Failure of a killed Leishmania amazonensis vaccine against American cutaneous leishmaniasis in Colombia

作者: Iván D Vélez , Katherine Gilchrist , María P Arbelaez , Carlos A Rojas , Juan A Puerta

DOI: 10.1016/J.TRSTMH.2005.04.002

关键词:

摘要: We report the results of a double-blind, randomized, placebo-controlled clinical trial killed whole-cell Leishmania amazonensis candidate vaccine against American cutaneous leishmaniasis (CL) in Colombia. The subjects were 2597 healthy volunteers with negative leishmanin skin test (LST) selected from rural Colombian soldiers who going to patrol endemic areas. They randomized receive either three doses (n=1295) or placebo (n=1302) given at 20-day intervals. An active and passive case detection system was established follow-up for 1 year after vaccination. Safety efficacy determined by comparing local systemic adverse reactions each dose incidence parasitologically confirmed CL. In groups 101 (7.7%) 88 (6.8%) developed CL respectively. shown be safe but offered no protection caused L. panamensis proposed vaccination schedule.

参考文章(20)
Philippe Desjeux, None, Leishmaniasis: Public health aspects and control Clinics in Dermatology. ,vol. 14, pp. 417- 423 ,(1996) , 10.1016/0738-081X(96)00057-0
Augusto Corredor, Maria T. Palau, Carlos A. Hernandez, Sofia Duque, Elvia Caceres, Dioselina Pelaez, Alberto Morales, Cristina Ferro de Carrasquilla, David G. Young, Gerzain Rodriguez, Robert B. Tesh, Richard D. Kreutzer, Jorge Boshell, Santiago Nichols, Distribution and etiology of leishmaniasis in Colombia. American Journal of Tropical Medicine and Hygiene. ,vol. 42, pp. 206- 214 ,(1990) , 10.4269/AJTMH.1990.42.206
José Robinson Ramírez, Sonia Agudelo, Carlos Muskus, Juan Fernando Alzate, Christof Berberich, Douglas Barker, Ivan Darío Velez, Diagnosis of Cutaneous Leishmaniasis in Colombia: the Sampling Site within Lesions Influences the Sensitivity of Parasitologic Diagnosis Journal of Clinical Microbiology. ,vol. 38, pp. 3768- 3773 ,(2000) , 10.1128/JCM.38.10.3768-3773.2000
Ivan Dario Vélez, Sonia del Pilar Agudelo, Maria Patricia Arbelaez, Katherine Gilchrist, Sara Maria Robledo, Juan Alberto Puerta, Fabio Zicker, Jonathan Berman, Farrokh Modabber, Safety and immunogenicity of a killed Leishmania (L.) amazonensis vaccine against cutaneous leishmaniasis in Colombia: a randomized controlled trial Transactions of The Royal Society of Tropical Medicine and Hygiene. ,vol. 94, pp. 698- 703 ,(2000) , 10.1016/S0035-9203(00)90239-6
Mohammad Hossein Alimohammadian, Ali Khamesipour, Haiedeh Darabi, Alireza Firooz, Shirin Malekzadeh, Ahmad Bahonar, Yahya Dowlati, Farrokh Modabber, The role of BCG in human immune responses induced by multiple injections of autoclaved Leishmania major as a candidate vaccine against leishmaniasis. Vaccine. ,vol. 21, pp. 174- 180 ,(2002) , 10.1016/S0264-410X(02)00458-9
Jacinto Convit, Leishmaniasis: Immunological and clinical aspects and vaccines in Venezuela. Clinics in Dermatology. ,vol. 14, pp. 479- 487 ,(1996) , 10.1016/0738-081X(96)00042-9
Diane McMahon Pratt, John R. David, Monoclonal antibodies that distinguish between New World species of Leishmania Nature. ,vol. 291, pp. 581- 583 ,(1981) , 10.1038/291581A0
W. Mayrink, C.A. da Costa, P.A. Magalhães, M.N. Melo, M. Dias, A.Oliveira Lima, M.S. Michalick, Paul Williams, A field trial of a vaccine against American dermal leishmaniasis. Transactions of The Royal Society of Tropical Medicine and Hygiene. ,vol. 73, pp. 385- 387 ,(1979) , 10.1016/0035-9203(79)90159-7
Sanjay Gurunathan, Calman Prussin, David L. Sacks, Robert A. Seder, Vaccine requirements for sustained cellular immunity to an intracellular parasitic infection Nature Medicine. ,vol. 4, pp. 1409- 1415 ,(1998) , 10.1038/4000
Paula M De Luca, Wilson Mayrink, Jorge A Pinto, Sergio G Coutinho, Marta A Santiago, Vicente P Toledo, Carlos Alberto Costa, Odair Genaro, Alexandre B Reis, Sergio C.F Mendonça, A randomized double-blind placebo-controlled trial to evaluate the immunogenicity of a candidate vaccine against American tegumentary leishmaniasis. Acta Tropica. ,vol. 80, pp. 251- 260 ,(2001) , 10.1016/S0001-706X(01)00181-4