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Respiratory Syncytial Virus Prefusion F Subunit Vaccine: First Approval of a Maternal Vaccine to Protect Infants

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Abstract

Pfizer is developing a bivalent respiratory syncytial virus (RSV) prefusion F subunit vaccine (RSVpreF; ABRYSVO™) for preventing RSV illness in infants and individuals aged ≥ 60 years. RSVpreF received approval for vaccination of pregnant individuals to help protect infants against RSV illness on 21 August 2023 in the USA. RSVpreF is also approved in the USA (31 May 2023) for active immunization of individuals aged ≥ 60 years for the prevention of lower respiratory tract disease (LRTD) caused by RSV. In the EU, RSVpreF has received approval for both indications, and it has been submitted for regulatory approval in Canada (both indications) and in Japan (maternal immunization to protect infants). This article summarizes the milestones in the development of RSVpreF leading to the approval for use in pregnant individuals to prevent LRTD in infants.

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References

  1. Li Y, Wang X, Blau DM, et al. Global, regional, and national disease burden estimates of acute lower respiratory infections due to respiratory syncytial virus in children younger than 5 years in 2019: a systematic analysis. Lancet. 2022;399(10340):2047–64.

    Article  PubMed  PubMed Central  Google Scholar 

  2. Scheltema NM, Gentile A, Lucion F, et al. Global respiratory syncytial virus-associated mortality in young children (RSV GOLD): a retrospective case series. Lancet Glob Health. 2017;5(10):e984–91.

    Article  PubMed  PubMed Central  Google Scholar 

  3. Simões EAF. The burden of respiratory syncytial virus lower respiratory tract disease in infants in the United States: a synthesis. J Infect Dis. 2022;226:S143–7.

    Article  PubMed  PubMed Central  Google Scholar 

  4. Korsten K, Adriaenssens N, Coenen S, et al. Burden of respiratory syncytial virus infection in community-dwelling older adults in Europe (RESCEU): an international prospective cohort study. Eur Respir J. 2021;57(4):2002688.

    Article  PubMed  Google Scholar 

  5. Falsey AR, Hennessey PA, Formica MA, et al. Respiratory syncytial virus infection in elderly and high-risk adults. N Engl J Med. 2005;352(17):1749–59.

    Article  CAS  PubMed  Google Scholar 

  6. Miller AM, Varga SM. Fusing safety and efficacy: a maternal bivalent RSV prefusion F vaccine. Cell Rep Med. 2023;4(6): 101081.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  7. Biagi C, Dondi A, Scarpini S, et al. Current state and challenges in developing respiratory syncytial virus vaccines. Vaccines (Basel). 2020;8(4):672.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  8. Swedish Orphan Biovitrum AB. SYNAGIS® (palivizumab) injection, for intramuscular use: US prescribing information. 1998. https://synagishcp.com/synagis.pdf. Accessed 5 Sep 2023.

  9. Simões EAF, Center KJ, Tita ATN, et al. Prefusion F protein-based respiratory syncytial virus immunization in pregnancy. N Engl J Med. 2022;386(17):1615–26.

    Article  PubMed  Google Scholar 

  10. Noble M, Khan RA, Walker B, et al. Respiratory syncytial virus-associated hospitalisation in children aged ≤5 years: a scoping review of literature from 2009 to 2021. ERJ Open Res. 2022;8(2):00593–2021.

    Article  PubMed  PubMed Central  Google Scholar 

  11. Buchwald AG, Graham BS, Traore A, et al. Respiratory Syncytial Virus (RSV) neutralizing antibodies at birth predict protection from RSV illness in infants in the first 3 months of life. Clin Infect Dis. 2021;73(11):e4421–7.

    Article  PubMed  Google Scholar 

  12. Kampmann B, Madhi SA, Munjal I, et al. Bivalent prefusion F vaccine in pregnancy to prevent RSV illness in infants. N Engl J Med. 2023;388(16):1451–64.

    Article  CAS  PubMed  Google Scholar 

  13. McLellan JS, Chen M, Leung S, et al. Structure of RSV fusion glycoprotein trimer bound to a prefusion-specific neutralizing antibody. Science. 2013;340(6136):1113–7.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  14. Schmoele-Thoma B, Zareba AM, Jiang Q, et al. Vaccine efficacy in adults in a respiratory syncytial virus challenge study. N Engl J Med. 2022;386(25):2377–86.

