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The British Medical Journal (BMJ) recently published a substantive review of vaccines targeting seniors. The proportion of the global population aged 65 and older is rapidly increasing. Moreover, infections in this age group, most recently with SARS-CoV-2, cause substantial morbidity and mortality. 

This BMJ review says 'influenza, herpes zoster, and pneumococcal infections cause significant morbidity and potentially mortality, in aging people. Vaccines protecting against these diseases have long been available. However, the efficacy and persistence of immunity are suboptimal, especially in over 70 years of age.

Vaccine efficacy can be improved, as was demonstrated by the 90% efficacy of the recently approved recombinant zoster vaccine

And since influenza infection may mimic or synergize with COVID-19 infection, optimal coverage of older populations with enhanced influenza vaccines is essential to reducing health risks.

The full BMJ review summarizes the evidence on vaccines against influenza, pneumococcal disease, and herpes zoster and identifies potential directions for future vaccine research.

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Vitagerpavac Herpesvirus Vaccine

Vitagerpavac Herpesvirus Vaccine Description

Vitagerpavac is a multivalent vaccine for treating chronic herpesvirus infection (HCV) of types I and II. Vitagerpavac is a dry, inactivated herpes simplex virus (HSV) culture vaccine that has been obtained by using the Vero B continuous cell line as a substrate for the accumulation of herpes simplex virus types 1 (US strain) and 2 (VN strain).

The vaccine stimulates body mechanisms of cellular resistance to herpes simplex virus type 1 and type 2. The tolerability and therapeutic effectiveness of the vaccine were tested in patients diagnosed as having chronic, frequently recurring herpes.

The clinical trials have yielded positive results that suggest it is expedient to introduce the new Vitagerpavac into practice to treat chronic recurrent herpetic infection of various localizations. 

The vaccine was developed at the Research Institute of Virology. DI. Ivanovsky RAMS and has been used in the Russian Federation for over 15 years. Approved by the Ministry of Health in the form of guidelines of the Russian Federation MR 3.3.1.0002-10 "Immunization with the" Vitagerpavac "vaccine. ATX codeJ07BX 

JSC "FIRM" VITAFARMA ", 125124, Moscow, 1st street Yamskogo Polya ST. 17, building 15.  TEL: (499) 257-10-90

Vitagerpavac Herpesvirus Vaccine Indication

This Russian vaccine is indicated to prevent the chronic herpes virus infection of HSV1 and HSV2.  It is indicated for patients with a chronic herpes infection in remission.

Contraindications for vaccination: active herpes infection (relapse), acute infectious and non-infectious diseases, chronic diseases in the acute stage, malignant neoplasms, pregnancy, and the presence of active symptoms of AIDS.

Vitagerpavac Herpesvirus Vaccine Dosage

The vaccination course includes 5 injections carried out at intervals of 7-10 days between injections.

Vaccination is carried out in a medical institution under the supervision of medical staff. The vaccine is used during the remission stage, including ophthalmic herpes, not earlier than 10 days after the complete disappearance of the clinical manifestations of herpes infection. The vaccination course consists of 5 injections with an interval of 7 days, revaccination (repeated administration according to the same course of treatment) - after 6 months.

If, after the 1st or subsequent injections, herpetic infection reoccurs, this means a case of pronounced immunosuppression. In such cases, vaccination should be temporarily discontinued, and anti-viral agents containing recombinant alpha-2 interferon (Genferon 500 000 IU suppositories) should be used to suppress the reoccurrence of herpes, 1 suppository 2 times a day for 5-10 days. Then, 10 days after the herpes rash or lesions disappear, the Vitagerpavac course of treatment should be restarted from the beginning.

Coadministration of the Vitagerpavac vaccine and the immunomodulator Giaferon has been shown to have some advantage over the vaccination only. The new formulation of the agent as suppositories (per rectum) enhances the vaccine's immunogenicity and protective properties reducing the frequency of its application and making it more convenient for patients to use, says the company.

