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Phase 1 Clinical Trial of a Replication-Defective Human Cytomegalovirus (CMV) Vaccine

BACKGROUND: Congenital CMV remains an unmet medical need worldwide. Naturally acquired CMV immunity in women prior to pregnancy has been shown effective in reducing maternal-fetal transmission. V160 is engineered as a replication-defective CMV, and its replication in culture is controlled by a synth...

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Autores principales: Adler, Stuart, Lewis, Nicole, Conlon, Anthony, Christiansen, Mark, Al-Ibrahim, Mohamed S, Rupp, Richard, Fu, Tong Ming, Bautista, Oliver, Tang, Huaping, Culp, Timothy, Das, Rituparna, Beck, Karen, Tamms, Gretchen, Musey, Luwy
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Oxford University Press 2017
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Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5631465/
http://dx.doi.org/10.1093/ofid/ofx163.718
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author Adler, Stuart
Lewis, Nicole
Conlon, Anthony
Christiansen, Mark
Al-Ibrahim, Mohamed S
Rupp, Richard
Fu, Tong Ming
Bautista, Oliver
Tang, Huaping
Culp, Timothy
Das, Rituparna
Beck, Karen
Tamms, Gretchen
Musey, Luwy
author_facet Adler, Stuart
Lewis, Nicole
Conlon, Anthony
Christiansen, Mark
Al-Ibrahim, Mohamed S
Rupp, Richard
Fu, Tong Ming
Bautista, Oliver
Tang, Huaping
Culp, Timothy
Das, Rituparna
Beck, Karen
Tamms, Gretchen
Musey, Luwy
author_sort Adler, Stuart
collection PubMed
description BACKGROUND: Congenital CMV remains an unmet medical need worldwide. Naturally acquired CMV immunity in women prior to pregnancy has been shown effective in reducing maternal-fetal transmission. V160 is engineered as a replication-defective CMV, and its replication in culture is controlled by a synthetic chemical. V160 can’t replicate in humans but it maintains all virological properties for presentation of viral antigens, including gH/gL/pUL128-131 pentameric complex, important for potent neutralizing antibodies (NABs). METHODS: Approximately 190 CMV seronegative and seropositive adults at study entry received 3 doses of V160 or placebo administered via intramuscular (IM) or intradermal (ID) route on Day 1, Month 1, and Month 6. Four antigen levels (10, 30, 100, and 250 units per dose) formulated with or without aluminum phosphate adjuvant were evaluated. In each vaccination group, approximately 10 and 4 subjects received study vaccine and placebo, respectively. Injection site and systemic adverse events (AEs) were collected for 14 days after each vaccination. Serious AEs (SAEs) were assessed up to Month 18. Viral shedding (urine and saliva) were monitored up to Month 12. CMV-specific NABs and cell-mediated immune responses (CMI) were measured prior and 1 month after each vaccination, and at Months 12 and 18. RESULTS: During the study, no serious AEs were reported and only one CMV seropositive subject had non-vaccine type viral shedding. In both seronegative and seropositive cohorts, proportion of subjects who reported injection site AEs was higher in V160 recipients than placebo controls. Proportion of subjects who reported systemic AEs was comparable across V160 doses/formulations and placebo. In the CMV seronegative cohort, immune responses increased with incremental dosing. More importantly, recipients of V160 from several dose levels mounted NAB and CMI responses at 1 month post dose 3 (PD3) that were comparable to baseline levels measured in seropositive subjects. CONCLUSION: V160 had acceptable safety profile across all dose levels and formulations studied; Vaccine was immunogenic and elicited NAB and CMI responses at 1 month PD3 that were comparable to natural CMV infection. DISCLOSURES: S. Adler, Merck: Investigator, Research grant. N. Lewis, Merck: Employee, Salary. A. Conlon, Merck: Employee, Salary. M. Christiansen, Merck: Investigator, Research grant. M. S. Al-Ibrahim, Merck: Investigator, Research grant R. Rupp, Merck: Investigator, Research grant. T. M. Fu, Merck: Employee, Salary. O. Bautista, Merck: Employee, Salary. H. Tang, Merck: Employee, Salary.T. Culp, Merck: Employee, Salary. R. Das, Merck: Employee, Salary. K. Beck, Merck: Employee, Salary. G. Tamms, Merck: Employee, Salary. L. Musey, Meck: Employee, Salary.
