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Immunogenicity and Safety of Varying Dosages of a Monovalent 2009 H1N1 Influenza Vaccine Given With and Without AS03 Adjuvant System in Healthy Adults and Older Persons

Identifieur interne : 000525 ( PascalFrancis/Corpus ); précédent : 000524; suivant : 000526

Immunogenicity and Safety of Varying Dosages of a Monovalent 2009 H1N1 Influenza Vaccine Given With and Without AS03 Adjuvant System in Healthy Adults and Older Persons

Auteurs : Lisa A. Jackson ; Wilbur H. Chen ; Jack T. Stapleton ; Cornelia L. Dekker ; Anna Wald ; Rebecca C. Brady ; Srilatha Edupuganti ; Patricia Winokur ; Mark J. Mulligan ; Harry L. Keyserling ; Karen L. Kotloff ; Nadine Rouphael ; Diana L. Noah ; Heather Hill ; Mark C. Wolff

Source :

RBID : Pascal:12-0371820

Descripteurs français

English descriptors

Abstract

Background. Adjuvanted vaccines have the potential to improve influenza pandemic response. AS03 adjuvant has been shown to enhance the immune response to inactivated influenza vaccines. Methods. This trial was designed to evaluate the immunogenicity and safety of an inactivated 2009 H1N1 influenza vaccine at varying dosages of hemagglutinin with and without extemporaneously mixed AS03 adjuvant system in adults >18 years of age. Adults were randomized to receive 2 doses of 1 of 5 vaccine formulations (3.75 μg, 7.5 μg, or 15 μg with AS03 or 7.5 μg or 15 μg without adjuvant). Results. The study population included 544 persons <65 years of age and 245 persons >65 years of age. Local adverse events tended to be more frequent in the adjuvanted vaccine groups, but severe reactions were uncommon. In both age groups, hemagglutination inhibition antibody geometric mean titers after dose one were higher in the adjuvanted groups, compared with the 15 μg unadjuvanted group, and this difference was statistically significant for the comparison of the 15 μg adjuvanted group with the 15 μg unadjuvanted group. Conclusions. AS03 adjuvant system improves the immune response to inactivated 2009 H1N1 influenza vaccine in both younger and older adults and is generally well tolerated.

Notice en format standard (ISO 2709)

Pour connaître la documentation sur le format Inist Standard.

