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An open‐label phase I trial of a live attenuated H2N2 influenza virus vaccine in healthy adults

Identifieur interne : 000751 ( Pmc/Checkpoint ); précédent : 000750; suivant : 000752

An open‐label phase I trial of a live attenuated H2N2 influenza virus vaccine in healthy adults

Auteurs : Kawsar R. Talaat ; Ruth A. Karron ; Philana H. Liang ; Bridget A. Mcmahon ; Catherine J. Luke ; Bhagvanji Thumar ; Grace L. Chen ; Ji-Young Min ; Elaine W. Lamirande ; Hong Jin ; Kathy L. Coelingh ; George W. Kemble ; Kanta Subbarao

Source :

RBID : PMC:3527634

Abstract

Please cite this paper as: Talaat et al. (2012) An open‐label phase I trial of a live attenuated H2N2 influenza virus vaccine in healthy adults. Influenza and Other Respiratory Viruses DOI: 10.1111/j.1750‐2659.2012.00350.x.

Background  Live attenuated influenza vaccines (LAIV) against a variety of strains of pandemic potential are being developed and tested. We describe the results of an open‐label phase I trial of a live attenuated H2N2 virus vaccine.

Objectives  To evaluate the safety, infectivity, and immunogenicity of a live attenuated H2N2 influenza virus vaccine.

Participants/methods  The A/Ann Arbor/6/60 (H2N2) virus used in this study is the attenuated, cold‐adapted, temperature‐sensitive strain that provides the genetic backbone of seasonal LAIV (MedImmune). We evaluated the safety, infectivity, and immunogenicity of two doses of 107 TCID50 of this vaccine administered by nasal spray 4 weeks apart to normal healthy seronegative adults.

Results  Twenty‐one participants received a first dose of the vaccine; 18 participants received a second dose. No serious adverse events occurred during the trial. The most common adverse events after vaccination were headache and musculoskeletal pain. The vaccine was restricted in replication: 24% and 17% had virus detectable by culture or rRT‐PCR after the first and second dose, respectively. Antibody responses to the vaccine were also restricted: 24% of participants developed an antibody response as measured by either hemagglutination‐inhibition assay (10%), or ELISA for H2 HA‐specific serum IgG (24%) or IgA (16%) after either one or two doses. None of the participants had a neutralizing antibody response. Vaccine‐specific IgG‐secreting cells as measured by enzyme‐linked immunospot increased from a mean of 0·5 to 2·0/106 peripheral blood mononuclear cells (PBMCs); vaccine‐specific IgA‐secreting cells increased from 0·1 to 0·5/106 PBMCs.

Conclusions  The live attenuated H2N2 1960 AA ca vaccine demonstrated a safety profile consistent with seasonal trivalent LAIV but was restricted in replication and minimally immunogenic in healthy seronegative adults.


Url:
DOI: 10.1111/j.1750-2659.2012.00350.x
PubMed: 22417012
PubMed Central: 3527634


Affiliations:


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PMC:3527634

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<p>
<italic>Please cite this paper as:</italic>
Talaat
<italic>et al.</italic>
(2012) An open‐label phase I trial of a live attenuated H2N2 influenza virus vaccine in healthy adults. Influenza and Other Respiratory Viruses DOI: 10.1111/j.1750‐2659.2012.00350.x.</p>
<p>
<bold>Background </bold>
Live attenuated influenza vaccines (LAIV) against a variety of strains of pandemic potential are being developed and tested. We describe the results of an open‐label phase I trial of a live attenuated H2N2 virus vaccine.</p>
<p>
<bold>Objectives </bold>
To evaluate the safety, infectivity, and immunogenicity of a live attenuated H2N2 influenza virus vaccine.</p>
<p>
<bold>Participants/methods </bold>
The A/Ann Arbor/6/60 (H2N2) virus used in this study is the attenuated, cold‐adapted, temperature‐sensitive strain that provides the genetic backbone of seasonal LAIV (MedImmune). We evaluated the safety, infectivity, and immunogenicity of two doses of 10
<sup>7</sup>
TCID
<sub>50</sub>
of this vaccine administered by nasal spray 4 weeks apart to normal healthy seronegative adults.</p>
<p>
<bold>Results </bold>
Twenty‐one participants received a first dose of the vaccine; 18 participants received a second dose. No serious adverse events occurred during the trial. The most common adverse events after vaccination were headache and musculoskeletal pain. The vaccine was restricted in replication: 24% and 17% had virus detectable by culture or rRT‐PCR after the first and second dose, respectively. Antibody responses to the vaccine were also restricted: 24% of participants developed an antibody response as measured by either hemagglutination‐inhibition assay (10%), or ELISA for H2 HA‐specific serum IgG (24%) or IgA (16%) after either one or two doses. None of the participants had a neutralizing antibody response. Vaccine‐specific IgG‐secreting cells as measured by enzyme‐linked immunospot increased from a mean of 0·5 to 2·0/10
<sup>6</sup>
peripheral blood mononuclear cells (PBMCs); vaccine‐specific IgA‐secreting cells increased from 0·1 to 0·5/10
<sup>6</sup>
PBMCs.</p>
<p>
<bold>Conclusions </bold>
The live attenuated H2N2 1960 AA
<italic>ca</italic>
vaccine demonstrated a safety profile consistent with seasonal trivalent LAIV but was restricted in replication and minimally immunogenic in healthy seronegative adults.</p>
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<journal-id journal-id-type="nlm-ta">Influenza Other Respir Viruses</journal-id>
<journal-id journal-id-type="iso-abbrev">Influenza Other Respir Viruses</journal-id>
<journal-id journal-id-type="doi">10.1111/(ISSN)1750-2659</journal-id>
<journal-id journal-id-type="publisher-id">IRV</journal-id>
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<article-id pub-id-type="pmc">3527634</article-id>
<article-id pub-id-type="doi">10.1111/j.1750-2659.2012.00350.x</article-id>
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<article-title>An open‐label phase I trial of a live attenuated H2N2 influenza virus vaccine in healthy adults</article-title>
<alt-title alt-title-type="left-running-head">Talaat
<italic>et al.</italic>
</alt-title>
<alt-title alt-title-type="right-running-head">H2N2 live attenuated influenza vaccine trial</alt-title>
</title-group>
<contrib-group>
<contrib id="cr1" contrib-type="author">
<name>
<surname>Talaat</surname>
<given-names>Kawsar R.</given-names>
</name>
<xref ref-type="aff" rid="a1">
<sup>1</sup>
</xref>
</contrib>
<contrib id="cr2" contrib-type="author">
<name>
<surname>Karron</surname>
<given-names>Ruth A.</given-names>
</name>
<xref ref-type="aff" rid="a1">
<sup>1</sup>
</xref>
</contrib>
<contrib id="cr3" contrib-type="author">
<name>
<surname>Liang</surname>
<given-names>Philana H.</given-names>
