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Safety and immunogenicity of a monovalent 2009 influenza A/H1N1v vaccine adjuvanted with AS03A or unadjuvanted in HIV-infected adults: a randomized, controlled trial.

Identifieur interne : 000226 ( Hal/Checkpoint ); précédent : 000225; suivant : 000227

Safety and immunogenicity of a monovalent 2009 influenza A/H1N1v vaccine adjuvanted with AS03A or unadjuvanted in HIV-infected adults: a randomized, controlled trial.

Auteurs : Odile Launay [France] ; Corinne Desaint [France] ; Christine Durier [France] ; Pierre Loulergue [France] ; Xavier Duval [France] ; Christine Jacomet [France] ; Gilles Pialoux ; Jade Ghosn [France] ; François Raffi [France] ; David Rey ; Faiza Ajana ; Nathalie Colin De Verdière [France] ; Jacques Reynes [France] ; Valérie Foubert [France] ; François Roman ; Jeanne-Marie Devaster ; Jean-François Delfraissy [France] ; Jean-Pierre Aboulker [France] ; Christian Michelet [France]

Source :

RBID : Hal:hal-00875299

Abstract

BACKGROUND: Human immunodeficiency virus (HIV)-infected patients have decreased immune response to vaccines. Few data are available about pandemic flu vaccination in this population. METHODS: We conducted a multicenter, patient-blinded, randomized trial in a cohort of HIV-infected adults. Patients received 2 injections 21 days apart of a AS03(A)-adjuvanted H1N1v vaccine containing 3.75 μg hemagglutinin (HA) or a nonadjuvanted H1N1v vaccine containing 15 μg HA to assess hemagglutination inhibition (HI) response and safety. RESULTS: A total of 309 patients were randomized, and 306 were vaccinated. After the first vaccine dose, HI titers ≥1:40 were observed in 93.4% of the patients in the adjuvanted group (A group) (n = 155) and in 75.5% in the nonadjuvanted group (B group) (n = 151) (P < .001); seroconversion rates were 88.8% and 71.2%, and factor increases in geometric mean titers (GMT) of 21.9 and 15.1, respectively. After 2 injections, 98.6% of patients of the A group and 92.1% of the B group demonstrated HI titers ≥1:40 (P = .018); seroconversion rates were 96.5% and 87.1%, respectively, and factor increases in GMT were 45.5 and 21.2, respectively. The majority of adverse events were mild to moderate in severity; no impact on CD4+ cell count or viral load has been detected. CONCLUSIONS: In HIV-1-infected adults, the AS03(A)-adjuvanted H1N1v vaccine yielded a higher immune response than did the nonadjuvanted one, with no impact on HIV infection.


