Kim Dong Soo, Houillon Guy, Jang Gwang Cheon, Cha Sung-Ho, Choi Soo-Han, Lee Jin, Kim Hwang Min, Kim Ji Hong, Kang Jin Han, Kim Jong-Hyun, Kim Ki Hwan, Kim Hee Soo, Bang Joon, Naimi Zulaikha, Bosch-Castells Valérie, Boaz Mark, Bouckenooghe Alain
a Yonsei University College of Medicine; Severance Children's Hospital ; Seoul , Korea.
Hum Vaccin Immunother. 2014;10(9):2656-63. doi: 10.4161/hv.29743. Epub 2014 Nov 6.
A new live attenuated Japanese encephalitis chimeric virus vaccine (JE-CV) has been developed based on innovative technology to give protection against JE with an improved immunogenicity and safety profile. In this phase 3, observer-blind study, 274 children aged 12-24 months were randomized 1:1 to receive one dose of JE-CV (Group JE-CV) or the SA14-14-2 vaccine currently used to vaccinate against JE in the Republic of Korea (Group SA14-14-2). JE neutralizing antibody titers were assessed using PRNT50 before and 28 days after vaccination. The primary endpoint of non-inferiority of seroconversion rates on D28 was demonstrated in the Per Protocol analysis set as the difference between Group JE-CV and Group SA14-14-2 was 0.9 percentage points (95% confidence interval [CI]: -2.35; 4.68), which was above the required -10%. Seroconversion and seroprotection rates 28 days after administration of a single vaccine dose were 100% in Group JE-CV and 99.1% in Group SA14-14-2; all children except one (Group SA14-14-2) were seroprotected. Geometric mean titers (GMTs) increased in both groups from D0 to D28; GM of titer ratios were slightly higher in Group JE-CV (182 [95% CI: 131; 251]) than Group SA14-14-2 (116 [95% CI: 85.5, 157]). A single dose of JE-CV was well tolerated and no safety concerns were identified. In conclusion, a single dose of JE-CV or SA14-14-2 vaccine elicited a comparable immune response with a good safety profile. Results obtained in healthy Korean children aged 12-24 months vaccinated with JE-CV are consistent with those obtained in previous studies conducted with JE-CV in toddlers.
一种基于创新技术研发的新型减毒活日本脑炎嵌合病毒疫苗(JE-CV)已问世,该疫苗能提供针对日本脑炎的保护,且免疫原性和安全性有所改善。在这项3期、观察者盲法研究中,274名12至24个月大的儿童按1:1随机分组,分别接受一剂JE-CV(JE-CV组)或韩国目前用于预防日本脑炎的SA14-14-2疫苗(SA14-14-2组)。在接种疫苗前及接种后28天,使用PRNT50评估日本脑炎中和抗体滴度。在符合方案分析集中,证明了D28时血清转化率非劣效性的主要终点,因为JE-CV组和SA14-14-2组之间的差异为0.9个百分点(95%置信区间[CI]:-2.35;4.68),高于所需的-10%。单剂疫苗接种后28天,JE-CV组的血清转化率和血清保护率均为100%,SA14-14-2组为99.1%;除一名儿童(SA14-14-2组)外,所有儿童均获得血清保护。两组的几何平均滴度(GMTs)从D0到D28均有所增加;JE-CV组的滴度比值几何平均值(182[95%CI:131;251])略高于SA14-至14-2组(116[95%CI:85.5,157])。单剂JE-CV耐受性良好,未发现安全问题。总之,单剂JE-CV或SA14-14-2疫苗引发了相当的免疫反应,且安全性良好。在接种JE-CV的12至24个月大的健康韩国儿童中获得的结果与之前在幼儿中进行的JE-CV研究结果一致。