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spelling pubmed-56314652017-11-07 Phase 1 Clinical Trial of a Replication-Defective Human Cytomegalovirus (CMV) Vaccine Adler, Stuart Lewis, Nicole Conlon, Anthony Christiansen, Mark Al-Ibrahim, Mohamed S Rupp, Richard Fu, Tong Ming Bautista, Oliver Tang, Huaping Culp, Timothy Das, Rituparna Beck, Karen Tamms, Gretchen Musey, Luwy Open Forum Infect Dis Abstracts BACKGROUND: Congenital CMV remains an unmet medical need worldwide. Naturally acquired CMV immunity in women prior to pregnancy has been shown effective in reducing maternal-fetal transmission. V160 is engineered as a replication-defective CMV, and its replication in culture is controlled by a synthetic chemical. V160 can’t replicate in humans but it maintains all virological properties for presentation of viral antigens, including gH/gL/pUL128-131 pentameric complex, important for potent neutralizing antibodies (NABs). METHODS: Approximately 190 CMV seronegative and seropositive adults at study entry received 3 doses of V160 or placebo administered via intramuscular (IM) or intradermal (ID) route on Day 1, Month 1, and Month 6. Four antigen levels (10, 30, 100, and 250 units per dose) formulated with or without aluminum phosphate adjuvant were evaluated. In each vaccination group, approximately 10 and 4 subjects received study vaccine and placebo, respectively. Injection site and systemic adverse events (AEs) were collected for 14 days after each vaccination. Serious AEs (SAEs) were assessed up to Month 18. Viral shedding (urine and saliva) were monitored up to Month 12. CMV-specific NABs and cell-mediated immune responses (CMI) were measured prior and 1 month after each vaccination, and at Months 12 and 18. RESULTS: During the study, no serious AEs were reported and only one CMV seropositive subject had non-vaccine type viral shedding. In both seronegative and seropositive cohorts, proportion of subjects who reported injection site AEs was higher in V160 recipients than placebo controls. Proportion of subjects who reported systemic AEs was comparable across V160 doses/formulations and placebo. In the CMV seronegative cohort, immune responses increased with incremental dosing. More importantly, recipients of V160 from several dose levels mounted NAB and CMI responses at 1 month post dose 3 (PD3) that were comparable to baseline levels measured in seropositive subjects. CONCLUSION: V160 had acceptable safety profile across all dose levels and formulations studied; Vaccine was immunogenic and elicited NAB and CMI responses at 1 month PD3 that were comparable to natural CMV infection. DISCLOSURES: S. Adler, Merck: Investigator, Research grant. N. Lewis, Merck: Employee, Salary. A. Conlon, Merck: Employee, Salary. M. Christiansen, Merck: Investigator, Research grant. M. S. Al-Ibrahim, Merck: Investigator, Research grant R. Rupp, Merck: Investigator, Research grant. T. M. Fu, Merck: Employee, Salary. O. Bautista, Merck: Employee, Salary. H. Tang, Merck: Employee, Salary.T. Culp, Merck: Employee, Salary. R. Das, Merck: Employee, Salary. K. Beck, Merck: Employee, Salary. G. Tamms, Merck: Employee, Salary. L. Musey, Meck: Employee, Salary. Oxford University Press 2017-10-04 /pmc/articles/PMC5631465/ http://dx.doi.org/10.1093/ofid/ofx163.718 Text en © The Author 2017. Published by Oxford University Press on behalf of Infectious Diseases Society of America. http://creativecommons.org/licenses/by-nc-nd/4.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivs licence (http://creativecommons.org/licenses/by-nc-nd/4.0/), which permits non-commercial reproduction and distribution of the work, in any medium, provided the original work is not altered or transformed in any way, and that the work is properly cited. For commercial re-use, please contact journals.permissions@oup.com
spellingShingle Abstracts
Adler, Stuart
Lewis, Nicole
Conlon, Anthony
Christiansen, Mark
Al-Ibrahim, Mohamed S
Rupp, Richard
Fu, Tong Ming
Bautista, Oliver
Tang, Huaping
Culp, Timothy
Das, Rituparna
Beck, Karen
Tamms, Gretchen
Musey, Luwy
Phase 1 Clinical Trial of a Replication-Defective Human Cytomegalovirus (CMV) Vaccine
title Phase 1 Clinical Trial of a Replication-Defective Human Cytomegalovirus (CMV) Vaccine
title_full Phase 1 Clinical Trial of a Replication-Defective Human Cytomegalovirus (CMV) Vaccine
title_fullStr Phase 1 Clinical Trial of a Replication-Defective Human Cytomegalovirus (CMV) Vaccine
title_full_unstemmed Phase 1 Clinical Trial of a Replication-Defective Human Cytomegalovirus (CMV) Vaccine
title_short Phase 1 Clinical Trial of a Replication-Defective Human Cytomegalovirus (CMV) Vaccine
title_sort phase 1 clinical trial of a replication-defective human cytomegalovirus (cmv) vaccine
topic Abstracts
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5631465/
http://dx.doi.org/10.1093/ofid/ofx163.718
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