MeNZB™:: a safe and highly immunogenic tailor-made vaccine against the New Zealand Neisseria meningitidis serogroup B disease epidemic strain

被引:220
作者
Oster, P
Lennon, D
O'Hallahan, J
Mulholland, K
Reid, S
Martin, D
机构
[1] Minist Hlth, Meningococcal Vaccine Strategy, Wellington, New Zealand
[2] Chiron Vaccines, Siena, Italy
[3] Univ Auckland, Auckland 1020, New Zealand
[4] Univ Melbourne, Ctr Int Child Hlth, Parkville, Vic 3052, Australia
[5] Ropata Med Ctr, Lower Hutt, New Zealand
[6] Inst Environm Sci & Res, Porirua, New Zealand
关键词
serum bactericidal assay (SBA); outer membrane vesicle (OMV) vaccine; epidemic control;
D O I
10.1016/j.vaccine.2005.01.063
中图分类号
R392 [医学免疫学]; Q939.91 [免疫学];
学科分类号
100102 ;
摘要
Clinical studies have been conducted in New Zealand evaluating the safety and immunogenicity of an outer membrane vesicle (OMV) vaccine, MeNZB (TM), developed to control epidemic disease caused by group B meningococci, subtype P1.7b,4. MeNZB (TM), administered in a three-dose regimen, was well tolerated and induced a seroresponse, defined as a four-fold rise (>= titre 8) in serum bactericidal antibodies against the vaccine strain 4-6 weeks after the third vaccination, in 96% (95% confidence interval (CI): 79-100%) of adults, 76% (95% CI: 72-80%) of children, 75% (95% CI: 69-80%) of toddlers and 74% (95% CI: 67-80%) of infants receiving MeNZB (TM). In conclusion, these findings suggest that MeNZB (TM) is safe and is likely to confer protection against systemic group B meningococcal disease caused by the epidemic strain. (c) 2005 Elsevier Ltd. All rights reserved.
引用
收藏
页码:2191 / 2196
页数:6
相关论文
共 15 条
[1]   EFFICACY, SAFETY, AND IMMUNOGENICITY OF A MENINGOCOCCAL GROUP-B (15-P1.3) OUTER-MEMBRANE PROTEIN VACCINE IN IQUIQUE, CHILE [J].
BOSLEGO, J ;
GARCIA, J ;
CRUZ, C ;
ZOLLINGER, W ;
BRANDT, B ;
RUIZ, S ;
MARTINEZ, M ;
ARTHUR, J ;
UNDERWOOD, P ;
SILVA, W ;
MORAN, E ;
HANKINS, W ;
GILLY, J ;
MAYS, J .
VACCINE, 1995, 13 (09) :821-829
[2]   Serum bactericidal activity correlates with the vaccine efficacy of outer membrane vesicle vaccines against Neisseria meningitidis serogroup B disease [J].
Holst, J ;
Feiring, B ;
Fuglesang, JE ;
Hoiby, EA ;
Nokleby, H ;
Aaberge, IS ;
Rosenqvist, E .
VACCINE, 2003, 21 (7-8) :734-737
[3]   ANTIBODIES TO MENINGOCOCCAL CLASS-1 OUTER-MEMBRANE PROTEIN AND ITS VARIABLE REGIONS IN PATIENTS WITH SYSTEMIC MENINGOCOCCAL DISEASE [J].
IDANPAANHEIKKILA, I ;
HOIBY, EA ;
CHATTOPADHYAY, P ;
AIRAKSINEN, U ;
MICHAELSEN, TM ;
WEDEGE, E .
JOURNAL OF MEDICAL MICROBIOLOGY, 1995, 43 (05) :335-343
[4]  
Jefferies C, 1999, NEW ZEAL MED J, V112, P115
[5]  
MARTIN D, 2004, EPIDEMIOLOGY MENINGO
[6]  
MARTIN D, 2005, VACCINE
[7]   New Zealand epidemic of meningococcal disease identified by a strain with phenotype B:4:P1.4 [J].
Martin, DR ;
Walker, SJ ;
Baker, MG ;
Lennon, DR .
JOURNAL OF INFECTIOUS DISEASES, 1998, 177 (02) :497-500
[8]   IMMUNE-RESPONSE OF BRAZILIAN CHILDREN TO A NEISSERIA-MENINGITIDIS SEROGROUP-B OUTER-MEMBRANE PROTEIN VACCINE - COMPARISON WITH EFFICACY [J].
MILAGRES, LG ;
RAMOS, SR ;
SACCHI, CT ;
MELLES, CEA ;
VIEIRA, VSD ;
SATO, H ;
BRITO, GS ;
MORAES, JC ;
FRASCH, CE .
INFECTION AND IMMUNITY, 1994, 62 (10) :4419-4424
[9]   HUMAN-ANTIBODY RESPONSES TO MENINGOCOCCAL OUTER-MEMBRANE ANTIGENS AFTER 3 DOSES OF THE NORWEGIAN GROUP-B MENINGOCOCCAL VACCINE [J].
ROSENQVIST, E ;
HOIBY, EA ;
WEDEGE, E ;
BRYN, K ;
KOLBERG, J ;
KLEM, A ;
RONNILD, E ;
BJUNE, G ;
NOKLEBY, H .
INFECTION AND IMMUNITY, 1995, 63 (12) :4642-4652
[10]  
Rosenqvist E, 1998, DEV BIOL STAND, V92, P323