Comparative immunogenicity of recombinant influenza hemagglutinin (rHA) and trivalent inactivated vaccine (TIV) among persons ≥65 years old

被引:54
作者
Keitel, W. A. [1 ]
Treanor, J. J. [2 ]
El Sahly, H. M. [1 ]
Gilbert, A. [3 ]
Meyer, A. L. [4 ]
Patriarca, P. A. [5 ]
Cox, M. M. [6 ]
机构
[1] Baylor Coll Med, Houston, TX 77030 USA
[2] Univ Rochester, Rochester, NY USA
[3] Ockham Dev Grp Inc, Cary, NC USA
[4] Childrens Hosp, Med Ctr, Cincinnati, OH 45229 USA
[5] Biol Consulting Grp, Alexandria, VA USA
[6] Prot Sci Corp, Meriden, CT USA
关键词
influenza vaccines; Recombinant hemagglutinin; Immunization; Immune responses; Comparative immunogenicity; PANDEMIC INFLUENZA; HOSPITALIZATIONS; REDUCTION; MORTALITY; PNEUMONIA; EFFICACY; SAFETY;
D O I
10.1016/j.vaccine.2009.10.037
中图分类号
R392 [医学免疫学]; Q939.91 [免疫学];
学科分类号
071005 [微生物学]; 100108 [医学免疫学];
摘要
Alternative substrates for influenza vaccine production are needed to ensure adequate supplies. We evaluated the relative safety and immunogenicity of recombinant hemagglutinin (rHA) or trivalent inactivated vaccine (TIV) among 869 >= 65-year-old subjects in a randomized clinical trial. Virologic surveillance for influenza-like illness (ILI) was conducted during the 2006-2007 epidemic. Vaccines were well tolerated. Seroconversion rates vs. influenza A/H1N1 and H3N2 antigens were superior in the rHA group, but were inferior vs. influenza B; however, results for influenza B are confounded since the vaccine antigens were different. ILI frequencies were low and similar in both groups. Studies assessing relative immunogenicity of vaccines using identical B Ags are warranted. (C) 2009 Elsevier Ltd. All rights reserved.
引用
收藏
页码:379 / 385
页数:7
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