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In the vaccine industry, squalene-based adjuvants are emulsions of squalene oil and water, often with additional surfactants or stabilizers. There are three primary types of squalene-in-water emulsions currently in use or widely studied as adjuvants:
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1. MF59
⢠Developer: Novartis (now GSK)
⢠Composition:
⢠4.3% squalene
⢠0.5% polysorbate 80 (surfactant)
⢠0.5% sorbitan trioleate (Span 85)
⢠In citrate buffer
⢠Use: Licensed for use in seasonal and pandemic influenza vaccines (e.g. Fluad).
⢠Key Features: First oil-in-water emulsion adjuvant approved for human use.
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2. AS03
⢠Developer: GSK
⢠Composition:
⢠10.69 mg squalene
⢠11.86 mg DL-α-tocopherol (vitamin E) ā enhances immune response
⢠4.86 mg polysorbate 80
⢠Use: Used in H1N1 pandemic vaccines, some COVID-19 vaccine candidates.
⢠Key Features: More potent immune enhancer than MF59 due to tocopherol.
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3. AF03
⢠Developer: Sanofi
⢠Composition:
⢠Squalene
⢠Polysorbate 80
⢠Mannitol
⢠Cetyl phosphate
⢠Use: Investigational; used in some COVID-19 vaccine trials.
⢠Key Features: Less commonly used, still under development/testing.
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These three main formulations dominate current squalene-based adjuvant use in human vaccines. Variants or new formulations may be in preclinical stages, but MF59 and AS03 are the most widely studied and used.
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