Proposal full title Name of the coordinating person List of participants Participant n° 1 2 3 Participant organisation name Short name Paticipant name Country Table of Content 1 2 3 4 5 6 7 8 Project Overview ..................................................................................................................... 5 1.1 Project Goal ...................................................................................................................... 5 1.2 Project Rationale .............................................................................................................. 5 1.2.1 Biological Rationale/Validation ............................................................................. 5 1.2.2 Antigen/vaccine production processes ................................................................ 8 1.2.3 Antigen/vaccine characterisation .......................................................................... 9 1.3 Anticipated Clinical development start date ................................................................ 9 Project Assessment ...............................................................................................................10 Project History and Key Achievements to date ................................................................10 Project Executive Summary .................................................................................................10 4.1 Project Strategy Summary.............................................................................................10 4.2 Project Plan Summary ...................................................................................................10 4.2.1 Decision tree and main Go/No Go decision ....................................................10 4.2.2 Key activities on the critical path to next gate ...................................................10 4.2.3 Next gate review .....................................................................................................10 Functional Strategy ................................................................................................................10 5.1 Regulatory .......................................................................................................................10 5.2 Research ..........................................................................................................................11 5.2.1 Summary of Research strategy to support the project .....................................11 5.2.2 Summary of Operational plan for ongoing and next stages. Work-package ..11 5.3 Development ..................................................................................................................12 5.3.1 Summary of Development strategy to support the project .............................12 5.3.2 Summary of Operational plan for ongoing and next stages Work-package.....12 5.4 Toxicology ......................................................................................................................12 5.4.1 Summary of Toxicology strategy to support the project..................................12 5.4.2 Summary of Operational plan for ongoing and next stages Work-package.....12 5.5 Analytical Development................................................................................................12 5.5.1 Summary of Analytical Development strategy to support the project ...........12 5.5.2 Summary of Operational plan for ongoing and next stages Work-package 4 .13 5.6 Intellectual Property ......................................................................................................13 5.7 Ethical aspects (animal and human studies) ..............................................................14 5.7.1 Informed consent ...................................................................................................14 5.7.2 Data protection issues ...........................................................................................14 5.7.3 Use of animals ........................................................................................................14 5.7.4 Ethical issues table .................................................................................................14 5.8 External Collaboration ..................................................................................................14 5.8.1 Third party agreement ...........................................................................................14 5.8.2 Alliance management.............................................................................................15 Budget .....................................................................................................................................15 6.1 Resources to be committed (person-month) .............................................................15 6.2 Resources to be committed (euros) ............................................................................15 Bibliography ...........................................................................................................................15 Appendices .............................................................................................................................16 Appendix 1: Gantt chart (including milestones) .................................................................16 Appendix 2: Target Product Profile (if applicable).............................................................16 Appendix 3: Clinical Development Plan ..............................................................................17 Appendix 4: Lists of work-packages .....................................................................................17 Appendix 5: Lists of deliverables ..........................................................................................17 533569665 2/19 Appendix 7: Glossary .................................................................................................................. 