1. A novel peptide-based pan-influenza A vaccine: a double blind, randomised clinical trial of immunogenicity and safety.
- Author
-
Francis JN, Bunce CJ, Horlock C, Watson JM, Warrington SJ, Georges B, and Brown CB
- Subjects
- Adult, Antibodies, Viral immunology, CD4-Positive T-Lymphocytes immunology, CD8-Positive T-Lymphocytes immunology, Cross Reactions, Double-Blind Method, Enzyme-Linked Immunospot Assay, Epitopes, T-Lymphocyte immunology, Flow Cytometry, Humans, Influenza Vaccines administration & dosage, Influenza, Human prevention & control, Interferon-gamma biosynthesis, Interferon-gamma immunology, Leukocytes, Mononuclear immunology, Male, Middle Aged, Vaccination, Vaccines, Subunit administration & dosage, Vaccines, Subunit adverse effects, Vaccines, Subunit immunology, Young Adult, Influenza Vaccines adverse effects, Influenza Vaccines immunology, T-Lymphocytes immunology
- Abstract
Background: FP-01.1 is a novel synthetic influenza A vaccine consisting of six fluorocarbon-modified 35-mer peptides that encapsulate multiple CD4+ and CD8+ T-cell epitopes and is designed to induce an immune response across a broad population., Methods: FP-01.1 was evaluated for safety and immunogenicity in a randomised, double-blind, placebo-controlled, dose-escalation, phase I clinical study in healthy adult volunteers (n=49). IFNγ ELISpot assays and multicolour flow cytometry were used to characterise the immune response., Results: FP-01.1 was safe and well tolerated at all doses tested with a similar adverse event profile in actively vaccinated subjects compared with controls. Maximum immunogenicity was in the 150 μg/peptide dose group where a robust response (243 spots/million PBMC) was demonstrated in 75% subjects compared with 0% in placebo controls. All six peptides were immunogenic. FP-01.1 induced dual CD4+ and CD8+ T cell responses and vaccine-specific T cells cross-recognise divergent influenza strains., Conclusions: This first-in-human study showed that FP-01.1 has an acceptable safety and tolerability profile and generated robust anti-viral T cell responses in a high proportion of subjects tested. The results support the further clinical testing of FP-01.1 prior to clinical, proof-of-concept, live viral challenge studies., (Copyright © 2014 The Authors. Published by Elsevier Ltd.. All rights reserved.)
- Published
- 2015
- Full Text
- View/download PDF