Safety and Immunogenicity of CVD 1208S, a Live, Oral ΔguaBA Δsen Δset Shigella flexneri 2a Vaccine Grown on Animal-Free Media

KL Kotloff, JK Simon, M Pasetti, MB Sztein… - Human …, 2007 - Taylor & Francis
KL Kotloff, JK Simon, M Pasetti, MB Sztein, SL Wooden, S Livio, JP Nataro, WC Blackwelder…
Human vaccines, 2007Taylor & Francis
A previous Phase 1 trial demonstrated that Shigella flexneri 2a deleted in guaBA, sen and
set (strain CVD 1208) is well-tolerated and immunogenic after a single oral dose of 108 or
109 CFU. To facilitate further clinical development, the strain was reconstructed using
animal-free media to conform to regulatory guidelines, and designated CVD1208S. Healthy
inpatient volunteers were randomized (double-blind) to receive a single oral dose of either
CVD 1208S (108 [n= 7] or 109 [n= 7] CFU) or placebo (n= 2). Both vaccine dosage levels …
A previous Phase 1 trial demonstrated that Shigella flexneri 2a deleted in guaBA, sen and set (strain CVD 1208) is well-tolerated and immunogenic after a single oral dose of 108 or 109 CFU. To facilitate further clinical development, the strain was reconstructed using animal-free media to conform to regulatory guidelines, and designated CVD1208S. Healthy inpatient volunteers were randomized (double-blind) to receive a single oral dose of either CVD 1208S (108 [n = 7] or 109 [n = 7] CFU) or placebo (n = 2). Both vaccine dosage levels were generally well-tolerated. Anti-lipopolysaccharide responses, measured as IgA antibody secreting cells, serum IgG, or fecal IgA levels, occurred in 7 (100%), 3 (43%) and 2 (29%) subjects, respectively, following inoculation with 109 CFU. Interferon gamma production in response to Shigella antigens was observed in 1 of 4 (25%) and 4 of 7 (57%) subjects, respectively, following inoculation with 108 and 109 CFU. We conclude that CVD 1208S retains a favorable safety and immunogenicity profile after reconstruction on animal-free media, comparable to that seen with CVD 1208, which was constructed on media containing animal products, and shows promise as a live, oral Shigella vaccine.
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