Nipah virus is a paramyxovirus circulating in bats across Asia, occasionally spilling over to humans, causing high-fatality outbreaks. The first outbreak was reported in Malaysia and Singapore in 1998. Since then, over 700 human cases have been recorded, more than half of which were fatal. No specific treatment options exist, while vaccine candidates are in development. Learn more about CEPI’s R&D efforts here: Nipah on cepi.net

ChAdOx1 NipahB vaccine reserve

CEPI, the University of Oxford, and the Serum Institute of India have partnered to create the world’s largest investigational reserve of Nipah virus vaccines, producing up to 100,000 doses of the ChAdOx1 NipahB candidate for phase II trials and emergency use. Supported by CEPI funding of $7.3 million, the initiative aims to strengthen pandemic preparedness against Nipah virus by advancing clinical testing in affected regions and ensuring rapid deployment during outbreaks. Built on the same platform as the Oxford-AstraZeneca COVID-19 vaccine, this project represents the first-ever phase II Nipah vaccine trials globally and aligns with CEPI’s “100 Days Mission” to deliver outbreak vaccines quickly, with a strong commitment to equitable access, particularly for vulnerable populations in the Global South. Read more here: Establishing the world's largest Nipah virus vaccine reserve

PHV02 vaccine candidate in Bangladesh 

A new Nipah virus vaccine (PHV02) is to be tested in Bangladesh, where outbreaks happen almost every year. Backed by $17.3 million from CEPI, the vaccine—developed by U.S. biotech company Public Health Vaccines—has already shown good safety and immune response in early trials. The upcoming phase II study will involve around 500 adults and 75 children to check if the vaccine is safe, easy to make, and effective. PHV02 uses the same technology as the successful Ebola vaccine, meaning it could be quickly adapted for future pandemics. If proven effective, CEPI and PHV plan to stockpile doses for rapid use in outbreak zones, with a strong focus on making the vaccine affordable and accessible in low- and middle-income countries. Read more here: New vaccine set for human trials in Nipah outbreak hotspot

Resources and Publications 

Oscar Cortes-Azuero et al. Modeling optimal deployment strategies for Nipah vaccines and monoclonal antibodiesPre-print

Ong HM et al. Malaysia outbreak survivors retain detectable Nipah antibodies and memory B cells after 25 years. Journal of Infection. February 2025; 90(2):106398

Muntasir Alam et al. Development and Validation of a Standardized Pseudotyped Virus-Based Neutralization Assay for Assessment of Anti-Nipah Virus Neutralizing Activity in Candidate Nipah Vaccines. Vaccines (Basel). July 2025; 13(7):753