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Evaluation of safety and immunogenicity of recombinant influenza hemagglutinin (H5/Indonesia/05/2005) formulated with and without a stable oil-in-water emulsion containing glucopyranosyl-lipid A (SE + GLA) adjuvant

Identifieur interne : 000161 ( PascalFrancis/Corpus ); précédent : 000160; suivant : 000162

Evaluation of safety and immunogenicity of recombinant influenza hemagglutinin (H5/Indonesia/05/2005) formulated with and without a stable oil-in-water emulsion containing glucopyranosyl-lipid A (SE + GLA) adjuvant

Auteurs : John J. Treanor ; Brandon Essink ; Steven Hull ; Steven Reed ; Ruvim Izikson ; Peter Patriarca ; Karen L. Goldenthal ; Robert Kohberger ; Lisa M. Dunkle

Source :

RBID : Pascal:14-0027942

Descripteurs français

English descriptors

Abstract

Background: Expression of recombinant hemagglutinin (rHA) in insect cells represents a technology with proven efficacy in seasonal influenza and with the potential for a rapid response to the emergence of new, pandemic strains. We evaluated the safety and immunogenicity of rHA vaccine (H5/Indonesia/5/05) produced in SF+ insect cells using a baculovirus expression vector system (BEVS). The rHA vaccine was tested with and without the adjuvant glucopyranosyl lipid A/stable emulsion (GLA/SE). Methods: Healthy adults 18-49 were randomized to two IM doses on Days 0 and 21 of placebo; unadjuvanted rHA 135 μg or 45 μg, or rHA 45 μg, 15 μg, 7.5 μg or 3.8 μg with GLA/SE. A pioneer group was monitored through Day 42 before randomizing remaining subjects. H5-specific antibody was determined by hemagglutination inhibition (HAI) and microneutralization (MN) on Days 0, 21 and 42. Results: 392 subjects were randomized, of whom 380 (97%) received two doses and 386 (98%) completed 12 months of follow-up. Injection site pain and tenderness were seen in 50-70% of rHA + GLA/SE recipients and 4-9% of rHA alone and placebo recipients, but most complaints were mild to moderate in intensity. After two doses, the proportions of subjects with HAI titers ≥1:40 were 32% and 15% in the unadjuvanted 135 μg and 45 μg groups, and 82%, 75%, 66%, and 72% in those receiving 45 μg, 15 μg, 7.5 μg, or 3.8 μg with GLA/SE. The geometric mean titers (GMTs) of HAI antibody on Day 42 were 128, 95, 69, and 72 in the 45 μg, 15 μg, 7.5 μg, or 3.8 μg with GLA/SE groups, respectively. Conclusions: rHA GLA/SE was well tolerated and immunogenic in healthy adults, and GLA/SE substantially improved the serum antibody response. rHA expressed using BEVS recombinant DNA platform technology represents a promising strategy for pandemic control.

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Pour connaître la documentation sur le format Inist Standard.

