TABLE 1. Anthrax vaccine adsorbed postexposure prophylaxis schedules and predicted human survival* .
Time from first dose of PEP-Vx | Predicted human survival by PEP-Vx schedule |
|||
---|---|---|---|---|
Licensed vaccination regimen |
Alternate dose-sparing schedules |
|||
Full dose at 0, 2, and 4 wks |
Full dose† at 0 and 2 wks |
Full dose at 0 and 4 wks |
Half dose§ at 0, 2, and 4 wks |
|
% (95% CI) | % (95% CI) | % (95% CI) | % (95% CI) | |
Week 4 |
95.8 (92.2–100) |
95.8 (82.6–100) |
72.6¶ (58.2–92.9) |
91.1 (78.2–98.7) |
Week 6 |
97.4 (85.1–100) |
95.5 (81.7–100) |
98.1 (86.9–100) |
96.1 (83.7–100) |
Week 9 | 96.4 (83.1–100) | 93.3 (78.9–100) | 97.0 (84.4–100) | 94.2 (80.8–100) |
Source: Data from Stark GV, Sivko GS, VanRaden M, et al. Cross-species prediction of human survival probabilities for accelerated anthrax vaccine adsorbed (AVA) regimens and the potential for vaccine and antibiotic dose sparing. Vaccine 2016;34:6512–7.
Abbreviations: AVA = anthrax vaccine adsorbed; CI = confidence interval; PEP-Vx = AVA postexposure prophylaxis.
* Based on survival data from nonhuman primates that received AVA at weeks 0 and 2 and were challenged with a target dose of 200 LD50 aerosolized Bacillus anthracis spores at week 4.
† 0.5 mL of AVA.
§ 0.25 mL of AVA.
¶ At 4 weeks before the second dose of vaccine.