PRECLINICAL/NONCLINICAL STUDY DESIGN & MANAGEMENT We are able to tailor resources in a vendor-agnostic manner and provide our clients 1) the best value financially, 2) the highest quality technically, and 3) the lowest risk programmatically. Also, as a wholly-owned subsidiary of CSC, DVC is able to leverage a deep network of expertise in information technology, biostatistics, program management and contracting/subcontracting best practices. For more than 15 years, DynPort Vaccine Company LLC (DVC) has been a leader in advanced development of medical countermeasures against high-threat biological and chemical agents for a number of US Government clients, including the Department of Defense and Health and Human Services. This advanced development is accomplished by managing the life cycle of medical products and services through systems integration, using in-house scientific expertise, a network of highly qualified subcontractors, consultants and industry partners. Every stage in the process is designed to support the overall regulatory strategy, and studies are designed to provide only essential information required for product licensure. Additionally, the overall study design is developed to achieve efficiencies in schedule and budget without sacrificing quality of the data. This approach has been informed by extensive interaction with regulatory agencies and is designed to meet the specific needs of our clients. NONCLINICAL STUDIES: KEY TO PROGRAM SUCCESS Development of medical products requires the use of in vivo and in vitro studies, collectively referred to as “nonclinical” studies. These studies include assessment of both safety and efficacy, and are required before any medical product can be tested in humans. With our experience in advanced development and licensure of biopharmaceutical products, DVC has established a system of robust and reproducible nonclinical study design modules based on best practices and successful regulatory interactions. EXPERIENCE WITH THE FDA ANIMAL RULE The FDA Animal Rule was established to facilitate the licensure of products when standard clinical trials are inappropriate, particularly high-hazard threats such as Chemical, Biological and Radiological threats. Strategies for addressing the Animal Rule include a close interaction PRECLINICAL/NONCLINICAL STUDY DESIGN & MANAGEMENT SUCCESS STORY: Ensuring Safety Well-designed and carefully conducted nonclinical safety studies are crucial in the drug development lifecycle, since they are necessary before any product can be tested in humans. For small molecule drugs, the specific types of safety testing are highly defined and conducted in a specific sequence. However, nonclinical safety assessment for vaccines is quite different. In general, vaccines have historically been seen as intrinsically safer than other medical products and, as a result, have required far less stringent testing. Consequently, designing safety studies for vaccines should be tailored to the nature of the product itself. As part of our development program for the rBV A/B botulinum neurotoxin vaccine for the DoD, DVC conducted a series of standard toxicology tests in animals. This vaccine uses a region of the botulinum neurotoxin that is theoretically incapable of producing the toxicity associated with the whole neurotoxin. However, to ensure the greatest confidence of safety, DVC designed studies to evaluate any potential neurovirulence of the vaccine as well. The challenge: all of our safety studies used the mouse, which is not routinely used for neurovirulence studies. Working closely with our subcontractor, we were able to adapt the existing neurovirulence study design to accommodate mice. As a result, we were able to complete the safety assessment in one animal model, preventing the need to perform costly and time-consuming development of additional animal models. between nonclinical and clinical studies, since the results of each of these types of studies must be combined to demonstrate the efficacy of products that can’t be tested directly in humans. To date, few products have met the stringent requirements of the Animal Rule. Working with expert subcontractors, the FDA and our clients, DVC has developed significant practical expertise in designing and managing nonclinical studies that meet the specific requirements of individual products. It’s important to note that there are no “standard” design templates or protocols for addressing the Animal Rule – each product has its own specific needs. More importantly, because only a limited number of products have to date been licensed this way, few companies have experience with such designs. DVC has designed Animal Rule strategies for a number of products, and is currently successfully managing advanced development of three products that require use of the Animal Rule. The graphic on the previous page illustrates DVC’s Animal Rule approach to incorporating nonclinical study design, management, and data interpretation into successful medical product development. nonhuman primates (cynomolgus and rhesus macaques), rabbits, rodents and guinea pigs. DVC works with a network of proven subcontractors to perform these studies, carefully selecting laboratories with specific expertise and capabilities. By choosing laboratories this way, we are able to match capabilities with requirements, ensuring the most effective and efficient testing program possible. A LEGACY OF SUCCESS We have designed and managed nonclinical study programs for medical products associated with the following agents: Francisella tularensis (tularemia vaccine) Bacillus anthracis (anthrax vaccine) Yersinia pestis (plague vaccine) Venezuelan Equine Encephalitis Virus (vaccine) Variola major (smallpox vaccine) Botulinum neurotoxin (vaccine) Vaccinia immune globulin intravenous (plasma-derived therapeutic antibody) While DVC’s experience has historically been in developing medical countermeasures, our approach and methodology are highly adaptable to any type of medical product or service. SAFETY STUDIES The paramount concern in development of any medical product is safety in humans. Accordingly, extensive studies are required for testing safety of such products prior to conducting clinical trials, as well as during the entire clinical trial period. Working with our network of expert subcontractors, as well as our in-house toxicology expertise, DVC can design and manage all studies necessary for licensing medical products. EFFICACY STUDIES While the only true predictor of a product’s effectiveness can only be assessed using human (clinical) trials, it is necessary to test efficacy initially in animals. DVC has more than 11 years of experience with a variety of animal models species including EXAMPLES OF RECENT NONCLINICAL STUDIES MANAGED BY DVC Shearer, J.D., Manetz, T.S. and House, R.V. (2012). Preclinical safety assessment of recombinant botulinum vaccine A/B (rBV A/B). Vaccine. 30(11):1917-1926. Inhalational botulism in rhesus macaques exposed to botulinum neurotoxin complex serotypes A1 and B1. http://1.usa.gov/1chWO55 Establishment of a Swiss Webster mouse model of pneumonic plague to meet essential data elements under the Animal Rule. http://1.usa.gov/1d3T0pc