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New Advances in Lyme Disease Vaccine Trials Show Promise

Published: 6/3/2024
      
Lyme disease
vaccine development
VLA15
Valneva
Pfizer partnership
clinical trials
OspA protein
immunogenicity
VALOR Phase 3
tick-borne illness

Key Takeaways

  • Valneva's Lyme disease vaccine VLA15 shows promising clinical trial results.
  • A Phase 3 trial is ongoing to assess efficacy, safety, and immunogenicity.
  • Pfizer aims to submit regulatory applications by 2026.

Did You Know?

Did you know that Lyme disease is the most common vector-borne illness in the Northern Hemisphere?

Introduction to Lyme Disease and its Impact

Lyme disease is a widespread bacterial infection caused by the Borrelia burgdorferi bacteria, transmitted through the bite of infected Ixodes ticks. It is the most common vector-borne illness in North America and Europe, affecting nearly half a million people in the U.S. each year. Early symptoms, such as a distinctive rash and flu-like sensations, can progress to more severe conditions if left untreated.

Valneva's Lyme Disease Vaccine Candidate: VLA15

One of the largest unmet needs in infectious disease is a vaccine for Lyme disease. Valneva SE is at the forefront of this effort with its vaccine candidate, VLA15. This vaccine targets the outer surface protein A (OspA) of the Borrelia burgdorferi bacteria, which is crucial in preventing the bacteria from migrating from the tick to the human host.

Phase 2 Clinical Trials: Key Findings

Valneva recently published the results of its Phase 2 clinical trials for VLA15 in the prestigious journal, The Lancet Infectious Diseases. The trials involved different dosages and schedules to determine the optimal conditions for immunization. The strongest immune responses were recorded at the highest dose of 180 µg, administered at intervals of zero, two, and six months.

Encouragingly, the vaccine was found to be safe and well-tolerated with no significant side effects. These trials included adult participants and underscored the immunogenicity of VLA15 across all studied dose groups and vaccination schedules.

Partnership with Pfizer and Future Plans

Valneva and Pfizer have been in collaboration since April 2020 to co-develop VLA15. Their joint efforts aim to accelerate the completion of clinical trials and pave the way for regulatory submissions. They are working on the ongoing Phase 3 trial named “VALOR,” which includes participants aged five years and older from the United States, Canada, and Europe. This trial will evaluate the vaccine's efficacy, safety, and immunogenicity.

The Significance of VALOR Phase 3 Trial

The Phase 3 VALOR trial is significant as it brings the vaccine closer to regulatory approval. With over 9,400 participants enrolled by December 2023, the trial's results will crucially inform the vaccine's future use, should they be positive.

Potential Regulatory Approvals

Subject to favorable outcomes from the ongoing trial, Pfizer plans to submit applications for regulatory approval to the U.S. Food and Drug Administration and the European Medicines Agency by 2026. This timeline highlights the ambitious efforts to make the first human Lyme disease vaccine available to the public.

Understanding Lyme Disease's Broader Context

Lyme disease's growing prevalence demands urgent medical solutions. The geographic expansion of the disease has increased the pressing need for a protective vaccine. Public health bodies, including the CDC, are keenly aware of the increasing number of cases and the long-term complications that can arise from untreated Lyme disease.

Significance of Vaccination in Public Health

Having an available vaccine would be a monumental step in controlling Lyme disease. Preventing the infection at the outset could reduce long-term healthcare costs and improve quality of life for those living in endemic regions.

Conclusion

The prospect of having a safe and effective Lyme disease vaccine offers hope to millions at risk. Valneva's VLA15 is presently the most advanced candidate, with promising data from various clinical trials supporting its efficacy and safety.

Final Thoughts

As scientific progress continues, there's optimism that soon Lyme disease might be a preventable condition. The ongoing VALOR trial and impending regulatory submissions signify that a breakthrough is within reach.

References

  1. Centers for Disease Control and Prevention
    https://www.cdc.gov/lyme/signs_symptoms/index.html
  2. Burn L, et al. (2023)
    https://journals.lww.com/vector-borne/Fulltext/2023/04000/Incidence_of_Lyme_Borreliosis_in_Europe_from.1.aspx
  3. Steere AC, et al. (2016)
    https://www.nature.com/articles/nrdp201691