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From the Rare Disease TAUG

1st IS.xpt

Rare Diseases Therapeutic Area User Guide, section 9.1, In Vivo Gene Therapy (Spinal Muscular Atrophy).

Status
colourGreen
titleResolved
  From the Rare Disease TAUG

  • Example added to the SDTMIG v4.0.



From Stefan Konermann.

2nd IS.xpt

  1. Email from Stephen on 2023-09-01.

    2023-09-07: 

    •  Team agrees to add ISTEST = Cytokine-secreting T Cells
    •  Team agrees to two ISCATs= VECTOR-INDUCED IMMUNOGENICITY and ANTIDRUG IMMUNOGENICITY.
    •  Action Item: Jordan to add this example to the SDTMIG v4.0. 

Status
colourGreen
titleResolved
 



Immunogenicity is the ability of a foreign substance, such as an antigen, to provoke an immune response in the body of a human or other animal. An immunogenicity response may be wanted/desired or unwanted/undesired.

This example shows a Sars-CoV-2 vaccine study where the mechanism of delivery for the study vaccine antigenic component is based off of, and enabled by the viral vector technology. In this specific use-case, the transgene encoding the full-length, membrane-bound severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) spike protein is incorporated into a recombinant, replication-incompetent Human Adenovirus Type 26 (Ad26) Vector. The Sars-CoV-2 spike protein expressed by the transgene is the antigenic component of this vaccine. The "Ad26.COV2.S" study vaccine is then administered to patients. Neutralizing anti-vector antibodies (i.e. anti-Ad26 vector antibody) are closely monitored at baseline and post-study vaccine exposure visits. This is because the occurrence of the anti-vector antibodies could significantly hinder the Ad26 vector's ability to deliver the Sars-CoV-2 spike protein transgene to target cells, and consequently, either inhibits the planned vaccine therapy, or diminishes the efficacy of the study vaccine after administration.

...

The example below shows a use-case of undesired, unwanted cellular immune response responses toward a protein therapeutic delivered through the viral vector technology. In this case, cellular T-cell responses to both the viral vector and the therapeutic peptide (which is translated from the transgene delivered by the viral vector), are measured before and after study treatment. The T cell responses to both the vector and the theraptucis peptide are considered as "undesired/unwanted", which are indicated by the ISCAT = VECTOR-INDUCED IMMUNOGENICITY, and ISCAT = ANTIDRUG IMMUNOGENICITY.

Dataset wrap
Nameis
Rowcaps

Rows 1-2:

Show the measurement of interferon gamma (ISMSCBCE) cytokine-secreting T cells (ISTEST) at baseline either with no stimulation (row 1) or stimulated with the RSV-antigen (row 2in response to stimulation by the viral vector and the therapeutic peptide (translated from the transgene delivered by the vector) in ISCNDAGT, respectively, prior to vaccinationstudy treatment.

Rows 3-4:

Show the measurement of interferon gamma gamma (ISMSCBCE) cytokine-secreting T cells (ISTEST) 3 weeks after vaccination and restimulation in vitro with the RSV-antigen (row 4at visit 1 in response to stimulation by the viral vector and the therapeutic peptide (translated from the transgene delivered by the vector) in ISCNDAGT and no stimulation (row 3), respectively, after study treatment.

Dataset2

Row

STUDYID

DOMAIN

USUBJID

ISSEQ

ISREFID

ISTESTCD

ISTEST

ISMSCBCE

ISTSTCNDISCNDAGTISCATISSCAT

ISORRES

ISORRESU

ISSTRESC

ISSTRESN

ISSTRESU

ISSPEC

ISMETHOD

VISITNUMVISIT

ISDTC

1

RSV1230

ABC0910

IS

RSV1230

ABC0910-011

1

13668

13998

CYKSCTCL

Cytokine-secreting T Cells

INTERFERON GAMMAWITH STIMULATING AGENTHUMAN ADENOVIRUS TYPE 26 VECTORVECTOR-INDUCED IMMUNOGENICITYCELLULAR IMMUNITY

5.1

SFC/10^6 PBMC

5.1

5.1

SFC/10^6 PBMC

PERIPHERAL BLOOD MONONUCLEAR CELL

ELISPOT

1BASELINE

2017-05-27

2

RSV1230

ABC0910

IS

RSV1230

ABC0910-011

2

13668

13998

CYKSCTCL

Cytokine-secreting T Cells

INTERFERON GAMMAWITH STIMULATING AGENT

THERAPEUTIC PEPTIDE

ANTIDRUG IMMUNOGENICITY

CELLULAR IMMUNITY
10

7.

5

05

SFC/10^6 PBMC

10

7.

5

05

10

7.

5

05

SFC/10^6 PBMC

PERIPHERAL BLOOD MONONUCLEAR CELL

ELISPOT

1BASELINE

2017-05-27

3

RSV1230

ABC0910

IS

RSV1230

ABC0910-011

3

13668

13998

CYKSCTCL

Cytokine-secreting T Cells

INTERFERON GAMMAWITH STIMULATING AGENTHUMAN ADENOVIRUS TYPE 26 VECTORVECTOR-INDUCED IMMUNOGENICITYCELLULAR IMMUNITY
60

157.8

SFC/10^6 PBMC

60

157.8

60

157.8

SFC/10^6 PBMC

PERIPHERAL BLOOD MONONUCLEAR CELL

ELISPOT

2VISIT 1

2017-08-27

4
RSV1230
ABC0910IS
RSV1230
ABC0910-0114
13668
13998CYKSCTCLCytokine-secreting T CellsINTERFERON GAMMAWITH STIMULATING AGENTTHERAPEUTIC PEPTIDE

ANTIDRUG IMMUNOGENICITY

CELLULAR IMMUNITY
260
295.5

SFC/10^6 PBMC

260
295.5
260
295.5

SFC/10^6 PBMC

PERIPHERAL BLOOD MONONUCLEAR CELL

ELISPOT2VISIT 12017-08-27