Novartis Vaccines and Diagnostics, Inc., 350 Massachusetts Avenue, Cambridge, MA 02139-4182, USA.
Expert Rev Vaccines. 2011 Jan;10(1):21-33. doi: 10.1586/erv.10.147.
Meningococcal disease remains a global public health concern despite the wide availability of polysaccharide and polysaccharide-protein conjugate vaccines. The latter often afford a greater duration and scope of protection compared with the former. A novel quadrivalent meningococcal conjugate vaccine, Menveo(®) (MenACWY-CRM; Novartis Vacines, Bellaria-Rosia, Italy) has recently been licensed in Europe, the USA, Canada and other countries to protect adolescents and adults against disease caused by serogroups A, C, W-135 and Y. MenACWY-CRM has an immunogenicity and tolerability profile in adolescents and adults supported by an extensive clinical development program. MenACWY-CRM induced immune responses that were at least as good as those induced by Menactra(®) (MenACWY-D; Sanofi Pasteur [Swiftwater, PA, USA]), a quadrivalent meningococcal polysaccharide-protein conjugate vaccine) against serogroups A, C, W-135 and Y. Immune responses were also observed in a population of subjects 56-65 years of age. Published information also shows immunogenicity in infants, toddlers and children. Tolerability outcomes were similar for MenACWY-CRM, MenACWY-D and a plain polysaccharide quadrivalent vaccine against meningococcal serogroups A, C, W-135 and Y. Given its potential for protecting infants and persons over 55 years of age, MenACWY-CRM offers promise to fulfil an unmet global need for preventing invasive meningococcal disease in vulnerable populations for which no vaccine is available.
脑膜炎球菌病仍然是一个全球性的公共卫生关注问题,尽管多糖和多糖蛋白结合疫苗广泛可用。后者通常比前者提供更长和更广泛的保护范围。一种新型的四价脑膜炎球菌结合疫苗,Menveo®(MenACWY-CRM;诺华疫苗,意大利贝拉利亚-罗西亚)最近在欧洲、美国、加拿大和其他国家获得许可,用于保护青少年和成年人免受 A、C、W-135 和 Y 血清群引起的疾病。MenACWY-CRM 在青少年和成年人中的免疫原性和耐受性特征得到了广泛的临床开发计划的支持。MenACWY-CRM 诱导的免疫应答至少与 Menactra®(MenACWY-D;赛诺菲巴斯德[美国宾夕法尼亚州斯威沃特])诱导的免疫应答一样好,后者是一种四价脑膜炎球菌多糖蛋白结合疫苗)针对 A、C、W-135 和 Y 血清群。在 56-65 岁的人群中也观察到了免疫应答。已发表的信息还显示了在婴儿、幼儿和儿童中的免疫原性。MenACWY-CRM、MenACWY-D 和一种针对脑膜炎球菌 A、C、W-135 和 Y 血清群的普通多糖四价疫苗的耐受性结果相似。鉴于其在保护婴儿和 55 岁以上人群方面的潜力,MenACWY-CRM 有望满足在弱势群体中预防侵袭性脑膜炎球菌病的全球未满足需求,而这些人群目前尚无疫苗可用。