Developing the next-generation of adenoviral vector vaccines.

Sampson AT., Hlaváč M., Gillman ACT., Douradinha B., Gilbert SC.

The COVID-19 pandemic saw the first extensive use of adenoviral vector vaccines, with over 3 billion doses produced during the first year of the pandemic alone and an estimated 6 million lives saved. These vaccines were safe and effective, and could be produced at low cost in several continents allowing widespread use in low- and middle-income countries (LMICs). Despite their successful deployment against SARS-CoV-2, their impact has been overshadowed by relatively lower immunogenicity in contrast to mRNA vaccine technologies and very rare but serious adverse events such as vaccine-induced thrombotic thrombocytopaenia (VITT). The next-generation of adenoviral vector vaccines must address these challenges: here, we explore strategies to improve immunogenicity and safety by novel serotype selection, vector engineering, capsid modification and new delivery technologies, and discuss opportunities for next-generation adenoviral vectors against infectious disease and cancer.

DOI

10.1080/21645515.2025.2514356

Type

Journal article

Journal

Human vaccines & immunotherapeutics

Publication Date

12/2025

Volume

21

Addresses

Pandemic Sciences Institute, Nuffield Department of Medicine, University of Oxford, Oxford, UK.

Keywords

Humans, Adenoviridae, Genetic Vectors, Immunogenicity, Vaccine, COVID-19, SARS-CoV-2, COVID-19 Vaccines, Vaccine Development

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