</name>
<xref ref-type="aff" rid="a1">
<sup>1</sup>
</xref>
</contrib>
<contrib id="cr4" contrib-type="author">
<name>
<surname>McMahon</surname>
<given-names>Bridget A.</given-names>
</name>
<xref ref-type="aff" rid="a1">
<sup>1</sup>
</xref>
</contrib>
<contrib id="cr5" contrib-type="author">
<name>
<surname>Luke</surname>
<given-names>Catherine J.</given-names>
</name>
<xref ref-type="aff" rid="a2">
<sup>2</sup>
</xref>
</contrib>
<contrib id="cr6" contrib-type="author">
<name>
<surname>Thumar</surname>
<given-names>Bhagvanji</given-names>
</name>
<xref ref-type="aff" rid="a1">
<sup>1</sup>
</xref>
</contrib>
<contrib id="cr7" contrib-type="author">
<name>
<surname>Chen</surname>
<given-names>Grace L.</given-names>
</name>
<xref ref-type="aff" rid="a2">
<sup>2</sup>
</xref>
</contrib>
<contrib id="cr8" contrib-type="author">
<name>
<surname>Min</surname>
<given-names>Ji‐Young</given-names>
</name>
<xref ref-type="aff" rid="a2">
<sup>2</sup>
</xref>
</contrib>
<contrib id="cr9" contrib-type="author">
<name>
<surname>Lamirande</surname>
<given-names>Elaine W.</given-names>
</name>
<xref ref-type="aff" rid="a2">
<sup>2</sup>
</xref>
</contrib>
<contrib id="cr10" contrib-type="author">
<name>
<surname>Jin</surname>
<given-names>Hong</given-names>
</name>
<xref ref-type="aff" rid="a3">
<sup>3</sup>
</xref>
</contrib>
<contrib id="cr11" contrib-type="author">
<name>
<surname>Coelingh</surname>
<given-names>Kathy L.</given-names>
</name>
<xref ref-type="aff" rid="a3">
<sup>3</sup>
</xref>
</contrib>
<contrib id="cr12" contrib-type="author">
<name>
<surname>Kemble</surname>
<given-names>George W.</given-names>
</name>
<xref ref-type="aff" rid="a3">
<sup>3</sup>
</xref>
</contrib>
<contrib id="cr13" contrib-type="author">
<name>
<surname>Subbarao</surname>
<given-names>Kanta</given-names>
</name>
<xref ref-type="aff" rid="a2">
<sup>2</sup>
</xref>
</contrib>
</contrib-group>
<aff id="a1">
<label>
<sup>1</sup>
</label>
Center for Immunization Research, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.</aff>
<aff id="a2">
<label>
<sup>2</sup>
</label>
Laboratory of Infectious Diseases, National Institute of Allergy and Infectious Diseases, National Institutes of Health, Bethesda, MD, USA.</aff>
<aff id="a3">
<label>
<sup>3</sup>
</label>
MedImmune, Mountain View, CA, USA.</aff>
<author-notes>
<corresp id="correspondenceTo">Kawsar R. Talaat, Department of International Health, Hampton House Room 249, 624 N Broadway, Baltimore, MD 21205, USA. E‐mail:
<email>ktalaat@jhsph.edu</email>
</corresp>
</author-notes>
<pub-date pub-type="epub">
<day>14</day>
<month>3</month>
<year>2012</year>
</pub-date>
<pub-date pub-type="ppub">
<month>1</month>
<year>2013</year>
</pub-date>
<volume>7</volume>
<issue>1</issue>
<issue-id pub-id-type="doi">10.1111/irv.2012.7.issue-1</issue-id>
<fpage>66</fpage>
<lpage>73</lpage>
<history>Accepted 14 January 2012. Published Online 14 March 2012.</history>
<permissions>
<copyright-statement content-type="article-copyright">Published 2012. This article is a US Government work and is in the public domain in the USA.</copyright-statement>
</permissions>
<self-uri content-type="pdf" xlink:type="simple" xlink:href="file:IRV-7-66.pdf"></self-uri>
<abstract>
<p>
<italic>Please cite this paper as:</italic>
Talaat
<italic>et al.</italic>
(2012) An open‐label phase I trial of a live attenuated H2N2 influenza virus vaccine in healthy adults. Influenza and Other Respiratory Viruses DOI: 10.1111/j.1750‐2659.2012.00350.x.</p>
<p>
<bold>Background </bold>
Live attenuated influenza vaccines (LAIV) against a variety of strains of pandemic potential are being developed and tested. We describe the results of an open‐label phase I trial of a live attenuated H2N2 virus vaccine.</p>
<p>
<bold>Objectives </bold>
To evaluate the safety, infectivity, and immunogenicity of a live attenuated H2N2 influenza virus vaccine.</p>
