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Acambis reports positive phase 1 trial result

Gert van der Hoek

In Memoriam - Editor, Senior Moderator
Ab Osterhaus from Holland told this on the radio this morning: we invented an adjuvent to add to an existing vaccine making it stronger. You need very little vaccine per dose. Also cross immunity for different strains.

Acambis reports positive data from trials of universal influenza A vaccine

3 January 2008

Cambridge, UK and Cambridge, Massachusetts ? 3 January 2008 ? Acambis plc (Acambis) (LSE: ACM), a leading vaccine development company, announces preliminary results from a Phase 1 clinical trial and a pre-clinical challenge study of its ACAM-FLU-A? vaccine.

ACAM-FLU-A? is a recombinant vaccine linked to a Hepatitis B core protein. It targets M2e, a conserved region of all influenza ?A' strains. This approach could overcome the need for annual vaccine reformulations and, since all pandemic influenza strains are type ?A', it could also be a potential vaccine against pandemics.

The Phase 1 trial of ACAM-FLU-A? evaluated the vaccine's safety and ability to generate an immune response. The randomised, double-blind, placebo-controlled trial was conducted at multiple centres in the US and involved 79 subjects. The study consisted of four arms ? ACAM-FLU-A? alone, ACAM-FLU-A? plus aluminium hydroxide adjuvant, ACAM-FLU-A? plus QS-21 adjuvant and placebo ? and the subjects received two doses. QS-21 Stimulon? adjuvant is an investigational adjuvant (immune stimulant) provided under an option agreement with Antigenics Inc., which has recently been converted to a non-exclusive licence and supply agreement.

The trial results demonstrate that ACAM-FLU-A? is well tolerated and immunogenic. Whilst immune responses were seen in all vaccinated groups, the highest immune responses occurred in the group vaccinated with ACAM-FLU-A? plus QS-21. In this group, 90% of subjects seroconverted.

In parallel with the Phase 1 trial, Acambis has conducted a pre-clinical study to test whether an M2e-based vaccine could protect against the Vietnam 2004 strain(1) of H5N1 avian influenza (bird flu). The H5N1 virus was lethal in the placebo-treated group, whereas 70% of those in the group vaccinated with the M2e-based vaccine from the same influenza strain were protected.

Acambis plans to submit these results for publication in due course.

Ian Garland, Chief Executive Officer of Acambis, said:

?We are very excited about these new data and believe that this highly innovative vaccine could be very attractive in such a competitive field. We will explore partnering in parallel with continued development of ACAM-FLU-A?.'

Michael Watson, Acambis' Executive Vice President, Research & Development, added:

?M2e is one of the most discussed new approaches for influenza vaccination. These are exciting data as they show that our ACAM-FLU-A? vaccine can generate a robust M2e antibody response and that M2e-based vaccines can protect against H5N1 avian influenza. We believe that these results confirm we have an approach worthy of further development.'

Influenza is a major global threat, which the WHO estimates causes between 250,000 and 500,000 deaths every year around the world(2). Currently, influenza vaccines are reformulated each year to address virus mutations.

Acambis' vaccine candidate, which is protected by extensive intellectual property, was developed using technology licensed from VIB that was invented by Walter Fiers, Emeritus Professor of the VIB Department for Molecular Biomedical Research at the University of Ghent, Belgium.

http://www.acambis.com/default.asp?id=2039
 
Re: Acambis reports positive phase 1 trial result

Cross-Protection against Lethal H5N1 Challenge in Ferrets with an Adjuvanted Pandemic Influenza Vaccine

Beno?t Baras1, Koert J. Stittelaar2, James H. Simon2, Robert J. M. M. Thoolen3, Sally P. Mossman1, Frank H. M. Pistoor2, Geert van Amerongen2, Martine A. Wettendorff1, Emmanuel Hanon1, Albert D. M. E. Osterhaus2,4*

1 Preclinical Virology, GlaxoSmithKline Biologicals, Rixensart, Belgium, 2 ViroClinics BV, Rotterdam, The Netherlands, 3 Global Pathology Support, Toxicologic Pathology, The Hague, The Netherlands, 4 Department of Virology, Erasmus Medical Center (MC), Rotterdam, The Netherlands


Abstract

Background


Unprecedented spread between birds and mammals of highly pathogenic avian influenza viruses (HPAI) of the H5N1 subtype has resulted in hundreds of human infections with a high fatality rate. This has highlighted the urgent need for the development of H5N1 vaccines that can be produced rapidly and in sufficient quantities.

Potential pandemic inactivated vaccines will ideally induce substantial intra-subtypic cross-protection in humans to warrant the option of use, either prior to or just after the start of a pandemic outbreak. In the present study, we evaluated a split H5N1 A/H5N1/Vietnam/1194/04, clade 1 candidate vaccine, adjuvanted with a proprietary oil-in- water emulsion based Adjuvant System proven to be well-tolerated and highly immunogenic in the human (Leroux-Roels et al. (2007) The Lancet 370:580?589), for its ability to induce intra-subtypic cross-protection against clade 2 H5N1/A/Indonesia/5/05 challenge in ferrets.

Methodology and Principal Findings

All ferrets in control groups receiving non-adjuvanted vaccine or adjuvant alone failed to develop specific or cross-reactive neutralizing antibodies and all died or had to be euthanized within four days of virus challenge.

Two doses of adjuvanted split H5N1 vaccine containing ≥1.7 ?g HA induced neutralizing antibodies in the majority of ferrets to both clade 1 (17/23 (74%) responders) and clade 2 viruses (14/23 (61%) responders), and 96% (22/23) of vaccinees survived the lethal challenge.

Furthermore lung virus loads and viral shedding in the upper respiratory tract were reduced in vaccinated animals relative to controls suggesting that vaccination might also confer a reduced risk of viral transmission.

Conclusion

These protection data in a stringent challenge model in association with an excellent clinical profile highlight the potential of this adjuvanted H5N1 candidate vaccine as an effective tool in pandemic preparedness.

More:

http://www.plosone.org/article/info:doi/10.1371/journal.pone.0001401

PDF available via the link.
 
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