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Recommendations of the Advisory Committee on Immunization Practices for use of a hepatitis B vaccine with a novel adjuvant.
Open accessAbstract
Hepatitis B (HepB) vaccination is the primary means of preventing infections and complications caused by hepatitis B virus (HBV). On February 21, 2018, the Advisory Committee on Immunization Practices (ACIP) recommended Heplisav-B (HepB-CpG), a yeast-derived vaccine prepared with a novel adjuvant, administered as a 2-dose series (0, 1 month) for use in persons aged ≥18 years. The ACIP Hepatitis Vaccines Work Group conducted a systematic review of the evidence, including data from four randomized controlled trials assessing prevention of HBV infection and six randomized controlled trials assessing adverse events in adults. Seroprotective antibody to hepatitis B surface antigen (anti-HBs) levels were achieved in 90.0%-100.0% of subjects receiving HepB-CpG (Dynavax Technologies Corporation), compared with 70.5%-90.2% of subjects receiving Engerix-B (GlaxoSmithKline Biologicals). The benefits of protection with 2 doses administered over 1 month make HepB-CpG an important option for prevention of HBV.
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“High vaccination coverage rates with subsequent decreases in acute HBV infection incidence have been achieved among infants and adolescents (1318).”
From Sexually Transmitted Infections Treatment Guidelines, 2021 (2021) · cites this paper as [1318]
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“For each 1.1 million doses of vaccine administered, approximately one recipient will experience this type of reaction (1328); however, no deaths have been reported among these patients (1318,1328).”
From Sexually Transmitted Infections Treatment Guidelines, 2021 (2021) · cites this paper as [1318]
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Anushuya, M., Raja, D., Sridharan, V., Meena, D., & Ramesh, P. (2026) · Cureus · doi:10.7759/cureus.106638
Metadata
- Authors
- Schillie, S., Harris, A., Link-Gelles, R., Romero, J., Ward, J., & Nelson, N.
- Affiliations
- Arkansas Children's Hospital (US)
- Corresponding author
- Schillie, Sarah
- Venue
- MMWR Morbidity and Mortality Weekly Report
- Published
- 2018-04-20
- Volume
- 67
- Issue
- 15
- Pages
- 455-458
- ISSN
- 0149-2195 (ISSN-L)
- 1545-861X
- PMC
- PMC6191098
- OpenAlex
- W2800687120
- Cited by
- 208
- References
- 9
- Citations by year
- 2026: 16 · 2025: 15 · 2024: 19 · 2023: 21 · 2022: 25 · 2021: 37 · 2020: 42 · 2019: 25 · 2018: 8
- FWCI
- 21.84
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- MMWR Morbidity and Mortality Weekly Report (publishedVersion)
- Europe PMC (PubMed Central) (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- Funders
- U.S. Department of Health and Human Services
- University of Arkansas
- University of Arkansas for Medical Sciences
- Centers for Disease Control and Prevention
- National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention
- Topics
- Health Sciences › Medicine › Epidemiology › Hepatitis B Virus Studies
- Health Sciences › Medicine › Emergency Medicine › Intramuscular injections and effects
- Health Sciences › Medicine › Epidemiology › Cervical Cancer and HPV Research
- Keywords
- hepatitis B vaccine, CpG adjuvant, hepatitis B prevention, adult vaccination, seroprotection, anti-HBs antibodies, vaccine adverse events, Engerix-B, Advisory Committee on Immunization Practices recommendations
- MeSH terms
- Adjuvants, Immunologic, Adolescent, Adult, Centers for Disease Control and Prevention, U.S., Hepatitis B, Humans, Immunization Schedule, United States, Randomized Controlled Trials as Topic, Hepatitis B Vaccines, Practice Guidelines as Topic, Advisory Committees
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