pA  
A01 01  1    @0 0022-1899
A02 01      @0 JIDIAQ
A03   1    @0 J. infect. dis.
A05       @2 206
A06       @2 6
A08 01  1  ENG  @1 Immunogenicity and Safety of Varying Dosages of a Monovalent 2009 H1N1 Influenza Vaccine Given With and Without AS03 Adjuvant System in Healthy Adults and Older Persons
A11 01  1    @1 JACKSON (Lisa A.)
A11 02  1    @1 CHEN (Wilbur H.)
A11 03  1    @1 STAPLETON (Jack T.)
A11 04  1    @1 DEKKER (Cornelia L.)
A11 05  1    @1 WALD (Anna)
A11 06  1    @1 BRADY (Rebecca C.)
A11 07  1    @1 EDUPUGANTI (Srilatha)
A11 08  1    @1 WINOKUR (Patricia)
A11 09  1    @1 MULLIGAN (Mark J.)
A11 10  1    @1 KEYSERLING (Harry L.)
A11 11  1    @1 KOTLOFF (Karen L.)
A11 12  1    @1 ROUPHAEL (Nadine)
A11 13  1    @1 NOAH (Diana L.)
A11 14  1    @1 HILL (Heather)
A11 15  1    @1 WOLFF (Mark C.)
A14 01      @1 Group Health Research Institute and @3 USA @Z 1 aut.
A14 02      @1 University of Washington, Seattle @2 Washington, Maryland @3 USA @Z 5 aut.
A14 03      @1 Center for Vaccine Development, University of Maryland School of Medicine @2 Baltimore @3 USA @Z 2 aut. @Z 11 aut.
A14 04      @1 The EMMES Corporation @2 Rockville, Maryland @3 USA @Z 14 aut. @Z 15 aut.
A14 05      @1 University of Iowa Carver College of Medicine and the Iowa City VA Healthcare System @2 Iowa City, Iowa @3 USA @Z 3 aut. @Z 8 aut.
A14 06      @1 Stanford University School of Medicine @2 Stanford, California @3 USA @Z 4 aut.
A14 07      @1 Cincinnati Children's Hospital Medical Center @2 Cincinnati, Ohio @3 USA @Z 6 aut.
A14 08      @1 Emory University School of Medicine @2 Atlanta, Georgia @3 USA @Z 7 aut. @Z 9 aut. @Z 10 aut. @Z 12 aut.
A14 09      @1 Southern Research Institute @2 Birmingham, Alabama @3 USA @Z 13 aut.
A20       @1 811-820
A21       @1 2012
A23 01      @0 ENG
A43 01      @1 INIST @2 2052 @5 354000509502200040
A44       @0 0000 @1 © 2012 INIST-CNRS. All rights reserved.
A45       @0 34 ref.
A47 01  1    @0 12-0371820
A60       @1 P
A61       @0 A
A64 01  1    @0 The Journal of infectious diseases
A66 01      @0 GBR
C01 01    ENG  @0 Background. Adjuvanted vaccines have the potential to improve influenza pandemic response. AS03 adjuvant has been shown to enhance the immune response to inactivated influenza vaccines. Methods. This trial was designed to evaluate the immunogenicity and safety of an inactivated 2009 H1N1 influenza vaccine at varying dosages of hemagglutinin with and without extemporaneously mixed AS03 adjuvant system in adults >18 years of age. Adults were randomized to receive 2 doses of 1 of 5 vaccine formulations (3.75 μg, 7.5 μg, or 15 μg with AS03 or 7.5 μg or 15 μg without adjuvant). Results. The study population included 544 persons <65 years of age and 245 persons >65 years of age. Local adverse events tended to be more frequent in the adjuvanted vaccine groups, but severe reactions were uncommon. In both age groups, hemagglutination inhibition antibody geometric mean titers after dose one were higher in the adjuvanted groups, compared with the 15 μg unadjuvanted group, and this difference was statistically significant for the comparison of the 15 μg adjuvanted group with the 15 μg unadjuvanted group. Conclusions. AS03 adjuvant system improves the immune response to inactivated 2009 H1N1 influenza vaccine in both younger and older adults and is generally well tolerated.
C02 01  X    @0 002A05C10
C02 02  X    @0 002B05
C02 03  X    @0 002A05F04
C03 01  X  FRE  @0 Virus grippal A @2 NW @5 01
C03 01  X  ENG  @0 Influenza A virus @2 NW @5 01
C03 01  X  SPA  @0 Influenza A virus @2 NW @5 01
C03 02  X  FRE  @0 Homme @5 02
C03 02  X  ENG  @0 Human @5 02
C03 02  X  SPA  @0 Hombre @5 02
C03 03  X  FRE  @0 Immunogénicité @5 05
C03 03  X  ENG  @0 Immunogenicity @5 05
C03 03  X  SPA  @0 Inmunogenicidad @5 05
C03 04  X  FRE  @0 Vaccin @5 06
C03 04  X  ENG  @0 Vaccine @5 06
C03 04  X  SPA  @0 Vacuna @5 06
C03 05  X  FRE  @0 Adjuvant immunologique @5 07
C03 05  X  ENG  @0 Immunological adjuvant @5 07
C03 05  X  SPA  @0 Coadyuvante inmunológico @5 07
C03 06  X  FRE  @0 Personne âgée @5 08
C03 06  X  ENG  @0 Elderly @5 08
C03 06  X  SPA  @0 Anciano @5 08
C03 07  X  FRE  @0 Infection @5 09
C03 07  X  ENG  @0 Infection @5 09
C03 07  X  SPA  @0 Infección @5 09
C03 08  X  FRE  @0 Grippe A @5 14
C03 08  X  ENG  @0 Influenza A @5 14
C03 08  X  SPA  @0 Gripe A @5 14
C07 01  X  FRE  @0 Influenzavirus A @2 NW
C07 01  X  ENG  @0 Influenzavirus A @2 NW
C07 01  X  SPA  @0 Influenzavirus A @2 NW
C07 02  X  FRE  @0 Orthomyxoviridae @2 NW
C07 02  X  ENG  @0 Orthomyxoviridae @2 NW
C07 02  X  SPA  @0 Orthomyxoviridae @2 NW
C07 03  X  FRE  @0 Virus @2 NW
C07 03  X  ENG  @0 Virus @2 NW
C07 03  X  SPA  @0 Virus @2 NW
C07 04  X  FRE  @0 Virose
C07 04  X  ENG  @0 Viral disease
C07 04  X  SPA  @0 Virosis
N21       @1 289
N44 01      @1 OTO
N82       @1 OTO

