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  • Glaxo vaccine by 2007

    This story is getting lots of coverage. Any possibilities here or are we still shooting in the dark?

    Glaxo claims bird flu breakthrough
    LONDON, England (Reuters) -- A bird flu vaccine for humans that uses only a very low dose of active ingredient has proved effective in clinical tests and could be available in 2007, its maker GlaxoSmithKline Plc has said.
    The promising result means Europe's biggest pharmaceuticals group is on track to start making the vaccine in commercial quantities by the end of the year.
    Glaxo believes its H5N1 vaccine will work more efficiently than rival ones in development because of the proprietary adjuvant used in its manufacture. Adjuvants are additives put into vaccines that boost the immune system and make it respond more efficiently.
    A key challenge in the race to produce a vaccine for millions of people around the world -- which governments are keen to stockpile -- is how to make the maximum number of shots from the minimum amount of antigen, or active ingredient.
    Glaxo's vaccine contains just 3.8 micrograms of antigen, yet more than 80 percent of healthy adult volunteers who received two doses had a strong immune response.
    That level of protection meets or exceeds requirements set by regulatory agencies for approving new flu vaccines, and is twice as good at half the dose as results with an experimental vaccine produced by Sanofi-Aventis.
    Breakthrough
    Glaxo Chief Executive Jean-Pierre Garnier said it was a "significant breakthrough."
    "All being well, we expect to make regulatory filings for the vaccine in the coming months," he said.
    Sanofi in May reported good responses with a vaccine using a conventional adjuvant given at two doses of 30 micrograms. But when the dose was reduced to 7.5 micrograms, only 40 percent of people were protected.
    While Glaxo's vaccine offers protection against the deadly H5N1 avian flu virus now circulating, its impact on any mutated strain of virus is not certain.
    However, experts say it could "prime" a person's immune system so they will get stronger effects from a later, better-matched vaccine.
    Glaxo said it would now also study the ability of its vaccine to offer cross-protection to variants of the H5N1 virus.
    The H5N1 strain of avian influenza has spread rapidly out of Asia and has killed more than 130 people who have come into close contact with infected birds.
    Experts fear it could trigger a global epidemic of flu that could kill millions, if it acquires the ability to pass easily from human to human.
    Companies are racing to develop pandemic H5N1 vaccines that could save lives and buy time to develop a vaccine against a pandemic strain. It could take from four to six months from the start of a pandemic before a specific vaccine will be ready.
    Other firms working on a bird flu vaccine include Novartis AG and Baxter International Inc.


  • #2
    Re: Glaxo vaccine by 2007

    Well it is some good news, a step in the right direction, but they haven't solved the problem.

    1) They still don't know if it will provide protection against the pandemic strain.
    2) They still haven't said how long it will take to produce the vaccine in mass quantities.
    3) They still don't know if it will provide protection against the second and third waves.

    Don't forget, there will be some vaccines available to some people.

    The big problem is that there are over 6 billion people in the world, the virus takes a couple of months to spread around the world and the vaccine production is slower than the virus.

    We have always known that there will be limited availability of different types of vaccines.

    We still have the same problems, but possibly another bullet in our gun against H5N1.

    Comment


    • #3
      Re: Glaxo vaccine by 2007



      Bird flu vaccine breakthrough offers hope

      * 14:56 26 July 2006
      * NewScientist.com news service
      * Damian Carrington

      Printable version Email to a friend RSS Feed

      Related Articles

      * Deadly bird flu ran through Indonesian family
      * 23 June 2006
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      * 16 June 2006
      * Search New Scientist
      * Contact us

      Web Links

      * Avian influenza, World Health Organization
      * Bird flu special report, New Scientist
      * GSK

      A low-dose vaccine for the deadly H5N1 bird flu virus has succeeded in initial clinical trials in people.

      The vaccine is produced by GlaxoSmithKline (GSK) and was tested at low doses on 100 adults. In 80% of them, the vaccine elicited the level of protection required by the agencies that regulate influenza vaccines.

      Crucially, this was achieved with two separate doses of just 3.8 micrograms each. Producing the vaccine is difficult and time-consuming, so the lower the dose required, the more people can be treated. In the event of a pandemic, hundreds of millions of doses would be required.

      Previous attempts to produce a low dose vaccine had been unsuccessful, with required doses as high as 180 micrograms. Companies then tried adding an adjuvant ? a chemical which stimulates the immune system and increases the potency of a vaccine. But, again, results were disappointing.

      For example, studies by Sanofi-Pasteur in France and CSL in Australia found that the most common adjuvant, alum, did not help enough. The French study required two vaccine doses of 30 micrograms to achieve a good immune response. CSL got a response with two doses of 15 micrograms each, but only in half of the people tested (see Bird flu vaccine trial gives disappointing results). Vaccines for other bird flu strains work at doses of only 2 micrograms - it is unclear why the deadly H5N1 strain is so different.
      Pandemic protection

      GSK suggests its success in its trial is due to the use of a novel, proprietary adjuvant. J P Garnier, CEO of GSK, said: ?These excellent clinical trial results represent a significant breakthrough. All being well, we expect to make regulatory filings for the vaccine in the coming months.?

      He added that GSK would be assessing the vaccine's ability to offer some protection against other strains of the H5N1 virus. That is important because any pandemic strain that arises will be different to the current strain, which has caused 133 human deaths since 2003.

