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Hélène GAUDE
A GVII-2015, a new high potency
vaccine with broad protection
against A/Asia/G-VII threat
OS18
• Unexpected FMDV movement from the Indian sub-continent
• Emergence of FMDV serotype A lineage A/ASIA/G-VII caused
outbreaks in the Middle East.
• Reports of outbreaks in vaccinated areas
• Added by WRLFMD to the list of priority strains for European
banks
Epidemiological context
FMD free
Sporadic
A/ASIA/G-VII reported
notifications
Endemic A/ASIA/G-VII
trend of spread
Source: http://www.wrlfmd.org/fmd_genotyping/index.html
September 2015
A/SAU/1/2015
A/SAU/2/2015
A-Iran-05 0 0
A-Iran-87 0 0.04
A-Iran-96 0.04 0.06
A-Iran-99 0.01 0.01
A-Sau-95 0.20 0.19
A-22 0.11 0.11
A-Tur-20-06 0.03 0.06
A-May-97 0.14 0.23
Source: The Pirbright Institute - WRLFMD
• Immediate / temporary vaccine solution:
A Saudi95, commercially available vaccine strain
Ø gap in r1 matching
Ø partial protection against A/ASIA/G-VII *
BI's response to the outbreaks
* Source: R. Waters et al. 2018
• A sustainable, fully effective vaccine
solution is required
è development of a new vaccine strain
against A/ASIA/G-VII.
A/ASIA/G-VII field isolates
from WRL and from outbreak countries
Vaccine candidate
Adaptation to BHK-21 cell culture
Selection of best vaccine candidate
CRITERIA:
Ä Manufacturability : to ensure long term
sustainability of the future vaccine strain supply
Ä Epidemiological relevance : to allow
development of a vaccine strain providing the
most adapted match vs circulating strains
DRIVERS: Emergency & Compliance
Adaptation of field isolates &
Selection of vaccine candidate
LELYSTAD, NL
Production Process
Scale up & Robustness
to ensure capacity to
produce sufficient
number of doses at
acceptable cost
Formulation as oily or aqueous vaccine
(Double Oil Emulsion or Aluminium hydroxide Saponin)
Vaccine
candidate A GVII-2015 Master
Seed Virus (MSV) Stock
A GVII-2015
Antigen A GVII-2015
Vaccines
MSV purity controlled according
to the Eur. Pharmacopeia
Extraneous agent MSV Status
Bacteria ü Free
Fungi ü Free
Mycoplasma ü Free
Virus ü Free
Industrial scale
R&D scale
PIRBRIGHT, UK
Production process development &
Industrialization of the vaccine
EU
GMP
EU
GMP
EU
GMP
A GVII-2015
Vaccines
Safety
Immunogenicity
Coverage
Potency
Stability
Vaccines clinical evaluation
D0 D21
AFTOVAXPURTM
0.55 3.55
0.55 3.40
0.55 3.40
0.55 3.25
0.70 3.10
Mean 0.58 3.34
AFTOPORTM
0.55 3.40
0.70 3.25
0.70 3.10
0.55 2.80
0.70 3.25
Mean 0.64 3.16
q Vaccination of 5 cattle at standard dose x 2 vaccines
q Virus Neutralization Titer determined 21 dpv
Ø Results: High serological response with both formulations
Conclusion: Serological potency of A GVII-2015 vaccine is satisfactory
A GVII-2015 vaccine immunogenicity
0
1
2
3
4
AFTOVAXPUR AFTOPOR
D0
D21
BI pass level
Average VN Titers (5 animals)
HomologousAbresponse
(log10VNTiters)
Conclusion: Cross-neutralization spectrum indicates a good protection against
the A/ASIA/G-VII lineage
A GVII-2015 vaccine matching
Good BI confidence index
Low BI confidence index
Medium BI confidence index
High BI confidence index
Confidence Index: in vitro test results,
combining r1 and heterologous VNT values,
