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NASVAC is a therapeutic vaccine developed for the treatment of chronic hepatitis B (CHB). It is a 1:1 formulation containing 100 μg of hepatitis B surface antigen (HBsAg) derived from Pichia pastoris recombinant HBsAg subtype adw2 and 100 μg of hepatitis B core antigen (HBcAg) purified from Escherichia coli-expressed recombinant full-length HBcAg, both sourced from a genotype-A-infected patient. The vaccine is administered through both intranasal and subcutaneous routes, and does not include adjuvants or preservatives. NASVAC has demonstrated superior efficacy compared to pegylated interferon (Peg-IFN) in reducing viral load in treatment-naïve patients with chronic HBV infection, with a better safety profile. Clinical trials have shown that NASVAC can induce anti-HBs antibodies and reduce HBsAg levels in both patients receiving nucleos(t)ide analogue treatment and asymptomatic HBV carriers.
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