    Article  CAS  PubMed  Google Scholar 

  15. US Food and Drug Administration. FDA approves first vaccine for pregnant individuals to prevent RSV in infants [media release]. 21 Aug 2023. https://www.fda.gov/news-events/press-announcements/fda-approves-first-vaccine-pregnant-individuals-prevent-rsv-infants.

  16. Pfizer. ABRYSVO™ (Respiratory Syncytial Virus Vaccine) solution for intramuscular injection: US prescribing information. 2023. https://labeling.pfizer.com/ShowLabeling.aspx?id=19589. Accessed 6 Sep 2023.

  17. Pfizer. U.S. FDA approves ABRYSVO™, Pfizer’s vaccine for the prevention of respiratory syncytial virus (RSV) in older adults. [media release]. 31 May 2023. https://www.pfizer.com/news/press-release/press-release-detail/us-fda-approves-abrysvotm-pfizers-vaccine-prevention.

  18. Walsh EE, Perez Marc G, Zareba AM, et al. Efficacy and safety of a bivalent RSV prefusion F vaccine in older adults. N Engl J Med. 2023;388(16):1465–77.

    Article  CAS  PubMed  Google Scholar 

  19. Centers for Disease Control and Prevention. CDC recommends new vaccine to help protect babies against severe respiratory syncytial virus (RSV) illness after birth [media release]. 22 Sep 2023. https://www.cdc.gov/media/releases/2023/p0922-RSV-maternal-vaccine.html.

  20. The American College of Obstetricians and Gynecologists. Maternal respiratory syncytial virus vaccination: practice advisory. 2023. https://www.acog.org/clinical/clinical-guidance/practice-advisory/articles/2023/09/maternal-respiratory-syncytial-virus-vaccination#:~:text=The%20American%20College%20of%20Obstetricians%20and%20Gynecologists%20(ACOG)%20recommends%20a,respiratory%20tract%20infection%20in%20infants. Accessed 2 Oct 2023.

  21. European Medicines Agency. Abrysvo powder and solvent for solution for injection [respiratory syncytial virus vaccine (bivalent, recombinant)]: EU summary of product characteristics. 2023. https://www.ema.europa.eu/en/documents/product-information/abrysvo-epar-product-information_en.pdf. Accessed 26 Sep 2023.

  22. Pfizer. European Commission approves Pfizer’s ABRYSVO™ to help protect infants through maternal immunization and older adults from RSV. [media release]. 24 Aug 2023. https://www.pfizer.com/news/press-release/press-release-detail/european-commission-approves-pfizers-abrysvotm-help-protect.

  23. Walsh EE, Falsey AR, Scott DA, et al. A randomized phase 1/2 study of a respiratory syncytial virus prefusion F vaccine. J Infect Dis. 2022;225(8):1357–66.

    Article  CAS  PubMed  Google Scholar 

  24. Peterson JT, Zareba AM, Fitz-Patrick D, et al. Safety and immunogenicity of a respiratory syncytial virus prefusion F vaccine when coadministered with a tetanus, diphtheria, and acellular pertussis vaccine. J Infect Dis. 2022;225(12):2077–86.

    Article  CAS  PubMed  Google Scholar 

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Correspondence to Yahiya Y. Syed.

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The preparation of this review was not supported by any external funding.

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During the peer review process the manufacturer of the agent under review was offered an opportunity to comment on the article. Changes resulting from any comments received were made by the authors on the basis of scientific completeness and accuracy. Yahiya Y. Syed is a salaried employee of Adis International Ltd/Springer Nature and declares no relevant conflicts of interest. All authors contributed to this article and are responsible for its content.

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This profile has been extracted and modified from the AdisInsight database. AdisInsight tracks drug development worldwide through the entire development process, from discovery, through pre-clinical and clinical studies to market launch and beyond.

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Syed, Y.Y. Respiratory Syncytial Virus Prefusion F Subunit Vaccine: First Approval of a Maternal Vaccine to Protect Infants. Pediatr Drugs 25, 729–734 (2023). https://doi.org/10.1007/s40272-023-00598-3

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