VBI-2601 (BRII-179) Vaccine Description
VBI-2601 (BRII-179) is a therapeutic hepatitis B vaccine candidate that targets B- and T-cell immunity through several key mechanisms of action, including neutralizing circulation of the hepatitis B virus and blocking hepatocytes' infection Pre-S1 immunity, and enabling immune-mediated clearance of HBV-infected hepatocytes.
VBI Vaccines Inc. VBI-2601 is designed to impact the key extracellular steps in the HBV lifecycle to restore immunologic control over the infection. VBI’s approach focuses on inducing and sustaining broad and effective immunity against hepatitis B.
Uniquely formulated to target both B-cell and T-cell immunity through multiple action mechanisms, including neutralization of the circulating hepatitis B virus, blocking hepatitis B infection of hepatocytes mediated through Pre-S1, and enabling immune-mediated clearance of HBV-infected hepatocytes. Where many investigational agents work inside the infected liver cells downstream of transcription, BRII-179 is designed to impact the key extracellular steps in the HBV lifecycle to sustain immunologic control over the infection.
VBI believes VBI-2601 has the unique potential to do this by targeting B- and T-cell immunity through several key mechanisms of action, including neutralizing circulation of the hepatitis B virus and blocking hepatocytes' infection Pre-S1 immunity, and enabling immune-mediated clearance of HBV-infected hepatocytes, says the company.
VBI-2601 and BRII-179 Vaccine History
VBI has entered into a license and collaboration agreement with Brii Bio (“Brii”). Under the agreement, VBI and Brii will collaborate in developing the product through to completion of a proof-of-concept clinical trial in China, following which Brii Bio will be responsible for funding all development in the licensed territory. Brii Bio will retain commercial rights in the approved territory, while VBI will have all rights outside of the licensed territory.
“These early data from the low-dose cohorts are very encouraging and provide a human proof-of-concept that leads us to believe VBI-2601 (BRII-179) could be an effective and critical component of a functional cure for chronic hepatitis B patients,” said Jeff Baxter, VBI’s President, and CEO, in a press release issued on November 18, 2020. “A functional cure for chronic hepatitis B is likely to require multiple components sufficient to (1) drive down HBV DNA, (2) drive down immunosuppressive HBV surface antigen, and (3) induce or restore HBV-specific long-term immunologic control against HBV infection."
This study (ACTRN12619001210167) was conducted by our partner Brii Biosciences. Based on this study's results, Brii Biosciences plans to conduct additional combination studies of VBI-2601 (BRII-179) within Asia-Pacific Economic Cooperation and the more significant China areas.
On April 21, 2021, Phil Pang, M.D., Ph.D., chief medical officer of Vir, said in a press release, “This new combination trial represents an important addition to our HBV portfolio approach of combining VIR-2218 with various immunomodulators, including pegylated interferon-alpha, VIR-3434 and with a TLR8 agonist, via our previously announced collaboration with Gilead. We look forward to determining if such combinations can stimulate an effective immune response that may result in a finite duration of treatment.”
VBI Vaccines Inc. is a commercial-stage biopharmaceutical company developing the next generation of vaccines to address unmet needs in infectious disease and immuno-oncology.
With operations in the People's Republic of China and the United States, Brii Bio is poised to serve as a bridge to carry transformative medicines to patients, help create significant growth for our partners and establish an innovation engine to help improve the public health and wellbeing of patients around the world.
VBI-2601 (BRII-179) Vaccine Indication
VBI-2601 is indicated as the functional cure for treating chronic hepatitis B infection. Hepatitis B infection is the most prevalent global infection, with 250 million infected worldwide.
Not only is global HBV infection rampant, but there is also a high unmet need for effective therapies, as current treatments generate a functional cure in less than 10 percent of those treated. Achieving a functional cure, therefore, is a global health priority.
VBI-2601 (BRII-179) Vaccine Dosage
A two-part dose-escalation study assessing a low dose and a high dose of VBI-2601 (BRII-179), with and without an undisclosed adjuvant, and has enrolled 46 patients. BRII-179 (VBI-2601) was given by intramuscular injection.
