Vaccine development against methamphetamine drug addiction

Expert Rev Vaccines. 2020 Dec;19(12):1105-1114. doi: 10.1080/14760584.2020.1857738. Epub 2020 Dec 10.

Abstract

Introduction: There are currently no effective treatments for Methamphetamine (METH) addiction and psychotherapy remains the sole treatment option. The development of immunopharmacotherapies for the treatment of drug addiction, overdose, and relapse management appears to be promising alternative and a significant body of information has been generated using various vaccine development strategies. Herein, we present an update on the developments toward anti-METH vaccines and their study outcomes in preclinical and clinical studies.

Areas covered: The scope of this article is to present an update on METH vaccine development strategies such as active vaccination through hapten design and the passive immunization through monoclonal antibodies along with preclinical and clinical studies. The relevant literatures and clinical trial outcomes were searched in databases including Google, Google Scholar, PubMed, Science Direct, ClinicalTrials.gov, and www.anzctr.org.au using specific keywords.

Expert opinion: Significant improvements have been developed for immunopharmacotherapies for METH addiction over the last two decades. However, only one monoclonal antibody candidate has been evaluated in a phase I clinical trial. At this moment, it is essential to evaluate the safety and efficacy of potential candidates in clinical trials to validate the importance of this platform drug-vaccine conjugation in order to manage or overcome METH addiction.

Keywords: METH; Methamphetamine; addiction; antigen delivery; hapten; ice; immune responses; immunotherapy; meth conjugate; vaccine.

Publication types

  • Review

MeSH terms

  • Amphetamine-Related Disorders / immunology
  • Amphetamine-Related Disorders / therapy*
  • Animals
  • Antibodies, Monoclonal / administration & dosage
  • Antibodies, Monoclonal / immunology
  • Drug Overdose / immunology
  • Drug Overdose / therapy
  • Humans
  • Methamphetamine / adverse effects
  • Methamphetamine / immunology*
  • Vaccination / methods
  • Vaccines / administration & dosage*
  • Vaccines / immunology

Substances

  • Antibodies, Monoclonal
  • Vaccines
  • Methamphetamine