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How long were the pivotal tox studies for approved vaccines?

From the FDA and EMA reviews of all 13 approved vaccines. Each answer links to the regulator's own sentence.

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Short answer
Most common longest pivotal study: ~1 month (4 wk), 8 of 13.
≤2 weeks1/13
~1 month (4 wk)8/13
~3 months (13 wk)3/13
Not stated1/13
0413 wk

Precedent by precedent

13 approved vaccines, with the reviewers' own words.

Gardasil 9

human papillomavirus 9-valent vaccine, recombinant · HPV 9-valent L1 VLPs
Longest pivotal study
13 (rat, IM, 4 doses every 21 days)
“A recovery group consisting of 10 males and 10 females rats per group were sacrificed 21 days after the interim necropsy (day 67). Study duration was 13 weeks.”
✓ VerifiedFDA pharmacology/toxicology review, p. 40Source ↗
Pivotal GLP studies
13-week IM rat repeat-dose (with local tolerance); rat fertility/embryo-foetal study; rat postnatal developmental study
“Toxicology studies supporting the safety of the 9vHPV vaccine included 3 GLP-compliant studies in rats consisting of: i) a repeat-dose toxicity study (with local tolerance and non-GLP immunogenicity assessments), ii) an intramuscular developmental toxicity and immunogenicity study with female fertility and embryo-foetal evaluation and iii) an intramuscular developmental toxicity and immunogenicity study with postnatal evaluation.”
✓ VerifiedEMA assessment report, p. 24Source ↗

Shingrix

zoster vaccine recombinant, AS01B-adjuvanted · VZV glycoprotein E; TLR4 (AS01B adjuvant)
Longest pivotal study
12 (AS01B alone in rabbit, seven IM doses 14 days apart)
“Group of 10 male and 10 female rabbits were treated with AS01B by intramuscular injection into the muscles of each hind limb on seven occasions 14 days apart. They were given a dose volume of 500 µL of the formulation and thus received 50 µg MPL and 50 µg QS-21 in a liposomal formulation per dose. Five rabbits per sex per group (including control group) were euthanized 3 or 28 days after the last dose.”
✓ VerifiedFDA pharmacology/toxicology review, p. 175Source ↗
Pivotal GLP studies
Two rabbit IM repeat-dose vaccine studies, rat EFD/pre-postnatal and male fertility studies, rabbit local tolerance, rat safety pharmacology
“SHINGRIX has been evaluated in two repeat dose toxicity studies in rabbits, one reproductive-developmental toxicity study in rats, one male fertility study in rats, two local tolerance studies in rabbits, and one safety pharmacology study in rats.”
✓ VerifiedFDA summary basis for approval, p. 13Source ↗

Gardasil

human papillomavirus quadrivalent (types 6, 11, 16, 18) vaccine, recombinant · HPV 6/11/16/18 L1 VLPs
Longest pivotal study
10 (BALB/c mouse)
“A 10-week repeat-dose toxicity study was performed in BALB/c mice.”
✓ VerifiedEMA assessment report, p. 8Source ↗
Pivotal GLP studies
10-week IM repeat-dose study in BALB/c mice (1 or 3 doses); single-dose mouse and rat; rat DART; rabbit local tolerance
“A 10-week repeat-dose toxicity study was performed in BALB/c mice. Vaccine-treated mice received 1 or 3 doses of Gardasil at a concentration of 160/160/80/160 μg/ml of the HPV types 6/11/16/18 L1 VLPs.”
✓ VerifiedEMA assessment report, p. 8Source ↗

Cervarix

human papillomavirus bivalent (types 16, 18) vaccine, recombinant, AS04-adjuvanted · HPV 16/18 L1 VLPs; TLR4 (AS04 adjuvant)
Longest pivotal study
8 (rabbit IM, 4 injections days 1-57, plus 13-week recovery)
“and included a 13-week recovery period. Animals were allocated randomly to 4 groups of 10 animals each, and received intramuscular injections in the paravertebral muscles on Days 1, 15, 29 and 57.”
✓ VerifiedFDA toxicology review, p. 15Source ↗
Pivotal GLP studies
Rabbit IM repeat-dose (up to 4 injections at 2-week intervals, up to 3x human dose); rat DART; rat safety pharmacology
“The treatment regimen of up to 4 vaccine injections at 2 week intervals with up to three times the human dosage exceeds the total number of intended clinical injections.”
✓ VerifiedFDA toxicology review, p. 14Source ↗