      A number of experts have argued that giving people a vaccine that is not precisely matched at an early stage of a pandemic is more valuable than waiting until a matched vaccine can be produced (see Today's bird flu vaccines will have to do).

      The GSK vaccine was produced from inactivated H5N1 virus. The immune response was gauged using a standard technique which assesses the increase in the number of antibodies an individual produces in response to the vaccine. This is done by measuring the clumping together of red blood cells, which the presence of antibodies inhibits.
      New victim

      GSK's announcement came on the same day as Thailand reported its first bird flu death in over seven months. The death raises new fears for the country's struggling poultry industry and has put health officials on high alert.

      The victim was a 17-year-old boy in Pichit, northern Thailand, who caught the virus from one of his fighting cocks. The Thai authorities have banned all movements of poultry in the region, and put seven other provinces on high alert. Three of the boy's relatives are under surveillance for any symptoms of the virus.

      Thailand was previously the world's largest exporter of poultry but is now ranked fourth. Fears over bird flu led countries around the world to ban trade in raw Thai chicken.

      Bird Flu - Learn more about the flu pandemic that could kill millions in our continually updated special report.

      Comment


      • #4
        Re: Glaxo vaccine by 2007

        Originally posted by Jeremy
        Well it is some good news, a step in the right direction, but they haven't solved the problem.

        1) They still don't know if it will provide protection against the pandemic strain.
        2) They still haven't said how long it will take to produce the vaccine in mass quantities.
        3) They still don't know if it will provide protection against the second and third waves.

        Don't forget, there will be some vaccines available to some people.

        The big problem is that there are over 6 billion people in the world, the virus takes a couple of months to spread around the world and the vaccine production is slower than the virus.

        We have always known that there will be limited availability of different types of vaccines.

        We still have the same problems, but possibly another bullet in our gun against H5N1.
        I'll second this whole post.

        If Thailand goes H2H quickly, will this vaccine method offer ANY hope?

        As to the article's reference to cross-reactive immunity......what I read about the HK ducks with H5N1 cross reactive immunity, said it needs to be administered within 30 days prior to exposure. Can we vaccinate 1 billion people in less than 30 days?

        I'm very pleased about GSK's news, but I fear it will cause a complacency pandemic.

        .
        "The next major advancement in the health of American people will be determined by what the individual is willing to do for himself"-- John Knowles, Former President of the Rockefeller Foundation

        Comment


        • #5
          Re: Glaxo vaccine by 2007

          from GSK site at http://www.gsk.com/

          GSK reports significant advance in H5N1 pandemic flu vaccine programme



          Issued: July 26<SUP>th</SUP> 2006, London, UK and Rixensart, Belgium: GlaxoSmithKline (GSK) plc today announced headline data showing that its H5N1 pandemic flu vaccine achieved a high immune response at a low dose of antigen. The vaccine, which uses a proprietary adjuvant, enabled over 80% of subjects who received 3.8?g of antigen to demonstrate a strong seroprotective immune response. This level of seroprotection meets or exceeds target criteria set by regulatory agencies for registration of influenza vaccines. Efficacy results at these levels of antigen dosage have also not been reported for any other H5N1 vaccine in development to date, including those using other adjuvants such as alum.

          Commenting on the data, JP Garnier, GlaxoSmithKline?s Chief Executive Officer, said: ?These excellent clinical trial results represent a significant breakthrough in the development of our pandemic flu vaccine. This is the first time such a low dose of H5N1 antigen has been able to stimulate this level of strong immune response.
          There is still a lot more work to be done with this programme, but this validation of our approach provides us with the confidence to continue developing the vaccine, including assessment of its ability to offer cross-protection to variants of the H5N1 strain. All being well, we expect to make regulatory filings for the vaccine in the coming months.?

          ***************************************
          The results were based on an interim analysis of a clinical trial conducted in Belgium which involved 400 healthy adults aged 18-60 years of age. The vaccine tested was produced from inactivated H5N1 virus and contained a novel, proprietary adjuvant. An adjuvant is an ingredient which stimulates the immune system and increases response to the vaccine. Trial participants were vaccinated twice during the course of the trial and four different levels of antigen dose were tested, with 3.8?g being the lowest dose assessed.

          In this study, immune response was defined as the increase in the number of antibodies an individual produced in response to the vaccine. Levels of antibody protection were established through measurement of hemagglutination inhibition (HI), hemagglutination being the clumping together of red blood cells, which cannot occur when antibodies are present. HI is a standard efficacy measure used in the evaluation of influenza vaccines, and an individual with an HI titer of greater than 40 is considered to be protected, or to have ?seroprotection.? In this clinical trial, over 80% of subjects, who received 3.8?g of antigen with adjuvant, demonstrated a seroprotective immune response. GSK?s adjuvanted investigational pandemic vaccine has not received marketing approval from any regulatory agency.

          GlaxoSmithKline is one of the world?s leading research-based pharmaceutical and health care companies. GlaxoSmithKline is committed to improving the quality of human life by enabling people to do more, feel better and live longer. For company information visit: www.gsk.com.

          This press release is intended for medical and financial media representatives only

          .
          "The next major advancement in the health of American people will be determined by what the individual is willing to do for himself"-- John Knowles, Former President of the Rockefeller Foundation

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