Sridhar Saranya
Jenner Institute, University of Oxford, Oxford OX3 7DQ, UK.
Ther Adv Vaccines. 2015 Sep;3(5-6):125-38. doi: 10.1177/2051013615611017.
The ongoing outbreak of Ebola virus disease in West Africa highlighted the lack of a licensed drug or vaccine to combat the disease and has renewed the urgency to develop a pipeline of Ebola vaccines. A number of different vaccine platforms are being developed by assessing preclinical efficacy in animal models and expediting clinical development. Over 15 different vaccines are in preclinical development and 8 vaccines are now in different stages of clinical evaluation. These vaccines include DNA vaccines, virus-like particles and viral vectors such as live replicating vesicular stomatitis virus (rVSV), human and chimpanzee adenovirus, and vaccinia virus. Recently, in preliminary results reported from the first phase III trial of an Ebola vaccine, the rVSV-vectored vaccine showed promising efficacy. This review charts this rapidly advancing area of research focusing on vaccines in clinical development and discusses the future opportunities and challenges faced in the licensure and deployment of Ebola vaccines.
西非埃博拉病毒病的持续爆发凸显了对抗该疾病的许可药物或疫苗的缺乏,并再次凸显了开发一系列埃博拉疫苗的紧迫性。通过评估动物模型中的临床前疗效并加快临床开发,正在研发多种不同的疫苗平台。超过15种不同的疫苗正处于临床前开发阶段,8种疫苗目前处于不同阶段的临床评估中。这些疫苗包括DNA疫苗、病毒样颗粒和病毒载体,如活复制性水疱性口炎病毒(rVSV)、人类和黑猩猩腺病毒以及痘苗病毒。最近,在一项埃博拉疫苗的首次III期试验报告的初步结果中,rVSV载体疫苗显示出有前景的疗效。本综述梳理了这一快速发展的研究领域,重点关注处于临床开发阶段的疫苗,并讨论了埃博拉疫苗在许可和部署方面面临的未来机遇和挑战。