Lassa fever future or investigational therapies

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Ammu Susheela, M.D. [2]

Overview

Researchers at the USAMRIID facility, where military biologists study infectious diseases, have a promising vaccine candidate. They have developed a replication-competent vaccine against Lassa virus based on recombinant vesicular stomatitis virus vectors expressing the Lassa virus glycoprotein. After a single intramuscular injection, test primates have survived lethal challenge, while showing no clinical symptoms.[1]

Siga Technologies is developing an antiviral drug that has been shown effective in treating experimentally infected guinea pigs. In a study conducted at the U.S. Army Medical Research Institute of Infectious Diseases (USAMRIID), treatment with ST-193 once a day for 14 days resulted in significant reduction in mortality (71% of the animals survived at the low dose), whereas all untreated animals and those treated with ribavirin died within 20 days of the infection.[2]

Future Research

  • Studies are being conducted to improve the following aspects[3].
  • Efficacy of the supportive treatment.
  • Specific studies for early goal directed therapy.
  • Check whether shorter duration would be helpful.
  • Evaluation of oral ribavirin for post exposure prophylaxis.
  • Testing efficacy of new anti-arenavirus drugs.
  • Testing efficacy of non-arenavirus-specific drugs.
  • Recombinant activated protein C.
  • Vaccines with recombinant and attenuated viruses, DNA vaccines, alphavirus replicons.



References

  1. Geisbert TW, Jones S, Fritz EA; et al. (2005). "Development of a new vaccine for the prevention of Lassa fever". PLoS Med. 2 (6): e183. doi:10.1371/journal.pmed.0020183. PMID 15971954.
  2. "SIGA Passes First Hurdle with Lassa Fever Antiviral ST-193" (Press release).
  3. Khan SH, Goba A, Chu M, Roth C, Healing T, Marx A; et al. (2008). "New opportunities for field research on the pathogenesis and treatment of Lassa fever". Antiviral Res. 78 (1): 103–15. doi:10.1016/j.antiviral.2007.11.003. PMID 18241935 PMID: 18241935 Check |pmid= value (help).


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