17 533569665 3/19 Abbreviations CDP Clinical Development Plan CTA: Clinical Trial Application SAC: Scientific Advisory Committee IMPD: Investigational Medicinal Product Dossier QC: Quality Control Please refer to EVI website regarding missing abbreviations part of the guidelines. The list of abbreviations will have to be completed by the applicant. 533569665 4/19 This template is intended to give guidelines for preparing and submitting the information about the project for the selection process by EVI SAC. The listed information in this template is non exhaustive. The applicant may provide additional information; which is not on the template and should in particular focus on information; which is relevant to the candidate vaccine. The grey boxes are self-explanatory but are not exhaustive. 1 Project Overview 2-3 pages 1.1 Project Goal Including the benefits of the innovation 1.2 Project Rationale (1) Must explain why this project should be advanced in preference to other alternatives the proponent is aware of (2) Must identify advancement as (a) experimental. or (b) proof of concept Scientific rationale: Why, how should this approach work? Which paradigm? Technical rational: Why, how should the product be produced and what are the rational for the optimisation of the immune response? Strategic rational: How does this project fit with EVI strategic objectives/ Malaria Vaccine Technology Roadmap (if applicable)? The following sections should be detailed: 1.2.1 Biological Rationale/Validation A. Antigen Life cycle stage of expression must be defined Many proteins show stage specificity of expression, others do not. Specificity can be determined from transcriptome/proteome or by detection with antibody In vivo protection In vivo protection after immunisation with the vaccine antigen in an animal model. Demonstration with strong justification for further development e.g. correlates of protection? Immunisation and challenge studies in a primate model, rodent or primate parasite/virus/bacteria. Passive immunisation with non-specific Ab may implicate antigen In vitro inhibition. Demonstration bolsters rationale for further development 533569665 5/19 Refers largely to antibody mediated inhibition of invasion or subsequent growth and development of the parasite/virus/bacteria, often using monoclonal antibodies. e.g. growth inhibition assay; merozoite inhibition assay; sporozoite inhibition assay; ADCI; antigen specific assays e.g. red cell binding assays, processing assays in case of Plasmodium Genetic analysis: Parasite/virus/bacteria dependence on antigen (1) Must be characterised (2) Rationale for development plan must be presented Parasite/virus/bacteria dependence on antigen best determined by ability (or inability) to knock out gene The product of an essential gene is probably a good target. However non-essential genes (e.g. members of a family) may also be important. Transfection e.g. inability to knock out corresponding gene due to lethality Antigenicity/Immunogenicity: Must react with antibodies or cells of infected and/or immunised individuals The response to an antigen that is ‘seen’ during an infection may be boosted by further natural infection. e.g. reactivity with antibodies or cells of naturally exposed or artificially challenged donors Antigen size and solubility Large and multidomain membrane spanning proteins are difficult to express well in a heterologous host. e.g. small soluble proteins are easier to replicate as recombinant proteins Pre-existing clinical data: Must be considered in development plan Data on immunogenicity and vaccine efficacy when possible are very useful in developing better products. e.g. when some proteins have already been into human subjects B. Product Rationale/Validation Single antigen e.g. a single subunit protein for a single stage of the parasite/virus/bacteria life cycle Multi-antigen approaches e.g. a multiple subunit protein for one or different stage of the parasite/virus/bacteria life cycle Prime-boost strategies e.g. does the proposed strategy include different delivery processes? Delivery systems / adjuvants. General considerations (1) Rational and demonstration of advantage in preclinical model must be presented (2) Rational and evidence that the regimen will be safe must be presented (3) Evidence of scalability must be presented (4) Must have credible intellectual proprietary and regulatory pathway to licensure (5) Must induce specific humoral and/or cellular immune response 533569665 6/19 Additional studies may be required (e.g. biodistribution, replication competence, toxicology) to assess safety; Level of replication competence Delivery systems employing proteins produced through recombinant technology or non-enzymatic polypeptide synthesis (1) Multimeric presentation (i.e. VLPs) more desirable than monomeric (2) Extemporaneous formulation for phase I, II preferred, but