The human rotavirus vaccine Rotarix™ in infants: an integrated analysis of safety and reactogenicity.

作者: Hubert Buyse , Carlota Vinals , Naveen Karkada , Htay Htay Han

DOI: 10.4161/HV.26476

关键词: VaccinationPlaceboIncidence (epidemiology)ReactogenicitySurvival analysisConfidence intervalMedicinePediatricsInternal medicineAdverse effectRelative risk

摘要: An integrated analysis of safety and reactogenicity data was undertaken for 28 randomized, placebo-controlled, double-blind Phase II III trials (DBRCTs) the oral live-attenuated human rotavirus vaccine, Rotarix™ (GlaxoSmithKline Vaccines). Healthy infants aged 6–20 wk received 2 or 3 doses vaccine (n = 56562) placebo 45512) at 4- to 8-wk intervals. Solicited adverse events (AEs) were recorded 8 d after each dose placebo. Unsolicited AEs, serious AEs (SAEs), deaths evaluated over 31-d post-vaccination follow-up periods. 95% confidence intervals (CIs) relative risk (RR) across studies excluding “1.0” signified potential imbalances between groups. The incidence solicited AE any Grade severity similar all unsolicited (RR 0.99 [95% CI: 0.94–1.04]; P 0.72) 0.91 0.77–1.08]; 0.31) A significantly higher proportion SAEs reported in group compared with 0.9 0.82–0.98]; 0.01). death low groups (0.13% 0.11% group; RR 1.14 0.78–1.68]; 0.54). Very few cases intussusception (11 7 groups, respectively; 1.39 0.49–4.27]; 0.66). In conclusion, results this DBRCTs show that has a profile

参考文章(24)
Keith Grimwood, Stephen B. Lambert, Richard J. Milne, Rotavirus infections and vaccines: burden of illness and potential impact of vaccination Pediatric Drugs. ,vol. 12, pp. 235- 256 ,(2010) , 10.2165/11537200-000000000-00000
Vesta Richardson, Joselito Hernandez-Pichardo, Manjari Quintanar-Solares, Marcelino Esparza-Aguilar, Brian Johnson, Cesar Misael Gomez-Altamirano, Umesh Parashar, Manish Patel, Effect of Rotavirus Vaccination on Death from Childhood Diarrhea in Mexico New England Journal of Medicine. ,vol. 362, pp. 299- 305 ,(2010) , 10.1056/NEJMOA0905211
T. Braeckman, K. Van Herck, N. Meyer, J.-Y. Pircon, M. Soriano-Gabarro, E. Heylen, M. Zeller, M. Azou, H. Capiau, J. De Koster, A.-S. Maernoudt, M. Raes, L. Verdonck, M. Verghote, A. Vergison, J. Matthijnssens, M. Van Ranst, P. Van Damme, , Effectiveness of rotavirus vaccination in prevention of hospital admissions for rotavirus gastroenteritis among young children in Belgium: case-control study BMJ. ,vol. 345, pp. 4752- ,(2012) , 10.1136/BMJ.E4752
Marc Raes, Danielle Strens, Anne Vergison, Marc Verghote, Baudouin Standaert, Reduction in pediatric rotavirus-related hospitalizations after universal rotavirus vaccination in Belgium. Pediatric Infectious Disease Journal. ,vol. 30, ,(2011) , 10.1097/INF.0B013E318214B811
Brigitte Cheuvart, Leonard R. Friedland, Remon Abu-Elyazeed, Htay Htay Han, Yolanda Guerra, Thomas Verstraeten, The Human Rotavirus Vaccine RIX4414 in Infants : A Review of Safety and Tolerability Pediatric Infectious Disease Journal. ,vol. 28, pp. 225- 232 ,(2009) , 10.1097/INF.0B013E31819715FA
Umesh D. Parashar, Christopher J. Gibson, Joseph S. Bresee, Roger I. Glass, Rotavirus and Severe Childhood Diarrhea Emerging Infectious Diseases. ,vol. 12, pp. 304- 306 ,(2006) , 10.3201/EID1202.050006
Manish M Patel, Penina Haber, James Baggs, Patrick Zuber, Julie E Bines, Umesh D Parashar, Intussusception and rotavirus vaccination: a review of the available evidence. Expert Review of Vaccines. ,vol. 8, pp. 1555- 1564 ,(2009) , 10.1586/ERV.09.106
Kong Boo Phua, Fong Seng Lim, Yu Lung Lau, Edmund Anthony Severn Nelson, Li Min Huang, Seng Hock Quak, Bee Wah Lee, Leen Jan van Doorn, Yee Leong Teoh, Haiwen Tang, P.V. Suryakiran, Igor V. Smolenov, Hans L. Bock, Htay Htay Han, Rotavirus vaccine RIX4414 efficacy sustained during the third year of life: a randomized clinical trial in an Asian population. Vaccine. ,vol. 30, pp. 4552- 4557 ,(2012) , 10.1016/J.VACCINE.2012.03.030
Vesta Richardson, Umesh Parashar, Manish Patel, Childhood Diarrhea Deaths after Rotavirus Vaccination in Mexico The New England Journal of Medicine. ,vol. 365, pp. 772- 773 ,(2011) , 10.1056/NEJMC1100062
Naohisa Kawamura, Yasunobu Tokoeda, Miho Oshima, Hiroyasu Okahata, Hiroyuki Tsutsumi, Leen Jan Van Doorn, Hisao Muto, Igor Smolenov, P.V. Suryakiran, Htay Htay Han, Efficacy, safety and immunogenicity of RIX4414 in Japanese infants during the first two years of life Vaccine. ,vol. 29, pp. 6335- 6341 ,(2011) , 10.1016/J.VACCINE.2011.05.017