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A Phase I Evaluation of Inactivated Influenza A/H5N1 Vaccine Administered by the Intradermal or the Intramuscular Route

Identifieur interne : 000444 ( Ncbi/Merge ); précédent : 000443; suivant : 000445

A Phase I Evaluation of Inactivated Influenza A/H5N1 Vaccine Administered by the Intradermal or the Intramuscular Route

Auteurs : Shital M. Patel [États-Unis] ; Robert L. Atmar [États-Unis] ; Hana El Sahly [États-Unis] ; Thomas R. Cate [États-Unis] ; Wendy A. Keitel [États-Unis]

Source :

RBID : PMC:2913582

Abstract

In a phase I clinical trial, one hundred healthy young adults were randomized to receive two doses 28 days apart of an inactivated, subvirion vaccine containing 15µg or 45µg of influenza A/H5N1 hemagglutinin (HA) by the intramuscular (IM) route, or 3µg or 9µg of H5 HA by the intradermal(ID) route. Seventy-seven subjects received a third dose. All regimens were safe and well tolerated. Antibody responses after two or three doses were low (≤20% or ≤38%, respectively) and similar in groups given 3µg or 9µg ID or 15µg IM, and were significantly lower than those given 45µg IM. Higher dosages of H5 HA and/or inclusion of adjuvant will be required to enhance immunogenicity by the ID route.


Url:
DOI: 10.1016/j.vaccine.2009.10.152
PubMed: 19931380
PubMed Central: 2913582

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PMC:2913582

Le document en format XML

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<p id="P1">In a phase I clinical trial, one hundred healthy young adults were randomized to receive two doses 28 days apart of an inactivated, subvirion vaccine containing 15µg or 45µg of influenza A/H5N1 hemagglutinin (HA) by the intramuscular (IM) route, or 3µg or 9µg of H5 HA by the intradermal(ID) route. Seventy-seven subjects received a third dose. All regimens were safe and well tolerated. Antibody responses after two or three doses were low (≤20% or ≤38%, respectively) and similar in groups given 3µg or 9µg ID or 15µg IM, and were significantly lower than those given 45µg IM. Higher dosages of H5 HA and/or inclusion of adjuvant will be required to enhance immunogenicity by the ID route.</p>
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Baylor College of Medicine, One Baylor Plaza, MS: BCM280, Houston, Texas 77030, United States</aff>
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<corresp id="cor1">Corresponding Author: Shital Patel, M.D., Baylor College of Medicine 280, One Baylor Plaza, Houston, TX 77030, Telephone: 713-798-3793, Fax: 713-798-6802,
<email>shitalp@bcm.edu</email>
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<fn id="FN3" fn-type="conflict">
<p id="P27">Potential Conflicts of Interest:</p>
<p id="P28">WAK, SMP, and HES: Research support from Protein Sciences, GlaxoSmithKline, Novartis</p>
<p id="P29">RLA: Consultant to GlaxoSmithKline</p>
<p id="P30">TRC: None</p>
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<abstract>
<p id="P1">In a phase I clinical trial, one hundred healthy young adults were randomized to receive two doses 28 days apart of an inactivated, subvirion vaccine containing 15µg or 45µg of influenza A/H5N1 hemagglutinin (HA) by the intramuscular (IM) route, or 3µg or 9µg of H5 HA by the intradermal(ID) route. Seventy-seven subjects received a third dose. All regimens were safe and well tolerated. Antibody responses after two or three doses were low (≤20% or ≤38%, respectively) and similar in groups given 3µg or 9µg ID or 15µg IM, and were significantly lower than those given 45µg IM. Higher dosages of H5 HA and/or inclusion of adjuvant will be required to enhance immunogenicity by the ID route.</p>
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