Nakayama Yoshikazu, Aruga Atsushi
Cooperative Major in Advanced Biomedical Sciences, Joint Graduate School of Tokyo Women's Medical University and Waseda University, 8-1, Kawada-cho, Shinjuku-ku, Tokyo 162-8666, Japan.
Vaccines (Basel). 2015 Mar 18;3(1):186-202. doi: 10.3390/vaccines3010186.
Gene-based vaccines as typified by plasmid DNA vaccines and recombinant viral-vectored vaccines are expected as promising solutions against infectious diseases for which no effective prophylactic vaccines exist such as HIV, dengue virus, Ebola virus and malaria, and for which more improved vaccines are needed such as tuberculosis and influenza virus. Although many preclinical and clinical trials have been conducted to date, no DNA vaccines or recombinant viral-vectored vaccines expressing heterologous antigens for human use have yet been licensed in the U.S., Europe or Japan. In this research, we describe the current regulatory context for gene-based prophylactic vaccines against infectious disease in the U.S., Europe, and Japan. We identify the important considerations, in particular, on the preclinical assessments that would allow these vaccines to proceed to clinical trials, and the differences on the regulatory pathway for the marketing authorization in each region.
以质粒DNA疫苗和重组病毒载体疫苗为代表的基因疫苗,有望成为针对尚无有效预防性疫苗的传染病(如HIV、登革热病毒、埃博拉病毒和疟疾)以及需要更优疫苗的疾病(如结核病和流感病毒)的有效解决方案。尽管迄今为止已经进行了许多临床前和临床试验,但在美国、欧洲或日本,尚无用于人类的表达异源抗原的DNA疫苗或重组病毒载体疫苗获得许可。在本研究中,我们描述了美国、欧洲和日本针对传染病的基因预防性疫苗的当前监管背景。我们确定了重要的考量因素,特别是关于使这些疫苗能够进入临床试验的临床前评估,以及每个地区上市许可监管途径的差异。