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Article

Immunological and Safety Considerations When Selecting the Dose Formulation of a Purified Inactivated Zika Virus Vaccine (PIZV)

1
Takeda Vaccines Inc., Cambridge, MA 02139, USA
2
Takeda Pharmaceuticals International AG, 8152 Zürich, Switzerland
3
Takeda Pharmaceutical Company Limited, Osaka 541-0045, Japan
*
Author to whom correspondence should be addressed.
Microorganisms 2024, 12(7), 1492; https://doi.org/10.3390/microorganisms12071492
Submission received: 24 June 2024 / Revised: 16 July 2024 / Accepted: 17 July 2024 / Published: 21 July 2024
(This article belongs to the Special Issue Zika Virus Infection and Immune Response)

Abstract

We previously reported the first-in-human assessment of three doses (2, 5, and 10 µg) of purified inactivated Zika virus vaccine (PIZV or TAK-426) in the Phase 1 ZIK-101 study (NCT03343626). Here, we report dose selection based on extended safety and immunogenicity data (6 months post-vaccination) and discuss considerations (e.g., immunological, historic, flavivirus immunological cross-reactions) for selecting a Zika virus (ZIKV) vaccine dose formulation. TAK-426 dose selection was conducted at the first interim analysis, and was based on cumulative safety data from both flavivirus-naïve (up to ≥28 days post-dose PD2) and flavivirus-primed participants (up to ≥28 days PD1), and on immunogenicity data from flavivirus-naïve participants only (at 28 days PD1 and 28 days PD2). The safety profile from TAK-426 recipients was compared to placebo recipients. Immunogenicity was assessed by geometric mean titer ratios of neutralizing anti-ZIKV antibodies and differences in seroconversion rates. There was no significant difference in safety between the three TAK-426 doses. The 10 μg dose provided the earliest and strongest immune response (with close to 100% seroconversion and higher antibody titers PD1 in flavivirus-naïve participants), and was well tolerated with acceptable safety profiles in both flavivirus-naïve and flavivirus-primed participants; this dose was selected for further development.
Keywords: PIZV; TAK-426; Zika virus; purified inactivated Zika vaccine; dose selection; safety; neutralizing antibody response; cross-reactive immunity; vaccine PIZV; TAK-426; Zika virus; purified inactivated Zika vaccine; dose selection; safety; neutralizing antibody response; cross-reactive immunity; vaccine

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MDPI and ACS Style

Acosta, C.J.; Nordio, F.; Kpamegan, E.; Moss, K.J.; Kumar, P.; Hirata, K. Immunological and Safety Considerations When Selecting the Dose Formulation of a Purified Inactivated Zika Virus Vaccine (PIZV). Microorganisms 2024, 12, 1492. https://doi.org/10.3390/microorganisms12071492

AMA Style

Acosta CJ, Nordio F, Kpamegan E, Moss KJ, Kumar P, Hirata K. Immunological and Safety Considerations When Selecting the Dose Formulation of a Purified Inactivated Zika Virus Vaccine (PIZV). Microorganisms. 2024; 12(7):1492. https://doi.org/10.3390/microorganisms12071492

Chicago/Turabian Style

Acosta, Camilo J., Francesco Nordio, Eloi Kpamegan, Kelley J. Moss, Pradeep Kumar, and Kazuhiro Hirata. 2024. "Immunological and Safety Considerations When Selecting the Dose Formulation of a Purified Inactivated Zika Virus Vaccine (PIZV)" Microorganisms 12, no. 7: 1492. https://doi.org/10.3390/microorganisms12071492

APA Style

Acosta, C. J., Nordio, F., Kpamegan, E., Moss, K. J., Kumar, P., & Hirata, K. (2024). Immunological and Safety Considerations When Selecting the Dose Formulation of a Purified Inactivated Zika Virus Vaccine (PIZV). Microorganisms, 12(7), 1492. https://doi.org/10.3390/microorganisms12071492

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