Application of Sabin-IPV in Eradication of Poliomyelitis

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Transcription:

Application of Sabin-IPV in Eradication of Poliomyelitis Shi Li Institute of Medical Biology, Chinese Academy of Medical Sciences March 9, Taipei workshop

The first OPV(Dragee candy ) was develop by Dr. Gu Fangzhou s team in 1962.

Found in 1958. Involved in basic & applied researches in fields related to development of new vaccines for human infectious diseases. Large-scale production of series of polio vaccines, hepatitis A vaccines, EV71 Vaccine, etc. Postgraduates education of Peking Union Medical College. Jiao Ling Road: R & D center Ma Jin Pu: Industrialization production base Hua Hong Dong: ABSL3/4 labs Yi Lu Cun: Laboratory Animal Center

Make a great contribution to polio control and eradication and maintaining polio-free status in China. Over 6 billion doses OPV supplied since 1960s. WHO wrote a letter to compliment our contribution. Play an essential role in controlling epidemics and reducing incidence of hepatitis A in China. Develop the 1st viral vaccine: HAV Over 200 million doses supplied since 1993. 4

Live Attenuated HAV OPV(Dragee Candy) Sabin IPV EV71 Inactivated Vaccine OPV

double lock attenuated strains + inactivation

Started in 1983 Got approval for clinical trials (phase I & II) in 2007 Started phase I clinical trial in Aug. 2008 Started phase II clinical trial in Jul. 2009 Got approval for phase Ⅲ clinical trial in Aug, 2011 Finished phase Ⅲ clinical trial in Oct., 2012 GMP inspection was from May to Dec., 2014 Licensed in Jan.14th, 2015 WHO Prequalification Designing Initiated in 2015

Trial Plan: Random Blind Positive control Number: 1200 infants in 2 months old Group: sipv 600 infants 581 at end wipv 600 infants 573 at end Blood: Before immunization 1 month after third dose Lab. Test: Neutralizing antibody by NIFDC of China

不良反应发生率 Safety:No serious adverse events occur related to sipv. 不良反应发生情况 100.0 80.0 60.0 40.0 20.0 sipv cipv 0.0 1 级 2 级 3 级 1 级 2 级 3 级 全身性 局部性 Guoyang Liao, et al. The Journal of Infectious Diseases, 2016,214,1728~1734.

100 95 90 85 80 75 70 65 60 55 50 Ⅰ Ⅱ Ⅲ sipv wipv The seroconversion rate of anti-polioviruses types Ⅰ Ⅱ Ⅲ in sensitive subjects after vaccination 100 90 80 70 60 50 40 30 20 10 0 Ⅰ Ⅱ Ⅲ sipv wipv The seroconversion rate of anti-polioviruses types Ⅰ Ⅱ Ⅲ in in non sensitive subjects after vaccination Guoyang Liao, et al. The Journal of Infectious Diseases, 2016,214,1728~1734.

10000 1000 GMT 100 sipv wipv 10 1 Ⅰ Ⅱ Ⅲ Guoyang Liao, et al. The Journal of Infectious Diseases, 2016,214,1728~1734.

10000 1000 GMT 100 sipv wipv 10 1 Ⅰ Ⅱ Ⅲ Guoyang Liao, et al. The Journal of Infectious Diseases, 2016,214,1728~1734.

Cross Neutralization Test Tested by US CDC Clinical Infectious Diseases, 2017, DOI: 10.1093/cid/cix110 on line

Cross Neutralization Test Tested by Chinese CDC Clinical Infectious Diseases, 2017, DOI: 10.1093/cid/cix110 on line

Inoculation of the 1st dose of Sabin-IPV 2015.7.1 Around 10 million doses supplied to domestic market until now

S-IPV Production Base (Phase II) Progress Kind Support by Gates foundation and DCVMN The foundation will provide financial and technical support for the pursuit of WHO prequalification of sipv.

S-IPV Production Facility (Phase II) Total Investment: 350 million RMB Area: 4487.28 m 2 First floor: two filling lines (Vials and prefilled syringes), clean utilities, packaging area; Second floor: sipv bulk production area; Capacity: Vials (both single dose and 5-dose presentations): 40 million /year Syringes: 20 million /year Designer: Eleventh Design & Research Institute of IT Co., Ltd (EDRI)

Sabin IPV base 2 Foundation Stone Laying Ceremony 2016.8.25 Laying the foundation stone means that IMBCAMS has found the financial means to expand production of Sabin IPV, making this great vaccine available to more children. Lance Rodewald WHO Office in China

Inoculation of the 1st dose of Inactivated Enterovirus 71 vaccine (Human Diploid Cell) 2016.3.18 Around 4 million doses supplied to domestic market until now.

Innovation ability for sustained development of new vaccines sipv-dtap combined vaccine, Rabies vaccine, HPV, HCV, etc Pre-clinical Clinical phase I EV71 inactivated vaccine, New mumps vaccine Clinical phase II sipv, bopv human diploid cell), Clinical phase III JE inactivated vaccine, Influenza Industrialization

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