Immunogenicity and safety of primary and booster vaccination with 2 investigational formulations of diphtheria, tetanus and Haemophilus influenzae type b antigens in a hexavalent DTPa-HBV-IPV/Hib combination vaccine in comparison with the licensed Infanrix hexa

Safety and immunogenicity of 2 investigational formulations of diphtheria, tetanus and Haemophilus influenzae type b antigens of the combined diphtheria-tetanus-acellular pertussis-hepatitis B-inactivated poliomyelitis-Hib vaccine (DTPa-HBV-IPV/Hib) were evaluated in a Primary (NCT01248884) and a Bo...

Full description

Bibliographic Details
Main Authors: Timo Vesikari, Luis Rivera, Tiina Korhonen, Anitta Ahonen, Brigitte Cheuvart, Marjan Hezareh, Winnie Janssens, Narcisa Mesaros
Format: Article
Language:English
Published: Taylor & Francis Group 2017-07-01
Series:Human Vaccines & Immunotherapeutics
Subjects:
Online Access:http://dx.doi.org/10.1080/21645515.2017.1294294
_version_ 1797677620185268224
author Timo Vesikari
Luis Rivera
Tiina Korhonen
Anitta Ahonen
Brigitte Cheuvart
Marjan Hezareh
Winnie Janssens
Narcisa Mesaros
author_facet Timo Vesikari
Luis Rivera
Tiina Korhonen
Anitta Ahonen
Brigitte Cheuvart
Marjan Hezareh
Winnie Janssens
Narcisa Mesaros
author_sort Timo Vesikari
collection DOAJ
description Safety and immunogenicity of 2 investigational formulations of diphtheria, tetanus and Haemophilus influenzae type b antigens of the combined diphtheria-tetanus-acellular pertussis-hepatitis B-inactivated poliomyelitis-Hib vaccine (DTPa-HBV-IPV/Hib) were evaluated in a Primary (NCT01248884) and a Booster vaccination (NCT01453998) study. In the Primary study, 721 healthy infants (randomized 1:1:1) received 3 doses of DTPa-HBV-IPV/Hib formulation A (DATAPa-HBV-IPV/Hib), or B (DBTBPa-HBV-IPV/Hib) or the licensed DTPa-HBV-IPV/Hib vaccine (Infanrix hexa, GSK; control group) at 2, 3, 4 months of age. Infants were planned to receive a booster dose at 12–15 months of age with the same formulation received in the Primary study; however, following high incidence of fever associated with the investigational formulations in the Primary study, the Booster study protocol was amended and all infants yet to receive a booster dose (N = 385) received the licensed vaccine. In the Primary study, non-inferiority of 3-dose vaccination with investigational formulations compared with the licensed vaccine was not demonstrated due to anti-pertactin failing to meet the non-inferiority criterion. Post-primary vaccination, most infants had seroprotective levels of anti-diphtheria (100% of infants), anti-tetanus antigens (100%), against hepatitis B (≥ 97.5% across groups), polyribosyl-ribitol-phosphate (≥ 88.0%) and poliovirus types 1–3 (≥ 90.5%). Seropositivity rates for each pertussis antigen were 100% in all groups. Higher incidence of fever (> 38°C) was reported in infants receiving the investigational formulations (Primary study: 75.0% [A] and 72.1% [B] vs 58.8% [control]; Booster study, before amendment: 49.4% and 46.6% vs 37.4%, respectively). The development of the investigational formulations was not further pursued.
