Development pathway for biodefense vaccines.
At the present time it is estimated that the process of development of a vaccine from discovery to licensure takes approximately 18-20 years and costs in excess of US$500 million. For "routine" vaccines, the case for developing a vaccine is straightforward in terms of economics and large scale public health utilization each year. For vaccines used for biodefense and emerging diseases, the considerations are somewhat different as the vaccine may not be needed every year to control outbreaks and may be stockpiled only as a countermeasure that hopefully may never be needed. Furthermore, efficacy trials are often difficult as the natural disease may be rare or not present. Consequently, animal models will play a critical role in demonstrating efficacy. Nonetheless, the vaccine pathway still requires the same fundamental components of basic science/discovery, preclinical development, clinical trials, registration/licensure, and a plan for implementation.
Barrett
Alan D T
AD
Sealy Center for Vaccine Development, Center for Biodefense and Emerging Infectious Diseases, Institute for Human Infections and Immunity, University of Texas Medical Branch, Galveston, TX 77555-0436, USA. abarrett@utmb.edu
Beasley
David W C
DW
D001694:Biological Warfare / Q000517:prevention & control*; D002986:Clinical Trials as Topic; D004353:Drug Evaluation, Preclinical; D006291:Health Policy; D006301:Health Services Needs and Demand; D017387:Investigational New Drug Application; D011358:Product Surveillance, Postmarketing; D011634:Public Health; D014612:Vaccines / Q000191:economics / Q000600:supply & distribution
D014612:Vaccines