Going now into its first
human trials, a vaccine that could help to control a flu pandemic has shown
encouraging results.
The vaccine, made by
Acambis, based in Cambridge, should protect against all strains of influenza A,
the type responsible for pandemics. Unlike existing vaccines it does not have
to be reformulated each year to match the prevalent strains of flu, so it could
be stockpiled and used as soon as a pandemic strain emerges. Nor does it need
to be grown on fertilized chicken eggs, as the existing vaccines do, but can be
produced by cell culture.
The results,
announced yesterday by Acambis, show that in human volunteers the Acam-Flu-A
vaccine was safe and produced an immune response against its target, a small
protein (peptide) called M2e that is found on the surface of all A-strains of
the flu virus. The vaccine was also tested on ferrets, which are commonly used
in flu research because they are susceptible to human and bird flu.
The ferrets were
divided into two groups and either vaccinated with the new vaccine or left
unvaccinated. They were then exposed to a large dose of the H5N1 bird flu that
has killed millions of chickens and more than 200 people across Asia since
2003. All the unvaccinated ferrets died, but 70 per cent of the vaccinated ones
survived.
A significant problem
with conventional vaccines is that they attack parts of the flu virus that can
change rapidly. Each season the World Health Organization identifies the three
strains that are circulating, normally two A-strains and one B, and the vaccine
is made to order to provide protection against them. It is always a race
against time, because millions of eggs have to be produced to grow the vaccine
and if it is not used it is out of date by the following season.
Acambis’s approach
was to identify some aspect of the virus that is unchanging. Pandemics are
invariably caused by A-strains of flu; B-strains, which are found only in humans,
may cause epidemics but have never caused pandemics.
The company
identified a peptide, M2e, on the surface of all A-strains and developed a
vaccine that targeted it. When an individual is vaccinated the vaccine teaches
the immune system to recognize and be alert to the peptide so that as soon as
flu arrives the body’s protective systems swing into action against it. To
improve the vaccine’s effectiveness, it was combined in the trial with adjutants,
chemicals that ginger up the immune system and improve its ability to learn.
The adjuvant called QS-21, made by Antigenics, proved to be the best. When this
was added, 90 per cent of those vaccinated had antibodies against the M2e
peptide.
Michael Watson, the
executive vice-president for research and development at Acambis, said: “If
there was an immediate threat of pandemic flu, it would be possible to complete
the trials and market the vaccine within three years. Without such a threat, it
will likely take longer, perhaps five years.