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E. Van den Born - New vaccine technology: Hopes and fears

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E. Van den Born - New vaccine technology: Hopes and fears

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Session IV
The application of RNA and vector vaccines to combat the COVID-19 pandemic has shown that these and other new vaccine technologies have great potential to combat (emerging) diseases, but has also fuelled the discussion around their safety. Was the fear and scepticism among the global public of taking a COVID-19 vaccine realistic? In this talk I will briefly highlight the different vaccine technologies and some of their pros and cons. New vaccine technologies include antigens and antigen delivery methods, administration methods, and adjuvants. The impact of new vaccine technologies on large scale manufacturing, the cost of goods, and the product registration process will be address as well, with an emphasis on veterinary applications.

Session IV
The application of RNA and vector vaccines to combat the COVID-19 pandemic has shown that these and other new vaccine technologies have great potential to combat (emerging) diseases, but has also fuelled the discussion around their safety. Was the fear and scepticism among the global public of taking a COVID-19 vaccine realistic? In this talk I will briefly highlight the different vaccine technologies and some of their pros and cons. New vaccine technologies include antigens and antigen delivery methods, administration methods, and adjuvants. The impact of new vaccine technologies on large scale manufacturing, the cost of goods, and the product registration process will be address as well, with an emphasis on veterinary applications.

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E. Van den Born - New vaccine technology: Hopes and fears

