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Comparable humoral response after two doses of adjuvanted influenza A/H1N1pdm2009 vaccine or natural infection in allogeneic stem cell transplant recipients

Identifieur interne : 001C78 ( PascalFrancis/Curation ); précédent : 001C77; suivant : 001C79

Comparable humoral response after two doses of adjuvanted influenza A/H1N1pdm2009 vaccine or natural infection in allogeneic stem cell transplant recipients

Auteurs : Nathalie Dhedin [France] ; Anne Krivine [France] ; Nicole Le Corre [France] ; Alain Mallet [France] ; Bruno Lioure [France] ; Jacques-Olivier Bay [France] ; Marie-Thérèse Rubio [France] ; Philippe Agape [Réunion] ; Anne Thiebaut [France] ; Jérôme Le Goff [France] ; Brigitte Autran [France] ; Patricia Ribaud [France]

Source :

RBID : Pascal:14-0076696

Descripteurs français

English descriptors

Abstract

Background: The present study evaluated immunogenicity and tolerance of two-dose influenza A/H1N1pdm09 vaccination in allogeneic hematopoietic stem cell transplantation (HSCT) recipients, and compared the vaccine-induced humoral response to that triggered by natural infection in another group of HSCT patients. Methods: Adult allogeneic HSCT recipients vaccinated with two doses of influenza A/H1N1pdm09 vaccine, separated by 3 weeks, and patients with proven influenza A/H1N1pdm09 infection were included. Antibody responses were measured by hemagglutination-inhibition assay 1) on days 0, 21, 42 and 6 months after the first vaccine injection in vaccinated patients and 2) before pandemic and after influenza A/H1N1pdm09 infection, in patients presented natural infection. Results: At baseline, 3% of 59 recipients of adjuvanted vaccine and 0% of 20 infected patients were seroprotected (antibody titer ≥ 1/40). Seroprotection rate observed 42 days after vaccination was not different from that observed after natural infection (66% and 60% respectively, p = 0.78). In vaccinated patients, seroprotection rate increased significantly from 54% to 66% between day 21 and 42 (p = 0.015). Moreover, after 6 months, seroprotection rate in 21 vaccinated patients was similar to that observed in 10 infected patients evaluated at least 76 days after infection (D76-217) (60% and 81% respectively, p = 0.2). In multivariate analysis, no immunosuppressive treatment or chronic graft-versus-host disease (GVHD) and longer time between transplantation and vaccination/infection were associated with a stronger humoral response. The adjuvanted vaccine was safe with low rate of GVHD worsening. Conclusion: In HSCT recipients, two doses of influenza A/H1N1pdm09 adjuvanted vaccine were safe and induced a humoral response comparable to that triggered by natural infection in these patients.
pA  
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A08 01  1  ENG  @1 Comparable humoral response after two doses of adjuvanted influenza A/H1N1pdm2009 vaccine or natural infection in allogeneic stem cell transplant recipients
A11 01  1    @1 DHEDIN (Nathalie)
A11 02  1    @1 KRIVINE (Anne)
A11 03  1    @1 LE CORRE (Nicole)
A11 04  1    @1 MALLET (Alain)
A11 05  1    @1 LIOURE (Bruno)
A11 06  1    @1 BAY (Jacques-Olivier)
A11 07  1    @1 RUBIO (Marie-Thérèse)
A11 08  1    @1 AGAPE (Philippe)
A11 09  1    @1 THIEBAUT (Anne)
A11 10  1    @1 LE GOFF (Jérôme)
A11 11  1    @1 AUTRAN (Brigitte)
A11 12  1    @1 RIBAUD (Patricia)
A14 01      @1 Service d'Hématologie-Adolescents Jeunes Adultes, Hôpital Saint-Louis, AP-HP @2 Paris @3 FRA @Z 1 aut.
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A14 03      @1 Service de Virologie, Hôpital Saint-Vincent-de-Paul Cochin, AP-HP @2 Paris @3 FRA @Z 2 aut.
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A14 06      @1 Unité de Recherche Clinique, Groupe Hospitalier Pitié Salpêtrière @2 Paris @3 FRA @Z 4 aut.
A14 07      @1 Département d'Hématologie, Hôpitaux Universitaires Strasbourg @3 FRA @Z 5 aut.
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A14 10      @1 Service d'Hématologie et d'Oncologie médicale. Centre Hospitalier Universitaire de la Réunion. Hôpital Felix Guyon @2 Saint Denis @3 REU @Z 8 aut.
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A14 13      @1 Université Paris-Diderot, Sorbonne Paris, Cité @2 Paris @3 FRA @Z 10 aut. @Z 12 aut.
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C01 01    ENG  @0 Background: The present study evaluated immunogenicity and tolerance of two-dose influenza A/H1N1pdm09 vaccination in allogeneic hematopoietic stem cell transplantation (HSCT) recipients, and compared the vaccine-induced humoral response to that triggered by natural infection in another group of HSCT patients. Methods: Adult allogeneic HSCT recipients vaccinated with two doses of influenza A/H1N1pdm09 vaccine, separated by 3 weeks, and patients with proven influenza A/H1N1pdm09 infection were included. Antibody responses were measured by hemagglutination-inhibition assay 1) on days 0, 21, 42 and 6 months after the first vaccine injection in vaccinated patients and 2) before pandemic and after influenza A/H1N1pdm09 infection, in patients presented natural infection. Results: At baseline, 3% of 59 recipients of adjuvanted vaccine and 0% of 20 infected patients were seroprotected (antibody titer ≥ 1/40). Seroprotection rate observed 42 days after vaccination was not different from that observed after natural infection (66% and 60% respectively, p = 0.78). In vaccinated patients, seroprotection rate increased significantly from 54% to 66% between day 21 and 42 (p = 0.015). Moreover, after 6 months, seroprotection rate in 21 vaccinated patients was similar to that observed in 10 infected patients evaluated at least 76 days after infection (D76-217) (60% and 81% respectively, p = 0.2). In multivariate analysis, no immunosuppressive treatment or chronic graft-versus-host disease (GVHD) and longer time between transplantation and vaccination/infection were associated with a stronger humoral response. The adjuvanted vaccine was safe with low rate of GVHD worsening. Conclusion: In HSCT recipients, two doses of influenza A/H1N1pdm09 adjuvanted vaccine were safe and induced a humoral response comparable to that triggered by natural infection in these patients.
C02 01  X    @0 002A05F04
C03 01  X  FRE  @0 Immunité humorale @5 05
C03 01  X  ENG  @0 Humoral immunity @5 05
C03 01  X  SPA  @0 Inmunidad humoral @5 05
C03 02  X  FRE  @0 Adjuvant immunologique @5 06
C03 02  X  ENG  @0 Immunological adjuvant @5 06
C03 02  X  SPA  @0 Coadyuvante inmunológico @5 06
C03 03  X  FRE  @0 Vaccin @5 07
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C03 09  X  FRE  @0 Grippe A @5 14
C03 09  X  ENG  @0 Influenza A @5 14
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C03 10  X  FRE  @0 Réponse immune @5 67
C03 10  X  ENG  @0 Immune response @5 67
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Pascal:14-0076696