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A02 01      @0 VACCDE
A03   1    @0 Vaccine
A05       @2 31
A06       @2 48
A08 01  1  ENG  @1 Evaluation of safety and immunogenicity of recombinant influenza hemagglutinin (H5/Indonesia/05/2005) formulated with and without a stable oil-in-water emulsion containing glucopyranosyl-lipid A (SE + GLA) adjuvant
A11 01  1    @1 TREANOR (John J.)
A11 02  1    @1 ESSINK (Brandon)
A11 03  1    @1 HULL (Steven)
A11 04  1    @1 REED (Steven)
A11 05  1    @1 IZIKSON (Ruvim)
A11 06  1    @1 PATRIARCA (Peter)
A11 07  1    @1 GOLDENTHAL (Karen L.)
A11 08  1    @1 KOHBERGER (Robert)
A11 09  1    @1 DUNKLE (Lisa M.)
A14 01      @1 University of Rochester School of Medicine @2 Rochester, NY @3 USA @Z 1 aut.
A14 02      @1 Meridian Clinical Research @2 Omaha, NE @3 USA @Z 2 aut.
A14 03      @1 Vince and Associates Clinical Research @2 Overland Park, KS @3 USA @Z 3 aut.
A14 04      @1 Immune Design Corporation @2 Seattle, WA @3 USA @Z 4 aut.
A14 05      @1 Protein Sciences Corporation @2 Meriden, CT @3 USA @Z 5 aut. @Z 9 aut.
A14 06      @1 Biologies Consulting, Inc. @2 Bethesda, MD @3 USA @Z 6 aut.
A14 07      @1 Independent Consultant @2 Bethesda, MD @3 USA @Z 7 aut.
A14 08      @1 Independent Consultant @2 Stamford, CT @3 USA @Z 8 aut.
A20       @1 5760-5765
A21       @1 2013
A23 01      @0 ENG
A43 01      @1 INIST @2 20289 @5 354000504267830200
A44       @0 0000 @1 © 2014 INIST-CNRS. All rights reserved.
A45       @0 28 ref.
A47 01  1    @0 14-0027942
A60       @1 P
A61       @0 A
A64 01  1    @0 Vaccine
A66 01      @0 GBR
C01 01    ENG  @0 Background: Expression of recombinant hemagglutinin (rHA) in insect cells represents a technology with proven efficacy in seasonal influenza and with the potential for a rapid response to the emergence of new, pandemic strains. We evaluated the safety and immunogenicity of rHA vaccine (H5/Indonesia/5/05) produced in SF+ insect cells using a baculovirus expression vector system (BEVS). The rHA vaccine was tested with and without the adjuvant glucopyranosyl lipid A/stable emulsion (GLA/SE). Methods: Healthy adults 18-49 were randomized to two IM doses on Days 0 and 21 of placebo; unadjuvanted rHA 135 μg or 45 μg, or rHA 45 μg, 15 μg, 7.5 μg or 3.8 μg with GLA/SE. A pioneer group was monitored through Day 42 before randomizing remaining subjects. H5-specific antibody was determined by hemagglutination inhibition (HAI) and microneutralization (MN) on Days 0, 21 and 42. Results: 392 subjects were randomized, of whom 380 (97%) received two doses and 386 (98%) completed 12 months of follow-up. Injection site pain and tenderness were seen in 50-70% of rHA + GLA/SE recipients and 4-9% of rHA alone and placebo recipients, but most complaints were mild to moderate in intensity. After two doses, the proportions of subjects with HAI titers ≥1:40 were 32% and 15% in the unadjuvanted 135 μg and 45 μg groups, and 82%, 75%, 66%, and 72% in those receiving 45 μg, 15 μg, 7.5 μg, or 3.8 μg with GLA/SE. The geometric mean titers (GMTs) of HAI antibody on Day 42 were 128, 95, 69, and 72 in the 45 μg, 15 μg, 7.5 μg, or 3.8 μg with GLA/SE groups, respectively. Conclusions: rHA GLA/SE was well tolerated and immunogenic in healthy adults, and GLA/SE substantially improved the serum antibody response. rHA expressed using BEVS recombinant DNA platform technology represents a promising strategy for pandemic control.
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Format Inist (serveur)

