Santa Casa de São Paulo School of Medical Sciences and CDEC, São Paulo, Brazil.
Hospital Clinico Universitario de Santiago de Compostela, Santiago de Compostela, Spain; Genetics, Vaccines and Pediatrics Research Group (GENVIP), Instituto de Investigación Sanitaria de Santiago, University of Santiago de Compostela, Spain.
Vaccine. 2019 Aug 14;37(35):4858-4863. doi: 10.1016/j.vaccine.2019.07.021. Epub 2019 Jul 18.
No data are currently available on immunogenicity of higher-valent pneumococcal conjugate vaccines when co-administered with a 4-component meningococcal serogroup B vaccine (4CMenB).
Post-hoc analysis of pneumococcal non-typeable Haemophilus influenzae protein D conjugate vaccine (PHiD-CV) immunogenicity when co-administered with 4CMenB (2 + 1 schedule) and/or a CRM-conjugated meningococcal serogroup C vaccine (MenC-CRM) in a trial assessing 4CMenB reduced schedules and co-administration with MenC-CRM (NCT01339923). Infants were randomized to receive 4CMenB and MenC-CRM (Group 1) or MenC-CRM (Group 2) at 3, 5, and 12 months (M) of age. Both groups received PHiD-CV (3 + 1 schedule) as part of the Brazilian national immunisation programme at 3 M, 5 M, 7 M, and 12 M of age. Antibody responses were assessed pre-vaccination, 1 M post-dose 2, pre-booster, and 1 M post-booster.
Anti-pneumococcal antibody responses were in similar ranges in the two study groups.
4CMenB co-administration did not seem to impact antibody responses to PHiD-CV in infants.
目前尚无关于更高价型肺炎球菌结合疫苗与 4 价脑膜炎球菌 B 型结合疫苗(4CMenB)同时使用的免疫原性数据。
在一项评估 4CMenB 简化方案和与 MenC-CRM 联合使用的试验中,对肺炎球菌无型别流感嗜血杆菌蛋白 D 结合疫苗(PHiD-CV)与 4CMenB(2+1 方案)和/或 CRM 结合的脑膜炎球菌 C 型结合疫苗(MenC-CRM)同时使用的免疫原性进行了事后分析(NCT01339923)。婴儿随机接受 4CMenB 和 MenC-CRM(第 1 组)或仅接受 MenC-CRM(第 2 组),于 3、5 和 12 月龄(M)时接种。两组均在 3、5、7 和 12 M 龄时,根据巴西国家免疫规划,接受 PHiD-CV(3+1 方案)。在接种前、第 2 剂后 1 M、预加强和加强后 1 M 时评估抗体反应。
两组研究中抗肺炎球菌抗体反应相似。
4CMenB 联合使用似乎不会影响婴儿对 PHiD-CV 的抗体反应。