Freeze-dried Live Attenuated Hepatitis A Vaccine (720ELISA) (Medical Monograph)

Overview

A single-dose, live attenuated viral vaccine derived from the H2 strain of Hepatitis A virus, propagated in human diploid cells (MRC-5). The 720ELISA unit refers to the antigen content as measured by enzyme-linked immunosorbent assay. It is a lyophilized (freeze-dried) powder requiring reconstitution. It provides active immunization against Hepatitis A virus, a significant cause of infectious hepatitis and jaundice in India, especially in areas with poor sanitation.

Uses

  • Active immunization against Hepatitis A virus infection in individuals 12 months of age and older.
  • Routine childhood immunization in endemic areas like India.
  • Pre-travel prophylaxis for non-immune individuals traveling to HAV endemic regions.

Side Effects

  • Pain, tenderness, redness, or swelling at the injection site (10-20%).
  • Low-grade fever (<38.5°C), malaise, fatigue.
  • Headache, irritability in children.
  • Loss of appetite, nausea.

Detailed Pharmacology

The vaccine contains live Hepatitis A virus (H2 strain) that has been attenuated (weakened) to lose its pathogenicity but retain its immunogenicity. Upon intramuscular administration, the attenuated virus is taken up by antigen-presenting cells. It undergoes limited replication, presenting viral antigens to the immune system. This stimulates a robust humoral (B-cell) and cellular (T-cell) immune response, leading to the production of neutralizing anti-HAV antibodies (mainly IgG) and memory B & T cells.

Available Brands in India

BrandManufacturerPrice
Biovac-A Wockhardt Limited ₹1200 - ₹1600 per dose
Havisure Zydus Cadila ₹1000 - ₹1400 per dose
Avaxim Sanofi India Limited ₹1800 - ₹2200 per dose (2-dose schedule)
TYPHEX-A (Combination Vaccine) Bharat Biotech ₹1500 - ₹2000 per dose