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关于研究性四价脑膜炎球菌糖共轭疫苗MenACWY-CRM与破伤风、白喉和无细胞百日咳联合疫苗在青少年和年轻成年人中同时接种时的安全性、耐受性和免疫原性的随机试验。

Randomized trial on the safety, tolerability, and immunogenicity of MenACWY-CRM, an investigational quadrivalent meningococcal glycoconjugate vaccine, administered concomitantly with a combined tetanus, reduced diphtheria, and acellular pertussis vaccine in adolescents and young adults.

作者信息

Gasparini Roberto, Conversano Michele, Bona Gianni, Gabutti Giovanni, Anemona Alessandra, Dull Peter M, Ceddia Francesca

机构信息

Department of Health Sciences, University of Genoa, Via Pastore 1, 16132 Genoa, Italy.

出版信息

Clin Vaccine Immunol. 2010 Apr;17(4):537-44. doi: 10.1128/CVI.00436-09. Epub 2010 Feb 17.

Abstract

This study evaluated the safety, tolerability, and immunogenicity of an investigational quadrivalent meningococcal conjugate vaccine, MenACWY-CRM, when administered concomitantly with a combined tetanus, reduced diphtheria, and acellular pertussis (Tdap) vaccine, in subjects aged 11 to 25 years. Subjects received either MenACWY-CRM and Tdap, MenACWY-CRM and saline placebo, or Tdap and saline placebo. No significant increase in reactogenicity and no clinically significant vaccine-related adverse events (AEs) occurred when MenACWY-CRM and Tdap were administered concomitantly. Similar immunogenic responses to diphtheria, tetanus, and meningococcal (serogroups A, C, W-135, and Y) antigens were observed, regardless of concomitant vaccine administration. Antipertussis antibody responses were comparable between vaccine groups for filamentous hemagglutinin and were slightly lower, although not clinically significantly, for pertussis toxoid and pertactin when the two vaccines were administered concomitantly. These results indicate that the investigational MenACWY-CRM vaccine is well tolerated and immunogenic and that it can be coadministered with Tdap to adolescents and young adults.

摘要

本研究评估了一种研究性四价脑膜炎球菌结合疫苗MenACWY-CRM在11至25岁受试者中与破伤风、减量白喉和无细胞百日咳联合疫苗(Tdap)同时接种时的安全性、耐受性和免疫原性。受试者分别接受MenACWY-CRM与Tdap、MenACWY-CRM与生理盐水安慰剂,或Tdap与生理盐水安慰剂。当MenACWY-CRM与Tdap同时接种时,反应原性无显著增加,也未出现临床上具有显著意义的疫苗相关不良事件(AE)。无论是否同时接种疫苗,对白喉、破伤风和脑膜炎球菌(A、C、W-135和Y血清群)抗原均观察到相似的免疫原性反应。丝状血凝素的抗百日咳抗体反应在疫苗组之间相当,当两种疫苗同时接种时,百日咳毒素和百日咳杆菌黏附素的抗体反应略低,尽管在临床上无显著差异。这些结果表明,研究性MenACWY-CRM疫苗耐受性良好且具有免疫原性,并且可以与Tdap同时接种给青少年和年轻成年人。

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