An experimental vaccine against Ebola has confirmed its high degree of protection in a large clinical trial in Guinea, according to the results published in the medical journal The Lancet. The vaccine is the first to prevent infection caused by one of the most lethal pathogens known. This finding confirms the good results of the initial trials of 2015.
The drug, called rVSV-ZEBOV, was evaluated in a trial of 11,841 people in Guinea in 2015. Of the 5,837 participants who received the vaccine, there were no cases of Ebola ten days or more after vaccination. However, in that period there were 23 cases among those who did not receive it.
The trial was led by the World Health Organization, together with the Ministry of Health of Guinea, Médecins Sans Frontières and the Norwegian Institute of Public Health, in collaboration with other international partners.
"Although these results come too late for those who lost their lives during the West African Ebola epidemic, we now know that we will not be defenseless at the next outbreak," said Marie-Paule Kieny, WHO deputy director general for health systems And Innovation and lead author of the study.
This year, the vaccine maker, Merck, was given the necessary permits to conduct a faster review of the drug by US and FDA drug regulatory agencies (EMA).
Since the Ebola virus was first identified in 1976, there have been several sporadic outbreaks in Africa. The epidemic in West Africa from 2013 to 2016, which resulted in more than 11,300 deaths, highlighted the need for a vaccine.
The trial was carried out in the coastal region of Guinea, which was still experiencing new cases of Ebola when the trial began in 2015. Its innovative design is based on the same one that succeeded in eradicating smallpox: the ring vaccination method. Each time a new case of Ebola was diagnosed, the research team tracked all people who may have been in contact with the patient in the previous three weeks. We identified 117 groups or rings, each consisting of an average of 80 people.
During a first phase, the rings were randomly assigned to receive the vaccine immediately or after three weeks, and were only offered to those over 18 years of age. After posting interim results showing efficacy, all groups were immediately administered and the trial was opened to children over six years of age.
In addition to testing for high efficacy among the vaccinated, the trial also showed that unvaccinated individuals within the rings were indirectly protected against the virus through group immunity. However, the authors caution that the trial was not designed to measure this effect, so more research will be needed.