Post-licensure comparative study of unusual high-pitched crying and prolonged crying following COMVAX™ and placebo versus PedvaxHIB™ and RECOMBIVAX HB™ in healthy infants

Background: In a previous clinical trial comparing COMVAX™ with its monovalent components, PedvaxHIB™ and RECOMBIVAX HB™, one of 92 comparisons of post-vaccination adverse experiences revealed a higher rate of unusual, high-pitched crying following the second, but not the first or third doses of COM...

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Veröffentlicht in:Vaccine 2002-12, Vol.21 (3), p.181-187
Hauptverfasser: Kaplan, Karen M, Rusche, Steven A, Lakkis, Hassan D, Bottenfield, Gerald, Guerra, Fernando A, Guerrero, Juan, Keyserling, Harry, Felicione, Elise, Hesley, Teresa M, Boslego, John W
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container_end_page 187
container_issue 3
container_start_page 181
container_title Vaccine
container_volume 21
creator Kaplan, Karen M
Rusche, Steven A
Lakkis, Hassan D
Bottenfield, Gerald
Guerra, Fernando A
Guerrero, Juan
Keyserling, Harry
Felicione, Elise
Hesley, Teresa M
Boslego, John W
description Background: In a previous clinical trial comparing COMVAX™ with its monovalent components, PedvaxHIB™ and RECOMBIVAX HB™, one of 92 comparisons of post-vaccination adverse experiences revealed a higher rate of unusual, high-pitched crying following the second, but not the first or third doses of COMVAX™ compared with two monovalent control vaccines. Rates of prolonged crying were similar between groups at each visit. Objectives: To compare the frequencies of unusual, high-pitched crying between recipients of COMVAX™ plus placebo and recipients of PedvaxHIB™ plus RECOMBIVAX HB™ following the second vaccine doses (primary) and to summarize the frequency of unusual, high-pitched crying and prolonged crying after each vaccination visit. Design: We enrolled 1215 healthy infants in a randomized, double blind, placebo-controlled study. Participating infants received study vaccines at 2 and 4 months of age and other routine childhood vaccines at 6–7 weeks and 3 months of age. Crying was evaluated via questionnaire at the time of enrollment (baseline) and daily from days 0 to 2 after each injection. Results: Reports of unusual, high-pitched crying and prolonged crying were uncommon (
doi_str_mv 10.1016/S0264-410X(02)00469-3
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Rates of prolonged crying were similar between groups at each visit. Objectives: To compare the frequencies of unusual, high-pitched crying between recipients of COMVAX™ plus placebo and recipients of PedvaxHIB™ plus RECOMBIVAX HB™ following the second vaccine doses (primary) and to summarize the frequency of unusual, high-pitched crying and prolonged crying after each vaccination visit. Design: We enrolled 1215 healthy infants in a randomized, double blind, placebo-controlled study. Participating infants received study vaccines at 2 and 4 months of age and other routine childhood vaccines at 6–7 weeks and 3 months of age. Crying was evaluated via questionnaire at the time of enrollment (baseline) and daily from days 0 to 2 after each injection. Results: Reports of unusual, high-pitched crying and prolonged crying were uncommon (&lt;1%) prior to the first vaccination visit and were comparable in both treatment groups. After each injection, rates of unusual, high-pitched crying (range: 4.26–6.96%) and prolonged crying (range: 0–1.36%) appeared similar between treatment groups and for each vaccination visit. Crying resolved in all infants; no neurological impairment was reported. Conclusion: This study found no statistically significant differences in rates of unusual, high-pitched crying and prolonged crying in infants vaccinated with COMVAX™ plus placebo compared with infants vaccinated with its monovalent components, PedvaxHIB™ and RECOMBIVAX HB™.