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临床试验显示,葛兰素史克公司和默克公司的麻疹、腮腺炎、风疹(MMR)疫苗在包括发热性惊厥发生率在内的安全性结果方面相似。

Clinical trials show similar safety outcomes including febrile convulsion rates for GSK's and Merck's measles-mumps-rubella (MMR) vaccines.

机构信息

Clinical Sciences, Live Viral Vaccines, GSK, Wavre, Belgium.

Vaccines Biostats, GSK, Wavre, Belgium.

出版信息

Hum Vaccin Immunother. 2023 Dec 31;19(1):2188852. doi: 10.1080/21645515.2023.2188852.

Abstract

Combined measles-mumps-rubella (MMR) vaccines produced by GSK (GSK-MMR) and Merck (Merck-MMR) have demonstrated effectiveness and an acceptable safety profile, as documented over decades of post-licensure use in various regions worldwide. In the United States, 2 doses of the MMR vaccine are recommended at the ages of 12-15 months and 4-6 years. All-cause febrile convulsions have the highest incidence at 12-18 months of age, when the first MMR vaccine dose is administered. Because febrile convulsions can also occur rarely after MMR vaccine administration, we reviewed safety data of the GSK-MMR compared to the Merck-MMR vaccine from 4 clinical trials that evaluated a first dose in 12-15-month-olds and 2 clinical trials that evaluated a second dose in ≥4-year-olds. Overall frequencies of febrile convulsions were ≤0.4% across studies and vaccine groups. The frequency of febrile convulsions occurring 7-10 days post-vaccination with the GSK-MMR vaccine (5.7/10,000) was generally consistent with previously published data. The other safety outcomes were similar between the GSK-MMR and Merck-MMR vaccines in both age groups. Hence, as recommended by the Advisory Committee on Immunization Practices, the GSK-MMR vaccine can also be used for routine immunization of children according to the current immunization schedule in the United States to prevent MMR.

摘要

GSK(GSK-MMR)和默克(Merck-MMR)生产的麻疹-腮腺炎-风疹(MMR)联合疫苗已证明具有有效性和可接受的安全性,这在全球不同地区数十年的上市后使用中得到了证实。在美国,建议在 12-15 月龄和 4-6 岁时接种 2 剂 MMR 疫苗。所有原因的热性惊厥在接种第一剂 MMR 疫苗时的 12-18 月龄发病率最高。由于 MMR 疫苗接种后也可能罕见发生热性惊厥,因此我们比较了 GSK-MMR 和 Merck-MMR 疫苗的安全性数据,这些数据来自 4 项评估 12-15 月龄儿童首剂和 2 项评估≥4 岁儿童第二剂的临床试验。在所有研究和疫苗组中,热性惊厥的总发生率均≤0.4%。接种 GSK-MMR 疫苗后 7-10 天发生热性惊厥的频率(5.7/10000)与先前发表的数据基本一致。在这两个年龄组中,GSK-MMR 和 Merck-MMR 疫苗的其他安全性结果相似。因此,根据免疫实践咨询委员会的建议,GSK-MMR 疫苗也可根据美国当前的免疫计划常规用于儿童免疫接种,以预防 MMR。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3c46/10072070/8871542e99c4/KHVI_A_2188852_UF0001_OC.jpg

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