NO : PASCAL 14-0027942 INIST
ET : Evaluation of safety and immunogenicity of recombinant influenza hemagglutinin (H5/Indonesia/05/2005) formulated with and without a stable oil-in-water emulsion containing glucopyranosyl-lipid A (SE + GLA) adjuvant
AU : TREANOR (John J.); ESSINK (Brandon); HULL (Steven); REED (Steven); IZIKSON (Ruvim); PATRIARCA (Peter); GOLDENTHAL (Karen L.); KOHBERGER (Robert); DUNKLE (Lisa M.)
AF : University of Rochester School of Medicine/Rochester, NY/Etats-Unis (1 aut.); Meridian Clinical Research/Omaha, NE/Etats-Unis (2 aut.); Vince and Associates Clinical Research/Overland Park, KS/Etats-Unis (3 aut.); Immune Design Corporation/Seattle, WA/Etats-Unis (4 aut.); Protein Sciences Corporation/Meriden, CT/Etats-Unis (5 aut., 9 aut.); Biologies Consulting, Inc./Bethesda, MD/Etats-Unis (6 aut.); Independent Consultant/Bethesda, MD/Etats-Unis (7 aut.); Independent Consultant/Stamford, CT/Etats-Unis (8 aut.)
DT : Publication en série; Niveau analytique
SO : Vaccine; ISSN 0264-410X; Coden VACCDE; Royaume-Uni; Da. 2013; Vol. 31; No. 48; Pp. 5760-5765; Bibl. 28 ref.
LA : Anglais
EA : Background: Expression of recombinant hemagglutinin (rHA) in insect cells represents a technology with proven efficacy in seasonal influenza and with the potential for a rapid response to the emergence of new, pandemic strains. We evaluated the safety and immunogenicity of rHA vaccine (H5/Indonesia/5/05) produced in SF+ insect cells using a baculovirus expression vector system (BEVS). The rHA vaccine was tested with and without the adjuvant glucopyranosyl lipid A/stable emulsion (GLA/SE). Methods: Healthy adults 18-49 were randomized to two IM doses on Days 0 and 21 of placebo; unadjuvanted rHA 135 μg or 45 μg, or rHA 45 μg, 15 μg, 7.5 μg or 3.8 μg with GLA/SE. A pioneer group was monitored through Day 42 before randomizing remaining subjects. H5-specific antibody was determined by hemagglutination inhibition (HAI) and microneutralization (MN) on Days 0, 21 and 42. Results: 392 subjects were randomized, of whom 380 (97%) received two doses and 386 (98%) completed 12 months of follow-up. Injection site pain and tenderness were seen in 50-70% of rHA + GLA/SE recipients and 4-9% of rHA alone and placebo recipients, but most complaints were mild to moderate in intensity. After two doses, the proportions of subjects with HAI titers ≥1:40 were 32% and 15% in the unadjuvanted 135 μg and 45 μg groups, and 82%, 75%, 66%, and 72% in those receiving 45 μg, 15 μg, 7.5 μg, or 3.8 μg with GLA/SE. The geometric mean titers (GMTs) of HAI antibody on Day 42 were 128, 95, 69, and 72 in the 45 μg, 15 μg, 7.5 μg, or 3.8 μg with GLA/SE groups, respectively. Conclusions: rHA GLA/SE was well tolerated and immunogenic in healthy adults, and GLA/SE substantially improved the serum antibody response. rHA expressed using BEVS recombinant DNA platform technology represents a promising strategy for pandemic control.
CC : 002A05F04; 002A05C10
FD : Influenzavirus aviaire; Immunogénicité; Hémagglutinine; Indonésie; Adjuvant immunologique; Vaccin; Grippe; Hémagglutinine H5
FG : Influenzavirus A; Orthomyxoviridae; Virus; Asie; Asie du sud est; Virose; Infection; Zone tropicale; Zoopathogène
ED : Avian influenzavirus; Immunogenicity; Hemagglutinin; Indonesia; Immunological adjuvant; Vaccine; Influenza
EG : Influenzavirus A; Orthomyxoviridae; Virus; Asia; South east Asia; Viral disease; Infection; Tropical zone; Zoopathogen
SD : Avian influenzavirus; Inmunogenicidad; Hemoaglutinina; Indonesia; Coadyuvante inmunológico; Vacuna; Gripe
LO : INIST-20289.354000504267830200
ID : 14-0027942

