University of Pennsylvania, Philadelphia.
Inovio Pharmaceuticals, Plymouth Meeting, Pennsylvania.
J Infect Dis. 2019 Jul 2;220(3):400-410. doi: 10.1093/infdis/jiz132.
BACKGROUND: Nonlive vaccine approaches that are simple to deliver and stable at room temperature or 2-8°C could be advantageous in controlling future Ebola virus (EBOV) outbreaks. Using an immunopotent DNA vaccine that generates protection from lethal EBOV challenge in small animals and nonhuman primates, we performed a clinical study to evaluate both intramuscular (IM) and novel intradermal (ID) DNA delivery. METHODS: Two DNA vaccine candidates (INO-4201 and INO-4202) targeting the EBOV glycoprotein (GP) were evaluated for safety, tolerability, and immunogenicity in a phase 1 clinical trial. The candidates were evaluated alone, together, or in combination with plasmid-encoded human cytokine interleukin-12 followed by in vivo electroporation using either the CELLECTRA® IM or ID delivery devices. RESULTS: The safety profile of all 5 regimens was shown to be benign, with the ID route being better tolerated. Antibodies to EBOV GP were generated by all 5 regimens with the fastest and steepest rise observed in the ID group. Cellular immune responses were generated with every regimen. CONCLUSIONS: ID delivery of INO-4201 was well tolerated and resulted in 100% seroreactivity after 2 doses and elicited interferon-γ T-cell responses in over 70% of subjects, providing a new approach for EBOV prevention in diverse populations. Clinical Trials Registration. NCT02464670.
背景:简单易用且在室温或 2-8°C 下稳定的非活疫苗方法在控制未来埃博拉病毒(EBOV)爆发方面可能具有优势。我们使用一种免疫原性强的 DNA 疫苗,该疫苗可在小动物和非人类灵长类动物中提供针对致命 EBOV 挑战的保护,进行了一项临床研究以评估肌肉内(IM)和新型皮内(ID)DNA 递送来评估两种针对 EBOV 糖蛋白(GP)的 DNA 疫苗候选物(INO-4201 和 INO-4202)的安全性、耐受性和免疫原性。
方法:在一项 I 期临床试验中,评估了候选物 INO-4201 和 INO-4202 单独使用、联合使用或与编码人细胞因子白细胞介素 12 的质粒联合使用,然后使用 CELLECTRA®IM 或 ID 输送装置进行体内电穿孔,评估其安全性、耐受性和免疫原性。
结果:所有 5 种方案的安全性特征均表现为良性,ID 途径的耐受性更好。所有 5 种方案均产生了针对 EBOV GP 的抗体,ID 组的抗体产生速度最快、幅度最大。每种方案均产生了细胞免疫反应。
结论:INO-4201 的 ID 给药具有良好的耐受性,在 2 剂后可达到 100%的血清反应性,并在超过 70%的受试者中引起干扰素-γ T 细胞反应,为不同人群预防 EBOV 提供了一种新方法。临床试验注册。NCT02464670。
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