Vitagerpavac Herpesvirus Vaccine Availability

This vaccine has only been approved for use in Russia. According to this website, this product only ships in cold months, and the next scheduled shipment will be in October 2022.

Vitagerpavac Herpesvirus Vaccine News

September 2009 - Vitagerpavac is the first Russian herpes simplex virus vaccine obtained on the Vero B cell line.

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Availability: 
Russia
Generic: 
HSV Vaccine
Drug Class: 
dry inactivated herpes simplex virus culture vaccine
Condition: 
Last Reviewed: 
Monday, April 18, 2022 - 05:30
Brand: 
Vitagerpavac
Status: 
Manufacturer Country ID: 

Delta gD-2 (∆gD-2) Herpes Vaccine

Delta gD-2 (∆gD-2) Herpes Vaccine Description 2022

X-Vax Technology, Inc.'s Delta gD-2 (∆gD-2) herpes vaccine candidate is reported to elicit antibodies that facilitate the killing of infected cells, which then rapidly clears the HSV-1 HSV-2 viruses. X-Vax's approach eliminates the immunodominant protein found on the virus's surface that other researchers have focused on developing a reaction against. In addition, x-Vax believes that it would stimulate the body to produce different and more effective antibodies by deleting a gene from the virus.

∆gD-2 acts via a novel mechanism of action mediated by non-neutralizing, Fc receptor activating antibodies to prevent both HSV-1 and HSV-2 infection with a wide range of clinical and laboratory isolates. The vaccine induces Fc receptor activating antibodies that mediate antibody-dependent cellular cytotoxicity (ADCC) as the primary protection mechanism. ADCC is induced to flag infected cells for destruction by natural immune cells. The broad protection observed in various preclinical models combined with the potential for sterilizing immunity, as evidenced by the absence of latent virus, supports the clinical development of ∆gD-2, says X-Vax.

'We have created a herpes vaccine candidate that we call ∆gD-2 (delta gD-2) because it is based on an HSV-2 virus genetically deleted for glycoprotein D (gD-2). With it, we have been able to prevent infections caused by herpes type 1 and type 2 in multiple preclinical models—with encouraging results,' says the company's website.

X-Vax Technology, Inc. is a biotech company based in Jupiter, Florida, committed to developing vaccines against pathogens acquired by a mucosal infection such as herpes. "Our research leads us to believe that the new approach we are taking could succeed in defeating herpes." The company investors include but are not limited to Johnson & Johnson Innovation – JJDC, Inc. (JJDC); Adjuvant Capital, an impact investment fund supported by the Bill & Melinda Gates Foundation as an anchor investor; Serum Institute of India; Alexandria Venture Investments; and FF DSF VI, a scout investment vehicle out of Founders Fund. Company address: 3507 Kyoto Gardens Dr. Suite 310, Palm Beach Gardens, FL 33410.

Delta gD-2 (∆gD-2) Indication

The ∆gD-2 Herpes Vaccine candidate is indicated to clear the virus and prevent latency. Latency is a non-replicating state that periodically will reactivate, resulting in lifelong infection and the ongoing risk of shedding the virus to others.

Delta gD-2 (∆gD-2) Clinical Development

X-Vax pipeline states, 'we plan to gain commercial approval for the ∆gD-2 vaccine to prevent HSV type 1 and type 2. In addition, the potential for therapeutic application of the vaccine is under investigation.' 

Extensive molecular and preclinical work has been completed for ∆gD-2, which induces unprecedented sterilizing immunity against both HSV-1 and HSV-2 challenge in multiple preclinical models. Not only did the vaccine prevent disease, but ∆gD-2 also prevented the virus from establishing latency, which no herpes vaccine has shown before. Latency refers to the ability of the herpes virus to remain dormant, particularly in nerve tissue, often establishing lifelong infection with frequent subclinical or clinical reactivation.

