SINGLE SHOT CHIKUNGUNYA VIRUS VACCINE
20220313810 · 2022-10-06
Assignee
Inventors
Cpc classification
Y02A50/30
GENERAL TAGGING OF NEW TECHNOLOGICAL DEVELOPMENTS; GENERAL TAGGING OF CROSS-SECTIONAL TECHNOLOGIES SPANNING OVER SEVERAL SECTIONS OF THE IPC; TECHNICAL SUBJECTS COVERED BY FORMER USPC CROSS-REFERENCE ART COLLECTIONS [XRACs] AND DIGESTS
International classification
Abstract
The present invention relates to a single-shot live attenuated vaccine against Chikungunya virus which is well-tolerated and induces long-lasting protective immunity in adult human subjects.
Claims
1. A pharmaceutical unit dosage composition comprising i) an attenuated chikungunya virus; and ii) one or more pharmaceutically acceptable excipients, characterized in that said pharmaceutical composition is able to induce a sustained protective immune response against a chikungunya virus in a human after a single dosage, wherein said unit dosage composition comprises about 10.sup.3 to 5×10.sup.4 TCID.sub.50/dose, preferably about 10.sup.3 to 2×10.sup.4 TCID.sub.50/dose.
2. The pharmaceutical composition according to claim 1, wherein said attenuated chikungunya virus comprises an RNA genome corresponding to the DNA sequence as defined by SEQ ID NO: 1 (CHIKV-Δ5nsP3) and/or one or more variants thereof, wherein said variant has a nucleic acid sequence that is at least 99% identical to SEQ ID NO: 1 and has the entire 60 amino acid deletion in nsP3 as in SEQ ID NO: 1.
3. The pharmaceutical composition of claim 1 or 2, wherein said dosage is about 5×10.sup.3 TCID.sub.50/dose.
4. The pharmaceutical composition according to claim 2 or 3, wherein said attenuated chikungunya virus variant expresses an E2 protein with at least one mutation compared with the wild-type E2 protein as defined by SEQ ID NO: 2, particularly an E2 protein as defined by any of SEQ ID Nos: 3-7.
5. The pharmaceutical composition of any one of claims 2 to 4, wherein said attenuated chikungunya virus variant expresses an E2 protein with an E168K mutation as defined by SEQ ID NO: 3.
6. A pharmaceutical composition for use as a one-shot vaccine for the prevention or treatment of chikungunya virus infection, wherein the composition comprises or consists of i) CHIKV-Δ5nsP3 which expresses an E2 protein as defined by SEQ ID NO: 2, a CHIKV-Δ5nsP3 which expresses an E2 protein as defined by SEQ ID NO: 3 or a mixture thereof; and ii) one or more pharmaceutically acceptable excipients, wherein said composition is administered to a subject at a dose of about 10.sup.3 to 5×10.sup.4 TCID.sub.50/dose, preferably about 10.sup.3 to 2×10.sup.4 TCID.sub.50/dose.
7. The pharmaceutical composition of any one of claims 1 to 6, wherein said composition is a liquid frozen composition.
8. The pharmaceutical composition of any one of claims 1 to 6, wherein said composition is a lyophilized composition.
9. The pharmaceutical composition of any one of claims 1 to 8, wherein the pharmaceutically acceptable excipients essentially consist of sucrose, potassium phosphate and sodium citrate and, optionally, magnesium chloride, D-sorbitol, L-methionine and recombinant human serum albumin rHSA.
10. The pharmaceutical composition according to any one of claims 1 to 9, wherein said pharmaceutically acceptable excipients essentially consist of about 5% (w/v) sucrose, about 10 mM potassium phosphate, about 25 mM sodium citrate and about 0.01% (w/v) recombinant human serum albumin (rHSA).
11. The pharmaceutical composition according to any one of claims 1 to 9, wherein said pharmaceutically acceptable excipients essentially consist of about 5% (w/v) sucrose; about 5 mM potassium phosphate; about 25 mM sodium citrate; about 5 mM MgCl.sub.2; about 0.5% (w/v) D-sorbitol; about 10 mM L-methionine; and about 0.01% (w/v) recombinant human serum albumin(rHSA).
12. The pharmaceutical composition of any one of claims 1 to 11, wherein said composition is able to increase serum antibody titers to said virus in a human by at least 1 log relative to a control within about 14 days from primary immunization.
13. The pharmaceutical composition of any one of claims 1 to 11, wherein said composition is able to increase serum antibody titers to said virus in a human by at least 1 log relative to a control within about 7 days from primary immunization.
14. The pharmaceutical composition of any one of claims 1 to 13, wherein said composition is able to stimulate seroconversion in at least 25%, at least 30%, at least 40%, at least 50%, at least 60%, at least 70%, at least 80%, at least 90%, at least 91%, 92%, 93%, 94%, 95%, 96%, 97%, 98%, 99%, up to 100% of vaccinated subjects within 7 days of vaccination, wherein seroconversion is defined as reaching a neutralizing CHIKV antibody titer of at least 10, preferably at least 20.
15. The pharmaceutical composition of any one of claims 1 to 13, wherein said composition is able to stimulate seroconversion in at least 25%, at least 30%, at least 40%, at least 50%, at least 60%, at least 70%, at least 80%, at least 90%, at least 91%, 92%, 93%, 94%, 95%, 96%, 97%, 98%, 99%, up to 100% of vaccinated subjects within 14 days of vaccination, wherein seroconversion is defined as reaching a neutralizing CHIKV antibody titer of at least 10, preferably at least 20.
16. The pharmaceutical composition of any one of claims 1 to 15, wherein the protective immune response lasts for at least 6 months.
17. The pharmaceutical composition of any one of claims 1 to 15, wherein the protective immune response lasts for at least 12 months.
18. The pharmaceutical composition of any one of claims 1 to 15, wherein the protective immune response lasts for at least 24 months.
19. The pharmaceutical composition of any one of claims 1 to 15, wherein the protective immune response confers life-long protection against CHIK virus disease.
20. The pharmaceutical composition of any one of claims 1 to 19, for use in a method of treating or preventing a Chikungunya virus infection.
21. A method of treating or preventing a Chikungunya virus infection in a subject in need thereof, comprising administering an effective amount of the pharmaceutical composition according to any one of claims 1 to 17.
Description
BRIEF DESCRIPTION OF THE DRAWINGS
[0020] The accompanying drawings are not intended to be drawn to scale. The Figures are illustrative only and are not required for enablement of the disclosure. For purposes of clarity, not every component may be labeled in every drawing. In the drawings:
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DETAILED DESCRIPTION OF THE INVENTION
[0046] The present invention provides a pharmaceutical composition comprising a live-attenuated chikungunya virus particle which can be delivered to a subject in need thereof, providing protection against infection with chikungunya virus and/or the development of chikungunya fever after only one shot, i.e., vaccination. In one embodiment, the pharmaceutical composition is an immunogenic composition. In a preferred embodiment, the pharmaceutical composition is a vaccine.
[0047] The live-attenuated chikungunya virus of the invention is a CHIK virus with an introduced deletion mutation in the nsP3 coding region (“CHIKV-Δ5nsP3”) comprising the nucleic acid sequence of SEQ ID NO: 1 or a sequence variant thereof. The live attenuated CHIKV-Δ5nsP3 virus according to SEQ ID NO: 1 and the sequence variants thereof contain a 183-bp deletion in the 3′ part of the sequence encoding the nsP3 replicase protein (amino acids 1656 to 1717 in the nsP1-4 polyprotein), which results in a 60 amino acid deletion in nsP3 (indicated by “Δ60aa”,
[0048] Due to its RNA make-up and rapid adaptation to growth on host cells, the CHIKV-Δ5nsP3 attenuated virus is highly prone to mutation during passaging. In this regard, we have previously reported that generation of a CHIKV-Δ5nsP3 seed bank results in different populations of particles, some of which acquire mutations leading to loss or reduction of immunogenicity (see WO2019057793, which is incorporated herein by reference in its entirety). Furthermore, once produced, the virus is unstable and degrades rapidly. The production of a CHIKV-Δ5nsP3 composition and providing a stable formulation thereof, which will ensure that an optimal immunogenic dose is consistently available in each batch even after long-term storage of the vaccine product, therefore, requires careful consideration and is not a trivial matter. In this regard, another important aspect of the one-shot CHIKV-Δ5nsP3-inv vaccine of the current invention is the production process for the formulations; specifically, the lyophilized formulation as set forth in Example 3 and the liquid frozen formulation as set forth in Example 4.
[0049] In one aspect, the pharmaceutical composition of the current invention comprises a live attenuated Chikungunya virus. In one aspect, the pharmaceutical composition of the current invention comprises a live attenuated CHIKV comprising an RNA genome defined by the DNA sequence provided by SEQ ID NO: 1. In a preferred embodiment, the pharmaceutical composition of the current invention comprises a mixture of a) the CHIKV-Δ5nsP3 live attenuated virus comprising an RNA genome corresponding to the DNA sequence as provided by SEQ ID NO: 1 and b) sequence variants thereof (mixture referred to herein as “CHIKV-Δ5nsP3-inv”). As used herein, “sequence variant” and “variant” are used interchangeably. In one embodiment, the sequence variants of CHIKV-Δ5nsP3, with an RNA genome corresponding to the DNA sequence as defined by SEQ ID NO: 1 have at least 90-95% sequence identity, at least 96%, 97%, 98% sequence identity, at least 99% sequence identity, preferably greater than 99% sequence identity to the nucleic acid sequence provided by SEQ ID NO: 1, and all encode a truncated nsP3 replicase protein; i.e., maintain the entire 60 aa deletion of nsP3 corresponding to the 60 amino acid deletion in CHIKV-Δ5nsP3. In one embodiment, the sequence variants of CHIKV-Δ5nsP3 express a wild-type E2 protein according to SEQ ID NO: 2. In one aspect, the E2 structural protein of the variants contains one or more point mutations that do not affect the immunogenicity of the virus, i.e., are not immunogenicity reducing. In one embodiment, the point mutations that do not affect the immunogenicity of the virus may be at amino acids 232 and/or 247 of the E2 protein, such as H232Y and/or E247K. In one aspect, the E2 structural protein of the CHIKV-Δ5nsP3 variants contain one or more point mutations that reduce or abolish the immunogenicity of the virus, also referred to as “non-immunogenic” variants such as e.g. E168K. As defined herein, a non-immunogenic CHIKV-Δ5nsP3 sequence variant is a CHIKV-Δ5nsP3 sequence variant which elicits levels of neutralizing antibodies in a vaccinated subject inadequate to prevent signs or symptoms of Chikungunya virus disease. A non-immunogenic CHIKV-Δ5nsP3 sequence variant is further defined as eliciting antibodies in an immunized subject which show poor capacity to neutralize infection of cells with Chikungunya virus (wild-type or attenuated) in an in vitro assay such as e.g., a PRNT.sub.50 or μNT.sub.50 assay. In particular, a non-immunogenic CHIKV-Δ5nsP3 is defined as eliciting levels of neutralizing antibodies in an immunized subject which provide less than 60%, less than 50%, less than 40%, less than 30%, less than 20%, especially less than 10%, neutralization of Chikungunya virus in an in vitro neutralization assay at a 1:80 or higher serum dilution.
[0050] In one embodiment, the E2 structural protein of the CHIKV-Δ5nsP3 sequence variants contains no more than about ten point mutations. In one embodiment, the E2 structural protein of the CHIKV-Δ5nsP3 contains no more than 9, 8, 7, 6, 5 or 4 point mutations. In a preferred embodiment, the E2 structural protein of the CHIKV-Δ5nsP3 sequence variants contains three or less point mutations, most preferably only one or two point mutations, especially only one mutation. In a preferred embodiment, said mutation is an E168K, G55R, E247K G82R or H232Y mutation as defined by SEQ ID Nos: 3-7, respectively, most preferably an E168K mutation as set forth in SEQ ID NO: 3.
[0051] In one embodiment, the mixture of CHIKV-Δ5nsP3 and sequence variants thereof comprises at least 25% to 75% of CHIKV-Δ5nsP3 particles comprising an RNA genome corresponding to the DNA sequence provided by SEQ ID NO: 1, preferably at least 40%, preferably at least 50%, preferably more than 60%, preferably more than 70%, preferably more than 80%, most preferably between 40% and 60%. It should be noted that the CHIKV-Δ5nsP3 particles comprising an RNA genome corresponding to the DNA sequence provided by SEQ ID NO: 1 express an E2 protein with the amino acid sequence provided by SEQ ID NO: 2. In one aspect, the sequence variants of CHIKV-Δ5nsP3 are present in the mixture as a heterogeneous population In one aspect, the major sequence variant in the mixture of CHIKV-Δ5nsP3 and sequence variants thereof is the variant expressing an E2 protein with an E168K mutation as set forth in SEQ ID NO: 3. In a preferred aspect, the mixture essentially consists of about 50% CHIKV-Δ5nsP3 according to SEQ ID NO: 1 and about 50% of the variant expressing an E2 protein with an E168K mutation as set forth in SEQ ID NO: 3, especially about 25%:75%, about 30%:70%, about 40%:60%, about 60%:40%, about 70%:30%, about 75%:25%, most preferably about 50%:50%.
[0052] The pharmaceutical composition of the invention comprising a mixture of CHIKV-Δ5nsP3 and sequence variants thereof is also herein referred to as “CHIKV-Δ5nsP3-inv”. The vaccine was produced in Vero cells and purified according to processes described elsewhere (see WO2019057793, WO2017109223, WO2017109224). CHIKV-Δ5nsP3-inv is referred to herein as CHIKV candidate or CHIKV candidate of the invention.
[0053] In preferred embodiments the compositions are provided as unit dosage forms, e.g. comprising a defined dosage of the antigen suitable for administration to a subject in a single dose. The unit dosage forms may be packaged individually, e.g. in single containers, vials, pre-filled syringes or the like. The unit dosage forms may be suitable for immediate administration to the subject (e.g. may comprise a physiologically acceptable concentration of salts) or the unit dosage forms may be provided in concentrated or lyophilized form (e.g. for dilution with sterile saline solution or WFI before use).
[0054] In a preferred embodiment, the composition is used as a “one-shot” vaccine, i.e., requires only one vaccination of a subject to be effective, e.g. for the prevention or treatment of chikungunya virus infection. Thus the pharmaceutical composition may be administered as a single dose (e.g. of a unit dosage form as described herein) to a subject in need of vaccination against chikungunya virus infection, without administration of a subsequent or booster dose of the composition. In one embodiment, the composition may be used to induce protective immunity against two or more strains of chikungunya virus, e.g. due to the ability of the composition to induce production of neutralizing antibodies that are cross-reactive for multiple CHIKV strains. As defined herein, prevention of chikungunya virus infection can also mean protection from chikungunya virus infection or disease caused by chikungunya virus infection (such as, e.g., chikungunya fever).
[0055] In one embodiment, the pharmaceutical composition of the invention is delivered at a dosage of between about 10.sup.2 and 10.sup.6 TCID.sub.50. As is well-known in the art, TCID.sub.50 refers the 50 percent tissue culture infective dose and is a measure of infectious viral titer. The TCID.sub.50 value is a measure of the amount of virus required to infect (and/or induce a cytopathic effect) in 50% of inoculated tissue culture cells. TCID.sub.50 can be determined using standard assays, such as e.g. an endpoint dilution assay.
[0056] In one embodiment, the TCID.sub.50 value is determined in Vero cells. Preferably the viral titer is calculated according to the Reed and Muench method (e.g. as described in Reed, L. J.; Muench, H. A simple method of estimating fifty percent endpoints (1938) The American Journal of Hygiene 27:493-497). Most preferably the TCID.sub.50 value is determined substantially as described in Example 3 below.
[0057] In one embodiment, the dosage is between about 10.sup.3 and 10.sup.5 TCID.sub.50. In a preferred embodiment, the dosage is about 10.sup.3 to 2×10.sup.4 TCID.sub.50, most preferably about 5×10.sup.3 TCID.sub.50. In this regard, dosages of 3.2×10.sup.3 TCID.sub.50 (herein, “Low dose”), and 3.2×10.sup.4 TCID.sub.50/ml (herein “Medium dose”) showed highly favorable safety profiles (see Example 1). Both also elicited 100% seroconversion in immunized subjects (see Example 2). Furthermore, seroconversion was sustained over the 12 months following vaccination. It should be noted that the Medium dose group had a slightly quicker onset of immune response and a higher GMT value at 12 months when compared with the Low dose group. A desirable dosage for the live attenuated CHIKV of the invention is one that confers the highest and most sustained protective immune response while at the same time being well tolerated. In a preferred embodiment, the dosage of the pharmaceutical composition of the invention is about 3.2×10.sup.4 TCID.sub.50 at the time of manufacture and remains at a TCID.sub.50 of greater than or equal to about 10.sup.3 TCID.sub.50/dose, preferably greater than or equal to about 5×10.sup.3 TCID.sub.50/dose until the time of administration. In one embodiment, the pharmaceutical composition is provided as a liquid frozen composition. In a preferred embodiment, the pharmaceutical composition is provided as a lyophilized composition.