Url:
DOI: 10.1093/infdis/jir211

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<idno type="DOI">10.1093/infdis/jir211</idno>
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<title level="j">Journal of Infectious Diseases</title>
<idno type="ISSN">0022-1899</idno>
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<date type="datePub">2011-07-01</date>
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<p>BACKGROUND: Human immunodeficiency virus (HIV)-infected patients have decreased immune response to vaccines. Few data are available about pandemic flu vaccination in this population. METHODS: We conducted a multicenter, patient-blinded, randomized trial in a cohort of HIV-infected adults. Patients received 2 injections 21 days apart of a AS03(A)-adjuvanted H1N1v vaccine containing 3.75 μg hemagglutinin (HA) or a nonadjuvanted H1N1v vaccine containing 15 μg HA to assess hemagglutination inhibition (HI) response and safety. RESULTS: A total of 309 patients were randomized, and 306 were vaccinated. After the first vaccine dose, HI titers ≥1:40 were observed in 93.4% of the patients in the adjuvanted group (A group) (n = 155) and in 75.5% in the nonadjuvanted group (B group) (n = 151) (P < .001); seroconversion rates were 88.8% and 71.2%, and factor increases in geometric mean titers (GMT) of 21.9 and 15.1, respectively. After 2 injections, 98.6% of patients of the A group and 92.1% of the B group demonstrated HI titers ≥1:40 (P = .018); seroconversion rates were 96.5% and 87.1%, respectively, and factor increases in GMT were 45.5 and 21.2, respectively. The majority of adverse events were mild to moderate in severity; no impact on CD4+ cell count or viral load has been detected. CONCLUSIONS: In HIV-1-infected adults, the AS03(A)-adjuvanted H1N1v vaccine yielded a higher immune response than did the nonadjuvanted one, with no impact on HIV infection.</p>
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<title xml:lang="en">Safety and immunogenicity of a monovalent 2009 influenza A/H1N1v vaccine adjuvanted with AS03A or unadjuvanted in HIV-infected adults: a randomized, controlled trial.</title>
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<persName>
<forename type="first">Odile</forename>
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<forename type="first">Corinne</forename>
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<forename type="first">Christine</forename>
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<forename type="first">Jeanne-Marie</forename>
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<forename type="first">Jean-François</forename>
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<date type="whenModified">2020-03-28 02:17:52</date>
<date type="whenReleased">2013-10-21 16:00:36</date>
<date type="whenProduced">2011-07-01</date>
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<idno type="stamp" n="UNIV-RENNES1">Université de Rennes 1</idno>
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<title xml:lang="en">Safety and immunogenicity of a monovalent 2009 influenza A/H1N1v vaccine adjuvanted with AS03A or unadjuvanted in HIV-infected adults: a randomized, controlled trial.</title>
<author role="crp">
<persName>
<forename type="first">Odile</forename>
<surname>Launay</surname>
</persName>
<email type="md5">3a9306133151a9800c3d9ad5e5f025d0</email>
<email type="domain">cch.aphp.fr</email>
<idno type="halauthorid">632155</idno>
<affiliation ref="#struct-2593"></affiliation>
</author>
<author role="aut">
<persName>
<forename type="first">Corinne</forename>
<surname>Desaint</surname>
</persName>
<idno type="halauthorid">707355</idno>
<affiliation ref="#struct-2593"></affiliation>
</author>
<author role="aut">
<persName>
<forename type="first">Christine</forename>
<surname>Durier</surname>
</persName>
<idno type="halauthorid">707354</idno>
<affiliation ref="#struct-2794"></affiliation>
</author>
<author role="aut">
<persName>
<forename type="first">Pierre</forename>
<surname>Loulergue</surname>
</persName>
<idno type="halauthorid">902103</idno>
<affiliation ref="#struct-2593"></affiliation>
</author>
<author role="aut">
<persName>
<forename type="first">Xavier</forename>
<surname>Duval</surname>
</persName>
<idno type="halauthorid">203676</idno>
<affiliation ref="#struct-2607"></affiliation>
</author>
<author role="aut">
<persName>
<forename type="first">Christine</forename>
<surname>Jacomet</surname>
</persName>
<idno type="halauthorid">902010</idno>
<affiliation ref="#struct-2612"></affiliation>
</author>
<author role="aut">
<persName>
<forename type="first">Gilles</forename>
<surname>Pialoux</surname>
</persName>
<idno type="halauthorid">422826</idno>
</author>
<author role="aut">
<persName>
<forename type="first">Jade</forename>
<surname>Ghosn</surname>
</persName>
<idno type="halauthorid">705124</idno>
<affiliation ref="#struct-33891"></affiliation>
</author>
<author role="aut">
<persName>
<forename type="first">François</forename>
<surname>Raffi</surname>
</persName>
<idno type="halauthorid">88274</idno>
<affiliation ref="#struct-178763"></affiliation>
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<forename type="first">David</forename>
