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PJ Online homeThe Pharmaceutical Journal
Vol 272 No 7290 p312
13 March 2004

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Oral E coli vaccine moving into phase II trials

Protection against travellers' diarrhoea has moved a step closer. An oral vaccine against enterotoxigenic Escherichia coli (ETEC) disease, the commonest cause of travellers’ diarrhoea, is moving into phase II studies after a successful volunteer trial.

The manufacturer, biotechnology company Microscience, says that the phase I trial demonstrated the safety and immunogenicity of its product. The open label study, involving 36 volunteers, showed that, after a single dose, 50 per cent had high levels of immune response. After two doses the response rate rose to 70 per cent.

The live vaccine is made from salmonella bacteria, rendered harmless by removal of key genes involved in the infection process. The bacteria are also modified to carry an ETEC antigen. This technology is described as spi-VEC. The company explains that the bacteria then deliver the antigen directly to cells of the immune system.

Clinical investigator David Lewis said: “The results of this first study with spi-VEC are exciting and these are the best results achieved to date in humans using this type of oral delivery system.” Phase II trials will aim to demonstrate protection against ETEC disease and develop a dosing regimen to ensure recipients gain immunity rapidly.

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