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Tuberculosis vaccines

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contrast to intradermal immunization. In murine studies, intradermal vaccination caused localized inflammation at the site of injection whereas MVA85A did not cause unfavourable effects. A correlation has been found between the mode of delivery and vaccine protection efficacy. Research data suggests aerosol delivery has not only physiological and economic advantages, but also the potential to supplement systemic vaccination.
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About three out of every 10,000 people who get the vaccine experience side effects, which are usually minor except in severely immuno-depressed individuals. While BCG immunization provides fairly effective protection for infants and young children (including defence against TB meningitis and miliary
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Arbuesab, Ainhoa; Aguilo, Juan I.; Gonzalo-Asensio, Jesus; Marinova, Dessislava; Uranga, Santiago; Puentes, Eugenia; Fernandez, Conchita; Parra, Alberto; Cardona, Pere Joan; Vilaplana, Cristina; Ausin, Vicente; Williams, Ann; Clark, Simon; Malaga, Wladimir; Guilhoth, Christophe; Gicquel, Brigitte;
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Progression of vaccine designs relies heavily on outcomes in animal models. Appropriate animal models are scarce because it is difficult to imitate TB in non-human species. It is also challenging finding a species to test on a large scale. Most animal testing for TB vaccines has been conducted on
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Patients can receive MVA85A intradermally or as an oral aerosol. This particular combination proved to be protective against mycobacterial invasion in animals, and both modes are well tolerated. The design incentive behind aerosol delivery is to target the lungs rapidly, easily and painlessly in
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GamTBVak, A subunit recombinant anti-tuberculosis vaccine for the prevention of pulmonary tuberculosis in adults, which is at the stage of clinical research. It contains Ag85A and ESAT-6-CFP-10 antigens in combination with an adjuvant. Developed by the N. F. Gamalei National Research Center for
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Since the BCG vaccine does not offer complete protection against TB, vaccines have been designed to bolster BCG's effectiveness. The industry has now transitioned from developing new alternatives, to selecting the best options currently available to advance into clinical testing. MVA85A is
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Epidemiology and Microbiology. As of May 2022, phase III clinical trials are underway, data on phase I/II studies are also published in the ClinicalTrials database. A phase I clinical trial on 12 volunteers confirmed the safety and immunological efficacy of the vaccine.
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TB), its efficacy in adults is variable, ranging from 0% to 80%. Several variables have been considered as responsible for the varying outcomes. Demand for TB immunotherapy advancement exists because the disease has become increasingly drug-resistant.
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Treatment and prevention of TB has been delayed compared to the resources and research efforts put into other diseases. Large pharmaceutical companies do not see profitable investment because of TB's association with the developing world.
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Karonga Prevention Trial Group. "Randomised controlled trial of single BCG, repeated BCG, or combined BCG and killed Mycobacterium leprae vaccine for prevention of leprosy and tuberculosis in Malawi." The Lancet 348 (1996): 17–24.
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White, A. et al. "Evaluation of the Safety and Immunogenicity of a Candidate Tuberculosis Vaccine, MVA85A, Delivered by Aerosol to the Lungs of Macaques." Clinical and Vaccine Immunology 20 (2013): 663–672.
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Tameris, M. et al. "Safety and efficacy of MVA85A, a new tuberculosis vaccine, in infants previously vaccinated with BCG: a randomised, placebo-controlled phase 2b trial." Lancet 381 (2013): 1021–1028.
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Hoft, Daniel F.; Blazevic, Azra; Abate, Getahun; Hanekom, Willem A.; Kaplan, Gilla; Soler, Jorge H.; Weichold, Frank; Geiter, Larry; Sadoff, Jerald C.; Horwitz, Marcus A. (2008-11-15).
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To promote successful and lasting management of the TB epidemic, effective vaccination is required. Although the World Health Organization (WHO) endorses a single dose of
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is a version of the BCG vaccine engineered to express a higher amount of a certain antigen. It showed promise in animal tests in 2003 and phase I human trials in 2008.
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Tyne, A. et al. "TLR2-targeted secreted proteins from Mycobacterium tuberculosis areprotective as powdered pulmonary vaccines." Elsevier 31 (2013): 4322–4329. Print.
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Verma, Indu, and Ajay Grover. "Antituberculous Vaccine Development: A Perspective For The Endemic World." Expert Review of Vaccines 8.11 (2009): 1547–1553. Print.
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AS01. It is intended to prevent tuberculosis in people with a latent infection. Promising phase II trials were completed in 2018 and phase III trials are planned.
