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A combination vaccine developed by Merck Sharp & Dohme (MSD) for the prevention of invasive disease caused by *Haemophilus influenzae* type b (Hib) and hepatitis B virus (HBV) infection in infants. This specific "modified process" version (mpHBV-Hib) was an investigational formulation that incorporated double the amount of phosphate in the aluminum hydroxyphosphate sulfate adjuvant compared to the original licensed Comvax vaccine. This modification was designed to decrease the strength of the antigen-adjuvant binding, which was hypothesized to potentiate the immune response. The vaccine consists of the Hib capsular polysaccharide (polyribosylribitol phosphate, PRP) conjugated to the outer membrane protein complex (OMPC) of *Neisseria meningitidis* serogroup B, and the hepatitis B surface antigen (HBsAg) produced via recombinant yeast technology. Although the original Comvax was FDA-approved, Merck discontinued the product line in 2014.
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