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OK-432

Vaxjo ID 386       
Vaccine Adjuvant Name OK-432       
Alternative Names OK-432 is also known as Picibanil.       
Adjuvant VO ID VO_0005668
Description OK-432 is a streptococcal preparation derived from a strain of Streptococcus pyogenes, treated to enhance its antitumor activity and reduce toxicity. It is used as an adjuvant to promote Th1 immune responses.       
Stage of Development Licensed       
Location Licensed Japan       
Host Species for Testing Human       
Components OK-432, a streptococcal preparation with antineoplastic activity       
Preparation OK-432 is prepared by treating a strain of Streptococcus pyogenes with penicillin G and heat to enhance its antitumor properties and reduce toxicity before lyophilization.       
Dosage The article mentions a dosage of 0.5 KE (Klinische Einheit) for use in immunization protocols.       
Function The authors investigated the in vivo anti-tumor effect of intratumoral administration of bone marrow-derived dendritic cells (DCs) after chemotherapy using an oral fluoropyrimidine anti-cancer drug TS-1, and followed by immunotherapeutic agent OK-432, in two syngeneic tumor-bearing mouse models. Both in Meth-A fibrosarcoma-bearing BALB/c mice and in SCCVII-bearing C3H/HeN mice, 1 week of oral administration of TS-1 effected partial eradication of established tumors.       
Safety OK-432 has been shown to have a good safety profile in clinical applications, particularly in cancer treatment, but specific safety data related to its use as an adjuvant for allergic diseases are not detailed in the article.       
References
Wu et al., 2018: Wu CJ, Tseng PH, Chan CC, Quon S, Chen LC, Kuo ML. OK-432 Acts as Adjuvant to Modulate T Helper 2 Inflammatory Responses in a Murine Model of Asthma. Journal of immunology research. 2018; 2018; 1697276. [PubMed: 30402504].