The new solid forms of the HIV-1 candidate vaccine manufactured by the three Pilot Lines (nasal, oral and sublingual vaccine) are not damaged by accidental freezing conditions at < -15oC and they can also support long time exposure to 40oC (at least 2-3 months) without affecting their ability to induce relevant antibodies, representing major innovations. Therefore, short term cold-chain independent vaccine transportation at room temperature (25oC) or under warm and humid conditions (40oC/75% humidity) could be possible during shipment from the primary storage facilities to the distant doctor offices, local hospitals and clinical sites , with limited risk to reduce vaccine bioactivity during that period. MACIVIVA vaccines fully comply with the WHO recommendations, as a vaccine maintaining its bioactivity at 40oC up to 1 month is already a major achievement and such vaccines will address an important issue in the vaccine industry.
Furthermore, with “ready-to use” vaccine solid dosage forms, there is no more need to provide needles and vials with diluents for vaccine reconstitution, rendering vaccine handling safer with a simplified logistics. Mucosal vaccinations are non-invasive and painless, favoring a broader population acceptance. They are expected to elicit mucosal immunity in the genital and rectal tract, the main entry doors of HIV-1 and many other pathogens, offering improved protection against sexually transmitted pathogens, as compared to vaccines inducing only blood immune responses for preventing mucosally transmitted pathogens.
Other existing virosomal vaccines or other vaccines obtained by different technologies could benefit from MACIVIVA Pilot Lines and acquired know-how. Due to the ease of mucosal administration of solid vaccine forms, gradual replacement of liquid and lyophilized/reconstituted vaccines by needle-free vaccines is expected, favoring higher immunization coverage for the great benefit of the overall health care system. MACIVIVA results may raise high interest from major stakeholders, increase the European attractiveness as location of choice to carry-out thermostable vaccine development, promise sustainability and creation of high tech jobs and leverage investments.