Respiratory Syncytial Virus Vaccines: A Review of the Candidates and the Approved Vaccines

Respiratory syncytial virus (RSV) is responsible for a significant proportion of global morbidity and mortality affecting young children and older adults. In the aftermath of formalin-inactivated RSV vaccine development, the effort to develop an immunizing agent was carefully guided by epidemiologic...

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Main Authors: Xanthippi Topalidou, Alexis M. Kalergis, Georgios Papazisis
Format: Article
Language:English
Published: MDPI AG 2023-10-01
Series:Pathogens
Subjects:
Online Access:https://www.mdpi.com/2076-0817/12/10/1259
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author Xanthippi Topalidou
Alexis M. Kalergis
Georgios Papazisis
author_facet Xanthippi Topalidou
Alexis M. Kalergis
Georgios Papazisis
author_sort Xanthippi Topalidou
collection DOAJ
description Respiratory syncytial virus (RSV) is responsible for a significant proportion of global morbidity and mortality affecting young children and older adults. In the aftermath of formalin-inactivated RSV vaccine development, the effort to develop an immunizing agent was carefully guided by epidemiologic and pathophysiological evidence of the virus, including various vaccine technologies. The pipeline of RSV vaccine development includes messenger ribonucleic acid (mRNA), live-attenuated (LAV), subunit, and recombinant vector-based vaccine candidates targeting different virus proteins. The availability of vaccine candidates of various technologies enables adjustment to the individualized needs of each vulnerable age group. Arexvy<sup>®</sup> (GSK), followed by Abrysvo<sup>®</sup> (Pfizer), is the first vaccine available for market use as an immunizing agent to prevent lower respiratory tract disease in older adults. Abrysvo is additionally indicated for the passive immunization of infants by maternal administration during pregnancy. This review presents the RSV vaccine pipeline, analyzing the results of clinical trials. The key features of each vaccine technology are also mentioned. Currently, 24 vaccines are in the clinical stage of development, including the 2 licensed vaccines. Research in the field of RSV vaccination, including the pharmacovigilance methods of already approved vaccines, promotes the achievement of successful prevention.
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spelling doaj.art-6f65856c319441e1b7384f037215c8b32023-11-19T17:40:47ZengMDPI AGPathogens2076-08172023-10-011210125910.3390/pathogens12101259Respiratory Syncytial Virus Vaccines: A Review of the Candidates and the Approved VaccinesXanthippi Topalidou0Alexis M. Kalergis1Georgios Papazisis2Department of Clinical Pharmacology, School of Medicine, Aristotle University of Thessaloniki, 54124 Thessaloniki, GreeceMillennium Institute of Immunology and Immunotherapy, Facultad de Ciencias Biológicas, Pontificia Universidad Católica de Chile, Santiago 8320000, ChileDepartment of Clinical Pharmacology, School of Medicine, Aristotle University of Thessaloniki, 54124 Thessaloniki, GreeceRespiratory syncytial virus (RSV) is responsible for a significant proportion of global morbidity and mortality affecting young children and older adults. In the aftermath of formalin-inactivated RSV vaccine development, the effort to develop an immunizing agent was carefully guided by epidemiologic and pathophysiological evidence of the virus, including various vaccine technologies. The pipeline of RSV vaccine development includes messenger ribonucleic acid (mRNA), live-attenuated (LAV), subunit, and recombinant vector-based vaccine candidates targeting different virus proteins. The availability of vaccine candidates of various technologies enables adjustment to the individualized needs of each vulnerable age group. Arexvy<sup>®</sup> (GSK), followed by Abrysvo<sup>®</sup> (Pfizer), is the first vaccine available for market use as an immunizing agent to prevent lower respiratory tract disease in older adults. Abrysvo is additionally indicated for the passive immunization of infants by maternal administration during pregnancy. This review presents the RSV vaccine pipeline, analyzing the results of clinical trials. The key features of each vaccine technology are also mentioned. Currently, 24 vaccines are in the clinical stage of development, including the 2 licensed vaccines. Research in the field of RSV vaccination, including the pharmacovigilance methods of already approved vaccines, promotes the achievement of successful prevention.https://www.mdpi.com/2076-0817/12/10/1259respiratory syncytial virus (RSV)vaccine developmentpreventionlower respiratory tract infection (LRTI)vaccine candidatessubunit vaccine
spellingShingle Xanthippi Topalidou
Alexis M. Kalergis
Georgios Papazisis
Respiratory Syncytial Virus Vaccines: A Review of the Candidates and the Approved Vaccines
Pathogens
respiratory syncytial virus (RSV)
vaccine development
prevention
lower respiratory tract infection (LRTI)
vaccine candidates
subunit vaccine
title Respiratory Syncytial Virus Vaccines: A Review of the Candidates and the Approved Vaccines
title_full Respiratory Syncytial Virus Vaccines: A Review of the Candidates and the Approved Vaccines
title_fullStr Respiratory Syncytial Virus Vaccines: A Review of the Candidates and the Approved Vaccines
title_full_unstemmed Respiratory Syncytial Virus Vaccines: A Review of the Candidates and the Approved Vaccines
title_short Respiratory Syncytial Virus Vaccines: A Review of the Candidates and the Approved Vaccines
title_sort respiratory syncytial virus vaccines a review of the candidates and the approved vaccines
topic respiratory syncytial virus (RSV)
vaccine development
prevention
lower respiratory tract infection (LRTI)
vaccine candidates
subunit vaccine
url https://www.mdpi.com/2076-0817/12/10/1259
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