Format Inist (serveur)

NO : PASCAL 12-0371820 INIST
ET : Immunogenicity and Safety of Varying Dosages of a Monovalent 2009 H1N1 Influenza Vaccine Given With and Without AS03 Adjuvant System in Healthy Adults and Older Persons
AU : JACKSON (Lisa A.); CHEN (Wilbur H.); STAPLETON (Jack T.); DEKKER (Cornelia L.); WALD (Anna); BRADY (Rebecca C.); EDUPUGANTI (Srilatha); WINOKUR (Patricia); MULLIGAN (Mark J.); KEYSERLING (Harry L.); KOTLOFF (Karen L.); ROUPHAEL (Nadine); NOAH (Diana L.); HILL (Heather); WOLFF (Mark C.)
AF : Group Health Research Institute and/Etats-Unis (1 aut.); University of Washington, Seattle/Washington, Maryland/Etats-Unis (5 aut.); Center for Vaccine Development, University of Maryland School of Medicine/Baltimore/Etats-Unis (2 aut., 11 aut.); The EMMES Corporation/Rockville, Maryland/Etats-Unis (14 aut., 15 aut.); University of Iowa Carver College of Medicine and the Iowa City VA Healthcare System/Iowa City, Iowa/Etats-Unis (3 aut., 8 aut.); Stanford University School of Medicine/Stanford, California/Etats-Unis (4 aut.); Cincinnati Children's Hospital Medical Center/Cincinnati, Ohio/Etats-Unis (6 aut.); Emory University School of Medicine/Atlanta, Georgia/Etats-Unis (7 aut., 9 aut., 10 aut., 12 aut.); Southern Research Institute/Birmingham, Alabama/Etats-Unis (13 aut.)
DT : Publication en série; Niveau analytique
SO : The Journal of infectious diseases; ISSN 0022-1899; Coden JIDIAQ; Royaume-Uni; Da. 2012; Vol. 206; No. 6; Pp. 811-820; Bibl. 34 ref.
LA : Anglais
EA : Background. Adjuvanted vaccines have the potential to improve influenza pandemic response. AS03 adjuvant has been shown to enhance the immune response to inactivated influenza vaccines. Methods. This trial was designed to evaluate the immunogenicity and safety of an inactivated 2009 H1N1 influenza vaccine at varying dosages of hemagglutinin with and without extemporaneously mixed AS03 adjuvant system in adults >18 years of age. Adults were randomized to receive 2 doses of 1 of 5 vaccine formulations (3.75 μg, 7.5 μg, or 15 μg with AS03 or 7.5 μg or 15 μg without adjuvant). Results. The study population included 544 persons <65 years of age and 245 persons >65 years of age. Local adverse events tended to be more frequent in the adjuvanted vaccine groups, but severe reactions were uncommon. In both age groups, hemagglutination inhibition antibody geometric mean titers after dose one were higher in the adjuvanted groups, compared with the 15 μg unadjuvanted group, and this difference was statistically significant for the comparison of the 15 μg adjuvanted group with the 15 μg unadjuvanted group. Conclusions. AS03 adjuvant system improves the immune response to inactivated 2009 H1N1 influenza vaccine in both younger and older adults and is generally well tolerated.
CC : 002A05C10; 002B05; 002A05F04
FD : Virus grippal A; Homme; Immunogénicité; Vaccin; Adjuvant immunologique; Personne âgée; Infection; Grippe A
FG : Influenzavirus A; Orthomyxoviridae; Virus; Virose
ED : Influenza A virus; Human; Immunogenicity; Vaccine; Immunological adjuvant; Elderly; Infection; Influenza A
EG : Influenzavirus A; Orthomyxoviridae; Virus; Viral disease
SD : Influenza A virus; Hombre; Inmunogenicidad; Vacuna; Coadyuvante inmunológico; Anciano; Infección; Gripe A
LO : INIST-2052.354000509502200040
ID : 12-0371820

