A prototype dengue-1
DNA vaccine was shown to be safe and immunogenic in a previous Phase 1 clinical trial. Anti-dengue-1
neutralizing antibody responses were detectable only in the group of volunteers receiving the high dose of nonadjuvanted
vaccine and the antibody titers were low.
Vaxfectin(®), a
lipid-based adjuvant, enhances the immunogenicity of
DNA vaccines. We conducted a nonhuman primate study to evaluate the effect of
Vaxfectin(®) on the immunogenicity of a tetravalent
dengue DNA vaccine. Animals were immunized on days 0, 28 and 84, with each immunization consisting of 3mg of
Vaxfectin(®)-adjuvanted tetravalent
dengue DNA vaccine. The use of
Vaxfectin(®) resulted in a significant increase in anti-
dengue neutralizing antibody responses against dengue-1, -3 and -4. There was little to no effect on T cell responses as measured by
interferon gamma ELISPOT assay. Animals immunized with the
Vaxfectin(®)-formulated tetravalent
DNA vaccine showed significant protection against live dengue-2 virus challenge compared to control animals (0.75 mean days of
viremia vs 3.3 days). Animals vaccinated with nonadjuvanted
DNA had a mean 2.0 days of
viremia. These results support further evaluation of the
Vaxfectin(®)-adjuvanted tetravalent
dengue DNA vaccine in a Phase 1 clinical trial.