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Safety and cross-reactive immunogenicity of candidate AS03-adjuvanted prepandemic H5N1 influenza vaccines: a randomized controlled phase 1/2 trial in adults.

Identifieur interne : 000623 ( Main/Exploration ); précédent : 000622; suivant : 000624

Safety and cross-reactive immunogenicity of candidate AS03-adjuvanted prepandemic H5N1 influenza vaccines: a randomized controlled phase 1/2 trial in adults.

Auteurs : Joanne M. Langley [Canada] ; Louise Frenette ; Linda Ferguson ; Dennis Riff ; Eric Sheldon ; George Risi ; Casey Johnson ; Ping Li ; Richard Kenney ; Bruce Innis ; Louis Fries

Source :

RBID : pubmed:20423222

Descripteurs français

English descriptors

Abstract

BACKGROUND

The tocopherol-based oil-in-water emulsion adjuvant system family (AS03) improves antigen sparing with split-virion H5N1 influenza vaccines, representing an important development for pandemic preparedness. In this phase 1/2 randomized, controlled, observer-blinded study in 680 adults, we assessed the immunogenicity and safety of A/Indonesia/5/05 H5N1 (IBCDC-RG2, clade 2.1) prepandemic candidate vaccines produced at 2 separate manufacturing sites.

METHODS

Two doses, each of which contained 3.75 microg of hemagglutinin antigen, were given 21 days apart either without adjuvant or with an adjuvant system containing 11.86 mg or 5.93 mg of tocopherol (AS03).

RESULTS

The AS03-adjuvanted A/Indonesia/05/2005 (NIBRG-14) vaccines were significantly more immunogenic than nonadjuvanted vaccine in homologous assays. Neutralizing cross-clade immunogenicity against clades 1, 2.2, and 2.3 was demonstrated at day 42 with all vaccines; at 6 months, seroconversion rates were highest for clade 2.2 (60.7%) and for clade 1 (38.3%). Adjuvantation was associated with increased short-term injection-site reactions (pain) in 80% of participants, with such reactions assessed as being of grade 3 severity for 4.0% of doses. No other safety or reactogenicity concerns were identified over 6 months of follow-up.

CONCLUSIONS

Humoral responses against the adjuvanted 3.75-microg hemagglutinin antigen vaccines from both manufacturing sites fulfilled European and US licensure criteria for immunogenicity for influenza vaccines.


DOI: 10.1086/652701
PubMed: 20423222


Affiliations:


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Le document en format XML

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<b>BACKGROUND</b>
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<p>The tocopherol-based oil-in-water emulsion adjuvant system family (AS03) improves antigen sparing with split-virion H5N1 influenza vaccines, representing an important development for pandemic preparedness. In this phase 1/2 randomized, controlled, observer-blinded study in 680 adults, we assessed the immunogenicity and safety of A/Indonesia/5/05 H5N1 (IBCDC-RG2, clade 2.1) prepandemic candidate vaccines produced at 2 separate manufacturing sites.</p>
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<b>METHODS</b>
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<p>Two doses, each of which contained 3.75 microg of hemagglutinin antigen, were given 21 days apart either without adjuvant or with an adjuvant system containing 11.86 mg or 5.93 mg of tocopherol (AS03).</p>
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<div type="abstract" xml:lang="en">
<p>
<b>RESULTS</b>
</p>
<p>The AS03-adjuvanted A/Indonesia/05/2005 (NIBRG-14) vaccines were significantly more immunogenic than nonadjuvanted vaccine in homologous assays. Neutralizing cross-clade immunogenicity against clades 1, 2.2, and 2.3 was demonstrated at day 42 with all vaccines; at 6 months, seroconversion rates were highest for clade 2.2 (60.7%) and for clade 1 (38.3%). Adjuvantation was associated with increased short-term injection-site reactions (pain) in 80% of participants, with such reactions assessed as being of grade 3 severity for 4.0% of doses. No other safety or reactogenicity concerns were identified over 6 months of follow-up.</p>
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<div type="abstract" xml:lang="en">
<p>
<b>CONCLUSIONS</b>
</p>
<p>Humoral responses against the adjuvanted 3.75-microg hemagglutinin antigen vaccines from both manufacturing sites fulfilled European and US licensure criteria for immunogenicity for influenza vaccines.</p>
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<Year>2010</Year>
<Month>5</Month>
<Day>11</Day>
<Hour>6</Hour>
<Minute>0</Minute>
</PubMedPubDate>
</History>
<PublicationStatus>ppublish</PublicationStatus>
<ArticleIdList>
<ArticleId IdType="pubmed">20423222</ArticleId>
<ArticleId IdType="doi">10.1086/652701</ArticleId>
</ArticleIdList>
</PubmedData>
</pubmed>
<affiliations>
<list>
<country>
<li>Canada</li>
</country>
</list>
<tree>
<noCountry>
<name sortKey="Ferguson, Linda" sort="Ferguson, Linda" uniqKey="Ferguson L" first="Linda" last="Ferguson">Linda Ferguson</name>
<name sortKey="Frenette, Louise" sort="Frenette, Louise" uniqKey="Frenette L" first="Louise" last="Frenette">Louise Frenette</name>
<name sortKey="Fries, Louis" sort="Fries, Louis" uniqKey="Fries L" first="Louis" last="Fries">Louis Fries</name>
<name sortKey="Innis, Bruce" sort="Innis, Bruce" uniqKey="Innis B" first="Bruce" last="Innis">Bruce Innis</name>
<name sortKey="Johnson, Casey" sort="Johnson, Casey" uniqKey="Johnson C" first="Casey" last="Johnson">Casey Johnson</name>
<name sortKey="Kenney, Richard" sort="Kenney, Richard" uniqKey="Kenney R" first="Richard" last="Kenney">Richard Kenney</name>
<name sortKey="Li, Ping" sort="Li, Ping" uniqKey="Li P" first="Ping" last="Li">Ping Li</name>
<name sortKey="Riff, Dennis" sort="Riff, Dennis" uniqKey="Riff D" first="Dennis" last="Riff">Dennis Riff</name>
<name sortKey="Risi, George" sort="Risi, George" uniqKey="Risi G" first="George" last="Risi">George Risi</name>
<name sortKey="Sheldon, Eric" sort="Sheldon, Eric" uniqKey="Sheldon E" first="Eric" last="Sheldon">Eric Sheldon</name>
</noCountry>
<country name="Canada">
<noRegion>
<name sortKey="Langley, Joanne M" sort="Langley, Joanne M" uniqKey="Langley J" first="Joanne M" last="Langley">Joanne M. Langley</name>
</noRegion>
</country>
</tree>
</affiliations>
</record>

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