A Live Attenuated H9N2 Influenza Vaccine Is Well Tolerated and Immunogenic in Healthy Adults

被引:55
作者
Karron, Ruth A. [1 ]
Callahan, Karen [1 ]
Luke, Catherine [2 ]
Thumar, Bhagvanji [1 ]
McAuliffe, Josephine [2 ]
Schappell, Elizabeth [1 ]
Joseph, Tomy [2 ]
Coelingh, Kathleen [3 ]
Jin, Hong [3 ]
Kemble, George [3 ]
Murphy, Brian R. [2 ]
Subbarao, Kanta [2 ]
机构
[1] Johns Hopkins Bloomberg Sch Publ Hlth, Ctr Immunizat Res, Baltimore, MD 21205 USA
[2] NIAID, Infect Dis Lab, NIH, Bethesda, MD 20892 USA
[3] MedImmune, Gaithersburg, MD USA
基金
美国国家卫生研究院;
关键词
CANDIDATE VACCINES; PANDEMIC INFLUENZA; DOSE-RESPONSE; H5N1; VIRUS; VOLUNTEERS; REASSORTANT; INFECTION; ANTIBODY; SAFETY;
D O I
10.1086/596558
中图分类号
R392 [医学免疫学]; Q939.91 [免疫学];
学科分类号
100102 ;
摘要
Development of live attenuated influenza vaccines (LAIV) against avian strains with pandemic potential is an important public-health strategy. Either 1 or 2 10(7)-TCID(50) doses of H9N2 LAIV A/chicken/Hong Kong/G9/97 were administered intra-nasally to 50 adults in isolation; 41 participants were H9N2 seronegative, 24 of whom received 2 doses. The vaccine was well tolerated; vaccine shedding was minimal. After 2 doses, 92% of H9-seronegative participants had >= 4-fold increases in hemagglutination-inhibition antibody, and 79% had >= 4-fold increases in neutralizing antibody; 100% had responses detected by at least 1 assay. Although replication of the H9N2 LAIV was restricted, 2 doses were immunogenic in H9N2-seronegative adults. Trial registration. ClinicalTrials.gov identifier: NCT00110279.
引用
收藏
页码:711 / 716
页数:6
相关论文
共 15 条
[1]   A dose-response evaluation of inactivated influenza vaccine given intranasally and intramuscularly to healthy young adults [J].
Atmar, Robert L. ;
Keitel, Wendy A. ;
Cate, Thomas R. ;
Munoz, Flor M. ;
Ruben, Fred ;
Couch, Robert B. .
VACCINE, 2007, 25 (29) :5367-5373
[2]   Safety and immunogenicity of nonadjuvanted and MF59-adjuvanted influenza A/H9N2 vaccine preparations [J].
Atmar, Robert L. ;
Keitel, Wendy A. ;
Patel, Shital M. ;
Katz, Jacqueline M. ;
She, Dewei ;
El Sahly, Hana ;
Pompey, Justine ;
Cate, Thomas R. ;
Couch, Robert B. .
CLINICAL INFECTIOUS DISEASES, 2006, 43 (09) :1135-1142
[3]   Generation and characterization of a cold-adapted influenza A H9N2 reassortant as a live pandemic influenza virus vaccine candidate [J].
Chen, H ;
Matsuoka, Y ;
Swayne, D ;
Chen, Q ;
Cox, NJ ;
Murphy, BR ;
Subbarao, K .
VACCINE, 2003, 21 (27-30) :4430-4436
[4]   EVALUATION OF BOVINE, COLD-ADAPTED HUMAN, AND WILD-TYPE HUMAN PARAINFLUENZA TYPE-3 VIRUSES IN ADULT VOLUNTEERS AND IN CHIMPANZEES [J].
CLEMENTS, ML ;
BELSHE, RB ;
KING, J ;
NEWMAN, F ;
WESTBLOM, TU ;
TIERNEY, EL ;
LONDON, WT ;
MURPHY, BR .
JOURNAL OF CLINICAL MICROBIOLOGY, 1991, 29 (06) :1175-1182
[5]   DOSE-RESPONSE OF A/ALASKA/6/77 (H3N2) COLD-ADAPTED REASSORTANT VACCINE VIRUS IN ADULT VOLUNTEERS - ROLE OF LOCAL ANTIBODY IN RESISTANCE TO INFECTION WITH VACCINE VIRUS [J].
CLEMENTS, ML ;
ODONNELL, S ;
LEVINE, MM ;
CHANOCK, RM ;
MURPHY, BR .
INFECTION AND IMMUNITY, 1983, 40 (03) :1044-1051
[6]   Pandemic preparedness:: lessons learnt from H2N2 and H9N2 candidate vaccines [J].
Hehme, N ;
Engelmann, H ;
Künzel, W ;
Neumeier, E ;
Sänger, R .
MEDICAL MICROBIOLOGY AND IMMUNOLOGY, 2002, 191 (3-4) :203-208
[7]   Evaluation of replication and pathogenicity of avian influenza a h7 subtype viruses in a mouse model [J].
Joseph, Tomy ;
McAuliffe, Josephine ;
Lu, Bin ;
Jin, Hong ;
Kemble, George ;
Subbarao, Kanta .
JOURNAL OF VIROLOGY, 2007, 81 (19) :10558-10566
[8]   Three Indonesian clusters of H5N1 virus infection in 2005 [J].
Kandun, I. Nyoman ;
Wibisono, Hariadi ;
Sedyaningsih, Endang R. ;
Yusharmen ;
Hadisoedarsuno, Widarso ;
Purba, Wilfried ;
Santoso, Hari ;
Septiawati, Chita ;
Tresnaningsih, Erna ;
Heriyanto, Bambang ;
Yuwono, Djoko ;
Harun, Syahrial ;
Soeroso, Santoso ;
Giriputra, Sardikin ;
Blair, Patrick J. ;
Jeremijenko, Andrew ;
Kosasih, Herman ;
Putnam, Shannon D. ;
Samaan, Gina ;
Silitonga, Marlinggom ;
Chan, K. H. ;
Poon, Leo L. M. ;
Lim, Wilina ;
Klimov, Alexander ;
Lindstrom, Stephen ;
Guan, Yi ;
Donis, Ruben ;
Katz, Jacqueline ;
Cox, Nancy ;
Peiris, Malik ;
Uyeki, Timothy M. .
NEW ENGLAND JOURNAL OF MEDICINE, 2006, 355 (21) :2186-2194
[9]   CYTO-TOXIC T-CELL IMMUNITY TO INFLUENZA [J].
MCMICHAEL, AJ ;
GOTCH, FM ;
NOBLE, GR ;
BEARE, PAS .
NEW ENGLAND JOURNAL OF MEDICINE, 1983, 309 (01) :13-17
[10]  
MURPHY BR, 1980, INFECT IMMUN, V29, P348