characterisation of formulated vaccine essential (3) Parenteral route preferred; other routes must be justified Delivery systems employing viral or bacterial vectors (1) Must provide evidence of attenuation of replication competence (2) Must provide review of previous clinical experience with this vector (3) Must provide existing data on pre-existing anti-vector antibody in the target population and how the issue will be dealt with (4) Must address potential public health conflicts with other vaccines using this vector e.g. DNA, virus, bacterium (e.g. biological rational, e.g. strong antigen-specific T- and B-cell responses in majority of volunteers; data from rodent models; presence of pre-existing antibody vaccine is well tolerated replication competence/attenuation antigen capacity; single/multiple genes antigen location in host cells; vector yields and stability) Since same vector cannot be used for two diseases, need to be aware of state of development of vectors for other diseases to avoid developing same vector and to learn from results with other disease targets. Please detail your knowledge about other vaccines using the same vectors (in development or already marketed). Synthetic antigen either as peptide/recombinant antigen or in vectored system Codon optimisation and exact sequence including any modifications (including non-natural amino acids in peptide), exogenous sequences (e.g. tags) to be expressed Choice of expression vector and host (e.g. bacterium, yeast, other eukaryote) Antigen expression level Growth and genetic stability Fermentation and downstream purification (e.g. precipitation, chromatography) Antigen purity and stability Monomer/aggregation state. Fusion partners with VLPs facilitate purification because of large size - readily separated from contaminating proteins Antigen characterisation Reducing/non-reducing conditions (e.g. purity by SDS-PAGE/HPLC (reverse phase, ion exchange, size exclusion) Contaminants (DNA, protein, metal, endotoxin) Identity (N-terminal sequence analysis, amino acid analysis, Ellman’s test for cystines) Conformation: secondary/tertiary structure/posttranslational modifications (biophysical characterisation: CD, MS, NMR etc.) Antigenicity (e.g. ELISA; reactivity with mAbs) Antigen-specific criteria, e.g. red cell binding) 533569665 7/19 Antigen immunogenicity e.g. Immunogenicity of antigen using most rational immune assay should be included in antigen characterisation to monitor changes in antigen immunogenicity during process development. e.g.: Immunogenicity in animal models (mice and rabbits) (e.g. Production of specific antibodies (western blot, ELISA, immunoprecipitation, IFA…) Induction of T-cells that recognise specific antigens/ produce cytokines, ELISpot Functional activity Antigen-specific assays e.g. inhibition of processing, inhibition of binding Responses relative to standards? Prime-boost strategy: Must be shown to have an advantage in preclinical studies Clinical data for other product using the same strategy should be reviewed with respect to the product in question Evaluation of vaccine efficacy under conditions of natural exposure or artificial challenge Separate into two categories - there is a big difference between efficacy (preliminary, qualitative) in challenge models vs natural exposure. e.g. Preclinical data for regulatory filing Ethical, scientific and regulatory approval for clinical trials Show tolerability and safety in first in-human clinical trial; immunogenicity and protection from artificial challenge (where relevant ie pre-erythrocytic) Show safety and efficacy in target population 1.2.2 Antigen/vaccine production processes Recombinant protein production processes Must describe: (1) Expression system (2) Rationale for codon usage employed (3) Purification scheme (4) Largest scale used Non-enzymatic polypeptide synthetic processes Must describe: (1) Type of chemistry (2) Purification scheme (3) Largest scale used Viral and bacterial vectored vaccine production processes Must describe: (1) Host cell system (2) Transfection process (3) Purification scheme 533569665 8/19 (4) Largest scale used 1.2.3 Antigen/vaccine characterisation General characterisation requirements: Actual data, not just conclusions, must be provided Must provide: (1) Target primary sequence(s), identifying non disease-related residues (2) Evidence of purity (for example by SDS-PAGE, identifying any contaminants and minor components derived from the recombinant product (3) Evidence for identity (e.g. using N-terminal analysis, amino acid analysis, Ellman’s test for cysteins, mass spectro-scopy, etc (4) Evidence for native-like conformation (if required for immunogenicity) using MAB panel, CD, MS, NMR, etc. (5) Evidence for antigenicity (e.g., reactivity with MAb, etc.) (6) Evidence for immunogenicity in at least two species (mice and one other) using functional assays if possible (7) Endotoxin content (8) Methodology for data acquisition Non-enzymatic synthetic peptide/protein characterization Must describe: (1) Type of chemistry (2) Purification scheme (3) Largest scale used Viral and bacterial vectored vaccine characterization Must describe (1) Host cell system (2) Transfection process (3) Purification scheme (4) Ratio of particles to plaque-forming centers (5) Largest scale used Virus like particle or other particulate delivery vaccine characterisation Must describe (1) General structure of particles (2) Size and size distribution of particles (3) Conjugation process (4) Epitopes accessible on surface (4) Number of antigen molecules per particle 1.3 Anticipated Clinical development start date List the dates for the CTA and Ethical Approval. The planning should include the process of EVI submission, EVI SAC evaluation, and EVI Board decision. 