first_indexed 2024-03-11T22:46:56Z
format Article
id doaj.art-772d0d12fba84749a5eb7dcd8590367d
institution Directory Open Access Journal
issn 2164-5515
2164-554X
language English
last_indexed 2024-03-11T22:46:56Z
publishDate 2017-07-01
publisher Taylor & Francis Group
record_format Article
series Human Vaccines & Immunotherapeutics
spelling doaj.art-772d0d12fba84749a5eb7dcd8590367d2023-09-22T08:17:49ZengTaylor & Francis GroupHuman Vaccines & Immunotherapeutics2164-55152164-554X2017-07-011371505151510.1080/21645515.2017.12942941294294Immunogenicity and safety of primary and booster vaccination with 2 investigational formulations of diphtheria, tetanus and Haemophilus influenzae type b antigens in a hexavalent DTPa-HBV-IPV/Hib combination vaccine in comparison with the licensed Infanrix hexaTimo Vesikari0Luis Rivera1Tiina Korhonen2Anitta Ahonen3Brigitte Cheuvart4Marjan Hezareh5Winnie Janssens6Narcisa Mesaros7University of TampereHospital Maternidad Nuestra Señora de la Altagracia Santo DomingoUniversity of Tampere, Tampere Vaccine Research ClinicUniversity of Tampere, Järvenpää Vaccine ClinicGSKChiltern International c/o GSKGSKGSKSafety and immunogenicity of 2 investigational formulations of diphtheria, tetanus and Haemophilus influenzae type b antigens of the combined diphtheria-tetanus-acellular pertussis-hepatitis B-inactivated poliomyelitis-Hib vaccine (DTPa-HBV-IPV/Hib) were evaluated in a Primary (NCT01248884) and a Booster vaccination (NCT01453998) study. In the Primary study, 721 healthy infants (randomized 1:1:1) received 3 doses of DTPa-HBV-IPV/Hib formulation A (DATAPa-HBV-IPV/Hib), or B (DBTBPa-HBV-IPV/Hib) or the licensed DTPa-HBV-IPV/Hib vaccine (Infanrix hexa, GSK; control group) at 2, 3, 4 months of age. Infants were planned to receive a booster dose at 12–15 months of age with the same formulation received in the Primary study; however, following high incidence of fever associated with the investigational formulations in the Primary study, the Booster study protocol was amended and all infants yet to receive a booster dose (N = 385) received the licensed vaccine. In the Primary study, non-inferiority of 3-dose vaccination with investigational formulations compared with the licensed vaccine was not demonstrated due to anti-pertactin failing to meet the non-inferiority criterion. Post-primary vaccination, most infants had seroprotective levels of anti-diphtheria (100% of infants), anti-tetanus antigens (100%), against hepatitis B (≥ 97.5% across groups), polyribosyl-ribitol-phosphate (≥ 88.0%) and poliovirus types 1–3 (≥ 90.5%). Seropositivity rates for each pertussis antigen were 100% in all groups. Higher incidence of fever (> 38°C) was reported in infants receiving the investigational formulations (Primary study: 75.0% [A] and 72.1% [B] vs 58.8% [control]; Booster study, before amendment: 49.4% and 46.6% vs 37.4%, respectively). The development of the investigational formulations was not further pursued.http://dx.doi.org/10.1080/21645515.2017.1294294acellular pertussisdtpa-hbv-ipv/hibdiphtheriahepatitis bhaemophilus influenzae type bimmunogenicityinfantspoliovirussafetytetanus
spellingShingle Timo Vesikari
Luis Rivera
Tiina Korhonen
Anitta Ahonen
Brigitte Cheuvart
Marjan Hezareh
Winnie Janssens
Narcisa Mesaros
Immunogenicity and safety of primary and booster vaccination with 2 investigational formulations of diphtheria, tetanus and Haemophilus influenzae type b antigens in a hexavalent DTPa-HBV-IPV/Hib combination vaccine in comparison with the licensed Infanrix hexa
Human Vaccines & Immunotherapeutics
acellular pertussis
dtpa-hbv-ipv/hib
diphtheria
hepatitis b
haemophilus influenzae type b
immunogenicity
infants
poliovirus
safety
tetanus
