Advances towards licensure of a maternal vaccine for the prevention of invasive group B streptococcus disease in infants: a discussion of different approaches

Group B streptococcus (Streptococcus agalactiae, GBS) is an important cause of life-threatening disease in newborns. Pregnant women colonized with GBS can transmit the bacteria to the developing fetus, as well as to their neonates during or after delivery where infection can lead to sepsis, meningit...

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Main Authors: Judith Absalon, Raphael Simon, David Radley, Peter C. Giardina, Kenneth Koury, Kathrin U. Jansen, Annaliesa S. Anderson
Format: Article
Language:English
Published: Taylor & Francis Group 2022-01-01
Series:Human Vaccines & Immunotherapeutics
Subjects:
Online Access:http://dx.doi.org/10.1080/21645515.2022.2037350
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author Judith Absalon
Raphael Simon
David Radley
Peter C. Giardina
Kenneth Koury
Kathrin U. Jansen
Annaliesa S. Anderson
author_facet Judith Absalon
Raphael Simon
David Radley
Peter C. Giardina
Kenneth Koury
Kathrin U. Jansen
Annaliesa S. Anderson
author_sort Judith Absalon
collection DOAJ
description Group B streptococcus (Streptococcus agalactiae, GBS) is an important cause of life-threatening disease in newborns. Pregnant women colonized with GBS can transmit the bacteria to the developing fetus, as well as to their neonates during or after delivery where infection can lead to sepsis, meningitis, pneumonia, or/and death. While intrapartum antibiotic prophylaxis (IAP) is the standard of care for prevention of invasive GBS disease in some countries, even in such settings a substantial residual burden of disease remains. A GBS vaccine administered during pregnancy could potentially address this important unmet medical need and provide an adjunct or alternative to IAP for the prevention of invasive GBS disease in neonates. A hurdle for vaccine development has been relatively low disease rates making efficacy studies difficult. Given the well-accepted inverse relationship between anti-GBS capsular polysaccharide antibody titers at birth and risk of disease, licensure using serological criteria as a surrogate biomarker represents a promising approach to accelerate the availability of a GBS vaccine.
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spelling doaj.art-bb9a669cee1a4d8495518ab96bc7da632023-09-26T12:57:38ZengTaylor & Francis GroupHuman Vaccines & Immunotherapeutics2164-55152164-554X2022-01-0118110.1080/21645515.2022.20373502037350Advances towards licensure of a maternal vaccine for the prevention of invasive group B streptococcus disease in infants: a discussion of different approachesJudith Absalon0Raphael Simon1David Radley2Peter C. Giardina3Kenneth Koury4Kathrin U. Jansen5Annaliesa S. Anderson6Pfizer Vaccine Research & DevelopmentPfizer Vaccine Research & DevelopmentPfizer Vaccine Research & DevelopmentPfizer Vaccine Research & DevelopmentPfizer Vaccine Research & DevelopmentPfizer Vaccine Research & DevelopmentPfizer Vaccine Research & DevelopmentGroup B streptococcus (Streptococcus agalactiae, GBS) is an important cause of life-threatening disease in newborns. Pregnant women colonized with GBS can transmit the bacteria to the developing fetus, as well as to their neonates during or after delivery where infection can lead to sepsis, meningitis, pneumonia, or/and death. While intrapartum antibiotic prophylaxis (IAP) is the standard of care for prevention of invasive GBS disease in some countries, even in such settings a substantial residual burden of disease remains. A GBS vaccine administered during pregnancy could potentially address this important unmet medical need and provide an adjunct or alternative to IAP for the prevention of invasive GBS disease in neonates. A hurdle for vaccine development has been relatively low disease rates making efficacy studies difficult. Given the well-accepted inverse relationship between anti-GBS capsular polysaccharide antibody titers at birth and risk of disease, licensure using serological criteria as a surrogate biomarker represents a promising approach to accelerate the availability of a GBS vaccine.http://dx.doi.org/10.1080/21645515.2022.2037350gbs;invasive disease;infants;iap;capsular polysaccharide;conjugate vaccine;maternal immunization;serocorrelate
spellingShingle Judith Absalon
Raphael Simon
David Radley
Peter C. Giardina
Kenneth Koury
Kathrin U. Jansen
Annaliesa S. Anderson
Advances towards licensure of a maternal vaccine for the prevention of invasive group B streptococcus disease in infants: a discussion of different approaches
Human Vaccines & Immunotherapeutics
gbs;invasive disease;infants;iap;capsular polysaccharide;conjugate vaccine;maternal immunization;serocorrelate
title Advances towards licensure of a maternal vaccine for the prevention of invasive group B streptococcus disease in infants: a discussion of different approaches
title_full Advances towards licensure of a maternal vaccine for the prevention of invasive group B streptococcus disease in infants: a discussion of different approaches
title_fullStr Advances towards licensure of a maternal vaccine for the prevention of invasive group B streptococcus disease in infants: a discussion of different approaches
title_full_unstemmed Advances towards licensure of a maternal vaccine for the prevention of invasive group B streptococcus disease in infants: a discussion of different approaches
title_short Advances towards licensure of a maternal vaccine for the prevention of invasive group B streptococcus disease in infants: a discussion of different approaches
title_sort advances towards licensure of a maternal vaccine for the prevention of invasive group b streptococcus disease in infants a discussion of different approaches
topic gbs;invasive disease;infants;iap;capsular polysaccharide;conjugate vaccine;maternal immunization;serocorrelate
url http://dx.doi.org/10.1080/21645515.2022.2037350
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