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Pascal:12-0371820

Le document en format XML

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<name sortKey="Dekker, Cornelia L" sort="Dekker, Cornelia L" uniqKey="Dekker C" first="Cornelia L." last="Dekker">Cornelia L. Dekker</name>
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<name sortKey="Wald, Anna" sort="Wald, Anna" uniqKey="Wald A" first="Anna" last="Wald">Anna Wald</name>
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<name sortKey="Brady, Rebecca C" sort="Brady, Rebecca C" uniqKey="Brady R" first="Rebecca C." last="Brady">Rebecca C. Brady</name>
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<name sortKey="Winokur, Patricia" sort="Winokur, Patricia" uniqKey="Winokur P" first="Patricia" last="Winokur">Patricia Winokur</name>
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<s1>University of Iowa Carver College of Medicine and the Iowa City VA Healthcare System</s1>
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<author>
<name sortKey="Mulligan, Mark J" sort="Mulligan, Mark J" uniqKey="Mulligan M" first="Mark J." last="Mulligan">Mark J. Mulligan</name>
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<name sortKey="Keyserling, Harry L" sort="Keyserling, Harry L" uniqKey="Keyserling H" first="Harry L." last="Keyserling">Harry L. Keyserling</name>
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<s1>Emory University School of Medicine</s1>
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<author>
<name sortKey="Kotloff, Karen L" sort="Kotloff, Karen L" uniqKey="Kotloff K" first="Karen L." last="Kotloff">Karen L. Kotloff</name>
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<inist:fA14 i1="03">
<s1>Center for Vaccine Development, University of Maryland School of Medicine</s1>
<s2>Baltimore</s2>
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<sZ>2 aut.</sZ>
<sZ>11 aut.</sZ>
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</affiliation>
</author>
<author>
<name sortKey="Rouphael, Nadine" sort="Rouphael, Nadine" uniqKey="Rouphael N" first="Nadine" last="Rouphael">Nadine Rouphael</name>
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<s1>Emory University School of Medicine</s1>
<s2>Atlanta, Georgia</s2>
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<sZ>7 aut.</sZ>
<sZ>9 aut.</sZ>
<sZ>10 aut.</sZ>
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</affiliation>
</author>
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<name sortKey="Noah, Diana L" sort="Noah, Diana L" uniqKey="Noah D" first="Diana L." last="Noah">Diana L. Noah</name>
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<s1>Southern Research Institute</s1>
<s2>Birmingham, Alabama</s2>
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<sZ>13 aut.</sZ>
</inist:fA14>
</affiliation>
</author>
<author>
<name sortKey="Hill, Heather" sort="Hill, Heather" uniqKey="Hill H" first="Heather" last="Hill">Heather Hill</name>
<affiliation>
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<s1>The EMMES Corporation</s1>
<s2>Rockville, Maryland</s2>
<s3>USA</s3>
<sZ>14 aut.</sZ>
<sZ>15 aut.</sZ>
</inist:fA14>
</affiliation>
</author>
<author>
<name sortKey="Wolff, Mark C" sort="Wolff, Mark C" uniqKey="Wolff M" first="Mark C." last="Wolff">Mark C. Wolff</name>
<affiliation>
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<s1>The EMMES Corporation</s1>
<s2>Rockville, Maryland</s2>
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<sZ>14 aut.</sZ>
<sZ>15 aut.</sZ>
</inist:fA14>
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<title level="j" type="main">The Journal of infectious diseases</title>
