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A dose-ranging study of MF59®-adjuvanted and non-adjuvanted A/H1N1 pandemic influenza vaccine in young to middle-aged and older adult populations to assess safety, immunogenicity, and antibody persistence one year after vaccination

Identifieur interne : 000066 ( Pmc/Curation ); précédent : 000065; suivant : 000067

A dose-ranging study of MF59®-adjuvanted and non-adjuvanted A/H1N1 pandemic influenza vaccine in young to middle-aged and older adult populations to assess safety, immunogenicity, and antibody persistence one year after vaccination

Auteurs : Keith S. Reisinger [États-Unis] ; Sandra J. Holmes [États-Unis] ; Paola Pedotti [États-Unis] ; Ashwani Kumar Arora [États-Unis] ; Maria Lattanzi [États-Unis]

Source :

RBID : PMC:4896790

Abstract

Background

During development of an A/H1N1 pandemic influenza vaccine, this study was performed to identify the antigen and adjuvant content which would provide optimal antibody response and persistence in adults and the elderly. Dose-sparing strategies, such as inclusion of adjuvants, are critical in ensuring the widest possible population coverage in the event of an influenza pandemic, despite a limited global capacity for vaccine manufacture.

Methods

Healthy subjects aged 18−64 years (n = 1240) and ≥65 years (n = 1352) were vaccinated with 1 of 8 investigational vaccine formulations varying in antigen quantity (3.75 µg to 30 µg of hemagglutinin) and MF59® adjuvant (none, half dose, or full dose). All subjects received 2 vaccine doses administered 3 weeks apart. Antibody response was assessed by hemagglutination inhibition assay 1 and 3 weeks after administration of first and second doses. Antibody persistence was assessed after 6 and 12 mo. Vaccine safety was monitored over 12 mo.

Results

All 8 investigational A/H1N1 vaccine formulations were well tolerated, and rapidly induced high antibody titers which met all of the Center for Biologics Evaluation and Research (CBER) and Committee for Medicinal Products for Human Use (CHMP) licensure criteria 3 weeks after one dose. The highest antibody titers were observed in participants vaccinated with higher quantities of antigen and adjuvant.

Conclusion

A single vaccine dose containing 3.75 µg of A/California/7/2009 (H1N1) antigen with MF59 adjuvant was identified as optimal for young to middle-aged (18−64 years) and older (≥65 years) adult populations.


