Safety and immunogenicity of IMVAMUNE, a promising candidate as a third generation smallpox vaccine

被引:137
作者
Vollmar, J [1 ]
Arndtz, N [1 ]
Eckl, KM [1 ]
Thomsen, T [1 ]
Petzold, B [1 ]
Mateo, L [1 ]
Schlereth, B [1 ]
Handley, A [1 ]
King, L [1 ]
Hülsemann, V [1 ]
Tzatzaris, M [1 ]
Merkl, K [1 ]
Wulff, N [1 ]
Chaplin, P [1 ]
机构
[1] Bavarian Nord GmbH, D-82152 Martinsried, Germany
关键词
smallpox; vaccination; MVA;
D O I
10.1016/j.vaccine.2005.11.022
中图分类号
R392 [医学免疫学]; Q939.91 [免疫学];
学科分类号
100102 ;
摘要
A Phase I trial was performed to investigate the safety and immunogenicity of the third generation smallpox vaccine MVA-BN (R) (IMVAMUNE (TM)), a highly attenuated clone derived from the Modified Vaccinia Virus Ankara strain 571, in naive and pre-immunized subjects. A total of 86 healthy subjects received the vaccine in five groups using different doses and routes of administration. All 38 subjects seroconverted in the groups receiving the highest dose (10(8) TCID50). All vaccinations were well tolerated with mainly mild or moderate pain at the injection site being the most frequent symptom. The results indicate that MVA-BN (R) has the potential to be developed as an efficient and safe alternative to the conventional smallpox vaccines such as Lister-Elstree or Dryvax (R). Unique attributes render it a promising candidate for prophylactic mass immunization, even in subjects for whom conventional smallpox vaccines are contraindicated. 2005 Elsevier Ltd. All rights reserved.
引用
收藏
页码:2065 / 2070
页数:6
相关论文
共 18 条
[1]   Poxvirus dilemmas - Monkeypox, smallpox, and biologic terrorism [J].
Breman, JG ;
Henderson, DA .
NEW ENGLAND JOURNAL OF MEDICINE, 1998, 339 (08) :556-559
[2]   Human cytotoxic T-cell memory: Long-lived responses to vaccinia virus [J].
Demkowicz, WE ;
Littaua, RA ;
Wang, JM ;
Ennis, FA .
JOURNAL OF VIROLOGY, 1996, 70 (04) :2627-2631
[3]   Immunogenicity of a highly attenuated MVA smallpox vaccine and protection against monkeypox [J].
Earl, PL ;
Americo, JL ;
Wyatt, LS ;
Eller, LA ;
Whitbeck, JC ;
Cohen, GH ;
Eisenberg, RJ ;
Hartmann, CJ ;
Jackson, DL ;
Kulesh, DA ;
Martinez, MJ ;
Miller, DM ;
Mucker, EM ;
Shamblin, JD ;
Zwiers, SH ;
Huggins, JW ;
Jahrling, PB ;
Moss, B .
NATURE, 2004, 428 (6979) :182-185
[4]   Clinical responses to undiluted and diluted smallpox vaccine [J].
Frey, SE ;
Couch, RB ;
Tacket, CO ;
Treanor, JJ ;
Wolff, M ;
Newman, FK ;
Atmar, RL ;
Edelman, R ;
Nolan, CM ;
Belshe, RB .
NEW ENGLAND JOURNAL OF MEDICINE, 2002, 346 (17) :1265-1274
[5]   Dose-related effects of smallpox vaccine [J].
Frey, SE ;
Newman, FK ;
Cruz, J ;
Shelton, WB ;
Tennant, JM ;
Polach, T ;
Rothman, AL ;
Kennedy, JS ;
Wolff, M ;
Belshe, RB ;
Ennis, FA .
NEW ENGLAND JOURNAL OF MEDICINE, 2002, 346 (17) :1275-1280
[6]   US military smallpox vaccination program experience [J].
Grabenstein, JD ;
Winkenwerder, W .
JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 2003, 289 (24) :3278-3282
[7]  
HOCHSTEINMINTZEL V, 1975, ZBL BAKT-INT J MED M, V230, P283
[8]  
Kemper Alex R, 2002, Eff Clin Pract, V5, P84
[9]   COMPLICATIONS OF SMALLPOX VACCINATION, 1968 - NATIONAL SURVEILLANCE IN UNITED STATES [J].
LANE, JM ;
RUBEN, FL ;
NEFF, JM ;
MILLAR, JD .
NEW ENGLAND JOURNAL OF MEDICINE, 1969, 281 (22) :1201-&
[10]   DEATHS ATTRIBUTABLE TO SMALLPOX VACCINATION, 1959 TO 1966, AND 1968 [J].
LANE, JM ;
ABRUTYN, E ;
MILLAR, JD .
JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 1970, 212 (03) :441-+