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Non‐clinical safety and biodistribution of AS03‐adjuvanted inactivated pandemic influenza vaccines

Identifieur interne : 002194 ( Istex/Curation ); précédent : 002193; suivant : 002195

Non‐clinical safety and biodistribution of AS03‐adjuvanted inactivated pandemic influenza vaccines

Auteurs : Lawrence Segal [Belgique] ; Sandrine Wouters [Belgique] ; Danielle Morelle [Belgique] ; Gaëlle Gautier [France] ; Julien Le Gal [France] ; Thomas Martin [Royaume-Uni] ; Frieke Kuper [Pays-Bas] ; Eric Destexhe [Belgique] ; Arnaud M. Didierlaurent [Belgique] ; Nathalie Garçon [Belgique]

Source :

RBID : ISTEX:DBE0ACE0CB1C383C471B072CC5D1B71DD762A2FB

Abstract

Pandemic‐influenza vaccines containing split‐inactivated‐virus antigen have been formulated with the immunostimulatory Adjuvant System AS03 to enhance the antigen immunogenicity and reduce antigen content per dose. AS03 is an oil‐in‐water emulsion containing α‐tocopherol, squalene and polysorbate 80. To support the clinical development of AS03‐adjuvanted pandemic‐influenza vaccines, the local and systemic toxicity of test articles containing split‐influenza A(H5N1) and/or AS03 were evaluated after 3–4 intramuscular (i.m.) injections in rabbits. Treatment‐related effects were restricted to mild inflammatory responses and were induced primarily by the test articles containing AS03. The injection‐site inflammation was mild at 3 days, and minimal at 4 weeks after the last injection; and was reflected by signs of activation in the draining lymph nodes and by systemic effects in the blood including a transient increase of neutrophils. In addition, a study in mice explored the biodistribution of A(H5N1) vaccines or AS03 through radiolabelling the antigen or constituents of AS03 prior to injection. In this evaluation, 57–73% of AS03's principal constituents had cleared from the injection site 3 days after injection, and their different clearance kinetics were suggestive of AS03's dissociation. All these AS03 constituents entered into the draining lymph nodes within 30 min after injection. In conclusion, the administration of repeated doses of the H5N1/AS03 vaccine was well tolerated in the rabbit, and was primarily associated with transient mild inflammation at the injection site and draining lymph nodes. The biodistribution kinetics of AS03 constituents in the mouse were consistent with AS03 inducing this pattern of inflammation. Copyright © 2015 John Wiley & Sons, Ltd.
To support the clinical development of candidate AS03‐adjuvanted pandemic‐influenza vaccines, local and systemic toxicity of 3–4 intramuscular (i.m.) injections of AS03, or AS03‐adjuvanted or unadjuvanted split‐A(H5N1) vaccines was evaluated in rabbits. The biodistribution of split‐A(H5N1) vaccines and the constituents of AS03 was explored in mice. All test articles were well tolerated. Treatment‐related effects were primarily associated with AS03 and were indicative of a transient mild local inflammation. The biodistribution kinetics of AS03 constituents were consistent with AS03 inducing this inflammation.

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DOI: 10.1002/jat.3130

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ISTEX:DBE0ACE0CB1C383C471B072CC5D1B71DD762A2FB

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<div type="abstract">Pandemic‐influenza vaccines containing split‐inactivated‐virus antigen have been formulated with the immunostimulatory Adjuvant System AS03 to enhance the antigen immunogenicity and reduce antigen content per dose. AS03 is an oil‐in‐water emulsion containing α‐tocopherol, squalene and polysorbate 80. To support the clinical development of AS03‐adjuvanted pandemic‐influenza vaccines, the local and systemic toxicity of test articles containing split‐influenza A(H5N1) and/or AS03 were evaluated after 3–4 intramuscular (i.m.) injections in rabbits. Treatment‐related effects were restricted to mild inflammatory responses and were induced primarily by the test articles containing AS03. The injection‐site inflammation was mild at 3 days, and minimal at 4 weeks after the last injection; and was reflected by signs of activation in the draining lymph nodes and by systemic effects in the blood including a transient increase of neutrophils. In addition, a study in mice explored the biodistribution of A(H5N1) vaccines or AS03 through radiolabelling the antigen or constituents of AS03 prior to injection. In this evaluation, 57–73% of AS03's principal constituents had cleared from the injection site 3 days after injection, and their different clearance kinetics were suggestive of AS03's dissociation. All these AS03 constituents entered into the draining lymph nodes within 30 min after injection. In conclusion, the administration of repeated doses of the H5N1/AS03 vaccine was well tolerated in the rabbit, and was primarily associated with transient mild inflammation at the injection site and draining lymph nodes. The biodistribution kinetics of AS03 constituents in the mouse were consistent with AS03 inducing this pattern of inflammation. Copyright © 2015 John Wiley & Sons, Ltd.</div>
<div type="abstract">To support the clinical development of candidate AS03‐adjuvanted pandemic‐influenza vaccines, local and systemic toxicity of 3–4 intramuscular (i.m.) injections of AS03, or AS03‐adjuvanted or unadjuvanted split‐A(H5N1) vaccines was evaluated in rabbits. The biodistribution of split‐A(H5N1) vaccines and the constituents of AS03 was explored in mice. All test articles were well tolerated. Treatment‐related effects were primarily associated with AS03 and were indicative of a transient mild local inflammation. The biodistribution kinetics of AS03 constituents were consistent with AS03 inducing this inflammation.</div>
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