PMID- 24351795 OWN - NLM STAT- MEDLINE DCOM- 20140714 LR - 20240420 IS - 1999-4915 (Electronic) IS - 1999-4915 (Linking) VI - 5 IP - 12 DP - 2013 Dec 9 TI - Preclinical and clinical development of a YFV 17 D-based chimeric vaccine against West Nile virus. PG - 3048-70 LID - 10.3390/v5123048 [doi] AB - Substantial success has been achieved in the development and implementation of West Nile (WN) vaccines for horses; however, no human WN vaccines are approved. This review focuses on the construction, pre-clinical and clinical characterization of ChimeriVax-WN02 for humans, a live chimeric vaccine composed of a yellow fever (YF) 17D virus in which the prM-E envelope protein genes are replaced with the corresponding genes of the WN NY99 virus. Pre-clinical studies demonstrated that ChimeriVax-WN02 was significantly less neurovirulent than YF 17D in mice and rhesus and cynomolgus monkeys. The vaccine elicited neutralizing antibody titers after inoculation in hamsters and monkeys and protected immunized animals from lethal challenge including intracerebral inoculation of high dose of WN NY99 virus. Safety, viremia and immunogenicity of ChimeriVax-WN02 were assessed in one phase I study and in two phase II clinical trials. No safety signals were detected in the three clinical trials with no remarkable differences in incidence of adverse events (AEs) between vaccine and placebo recipients. Viremia was transient and the mean viremia levels were low. The vaccine elicited strong and durable neutralizing antibody and cytotoxic T cell responses. WN epidemiology impedes a classical licensure pathway; therefore, innovative licensure strategies should be explored. FAU - Dayan, Gustavo H AU - Dayan GH AD - Sanofi Pasteur, 1 Discovery Drive, Swiftwater,, PA 18370, USA. Gustavo.Dayan@sanofipasteur.com. FAU - Pugachev, Konstantin AU - Pugachev K FAU - Bevilacqua, Joan AU - Bevilacqua J FAU - Lang, Jean AU - Lang J FAU - Monath, Thomas P AU - Monath TP LA - eng PT - Journal Article PT - Review DEP - 20131209 PL - Switzerland TA - Viruses JT - Viruses JID - 101509722 RN - 0 (Antibodies, Neutralizing) RN - 0 (Antibodies, Viral) RN - 0 (ChimeriVax) RN - 0 (Drug Carriers) RN - 0 (Vaccines, Attenuated) RN - 0 (Vaccines, Synthetic) RN - 0 (West Nile Virus Vaccines) SB - IM MH - Animals MH - Antibodies, Neutralizing/blood MH - Antibodies, Viral/blood MH - Clinical Trials as Topic MH - Cricetinae MH - Disease Models, Animal MH - *Drug Carriers MH - Drug Evaluation, Preclinical MH - *Genetic Vectors MH - Humans MH - Macaca fascicularis MH - Mice MH - Survival Analysis MH - T-Lymphocytes, Cytotoxic/immunology MH - Vaccines, Attenuated/administration & dosage/adverse effects/genetics/immunology MH - Vaccines, Synthetic/administration & dosage/adverse effects/genetics/immunology MH - West Nile Virus Vaccines/administration & dosage/adverse effects/genetics/*immunology MH - West Nile virus/genetics/*immunology MH - Yellow fever virus/*genetics PMC - PMC3967160 EDAT- 2013/12/20 06:00 MHDA- 2014/07/16 06:00 PMCR- 2013/12/01 CRDT- 2013/12/20 06:00 PHST- 2013/08/16 00:00 [received] PHST- 2013/11/11 00:00 [revised] PHST- 2013/11/18 00:00 [accepted] PHST- 2013/12/20 06:00 [entrez] PHST- 2013/12/20 06:00 [pubmed] PHST- 2014/07/16 06:00 [medline] PHST- 2013/12/01 00:00 [pmc-release] AID - v5123048 [pii] AID - viruses-05-03048 [pii] AID - 10.3390/v5123048 [doi] PST - epublish SO - Viruses. 2013 Dec 9;5(12):3048-70. doi: 10.3390/v5123048.