2019
DOI: 10.1016/j.vaccine.2018.08.039
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New human rabies vaccines in the pipeline

Abstract: Rabies remains endemic in more than 150 countries. In 99% of human cases, rabies virus is transmitted by dogs. The disease, which is nearly always fatal, is preventable by vaccines given either before and/or after exposure to a rabid animal. Numerous factors including the high cost of vaccines, the relative complexity of post-exposure vaccination protocols requiring multiple doses of vaccine, which in cases of severe exposure have to be combined with a rabies immune globulin, lack of access to health care, and… Show more

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Cited by 23 publications
(5 citation statements)
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“…To achieve these objectives, many alternative rabies vaccines are in the experimental phase of development, such as DNA and RNA based vaccines, attenuated RABV, plant-based vaccines and recombinant virus-vector vaccines [30]. To date, only a mRNA-based vaccine has PLOS NEGLECTED TROPICAL DISEASES progressed to Phase I clinical trial [31] but, despite the repeated doses, the mRNA vaccine was clearly inferior to licensed vaccines and requires further development of better optimized formulations.…”
Section: Discussionmentioning
confidence: 99%
“…To achieve these objectives, many alternative rabies vaccines are in the experimental phase of development, such as DNA and RNA based vaccines, attenuated RABV, plant-based vaccines and recombinant virus-vector vaccines [30]. To date, only a mRNA-based vaccine has PLOS NEGLECTED TROPICAL DISEASES progressed to Phase I clinical trial [31] but, despite the repeated doses, the mRNA vaccine was clearly inferior to licensed vaccines and requires further development of better optimized formulations.…”
Section: Discussionmentioning
confidence: 99%
“…And using the needle-free injection, the ID route performed better than the IM route (Alberer et al 2017). Yet, multiple clinical trials for the RNActive mRNA vaccines had shown moderate efficacy, such as a weaker antibody titer than available vaccines in the clinic against rabies virus (Alberer et al 2017;Fooks et al 2019) and low anti-tumor activity against several types of cancer (Rausch et al 2014;Kubler et al 2015;Sebastian et al 2019). Subsequently, their next generation of rabies mRNA vaccine delivered by LNP is being tested in a clinical trial (NCT03713086).…”
Section: Co-delivery Of Mrnas Encoding Antigens and Immunostimulatory Proteinsmentioning
confidence: 99%
“…We note, in addition, that new rabies vaccine products are under development and may result in new recommendations for fieldworkers and others at risk for rabies exposure. 40 , 41 …”
Section: Pre- and Post-exposure Prevention And Medical Surveillance E...mentioning
confidence: 99%