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
[11]   Principles underlying the development and use of live attenuated cold-adapted influenza A and B virus vaccines [J].
Murphy, BR ;
Coelingh, K .
VIRAL IMMUNOLOGY, 2002, 15 (02) :295-323
[12]   Detection of antibody to avian influenza A (H5N1) virus in human serum by using a combination of serologic assays [J].
Rowe, T ;
Abernathy, RA ;
Hu-Primmer, J ;
Thompson, WW ;
Lu, XH ;
Lim, W ;
Fukuda, K ;
Cox, NJ ;
Katz, JM .
JOURNAL OF CLINICAL MICROBIOLOGY, 1999, 37 (04) :937-943
[13]   Safety and antigenicity of whole virus and subunit influenza A/Hong Kong/1073/99 (H9N2) vaccine in healthy adults:: phase I randomised trial [J].
Stephenson, I ;
Nicholson, KG ;
Glück, R ;
Mischler, R ;
Newman, RW ;
Palache, AM ;
Verlander, NQ ;
Warburton, F ;
Wood, JM ;
Zambon, MC .
LANCET, 2003, 362 (9400) :1959-1966
[14]   Development of effective vaccines against pandemic influenza [J].
Subbarao, K ;
Murphy, BR ;
Fauci, AS .
IMMUNITY, 2006, 24 (01) :5-9
[15]   Live, attenuated influenza A H5N1 candidate vaccines provide broad cross-protection in mice and ferrets [J].
Suguitan, Amorsolo L., Jr. ;
McAuliffe, Josephine ;
Mills, Kimberly L. ;
Jin, Hong ;
Duke, Greg ;
Lu, Bin ;
Luke, Catherine J. ;
Murphy, Brian ;
Swayne, David E. ;
Kemble, George ;
Subbarao, Kanta .
PLOS MEDICINE, 2006, 3 (09) :1541-1555