[0058] In one embodiment, the pharmaceutical composition comprises a pharmaceutically acceptable excipient or excipients. In one aspect, the pharmaceutically acceptable excipients are selected from the group comprising sugars, salts, amino acids, peptides and proteins. In a preferred embodiment, the pharmaceutically acceptable excipients include sucrose, potassium phosphate, sodium citrate, magnesium chloride, D-sorbitol, L-methionine and recombinant human serum albumin (rHSA). In one embodiment, the pharmaceutically acceptable excipients in the pharmaceutical composition essentially consist of about 5% (w/v) sucrose, about 10 mM potassium phosphate, about 25 mM sodium citrate and about 0.01% (w/v) recombinant human serum albumin (rHSA). In one embodiment, the pharmaceutically acceptable excipients in the pharmaceutical composition essentially consist of about 5% (w/v) sucrose; about 5 mM potassium phosphate; about 25 mM sodium citrate; about 5 mM MgCl.sub.2; about 0.5% (w/v) D-sorbitol; about 10 mM L-methionine; and about 0.01% (w/v) recombinant human serum albumin (rHSA). In a preferred embodiment, the pharmaceutical composition comprises sucrose at a concentration of about 5% (w/v); potassium phosphate at a concentration of about 5 mM to about 10 mM; sodium citrate at a concentration of about 25 mM sodium; MgCl.sub.2 at a concentration of about 10 mM; D-sorbitol at a concentration of about 0.5% (w/v); L-methionine at a concentration of about 10 mM; and recombinant human serum albumin at a concentration of about 0.01% (w/v).
[0059] In one embodiment, the pharmaceutical composition increases serum antibody titers in a vaccinated human subject by at least 1 log, relative to a control, within about 5 to 28 days. In a preferred embodiment, the pharmaceutical composition increases serum antibody titers in a vaccinated human subject by at least 1 log, relative to a control, within about 14 days. In a preferred embodiment, the pharmaceutical composition increases serum antibody titers in a vaccinated human subject by at least 1 log, relative to a control, within about 7 days. In one embodiment, said control is pre-immune sera from the same human subject; e.g., collected before vaccination. In one embodiment, said control is sera from a placebo-treated subject or subjects.
[0060] In one embodiment, the pharmaceutical composition of the invention stimulates seroconversion in at least 25%, at least 30%, at least 40%, at least 50%, at least 60%, at least 70%, at least 80%, at least 90%, at least 91%, 92%, 93%, 94%, 95%, 96%, 97%, 98%, 99%, up to 100% of vaccinated subjects within 14 days of a single vaccination. In one embodiment, the pharmaceutical composition of the invention stimulates seroconversion in at least 25%, at least 30%, at least 40%, at least 50%, at least 60%, at least 70%, at least 80%, at least 90%, at least 91%, 92%, 93%, 94%, 95%, 96%, 97%, 98%, 99%, up to 100% of vaccinated subjects within 7 days of a single vaccination. In one embodiment, seroconversion is defined as reaching a CHIKV-specific antibody titer, i.e., a neutralizing antibody titer of at least 10 or at least 20, preferably at least 20. The neutralization of Chikungunya virus may be assessed in an in vitro assay, such as a neutralization assay wherein a range of serum dilutions are tested for neutralization of CHIKV infectivity and calculating the dilution that neutralizes 50% of infectivity compared with a negative control. The 50% reduction of CHIKV virus infectivity in a neutralizing assay (such as, for example, a PRNT assay, a μPRNT assay or microneutralization assay, i.e., a μNT assay) by a 1:10 or higher dilution, preferably at least a 1:20 dilution, of immune sera is defined herein as seroconversion. The value is reported as the reciprocal of the dilution factor, e.g., 50% CHIKV neutralization at a 1:10 immune serum dilution is referred to as a neutralizing titer of 10, e.g., a μNT.sub.50 titer of 10 or PRNT.sub.50 titer of 10. Any neutralizing titer values of 20 or higher are all defined as seroconversion herein, with 20 being the minimum possible value.
[0061] In one embodiment, the pharmaceutical composition of the invention confers a protective immune response against CHIK virus disease that is long-lasting. In one embodiment, the pharmaceutical composition of the invention confers lifelong protection against CHIK virus disease. In one embodiment, the protective immune response is sustained from at least 6 months up to a lifetime, e.g., several decades, such as 10 to 70 years or beyond. In one embodiment, the protective immune response is sustained up to at least 50 years, at least 40 years, at least 30 years, at least 25 years, at least 20 years, at least 19, 18, 17, 16, 15, 14, 13, 12, 11, 10, 9, 8, 7, 6, 5, 4, 3, 2 years, at least 1 year. In a preferred embodiment, the protective immune response lasts at least 6 months, at least 12 months, at least 24 months, preferably at least 10 years, most preferably for the lifetime of the subject. A protective immune response is an immune response in which levels of elicited neutralizing antibodies are sufficient for reducing or preventing signs or symptoms of Chikungunya virus disease in an immunized subject.
[0062] In one embodiment, the pharmaceutical composition is suitable for use in a method of treating or preventing a Chikungunya virus infection. Particularly, the pharmaceutical composition is suitable for use in vaccinating a human subject and stimulating a protective immune response in said subject. In a preferred embodiment, the method of treating or preventing a Chikungunya virus infection according to the current invention comprises administering an effective amount of the pharmaceutical composition as defined herein to a subject in need thereof. A subject in need of vaccination against CHIKV according to the current disclosure can be any human subject in danger of exposure to the virus, such as a traveller to an endemic or outbreak country or an inhabitant of an endemic or outbreak country or a country in danger of an outbreak. Unless otherwise defined herein, scientific and technical terms used in connection with the present disclosure shall have the meanings that are commonly understood by those of ordinary skill in the art. Further, unless otherwise required by context, singular terms shall include pluralities and plural terms shall include the singular. The methods and techniques of the present disclosure are generally performed according to conventional methods well known in the art. Generally, nomenclatures used in connection with, and techniques of biochemistry, enzymology, molecular and cellular biology, microbiology, virology, cell or tissue culture, genetics and protein and nucleic chemistry described herein are those well-known and commonly used in the art. The methods and techniques of the present disclosure are generally performed according to conventional methods well known in the art and as described in various general and more specific references that are cited and discussed throughout the present specification unless otherwise indicated.
Abbreviations
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TABLE-US-00001 CHIKV Chikungunya virus CPE Cytopathic effect CRO Contract research organization ED Effective dose ELISA Enzyme-linked immunosorbent assay ELU/ml ELISA units per ml ECSA East Central South African GMC Genome copy equivalents CMT Geometric Mean Titer GMFI Geometric Mean Fold Increase HRP Horseradish peroxidase IgG Immunoglobulin G IgM Immunoglobulin M IOL Indian Ocean Lineage i.m. Intramuscularly LLOQ Lower limit of quantification (μ)PRNT (Micro-) plaque reduction neutralization test μNT Micro-neutralization test PAHO Pan American Health Organization PBS Phosphate-buffered saline PFU Plaque forming unit RNA Ribonucleic acid TCID Tissue culture infectious dose TMB Teramothylbenzidine VLP Virus-like particle WA West African
EXAMPLES
Example 1. Safety and Tolerability of the Attenuated CHIKV-Δ5nsP3 Vaccine
[0064] A randomized, observer-blinded, multicenter phase 1 trial to assess the safety, immunogenicity and antibody persistence of three escalating dosages of the live-attenuated Chikungunya virus vaccine candidate CHIKV-Δ5nsP3 (a.k.a. CHIKV-Δ5nsP3-inv; i.e., a mixture of CHIKV-Δ5nsP3 and variants) in healthy male and female volunteers was conducted. For the trial, the liquid frozen formulations as disclosed herein were used. Healthy volunteers aged 18 to 45 years were randomly assigned 1:1:2 to Low, Medium and High dose groups (L=3.2×10.sup.3 TCID.sub.50/0.1 ml dose, M=3.2×10.sup.4 TCID.sub.50/1 ml dose, H=3.2×10.sup.5 TCID.sub.50/1 ml dose) and each received a single-shot immunization on Day 0. Half of the individuals in Group H (Group H2) were challenged with the High dose at Month 6 and followed up 28 days post-challenge until Month 12. Individuals in Groups L, M and H1 were challenged with the High dose vaccine at Month 12 and followed up to 28 days post-challenge. (See
[0065] The study was conducted in compliance with the current International Conference on Harmonisation (ICH) of Technical Requirements for Registration of Pharmaceuticals for Human Use/Guideline for Good Clinical Practice and in accordance with the principles set forth in the Declaration of Helsinki. Throughout the study, an independent data safety monitoring board consisting of four external medical experts performed periodic reviews of accruing safety information. All enrolled subjects provided their written informed consent prior to any study-related procedure.
[0066] Healthy adults of both genders, aged 18 to 45 years, were eligible for inclusion in the trial. The baseline characteristics of the subjects are provided in Table 1. Female participants were eligible if they were of non-childbearing potential (i.e. surgically sterile or five years post-menopause). The main exclusion criteria included prior CHIKV infection, history of immune-mediated or chronic arthritis/arthralgia or immunization with an inactivated vaccine within 4 weeks or a live vaccine within 8 weeks prior to vaccination in the study. A full list of inclusion and exclusion criteria is provided in Table 2. One hundred and twenty participants were selected and randomly assigned to receive the single vaccination on Day 0 (
TABLE-US-00002 TABLE 1 Baseline Characteristics of Participants Group L Group M Group H All Participants (N = 31) (N = 30) (N = 59) N = 120 Sex n (%) Male 28 (90•3) 23 (76•7) 55 (93•2) 106 (88•3) Female 3 (9•7) 7 (23•3) 4 (6•8) 14 (11•7) Ethnic origin (%) American Indian or 0 (0•0) 0 (0•0) 1 (1•7) 1 (0•8) Alaskan Native Asian 2 (6•5) 1 (3•3) 2 (3•4) 5 (4•2) African American 6 (19•4) 3 (10•0) 8 (13•6) 17 (14•2) Native Hawaiian or 0 (0•0) 0 (0•0) 0 (0•0) 0 (0•0) Other Pacific Islander Caucasian 22 (71•0) 26 (86•7) 48 (81•4) 96 (80•0) Other 1 (3•2) 0 (0•0) 0 (0•0) 1 (0•8) Age at screening 32•8 32•3 32•5 32•5 [years] Mean (Min/Max) (21•0/43•0) (21•0/45•0) (19•0/45•0) (19•0/45•0) Height [cm] Mean 179•3 174•8 179•1 178•1 (Min/Max) (157•5/195•.6) (152•4/190•5) (160•0/200•7) (152•4/200•7) Weight [kg] Mean 84•1 77•1 83•7 82•1 (Min/Max) (63•0/104•0) (45•7/100•7) (57•6/118•0) (45•7/118•0) BMI [kg/m.sup.2] Mean 26•2 25•1 26•0 25•8 (Min/Max) (20•8/29•4) (19•0/29•9) (20•1/29•8) (19•0/29•7)
TABLE-US-00003 TABLE 2 Inclusion and Exclusion Criteria for Participants Inclusion Criteria Subjects who meet ALL of the following criteria are eligible for this study: 1. Subject is 18 to 45 years of age on the Day of screening (Visit 0); 2. Subject has a BMI of ≥18.5 and <30 kg/m2 on the Day of screening (Visit 0); 3. Subject has an understanding of the study and its procedures, agrees to its provisions, and gives written informed consent prior to any study-related procedures; 4. Subject is generally healthy as determined by the Investigator's clinical judgement based on medical history, physical examination and screening laboratory tests; 5. If subject is of childbearing potential: a) Subject has practiced an adequate method of contraception (see below) during the 30 days before screening (Visit 0); b) Subject has a negative serum pregnancy test at screening (Visit 0); c) Subject agrees to employ adequate birth control measures for the duration of the study. This includes one of the following measures: Hormonal contraceptives (e.g. implants, birth control pills, patches); Intrauterine device; Barrier type of birth control measure (e.g. condoms, diaphragms, cervical caps); Vasectomy in the male sex partner ≥3 months prior to first vaccination. Exclusion Criteria Subjects who meet ANY of the following criteria are NOT eligible for this study: 1. Subject has a history of known CHIKV infection; 2. Subject has plans to travel to areas with active CHIKV transmission during the course of the study or has travelled to an endemic CHIKV area within 4 weeks prior to study enrollment; 3. Subject has participated in a clinical study involving an investigational CHIKV vaccine; 4. Subject has received an inactivated vaccine within 4 weeks or live vaccine within 8 weeks prior to vaccination in this study; 5. Subject tests positive for human immunodeficiency virus (HIV), hepatitis B surface antigen (HBsAg) or hepatitis C virus (HCV); 6. Subject has at screening (Visit 0): (1) abnormal laboratory liver function values (≥grade 1), (2) any grade 1 abnormal lab values deemed clinically relevant by the Investigator, or (3) any ≥grade 2 abnormal lab values irrespective of clinical significance; 7. Subject has a clinically significant abnormal ECG at screening (Visit 0); 8. Subject currently has or has a history of significant cardiovascular, respiratory (including asthma), metabolic, neurological, hepatic, heumatic, autoimmune, hematological, gastrointestinal or renal disorder; 9. Subject has a history of immune-mediated or clinically significant arthritis/arthralgia; 10. Subject has a history of malignancy other than squamous cell or basal cell skin cancer, unless there has been surgical excision that is considered to have achieved a cure. A history of hematologic malignancy is a permanent exclusion. Subjects with a history of skin cancer must not be vaccinated at the previous tumor site; 11. Subject has a disease or is undergoing a form of treatment or was undergoing a form of treatment that can be expected to influence immune response. Such treatment includes, but is not limited to, systemic or high dose inhaled (>800 μg/day of beclomethasone dipropionate or equivalent) corticosteroids within 4 weeks prior to study entry, radiation therapy or immunosuppressive cytotoxic drugs/monoclonal antibodies in the previous 3 years; 12. Subject has a history of severe hypersensitivity reactions or anaphylaxis; 13. Subject has a history of any vaccine related contraindicating event (e.g., anaphylaxis, allergy to components of the candidate vaccine, other known contraindications); 14. Subject had acute febrile infections within two weeks prior to vaccination; 15. Subject has plans to become pregnant during the course of the study, or is pregnant (positive serum pregnancy test at screening) or lactating at the time of enrollment; 16. Subject has donated blood within 30 days or received blood-derived products (e.g. plasma) within 90 days prior to vaccination in this study or plans to donate blood or use blood products during the course of the study; 17. Subject has a rash, dermatological condition or tattoos that would, in the opinion of the Investigator, interfere with injection site reaction rating; 18. Subject has a known or suspected problem with alcohol or drug abuse as determined by the Investigator; 19. Subject has any condition that, in the opinion of the Investigator, may compromise the subjects well-being, might interfere with evaluation of study endpoints, or would limit the subject's ability to complete the study; 20. Subject is committed to an institution (by virtue of an order issued either by the judicial or the administrative authorities); 21. Subject has participated in another clinical study involving an investigational medicinal product (IMP) or device within 30 days prior to study enrollment or is scheduled to participate in another clinical study involving an IMP, or device during the course of this study; 22. Subject is a member of the team conducting the study or in a dependent relationship with one of the study team members. Dependent relationships include close relatives (i.e., children, partner/spouse, siblings, parents) as well as employees of the Investigator or site personnel conducting the study.
[0067] As shown in
[0068] The primary objective was to assess safety and tolerability of the vaccine after a single vaccination. Participant diaries were used for the collection of daily oral body temperature, solicited injection and systemic reactions up to 14 days post-vaccination, which are assessed using FDA's toxicity grading scale. In addition, participants were monitored for symptoms suggesting an acute stage of CHIKV-associated events manifested by systemic symptoms presenting with sudden onset of fever, myalgia, headache, back pain and macular to maculopapular rash, sometimes with cutaneous pruritus (foot arch) and edema of the face and extremities, polyadenopathies, acute (poly)arthritis most frequently in the extremities (wrists, ankles and phalanges), tenosynovitis, neurological symptoms or cardiac symptoms.
[0069] For determination of viremia and shedding after vaccination and challenge, plasma and urine from subjects were analyzed for the presence of CHIKV genomic RNA by Reverse Transcriptase quantitative PCR (RT-qPCR) (Panning, M. et al., 2008, Chikungunya Fever in Travelers Returning to Europe from the Indian Ocean Region, 2006. Emerging Infectious Diseases 14(3):416-422; Pastorino B. et al., 2015, Development of a TaqMan RT-PCR assay without RNA extraction step for detection and quantification of African Chikungunya viruses, Journal of Virological Methods, 65-71). In brief, total RNA was extracted from individual specimens and subjected to RT-qPCR using a hydrolysis probe and primers specific to the CHIKV nsP1 gene. The read-out was quantitative and reported as the number of CHIKV genome copy equivalents (GCE) per 1 mL of initial subject specimen. The assay was qualified for precision and specificity. The limits of detection and quantification were defined as 1087 GCE/mL (10 GCE/reaction) and 3261 GCE/mL (30 GCE/reaction), respectively. Time points with no available results in the treatment group were plotted at 500.
