Preclinical development of a replication-competent vesicular stomatitis virus-based Lassa virus vaccine candidate advanced into human clinical trialsResearch in context

Summary: Background: Lassa fever (LF) is a zoonotic haemorrhagic disease caused by Lassa virus (LASV), which is endemic in West African countries. The multimammate rat is the main animal reservoir and its geographic range is expected to expand due to influences like climate change and land usage, a...

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Main Authors: Christopher L. Cooper, Gavin Morrow, Maoli Yuan, Thomas S. Postler, Maxwell L. Neal, Robert W. Cross, Courtney Woolsey, Krystle N. Agans, Viktoriya Borisevich, Ryan P. McNamara, Caroline Atyeo, Vicky Roy, Daritza Germosen, Fuxiang Hou, Shui L. Li, Lucia Reiserova, Yesle Choi, Aaron Wilson, Denise Wagner, Olivia Wallace-Selman, Alexei Carpov, Fuqiang Geng, Deborah J. Frederick, Joanne DeStefano, Anne M. Ercolini, Adrian S. Enriquez, Kathryn M. Hastie, Suzane Ramos da Silva, Eddy Sayeed, John W. Coleman, Andrew Kilianski, Galit Alter, Erica Ollmann Saphire, John D. Aitchison, Thomas W. Geisbert, Swati B. Gupta, Mark B. Feinberg, Christopher L. Parks
Format: Article
Language:English
Published: Elsevier 2025-04-01
Series:EBioMedicine
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Online Access:http://www.sciencedirect.com/science/article/pii/S235239642500091X
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author Christopher L. Cooper
Gavin Morrow
Maoli Yuan
Thomas S. Postler
Maxwell L. Neal
Robert W. Cross
Courtney Woolsey
Krystle N. Agans
Viktoriya Borisevich
Ryan P. McNamara
Caroline Atyeo
Vicky Roy
Daritza Germosen
Fuxiang Hou
Shui L. Li
Lucia Reiserova
Yesle Choi
Aaron Wilson
Denise Wagner
Olivia Wallace-Selman
Alexei Carpov
Fuqiang Geng
Deborah J. Frederick
Joanne DeStefano
Anne M. Ercolini
Adrian S. Enriquez
Kathryn M. Hastie
Suzane Ramos da Silva
Eddy Sayeed
John W. Coleman
Andrew Kilianski
Galit Alter
Erica Ollmann Saphire
John D. Aitchison
Thomas W. Geisbert
Swati B. Gupta
Mark B. Feinberg
Christopher L. Parks
author_facet Christopher L. Cooper
Gavin Morrow
Maoli Yuan
Thomas S. Postler
Maxwell L. Neal
Robert W. Cross
Courtney Woolsey
Krystle N. Agans
Viktoriya Borisevich
Ryan P. McNamara
Caroline Atyeo
Vicky Roy
Daritza Germosen
Fuxiang Hou
Shui L. Li
Lucia Reiserova
Yesle Choi
Aaron Wilson
Denise Wagner
Olivia Wallace-Selman
Alexei Carpov
Fuqiang Geng
Deborah J. Frederick
Joanne DeStefano
Anne M. Ercolini
Adrian S. Enriquez
Kathryn M. Hastie
Suzane Ramos da Silva
Eddy Sayeed
John W. Coleman
Andrew Kilianski
Galit Alter
Erica Ollmann Saphire
John D. Aitchison
Thomas W. Geisbert
Swati B. Gupta
Mark B. Feinberg
Christopher L. Parks
author_sort Christopher L. Cooper
collection DOAJ
description Summary: Background: Lassa fever (LF) is a zoonotic haemorrhagic disease caused by Lassa virus (LASV), which is endemic in West African countries. The multimammate rat is the main animal reservoir and its geographic range is expected to expand due to influences like climate change and land usage, and this will place larger parts of Africa at risk. We conducted preclinical development on a promising experimental vaccine that allowed its advancement into human trials. Methods: The LF vaccine is based on a vesicular stomatitis virus (VSV) vector in which the VSV glycoprotein (G) was replaced with the LASV glycoprotein complex (GPC). Earlier studies showed that this vaccine (VSVΔG-LASV-GPC) was efficacious in macaques, thus we regenerated VSVΔG-LASV-GPC using laboratory and documentation practices