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Pascal:14-0027942

Le document en format XML

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<term>Influenzavirus aviaire</term>
<term>Immunogénicité</term>
<term>Hémagglutinine</term>
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<front>
<div type="abstract" xml:lang="en">Background: Expression of recombinant hemagglutinin (rHA) in insect cells represents a technology with proven efficacy in seasonal influenza and with the potential for a rapid response to the emergence of new, pandemic strains. We evaluated the safety and immunogenicity of rHA vaccine (H5/Indonesia/5/05) produced in SF+ insect cells using a baculovirus expression vector system (BEVS). The rHA vaccine was tested with and without the adjuvant glucopyranosyl lipid A/stable emulsion (GLA/SE). Methods: Healthy adults 18-49 were randomized to two IM doses on Days 0 and 21 of placebo; unadjuvanted rHA 135 μg or 45 μg, or rHA 45 μg, 15 μg, 7.5 μg or 3.8 μg with GLA/SE. A pioneer group was monitored through Day 42 before randomizing remaining subjects. H5-specific antibody was determined by hemagglutination inhibition (HAI) and microneutralization (MN) on Days 0, 21 and 42. Results: 392 subjects were randomized, of whom 380 (97%) received two doses and 386 (98%) completed 12 months of follow-up. Injection site pain and tenderness were seen in 50-70% of rHA + GLA/SE recipients and 4-9% of rHA alone and placebo recipients, but most complaints were mild to moderate in intensity. After two doses, the proportions of subjects with HAI titers ≥1:40 were 32% and 15% in the unadjuvanted 135 μg and 45 μg groups, and 82%, 75%, 66%, and 72% in those receiving 45 μg, 15 μg, 7.5 μg, or 3.8 μg with GLA/SE. The geometric mean titers (GMTs) of HAI antibody on Day 42 were 128, 95, 69, and 72 in the 45 μg, 15 μg, 7.5 μg, or 3.8 μg with GLA/SE groups, respectively. Conclusions: rHA GLA/SE was well tolerated and immunogenic in healthy adults, and GLA/SE substantially improved the serum antibody response. rHA expressed using BEVS recombinant DNA platform technology represents a promising strategy for pandemic control.</div>
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<s0>Background: Expression of recombinant hemagglutinin (rHA) in insect cells represents a technology with proven efficacy in seasonal influenza and with the potential for a rapid response to the emergence of new, pandemic strains. We evaluated the safety and immunogenicity of rHA vaccine (H5/Indonesia/5/05) produced in SF+ insect cells using a baculovirus expression vector system (BEVS). The rHA vaccine was tested with and without the adjuvant glucopyranosyl lipid A/stable emulsion (GLA/SE). Methods: Healthy adults 18-49 were randomized to two IM doses on Days 0 and 21 of placebo; unadjuvanted rHA 135 μg or 45 μg, or rHA 45 μg, 15 μg, 7.5 μg or 3.8 μg with GLA/SE. A pioneer group was monitored through Day 42 before randomizing remaining subjects. H5-specific antibody was determined by hemagglutination inhibition (HAI) and microneutralization (MN) on Days 0, 21 and 42. Results: 392 subjects were randomized, of whom 380 (97%) received two doses and 386 (98%) completed 12 months of follow-up. Injection site pain and tenderness were seen in 50-70% of rHA + GLA/SE recipients and 4-9% of rHA alone and placebo recipients, but most complaints were mild to moderate in intensity. After two doses, the proportions of subjects with HAI titers ≥1:40 were 32% and 15% in the unadjuvanted 135 μg and 45 μg groups, and 82%, 75%, 66%, and 72% in those receiving 45 μg, 15 μg, 7.5 μg, or 3.8 μg with GLA/SE. The geometric mean titers (GMTs) of HAI antibody on Day 42 were 128, 95, 69, and 72 in the 45 μg, 15 μg, 7.5 μg, or 3.8 μg with GLA/SE groups, respectively. Conclusions: rHA GLA/SE was well tolerated and immunogenic in healthy adults, and GLA/SE substantially improved the serum antibody response. rHA expressed using BEVS recombinant DNA platform technology represents a promising strategy for pandemic control.</s0>