<title level="j" type="abbreviated">J. infect. dis.</title>
<idno type="ISSN">0022-1899</idno>
<imprint>
<date when="2012">2012</date>
</imprint>
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<title level="j" type="main">The Journal of infectious diseases</title>
<title level="j" type="abbreviated">J. infect. dis.</title>
<idno type="ISSN">0022-1899</idno>
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<term>Elderly</term>
<term>Human</term>
<term>Immunogenicity</term>
<term>Immunological adjuvant</term>
<term>Infection</term>
<term>Influenza A</term>
<term>Influenza A virus</term>
<term>Vaccine</term>
</keywords>
<keywords scheme="Pascal" xml:lang="fr">
<term>Virus grippal A</term>
<term>Homme</term>
<term>Immunogénicité</term>
<term>Vaccin</term>
<term>Adjuvant immunologique</term>
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<div type="abstract" xml:lang="en">Background. Adjuvanted vaccines have the potential to improve influenza pandemic response. AS03 adjuvant has been shown to enhance the immune response to inactivated influenza vaccines. Methods. This trial was designed to evaluate the immunogenicity and safety of an inactivated 2009 H1N1 influenza vaccine at varying dosages of hemagglutinin with and without extemporaneously mixed AS03 adjuvant system in adults >18 years of age. Adults were randomized to receive 2 doses of 1 of 5 vaccine formulations (3.75 μg, 7.5 μg, or 15 μg with AS03 or 7.5 μg or 15 μg without adjuvant). Results. The study population included 544 persons <65 years of age and 245 persons >65 years of age. Local adverse events tended to be more frequent in the adjuvanted vaccine groups, but severe reactions were uncommon. In both age groups, hemagglutination inhibition antibody geometric mean titers after dose one were higher in the adjuvanted groups, compared with the 15 μg unadjuvanted group, and this difference was statistically significant for the comparison of the 15 μg adjuvanted group with the 15 μg unadjuvanted group. Conclusions. AS03 adjuvant system improves the immune response to inactivated 2009 H1N1 influenza vaccine in both younger and older adults and is generally well tolerated.</div>
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<s1>University of Iowa Carver College of Medicine and the Iowa City VA Healthcare System</s1>
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<sZ>3 aut.</sZ>
<sZ>8 aut.</sZ>
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<sZ>4 aut.</sZ>
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<sZ>9 aut.</sZ>
<sZ>10 aut.</sZ>
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<sZ>13 aut.</sZ>
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<s0>Background. Adjuvanted vaccines have the potential to improve influenza pandemic response. AS03 adjuvant has been shown to enhance the immune response to inactivated influenza vaccines. Methods. This trial was designed to evaluate the immunogenicity and safety of an inactivated 2009 H1N1 influenza vaccine at varying dosages of hemagglutinin with and without extemporaneously mixed AS03 adjuvant system in adults >18 years of age. Adults were randomized to receive 2 doses of 1 of 5 vaccine formulations (3.75 μg, 7.5 μg, or 15 μg with AS03 or 7.5 μg or 15 μg without adjuvant). Results. The study population included 544 persons <65 years of age and 245 persons >65 years of age. Local adverse events tended to be more frequent in the adjuvanted vaccine groups, but severe reactions were uncommon. In both age groups, hemagglutination inhibition antibody geometric mean titers after dose one were higher in the adjuvanted groups, compared with the 15 μg unadjuvanted group, and this difference was statistically significant for the comparison of the 15 μg adjuvanted group with the 15 μg unadjuvanted group. Conclusions. AS03 adjuvant system improves the immune response to inactivated 2009 H1N1 influenza vaccine in both younger and older adults and is generally well tolerated.</s0>