818: 969: 964: 162:, revaccination with BCG has been standardized in most, but not all countries. However, improved efficacy of multiple dosages has yet to be demonstrated. 438:"A New Vaccine against Tuberculosis Affords Greater Survival after Challenge than the Current Vaccine in the Guinea Pig Model of Pulmonary Tuberculosis" 731: 1366: 247:
Prabowo, S. et al. "Targeting multidrug-resistant tuberculosis (MDR-TB) by therapeutic vaccines." Med Microbiol Immunol 202 (2013): 95–1041. Print.
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Hussey, G, T Hawkridge, and W Hanekom. "Childhood Tuberculosis: Old And New Vaccines." Paediatric Respiratory Reviews 8.2 (2007): 148–154. Print.
979: 1837: 1765: 1371: 495:"A new recombinant bacille Calmette-Guérin vaccine safely induces significantly enhanced tuberculosis-specific immunity in human volunteers" 1403: 1081: 934: 113:
that uses an MVA virus engineered to express a tuberculosis bacillus antigen in host cells. Human and animal trials were disappointing.
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Oksanen, K. et al. "An adult zebrafish model for preclinical tuberculosis vaccinedevelopment." Elsevier 31 (2013): 5202–5209. Print.
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M72/AS01E, consisting of two fused tuberculosis bacillus protein antigens together with the
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MartĂ­n, Carlos; Marinova, Dessislava; AguilĂł, Nacho; Gonzalo-Asensio, JesĂșs (2021-12-08).
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Philosophical Transactions of the Royal Society of London. Series B, Biological Sciences
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Other tuberculosis vaccines are at various stages of development, including:
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a potentially suitable model organism for preclinical vaccine development.
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characterized as the “most advanced ‘boost’ candidate” to date.
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Development of sub-unit or booster vaccines to supplement BCG
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murine, bovine and non-primate species. A 2013 study deemed
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Vaccine development is proceeding along several paths:
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CDC. 16 June 2021. 198:Delivery alternatives 33:Tuberculosis vaccines 1702:John Franklin Enders 111:viral vector vaccine 18:Tuberculosis vaccine 883:Virus-like particle 807:Vaccine ingredients 187:Therapeutic vaccine 154:Vaccine development 1859:Never to phase III 1658:Hexavalent vaccine 1472:Epstein–Barr virus 1367:Oxford–AstraZeneca 1055:NmVac4-A/C/Y/W-135 1869: 1868: 1781:Vaccines and SIDS 1668: 1667: 1442:Hepatitis A and B 1418:Varicella zoster 875:Subunit/component 614:(50): 7277–7285. 567:(42): 4867–4873. 505:(10): 1491–1501. 294:(1579): 2782–89. 202:BCG is currently 58: 57: 16:(Redirected from 1889: 1760:MMR autism fraud 1707:Maurice Hilleman 1692:Hilary Koprowski 1000: 756: 749: 742: 733: 727: 723: 717: 716: 680: 674: 673: 671: 670: 656: 650: 649: 623: 599: 593: 592: 547: 541: 540: 530: 490: 484: 483: 473: 448:(4): 1672–1679. 