From bench to almost bedside: the long road to a licensed Ebola virus vaccine

Expert Opin Biol Ther. 2018 Feb;18(2):159-173. doi: 10.1080/14712598.2018.1404572. Epub 2017 Nov 17.

Abstract

Introduction: The Ebola virus (EBOV) disease epidemic during 2014-16 in West Africa has accelerated the clinical development of several vaccine candidates that have demonstrated efficacy in the gold standard nonhuman primate (NHP) model, namely cynomolgus macaques.

Areas covered: This review discusses the pre-clinical research and if available, clinical evaluation of the currently available EBOV vaccine candidates, while emphasizing the translatability of pre-clinical data generated in the NHP model to clinical data in humans.

Expert opinion: Despite the existence of many successful EBOV vaccine candidates in the pre-clinical stages, only two platforms became the focus of Phase 2/3 efficacy trials in Liberia, Sierra Leone, and Guinea near the peak of the epidemic: the Vesicular stomatitis virus (VSV)-vectored vaccine and the chimpanzee adenovirus type 3 (ChAd3)-vectored vaccine. The results of three distinct clinical trials involving these candidates may soon pave the way for a licensed, safe and efficacious EBOV vaccine to help combat future epidemics.

Keywords: Clinical trials; ebola virus; nonhuman primates; vaccines.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't
  • Review

MeSH terms

  • Animals
  • Drug Evaluation, Preclinical
  • Ebola Vaccines / immunology*
  • Ebolavirus / genetics
  • Ebolavirus / metabolism
  • Genetic Vectors / genetics
  • Genetic Vectors / metabolism
  • Hemorrhagic Fever, Ebola / immunology
  • Hemorrhagic Fever, Ebola / pathology
  • Hemorrhagic Fever, Ebola / prevention & control*
  • Humans
  • Macaca fascicularis
  • Vaccines, DNA / genetics
  • Vaccines, DNA / immunology
  • Vaccines, Virus-Like Particle / immunology

Substances

  • Ebola Vaccines
  • Vaccines, DNA
  • Vaccines, Virus-Like Particle