</description><identifier>ISSN: 0264-410X</identifier><identifier>EISSN: 1873-2518</identifier><identifier>DOI: 10.1016/S0264-410X(02)00469-3</identifier><identifier>PMID: 12450692</identifier><identifier>CODEN: VACCDE</identifier><language>eng</language><publisher>Oxford: Elsevier Ltd</publisher><subject><![CDATA[Age ; Bacterial Outer Membrane Proteins - administration & dosage ; Bacteriology ; Biological and medical sciences ; Clinical trials ; Comparative studies ; Confidence intervals ; Crying ; Double-Blind Method ; Fundamental and applied biological sciences. 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Rates of prolonged crying were similar between groups at each visit. Objectives: To compare the frequencies of unusual, high-pitched crying between recipients of COMVAX™ plus placebo and recipients of PedvaxHIB™ plus RECOMBIVAX HB™ following the second vaccine doses (primary) and to summarize the frequency of unusual, high-pitched crying and prolonged crying after each vaccination visit. Design: We enrolled 1215 healthy infants in a randomized, double blind, placebo-controlled study. Participating infants received study vaccines at 2 and 4 months of age and other routine childhood vaccines at 6–7 weeks and 3 months of age. Crying was evaluated via questionnaire at the time of enrollment (baseline) and daily from days 0 to 2 after each injection. Results: Reports of unusual, high-pitched crying and prolonged crying were uncommon (&lt;1%) prior to the first vaccination visit and were comparable in both treatment groups. 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Rates of prolonged crying were similar between groups at each visit. Objectives: To compare the frequencies of unusual, high-pitched crying between recipients of COMVAX™ plus placebo and recipients of PedvaxHIB™ plus RECOMBIVAX HB™ following the second vaccine doses (primary) and to summarize the frequency of unusual, high-pitched crying and prolonged crying after each vaccination visit. Design: We enrolled 1215 healthy infants in a randomized, double blind, placebo-controlled study. Participating infants received study vaccines at 2 and 4 months of age and other routine childhood vaccines at 6–7 weeks and 3 months of age. Crying was evaluated via questionnaire at the time of enrollment (baseline) and daily from days 0 to 2 after each injection. Results: Reports of unusual, high-pitched crying and prolonged crying were uncommon (&lt;1%) prior to the first vaccination visit and were comparable in both treatment groups. After each injection, rates of unusual, high-pitched crying (range: 4.26–6.96%) and prolonged crying (range: 0–1.36%) appeared similar between treatment groups and for each vaccination visit. Crying resolved in all infants; no neurological impairment was reported. Conclusion: This study found no statistically significant differences in rates of unusual, high-pitched crying and prolonged crying in infants vaccinated with COMVAX™ plus placebo compared with infants vaccinated with its monovalent components, PedvaxHIB™ and RECOMBIVAX HB™.</abstract><cop>Oxford</cop><pub>Elsevier Ltd</pub><pmid>12450692</pmid><doi>10.1016/S0264-410X(02)00469-3</doi><tpages>7</tpages></addata></record>
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source MEDLINE; Elsevier ScienceDirect Journals; ProQuest Central UK/Ireland
subjects Age
Bacterial Outer Membrane Proteins - administration & dosage
Bacteriology
Biological and medical sciences
Clinical trials
Comparative studies
Confidence intervals
Crying
Double-Blind Method
Fundamental and applied biological sciences. Psychology
Haemophilus Vaccines - administration & dosage
Hepatitis
Hepatitis B Vaccines - administration & dosage
Humans
Immunization
Immunization Schedule
Infant
Infants
Injection
Licenses
Microbiology
Polysaccharides, Bacterial - administration & dosage
Prolonged crying
Safety
Tetanus
Unusual high-pitched crying
Vaccination - adverse effects
Vaccination - psychology
Vaccine safety
Vaccines
Vaccines, antisera, therapeutical immunoglobulins and monoclonal antibodies
Vaccines, Combined - administration & dosage
Vaccines, Synthetic - administration & dosage
Virology
title Post-licensure comparative study of unusual high-pitched crying and prolonged crying following COMVAX™ and placebo versus PedvaxHIB™ and RECOMBIVAX HB™ in healthy infants
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