[0070] Statistical analysis. The sample size of 120 participants allowed for the detection of AEs, which commonly have a close relationship to vaccination, and with a true underlying prevalence of 2.5% with a probability of 95%. The study was not powered to detect uncommon or rare AEs, thus a placebo group was not included. All participants who received a single vaccination at Day 0 were included in the safety dataset. The number and percentage of individuals with solicited injection site and systemic reactions up to 14 days after each vaccination, and with unsolicited AEs and SAEs were presented for each dose group overall and by body system/preferred term and were compared using Fisher's exact test for differences between groups; a significant overall test was amended by pair-wise tests between individual groups.
[0071] The primary outcome of the study was to assess the safety and tolerability of the vaccine. The live-attenuated CHIKV-Δ5nsP3 vaccine was generally safe and well-tolerated up to Month 12 after the single vaccination in the Low and Medium dosage groups and generally safe in all dosage groups. A summary of adverse events after the single vaccination is provided in Table 3. The Low and Medium dosages showed a superior reactogenicity profile compared to the High dosage group (p-value 0.0089; pairwise test M vs. H 0.0042). The vast majority of AEs across the dose groups were assessed as mild or moderate and the majority of AEs were reported after the single vaccination. No adverse event of special interest and no vaccine related serious adverse events were reported. Two unrelated serious adverse events occurred; one event of polytrauma following a car accident and one event of atrial ectopy 62 days following the 6 month re-vaccination (Table 3). Following any challenge, rates of AEs were substantially diminished, only six participants reported related AEs occurring within 28 days after any challenge, indicating that participants were protected from challenge-induced AEs (summary provided in Table 4).
TABLE-US-00004 TABLE 3 Summary of Adverse Events after Single Vaccination up to M12 Group L Group M Group H p-value Statistics (N = 31) (N = 30) (N = 59) (Overall) Any AE n (%) Obs 21 (67•7) 57 19 (63•3) 69 48 (81•4) 209 0•1349 [95% CI] [50•1, 81•4] [45•5, 78•1] [69•6, 89•3] Any related AE n (%) Obs 18 (58•1) 43 14 (46•7) 49 46 (78•0) 168 0•0089 [95% CI] [40•8, 73•6] [30•2, 63•9] [65•9, 86•6] Pairwise test vs. M 0•4462 . . . . . . vs. H 0•0550 0•0042 . . . Any severe AE n (%) Obs 4 (12•9) 4 3 (10•0) 3 7 (11•9) 8 1•0000 [95% CI] [5•1, 28•9] [3•5, 25•6] [5•9, 22•5] Any related severe AE n (%) Obs 4 (12•9) 4 2 (6•7) 2 7 (11•9) 8 0•7998 [95% CI] [5•1, 28•9] [1•8, 21•3] [5•9, 22•5] Any SAE n (%) Obs 0 (0•0) 0 1 (3•3) 1 0 (0•0) 0 0•2500 [95% CI] [0•0, 11•0] [0•6, 16•7] [0•0, 6•1] Any related SAE n (%) Obs 0 (0•0) 0 0 (0•0) 0 0 (0•0) 0 NC [95% CI] [0•0, 11•0] [0•0, 11•4] [0•0, 6•1] Any medically attended AE n (%) Obs 2 (6•5) 4 5 (16•7) 5 10 (16•9) 15 0•3856 [95% CI] [1•8, 20•7] [7•3, 33•6] [9•5, 28•5] Any related medically n (%) Obs 1 (3•2) 2 0 (0•0) 0 0 (0•0) 0 0•5083 attended AE [95% CI] [0•6, 16•2] [0•0, 11•4] [0•0, 6•1] Any solicited AE n (%) Obs 11 (35•5) 23 12 (40•0) 41 40 (67•8) 107 0•0038 [95% CI] [21•1, 53•1] [24•6, 57•7] [55•1, 78•3] Pairwise test vs. M 0•7946 . . . . . . vs. H 0•0040 0•0220 . . . Any related solicited AE n (%) Obs 10 (32•3) 20 10 (33•3) 34 40 (67•8) 106 0•0007 [95% CI] [18•6, 49•9] [19•2, 51•2] [55•1, 78•3] Pairwise test vs. M 1•0000 . . . . . . vs. H 0•0017 0•0031 . . . Any severe solicited AE n (%) Obs 1 (3•2) 1 1 (3•3) 1 5 (8•5) 6 0.6796 [95% CI] [0•6, 16•2] [0•6, 16•7] [3•7, 18•4] Any solicited local AE n (%) Obs 1 (3•2) 1 2 (6•7) 3 4 (6•8) 4 0•7827 [95% CI] [0•6, 16•2] [1•8, 21•3] [2•7, 16•2] Any solicited systemic AE n (%) Obs 11 (35•5) 22 12 (40•0) 38 40 (67•8) 103 0•0038 [95% CI] [21•1, 53•1] [24•6, 57•7] [55•1, 78•3] Pairwise test vs. M 0•7946 . . . . . . vs. H 0•0040 0•0220 . . . Any severe solicited n (%) Obs 1 (3•2) 1 1 (3•3) 1 5 (8•5) 6 0•6796 systemic AE [95% CI] [0•6, 16•2] [0•6, 16•7] [3•7, 18•4] Any unsolicited AE n (%) Obs 17 (54•8) 34 15 (50•0) 28 36 (61•0) 102 0•5849 [95% CI] [37•8, 70•8] [33•2, 66•8] [48•3, 72•4] Any related unsolicited AE n (%) Obs 13 (41•9) 23 8 (26•7) 15 29 (49•2) 61 0•1310 [95% CI] [26•4, 59•2] [14•2, 44•4] [36•8, 61•6] Any severe unsolicited AE n (%) Obs 3 (9•7) 3 2 (6•7) 2 2 (3•4) 2 0•4588 [95% CI] [3•3, 24•9] [1•8, 21•3] [0•9, 11•5] Any related severe n (%) Obs 3 (9•7) 3 1 (3•3) 1 2 (3•4) 2 0•5452 unsolicited AE [95% CI] [3•3, 24•9] [0•6, 16•7] [0•9, 11•5] Any AESI n (%) Obs 0 (0•0) 0 0 (0•0) 0 0 (0•0) 0 NC [95% CI] [0•0, 11•0] [0•0, 11•4] [0•0, 6•1] n . . . number of participants with AE, percentages are based on N, Obs . . . number of events p-value (Overall): Fisher-Freeman-Halton test between Groups L, M, H NC . . . not calculable
TABLE-US-00005 TABLE 4 Summary of Adverse Events after Challenge at M6 (H2) or M12 (L, M, H1) Group L Group M Group H1 Group H2 Statistic (N = 24) (N = 23) (N = 21) (N = 26) Any AE n (%) Obs 3 (12.5) 4 0 (0.0) 0 4 (19.0) 6 5 (19•2) 13 [95% CI] [4.3, 31.0] [0.0, 14.3] [7.7, 40.0] [8•5, 37•9] Any related AE n (%) Obs 1 (4.2) 1 0 (0.0) 0 3 (14.3) 4 2 (7•7) 3 [95% CI] [0.7, 20.2] [0.0, 14.3] [5.0, 34.6] [2•1, 24•1] Any severe AE n (%) Obs 0 (0.0) 0 0 (0.0) 0 0 (0.0) 0 2 (7•7) 2 [95% CI] [0.0, 13.8] [0.0, 14.3] [0.0, 15.5] [2•1, 24•1] Any related severe AE n (%) Obs 0 (0.0) 0 0 (0.0) 0 0 (0.0) 0 2 (7•7) 2 [95% CI] [0.0, 13.8] [0.0, 14.3] [0.0, 15.5] [2•1, 24•1] Any SAE n (%) Obs 0 (0.0) 0 0 (0.0) 0 0 (0.0) 0 0 (0•0) 0 [95% CI] [0.0, 13.8] [0.0, 14.3] [0.0, 15.5] [0•0, 12•9] Any related SAE n (%) Obs 0 (0.0) 0 0 (0.0) 0 0 (0.0) 0 0 (0•0) 0 [95% CI] [0.0, 13.8] [0.0, 14.3] [0.0, 15.5] [0•0, 12•9] Any medically attended AE n (%) Obs 0 (0.0) 0 0 (0.0) 0 1 (4.8) 1 2 (7•7) 3 [95% CI] [0.0, 13.8] [0.0, 14.3] [0.8, 22.7] [2•1, 24•1] Any related medically n (%) Obs 0 (0.0) 0 0 (0.0) 0 0 (0.0) 0 1 (3•8) 1 attended AE [95% CI] [0.0, 13.8] [0.0, 14.3] [0.0, 15.5] [0•7, 18•9] Any solicited AE n (%) Obs 1 (4.2) 1 0 (0.0) 0 3 (14.3) 4 2 (7•7) 3 [95% CI] [0.7, 20.2] [0.0, 14.3] [5.0, 34.6] [2•1, 24•1] Any related solicited AE n (%) Obs 1 (4.2) 1 0 (0.0) 0 3 (14.3) 4 2 (7•7) 3 [95% CI] [0.7, 20.2] [0.0, 14.3] [5.0, 34.6] [2•1, 24•1] Any severe solicited AE n (%) Obs 0 (0.0) 0 0 (0.0) 0 0 (0.0) 0 2 (7•7) 2 [95% CI] [0.0, 13.8] [0.0, 14.3] [0.0, 15.5] [2•1, 24•1] Any solicited local AE n (%) Obs 1 (4.2) 1 0 (0.0) 0 2 (9.5) 2 0 (0•0) 0 [95% CI] [0.7, 20.2] [0.0, 14.3] [2.7, 28.9] [0•0, 12•9] Any solicited systemic AE n (%) Obs 0 (0.0) 0 0 (0.0) 0 1 (4.8) 2 2 (7•7) 3 [95% CI] [0.0, 13.8] [0.0, 14.3] [0.8, 22.7] [2•1, 24•1] Any severe solicited n (%) Obs 0 (0.0) 0 0 (0.0) 0 0 (0.0) 0 2 (7•7) 2 systemic AE [95% CI] [0.0, 13.8] [0.0, 14.3] [0.0, 15.5] [2•1, 24•1] Any unsolicited AE n (%) Obs 2 (8.3) 3 0 (0.0) 0 2 (9.5) 2 4 (15•4) 10 [95% CI] [2.3, 25.8] [0.0, 14.3] [2.7, 28.9] [6•2, 33•5] Any related unsolicited AE n (%) Obs 0 (0.0) 0 0 (0.0) 0 0 (0.0) 0 0 (0•0) 0 [95% CI] [0.0, 13.8] [0.0, 14.3] [0.0, 15.5] [0•0, 12•9] Any severe unsolicited AE n (%) Obs 0 (0.0) 0 0 (0.0) 0 0 (0.0) 0 0 (0•0) 0 [95% CI] [0.0, 13.8] [0.0, 14.3] [0.0, 15.5] [0•0, 12•9] Any AESI n (%) Obs 0 (0.0) 0 0 (0.0) 0 0 (0.0) 0 0 (0•0) 0 [95% CI] [0.0, 13.8] [0.0, 14.3] [0.0, 15.5] [0•0, 12.9] n . . . number of participants with AE, percentages are based on N, Obs . . . number of events
[0072] The local tolerability profile within 14 days after the single vaccination was considered excellent at all dose levels, with less than 7% of vaccinees (4/59 in Group H) reporting any local AE (p-value overall 0.7827).
[0073] Tenderness was the most common injection site reaction after the single vaccination, affecting more than 5% of subjects (3/59 in Group H) (
TABLE-US-00006 TABLE 5 Related Solicited Systemic AEs by Symptom within 14 Days after Single Vaccination Group L Group M Group H p-value Statistic (N = 31) (N = 30) (N = 59) (Overall) Fever severe (Grade 3) n (%) Obs 1 (3•2) 1 1 (3•3) 1 5 (8•5) 5 0•6796 [95% CI] [0•6, 16•2] [0•6, 16•7] [3•7, 18•4] moderate (Grade 2) n (%) Obs 2 (6•5) 2 3 (10•0) 4 14 (23•7) 14 0•0894 [95% CI] [1•8, 20•7] [3•5, 25•6] [14•7, 36•0] mild (Grade 1) n (%) Obs 0 (0•0) 0 2 (6•7) 3 3 (5•1) 3 0•5157 [95% CI] [0•6, 16•2] [1•8, 21•3] [1•7, 13•9] Nausea severe (Grade 3) n (%) Obs 0 (0•0) 0 0 (0•0) 0 0 (0•0) 0 NC [95% CI] [0•0, 11•0] [0•0, 11•4] [0•0, 6•1] moderate (Grade 2) n (%) Obs 0 (0•0) 0 1 (3•3) 1 2 (3•4) 2 0•6158 [95% CI] [0•0, 11•0] [0•6, 16•7] [0•9, 11•5] mild (Grade 1) n (%) Obs 1 (3•2) 1 2 (6•7) 2 6 (10•2) 6 0•5509 [95% CI] [0•6, 16•2] [1•8, 21•3] [4•7, 20•5] Vomiting severe (Grade 3) n (%) Obs 0 (0•0) 0 0 (0•0) 0 0 (0 •0) 0 NC [95% CI] [0•0, 11•0] [0•0, 11•4] [0•0, 6•1] moderate (Grade 2) n (%) Obs 0 (0•0) 0 1 (3•3) 1 1 (1•7) 1 0•7438 [95% CI] [0•0, 11•0] [0•6, 16•7] [0•3, 9•0] mild (Grade 1) n (%) Obs 1 (3•2) 1 0 (0•0) 0 1 (1•7) 1 1•0000 [95% CI] [0•6, 16•2] [0•0, 11•4] [0•3, 9•0] Headache severe (Grade 3) n (%) Obs 0 (0•0) 0 0 (0•0) 0 1 (1•7) 1 1•0000 [95% CI] [0•0, 11•0] [0•0, 11•4] [0•3, 9•0] moderate (Grade 2) n (%) Obs 2 (6•5) 2 1 (3•3) 1 7 (11•9) 7 0•4793 [95% CI] [1•8, 20•7] [0•6, 16•7] [5•9, 22•5] mild (Grade 1) n (%) Obs 5 (16•1) 5 6 (20•0) 6 14 (23•7) 15 0•7364 [95% CI] [7•1, 32•6] [9•5, 37•3] [14•7, 36•0] Fatigue severe (Grade 3) n (%) Obs 0 (0•0) 0 0 (0•0) 0 0 (0•0) 0 NC [95% CI] [0•0, 11•0] [0•0, 11•4] [0•0, 6•1] moderate (Grade 2) n (%) Obs 1 (3•2) 1 1 (3•3) 1 10 (16•9) 10 0•0725 [95% CI] [0•6, 16•2] [0•6, 16•7] [9•5, 28•5] mild (Grade 1) n (%) Obs 4 (12•9) 4 4 (13•3) 4 8 (13•6) 8 1•0000 [95% CI] [5•1, 28•9] [5•3, 29•7] [7•0, 24•5] Muscle Pain severe (Grade 3) n (%) Obs 0 (0•0) 0 0 (0•0) 0 0 (0•0) 0 NC [95% CI] [0•0, 11•0] [0•0, 11•4] [0•0, 6•1] moderate (Grade 2) n (%) Obs 0 (0•0) 0 1 (3•3) 1 9 (15•3) 9 0•0222 [95% CI] [0•0, 11•0] [0•6, 16•7] [8•2, 26•5] Pairwise tests vs. M 0•4918 . . . . . . vs. H 0•0249 0•1548 . . . mild (Grade 1) n (%) Obs 1 (3•2) 1 3 (10•0) 3 9 (15•3) 9 0•2227 [95% CI] [0•6, 16•2] [3•5, 25•6] [8•2, 26•5] Joint Pain severe (Grade 3) n (%) Obs 0 (0•0) 0 0 (0•0) 0 0 (0•0) 0 NC [95% CI] [0•0, 11•0] [0•0, 11•4] [0•0, 6•1] moderate (Grade 2) n (%) Obs 0 (0•0) 0 1 (3•3) 1 5 (8•5) 5 0•2685 [95% CI] [0•0, 11•0] [0•6, 16•7] [3•7, 18•4] mild (Grade 1) n (%) Obs 1 (3•2) 1 2 (6•7) 2 5 (8•5) 5 0•8073 [95% CI] [0•6, 16•2] [1•8, 21•3] [3•7, 18•4] Rash severe (Grade 3) n (%) Obs 0 (0•0) 0 0 (0•0) 0 0 (0•0) 0 NC [95% CI] [0•0, 11•0] [0•0, 11•4] [0•0, 6•1] moderate (Grade 2) n (%) Obs 0 (0•0) 0 0 (0•0) 0 0 (0•0) 0 NC [95% CI] [0•0, 11•0] [0•0, 11•4] [0•0, 6•1] mild (Grade 1) n (%) Obs 0 (0•0) 0 0 (0•0) 0 1 (1•7) 1 1•0000 [95% CI] [0•0, 11•0] [0•0, 11•4] [0•3, 9•0] n . . . number of participants with AE, percentages are based on N, Obs . . . number of events p-value (Overall): Fisher's exact test for overall differences between groups NC . . . not calculable