1. Most probable 533569665 9/19 2. 3. Optimistic Worst Case scenario 1 page 2 Project Assessment Include here all the previous project assessment (by other funding agencies or by SAC or by Institutional review committee (scientific and/or ethics). Can be attached as separate docs or as Appendix 3 Project History and Key Achievements to date 1 page Summary of key scientific, technical and pre-clinical achievements (clinical if any) and key decisions Indicate changes of strategy when ever 4 Project Executive Summary 1 page 4.1 Project Strategy Summary 4.2 Project Plan Summary Please include the Gantt chart including deliverables and milestones Please provide with Microsoft project file (Appendix 1) 4.2.1 Decision tree and main Go/No Go decision 4.2.2 Key activities on the critical path to next gate 4.2.3 Next gate review 5 Functional Strategy 5.1 Regulatory 1 page Executive part of the Regulatory strategy Specific Guidelines and highlights Strategy: Under IND (US) In Europe, IMPD submission to which regulatory agency? Describe the different expected steps. Which status has the vaccine (orphan vaccine?) In Africa, CTA where? Describe the different expected sites 533569665 10/19 1-2 pages 5.2 Research 5.2.1 Summary of Research strategy to support the project 5.2.2 Summary of Operational plan for ongoing and next stages. Work-package Workpackage number Workpackage title Participant number Person-months participant 1 Start date or starting event: Month per Objectives Description of work Task 1: Task 2: Task 3: Task x: Deliverables D1: D2: D3: Dx: Milestones M1: M2: M3: Mx: 533569665 11/19 5.3 Development 1-2 pages 5.3.1 Summary of Development strategy to support the project Define the key drivers and assumptions: Product substance (active ingredient) specification and Final product specifications Yield/cost Chosen scale of development Chosen scale of purity Ability to scale up Robustness Number of clinical batches Number of doses (total and per batch) Describe the process development strategy, scale up strategy and transfer plan 5.3.2 Summary of Operational plan for ongoing and next stages Work-package Key points of the plans including specific functional activities and objectives supporting the strategy 1-2 pages 5.4 Toxicology 5.4.1 Summary of Toxicology strategy to support the project Vaccine reactogenicity or toxicity (e.g. rabbit CPK assay for local reactogenicity; GLP tox study using rabbits at full human dose at n+1 doses for formal tox) Adjuvant also tested alone for novel adjuvant Rhesus study where adjuvant has not been used in humans previously. Define the key drivers and assumption and when appropriate the guidelines 5.4.2 Summary of Operational plan for ongoing and next stages Work-package Key points of the plans including specific functional activities and objectives supporting the strategy 1-2 pages 5.5 Analytical Development 5.5.1 Summary of Analytical Development strategy to support the project Define the key drivers and assumption or rate-limiting factors: assays, equipment costs, anticipated complexity of methods (potency test, QC tests, functional tests…) Describe test development strategy and stability testing plan Describe validation strategy Key steps for the optimisation of the process 533569665 12/19 Plan for transferring assay technology through project life cycle 5.5.2 Summary of Operational plan for ongoing and next stages Work-package Define the key drivers and assumption and when appropriate the guidelines 5.6 Intellectual Property 1 page Must be described in detail for antigen, expression system, adjuvant, delivery system, etc. Note when any patents will expire. Please describe and precise when the last assessment has been done? 533569665 13/19 1 page 5.7 Ethical aspects (animal and human studies) 5.7.1 Informed consent 5.7.2 Data protection issues 5.7.3 Use of animals 5.7.4 Ethical issues table Informed Consent Yes Does the proposal involve adult healthy volunteers? Does the proposal involve Human Genetic Material? Does the proposal involve Human biological samples? Does the proposal involve Human data collection? Privacy Does the proposal involve processing of genetic information or personal data (eg. health, sexual lifestyle, ethnicity, political opinion, religious or philosophical conviction) Does the proposal involve tracking the location or observation of people? Research on Animals Does the proposal involve research on animals? Are those animals transgenic small laboratory animals? Are those animals non-human primates? Research Involving Developing Countries Use of local resources (genetic, animal, plant etc) Benefit to local community (capacity building i.e. access to healthcare, education etc) Dual Use Research having potential military / terrorist application I CONFIRM THAT NONE OF THE ABOVE ISSUES APPLY TO MY PROPOSAL Page 1 page 5.8 External Collaboration 5.8.1 Third party agreement # Institution/company 533569665 Contractual relationship (MTA, Mutual obligations license option, contract testing …) 14/19 5.8.2 Alliance management For each of the agreement describe Contacts in the partner institution Who is managing