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<ET>Immunogenicity and Safety of Varying Dosages of a Monovalent 2009 H1N1 Influenza Vaccine Given With and Without AS03 Adjuvant System in Healthy Adults and Older Persons</ET>
<AU>JACKSON (Lisa A.); CHEN (Wilbur H.); STAPLETON (Jack T.); DEKKER (Cornelia L.); WALD (Anna); BRADY (Rebecca C.); EDUPUGANTI (Srilatha); WINOKUR (Patricia); MULLIGAN (Mark J.); KEYSERLING (Harry L.); KOTLOFF (Karen L.); ROUPHAEL (Nadine); NOAH (Diana L.); HILL (Heather); WOLFF (Mark C.)</AU>
<AF>Group Health Research Institute and/Etats-Unis (1 aut.); University of Washington, Seattle/Washington, Maryland/Etats-Unis (5 aut.); Center for Vaccine Development, University of Maryland School of Medicine/Baltimore/Etats-Unis (2 aut., 11 aut.); The EMMES Corporation/Rockville, Maryland/Etats-Unis (14 aut., 15 aut.); University of Iowa Carver College of Medicine and the Iowa City VA Healthcare System/Iowa City, Iowa/Etats-Unis (3 aut., 8 aut.); Stanford University School of Medicine/Stanford, California/Etats-Unis (4 aut.); Cincinnati Children's Hospital Medical Center/Cincinnati, Ohio/Etats-Unis (6 aut.); Emory University School of Medicine/Atlanta, Georgia/Etats-Unis (7 aut., 9 aut., 10 aut., 12 aut.); Southern Research Institute/Birmingham, Alabama/Etats-Unis (13 aut.)</AF>
<DT>Publication en série; Niveau analytique</DT>
<SO>The Journal of infectious diseases; ISSN 0022-1899; Coden JIDIAQ; Royaume-Uni; Da. 2012; Vol. 206; No. 6; Pp. 811-820; Bibl. 34 ref.</SO>
<LA>Anglais</LA>
<EA>Background. Adjuvanted vaccines have the potential to improve influenza pandemic response. AS03 adjuvant has been shown to enhance the immune response to inactivated influenza vaccines. Methods. This trial was designed to evaluate the immunogenicity and safety of an inactivated 2009 H1N1 influenza vaccine at varying dosages of hemagglutinin with and without extemporaneously mixed AS03 adjuvant system in adults >18 years of age. Adults were randomized to receive 2 doses of 1 of 5 vaccine formulations (3.75 μg, 7.5 μg, or 15 μg with AS03 or 7.5 μg or 15 μg without adjuvant). Results. The study population included 544 persons <65 years of age and 245 persons >65 years of age. Local adverse events tended to be more frequent in the adjuvanted vaccine groups, but severe reactions were uncommon. In both age groups, hemagglutination inhibition antibody geometric mean titers after dose one were higher in the adjuvanted groups, compared with the 15 μg unadjuvanted group, and this difference was statistically significant for the comparison of the 15 μg adjuvanted group with the 15 μg unadjuvanted group. Conclusions. AS03 adjuvant system improves the immune response to inactivated 2009 H1N1 influenza vaccine in both younger and older adults and is generally well tolerated.</EA>
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<ED>Influenza A virus; Human; Immunogenicity; Vaccine; Immunological adjuvant; Elderly; Infection; Influenza A</ED>
<EG>Influenzavirus A; Orthomyxoviridae; Virus; Viral disease</EG>
<SD>Influenza A virus; Hombre; Inmunogenicidad; Vacuna; Coadyuvante inmunológico; Anciano; Infección; Gripe A</SD>
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