Nonclinical precedent Request an invite

PreHevbrio: what was done before first-in-human, and what came after?

hepatitis B vaccine (recombinant), 3-antigen · HBsAg S/pre-S1/pre-S2 VLPs

Before first-in-human

First-in-human: where
Israel, Thailand and Singapore: legacy dose-ranging studies, one with a first-in-human part up to 20 µg
“The studies were conducted inIsrael, Thailand, and Singapore. They were open-label, comprising two dose regimens, 5 and 10 µg. One had a preliminary phase 1 FIH part with a dosage up to 20 µg.”
✓ VerifiedEMA assessment report, p. 31Source ↗
Repeat-dose tox before first-in-human
Not stated in public reviews
Not reported in the public reviews. Reviewers summarise selectively, so this usually means it wasn't discussed publicly, not that it wasn't studied.
First-in-human starting dose
Selection not stated; legacy dose-ranging studies (5 and 10 µg), one with an initial first-in-human part up to 20 µg
“The studies were conducted inIsrael, Thailand, and Singapore. They were open-label, comprising two dose regimens, 5 and 10 µg. One had a preliminary phase 1 FIH part with a dosage up to 20 µg.”
✓ VerifiedEMA assessment report, p. 31Source ↗

Longest repeat-dose systemic studies

Longest repeat-dose study and recovery
Non-GLP rat IM study: necropsy 2 days after last dose (week 4) or at 8 weeks after recovery
“Animals were sacrificed 2 days after the last dose (= 4-week time point) or at 8 weeks following recovery.”
✓ VerifiedEMA assessment report, p. 25Source ↗
Pivotal GLP studies
Non-GLP rat IM repeat-dose (doses on days 0, 14, 28; 8-week observation); GLP rat combined EFD and pre/postnatal study
“In this study, three groups of Wistar rats were dosed IM on Days 0, 14 and 28 with 0.5mL of PreHevbri (2 or 10 µg HBsAg per animal), or Al(OH)3 adjuvant alone, and were observed for signs of toxicity for 8 weeks.”
✓ VerifiedEMA assessment report, p. 25Source ↗

DART package

Species: DART
Rat (combined embryo-fetal and pre/postnatal development, female)
“A GLP-compliant embryo-fetal and pre/post-natal reproductive toxicity study was conducted with the current vaccine formulation of PreHevbri in female Sprague-Dawley rats.”
✓ VerifiedEMA assessment report, p. 26Source ↗
Reproductive & developmental
GLP rat embryo-fetal and pre/postnatal study: no female reproductive, embryo-fetal or postnatal effects
“There were no female reproductive effects and no effects on fetal/embryonal development and postnatal development up to day 23.”
✓ VerifiedFDA summary basis for approval, p. 12Source ↗
PPND / ePPND: when
Combined embryo-fetal and pre/postnatal study in rat (GLP) completed before the marketing application
“A GLP-compliant embryo-fetal and pre/post-natal reproductive toxicity study was conducted with the current vaccine formulation of PreHevbri in female Sprague-Dawley rats.”
✓ VerifiedEMA assessment report, p. 26Source ↗

Carcinogenicity

Species: carcinogenicity
Not conducted (in line with applicable guidelines)
“There were no studies on genotoxicity and carcinogenicity, which is in line with applicable guidelines.”
✓ VerifiedEMA assessment report, p. 27Source ↗
Carcinogenicity model
Not conducted (in line with applicable guidelines)
“There were no studies on genotoxicity and carcinogenicity, which is in line with applicable guidelines.”
✓ VerifiedEMA assessment report, p. 27Source ↗
Carcinogenicity timing
Not required (in line with applicable guidelines)
“There were no studies on genotoxicity and carcinogenicity, which is in line with applicable guidelines.”
✓ VerifiedEMA assessment report, p. 27Source ↗

Same question, other vaccines

Nuvaxovid

COVID-19 vaccine, recombinant spike protein nanoparticle, Matrix-M-adjuvanted · SARS-CoV-2 spike (nanoparticle)
Australia: Study 2019nCoV-101 Part 1, started May 2020

Arexvy

respiratory syncytial virus vaccine, adjuvanted (AS01E) · RSV preF3; TLR4 (AS01E adjuvant)
Not stated in public reviews

Cervarix

human papillomavirus bivalent (types 16, 18) vaccine, recombinant, AS04-adjuvanted · HPV 16/18 L1 VLPs; TLR4 (AS04 adjuvant)
Not stated in public reviews

Cyfendus

anthrax vaccine adsorbed, adjuvanted · B. anthracis PA; TLR9 (CpG 7909 adjuvant)
Not stated in public reviews

Fendrix

hepatitis B vaccine (rDNA), AS04C-adjuvanted · HBsAg VLPs; TLR4 (AS04C adjuvant)
Not stated in public reviews

Flublok

influenza vaccine, recombinant hemagglutinin · Influenza HA
Not stated in public reviews

Gardasil

human papillomavirus quadrivalent (types 6, 11, 16, 18) vaccine, recombinant · HPV 6/11/16/18 L1 VLPs
Not stated in public reviews

Gardasil 9

human papillomavirus 9-valent vaccine, recombinant · HPV 9-valent L1 VLPs
Not stated in public reviews

HBVaxPro

hepatitis B vaccine (rDNA) · HBsAg VLPs
Not stated in public reviews

Heplisav-B

hepatitis B vaccine (recombinant), adjuvanted · HBsAg; TLR9 (CpG 1018 adjuvant)
Not stated in public reviews

Mosquirix

RTS,S/AS01 malaria vaccine · P. falciparum CSP-HBsAg (RTS,S) VLPs; TLR4 (AS01 adjuvant)
Not stated in public reviews

Shingrix

zoster vaccine recombinant, AS01B-adjuvanted · VZV glycoprotein E; TLR4 (AS01B adjuvant)
Not stated in public reviews

Summary across all 13 vaccines →