Url:
DOI: 10.4161/hv.29393
PubMed: 25424947
PubMed Central: 4896790

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PMC:4896790

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-adjuvanted and non-adjuvanted A/H1N1 pandemic influenza vaccine in young to middle-aged and older adult populations to assess safety, immunogenicity, and antibody persistence one year after vaccination</title>
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-adjuvanted and non-adjuvanted A/H1N1 pandemic influenza vaccine in young to middle-aged and older adult populations to assess safety, immunogenicity, and antibody persistence one year after vaccination</title>
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<div type="abstract" xml:lang="en">
<p>Background </p>
<p>During development of an A/H1N1 pandemic influenza vaccine, this study was performed to identify the antigen and adjuvant content which would provide optimal antibody response and persistence in adults and the elderly. Dose-sparing strategies, such as inclusion of adjuvants, are critical in ensuring the widest possible population coverage in the event of an influenza pandemic, despite a limited global capacity for vaccine manufacture.</p>
<p>Methods</p>
<p>Healthy subjects aged 18−64 years (n = 1240) and ≥65 years (n = 1352) were vaccinated with 1 of 8 investigational vaccine formulations varying in antigen quantity (3.75 µg to 30 µg of hemagglutinin) and MF59
<sup>®</sup>
adjuvant (none, half dose, or full dose). All subjects received 2 vaccine doses administered 3 weeks apart. Antibody response was assessed by hemagglutination inhibition assay 1 and 3 weeks after administration of first and second doses. Antibody persistence was assessed after 6 and 12 mo. Vaccine safety was monitored over 12 mo.</p>
<p>Results</p>
<p>All 8 investigational A/H1N1 vaccine formulations were well tolerated, and rapidly induced high antibody titers which met all of the Center for Biologics Evaluation and Research (CBER) and Committee for Medicinal Products for Human Use (CHMP) licensure criteria 3 weeks after one dose. The highest antibody titers were observed in participants vaccinated with higher quantities of antigen and adjuvant.</p>
<p>Conclusion</p>
<p>A single vaccine dose containing 3.75 µg of A/California/7/2009 (H1N1) antigen with MF59 adjuvant was identified as optimal for young to middle-aged (18−64 years) and older (≥65 years) adult populations.</p>
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<journal-id journal-id-type="iso-abbrev">Hum Vaccin Immunother</journal-id>
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<sup>®</sup>
-adjuvanted and non-adjuvanted A/H1N1 pandemic influenza vaccine in young to middle-aged and older adult populations to assess safety, immunogenicity, and antibody persistence one year after vaccination</article-title>
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<name>
<surname>Reisinger</surname>
<given-names>Keith S</given-names>
</name>
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<sup>1</sup>
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<name>
<surname>Holmes</surname>
<given-names>Sandra J</given-names>
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<sup>2</sup>
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<sup>2</sup>
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<sup>2</sup>
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<given-names>Maria</given-names>
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<sup>2</sup>
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<sup>*</sup>
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Primary Physicians Research, Medicine; Pittsburgh, PA USA</aff>
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Novartis Vaccines and Diagnostics Inc.; Cambridge, MA USA</aff>
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<label>*</label>
Correspondence to: Maria Lattanzi, Email:
<email xlink:href="maria.lattanzi@novartis.com">maria.lattanzi@novartis.com</email>
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<pub-date pub-type="collection">
<month>8</month>
<year>2014</year>
</pub-date>
<pub-date pub-type="epub">
<day>19</day>
<month>6</month>
<year>2014</year>
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<volume>10</volume>
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<fpage seq="33">2395</fpage>
<lpage>2407</lpage>
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<date date-type="received" iso-8601-date="2014-04-04">
<day>04</day>
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<permissions>
<copyright-statement>Copyright © 2014 Landes Bioscience</copyright-statement>
<copyright-year>2014</copyright-year>
<copyright-holder>Landes Bioscience</copyright-holder>
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<self-uri content-type="pdf" xlink:href="khvi-10-08-10929393.pdf"></self-uri>
<abstract>
<p>Background </p>
<p>During development of an A/H1N1 pandemic influenza vaccine, this study was performed to identify the antigen and adjuvant content which would provide optimal antibody response and persistence in adults and the elderly. Dose-sparing strategies, such as inclusion of adjuvants, are critical in ensuring the widest possible population coverage in the event of an influenza pandemic, despite a limited global capacity for vaccine manufacture.</p>
<p>Methods</p>
<p>Healthy subjects aged 18−64 years (n = 1240) and ≥65 years (n = 1352) were vaccinated with 1 of 8 investigational vaccine formulations varying in antigen quantity (3.75 µg to 30 µg of hemagglutinin) and MF59
<sup>®</sup>
adjuvant (none, half dose, or full dose). All subjects received 2 vaccine doses administered 3 weeks apart. Antibody response was assessed by hemagglutination inhibition assay 1 and 3 weeks after administration of first and second doses. Antibody persistence was assessed after 6 and 12 mo. Vaccine safety was monitored over 12 mo.</p>
<p>Results</p>
<p>All 8 investigational A/H1N1 vaccine formulations were well tolerated, and rapidly induced high antibody titers which met all of the Center for Biologics Evaluation and Research (CBER) and Committee for Medicinal Products for Human Use (CHMP) licensure criteria 3 weeks after one dose. The highest antibody titers were observed in participants vaccinated with higher quantities of antigen and adjuvant.</p>
<p>Conclusion</p>
<p>A single vaccine dose containing 3.75 µg of A/California/7/2009 (H1N1) antigen with MF59 adjuvant was identified as optimal for young to middle-aged (18−64 years) and older (≥65 years) adult populations.</p>
</abstract>
<kwd-group kwd-group-type="author">
<title>Keywords: </title>
<kwd>influenza</kwd>
<kwd>H1N1</kwd>
<kwd>vaccine</kwd>
<kwd>pandemic</kwd>
<kwd>MF59</kwd>
<kwd>adjuvant</kwd>
</kwd-group>
<counts>
<page-count count="13"></page-count>
</counts>
</article-meta>
</front>
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