required to support vaccine manufacturing and human trials. The efficacy of the clinical vaccine candidate was assessed in cynomolgus macaques and more extensive immunologic analysis was performed than previously to investigate immune responses associated with protection. Findings: A single VSVΔG-LASV-GPC vaccination elicited innate, humoural and cellular immune responses, prevented development of substantial LASV viraemia, and protected animals from disease. Vaccinated macaques developed polyfunctional antibodies and serum was shown to neutralize virus expressing GPCs representative of geographically diverse LASV lineages. Interpretation: The VSVΔG-LASV-GPC clinical candidate elicited immunity that protected 10 of 10 vaccinated macaques from disease supporting its use in a clinical development program, which recently progressed to phase 2 clinical trials. Moreover, immunologic analysis showed that virus-neutralizing serum antibodies likely played a role in preventing LASV disease in vaccinated macaques. Funding: This work was supported by the Coalition for Epidemic Preparedness Innovations (CEPI), The National Institute of Allergy and Infectious Diseases (NIAID)/National Institutes of Health (NIH), The Bill and Melinda Gates Global Vaccine Accelerator Program, the Burroughs Wellcome Fund, and financial gifts and support by Nancy Zimmerman, Mark and Lisa Schwartz, and Terry and Susan Ragon.
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spelling doaj-art-7972db8f70844e2eabc1d7446247d4f42025-08-20T02:10:20ZengElsevierEBioMedicine2352-39642025-04-0111410564710.1016/j.ebiom.2025.105647Preclinical development of a replication-competent vesicular stomatitis virus-based Lassa virus vaccine candidate advanced into human clinical trialsResearch in contextChristopher L. Cooper0Gavin Morrow1Maoli Yuan2Thomas S. Postler3Maxwell L. Neal4Robert W. Cross5Courtney Woolsey6Krystle N. Agans7Viktoriya Borisevich8Ryan P. McNamara9Caroline Atyeo10Vicky Roy11Daritza Germosen12Fuxiang Hou13Shui L. Li14Lucia Reiserova15Yesle Choi16Aaron Wilson17Denise Wagner18Olivia Wallace-Selman19Alexei Carpov20Fuqiang Geng21Deborah J. Frederick22Joanne DeStefano23Anne M. Ercolini24Adrian S. Enriquez25Kathryn M. Hastie26Suzane Ramos da Silva27Eddy Sayeed28John W. Coleman29Andrew Kilianski30Galit Alter31Erica Ollmann Saphire32John D. Aitchison33Thomas W. Geisbert34Swati B. Gupta35Mark B. Feinberg36Christopher L. Parks37IAVI, Vaccine Design and Development Laboratory, Jersey City, NJ 07302, USAIAVI, Vaccine Design and Development Laboratory, Jersey City, NJ 07302, USAIAVI, Vaccine Design and Development Laboratory, Jersey City, NJ 07302, USAIAVI, Vaccine Design and Development Laboratory, Jersey City, NJ 07302, USACenter for Global Infectious Disease Research, Seattle Children's Research Institute, Seattle, WA 98109, USAGalveston National Laboratory, University of Texas Medical Branch, Galveston, TX 77555, USA; Department of Microbiology and Immunology, University of Texas Medical Branch, Galveston, TX 77555, USAGalveston National Laboratory, University of Texas Medical Branch, Galveston, TX 77555, USA; Department of Microbiology and Immunology, University of Texas Medical Branch, Galveston, TX 77555, USAGalveston National Laboratory, University of Texas Medical Branch, Galveston, TX 77555, USA; Department of Microbiology and Immunology, University of Texas Medical Branch, Galveston, TX 77555, USAGalveston National Laboratory, University of Texas Medical Branch, Galveston, TX 77555, USA; Department of Microbiology and Immunology, University of Texas Medical