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hepatitis B surface antigen + adjuvant 3 is a combination vaccine formulation intended to induce immunity against hepatitis B virus (HBV) infection. The active ingredient, hepatitis B surface antigen (HBsAg), is typically produced recombinantly and may include multiple envelope proteins (S, M, L) that form virus-like particles. The addition of "adjuvant 3" refers to the inclusion of a third-generation or novel adjuvant designed to enhance the magnitude and quality of the immune response, improve seroprotection rates, and potentially allow for a lower antigen dose. Adjuvants used in advanced HBV vaccine formulations may include synthetic molecules (such as L-pampo, a lipopeptide/dsRNA coprecipitate[2]) or newly developed polymers (such as PEG–PAEEP[4]), which aim to stimulate a robust Th1-type response and increase IgG titers. This combination is typically indicated for primary prevention of hepatitis B infection across various age groups, including neonates, children, and adults at risk[1][2][4].
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