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. Author manuscript; available in PMC: 2012 Jul 26.
Published in final edited form as: Lancet. 2011 Mar 5;377(9768):849–862. doi: 10.1016/S0140-6736(10)60667-8

Table.

Treatment and prophylaxis of Ebola haemorrhagic fever

Success in animals Issues and concerns
Treatment approach

Antibody therapy Efficacy in rodents but not in non-human primates Escape mutants; genetic variability; antibody-dependent enhancement of infection
Antisense oligonucleotides
    Phosphorodiamidate morpholino oligonucleotides Efficacy in rodents and non-human primates (latter prophylactic only) Genetic variation; delivery
    Small interfering RNAs Efficacy in rodents and non-human primates Genetic variation; delivery
Inflammatory modulators
    Type I interferons Efficacy in rodents but not in non-human primates Manipulation of immune system
    S-adenosylhomocysteine hydrolase inhibitors Efficacy in rodents but not in non-human primates Manipulation of immune system
Coagulation modulators
    Heparin sulfate Efficacy in humans questionable; not tested in animals Manipulation of coagulation
    Tissue factor pathway inhibitors Not tested in rodents; partial protection in non-human primates Manipulation of coagulation
    Activated protein C Not tested in rodents; partial protection in non-human primates Manipulation of coagulation

Vaccination approach

Postexposure vaccination
    Vesicular stomatitis virus Efficacy in rodents and non-human primates Efficacy dependent on filovirus species and time of treatment start
Pre-exposure vaccination
    Adenovirus type 5 Efficacy in rodents and non-human primates; one dose; clinical trials Pre-existing immunity; high dose
    Human parainfluenza virus type 3 Efficacy in rodents and non-human primates; two doses needed for non-human primates Pre-existing immunity; safety (replication-competent)
    Vesicular stomatitis virus Efficacy in rodents and non-human primates; one dose Safety (replication-competent)
    Virus-like particles Efficacy in rodents and non-human primates; three doses needed for non-human primates Boost immunisation needed; production
    Recombinant Ebola virus without VP35 Efficacy in rodents Safety

Only approaches that have shown in-vivo efficacy have been listed.