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The GSK 4-component Strep A vaccine is a recombinant protein-based and glycoconjugate vaccine developed by GSK for the prevention of Group A Streptococcal (Streptococcus pyogenes) infections. The vaccine formulation consists of three recombinant proteins—streptolysin O (SLO), Streptococcus pyogenes adhesion and division protein (SpyAD), and S. pyogenes cell envelope protease (SpyCEP)—alongside a glycoconjugate comprising the Group A carbohydrate (GAC) conjugated to a recombinant CRM197 carrier protein. This specific formulation is adjuvanted with AS37, a proprietary GSK adjuvant system containing a Toll-like receptor 7 (TLR7) agonist (LHD153R) adsorbed to aluminum hydroxide. The vaccine is designed to provide broad protection against Strep A by targeting multiple conserved antigens and stimulating a balanced Th1/Th2 immune response. It is currently being evaluated in Phase 1 clinical trials for safety, reactogenicity, and immunogenicity in healthy adults.
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