<p>
<bold>Participants/methods </bold>
The A/Ann Arbor/6/60 (H2N2) virus used in this study is the attenuated, cold‐adapted, temperature‐sensitive strain that provides the genetic backbone of seasonal LAIV (MedImmune). We evaluated the safety, infectivity, and immunogenicity of two doses of 10
<sup>7</sup>
TCID
<sub>50</sub>
of this vaccine administered by nasal spray 4 weeks apart to normal healthy seronegative adults.</p>
<p>
<bold>Results </bold>
Twenty‐one participants received a first dose of the vaccine; 18 participants received a second dose. No serious adverse events occurred during the trial. The most common adverse events after vaccination were headache and musculoskeletal pain. The vaccine was restricted in replication: 24% and 17% had virus detectable by culture or rRT‐PCR after the first and second dose, respectively. Antibody responses to the vaccine were also restricted: 24% of participants developed an antibody response as measured by either hemagglutination‐inhibition assay (10%), or ELISA for H2 HA‐specific serum IgG (24%) or IgA (16%) after either one or two doses. None of the participants had a neutralizing antibody response. Vaccine‐specific IgG‐secreting cells as measured by enzyme‐linked immunospot increased from a mean of 0·5 to 2·0/10
<sup>6</sup>
peripheral blood mononuclear cells (PBMCs); vaccine‐specific IgA‐secreting cells increased from 0·1 to 0·5/10
<sup>6</sup>
PBMCs.</p>
<p>
<bold>Conclusions </bold>
The live attenuated H2N2 1960 AA
<italic>ca</italic>
vaccine demonstrated a safety profile consistent with seasonal trivalent LAIV but was restricted in replication and minimally immunogenic in healthy seronegative adults.</p>
</abstract>
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<notes>
<fn-group>
<fn id="fn1">
<p>This work was carried out at the Center for Immunization Research, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD 21205 (ClinicalTrials.gov Identifier: NCT00722774).</p>
</fn>
</fn-group>
</notes>
</front>
</pmc>
<affiliations>
<list></list>
<tree>
<noCountry>
<name sortKey="Chen, Grace L" sort="Chen, Grace L" uniqKey="Chen G" first="Grace L." last="Chen">Grace L. Chen</name>
<name sortKey="Coelingh, Kathy L" sort="Coelingh, Kathy L" uniqKey="Coelingh K" first="Kathy L." last="Coelingh">Kathy L. Coelingh</name>
<name sortKey="Jin, Hong" sort="Jin, Hong" uniqKey="Jin H" first="Hong" last="Jin">Hong Jin</name>
<name sortKey="Karron, Ruth A" sort="Karron, Ruth A" uniqKey="Karron R" first="Ruth A." last="Karron">Ruth A. Karron</name>
<name sortKey="Kemble, George W" sort="Kemble, George W" uniqKey="Kemble G" first="George W." last="Kemble">George W. Kemble</name>
<name sortKey="Lamirande, Elaine W" sort="Lamirande, Elaine W" uniqKey="Lamirande E" first="Elaine W." last="Lamirande">Elaine W. Lamirande</name>
<name sortKey="Liang, Philana H" sort="Liang, Philana H" uniqKey="Liang P" first="Philana H." last="Liang">Philana H. Liang</name>
<name sortKey="Luke, Catherine J" sort="Luke, Catherine J" uniqKey="Luke C" first="Catherine J." last="Luke">Catherine J. Luke</name>
<name sortKey="Mcmahon, Bridget A" sort="Mcmahon, Bridget A" uniqKey="Mcmahon B" first="Bridget A." last="Mcmahon">Bridget A. Mcmahon</name>
<name sortKey="Min, Ji Oung" sort="Min, Ji Oung" uniqKey="Min J" first="Ji-Young" last="Min">Ji-Young Min</name>
<name sortKey="Subbarao, Kanta" sort="Subbarao, Kanta" uniqKey="Subbarao K" first="Kanta" last="Subbarao">Kanta Subbarao</name>
<name sortKey="Talaat, Kawsar R" sort="Talaat, Kawsar R" uniqKey="Talaat K" first="Kawsar R." last="Talaat">Kawsar R. Talaat</name>
<name sortKey="Thumar, Bhagvanji" sort="Thumar, Bhagvanji" uniqKey="Thumar B" first="Bhagvanji" last="Thumar">Bhagvanji Thumar</name>
</noCountry>
</tree>
</affiliations>
</record>

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