Towards the elimination of rabies in Eurasia, Paris, 27-30 May 2007 1 Efficacy of a square...

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Towards the elimination of rabies in Eurasia, Paris, 27-30 May 2007 1 Efficacy of a square presentation of V-RG vaccine baits in red fox, domestic dog and raccoon dogs F. Cliquet 1 , A.L. Guiot 2 , C. Schumacher 3 , J. Maki 3 and J. Barrat 1 1 WHO Collaborating Centre for Research and Management in Zoonoses Control, OIE Reference Laboratory for Rabies, Community Reference Laboratory for Rabies Serology, AFSSA Malzéville, France 2 Conseils en Pharmacie et Biologie Santé, Lyon, France 3 Merial, Lyon (France) and Athens (USA)

Transcript of Towards the elimination of rabies in Eurasia, Paris, 27-30 May 2007 1 Efficacy of a square...

Page 1: Towards the elimination of rabies in Eurasia, Paris, 27-30 May 2007 1 Efficacy of a square presentation of V-RG vaccine baits in red fox, domestic dog.

Towards the elimination of rabies in Eurasia, Paris, 27-30 May 2007

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Efficacy of a square presentation of V-RG vaccine baits in red fox, domestic

dog and raccoon dogs

F. Cliquet1, A.L. Guiot2, C. Schumacher3, J. Maki3 and J. Barrat1

1 WHO Collaborating Centre for Research and Management in Zoonoses Control, OIE Reference Laboratory for Rabies, Community Reference Laboratory for Rabies Serology, AFSSA Malzéville, France2 Conseils en Pharmacie et Biologie Santé, Lyon, France3 Merial, Lyon (France) and Athens (USA)

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V-RG rabies vaccine

* V-RG vaccine (Raboral® V-RG) is a vaccinia virus recombinant coding for the rabies glycoprotein gene.

* V-RG vaccine baits have been extensively used in France and in other European countries which are all rabies free (France, 2000 ; Belgium and Luxembourg, 2001) and is currently used in US and also in Ukraine.

* This vaccine is one of the two vaccines recognised and recommended by the European Commission (2002) and WHO (2005) for oral vaccination of foxes against rabies.

Rectangular Fishmeal polymer

bait (France)for red foxes and

raccoon dogs (Merial)

Square Fishmeal or Chickenmeal

Polymer bait (USA)for raccoons,

coyotes and gray foxes (Merial)

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To evaluate in captive animals (domestic dog, red fox and raccoon dog) the efficacy of a

square V-RG bait produced in USA in captive animals

Evaluation of : Attractiveness of the baits Induction of neutralising antibodies Protection after rabies challenge

Objective

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Experimental design

Raccoon dogs

vaccinated controls

vaccinated controls

vaccinated controls

93

1010

109

square VRGplacebo bait

square VRGplacebo bait

square VRGNA

108.4 TCID50/dose-

108.4 TCID50/dose-

108.8 TCID50/dose-

D30New York rabies strain

D91Salivary gland homogenate

from rabid foxes, 400 MIC LD50

D214Salivary gland homogenate

from a naturally infected coyote (CDC), 1600 MIC LD50

Dogs

Foxes

NA : not administered

All animals daily observed and kept at least for 90 days after challenge

Number of animals

DO : Vaccination Vaccine titre Challenge

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Results - Bait acceptability

Species

Dogs

Foxes

Raccoon dogs

Bait consumption invaccinates placebo

Bait uptaketime

8/91/9

10/10

10/10

1/32/3

10/10*

-

less than 1 hourless than 24 hours

less than 24 hours

mean time of disappearance4.2 hours

(SD = 7 hours)

* Doubtful for two foxes

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Group Animal No. Day -12 Day 7 Day 14 Day 21 Day 28 Challenge

Day 120 Euthanasia Response to challenge

4 0,17 0,07 0,04 0,17 0,87 0,87 D (17)Controls 5 0,10 0,04 0,03 0,04 0,07 10,45 D (15)

6 < 0,03 0,04 0,03 0,04 0,07 D (14)GMT < 0,08 0,05 0,03 0,06 0,16 3,02SD 0,07 0,02 0,01 0,08 0,46 6,77

16 0,29 0,06 0,03 0,10 0,29 D (15)Vaccinated 17 < 0,07 0,06 0,29 1,99 3,46 0,87 S

