Nonhuman primate to human immunobridging to infer the protective effect of an Ebola virus vaccine candidate

Abstract It has been proven challenging to conduct traditional efficacy trials for Ebola virus (EBOV) vaccines. In the absence of efficacy data, immunobridging is an approach to infer the likelihood of a vaccine protective effect, by translating vaccine immunogenicity in humans to a protective effec...

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Autores principales: Ramon Roozendaal, Jenny Hendriks, Thierry van Effelterre, Bart Spiessens, Liesbeth Dekking, Laura Solforosi, Dominika Czapska-Casey, Viki Bockstal, Jeroen Stoop, Daniel Splinter, Sarah Janssen, Ben van Baelen, Nadia Verbruggen, Jan Serroyen, Eline Dekeyster, Ariane Volkmann, Yvonne Wollmann, Ricardo Carrion, Luis D. Giavedoni, Cynthia Robinson, Maarten Leyssen, Macaya Douoguih, Kerstin Luhn, Maria Grazia Pau, Jerry Sadoff, An Vandebosch, Hanneke Schuitemaker, Roland Zahn, Benoit Callendret
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Publicado: Nature Portfolio 2020
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Acceso en línea:https://doaj.org/article/31753f8ec19c4f7ca129201ac99ccb00
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spelling oai:doaj.org-article:31753f8ec19c4f7ca129201ac99ccb002021-12-02T12:42:26ZNonhuman primate to human immunobridging to infer the protective effect of an Ebola virus vaccine candidate10.1038/s41541-020-00261-92059-0105https://doaj.org/article/31753f8ec19c4f7ca129201ac99ccb002020-12-01T00:00:00Zhttps://doi.org/10.1038/s41541-020-00261-9https://doaj.org/toc/2059-0105Abstract It has been proven challenging to conduct traditional efficacy trials for Ebola virus (EBOV) vaccines. In the absence of efficacy data, immunobridging is an approach to infer the likelihood of a vaccine protective effect, by translating vaccine immunogenicity in humans to a protective effect, using the relationship between vaccine immunogenicity and the desired outcome in a suitable animal model. We here propose to infer the protective effect of the Ad26.ZEBOV, MVA-BN-Filo vaccine regimen with an 8-week interval in humans by immunobridging. Immunogenicity and protective efficacy data were obtained for Ad26.ZEBOV and MVA-BN-Filo vaccine regimens using a fully lethal EBOV Kikwit challenge model in cynomolgus monkeys (nonhuman primates [NHP]). The association between EBOV neutralizing antibodies, glycoprotein (GP)-binding antibodies, and GP-reactive T cells and survival in NHP was assessed by logistic regression analysis. Binding antibodies against the EBOV surface GP were identified as the immune parameter with the strongest correlation to survival post EBOV challenge, and used to infer the predicted protective effect of the vaccine in humans using published data from phase I studies. The human vaccine-elicited EBOV GP-binding antibody levels are in a range associated with significant protection against mortality in NHP. Based on this immunobridging analysis, the EBOV GP-specific-binding antibody levels elicited by the Ad26.ZEBOV, MVA-BN-Filo vaccine regimen in humans will likely provide protection against EBOV disease.Ramon RoozendaalJenny HendriksThierry van EffelterreBart SpiessensLiesbeth DekkingLaura SolforosiDominika Czapska-CaseyViki BockstalJeroen StoopDaniel SplinterSarah JanssenBen van BaelenNadia VerbruggenJan SerroyenEline DekeysterAriane VolkmannYvonne WollmannRicardo CarrionLuis D. GiavedoniCynthia RobinsonMaarten LeyssenMacaya DouoguihKerstin LuhnMaria Grazia PauJerry SadoffAn VandeboschHanneke SchuitemakerRoland ZahnBenoit CallendretNature PortfolioarticleImmunologic diseases. AllergyRC581-607Neoplasms. Tumors. Oncology. Including cancer and carcinogensRC254-282ENnpj Vaccines, Vol 5, Iss 1, Pp 1-11 (2020)
institution DOAJ
collection DOAJ
language EN
topic Immunologic diseases. Allergy
RC581-607
Neoplasms. Tumors. Oncology. Including cancer and carcinogens
RC254-282
spellingShingle Immunologic diseases. Allergy
RC581-607
Neoplasms. Tumors. Oncology. Including cancer and carcinogens
