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Cyfendus: genotox, carcinogenicity and repro: done or skipped?

anthrax vaccine adsorbed, adjuvanted · B. anthracis PA; TLR9 (CpG 7909 adjuvant)
Genotoxicity
Not conducted
“CYFENDUS has not been evaluated for carcinogenicity, mutagenic potential, or male infertility in animals.”
✓ VerifiedUS package insert, p. 9Source ↗
Carcinogenicity
Not conducted
“CYFENDUS has not been evaluated for carcinogenicity, mutagenic potential, or male infertility in animals.”
✓ VerifiedUS package insert, p. 9Source ↗
Instead of carcinogenicity
Not stated in public reviews
Not reported in the public reviews. Reviewers summarise selectively, so this usually means it wasn't discussed publicly, not that it wasn't studied.
Instead of genotoxicity
Not stated in public reviews
Not reported in the public reviews. Reviewers summarise selectively, so this usually means it wasn't discussed publicly, not that it wasn't studied.
DRG histopathology
Not stated in public reviews
Not reported in the public reviews. Reviewers summarise selectively, so this usually means it wasn't discussed publicly, not that it wasn't studied.
Reproductive & developmental
Rat DART study: no effects on mating, fertility, pregnancy, embryo-fetal viability or postnatal survival and development
“No reproductive or developmental toxicity was noted in the DART study. There was no effect on mating, fertility, pregnancy, embryo-fetal viability, growth, or morphologic development, parturition, maternal care of offspring or postnatal survival, growth, or development.”
✓ VerifiedFDA summary basis for approval, p. 16Source ↗
Safety pharmacology
Covered by repeat-dose clinical observations: no effects of CpG 7909 or the vaccine
“Treatment with adjuvant CPG 7909 or CPG 7909 combined with AVA (AV7909) had no effect on cage-side, clinical, or dermal Draize observations.”
✓ VerifiedFDA toxicology review, p. 28Source ↗
Genotox: Ames
Not conducted
“CYFENDUS has not been evaluated for carcinogenicity, mutagenic potential, or male infertility in animals.”
✓ VerifiedUS package insert, p. 9Source ↗
Genotox: in vitro mammalian
Not conducted
“CYFENDUS has not been evaluated for carcinogenicity, mutagenic potential, or male infertility in animals.”
✓ VerifiedUS package insert, p. 9Source ↗
Genotox: in vivo
Not conducted
“CYFENDUS has not been evaluated for carcinogenicity, mutagenic potential, or male infertility in animals.”
✓ VerifiedUS package insert, p. 9Source ↗
Carcinogenicity model
Not conducted
“CYFENDUS has not been evaluated for carcinogenicity, mutagenic potential, or male infertility in animals.”
✓ VerifiedUS package insert, p. 9Source ↗
Carcinogenicity timing
Not evaluated for carcinogenicity in animals
“CYFENDUS has not been evaluated for carcinogenicity, mutagenic potential, or male infertility in animals.”
✓ VerifiedUS package insert, p. 9Source ↗
hERG / QT
Not stated in public reviews
Not reported in the public reviews. Reviewers summarise selectively, so this usually means it wasn't discussed publicly, not that it wasn't studied.

Same question, other vaccines

Arexvy

respiratory syncytial virus vaccine, adjuvanted (AS01E) · RSV preF3; TLR4 (AS01E adjuvant)
Not conducted for the vaccine (not required for vaccines)

Cervarix

human papillomavirus bivalent (types 16, 18) vaccine, recombinant, AS04-adjuvanted · HPV 16/18 L1 VLPs; TLR4 (AS04 adjuvant)
Vaccine not tested; MPL adjuvant negative in Ames, CHO clastogenicity and in vivo micronucleus

Fendrix

hepatitis B vaccine (rDNA), AS04C-adjuvanted · HBsAg VLPs; TLR4 (AS04C adjuvant)
MPL only: negative in Ames and CHO clastogenicity tests; vaccine not tested

Flublok

influenza vaccine, recombinant hemagglutinin · Influenza HA
Not conducted (not normally required for viral vaccines; no adjuvant)

Gardasil

human papillomavirus quadrivalent (types 6, 11, 16, 18) vaccine, recombinant · HPV 6/11/16/18 L1 VLPs
Not conducted (CPMP/SWP/465/95 vaccine guidance)

Gardasil 9

human papillomavirus 9-valent vaccine, recombinant · HPV 9-valent L1 VLPs
Not conducted (vaccine guidance; CHMP agreed)

Heplisav-B

hepatitis B vaccine (recombinant), adjuvanted · HBsAg; TLR9 (CpG 1018 adjuvant)
CpG adjuvant negative in Ames, in vitro chromosome aberration and in vivo mouse micronucleus tests

Mosquirix

RTS,S/AS01 malaria vaccine · P. falciparum CSP-HBsAg (RTS,S) VLPs; TLR4 (AS01 adjuvant)
Not conducted on the final vaccine; adjuvant system components tested instead

Nuvaxovid

COVID-19 vaccine, recombinant spike protein nanoparticle, Matrix-M-adjuvanted · SARS-CoV-2 spike (nanoparticle)
Matrix-M1 adjuvant negative in GLP Ames and in vitro CHO micronucleus assays; in vivo testing judged unnecessary

PreHevbrio

hepatitis B vaccine (recombinant), 3-antigen · HBsAg S/pre-S1/pre-S2 VLPs
Not conducted (in line with applicable guidelines)

Shingrix

zoster vaccine recombinant, AS01B-adjuvanted · VZV glycoprotein E; TLR4 (AS01B adjuvant)
Not conducted on the final vaccine formulation (considered acceptable)

HBVaxPro

hepatitis B vaccine (rDNA) · HBsAg VLPs
Not stated in public reviews

Summary across all 13 vaccines →