Limited Benefit of Postexposure Prophylaxis With VSV-EBOV in Ebola Virus-Infected Rhesus Macaques

J Infect Dis. 2023 Nov 13;228(Suppl 7):S721-S729. doi: 10.1093/infdis/jiad280.

Abstract

Vesicular stomatitis virus-Ebola virus (VSV-EBOV) vaccine has been successfully used in ring vaccination approaches during EBOV disease outbreaks demonstrating its general benefit in short-term prophylactic vaccination, but actual proof of its benefit in true postexposure prophylaxis (PEP) for humans is missing. Animal studies have indicated PEP efficacy when VSV-EBOV was used within hours of lethal EBOV challenge. Here, we used a lower EBOV challenge dose and a combined intravenous and intramuscular VSV-EBOV administration to improve PEP efficacy in the rhesus macaque model. VSV-EBOV treatment 1 hour after EBOV challenge resulted in delayed disease progression but little benefit in outcome. Thus, we could not confirm previous results indicating questionable benefit of VSV-EBOV for EBOV PEP in a nonhuman primate model.

Keywords: Ebola virus; Ervebo; VSV-EBOV; administration route; challenge dose; postexposure prophylaxis; rhesus macaque.

Publication types

  • Research Support, N.I.H., Intramural

MeSH terms

  • Animals
  • Ebola Vaccines*
  • Ebolavirus*
  • Hemorrhagic Fever, Ebola*
  • Humans
  • Macaca mulatta
  • Vesicular stomatitis Indiana virus
  • Vesiculovirus

Substances

  • Ebola Vaccines