OIWEEK 2017 Nov2016 © 2016 Butantan Institute - Reproduction forbidden without prior authorization 1901 2016 Established to produce against the bubonic One of the main public serum producers of vaccines and plague Vital Brazil, first investigated antivenoms against snake bites antivenoms in director, Latin America mission To contribute to public health through research, innovation, production and development of biological products, sharing knowledge with the society vision To be a world-class public institution dedicated to research, development, dissemination, education and the manufacturing of biological products for public health demands organizational structure Instituto Butantan Vaccine and Sera Production Scientific Research & Development 1.948 direct employees 35% public employees 65% Foundation workers ~100 outsourced employees Source: Instituto Butantan (Jun2016) Butantan Foundation Cultural Center Other areas ~750,000 sq m in the heart of the urban area Butantan campus USP 300,000 visitors/year 60% preserved green area 4 museums Butantan campus history museum microbiology museum biology museum Emílio Ribas museum scientific research & development labs • Research units - Scientific Development Division [19 labs] - Center of Biotechnology [8 labs] • • Hospital Vital Brazil [10 beds] • • 180 PhD researchers Central Animal Facility 500 graduate students scientific research & development labs 4 major areas Labs animal biology toxinology vaccinology development Arthropods Bacteriology Biochemistry Biotechnology Center Cell Cycle Cellular Biology Ecology and Evolution Genetic Herpetology Immunochemistry Immunogenetics Immunopathology Pain and Signaling Parasitology Pathophysiology Pharmacology Special Lab of Applied Toxinology Viral Immunology Virology Zoological Collections educational programs • scientific knowledge courses • more than 20 graduate extension courses • Graduate Studies in Toxinology • Inter-institutional Graduate Studies in Biotechnology • MBA in Health Innovation Management • Scientific Initiation • PAP - Professional Advancement Program venomous animals; sera and vaccines; pharmacovigilance; amphibian biology etc. approved by CAPES in August 2010, with a grade of 5 (out of 7 points), for Masters and PhDs [University of São Paulo, Institute for Technological Research - IPT, Instituto Butantan] Trains professionals for the management of critical functions of the innovation process, promoting the creation of mechanisms to facilitate technology transfers. Health sector professional training horse immunization São Joaquim Farm 50 km from São Paulo antivenom production ~ 800 horses 22,000 liters of plasma/year snake facility ~1,000 animals venon for antivenom production - Bothrops - 5 species - Crotalus - 2 subspecies - Lachesis - 1 species - Micrurus - 2 species spider / scorpion facility ~ 15,000 animals - Loxosceles spider (brown spider) - Phoneutria spider (banana spider) - Tityus scorpion (yellow scorpion) caterpillar lab ~ 600 animals - Lonomia caterpillar industrial complex - production • • • • • • • 7 plants Anaerobic vaccines - Tetanus and Botulism Bacterial Purification Center Aerobic Vaccines - Diphtheria and Pertussis Hepatitis B Influenza Rabies Sera 1 Formulation and Filling Center 5 multifunctional pilot plants o Dengue o Rotavirus o Monoclonal antibodies o Influenza - H5N1 o Blood products 13 immunoglobulins portfolio of serum products 5 snake antivenoms 2016 capacity 500,000 vials/ year Ministry of Health demand 900,000 vials/ year diphtheria antitoxin tetanus antitoxin spider antivenom botulism AB antitoxin scorpion antivenom botulism E antitoxin caterpillar antivenom rabies antiviral 9 vaccines of the national calendar 88 million doses (2015) Programa Nacional de Imunizações - PNI [National Immunization Program] free of charge vaccination 5.570 cities - 27 states (all Brazilian states) 7 official vaccine manufacturers DTP Diphtheria-Tetanus-Pertussis rabies DTP Diphtheria-Tetanus-Pertussis hepatitis B portfolio of vaccines (celular) (acelular) dT Diphtheria-Tetanus (for adults) DT Diphtheria-Tetanus (for children) hepatitis A influenza HPV tetravalent Hepatitis B - 1st recombinant vaccine produced in Brazil - 100% produced by Instituto Butantan - target audience (2013):150 million people under the age of 49 years (75,6% of the population) - 800.000 carriers in Brazil HPV - 685,400 infected people/year - 95% of the cases of cervical cancer - second most common cancer in women Influenza - TT concluded - 50 million doses produced in 2016 Instituto Butantan: complete biological production lines certified with Anvisa GMP Sources: SINAN; website Portal da Saúde - SUS; Ministry of Health (2013) 120% 328 m 306 m 452 m 311 m 211 m 230 m 235 m 244 m doses 100% 11% 80% % of acquired doses Programa Nacional de Imunizações - PNI Ministry of Health acquisitions 34% 8% 5% 6% 13% 7% 12% 6% 4% 27% 4% 4% 24% 11% Opas PAHO 6% Tecpar 5% 2% 4% 3% 4% 60% 22% 5% 4% 5% 6% Funed 40% 34% 39% 15% 35% 32% 5% 34% 40% FAP 21% Butantan 48% 42% 20% 36% 40% 40% 40% 29% 28% 0% 2008 2009 2010 2011 2012 2013 2014 2015 BioManguinhos / Fiocruz study of bioactive components of poisonous animals poisonous animals pharmacological activities • • • • • • analgesic anti-inflammatory anticoagulant antitumor nervous system related action anti-hypertensive patents vaccine serum immunotherapy haemostasis analgesic peptide tissue regeneration anti cancer antibody others* total quantity 12 3 3 2 2 2 2 1 2 11 40 * others include: propolis extract, protein from Leptospira, spider proteins, recombinant protein for AIDS diagnosis, etc. Silica (SBA-15) – 1 patent Cristália / Fapesp Lopap – 4 patents Biolab / Fapesp Amblyomin-X – 2 patents União Química / Fapesp patents Immunosuppressor – 1 patent Cristália / Fundação Butantan Pertussis low – 1 patent Crotalphine – 2 patents Biolab / Fapesp pipeline nr Products description 1 Dengue Vaccine Attenuated tetravalent vaccine (serotypes DEN1, DEN2, DEN3, DEN4) – Phase 3 of clinical trials Inactivated, DNA, attenuated 2 Zika vaccine 3 Rotavirus vaccine 4 Pertussis low vaccine Attenuated pentavalent vaccine (serotypes G1, G2, G3, G4, G9) – Phase 2 of clinical trials B. pertussis whole cell with lower content of LPS for adults and combinations 5 Pneumococcal vaccine Inactivated non-encapsulated pneumococcal whole cell 6 Hepatitis B + MPLA vaccine For > 50 years old and immunocompromised persons 7 rBCG - Hep B vaccine For neonates 8 Onco rBCG vaccine For bladder cancer treatment 9 Adjuvant BpMPLA BpMPLA derived from LPS of B.pertussis to be combined to different vaccines 10 Bee’s antivenom Treatment against multiple bee stings 11 Sílica (SBA-15) Adjuvant for orally administrated vaccines 12 Amblyomin-X Anticancer medicine, obtained from tick saliva 13 Crotalphine Potent analgesic drug from snake venom. Long-lasting analgesic (2-5 days) 14 Crotamin 15 Lopap Cell penetrating peptide - Introduction of genetic materials into the cells, such as DNA and RNA Prothrombin Activator, anti-apoptotic activity and other pharmaceutical formulations 16 Monoclonal antibodies Anti-CD3 for transplantion rejection and other monoclonals for other uses 17 Hemoderivatives Production of IgG, factor VIII, IX, Albumin and other products 18 Diagnostic kits For Dengue, zika and leptospirosis diagnostic dengue – Butantan-NIH vaccine • phase II clinical trials - 2 clinical sites (Hospital das Clínicas da Faculdade de Medicina - Universidade de