obtained with A GVII-2015 vaccine strain
against A/ASIA/G-VII isolates
q Vaccination of 5 cattle at standard dose with Aftopor
q Homologous and Heterologous VN Titer (21 dpv) used to
determine the BI confidence index
q Results: High heterologous VN Titers and high r1 values show a
good coverage amongst the A/ASIA/G-VII lineage18
Ø Results: Serology of the vaccinates
on D21 shows a dose effect relation
Ø Results: After challenge, most animals presented
signs related to the route of inoculation. Only
control animals presented hyperthermia at D25
A GVII-2015 vaccine in vivo potency
PD50
q Aftopor vaccine formulated at reduced payload
q Full dose, ¼ dose and 1/16 dose administrated in cattle (> 6 months old)
q Homologous challenge on 21 dpv (intradermo-lingual ; 10000 cattle ID50)
q Post challenge monitoring: rectal temperature and clinical signs
Days (Vaccination D0, Challenge D21)MeanAbresponse
(log10VNTiters)
VN Titers kinetics
0
0.5
1
1.5
2
2.5
3
D0 D21 D29
G1 - 2 ml
G2 - 0.5 ml
G3 - 0.125 ml
G4 - Control
Reduced payload
G1, G2, G3
= 5 animals
G4 = 2 animals
Temperature curves
Meanrectaletemperature(°C)
Days
Challenge
38.0
38.5
39.0
39.5
40.0
40.5
41.0
41.5
42.0
D20 D21 D22 D23 D24 D25 D26 D27 D28 D29
G1 - 2ml
G2 - 0.5ml
G3 - 0.125ml
G4 - Control
FMD specific lesions at necropsy
Group
FMD specific lesions at necropsy
Protected animalsNumber of
animals with
feet lesions
Number of feet
affected per
animal
Number of
animals with
myocarditis
G1
5 animals
1/1 dose
2 ml
G2
5 animals
1/4 dose
0,5 ml
G3
5 animals
1/16 dose
0,125ml
G4
2 animals
Controls
A GVII-2015 vaccine in vivo potency
PD50
Reduced payload
Group
FMD specific lesions at necropsy
Protected animalsNumber of
animals with
feet lesions
Number of feet
affected per
animal
Number of
animals with
myocarditis
G1
5 animals
1/1 dose
2 ml
0 0, 0, 0, 0, 0 -
5/5
100%
G2
5 animals
1/4 dose
0,5 ml
0 0, 0, 0, 0, 0 -
5/5
100%
G3
5 animals
1/16 dose
0,125ml
2 0, 1, 1, 0, 0 -
3/5
60%
G4
2 animals
Controls 2 3, 1 * 2
0/2
0%
* Early death of both animals (myocarditis V)
- No mortality in the group
Protected
Not protected
Conclusion: Potency of A GVII-2015 vaccine is
established by challenge in cattle
V V
A GVII-2015 vaccine in vivo potency
PD50
Reduced payload
The newly developed A GVII-2015 vaccine strain provides a well adapted
solution to fight the A/ASIA/G-VII threat:
ü Safe, benefiting from unique purification process
ü Highly potent:
Ø High homologous and heterologous antibody responses
Ø High r1 values vs A/ASIA/G-VII isolates
Ø Excellent in vivo Potency : 18PD50
ü Compliant with the highest quality standards of Good Manufacturing
Practices and European Pharmacopeia
ü Registered in EU and Middle East
ü Commercialized as part of BI's FMD vaccines portfolio
è A GVII-2015 vaccine strain is a new key tool to support FMD control
A GVII-2015 : General Conclusion
Aldo Dekker
Erwin Claassen
Marie-France Pollet-Ogier
Julien Bazin
Amandine Bibard
Benjamin Thenoz
Nathalie Rotsztajn
Pascal Hudelet
Ben van Schaijk
Jose Coco-Martin
BI – ST VULBAS
BI - PIRBRIGHT
OS18
Acknowledgements
BI - LELYSTAD
BI - LYON
Laure Mouton
Florence Fraisse
Thanks for your attention
Mark Faithfull
Guo Zhang