  1. 1. New vaccine technology: Hopes and fears Erwin van den Born, 27 October 2022 OS2022, Marseille
  2. 2. Introduction Erwin van den Born, PhD Sr R&D Project Leader MSD Animal Health, Boxmeer, The Netherlands Responsible for the development of vaccines against viral diseases in pigs, since 2010 Experience with ASFV, CSFV, FMDV, PPV, PRV and PRRSV 2
  3. 3. COVID-19 3 NL US AUS Rapid response by the scientific community, pharmaceutical industry, and regulatory agencies First approval of a mRNA vaccines for use in humans Fear and scepticism among some
  4. 4. What do new vaccine technologies bring? Hopes Better and longer protection Enhance mucosal immunity Better safety – fewer side effects Easier to administer More stable Cheaper Quicker response to emergencies DIVA – differentiation of infected and vaccinated animals (‘marker’) 4 Fears GMO vaccines Integration in the genome (DNA vaccines and DNA viruses e.g. adenovirus vectors) Recombination with circulating strains and reversion to virulence (live attenuated vaccines) Persistent replication of vectors or live attenuated strains and DNA vaccines (DNA up to 2 years) Vaccine contamination with adventitious agents Long-term negative effect on vaccinated individuals (e.g. auto- immunity) The presence of antibiotic resistant genes
  5. 5. Vaccine technologies Vaccine types Nucleic acid (mRNA or DNA) Subunit (incl. virus-like particles) Live attenuated Inactivated Peptide Vectors (see list) 5 Vectors (replication compotent and replication defective): Replication deficient adenovirus (e.g. human Ad5 or Ad24) Replication competent adenovirus Vaccinia (MVA) Alphavirus vector, such as VEEV (‘self replicating RNA’) Vesicular stomatitis virus (VSV) Canarypox Measles virus (MV) Herpesvirus
  6. 6. Why are new vaccine technologies needed? 6 Vaccine technology generations: First generation • The classical inactivated (‘killed’) • Modified-live vaccines (MLV) Second generation • Subunit • Conjugated/recombinant antigens • Synthetic proteins Third generation • Nucleic acid (DNA and RNA) vaccines • Viral-vector platforms • Live or inactivated chimeric vaccines Why are 2nd and 3rd generation vaccines being developed: Successes with 1st generation vaccines, but also limitations: • Efficacy of inactivated vaccines can be suboptimal • Safety concerns around MLV vaccines • Slow response to new outbreaks.
  7. 7. Virus Genes Genome size (kb) Virion size (nm) Proteins in virion ASFV 170 180 200 50 Coronavirus 10 30 120 5 PRRSV 10 15 60 8 PPV 2 5 22 2 PCV2 5 2 17 1 Complexity of porcine viruses Bacteria The challenge with 2nd and 3rd gen vaccines – Which protein provides protection?
  8. 8. Successful application of 2nd and 3rd gen vaccine technologies –examples 1 8 Example subunit vaccine FMDV P1-2A-3C cassette in baculovirus expression system yields immunogenic virus-like particles Strain Vaccine Dose VN titers (log10) Protection Asia1/Shamir VLP 5 µg 2.1 5/5 classic 5 µg 2.1 4/5 SAT2/SAU/6/00 VLP 10 µg 2.4 5/5 classic 10 µg 2.5 5/5 Example nucleic acid vaccine SARS-CoV2 Spike gene in mRNA vector (or viral vector). Mimicking spike presentation in CoV infection. Joubert et al., 2021, BJOG
  9. 9. • SAME platform is used for ALL vaccines • Attenuated Venezuelan equine encephalitis virus (strain TC-83) • Broad, balanced immune response • On market in US • Farm-specific vaccine (e.g. strains selected by veterinarian) • Can target diseases not addressed by conventional vaccines • Multivalent formulations • No need to culture pathogen • No or very limited anti-vector immunity Swine influenza H3N2 challenge experiment: Successful application of 2nd and 3rd gen vaccine technologies –examples 2
  10. 10. Existing immunity and booster capabilities Booster capabilities can be limited for: - Modified live vaccines - Vector vaccines (e.g. Adenovirus vectors) Potentially powerful combinations: - 2 vaccine technologies: e.g. DNA vaccine and vector - 2 different routes of administration
  11. 11. Characteristics of a succesful vaccine Important for veterinary vaccines are the costs of goods - Rough sales price for different species: - Dog: € 10 - Pig: € 1 - Chick: € 0.01 - If I’m correct, the cost price of a mRNA vaccine was around € 10.- pre-covid, now around € 2-3 🡪 only an option for companion animals?! Production considerations: - Live attenuated and vectors are relatively cheap to produce - Stability: - Loss of gene insert: from pre-master seed to production seed is easily 5 passages - Loss of attenuating mutation(s) during passaging/production - Advantage of platform vaccines, such as nucleic acid vaccine: 1 production process for all targets is a great advantage for manufacturer. If chemically synthesized, less risk of adventitious agents - Cost of containment: mostly BSL2 facilities; sometimes BSL3
  12. 12. Adjuvant technologies: beyond the classic adjuvants such as oil-in-water or water-in-oil types - Molecular adjuvants. - Usually plasmid-encoded signaling molecules such as cytokines and chemokines, but also pattern recognition receptor (PRR) ligands. Molecular adjuvants are co-delivered with the antigen. - Safety concern: use of co-stimulatory molecules may lead to unintended adverse effects such as generalized immune suppression, chronic inflammation or autoimmunity. - Delivery of nucleic acid vaccines: Delivery of mRNA to cytoplasm and DNA to nucleus. Efficacy of mRNA vaccines can be enhanced by complexing agents such as lipid- and polymer-based nanoparticles. - VLPs loaded with antigens/peptides: next slide Schoenmaker et al., 2021, International Journal of Pharmaceutics
  13. 13. Virus-like particles as vehicles for heterologous antigens 13 Kumar et al., 2020 BioPharm International
  14. 14. Vaccine application technologies 14 Poultry: spray vaccination of 1-day old chickens Swine: needle-free intradermal vaccination with the IDAL Why different application routes: - Ease of use and human safety (e.g. needleless) - Animal welfare - Speed and cost - Better immunity: e.g. a mucosal response benefits from oral or nasal delivery - Etc
  15. 15. Vaccine application technology in fishery 15 Skala www.thefishsite.com
  16. 16. Regulatory landscape 16 A trend towards platform technologies (EMA) • ‘Plug and play’ (vectors, mRNA/DNA, baculovirus expression) • Multi-strain dossier Nucleic acid vaccines • DNA vaccines: The FDA and WHO advise integration studies as part of the preclinical safety program • What is the master seed of a mRNA or DNA vaccine? Combining technologies • 2 different vaccine technologies or other combinations could make vaccine production and the registration process challenging. Stages of vaccine development and approval stages European Medicines Agency (EMA)
  17. 17. Conclusions Vaccine technologies evolve to develop safe, efficacious, stable, and cost-effective vaccines for existing and emerging infectious pathogens. Need for awareness of the risks and limitations of certain technologies In veterinary health, numerous novel technologies have already been employed. The human health field is generally more cautious and hesitant. 17
  18. 18. Thank you

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