Inovio Biomedical & University of Southampton Collaborative Clinical
Study Establishes Important Humoral Immune Response of Prostate Cancer
DNA Vaccine Using Electroporation
Inovio
Biomedical Corporation (NYSE Amex: INO), a leader in DNA vaccine design,
development and delivery, announced today new data representing what
Inovio believes to be the first demonstration of a significantly
increased and persistent level of antibody response generated by a DNA
vaccine delivered using electroporation.
The results, generated in a clinical study conducted by Inovio’s
collaborators, the University of Southampton and The Institute of Cancer
Research in the U.K., were published in the medical journal Human
Gene Therapy, July 20, 2009, in a paper entitled, “DNA vaccination
with electroporation induces increased antibody responses in patients
with prostate cancer.” The DNA vaccine is designed to induce a strong
helper T-cell response, with the aim of enhancing induction of a
cytotoxic T-cell response against tumor cells. Measuring antibody
(humoral) responses against the helper sequence in the vaccine may help
judge the vaccine’s potential performance. It may also allow predictions
of vaccine performance in other settings, for example, against viral and
bacterial diseases, where strong antibody responses are imperative in
providing protection.
This open label phase I/II, two arm, dose escalation trial is evaluating
a novel DNA vaccine based on a prostate specific membrane antigen (PSMA)
fused to a tetanus toxin (DOM). The PSMA antigen is designed to induce a
CD8+ T-cell response capable of killing tumor cells; the DOM element is
designed to help enhance the immune response to PSMA. The study is also
evaluating delivery of this DNA vaccine with and without Inovio’s
proprietary electroporation delivery technology. In each arm, five
patients were treated at each of three dose levels. The protocol
included three vaccinations at four week intervals followed by booster
doses at 24 and 48 weeks.
The published data completes the reporting of antibody responses in the
30 patients vaccinated in this study. The data indicate that the use of
electroporation yielded significantly enhanced antibody responses to DOM
while the absence of electroporation resulted in low anti-DOM antibody
responses (25-fold mean increase over baseline compared to a 1.5-fold
mean increase, respectively). Importantly, the level of antibody
response further increased following additional boosts of DNA vaccine
delivery via electroporation at later time points. Furthermore, antibody
responses persisted out to 18 months of follow-up, a significant result
that would be useful in the context of a practical vaccine regimen. As
reported in prior releases, this vaccine was found to be safe and well
tolerated. Analyses of T-cell immune responses to the PSMA antigen are
ongoing.
Dr. Christian Ottensmeier of the University of Southampton, principal
investigator on the study, commented, “We are pleased to publish these
data indicating a notably higher induction of antibodies to the tetanus
toxoid component upon DNA vaccination with electroporation. The antibody
levels appear to be in a range comparable to traditional protein-based
vaccination or injection of attenuated or inactivated pathogen. With the
advantageous safety profile of electroporation-delivered DNA plasmids
indicated by human data to date, this data supports optimism for use of
this next-generation vaccine modality as a strategy against infections
and cancer.”
Dr. J. Joseph Kim, Inovio’s CEO, said, “We have demonstrated in
different human trials that Inovio’s electroporation devices are safe
and well-tolerated. This longer-duration data further validates the
importance of our electroporation technology in achieving the primary
goal of scientists in this field, which is to improve the immunogenicity
of DNA vaccines in humans. These results bode well for our programs in
development.”
The development of this DNA vaccine was supported by the UK cancer
charities the Leukemia Research Fund (www.lrf.org.uk)
and Cancer Research UK (www.cancerresearchuk.org),
and rights to the vaccine are owned by Cancer Research Technology
Limited (www.cancertechnology.com).