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OS18 - 9.b.1 A GVII-2015, a new high potency vaccine with broad protection against A/ASIA/G-VII threat - H. Gaude

  • 1. Hélène GAUDE A GVII-2015, a new high potency vaccine with broad protection against A/Asia/G-VII threat OS18
  • 2. • Unexpected FMDV movement from the Indian sub-continent • Emergence of FMDV serotype A lineage A/ASIA/G-VII caused outbreaks in the Middle East. • Reports of outbreaks in vaccinated areas • Added by WRLFMD to the list of priority strains for European banks Epidemiological context FMD free Sporadic A/ASIA/G-VII reported notifications Endemic A/ASIA/G-VII trend of spread Source: http://www.wrlfmd.org/fmd_genotyping/index.html September 2015
  • 3. A/SAU/1/2015 A/SAU/2/2015 A-Iran-05 0 0 A-Iran-87 0 0.04 A-Iran-96 0.04 0.06 A-Iran-99 0.01 0.01 A-Sau-95 0.20 0.19 A-22 0.11 0.11 A-Tur-20-06 0.03 0.06 A-May-97 0.14 0.23 Source: The Pirbright Institute - WRLFMD • Immediate / temporary vaccine solution: A Saudi95, commercially available vaccine strain Ø gap in r1 matching Ø partial protection against A/ASIA/G-VII * BI's response to the outbreaks * Source: R. Waters et al. 2018 • A sustainable, fully effective vaccine solution is required è development of a new vaccine strain against A/ASIA/G-VII.
  • 4. A/ASIA/G-VII field isolates from WRL and from outbreak countries Vaccine candidate Adaptation to BHK-21 cell culture Selection of best vaccine candidate CRITERIA: Ä Manufacturability : to ensure long term sustainability of the future vaccine strain supply Ä Epidemiological relevance : to allow development of a vaccine strain providing the most adapted match vs circulating strains DRIVERS: Emergency & Compliance Adaptation of field isolates & Selection of vaccine candidate LELYSTAD, NL
  • 5. Production Process Scale up & Robustness to ensure capacity to produce sufficient number of doses at acceptable cost Formulation as oily or aqueous vaccine (Double Oil Emulsion or Aluminium hydroxide Saponin) Vaccine candidate A GVII-2015 Master Seed Virus (MSV) Stock A GVII-2015 Antigen A GVII-2015 Vaccines MSV purity controlled according to the Eur. Pharmacopeia Extraneous agent MSV Status Bacteria ü Free Fungi ü Free Mycoplasma ü Free Virus ü Free Industrial scale R&D scale PIRBRIGHT, UK Production process development & Industrialization of the vaccine EU GMP EU GMP EU GMP
  • 7. D0 D21 AFTOVAXPURTM 0.55 3.55 0.55 3.40 0.55 3.40 0.55 3.25 0.70 3.10 Mean 0.58 3.34 AFTOPORTM 0.55 3.40 0.70 3.25 0.70 3.10 0.55 2.80 0.70 3.25 Mean 0.64 3.16 q Vaccination of 5 cattle at standard dose x 2 vaccines q Virus Neutralization Titer determined 21 dpv Ø Results: High serological response with both formulations Conclusion: Serological potency of A GVII-2015 vaccine is satisfactory A GVII-2015 vaccine immunogenicity 0 1 2 3 4 AFTOVAXPUR AFTOPOR D0 D21 BI pass level Average VN Titers (5 animals) HomologousAbresponse (log10VNTiters)
