Review Article

Study of the Immune Response in the Elderly: Is It Necessary to Develop a Vaccine against Neisseria meningitidis for the Aged?

Table 1

Meningococcal conjugate and protein vaccines currently licensed and their composition, age indication, and immunization schemes.

VaccinePharmaCompositionAge group indicatedImmunization schemeReference

Menjugate®GlaxoSmithKline (GSK)Meningococcal C oligosaccharide conjugated with CRM197 + aluminum hydroxide>2 months of age, teenagers, and adults2–12 months: two doses with an interval of at least 2 months between the doses
>12 months, teenagers, and adults: a single dose
[46]
Menactra®Sanofi PasteurMeningococcal A, C, Y, and W-135 polysaccharides conjugated with DT9 months through 55 years of age9–23 months: two doses with an interval of at least 3 months between the doses
2–55 years: a single dose
[47]
MenAfriVac®Serum Institute of IndiaMeningococcal A polysaccharide conjugated with TT + aluminum phosphate1 year of age, adolescents, and adults up to 29 years of ageA single dose[48]
Meningitec®PfizerMeningococcal C oligosaccharide conjugated with CRM197 + aluminum phosphate>6 weeks of age, adolescents, and adults<12 months: three doses with an interval of at least 1 month between the doses
>12 months, adolescents, and adults: a single dose
[49]
Meninvact®Sanofi PasteurMeningococcal C oligosaccharide conjugated with CRM197 + aluminum hydroxide>2 months of age, teenagers, and adults2–12 months: two doses with an interval of at least 2 months between the doses
>12 months, teenagers, and adults: a single dose
[50]
Menveo®GlaxoSmithKline (GSK)Meningococcal A, C, Y, and W-135 oligosaccharides conjugated with CRM197>2 months through 55 years of age2–6 months: four doses, administrated at 2, 4, 6, and 12 months of age
7–23 months, nonvaccinated: two doses with an interval of at least 3 months between the doses
>2 years, teenagers, and adults through 55 years: a single dose
[51]
Neisvac-C®BaxterMeningococcal C polysaccharide conjugated with TT + aluminum hydroxide>2 months and adults2–12 months: two doses with an interval of at least 2 months between the doses
>12 months, teenagers, and adults: a single dose
[52]
Nimenrix®PfizerMeningococcal A, C, Y, and W-135 polysaccharides conjugated with TT>12 months and adultsA single dose[53]
Bexsero®GlaxoSmithKline (GSK)NHBA + NadA + fHbp + OMVs from NZ98/254 + aluminum hydroxide>2 months and adults2–5 months: three doses with an interval not less than 1 month; booster dose between 12 and 15 months
3-5 months: two doses with an interval of at least 2 months between the doses; booster dose between 12 and 15 months
6–11 months: two doses with an interval of at least 2 months between the doses; booster dose in the second year of life
12–23 months: two doses with an interval of at least 2 months between the doses; booster dose with an interval of 12 to 23 months between primary series
2 years and adults: two doses with an interval of at least 1 month between the doses
[54]
Trumenba®Wyeth PharmaceuticalsfHbp + aluminum phosphate10 to 25 years of ageThree-dose schedule: 0, 1–2, and 6 months
Two-dose schedule: 0 and 6 months
[55]

CRM197: Corynebacterium diphtheriae cross-reactive material 197; DT: diphtheria toxoid; fHbp: factor H binding protein; NadA: Neisseria adhesin A; NHBA: Neisserial heparin binding antigen; OMVs: outer membrane vesicles; TT: tetanus toxoid.