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Immunogenicity and Safety of Influenza Vaccine in Inflammatory Bowel Disease Patients Treated or not with Immunomodulators and/or Biologics: A Two-year Prospective Study.

Identifieur interne : 000077 ( France/Analysis ); précédent : 000076; suivant : 000078

Immunogenicity and Safety of Influenza Vaccine in Inflammatory Bowel Disease Patients Treated or not with Immunomodulators and/or Biologics: A Two-year Prospective Study.

Auteurs : Odile Launay [France] ; Vered Abitbol [France] ; Anne Krivine ; Lilia Ben Slama [France] ; Arnaud Bourreille [France] ; Jean Louis Dupas [France] ; Xavier Hébuterne [France] ; Guillaume Savoye [France] ; Dominique Deplanque [France] ; Yoram Bouhnik [France] ; Anne Laure Pelletier [France] ; Florence Galtier [France] ; David Laharie [France] ; Maria Nachury ; Frank Zerbib [France] ; Mathieu Allez [France] ; Gilles Bommelaer [France] ; Bernard Duclos [France] ; Frederic Lucht [France] ; Marie-Lise Gougeon [France] ; Eric Tartour [France] ; Flore Rozenberg [France] ; Thomas Hanslik [France] ; Laurent Beaugerie [France] ; Fabrice Carrat [France]

Source :

RBID : Hal:hal-01282952

Abstract

Data on the efficacy and safety of seasonal influenza vaccines in patients with inflammatory bowel disease (IBD) remain scarce. The aim of the study was to evaluate the impact of immunosuppressive (IS) therapeutics on serological response to 2-year influenza vaccination in IBD adults. A multicentre prospective study performed in 255 IBD adults (18-64 years) receiving the trivalent influenza vaccine in the years 2009-2010 and 2010-2011. Haemagglutination inhibition (HI) titres were assessed before and 3 weeks and 6 months after vaccination. At inclusion, 31 patients were receiving no IS treatment (Group A), 77 were receiving IS treatment without anti-TNF (Group B) and 117 were receiving anti-tumour necrosis factor (TNF) treatment with or without IS treatment (Group C). Three weeks after the first vaccination, rates of seroprotection were 77, 75 and 66% for strain A/H1N12007 (p = 0.35), 77, 68 and 52% for strain A/H3N2 (p = 0.014) and 97, 96 and 95% for strain B (p = 0.99) in Groups A, B and C, respectively. Seroconversion rates for A/H1N12007 (67, 64 and 54%; p = 0.28), A/H3N2 (63, 50 and 41%; p = 0.074) and strain B (63, 76 and 60%; p = 0.078) were not significantly different among treatment groups. At 6 months after vaccination, seroprotection rates were lower in Group C compared with Groups A and B. Comparable results were observed for the second year of vaccination. No impact on Harvey-Bradshaw and Mayo scores was detected. Influenza vaccine yielded high seroprotection rates in IBD patients. Persistence of seroprotection was lower in patients with anti-TNF treatment. ClinicalTrials.gov, number NCT01022749.