Heplisav-B

hepatitis B vaccine (recombinant), adjuvanted · HBsAg; TLR9 (CpG 1018 adjuvant)
Longest pivotal study
8 (rat and cynomolgus monkey, weekly SC CpG 1018 alone)
“rats or cynomolgus monkey received subcutaneously (SC) either 0.5, 1.5, 12.5 mg/kg/week of 1018 ISS adjuvant or PBS weekly for 8 weeks.”
✓ VerifiedFDA toxicology review, p. 3Source ↗
Pivotal GLP studies
Adjuvanted vaccine IM repeat-dose studies in mice (3 doses, days 0, 14, 28) and rats (4 doses, days 0-42)
“The general safety of the 1018 ISS adjuvanted HBsAg vaccine was investigated in two pivotal studies were the vaccine was administrated by the IM injection, the clinical route of administration: a repeated-dose toxicity study in mice (study 00-95) where 3 IM doses were given (at day 0, 14 and 28) and a repeated dose toxicity study in rats (study 12-728) where 4 IM doses were given (at day 0, 14, 28 and 42).”
✓ VerifiedEMA assessment report, p. 26Source ↗

Nuvaxovid

COVID-19 vaccine, recombinant spike protein nanoparticle, Matrix-M-adjuvanted · SARS-CoV-2 spike (nanoparticle)
Longest pivotal study
8 weeks
“In the 57-day repeat intramuscular toxicity study, rabbits were administered intramuscularly 4 doses (3 weekly and one additional 21 days later) of 50 ug SARS-CoV-2 rS with 50 ug Matrix-M or 50 ug Matrix-M alone.”
✓ VerifiedFDA summary basis for approval, p. 17Source ↗
Pivotal GLP studies
57-day IM repeat-dose study in rabbits (with and without Matrix-M); IM DART study in rats (vaccine or Matrix-M alone)
“The sponsor submitted two toxicity study reports (57-day repeat intramuscular toxicity study with and without Matrix-M adjuvant in rabbits and developmental and reproductive toxicology study of intramuscular administration of SARS-C0V-2 rS nanoparticle vaccine with Matrix-M adjuvant or Matrix-M alone in rats)”
✓ VerifiedFDA pharmacology/toxicology review, p. 1Source ↗

PreHevbrio

hepatitis B vaccine (recombinant), 3-antigen · HBsAg S/pre-S1/pre-S2 VLPs
Longest pivotal study
8 weeks
“For the third study, an 8-week repeated dose toxicity study, the testing facility was not GLP certified at the time the study was performed in 2004.”
✓ VerifiedFDA summary basis for approval, p. 12Source ↗
Pivotal GLP studies
Non-GLP rat IM repeat-dose (doses on days 0, 14, 28; 8-week observation); GLP rat combined EFD and pre/postnatal study
“In this study, three groups of Wistar rats were dosed IM on Days 0, 14 and 28 with 0.5mL of PreHevbri (2 or 10 µg HBsAg per animal), or Al(OH)3 adjuvant alone, and were observed for signs of toxicity for 8 weeks.”
✓ VerifiedEMA assessment report, p. 25Source ↗

Mosquirix

RTS,S/AS01 malaria vaccine · P. falciparum CSP-HBsAg (RTS,S) VLPs; TLR4 (AS01 adjuvant)
Longest pivotal study
6 (rabbit RTS,S/AS01B, necropsy Day 45; recovery to Day 70)
“Five males and five females from each group were killed on Day 45 (3 days after the last injection) and the remainder on Day 70 of study (28 days after the last injection) in order to study recovery.”
✓ VerifiedEMA assessment report, p. 50Source ↗
Pivotal GLP studies
GLP rabbit IM RTS,S/AS01B, 4 doses at 2-week intervals (Days 0-42); AS01B, QS-21 and MPL component studies
“Two groups of 20 New Zealand White rabbits (10 males + 10 females) were administered 4 intramuscular (IM) injections at 2 weeks interval (Day 0, 14, 28 and 42) of the candidate vaccine.”
✓ VerifiedEMA assessment report, p. 49Source ↗

