Immunogenicity and safety of an investigational AS02v -adjuvanted hepatitis B vaccine in patients with renal insufficiency who failed to respond or to maintain antibody levels after prior vaccination: Results of two open, randomized, comparative trials

Abstract An investigational AS02v -adjuvanted hepatitis B (HB-AS02) was compared with a licensed conventional recombinant hepatitis B vaccine ( HBVAXPRO ™; Sanofi Pasteur MSD, Lyon, France) in pre-dialysis, peritoneal dialysis and hemodialysis patients aged ≥18 years who had failed either to respond...

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Veröffentlicht in:Vaccine 2011-02, Vol.29 (6), p.1159-1166
Hauptverfasser: Tielemans, Christian L, Vlasak, Jiri, Kosa, Dezider, Billiouw, Jean-Marie, Verpooten, Gert A, Mezei, Ilona, Ryba, Miroslav, Peeters, Patrick C, Mat, Olivier, Jadoul, Michel Y, Polakovic, Vladimir, Dhaene, Michel, Treille, Serge, Kuriyakose, Sherine O, Leyssen, Maarten, Houard, Sophie A, Surquin, Murielle
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container_end_page 1166
container_issue 6
container_start_page 1159
container_title Vaccine
container_volume 29
creator Tielemans, Christian L
Vlasak, Jiri
Kosa, Dezider
Billiouw, Jean-Marie
Verpooten, Gert A
Mezei, Ilona
Ryba, Miroslav
Peeters, Patrick C
Mat, Olivier
Jadoul, Michel Y
Polakovic, Vladimir
Dhaene, Michel
Treille, Serge
Kuriyakose, Sherine O
Leyssen, Maarten
Houard, Sophie A
Surquin, Murielle
description Abstract An investigational AS02v -adjuvanted hepatitis B (HB-AS02) was compared with a licensed conventional recombinant hepatitis B vaccine ( HBVAXPRO ™; Sanofi Pasteur MSD, Lyon, France) in pre-dialysis, peritoneal dialysis and hemodialysis patients aged ≥18 years who had failed either to respond to prior vaccination with a conventional hepatitis B vaccine (Study A; n = 251) or to maintain protective antibody concentrations after prior hepatitis B vaccination (Study B; n = 181). These were open, randomized, comparative trials. Mean (range) age was 65.9 (31–92) and 64.6 (29–92) years in the two studies, respectively. In Study A, two doses of HB-AS02 given one month apart were found to be superior to two doses of the licensed vaccine in terms of seroprotection rate (76.9% versus 37.6%) and anti-HBs geometric mean antibody concentration (GMC; 139.3 versus 6.9 mIU/ml), with antibody concentrations ≥100 mIU/ml in 61.1% and 15.4% of subjects in the two groups, respectively. In Study B, one month after administration of a single booster dose, seroprotection rates were 89.0% in the HB-AS02 group and 90.8% in the licensed vaccine group, 81.3% and 60.9% of subjects had antibody concentrations ≥100 mIU/ml, and anti-HBs GMCs were 1726.8 and 189.5 mIU/ml. HB-AS02 was found to be more reactogenic than the licensed vaccine. In summary, the investigational HB-AS02 vaccine induced higher seroprotection rates and anti-HBs GMCs than a licensed conventional hepatitis B vaccine in uremic patients who had failed to respond or to maintain protective antibody titers after prior hepatitis B vaccination.
doi_str_mv 10.1016/j.vaccine.2010.12.009
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These were open, randomized, comparative trials. Mean (range) age was 65.9 (31–92) and 64.6 (29–92) years in the two studies, respectively. In Study A, two doses of HB-AS02 given one month apart were found to be superior to two doses of the licensed vaccine in terms of seroprotection rate (76.9% versus 37.6%) and anti-HBs geometric mean antibody concentration (GMC; 139.3 versus 6.9 mIU/ml), with antibody concentrations ≥100 mIU/ml in 61.1% and 15.4% of subjects in the two groups, respectively. In Study B, one month after administration of a single booster dose, seroprotection rates were 89.0% in the HB-AS02 group and 90.8% in the licensed vaccine group, 81.3% and 60.9% of subjects had antibody concentrations ≥100 mIU/ml, and anti-HBs GMCs were 1726.8 and 189.5 mIU/ml. HB-AS02 was found to be more reactogenic than the licensed vaccine. 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Psychology ; HB-AS02 ; Heart failure ; hemodialysis ; Hepatitis ; Hepatitis B ; Human viral diseases ; immune response ; Immunogenicity ; Infections ; Infectious diseases ; Licenses ; Medical sciences ; Microbiology ; patients ; Peritoneal dialysis ; renal failure ; Studies ; Thrombosis ; Vaccination ; Vaccines ; Vaccines, antisera, therapeutical immunoglobulins and monoclonal antibodies (general aspects) ; Viral diseases ; Viral hepatitis</subject><ispartof>Vaccine, 2011-02, Vol.29 (6), p.1159-1166</ispartof><rights>2010</rights><rights>2015 INIST-CNRS</rights><rights>Copyright Elsevier Limited Feb 1, 