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在2020/21季节,于比利时、德国和西班牙开展的针对葛兰素史克四价季节性流感疫苗的特定品牌强化安全性监测研究,该研究在新冠疫情期间进行。

Brand-Specific Enhanced Safety Surveillance Study of GSK's Quadrivalent Seasonal Influenza Vaccine, Conducted During the COVID-19 Pandemic, in Belgium, Germany and Spain, for the 2020/21 Season.

作者信息

Dos Santos Gaël, Wang Hao, Jindal Pooja, Rybo Maria, Roul Hélène, Pallem Sridevi, Eckermann Tamara, Godderis Lode, Martínez Gómez Xavier, Godard Eric, Soler Muriel, Yousefi Mitra, Salamanca de la Cueva Ignacio, Nwoji Ugo

机构信息

GSK, Wavre, Belgium.

GSK, Amsterdam, The Netherlands.

出版信息

Infect Dis Ther. 2022 Feb;11(1):463-483. doi: 10.1007/s40121-021-00571-y. Epub 2021 Dec 27.

Abstract

INTRODUCTION

Seasonal influenza poses a major public health burden worldwide. Influenza vaccines, updated yearly to match circulating strains based on World Health Organization (WHO) recommendations, are the cornerstone of prevention and require regular monitoring. The COVID-19 pandemic is expected to cause logistical, site access and medical staff constraints and could affect the safety profile of influenza vaccines.

METHODS

Following European Medicines Agency guidance, an enhanced safety surveillance (ESS) study assessed the frequency and severity of predefined and other adverse events (AEs) occurring within 7 days of receiving GSK's inactivated quadrivalent seasonal influenza vaccine (IIV4), in Belgium, Germany and Spain in 2020/21, using adverse drug reaction (ADR) cards.

RESULTS

During the 2020/21 influenza season, 1054 participants vaccinated with GSK's IIV4 were enrolled (all adults in Belgium and Germany, 30% adults/70% children in Spain); 96 eligible children received a second dose. Overall, 1042 participants completed the study. After doses 1 and 2, 98.9% and 100% of participants, respectively, returned their completed ADR card. After doses 1 and 2, 37.8% (398/1054) and 13.5% (13/96) of participants, respectively, reported at least one AE. The most frequently reported categories of AEs were "general disorders and administration site conditions" (e.g. injection site pain) and "nervous system disorders" (e.g. headache). There were no deaths or serious AEs deemed related to GSK's IIV4.

CONCLUSION

This ESS study assessed AEs in near real time. The COVID-19 pandemic did not alter the safety profile of GSK's IIV4. No safety signals were detected during the study, which confirms the excellent safety profile of GSK's IIV4.

摘要

引言

季节性流感在全球范围内构成重大公共卫生负担。流感疫苗每年根据世界卫生组织(WHO)的建议进行更新,以匹配流行毒株,是预防的基石,需要定期监测。预计新冠疫情将导致后勤、场地准入和医务人员方面的限制,并可能影响流感疫苗的安全性。

方法

根据欧洲药品管理局的指导,一项强化安全性监测(ESS)研究使用药品不良反应(ADR)卡片,评估了2020/21年在比利时、德国和西班牙接种葛兰素史克公司四价季节性流感灭活疫苗(IIV4)后7天内发生的预定义不良事件和其他不良事件(AE)的频率和严重程度。

结果

在2020/21年流感季节,1054名接种葛兰素史克公司IIV4疫苗的参与者入组(比利时和德国的所有成年人,西班牙30%为成年人/70%为儿童);96名符合条件的儿童接种了第二剂。总体而言,1042名参与者完成了研究。在第1剂和第2剂接种后,分别有98.9%和100%的参与者返还了填写完整的ADR卡片。在第1剂和第2剂接种后,分别有37.8%(398/1054)和13.5%(13/96)的参与者报告了至少一项不良事件。最常报告的不良事件类别为“全身性障碍和给药部位状况”(如注射部位疼痛)和“神经系统障碍”(如头痛)。没有死亡或严重不良事件被认为与葛兰素史克公司的IIV4有关。

结论

这项ESS研究几乎实时评估了不良事件。新冠疫情并未改变葛兰素史克公司IIV4的安全性。研究期间未检测到安全信号,这证实了葛兰素史克公司IIV4出色的安全性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/082b/8847628/c5eae96126e2/40121_2021_571_Fig1_HTML.jpg

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