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Yellow Fever

Yellow fever, a severe and potentially fatal disease, is caused by the yellow fever virus (YFV), a mosquito-borne flavivirus. Our company is dedicated to advancing yellow fever therapeutics and prevention through a comprehensive suite of services.

Overview of Yellow Fever

Yellow fever is an infectious disease characterized by fever and jaundice, caused by the yellow fever virus (YFV), belonging to the Flavivirus genus. Transmitted primarily by Aedes and Haemagogus mosquitoes, YFV poses a significant public health threat in tropical regions of Africa and South America. The disease manifests in two phases: the acute phase, characterized by fever, chills, loss of appetite, and muscle pain, and the toxic phase, which can lead to severe liver damage, jaundice, bleeding, and a high mortality rate. The case fatality rate can vary between 5% and 50%, depending on the outbreak conditions and the population affected.

The YFV genome.Fig.1 Schematic representation of the yellow fever virus (YFV) genome. (Hansen C. A., et al., 2021)

Although effective vaccines are accessible, yellow fever continues to be endemic in 44 countries, resulting in approximately 109,000 severe infections and 51,000 fatalities each year. The infrastructure for vaccination and disease surveillance is crucial to prevent outbreaks, given the re-emergence of yellow fever in areas previously considered non-endemic, likely exacerbated by climate change and urbanization.

Vaccine Development for Yellow Fever

The yellow fever 17D vaccine, developed in the 1930s, has been a mainstay in disease prevention. This live-attenuated vaccine provides long-lasting immunity but faces limitations in production scalability and potential safety concerns in specific populations, such as the elderly or immunocompromised individuals.

In response, there has been a push towards developing inactivated vaccines. These vaccines, exemplified by candidates like XRX-001, are produced through the purification and inactivation of the YFV, offering a safer alternative with similar efficacy rates observed in clinical trials.

Table 1 Yellow fever vaccine candidates in development. (Hansen C. A., et al., 2021)

Vaccine Type Vaccine Name Stage of Development Cohort Endpoints
Inactivated XRX-001 Clinical: Phase I 60 healthy male and female volunteers Safety: SAE incidence
Efficacy: neutralizing antibody response
Non-replicating viral vector MVA-BN-YF Clinical: Phase I Healthy adults aged 18–45 (NCT 02743455) Safety, reactogenicity, immunogenicity
Inactivated VINFLAPI001/2010 Pre-clinical C57Bl/6 mice Seroconversion of neutralizing antibodies and protection from lethal challenge
Non-replicating viral vector MVA-YF and dVV-YF Pre-clinical BALB/c mice Safety, immunogenicity, and protection from lethal challenge
Replicating viral vector Recombinant vaccinia virus/17D YFV Pre-clinical BALB/c mice Protection from lethal challenge
DNA pYF17D-16 iDNA Pre-clinical AG129 and BALB/c mice Safety and seroconversion of neutralizing antibodies, respectively
Inactivated Chumakov Institute inactivated YF vaccine Pre-clinical BALB/c mice Non-inferior immunogenicity compared to 17D
DNA pBeloBAC-FLYF and pBeloBAC-YF/ΔC Pre-clinical A129 mice Seroconversion of neutralizing antibodies
DNA pShuttle/YFV-17D Pre-clinical AG129 mice Measuring genetic diversity (safety correlate)
DNA p/YFE and pL/YFE Pre-clinical C57Bl/6 and BALB/c mice Stimulation of T-cell responses, neutralizing antibodies; comparison to 17DD vaccination; protection from lethal challenge
VLP CJaYZ Pre-clinical BALB/c mice Seroconversion of neutralizing antibodies
RNA (YF) prME mRNA Pre-clinical Cynomolgus macaques Visualize vaccine trafficking dynamics to draining lymph nodes
Synonymous transition mutations live-attenuated vaccine Re-encoded wild-type YF viruses Pre-clinical Syrian golden hamsters (M. auratus) Comparison of virulence and immunogenicity to wild-type/hamster-adapted YFV; protection from challenge
New manufacturing protocols vYF-247 Pre-clinical A129 and OF1 mice and Syrian golden hamsters (M. auratus) Comparison to chicken embryo live-attenuated 17D in neurovirulence, viscerotropism, immunogenicity, protection from lethal challenge
Plant-produced subunit vaccine YFE and YFE-LicKM Pre-clinical BALB/c mice Seroconversion of neutralizing antibodies and protection from lethal challenge
New manufacturing protocols YFCEF-01-07 Pre-clinical Swiss Webster mice and rhesus macaques Immunogenicity and neurovirulence, respectively

Therapeutics Development for Yellow Fever

  • Symptomatic Therapeutics
    Given the absence of a specific antiviral for yellow fever, therapeutic is primarily symptomatic and supportive. This includes rehydration, pain relief, and management of specific complications. For instance, paracetamol (acetaminophen) is used for fever reduction and pain relief, while aspirin and non-steroidal anti-inflammatory drugs (NSAIDs) are avoided due to their potential to exacerbate bleeding risks.
  • Antiviral Research
    There is an ongoing search for effective antivirals against yellow fever. Drugs like sofosbuvir, currently used for hepatitis C, are being investigated for their potential efficacy against YFV in clinical and laboratory research.

Our Services

Our dedication lies in the exploration and advancement of cutting-edge yellow fever vaccines. This encompasses the investigation of diverse platforms like live-attenuated vaccines, inactivated vaccines, nucleic acid vaccines, and virus-like particles (VLPs). Our objective is to elevate vaccine accessibility, scalability, and safety through our research and development endeavors.

Furthermore, our endeavors in drug discovery center around the discovery and formulation of innovative antiviral therapeutics. This involves the systematic screening of compound libraries through high-throughput methods to pinpoint promising antiviral contenders, coupled with meticulous in vitro and in vivo assessments to gauge their effectiveness and safety profiles.

Disease Models

  • YFV Infection AG129 Mouse Models
  • Jimenez and Asibi Strains Infection Syrian Golden Hamster Models
  • STAT2 Knockout Hamster Models
  • YFV Infection Non-Human Primate (NHP) Models

Our company is at the forefront of yellow fever vaccine and therapeutic development and is committed to delivering innovative solutions for this deadly disease. If you are interested in our services, please feel free to contact us.

References

  1. Hansen, Clairissa A., and Alan DT Barrett. "The present and future of yellow fever vaccines." Pharmaceuticals 14.9 (2021): 891.
  2. Litvoc, Marcelo Nóbrega, Christina Terra Gallafrio Novaes, and Max Igor Banks Ferreira Lopes. "Yellow fever." Revista da Associação Médica Brasileira 64 (2018): 106-113.

All of our services and products are intended for preclinical research use only and cannot be used to diagnose, treat or manage patients.