TABLE-US-00007 TABLE 6 Related Solicited Systemic AEs by Symptom within 14 Days after Challenge at M6 (H2) or M12 (L, M, H1) p-value Group L Group M Group H1 Group H2 (L vs. M Statistic (N = 24) (N = 23) (N = 21) (N = 26) vs. H1) Fever severe (Grade 3) n (%) Obs 0 (0.0) 0 0 (0.0) 0 0 (0.0) 0 0 (0•0) 0 NC [95% CI] [0.0, 13.8] [0.0, 14.3] [0.0, 15.5] [0•0, 12•9] moderate (Grade 2) n (%) Obs 0 (0.0) 0 0 (0.0) 0 0 (0.0) 0 0 (0•0) 0 NC [95% CI] [0.0, 13.8] [0.0, 14.3] [0.0, 15.5] [0•0, 12•9] mild (Grade 1) n (%) Obs 0 (0.0) 0 0 (0.0) 0 0 (0.0) 0 0 (0•0) 0 NC [95% CI] [0.0, 13.8] [0.0, 14.3] [0.0, 15.5] [0•0, 12•9] Nausea severe (Grade 3) n (%) Obs 0 (0.0) 0 0 (0.0) 0 0 (0.0) 0 2 (7•7) 2 NC [95% CI] [0.0, 13.8] [0.0, 14.3] [0.0, 15.5] [2•1, 24•1] moderate (Grade 2) n (%) Obs 0 (0.0) 0 0 (0.0) 0 0 (0.0) 0 0 (0•0) 0 NC [95% CI] [0.0, 13.8] [0.0, 14.3] [0.0, 15.5] [0•0, 12•9] mild (Grade 1) n (%) Obs 0 (0.0) 0 0 (0.0) 0 0 (0.0) 0 0 (0•0) 0 NC [95% CI] [0.0, 13.8] [0.0, 14.3] [0.0, 15.5] [0•0, 12•9] Vomiting severe (Grade 3) n (%) Obs 0 (0.0) 0 0 (0.0) 0 0 (0.0) 0 0 (0•0) 0 NC [95% CI] [0.0, 13.8] [0.0, 14.3] [0.0, 15.5] [0•0, 12•9] moderate (Grade 2) n (%) Obs 0 (0.0) 0 0 (0.0) 0 0 (0.0) 0 0 (0•0) 0 NC [95% CI] [0.0, 13.8] [0.0, 14.3] [0.0, 15.5] [0•0, 12•9] mild (Grade 1) n (%) Obs 0 (0.0) 0 0 (0.0) 0 0 (0.0) 0 0 (0•0) 0 NC [95% CI] [0.0, 13.8] [0.0, 14.3] [0.0, 15.5] [0•0, 12•9] Headache severe (Grade 3) n (%) Obs 0 (0.0) 0 0 (0.0) 0 0 (0.0) 0 0 (0•0) 0 NC [95% CI] [0.0, 13.8] [0.0, 14.3] [0.0, 15.5] [0•0, 12•9] moderate (Grade 2) n (%) Obs 0 (0.0) 0 0 (0.0) 0 1 (4.8) 1 0 (0•0) 0 0.3088 [95% CI] [0.0, 13.8] [0.0, 14.3] [0.8, 22.7] [0•0, 12•9] mild (Grade 1) n (%) Obs 0 (0.0) 0 0 (0.0) 0 0 (0.0) 0 0 (0•0) 0 NC [95% CI] [0.0, 13.8] [0.0, 14.3] [0.0, 15.5] [0•0, 12•9] Fatigue severe (Grade 3) n (%) Obs 0 (0.0) 0 0 (0.0) 0 0 (0.0) 0 0 (0.0) 0 NC [95% CI] [0.0, 13.8] [0.0, 14.3] [0.0, 15.5] [0•0, 12•9] moderate (Grade 2) n (%) Obs 0 (0.0) 0 0 (0.0) 0 0 (0.0) 0 0 (0•0) 0 NC [95% CI] [0.0, 13.8] [0.0, 14.3] [0.0, 15.5] [0•0, 12•9] mild (Grade 1) n (%) Obs 0 (0.0) 0 0 (0.0) 0 0 (0.0) 0 1 (3•8) 1 NC [95% CI] [0.0, 13.8] [0.0, 14.3] [0.0, 15.5] [0•7, 18•9] Muscle Pain severe (Grade 3) n (%) Obs 0 (0.0) 0 0 (0.0) 0 0 (0.0) 0 0 (0•0) 0 NC [95% CI] [0.0, 13.8] [0.0, 14.3] [0.0, 15.5] [0•0, 12•9] moderate (Grade 2) n (%) Obs 0 (0.0) 0 0 (0.0) 0 0 (0.0) 0 0 (0•0) 0 NC [95% CI] [0.0, 13.8] [0.0, 14.3] [0.0, 15.5] [0•0, 12•9] mild (Grade 1) n (%) Obs 0 (0.0) 0 0 (0.0) 0 0 (0.0) 0 0 (0•0) 0 NC [95% CI] [0.0, 13.8] [0.0, 14.3] [0.0, 15.5] [0•0, 12•9] Joint Pain severe (Grade 3) n (%) Obs 0 (0.0) 0 0 (0.0) 0 0 (0.0) 0 0 (0•0) 0 NC [95% CI] [0.0, 13.8] [0.0, 14.3] [0.0, 15.5] [0•0, 12•9] moderate (Grade 2) n (%) Obs 0 (0.0) 0 0 (0.0) 0 0 (0.0) 0 0 (0•0) 0 NC [95% CI] [0.0, 13.8] [0.0, 14.3] [0.0, 15.5] [0•0, 12•9] mild (Grade 1) n (%) Obs 0 (0.0) 0 0 (0.0) 0 1 (4.8) 1 0 (0•0) 0 0.3088 [95% CI] [0.0, 13.8] [0.0, 14.3] [0.8, 22.7] [0•0, 12•9] Rash severe (Grade 3) n (%) Obs 0 (0.0) 0 0 (0.0) 0 0 (0.0) 0 0 (0•0) 0 NC [95% CI] [0.0, 13.8] [0.0, 14.3] [0.0, 15.5] [0•0, 12•9] moderate (Grade 2) n (%) Obs 0 (0.0) 0 0 (0.0) 0 0 (0.0) 0 0 (0•0) 0 NC [95% CI] [0.0, 13.8] [0.0, 14.3] [0.0, 15.5] [0•0, 12•9] mild (Grade 1) n (%) Obs 0 (0.0) 0 0 (0.0) 0 0 (0.0) 0 0 (0•0) 0 NC [95% CI] [0.0, 13.8] [0.0, 14.3] [0.0, 15.5] [0•0, 12•9] n . . . number of participants with AE, percentages are based on N, Obs . . . number of events
[0074] Changes in blood cell counts were observed in one third of participants after the single vaccination; most commonly Leukopenia, Neutropenia and Lymphopenia (Table 7). Severe cases were observed across all groups: two cases of neutropenia in the Low and one case in the Medium dose group; two cases of lymphocytopenia in the High dose group. After challenge, no severe cases were reported and a significant reduction in the occurrence of these values in comparison to post single vaccination (paired signed rank test difference at Day 7 after single vs after challenge, p-value <0.0001, Table 7) was observed.
TABLE-US-00008 TABLE 7 Related unsolicited AE up to 28 days after vaccination (Groups L, M and H) and re-vaccination (challenge) (Groups L, M, H1 and H2) After Re-vaccination Paired Signed rank test Group H2 (N = 26) Day 7 after Day 28 after After Vaccination Group L (N = 22) vaccination vs. vaccination vs. Group L Group M Group H Group M (N = 22) Day 7 after Day 28 after Statistics (N = 31) (N = 30) (N = 59) Group H1 (N = 18) re-vaccination re-vaccination Blood and lymphatic n (%) Obs 6 (19•4) 12 4 (13•3) 7 17 (28•8) 32 0 (0) 0 system disorders Leukopenia n (%) Obs 6 (19•4) 6 2 (6•7) 2 14 (23•7) 14 0 (0) 0 Group H2 <•0001 0•1751 Group L <•0001 0.9296 Group M <•0001 0.7215 Group H1 <•0001 0.5218 Neutropenia n (%) Obs 5 (16•1) 5 1 (3•3) 3 10 (16•9) 10 0 (0) 0 Group H2 <•0001 0•1708 Group L <•0001 0.9765 Group M 0•0003 0.7656 Group H1 <•0001 0.8801 Lymphopenia n (%) Obs 1 (3•2) 1 2 (6•7) 2 4 (6•8) 5 0 (0) 0 Group H2 <•0001 0•8339 Group L 0•0002 0.8831 Group M <•0001 0.2870 Group H1 <•0001 0.6995 n . . . number of participants with AE, percentages are based on N, Obs . . . number of events
[0075] Plasma and urine samples were screened for viremia and viral shedding by PCR as described above. Viremia peaked at Day 3 post immunization in all groups, with the highest mean genome copy equivalent (GCE) value in Group H (2.3×10.sup.5 GCE/mL). GCE values in Groups L and M were considerably lower, reaching mean titers of 7.4×10.sup.4 and 8.9×10.sup.4 GCE/mL, respectively. Seven days after a single vaccination, the numbers of subjects who showed reportable viremia results were notably decreased in all study arms, with mean values of plasma viral RNA ranging from 8814.0 GCE/mL (Group L) to 27,028.0 GCE/mL (Group H). No subject in any dose arm showed are portable viremia result on Day 14 (
[0076] Post-hoc analyses on solicited AEs were performed in order to separate AEs arising before and after re-vaccination. In addition, a statistical comparison of rates of abnormal lymphocyte, neutrophil, and leukocyte counts between 7 and 28 days after single and any re-vaccination was performed.
Example 2. Immunogenicity Studies
[0077] A. Neutralizing Antibody Titers and Seroprotection Conferred by the Single-Shot CHIKV-Δ5nsP3 Vaccine
[0078] Secondary objectives of the clinical trial included the immune response after the single vaccination, measured by CHIKV-specific neutralizing antibodies, identification of the optimal dose level of the live-attenuated vaccine candidate, assessment of immunogenicity of CHIKV-Δ5nsP3 after challenge and assessment of antibody persistence up to Month 12 after a single vaccination. Neutralizing antibodies to the vaccine were evaluated using a microneutralization assay (μNT), which is based on a colorimetric CPE readout. Briefly, equal volumes of serial two-fold dilutions of serum samples were mixed with CHIKV-Δ5nsP3 (at a concentration resulting in 100% CPE) and incubated for 1-2 h at 37° C., prior to transfer onto Vero cells plated in 96 well plates. After several days, inhibition of Vero cell infection was observed by assessing cell viability. The neutralizing titer is defined as the reciprocal serum dilution which induces 50% protection from cell death (NT.sub.50) compared with the virus control lacking neutralizing antibody. Titers below the quantification limit (NT.sub.50<20) were given the value of 10. Seroconversion was defined as reaching a CHIKV-specific neutralizing antibody titer of at least 20 for baseline seronegative subjects; i.e., μNT.sub.50≥20.
[0079] The immunogenicity analyses were a comparison of the Geometric Mean Titers (GMTs) and Seroconversion Rates (SCRs) in the per-protocol (PP) population between the dose Groups L, M and H, at Day 28 (i.e. 28 days after vaccination) by ANOVA (factors dose group covariate study site). In addition, GMTs and Geometric Mean Fold Increases (GMFIs) were compared overall and pair-wise (Tukey's HSD test) between dose groups at all time points. All analyses were done in SAS (Version 9.3).
[0080] All three vaccine dosages were highly immunogenic after a single vaccination. At 14 days after the single vaccination, 100% of subjects in all dosage groups seroconverted. (Seroconversion was defined as subjects achieving a CHIKV-specific neutralizing antibody titer of at least 20 [μNT.sub.50≥20]). Furthermore, seroconversion rates in all dosage groups were sustained until Month 12 (
[0081] A lack of an anamnestic response, i.e., a booster effect of the challenge dose, in 100%, 100%, 94.4% and 96.2% of subjects, in Groups L, M, H1 and H2, respectively, was observed following challenge, indicating sterilizing immunity as characterized by a less than or equal to a four-fold rise in antibody titers as compared to pre-challenge titers (
TABLE-US-00009 TABLE 8 Rates of participants within ≤4-Fold Increase in Neutralizing Antibody Titer 28 days after Challenge at Month 6 and Month 12. Group L Group M Group H1 Group H2 Statistics (N = 23) (N = 23) (N = 20) (N = 26) Reaching <=4-fold n/N (%) 22/22 (100) 22/22 (100) 17/18 (94.4) 25/26 (96•2) increase [95% CI] [85.1, 100] [85.1, 100] [74.2, 99.0] [81•1, 99•3] n . . . number of participants
[0082] Setting the seroprotective threshold When transposing the seroprotective threshold established by Yoon et al. 2015 (supra) to the results of the current study, a titer of >1:10 is achieved by Day 14 in 100% of the subjects. Since the PRNT assay used by Yoon et al. and the microneutralization assay used within our study are based on the same principle, albeit in a different format and tested against different viruses, results are not directly comparable. As discussed herein, the PRNT determines virus neutralization by reduction of plaques using the attenuated CHIKV strain 181/clone 25, whereas the μNT determines neutralization of the attenuated CHIKV-Δ5nsP3 by reduction of virus-induced cytopathic effect. But even using the conservative seroprotective threshold of NT.sub.50≥20 as applied in the current Phase 1 study, all subjects developed neutralizing antibody titers by Day 14, which were sustained throughout Month 12 following a single vaccination (
[0083] Microneutralization PRNT Titers Against Asian CHIKV Strain Suggest Robust Cross-Neutralization Elicited by the CHIKV-Δ5nsP3 Vaccine
[0084] For assessment of cross-neutralizing activity of antibodies elicited by the CHIKV-Δ5nsP3 vaccine, a panel of sera from the clinical study from different time points were also tested in a μPRNT assay for neutralizing capacity against the attenuated heterologous CHIKV strain 181/clone 25 of the Asian genotype. A total of 111 single sera (including 37 pre-vaccination samples) and 5 human serum pools associated with VLA1553-101 study were tested. One μPRNT result was invalid due to the sample crossing the 50% neutralization threshold twice. The correlation between positive titers (n=75) measured by μNT and μPRNT was calculated using the Pearson correlation coefficient. As shown in
[0085] While cross-neutralization between different CHIKV genotypes has already been shown in the literature, the results obtained during the feasibility study provided further insight into the cross-neutralizing ability of the CHIKV-Δ5nsP3-induced antibodies. Due to differences in assay systems, slight differences in the reported results were nevertheless expected. To support the results obtained from the μPRNT, anti-CHIKV total IgG antibodies were quantified by ELISA, using a CHIKV virus-like particle (E1, E2 and C1 proteins from West African strain 37997) and results were compared.
[0086] Methodology
[0087] In the course of clinical development, serum samples selected from the current study were tested using a micro-neutralization test (μNT) which measured the neutralization of CHIKV-Δ5nsP3, a micro-plaque reduction neutralization test (μPRNT) which measured neutralization of 181/clone 25 CHIKV and a Chikungunya virus-like particle (VLP)-based IgG ELISA based on the 37997 West African 37997 CHIKV strain. The purified CHIKV virus-like particles (VLPs) for ELISA comprised viral proteins C, E1 and E2 from the West African strain. Serum samples were selected based on neutralization titer obtained during clinical testing to span the titer range and dependent on sample availability. A panel of 111 CHIKV-Δ5nsP3 human serum samples were included in this comparability study. All three assays were compared in terms of correlation of results and assay characteristics.
[0088] Comparison of CHIKV gNT, gPRNT and IgG ELISA
[0089] A sub-set of the 111 clinical serum samples were analyzed in μNT, μPRNT and ELISA assays. The correlation between log-transformed titers measured with μNT, μPRNT and ELISA was calculated using the Pearson correlation coefficient (Pearson r), where a value of “1” indicates total positive linear correlation and a value of “0” indicates no linear correlation. Samples with titers below the lower limit of quantification (LLOQ) as well as positive controls were excluded from the correlation analysis. As shown in
[0090] By contrast, the Pearson r value obtained for μPRNT and ELISA results was 0.1991, indicating only a weak positive correlation (see
[0091] Early seroconversion A total of ten Visit 1B samples (Day 7±1 day post vaccination) from all groups were included in a study to analyze test performance with samples collected during the early phase of the immune response (see Table A1). All of the samples tested had IgG levels below the LOD in the CHIKV IgG ELISA, indicating the absence of CHIKV-specific IgG antibodies at this early time point after vaccination.
[0092] However, all except for two Visit 1B samples tested positive in μPRNT and all tested positive in μNT assays, due to the presence of CHIKV-neutralizing IgM antibodies at this early time point.
