Статья

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

J. Heldens, E. Hulskotte, T. Voeten, B. Breedveld, P. Verweij, D. van, L. Rudenko, D. van, d. van,
2021

Live attenuated influenza vaccine (LAIV) offers the promise of inducing a variety of immune responses thereby conferring protection to circulating field strains. LAIVs are based on cold adapted and temperature sensitive phenotypes of master donor viruses (MDVs) containing the surface glycoprotein genes of seasonal influenza strains. Two types of MDV lineages have been described, the Ann Arbor lineages and the A/Leningrad/17 and B/USSR/60 lineages. Here the safety and immunogenicity of a Madin Darby Canine Kidney - cell culture based, intranasal LAIV derived from A/Leningrad/17 and B/USSR, was evaluated in healthy influenza non-naive volunteers 18-50 years of age. In a double-blind, randomized, placebo-controlled design, single escalating doses of 1×105, 1×106, or 1×107 tissue culture infectious dose 50% (TCID50) of vaccine containing each of the three influenza virus re-assortants recommended by the World Health Organization for the 2008-2009 season were administered intranasally. A statistically significant geometric mean increase in hemagglutination inhibition titer was reached for influenza strain A/H3N2 after immunization with all doses of LAIV. For the A/H1N1 and B strains, the GMI in HI titer did not increase for any of the doses. Virus neutralization antibody titers showed a similar response pattern. A dose-response effect could not be demonstrated for any of the strains, neither for the HI antibody nor for the VN antibody responses. No influenza like symptoms, no nasal congestions, no rhinorrhea, or other influenza related upper respiratory tract symptoms were observed. In addition, no difference in the incidence or nature of adverse events was found between vaccine and placebo treated subjects. Overall, the results indicated that the LAIV for nasal administration is immunogenic (i.e. able to provoke an immune response) and safe both from the perspective of the attenuated virus and the MDCK cell line from which it was derived, and it warrants further development. © 2014 Elsevier Ltd.

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  • 1. Version of Record от 2021-04-27

Метаданные

Об авторах
  • J. Heldens
    Nobilon International BV, Wim de Körverstraat 35, 5831 AN Boxmeer, Netherlands
  • E. Hulskotte
    Merck Sharpe and Dohme Oss BV, Moleneind 110, 5342 CC Oss, Netherlands
  • T. Voeten
    Institute of Experimental Medicine, Russian Academy of Medical Sciences, 12 Acad. Pavlov Street, St. Petersburg, 197376, Russian Federation
  • B. Breedveld
    Vaccine and Infectious Diseases Institute (VAXINFECTIO), University of Antwerp, Universiteitsplein 1, B2610 Antwerp, Belgium
  • P. Verweij
    Merck Sharpe and Dohme Animal Health BV, Wim de Körver-straat 35, 5831 AN Boxmeer, Netherlands
  • D. van
    Athena Institute, Faculty of Earth and Life Sciences (FALW), Free University Amsterdam, De Boelelaan 1085, 1081 HV Amsterdam, Netherlands
  • L. Rudenko
    Janssen Pharmaceutica, Turnhoutseweg 30, B-2340 Beerse, Belgium
  • D. van
  • d. van
Название журнала
  • Vaccine
Том
  • 32
Выпуск
  • 39
Страницы
  • 5118-5124
Ключевые слова
  • influenza vaccine; liver enzyme; neutralizing antibody; placebo; virus glycoprotein; influenza vaccine; live vaccine; virus antibody; adult; animal cell; antibody titer; article; cell culture; controlled study; deep vein thrombosis; double blind procedure; drug dose escalation; drug efficacy; drug induced headache; drug safety; drug withdrawal; female; geometry; hemagglutination inhibition; human; human cell; human tissue; hyperesthesia; hypertransaminasemia; immunogenicity; influenza A; influenza vaccination; Influenza virus; Influenza virus A H1N1; Influenza virus A H3N2; major clinical study; male; MDCK cell line; nonhuman; nose obstruction; paresthesia; pleurisy; priority journal; randomized controlled trial; rhinorrhea; seasonal influenza; seasonal variation; single drug dose; tissue culture; upper respiratory tract; upper respiratory tract infection; virus attenuation; virus strain; world health organization; adolescent; animal; blood; clinical trial; dog; hemagglutination inhibition test; Influenza virus B; Influenza, Human; middle aged; phase 1 clinical trial; young adult; Adolescent; Adult; Animals; Antibodies, Neutralizing; Antibodies, Viral; Dogs; Double-Blind Method; Female; Hemagglutination Inhibition Tests; Humans; Influenza A Virus, H1N1 Subtype; Influenza A Virus, H3N2 Subtype; Influenza B virus; Influenza Vaccines; Influenza, Human; Madin Darby Canine Kidney Cells; Male; Middle Aged; Vaccines, Attenuated; Young Adult
Издатель
  • Elsevier Ltd
Тип документа
  • journal article
Тип лицензии Creative Commons
  • CC
Правовой статус документа
  • Свободная лицензия
Источник
  • scopus