Gil A, González A, Aguilar L, Malo C, del Rey J
Departamento de Medicina Preventiva y Salud Pública, Facultad de Medicina, Universidad Autónoma de Madrid.
Med Clin (Barc). 1994 May 28;102(20):769-71.
The evaluation of the safety and immunogenicity of an inactivated vaccine against the hepatitis A virus (HAV) in healthy adults was performed.
A descriptive clinical trial was carried out including a population of 100 healthy subjects of ages from 19 to 25-years. The subjects were intramuscularly injected (deltoid muscle) with an inactivated vaccine against hepatitis A (720 units ELISA) following a schedule of 0.1 months and a booster dose at 6 months. The titers of anti HAV antibodies were determined by the ELISA method prior to vaccination and following the administration of each doses. The safety of the vaccine was also parallelly evaluated after each doses from both a local and systemic point of view.
With respect to safety, local signs and symptoms were presented in 34.6% of the subjects while systemic signs and symptoms were observed in 6.8% following administration of the 3 doses. At one month of the first doses 95.8% of the subjects had seroconverted (> or = 20 mUI/ml) with this rising to 100% at one month of receiving the second and third doses. The geometric mean of the antibody titer one month after having received each of the three doses was 158 mUI/ml, 832 mUI/ml and 4,135 mUI/ml, respectively.
The vaccine was well tolerated and demonstrated great safety with a 100% rate of seroconversion following the primary cycle with two doses. The administration of the reminder doses at 6 months increased the antibody titer five fold after the primary cycle.
对健康成年人中一种甲型肝炎病毒(HAV)灭活疫苗的安全性和免疫原性进行了评估。
开展了一项描述性临床试验,纳入了100名年龄在19至25岁的健康受试者。受试者按照0、1个月的接种程序以及在6个月时接种一剂加强针的方案,通过肌肉注射(三角肌)接种甲型肝炎灭活疫苗(720单位ELISA)。在接种疫苗前以及每次接种后,通过ELISA方法测定抗HAV抗体滴度。还从局部和全身角度对每次接种后的疫苗安全性进行了平行评估。
在安全性方面,34.6%的受试者出现了局部体征和症状,而在接种3剂后,6.8%的受试者出现了全身体征和症状。在接种第一剂后的1个月,95.8%的受试者发生了血清转化(≥20 mUI/ml),在接种第二剂和第三剂后的1个月,这一比例升至100%。在接种三剂中的每一剂后的1个月,抗体滴度的几何平均值分别为158 mUI/ml、832 mUI/ml和4135 mUI/ml。
该疫苗耐受性良好,安全性高,两剂基础免疫周期后的血清转化率为100%。在6个月时接种加强针使基础免疫周期后的抗体滴度提高了五倍。