TABLE-US-00010 TABLE A1 ELISA, μPRNT and μNT results for CHIKV-Δ5nsP3 trial sera from visit 1B (day 7 ± 1 post vaccination). μPRNT.sub.50 μNT.sub.50 ELISA (ELU/mL) (CHIKV 181/ (CHIKV-Δ5nsP3 (VLP 37997 WA) clone 25 Asian) ECSA) <14.7 <10 20 <14.7 21 40 <14.7 29 20 <14.7 14 20 <14.7 40 40 <14.7 <10 20 <14.7 30 40 <14.7 45 20 <14.7 76 40 <14.7 31 20
[0093] Patient sera from CHIKV-Δ5nsP3 trial neutralized wild-type CHIKV Serum samples from the clinical trial (n=47 single sera) were analyzed to quantify wild-type chikungunya virus (Indian Ocean/ECSA lineage [La Reunion strain; wt CHIKV-LR] and West African strain; wt CHIKV-WA 3797) neutralizing antibodies. Sera collected at different visits of individual subjects were analyzed by PRNT (see
[0094] Overall, the neutralization capacity of a particular serum for the attenuated CHIKV-Δ5nsP3 strain as assessed by μNT correlated well with its neutralization capacity for two wild-type CHIKV strains as assessed by PRNT. The results not only demonstrated the cross-neutralizing capacity of the CHIKV-Δ5nsP3 vaccine, but also showed the comparability of titer values obtained using the μNT assay and the PRNT assay.
[0095] B. GMT Values from CHIKV-Δ5nsP3 Clinical Trial Sera and Convalescent Human Sera Comparable
[0096] GMTs conferred by natural exposure to CHIKV Antibodies conferred by natural infection are hypothesized to provide life-long protection against CHIKV fever (Galatas, et al. and Nitatpattana, et al.; supra); therefore, the μNT titers observed in the present clinical samples were compared with neutralizing antibody titers in individuals convalescing from natural infection. Fourteen serum samples from individuals recovered from Chikungunya infection (kindly provided by World Reference Center for Emerging Viruses and Arboviruses (WRCEVA) through the University of Texas Medical Branch (UTMB) or purchased from SeraCare and Biomex) were tested in the CHIKV-Δ5nsP3 μNT assay as used in the current clinical study. The neutralization titers of convalescent sera from all three sources were comparable (see Table A2). Furthermore, titers were similar to those observed after a single vaccination with CHIKV-Δ5nsP3, which reached GMT values up to 2560 at Day 28 in all dose groups.
TABLE-US-00011 TABLE A2 Neutralization titers from convalescent serum samples from naturally-infected patients. Sample μNT.sub.50 Sera Care #2 640 Sera Care #8 1,280 Sera Care #10 2,560 Biomex 1,280 UTMB #1 1,280 UTMB #2 2,560 UTMB #3 2,560 UTMB #4 1,280 UTMB #5 2,560 UTMB #6 5,120 UTMB #7 1,280 UTMB #8 1,280 UTMB #9 1,280 UTMB #10 5,120
Example 3. CHIKV Freeze Dried (Lyo) Product Formulation Development
Definitions & Abbreviations
[0097] CHIKV Chikungunya virus [0098] CHIKV-Δ5nsP3-inv an immunogenic mixture comprising CHIKV-Δ5nsP3 particles comprising the RNA genome corresponding to the DNA sequence provided by SEQ ID NO: 1 and CHIKV-Δ5nsP3 variants with an RNA genome at least 99% identical to the corresponding DNA sequence provided by SEQ ID NO: 1, but encoding a viral polyprotein having at least one amino acid difference, preferably in the region encoding envelope protein E2 (also referred to herein as CHIKV-Δ5nsP3) [0099] CTMA CTM Analyitics & Development department [0100] CMO Contract Manufacturing Organization [0101] DLS Differential Light Scattering [0102] DP Drug Product comprising CHIKV-Δ5nsP3-inv [0103] DS Drug Substance comprising CHIKV-Δ5nsP3-inv [0104] DSP Down Stream Process [0105] mDSC Modulated Differential Scanning Calorimetry [0106] GCE Genome copy equivalents [0107] HEPES (4-(2-hydroxyethyl)-1-piperazineethanesulfonic acid) [0108] PC Polycarbonate [0109] PD Process Development Department [0110] PETG Polyethylene terephthalate glycol-modified [0111] PS Particle Size [0112] rHSA Recombinant Human Serum Albumin [0113] RT-qPCR Reverse Transcription—quantitative Polymerase Chain Reaction [0114] SGP Sucrose gradient pool [0115] TCID.sub.50 Tissue culture infectious dose 50% [0116] TRIS Tris(hydroxymethyl)-aminomethane [0117] TTR Technical Transfer Run (non-GMP) [0118] WFI Water for Injection
[0119] Materials and Methods
[0120] CHIKV Material
[0121] CHIKV-Δ5nsP3-inv with SEQ ID: 1 encoding for E2 (SEQ ID NO: 2) (including the other substantial variant CHIKV-Δ5nsP3 encoding for E2 (SEQ ID NO:3, with E1 and other expressed proteins unchanged) was produced in Vero cells and purified according to a processes described elsewhere (see WO2019057793, WO2017109223, WO2017109224). As used herein, CHIKV-Δ5nsP3-inv is also referred to herein as CHIKV-Δ5nsP3, CHIKV candidate.
[0122] Relevant experiments were conducted with representative virus material—produced in several lots—with regard to impurity profile and virus seed passage (P3).
TABLE-US-00012 TABLE 9 Sucrose Gradient Pool (SGP) material. log.sub.10 lot# Description TCID.sub.50/mL 1 SGP 9.0 2 SGP 8.8 3 SGP 8.0 4 SGP 8.4 5 SGP 10.0 6 SGP 9.8 7 SGP 10.0
[0123] TCID.sub.50 Assay
[0124] Virus infectivity was determined by TCID.sub.50 assay on vero cells. Virus titers were determined on Vero cells using the TCID.sub.50 assay. Briefly, cells were seeded in microplates and infected with 10-fold serially diluted virus samples in EMEM supplemented with 0.5% FBS and 2 mM glutamine. After a one week incubation at 35° C./5% C02, virus-induced cytopathic effects were monitored and viral titers were calculated according to the Reed and Muench method (Reed, L. J.; Muench, H. A simple method of estimating fifty percent endpoints (1938) The American Journal of Hygiene 27:493-497). Assay control samples were included in each analysis. The assay variability between individual runs was estimated as ±0.3 log.sub.10 TCID.sub.50.
[0125] Dynamic Light Scattering (DLS)
[0126] Dynamic light scattering (DLS) is a technique that can be used to determine the size distribution profile of biopolymers including viral particles in solution at a size range from 1 nm to approx. 1000 nm. Since this method can be used with the native sample without any pre-treatment (e.g. no chromatography column that might filter out larger multimers/aggregates), a full picture of all particles in solution can be obtained. For DLS measurements a Malvern Zetasizer system was used. CHIKV-Δ5nsP3-inv sucrose gradient pools (˜35% sucrose in Tris/NaCl) were analyzed without any pre-treatment (i.e. dilution) assuming a solution viscosity of 6.15 cP and refractive index 1.4. The virus particle refractive index was assumed as 1.45. For accurate measurement the particle concentration should not fall below a certain threshold which also depends on the size of the particles. For CHIKV-Δ5nsP3-inv the most accurate results are obtained for undiluted SGP. A comparison of representative SGP material (SGP pools in Table 9) showed a viral particle diameter of approximately 60 nm for all analyzed SGP samples (data not shown), which correlates to data referenced in literature.
[0127] Chemicals
TABLE-US-00013 TABLE 10 Chemicals and sources Chemical Manufacturer Order # Quality MgCl.sub.2 * 6 H.sub.20 Merck 105832 Multi-compendial L-Methionine AppliChem A1340, 0100 Ph. Eur., USP K.sub.2HPO.sub.4 dibasic anhydrous Sigma RES20765-A7 Ph. Eur. MERCK 105101 Ph Eur, BP, E 340 KH.sub.2PO.sub.4 monobasic Fluka 04243 Ph. Eur. MERCK 104871 Multi-compendial Trisodium citrate dihydrate Sigma S1804 Ph. Eur. Citrique belge 04 12325 Multi-compendial MERCK 106432 Eur, BP, JP, USP Sucrose JT Baker 4005 Ph. Eur. MERCK 107653 Multi-compendial rHSA (20% stock solution) Novozymes n.a. Ph. Eur. Recombumin ® Alpha (RF20-005) D-Sorbitol AppliChem A2222, 1000 Ph. Eur., USP-NF WFI HALIX B.V. n.a. Ph. Eur.
[0128] Preparation of Lyo Formulation Buffer
[0129] In short, for preparation of e.g. 5 liter formulation buffer the following procedure is applied: [0130] Fill approximately 4.5 L of WFI into a tared glass bottle with a stirring bar
[0131] Add all buffer components under stirring: [0132] 36.8 g—Trisodium citrate dihydrate [0133] 3.13 g di-Potassium Hydrogen Phosphate [0134] 0.975 g Potassium di-Hydrogen Phosphate [0135] 250 g Sucrose [0136] 25 g Sorbitol [0137] 7.46 g L-Methionine [0138] 5.08 g Magnesium Chloride hexahydrate [0139] 2.5 mL recombinant human Albumin (20% solution)
[0140] Stir until a clear solution is obtained.
[0141] Fill up to the final volume of 5000 mL with WFI.
[0142] The density (ρ) of the final solution is 1.025 g/mL (20° C.). If 5000 mL are prepared the final resulting weight is 5125 g.
[0143] Freeze Dryers
[0144] Lab Scale:
[0145] Lyophilization was performed on an AdVantage Pro bench top shelf tray dryer with Intellitronics Control from SP Scientific (USA):
[0146] Three shelves (total 2766 cm.sup.2)
[0147] Shelf temperature: −60 to +60° C.
[0148] Lowest condenser temperature: −70° C.
[0149] Condenser capacity of 6 L
[0150] Stoppering: top-down pneumatic
[0151] Intermediate scale:
[0152] Lyophilization at an intermediate scale was performed with a Lyofast 7 freeze drier from IMA (Industria Macchine Automatiche S.p.A., Italy)
[0153] Six shelves (total 6.7 m.sup.2)
[0154] Shelf temperature minimum: −55° C.
[0155] Lowest condenser temperature: −75° C.
[0156] Condenser Capacity: 148 Kg
[0157] Primary Packaging (Vials and Stoppers)
[0158] For phase I:
[0159] 2R Type I Plus® glass vials (Schott AG), FluroTec stoppers (West Pharmaceutical Services)
[0160] Intended primary packaging for further clinical phases (lyophilized DP):
[0161] 2R Type I glass vials (Schott AG), bromobutyl stoppers (West Pharmaceutical Services)
[0162] Results
[0163] The liquid formulation buffer of Example 4 (herein, below) was chosen as a starting buffer composition for the further development of a lyophilized formulation which would ensure sterile filterability during DS and DP production: [0164] 10 mM potassium phosphate [0165] 25 mM sodium citrate [0166] 5% sucrose [0167] 0.01% rHSA [0168] pH 7.3
[0169] Most analytical data were generated by TCID.sub.50 assay as this method not only indicates infectivity of the virus but is also used during release and stability testing. In addition, dynamic light scattering (DLS) for evaluation of the particle size and qPCR for total viral particle determination were used. Results shown in all of
[0170] Justification of Buffer Components
[0171] In general, the concentration of buffer ions used in freeze-dried and frozen systems must be low enough to prevent concentration effects during the freezing process, but still high enough to provide adequate buffering capacity at the desired pH. Phosphate ions are generally avoided for freeze drying purposes as concentration effects and precipitation during freezing can lead to significant pH shifts, especially at higher concentrations (Sek, D. Breaking old habits: moving away from commonly used buffers in pharmaceuticals 2012 European Pharmaceutical Review https://www.europeanpharmaceuticalreview.com/article/13699/breaking-old-habits-moving-away-from-commonly-used-buffers-in-pharmaceuticals/). Therefore Tris, HEPES and Histidine were tested alongside phosphate (4 mM, 5 mM and 10 mM) as alternative buffer components. The influence of these buffering agents on the stability of the lyophilized product in the presence of 10 mM L-methionine and 25 mM sodium citrate was assessed at 37° C., room temperature and 4° C. storage temperature. Overall, phosphate and HEPES buffer (20 mM) showed comparable stability profiles at all investigated temperatures and outperformed the other buffer compositions (data not shown). Therefore, additional experiments were performed for comparison of these two buffers: 5 mM phosphate buffer or 20 mM HEPES, both formulations including 4% Sucrose, 1% Trehalose, 10 mM L-Methionine, 2 mM EDTA), showing no significant differences in stability of the lyo CHIKV formulation over time (data not shown).
[0172] Based on the overall results it was decided to keep phosphate as buffering agent (as in the liquid frozen formulation, also together with a citrate buffer), but at the lower concentration of 5 mM to minimize buffer concentration effects and possible pH shifts during freezing.
[0173] Phosphate-Citrate Buffer: Liquid formulation buffer development for early clinical phases was aimed at 0.2 μm sterile filterability of CHIK virus during DS and DP manufacturing. A buffer system consisting of phosphate and citrate at pH 7.3 proved to stabilize the viral particle size of CHIKV and guarantees 0.2 μm filterability, which is crucial for aseptic manufacturing. To minimize possible ion concentration effects and to facilitate lyophilization, the final phosphate concentration in the lyo formulation was reduced to 5 mM.
[0174] Sucrose
[0175] During downstream processing, a sucrose gradient centrifugation is performed for final concentration and polishing of the CHIKV material, resulting in a sucrose concentration of approximately 35% in the sucrose gradient pool (SGP). As sucrose is a well-known stabilizer during freezing of biological material and also serves as a bulking material, it was kept in the formulation buffer for the freeze dried product. Sucrose at 5% has been shown to protect CHIKV during freeze/thaw stress. By subsequent dilution of SGP to DS (currently 1:60) and DP with formulation buffer a final sucrose concentration of 5% is obtained.
[0176] Recombinant Human Albumin
[0177] The concentration of rHSA was kept constant for the lyophilized product compared to the liquid formulation at a level of 0.01% (0.1 mg/mL). The incorporation of a minimal amount of rHSA is desired to prevent unspecific adsorption to surfaces of containers. Additionally rHSA at this concentration does not adversely affect the sterile filterability of the CHIKV nor the stability of the freeze dried product.
[0178] After these initial studies, the basic formulation of the lyophilized formulation (“basic lyo”) was: [0179] 5 mM potassium phosphate [0180] 25 mM sodium citrate [0181] 5% sucrose [0182] 0.01% rHSA [0183] pH 7.3
[0184] Additional excipients tested for improved stability of the lyo formulation:
[0185] D-Sorbitol
[0186] Lyophilization of CHIKV-Δ5nsP3-inv in the basic lyo buffer showed insufficient stability in the freeze dried state (see
[0187] Magnesium Chloride
[0188] Magnesium chloride is assumed to stabilize the RNA structure of CHIKV and exhibited a positive effect on infectivity after storage (
[0189] L-Methionine
[0190] L-Methionine is regarded as an oxidant scavenger applied in protein formulations. When added at a final concentration of 10 mM it increased stability during storage at 2-8° C. (
[0191] Effect of Excipients on CHIKV Stability in the Freeze Dried State
[0192] Positive effects the stability of freeze dried CHIKV-Δ5nsP3-inv of addition to the basic lyo formulation of sorbitol (0.5%), magnesium chloride (5 mM) and L-methionine (10 mM) and combinations thereof at various temperatures (37° C., RT and 2-8° C.) are summarized in
[0193] Compared to lyophilization of CHIKV-Δ5nsP3-inv in basic lyo formulation buffer, a significant stabilization by addition of sorbitol alone and especially in combination with L-methionine and magnesium chloride was observed under accelerated conditions.
[0194] At 37° C., the loss of infectivity improved from approximately 3 log.sub.10 to 1 log.sub.10 per month and at room temperature from approximately 1 log.sub.10 to 0.2 log.sub.10 per month. When CHIKV-Δ5nsP3-inv was lyophilized in basic lyo formulation buffer without the addition of sorbitol, MgCl.sub.2 or L-methionine and stored at 2-8° C. (
[0195] Subsequent testing of lyophilized CHIKV was performed in lyophilization buffer (also referred to herein as freeze drying formulation buffer and lyo buffer) as follows: [0196] 5 mM potassium phosphate [0197] 25 mM sodium citrate [0198] 5% sucrose [0199] 0.01% rHSA [0200] 5 mM MgCl.sub.2 [0201] 0.5% D-sorbitol [0202] 10 mM L-methionine [0203] pH 7.3
[0204] Comparison of CHIKV Before and After Freeze Drying
[0205] Dynamic Light Scattering (DLS)
[0206] The exact size of CHIKV can only be determined in concentrated samples (e.g. SGP) due to signal interference with buffer excipients (e.g. rHSA) at lower virus content. Comparative results are obtainable for samples diluted in lyo formulation buffer (containing rHSA) as long as the virus concentration is high enough. Therefore, Lot 1 SGP (9.0 log.sub.10 TCID.sub.50/mL) was diluted 1:40 in freeze drying formulation buffer resulting in a virus concentration of approximately 7.4 log.sub.10 TCID.sub.50/mL. This material was measured by DLS both before lyophilization and after lyophilization/reconstitution of the freeze dried virus (
[0207] Plaque Assay RT-qPCR
[0208] When propagated in host cells, CHIKV show minor genetic heterogeneities at defined positions in the RNA genomic sequence, resulting in different populations of virus in any given preparation. Some of these defined heterogeneities are characterized by reduced immunogenicity of the virus (e.g., an E168K point mutation in the CHIKV E2 protein). Therefore, it was important to identify any potential change of virus composition due to different stability profiles of the individual viral genetic populations during lyophilization.
