An active post-marketing surveillance study to evaluate the safety and immunogenicity of Zyvac TCV in healthy participants

Typhoid fever remains a significant public health concern in endemic regions, with increasing antimicrobial resistance heightening the need for preventive strategies such as vaccination. Zyvac-TCV, a typhoid conjugate vaccine developed by Zydus Lifesciences Ltd. is licensed for use across all age gr...

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Main Authors: Sanjay Vasant Mankar, Chintan Patel, Abhishek Chavan, Ravi Modi, Lisa Sarangi, Virendra Nath Tripathi, Dillip Kumar Dash, Jai Prakash Narayan, Sunil Bandgar, N. Ravi Kumar, Vinay Kumar Gill, Munish Kumar Kakkar, Monjori Mitra, Pavankumar Daultani, Ravindra Mittal, Kapil Maithal, Kevinkumar Kansagra, Deven V. Parmar, Trayambak Dutta, Manish Mahajan, Samir Desai
Format: Article
Language:English
Published: Taylor & Francis Group 2025-12-01
Series:Human Vaccines & Immunotherapeutics
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Online Access:https://www.tandfonline.com/doi/10.1080/21645515.2025.2550085
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author Sanjay Vasant Mankar
Chintan Patel
Abhishek Chavan
Ravi Modi
Lisa Sarangi
Virendra Nath Tripathi
Dillip Kumar Dash
Jai Prakash Narayan
Sunil Bandgar
N. Ravi Kumar
Vinay Kumar Gill
Munish Kumar Kakkar
Monjori Mitra
Pavankumar Daultani
Ravindra Mittal
Kapil Maithal
Kevinkumar Kansagra
Deven V. Parmar
Trayambak Dutta
Manish Mahajan
Samir Desai
author_facet Sanjay Vasant Mankar
Chintan Patel
Abhishek Chavan
Ravi Modi
Lisa Sarangi
Virendra Nath Tripathi
Dillip Kumar Dash
Jai Prakash Narayan
Sunil Bandgar
N. Ravi Kumar
Vinay Kumar Gill
Munish Kumar Kakkar
Monjori Mitra
Pavankumar Daultani
Ravindra Mittal
Kapil Maithal
Kevinkumar Kansagra
Deven V. Parmar
Trayambak Dutta
Manish Mahajan
Samir Desai
author_sort Sanjay Vasant Mankar
collection DOAJ
description Typhoid fever remains a significant public health concern in endemic regions, with increasing antimicrobial resistance heightening the need for preventive strategies such as vaccination. Zyvac-TCV, a typhoid conjugate vaccine developed by Zydus Lifesciences Ltd. is licensed for use across all age groups. This prospective, multicenter, single-arm post-marketing surveillance study evaluated the safety and immunogenicity of Zyvac TCV in 3037 healthy participants aged 6 months to 45 years, enrolled across multiple Indian centers. Each participant received a single 0.5 mL intramuscular dose. Safety was assessed through monitoring of adverse events (AEs) over a 6-month period, while immunogenicity was evaluated in a subset of 300 participants by measuring serum anti-Vi IgG antibody titers at baseline and Day 28 post-vaccination. Overall, 16.7% of participants reported AEs, predominantly mild or moderate in nature, with no serious adverse events. Immunogenicity results demonstrated a seroconversion rate of 94.7% and a significant increase in geometric mean titers from 4.5 U/mL at baseline to 1787.8 U/mL at Day 28. A post-hoc batch analysis showed consistent immunogenicity across three commercial vaccine batches. Zyvac TCV was well tolerated and elicited a strong immune response in all age groups, supporting its integration into national immunization programs in typhoid-endemic regions.