RC254-282
Ramon Roozendaal
Jenny Hendriks
Thierry van Effelterre
Bart Spiessens
Liesbeth Dekking
Laura Solforosi
Dominika Czapska-Casey
Viki Bockstal
Jeroen Stoop
Daniel Splinter
Sarah Janssen
Ben van Baelen
Nadia Verbruggen
Jan Serroyen
Eline Dekeyster
Ariane Volkmann
Yvonne Wollmann
Ricardo Carrion
Luis D. Giavedoni
Cynthia Robinson
Maarten Leyssen
Macaya Douoguih
Kerstin Luhn
Maria Grazia Pau
Jerry Sadoff
An Vandebosch
Hanneke Schuitemaker
Roland Zahn
Benoit Callendret
Nonhuman primate to human immunobridging to infer the protective effect of an Ebola virus vaccine candidate
description Abstract It has been proven challenging to conduct traditional efficacy trials for Ebola virus (EBOV) vaccines. In the absence of efficacy data, immunobridging is an approach to infer the likelihood of a vaccine protective effect, by translating vaccine immunogenicity in humans to a protective effect, using the relationship between vaccine immunogenicity and the desired outcome in a suitable animal model. We here propose to infer the protective effect of the Ad26.ZEBOV, MVA-BN-Filo vaccine regimen with an 8-week interval in humans by immunobridging. Immunogenicity and protective efficacy data were obtained for Ad26.ZEBOV and MVA-BN-Filo vaccine regimens using a fully lethal EBOV Kikwit challenge model in cynomolgus monkeys (nonhuman primates [NHP]). The association between EBOV neutralizing antibodies, glycoprotein (GP)-binding antibodies, and GP-reactive T cells and survival in NHP was assessed by logistic regression analysis. Binding antibodies against the EBOV surface GP were identified as the immune parameter with the strongest correlation to survival post EBOV challenge, and used to infer the predicted protective effect of the vaccine in humans using published data from phase I studies. The human vaccine-elicited EBOV GP-binding antibody levels are in a range associated with significant protection against mortality in NHP. Based on this immunobridging analysis, the EBOV GP-specific-binding antibody levels elicited by the Ad26.ZEBOV, MVA-BN-Filo vaccine regimen in humans will likely provide protection against EBOV disease.
format article
author Ramon Roozendaal
Jenny Hendriks
Thierry van Effelterre
Bart Spiessens
Liesbeth Dekking
Laura Solforosi
Dominika Czapska-Casey
Viki Bockstal
Jeroen Stoop
Daniel Splinter
Sarah Janssen
Ben van Baelen
Nadia Verbruggen
Jan Serroyen
Eline Dekeyster
Ariane Volkmann
Yvonne Wollmann
Ricardo Carrion
Luis D. Giavedoni
Cynthia Robinson
Maarten Leyssen
Macaya Douoguih
Kerstin Luhn
Maria Grazia Pau
Jerry Sadoff
An Vandebosch
Hanneke Schuitemaker
Roland Zahn
Benoit Callendret
author_facet Ramon Roozendaal
Jenny Hendriks
Thierry van Effelterre
Bart Spiessens
Liesbeth Dekking
Laura Solforosi
Dominika Czapska-Casey
Viki Bockstal
Jeroen Stoop
Daniel Splinter
Sarah Janssen
Ben van Baelen
Nadia Verbruggen
Jan Serroyen
Eline Dekeyster
Ariane Volkmann
Yvonne Wollmann
Ricardo Carrion
Luis D. Giavedoni
Cynthia Robinson
Maarten Leyssen
Macaya Douoguih
Kerstin Luhn
Maria Grazia Pau
Jerry Sadoff
An Vandebosch
Hanneke Schuitemaker
Roland Zahn
Benoit Callendret
author_sort Ramon Roozendaal
title Nonhuman primate to human immunobridging to infer the protective effect of an Ebola virus vaccine candidate
title_short Nonhuman primate to human immunobridging to infer the protective effect of an Ebola virus vaccine candidate
title_full Nonhuman primate to human immunobridging to infer the protective effect of an Ebola virus vaccine candidate
title_fullStr Nonhuman primate to human immunobridging to infer the protective effect of an Ebola virus vaccine candidate
title_full_unstemmed Nonhuman primate to human immunobridging to infer the protective effect of an Ebola virus vaccine candidate
title_sort nonhuman primate to human immunobridging to infer the protective effect of an ebola virus vaccine candidate
publisher Nature Portfolio
publishDate 2020
url https://doaj.org/article/31753f8ec19c4f7ca129201ac99ccb00
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