ClinicalTrials.gg
CompletedNCT03098862Updated Aug 22, 2022

PREVAIL VI: Identification of Host Genetic Factors Underlying Ebola Virus Disease Risk, Mortality, Long-term Sequelae, Viral RNA Persistence, Humoral Immunity, and Ebola Vaccine Response

An observational study in Ebola Virus Disease, sponsored by National Institute of Allergy and Infectious Diseases (NIAID). Completed at 4 sites in Liberia. Open to participants aged 3 Years to 99 Years. Per ClinicalTrials.gov, last updated 2022-08-22.

Sponsored by National Institute of Allergy and Infectious Diseases (NIAID) · Observational

Study type
Observational
Model
Case-control
Time perspective
Other
Enrollment
4,830
Ages
3 Years to 99 Years
Sex
All
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Study summary

Background:

Genes are instructions that tell the body how to work and grow. They can affect how the body responds to infection. Researchers want to learn more about genes that affect how the body responds to the Ebola virus. Some people with Ebola get very sick and die. Others do not. The research may lead to better treatments for Ebola virus and other germs.

Objective:

To look for genes that may be related to a person s chance of getting very sick after coming in contact with the Ebola virus.

Eligibility:

People at least 3 years of age who either:

Had Ebola

Had close contact with someone who had Ebola

Were in an Ebola vaccine study

Design:

Participants will have a small amount of blood taken from an arm vein by a needle.

Researchers will collect participants data from other vaccine studies they may have been in.

Participants may be asked questions about their health and social history.

Some participants will have their blood tested for the infection syphilis and HIV, the virus that causes AIDS. Participants will be told the results and will get help finding care, if necessary.

Some participants will have their blood sample tested to see if they have had Ebola in the past.

Blood samples will be stored for future research. They will be marked with a code but not with participants names.

Read the detailed description

The 2013-2015 Ebola Virus outbreak in Western Africa was unprecedented in size and geographic scope. There were over 28,000 cases and 11,000 deaths. During and following the outbreak, it became evident that spectrum of disease being observed in the communities and the Ebola treatment units was much broader than previously thought. In this study, we aim to identify host genetic factors that underlie the observed variation in disease susceptibility, severity, clinical sequelae, viral persistence, and serological response. We will enroll EVD survivors, close contacts of survivors, EVD healthcare workers, and individuals who have received investigational Ebola vaccines (population controls), and collect a blood sample, HIV/syphilis infection status, demographics, and medical history from participants.

Most subjects will complete study participation after a single study visit; subjects having Ebola serology and/or HIV/syphilis testing done as part of this study will return for one or two follow-up visits to receive their HIV/syphilis test results and post-test counseling and Ebola serology results. We will genotype participants and compare results between cohorts to address the study aims. This may provide insight into pathogenesis and host immunity and potentially suggest new methods of intervention.

02

Conditions studied

  • Ebola Virus Disease

Keywords

  • Ebola Virus
  • Genome-Wide Association Study
  • Liberia
  • Ebola Survivors
  • Ebola Contacts
  • Natural History
03

In context

Hemorrhagic Fever, Ebola

104 studies on the registry are indexed under Hemorrhagic Fever, Ebola; 13 are open to participants now.

This study's enrollment of 4,830 is above the median of 266 across 16 observational studies indexed under Hemorrhagic Fever, Ebola.

Browse Hemorrhagic Fever, Ebola studies →

Lead sponsor

National Institute of Allergy and Infectious Diseases (NIAID) is the lead sponsor of 2,446 studies on the registry; 179 are open to participants now.

Of its 405 completed or terminated interventional studies of FDA-regulated products, 302 (75%) have results posted.

Counted across the registry records on this site, refreshed daily.

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Who can participate

Ages eligible
3 Years to 99 Years
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Non-probability sample

Study population

EVD survivors, close contacts of survivors, EVD healthcare workers, and individuals who have received investigational Ebola vaccines (population controls)

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • EVD Survivor:

    • At least 3 years of age
    • Positive EBOV serology or documented RT-PCR positive status
    • Willing to allow storage of biological samples for future research purposes
  • Direct EBOV exposure control:

    • At least 3 years of age
    • Meets at least 1 of the following:

      • Household member, family member, friend, care-provider, or sexual partner of survivor who was in close-contact with the survivor within 3 weeks of the EVD event, and has no history of an ETU stay or treatment for EVD at a CCC or holding center
      • Healthcare worker who participated in treatment of EVD patients with no history of an ETU stay or treatment for EVD at a CCC or holding center
      • Participant in PREVAIL III enrolled as a close-contact
    • Willing to allow storage of biological samples for future research purposes even if he/she withdraws from the study.
  • No known EBOV exposure population controls:

