Safety and immunogenicity in man of a cell culture derived trivalent live attenuated seasonal influenza vaccine: a Phase I dose escalating study in healthy volunteers.

作者: Jacco Heldens , Ellen Hulskotte , Theo Voeten , Belinda Breedveld , Pierre Verweij

DOI: 10.1016/J.VACCINE.2014.05.030

关键词: Live attenuated influenza vaccineInfluenza A virusImmunogenicityAntibody titerHemagglutination assayAttenuated vaccineVirusImmunologyVirologyTiterMedicine

摘要: Live attenuated influenza vaccine (LAIV) offers the promise of inducing a variety immune responses thereby conferring protection to circulating field strains. LAIVs are based on cold adapted and temperature sensitive phenotypes master donor viruses (MDVs) containing surface glycoprotein genes seasonal Two types MDV lineages have been described, Ann Arbor A/Leningrad/17 B/USSR/60 lineages. Here safety immunogenicity Madin Darby Canine Kidney - cell culture based, intranasal LAIV derived from B/USSR, was evaluated in healthy non-naive volunteers 18-50 years age. In double-blind, randomized, placebo-controlled design, single escalating doses 1×10(5), 1×10(6), or 1×10(7) tissue infectious dose 50% (TCID50) each three virus re-assortants recommended by World Health Organization for 2008-2009 season were administered intranasally. A statistically significant geometric mean increase hemagglutination inhibition titer reached strain A/H3N2 after immunization with all LAIV. For A/H1N1 B strains, GMI HI did not any doses. Virus neutralization antibody titers showed similar response pattern. dose-response effect could be demonstrated neither nor VN responses. No like symptoms, no nasal congestions, rhinorrhea, other related upper respiratory tract symptoms observed. addition, difference incidence nature adverse events found between placebo treated subjects. Overall, results indicated that administration is immunogenic (i.e. able provoke an response) safe both perspective MDCK line which it derived, warrants further development.

参考文章(46)
J. Wood, G. C. Schild, R. H. Michaels, D. A. J. Tyrrell, K. G. Nicholson, G. Appleyard, R. Jennings, C. W. Potter, J. S. Oxford, Infectivity and reactogenicity of reassortant cold-adapted influenza A/Korea/1/82 vaccines obtained from the USA and USSR. Bulletin of The World Health Organization. ,vol. 65, pp. 295- 301 ,(1987)
Toru Watanabe, Timothy A. Bartrand, Tatsuo Omura, Charles N. Haas, Dose-Response Assessment for Influenza A Virus Based on Data Sets of Infection with its Live Attenuated Reassortants Risk Analysis. ,vol. 32, pp. 555- 565 ,(2012) , 10.1111/J.1539-6924.2011.01680.X
Christopher S. Ambrose, Myron J. Levin, Robert B. Belshe, The relative efficacy of trivalent live attenuated and inactivated influenza vaccines in children and adults Influenza and Other Respiratory Viruses. ,vol. 5, pp. 67- 75 ,(2011) , 10.1111/J.1750-2659.2010.00183.X
Galina Petukhova, Daniil Korenkov, Tatiana Chirkova, Svetlana Donina, Larisa Rudenko, Anatoly Naykhin, B- and T-cell memory elicited by a seasonal live attenuated reassortant influenza vaccine: assessment of local antibody avidity and virus-specific memory T-cells using trogocytosis-based method Influenza and Other Respiratory Viruses. ,vol. 6, pp. 119- 126 ,(2012) , 10.1111/J.1750-2659.2011.00279.X
Min-Shi Lee, Kutubuddin Mahmood, Lopa Adhikary, Marilyn J. August, Julie Cordova, Iksung Cho, George Kemble, Keith Reisinger, Robert E. Walker, Paul M. Mendelman, Measuring antibody responses to a live attenuated influenza vaccine in children. Pediatric Infectious Disease Journal. ,vol. 23, pp. 852- 856 ,(2004) , 10.1097/01.INF.0000137566.87691.3B
M.D Wareing, G.A Tannock, Live attenuated vaccines against influenza; an historical review Vaccine. ,vol. 19, pp. 3320- 3330 ,(2001) , 10.1016/S0264-410X(01)00045-7
H. F. MAASSAB, Adaptation and Growth Characteristics of Influenza Virus at 25° C Nature. ,vol. 213, pp. 612- 614 ,(1967) , 10.1038/213612A0