and following the progress Who are the members of the management committee/team, decision making process Location of legal and business development documentation 6 Budget 6.1 Resources to be committed (person-month) Partners WP1 WP2 WP3 WP4 WP5 WP6 Personmonth WP6 Euro Total 6.2 Resources to be committed (euros) Partners WP1 WP2 WP3 WP4 WP5 Total 7 Bibliography 533569665 15/19 8 Appendices Appendix 1: Gantt chart (including milestones) Appendix 2: Target Product Profile (if applicable) Target Product Profile DESCRIPTION General Expected action on parasite/virus/bacteria cycle Strategy : Monovalent/multivalent (intra species) – stage focus, multi stage Combination (interspecies – vivax/falciparum) Composition Active pharmaceutical ingredient (antigens description including sequence…) Excipient Adjuvant Pharmaceutical Form Liquid/ lyophilised Product Presentation Unidose, multidose Vial, syringe INDICATIONS Target Populations Transmission level, epidemiology burden, mortality vs morbidity Target Countries Indication Infant, toddler, children adults, pregnant women…. Vaccination schedule: Number of doses and interval between doses DOSAGE AND ADMINISTRATION Target dosages for phase I CT Target dosage for phase IIb if any data already available Administration : sub-cutaneous/intra-muscular … INTERACTIONS If any available data ADVERSE EVENTS 533569665 16/19 For vaccine/adjuvant already tested in humans PHARMACODYNAMICS1 STORAGE CONDITIONS AND SHELF LIFE What is the goal for the vaccine OTHER CONSIDERATIONS Appendix 3: Clinical Development Plan See attached doc Appendix 4: Lists of work-packages Workpackage No WP1 WP2 WP3 Workpackage title Lead participant No Personmonths Start month End month Appendix 5: Lists of deliverables Deliverable Deliverable title No Delivery Nature2 Dissemination date level3 WP1 WP2 WP3 Appendix 7: Glossary Combined vaccine: as defined by EMEA; “Combined vaccines are product intended for protection against a single infectious disease complex caused by different strains or serotypes or organisms” Monovalent vaccine: vaccine containing one antigen from the same strain Multivalent vaccine: vaccine containing more than one antigen from the same strain 1 See Guidelines EMEA/CPMP/BWP/4548/03 2 R : report, P: product ; O: other 3 PU: public ; PP : Public for partners 533569665 17/19 Active Pharmaceutical Ingredient or Drug Substance: Any substance or mixture of substances intended to be used in the manufacture of a drug (medicinal) product and that, when used in the production of a drug, becomes an active ingredient of the drug product. Such substances are intended to furnish pharmacological activity or other direct effect in the diagnosis, cure, mitigation, treatment, or prevention of disease or to affect the structure and function of the body. Excipient: An excipient is is an inactive substance used as a carrier for the active ingredients of a vaccine. Adjuvant: as defined by EMEA; a vaccine adjuvant is a component that potentiates the immune responses to an antigen and/or modulates it towards the desired immune responses. These adjuvants include for instance: Mineral salts, e.g., aluminium hydroxide and aluminium or calcium phosphate gels. Oil emulsions and surfactant based formulations, e.g., MF59 (microfluidised detergent stabilised oil-in-water emulsion), QS21 (purified saponin), AS02 [SBAS2] (oil-in-water emulsion + MPL + QS-21), Montanide ISA-51 and ISA-720 (stabilised water-in-oil emulsion). Particulate adjuvants, e.g., virosomes (unilamellar liposomal vehicles incorporating influenza haemagglutinin), AS04 ([SBAS4] Al salt with MPL), ISCOMS (structured complex of saponins and lipids), polylactide co-glycolide (PLG). Microbial derivatives (natural and synthetic), e.g., monophosphoryl lipid A (MPL), Detox (MPL + M. Phlei cell wall skeleton), AGP [RC-529] (synthetic acylated monosaccharide), DC_Chol (lipoidal immunostimulators able to self organise into liposomes), OM-174 (lipid A derivative), CpG motifs (synthetic oligonucleotides containing immunostimulatory CpG motifs), modified LT and CT (genetically modified bacterial toxins to provide non-toxic adjuvant effects). Endogenous human immunomodulators, e.g., hGM-CSF or hIL-12 (cytokines that can be administered either as protein or plasmid encoded), Immudaptin (C3d tandem array) Inert vehicles, such as gold particles Other novel types of adjuvants not listed above may be under development and this guideline applies to these also. Product Specification File: A reference file containing, or referring to files containing, all the information necessary to draft the detailed written instructions on processing, packaging, quality control testing, batch release and shipping of an investigational medicinal product. The Product Specification File should be continually updated as development of the product proceeds, ensuring appropriate traceability to the previous versions. It should include, or refer to, the following documents: Specifications and analytical methods for starting materials, packaging materials, intermediate, bulk and finished product. Manufacturing methods. In-process testing and methods. Approved label copy. Relevant clinical trial protocols and randomisation codes, as appropriate. Relevant technical agreements with contract givers, as appropriate. Stability data. Storage and shipment conditions. 533569665 18/19 533569665 The above listing is not intended to be exclusive or exhaustive. 19/19