[0209] DP with a nominal concentration of 5.7 log.sub.10 TCID.sub.50/mL was prepared from Lot 3 SGP by dilution in lyophilization buffer and subsequent freeze drying. Samples were taken before (5.69 log.sub.10 TCID.sub.50/mL) and after lyophilization (5.61 log.sub.10 TCID.sub.50/mL) and analyzed in a plaque assay to determine plaque morphology (data not shown) and by RT-qPCR for quantification of E168K heterogeneity compared to the wild type sequence of the respective region (
[0210] CHIKV Stability Lyophilized DP
[0211] CHIKV Material
[0212] Relevant experiments (n=4) summarized in this report were conducted with representative DP material.
[0213] Table 11 below summarizes the investigated DP formulations and the CHIKV material used, which included both lab and intermediate scale (TTR) formulations.
TABLE-US-00014 TABLE 11 Residual moisture content of lab and intermediate (technical transfer) scale lyophilized DP. Residual Moisture Run % Lab Scale Run F59B 1.7 Lab Scale Run F72 1.4 TTR2 intermediate scale 1.7 TTR3 intermediate scale 1.6
[0214] The standard storage condition of lyophilized CHIKV DP is 2-8° C.
[0215] Accelerated stability studies conducted by the incubation of samples at elevated temperatures provides information with respect to stability differences within a shorter time frame.
[0216] At both accelerated storage temperatures, no significant differences between lab and intermediate scale material were observed. At 37° C., the loss of infectivity was approximately 1 log.sub.10 per month and at room temperature approximately 1 log.sub.10 in 6 months. Results from a longer study with one of the intermediate scale samples (TTR2) comparing stability at all three temperatures indicated good stability at 2-8° C. up to 19 months (
[0217] To illustrate the influence of TCID.sub.50 assay variability on the predictability of long term stability at 2-8° C. a lab scale formulation is shown in Table 12.
TABLE-US-00015 TABLE 12 Stability results (TCID.sub.50) of lyophilized DP at 2-8° C., RT and 37° C. Log.sub.10 TCID.sub.50/mL Days 0 14 21 28 60 90 120 150 180 270 365 2-8° C. 5.7 n.a. n.a. 5.5 5.5 5.7 5.3 n.a. 5.5 5.7 5.3 RT (22° C.) 5.9 n.a. 5.6 5.3 5.1 4.8 n.a. n.a. n.a. n.a. 37° C. 5.0 5.0 4.7 n.a. n.a. n.a. n.a. n.a. n.a. n.a.
[0218] CHIKV-Δ5nsP3-inv showed excellent stability at 2-8° C. and room temperature based on the currently available data for lab and intermediate scales. An acceptable loss of infectivity of approximately 1 log.sub.10 TCID.sub.50/mL was observed when stored for 28 days at 37° C. Studies are currently ongoing to confirm long-term storage stability of CHIKV-Δ5nsP3-inv at 2-8° C. with an anticipated stability profile of less than 1 log.sub.10 TCID.sub.50/mL loss after two years storage.
[0219] It should also be noted that slight variations of lyophilization parameters (e.g., temperature and duration during primary and secondary drying) did not significantly alter the stability profile of CHIKV-Δ5nsP3-inv after lyophilization at various storage temperatures (data not shown).
[0220] Overall conclusion on stability of the CHIKV lyo formulation: Loss of infectivity over time when batches were stored at 2-8° C. was minimal considering a potential TCID.sub.50 assay variability of 0.3 log.sub.10. In other words, significant differences at 2-8° C. may be better assessed after long term storage. Extrapolation of stability up to two years based on the existing data estimates a loss in infectivity of up to 1 log.sub.10 TCID.sub.50/mL at 2-8° C.
[0221] Stability data generated at accelerated temperatures provides information on stability differences between batches in a shorter time frame. In this regard, no significant differences between lyophilized DP derived from lab and intermediate scale were observed from studies carried out at 25° C. and 37° C. Based on the data obtained, the loss of infectivity at 37° C. is approximately 1 log.sub.10 TCID.sub.50/mL per month and at 25° C. approximately 1 log.sub.10 TCID.sub.50/mL in 6 months.
Example 4. CHIKV Liquid Frozen Formulation Development
[0222] During the development of the Chikungunya vaccine candidate CHIKV-Δ5nsP3-inv, the generation of specific mutations in the virus genome could be observed in response to the adaption required for growing on Vero cells (see also WO2019057793, which is incorporated herein by reference in its entirety). One of these mutations is located in the structural E2 protein at position 168, changing a glutamic acid residue to lysine (E168K). This mutation is the dominant phenotype in later passages on vero cells (P6 and higher) and correlated with a loss of immunogenicity of the attenuated CHIKV in the mouse model. To reduce the risk of producing non-immunogenic batches, a virus master bank was generated as P1 and a working bank as P2, resulting in production passage P3. Interestingly, it was found that different virus passages need different buffer compositions with regard to stability and degradation effects, apparently due to different surface charges introduced by mutations.
[0223] Most of the initial formulation development work was done using Passage 8 material. The following formulation was developed: [0224] The optimal pH range is 6.5 to 7.3 with higher stability at lower pH [0225] Human Serum Albumin (rHSA) is required at concentrations of between 0.01-1% [0226] Sucrose is needed to improve freeze/thaw stability (5% final concentration) [0227] Histidine is best buffering compound (20 mM final concentration)
[0228] Composition of Initial Liquid Formulation Buffer:
[0229] 20 mM Histidine pH 6.8, 5% sucrose, 0.1% rHSA
[0230] Additionally, during initial development, buffers were prepared with MilliQ water of high purity. However, when Passage 3 (P3) material was diluted using the same formulation buffer but prepared in water for injection (WFI), it was found that this virus passage was not compatible with the buffer any more. Upon dilution the virus size increased immediately (larger than 200 nm in diameter) most probably because of aggregation. This virus solution was therefore not sterile filterable (0.2 μm filter) which is a prerequisite for vaccine production. Phosphate-citrate buffering systems have been reported to be compatible with CHIKV VLPs (Richard Schwartz, Formulation and Stability of a Chikungunya Virus-Like Particle (ChikV VLP) Based Vaccine” in “Vaccine Technology IV”, B. Buckland, University College London, UK; J. Aunins, Janis Biologics, LLC; P. Alves, ITQB/IBET; K. Jansen, Wyeth Vaccine Research Eds, ECI Symposium Series, (2013). http://dc.engconfintl.org/vaccine_iv/17).
[0231] Therefore, the following phosphate-citrate buffered formulation was developed, guided by extensive previous experience with the histidine-buffered CHIKV formulation, and evaluated for its suitability to formulate CHIKV and to ensure sterile filterability during DS and DP production: [0232] 10 mM potassium phosphate [0233] 25 mM sodium citrate [0234] 5% sucrose [0235] 0.01% rHSA [0236] pH 7.3
[0237] The useful concentration range of its components was investigated and is summarized in the following sections. As the final rHSA concentration was not fixed in most experiments 0.02% rHSA was chosen at the beginning to prevent unspecific adsorption at surfaces. Most analytical data were generated by DLS as this method provides a fast evaluation of the particle size, which is critical for filterability.
[0238] Influence of Phosphate Concentration
[0239] The buffering component—potassium phosphate—was tested in the range of 10 to 50 mM. As shown in
[0240] Influence of NaCl Concentration in Phosphate Buffered Solution
[0241] In order to evaluate if sodium chloride exhibits a similar effect as citrate with regard to virus size, it was investigate between 0 and 150 mM (no citrate present). All measurements were done within 15 minutes after addition of SGP to the buffer.
[0242] Influence of Citrate Concentration
[0243] Citrate has been reported to inhibit aggregation of CHIKV VLPs (Kramer R M, et al. Development of a Stable Virus-Like Particle Vaccine Formulation against Chikungunya Virus and Investigation of the Effects of Polyanions. 2013 J Pharm Sci. 102(12): 4305-4314. doi:10.1002/jps.23749). Reasoning that whole CHIK virus particles may behave similarly in solution to CHIKV VLPs, different concentrations of citrate were tested to evaluate its influence on virus size. Indeed, a significant and dose-dependent reduction in particle size was observed by addition of citrate (
[0244] Influence of pH
[0245] Depending on the extent of mutations of viral proteins, the charges presented at the surface might change. With respect to this changed surface charge, also pH changes might significantly change the aggregation behavior of the virus. pH was investigated in the range of 7.0 to 7.6 (10 mM potassium phosphate, 25 mM sodium citrate, 5% sucrose, 0.02% rHSA). The influence of pH changes in this range seems not to be significant regarding the particle size with approximately 100 nm (data not shown).
[0246] Influence of Other Additives
[0247] Various additional buffer additives were investigated for potential stabilizing effects on CHIKV-Δ5nsP3-mv size: [0248] 10 mM CaCl.sub.2 [0249] 10 mM MgCl.sub.2 [0250] 5 mM EDTA [0251] 25 mM KCl [0252] 25 mM alanine [0253] 2.5% sorbitol
[0254] Components were added at the indicated concentrations to the formulation buffer (10 mM PO.sub.4, 25 mM citrate, 5% sucrose, 0.02% rHSA, pH 7.3). DLS measurement was performed within 30 minutes after virus addition. No major influences on CHIKV diameter caused by the different buffer additives were observed compared to the original buffer (data not shown). As CHIKV diameter was already stable in the basic formulation buffer, no further advantages of the incorporation of these additional excipients could be determined. Apart from that, also no negative effect was determined. Therefore, the buffer additives tested represent an opportunity if further components are needed within the formulation buffer system for later CHIKV formulation optimization.
[0255] Influence of rHSA
[0256] In order to evaluate which effect rHSA exerts on CHIKV-Δ5nsP3-inv size, different amounts of rHSA (0-0.1%) were added to the formulation buffer (10 mM potassium phosphate, 25 mM sodium citrate, 5% sucrose, pH 7.3) and measured by DLS immediately after virus addition (SGP, 1:40 in respective buffer). Increasing rHSA concentrations caused CHIKV aggregation from 79 nm (without rHSA) to >250 nm in diameter (0.1% rHSA). The same result was observed when analyzing DLS data for size distribution by volume. Observed CHIKV diameters at the respective rHSA concentrations are listed in Table 13. The effect of rHSA on CHIKV diameters over time is shown in Table 14.
TABLE-US-00016 TABLE 13 Influence of rHSA on CHIKV-Δ5nsP3-inv diameter (size distribution by intensity). rHSA (%) CHIKV Diameter (nm) 0 79 0.01 141 0.02 203 0.05 188 0.1 266
[0257] Based on these data, it was concluded that an rHSA concentration up to 0.01% is still suitable for 0.2 m filtration, whereas rHSA concentrations ≥0.02% would lead to significant losses of virus during sterile filtration.
[0258] The incorporation of a minimal amount of rHSA is desired to prevent unspecific adsorption to surfaces of containers. Therefore, 0.01% rHSA in the formulation buffer is desirable and may be present without significantly reducing recovery during 0.2 μm sterile filtration of DS or DP as virus diameter is still below 200 nm.
TABLE-US-00017 TABLE 14 CHIKV-Δ5nsP3-inv diameter at different rHSA concentrations over time. CHIKV Diameter (nm) Time (h) 0% rHSA 0.01% rHSA 0.1% rHSA 0 79 141 266 2 87 149 434 3 99 153 499 22 94 175 459
[0259] Therefore, the rHSA concentration present in the formulation buffer was set to 0.01%, resulting in the following buffer composition for the liquid (frozen) formulation: [0260] 10 mM potassium phosphate [0261] 25 mM sodium citrate [0262] 5% sucrose [0263] 0.01% rHSA [0264] pH 7.3
[0265] Stability Studies of DS and DP
[0266] Buffer: 10 mM potassium phosphate (K.sub.2HPO.sub.4 and KH.sub.2PO.sub.4), 25 mM sodium citrate (Na.sub.3CH.sub.5O.sub.7), 5% sucrose, 0.01% rHSA, pH 7.3 (conductivity 6.0 mS/cm). Before usage, formulation buffer was 0.2 m sterile filtered. SGP-lot was diluted 1:40 in this buffer (195 mL buffer+5 mL SGP lot) stirred for 3 minutes and left at RT for 15 minutes (to simulate later manufacturing process in larger scale). Thereafter, virus solution was 0.2 μm filtered (PALL Mini Kleenpak, sterilized by gamma irradiation) into a 250 mL PETG bottle. DS after filtration was aliquoted in 60 mL PETG bottles (25 mL filling volume) when stored frozen at −80° C. (stability study ongoing) or in 1.5 mL Eppendorf tubes when stored in liquid form (2-8° C., RT, 37° C.).
[0267] As expected, DS in the liquid (frozen) formulation stored at −80° C. remained stable at the day 60 time point (
[0268] This DS was further processed to DP by a 1:50 dilution (196 mL formulation buffer+4 mL CHIKV DS). After mixing for 3 minutes and incubation for 15 minutes at room temperature, DP was filtered into a PETG bottle (Mini Kleenpak EKV membrane) and filled into glass vials (1 mL filling volume) closed with Flurotec stoppers. Stability studies were undertaken on vials stored at −20° C. (normal storage temperature) and under accelerated conditions (2-8° C. and RT). The results after approx. 8 months storage are shown in the
[0269] As expected CHIKV-Δ5nsP3-inv presented in the liquid (frozen) formulation was unstable at 2-8° C. (˜0.5 log.sub.10 loss per week) and especially if stored at room temperature (complete loss of infectivity within two weeks).
[0270] Further preferred aspects of the invention: [0271] 1. A liquid frozen or lyophilized live chikungunya vaccine formulation comprising: a) an effective amount of at least one strain of live chikungunya virus; b) about 1 to 50% (w/v) sugar; c) about 1 mM to about 20 mM phosphate; d) about 1 mM to about 50 mM of at least one carboxylate; e) optionally about 1 mM to about 10 mM MgCl2; f) optionally about 0.1% to about 5% (w/v) D-sorbitol; g) optionally about 1 mM to 20 mM L-methionine; and h) optionally about 0.001% to about 1% (w/v) human serum albumin. [0272] 2. The formulation of aspect 1, wherein the human serum albumin is a recombinant human serum albumin. [0273] 3. The formulation according to any preceding aspect, wherein said at least one carboxylate is selected from the group consisting of succinate, citrate, fumarate, tartarate, maleate and lactate. [0274] 4. The formulation according to any preceding aspect, wherein said sugar is selected from the group consisting of sucrose, mannitol, lactose, sorbitol, dextrose, fucose and trehalose. [0275] 5. The formulation according to any preceding aspect, wherein the concentration of sugar is between about 1 to about 10%; the concentration of phosphate is between about 1 to about 10 mM; and said at least one carboxylic acid is citrate or succinate at a concentration between about 10 to about 30 mM. [0276] 6. The formulation according to any preceding aspect, further comprising: k) at least one diluent selected from the group consisting of tissue culture medium, saline and water to volume. [0277] 7. The formulation according to any preceding aspect, wherein the pH is between about pH 5.0 to about pH 8.0, preferably between pH 7.0 and pH 7.5, most preferred pH 7.3. [0278] 8. The formulation according to any preceding aspect, wherein said phosphate is selected from the group consisting of monophosphates, polyphosphates and phosphorylated compounds. [0279] 9. The formulation according to aspect 8, wherein said monophosphate is potassium phosphate. [0280] 10. The formulation according to any preceding aspect, wherein formulation comprises an effective amount of at least one strain of chikungunya virus; b) sucrose at a concentration of about 5% (w/v); c) potassium phosphate at a concentration of about 5 mM to about 10 mM; d) sodium citrate at a concentration of about 25 mM; e) MgCl2 at a concentration of about 10 mM; f) D-sorbitol at a concentration of about 0.5% (w/v), g) L-methionine at a concentration of about 10 mM; and h) recombinant human serum albumin at a concentration of about 0.01% (w/v). [0281] 11. The formulation according to any preceding aspect, wherein formulation comprises an effective amount of at least one strain of chikungunya virus; b) about 5% (w/v) sucrose; c) about 5 mM potassium phosphate; d) about 25 mM sodium citrate; e) about 10 mM MgCl.sub.2; f) about 0.5% (w/v) D-sorbitol, g) about 10 mM L-methionine; and h) about 0.01% (w/v) recombinant human serum albumin. [0282] 12. The formulation according to any preceding aspect, wherein said chikungunya virus is selected from an attenuated chikungunya virus of SEQ ID NO: 1; variants with 99% sequence identity to SEQ ID NO: 1 of which all are lacking the 60 nt deletion; and/or combinations thereof. [0283] 13. The formulation according to any preceding aspect, wherein said chikungunya virus comprises essentially an attenuated chikungunya virus of SEQ ID NO: 1 and a variant with 99% sequence identity to SEQ ID NO: 1 and lacking the 60 nt deletion. [0284] 14. The formulation according to any preceding aspect, wherein said at least one strain of chikungunya virus is selected from an attenuated chikungunya virus population that comprises substantially 2 variants, said variants expressing the E1 wild type amino acid sequence as encoded in the relevant part of nucleic acid sequence SEQ ID NO: 1 and wherein one variant expressing the wild type E2 structural protein as defined in SEQ ID NO: 2 and wherein the other variant expressing the E168K mutation in the E2 structural protein as defined in SEQ ID NO: 3. [0285] 15. The lyophilized chikungunya vaccine formulation according to any preceding aspect, wherein said chikungunya virus is an attenuated chikungunya virus population that comprises substantially 2 variants, said variants expressing E2 structural proteins as defined by the amino acid sequences of SEQ ID NO: 2 and SED ID NO: 3 (with E168K) and wherein said 2 variants have a combined dose between about 10.sup.3 and 2×10.sup.4 TCID.sub.50/dose and a target potency of about 5×10.sup.3 TCID.sub.50/dose. [0286] 16. The lyophilized chikungunya vaccine formulation according to any preceding aspect, wherein said chikungunya virus is an attenuated chikungunya virus population that comprises one or more variants and wherein the variant has one or more mutations in E2 which mutations are shown in the group of variants encoding for an E2 amino acid sequence with E168K (SEQ ID NO: 3), G55R (SEQ ID NO: 4), E247K (SEQ ID NO: 5), G82R (SEQ ID NO: 6) and/or H232Y (SEQ ID NO: 7). [0287] 17. A method of preparing chikungunya virus vaccine formulations, comprising: [0288] (a) cultivating a chikungunya virus and mixing the chikungunya virus with a concentrated stabilizing solution to form a virus bulk; and, optionally, [0289] (b) dialyzing the virus bulk to form a chikungunya virus vaccine solution; wherein the vaccine solution comprises a) about 1 to 50% (w/v) sugar; b) about 1 mM to about 20 mM phosphate; c) about 1 mM to about 50 mM of at least one carboxylate; d) about 1 mM to about 10 mM MgCl2; e) about 0.1% to about 5% (w/v) D-sorbitol; g) about 1 mM to 20 mM L-methionine; and f) about 0.001% to about 1% (w/v) human serum albumin. [0290] 18. The method of aspect 17, wherein the stabilizing solution comprises a) about 5% (w/v) sugar; b) about 20 mM phosphate; c) about 25 mM citrate; d) about 10 mM MgCl2; e) about 0.5% (w/v) D-sorbitol; f) about 10 mM L-methionine; and g) about 0.01% (w/v) human serum albumin. [0291] 19. The method of aspect 17 or 18, wherein the dialyzing is done to form a formulation of any of aspects 1 to 16. [0292] 20. The method of any of aspects 17 to 19, further comprising the step of lyophilizing the vaccine solution.
