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一项针对韩国婴儿的葛兰素史克联合疫苗(预防白喉、破伤风、百日咳、脊髓灰质炎和乙型侵袭性感染)的前瞻性、观察性、多中心、上市后安全性监测研究。

A prospective, observational, multi-center, post-marketing safety surveillance study of the GSK combined vaccine against diphtheria, tetanus, pertussis, poliomyelitis, and type b invasive infections (DTaP-IPV/Hib) in South Korean infants.

机构信息

GSK, Wavre, Belgium.

Department of Pediatrics, Korea University College of Medicine, Seoul, South Korea.

出版信息

Hum Vaccin Immunother. 2024 Dec 31;20(1):2406060. doi: 10.1080/21645515.2024.2406060. Epub 2024 Oct 8.

DOI:10.1080/21645515.2024.2406060
PMID:39376187
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11469445/
Abstract

In South Korea, a combined vaccine against diphtheria, tetanus, pertussis, poliomyelitis, and type b invasive infections (DTaP-IPV/Hib) is available since 2018 for vaccination of infants from the age of 2 months. This prospective, observational, non-comparative, post-marketing study evaluated the real-world safety of DTaP-IPV/Hib primary vaccination in eligible South Korean infants from the age of 2 months between 2018 and 2022. Infants were followed up for 30 days after each vaccine dose to assess the proportion of infants experiencing any adverse event (AE), including adverse drug reactions (ADRs), unexpected AEs, and serious AEs/serious ADRs (SAEs/SADRs). Of 660 infants vaccinated during the study period, 646 were included in the total safety cohort. A total of 194 AEs were reported in 143 (22.1%) infants; 158 AEs occurred after the first dose in 130 (20.1%) infants, 21 after the second dose in 20 (13.4%) infants, and 11 after the third dose in ten (8.1%) infants. The most frequent AEs by Medical Dictionary for Regulatory Activities Preferred Terms terminology were pyrexia (13.3%), injection site swelling (5.1%), and irritability (1.7%). Most of the AEs were mild, resolved without a medical visit, and were classified as possibly related to vaccination. The incidence proportions of ADRs, unexpected AEs, and SAEs/SADRs were 19.4%, 4.3%, and 0.9%, respectively. All SAEs/SADRs resolved after hospitalization or emergency room visit, and one event was possibly related to vaccination. These results are in line with the approved label and other national/international studies, confirming the acceptable safety profile of DTaP-IPV/Hib in the South Korean pediatric population.

摘要

在韩国,自 2018 年以来,一种用于预防 2 个月龄婴儿的白喉、破伤风、百日咳、脊髓灰质炎和 b 型侵袭性感染(DTaP-IPV/Hib)的联合疫苗已经上市。这项前瞻性、观察性、非对照、上市后研究评估了 2018 年至 2022 年间,2 个月龄符合条件的韩国婴儿接种 DTaP-IPV/Hib 基础疫苗的真实世界安全性。在每次接种疫苗后,对婴儿进行 30 天的随访,以评估发生任何不良事件(AE)的婴儿比例,包括不良药物反应(ADR)、意外 AE 和严重 AE/严重 ADR(SAE/SADR)。在研究期间,有 660 名婴儿接种了疫苗,其中 646 名婴儿纳入了总安全性队列。共有 194 例 AE 在 143 名(22.1%)婴儿中报告;158 例 AE 在第一剂后发生在 130 名(20.1%)婴儿中,21 例在第二剂后发生在 20 名(13.4%)婴儿中,11 例在第三剂后发生在 10 名(8.1%)婴儿中。按监管活动医学词典首选术语分类,最常见的 AE 为发热(13.3%)、注射部位肿胀(5.1%)和烦躁不安(1.7%)。大多数 AE 为轻度,无需就诊即可自行缓解,且被归类为可能与疫苗接种有关。ADR、意外 AE 和 SAE/SADR 的发生率分别为 19.4%、4.3%和 0.9%。所有 SAE/SADR 在住院或急诊后得到解决,有 1 例事件可能与疫苗接种有关。这些结果与批准的标签和其他国家/国际研究一致,证实了 DTaP-IPV/Hib 在韩国儿科人群中的可接受安全性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c1c9/11469445/144bec889421/KHVI_A_2406060_F0001_B.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c1c9/11469445/144bec889421/KHVI_A_2406060_F0001_B.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c1c9/11469445/144bec889421/KHVI_A_2406060_F0001_B.jpg

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