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<title level="j" type="main">Vaccine</title>
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<term>Hematopoietic cell</term>
<term>Humoral immunity</term>
<term>Immune response</term>
<term>Immunological adjuvant</term>
<term>Influenza A</term>
<term>Recipient</term>
<term>Stem cell</term>
<term>Transplantation</term>
<term>Vaccination</term>
<term>Vaccine</term>
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<div type="abstract" xml:lang="en">Background: The present study evaluated immunogenicity and tolerance of two-dose influenza A/H1N1pdm09 vaccination in allogeneic hematopoietic stem cell transplantation (HSCT) recipients, and compared the vaccine-induced humoral response to that triggered by natural infection in another group of HSCT patients. Methods: Adult allogeneic HSCT recipients vaccinated with two doses of influenza A/H1N1pdm09 vaccine, separated by 3 weeks, and patients with proven influenza A/H1N1pdm09 infection were included. Antibody responses were measured by hemagglutination-inhibition assay 1) on days 0, 21, 42 and 6 months after the first vaccine injection in vaccinated patients and 2) before pandemic and after influenza A/H1N1pdm09 infection, in patients presented natural infection. Results: At baseline, 3% of 59 recipients of adjuvanted vaccine and 0% of 20 infected patients were seroprotected (antibody titer ≥ 1/40). Seroprotection rate observed 42 days after vaccination was not different from that observed after natural infection (66% and 60% respectively, p = 0.78). In vaccinated patients, seroprotection rate increased significantly from 54% to 66% between day 21 and 42 (p = 0.015). Moreover, after 6 months, seroprotection rate in 21 vaccinated patients was similar to that observed in 10 infected patients evaluated at least 76 days after infection (D76-217) (60% and 81% respectively, p = 0.2). In multivariate analysis, no immunosuppressive treatment or chronic graft-versus-host disease (GVHD) and longer time between transplantation and vaccination/infection were associated with a stronger humoral response. The adjuvanted vaccine was safe with low rate of GVHD worsening. Conclusion: In HSCT recipients, two doses of influenza A/H1N1pdm09 adjuvanted vaccine were safe and induced a humoral response comparable to that triggered by natural infection in these patients.</div>
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