VBI-2601 (BRII-179) Vaccine Update
May 10, 2021 - VBI Vaccines Inc. reported financial results for the first quarter ending March 31, 2021, and provided a corporate update. Additional data from Phase 1b/2a study in chronic HBV patients demonstrated robust HBV-specific T cell and antibody responses across all study arms.
April 21, 2021 - Vir Biotechnology, Inc. (Nasdaq: VIR), VBI Vaccines Inc., and Brii Biosciences announced that the first patient had been dosed in Phase 2 clinical study evaluating BRII-835 (VIR-2218), an investigational small interfering ribonucleic acid-targeting hepatitis B virus (HBV), in combination with BRII-179 (VBI-2601), an investigational HBV immunotherapeutic, for the treatment of chronic HBV infection. This is the first clinical trial in the field to evaluate the combination of these two HBV mechanisms of action.
March 2, 2021 - VBI Vaccines Inc. announced financial results for the fourth quarter, and twelve months ended December 31, 2020. The Company also provided a corporate update and its outlook for 2021. Partner Brii Biosciences, expected to initiate Phase 2 combination study to assess VBI-2601 (BRII-179) and BRII-835 (VIR-2218), a novel RNAi therapeutic, as a potential functional cure in chronically infected patients.
December 17, 2020 - Interim data from a Phase 1b/2a trial designed to assess the safety, tolerability, and antiviral activity of BRII-179 (VBI-2601), a novel recombinant, protein-based immuno-therapeutic, demonstrated the induction of both antibody and T cell responses in chronically infected HBV patients. The Company announced that recruitment was completed for a Phase 2 clinical trial for BRII-835 (VIR-2218), a novel, investigational RNA interference (RNAi) therapeutic designed to inhibit the expression of all HBV proteins, including hepatitis B surface antigen (HBsAg). Interim results are expected in the second quarter of 2021. During the first quarter of 2021, the Company is also preparing to launch a Phase 2 clinical trial examining the safety and efficacy of BRII-179 and BRII-835 in combination with patients on the stable nucleus (t)ide therapies.
November 18, 2020 - VBI Vaccines Inc. announced positive interim clinical results from the ongoing Phase 1b/2a study of VBI-2601 (BRII-179), a novel recombinant, protein-based immunotherapeutic candidate for the treatment of chronic hepatitis B virus infection, in development in collaboration with Brii Biosciences.
November 14, 2019 - VBI Vaccines Inc. and Brii Biosciences (“Brii Bio”) announced the first patient dosed in Phase 1b/2a proof-of-concept study of BRII-179 (VBI-2601), a novel recombinant, a protein-based immuno-therapeutic candidate in development for the treatment of chronic hepatitis B virus infection.
VBI-2601 (BRII-179) Vaccine Clinical Trial
Phase 2 Study to Investigate the Safety and Efficacy of BRII-835 and BRII-179 Combination Therapy Treating Chronic HBV Infection. A Phase 2 Multicenter, Randomized, Open-label Study to Investigate the Safety and Efficacy of BRII-835 (VIR-2218) and BRII-179 (VBI-2601) Combination Therapy for the Treatment of Chronic Hepatitis B Virus (HBV) Infection.
The phase 2, multi-center, randomized, open-label study is designed to evaluate the safety and efficacy of BRII-835 (VIR-2218) compared to the combination of BRII-835 (VIR-2218) and BRII-179 (VBI-2601) with and without interferon-alpha as a co-adjuvant. Both agents have demonstrated proof of mechanism in HBV patients (NCT04507269 BRII-835 China study and ACTRN12619001210167 BRII-179 APEC study). Brii Bio has led the design and implementation of this functional cure proof-of-concept study with the support of VIR and VBI and is the sponsor of the Phase 2 study (NCT04749368). It will be conducted at sites in Australia, China, Taiwan, Hong Kong, the Special Administrative Region of China, South Korea, New Zealand, Singapore, and Thailand.
Clinical Trial ACTRN12619001210167: A Study to Evaluate Safety, Tolerability, and Antiviral Activity of BRII-179 (VBI-2601) among Subjects with Chronic Hepatitis B. A Phase 1b/2a clinical study of BRII-179 (VBI-2601) is a randomized, controlled study designed to assess the safety, tolerability, and antiviral activity of BRII-179 (VBI-2601) in patients with chronic HBV infection.