Delta gD-2 (∆gD-2) News 2015 - 2022

May 19, 2021 - Mark Terry with Biospace reported that X-Vax Technology is preparing to submit an Investigational New Drug Application to the U.S. Food and Drug Administration for its experimental vaccine against herpes simplex virus 1 and 2 (HSV-1 and -2). 

November 6, 2020 - Study: The R2 non-neuroinvasive HSV-1 vaccine affords protection from genital HSV-2 infections in a guinea pig model.

July 17, 2020 - Florida-based X-Vax Technology, Inc. announced Isaac Blech's appointment as Vice Chairman of the company's board of directors. As a co-founder of X-VAX, Mr. Blech previously served on the company's Board until December 2019.

June 16, 2020 - A Single-Cycle Glycoprotein D Deletion Viral Vaccine Candidate, ΔgD-2, Elicits Polyfunctional Antibodies That Protect against Ocular Herpes Simplex Virus.

October 10, 2019 - Murine Model of Maternal Immunization Demonstrates Protective Role for Antibodies That Mediate Antibody-Dependent Cellular Cytotoxicity in Protecting Neonates From Herpes Simplex Virus Type 1 & Type 2.

October 3, 2019 - X-Vax believes the key to immunity against HSV is to prevent new virion production and release by killing infected cells. Its lead vaccine, ΔgD-2, elicits non-neutralizing antibodies that trigger antibody-dependent cellular cytotoxicity.

July 23, 2019: Proceeds from the $56 million Series A financing will be used to advance X-VAX's lead program, a vaccine candidate against herpes called ∆gD-2 (delta gD-2), for further development and production, including a Phase 1 clinical study. "We believe that ∆gD-2 may be more promising than other previous vaccine candidates because it elicits a different type of immune response against HSV-1 and HSV-2 that is more effective in preclinical models at clearing virus and preventing the establishment of latency. In addition, in nonclinical models, immunization with ∆gD-2 elicits antibodies that facilitate the killing of infected cells, rapidly clearing the virus and thereby inducing sterilizing immunity," added William Jacobs, Ph.D., co-Inventor and Professor of Microbiology & Immunology at Albert Einstein College of Medicine.

August 4, 2016 - Study published by JCI Insight: HSV-2 ΔgD elicits FcγR-effector antibodies that protect against clinical isolates - A single-cycle herpes simplex virus (HSV) deleted in glycoprotein D (ΔgD-2) elicited high titer HSV-specific antibodies (Abs) that (i) were rapidly transported into the vaginal mucosa; (ii) elicited antibody-dependent cell-mediated cytotoxicity but little neutralization; (iii) provided complete protection against lethal intravaginal challenge; and (iv) prevented the establishment of latency in mice. However, clinical isolates may differ antigenically and impact vaccine efficacy.

May 10, 2015 - Research article: Herpes simplex type 2 virus deleted in glycoprotein D protects against vaginal, skin, and neural disease. 

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Generic: 
Delta gD-2 (∆gD-2)
Drug Class: 
Vaccine
Condition: 
Last Reviewed: 
Monday, January 16, 2023 - 06:40
Status: 
Manufacturer Country ID: 
depiction of a strand of dna
Herpes virus targeted by gene cutting enzymes
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X-Vax Technology, Inc. announced on July 23, 2020, that it has raised $56 million in financing with participation from Johnson & Johnson Innovation – JJDC, Inc.  Proceeds from the financing will be used to advance the herpes vaccine candidate called ∆gD-2 (delta gD-2) for further development and production, including a Phase 1 clinical study.

delta gD-2 is based on an HSV-2 virus genetically deleted for glycoprotein D (gD-2). With it, we have been able to prevent infections caused by herpes type 1 (HSV-1) and type 2 (HSV-2) in multiple preclinical models—with encouraging results. The vaccine induces Fc receptor activating antibodies that mediate antibody-dependent cell-mediated killing (ADCK) as the primary mechanism of protection. ADCK is induced to flag infected cells for destruction by natural immune cells

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