Comparative immunogenicity of trivalent influenza vaccine administered by intradermal or intramuscular route in healthy adults

被引:85
作者
Belshe, Robert B.
Newman, Frances K.
Wilkins, Ken
Graham, Irene L.
Babusis, Elizabeth
Ewell, Marian
Frey, Sharon E.
机构
[1] St Louis Univ, Med Ctr, Div Infect Dis & Immunol, St Louis, MO 63110 USA
[2] EMMES Corp, Rockville, MD USA
关键词
influenza; vaccine; route;
D O I
10.1016/j.vaccine.2007.06.066
中图分类号
R392 [医学免疫学]; Q939.91 [免疫学];
学科分类号
100102 ;
摘要
The present study was undertaken with controls using equal doses ID and IM plus the standard full dose IM to assess the role of route of vaccine in immunogenicity of inactivated influenza vaccine. The study was a prospective, randomized, active-controlled, open label clinical trial conducted in healthy young adult outpatients to compare the effect of route (IM versus ID) on antibody responses to influenza vaccine. Volunteers received 3, 6 or 9 mu g of vaccine by ID or IM route; 15 mu g IM was also studied. Low doses of vaccine given by either route were almost as immunogenic as the standard 15 jig IM dose of influenza vaccine. ID route was not superior to IM vaccine at inducing antibodies. ID vaccine induced significantly more local inflammatory response than IM vaccine. (c) 2007 Elsevier Ltd. All rights reserved.
引用
收藏
页码:6755 / 6763
页数:9
相关论文
共 13 条
[1]  
*ADV COMM IMM PRAC, 2006, MMWR-MORBID MORTAL W, V55, P800
[2]  
Advisory Committee on Immunization Practices, 2006, MMWR Recomm Rep, V55, P1
[3]   Serum antibody responses after intradermal vaccination against influenza [J].
Belshe, RB ;
Newman, FK ;
Cannon, J ;
Duane, C ;
Treanor, J ;
Van Hoecke, C ;
Howe, BJ ;
Dubin, G .
NEW ENGLAND JOURNAL OF MEDICINE, 2004, 351 (22) :2286-2294
[4]   SUBCUTANEOUS AND INTRADERMAL VACCINATION WITH ASIAN INFLUENZA VACCINE [J].
BOGER, WP ;
LIU, OC .
JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 1957, 165 (13) :1687-1689
[5]   Effectiveness and cost-benefit of influenza vaccination of healthy working adults - A randomized controlled trial [J].
Bridges, CB ;
Thompson, WW ;
Meltzer, MI ;
Reeve, GR ;
Talamonti, WJ ;
Cox, NJ ;
Lilac, HA ;
Hall, H ;
Klimov, A ;
Fukuda, K .
JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 2000, 284 (13) :1655-1663
[6]   Influence of high-risk medical conditions on the effectiveness of influenza vaccination among elderly members of 3 large managed-care organizations [J].
Hak, E ;
Nordin, J ;
Wei, FF ;
Mullooly, J ;
Poblete, S ;
Strikas, R ;
Nichol, KL .
CLINICAL INFECTIOUS DISEASES, 2002, 35 (04) :370-377
[7]   Dose sparing with intradermal injection of influenza vaccine [J].
Kenney, RT ;
Frech, SA ;
Muenz, LR ;
Villar, CP ;
Glenn, GM .
NEW ENGLAND JOURNAL OF MEDICINE, 2004, 351 (22) :2295-2301
[8]   IMMUNIZATION WITH ASIAN-STRAIN INFLUENZA VACCINE - EQUIVALENCE OF THE SUBCUTANEOUS AND INTRADERMAL ROUTES [J].
MCCARROLL, JR ;
KILBOURNE, ED .
NEW ENGLAND JOURNAL OF MEDICINE, 1958, 259 (13) :618-621
[9]   THE EFFECTIVENESS OF VACCINATION AGAINST INFLUENZA IN HEALTHY, WORKING ADULTS [J].
NICHOL, KL ;
LIND, A ;
MARGOLIS, KL ;
MURDOCH, M ;
MCFADDEN, R ;
HAUGE, M ;
MAGNAN, S ;
DRAKE, M .
NEW ENGLAND JOURNAL OF MEDICINE, 1995, 333 (14) :889-893
[10]   Benefits of influenza vaccination for low-, intermediate-, and high-risk senior citizens [J].
Nichol, KL ;
Wuorenma, J ;
von Sternberg, T .
ARCHIVES OF INTERNAL MEDICINE, 1998, 158 (16) :1769-1776