Evaluating the Compatibility of New Recombinant Protein Antigens (Trivalent NRRV) with a Mock Pentavalent Combination Vaccine Containing Whole-Cell Pertussis: Analytical and Formulation Challenges (Dataset)
Kumar, Prashant ; Holland, David A. ; Secrist, Kathryn ; Taskar, Poorva ; Dotson, Brandy ; Saleh-Birdjandi, Soraia ; Adewunmi, Yetunde ; Doering, Jennifer ; Mantis, Nicholas J. ; Volkin, David B. ... show 1 more
Kumar, Prashant
Holland, David A.
Secrist, Kathryn
Taskar, Poorva
Dotson, Brandy
Saleh-Birdjandi, Soraia
Adewunmi, Yetunde
Doering, Jennifer
Mantis, Nicholas J.
Volkin, David B.
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Abstract
Introducing new recombinant protein antigens to existing pediatric combination vaccines is important in improving coverage and affordability, especially in low- and middle-income countries (LMICs). This case-study highlights the analytical and formulation challenges encountered with three recombinant non-replicating rotavirus vaccine (NRRV) antigens (t-NRRV formulated with Alhydrogel® adjuvant, AH) combined with a mock multidose formulation of a pediatric pentavalent vaccine used in LMICs. This complex formulation contained (1) vaccine antigens (i.e., whole-cell pertussis (wP), diphtheria (D), tetanus (T), Haemophilus influenza (Hib), and hepatitis B (HepB), (2) a mixture of aluminum-salt adjuvants (AH and Adju-Phos®, AP), and (3) a preservative (thimerosal, TH). Selective, stability-indicating competitive immunoassays were developed to monitor binding of specific mAbs to each antigen, except wP which required the setup of a mouse immunogenicity assay. Simple mixing led to the desorption of t-NRRV antigens from AH and increased degradation during storage. These deleterious effects were caused by specific antigens, AP, and TH. An AH-only pentavalent formulation mitigated t-NRRV antigen desorption; however, the Hib antigen displayed previously reported AH-induced instability. The same rank-ordering of t-NRRV antigen stability (P[8] > P[4] > P[6]) was observed in mock pentavalent formulations and with various preservatives. The lessons learned are discussed to enable future multidose, combination vaccine formulation development with new vaccine candidates.
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Date
2024
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Publisher
MDPI
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Keywords
Pediatric combination vaccine, Non-replicating rotavirus vaccine, Diphtheria, Tetanus, Whole-cell pertussis, Hepatitis B, Haemophilus influenzae, Formulation, Compatibility, Stability, Preservatives
