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Heplisav-B: how long were the pivotal tox studies?

hepatitis B vaccine (recombinant), adjuvanted · TLR9 (CpG 1018 adjuvant)
Longest pivotal study
8 (rat and cynomolgus monkey, weekly SC CpG 1018 alone)
“rats or cynomolgus monkey received subcutaneously (SC) either 0.5, 1.5, 12.5 mg/kg/week of 1018 ISS adjuvant or PBS weekly for 8 weeks.”
✓ VerifiedFDA toxicology review, p. 3Source ↗
Pivotal GLP studies
Adjuvanted vaccine IM repeat-dose studies in mice (3 doses, days 0, 14, 28) and rats (4 doses, days 0-42)
“The general safety of the 1018 ISS adjuvanted HBsAg vaccine was investigated in two pivotal studies were the vaccine was administrated by the IM injection, the clinical route of administration: a repeated-dose toxicity study in mice (study 00-95) where 3 IM doses were given (at day 0, 14 and 28) and a repeated dose toxicity study in rats (study 12-728) where 4 IM doses were given (at day 0, 14, 28 and 42).”
✓ VerifiedEMA assessment report, p. 26Source ↗
Route in tox
IM for the adjuvanted vaccine (every second week); SC once weekly for CpG 1018 alone
“Of importance, no kidney or heart findings were observed in monkeys or in the rat study of 1018 ISS adjuvanted HBsAg administered with a dosing regimen (4 IM every second week) more similar to the clinical dosing regimen of 2 IM doses 1 month apart than in the rat study of 1018 ISS alone (8 SC doses every week).”
✓ VerifiedEMA assessment report, p. 27Source ↗

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Onpattro

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Spinraza

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Tegsedi

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Viltepso

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Summary across all 28 oligonucleotides →