a Merck Research Laboratories , Merck & Co., Inc , Kenilworth , USA.
Hum Vaccin Immunother. 2019;15(2):426-432. doi: 10.1080/21645515.2018.1530934. Epub 2018 Nov 15.
Safety and immunogenicity data from 5 clinical trials conducted in the US in children 12-to-23 months old where HAVi was administered alone or concomitantly with other pediatric vaccines (M-M-R®II, Varivax®, TRIPEDIA®, Prevnar®, ProQuad®, PedvaxHIB®, and INFANRIX®) were combined. Among 4,374 participants receiving ≥ 1 dose of HAVi, 4,222 (97%) had safety follow-up and the proportions reporting adverse events (AE) were comparable when administered alone (69.4%) or concomitantly with other pediatric vaccines (71.1%). The most common solicited injection-site AEs were pain/tenderness (Postdose 1: 25.8%; Postdose 2: 26.1%) and redness (Postdose 1: 13.6%; Postdose 2: 15.1%). The most common vaccine-related systemic AEs were fever (≥ 100.4ºF, 12.2%) and irritability (8.1%). Serious AEs (SAEs) were observed at a rate of 0.4%; 0.1% were considered vaccine-related. No deaths were reported within 14 days following a dose of HAVi. These integrated analyses also showed that protective antibody concentrations were elicited in 100% of toddlers after two doses and 92% after a single dose, regardless of whether HAVi was given concomitantly with other vaccines or alone. These results demonstrate that HAVi was well-tolerated whether given alone or concomitantly with other vaccines, with a low incidence of vaccine-related SAEs. HAVi was immunogenic in this age group regardless of whether administered with or without other pediatric vaccines and whether 1 or 2 doses were administered. HAVi did not impact the immune response to other vaccines. These data continue to support the routine use of HAVi with other pediatric vaccines in children ≥ 12 months of age.
将在美国进行的 5 项临床试验中的安全性和免疫原性数据进行了合并,这些试验入组了 12-23 月龄的儿童,研究对象接受了单独或同时接种 HAVi 与其他儿科疫苗(MMR II、Varivax、TRIPEDIA、Prevnar、ProQuad、PedvaxHIB 和 INFANRIX)的情况。在 4374 名接受了至少一剂 HAVi 接种的受试者中,4222 名(97%)有安全性随访,单独接种(69.4%)或同时与其他儿科疫苗接种(71.1%)时报告不良事件(AE)的比例相当。最常见的局部注射部位 AE 是疼痛/触痛(第 1 剂后:25.8%;第 2 剂后:26.1%)和发红(第 1 剂后:13.6%;第 2 剂后:15.1%)。最常见的疫苗相关全身 AE 是发热(≥100.4°F,12.2%)和易激惹(8.1%)。严重不良事件(SAE)的发生率为 0.4%;0.1%被认为与疫苗相关。在接种 HAVi 后 14 天内未报告死亡。这些综合分析还表明,无论 HAVi 是否与其他疫苗同时接种,两剂接种后 100%的幼儿和单剂接种后 92%的幼儿均可产生保护性抗体浓度。这些结果表明,HAVi 单独或与其他疫苗同时接种均具有良好的耐受性,疫苗相关 SAE 的发生率较低。无论是否同时接种其他儿科疫苗,以及接种 1 剂或 2 剂,HAVi 在该年龄组均具有免疫原性。HAVi 不会影响对其他疫苗的免疫应答。这些数据继续支持在≥12 月龄儿童中常规使用 HAVi 与其他儿科疫苗。