Li Yan-ping, Li Feng-xiang, Hou Qi-ming, Li Chang-gui, Li Ya-nan, Chen Fu-sheng, Hu Xue-zhong, Su Wen-bin, Zhang Shu-min, Fang Han-hua, Ye Qiang, Zeng Tian-de, Liu Tao-xuan, Li Xiu-bi, Huang Yun-neng, Deng Man-ling, Li Rong-cheng, Zhang Yan-ping, Esteban Ortiz
Guangxi Autonomous Region Center for Disease Control and Prevention, Nanning 530023, China.
Zhonghua Liu Xing Bing Xue Za Zhi. 2011 Aug;32(8):808-15.
The aim of this study was to demonstrate the immunogenicity and safety of diphtheria, tetanus, pertussis (acellular, component), poliomyelitis (inactivated) vaccine (adsorbed) and Haemophilus influenzae type b conjugate vaccine (DTaP-IPV//PRP-T) combined vaccine compared with commercially available DTaP (diphtheria, tetanus and pertussis), Haemophilus influenzae type b (Hib), tetanus conjugate and IPV monovalent vaccine.
Subjects were randomly divided into three groups, Group A and Group B were DTaP-IPV//PRP-T combined vaccine (PENTAXIM(TM)) vaccinated at 2, 3, 4 months of age or 3, 4, 5 months of age respectively; Group C was commercially available DTaP. Hib tetanus conjugate (Act-HIB(TM)) and IPV (IMOVAX PolioTM(TM)) vaccines vaccinated at 3, 4, 5 months of age. All groups received booster dose at 18 to 20 months of age, with antibody titers tested. Non-inferiority analysis was demonstrated in terms of seroprotection/seroconversion rates between Group A, Group B respectively and Group C. Safety information was collected after each vaccination to assess the safety of investigational vaccines.
The non-inferiority of DTaP-IPV//PRP-T combined vaccine vaccinated at 2, 3, 4 or 3, 4, 5 months of age versus DTaP, Hib tetanus conjugate and IPV vaccine was demonstrated for all vaccine antigens in both primary and booster phases in terms of seroprotection/seroconversion rates. DTaP-IPV//PRP-T combined vaccine was well tolerated. The rate of solicited/unsolicited severe adverse reactions was very low and similar to the control vaccines.
DTaP-IPV//PRP-T combined vaccine was highly immunogenic with good safety profile in Chinese infants, which was comparable to the commercially available control vaccines.
本研究旨在证明白喉、破伤风、百日咳(无细胞、组分)、脊髓灰质炎(灭活)疫苗(吸附)和b型流感嗜血杆菌结合疫苗(DTaP-IPV//PRP-T)联合疫苗与市售白喉、破伤风和百日咳(DTaP)疫苗、b型流感嗜血杆菌(Hib)疫苗、破伤风结合疫苗及脊髓灰质炎灭活单价疫苗相比的免疫原性和安全性。
将受试者随机分为三组,A组和B组分别在2、3、4月龄或3、4、5月龄接种DTaP-IPV//PRP-T联合疫苗(PENTAXIM™);C组在3、4、5月龄接种市售DTaP疫苗、Hib破伤风结合疫苗(Act-HIB™)和脊髓灰质炎灭活疫苗(IMOVAX Polio™)。所有组在18至20月龄时接受加强剂量接种,并检测抗体滴度。分别比较A组、B组与C组之间的血清保护/血清转化率,进行非劣效性分析。每次接种后收集安全性信息,以评估研究疫苗的安全性。
在血清保护/血清转化率方面,2、3、4月龄或3、4、5月龄接种的DTaP-IPV//PRP-T联合疫苗在初免和加强免疫阶段的所有疫苗抗原方面,均显示出与DTaP、Hib破伤风结合疫苗和脊髓灰质炎灭活疫苗相比的非劣效性。DTaP-IPV//PRP-T联合疫苗耐受性良好。主动/被动严重不良反应发生率非常低,与对照疫苗相似。
DTaP-IPV//PRP-T联合疫苗在中国婴儿中具有高度免疫原性且安全性良好,与市售对照疫苗相当。