Two RSV (Respiratory Syncytial Virus) vaccines have been approved in 2023 – Arexvy (GSK) and Abrysvo (Pfizer). Arexvy is recommended for adults over 60 years of age and Abrysvo has also been recommended for administration to expectant mothers between 32 and 36 weeks of gestation. We have received inquiries on both and a summary of their development, pre-clinical testing and manufacture follow.

How do they differ? Arexvy (GSK) contains the same adjuvant used in GSK’s Shingrix vaccine, intended to enhance immune response. Abrysvo (Pfizer) does not contain an adjuvant. Beyond this, the vaccines are essentially the same and they leverage the same body of development and pre-clinical testing done by the NIAID (National Institue of Allergy and Infectious Diseases) and the NIH.

The body of work is described in this paper, published on August 23, 2023, in Science. A note in the paper (number 25) makes reference to assessments of RSV viral variants and these variants were expressed in Expi293F cell lines. Expi293F is a trade name associated with a modified version of the HEK-293 aborted fetal cell line. This supplement to the paper describes this assessment in greater detail.

CHO (Chinese Hamster Ovary) cell lines are used in the vaccines’ manufacture. Package inserts for Arexvy and Abrysvo may be reviewed by clicking on the names of either vaccine.

The described assessment was an essential component in the pre-clinical testing of both vaccines, so the ethical fault is clear. Both of the approved vaccines are ethically compromised.