Url:
DOI: 10.1093/ecco-jcc/jjv152


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Hal:hal-01282952

Le document en format XML

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<name sortKey="Carrat, Fabrice" sort="Carrat, Fabrice" uniqKey="Carrat F" first="Fabrice" last="Carrat">Fabrice Carrat</name>
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<orgName>Epidémiologie, Systèmes dínformation et modélisation</orgName>
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<idno type="DOI">10.1093/ecco-jcc/jjv152</idno>
<series>
<title level="j">Journal of Crohn's & Colitis</title>
<idno type="ISSN">1876-4479</idno>
<imprint>
<date type="datePub">2015-11-30</date>
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<front>
<div type="abstract" xml:lang="en">
<p>Data on the efficacy and safety of seasonal influenza vaccines in patients with inflammatory bowel disease (IBD) remain scarce. The aim of the study was to evaluate the impact of immunosuppressive (IS) therapeutics on serological response to 2-year influenza vaccination in IBD adults. A multicentre prospective study performed in 255 IBD adults (18-64 years) receiving the trivalent influenza vaccine in the years 2009-2010 and 2010-2011. Haemagglutination inhibition (HI) titres were assessed before and 3 weeks and 6 months after vaccination. At inclusion, 31 patients were receiving no IS treatment (Group A), 77 were receiving IS treatment without anti-TNF (Group B) and 117 were receiving anti-tumour necrosis factor (TNF) treatment with or without IS treatment (Group C). Three weeks after the first vaccination, rates of seroprotection were 77, 75 and 66% for strain A/H1N12007 (p = 0.35), 77, 68 and 52% for strain A/H3N2 (p = 0.014) and 97, 96 and 95% for strain B (p = 0.99) in Groups A, B and C, respectively. Seroconversion rates for A/H1N12007 (67, 64 and 54%; p = 0.28), A/H3N2 (63, 50 and 41%; p = 0.074) and strain B (63, 76 and 60%; p = 0.078) were not significantly different among treatment groups. At 6 months after vaccination, seroprotection rates were lower in Group C compared with Groups A and B. Comparable results were observed for the second year of vaccination. No impact on Harvey-Bradshaw and Mayo scores was detected. Influenza vaccine yielded high seroprotection rates in IBD patients. Persistence of seroprotection was lower in patients with anti-TNF treatment. ClinicalTrials.gov, number NCT01022749. </p>
</div>
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<name sortKey="Krivine, Anne" sort="Krivine, Anne" uniqKey="Krivine A" first="Anne" last="Krivine">Anne Krivine</name>
<name sortKey="Nachury, Maria" sort="Nachury, Maria" uniqKey="Nachury M" first="Maria" last="Nachury">Maria Nachury</name>
</noCountry>
<country name="France">
<noRegion>
<name sortKey="Launay, Odile" sort="Launay, Odile" uniqKey="Launay O" first="Odile" last="Launay">Odile Launay</name>
</noRegion>
<name sortKey="Abitbol, Vered" sort="Abitbol, Vered" uniqKey="Abitbol V" first="Vered" last="Abitbol">Vered Abitbol</name>
<name sortKey="Allez, Mathieu" sort="Allez, Mathieu" uniqKey="Allez M" first="Mathieu" last="Allez">Mathieu Allez</name>
<name sortKey="Beaugerie, Laurent" sort="Beaugerie, Laurent" uniqKey="Beaugerie L" first="Laurent" last="Beaugerie">Laurent Beaugerie</name>
<name sortKey="Bommelaer, Gilles" sort="Bommelaer, Gilles" uniqKey="Bommelaer G" first="Gilles" last="Bommelaer">Gilles Bommelaer</name>
<name sortKey="Bouhnik, Yoram" sort="Bouhnik, Yoram" uniqKey="Bouhnik Y" first="Yoram" last="Bouhnik">Yoram Bouhnik</name>
<name sortKey="Bourreille, Arnaud" sort="Bourreille, Arnaud" uniqKey="Bourreille A" first="Arnaud" last="Bourreille">Arnaud Bourreille</name>
<name sortKey="Carrat, Fabrice" sort="Carrat, Fabrice" uniqKey="Carrat F" first="Fabrice" last="Carrat">Fabrice Carrat</name>
<name sortKey="Deplanque, Dominique" sort="Deplanque, Dominique" uniqKey="Deplanque D" first="Dominique" last="Deplanque">Dominique Deplanque</name>
<name sortKey="Duclos, Bernard" sort="Duclos, Bernard" uniqKey="Duclos B" first="Bernard" last="Duclos">Bernard Duclos</name>
<name sortKey="Dupas, Jean Louis" sort="Dupas, Jean Louis" uniqKey="Dupas J" first="Jean Louis" last="Dupas">Jean Louis Dupas</name>
<name sortKey="Galtier, Florence" sort="Galtier, Florence" uniqKey="Galtier F" first="Florence" last="Galtier">Florence Galtier</name>
<name sortKey="Gougeon, Marie Lise" sort="Gougeon, Marie Lise" uniqKey="Gougeon M" first="Marie-Lise" last="Gougeon">Marie-Lise Gougeon</name>
<name sortKey="Hanslik, Thomas" sort="Hanslik, Thomas" uniqKey="Hanslik T" first="Thomas" last="Hanslik">Thomas Hanslik</name>
<name sortKey="Hebuterne, Xavier" sort="Hebuterne, Xavier" uniqKey="Hebuterne X" first="Xavier" last="Hébuterne">Xavier Hébuterne</name>
<name sortKey="Laharie, David" sort="Laharie, David" uniqKey="Laharie D" first="David" last="Laharie">David Laharie</name>
<name sortKey="Lucht, Frederic" sort="Lucht, Frederic" uniqKey="Lucht F" first="Frederic" last="Lucht">Frederic Lucht</name>
<name sortKey="Pelletier, Anne Laure" sort="Pelletier, Anne Laure" uniqKey="Pelletier A" first="Anne Laure" last="Pelletier">Anne Laure Pelletier</name>
<name sortKey="Rozenberg, Flore" sort="Rozenberg, Flore" uniqKey="Rozenberg F" first="Flore" last="Rozenberg">Flore Rozenberg</name>
<name sortKey="Savoye, Guillaume" sort="Savoye, Guillaume" uniqKey="Savoye G" first="Guillaume" last="Savoye">Guillaume Savoye</name>
<name sortKey="Slama, Lilia Ben" sort="Slama, Lilia Ben" uniqKey="Slama L" first="Lilia Ben" last="Slama">Lilia Ben Slama</name>
<name sortKey="Tartour, Eric" sort="Tartour, Eric" uniqKey="Tartour E" first="Eric" last="Tartour">Eric Tartour</name>
<name sortKey="Zerbib, Frank" sort="Zerbib, Frank" uniqKey="Zerbib F" first="Frank" last="Zerbib">Frank Zerbib</name>
</country>
</tree>
</affiliations>
</record>

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