一种新型的b型流感嗜血杆菌与C群和Y群脑膜炎奈瑟菌-破伤风类毒素结合疫苗联合接种,不会干扰对美国常规使用的婴儿疫苗中所含抗原的免疫反应。
Co-administration of a novel Haemophilus influenzae type b and Neisseria meningitidis serogroups C and Y-tetanus toxoid conjugate vaccine does not interfere with the immune response to antigens contained in infant vaccines routinely used in the United States.
作者信息
Marshall Gary S, Marchant Colin D, Blatter Mark, Friedland Leonard R, Aris Emmanuel, Miller Jacqueline M
机构信息
University of Louisville, Louisville, KY, USA.
出版信息
Hum Vaccin. 2011 Feb;7(2):258-64. doi: 10.4161/hv.7.2.14170. Epub 2011 Feb 1.
An investigational combined Haemophilus influenzae type b (Hib) and Neisseria meningitidis serogroups C and Y tetanus toxoid conjugate vaccine (HibMenCY-TT) has been developed to protect infants from invasive disease caused by Hib and these meningococcal serogroups without adding injections to the immunization schedule. Incorporation of this novel vaccine into the US vaccination schedule will require demonstration of a lack of immunologic interference with other routine pediatric vaccines. This study assessed the immune response to 7-valent pneumococcal conjugate vaccine (PCV7) and combined diphtheria-tetanus-acellular pertussis-hepatitis B-inactivated poliovirus vaccine (DTaP-HepB-IPV) when separately co-administered with HibMenCY-TT as compared to a US-licensed H. influenzae type b tetanus toxoid conjugate vaccine (Hib-TT) at 2, 4, 6 (N=606) and 12-15 months of age (N=366). HibMenCY-TT was non-inferior to Hib-TT in terms of antibody responses to all Streptococcus pneumoniae serotypes contained in PCV7 and the diphtheria, tetanus, pertussis, hepatitis B and poliovirus antigens contained in DTaP-HepB-IPV one month after the third vaccine dose, and the anti-tetanus geometric mean antibody concentration (GMC) was significantly higher in the HibMenCY-TT group than in the Hib-TT group. In an exploratory analysis, no significant differences in the proportion of subjects with anti-pneumococcal antibody concentrations ≥0.2 µg/ml or anti-pneumococcal GMC were seen between the two groups after the fourth vaccine dose. A schedule of HibMenCY-TT given concomitantly with PCV7 and DTaP-HepB-IPV would be expected to protect infants against all of the targeted diseases.
一种研究性的b型流感嗜血杆菌(Hib)与C群和Y群脑膜炎奈瑟菌破伤风类毒素结合疫苗(HibMenCY-TT)已被研发出来,旨在保护婴儿免受由Hib以及这些脑膜炎球菌血清群引起的侵袭性疾病的侵害,同时无需在免疫程序中增加注射次数。将这种新型疫苗纳入美国疫苗接种计划需要证明其不会对其他常规儿科疫苗产生免疫干扰。本研究评估了在2、4、6月龄(N = 606)和12 - 15月龄(N = 366)时,与美国许可的b型流感嗜血杆菌破伤风类毒素结合疫苗(Hib-TT)相比,7价肺炎球菌结合疫苗(PCV7)以及白喉-破伤风-无细胞百日咳-乙型肝炎-灭活脊髓灰质炎病毒联合疫苗(DTaP-HepB-IPV)分别与HibMenCY-TT同时接种时的免疫反应。在第三次疫苗接种后一个月,HibMenCY-TT在对PCV7中包含的所有肺炎链球菌血清型以及DTaP-HepB-IPV中包含的白喉、破伤风、百日咳、乙型肝炎和脊髓灰质炎病毒抗原的抗体反应方面不劣于Hib-TT,并且HibMenCY-TT组的抗破伤风几何平均抗体浓度(GMC)显著高于Hib-TT组。在一项探索性分析中,第四次疫苗接种后两组之间抗肺炎球菌抗体浓度≥0.2 µg/ml或抗肺炎球菌GMC的受试者比例没有显著差异。预计将HibMenCY-TT与PCV7和DTaP-HepB-IPV同时接种的方案能够保护婴儿免受所有目标疾病的侵害。