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首页> 外文期刊>The Journal of Infectious Diseases >Safety and immunogenicity of influenza A H5 subunit vaccines: effect of vaccine schedule and antigenic variant.
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Safety and immunogenicity of influenza A H5 subunit vaccines: effect of vaccine schedule and antigenic variant.

机译:甲型H5流感亚单位疫苗的安全性和免疫原性:疫苗接种方案和抗原变异体的影响。

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BACKGROUND: The current US national stockpile of influenza H5 vaccine was produced using the antigen from the strain A/Vietnam/1203/2004 (a clade 1 H5 virus). Recent H5 disease has been caused by antigenically divergent H5 viruses, including A/Indonesia/05/2005 (a clade 2 H5 virus). METHODS: The influence of schedule on the antibody response to 2 doses of H5 vaccines (one a clade 1 hemagglutinin protein [HA] vaccine and one a clade 2 HA vaccine) containing 90 mug of antigen was evaluated in healthy adults 18-49 years of age. RESULTS: Two doses of vaccine were required to induce antibody titers >/= 1:10 in most subjects. Accelerated schedules were immunogenic, and antibody developed after vaccinations on days 0 and 7, 0 and 14, and 0 and 28, with the day 0 and 7 schedule inducing lower titers than those induced with the other schedules. With mixed vaccine schedules of clade 1 followed by clade 2 vaccine administration, the first vaccination primed for a heterologous boost. The heterologous response was improved when the second vaccination was given 6 months after the first, compared with the response when the second vaccination was given after an interval of 1 month. CONCLUSIONS: An accelerated vaccine schedule of injections administered at days 0 and 14 was as immunogenic as a vaccine schedule of injections at days 0 and 28, but both schedules were inferior to a vaccine schedule of injections administered at 0 and 6 months for priming for heterologous vaccine boosting. Clinical Trial Registry Number: NCT00703053.
机译:背景:目前美国的国家H5流感疫苗库存是使用A / Vietnam / 1203/2004株的抗原(进化枝1 H5病毒)生产的。最近的H5疾病是由抗原性不同的H5病毒引起的,包括A / Indonesia / 05/2005(进化枝2 H5病毒)。方法:在18岁至49岁的健康成年人中,评估了日程对含90杯抗原的2剂H5疫苗(一种进化枝1血凝素蛋白[HA]疫苗和一种进化枝2 HA疫苗)的抗体反应的影响。年龄。结果:在大多数受试者中,需要两剂疫苗才能诱导抗体滴度> / = 1:10。加速的时间表具有免疫原性,在第0天和第7天,0和14天以及0和28天接种疫苗后产生抗体,而第0天和第7天的诱导抗体滴度低于其他时间表。在进行进化枝1的混合疫苗计划后,再进行进化枝2的疫苗管理,第一次疫苗接种会引发异源加强免疫。与间隔1个月后进行第二次疫苗接种相比,第一次接种后6个月进行第二次疫苗接种能够改善异源反应。结论:在第0和14天注射的加速疫苗时间表与在第0和28天注射的疫苗时间表一样具有免疫原性,但两种时间表均次于在0和6个月用于异源引发的注射疫苗时间表加强疫苗。临床试验注册号:NCT00703053。

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