from receipt of the study product administration through the visit scheduled for 28 days after study product administration. At other time periods greater than 28 days after the study product administration, only serious AEs (SAEs), and new chronic medical conditions that required ongoing medical management were recorded through the last study visit.. Reporting threshold: 5%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Group 1: cAd3-Marburg Vaccine (1x10^10 PU)
Serious: 2/20 (10%)
Deaths: 0/20
Group 2: cAd3-Marburg Vaccine (1x10^11 PU)
Serious: 0/20 (0%)
Deaths: 0/20

Serious adverse events (2 terms)

ReactionSystemGroup 1: cAd3-Marburg Vacc…Group 2: cAd3-Marburg Vacc…
Staphylococcal infectionInfections and infestations
Breast CancerNeoplasms benign, malignant and unspecified (incl cysts and polyps)
Other adverse events (22 terms — click to expand)

ReactionSystemGroup 1: cAd3-Marburg Vacc…Group 2: cAd3-Marburg Vacc…
Administration site painGeneral disorders
MalaiseGeneral disorders
HeadacheNervous system disorders
MyalgiaMusculoskeletal and connective tissue disorders
ArthralgiaMusculoskeletal and connective tissue disorders
ChillsGeneral disorders
AnaemiaBlood and lymphatic system disorders
Upper Respiratory Tract InfectionInfections and infestations
PyrexiaGeneral disorders
NauseaGastrointestinal disorders
LeukopeniaBlood and lymphatic system disorders
TachycardiaCardiac disorders
EosinophiliaBlood and lymphatic system disorders
LeukocytosisBlood and lymphatic system disorders
Lymph Node PainBlood and lymphatic system disorders
NeutropeniaBlood and lymphatic system disorders
Foreign Body ReactionGeneral disorders
GastroenteritisInfections and infestations
Wrist FractureInjury, poisoning and procedural complications
Alanine Aminotransferase IncreasedInvestigations
HeadacheNervous system disorders
BronchospasmRespiratory, thoracic and mediastinal disorders

Most-reported serious reactions: Staphylococcal infection, Breast Cancer.

Data from ClinicalTrials.gov NCT03475056 adverse events section.

Sponsor's own description

RV 507 was a Phase I, open-label study to examine the safety, tolerability and immunogenicity of an investigational Marburg vaccine given by intramuscular (IM) injection to healthy adults. The study was a dose escalation of VRC-MARADC087-00-VP, a chimpanzee adenovirus serotype 3 (cAd3) vector vaccine, which encodes wild type (WT) glycoprotein (GP) from Marburgvirus.

Publications & conference data

7 peer-reviewed publications reference this trial (live from Europe PMC):

  1. Viral Emerging Diseases: Challenges in Developing Vaccination Strategies.
    Trovato M, Sartorius R, D'Apice L, Manco R, et al · · 2020 · cited 87× · PMID 33013898 · DOI 10.3389/fimmu.2020.02130
  2. Marburg virus disease: A summary for clinicians.
    Kortepeter MG, Dierberg K, Shenoy ES, Cieslak TJ, et al · · 2020 · cited 81× · PMID 32758690 · DOI 10.1016/j.ijid.2020.07.042
  3. Safety, tolerability, and immunogenicity of the chimpanzee adenovirus type 3-vectored Marburg virus (cAd3-Marburg) vaccine in healthy adults in the USA: a first-in-human, phase 1, open-label, dose-escalation trial.
    Hamer MJ, Houser KV, Hofstetter AR, Ortega-Villa AM, et al · · 2023 · cited 51× · PMID 36709074 · DOI 10.1016/s0140-6736(22)02400-x
  4. Vaccines against Ebola virus and Marburg virus: recent advances and promising candidates.
    Suschak JJ, Schmaljohn CS. · · 2019 · cited 37× · PMID 31589088 · DOI 10.1080/21645515.2019.1651140
  5. Filovirus vaccines as a response paradigm for emerging infectious diseases.
    Marzi A, Feldmann H. · · 2024 · cited 15× · PMID 39394249 · DOI 10.1038/s41541-024-00985-y
  6. Lessons learned from Zaire ebolavirus to help address urgent needs for vaccines against Sudan ebolavirus and Marburg virus.
    Wolfe DN, Taylor MJ, Zarrabian AG. · · 2020 · cited 8× · PMID 32275465 · DOI 10.1080/21645515.2020.1741313
  7. Emerging Strategies and Progress in the Medical Management of Marburg Virus Disease.
    Musafiri S, Siddig EE, Nkuranga JB, Rukundo A, et al · · 2025 · cited 3× · PMID 40333077 · DOI 10.3390/pathogens14040322

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