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The EBO-PEP project : EBOla Zaïre Post-Exposure Prophylaxis, preparedness and efficacy evaluation during outbreak in Central and West-Africa.

Project description

Protecting against Ebola in Africa

Since the 2014-2016 outbreak in West Africa, Ebola Virus Disease (EVD) has continued to spread across sub-Saharan Africa, exposing gaps in prevention for those at highest risk. While the r-VSV-ZEBOV vaccine (Ervebo) has been deployed in ring vaccination strategies, its effectiveness for high-risk contacts is increasingly debated. Meanwhile, monoclonal antibodies such as Ansuvimab (Ebanga) and REGN-EB3 (Inmazeb) have reduced mortality in treated patients. The EU-funded EBO-PEP project aims to evaluate the post-exposure prophylaxis (PEP) for high-risk contacts through a multi-country, multi-epidemic clinical trial. It also aims to strengthen African research capacity, foster community engagement and define an evidence-based PEP strategy for future outbreaks.

Objective

Ebola Virus Disease (EVD) outbreaks represent significant threats to public health and require effective countermeasures to minimize transmission and reduce mortality.
The r-VSV-ZEBOV vaccine (Ervebo®) demonstrated efficacy in protecting contacts and contacts of contacts and has since been widely used in ring vaccination strategies in the Democratic Republic of Congo (DRC) outbreaks. However, its efficacy for high-risk contact is more and more debated. Furthermore, two monoclonal antibodies (mAbs), Ansuvimab (Ebanga®) and REGN-EB3 (Inmazeb®), have demonstrated their efficacy as treatment in reducing mortality in patients with EVD.
With the availability of these management and prevention tools, the question of their use in Post-Exposure Prophylaxis (PEP), to protect individuals from contracting EVD after a high-risk contact, is more important than ever to effectively control EVD.
The EBO-PEP consortium built on a highly successful collaboration between African and European institutions and NGOs. and allow to maintain a network for knowledge sharing and consortium collaboration to fight against EVD in Africa.
The overall objective of the EBO-PEP project is to increase the portfolio of therapeutics tools against EVD, by evaluating a PEP strategy for high-risk contact. This will be accomplished through a multi-epidemic, multi-countries phase III clinical trial to test the efficacy of mAbs used as PEP during outbreak period. To address this objective, we focus our activities on 3 specific objectives:
- to set up a multi-epidemic, multi-site and multi-countries phase III clinical trial in Africa to test the efficacy of mAbs used as PEP for EVD high-risk contact (EBO-PEP study),
- to strengthen the capacities of clinical researchers and increase the knowledge and engagement of the community on EVD research,
- to define the best PEP strategy for high-risk contact and to advocate for PEP implementation in the countries affected by EVD.

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Programme(s)

Topic(s)

Funding Scheme

HORIZON-JU-RIA - HORIZON JU Research and Innovation Actions

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Call for proposal

(opens in new window) HORIZON-JU-GH-EDCTP3-2023-01

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Coordinator

INSTITUT NATIONAL DE LA SANTE ET DE LA RECHERCHE MEDICALE
Net EU contribution
€ 322 000,00
Address
RUE DE TOLBIAC 101
75654 Paris
France
Region
Ile-de-France Ile-de-France Paris
Activity type
Research Organisations
Links
Total cost
€ 322 000,00

Participants (9)

Partners (1)