Efficacy of a specific polyclonal equine F(ab')2 against avian influenza (H5N1) in ferrets: synergy with oseltamivir

Immunotherapy. 2016 Sep;8(9):1021-32. doi: 10.2217/imt-2016-0062. Epub 2016 Jul 5.

Abstract

Aim: Current therapies against avian influenza (H5N1) provide limited clinical benefit. FBF-001 is a highly purified equine polyclonal immunoglobulin fragment against H5N1.

Methods: Using a ferret model of severe acute H5N1 infection, we assessed FBF-001 when administered on the same day or 1 day after viral challenge, in comparison with oseltamivir therapy.

Results: Untreated animals died 2-3 days after challenge. FBF-001 prevented most severe illness and reduced nasal viral load, with best efficacy when administered on the day of viral challenge. Oseltamivir and FBF-001 had synergistic impact on survival.

Conclusion: FBF-001 prevented severe consequences of lethal H5N1 challenge in ferrets by controlling viral replication, an effect synergistic to oseltamivir. FBF-001 has recently been granted EMA orphan drug status.

Keywords: A/H5N1; F(ab')2; avian influenza; ferret; immunoglobulin; oseltamivir.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Animals
  • Antibodies, Viral / therapeutic use*
  • Antiviral Agents / therapeutic use*
  • Disease Models, Animal
  • Drug Synergism
  • Drug Therapy, Combination
  • Ferrets
  • Horses
  • Immunization, Passive / methods*
  • Immunoglobulin Fab Fragments / therapeutic use*
  • Influenza A Virus, H5N1 Subtype / physiology*
  • Orphan Drug Production
  • Orthomyxoviridae Infections / immunology
  • Orthomyxoviridae Infections / therapy*
  • Oseltamivir / therapeutic use*
  • Viral Load

Substances

  • Antibodies, Viral
  • Antiviral Agents
  • Immunoglobulin Fab Fragments
  • Oseltamivir