Barth R, Franke V, Müller H, Weinmann E
Behringswerke AG, Marburg, Federal Republic of Germany.
Vaccine. 1990 Feb;8(1):41-8. doi: 10.1016/0264-410x(90)90176-m.
The potency of purified chick embryo cell rabies vaccine Rabipur was evaluated by four different in vivo test systems: (1) NIH test with homologous strain LEP challenge; (2) intramuscular challenge of vaccinated laboratory animals; (3) postexposure vaccine treatment trials in laboratory animals; and (4) antibody induction tests in laboratory animals. These different test systems were compared with the Standard NIH test and an in vitro test, the modified ABT. Each of the four in vivo methods chosen demonstrated potency values superior to that of the Standard NIH test in which challenge was with CVS strain. Potency relations were: Standard NIH test versus alternative methods versus modified ABT 1.0-2.2-1.85 respectively. There was good correlation between alternative in vivo methods and the ABT. In addition examples of antibody induction in man following administration of various postexposure treatment regimens are presented which lead to the conclusion that postexposure vaccination method and composition of the study group play a more important role in achieving optimum treatment results than vaccine potency, provided that it corresponds to WHO requirements (minimum 2.5 IU per dose).
通过四种不同的体内测试系统对纯化鸡胚细胞狂犬病疫苗Rabipur的效力进行了评估:(1)用同源毒株LEP攻击的NIH试验;(2)对接种疫苗的实验动物进行肌肉注射攻击;(3)在实验动物中进行暴露后疫苗治疗试验;以及(4)在实验动物中进行抗体诱导试验。将这些不同的测试系统与标准NIH试验和一种体外试验——改良ABT进行了比较。所选择的四种体内方法中的每一种所显示的效力值均优于用CVS毒株攻击的标准NIH试验。效力关系分别为:标准NIH试验与替代方法与改良ABT之比为1.0 - 2.2 - 1.85。替代体内方法与ABT之间存在良好的相关性。此外,还给出了在人类中给予各种暴露后治疗方案后抗体诱导的实例,由此得出结论:只要疫苗效力符合世界卫生组织要求(每剂至少2.5 IU),暴露后疫苗接种方法和研究组的组成在实现最佳治疗效果方面比疫苗效力发挥更重要的作用。