the ins and outs of human challenge studies - who...john s oxford and juliette r oxford* blizard...

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The ins and outs of Human Challenge studies John Oxford DSc FRCPE Professor of Virology, Queen Mary College, London

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Page 1: The ins and outs of Human Challenge studies - WHO...John S Oxford and Juliette R Oxford* Blizard Institute Of Cell and Molecular Science, Bart's and the London, and Retroscreen Virology

The ins and outs of

Human Challenge studies

John Oxford DSc FRCPE

Professor of Virology,

Queen Mary College, London

Page 2: The ins and outs of Human Challenge studies - WHO...John S Oxford and Juliette R Oxford* Blizard Institute Of Cell and Molecular Science, Bart's and the London, and Retroscreen Virology
Page 3: The ins and outs of Human Challenge studies - WHO...John S Oxford and Juliette R Oxford* Blizard Institute Of Cell and Molecular Science, Bart's and the London, and Retroscreen Virology
Page 4: The ins and outs of Human Challenge studies - WHO...John S Oxford and Juliette R Oxford* Blizard Institute Of Cell and Molecular Science, Bart's and the London, and Retroscreen Virology
Page 5: The ins and outs of Human Challenge studies - WHO...John S Oxford and Juliette R Oxford* Blizard Institute Of Cell and Molecular Science, Bart's and the London, and Retroscreen Virology
Page 6: The ins and outs of Human Challenge studies - WHO...John S Oxford and Juliette R Oxford* Blizard Institute Of Cell and Molecular Science, Bart's and the London, and Retroscreen Virology
Page 7: The ins and outs of Human Challenge studies - WHO...John S Oxford and Juliette R Oxford* Blizard Institute Of Cell and Molecular Science, Bart's and the London, and Retroscreen Virology
Page 8: The ins and outs of Human Challenge studies - WHO...John S Oxford and Juliette R Oxford* Blizard Institute Of Cell and Molecular Science, Bart's and the London, and Retroscreen Virology
Page 9: The ins and outs of Human Challenge studies - WHO...John S Oxford and Juliette R Oxford* Blizard Institute Of Cell and Molecular Science, Bart's and the London, and Retroscreen Virology
Page 10: The ins and outs of Human Challenge studies - WHO...John S Oxford and Juliette R Oxford* Blizard Institute Of Cell and Molecular Science, Bart's and the London, and Retroscreen Virology
Page 11: The ins and outs of Human Challenge studies - WHO...John S Oxford and Juliette R Oxford* Blizard Institute Of Cell and Molecular Science, Bart's and the London, and Retroscreen Virology
Page 12: The ins and outs of Human Challenge studies - WHO...John S Oxford and Juliette R Oxford* Blizard Institute Of Cell and Molecular Science, Bart's and the London, and Retroscreen Virology
Page 13: The ins and outs of Human Challenge studies - WHO...John S Oxford and Juliette R Oxford* Blizard Institute Of Cell and Molecular Science, Bart's and the London, and Retroscreen Virology
Page 14: The ins and outs of Human Challenge studies - WHO...John S Oxford and Juliette R Oxford* Blizard Institute Of Cell and Molecular Science, Bart's and the London, and Retroscreen Virology
Page 15: The ins and outs of Human Challenge studies - WHO...John S Oxford and Juliette R Oxford* Blizard Institute Of Cell and Molecular Science, Bart's and the London, and Retroscreen Virology
Page 16: The ins and outs of Human Challenge studies - WHO...John S Oxford and Juliette R Oxford* Blizard Institute Of Cell and Molecular Science, Bart's and the London, and Retroscreen Virology
Page 17: The ins and outs of Human Challenge studies - WHO...John S Oxford and Juliette R Oxford* Blizard Institute Of Cell and Molecular Science, Bart's and the London, and Retroscreen Virology
Page 18: The ins and outs of Human Challenge studies - WHO...John S Oxford and Juliette R Oxford* Blizard Institute Of Cell and Molecular Science, Bart's and the London, and Retroscreen Virology
Page 19: The ins and outs of Human Challenge studies - WHO...John S Oxford and Juliette R Oxford* Blizard Institute Of Cell and Molecular Science, Bart's and the London, and Retroscreen Virology
Page 20: The ins and outs of Human Challenge studies - WHO...John S Oxford and Juliette R Oxford* Blizard Institute Of Cell and Molecular Science, Bart's and the London, and Retroscreen Virology
Page 21: The ins and outs of Human Challenge studies - WHO...John S Oxford and Juliette R Oxford* Blizard Institute Of Cell and Molecular Science, Bart's and the London, and Retroscreen Virology
Page 22: The ins and outs of Human Challenge studies - WHO...John S Oxford and Juliette R Oxford* Blizard Institute Of Cell and Molecular Science, Bart's and the London, and Retroscreen Virology

Influenza Specific Protein

Responses- Baseline

Page 23: The ins and outs of Human Challenge studies - WHO...John S Oxford and Juliette R Oxford* Blizard Institute Of Cell and Molecular Science, Bart's and the London, and Retroscreen Virology
Page 24: The ins and outs of Human Challenge studies - WHO...John S Oxford and Juliette R Oxford* Blizard Institute Of Cell and Molecular Science, Bart's and the London, and Retroscreen Virology
Page 25: The ins and outs of Human Challenge studies - WHO...John S Oxford and Juliette R Oxford* Blizard Institute Of Cell and Molecular Science, Bart's and the London, and Retroscreen Virology
Page 26: The ins and outs of Human Challenge studies - WHO...John S Oxford and Juliette R Oxford* Blizard Institute Of Cell and Molecular Science, Bart's and the London, and Retroscreen Virology
Page 27: The ins and outs of Human Challenge studies - WHO...John S Oxford and Juliette R Oxford* Blizard Institute Of Cell and Molecular Science, Bart's and the London, and Retroscreen Virology

SUMMARY

Technical

1.Virus wild type to GMP level.

2.Sourced by WHO laboratory (A/Bergen/2016?)

3.HI antibody of <15 still important.

Volunteers

1.Healthy, young.

2.Older and even asthmatic.

3.Attention to nearby A&E department.

4.Tamiflu stock

Ethics

1. Hippocratic oath.

Pathology/Safety

1.Phase I study of drug/vaccine.

2.Virus is pre-studied and titrated.

3.However, the mixture is novel.

Page 28: The ins and outs of Human Challenge studies - WHO...John S Oxford and Juliette R Oxford* Blizard Institute Of Cell and Molecular Science, Bart's and the London, and Retroscreen Virology