Flublok

influenza vaccine, recombinant hemagglutinin · Influenza HA
Longest pivotal study
5 weeks
“The pivotal repeat-dose toxicity study was conducted with the SC route. Results showed that five weekly SC injections with RIV3 were locally and systemically well tolerated in rats.”
✓ VerifiedEMA assessment report, p. 29Source ↗
Pivotal GLP studies
GLP rat repeat-dose study, five weekly SC injections of RIV3; rat IM DART; single-dose, local tolerance studies
“The pivotal repeat-dose toxicity study was conducted with the SC route. Results showed that five weekly SC injections with RIV3 were locally and systemically well tolerated in rats.”
✓ VerifiedEMA assessment report, p. 29Source ↗

Arexvy

respiratory syncytial virus vaccine, adjuvanted (AS01E) · RSV preF3; TLR4 (AS01E adjuvant)
Longest pivotal study
4 (rabbit, IM doses on days 1, 15 and 29, plus 4-week recovery)
“Two GLP-compliant repeated dose toxicity studies (and) were conducted in New Zealand White rabbits (10/sex/group), which received three intramuscular injections (Day 1, Day 15 and Day 29, followed by a 4- week recovery period.)”
✓ VerifiedEMA assessment report, p. 32Source ↗
Pivotal GLP studies
Two GLP rabbit IM studies of RSVPreF3 alone or with AS01B, three injections two weeks apart, with 4-week recovery
“Two GLP-compliant repeated dose toxicity studies (and) were conducted in New Zealand White rabbits (10/sex/group), which received three intramuscular injections (Day 1, Day 15 and Day 29, followed by a 4- week recovery period.)”
✓ VerifiedEMA assessment report, p. 32Source ↗

Cyfendus

anthrax vaccine adsorbed, adjuvanted · B. anthracis PA; TLR9 (CpG 7909 adjuvant)
Longest pivotal study
4 (adult rat repeat-dose study, full human dose on SD 1, 15, 29)
“The treatment-related effects were very similar in the single dose toxicity study as well as in the repeat dose toxicity study in adult (full human dose given on Study Day [SD] 1, 15, 29) and juvenile rats (1/5th of the human dose given on SD 21, 28, 35).”
✓ VerifiedFDA toxicology review, p. 4Source ↗
Pivotal GLP studies
GLP rat studies, all IM: single-dose, repeat-dose, pre/postnatal DART and juvenile repeat-dose
“The applicant conducted a single-dose acute toxicity study, a repeat-dose safety toxicity study, a pre- and post-natal developmental and reproductive toxicity (DART) study, as well as a juvenile repeat-dose toxicology study. All these GLP-compliant toxicology studies were performed in rats, and animals were dosed with CYFENDUS via IM injection, the intended route for human use.”
✓ VerifiedFDA summary basis for approval, p. 15Source ↗

Fendrix

hepatitis B vaccine (rDNA), AS04C-adjuvanted · HBsAg VLPs; TLR4 (AS04C adjuvant)
Longest pivotal study
2 (14-day IV MPL study in Beagle dog; rabbit vaccine study duration not stated)
“Repeated-dose toxicity studies were presented, up to 7 days in rats and 14 days in Beagle dogs, where MPL was given once daily by the intravenous route, maximising the exposure.”
✓ VerifiedEMA assessment report, p. 9Source ↗
Pivotal GLP studies
Rabbit IM repeat-dose vaccine study; MPL alone IV daily up to 7 days (rat) and 14 days (Beagle dog)
“Repeated-dose toxicity studies were presented, up to 7 days in rats and 14 days in Beagle dogs, where MPL was given once daily by the intravenous route, maximising the exposure.”
✓ VerifiedEMA assessment report, p. 9Source ↗

HBVaxPro

hepatitis B vaccine (rDNA) · HBsAg VLPs
Longest pivotal study
Not stated (rat, 3 injections at monthly intervals)
“The absence of toxicity was evaluated after repeated administrations in the rat according to treatment schedules mimicking a human vaccination scheme (i.e., 3 injections at monthly intervals).”
✓ VerifiedEMA assessment report, p. 4Source ↗
Pivotal GLP studies
GLP-era rat repeat-dose study of HEXAVAC, 3 injections at monthly intervals mimicking the human schedule
“The absence of toxicity was evaluated after repeated administrations in the rat according to treatment schedules mimicking a human vaccination scheme (i.e., 3 injections at monthly intervals).”
✓ VerifiedEMA assessment report, p. 4Source ↗