    • At least 3 years of age.
    • Meets at least 1 of the following:

      • Enrolled in PREVAIL I
      • Enrolled in PREVAC/PREVAIL V
    • Willing to allow storage of biological samples for future research purposes

Exclusion criteria

EXCLUSION CRITERIA:

  • Severe illness from current illness (e.g. malaria) requiring treatment that would be compromised by enrollment in this study. Individuals excluded due to current illness can be enrolled following recovery.
  • Any condition in the judgement of the study staff that would make the volunteer unable to participate in the study.
  • Incapacity to provide consent, e.g., because of decisional impairment.
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Study design

Observational model
Case-control
Time perspective
Other
Enrollment
4,830 participants (actual)

Groups and cohorts

  • 1

    Direct EBOV exposure risk controls

  • 2

    EVD fatal cases

  • 3

    EVD survivor cases

  • 4

    No known EBOV exposure population controls

06

What researchers measure

Primary outcomes

  1. Identify genetic variation associated with risk of contracting clinical Ebola Virus Disease when directly exposed to the Ebola virus

    Disease susceptibility and specific symptoms following EBOV infection

    Time frame: At Enrollment

  2. Identify genetic variation associated with mortality from Ebola VirusDisease

    Disease susceptibility and specific symptoms following EBOV infection

    Time frame: At Enrollment

Secondary outcomes

  1. Identify genetic variation associated with post recovery Ebola viral RNA persistence in bodily fluids

    Time frame: At Enrollment

  2. Identify genetic variation associated with the presence of uveitis among EVD survivors identified in PREVAIL III

    Time frame: At Enrollment

  3. Identify genetic variation associated with the magnitude and duration of anti-EBOV IgG titer in both EVD cases and vaccine recipients enrolled in PREVAIL I or PREVAC/PREVAIL V trials

    Time frame: At Enrollment

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Study locations

4 sites
  • PREVAIL C. H. Rennie Hospital
    Kalkata, Liberia
  • PREVAIL JFK Medical Center
    Monrovia, Liberia
  • PREVAIL Redemption Hospital
    Monrovia, Liberia
  • PREVAIL Duport Road Clinic
    Paynesville, Liberia
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References and documents

Publications

  • Rasmussen AL, Okumura A, Ferris MT, Green R, Feldmann F, Kelly SM, Scott DP, Safronetz D, Haddock E, LaCasse R, Thomas MJ, Sova P, Carter VS, Weiss JM, Miller DR, Shaw GD, Korth MJ, Heise MT, Baric RS, de Villena FP, Feldmann H, Katze MG. Host genetic diversity enables Ebola hemorrhagic fever pathogenesis and resistance. Science. 2014 Nov 21;346(6212):987-91. doi: 10.1126/science.1259595. Epub 2014 Oct 30. PubMed 25359852 ↗
  • Leroy EM, Baize S, Volchkov VE, Fisher-Hoch SP, Georges-Courbot MC, Lansoud-Soukate J, Capron M, Debre P, McCormick JB, Georges AJ. Human asymptomatic Ebola infection and strong inflammatory response. Lancet. 2000 Jun 24;355(9222):2210-5. doi: 10.1016/s0140-6736(00)02405-3. PubMed 10881895 ↗
  • Baize S, Leroy EM, Georges-Courbot MC, Capron M, Lansoud-Soukate J, Debre P, Fisher-Hoch SP, McCormick JB, Georges AJ. Defective humoral responses and extensive intravascular apoptosis are associated with fatal outcome in Ebola virus-infected patients. Nat Med. 1999 Apr;5(4):423-6. doi: 10.1038/7422. PubMed 10202932 ↗
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Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Ran from Sep 2017 to primary completion in Feb 2019, 17 months.

How these figures are worked out, and which studies are left out of them.

Registered
Mar 30, 2017
First posted
Apr 4, 2017
StartActual
Sep 4, 2017
Primary completionActual
Feb 28, 2019
CompletionActual
Dec 23, 2020
Last update
Aug 22, 2022
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Aug 22, 2022, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT03098862
Responsible party
Sponsor
First posted
Apr 4, 2017
Start date
Sep 4, 2017
Primary completion
Feb 28, 2019
Completion
Dec 23, 2020
Last update
Aug 22, 2022

Study contacts

Lisa Hensley, Ph.D.
principal investigator · National Institute of Allergy and Infectious Diseases (NIAID)

Oversight

FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Aug 2022. You cannot join it, but the record below documents what was studied.

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