Table 3.
Comparison of recent clinical trials of active vaccines and passive antibodies targeting S. aureus disease.
Developer | Vaccine strategy | Target antigen(s) | Target patient(s) | Immunology | Outcome |
---|---|---|---|---|---|
Nabi | Bivalent polysaccharide-protein conjugate vaccine | Capsular polysaccharide types 5 and 8 | Chronic hemodialysis patients | Robust antibody response; durable for greaterthan year | Phase 3: trended but did not statistically reduce incidence of invasive infection (93) |
Inhibitex | Passive antibody (no adjuvant) | Clumping factor A (ClfA) | Established staphylococcemia; neonatal staphylococcemia | Rapid, durable systemic levels of α−ClfA antibody | Phase 3: trended but did not statistically reduce risk of developing invasive infection (111) |
Merck | Recombinant protein with or without aluminum hydroxide | Iron surface determinant B (IsdB) siderophore | Cardiothoracic sternotomy patients | Robust antibody response | Phase 2: vaccine potentially associated with serious post-operative complications (89) |