  • 8. Conclusion: Cross-neutralization spectrum indicates a good protection against the A/ASIA/G-VII lineage A GVII-2015 vaccine matching Good BI confidence index Low BI confidence index Medium BI confidence index High BI confidence index Confidence Index: in vitro test results, combining r1 and heterologous VNT values, obtained with A GVII-2015 vaccine strain against A/ASIA/G-VII isolates q Vaccination of 5 cattle at standard dose with Aftopor q Homologous and Heterologous VN Titer (21 dpv) used to determine the BI confidence index q Results: High heterologous VN Titers and high r1 values show a good coverage amongst the A/ASIA/G-VII lineage18
  • 9. Ø Results: Serology of the vaccinates on D21 shows a dose effect relation Ø Results: After challenge, most animals presented signs related to the route of inoculation. Only control animals presented hyperthermia at D25 A GVII-2015 vaccine in vivo potency PD50 q Aftopor vaccine formulated at reduced payload q Full dose, ¼ dose and 1/16 dose administrated in cattle (> 6 months old) q Homologous challenge on 21 dpv (intradermo-lingual ; 10000 cattle ID50) q Post challenge monitoring: rectal temperature and clinical signs Days (Vaccination D0, Challenge D21)MeanAbresponse (log10VNTiters) VN Titers kinetics 0 0.5 1 1.5 2 2.5 3 D0 D21 D29 G1 - 2 ml G2 - 0.5 ml G3 - 0.125 ml G4 - Control Reduced payload G1, G2, G3 = 5 animals G4 = 2 animals Temperature curves Meanrectaletemperature(°C) Days Challenge 38.0 38.5 39.0 39.5 40.0 40.5 41.0 41.5 42.0 D20 D21 D22 D23 D24 D25 D26 D27 D28 D29 G1 - 2ml G2 - 0.5ml G3 - 0.125ml G4 - Control
  • 10. FMD specific lesions at necropsy Group FMD specific lesions at necropsy Protected animalsNumber of animals with feet lesions Number of feet affected per animal Number of animals with myocarditis G1 5 animals 1/1 dose 2 ml G2 5 animals 1/4 dose 0,5 ml G3 5 animals 1/16 dose 0,125ml G4 2 animals Controls A GVII-2015 vaccine in vivo potency PD50 Reduced payload
  • 11. Group FMD specific lesions at necropsy Protected animalsNumber of animals with feet lesions Number of feet affected per animal Number of animals with myocarditis G1 5 animals 1/1 dose 2 ml 0 0, 0, 0, 0, 0 - 5/5 100% G2 5 animals 1/4 dose 0,5 ml 0 0, 0, 0, 0, 0 - 5/5 100% G3 5 animals 1/16 dose 0,125ml 2 0, 1, 1, 0, 0 - 3/5 60% G4 2 animals Controls 2 3, 1 * 2 0/2 0% * Early death of both animals (myocarditis V) - No mortality in the group Protected Not protected Conclusion: Potency of A GVII-2015 vaccine is established by challenge in cattle V V A GVII-2015 vaccine in vivo potency PD50 Reduced payload
  • 12. The newly developed A GVII-2015 vaccine strain provides a well adapted solution to fight the A/ASIA/G-VII threat: ü Safe, benefiting from unique purification process ü Highly potent: Ø High homologous and heterologous antibody responses Ø High r1 values vs A/ASIA/G-VII isolates Ø Excellent in vivo Potency : 18PD50 ü Compliant with the highest quality standards of Good Manufacturing Practices and European Pharmacopeia ü Registered in EU and Middle East ü Commercialized as part of BI's FMD vaccines portfolio è A GVII-2015 vaccine strain is a new key tool to support FMD control A GVII-2015 : General Conclusion
  • 13. Aldo Dekker Erwin Claassen Marie-France Pollet-Ogier Julien Bazin Amandine Bibard Benjamin Thenoz Nathalie Rotsztajn Pascal Hudelet Ben van Schaijk Jose Coco-Martin BI – ST VULBAS BI - PIRBRIGHT OS18 Acknowledgements BI - LELYSTAD BI - LYON Laure Mouton Florence Fraisse Thanks for your attention Mark Faithfull Guo Zhang