433: 427: 424: 413: 409: 398: 395: 386: 383: 368: 365: 350: 349: 347: 345: 330: 324: 323: 313: 303: 279: 273: 269: 248: 245: 30: 21: 1897: 1896: 1892: 1891: 1890: 1888: 1887: 1886: 1872: 1871: 1870: 1865: 1864: 1849:Clinical trials 1828: 1797: 1736: 1712:Stanley Plotkin 1674: 1664: 1576:Cancer vaccines 1559: 1553:Schistosomiasis 1531: 1525:Trypanosomiasis 1498: 1462:Cytomegalovirus 1372:Pfizer–BioNTech 1167: 991: 940:Vaccine wastage 910: 838: 790: 760: 730: 724: 720: 682: 681: 677: 668: 666: 658: 657: 653: 601: 600: 596: 555:M. tuberculosis 549: 548: 544: 492: 491: 487: 435: 434: 430: 425: 416: 410: 401: 396: 389: 384: 371: 366: 353: 343: 341: 332: 331: 327: 281: 280: 276: 270: 251: 246: 237: 233: 216: 200: 156: 28: 23: 22: 15: 12: 11: 5: 1895: 1893: 1885: 1884: 1874: 1873: 1867: 1866: 1863: 1862: 1861: 1860: 1857: 1846: 1840: 1834: 1833: 1830: 1829: 1827: 1826: 1821: 1816: 1811: 1805: 1803: 1799: 1798: 1796: 1795: 1790: 1783: 1778: 1773: 1768: 1763: 1750: 1744: 1742: 1738: 1737: 1735: 1734: 1729: 1727:Katalin KarikĂł 1724: 1719: 1714: 1709: 1704: 1699: 1694: 1689: 1684: 1678: 1676: 1670: 1669: 1666: 1665: 1663: 1662: 1661: 1660: 1655: 1650: 1645: 1637: 1632: 1627: 1622: 1617: 1616: 1615: 1610: 1609: 1608: 1603: 1593: 1588: 1583: 1573: 1567: 1565: 1561: 1560: 1558: 1557: 1556: 1555: 1550: 1541: 1539: 1533: 1532: 1530: 1529: 1528: 1527: 1519: 1518: 1517: 1506: 1504: 1500: 1499: 1497: 1496: 1495: 1494: 1489: 1484: 1482:Herpes simplex 1479: 1474: 1469: 1464: 1456: 1455: 1454: 1449: 1444: 1436: 1431: 1430: 1429: 1424: 1416: 1411: 1406: 1401: 1400: 1399: 1394: 1389: 1384: 1382:Sinopharm BIBP 1379: 1374: 1369: 1364: 1359: 1354: 1349: 1344: 1339: 1334: 1332:Bharat Biotech 1329: 1319: 1314: 1309: 1304: 1303: 1302: 1297: 1287: 1282: 1277: 1272: 1267: 1266: 1265: 1260: 1250: 1245: 1240: 1235: 1230: 1229: 1228: 1223: 1218: 1213: 1198: 1197: 1196: 1186: 1181: 1175: 1173: 1169: 1168: 1166: 1165: 1164: 1163: 1158: 1153: 1145: 1144: 1143: 1138: 1130: 1125: 1124: 1123: 1118: 1108: 1107: 1106: 1096: 1091: 1086: 1085: 1084: 1079: 1069: 1064: 1059: 1058: 1057: 1052: 1042: 1037: 1032: 1027: 1022: 1017: 1012: 1006: 1004: 997: 993: 992: 990: 989: 988: 987: 982: 977: 972: 967: 959: 958: 957: 955:Vaccine injury 952: 947: 942: 937: 932: 927: 918: 916: 915:Administration 912: 911: 909: 908: 903: 898: 889: 872: 871: 870: 865: 857: 852: 846: 844: 840: 839: 837: 836: 831: 826: 821: 816: 815: 814: 804: 798: 796: 792: 791: 761: 759: 758: 751: 744: 736: 729: 728: 718: 675: 651: 594: 542: 511:10.1086/592450 485: 428: 414: 399: 387: 369: 351: 325: 274: 249: 234: 232: 229: 215: 212: 199: 196: 191: 190: 189: 188: 185: 184:Post-infection 182: 181:Booster to BCG 179: 173: 155: 152: 144: 143: 139: 132: 120: 114: 56: 55: 49: 48: 44: 43: 35: 34: 26: 24: 14: 13: 10: 9: 6: 4: 3: 2: 1894: 1883: 1880: 1879: 1877: 1858: 1856: 1853: 1852: 1850: 1847: 1844: 1841: 1839: 1836: 1835: 1831: 1825: 1822: 1820: 1817: 1815: 1812: 1810: 1807: 1806: 1804: 1800: 1794: 1791: 1789: 1788: 1784: 1782: 1779: 1777: 1774: 1772: 1769: 1767: 1764: 1761: 1759: 1754: 1751: 1749: 1746: 1745: 1743: 1739: 1733: 1732:Drew Weissman 1730: 1728: 1725: 1723: 1720: 1718: 1717:H. Fred Clark 1715: 1713: 1710: 1708: 1705: 1703: 1700: 1698: 1695: 1693: 1690: 1688: 1687:Louis Pasteur 1685: 1683: 1682:Edward Jenner 1680: 1679: 1677: 1671: 1659: 1656: 1654: 1653:DTwP-HepB-Hib 1651: 1649: 1648:DTaP-IPV-HepB 1646: 1644: 1641: 1640: 1639:combination: 1638: 1636: 1633: 1631: 1628: 1626: 1623: 1621: 1618: 1614: 1611: 1607: 1604: 1602: 1599: 1598: 1597: 1594: 1592: 1589: 1587: 1584: 1582: 1579: 1578: 1577: 1574: 1572: 1569: 1568: 1566: 1562: 1554: 