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RBD-TT (also known as Soberana 02 or PastoCovac) is a COVID-19 conjugate vaccine developed by the Finlay Vaccine Institute of Cuba in collaboration with the Pasteur Institute of Iran and the Center for Molecular Immunology. The vaccine consists of the recombinant receptor-binding domain (RBD) of the SARS-CoV-2 spike glycoprotein chemically conjugated to a tetanus toxoid (TT) carrier protein, adsorbed on aluminum hydroxide gel. This conjugation enhances the immunogenicity of the RBD antigen, promoting a robust neutralizing antibody response and long-term B-cell memory. RBD-TT has been approved for emergency use in Cuba, Iran, Venezuela, and Nicaragua, and has been evaluated in clinical trials for both adult and pediatric populations, as well as in immunocompromised patients such as hematopoietic stem cell transplant recipients.
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