TABLE-US-00018 SEQUENCES SEQ ID NO: 1 Nucleotide sequence of CHIKV-Δ5nsP3 GATGGCTGCGTGAGACACACGTAGCCTACCAGTTTCTTACTGCTCTACTCTGCAAAGCAAGAGATTA ATAACCCATCATGGATCCTGTGTACGTGGACATAGACGCTGACAGCGCCTTTTTGAAGGCCCTGCAA CGTGCGTACCCCATGTTTGAGGTGGAACCAAGGCAGGTCACACCGAATGACCATGCTAATGCTAGA GCGTTCTCGCATCTAGCTATAAAACTAATAGAGCAGGAAATTGACCCCGACTCAACCATCCTGGATAT CGGCAGTGCGCCAGCAAGGAGGATGATGTCGGACAGGAAGTACCACTGCGTCTGCCCGATGCGCA GTGCGGAAGATCCCGAGAGACTCGCCAATTATGCGAGAAAGCTAGCATCTGCCGCAGGAAAAGTCC TGGACAGAAACATCTCTGGAAAGATCGGGGACTTACAAGCAGTAATGGCCGTGCCAGACACGGAGA CGCCAACATTCTGCTTACACACAGACGTCTCATGTAGACAGAGAGCAGACGTCGCTATATACCAAGA CGTCTATGCTGTACACGCACCCACGTCGCTATACCACCAGGCGATTAAAGGGGTCCGAGTGGCGTA CTGGGTTGGGTTCGACACAACCCCGTTCATGTACAATGCCATGGCGGGTGCCTACCCCTCATACTC GACAAACTGGGCAGATGAGCAGGTACTGAAGGCTAAGAACATAGGATTATGTTCAACAGACCTGACG GAAGGTAGACGAGGCAAGTTGTCTATTATGAGAGGGAAAAAGCTAAAACCGTGCGACCGTGTGCTG TTCTCAGTAGGGTCAACGCTCTACCCGGAAAGCCGCAAGCTACTTAAGAGCTGGCACCTGCCATCG GTGTTCCATTTAAAGGGCAAACTCAGCTTCACATGCCGCTGTGATACAGTGGTTTCGTGTGAGGGCT ACGTCGTTAAGAGAATAACGATGAGCCCAGGCCTTTATGGAAAAACCACAGGGTATGCGGTAACCCA CCACGCAGACGGATTCCTGATGTGCAAGACTACCGACACGGTTGACGGCGAAAGAATGTCATTCTC GGTGTGCACATACGTGCCGGCGACCATTTGTGATCAAATGACCGGCATCCTTGCTACAGAAGTCAC GCCGGAGGATGCACAGAAGCTGTTGGTGGGGCTGAACCAGAGAATAGTGGTTAACGGCAGAACGC AACGGAATACGAACACCATGAAAAATTATCTGCTTCCCGTGGTCGCCCAAGCCTTCAGTAAGTGGGC AAAGGAGTGCCGGAAAGACATGGAAGATGAAAAACTCCTGGGGGTCAGAGAAAGAACACTGACCTG CTGCTGTCTATGGGCATTCAAGAAGCAGAAAACACACACGGTCTACAAGAGGCCTGATACCCAGTCA ATTCAGAAGGTTCAGGCCGAGTTTGACAGCTTTGTGGTACCGAGTCTGTGGTCGTCCGGGTTGTCAA TCCCTTTGAGGACTAGAATCAAATGGTTGTTAAGCAAGGTGCCAAAAACCGACCTGATCCCATACAG CGGAGACGCCCGAGAAGCCCGGGACGCAGAAAAAGAAGCAGAGGAAGAACGAGAAGCAGAACTGA CTCGCGAAGCCCTACCACCTCTACAGGCAGCACAGGAAGATGTTCAGGTCGAAATCGACGTGGAAC AGCTTGAGGACAGAGCGGGCGCAGGAATAATAGAGACTCCGAGAGGAGCTATCAAAGTTACTGCCC AACCAACAGACCACGTCGTGGGAGAGTACCTGGTACTCTCCCCGCAGACCGTACTACGTAGCCAGA AGCTCAGTCTGATTCACGCTTTGGCGGAGCAAGTGAAGACGTGCACGCACAACGGACGAGCAGGGA GGTATGCGGTCGAAGCGTACGACGGCCGAGTCCTAGTGCCCTCAGGCTATGCAATCTCGCCTGAAG ACTTCCAGAGTCTAAGCGAAAGCGCAACGATGGTGTATAACGAAAGAGAGTTCGTAAACAGAAAGCT ACACCATATTGCGATGCACGGACCAGCCCTGAACACCGACGAAGAGTCGTATGAGCTGGTGAGGGC AGAGAGGACAGAACACGAGTACGTCTACGACGTGGATCAGAGAAGATGCTGTAAGAAGGAAGAAGC CGCAGGACTGGTACTGGTGGGCGACTTGACTAATCCGCCCTACCACGAATTCGCATATGAAGGGCT AAAAATCCGCCCTGCCTGCCCATACAAAATTGCAGTCATAGGAGTCTTCGGAGTACCGGGATCTGGC AAGTCAGCTATTATCAAGAACCTAGTTACCAGGCAGGACCTGGTGACTAGCGGAAAGAAAGAAAACT GCCAAGAAATCACCACCGACGTGATGAGACAGAGAGGTCTAGAGATATCTGCACGTACGGTTGACT CGCTGCTCTTGAATGGATGCAACAGACCAGTCGACGTGTTGTACGTAGACGAGGCGTTTGCGTGCC ACTCTGGAACGCTACTTGCTTTGATCGCCTTGGTGAGACCAAGGCAGAAAGTTGTACTTTGTGGTGA CCCGAAGCAGTGCGGCTTCTTCAATATGATGCAGATGAAAGTCAACTATAATCACAACATCTGCACC CAAGTGTACCACAAAAGTATCTCCAGGCGGTGTACACTGCCTGTGACCGCCATTGTGTCATCGTTGC ATTACGAAGGCAAAATGCGCACTACGAATGAGTACAACAAGCCGATTGTAGTGGACACTACAGGCTC AACAAAACCTGACCCTGGAGACCTCGTGTTAACGTGCTTCAGAGGGTGGGTTAAACAACTGCAAATT GACTATCGTGGATACGAGGTCATGACAGCAGCCGCATCCCAAGGGTTAACCAGAAAAGGAGTTTAC GCAGTTAGACAAAAAGTTAATGAAAACCCGCTCTATGCATCAACGTCAGAGCACGTCAACGTACTCC TAACGCGTACGGAAGGTAAACTGGTATGGAAGACACTTTCCGGCGACCCGTGGATAAAGACGCTGC AGAACCCACCGAAAGGAAACTTCAAAGCAACTATTAAGGAGTGGGAGGTGGAGCATGCATCAATAAT GGCGGGCATCTGCAGTCACCAAATGACCTTCGATACATTCCAAAATAAAGCCAACGTTTGTTGGGCT AAGAGCTTGGTCCCTATCCTCGAAACAGCGGGGATAAAACTAAATGATAGGCAGTGGTCTCAGATAA TTCAAGCCTTCAAAGAAGACAAAGCATACTCACCTGAAGTAGCCCTGAATGAAATATGTACGCGCAT GTATGGGGTGGATCTAGACAGCGGGCTATTTTCTAAACCGTTGGTGTCTGTGTATTACGCGGATAAC CACTGGGATAATAGGCCTGGAGGGAAAATGTTCGGATTTAACCCCGAGGCAGCATCCATTCTAGAAA GAAAGTATCCATTCACAAAAGGGAAGTGGAACATCAACAAGCAGATCTGCGTGACTACCAGGAGGAT AGAAGACTTTAACCCTACCACCAACATCATACCGGCCAACAGGAGACTACCACACTCATTAGTGGCC GAACACCGCCCAGTAAAAGGGGAAAGAATGGAATGGCTGGTTAACAAGATAAACGGCCACCACGTG CTCCTGGTCAGTGGCTATAACCTTGCACTGCCTACTAAGAGAGTCACTTGGGTAGCGCCGTTAGGTG TCCGCGGAGCGGACTACACATACAACCTAGAGTTGGGTCTGCCAGCAACGCTTGGTAGGTATGACC TAGTGGTCATAAACATCCACACACCTTTTCGCATACACCATTACCAACAGTGCGTCGACCACGCAAT GAAACTGCAAATGCTCGGGGGTGACTCATTGAGACTGCTCAAACCGGGCGGCTCTCTATTGATCAG AGCATATGGTTACGCAGATAGAACCAGTGAACGAGTCATCTGCGTATTGGGACGCAAGTTTAGATCG TCTAGAGCGTTGAAACCACCATGTGTCACCAGCAACACTGAGATGTTTTTCCTATTCAGCAACTTTGA CAATGGCAGAAGGAATTTCACAACTCATGTCATGAACAATCAACTGAATGCAGCCTTCGTAGGACAG GTCACCCGAGCAGGATGTGCACCGTCGTACCGGGTAAAACGCATGGACATCGCGAAGAACGATGAA GAGTGCGTAGTCAACGCCGCTAACCCTCGCGGGTTACCGGGTGGCGGTGTTTGCAAGGCAGTATAC AAAAAATGGCCGGAGTCCTTTAAGAACAGTGCAACACCAGTGGGAACCGCAAAAACAGTTATGTGCG GTACGTATCCAGTAATCCACGCTGTTGGACCAAACTTCTCTAATTATTCGGAGTCTGAAGGGGACCG GGAATTGGCAGCTGCCTATCGAGAAGTCGCAAAGGAAGTAACTAGGCTGGGAGTAAATAGTGTAGC TATACCTCTCCTCTCCACAGGTGTATACTCAGGAGGGAAAGACAGGCTGACCCAGTCACTGAACCAC CTCTTTACAGCCATGGACTCGACGGATGCAGACGTGGTCATCTACTGCCGCGACAAAGAATGGGAG AAGAAAATATCTGAGGCCATACAGATGCGGACCCAAGTAGAGCTGCTGGATGAGCACATCTCCATAG ACTGCGATATTGTTCGCGTGCACCCTGACAGCAGCTTGGCAGGCAGAAAAGGATACAGCACCACGG AAGGCGCACTGTACTCATATCTAGAAGGGACCCGTTTTCATCAGACGGCTGTGGATATGGCGGAGAT ACATACTATGTGGCCAAAGCAAACAGAGGCCAATGAGCAAGTCTGCCTATATGCCCTGGGGGAAAG TATTGAATCGATCAGGCAGAAATGCCCGGTGGATGATGCAGACGCATCATCTCCCCCCAAAACTGTC CCGTGCCTTTGCCGTTACGCTATGACTCCAGAACGCGTCACCCGGCTTCGCATGAACCACGTCACA AGCATAATTGTGTGTTCTTCGTTTCCCCTCCCAAAGTACAAAATAGAAGGAGTGCAAAAAGTCAAATG CTCTAAGGTAATGCTATTTGACCACAACGTGCCATCGCGCGTAAGTCCAAGGGCTTATAGAGGTGCC GCTGCCGGTAACCTTGCGGCCGTGTCTGATTGGGTAATGAGCACCGTACCTGTCGCGCCGCCCAGA AGAAGGCGAGGGAGAAACCTGACTGTGACATGTGACGAGAGAGAAGGGAATATAACACCCATGGCT AGCGTCCGATTCTTTAGGGCAGAGCTGTGTCCGGTCGTACAAGAAACAGCGGAGACGCGTGACACA GCAATGTCTCTTCAGGCACCACCGAGTACCGCCACGGAACCGAATCATCCGCCGATCTCCTTCGGA GCATCAAGCGAGACGTTCCCCATTACATTTGGGGACTTCAACGAAGGAGAAATCGAAAGCTTGTCTT CTGAGCTACTAACTTTCGGAGACTTCTTACCAGGAGAAGTGGATGACTTGACAGACAGCGACTGGTC CACGTGCTCAGACACGGACGACGAGTTAAGACTAGACAGGGCAGGTGGGTATATATTCTCGTCGGA CACCGGTCCAGGTCATTTACAACAGAAGTCAGTACGCCAGTCAGTGCTGCCGGTGAACACCCTGGA GGAAGTCCACGAGGAGAAGTGTTACCCACCTAAGCTGGATGAAGCAAAGGAGCAACTATTACTTAAG AAACTCCAGGAGAGTGCATCCATGGCCAACAGAAGCAGGTATCAGTCGCGCAAAGTAGAAAACATG AAAGCAGCAATCATCCAGAGACTAAAGAGAGGCTGTAGACTATACTTAATGTCAGAGACCCCAAAAG TCCCTACTTACCGGACTACATATCCGGCGCCTGTGTACTCGCCTCCGATCAACGTCCGATTGTCCAA TCCCGAGTCCGCAGTGGCAGCATGCAATGAGTTCTTAGCTAGAAACTATCCAACTGTCTCATCATAC CAAATTACCGACGAGTATGATGCATATCTAGACATGGTGGACGGGTCGGAGAGTTGCCTGGACCGA GCGACATTCAATCCGTCAAAACTCAGGAGCTACCCGAAACAGCACGCTTACCACGCGCCCTCCATCA GAAGCGCTGTACCGTCCCCATTCCAGAACACACTACAGAATGTACTGGCAGCAGCCACGAAAAGAA ACTGCAACGTCACACAGATGAGGGAATTACCCACTTTGGACTCAGCAGTATTCAACGTGGAGTGTTT CAAAAAATTCGCATGCAACCAAGAATACTGGGAAGAATTTGCTGCCAGCCCTATTAGGATAACAACT GAGAATTTAGCAACCTATGTTACTAAACTAAAAGGGCCAAAAGCAGCAGCGCTATTCGCAAAAACCC ATAATCTACTGCCACTACAGGAAGTACCAATGGATAGGTTCACAGTAGATATGAAAAGGGACGTAAA GGTGACTCCTGGTACAAAGCATACAGAGGAAAGACCTAAGGTGCAGGTTATACAGGCGGCTGAACC CTTGGCGACAGCATACCTATGTGGGATTCACAGAGAGCTGGTTAGGAGGCTGAACGCCGTCCTCCT ACCCAATGTACATACACTATTTGACATGTCTGCCGAGGATTTCGATGCCATCATAGCCGCACACTTTA AGCCAGGAGACACTGTTTTGGAAACGGACATAGCCTCCTTTGATAAGAGCCAAGATGATTCACTTGC GCTTACTGCTTTGATGCTGTTAGAGGATTTAGGGGTGGATCACTCCCTGCTGGACTTGATAGAGGCT GCTTTCGGAGAGATTTCCAGCTGTCACCTACCGACAGGTACGCGCTTCAAGTTCGGCGCCATGATG AAATCAGGTATGTTCCTAACTCTGTTCGTCAACACATTGTTAAACATCACCATCGCCAGCCGAGTGCT GGAAGATCGTCTGACAAAATCCGCGTGCGCGGCCTTCATCGGCGACGACAACATAATACATGGAGT CGTCTCCGATGAATTGATGGCAGCCAGATGTGCCACTTGGATGAACATGGAAGTGAAGATCATAGAT GCAGTTGTATCCTTGAAAGCCCCTTACTTTTGTGGAGGGTTTATACTGCACGATACTGTGACAGGAA CAGCTTGCAGAGTGGCAGACCCGCTAAAAAGGCTTTTTAAACTGGGCAAACCGCTAGCGGCAGGTG ACGAACAAGATGAAGATAGAAGACGAGCGCTGGCTGACGAAGTGATCAGATGGCAACGAACAGGGC TAATTGATGAGCTGGAGAAAGCGGTATACTCTAGGTACGAAGTGCAGGGTATATCAGTTGTGGTAAT GTCCATGGCCACCTTTGCAAGCTCCAGATCCAACTTCGAGAAGCTCAGAGGACCCGTCATAACTTTG