18 < 0,06 0,03 0,06 0,10 0,22 0,50 S19 < 0,03 0,03 0,03 0,03 0,17 0,10 S20 < 0,04 0,03 0,03 0,10 0,13 0,38 S21 < 0,06 0,03 0,04 0,17 0,38 0,87 S22 > 0,87 0,04 0,04 0,06 0,10 0,22 S23 < 0,06 0,03 0,03 0,07 0,07 0,66 S24 0,13 0,04 0,04 0,13 0,22 0,87 S

GMT < 0,09 0,04 0,05 0,12 0,24 0,45SD 0,27 0,01 0,08 0,63 1,09 0,31

Rabies virus neutralising antibodies (IU/ml)

ResultsDogs : rabies virus neutralising antibodies and resistance to challenge

S : surviveD : die

• Only one dog out of 9 vaccinates seroconverted• All three controls died between D14 and D17• One vaccinate died at D15

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ResultsFoxes : rabies virus neutralising antibodies

2 vaccinated foxes did not seroconvert

-2,0

-1,5

-1,0

-0,5

0,0

0,5

1,0

1,5

2,0

0 20 40 60 80 100 120 140 160 180 200

days after vaccination

me

an

of

FA

VN

ra

bie

s a

nti

bo

die

s (

log

I.U

./ml)

Square V-RG bait

Placebo square bait

Threshold of positivity

vaccination rabies challenge

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ResultsFoxes : resistance to challenge

Vaccinated

Controls

Mean mortalitydelay (days)

14

14,40

Total

10

10

Rabies diagnosis(FAT + cell culture)

2 pos, 8 neg

10 pos

Dead

2

10

Group

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ResultsRaccoon dogs : rabies virus neutralising antibodies

-1,5

-1,0

-0,5

0,0

0,5

1,0

1,5

2,0

0 50 100 150 200 250

days after vaccination

me

an

of

FA

VN

ra

bie

s a

nti

bo

die

s (

log

I.U

./ml)

Square V-RG bait

Control not vaccinated

Threshold of positivity

rabies challengevaccination

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Vaccinated

Controls

Mean mortalitydelay (days)

-

18,90

Total

10

9

Rabies diagnosis(FAT + cell culture)

10 neg

9 pos

Dead

0

9

Group

ResultsRaccoon dogs : resistance to challenge

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Discussion- The square fishmeal polymer bait V-RG is well accepted by dogs, foxes and raccoon dogs.

- The rate of seroconversion following bait uptake as well as the magnitude of antibody titres are different in the 3 species :

5.38(4.23)

Neutralising antibodies at D28

Dogs 0.07

0.03

1.51

3.46

41.59

13.77

0.24(1.09)

2.95(13.27)

1/9

7/9

10/10Raccoon dogs

Foxes

min (IU/ml)

max(IU/ml)

GMT(S.D.)

positive/total

The high levels of rabies antibodies observed in raccoon dogs have been also observed when vaccinated with an attenuated oral vaccine (Cliquet and al, 2006)

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Discussion

- The challenge was validated since all controls died from rabies (typical rabies signs were observed and diagnostic tests positive).

- Protection after challenge was satisfactory in the three species tested.

* Dogs : protection (8/9 dog) despite absence of seroconversion already largely documented.

* Foxes : protection in 8/10 foxes ; two vaccinated foxes did not seroconvert and succumbed to rabies challenge.

* Raccoon dogs : protection in all vaccinated raccoon dogs.

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Conclusion

- The square fishmeal polymer bait V-RG tested in domestic dogs, foxes and raccoon dogs was attractive, immunogenic and efficient.

- The efficacy data support the idea of a potential sourcing of this oral rabies vaccine :

• for oral vaccination campaigns in those European countries where both foxes and raccoon dogs represent major wildlife species affected by rabies,

• for oral vaccination of dogs as a complement to other means (parenteral vaccination and ABC programs) in countries where canine rabies is endemic.

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ACKNOWLEDGMENTS

- Chuck Rupprecht (CDC)

- Jacqueline Bailly, Michel Munier, Nicolas Penel, Josiane Ambert, Jean-Michel Bousset, Audrey Hamen, Michel Ritleng, Chantal Patron, Patricia Grosgeorge, Anouck Labadie, Estelle Litaize and Sébastien Kempff and Jean Luc Schereffer (AFSSA Nancy)