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spelling doaj-art-0f65a0e5a2e64c6db935f3ec11a28c382025-08-26T07:55:20ZengTaylor & Francis GroupHuman Vaccines & Immunotherapeutics2164-55152164-554X2025-12-0121110.1080/21645515.2025.2550085An active post-marketing surveillance study to evaluate the safety and immunogenicity of Zyvac TCV in healthy participantsSanjay Vasant Mankar0Chintan Patel1Abhishek Chavan2Ravi Modi3Lisa Sarangi4Virendra Nath Tripathi5Dillip Kumar Dash6Jai Prakash Narayan7Sunil Bandgar8N. Ravi Kumar9Vinay Kumar Gill10Munish Kumar Kakkar11Monjori Mitra12Pavankumar Daultani13Ravindra Mittal14Kapil Maithal15Kevinkumar Kansagra16Deven V. Parmar17Trayambak Dutta18Manish Mahajan19Samir Desai20Department of Pediatrics, Mankar Hospital, Pune, IndiaDepartment of Endocrinology, Aatman Hospital, Ahmedabad, IndiaDepartment of Pediatrics, Jeevan Rekha Hospital, Belagavi, IndiaDepartment of Pediatrics, Shivnath Children Hospital, Vadodara, IndiaDepartment of Community Medicine, Hi-Tech Medical College & Hospital, Bhubaneswar, Odisha, IndiaPrakhar Hospital Pvt. Ltd., Kanpur, IndiaDepartment of Pediatrics, Institute of Medical Sciences & SUM Hospital, Bhubaneswar, IndiaDepartment of Pediatrics, Jawahar Lal Nehru Medical College & Hospital, Ajmer, IndiaPulse Multispeciality Hospital, Pune, IndiaDepartment of Pediatrics, Niloufer Hospital, Hyderabad, IndiaMaharaja Agrasen Superspeciality Hospital, Jaipur, IndiaDepartment of Pediatrics, Mahatma Gandhi Medical College and Hospital, Jaipur, IndiaDepartment of Pediatrics, Institute of Child Health, Kolkata, IndiaNew Product Development, Zydus Lifesciences Ltd, Ahmedabad, Gujarat, IndiaNew Product Development, Zydus Lifesciences Ltd, Ahmedabad, Gujarat, IndiaVaccine Technology Centre, Zydus Lifesciences Ltd., Ahmedabad, Gujarat, IndiaClinical R&D, Zydus Lifesciences Ltd., Ahmedabad, IndiaClinical R&D, Zydus Lifesciences Ltd., Ahmedabad, IndiaMedical Affairs, Zydus Lifesciences Ltd., Ahmedabad, IndiaMedical Affairs, Zydus Lifesciences Ltd., Ahmedabad, IndiaBU Biologics & Vaccines, Zydus Lifesciences Ltd., Ahmedabad, IndiaTyphoid fever remains a significant public health concern in endemic regions, with increasing antimicrobial resistance heightening the need for preventive strategies such as vaccination. Zyvac-TCV, a typhoid conjugate vaccine developed by Zydus Lifesciences Ltd. is licensed for use across all age groups. This prospective, multicenter, single-arm post-marketing surveillance study evaluated the safety and immunogenicity of Zyvac TCV in 3037 healthy participants aged 6 months to 45 years, enrolled across multiple Indian centers. Each participant received a single 0.5 mL intramuscular dose. Safety was assessed through monitoring of adverse events (AEs) over a 6-month period, while immunogenicity was evaluated in a subset of 300 participants by measuring serum anti-Vi IgG antibody titers at baseline and Day 28 post-vaccination. Overall, 16.7% of participants reported AEs, predominantly mild or moderate in nature, with no serious adverse events. Immunogenicity results demonstrated a seroconversion rate of 94.7% and a significant increase in geometric mean titers from 4.5 U/mL at baseline to 1787.8 U/mL at Day 28. A post-hoc batch analysis showed consistent immunogenicity across three commercial vaccine batches. Zyvac TCV was well tolerated and elicited a strong immune response in all age groups, supporting its integration into national immunization programs in typhoid-endemic regions.https://www.tandfonline.com/doi/10.1080/21645515.2025.2550085Typhoid conjugate vaccine (TCV)anti-Vi IgG seroconversiongeometric mean titers (GMTs)immunogenicitypost-marketing surveillance
spellingShingle Sanjay Vasant Mankar
Chintan Patel
Abhishek Chavan
Ravi Modi
Lisa Sarangi
Virendra Nath Tripathi
Dillip Kumar Dash
Jai Prakash Narayan
Sunil Bandgar
N. Ravi Kumar
Vinay Kumar Gill
Munish Kumar Kakkar
Monjori Mitra
Pavankumar Daultani
Ravindra Mittal
Kapil Maithal
Kevinkumar Kansagra
Deven V. Parmar
Trayambak Dutta
Manish Mahajan
Samir Desai
An active post-marketing surveillance study to evaluate the safety and immunogenicity of Zyvac TCV in healthy participants
Human Vaccines & Immunotherapeutics
Typhoid conjugate vaccine (TCV)
anti-Vi IgG seroconversion
geometric mean titers (GMTs)
immunogenicity
post-marketing surveillance
title An active post-marketing surveillance study to evaluate the safety and immunogenicity of Zyvac TCV in healthy participants
title_full An active post-marketing surveillance study to evaluate the safety and immunogenicity of Zyvac TCV in healthy participants
title_fullStr An active post-marketing surveillance study to evaluate the safety and immunogenicity of Zyvac TCV in healthy participants
title_full_unstemmed An active post-marketing surveillance study to evaluate the safety and immunogenicity of Zyvac TCV in healthy participants
title_short An active post-marketing surveillance study to evaluate the safety and immunogenicity of Zyvac TCV in healthy participants
title_sort active post marketing surveillance study to evaluate the safety and immunogenicity of zyvac tcv in healthy participants
topic Typhoid conjugate vaccine (TCV)
anti-Vi IgG seroconversion
geometric mean titers (GMTs)
immunogenicity
post-marketing surveillance
url https://www.tandfonline.com/doi/10.1080/21645515.2025.2550085
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