São Paulo - 300 volunteers, 18-59 yo step a 50 dengue-naïve participants step b 50 dengue-naïve participants 200 dengue experienced participants Boa Vista Manaus • Recife phase III clinical trials started on Jan 2016 - 14 clinical research centers - 17,000 volunteers, 2-59 yo - safety, immunogenicity and efficacy objective: vaccine license by Anvisa Fortaleza Porto Velho Cuiabá 00 Campo Grande Aracaju Brasília Belo Horizonte São José do Rio Preto São Paulo Porto Alegre zika virus program – Instituto Butantan 1. Diagnostic tests serology test - Butantan and Medical School of the University of São Paulo (Grant Horizon 2020: infrastructure for the Butantan dengue vaccine phase III clinical trials) - Instituto Butantan and Los Alamos National Laboratory (USA) 2. Therapy - horse immunization – Butantan R&D program - neutralizing human anti-zika monoclonal antibodies Butantan and Rockfeller University (USA) - small molecules with antiviral action 3. Vaccine development - inactivated zika vaccine: Butantan R&D program – Barda / WHO support - live attenuated pentavelent dengue-zika vaccine – Butantan / NIH - live attenuated zika vaccine – Butantan R&D program - subunity zika vaccine – Butantan / USP INCTtox Instituto Nacional de Ciência e Tecnologia em Toxinas [National Institute of Science and Technology for Toxins] centres of excellence Financial support: CNPq Centro de Toxinas, Resposta-Imune e Sinalização Celular [Center of Toxins, Immune-Response and Cellular Signaling] 10 projects – biochemical, molecular and cellular mechanisms of toxins with therapeutic potential Financial support: Fapesp discovery and validation of therapeutic targets for the development of new drugs for inflammatory based diseases Financial support: GSK-Fapesp international collaboration Instituto Butantan Steering Committee 3-4 Nov 16 Zika Summit Butantan - Myanmar Dengue vaccine Zika vaccine Mar 2017 Workshop Butantan - United Kingdom Oct 2017 Workshop Butantan CEA/France Science dissemination, animal biology and neuroscience Vaccines – Immunology; Toxin analysis by in vivo Imaging; Therapeutic toxins and Expression of toxic proteins Agência Brasileira de Cooperação - MRE national and international partnerships Harvard ‘ masterplan current occupation considering - public and restricted circulation - preserved areas labs education production Institut for Innovation in Biotechnology Butantan - IIBB cultural administration areas Butantan fase 2 grupo de ação rápida para doenças emergentes GARDE fase 1 USP total area : 30,000 sq m Institut for Innovation in Biotechnology Butantan - IIBB • center dedicated to research, innovation and generation of innovative enterprises • renovated building (30,000 sq m) • promotion of - Group of prompt action for emergent diseases (Garde) - joint ventures with private institutions - Butantan and partners development projects IIBB conceptual project Geraldo Alckmin Governor of the State of São Paulo David Uip State Secretary of Health Sergio Swain Muller Coordinator of Science, Technology and Strategical Health Products Jorge Kalil Director Marcelo De Franco Deputy diretor Board of Directors Jorge Kalil (presidente) Erney F. Plessmann de Camargo Fernando de Souza Meirelles Gonzalo Vecina Neto Luiz R. Raja Gabaglia Travassos Luiz Vicente Rizzo Moisés Goldbaum Paulo Lee Ho Yara Cury Erney F. P. De Camargo President Board of Curators Jorge Kalil (president) Fernando de Souza Meirelles Gonzalo Vecina Neto João Fernando Gomes da Oliveira Luiz R. Raja Gabaglia Travassos Luiz Vicente Rizzo Marcelo De Franco Moisés Goldbaum Paulo Lee Ho Yara Cury Finance Council Carlos Alberto Marsal Joaquim José C. Engler Hélio Nogueira da Cruz
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