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Vaccine Pre-clinical Toxicology Testing
Vaccine Designs/Concepts
Correlates of Immunity
Assay Development
Animal Models
Immunologic Adjuvants
Variation
International Studies
Behavior
Ethics
Vaccine Design and Methodologic
Issues
Assay Validation
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Vaccine Pre-clinical Toxicology Testing
Previous - Flowchart 3: Pre-clinical
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4: Preparing an Investigational New Drug Application
Pre-IND and IND
Submissions
The Pre-IND meeting materials
should contain background and justification of efficacy and/or immunogenicity
of the proposed candidate vaccine in relevant animal models as well
as summaries of the manufacturing and controls process (including
flowcharts), the proposed pre-clinical safety testing, and the proposed
Phase I clinical trial(s). The Pre-IND
meeting request
and the meeting materials should contain specific questions you
would like FDA to address (such as questions about the design of
your pre-clinical toxicology study). Extensive (and understandable)
advice on how to prepare for a Pre-IND
meeting and what is needed for pre-IND meeting materials may be
obtained in the article "The HIV/AIDS vaccine researchers Orientation
to the Process of Preparing a U.S. FDA application for an Investigational
New Drug (IND): what it is all
about and how you start by preparing for your Pre-IND
meeting" published in Vaccine [Stuart Shapiro, Vaccine 2001, Oct
18, 20(2002):1261-1280; http://www.niaid.nih.gov/aidsvaccine/talkstaff.htm].
Further guidance on the IND process, including pre-IND meetings,
may be obtained from the following chapters: "IND Submissions for
Vaccines: Perspectives of IND Reviewers" by Chandler, McVittie,
& Novak in Vaccines from Concept to Clinic: A guide to the development
and clinical testing of vaccines for human use, edited by Paoletti
& McInnes, published by CRC Press, 1998; "The IND for Biological
Products" by Novak, Barrett, McVittie, & Chandler in Global
Biotechnology Product Registration: EU, US, and Japan, edited by
Struck, Mathieu, and Okabe, published by Parexel International Corp.,
1997; and "The Biological IND" by Novak, Barrett, McVittie, &
Chandler in Biologics Development: A Regulatory Overview," edited
by Mathieu, published by Parexel International Corp., 1997 [the
latter two documents are quite similar, but one may be easier for
you to obtain than the other, so both are listed here].
The IND Application submitted
to CBER pulls together all the components in the development of
the candidate vaccine. The details of the required content and format
are described in detail in 21 CFR
§
312 . Briefly, the application contains ALL known
information on the vaccine. This includes:
- the background and discovery of the vaccine;
- the chemistry, manufacturing, and controls (CMC)
of the drug substance
and final product formulation
information including the production and characterization of the
Master and Working Cell Banks, characterization of the end-of-production
cell cultures, adventitious agent testing, identity, purity, sterility
or bioburden, and the
general safety test;
- documentation of controlled and validated11
assay results supporting the product safety, consistency, stability,
potency, and lot
release criteria12 for the vaccine;
- the results of the pre-clinical pharmacology,
toxicology and immunogenicity studies to verify that there are
no known safety concerns in animal studies;
- any known human experience, either with the candidate vaccine
or similar products;
- planned clinical study protocol(s) including details of the
management of the trials and patient recruitment;
- an investigators' brochure; and
- any additional information or references necessary to facilitate
FDA review and evaluation.
11 Assay
validation should be completed
as soon as possible although fully validated assays are not required
at this stage (pre-IND or Phase 1)
12 At the Phase 1 stage,
one should, at a minimum, set provisional lot
release specifications with the expectation that tighter, more
relevant specifications will be set as the manufacturer gains more
experience with production
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