One-and-Done Influenza A Vaccine?

The current influenza A vaccines utilize surface proteins as antigens, predominantly hemagglutinin. These antigens change each season, requiring new vaccine formulations and annual administration; thus, development of a universal influenza vaccine is a high priority. In an industry-sponsored phase 2a trial, investigators evaluated a recombinant, nanoparticle-based influenza A vaccine candidate containing influenza nucleoprotein (an invariant protein) and designed to elicit cell-mediated immunity. In all, 137 healthy adults (age range, 18–55) were randomized to receive vaccine (180 µg, 300 µg, or 480 µg) or placebo as a single intramuscular injection.

The vaccine elicited mild-to-moderate local and systemic reactogenicity at all active doses.…