MIDD: Vaccine R&D Gets a Shot in the Arm from Pharmacometrics
Jeffrey R. Sachs, PhD
Senior Principal Scientist at Merck & Co.
Wednesday Jan 22, 2020, 12:00 to 1:00 pm EST
Register for free at https://www.rosaandco.com/webinars
Abstract:
The objective is to (1) inform the audience about pharmacometrics (PMX) 
opportunities in vaccine discovery and development (D&D), and (2) to motivate, 
by examples, PMX practitioners to impact vaccine D&D.
Prophylactic vaccines are safe and effective and have made an immense 
contribution to human and animal health [1]. Pharmacometrics (PMX) has only 
recently been introduced to vaccine discovery and development, and is now 
becoming fully integrated into, and impactful on decision-making. This has 
resulted in better scientific understanding, increased POS, substantial 
savings, and other benefits that have been seen in the other therapeutic areas 
that have adopted PMX. The impact of this work has included go/no-go decisions, 
design of efficient pre-clinical and clinical trials, integration of 
preclinical and clinical data, quantitative prediction for go/no-go and 
dose-level decisions, and integration of data across multiple trials for more 
informed decision-making. The methods used include QSP modeling, trial 
simulation, Bayesian inference, and model-based meta-analyses ("comparator 
modeling").
The presentation will start with a background on vaccine discovery and 
development including a brief overview of: the risk/benefit considerations in 
vaccines, the choices and uses of biomarkers to mitigate risk, vaccine 
terminology, the immune system, and vaccine platforms (DNA, protein, VLP, 
etc.). This will be followed by examples across the spectrum of applications 
from discovery through development and across the many kinds of decisions 
impacted and methods used. These will include applications of M&S that

  *   supported both Go and No-Go decisions
  *   increased power in trial design while saving considerable cost by 
optimizing sampling of subjects' disease state.
  *   providing a novel phase 3 endpoint substantially increasing power of a 
proposed trial design

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