Pedro Reis et al., J <strong>Vaccines</strong> Vaccin <strong>2013</strong>, 4:5http://dx.doi.org/10.4172/2157-7560.S1.0163 rd International Conference on<strong>Vaccines</strong> & VaccinationJuly 29-31, <strong>2013</strong> Embassy Suites Las Vegas, NV, USASupra Antigen TM technology platform: Manufacturing and development of vaccines for thetreatment of Alzheimer diseasePedro Reis, P. Donati, A. Pfeifer, and A. MuhsAC Immune, SwitzerlandAlzheimer’s disease (AD), the most common form of dementia, is characterized by pathological Amyloid beta (Aβ) depositioninto plaques and neurofibrillary tangles due to aggregation of hyperphosphorylated Tau protein in the brain. The benchmarkfor AD vaccines targeting Aβ, is the generation of antibodies without the introduction of antigen specific T-cells, which havebeen reported to cross the blood-brain-barrier and cause encephalitis in 6% of AD patients receiving anti-Aβ vaccine. Wedeveloped a liposome vaccine platform technology that combines (i) antigens lacking T-cell epitopes, (ii) adjuvant signaling viaTLR stimulation and (iii) B-cell receptor cross-linking by repetitive assembly of epitopes. AC Immune has developed its ownvaccine manufacturing technology in order to make it easily up-scalable and compatible with cGMP principals. Our present workhighlights AC Immune’s development approach for bringing an AD vaccine under clinical environment. The rationale for processdevelopment was to simplify the process, improve the homogeneity of the liposomes, reduce manufacturing time and make iteasier to scale the process. Our data indicates that AC Immune’s manufacturing strategy is suitable for the preparation of drugproduct for preclinical and clinical studies at 100-1,000 mL scale. The following additional comments can be made.i. The preparation of the liposomes appears flexible and robust, and should be readily scalableii. It is likely that the quality of the peptide raw material, and perhaps its tendency to aggregate may have an impact on the levelof protein incorporation into the vesicles, the homogeneity of the liposomes and presence of aggregates. The level of peptideincorporation into the liposomes was generally quite high and the level of unincorporated peptide was lowiii. The current manufacturing strategy appears suitable for preparation of intermediate (100-1,000 mL) batches; however, largescale batches may use an in-line mixing system to mix the protein with the vesicles. Studies to optimize the detergent toprotein ratio, detergent to lipid ratio, and lipid concentration at the time of peptide reconstitution may also be required atthis timeiv. Clarifying filtration provides a useful strategy to improve the sterile filtration process, and remove some of the aggregatesand/or larger particles that are present in the formulationBiographyPedro Reis pursued his Ph.D. on Biophysics in 2008 at Chalmers University of Technology, Sweden. Afterwards, he was appointed as PrimerResearcher at Baylor College of Medicine, Houston and at UNIL’s Biochemistry Department, Switzerland. Since August 2009, Pedro Reis hasbeen working as a project leader of vaccine manufacturing at AC Immune SA, which is a Swiss-based biopharmaceutical company and a leader inAlzheimer’s disease drug development. AC Immune SA has been developing innovative therapeutics with “best in class” potential against Alzheimer’sdisease and other conformational diseases along three axes: vaccines, antibodies and small molecules.pedro.reis@acimmune.comJ <strong>Vaccines</strong> Vaccin <strong>2013</strong>ISSN: 2157-7560, JVV an open access journal<strong>Vaccines</strong>-<strong>2013</strong>July 29-31, <strong>2013</strong>Volume 4 Issue 5Page 88
Obradovic Zarema et al., J <strong>Vaccines</strong> Vaccin <strong>2013</strong>, 4:5http://dx.doi.org/10.4172/2157-7560.S1.0163 rd International Conference on<strong>Vaccines</strong> & VaccinationJuly 29-31, <strong>2013</strong> Embassy Suites Las Vegas, NV, USAImmunization in family medicine-Experiences from Bosnia and HerzegovinaObradovic Zarema 1 and Obradovic A 21University of Sarajevo, Bosnia and Herzegovina2Trnava Univerzitet Slovak RepublicImmunization as one of the most important preventive measures has a long tradition in countries of former Yugoslavia and alsoBosnia and Herzegovina (B&H). Thanks to the longstanding good vaccination coverage during the war 1992-1995, we had asatisfying epidemiological situation related to vaccine-preventable diseases.After the war, the health care reform in B&H was based on the introduction of family medicine as the basis of primaryhealth care. Family medicine teams provide health protection for all family members, except children up to 7 years. One ofthe segments of work of the teams is immunization. In B&H there are two immunization programmes: for mandatory andfacultative immunisation. All persons aged 0-18 years are included in the programme of mandatory immunization whichincludes the application of the following vaccines: BCG (against tuberculosis), viral hepatitis B, tetanus, whooping cough,poliomyelitis, measles, rubella, mumps and rabies vaccine (for people who have been bitten by rabid or rabies suspect animals).The obligation of family medicine teams is to check the vaccinal status of all people that come to the health care institution andif needed, to vaccinate the vaccines that are missing. Immunization of adults is implemented as preexposure, postexposure andfor tavellers. Preexposure and postexposure protection, except the protection against rabies, is carried out by family medicineteams. Immunisation for travellers is carried out in travel clinics, but the counselling role of the family medicine teams has a greatimportance.Conclusion: Family medicine teams have an important role in the implementation of immunization programmes in Bosnia andHerzegovina.Key words: Immunization, family medicine, B&HBiographyZarema Obradovic is M.D., Ph.D., and specialist of epidemiology, Bosnia and Herzegovina. His main areas of work are epidemiology, facultativeimmunisation, travel medicine, public health. His present positions are Professor at the Faculty for Health Studies, University of Sarajevo; Professorat the Medical Faculty, University of Tuzla; epidemiologist, Public Health Institute Sarajevo; focal point for International Health Regulations (2005)for FB&H; coordinator for Noncommunicable Diseases (NCD) for FB&H. He is a member of Association of epidemiologists of FB&H, Academyof Science and Arts B&H for Public Health, Bosnian-Herzegovinian American Academy of Arts and Sciences (BHAAAS), MetaNet-accademicassociation for communicable diseases in South-East Europe-DAAD, CCM for TB and HIV/AIDS-B&H. He is visiting Professor at Medical Faculty,Bucharest, Romania; external evaluator for Ph.D. thesis at the University Punjab, Lahore, Pakistan. He published 170 scientifi c papers in differentpublications, medical journals, nacional and international symposiums and congresses. She published books are “Echinococcosis”, “InternationalTravelers Healthcare” and “Epidemiology and Health Statistics”.zobradovic9@gmail.comJ <strong>Vaccines</strong> Vaccin <strong>2013</strong>ISSN: 2157-7560, JVV an open access journal<strong>Vaccines</strong>-<strong>2013</strong>July 29-31, <strong>2013</strong>Volume 4 Issue 5Page 89
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