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Effect of the time of day for vaccination on the immune response to Ebola Virus Disease vaccines: A modeling study from PREVAC randomized trial.

Title: Effect of the time of day for vaccination on the immune response to Ebola Virus Disease vaccines: A modeling study from PREVAC randomized trial.
Authors: Kpetigo, Ange-Marie D; Alexandre, Marie; Camara, Aboubacar; Beavogui, Abdoul; Doumbia, Seydou; Kieh, Mark; Leigh, Bailah; Sow, Samba; Wittkop, Linda; Soutthiphong, Anne-Aygline; Berry, Irina Maljkovic; Fleck, Suzanne; Akoo, Pauline; Hamze, Benjamin; Watson-Jones, Deborah; Kuhn, Jens H; Greenwood, Brian; Richert, Laura; Yazdanpanah, Yazdan; Lévy, Yves; Thiébaut, Rodolphe; Prague, Mélanie; PREVAC Study Team; Lhomme, Edouard
Publisher Information: Public Library of Science
Publication Year: 2026
Collection: London School of Hygiene & Tropical Medicine: LSHTM Research Online
Description: BACKGROUND: Emerging evidence suggests that the time in the day of vaccination may influence post-vaccination immunogenicity. The main objective of this study was to assess the association between the time of vaccination and the anti-EBOV GP1,2 IgG antibody response at 12 mo following vaccination against Ebola virus disease (EVD). METHODOLOGY/PRINCIPAL FINDINGS: This study utilized data from a randomized, double-blind, placebo-controlled international phase 2b clinical trial (PREVAC) evaluating the immunogenicity of three vaccination strategies against Ebola virus disease (rVSVΔG-ZEBOV-GP one and two doses, and Ad26.ZEBOV/MVA-BN-Filo) in 1,859 healthy Western Africans. In the overall population, we measured a statistically significant association between the time of day of first vaccination and anti-Ebola virus immunoglobulin G levels at 12 mo (p = 0.02). The magnitude of this association was small, participants vaccinated at 1600 h were estimated to have 1-7% lower antibody levels at 12 mo compared to those vaccinated at 1000 h. CONCLUSIONS/SIGNIFICANCE: An effect of the time of first vaccination on the antibody responses was found but remains modest and unlikely to impact the EVD vaccine effectiveness. CLINICAL TRIALS REGISTRATION: ClinicalTrials.gov registration: NCT02876328.
Document Type: article in journal/newspaper
File Description: text
Language: English
ISSN: 1935-2727
Relation: https://researchonline.lshtm.ac.uk/id/eprint/4679683/1/Kpetigo-etal-2026-Effect-of-time-of-day.pdf; Kpetigo, Ange-Marie D; Alexandre, Marie; Camara, Aboubacar; Beavogui, Abdoul; Doumbia, Seydou; Kieh, Mark; Leigh, Bailah; Sow, Samba; Wittkop, Linda; Soutthiphong, Anne-Aygline; +14 more.Berry, Irina Maljkovic; Fleck, Suzanne; Akoo, Pauline; Hamze, Benjamin; Watson-Jones, Deborah ORCID logo; Kuhn, Jens H; Greenwood, Brian ORCID logo; Richert, Laura; Yazdanpanah, Yazdan; Lévy, Yves; Thiébaut, Rodolphe; Prague, Mélanie; PREVAC Study Team; and Lhomme, EdouardORCID logo (2026) Effect of the time of day for vaccination on the immune response to Ebola Virus Disease vaccines: A modeling study from PREVAC randomized trial. PLoS neglected tropical diseases, 20 (1). e0013950-. ISSN 1935-2727 DOI:10.1371/journal.pntd.0013950
DOI: 10.1371/journal.pntd.0013950
Availability: https://researchonline.lshtm.ac.uk/id/eprint/4679683/; https://journals.plos.org/plosntds/article?id=10.1371/journal.pntd.0013950; https://doi.org/10.1371/journal.pntd.0013950
Rights: cc_by_4
Accession Number: edsbas.61985B3E
Database: BASE