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 : 000445A 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 :
- Vaccine [ 0264-410X ] ; 2009.
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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<front><div type="abstract" xml:lang="en"><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>
</div>
</front>
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<pmc article-type="research-article" xml:lang="EN"><pmc-comment>The publisher of this article does not allow downloading of the full text in XML form.</pmc-comment>
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<front><journal-meta><journal-id journal-id-type="nlm-journal-id">8406899</journal-id>
<journal-id journal-id-type="pubmed-jr-id">7945</journal-id>
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<title-group><article-title>A Phase I Evaluation of Inactivated Influenza A/H5N1 Vaccine Administered by the Intradermal or the Intramuscular Route</article-title>
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<contrib-group><contrib contrib-type="author"><name><surname>Patel</surname>
<given-names>Shital M.</given-names>
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<contrib contrib-type="author"><name><surname>Atmar</surname>
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<aff id="A1"><label>1</label>
Baylor College of Medicine, One Baylor Plaza, MS: BCM280, Houston, Texas 77030, United States</aff>
<author-notes><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>
</corresp>
<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>
</fn>
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<pub-date pub-type="nihms-submitted"><day>21</day>
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<lpage>3029</lpage>
<permissions><copyright-statement>© 2009 Elsevier Ltd. All rights reserved.</copyright-statement>
<copyright-year>2009</copyright-year>
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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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<kwd-group><kwd>Intradermal vaccination</kwd>
<kwd>Pandemic influenza</kwd>
<kwd>H5N1 vaccine</kwd>
</kwd-group>
<contract-num rid="AI1">N01 AI025465
||AI</contract-num>
<contract-sponsor id="AI1">National Institute of Allergy and Infectious Diseases Extramural Activities : NIAID</contract-sponsor>
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