The DNA-based Lassa vaccine INO-4500 confers durable protective efficacy in cynomolgus macaques against lethal Lassa fever

Commun Med (Lond). 2024 Nov 28;4(1):253. doi: 10.1038/s43856-024-00684-8.

Abstract

Background: We have previously developed a DNA-based vaccine, INO-4500, encoding the Lassa lineage IV glycoprotein precursor. INO-4500, when delivered with electroporation, elicited humoral and cellular responses, and conferred 100% protection in cynomolgus non-human primates. Here, we expanded the characterization of INO-4500 assessing immunogenicity and protective efficacy of lower doses and single immunization, and the durability of immune responses.

Methods: The study was divided into three arms evaluating INO-4500 vaccination: Arm 1 - Dosing regimen; Arm 2 - Single immunization; and Arm 3-Durability of immune responses and protective efficacy. Humoral and T cell responses were assessed by IgG binding ELISA, IFNγ ELISpot and flow cytometry-based T cell activation assays. NHPs were challenged with a lethal dose of Lassa lineage IV 8 weeks (Arms 1 and 2) or one year (Arm 3) after immunization. NHPs were assigned clinical scores and monitored for survival. Viremia, virus neutralization and release of soluble mediators were assessed post-challenge, as well as disease pathology following NHPs death or euthanasia.

Results: INO-4500 induces dose-dependent immune responses and protective efficacy. Animals receiving two doses of 2 mg of INO-4500 show complete short- and long-term LASV protection. NHPs receiving 1 mg of INO-4500 are protected from LASV challenge one year after vaccination but are only partially protected 8 weeks post-vaccination. LASV-specific memory T cells are present in vaccinated NHPs one year after vaccination. INO-4500 vaccination prevents NHPs from developing severe disease.

Conclusions: These studies demonstrate that INO-4500 can provide short- and long-term protection in NHPs from lethal LASV challenge.

Plain language summary

Lassa Fever is an infection that leads to excessive bleeding and often, death. We previously developed a DNA vaccine, named INO-4500, that protected monkeys from becoming infected with Lassa. In the present study, we tested whether different vaccine schedules, including lower doses and single dose, also confer disease protection in monkeys. In addition, we evaluated the long-term protection of INO-4500 and confirmed that INO-4500 protects monkeys from infection with Lassa one year after vaccination. These findings confirm that our vaccine prevents infection with Lassa and provides long-term protection from Lassa Fever in this animal model of the disease. This work supports further investigation being undertaken into whether the vaccine can prevent Lassa fever in humans.