2018
DOI: 10.1080/21645515.2018.1473698
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The vesicular stomatitis virus-based Ebola virus vaccine: From concept to clinical trials

Abstract: The devastating Ebola virus (EBOV) epidemic in West Africa in 2013–2016 accelerated the progress of several vaccines and antivirals through clinical trials, including the replication-competent vesicular stomatitis virus-based vaccine expressing the EBOV glycoprotein (VSV-EBOV). Extensive preclinical testing in animal models demonstrated the prophylactic and post-exposure efficacy of this vaccine, identified the mechanism of protection, and suggested it was safe for human use. Based on these data, VSV-EBOV was … Show more

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Cited by 111 publications
(84 citation statements)
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References 54 publications
(59 reference statements)
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“…In this study, we used the well-characterized VSV-EBOV vaccine as our starting platform as it has advantages over other vaccine approaches such as ease of genetic modification, efficient and cost-effective manufacturing, proven human safety and immunogenicity profile, and potential favorable immune cell targeting. 27,28 To define a more optimized vaccine approach, we generated several different VSV-EBOV-based vaccine vectors and compared the protective efficacy against HPAI H5N1 virus challenge in the mouse model to a VSV-HAfl vector without the EBOV GP. Despite promising results from previous studies in chickens showing that adjuvanted subunit vaccines consisting of the trimeric H5 sHA (sHAzip) induced high levels of cross-neutralizing antibodies (clade 1 and 2.3.4), 34,35 we could not demonstrate convincing protection with the sHAzip-expressing VSV vectors in this study ( Fig.…”
Section: Discussionmentioning
confidence: 99%
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“…In this study, we used the well-characterized VSV-EBOV vaccine as our starting platform as it has advantages over other vaccine approaches such as ease of genetic modification, efficient and cost-effective manufacturing, proven human safety and immunogenicity profile, and potential favorable immune cell targeting. 27,28 To define a more optimized vaccine approach, we generated several different VSV-EBOV-based vaccine vectors and compared the protective efficacy against HPAI H5N1 virus challenge in the mouse model to a VSV-HAfl vector without the EBOV GP. Despite promising results from previous studies in chickens showing that adjuvanted subunit vaccines consisting of the trimeric H5 sHA (sHAzip) induced high levels of cross-neutralizing antibodies (clade 1 and 2.3.4), 34,35 we could not demonstrate convincing protection with the sHAzip-expressing VSV vectors in this study ( Fig.…”
Section: Discussionmentioning
confidence: 99%
“…32,36,40 This is an important observation, as lower-dose vaccination would likely reduce potential adverse effects of vaccination as has been reported ocassionally from human clinical trials using VSV-EBOV vaccination. 27 Recently, it has been shown that low-dose vaccination with VSV-EBOV does not compromise protective efficacy in nonhuman primates. 41 Lower-dose vaccination would also have a beneficial effect on vaccine manufacturing.…”
Section: Discussionmentioning
confidence: 99%
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“…To combine the efficacy of a LAV with the safety profile of an inactivated or subunit/DNA vaccine, well-characterized safe and efficacious vaccine strains can be genetically engineered to present critical antigens of the emerging pathogen of interest. A recent example is the Ebola vaccine, which showed efficacy in a phase III trial (25) and is based on vesicular stomatitis virus (VSV). Among others, measles virus (MV) vaccine strains have been developed as a platform technology for vaccine development (26) and have shown immunogenicity and efficacy against flavivirus infections in animal models for DENV (27), West Nile virus (28), and Japanese encephalitis virus (29).…”
mentioning
confidence: 99%
“…Most notably, a number of the candidate vaccines currently under clinical phase evaluation are viral vector-based vaccines [15,16]. While recombinant vesicular stomatitis virus (rVSV)-based and recombinant adenovirus type-5 vector (rAd5)-based EBOV candidate vaccines have been shown to be highly efficacious against EBOV infection and transmission, numerous side effects, such as fever, acute arthritis, and skin lesions, have been reported [15,17,18]. In addition, preexisting antibodies, costs, and side effects should also be considered.…”
mentioning
confidence: 99%