Branch, Galveston, TX 77555, USARagon Institute of Massachusetts General Hospital, Massachusetts Institute of Technology and Harvard, Cambridge, MA 02139, USARagon Institute of Massachusetts General Hospital, Massachusetts Institute of Technology and Harvard, Cambridge, MA 02139, USARagon Institute of Massachusetts General Hospital, Massachusetts Institute of Technology and Harvard, Cambridge, MA 02139, USARagon Institute of Massachusetts General Hospital, Massachusetts Institute of Technology and Harvard, Cambridge, MA 02139, USAIAVI, Vaccine Design and Development Laboratory, Jersey City, NJ 07302, USAIAVI, Vaccine Design and Development Laboratory, Jersey City, NJ 07302, USAIAVI, Vaccine Design and Development Laboratory, Jersey City, NJ 07302, USAIAVI, Vaccine Design and Development Laboratory, Jersey City, NJ 07302, USAIAVI, Vaccine Design and Development Laboratory, Jersey City, NJ 07302, USAIAVI, Vaccine Design and Development Laboratory, Jersey City, NJ 07302, USAIAVI, Vaccine Design and Development Laboratory, Jersey City, NJ 07302, USAIAVI, Vaccine Design and Development Laboratory, Jersey City, NJ 07302, USAIAVI, Vaccine Design and Development Laboratory, Jersey City, NJ 07302, USAIAVI, Vaccine Design and Development Laboratory, Jersey City, NJ 07302, USAIAVI, Vaccine Design and Development Laboratory, Jersey City, NJ 07302, USAIAVI, Vaccine Design and Development Laboratory, Jersey City, NJ 07302, USACenter for Vaccine Innovation, La Jolla Institute for Immunology, La Jolla, CA 92037, USACenter for Vaccine Innovation, La Jolla Institute for Immunology, La Jolla, CA 92037, USAIAVI, Vaccine Design and Development Laboratory, Jersey City, NJ 07302, USAIAVI, New York, NY 10004, USAIAVI, Vaccine Design and Development Laboratory, Jersey City, NJ 07302, USAIAVI, New York, NY 10004, USARagon Institute of Massachusetts General Hospital, Massachusetts Institute of Technology and Harvard, Cambridge, MA 02139, USACenter for Vaccine Innovation, La Jolla Institute for Immunology, La Jolla, CA 92037, USACenter for Global Infectious Disease Research, Seattle Children's Research Institute, Seattle, WA 98109, USA; Departments of Pediatrics and Biochemistry, University of Washington, Seattle, WA 98109, USAGalveston National Laboratory, University of Texas Medical Branch, Galveston, TX 77555, USA; Department of Microbiology and Immunology, University of Texas Medical Branch, Galveston, TX 77555, USAIAVI, New York, NY 10004, USAIAVI, New York, NY 10004, USAIAVI, Vaccine Design and Development Laboratory, Jersey City, NJ 07302, USA; Corresponding author.Summary: Background: Lassa fever (LF) is a zoonotic haemorrhagic disease caused by Lassa virus (LASV), which is endemic in West African countries. The multimammate rat is the main animal reservoir and its geographic range is expected to expand due to influences like climate change and land usage, and this will place larger parts of Africa at risk. We conducted preclinical development on a promising experimental vaccine that allowed its advancement into human trials. Methods: The LF vaccine is based on a vesicular stomatitis virus (VSV) vector in which the VSV glycoprotein (G) was replaced with the LASV glycoprotein complex (GPC). Earlier studies showed that this vaccine (VSVΔG-LASV-GPC) was efficacious in macaques, thus we regenerated VSVΔG-LASV-GPC using laboratory and documentation practices required to support vaccine manufacturing and human trials. The efficacy of the clinical vaccine candidate was assessed in cynomolgus macaques and more extensive immunologic analysis was performed than