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Table 10 The different mRNA cancer vaccine injection routes

From: The use of RNA-based treatments in the field of cancer immunotherapy

Injection Route

Advantages

Disadvantages

Immunogenicity

Efficacy

Safety

Stability

Reference

Intramuscular (IM)

Simple to administer, induces systemic immune response

May require multiple doses, limited local response

Moderate to high

Effective in some cancers, variable results

Generally safe, mild side effects

Stable at refrigeration temperature, needs to be protected from light

[611]

Subcutaneous (SC)

Simple to administer, induces systemic immune response

May require multiple doses, limited local response

Moderate to high

Effective in some cancers, variable results

Generally safe, mild side effects

Stable at refrigeration temperature, needs to be protected from light

[56]

Intradermal (ID)

Induces strong local and systemic immune response, potential for dose-sparing

Limited quantity of mRNA can be delivered, may require specialized equipment

High

Effective in some cancers, variable results

Generally safe, mild side effects

Stable at refrigeration temperature, needs to be protected from light

[38]

Intravenous (IV)

Induces systemic immune response

Requires high dosage and specialized equipment, potential for non-specific immune response

Low to moderate

Effective in some cancers, variable results

Generally safe, mild to moderate side effects

Stable at ultra-low temperatures, short half-life in circulation

[56]

Intra-tumoral (IT)

Direct delivery to tumor site, potential for targeted response

May require specialized equipment, limited systemic immune response

High

Effective in some cancers, variable results

Generally safe, mild to moderate side effects

Stable at refrigeration temperature, needs to be protected from light

[56]