Immunogenicity and safety of different sequential schedules of Sabin strain-based inactivated poliovirus vaccination: A randomized, controlled, open-label, phase IV clinical trial in China

The immunogenicity and safety of the sequential schedule of Sabin strain-based inactivated poliovirus vaccine (sIPV) and bivalent oral poliovirus vaccine (bOPV) remains poorly understood in Chinese population. A multi-center, open-label, randomized controlled trial was performed involving 648 health...

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Veröffentlicht in:Vaccine 2020-09, Vol.38 (40), p.6274-6279
Hauptverfasser: Yan, Shaohong, Chen, Haiping, Zhang, Zhenguo, Chang, Shaoying, Xiao, Yanhui, Luo, Linyun, Zhang, Zhaoyong, Sun, Li, Chen, Xiao, Yang, Yunkai, Shi, Xuanwen, Guo, Yu, Sun, Yunlong, Li, Hong, Li, Na, Han, Shasha, Ma, Meng, Yang, Xiaoming
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container_end_page 6279
container_issue 40
container_start_page 6274
container_title Vaccine
container_volume 38
creator Yan, Shaohong
Chen, Haiping
Zhang, Zhenguo
Chang, Shaoying
Xiao, Yanhui
Luo, Linyun
Zhang, Zhaoyong
Sun, Li
Chen, Xiao
Yang, Yunkai
Shi, Xuanwen
Guo, Yu
Sun, Yunlong
Li, Hong
Li, Na
Han, Shasha
Ma, Meng
Yang, Xiaoming
description The immunogenicity and safety of the sequential schedule of Sabin strain-based inactivated poliovirus vaccine (sIPV) and bivalent oral poliovirus vaccine (bOPV) remains poorly understood in Chinese population. A multi-center, open-label, randomized controlled trial was performed involving 648 healthy infants aged 2 months from Inner Mongolia, Shanxi, and Hebei provinces. These participants were divided into three groups: sIPV-bOPV-bOPV, sIPV-sIPV-bOPV, and sIPV-sIPV-sIPV. Doses were administered sequentially at age 2, 3, and 4 months. Neutralisation assays were tested using sera collected at 2 months and 5 months. A total of 569 were included in the per-protocol analysis. The seroconversion rates of poliovirus type 1 and 3 were 100% in all three groups, the seroconversion rate of poliovirus type 2 was 91.53% (173/189) (95% CI: 86.62–95.08) in the sIPV-bOPV-bOPV group, 98.38% (182/185) (95% CI: 95.33–99.66) in the sIPV-sIPV-bOPV group, and 99.49% (194/195) (95% CI: 97.18–99.99) in the sIPV-sIPV-sIPV group. For the seroconversion rate of poliovirus types 1 and 3, the sIPV-bOPV-bOPV and sIPV-sIPV-bOPV groups were non-inferior to the sIPV-sIPV-sIPV group. For the seroconversion rate of poliovirus type 2, the sIPV-sIPV-bOPV group was non-inferior to the sIPV-sIPV-sIPV group, and the sIPV-bOPV-bOPV group was inferior to the sIPV-sIPV-sIPV group. All three groups exhibited good safety, with two serious adverse events reported, that were unrelated to vaccine. In china, a new vaccination schedule that including 2 doses of IPV in the national immunization programs is essential. Trial registration ClinicalTrials.govNCT04054492.