TACGGCGGTCCTAAATAGGTACGCACTACAGCTACCTATTTTGCAGAAGCCGACAGCAAGTATCTAA ACACTAATCAGCTACAATGGAGTTCATCCCAACCCAAACTTTTTACAATAGGAGGTACCAGCCTCGAC CCTGGACTCCGCGCCCTACTATCCAAGTCATCAGGCCCAGACCGCGCCCTCAGAGGCAAGCTGGG CAACTTGCCCAGCTGATCTCAGCAGTTAATAAACTGACAATGCGCGCGGTACCACAACAGAAGCCAC GCAGGAATCGGAAGAATAAGAAGCAAAAGCAAAAACAACAGGCGCCACAAAACAACACAAATCAAAA GAAGCAGCCACCTAAAAAGAAACCGGCTCAAAAGAAAAAGAAGCCGGGCCGCAGAGAGAGGATGTG CATGAAAATCGAAAATGATTGTATTTTCGAAGTCAAGCACGAAGGTAAGGTAACAGGTTACGCGTGC CTGGTGGGGGACAAAGTAATGAAACCAGCACACGTAAAGGGGACCATCGATAACGCGGACCTGGCC AAACTGGCCTTTAAGCGGTCATCTAAGTATGACCTTGAATGCGCGCAGATACCCGTGCACATGAAGT CCGACGCTTCGAAGTTCACCCATGAGAAACCGGAGGGGTACTACAACTGGCACCACGGAGCAGTAC AGTACTCAGGAGGCCGGTTCACCATCCCTACAGGTGCTGGCAAACCAGGGGACAGCGGCAGACCG ATCTTCGACAACAAGGGACGCGTGGTGGCCATAGTCTTAGGAGGAGCTAATGAAGGAGCCCGTACA GCCCTCTCGGTGGTGACCTGGAATAAAGACATTGTCACTAAAATCACCCCCGAGGGGGCCGAAGAG TGGAGTCTTGCCATCCCAGTTATGTGCCTGTTGGCAAACACCACGTTCCCCTGCTCCCAGCCCCCTT GCACGCCCTGCTGCTACGAAAAGGAACCGGAGGAAACCCTACGCATGCTTGAGGACAACGTCATGA GACCTGGGTACTATCAGCTGCTACAAGCATCCTTAACATGTTCTCCCCACCGCCAGCGACGCAGCAC CAAGGACAACTTCAATGTCTATAAAGCCACAAGACCATACTTAGCTCACTGTCCCGACTGTGGAGAA GGGCACTCGTGCCATAGTCCCGTAGCACTAGAACGCATCAGAAATGAAGCGACAGACGGGACGCTG AAAATCCAGGTCTCCTTGCAAATCGGAATAAAGACGGATGACAGCCACGATTGGACCAAGCTGCGTT ATATGGACAACCACATGCCAGCAGACGCAGAGAGGGCGGGGCTATTTGTAAGAACATCAGCACCGT GTACGATTACTGGAACAATGGGACACTTCATCCTGGCCCGATGTCCAAAAGGGGAAACTCTGACGGT GGGATTCACTGACAGTAGGAAGATTAGTCACTCATGTACGCACCCATTTCACCACGACCCTCCTGTG ATAGGTCGGGAAAAATTCCATTCCCGACCGCAGCACGGTAAAGAGCTACCTTGCAGCACGTACGTG CAGAGCACCGCCGCAACTACCGAGGAGATAGAGGTACACATGCCCCCAGACACCCCTGATCGCACA TTAATGTCACAACAGTCCGGCAACGTAAAGATCACAGTCAATGGCCAGACGGTGCGGTACAAGTGTA ATTGCGGTGGCTCAAATGAAGGACTAACAACTACAGACAAAGTGATTAATAACTGCAAGGTTGATCAA TGTCATGCCGCGGTCACCAATCACAAAAAGTGGCAGTATAACTCCCCTCTGGTCCCGCGTAATGCTG AACTTGGGGACCGAAAAGGAAAAATTCACATCCCGTTTCCGCTGGCAAATGTAACATGCAGGGTGCC TAAAGCAAGGAACCCCACCGTGACGTACGGGAAAAACCAAGTCATCATGCTACTGTATCCTGACCAC CCAACACTCCTGTCCTACCGGAATATGGGAGAAGAACCAAACTATCAAGAAGAGTGGGTGATGCATA AGAAGGAAGTCGTGCTAACCGTGCCGACTGAAGGGCTCGAGGTCACGTGGGGCAACAACGAGCCG TATAAGTATTGGCCGCAGTTATCTACAAACGGTACAGCCCATGGCCACCCGCATGAGATAATTCTGT ATTATTATGAGCTGTACCCCACTATGACTGTAGTAGTTGTGTCAGTGGCCACGTTCATACTCCTGTCG ATGGTGGGTATGGCAGCGGGGATGTGCATGTGTGCACGACGCAGATGCATCACACCGTATGAACTG ACACCAGGAGCTACCGTCCCTTTCCTGCTTAGCCTAATATGCTGCATCAGAACAGCTAAAGCGGCCA CATACCAAGAGGCTGCGATATACCTGTGGAACGAGCAGCAACCTTTGTTTTGGCTACAAGCCCTTAT TCCGCTGGCAGCCCTGATTGTTCTATGCAACTGTCTGAGACTCTTACCATGCTGCTGTAAAACGTTG GCTTTTTTAGCCGTAATGAGCGTCGGTGCCCACACTGTGAGCGCGTACGAACACGTAACAGTGATCC CGAACACGGTGGGAGTACCGTATAAGACTCTAGTCAATAGACCTGGCTACAGCCCCATGGTATTGGA GATGGAACTACTGTCAGTCACTTTGGAGCCAACACTATCGCTTGATTACATCACGTGCGAGTACAAA ACCGTCATCCCGTCTCCGTACGTGAAGTGCTGCGGTACAGCAGAGTGCAAGGACAAAAACCTACCT GACTACAGCTGTAAGGTCTTCACCGGCGTCTACCCATTTATGTGGGGCGGCGCCTACTGCTTCTGC GACGCTGAAAACACGCAGTTGAGCGAAGCACACGTGGAGAAGTCCGAATCATGCAAAACAGAATTT GCATCAGCATACAGGGCTCATACCGCATCTGCATCAGCTAAGCTCCGCGTCCTTTACCAAGGAAATA ACATCACTGTAACTGCCTATGCAAACGGCGACCATGCCGTCACAGTTAAGGACGCCAAATTCATTGT GGGGCCAATGTCTTCAGCCTGGACACCTTTCGACAACAAAATTGTGGTGTACAAAGGTGACGTCTAT AACATGGACTACCCGCCCTTTGGCGCAGGAAGACCAGGACAATTTGGCGATATCCAAAGTCGCACA CCTGAGAGTAAAGACGTCTATGCTAATACACAACTGGTACTGCAGAGACCGGCTGTGGGTACGGTA CACGTGCCATACTCTCAGGCACCATCTGGCTTTAAGTATTGGCTAAAAGAACGCGGGGCGTCGCTG CAGCACACAGCACCATTTGGCTGCCAAATAGCAACAAACCCGGTAAGAGCGGTGAACTGCGCCGTA GGGAACATGCCCATCTCCATCGACATACCGGAAGCGGCCTTCACTAGGGTCGTCGACGCGCCCTCT TTAACGGACATGTCGTGCGAGGTACCAGCCTGCACCCATTCCTCAGACTTTGGGGGCGTCGCCATT ATTAAATATGCAGCCAGCAAGAAAGGCAAGTGTGCGGTGCATTCGATGACTAACGCCGTCACTATTC GGGAAGCTGAGATAGAAGTTGAAGGGAATTCTCAGCTGCAAATCTCTTTCTCGACGGCCTTAGCCAG CGCCGAATTCCGCGTACAAGTCTGTTCTACACAAGTACACTGTGCAGCCGAGTGCCACCCCCCGAA GGACCACATAGTCAACTACCCGGCGTCACATACCACCCTCGGGGTCCAGGACATCTCCGCTACGGC GATGTCATGGGTGCAGAAGATCACGGGAGGTGTGGGACTGGTTGTTGCTGTTGCCGCACTGATTCT AATCGTGGTGCTATGCGTGTCGTTCAGCAGGCACTAACTTGACAATTAAGTATGAAGGTATATGTGTC CCCTAAGAGACACACTGTACATAGCAAATAATCTATAGATCAAAGGGCTACGCAACCCCTGAATAGTA ACAAAATACAAAATCACTAAAAATTATAAAAACAGAAAAATACATAAATAGGTATACGTGTCCCCTAAG AGACACATTGTATGTAGGTGATAAGTATAGATCAAAGGGCCGAATAACCCCTGAATAGTAACAAAATA TGAAAATCAATAAAAATCATAAAATAGAAAAACCATAAACAGAAGTAGTTCAAAGGGCTATAAAACCC CTGAATAGTAACAAAACATAAAATTAATAAAAATCAAATGAATACCATAATTGGCAAACGGAAGAGATG TAGGTACTTAAGCTTCCTAAAAGCAGCCGAACTCACTTTGAGAAGTAGGCATAGCATACCGAACTCTT CCACGATTCTCCGAACCCACAGGGACGTAGGAGATGTTATTTTGTTTTTAATATTTCAAAAAAAAAAAA AAAAAAAAAAAA SEQ ID NO: 2 Amino acid sequence of E2 protein from LR2006_OPY1 Chikungunya virus strain- amino acids 339-742 from structural polyprotein; GenBank Accession: ABD95938.1 (1-1248 aa) STKIDNFNVYKATRPYLAHCPDCGEGHSCHSPVALERIRNEATDGTLKIQVSLQIGIKTDDSHDWTKLRYM DNHMPADAERAGLFVRTSAPCTITGTMGHFILARCPKGETLTVGFTDSRKISHSCTHPFHHDPPVIGREKF HSRPQHGKELPCSTYVQSTAATTEEIEVHMPPDTPDHTLMSQQSGNVKITVNGQTVRYKCNCGGSNEG LTTTDKVINNCKVDQCHAAVTNHKKWQYNSPLVPRNAELGDRKGKIHIPFPLANVTCRVPKARNPTVTYG KNQVIMLLYPDHPTLLSYRNMGEEPNYQEEWVMHKKEVVLTVPTEGLEVTWGNNEPYKYWPQLSTNGT AHGHPHEIILYYYELYPTMTVVVVSVATFILLSMVGMAAGMCMCARRRCITPYELTPGATVPFLLSLICCIR TAKA SEQ ID NO: 3 E168K variant of E2 protein from Chikungunya virus STKIDNFNVYKATRPYLAHCPDCGEGHSCHSPVALERIRNEATDGTLKIQVSLQIGIKTDDSHDWTKLRYM DNHMPADAERAGLFVRTSAPCTITGTMGHFILARCPKGETLTVGFTDSRKISHSCTHPFHHDPPVIGREKF HSRPQHGKELPCSTYVQSTAATTEEIKVHMPPDTPDHTLMSQQSGNVKITVNGQTVRYKCNCGGSNEG LTTTDKVINNCKVDQCHAAVTNHKKWQYNSPLVPRNAELGDRKGKIHIPFPLANVTCRVPKARNPTVTYG KNQVIMLLYPDHPTLLSYRNMGEEPNYQEEWVMHKKEVVLTVPTEGLEVTWGNNEPYKYWPQLSTNGT AHGHPHEIILYYYELYPTMTVVVVSVATFILLSMVGMAAGMCMCARRRCITPYELTPGATVPFLLSLICCIR TAKA SEQ ID NO: 4 G55R variant of E2 protein from Chikungunya virus STKDNFNVYKATRPYLAHCPDCGEGHSCHSPVALERIRNEATDGTLKIQVSLQIRIKTDDSHDWTKLRYM DNHMPADAERAGLFVRTSAPCTITGTMGHFILARCPKGETLTVGFTDSRKISHSCTHPFHHDPPVIGREKF HSRPQHGKELPCSTYVQSTAATTEEIEVHMPPDTPDHTLMSQQSGNVKITVNGQTVRYKCNCGGSNEG LTTTDKVINNCKVDQCHAAVTNHKKWQYNSPLVPRNAELGDRKGKIHIPFPLANVTCRVPKARNPTVTYG KNQVIMLLYPDHPTLLSYRNMGEEPNYQEEWVMHKKEVVLTVPTEGLEVTWGNNEPYKYWPQLSTNGT AHGHPHEIILYYYELYPTMTVVVVSVATFILLSMVGMAAGMCMCARRRCITPYELTPGATVPFLLSLICCIR TAKA SEQ ID NO: 5 E247K variant of E2 protein from Chikungunya virus STKIDNFNVYKATRPYLAHCPDCGEGHSCHSPVALERIRNEATDGTLKIQVSLQIGIKTDDSHDWTKLRYM DNHMPADAERAGLFVRTSAPCTITGTMGHFILARCPKGETLTVGFTDSRKISHSCTHPFHHDPPVIGREKF HSRPQHGKELPCSTYVQSTAATTEEIEVHMPPDTPDHTLMSQQSGNVKITVNGQTVRYKCNCGGSNEG LTTTDKVINNCKVDQCHAAVTNHKKWQYNSPLVPRNAKLGDRKGKIHIPFPLANVTCRVPKARNPTVTYG KNQVIMLLYPDHPTLLSYRNMGEEPNYQEEWVMHKKEVVLTVPTEGLEVTWGNNEPYKYWPQLSTNGT AHGHPHEIILYYYELYPTMTVVVVSVATFILLSMVGMAAGMCMCARRRCITPYELTPGATVPFLLSLICCIR TAKA SEQ ID NO: 6 G82R variant of E2 protein from Chikungunya virus STKIDNFNVYKATRPYLAHCPDCGEGHSCHSPVALERIRNEATDGTLKIQVSLQIGIKTDDSHDWTKLRYM DNHMPADAERARLFVRTSAPCTITGTMGHFILARCPKGETLTVGFTDSRKISHSCTHPFHHDPPVIGREKF HSRPQHGKELPCSTYVQSTAATTEEIEVHMPPDTPDHTLMSQQSGNVKITVNGQTVRYKCNCGGSNEG LTTTDKVINNCKVDQCHAAVTNHKKWQYNSPLVPRNAELGDRKGKIHIPFPLANVTCRVPKARNPTVTYG KNQVIMLLYPDHPTLLSYRNMGEEPNYQEEVVVMHKKEVVLTVPTEGLEVTWGNNEPYKYWPQLSTNGT AHGHPHEIILYYYELYPTMTVVVVSVATFILLSMVGMAAGMCMCARRRCITPYELTPGATVPFLLSLICCIR TAKA SEQ ID NO: 7 H232Y variant of E2 protein from Chikungunya virus STKIDNFNVYKATRPYLAHCPDCGEGHSCHSPVALERIRNEATDGTLKIQVSLQIGIKTDDSHDWTKLRYM DNHMPADAERAGLFVRTSAPCTITGTMGHFILARCPKGETLTVGFTDSRKISHSCTHPFHHDPPVIGREKF HSRPQHGKELPCSTYVQSTAATTEEIEVHMPPDTPDHTLMSQQSGNVKITVNGQTVRYKCNCGGSNEG LTTTDKVINNCKVDQCHAAVTNYKKWQYNSPLVPRNAELGDRKGKIHIPFPLANVTCRVPKARNPTVTYG KNQVIMLLYPDHPTLLSYRNMGEEPNYQEEWVMHKKEVVLTVPTEGLEVTWGNNEPYKYWPQLSTNGT AHGHPHEIILYYYELYPTMTVVVVSVATFILLSMVGMAAGMCMCARRRCITPYELTPGATVPFLLSLICCIR TAKA