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10价肺炎球菌非分型流感嗜血杆菌蛋白D结合疫苗(PHiD-CV)的安全性概况。

Safety profile of the 10-valent pneumococcal non-typeable Haemophilus influenzae protein D conjugate vaccine (PHiD-CV).

作者信息

Silfverdal Sven Arne, Coremans Vanessa, François Nancy, Borys Dorota, Cleerbout Jan

机构信息

a Department of Clinical Sciences, Pediatrics , Umeå University , Umeå , Sweden.

b GSK Vaccines , Wavre , Belgium.

出版信息

Expert Rev Vaccines. 2017 Feb;16(2):109-121. doi: 10.1586/14760584.2016.1164044. Epub 2016 Sep 30.

Abstract

Safety and reactogenicity data were reviewed following 10 years of experience with the 10-valent pneumococcal non-typeable Haemophilus influenzae protein D conjugate vaccine (PHiD-CV) in clinical development and from post-licensure settings. Analyses of pooled clinical trial data and post-marketing reports provided an overview of its safety profile and allowed assessment of rare adverse events that might not have been identified previously. The safety of PHiD-CV was also evaluated in children at higher risk for pneumococcal infection (preterm and HIV-infected or HIV-exposed infants), for different vaccination schedules and co-administered pediatric vaccines, and with a focus on special categories of adverse events (febrile convulsions, apnea, Kawasaki disease and sudden deaths). Following the distribution of over 235 million doses, PHiD-CV has been well tolerated when co-administered with other pediatric vaccines to children aged less than 5 years from diverse ethnic and geographic backgrounds. Detailed examination of various aspects has confirmed its favorable benefit: risk profile.

摘要

在10价肺炎球菌非分型流感嗜血杆菌蛋白D结合疫苗(PHiD-CV)进行了10年的临床开发并进入上市后监测阶段后,对其安全性和反应原性数据进行了回顾。汇总的临床试验数据和上市后报告分析提供了其安全性概况,并允许评估之前可能未被识别的罕见不良事件。还对肺炎球菌感染风险较高的儿童(早产以及感染HIV或暴露于HIV的婴儿)、不同的疫苗接种程序、同时接种的儿科疫苗进行了PHiD-CV安全性评估,并重点关注特殊类别的不良事件(热性惊厥、呼吸暂停、川崎病和猝死)。在分发超过2.35亿剂疫苗后,当与其他儿科疫苗同时接种时,PHiD-CV在来自不同种族和地理背景的5岁以下儿童中耐受性良好。对各个方面的详细检查证实了其良好的效益风险比。

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