Historical discourse on the development of the live attenuated tetravalent dengue vaccine candidate TV003/TV005.

Abstract:

:Dengue is the most important arboviral disease world-wide with an estimated 400 million annual infections. Dengvaxia™ is a live attenuated tetravalent vaccine recently licensed for dengue seropositive individuals aged 9-45 years. There is great need for a dengue vaccine that could be given to dengue-naïve individuals and very young children. To that end, the U.S. NIH developed a live attenuated tetravalent dengue vaccine using an iterative approach evaluating the safety, infectivity, and immunogenicity of different candidates. This approach identified poor candidates who were then discarded from further evaluation. Each of the components of the tetravalent vaccine formulation is able to replicate to very low titer, inducing a homotypic immune response to each. The immune response elicited by the tetravalent vaccine is balanced, without immunodominance of one component. The vaccine was licensed by several manufacturers for development, including the Instituto Butantan which initiated a Phase 3 efficacy trial.

journal_name

Curr Opin Virol

authors

Durbin AP

doi

10.1016/j.coviro.2020.09.005

subject

Has Abstract

pub_date

2020-08-01 00:00:00

pages

79-87

eissn

1879-6257

issn

1879-6265

pii

S1879-6257(20)30095-X

journal_volume

43

pub_type

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