Efficacy trial of live, cold-adapted and inactivated influenza virus vaccines in older adults with chronic obstructive pulmonary disease: a VA cooperative study

We assessed whether trivalent live, cold-adapted influenza virus (CAIV-T) vaccine provides added protection when co-administered with trivalent inactivated influenza virus vaccine (TVV) in patients with chronic obstructive pulmonary disease (COPD). Subjects ( N=2215) were randomly assigned to receiv...

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Veröffentlicht in:Vaccine 2003-05, Vol.21 (17), p.2133-2144
Hauptverfasser: Gorse, Geoffrey J, O’Connor, Theresa Z, Young, Stephen L, Mendelman, Paul M, Bradley, Suzanne F, Nichol, Kristin L, Strickland, James H, Paulson, Daniel M, Rice, Kathryn L, Foster, Runi A, Fulambarker, Ashok M, Shigeoka, John W, Kuschner, Ware G, Goodman, Richard P, Neuzil, Kathleen M, Wittes, Janet, Boardman, Kathy D, Peduzzi, Peter N
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container_end_page 2144
container_issue 17
container_start_page 2133
container_title Vaccine
container_volume 21
creator Gorse, Geoffrey J
O’Connor, Theresa Z
Young, Stephen L
Mendelman, Paul M
Bradley, Suzanne F
Nichol, Kristin L
Strickland, James H
Paulson, Daniel M
Rice, Kathryn L
Foster, Runi A
Fulambarker, Ashok M
Shigeoka, John W
Kuschner, Ware G
Goodman, Richard P
Neuzil, Kathleen M
Wittes, Janet
Boardman, Kathy D
Peduzzi, Peter N
description We assessed whether trivalent live, cold-adapted influenza virus (CAIV-T) vaccine provides added protection when co-administered with trivalent inactivated influenza virus vaccine (TVV) in patients with chronic obstructive pulmonary disease (COPD). Subjects ( N=2215) were randomly assigned to receive either TVV intramuscularly (IM) and CAIV-T intranasally (TC), or TVV and placebo (TP). The vaccines were well-tolerated. Efficacy of TC compared to TP was not statistically significant and was 0.16 for any influenza virus strain (95% confidence limit (CL): −0.22, 0.43), 0.26 for A (H3N2) virus (95% CL: −0.17, 0.53), and −0.05 for type B virus (95% CL: −1.13, 0.48). However, there was a possible advantage for TC over TP in reducing respiratory consequences of an influenza season measured by pulmonary function and symptoms at end of study.
doi_str_mv 10.1016/S0264-410X(02)00748-X
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subjects Administration, Intranasal
Aged
Biological and medical sciences
Chronic obstructive pulmonary disease
Disease Outbreaks
Efficacy
Fundamental and applied biological sciences. Psychology
Human viral diseases
Humans
Immunization
Infectious diseases
Influenza
Influenza vaccine
Influenza Vaccines - administration & dosage
Influenza Vaccines - immunology
Influenza Vaccines - therapeutic use
Influenza virus
Influenza, Human - epidemiology
Influenza, Human - immunology
Injections, Intramuscular
Medical sciences
Microbiology
Middle Aged
Mortality
Older people
Placebos
Pulmonary Disease, Chronic Obstructive - complications
Pulmonary Disease, Chronic Obstructive - immunology
Reproducibility of Results
Respiratory function
United States - epidemiology
Vaccines
Vaccines, antisera, therapeutical immunoglobulins and monoclonal antibodies
Vaccines, Inactivated - administration & dosage
Vaccines, Inactivated - immunology
Vaccines, Inactivated - therapeutic use
Viral diseases
Viral diseases of the respiratory system and ent viral diseases
Virology
title Efficacy trial of live, cold-adapted and inactivated influenza virus vaccines in older adults with chronic obstructive pulmonary disease: a VA cooperative study
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