Review Article

Hib Vaccines: Past, Present, and Future Perspectives

Table 1

Summary of the most important Hib vaccines in U.S. Food and Drug Administration (FDA) and The European Medicines Agency (EMA) up to 20 December 2015.

Vaccine nameApproval dateValencyDescriptionManufacture and marketing

b-CAPSA 1
Hib-VAX
Hib-IMUNE
1985 USMonovalentPure polysaccharide CPS vaccine (unconjugated). The vaccine was recommended routinely for children at 24 months of age and for children at 15 months of age enrolled in child care facilities. The vaccine was not consistently immunogenic in children <18 months of age and was withdrawn from the market in 1988.b-CAPSA 1 by Praxis, Biologics, Hib-VAX by Connaught, and Hib-IMUNE by Lederle

ProHIBIT1987 USMonovalentFirst conjugate Haemophilusinfluenzae b vaccine to be approved by FDA. ProHIBIT is no longer available in the United States.Connaught Laboratories, Inc.

HibTITER1990 USMonovalentHib conjugate vaccine (diphtheria CRM197 protein conjugate). Discontinued 2007.Wyeth Pharmaceuticals Inc.

PedvaxHIB1989 USMonovalentHib conjugate vaccine (meningococcal protein conjugate).Merck & Co., Inc.
http://www.merck.com/product/vaccines/home.html

ActHIB1993 USMonovalentApproved for use as a four-dose series in infants and children 2 months through 5 years of age.Sanofi Pasteur
http://www.sanofipasteur.com/en/

OmniHib1993 USMonovalentHib conjugate vaccine. No longer available in the United States.SmithKline Beecham

TriHIBit1996 USPolyvalentCombination of DTaP and Hib vaccine, licensed for the fourth dose in the DTaP and Hib series. Discontinued on 2011 according to CDC.Sanofi Pasteur
http://www.sanofipasteur.com/en/

Comvax1996 USPolyvalentMixed vaccines of recombinant hepatitis B antigen and Haemophilusinfluenzae type b conjugated vaccine. Discontinued on 2014 according to Merck.Merck & Co., Inc.
http://www.merck.com/product/vaccines/home.html

Tetramune1996 USPolyvalentDTP and Hib conjugate vaccine. Discontinued according to CDC.Wyeth Pharmaceuticals Inc.

PROCOMVAX1999 EUPolyvalentHib conjugate and hepatitis B (recombinant) vaccine. Withdrawn on 2009 according to EMA.Sanofi Pasteur MSD
http://www.spmsd.com/

Hexavac2000 EUPolyvalentDiphtheria, tetanus, acellular pertussis, inactivated poliomyelitis, hepatitis B (recombinant), and Hib conjugate vaccine, adjuvant. Suspended 2005, withdrawn on 2012 according to EMA.Sanofi Pasteur
http://www.sanofipasteur.com/en/

Infanrix-Hib2000 EU
2002 US
PolyvalentDTaP and adsorbed conjugated
Hib vaccine.
GlaxoSmithKline Biologicals
https://www.gsk.com/

Infanrix Hexa2000 EUPolyvalentDTaP, hepatitis B (recombinant), inactivated poliomyelitis, and adsorbed conjugated Hib vaccine.GlaxoSmithKline Biologicals
https://www.gsk.com/

Quintanrix2005 EUPolyvalentDTP, hepatitis B (rDNA), and adsorbed Hib conjugate vaccine. Withdrawn on 2008 according to EMA.GlaxoSmithKline Biologicals
https://www.gsk.com/

Pentacel2008 USPolyvalentDTaP adsorbed, inactivated poliovirus, and Hib conjugate.Sanofi Pasteur
http://www.sanofipasteur.com/en/

Hiberix2009 USMonovalentHib conjugate vaccine (tetanus toxoid conjugate). Approved only as a booster dose of the Hib schedule among children 12 months and older.GlaxoSmithKline Biologicals
https://www.gsk.com/

MenHibrix2012 USPolyvalentMeningococcal groups C and Y and Hib tetanus toxoid conjugate vaccine for infants at increased risk of meningococcal disease.GlaxoSmithKline Biologicals
https://www.gsk.com/

Hexacima2013 EUPolyvalentDTaP, hepatitis B (rDNA), poliomyelitis (inactivated), and adsorbed Hib conjugate vaccine.Sanofi Pasteur
http://www.sanofipasteur.com/en/

Hexyon2013 EUPolyvalentDTaP, hepatitis B (rDNA), inactivated poliomyelitis, and Hib conjugate vaccine (adsorbed).Sanofi Pasteur
http://www.sanofipasteur.com/en/

INFANRIX-IPV/Hib2015 USPolyvalentDTaP, inactivated poliomyelitis, and Hib vaccine.GlaxoSmithKline Biologicals
https://www.gsk.com/

CRM197: enzymatically inactive and nontoxic form of diphtheria toxin that contains a single amino acid substitution.
DTaP: diphtheria, tetanus, and acellular pertussis.
DTP: Diphtheria and tetanus toxoids and whole-cell pertussis.
CDC discontinued vaccines:
http://www.cdc.gov/vaccines/pubs/pinkbook/downloads/appendices/B/discontinued_vaccines.pdf.
CDC, Morbidity and Mortality Weekly Report (MMWR):
http://www.cdc.gov/mmwr/preview/mmwrhtml/00000696.htm.
EMA, European public assessment reports:
http://www.ema.europa.eu/ema/index.jsp?curl=pages/medicines/landing/epar_search.jsp&mid=WC0b01ac058001d124.
MERCK, COMVAX vaccines discontinue report:
https://www.merckvaccines.com/is-bin/intershop.static/WFS/Merck-MerckVaccines-Site/Merck-MerckVaccines/en_US/Professional-Resources/Documents/announcements/VACC-1114028-0000.pdf.