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<NO>PASCAL 14-0027942 INIST</NO>
<ET>Evaluation of safety and immunogenicity of recombinant influenza hemagglutinin (H5/Indonesia/05/2005) formulated with and without a stable oil-in-water emulsion containing glucopyranosyl-lipid A (SE + GLA) adjuvant</ET>
<AU>TREANOR (John J.); ESSINK (Brandon); HULL (Steven); REED (Steven); IZIKSON (Ruvim); PATRIARCA (Peter); GOLDENTHAL (Karen L.); KOHBERGER (Robert); DUNKLE (Lisa M.)</AU>
<AF>University of Rochester School of Medicine/Rochester, NY/Etats-Unis (1 aut.); Meridian Clinical Research/Omaha, NE/Etats-Unis (2 aut.); Vince and Associates Clinical Research/Overland Park, KS/Etats-Unis (3 aut.); Immune Design Corporation/Seattle, WA/Etats-Unis (4 aut.); Protein Sciences Corporation/Meriden, CT/Etats-Unis (5 aut., 9 aut.); Biologies Consulting, Inc./Bethesda, MD/Etats-Unis (6 aut.); Independent Consultant/Bethesda, MD/Etats-Unis (7 aut.); Independent Consultant/Stamford, CT/Etats-Unis (8 aut.)</AF>
<DT>Publication en série; Niveau analytique</DT>
<SO>Vaccine; ISSN 0264-410X; Coden VACCDE; Royaume-Uni; Da. 2013; Vol. 31; No. 48; Pp. 5760-5765; Bibl. 28 ref.</SO>
<LA>Anglais</LA>
<EA>Background: Expression of recombinant hemagglutinin (rHA) in insect cells represents a technology with proven efficacy in seasonal influenza and with the potential for a rapid response to the emergence of new, pandemic strains. We evaluated the safety and immunogenicity of rHA vaccine (H5/Indonesia/5/05) produced in SF+ insect cells using a baculovirus expression vector system (BEVS). The rHA vaccine was tested with and without the adjuvant glucopyranosyl lipid A/stable emulsion (GLA/SE). Methods: Healthy adults 18-49 were randomized to two IM doses on Days 0 and 21 of placebo; unadjuvanted rHA 135 μg or 45 μg, or rHA 45 μg, 15 μg, 7.5 μg or 3.8 μg with GLA/SE. A pioneer group was monitored through Day 42 before randomizing remaining subjects. H5-specific antibody was determined by hemagglutination inhibition (HAI) and microneutralization (MN) on Days 0, 21 and 42. Results: 392 subjects were randomized, of whom 380 (97%) received two doses and 386 (98%) completed 12 months of follow-up. Injection site pain and tenderness were seen in 50-70% of rHA + GLA/SE recipients and 4-9% of rHA alone and placebo recipients, but most complaints were mild to moderate in intensity. After two doses, the proportions of subjects with HAI titers ≥1:40 were 32% and 15% in the unadjuvanted 135 μg and 45 μg groups, and 82%, 75%, 66%, and 72% in those receiving 45 μg, 15 μg, 7.5 μg, or 3.8 μg with GLA/SE. The geometric mean titers (GMTs) of HAI antibody on Day 42 were 128, 95, 69, and 72 in the 45 μg, 15 μg, 7.5 μg, or 3.8 μg with GLA/SE groups, respectively. Conclusions: rHA GLA/SE was well tolerated and immunogenic in healthy adults, and GLA/SE substantially improved the serum antibody response. rHA expressed using BEVS recombinant DNA platform technology represents a promising strategy for pandemic control.</EA>
<CC>002A05F04; 002A05C10</CC>
<FD>Influenzavirus aviaire; Immunogénicité; Hémagglutinine; Indonésie; Adjuvant immunologique; Vaccin; Grippe; Hémagglutinine H5</FD>
<FG>Influenzavirus A; Orthomyxoviridae; Virus; Asie; Asie du sud est; Virose; Infection; Zone tropicale; Zoopathogène</FG>
<ED>Avian influenzavirus; Immunogenicity; Hemagglutinin; Indonesia; Immunological adjuvant; Vaccine; Influenza</ED>
<EG>Influenzavirus A; Orthomyxoviridae; Virus; Asia; South east Asia; Viral disease; Infection; Tropical zone; Zoopathogen</EG>
<SD>Avian influenzavirus; Inmunogenicidad; Hemoaglutinina; Indonesia; Coadyuvante inmunológico; Vacuna; Gripe</SD>
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