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Non-inferiority of mammalian cell-derived quadrivalent subunit influenza virus vaccines compared to trivalent subunit influenza virus in healthy child

tetano

Editor, Senior Moderator
Int J Infect Dis. 2015 Nov 13. pii: S1201-9712(15)00264-7. doi: 10.1016/j.ijid.2015.11.004. [Epub ahead of print]
[h=1]Non-inferiority of mammalian cell-derived quadrivalent subunit influenza virus vaccines compared to trivalent subunit influenza virus in healthy children: a phase III randomized, multicenter, double-blind, clinical trial.[/h] Hartvickson R[SUP]1[/SUP], Cruz M[SUP]2[/SUP], Ervin J[SUP]3[/SUP], Brandon D[SUP]4[/SUP], Forleo-Neto E[SUP]5[/SUP], Dagnew AF[SUP]5[/SUP], Chandra R[SUP]5[/SUP], Lindert K[SUP]5[/SUP], Mateen AA[SUP]6[/SUP].
[h=3]Author information[/h]

[h=3]Abstract[/h] [h=4]OBJECTIVES:[/h] We evaluated the safety and immunogenicity of mammalian cell-derived quadrivalent influenza vaccine (QIVc) as compared with trivalent influenza vaccines (TIV1c/TIV2c) in children aged ≥4 to <18 years.
[h=4]METHODS:[/h] 2333 subjects were randomized 2:1:1 to receive either one or two doses of study vaccine depending on previous vaccination status. Hemagglutination inhibition antibody responses for all four influenza strains were performed 3 weeks after last dose. Reactogenicity and safety were also assessed (ClinicalTrials.gov:NCT01992107).
[h=4]RESULTS:[/h] QIVc met the non-inferiority criteria against all four vaccine strains and demonstrated superiority for both influenza B strains over the unmatched B lineage included in the comparator vaccines, when geometric mean titers and seroconversion rates were compared, 3 weeks after last vaccination. Similar percentages of subjects experienced solicited and unsolicited AEs across all sub-groups. Unsolicited AEs, serious AEs, medically attended AEs, and new onset chronic disease were reported in comparable percentages of subjects in all study groups. No vaccine-related serious AEs or deaths occurred.
[h=4]CONCLUSIONS:[/h] QIVc demonstrated similar safety profile and immunogenicity responses against all four vaccine strains without signs of immune interference on addition of an alternate lineage B strain compared with TIV1c/TIV2c and may provide broader protection against both influenza B lineages in children.
Copyright ? 2015. Published by Elsevier Ltd.


[h=4]KEYWORDS:[/h] Influenza; MDCK; pediatric; quadrivalent; trivalent; vaccine

PMID: 26585940 [PubMed - as supplied by publisher] Free full text
 
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