title Immunogenicity and safety of primary and booster vaccination with 2 investigational formulations of diphtheria, tetanus and Haemophilus influenzae type b antigens in a hexavalent DTPa-HBV-IPV/Hib combination vaccine in comparison with the licensed Infanrix hexa
title_full Immunogenicity and safety of primary and booster vaccination with 2 investigational formulations of diphtheria, tetanus and Haemophilus influenzae type b antigens in a hexavalent DTPa-HBV-IPV/Hib combination vaccine in comparison with the licensed Infanrix hexa
title_fullStr Immunogenicity and safety of primary and booster vaccination with 2 investigational formulations of diphtheria, tetanus and Haemophilus influenzae type b antigens in a hexavalent DTPa-HBV-IPV/Hib combination vaccine in comparison with the licensed Infanrix hexa
title_full_unstemmed Immunogenicity and safety of primary and booster vaccination with 2 investigational formulations of diphtheria, tetanus and Haemophilus influenzae type b antigens in a hexavalent DTPa-HBV-IPV/Hib combination vaccine in comparison with the licensed Infanrix hexa
title_short Immunogenicity and safety of primary and booster vaccination with 2 investigational formulations of diphtheria, tetanus and Haemophilus influenzae type b antigens in a hexavalent DTPa-HBV-IPV/Hib combination vaccine in comparison with the licensed Infanrix hexa
title_sort immunogenicity and safety of primary and booster vaccination with 2 investigational formulations of diphtheria tetanus and haemophilus influenzae type b antigens in a hexavalent dtpa hbv ipv hib combination vaccine in comparison with the licensed infanrix hexa
topic acellular pertussis
dtpa-hbv-ipv/hib
diphtheria
hepatitis b
haemophilus influenzae type b
immunogenicity
infants
poliovirus
safety
tetanus
url http://dx.doi.org/10.1080/21645515.2017.1294294
work_keys_str_mv AT timovesikari immunogenicityandsafetyofprimaryandboostervaccinationwith2investigationalformulationsofdiphtheriatetanusandhaemophilusinfluenzaetypebantigensinahexavalentdtpahbvipvhibcombinationvaccineincomparisonwiththelicensedinfanrixhexa
AT luisrivera immunogenicityandsafetyofprimaryandboostervaccinationwith2investigationalformulationsofdiphtheriatetanusandhaemophilusinfluenzaetypebantigensinahexavalentdtpahbvipvhibcombinationvaccineincomparisonwiththelicensedinfanrixhexa
AT tiinakorhonen immunogenicityandsafetyofprimaryandboostervaccinationwith2investigationalformulationsofdiphtheriatetanusandhaemophilusinfluenzaetypebantigensinahexavalentdtpahbvipvhibcombinationvaccineincomparisonwiththelicensedinfanrixhexa
AT anittaahonen immunogenicityandsafetyofprimaryandboostervaccinationwith2investigationalformulationsofdiphtheriatetanusandhaemophilusinfluenzaetypebantigensinahexavalentdtpahbvipvhibcombinationvaccineincomparisonwiththelicensedinfanrixhexa
AT brigittecheuvart immunogenicityandsafetyofprimaryandboostervaccinationwith2investigationalformulationsofdiphtheriatetanusandhaemophilusinfluenzaetypebantigensinahexavalentdtpahbvipvhibcombinationvaccineincomparisonwiththelicensedinfanrixhexa
AT marjanhezareh immunogenicityandsafetyofprimaryandboostervaccinationwith2investigationalformulationsofdiphtheriatetanusandhaemophilusinfluenzaetypebantigensinahexavalentdtpahbvipvhibcombinationvaccineincomparisonwiththelicensedinfanrixhexa
AT winniejanssens immunogenicityandsafetyofprimaryandboostervaccinationwith2investigationalformulationsofdiphtheriatetanusandhaemophilusinfluenzaetypebantigensinahexavalentdtpahbvipvhibcombinationvaccineincomparisonwiththelicensedinfanrixhexa
AT narcisamesaros immunogenicityandsafetyofprimaryandboostervaccinationwith2investigationalformulationsofdiphtheriatetanusandhaemophilusinfluenzaetypebantigensinahexavalentdtpahbvipvhibcombinationvaccineincomparisonwiththelicensedinfanrixhexa