previously to investigate immune responses associated with protection. Findings: A single VSVΔG-LASV-GPC vaccination elicited innate, humoural and cellular immune responses, prevented development of substantial LASV viraemia, and protected animals from disease. Vaccinated macaques developed polyfunctional antibodies and serum was shown to neutralize virus expressing GPCs representative of geographically diverse LASV lineages. Interpretation: The VSVΔG-LASV-GPC clinical candidate elicited immunity that protected 10 of 10 vaccinated macaques from disease supporting its use in a clinical development program, which recently progressed to phase 2 clinical trials. Moreover, immunologic analysis showed that virus-neutralizing serum antibodies likely played a role in preventing LASV disease in vaccinated macaques. Funding: This work was supported by the Coalition for Epidemic Preparedness Innovations (CEPI), The National Institute of Allergy and Infectious Diseases (NIAID)/National Institutes of Health (NIH), The Bill and Melinda Gates Global Vaccine Accelerator Program, the Burroughs Wellcome Fund, and financial gifts and support by Nancy Zimmerman, Mark and Lisa Schwartz, and Terry and Susan Ragon.http://www.sciencedirect.com/science/article/pii/S235239642500091XLassa virusVesicular stomatitis virus vectorClinical vaccine candidateNeutralizing antibodies
spellingShingle Christopher L. Cooper
Gavin Morrow
Maoli Yuan
Thomas S. Postler
Maxwell L. Neal
Robert W. Cross
Courtney Woolsey
Krystle N. Agans
Viktoriya Borisevich
Ryan P. McNamara
Caroline Atyeo
Vicky Roy
Daritza Germosen
Fuxiang Hou
Shui L. Li
Lucia Reiserova
Yesle Choi
Aaron Wilson
Denise Wagner
Olivia Wallace-Selman
Alexei Carpov
Fuqiang Geng
Deborah J. Frederick
Joanne DeStefano
Anne M. Ercolini
Adrian S. Enriquez
Kathryn M. Hastie
Suzane Ramos da Silva
Eddy Sayeed
John W. Coleman
Andrew Kilianski
Galit Alter
Erica Ollmann Saphire
John D. Aitchison
Thomas W. Geisbert
Swati B. Gupta
Mark B. Feinberg
Christopher L. Parks
Preclinical development of a replication-competent vesicular stomatitis virus-based Lassa virus vaccine candidate advanced into human clinical trialsResearch in context
EBioMedicine
Lassa virus
Vesicular stomatitis virus vector
Clinical vaccine candidate
Neutralizing antibodies
title Preclinical development of a replication-competent vesicular stomatitis virus-based Lassa virus vaccine candidate advanced into human clinical trialsResearch in context
title_full Preclinical development of a replication-competent vesicular stomatitis virus-based Lassa virus vaccine candidate advanced into human clinical trialsResearch in context
title_fullStr Preclinical development of a replication-competent vesicular stomatitis virus-based Lassa virus vaccine candidate advanced into human clinical trialsResearch in context
title_full_unstemmed Preclinical development of a replication-competent vesicular stomatitis virus-based Lassa virus vaccine candidate advanced into human clinical trialsResearch in context
title_short Preclinical development of a replication-competent vesicular stomatitis virus-based Lassa virus vaccine candidate advanced into human clinical trialsResearch in context
title_sort preclinical development of a replication competent vesicular stomatitis virus based lassa virus vaccine candidate advanced into human clinical trialsresearch in context
topic Lassa virus
Vesicular stomatitis virus vector
Clinical vaccine candidate
Neutralizing antibodies
url http://www.sciencedirect.com/science/article/pii/S235239642500091X
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