Ouranidis Andreas, Choli-Papadopoulou Theodora, Papachristou Eleni T, Papi Rigini, Kostomitsopoulos Nikolaos
Department of Pharmaceutical Technology, School of Pharmacy, Aristotle University of Thessaloniki, 54124 Thessaloniki, Greece.
Department of Chemical Engineering, Polytechnic School, Aristotle University of Thessaloniki, 54124 Thessaloniki, Greece.
Vaccines (Basel). 2021 Aug 11;9(8):890. doi: 10.3390/vaccines9080890.
Administration of mRNA against SARS-CoV-2 has demonstrated sufficient efficacy, tolerability and clinical potential to disrupt the vaccination field. A multiple-arm, cohort randomized, mixed blind, placebo-controlled study was designed to investigate the in vivo expression of mRNA antibodies to immunosuppressed murine models to conduct efficacy, safety and bioavailability evaluation. Enabling 4.0 tools we reduced animal sacrifice, while interventions were designed compliant to HARRP and SPIRIT engagement: (a) Randomization, blinding; (b) pharmaceutical grade formulation, monitoring; (c) biochemical and histological analysis; and (d) theoretic, statistical analysis. Risk assessment molded the study orientations, according to the ARRIVE guidelines. The primary target of this protocol is the validation of the research hypothesis that autologous translation of Trastuzumab by in vitro transcribed mRNA-encoded antibodies to immunosuppressed animal models, is non-inferior to classical treatments. The secondary target is the comparative pharmacokinetic assessment of the novel scheme, between immunodeficient and healthy subjects. Herein, the debut clinical protocol, investigating the pharmacokinetic/pharmacodynamic impact of mRNA vaccination to immunodeficient organisms. Our design, contributes novel methodology to guide the preclinical development of RNA antibody modalities by resolving efficacy, tolerability and dose regime adjustment for special populations that are incapable of humoral defense.
针对严重急性呼吸综合征冠状病毒2(SARS-CoV-2)的信使核糖核酸(mRNA)给药已显示出足够的疗效、耐受性和临床潜力,足以颠覆疫苗接种领域。一项多组、队列随机、混合盲法、安慰剂对照研究旨在调查针对免疫抑制小鼠模型的mRNA抗体的体内表达情况,以进行疗效、安全性和生物利用度评估。借助4.0工具,我们减少了动物牺牲,同时干预措施的设计符合动物研究报告规范(HARRP)和标准方案条目推荐(SPIRIT)指南:(a)随机化、盲法;(b)药用级配方、监测;(c)生化和组织学分析;以及(d)理论、统计分析。根据动物研究报告规范(ARRIVE)指南,风险评估确定了研究方向。本方案的主要目标是验证研究假设,即通过体外转录的mRNA编码抗体对免疫抑制动物模型进行曲妥珠单抗的自体翻译,不劣于传统治疗方法。次要目标是在免疫缺陷和健康受试者之间对新方案进行比较药代动力学评估。在此,首次展示了临床方案,研究mRNA疫苗接种对免疫缺陷生物体的药代动力学/药效学影响。我们的设计贡献了新颖的方法,通过解决针对无法进行体液防御的特殊人群的疗效、耐受性和剂量方案调整问题,来指导RNA抗体模式的临床前开发。