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. 2021 Aug 16;63(12):1125–1137. doi: 10.1007/s12033-021-00381-0

Table 1.

List of plant-derived recombinant products and their clinical trial status

Product Application Host Clinical trial status References

Enterotoxigenic

E.coli LT-B

Diahrrea Potato Early phase I [81]

Enterotoxigenic

E.coli LT-B

Diahrrea Maize Early phase I [82]
Norwalk virus CP Diahrrea Potato Early phase I [83]
Rabies virus GP/NP Rabies Spinach Early phase I [84]
HBV HBsAg Hepatitis B Lettuce Early phase I [85]
HBV HBsAg Hepatitis B Potato Phase I [86]
Vibrio cholera CTB Cholera Rice Phase I [78]

Taliglucerase alfa;Recombinant glucocerebrosidase

(prGCD)

Gaucher disease Carrot cell culture Phase 3 completed (2012); FDA approved (2012) https://clinicaltrials.gov
ZMApp Ebola virus Tobacco Phase 1 and 2 (2015) https://clinicaltrials.gov
PRX-102 Fabry disease Tobacco cell culture Phase 1 and 2 (2014) https://clinicaltrials.gov
VaccinePfs25 VLP Malaria Tobacco Phase 1 (2015) https://clinicaltrials.gov
Vaccine Recombinant protective antigen Anthrax Tobacco Phase 1 (2014) https://clinicaltrials.gov
HAI-05 H5N1 Vaccine Tobacco Phase 1 (2011) https://clinicaltrials.gov
Recombinant human intrinsic factor Vitamin B12 deficiency Arabidop sis thaliana Phase 2 completed (2006) https://clinicaltrials.gov
H5-VLP + GLA-AF Vaccine Influenza A Subtype H5N1 Infection Tobacco Phase 1 Completed (2014) https://clinicaltrials.gov
P2G12 IgG Antibody HIV Tobacco Phase 1 completed (2011) https://clinicaltrials.gov
Influenza virus (H5N1) HA Flu Nicotiana benthami ana Phase I [87]
Influenza virus (H1N1) HA Flu Nicotiana benthami ana Phase I [88]

Influenza virus(H7N9) HA

(H7; VLP)

Flu

Nicotiana benthami

ana

Phase I Medicago Inc. (http://www.medicago.com)
LSBC scFVs

Non-Hodgkin’s

lymphoma

Tobacco Phase I [89]

CaroRX Guy’s 13

SIgA

Dental caries Tobacco Phase II [90]
Gastric lipase Cystic fibrosis, pancreatitis maize Phase II http://www.meristem.com
Human intrinsic factor

Vitamin B12

deficiency

Arabidop sis Phase II http://www.cobento.com
Lactoferrin Gastrointestinal infections maize Phase I http://www.meristem.com
Apo-A1Milano Cardiovascular disease Safflowe r Preclinical http://www.sembiosys.com
Insulin (SBS-1000) Diabetes Safflowe r Phase I/II completed Q1 2009 [91]
Glucocerebrosidase (UPLYSO) Gaucher’s disease Carrot cell culture Phase III trial completed [92]
Alpha-galactosidase (PRX-102) Fabry’s disease Carrot cell culture Preclinical Protalix
Acetylcholesterase (PRX-105) Biodefense Carrot cell culture Phase I (March 2010) Protalix
Antitumor necrosis factor (Pr-anti-TNF) Arthritis Carrot cell culture Preclinical Protalix
β-Glucosidase Gaucher’s disease Tobacco seeds Preclinical Plantechno srl
Interferon-alpha modified release (Locteron R) Hepatitis C Lemna (Duckwe ed) Phase II b Biolex therapeutics (Pittsboro, NC, USA)
Recombinant plasmin (BLX-155) Thrombosis prophylaxis Lemna (Duckwe ed) Preclinical Biolex therapeutics (Pittsboro, NC, USA)
Anti-CD20 mAb (BLX-301) Non-Hodgkin’s lymphomas Lemna (Duckwe ed) Preclinical Biolex Therapeutics
Human serum albumin Maintenance of blood plasma pressure Flax Preclinical Agragen (Cincinatti, OH, USA)
(RhinoRx) Rhinovirus prophylactic Tobacco Phase II http://www.plantbiotechnology.com