The safety and immunogenicity of a CETP vaccine in healthy adults

被引:102
作者
Davidson, MH
Maki, K
Umporowicz, D
Wheeler, A
Rittershaus, C
Ryan, U
机构
[1] Chicago Ctr Clin Res, Rush Presbyterian St Lukes Med Ctr, Chicago, IL 60610 USA
[2] AVANT Immunotherapeut Inc, Needham, MA USA
关键词
cholesterol ester transfer protein (CETP); vaccine; auto-antibodies;
D O I
10.1016/S0021-9150(03)00137-0
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
A cholesterol ester transfer protein (CETP) vaccine (CETi-1) that induces auto-antibodies that specifically bind and inhibit activity of endogenous CETP has been demonstrated in rabbits to significantly increase HDL-C and reduce the development of atherosclerosis. In a Phase I human trial with CETi-1, one patient at the highest dose (250 mg) out of a total of 36 patients who received a single injection developed anti-CETP antibodies. In an extension study of 23 patients, 53%, (8/15) who received a second injection of the active vaccine developed anti-CETP antibodies compared with 0% (0/8) in the placebo group. The vaccine was well tolerated and no significant laboratory abnormalities occurred. CETi-1 is a feasible therapy in humans to induce CETP autoantibodies. Future research will determine if repeat inoculations will induce a sufficient anti-CETP antibody response to inhibit CETP and increase HDL levels. (C) 2003 Published by Elsevier Science Ireland Ltd.
引用
收藏
页码:113 / 120
页数:8
相关论文
共 23 条
[1]  
*AVANT IMM INC, DAT FIL
[2]   Phase II study of anti-gastrin-17 antibodies, raised to G17DT, in advanced pancreatic cancer [J].
Brett, BT ;
Smith, SC ;
Bouvier, CV ;
Michaeli, D ;
Hochhauser, D ;
Davidson, BR ;
Kurzawinski, TR ;
Watkinson, AF ;
Van Someren, N ;
Pounder, RE ;
Caplin, ME .
JOURNAL OF CLINICAL ONCOLOGY, 2002, 20 (20) :4225-4231
[3]   MOLECULAR-BASIS OF LIPID TRANSFER PROTEIN-DEFICIENCY IN A FAMILY WITH INCREASED HIGH-DENSITY LIPOPROTEINS [J].
BROWN, ML ;
INAZU, A ;
HESLER, CB ;
AGELLON, LB ;
MANN, C ;
WHITLOCK, ME ;
MARCEL, YL ;
MILNE, RW ;
KOIZUMI, J ;
MABUCHI, H ;
TAKEDA, R ;
TALL, AR .
NATURE, 1989, 342 (6248) :448-451
[4]   Executive summary of the Third Report of the National Cholesterol Education Program (NCEP) expert panel on detection, evaluation, and treatment of high blood cholesterol in adults (Adult Treatment Panel III) [J].
Cleeman, JI ;
Grundy, SM ;
Becker, D ;
Clark, LT ;
Cooper, RS ;
Denke, MA ;
Howard, WJ ;
Hunninghake, DB ;
Illingworth, DR ;
Luepker, RV ;
McBride, P ;
McKenney, JM ;
Pasternak, RC ;
Stone, NJ ;
Van Horn, L ;
Brewer, HB ;
Ernst, ND ;
Gordon, D ;
Levy, D ;
Rifkind, B ;
Rossouw, JE ;
Savage, P ;
Haffner, SM ;
Orloff, DG ;
Proschan, MA ;
Schwartz, JS ;
Sempos, CT ;
Shero, ST ;
Murray, EZ .
JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 2001, 285 (19) :2486-2497
[5]   Efficacy and safety of a novel cholesteryl ester transfer protein inhibitor, JTT-705, in humans - A randomized phase II dose-response study [J].
de Grooth, GJ ;
Kuivenhoven, JA ;
Stalenhoef, AFH ;
de Graaf, J ;
Zwinderman, AH ;
Posma, JL ;
van Tol, A ;
Kastelein, JJP .
CIRCULATION, 2002, 105 (18) :2159-2165
[6]   Antifertility vaccines [J].
Delves, PJ ;
Lund, T ;
Roitt, IV .
TRENDS IN IMMUNOLOGY, 2002, 23 (04) :213-219
[7]  
HESLER CB, 1988, J BIOL CHEM, V263, P5020
[8]   Reverse cholesterol transport - A review of the process and its clinical implications [J].
Hill, SA ;
McQueen, J .
CLINICAL BIOCHEMISTRY, 1997, 30 (07) :517-525
[9]   Genetic cholesteryl ester transfer protein deficiency is extremely frequent in the Omagari area of Japan - Marked hyperalphalipoproteinemia caused by CETP gene mutation is not associated with longevity [J].
Hirano, K ;
Yamashita, S ;
Nakajima, N ;
Arai, T ;
Maruyama, T ;
Yoshida, Y ;
Ishigami, M ;
Sakai, N ;
KamedaTakemura, K ;
Matsuzawa, Y .
ARTERIOSCLEROSIS THROMBOSIS AND VASCULAR BIOLOGY, 1997, 17 (06) :1053-1059
[10]   Adherence with statin therapy in elderly patients with and without acute coronary syndromes [J].
Jackevicius, CA ;
Mamdami, M ;
Tu, JV .
JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 2002, 288 (04) :462-467