2011</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c446t-aaf38015fe00ac63db20a42bea0b06519bc48bed84f42fbe65e6bb149c89274c3</citedby><cites>FETCH-LOGICAL-c446t-aaf38015fe00ac63db20a42bea0b06519bc48bed84f42fbe65e6bb149c89274c3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.proquest.com/docview/1498112557?pq-origsite=primo$$EHTML$$P50$$Gproquest$$H</linktohtml><link.rule.ids>315,782,786,3554,27933,27934,46004,64394,64398,72478</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&amp;idt=23860968$$DView record in Pascal Francis$$Hfree_for_read</backlink></links><search><creatorcontrib>Tielemans, Christian L</creatorcontrib><creatorcontrib>Vlasak, Jiri</creatorcontrib><creatorcontrib>Kosa, Dezider</creatorcontrib><creatorcontrib>Billiouw, Jean-Marie</creatorcontrib><creatorcontrib>Verpooten, Gert A</creatorcontrib><creatorcontrib>Mezei, Ilona</creatorcontrib><creatorcontrib>Ryba, Miroslav</creatorcontrib><creatorcontrib>Peeters, Patrick C</creatorcontrib><creatorcontrib>Mat, Olivier</creatorcontrib><creatorcontrib>Jadoul, Michel Y</creatorcontrib><creatorcontrib>Polakovic, Vladimir</creatorcontrib><creatorcontrib>Dhaene, Michel</creatorcontrib><creatorcontrib>Treille, Serge</creatorcontrib><creatorcontrib>Kuriyakose, Sherine O</creatorcontrib><creatorcontrib>Leyssen, Maarten</creatorcontrib><creatorcontrib>Houard, Sophie A</creatorcontrib><creatorcontrib>Surquin, Murielle</creatorcontrib><title>Immunogenicity and safety of an investigational AS02v -adjuvanted hepatitis B vaccine in patients with renal insufficiency who failed to respond or to maintain antibody levels after prior vaccination: Results of two open, randomized, comparative trials</title><title>Vaccine</title><description>Abstract An investigational AS02v -adjuvanted hepatitis B (HB-AS02) was compared with a licensed conventional recombinant hepatitis B vaccine ( HBVAXPRO ™; Sanofi Pasteur MSD, Lyon, France) in pre-dialysis, peritoneal dialysis and hemodialysis patients aged ≥18 years who had failed either to respond to prior vaccination with a conventional hepatitis B vaccine (Study A; n = 251) or to maintain protective antibody concentrations after prior hepatitis B vaccination (Study B; n = 181). 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Sanofi Pasteur MSD, Lyon, France) in pre-dialysis, peritoneal dialysis and hemodialysis patients aged ≥18 years who had failed either to respond to prior vaccination with a conventional hepatitis B vaccine (Study A; n = 251) or to maintain protective antibody concentrations after prior hepatitis B vaccination (Study B; n = 181). These were open, randomized, comparative trials. Mean (range) age was 65.9 (31–92) and 64.6 (29–92) years in the two studies, respectively. In Study A, two doses of HB-AS02 given one month apart were found to be superior to two doses of the licensed vaccine in terms of seroprotection rate (76.9% versus 37.6%) and anti-HBs geometric mean antibody concentration (GMC; 139.3 versus 6.9 mIU/ml), with antibody concentrations ≥100 mIU/ml in 61.1% and 15.4% of subjects in the two groups, respectively. In Study B, one month after administration of a single booster dose, seroprotection rates were 89.0% in the HB-AS02 group and 90.8% in the licensed vaccine group, 81.3% and 60.9% of subjects had antibody concentrations ≥100 mIU/ml, and anti-HBs GMCs were 1726.8 and 189.5 mIU/ml. HB-AS02 was found to be more reactogenic than the licensed vaccine. In summary, the investigational HB-AS02 vaccine induced higher seroprotection rates and anti-HBs GMCs than a licensed conventional hepatitis B vaccine in uremic patients who had failed to respond or to maintain protective antibody titers after prior hepatitis B vaccination.</abstract><cop>Kidlington</cop><pub>Elsevier Ltd</pub><doi>10.1016/j.vaccine.2010.12.009</doi><tpages>8</tpages></addata></record>
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subjects Adjuvant
Allergy and Immunology
Applied microbiology
Biological and medical sciences
Cardiovascular disease
Confidence intervals
Coronary vessels
Dialysis
Disease prevention
Fractures
Fundamental and applied biological sciences. Psychology
HB-AS02
Heart failure
hemodialysis
Hepatitis
Hepatitis B
Human viral diseases
immune response
Immunogenicity
Infections
Infectious diseases
Licenses
Medical sciences
Microbiology
patients
Peritoneal dialysis
renal failure
Studies
Thrombosis
Vaccination
Vaccines
Vaccines, antisera, therapeutical immunoglobulins and monoclonal antibodies (general aspects)
Viral diseases
Viral hepatitis
title Immunogenicity and safety of an investigational AS02v -adjuvanted hepatitis B vaccine in patients with renal insufficiency who failed to respond or to maintain antibody levels after prior vaccination: Results of two open, randomized, comparative trials
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