2021
DOI: 10.1016/j.vaccine.2021.01.004
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Phase III: Randomized observer-blind trial to evaluate lot-to-lot consistency of a new plant-derived quadrivalent virus like particle influenza vaccine in adults 18–49 years of age

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Cited by 50 publications
(32 citation statements)
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“…The concept of plant-produced biopharmaceuticals and vaccines has been assessed and well explored by number of research groups worldwide. Several plant-produced therapeutics ( Kizhner et al, 2015 ; Ma et al, 2015 ; Mor, 2015 ; Prevail Ii Writing Group et al, 2016 ) and vaccines ( Yuki et al, 2013 ; Hendin et al, 2017 ; Donini and Marusic, 2019 ) are currently in pipeline for clinical trials and approval, Notably plant-produced Glucocerebrosidase enzyme (Elelyso TM ) for the treatment of type I Gaucher’s disease has been approved by US Food and Drug Administration ( Fox, 2012 ) and tobacco-derived seasonal flu VLP vaccine from Medicago Inc., is currently in final stages of clinical trial ( Ward et al, 2021 ). Hence, plant-based expression could be an alternative option for rapid production of emergency vaccines or therapeutic antibodies ( Iyappan et al, 2018 ; Diego-Martin et al, 2020 ; Rattanapisit et al, 2020 ; Shanmugaraj and Phoolcharoen, 2021 ; Siriwattananon et al, 2021 ).…”
Section: Discussionmentioning
confidence: 99%
“…The concept of plant-produced biopharmaceuticals and vaccines has been assessed and well explored by number of research groups worldwide. Several plant-produced therapeutics ( Kizhner et al, 2015 ; Ma et al, 2015 ; Mor, 2015 ; Prevail Ii Writing Group et al, 2016 ) and vaccines ( Yuki et al, 2013 ; Hendin et al, 2017 ; Donini and Marusic, 2019 ) are currently in pipeline for clinical trials and approval, Notably plant-produced Glucocerebrosidase enzyme (Elelyso TM ) for the treatment of type I Gaucher’s disease has been approved by US Food and Drug Administration ( Fox, 2012 ) and tobacco-derived seasonal flu VLP vaccine from Medicago Inc., is currently in final stages of clinical trial ( Ward et al, 2021 ). Hence, plant-based expression could be an alternative option for rapid production of emergency vaccines or therapeutic antibodies ( Iyappan et al, 2018 ; Diego-Martin et al, 2020 ; Rattanapisit et al, 2020 ; Shanmugaraj and Phoolcharoen, 2021 ; Siriwattananon et al, 2021 ).…”
Section: Discussionmentioning
confidence: 99%
“…In 2012, the program, in collaboration with Medicago, Canada, successfully manufactured 10 million doses of monovalent H1N1 VLP vaccine in tobacco plants within 30 days, accomplishing the proof-of-concept objective to demonstrate the potential scalability and rapidity of plant production to combat the influenza pandemic [41]. Numerous plant-based vaccines against a wide range of pathogens and diseases, including influenza, Ebola, rabies, hepatitis B, norovirus malaria, anthrax, and rotavirus, have entered different phases of clinical trials (Table 2) [27,36,48,50,58,59,62,[64][65][66][67][68][69][70][71][72][73][74][75][76][77][78]. Recently, the quadrivalent vaccine developed by Medicago for seasonal influenza has completed a phase 3 clinical trial [48].…”
Section: Plant-based Vaccine Production For Epidemic Responsementioning
confidence: 99%
“…Only recently, proof of lot-to-lot consistency of a plant-derived vaccine has been achieved in a clinical trial: three sequential lots of a quadrivalent virus-like particle influenza vaccine (QVLP) produced in N. benthamiana elicited equivalent antibody responses to the targeted hemagglutinin (HA) proteins in a phase III clinical trial. This analysis showed for the first time that a plant produced vaccine can meet the standard criteria for consistency of production [ 6 ].…”
Section: Simplified Industrial Production Of Vaccines In Plant By Combining Vlps and Genome Editingmentioning
confidence: 99%
“…Vaccines expressed in plants also have the benefit of no risk associated with the host DNA carried in a vaccine dose, given the phylogenetic distance between plant and human [ 6 ]. Thus, all the production steps aimed at minimizing the risk of host cell nucleic acid oncogenicity (i.e., reduction of DNA size to 100–200 base pairs in length), required for vaccines expressed in mammalian cell lines [ 141 ], can be reduced, decreasing the time, costs, and quality control tests.…”
Section: Other Advantages Of Plant-based Vaccine Productionmentioning
confidence: 99%
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