doi_str_mv 10.1016/j.vaccine.2020.07.042
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A multi-center, open-label, randomized controlled trial was performed involving 648 healthy infants aged 2 months from Inner Mongolia, Shanxi, and Hebei provinces. These participants were divided into three groups: sIPV-bOPV-bOPV, sIPV-sIPV-bOPV, and sIPV-sIPV-sIPV. Doses were administered sequentially at age 2, 3, and 4 months. Neutralisation assays were tested using sera collected at 2 months and 5 months. A total of 569 were included in the per-protocol analysis. The seroconversion rates of poliovirus type 1 and 3 were 100% in all three groups, the seroconversion rate of poliovirus type 2 was 91.53% (173/189) (95% CI: 86.62–95.08) in the sIPV-bOPV-bOPV group, 98.38% (182/185) (95% CI: 95.33–99.66) in the sIPV-sIPV-bOPV group, and 99.49% (194/195) (95% CI: 97.18–99.99) in the sIPV-sIPV-sIPV group. For the seroconversion rate of poliovirus types 1 and 3, the sIPV-bOPV-bOPV and sIPV-sIPV-bOPV groups were non-inferior to the sIPV-sIPV-sIPV group. For the seroconversion rate of poliovirus type 2, the sIPV-sIPV-bOPV group was non-inferior to the sIPV-sIPV-sIPV group, and the sIPV-bOPV-bOPV group was inferior to the sIPV-sIPV-sIPV group. All three groups exhibited good safety, with two serious adverse events reported, that were unrelated to vaccine. In china, a new vaccination schedule that including 2 doses of IPV in the national immunization programs is essential. 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A multi-center, open-label, randomized controlled trial was performed involving 648 healthy infants aged 2 months from Inner Mongolia, Shanxi, and Hebei provinces. These participants were divided into three groups: sIPV-bOPV-bOPV, sIPV-sIPV-bOPV, and sIPV-sIPV-sIPV. Doses were administered sequentially at age 2, 3, and 4 months. Neutralisation assays were tested using sera collected at 2 months and 5 months. A total of 569 were included in the per-protocol analysis. The seroconversion rates of poliovirus type 1 and 3 were 100% in all three groups, the seroconversion rate of poliovirus type 2 was 91.53% (173/189) (95% CI: 86.62–95.08) in the sIPV-bOPV-bOPV group, 98.38% (182/185) (95% CI: 95.33–99.66) in the sIPV-sIPV-bOPV group, and 99.49% (194/195) (95% CI: 97.18–99.99) in the sIPV-sIPV-sIPV group. For the seroconversion rate of poliovirus types 1 and 3, the sIPV-bOPV-bOPV and sIPV-sIPV-bOPV groups were non-inferior to the sIPV-sIPV-sIPV group. For the seroconversion rate of poliovirus type 2, the sIPV-sIPV-bOPV group was non-inferior to the sIPV-sIPV-sIPV group, and the sIPV-bOPV-bOPV group was inferior to the sIPV-sIPV-sIPV group. All three groups exhibited good safety, with two serious adverse events reported, that were unrelated to vaccine. In china, a new vaccination schedule that including 2 doses of IPV in the national immunization programs is essential. Trial registration ClinicalTrials.govNCT04054492.</abstract><cop>Netherlands</cop><pub>Elsevier Ltd</pub><pmid>32747216</pmid><doi>10.1016/j.vaccine.2020.07.042</doi><tpages>6</tpages></addata></record>
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1873-2518
language eng
recordid cdi_proquest_journals_2438391636
source MEDLINE; Elsevier ScienceDirect Journals
subjects Age
Antibodies
Antibodies, Viral
Babies
Bivalent oral poliovirus vaccine
Child, Preschool
China
Clinical trials
Disease control
Disease prevention
Guardians
Humans
Immunization
Immunization Schedule
Immunogenicity
Immunology
Inactivated poliovirus vaccine
Infant
Infants
Laboratories
Poliomyelitis
Poliomyelitis - prevention & control
Poliovirus
Poliovirus Vaccine, Inactivated - adverse effects
Poliovirus Vaccine, Oral - adverse effects
Randomization
Research centers
Sabin strain
Safety
Schedules
Seroconversion
Vaccination
Vaccines
Viruses
title Immunogenicity and safety of different sequential schedules of Sabin strain-based inactivated poliovirus vaccination: A randomized, controlled, open-label, phase IV clinical trial in China
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