A Combination Measles, Mumps, Rubella, and Varicella Vaccine (ProQuad) Given to 4- to 6-Year-Old Healthy Children Vaccinated Previously With M-M-RII and Varivax

In the United States, children receive primary doses of M-M-RII (Merck & Co, Inc, West Point, PA) and Varivax (Merck & Co, Inc) beginning at 12 months, often at the same health care visit. Currently a second dose of M-M-RII is given to 4- to 6-year-old children, to increase vaccination rates...

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Veröffentlicht in:Pediatrics (Evanston) 2006-02, Vol.117 (2), p.265-272
Hauptverfasser: Reisinger, Keith S, Hoffman Brown, Michelle L, Xu, Jin, Sullivan, Bradley J, Marshall, Gary S, Nauert, Beth, Matson, David O, Silas, Peter E, Protocol 014 Study Group for ProQuad, Schodel, Florian, Gress, Jacqueline O, Kuter, Barbara J
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container_end_page 272
container_issue 2
container_start_page 265
container_title Pediatrics (Evanston)
container_volume 117
creator Reisinger, Keith S
Hoffman Brown, Michelle L
Xu, Jin
Sullivan, Bradley J
Marshall, Gary S
Nauert, Beth
Matson, David O
Silas, Peter E
Protocol 014 Study Group for ProQuad
Schodel, Florian
Gress, Jacqueline O
Kuter, Barbara J
description In the United States, children receive primary doses of M-M-RII (Merck & Co, Inc, West Point, PA) and Varivax (Merck & Co, Inc) beginning at 12 months, often at the same health care visit. Currently a second dose of M-M-RII is given to 4- to 6-year-old children, to increase vaccination rates and to reduce the number of individuals without detectable antibodies. A second dose of a varicella-containing vaccine may result in similar benefits. To demonstrate that ProQuad (measles, mumps, rubella, and varicella virus vaccine live; Merck & Co, Inc) may be given in place of a second dose of M-M-RII or second doses of M-M-RII and Varivax for 4- to 6-year-old children. Four- to 6-year-old children who had been immunized previously with M-M-RII and Varivax were assigned randomly to receive either ProQuad and placebo (N = 399), M-M-RII and placebo (N = 195), or M-M-RII and Varivax (N = 205) and were then monitored for safety and immunogenicity. ProQuad was generally well tolerated. Similarity (noninferiority) was demonstrated in postvaccination antibody responses to measles, mumps, and rubella between recipients of ProQuad and all recipients of M-M-RII and in responses to varicella between recipients of ProQuad and recipients of Varivax. Postvaccination seropositivity rates for antibodies against all 4 viruses were nearly 100% in all 3 groups. Small fold increases were observed for measles, mumps, and rubella antibody titers. In contrast, substantial boosts in varicella antibody titers were observed among recipients of a second dose of varicella vaccine, administered as ProQuad or Varivax. ProQuad may be used in place of a second dose of M-M-RII or second doses of M-M-RII and Varivax for 4- to 6-year-old children.
doi_str_mv 10.1542/peds.2005-0092
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subjects Antibodies, Viral - blood
Antiviral drugs
Biological and medical sciences
Chickenpox - immunology
Chickenpox Vaccine - adverse effects
Chickenpox Vaccine - immunology
Child
Child, Preschool
Children
Double-Blind Method
Female
General aspects
Health aspects
Health care
Human viral diseases
Humans
Immunization
Immunization, Secondary
Infectious diseases
Male
Measles
Measles virus - immunology
Measles-Mumps-Rubella Vaccine - adverse effects
Measles-Mumps-Rubella Vaccine - immunology
Medical sciences
Mumps virus - immunology
Pediatrics
Rubella virus - immunology
Vaccination
Vaccination of children
Vaccines
Vaccines, Combined - adverse effects
Vaccines, Combined - immunology
Varicella-zoster virus
Viral diseases
Viral diseases with cutaneous or mucosal lesions and viral diseases of the eye
Viruses
title A Combination Measles, Mumps, Rubella, and Varicella Vaccine (ProQuad) Given to 4- to 6-Year-Old Healthy Children Vaccinated Previously With M-M-RII and Varivax
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