<surname>Rey</surname>
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<idno type="halauthorid">100700</idno>
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<forename type="first">Faiza</forename>
<surname>Ajana</surname>
</persName>
<idno type="halauthorid">902104</idno>
</author>
<author role="aut">
<persName>
<forename type="first">Nathalie</forename>
<surname>Colin De Verdière</surname>
</persName>
<idno type="halauthorid">902105</idno>
<affiliation ref="#struct-197258"></affiliation>
</author>
<author role="aut">
<persName>
<forename type="first">Jacques</forename>
<surname>Reynes</surname>
</persName>
<idno type="halauthorid">609865</idno>
<affiliation ref="#struct-160874"></affiliation>
</author>
<author role="aut">
<persName>
<forename type="first">Valérie</forename>
<surname>Foubert</surname>
</persName>
<idno type="halauthorid">902106</idno>
<affiliation ref="#struct-2794"></affiliation>
</author>
<author role="aut">
<persName>
<forename type="first">François</forename>
<surname>Roman</surname>
</persName>
<idno type="halauthorid">901926</idno>
</author>
<author role="aut">
<persName>
<forename type="first">Jeanne-Marie</forename>
<surname>Devaster</surname>
</persName>
<idno type="halauthorid">902107</idno>
</author>
<author role="aut">
<persName>
<forename type="first">Jean-François</forename>
<surname>Delfraissy</surname>
</persName>
<idno type="halauthorid">85735</idno>
<affiliation ref="#struct-2612"></affiliation>
</author>
<author role="aut">
<persName>
<forename type="first">Jean-Pierre</forename>
<surname>Aboulker</surname>
</persName>
<idno type="halauthorid">707359</idno>
<affiliation ref="#struct-2794"></affiliation>
</author>
<author role="aut">
<persName>
<forename type="first">Christian</forename>
<surname>Michelet</surname>
</persName>
<idno type="halauthorid">516156</idno>
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<monogr>
<idno type="halJournalId" status="VALID">16582</idno>
<idno type="issn">0022-1899</idno>
<idno type="eissn">1537-6613</idno>
<title level="j">Journal of Infectious Diseases</title>
<imprint>
<publisher>Oxford University Press (OUP)</publisher>
<biblScope unit="volume">204</biblScope>
<biblScope unit="issue">1</biblScope>
<biblScope unit="pp">124-34</biblScope>
<date type="datePub">2011-07-01</date>
</imprint>
</monogr>
<idno type="doi">10.1093/infdis/jir211</idno>
<idno type="pubmed">21628666</idno>
</biblStruct>
</sourceDesc>
<profileDesc>
<langUsage>
<language ident="en">English</language>
</langUsage>
<textClass>
<classCode scheme="mesh">Adjuvants, Immunologic</classCode>
<classCode scheme="mesh">Adult</classCode>
<classCode scheme="mesh">Male</classCode>
<classCode scheme="mesh">Middle Aged</classCode>
<classCode scheme="mesh">Squalene</classCode>
<classCode scheme="mesh">Antibodies, Viral</classCode>
<classCode scheme="mesh">Female</classCode>
<classCode scheme="mesh">HIV Infections</classCode>
<classCode scheme="mesh">Hemagglutination Inhibition Tests</classCode>
<classCode scheme="mesh">Humans</classCode>
<classCode scheme="mesh">Influenza A Virus, H1N1 Subtype</classCode>
<classCode scheme="mesh">Influenza Vaccines</classCode>
<classCode scheme="mesh">Influenza, Human</classCode>
<classCode scheme="halDomain" n="sdv.mhep.mi">Life Sciences [q-bio]/Human health and pathology/Infectious diseases</classCode>
<classCode scheme="halTypology" n="ART">Journal articles</classCode>
</textClass>
<abstract xml:lang="en">
<p>BACKGROUND: Human immunodeficiency virus (HIV)-infected patients have decreased immune response to vaccines. Few data are available about pandemic flu vaccination in this population. METHODS: We conducted a multicenter, patient-blinded, randomized trial in a cohort of HIV-infected adults. Patients received 2 injections 21 days apart of a AS03(A)-adjuvanted H1N1v vaccine containing 3.75 μg hemagglutinin (HA) or a nonadjuvanted H1N1v vaccine containing 15 μg HA to assess hemagglutination inhibition (HI) response and safety. RESULTS: A total of 309 patients were randomized, and 306 were vaccinated. After the first vaccine dose, HI titers ≥1:40 were observed in 93.4% of the patients in the adjuvanted group (A group) (n = 155) and in 75.5% in the nonadjuvanted group (B group) (n = 151) (P < .001); seroconversion rates were 88.8% and 71.2%, and factor increases in geometric mean titers (GMT) of 21.9 and 15.1, respectively. After 2 injections, 98.6% of patients of the A group and 92.1% of the B group demonstrated HI titers ≥1:40 (P = .018); seroconversion rates were 96.5% and 87.1%, respectively, and factor increases in GMT were 45.5 and 21.2, respectively. The majority of adverse events were mild to moderate in severity; no impact on CD4+ cell count or viral load has been detected. CONCLUSIONS: In HIV-1-infected adults, the AS03(A)-adjuvanted H1N1v vaccine yielded a higher immune response than did the nonadjuvanted one, with no impact on HIV infection.</p>
</abstract>
<particDesc>
<org type="consortium">ANRS 151 HIFLUVAC Study Group and the French Clinical Vaccinology Network (Réseau National d'Investigation Clinique en Vaccinologie REIVAC)</org>
</particDesc>
</profileDesc>
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