Vaccines against human respiratory syncytial virus in clinical trials, where are we now?

Iebe Rossey1,2, Xavier Saelens1,2

  • 1VIB-UGent Center for Medical Biotechnology, VIB, Ghent, Belgium.

Insights

Developing a safe human respiratory syncytial virus (RSV) vaccine is crucial due to high global mortality. This review examines challenges and promising vaccine candidates in clinical trials for RSV prevention.

Area of Science:

  • Virology
  • Immunology
  • Vaccinology

Background:

  • Human respiratory syncytial virus (RSV) causes significant global morbidity and mortality, particularly in young children and the elderly.
  • Despite its impact, developing an effective RSV vaccine faces hurdles including a history of trial failures, challenging target demographics, and incomplete understanding of protective immunity.

Purpose of the Study:

  • To review the challenges in developing an effective human respiratory syncytial virus (RSV) vaccine.
  • To discuss current RSV vaccine candidates in clinical trials and their strategies for overcoming development obstacles.

Main Methods:

  • Review of live-attenuated, vectored, subunit, and particle-based vaccine approaches for RSV.
  • Analysis of approximately 30 RSV vaccine candidates currently in clinical evaluation.

Main Results:

  • Multiple vaccine formats are under investigation, with several promising candidates progressing through clinical trials.
  • Ongoing research addresses historical challenges, including vaccine safety, immunogenicity, and identifying correlates of protection.

Conclusions:

  • The field of RSV vaccine development is advancing rapidly, with potential for near-term clinical implementation.
  • Several promising RSV vaccine candidates offer hope for a safe and effective preventative measure against this significant respiratory pathogen.

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