1551: 1549: 1546: 1545: 1543: 1542: 1540: 1538: 1537:Helminthiasis 1534: 1526: 1523: 1522: 1520: 1516: 1513: 1512: 1511: 1508: 1507: 1505: 1501: 1493: 1490: 1488: 1485: 1483: 1480: 1478: 1475: 1473: 1470: 1468: 1465: 1463: 1460: 1459: 1457: 1453: 1450: 1448: 1445: 1443: 1440: 1439: 1438:combination: 1437: 1435: 1432: 1428: 1425: 1423: 1420: 1419: 1417: 1415: 1412: 1410: 1407: 1405: 1402: 1398: 1395: 1393: 1390: 1388: 1385: 1383: 1380: 1378: 1375: 1373: 1370: 1368: 1365: 1363: 1360: 1358: 1355: 1353: 1350: 1348: 1345: 1343: 1340: 1338: 1335: 1333: 1330: 1328: 1325: 1324: 1323: 1320: 1318: 1315: 1313: 1310: 1308: 1305: 1301: 1298: 1296: 1293: 1292: 1291: 1288: 1286: 1283: 1281: 1278: 1276: 1273: 1271: 1268: 1264: 1261: 1259: 1256: 1255: 1254: 1251: 1249: 1246: 1244: 1241: 1239: 1236: 1234: 1231: 1227: 1224: 1222: 1219: 1217: 1214: 1211: 1207: 1204: 1203: 1202: 1199: 1195: 1192: 1191: 1190: 1187: 1185: 1182: 1180: 1177: 1176: 1174: 1170: 1162: 1159: 1157: 1154: 1152: 1149: 1148: 1146: 1142: 1139: 1137: 1136:DPT/DTwP/DTaP 1134: 1133: 1132:combination: 1131: 1129: 1126: 1122: 1119: 1117: 1114: 1113: 1112: 1109: 1105: 1102: 1101: 1100: 1097: 1095: 1092: 1090: 1087: 1083: 1080: 1078: 1075: 1074: 1073: 1070: 1068: 1065: 1063: 1060: 1056: 1053: 1051: 1048: 1047: 1046: 1045:Meningococcus 1043: 1041: 1038: 1036: 1035:Leptospirosis 1033: 1031: 1028: 1026: 1023: 1021: 1018: 1016: 1013: 1011: 1008: 1007: 1005: 1001: 998: 994: 986: 983: 981: 978: 976: 973: 971: 970:Vaccine court 968: 966: 963: 962: 960: 956: 953: 951: 948: 946: 943: 941: 938: 936: 933: 931: 928: 926: 925:GAVI Alliance 923: 922: 920: 919: 917: 913: 907: 904: 902: 899: 897: 893: 890: 888: 884: 880: 876: 873: 869: 866: 864: 861: 860: 858: 856: 853: 851: 848: 847: 845: 841: 835: 832: 830: 827: 825: 822: 820: 817: 813: 810: 809: 808: 805: 803: 800: 799: 797: 793: 788: 784: 780: 776: 772: 768: 764: 757: 752: 750: 745: 743: 738: 737: 734: 722: 719: 714: 710: 706: 702: 698: 694: 690: 686: 679: 676: 665: 661: 660:"NCT04975178" 655: 652: 647: 643: 639: 635: 631: 627: 622: 617: 613: 609: 605: 598: 595: 590: 586: 582: 578: 574: 570: 566: 562: 558: 556: 546: 543: 538: 534: 529: 524: 520: 516: 512: 508: 504: 500: 496: 489: 486: 481: 477: 472: 467: 463: 459: 455: 451: 447: 443: 439: 432: 429: 423: 421: 419: 415: 408: 406: 404: 400: 394: 392: 388: 382: 380: 378: 376: 374: 370: 364: 362: 360: 358: 356: 352: 339: 335: 329: 326: 321: 317: 312: 307: 302: 297: 293: 289: 285: 278: 275: 268: 266: 264: 262: 260: 258: 256: 254: 250: 244: 242: 240: 236: 230: 228: 226: 220: 213: 211: 207: 205: 197: 195: 186: 183: 180: 178:Pre-infection 177: 176: 174: 172: 168: 167: 166: 163: 161: 153: 151: 149: 140: 137: 133: 130: 129: 124: 121: 118: 115: 112: 108: 105: 104: 103: 100: 96: 94: 90: 86: 82: 78: 74: 70: 66: 62: 54: 50: 45: 42: 41: 36: 31: 19: 1809:Epidemiology 1785: 1757: 1643:DTaP-IPV/Hib 1434:Yellow fever 1347:EpiVacCorona 1099:Tuberculosis 1098: 1072:Pneumococcal 1040:Lyme disease 868:Heterologous 767:Immunization 721: 688: 678: 667:. 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Index

Tuberculosis vaccine
Drug class
In Wikidata
vaccinations
tuberculosis
Robert Koch
Bacillus Calmette-Guérin
attenuated
cattle tuberculosis bacillus
MVA85A
viral vector vaccine
rBCG30
MTBVAC
Myobacterium tuberculosis
adjuvant
Tuberculosis Vaccine Initiative
BCG
BCG
administered intradermally
zebrafish









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